Sparta Community Hospital
Sparta Community Hospital in Sparta, IL publishes cash prices for 159 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 above the Illinois median for 139 of 156 procedures and below it for 16. By typical cash price it ranks #109 of 115 Illinois hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
818 E Broadway, Sparta, IL 62286 Collected Sep 29, 2026 Source price file (618) 443-2177
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 141349 · CMS hospital register NPI 1548216476
The price file shows no self-pay discount
For 528 of the 528 prices listed here, the cash price in Sparta Community Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI (ANKLE,BRACHIAL INDEXES) | $1,283.25 | $1,283.25 | $167.86–$1,026.60 | 215% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI (ANKLE,BRACHIAL INDEXES) | $1,283.25 | $1,283.25 | $167.86–$1,026.60 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD & PELVIS W/CONTRAST | $6,849.00 | $6,849.00 | $627.47–$5,218.20 | 74% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD & PELVIS W/CONTRAST | $6,849.00 | $6,849.00 | $627.47–$5,218.20 | — | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $3,399.25 | $3,399.25 | $627.60–$3,399.25 | 32% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $3,399.25 | $3,399.25 | $627.60–$3,399.25 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $3,694.25 | $3,694.25 | $424.84–$3,694.25 | 36% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK | $3,694.25 | $3,694.25 | $424.84–$3,694.25 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST, NON-CORONARY | $4,362.25 | $4,362.25 | $570.42–$3,115.88 | 48% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST, NON-CORONARY | $4,362.25 | $4,362.25 | $570.42–$3,115.88 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST 2 ROUTINE | $488.00 | $488.00 | $91.27–$390.40 | 58% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 ROUTINE | $488.00 | $488.00 | $91.27–$390.40 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO W/DOPPLER/ COLORFLOW (ROUTINE) | $4,925.00 | $4,925.00 | $731.71–$3,940.00 | 129% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO W/DOPPLER/ COLORFLOW (ROUTINE) | $4,925.00 | $4,925.00 | $731.71–$3,940.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY/CPAP >= 6 hrs of recording | $6,400.00 | $6,400.00 | $1,289.29–$5,120.00 | 33% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY/SPLIT NIGHT>=6hrs recording | $6,400.00 | $6,400.00 | $1,289.29–$5,120.00 | 33% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY/CPAP >= 6 hrs of recording | $6,400.00 | $6,400.00 | $1,289.29–$5,120.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY/SPLIT NIGHT>=6hrs recording | $6,400.00 | $6,400.00 | $1,289.29–$5,120.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBOSACRAL W/O CONTRAST | $4,338.75 | $4,338.75 | $370.65–$3,471.00 | 43% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBOSACRAL W/O CONTRAST | $4,338.75 | $4,338.75 | $370.65–$3,471.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $5,313.75 | $5,313.75 | $687.90–$3,795.38 | 42% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST | $5,313.75 | $5,313.75 | $687.90–$3,795.38 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY/PSG >= 6 hrs of recording | $5,901.50 | $5,901.50 | $1,266.81–$4,496.20 | 47% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY/PSG >= 6 hrs of recording | $5,901.50 | $5,901.50 | $1,266.81–$4,496.20 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL | $1,069.00 | $1,069.00 | $170.13–$763.50 | 104% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL | $1,069.00 | $1,069.00 | $170.13–$763.50 | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 ROUTINE (BILATERAL) | $649.00 | $649.00 | $80.12–$365.80 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST 3 ROUTINE (BILATERAL) | $649.00 | $649.00 | $80.12–$365.80 | — | — |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 (BILATERAL) | $481.25 | $481.25 | $47.45–$185.26 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 (R) | $276.50 | $276.50 | $47.45–$185.26 | at median | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 (L) | $276.50 | $276.50 | $47.45–$185.26 | at median | — |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 (BILATERAL) | $481.25 | $481.25 | $47.45–$185.26 | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 (R) | $276.50 | $276.50 | $47.45–$185.26 | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 (L) | $276.50 | $276.50 | $47.45–$185.26 | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 MIN BILATERAL ROUTINE | $570.00 | $570.00 | $67.11–$261.60 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT 3 MIN BILATERAL ROUTINE | $570.00 | $570.00 | $67.11–$261.60 | — | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 (BILATERAL) * ROUTINE * | $573.25 | $573.25 | $70.90–$250.60 | — | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3 (BILATERAL) * ROUTINE * | $573.25 | $573.25 | $70.90–$250.60 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE, MIN 4 VIEWS | $587.25 | $587.25 | $94.89–$834.95 | 2% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE, MIN 4 VIEWS | $587.25 | $587.25 | $94.89–$834.95 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE | $670.25 | $670.25 | $47.93–$268.22 | 244% above | — |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE | $670.25 | $670.25 | $47.93–$268.22 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $129.25 | $129.25 | $3.70–$126.66 | 146% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $129.25 | $129.25 | $3.70–$126.66 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $129.25 | $129.25 | $3.70–$121.97 | 146% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $129.25 | $129.25 | $3.70–$121.97 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $1,016.00 | $1,016.00 | $12.38–$967.50 | 290% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $1,016.00 | $1,016.00 | $12.38–$967.50 | — | — |
| Albumin blood test CPT 82040 ALBUMIN | $123.25 | $123.25 | $49.62 | 198% above | — |
| Albumin blood test CPT 82040 PANEL TESTOSTERONE TOTAL,FREE, | $211.50 | $211.50 | $49.62 | 411% above | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $123.25 | $123.25 | $49.62 | — | — |
| Albumin blood test inpatient CPT 82040 PANEL TESTOSTERONE TOTAL,FREE, | $211.50 | $211.50 | $49.62 | — | — |
| Aldosterone blood test CPT 82088 $$CPTALDOSTERONE/RENIN RATIO | $57.25 | $57.25 | $12.79–$159.58 | 64% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $708.00 | $708.00 | $12.79–$159.58 | 342% above | — |
| Aldosterone blood test inpatient CPT 82088 $$CPTALDOSTERONE/RENIN RATIO | $57.25 | $57.25 | $12.79–$159.58 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $708.00 | $708.00 | $12.79–$159.58 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS | $112.50 | $112.50 | $7.40–$76.02 | 125% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE SPECIFIC | $330.50 | $330.50 | $7.40–$76.02 | 561% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS | $112.50 | $112.50 | $7.40–$76.02 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE SPECIFIC | $330.50 | $330.50 | $7.40–$76.02 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 $$CPTRAST FOOD PROFILE | $54.25 | $54.25 | $0.66–$59.80 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE | $77.00 | $77.00 | $0.66–$59.80 | 196% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CPT CODE 91380 IGE | $78.50 | $78.50 | $0.66–$59.80 | 202% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HAZELNUT TREE IGE | $82.75 | $82.75 | $0.66–$59.80 | 218% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CPT FOR NUT PANEL | $92.25 | $92.25 | $0.66–$59.80 | 255% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CACAO (CHOCOLATE) IGE | $92.25 | $92.25 | $0.66–$59.80 | 255% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP IGE | $97.00 | $97.00 | $0.66–$59.80 | 273% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CLAM IGE | $97.00 | $97.00 | $0.66–$59.80 | 273% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CRAB IGE | $97.00 | $97.00 | $0.66–$59.80 | 273% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CASHEW IGE | $97.00 | $97.00 | $0.66–$59.80 | 273% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CPT CODE 91380 GALACTOSE | $106.00 | $106.00 | $0.66–$59.80 | 308% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 $$CPT CODE FOR ALLERGY PANEL MOLD11 | $113.75 | $113.75 | $0.66–$59.80 | 338% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FUSARIUM MONILIFORME IGE | $130.00 | $130.00 | $0.66–$59.80 | 400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST MUCOR RACEMOSUS IGE | $130.00 | $130.00 | $0.66–$59.80 | 400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EPICOCCUM PURPURASCENS | $130.00 | $130.00 | $0.66–$59.80 | 400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SCALLOP IGE | $144.00 | $144.00 | $0.66–$59.80 | 454% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 $$CPTRAST FOOD PROFILE | $54.25 | $54.25 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE | $77.00 | $77.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CPT CODE 91380 IGE | $78.50 | $78.50 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HAZELNUT TREE IGE | $82.75 | $82.75 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CPT FOR NUT PANEL | $92.25 | $92.25 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CACAO (CHOCOLATE) IGE | $92.25 | $92.25 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CRAB IGE | $97.00 | $97.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CASHEW IGE | $97.00 | $97.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CLAM IGE | $97.00 | $97.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHRIMP IGE | $97.00 | $97.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CPT CODE 91380 GALACTOSE | $106.00 | $106.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 $$CPT CODE FOR ALLERGY PANEL MOLD11 | $113.75 | $113.75 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EPICOCCUM PURPURASCENS | $130.00 | $130.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST MUCOR RACEMOSUS IGE | $130.00 | $130.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST FUSARIUM MONILIFORME IGE | $130.00 | $130.00 | $0.66–$59.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SCALLOP IGE | $144.00 | $144.00 | $0.66–$59.80 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER | $92.75 | $92.75 | $16.38–$27.66 | 18% below | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER | $92.75 | $92.75 | $16.38–$27.66 | — | — |
| Ammonia blood test CPT 82140 $$URINE KIDNEY STONE EVALUALTION 24 HOUR | $74.25 | $74.25 | $16.38–$182.60 | 30% below | — |
| Ammonia blood test CPT 82140 AMMONIA LEVEL SCH | $228.25 | $228.25 | $16.38–$182.60 | 114% above | — |
| Ammonia blood test inpatient CPT 82140 $$URINE KIDNEY STONE EVALUALTION 24 HOUR | $74.25 | $74.25 | $16.38–$182.60 | — | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL SCH | $228.25 | $228.25 | $16.38–$182.60 | — | — |
| Amylase blood test CPT 82150 FLUID PERITONEAL AMYLASE | $117.50 | $117.50 | $3.70–$151.50 | 43% above | — |
| Amylase blood test CPT 82150 AMYLASE | $202.00 | $202.00 | $3.70–$151.50 | 147% above | — |
| Amylase blood test inpatient CPT 82150 FLUID PERITONEAL AMYLASE | $117.50 | $117.50 | $3.70–$151.50 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $202.00 | $202.00 | $3.70–$151.50 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP ANTIBODY | $365.75 | $365.75 | $14.34–$358.43 | 335% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP ANTIBODY | $365.75 | $365.75 | $14.34–$358.43 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI CENTROMERE B | $210.00 | $210.00 | $7.89–$223.40 | 133% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY | $238.75 | $238.75 | $7.89–$223.40 | 165% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CYSTATIN C | $503.50 | $503.50 | $7.17–$113.49 | 459% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI CENTROMERE B | $210.00 | $210.00 | $7.89–$223.40 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY | $238.75 | $238.75 | $7.89–$223.40 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CYSTATIN C | $503.50 | $503.50 | $7.17–$113.49 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP, N TERMINAL SCH | $470.75 | $470.75 | $38.59–$460.60 | 149% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP, N TERMINAL SCH | $470.75 | $470.75 | $38.59–$460.60 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CPT CODE 87070 O2 CULTURE | $148.25 | $148.25 | $14.44–$160.50 | 65% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $155.50 | $155.50 | $14.44–$160.50 | 73% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE REFERAL GENERAL QUEST | $206.00 | $206.00 | $14.44–$160.50 | 129% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 STREP CONFIRMATION CULTURE <=17yo | $214.00 | $214.00 | $14.44–$160.50 | 138% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 QUEST CULTURE THROAT | $214.00 | $214.00 | $14.44–$160.50 | 138% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE HERPES SIMPLEX RAPID | $336.75 | $336.75 | $14.44–$160.50 | 274% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CPT CODE 87070 O2 CULTURE | $148.25 | $148.25 | $14.44–$160.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL | $155.50 | $155.50 | $14.44–$160.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE REFERAL GENERAL QUEST | $206.00 | $206.00 | $14.44–$160.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 QUEST CULTURE THROAT | $214.00 | $214.00 | $14.44–$160.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 STREP CONFIRMATION CULTURE <=17yo | $214.00 | $214.00 | $14.44–$160.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE HERPES SIMPLEX RAPID | $336.75 | $336.75 | $14.44–$160.50 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP) | $248.25 | $248.25 | $12.38–$204.75 | 94% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP) | $248.25 | $248.25 | $12.38–$204.75 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $142.75 | $142.75 | $6.73–$135.75 | 132% above | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $142.75 | $142.75 | $6.73–$135.75 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL 4 (GROSS/MICRO) TC | $457.50 | $457.50 | $27.24–$348.40 | 91% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL 4 (GROSS/MICRO) TC | $457.50 | $457.50 | $27.24–$348.40 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD-PORT DRAW | $300.00 | $300.00 | $7.22–$402.00 | 95% above | — |
| Blood culture for bacteria CPT 87040 QUEST CULTURE BLOOD | $300.00 | $300.00 | $7.22–$402.00 | 95% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD-PERIPHERAL | $300.00 | $300.00 | $7.22–$402.00 | 95% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD-PORT DRAW | $300.00 | $300.00 | $7.22–$402.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD-PERIPHERAL | $300.00 | $300.00 | $7.22–$402.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 QUEST CULTURE BLOOD | $300.00 | $300.00 | $7.22–$402.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $45.00 | $45.00 | $8.28–$45.00 | 91% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $45.00 | $45.00 | $8.28–$45.00 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $103.00 | $103.00 | $3.70–$82.40 | 127% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SD as CMP (MOD 91) | $108.25 | $108.25 | $3.70–$82.40 | 138% above | — |
| Blood glucose (sugar) test CPT 82947 URINE 24HR GLUCOSE | $171.75 | $171.75 | $3.70–$82.40 | 278% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $103.00 | $103.00 | $3.70–$82.40 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SD as CMP (MOD 91) | $108.25 | $108.25 | $3.70–$82.40 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 URINE 24HR GLUCOSE | $171.75 | $171.75 | $3.70–$82.40 | — | — |
| Blood lead test CPT 83655 LEAD LEVEL | $182.25 | $182.25 | $16.87–$157.69 | 225% above | — |
| Blood lead test CPT 83655 LEAD LEVEL CAPILLARY | $182.25 | $182.25 | $16.87–$157.69 | 225% above | — |
| Blood lead test CPT 83655 $$PANEL HEAVY METAL LEAD | $196.75 | $196.75 | $16.87–$157.69 | 251% above | — |
| Blood lead test inpatient CPT 83655 LEAD LEVEL CAPILLARY | $182.25 | $182.25 | $16.87–$157.69 | — | — |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $182.25 | $182.25 | $16.87–$157.69 | — | — |
| Blood lead test inpatient CPT 83655 $$PANEL HEAVY METAL LEAD | $196.75 | $196.75 | $16.87–$157.69 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG QUAL(SERUM) | $165.75 | $165.75 | $7.40–$191.81 | 82% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG QUAL(SERUM) | $165.75 | $165.75 | $7.40–$191.81 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *ARC ABO TYPE | $84.50 | $84.50 | $5.52–$101.18 | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *BB TYPE ABO | $103.25 | $103.25 | $5.52–$101.18 | 23% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 *ARC ABO TYPE | $84.50 | $84.50 | $5.52–$101.18 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 *BB TYPE ABO | $103.25 | $103.25 | $5.52–$101.18 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN WB | $117.25 | $117.25 | $7.40–$114.90 | 125% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $123.25 | $123.25 | $7.40–$114.90 | 137% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN SD as CMP (MOD 91) | $123.25 | $123.25 | $7.40–$114.90 | 137% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN WB | $117.25 | $117.25 | $7.40–$114.90 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN SD as CMP (MOD 91) | $123.25 | $123.25 | $7.40–$114.90 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $123.25 | $123.25 | $7.40–$114.90 | — | — |
| C-peptide blood test CPT 84681 C PEPTIDE | $223.00 | $223.00 | $48.82 | 115% above | — |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE | $223.00 | $223.00 | $48.82 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP INFLAMMATION | $252.75 | $252.75 | $15.77–$257.06 | 244% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CARDIAC CRP | $252.75 | $252.75 | $15.77–$257.06 | 244% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP INFLAMMATION | $252.75 | $252.75 | $15.77–$257.06 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CARDIAC CRP | $252.75 | $252.75 | $15.77–$257.06 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 | $402.50 | $402.50 | $83.60–$306.60 | 264% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9 | $402.50 | $402.50 | $83.60–$306.60 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV2 RNA, QUAL RT-PCR | $264.75 | $264.75 | $29.36–$198.56 | 129% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV2 RNA, QUAL RT-PCR | $264.75 | $264.75 | $29.36–$198.56 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL | $118.25 | $118.25 | $6.73–$75.38 | 160% above | — |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL SD as CMP (MOD 91) | $118.25 | $118.25 | $6.73–$75.38 | 160% above | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL SD as CMP (MOD 91) | $118.25 | $118.25 | $6.73–$75.38 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL | $118.25 | $118.25 | $6.73–$75.38 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $346.25 | $346.25 | $8.19–$339.32 | 145% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $346.25 | $346.25 | $8.19–$339.32 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 && #2 CPT VARICELLA ZOSTER IgG/IgM | $95.50 | $95.50 | $7.89–$50.00 | 28% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 $$VARICELLA ZOSTER IgG/IgM 2 CPT | $95.50 | $95.50 | $7.89–$50.00 | 28% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 $$VARICELLA ZOSTER IgG/IgM 2 CPT | $95.50 | $95.50 | $7.89–$50.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 && #2 CPT VARICELLA ZOSTER IgG/IgM | $95.50 | $95.50 | $7.89–$50.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 QUEST CHLAM/GC APTIMA THROAT | $73.00 | $73.00 | $48.01–$179.00 | 41% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 QUEST CHLAMYDIA RNA, TMA APTIMA | $144.75 | $144.75 | $48.01–$179.00 | 17% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 QUEST CPT CHLAMYDIA/GC RNA, TMA APTIMA | $144.75 | $144.75 | $48.01–$179.00 | 17% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR SCH | $223.75 | $223.75 | $48.01–$179.00 | 81% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PATH C TRACHOMAT AMP NA PROBE TC | $243.25 | $243.25 | $48.01–$179.00 | 97% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 QUEST CHLAM/GC APTIMA THROAT | $73.00 | $73.00 | $48.01–$179.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 QUEST CHLAMYDIA RNA, TMA APTIMA | $144.75 | $144.75 | $48.01–$179.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 QUEST CPT CHLAMYDIA/GC RNA, TMA APTIMA | $144.75 | $144.75 | $48.01–$179.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR SCH | $223.75 | $223.75 | $48.01–$179.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 PATH C TRACHOMAT AMP NA PROBE TC | $243.25 | $243.25 | $48.01–$179.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 $$CPT # VAP CHOLESTEROL | $246.50 | $246.50 | $12.38–$239.40 | 91% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $314.25 | $314.25 | $12.38–$239.40 | 144% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 $$CPT # VAP CHOLESTEROL | $246.50 | $246.50 | $12.38–$239.40 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $314.25 | $314.25 | $12.38–$239.40 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W DIFF | $167.75 | $167.75 | $8.13–$164.39 | 114% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W DIFF | $167.75 | $167.75 | $8.13–$164.39 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $70.50 | $70.50 | $8.13–$70.50 | 8% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF | $70.50 | $70.50 | $8.13–$70.50 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $371.00 | $371.00 | $6.19–$346.18 | 132% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $371.00 | $371.00 | $6.19–$346.18 | — | — |
| Cortisol blood test, total CPT 82533 $$CPTCORTISOL STIMULATION BY ACTH | $28.50 | $28.50 | $8.22–$241.50 | 74% below | — |
| Cortisol blood test, total CPT 82533 CPT CODE FOR 37077 FREE & TOTAL CORTISOL | $263.25 | $263.25 | $8.22–$241.50 | 139% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL LEVEL AM | $299.75 | $299.75 | $8.22–$241.50 | 172% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $299.75 | $299.75 | $8.22–$241.50 | 172% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL LEVEL PM | $299.75 | $299.75 | $8.22–$241.50 | 172% above | — |
| Cortisol blood test, total inpatient CPT 82533 $$CPTCORTISOL STIMULATION BY ACTH | $28.50 | $28.50 | $8.22–$241.50 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CPT CODE FOR 37077 FREE & TOTAL CORTISOL | $263.25 | $263.25 | $8.22–$241.50 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL LEVEL AM | $299.75 | $299.75 | $8.22–$241.50 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL LEVEL PM | $299.75 | $299.75 | $8.22–$241.50 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $299.75 | $299.75 | $8.22–$241.50 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $118.25 | $118.25 | $3.36–$115.88 | 92% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK | $118.25 | $118.25 | $3.36–$115.88 | — | — |
| Creatinine blood test CPT 82565 CREATININE WB | $98.25 | $98.25 | $3.70–$96.28 | 96% above | — |
| Creatinine blood test CPT 82565 CREATININE SD as CMP (MOD 91) | $103.25 | $103.25 | $3.70–$96.28 | 106% above | — |
| Creatinine blood test CPT 82565 CREATININE LEVEL | $103.25 | $103.25 | $3.70–$96.28 | 106% above | — |
| Creatinine blood test inpatient CPT 82565 CREATININE WB | $98.25 | $98.25 | $3.70–$96.28 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE LEVEL | $103.25 | $103.25 | $3.70–$96.28 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE SD as CMP (MOD 91) | $103.25 | $103.25 | $3.70–$96.28 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG | $239.00 | $239.00 | $15.77–$170.63 | 181% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB IGG | $239.00 | $239.00 | $15.77–$170.63 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $325.00 | $325.00 | $5.51–$319.80 | 169% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $325.00 | $325.00 | $5.51–$319.80 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $66.00 | $66.00 | $8.22–$50.00 | 39% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $66.00 | $66.00 | $8.22–$50.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $114.00 | $114.00 | $12.38 | 18% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $114.00 | $114.00 | $12.38 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS ANTIBODY IGM | $119.75 | $119.75 | $15.77–$50.00 | 11% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS ANTIBODY IGG | $125.75 | $125.75 | $15.77–$50.00 | 16% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB | $346.25 | $346.25 | $15.77–$50.00 | 220% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS ANTIBODY IGM | $119.75 | $119.75 | $15.77–$50.00 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS ANTIBODY IGG | $125.75 | $125.75 | $15.77–$50.00 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS AB | $346.25 | $346.25 | $15.77–$50.00 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL, ULTRASENSITIVE, LC/MS/MS | $426.75 | $426.75 | $9.04–$406.25 | 302% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL, ULTRASENSITIVE, LC/MS/MS | $426.75 | $426.75 | $9.04–$406.25 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRIC | $165.75 | $165.75 | $8.22–$299.39 | 40% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $305.50 | $305.50 | $8.22–$299.39 | 158% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PEDIATRIC | $165.75 | $165.75 | $8.22–$299.39 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $305.50 | $305.50 | $8.22–$299.39 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN | $518.75 | $518.75 | $16.38–$113.62 | 199% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 FECAL CALPROTECTIN | $518.75 | $518.75 | $16.38–$113.62 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN SCH | $273.75 | $273.75 | $16.38–$268.27 | 107% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN SCH | $273.75 | $273.75 | $16.38–$268.27 | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $171.00 | $171.00 | $40.12 | 96% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $171.00 | $171.00 | $40.12 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL SCH | $282.00 | $282.00 | $16.38–$277.49 | 151% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID LEVEL SCH | $282.00 | $282.00 | $16.38–$277.49 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $384.25 | $384.25 | $9.04–$376.56 | 221% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $384.25 | $384.25 | $9.04–$376.56 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $207.50 | $207.50 | $9.04–$193.55 | 78% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $207.50 | $207.50 | $9.04–$193.55 | — | — |
| Free testosterone test CPT 84402 PANEL TESTOSTERONE FREE | $150.50 | $150.50 | $8.22–$146.63 | 23% above | — |
| Free testosterone test inpatient CPT 84402 PANEL TESTOSTERONE FREE | $150.50 | $150.50 | $8.22–$146.63 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $123.25 | $123.25 | $3.70–$117.25 | 111% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $123.25 | $123.25 | $3.70–$117.25 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH SCREEN | $827.25 | $827.25 | $135.83–$159.04 | 150% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH SCREEN | $827.25 | $827.25 | $135.83–$159.04 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR P P | $108.25 | $108.25 | $6.73–$103.00 | 91% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR P P | $108.25 | $108.25 | $6.73–$103.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1ST HR | $258.00 | $258.00 | $16.38–$116.70 | 91% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1ST HR | $258.00 | $258.00 | $16.38–$116.70 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 QUEST CHLAM/GC APTIMA THROAT | $73.00 | $73.00 | $44.00–$162.20 | 41% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 QUEST GC RNA, TMA APTIMA | $144.75 | $144.75 | $44.00–$162.20 | 17% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PCR SCH | $202.75 | $202.75 | $44.00–$162.20 | 65% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 PATH GONORRHOEAE AMP NA PROBE TC | $225.75 | $225.75 | $44.00–$162.20 | 83% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 QUEST CHLAM/GC APTIMA THROAT | $73.00 | $73.00 | $44.00–$162.20 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 QUEST GC RNA, TMA APTIMA | $144.75 | $144.75 | $44.00–$162.20 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PCR SCH | $202.75 | $202.75 | $44.00–$162.20 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 PATH GONORRHOEAE AMP NA PROBE TC | $225.75 | $225.75 | $44.00–$162.20 | — | — |
| H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL | $244.25 | $244.25 | $52.41–$57.30 | 110% above | — |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG STOOL | $244.25 | $244.25 | $52.41–$57.30 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QNT ULTRA V1.5 | $658.50 | $658.50 | $53.39–$147.93 | 94% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QNT ULTRA V1.5 | $658.50 | $658.50 | $53.39–$147.93 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 AG&AB WITH REFLEX | $206.00 | $206.00 | $14.44–$50.00 | 83% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 AG&AB WITH REFLEX | $206.00 | $206.00 | $14.44–$50.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $165.75 | $165.75 | $7.40–$154.59 | 86% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 QUEST HEMOGLOBIN A1C | $174.50 | $174.50 | $6.73–$39.34 | 96% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $165.75 | $165.75 | $7.40–$154.59 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 QUEST HEMOGLOBIN A1C | $174.50 | $174.50 | $6.73–$39.34 | — | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $31.50 | $31.50 | $4.07–$35.00 | at median | — |
| Hemoglobin blood test CPT 85018 $$HEMOGLOBINOPATHY #3 CPT | $84.00 | $84.00 | $4.07–$35.00 | 167% above | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $31.50 | $31.50 | $4.07–$35.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 $$HEMOGLOBINOPATHY #3 CPT | $84.00 | $84.00 | $4.07–$35.00 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY | $88.25 | $88.25 | $7.89–$67.20 | 13% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY | $88.25 | $88.25 | $7.89–$67.20 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE Ag/WITH CONFIRMATION | $196.75 | $196.75 | $13.13–$149.80 | 122% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE Ag/WITH CONFIRMATION | $196.75 | $196.75 | $13.13–$149.80 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODIES WITH PCR/RNA | $182.25 | $182.25 | $7.17–$138.80 | 63% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODIES WITH PCR/RNA | $182.25 | $182.25 | $7.17–$138.80 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 $$CPTHEP C VIRAL QUANT PCR/RFX TO GENO | $687.50 | $687.50 | $58.73–$523.80 | 159% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 $$CPTHEP C VIRAL QUANT PCR/RFX TO GENO | $687.50 | $687.50 | $58.73–$523.80 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 $$CPTHSV IGG | $291.25 | $291.25 | $7.89–$69.79 | 348% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG TYPE I AB | $297.50 | $297.50 | $7.89–$69.79 | 358% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 $$CPTHSV IGG | $291.25 | $291.25 | $7.89–$69.79 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGG TYPE I AB | $297.50 | $297.50 | $7.89–$69.79 | — | — |
| Insulin blood test CPT 83525 INSULIN LEVEL | $193.00 | $193.00 | $18.08–$144.75 | 165% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $193.00 | $193.00 | $18.08–$144.75 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON SCH | $97.50 | $97.50 | $3.70–$74.20 | 23% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SCH | $97.50 | $97.50 | $3.70–$74.20 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 UIBC SCH | $102.50 | $102.50 | $3.70–$78.00 | 37% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC SCH | $102.50 | $102.50 | $3.70–$78.00 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $174.25 | $174.25 | $9.62–$56.40 | 17% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $174.25 | $174.25 | $9.62–$56.40 | — | — |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC <18YR | $165.75 | $165.75 | $8.22–$285.42 | 44% above | — |
| LH (luteinizing hormone) test CPT 83002 LH >18YR | $291.25 | $291.25 | $8.22–$285.42 | 154% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH PEDIATRIC <18YR | $165.75 | $165.75 | $8.22–$285.42 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH >18YR | $291.25 | $291.25 | $8.22–$285.42 | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE ER | $136.50 | $136.50 | $16.38–$174.20 | 52% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE ER | $136.50 | $136.50 | $16.38–$174.20 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID SYNOVIAL LDH | $105.50 | $105.50 | $3.70–$115.88 | 83% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID PERITONEAL LDH | $105.50 | $105.50 | $3.70–$115.88 | 83% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $118.25 | $118.25 | $3.70–$115.88 | 106% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CPT CODE LDH ISOENZYME | $137.25 | $137.25 | $3.70–$115.88 | 139% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 FLUID PERITONEAL LDH | $105.50 | $105.50 | $3.70–$115.88 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 FLUID SYNOVIAL LDH | $105.50 | $105.50 | $3.70–$115.88 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $118.25 | $118.25 | $3.70–$115.88 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CPT CODE LDH ISOENZYME | $137.25 | $137.25 | $3.70–$115.88 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $149.50 | $149.50 | $3.70–$139.40 | 60% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $149.50 | $149.50 | $3.70–$139.40 | — | — |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $372.50 | $372.50 | $6.19–$298.00 | 170% above | — |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $372.50 | $372.50 | $6.19–$298.00 | — | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE EIA W/REFLEX IGG/IGM WB | $162.75 | $162.75 | $7.89–$124.00 | 124% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE EIA W/REFLEX IGG/IGM WB | $162.75 | $162.75 | $7.89–$124.00 | — | — |
| Magnesium blood test CPT 83735 $$URINE KIDNEY STONE EVALUALTION 24 HOUR | $74.25 | $74.25 | $3.70–$173.53 | 6% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $124.25 | $124.25 | $3.70–$173.53 | 77% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $136.00 | $136.00 | $3.70–$173.53 | 94% above | — |
| Magnesium blood test inpatient CPT 83735 $$URINE KIDNEY STONE EVALUALTION 24 HOUR | $74.25 | $74.25 | $3.70–$173.53 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC | $124.25 | $124.25 | $3.70–$173.53 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL | $136.00 | $136.00 | $3.70–$173.53 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG TITER RUBEOLA | $299.75 | $299.75 | $7.89–$285.25 | 313% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG TITER RUBEOLA | $299.75 | $299.75 | $7.89–$285.25 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $84.75 | $84.75 | $14.34–$53.94 | 5% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $84.75 | $84.75 | $14.34–$53.94 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 $$PSA PLUS TOTAL & % FREE | $258.75 | $258.75 | $16.38–$82.52 | 180% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 $$PSA PLUS TOTAL & % FREE | $258.75 | $258.75 | $16.38–$82.52 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $174.25 | $174.25 | $5.32–$139.40 | 54% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 $$PSA PLUS TOTAL & % FREE | $258.00 | $258.00 | $5.32–$139.40 | 128% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $174.25 | $174.25 | $5.32–$139.40 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 $$PSA PLUS TOTAL & % FREE | $258.00 | $258.00 | $5.32–$139.40 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PATH CVPAP THIN AUTO & MAN DIAG TC | $164.25 | $164.25 | $28.03–$125.00 | 20% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PATH CVPAP THIN AUTO & MAN DIAG TC | $164.25 | $164.25 | $28.03–$125.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PATH C/V PAP THIN LAYER DIAG TC | $248.25 | $248.25 | $50.00 | 126% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PATH C/V PAP THIN LAYER DIAG TC | $248.25 | $248.25 | $50.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID INTACT | $239.25 | $239.25 | $47.92–$209.40 | 10% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH WITHOUT CALCIUM | $275.00 | $275.00 | $47.92–$209.40 | 26% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH RELATED PROTEIN | $454.25 | $454.25 | $47.92–$209.40 | 109% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID INTACT | $239.25 | $239.25 | $47.92–$209.40 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH WITHOUT CALCIUM | $275.00 | $275.00 | $47.92–$209.40 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH RELATED PROTEIN | $454.25 | $454.25 | $47.92–$209.40 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $108.25 | $108.25 | $6.07–$106.52 | 55% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $108.25 | $108.25 | $6.07–$106.52 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $102.50 | $102.50 | $3.70–$130.65 | 64% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $102.50 | $102.50 | $3.70–$130.65 | — | — |
| Potassium blood test CPT 84132 POTASSIUM LEVEL | $97.50 | $97.50 | $7.40–$78.00 | 118% above | — |
| Potassium blood test CPT 84132 POTASSIUM SD as CMP (MOD 91) | $102.50 | $102.50 | $7.40–$78.00 | 129% above | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL | $97.50 | $97.50 | $7.40–$78.00 | — | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM SD as CMP (MOD 91) | $102.50 | $102.50 | $7.40–$78.00 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $251.75 | $251.75 | $9.04–$59.06 | 86% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL | $251.75 | $251.75 | $9.04–$59.06 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $413.50 | $413.50 | $9.04–$322.88 | 226% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $413.50 | $413.50 | $9.04–$322.88 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT (PROTIME) | $103.25 | $103.25 | $6.07–$78.60 | 168% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME PT / FINGERSTICK | $103.25 | $103.25 | $6.07–$78.60 | 168% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME PT / FINGERSTICK | $103.25 | $103.25 | $6.07–$78.60 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT (PROTIME) | $103.25 | $103.25 | $6.07–$78.60 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $80.25 | $80.25 | $14.44–$61.00 | 32% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN | $80.25 | $80.25 | $14.44–$61.00 | — | — |
| Renin blood test CPT 84244 $$CPTALDOSTERONE/RENIN RATIO | $57.25 | $57.25 | $8.22–$19.99 | 49% below | — |
| Renin blood test CPT 84244 PLASMA RENIN ACTIVITY | $86.25 | $86.25 | $8.22–$19.99 | 23% below | — |
| Renin blood test inpatient CPT 84244 $$CPTALDOSTERONE/RENIN RATIO | $57.25 | $57.25 | $8.22–$19.99 | — | — |
| Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY | $86.25 | $86.25 | $8.22–$19.99 | — | — |
| Rh blood typing CPT 86901 *BB TYPE RH | $104.00 | $104.00 | $2.76–$101.92 | 52% above | — |
| Rh blood typing inpatient CPT 86901 *BB TYPE RH | $104.00 | $104.00 | $2.76–$101.92 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA 'HI' | $159.50 | $159.50 | $7.89–$50.00 | 109% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA 'HI' | $159.50 | $159.50 | $7.89–$50.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 QUEST SED RATE MODIFIED WESTERGREN | $92.75 | $92.75 | $7.39–$91.63 | 102% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE WESTERGREN | $98.25 | $98.25 | $7.39–$91.63 | 114% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 QUEST SED RATE MODIFIED WESTERGREN | $92.75 | $92.75 | $7.39–$91.63 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE WESTERGREN | $98.25 | $98.25 | $7.39–$91.63 | — | — |
| Sodium blood test CPT 84295 SODIUM SD as CMP (MOD 91) | $102.50 | $102.50 | $24.05 | 109% above | — |
| Sodium blood test inpatient CPT 84295 SODIUM SD as CMP (MOD 91) | $102.50 | $102.50 | $24.05 | — | — |
| Stool ova and parasites exam CPT 87177 $$OVA AND PARASITES STOOL | $77.75 | $77.75 | $7.22–$59.20 | 4% above | — |
| Stool ova and parasites exam inpatient CPT 87177 $$OVA AND PARASITES STOOL | $77.75 | $77.75 | $7.22–$59.20 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN 1SPEC NON CR | $59.75 | $59.75 | $3.70–$7.40 | 107% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN 3 SPEC | $174.75 | $174.75 | $3.70–$7.40 | 506% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SCREEN 1SPEC NON CR | $59.75 | $59.75 | $3.70–$7.40 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SCREEN 3 SPEC | $174.75 | $174.75 | $3.70–$7.40 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL FIT 2 SPEC | $112.50 | $112.50 | $16.38–$133.00 | 56% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL FIT 3 SPEC | $174.75 | $174.75 | $16.38–$133.00 | 142% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL FIT 1 SPEC | $179.00 | $179.00 | $16.38–$133.00 | 148% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD STOOL FIT 2 SPEC | $112.50 | $112.50 | $16.38–$133.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD STOOL FIT 3 SPEC | $174.75 | $174.75 | $16.38–$133.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD STOOL FIT 1 SPEC | $179.00 | $179.00 | $16.38–$133.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TITER | $78.00 | $78.00 | $7.17–$78.00 | 53% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $109.25 | $109.25 | $7.17–$78.00 | 114% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR TITER | $78.00 | $78.00 | $7.17–$78.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $109.25 | $109.25 | $7.17–$78.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R) TB GOLD PLUS, 1 TUBE | $381.00 | $381.00 | $50.00–$303.87 | 72% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R) TB GOLD PLUS, 1 TUBE | $381.00 | $381.00 | $50.00–$303.87 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 PANEL TESTOSTERONE TOTAL | $158.00 | $158.00 | $8.22–$126.40 | 26% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 PANEL TESTOSTERONE TOTAL,FREE, | $211.50 | $211.50 | $8.22–$397.13 | 69% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC/MS/MS (QUEST) | $230.00 | $230.00 | $8.22–$397.13 | 84% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE Ttl only MALE SCH | $484.50 | $484.50 | $8.22–$397.13 | 287% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 PANEL TESTOSTERONE TOTAL | $158.00 | $158.00 | $8.22–$126.40 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 PANEL TESTOSTERONE TOTAL,FREE, | $211.50 | $211.50 | $8.22–$397.13 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL LC/MS/MS (QUEST) | $230.00 | $230.00 | $8.22–$397.13 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE Ttl only MALE SCH | $484.50 | $484.50 | $8.22–$397.13 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 $$THYROID AUTOANTIBODIES 2 CPT | $114.25 | $114.25 | $7.89–$295.00 | 43% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID PEROXIDASE AB | $368.75 | $368.75 | $7.89–$295.00 | 361% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 $$THYROID AUTOANTIBODIES 2 CPT | $114.25 | $114.25 | $7.89–$295.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID PEROXIDASE AB | $368.75 | $368.75 | $7.89–$295.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH <2YR | $188.50 | $188.50 | $9.04–$315.56 | 48% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX FREE T4 | $338.25 | $338.25 | $9.04–$315.56 | 165% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $338.25 | $338.25 | $9.04–$315.56 | 165% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH CASCADING REFLEX | $338.25 | $338.25 | $9.04–$315.56 | 165% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH <2YR | $188.50 | $188.50 | $9.04–$315.56 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH CASCADING REFLEX | $338.25 | $338.25 | $9.04–$315.56 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH REFLEX FREE T4 | $338.25 | $338.25 | $9.04–$315.56 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $338.25 | $338.25 | $9.04–$315.56 | — | — |
| Total IgE blood test CPT 82785 IGE | $211.75 | $211.75 | $48.70–$192.56 | 149% above | — |
| Total IgE blood test inpatient CPT 82785 IGE | $211.75 | $211.75 | $48.70–$192.56 | — | — |
| Total thyroxine (T4) blood test CPT 84436 TOTAL T4 | $198.25 | $198.25 | $42.54–$182.44 | 142% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 TOTAL T4 | $198.25 | $198.25 | $42.54–$182.44 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $286.75 | $286.75 | $9.04–$232.31 | 193% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $286.75 | $286.75 | $9.04–$232.31 | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $282.00 | $282.00 | $8.19–$228.94 | 191% above | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $282.00 | $282.00 | $8.19–$228.94 | — | — |
| Trichomonas test (NAAT) CPT 87661 PATH TRICHOMONAS AMP NA PROBE TC | $212.25 | $212.25 | $50.00–$331.31 | 70% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS MALE RNA QUAL | $464.00 | $464.00 | $50.00–$331.31 | 272% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS FEMALE RNA QUAL | $464.00 | $464.00 | $50.00–$331.31 | 272% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 PATH TRICHOMONAS AMP NA PROBE TC | $212.25 | $212.25 | $50.00–$331.31 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS MALE RNA QUAL | $464.00 | $464.00 | $50.00–$331.31 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS FEMALE RNA QUAL | $464.00 | $464.00 | $50.00–$331.31 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE LEVEL | $136.00 | $136.00 | $31.28–$50.00 | 191% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE LEVEL | $136.00 | $136.00 | $31.28–$50.00 | — | — |
| Troponin test, quantitative CPT 84484 TROP HS STAT 2 HR | $222.50 | $222.50 | $16.38–$218.05 | 41% above | — |
| Troponin test, quantitative CPT 84484 TROP HS STAT 6 HR | $222.50 | $222.50 | $16.38–$218.05 | 41% above | — |
| Troponin test, quantitative CPT 84484 TROP HS STAT 4 HR | $222.50 | $222.50 | $16.38–$218.05 | 41% above | — |
| Troponin test, quantitative CPT 84484 TROP HS STAT 0 HR | $222.50 | $222.50 | $16.38–$218.05 | 41% above | — |
| Troponin test, quantitative inpatient CPT 84484 TROP HS STAT 6 HR | $222.50 | $222.50 | $16.38–$218.05 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROP HS STAT 2 HR | $222.50 | $222.50 | $16.38–$218.05 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROP HS STAT 0 HR | $222.50 | $222.50 | $16.38–$218.05 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROP HS STAT 4 HR | $222.50 | $222.50 | $16.38–$218.05 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $117.50 | $117.50 | $3.70–$89.40 | 61% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $117.50 | $117.50 | $3.70–$89.40 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 ZURINALYSIS COMPLETE | $150.00 | $150.00 | $2.06–$139.89 | 133% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 ZURINALYSIS COMPLETE | $150.00 | $150.00 | $2.06–$139.89 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 ZURINALYSIS W/O MICRO QNS | $85.00 | $85.00 | $4.12–$68.00 | 240% above | — |
| Urinalysis without microscope exam, automated CPT 81003 ZURINALYSIS W/O MICRO | $85.00 | $85.00 | $4.12–$68.00 | 240% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ZURINALYSIS W/O MICRO QNS | $85.00 | $85.00 | $4.12–$68.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ZURINALYSIS W/O MICRO | $85.00 | $85.00 | $4.12–$68.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $240.50 | $240.50 | $14.44–$183.20 | 162% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $240.50 | $240.50 | $14.44–$183.20 | — | — |
| Urine microalbumin (albumin) test CPT 82043 && #1 CPT MICROALBUMIN URINE | $214.00 | $214.00 | $4.12–$209.72 | 233% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 && #1 CPT MICROALBUMIN URINE | $214.00 | $214.00 | $4.12–$209.72 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREG QUAL(URINE) | $123.25 | $123.25 | $4.13–$98.60 | 66% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREG QUAL(URINE) | $123.25 | $123.25 | $4.13–$98.60 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL SCH | $305.50 | $305.50 | $18.08–$284.93 | 136% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL SCH | $305.50 | $305.50 | $18.08–$284.93 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXYVITAMIN D2 D3 (QUEST | $228.50 | $228.50 | $38.59–$223.93 | 25% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D SCH TOTAL ONLY | $228.50 | $228.50 | $38.59–$223.93 | 25% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 TOTAL VITAMIN D, 25-HYDROXY,LC/MS/MS | $228.50 | $228.50 | $38.59–$223.93 | 25% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXYVITAMIN D2 D3 (QUEST | $228.50 | $228.50 | $38.59–$223.93 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 TOTAL VITAMIN D, 25-HYDROXY,LC/MS/MS | $228.50 | $228.50 | $38.59–$223.93 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D SCH TOTAL ONLY | $228.50 | $228.50 | $38.59–$223.93 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT PREG | $346.25 | $346.25 | $18.08–$277.00 | 230% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT TUMOR MARKER | $391.25 | $391.25 | $18.08–$277.00 | 273% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT PREG | $346.25 | $346.25 | $18.08–$277.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT TUMOR MARKER | $391.25 | $391.25 | $18.08–$277.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Incision and drainage of a simple or single skin abscess CPT 10060 UB-I & D ABSCESS, SIMPLE | $354.75 | $354.75 | $226.29–$278.97 | 12% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 UB-I & D ABSCESS, SIMPLE | $354.75 | $354.75 | $226.29–$278.97 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 UB-ARTHROCENTESIS, MAJ JT INJ W/O US | $372.50 | $372.50 | $283.80 | 17% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 UB-ARTHROCENTESIS, MAJ JT INJ W/O US | $372.50 | $372.50 | $283.80 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL SIMPLE(456) DPA | $354.75 | $354.75 | $253.61–$278.97 | 24% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL SIMPLE(456) DPA | $354.75 | $354.75 | $253.61–$278.97 | — | — |
| Short arm splint (forearm and hand) CPT 29125 UB-SPLINT, SHORT ARM | $308.00 | $308.00 | $127.90 | 26% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 UB-SPLINT, SHORT ARM | $308.00 | $308.00 | $127.90 | — | — |
| Short leg splint (calf to foot) CPT 29515 UB-SPLINT, SHORT LEG | $194.25 | $194.25 | $145.69 | 22% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 UB-SPLINT, SHORT LEG | $194.25 | $194.25 | $145.69 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 UB-REPAIR, SMPL, SCALP, < 2.5 (456) | $354.75 | $354.75 | $81.59–$307.97 | 3% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 UB-REPAIR, SMPL, SCALP, < 2.5 (456) | $354.75 | $354.75 | $81.59–$307.97 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 UB-REPAIR, SMPL, SCALP, 2.6-7.5 | $427.50 | $427.50 | $307.97 | 3% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 UB-REPAIR, SMPL, SCALP, 2.6-7.5 | $427.50 | $427.50 | $307.97 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 UB-REPAIR, SMPL, FACE, < 2.5 | $427.50 | $427.50 | $93.61–$307.97 | 6% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 UB-REPAIR, SMPL, FACE, < 2.5 | $427.50 | $427.50 | $93.61–$307.97 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE,subq tissue,first 20cm | $1,323.00 | $1,323.00 | $288.10–$1,296.54 | 99% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE,subq tissue,first 20cm/MOD59 | $1,323.00 | $1,323.00 | $288.10–$1,296.54 | 99% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE,subq tissue,first 20cm/MOD59 | $1,323.00 | $1,323.00 | $288.10–$1,296.54 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE,subq tissue,first 20cm | $1,323.00 | $1,323.00 | $288.10–$1,296.54 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION/4 UNITS | $2,760.00 | $2,760.00 | $204.46–$682.32 | 195% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION/4 UNITS | $2,760.00 | $2,760.00 | $204.46–$682.32 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG PEDIATRIC | $390.00 | $390.00 | $43.44–$292.50 | 68% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $390.00 | $390.00 | $43.44–$292.50 | 68% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $390.00 | $390.00 | $43.44–$292.50 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG PEDIATRIC | $390.00 | $390.00 | $43.44–$292.50 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS EKG | $1,616.50 | $1,616.50 | $280.06–$1,031.47 | 69% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS EKG | $1,616.50 | $1,616.50 | $280.06–$1,031.47 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVH,1ST HR/1ST VISIT/MOD XU | $337.75 | $337.75 | $73.76–$346.67 | 3% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVH,1ST HR/1ST VISIT | $353.75 | $353.75 | $73.76–$346.67 | 1% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IVH,1ST HR/1ST VISIT/MOD XU | $337.75 | $337.75 | $73.76–$346.67 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IVH,1ST HR/1ST VISIT | $353.75 | $353.75 | $73.76–$346.67 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IVI,1ST HR-2ND SITE/2ND VISIT SD/MODXS | $427.00 | $427.00 | $69.32–$315.07 | 2% above | — |
| IV infusion of a medicine, first hour CPT 96365 IVI,1ST HR/1ST VISIT/MOD XU | $427.00 | $427.00 | $69.32–$315.07 | 2% above | — |
| IV infusion of a medicine, first hour CPT 96365 IVI,1ST HR/1ST VISIT | $427.00 | $427.00 | $69.32–$315.07 | 2% above | — |
| IV infusion of a medicine, first hour CPT 96365 IVI,1ST HR-2ND SITE/2ND VISIT SD/MOD XE | $427.00 | $427.00 | $69.32–$315.07 | 2% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IVI,1ST HR/1ST VISIT | $427.00 | $427.00 | $69.32–$315.07 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IVI,1ST HR-2ND SITE/2ND VISIT SD/MOD XE | $427.00 | $427.00 | $69.32–$315.07 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IVI,1ST HR/1ST VISIT/MOD XU | $427.00 | $427.00 | $69.32–$315.07 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IVI,1ST HR-2ND SITE/2ND VISIT SD/MODXS | $427.00 | $427.00 | $69.32–$315.07 | — | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE OR INITIAL DRUG/MOD XU | $173.25 | $173.25 | $36.05–$181.75 | 19% below | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE OR INIT DRUG BUND/MOD XS | $173.25 | $173.25 | $36.05–$181.75 | 19% below | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE OR INITIAL DRUG | $181.75 | $181.75 | $36.05–$181.75 | 15% below | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE OR INITIAL DRUG/MOD XU | $173.25 | $173.25 | $36.05–$181.75 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE OR INIT DRUG BUND/MOD XS | $173.25 | $173.25 | $36.05–$181.75 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE OR INITIAL DRUG | $181.75 | $181.75 | $36.05–$181.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ,SUBCU,IM AND/OR ANTIBIOTICS(mod XS) | $181.75 | $181.75 | $37.85–$899.12 | 66% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ,SUBCU,IM AND/OR ANTIBIOTICS(mod XU) | $181.75 | $181.75 | $37.85–$899.12 | 66% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION,SUBCU,IM AND/OR ANTIBIOTICS | $181.75 | $181.75 | $37.85–$899.12 | 66% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ,SUBCU,IM AND/OR ANTIBIOTICS(mod XU) | $181.75 | $181.75 | $37.85–$899.12 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION,SUBCU,IM AND/OR ANTIBIOTICS | $181.75 | $181.75 | $37.85–$899.12 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ,SUBCU,IM AND/OR ANTIBIOTICS(mod XS) | $181.75 | $181.75 | $37.85–$899.12 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 MOD 25 | $155.00 | $155.00 | $33.42–$151.90 | 29% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 MOD 25 | $155.00 | $155.00 | $33.42–$151.90 | — | — |
| Spirometry (breathing test) CPT 94010 PFT SCREENING (FVC) | $563.00 | $563.00 | $97.30–$428.80 | 85% above | — |
| Spirometry (breathing test) inpatient CPT 94010 PFT SCREENING (FVC) | $563.00 | $563.00 | $97.30–$428.80 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PFT BRONCHO DILATOR | $972.50 | $972.50 | $65.86–$778.00 | 85% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT BRONCHO DILATOR | $972.50 | $972.50 | $65.86–$778.00 | — | — |