Hospital Minneapolis-St. Paul-Bloomington, MN-WI

Hudson Hospital

Hudson Hospital in Hudson, WI publishes cash prices for 352 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 302 of 352 procedures and above it for 49. By typical cash price it ranks #7 of 103 Wisconsin hospitals and #8 of 23 hospitals in the Minneapolis, MN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

405 Stageline Rd, Hudson, WI 54016 Collected Sep 22, 2026 Source price file Check a bill from this hospital (715) 531-6000

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 521335 · CMS hospital register NPI 1396849303

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Hudson Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen with and without contrast	$982.95	$2,179.00	$327.88–$2,179.00	59% below	55%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen with and without contrast	$982.95	$2,179.00	$327.88–$2,179.00	—	55%
Abdominal X-ray, 2 views CPT 74019 X-ray; abdomen	$148.86	$330.00	$70.03–$344.00	38% below	55%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray; abdomen	$148.86	$330.00	$70.03–$344.00	—	55%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray; ankle	$123.60	$274.00	$58.14–$344.00	48% below	55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray; ankle	$123.60	$274.00	$58.14–$344.00	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Extremity study	$333.36	$739.00	$156.82–$739.00	13% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Extremity study	$333.36	$739.00	$156.82–$739.00	—	55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extremity	$756.04	$1,676.00	$196.31–$1,915.00	47% below	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremity	$756.04	$1,676.00	$196.31–$1,915.00	—	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray; esophagus with contrast	$319.83	$709.00	$150.45–$709.00	40% below	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray; esophagus with contrast	$319.83	$709.00	$150.45–$709.00	—	55%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and Joint imaging; whole body	$714.99	$1,585.00	$336.34–$2,483.00	52% below	55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and Joint imaging; whole body	$714.99	$1,585.00	$336.34–$2,483.00	—	55%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast	$140.74	$312.00	$66.21–$964.00	64% below	55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast	$140.74	$312.00	$66.21–$964.00	—	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$1,354.20	$3,002.00	$327.88–$3,002.00	56% below	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$1,354.20	$3,002.00	$327.88–$3,002.00	—	55%
CT angiography (CTA) of the head CPT 70496 CT Angiography, head	$1,419.61	$3,147.00	$327.88–$3,147.00	32% below	55%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiography, head	$1,419.61	$3,147.00	$327.88–$3,147.00	—	55%
CT angiography (CTA) of the neck CPT 70498 CT Angiography, neck	$1,462.47	$3,242.00	$327.88–$3,242.00	28% below	55%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography, neck	$1,462.47	$3,242.00	$327.88–$3,242.00	—	55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography, chest	$1,419.61	$3,147.00	$327.88–$3,147.00	30% below	55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography, chest	$1,419.61	$3,147.00	$327.88–$3,147.00	—	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Heart with 3D imaging	$434.41	$963.00	$315.86–$1,915.00	75% below	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Heart with 3D imaging	$434.41	$963.00	$315.86–$1,915.00	—	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart	$44.66	$99.00	$21.01–$1,915.00	31% below	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart	$44.66	$99.00	$21.01–$1,915.00	—	55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis	$827.32	$1,834.00	$327.88–$1,915.00	67% below	55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis	$827.32	$1,834.00	$327.88–$1,915.00	—	55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis with contrast	$972.12	$2,155.00	$327.88–$2,155.00	70% below	55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis with contrast	$972.12	$2,155.00	$327.88–$2,155.00	—	55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and/or pelvis with contrast	$1,332.55	$2,954.00	$327.88–$2,954.00	64% below	55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and/or pelvis with contrast	$1,332.55	$2,954.00	$327.88–$2,954.00	—	55%
CT scan of the abdomen with contrast CPT 74160 CT abdomen with contrast	$834.53	$1,850.00	$327.88–$1,915.00	49% below	55%
CT scan of the abdomen with contrast inpatient CPT 74160 CT abdomen with contrast	$834.53	$1,850.00	$327.88–$1,915.00	—	55%
CT scan of the abdomen without contrast CPT 74150 CT abdomen	$641.92	$1,423.00	$196.31–$1,915.00	49% below	55%
CT scan of the abdomen without contrast inpatient CPT 74150 CT abdomen	$641.92	$1,423.00	$196.31–$1,915.00	—	55%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT of face	$822.81	$1,824.00	$196.31–$1,915.00	41% below	55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT of face	$822.81	$1,824.00	$196.31–$1,915.00	—	55%
CT scan of the head or brain, no contrast dye CPT 70450 CT of Head/Brain	$595.00	$1,319.00	$196.31–$1,915.00	54% below	55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT of Head/Brain	$595.00	$1,319.00	$196.31–$1,915.00	—	55%
CT scan of the head with contrast CPT 70460 CT head/brain with contrast	$803.86	$1,782.00	$327.88–$1,915.00	48% below	55%
CT scan of the head with contrast inpatient CPT 70460 CT head/brain with contrast	$803.86	$1,782.00	$327.88–$1,915.00	—	55%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain with and without contrast	$803.86	$1,782.00	$318.50–$1,915.00	56% below	55%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain with and without contrast	$803.86	$1,782.00	$318.50–$1,915.00	—	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine	$828.67	$1,837.00	$196.31–$1,915.00	46% below	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine	$828.67	$1,837.00	$196.31–$1,915.00	—	55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine	$828.67	$1,837.00	$196.31–$1,915.00	46% below	55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine	$828.67	$1,837.00	$196.31–$1,915.00	—	55%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with contrast	$819.65	$1,817.00	$327.88–$1,915.00	50% below	55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with contrast	$819.65	$1,817.00	$327.88–$1,915.00	—	55%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Extracranial study	$530.94	$1,177.00	$249.76–$1,177.00	46% below	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Extracranial study	$530.94	$1,177.00	$249.76–$1,177.00	—	55%
Chest CT scan without and with contrast CPT 71270 CT Thorax with and without contrast	$1,020.84	$2,263.00	$327.88–$2,263.00	56% below	55%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax with and without contrast	$1,020.84	$2,263.00	$327.88–$2,263.00	—	55%
Chest X-ray, 2 views CPT 71046 X-ray chest	$109.62	$243.00	$79.70–$344.00	49% below	55%
Chest X-ray, 2 views inpatient CPT 71046 X-ray chest	$109.62	$243.00	$79.70–$344.00	—	55%
Chest X-ray, single view CPT 71045 X-ray chest	$84.36	$187.00	$39.68–$344.00	48% below	55%
Chest X-ray, single view inpatient CPT 71045 X-ray chest	$84.36	$187.00	$39.68–$344.00	—	55%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray; collar bone	$107.81	$239.00	$50.72–$344.00	48% below	55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray; collar bone	$107.81	$239.00	$50.72–$344.00	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ultrasound abdominal back wall	$294.12	$652.00	$138.35–$964.00	46% below	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ultrasound abdominal back wall	$294.12	$652.00	$138.35–$964.00	—	55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$178.64	$396.00	$84.03–$396.00	55% below	55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density	$178.64	$396.00	$84.03–$396.00	—	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density	$101.95	$226.00	$47.96–$344.00	64% below	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Density	$101.95	$226.00	$47.96–$344.00	—	55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax	$828.67	$1,837.00	$196.31–$1,915.00	42% below	55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax	$828.67	$1,837.00	$196.31–$1,915.00	—	55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax with contrast	$825.06	$1,829.00	$327.88–$1,915.00	50% below	55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax with contrast	$825.06	$1,829.00	$327.88–$1,915.00	—	55%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$705.07	$1,563.00	$331.67–$1,563.00	14% above	55%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$705.07	$1,563.00	$331.67–$1,563.00	—	55%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$529.14	$1,173.00	$248.91–$1,173.00	55% below	55%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$529.14	$1,173.00	$248.91–$1,173.00	—	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$946.86	$2,099.00	$688.47–$2,099.00	46% below	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram	$946.86	$2,099.00	$688.47–$2,099.00	—	55%
Elbow X-ray, 2 views CPT 73070 X-ray; elbow	$104.66	$232.00	$49.23–$344.00	45% below	55%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray; elbow	$104.66	$232.00	$49.23–$344.00	—	55%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray; elbow	$123.60	$274.00	$58.14–$344.00	47% below	55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray; elbow	$123.60	$274.00	$58.14–$344.00	—	55%
Eye socket (orbit) CT scan without contrast CPT 70480 CT orbit/ear/fossa	$1,001.44	$2,220.00	$196.31–$2,220.00	31% below	55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT orbit/ear/fossa	$1,001.44	$2,220.00	$196.31–$2,220.00	—	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray; Facial Bones	$156.53	$347.00	$73.63–$347.00	48% below	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray; Facial Bones	$156.53	$347.00	$73.63–$347.00	—	55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray; Forearm	$102.40	$227.00	$48.17–$344.00	48% below	55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray; Forearm	$102.40	$227.00	$48.17–$344.00	—	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System imaging	$735.74	$1,631.00	$346.10–$2,483.00	50% below	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System imaging	$735.74	$1,631.00	$346.10–$2,483.00	—	55%
Hand X-ray, 2 views CPT 73120 X-ray; Hand	$101.95	$226.00	$47.96–$344.00	46% below	55%
Hand X-ray, 2 views inpatient CPT 73120 X-ray; Hand	$101.95	$226.00	$47.96–$344.00	—	55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray; Heel	$104.66	$232.00	$49.23–$344.00	47% below	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray; Heel	$104.66	$232.00	$49.23–$344.00	—	55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 sleep study with titration	$2,193.70	$4,863.00	$1,031.93–$4,863.00	40% below	55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 sleep study with titration	$2,193.70	$4,863.00	$1,031.93–$4,863.00	—	55%
Knee X-ray, 3 views CPT 73562 X-ray; knee	$138.49	$307.00	$65.15–$344.00	46% below	55%
Knee X-ray, 3 views inpatient CPT 73562 X-ray; knee	$138.49	$307.00	$65.15–$344.00	—	55%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray; knee	$161.04	$357.00	$75.76–$357.00	42% below	55%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray; knee	$161.04	$357.00	$75.76–$357.00	—	55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower extremity	$757.85	$1,680.00	$196.31–$1,915.00	48% below	55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower extremity	$757.85	$1,680.00	$196.31–$1,915.00	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound abdomen	$240.89	$534.00	$113.31–$964.00	46% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound abdomen	$240.89	$534.00	$113.31–$964.00	—	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound limited joint; nonvascular	$76.69	$170.00	$36.07–$964.00	73% below	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound limited joint; nonvascular	$76.69	$170.00	$36.07–$964.00	—	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C-	$275.17	$610.00	$129.44–$1,915.00	38% below	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Lung Cancer Scr C-	$275.17	$610.00	$129.44–$1,915.00	—	55%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray; lower leg	$101.95	$226.00	$47.96–$344.00	52% below	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray; lower leg	$101.95	$226.00	$47.96–$344.00	—	55%
MR angiography (MRA) of the head without contrast CPT 70544 MRA head	$2,021.38	$4,481.00	$578.05–$4,481.00	9% below	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA head	$2,021.38	$4,481.00	$578.05–$4,481.00	—	55%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI lower extremity joint	$1,368.19	$3,033.00	$578.05–$3,091.00	38% below	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI lower extremity joint	$1,368.19	$3,033.00	$578.05–$3,091.00	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI lower extremity joint with and without contrast	$1,667.27	$3,696.00	$607.75–$3,696.00	51% below	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI lower extremity joint with and without contrast	$1,667.27	$3,696.00	$607.75–$3,696.00	—	55%
MRI of the abdomen without contrast CPT 74181 MRI abdomen	$1,580.20	$3,503.00	$578.05–$3,503.00	28% below	55%
MRI of the abdomen without contrast inpatient CPT 74181 MRI abdomen	$1,580.20	$3,503.00	$578.05–$3,503.00	—	55%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI abdomen with and without contrast	$1,807.56	$4,007.00	$607.75–$4,007.00	47% below	55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI abdomen with and without contrast	$1,807.56	$4,007.00	$607.75–$4,007.00	—	55%
MRI of the brain, no contrast dye CPT 70551 MRI Brain	$1,269.40	$2,814.00	$578.05–$3,091.00	43% below	55%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain	$1,269.40	$2,814.00	$578.05–$3,091.00	—	55%
MRI of the brain, with and without contrast dye CPT 70553 MRI brain with and without contrast	$1,597.35	$3,541.00	$607.75–$3,541.00	53% below	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI brain with and without contrast	$1,597.35	$3,541.00	$607.75–$3,541.00	—	55%
MRI of the lower back, no contrast dye CPT 72148 MRI lumbar spine	$1,207.14	$2,676.00	$578.05–$3,091.00	45% below	55%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI lumbar spine	$1,207.14	$2,676.00	$578.05–$3,091.00	—	55%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI lumbar spine with and without contrast	$1,601.40	$3,550.00	$607.75–$3,550.00	53% below	55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI lumbar spine with and without contrast	$1,601.40	$3,550.00	$607.75–$3,550.00	—	55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic MRI	$1,217.97	$2,700.00	$578.05–$3,091.00	45% below	55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic MRI	$1,217.97	$2,700.00	$578.05–$3,091.00	—	55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI cervical spine with and without contrast	$1,612.23	$3,574.00	$607.75–$3,574.00	53% below	55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI cervical spine with and without contrast	$1,612.23	$3,574.00	$607.75–$3,574.00	—	55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervial spine	$1,214.81	$2,693.00	$578.05–$3,091.00	45% below	55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervial spine	$1,214.81	$2,693.00	$578.05–$3,091.00	—	55%
MRI of the pelvis without and with contrast CPT 72197 MRI pelvis with and without contrast	$1,803.05	$3,997.00	$607.75–$3,997.00	47% below	55%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI pelvis with and without contrast	$1,803.05	$3,997.00	$607.75–$3,997.00	—	55%
MRI of the pelvis, no contrast dye CPT 72195 MRI chest	$1,837.33	$4,073.00	$578.05–$4,073.00	17% below	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI chest	$1,837.33	$4,073.00	$578.05–$4,073.00	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI upper extremity joint	$1,368.19	$3,033.00	$578.05–$3,091.00	38% below	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI upper extremity joint	$1,368.19	$3,033.00	$578.05–$3,091.00	—	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray; spine	$199.84	$443.00	$94.00–$443.00	38% below	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray; spine	$199.84	$443.00	$94.00–$443.00	—	55%
Neck soft tissue CT scan with contrast CPT 70491 CT of neck with contrast	$843.11	$1,869.00	$327.88–$1,915.00	49% below	55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT of neck with contrast	$843.11	$1,869.00	$327.88–$1,915.00	—	55%
Neck soft tissue CT scan without contrast CPT 70490 CT of Neck	$828.67	$1,837.00	$196.31–$1,915.00	42% below	55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT of Neck	$828.67	$1,837.00	$196.31–$1,915.00	—	55%
Neck soft tissue X-ray CPT 70360 X-ray; Neck	$102.40	$227.00	$48.17–$344.00	51% below	55%
Neck soft tissue X-ray inpatient CPT 70360 X-ray; Neck	$102.40	$227.00	$48.17–$344.00	—	55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial SPECT multiple Studies	$1,382.62	$3,065.00	$1,005.32–$3,065.00	55% below	55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial SPECT multiple Studies	$1,382.62	$3,065.00	$1,005.32–$3,065.00	—	55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Scan; skull or thigh	$3,207.77	$7,111.00	$1,508.95–$7,183.00	24% below	55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Scan; skull or thigh	$3,207.77	$7,111.00	$1,508.95–$7,183.00	—	55%
Pelvic CT scan without contrast CPT 72192 CT Pelvis	$803.86	$1,782.00	$196.31–$1,915.00	37% below	55%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis	$803.86	$1,782.00	$196.31–$1,915.00	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Ultrasound	$147.06	$326.00	$69.18–$964.00	63% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Ultrasound	$147.06	$326.00	$69.18–$964.00	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Ultrasound	$276.98	$614.00	$130.29–$964.00	47% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Ultrasound	$276.98	$614.00	$130.29–$964.00	—	55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 14 week OB Ultrasound	$327.50	$726.00	$154.06–$964.00	43% below	55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 14 week OB Ultrasound	$327.50	$726.00	$154.06–$964.00	—	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 14 week OB Ultrasound	$281.49	$624.00	$132.41–$964.00	45% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 14 week OB Ultrasound	$281.49	$624.00	$132.41–$964.00	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Ultrasound	$199.84	$443.00	$94.00–$964.00	46% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Ultrasound	$199.84	$443.00	$94.00–$964.00	—	55%
Rib X-ray, one side, 2 views CPT 71100 X-ray; Ribs	$119.99	$266.00	$56.45–$344.00	46% below	55%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray; Ribs	$119.99	$266.00	$56.45–$344.00	—	55%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray; ribs/chest	$144.35	$320.00	$67.90–$344.00	48% below	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray; ribs/chest	$144.35	$320.00	$67.90–$344.00	—	55%
Screening mammogram, both breasts CPT 77067 screening mammogram	$254.87	$565.00	$165.00–$680.00	5% below	55%
Screening mammogram, both breasts inpatient CPT 77067 screening mammogram	$254.87	$565.00	$165.00–$680.00	—	55%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray; shoulder	$113.23	$251.00	$53.26–$344.00	52% below	55%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray; shoulder	$113.23	$251.00	$53.26–$344.00	—	55%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray; sinuses	$142.55	$316.00	$67.06–$344.00	46% below	55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray; sinuses	$142.55	$316.00	$67.06–$344.00	—	55%
Skull X-ray, fewer than 4 views CPT 70250 X-ray; skull	$136.68	$303.00	$64.30–$344.00	44% below	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray; skull	$136.68	$303.00	$64.30–$344.00	—	55%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$1,881.54	$4,171.00	$885.09–$4,171.00	45% below	55%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study	$1,881.54	$4,171.00	$885.09–$4,171.00	—	55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Test	$1,335.26	$2,960.00	$628.11–$2,960.00	35% below	55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Test	$1,335.26	$2,960.00	$628.11–$2,960.00	—	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallow Test with Contrast	$298.18	$661.00	$140.26–$661.00	35% below	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallow Test with Contrast	$298.18	$661.00	$140.26–$661.00	—	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray; thigh bone	$104.66	$232.00	$49.23–$344.00	57% below	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray; thigh bone	$104.66	$232.00	$49.23–$344.00	—	55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine	$828.67	$1,837.00	$196.31–$1,915.00	46% below	55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine	$828.67	$1,837.00	$196.31–$1,915.00	—	55%
Toe X-ray, 2 or more views CPT 73660 X-ray; toe	$111.87	$248.00	$52.63–$344.00	44% below	55%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray; toe	$111.87	$248.00	$52.63–$344.00	—	55%
Transvaginal pelvic ultrasound CPT 76830 Tranvaginal ultrasound	$167.36	$371.00	$78.73–$964.00	64% below	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 Tranvaginal ultrasound	$167.36	$371.00	$78.73–$964.00	—	55%
Transvaginal ultrasound during pregnancy CPT 76817 Tranvaginal ultrasound	$214.27	$475.00	$100.80–$964.00	45% below	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Tranvaginal ultrasound	$214.27	$475.00	$100.80–$964.00	—	55%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound abdomen	$311.26	$690.00	$146.42–$964.00	54% below	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound abdomen	$311.26	$690.00	$146.42–$964.00	—	55%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound; scrotum	$275.62	$611.00	$129.65–$964.00	44% below	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound; scrotum	$275.62	$611.00	$129.65–$964.00	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultra sound of head and neck	$271.56	$602.00	$127.74–$964.00	47% below	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultra sound of head and neck	$271.56	$602.00	$127.74–$964.00	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray; Upper GI Tract with contrast	$378.47	$839.00	$178.04–$839.00	45% below	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray; Upper GI Tract with contrast	$378.47	$839.00	$178.04–$839.00	—	55%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray; upper arm	$107.81	$239.00	$50.72–$344.00	49% below	55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray; upper arm	$107.81	$239.00	$50.72–$344.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex scan of extremity veins	$323.89	$718.00	$152.36–$718.00	55% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex scan of extremity veins	$323.89	$718.00	$152.36–$718.00	—	55%
Wrist X-ray, 2 views CPT 73100 Xray; wrist	$118.19	$262.00	$55.60–$344.00	45% below	55%
Wrist X-ray, 2 views inpatient CPT 73100 Xray; wrist	$118.19	$262.00	$55.60–$344.00	—	55%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray; wrist	$138.49	$307.00	$65.15–$344.00	46% below	55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray; wrist	$138.49	$307.00	$65.15–$344.00	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray; hip	$143.00	$317.00	$67.27–$344.00	51% below	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray; hip	$143.00	$317.00	$67.27–$344.00	—	55%
X-ray of the abdomen, 1 view CPT 74018 X-ray; abdomen	$89.77	$199.00	$42.23–$344.00	57% below	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray; abdomen	$89.77	$199.00	$42.23–$344.00	—	55%
X-ray of the ankle, 2 views CPT 73600 X-ray; ankle	$106.91	$237.00	$50.29–$344.00	46% below	55%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray; ankle	$106.91	$237.00	$50.29–$344.00	—	55%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray; finger	$124.50	$276.00	$58.57–$344.00	49% below	55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray; finger	$124.50	$276.00	$58.57–$344.00	—	55%
X-ray of the foot, 2 views CPT 73620 X-ray; foot	$101.95	$226.00	$47.96–$344.00	46% below	55%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray; foot	$101.95	$226.00	$47.96–$344.00	—	55%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray; foot	$114.58	$254.00	$53.90–$344.00	52% below	55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray; foot	$114.58	$254.00	$53.90–$344.00	—	55%
X-ray of the hand, 3 or more views CPT 73130 X-ray; Hand	$119.99	$266.00	$56.45–$344.00	49% below	55%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray; Hand	$119.99	$266.00	$56.45–$344.00	—	55%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray; knee	$113.68	$252.00	$53.47–$344.00	46% below	55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray; knee	$113.68	$252.00	$53.47–$344.00	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray; lower spine	$131.72	$292.00	$61.96–$344.00	55% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray; lower spine	$131.72	$292.00	$61.96–$344.00	—	55%
X-ray of the lower back, 4 or more views CPT 72110 Xray; Lower spine	$179.99	$399.00	$84.67–$399.00	52% below	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xray; Lower spine	$179.99	$399.00	$84.67–$399.00	—	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray; spine	$123.60	$274.00	$58.14–$344.00	48% below	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray; spine	$123.60	$274.00	$58.14–$344.00	—	55%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray; nose	$123.60	$274.00	$58.14–$344.00	49% below	55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray; nose	$123.60	$274.00	$58.14–$344.00	—	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray; spine	$157.88	$350.00	$74.27–$350.00	34% below	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray; spine	$157.88	$350.00	$74.27–$350.00	—	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray; pelvis	$106.91	$237.00	$50.29–$344.00	52% below	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray; pelvis	$106.91	$237.00	$50.29–$344.00	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray; Tailbone	$106.91	$237.00	$50.29–$344.00	51% below	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray; Tailbone	$106.91	$237.00	$50.29–$344.00	—	55%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
ACTH blood test CPT 82024 Chemistry	$43.31	$96.00	$20.37–$152.49	80% below	55%
ACTH blood test inpatient CPT 82024 Chemistry	$43.31	$96.00	$20.37–$152.49	—	55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chemistry	$59.09	$131.00	$10.60–$131.00	69% above	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chemistry	$59.09	$131.00	$10.60–$131.00	—	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chemistry	$57.29	$127.00	$10.36–$127.00	21% above	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chemistry	$57.29	$127.00	$10.36–$127.00	—	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Organ/Disease oriented panels	$57.29	$127.00	$26.95–$187.38	81% below	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Organ/Disease oriented panels	$57.29	$127.00	$26.95–$187.38	—	55%
Albumin blood test CPT 82040 Chemistry	$54.13	$120.00	$4.21–$120.00	44% above	55%
Albumin blood test inpatient CPT 82040 Chemistry	$54.13	$120.00	$4.21–$120.00	—	55%
Aldosterone blood test CPT 82088 Chemistry	$83.00	$184.00	$40.75–$184.00	57% below	55%
Aldosterone blood test inpatient CPT 82088 Chemistry	$83.00	$184.00	$40.75–$184.00	—	55%
Alkaline phosphatase (ALP) blood test CPT 84075 Chemistry	$60.00	$133.00	$20.68–$133.00	23% above	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chemistry	$60.00	$133.00	$20.68–$133.00	—	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pistachio	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Swine Epithelial	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Sheep Epithelial/Wool	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Chocolate (Cacao)	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory Panel	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Banana	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pepper Green/Bell	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gluten	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Garlic	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cranberry	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coriander	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cinnamon	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chili Pepper	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chick Pea	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Celery	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blue Mussel	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paprika	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gelatin	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Potato	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walleyed Pike	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Turkey Meat	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rat Epithelium	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rabbit Epith	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pear	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mushroom	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Macadamia Nut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Linseed	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lettuce	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hop Fruit	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Guinea Pig Epithelium	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Green Bean	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mandarin	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige G. Domesticus	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pine Nut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Onion	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Urine	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Epithelial Cells	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cherry	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Barley	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Avocado	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tilapia	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mango	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kiwi	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coconut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Broccoli	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lentils	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Raspberry	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blueberry	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sunflower Seed	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orchard Grass	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Latex	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paper Wasp	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Jacket	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Hornet	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Faced Hornet	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Honey Bee	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Whey	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walnut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tuna	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tomato	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Strawberry	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Salmon	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rice	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pecan Nut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peanut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peach	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pea	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orange	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oat	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lobster	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hazelnut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Halibut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg Yolk	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg White	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Crab	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Corn	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Codfish	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Meat	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheddar Cheese	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cashew	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Casein	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Carrot	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Brazil Nut	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dandelion	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Apple	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Alpha Lactalbumin	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Almond	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Hs	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Greer	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sesame Seed	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Scallop	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oyster	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Clam	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunology	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pineapple	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Melon	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Grapes	$42.40	$94.00	$19.95–$94.00	70% above	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Garlic	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Avocado	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tilapia	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Barley	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cherry	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Epithelial Cells	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mango	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Urine	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kiwi	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Onion	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pine Nut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sesame Seed	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coconut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige G. Domesticus	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Broccoli	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Scallop	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lentils	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mandarin	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Raspberry	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oyster	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blueberry	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Green Bean	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sunflower Seed	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Guinea Pig Epithelium	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orchard Grass	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hop Fruit	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Latex	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Clam	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paper Wasp	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lettuce	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Jacket	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Linseed	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Hornet	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Macadamia Nut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Swine Epithelial	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Sheep Epithelial/Wool	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Faced Hornet	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Chocolate (Cacao)	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Honey Bee	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory Panel	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Whey	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Immunology	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walnut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mushroom	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tuna	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pistachio	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tomato	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Greer	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Strawberry	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pineapple	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Salmon	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pear	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rice	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Melon	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pecan Nut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rabbit Epith	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peanut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Grapes	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peach	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rat Epithelium	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pea	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Turkey Meat	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Hs	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walleyed Pike	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Potato	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Almond	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orange	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gelatin	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oat	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paprika	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lobster	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Alpha Lactalbumin	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hazelnut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blue Mussel	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Halibut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Brazil Nut	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coriander	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg Yolk	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg White	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Celery	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Crab	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Apple	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Corn	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chick Pea	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Codfish	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Banana	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Meat	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pepper Green/Bell	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheddar Cheese	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gluten	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cashew	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chili Pepper	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Casein	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dandelion	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Carrot	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cinnamon	$42.40	$94.00	$19.95–$94.00	—	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cranberry	$42.40	$94.00	$19.95–$94.00	—	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 Chemistry	$83.00	$184.00	$39.04–$184.00	1% below	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Maternal Serum	$83.00	$184.00	$39.04–$184.00	1% below	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Maternal Serum	$83.00	$184.00	$39.04–$184.00	—	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chemistry	$83.00	$184.00	$39.04–$184.00	—	55%
Ammonia blood test CPT 82140 Chemistry	$116.83	$259.00	$54.96–$259.00	30% above	55%
Ammonia blood test inpatient CPT 82140 Chemistry	$116.83	$259.00	$54.96–$259.00	—	55%
Amylase blood test CPT 82150 Amylase Isoenzymes	$32.03	$71.00	$15.07–$71.00	48% below	55%
Amylase blood test CPT 82150 Chemistry	$33.38	$74.00	$15.70–$74.00	46% below	55%
Amylase blood test inpatient CPT 82150 Amylase Isoenzymes	$32.03	$71.00	$15.07–$71.00	—	55%
Amylase blood test inpatient CPT 82150 Chemistry	$33.38	$74.00	$15.70–$74.00	—	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ana Profile 12	$59.55	$132.00	$25.90–$132.00	28% below	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Immunology	$62.70	$139.00	$25.90–$139.00	24% below	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ana Profile 12	$59.55	$132.00	$25.90–$132.00	—	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Immunology	$62.70	$139.00	$25.90–$139.00	—	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Immunology	$59.55	$132.00	$12.09–$132.00	13% below	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile 1	$59.55	$132.00	$12.09–$132.00	13% below	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Profile 1	$59.55	$132.00	$12.09–$132.00	—	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Immunology	$59.55	$132.00	$12.09–$132.00	—	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Chemistry	$167.36	$371.00	$78.52–$371.00	17% above	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Chemistry	$167.36	$371.00	$78.52–$371.00	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Microbiology	$41.95	$93.00	$17.24–$93.00	20% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Microbiology	$41.95	$93.00	$17.24–$93.00	—	55%
Basic metabolic panel (blood test) CPT 80048 Organ/Disease oriented panels	$93.83	$208.00	$8.67–$208.00	6% above	55%
Basic metabolic panel (blood test) inpatient CPT 80048 Organ/Disease oriented panels	$93.83	$208.00	$8.67–$208.00	—	55%
Bilirubin blood test, total CPT 82247 Chemistry	$23.46	$52.00	$10.04–$52.00	50% below	55%
Bilirubin blood test, total inpatient CPT 82247 Chemistry	$23.46	$52.00	$10.04–$52.00	—	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical pathology study	$124.95	$277.00	$79.75–$277.00	42% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology study	$130.82	$290.00	$79.75–$290.00	39% below	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical pathology study	$124.95	$277.00	$79.75–$277.00	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology study	$130.82	$290.00	$79.75–$290.00	—	55%
Blood culture for bacteria CPT 87040 Microbiology	$114.13	$253.00	$8.77–$253.00	33% above	55%
Blood culture for bacteria inpatient CPT 87040 Microbiology	$114.13	$253.00	$8.77–$253.00	—	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw	$23.01	$51.00	$5.17–$51.00	57% above	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Draw	$23.01	$51.00	$5.17–$51.00	—	55%
Blood glucose (sugar) test CPT 82947 Chemistry	$19.40	$43.00	$7.86–$43.00	21% below	55%
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$19.40	$43.00	$7.86–$43.00	21% below	55%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting	$19.40	$43.00	$7.86–$43.00	—	55%
Blood glucose (sugar) test inpatient CPT 82947 Chemistry	$19.40	$43.00	$7.86–$43.00	—	55%
Blood lead test CPT 83655 Chemistry	$3.72	$8.24	$1.75–$47.82	93% below	55%
Blood lead test CPT 83655 Chemistry	$34.28	$76.00	$16.13–$76.00	38% below	55%
Blood lead test inpatient CPT 83655 Chemistry	$34.28	$76.00	$16.13–$76.00	—	55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chemistry	$42.40	$94.00	$15.04–$94.00	32% below	55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chemistry	$42.40	$94.00	$15.04–$94.00	—	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Transfusion Medicine	$57.29	$127.00	$5.98–$237.96	35% above	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Relative Blood Type	$57.29	$127.00	$5.98–$237.96	35% above	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD	$57.29	$127.00	$5.98–$237.96	35% above	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$57.29	$127.00	$5.98–$237.96	35% above	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Newborn Abo Rh	$57.29	$127.00	$5.98–$237.96	35% above	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Relative Blood Type	$57.29	$127.00	$5.98–$237.96	—	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$57.29	$127.00	$5.98–$237.96	—	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Newborn Abo Rh	$57.29	$127.00	$5.98–$237.96	—	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Transfusion Medicine	$57.29	$127.00	$5.98–$237.96	—	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CORD	$57.29	$127.00	$5.98–$237.96	—	55%
Blood urea nitrogen (BUN) test CPT 84520 Chemistry	$37.89	$84.00	$7.90–$84.00	47% above	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Chemistry	$37.89	$84.00	$7.90–$84.00	—	55%
C-peptide blood test CPT 84681 Chemistry	$99.24	$220.00	$41.62–$220.00	14% above	55%
C-peptide blood test inpatient CPT 84681 Chemistry	$99.24	$220.00	$41.62–$220.00	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Immunology	$72.18	$160.00	$5.18–$160.00	32% above	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Immunology	$72.18	$160.00	$5.18–$160.00	—	55%
C. difficile toxin gene test (stool PCR) CPT 87493 Microbiology	$101.05	$224.00	$37.27–$224.00	33% below	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Microbiology	$101.05	$224.00	$37.27–$224.00	—	55%
CA 19-9 blood test (tumor marker) CPT 86301 Immunology	$57.29	$127.00	$26.95–$127.00	49% below	55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunology	$57.29	$127.00	$26.95–$127.00	—	55%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunology	$102.40	$227.00	$41.62–$227.00	15% below	55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunology	$102.40	$227.00	$41.62–$227.00	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Microbiology	$59.55	$132.00	$43.30–$160.50	56% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Microbiology	$59.55	$132.00	$43.30–$160.50	—	55%
Calcium blood test, total CPT 82310 Ca/Crea Ratio, Urine Random	$37.89	$84.00	$10.32–$84.00	28% below	55%
Calcium blood test, total CPT 82310 Chemistry	$37.89	$84.00	$10.32–$84.00	28% below	55%
Calcium blood test, total inpatient CPT 82310 Ca/Crea Ratio, Urine Random	$37.89	$84.00	$10.32–$84.00	—	55%
Calcium blood test, total inpatient CPT 82310 Chemistry	$37.89	$84.00	$10.32–$84.00	—	55%
Carcinoembryonic antigen (CEA) test CPT 82378 Chemistry	$93.38	$207.00	$37.92–$207.00	31% below	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chemistry	$93.38	$207.00	$37.92–$207.00	—	55%
Chickenpox (varicella) immunity blood test CPT 86787 Immunology	$62.70	$139.00	$12.88–$139.00	14% below	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Immunology	$62.70	$139.00	$12.88–$139.00	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$60.90	$135.00	$28.65–$261.04	57% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Microbiology	$64.51	$143.00	$30.34–$261.04	55% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$60.90	$135.00	$28.65–$261.04	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Microbiology	$64.51	$143.00	$30.34–$261.04	—	55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Organ/Disease oriented panels	$147.96	$328.00	$26.78–$328.00	66% above	55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Organ/Disease oriented panels	$147.96	$328.00	$26.78–$328.00	—	55%
Complete blood count (CBC) with differential CPT 85025 Hematology and Coagulation	$87.51	$194.00	$8.24–$194.00	21% above	55%
Complete blood count (CBC) with differential inpatient CPT 85025 Hematology and Coagulation	$87.51	$194.00	$8.24–$194.00	—	55%
Complete blood count (CBC), no differential CPT 85027 Hematology and Coagulation	$6.77	$15.00	$3.18–$25.85	87% below	55%
Complete blood count (CBC), no differential CPT 85027 Hematology and Coagulation	$72.18	$160.00	$6.63–$160.00	37% above	55%
Complete blood count (CBC), no differential inpatient CPT 85027 Hematology and Coagulation	$72.18	$160.00	$6.63–$160.00	—	55%
Comprehensive metabolic panel (blood test) CPT 80053 Organ/Disease oriented panels	$116.83	$259.00	$21.12–$259.00	3% above	55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Organ/Disease oriented panels	$116.83	$259.00	$21.12–$259.00	—	55%
Cortisol blood test, total CPT 82533 Dexamethasone Overnight	$80.75	$179.00	$32.60–$179.00	33% below	55%
Cortisol blood test, total CPT 82533 Chemistry	$80.75	$179.00	$32.60–$179.00	33% below	55%
Cortisol blood test, total inpatient CPT 82533 Dexamethasone Overnight	$80.75	$179.00	$32.60–$179.00	—	55%
Cortisol blood test, total inpatient CPT 82533 Chemistry	$80.75	$179.00	$32.60–$179.00	—	55%
Creatine kinase (CK) blood test, total CPT 82550 Chemistry	$72.63	$161.00	$6.67–$161.00	14% above	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Chemistry	$72.63	$161.00	$6.67–$161.00	—	55%
Creatinine blood test CPT 82565 Chemistry	$50.07	$111.00	$10.24–$111.00	58% above	55%
Creatinine blood test inpatient CPT 82565 Chemistry	$50.07	$111.00	$10.24–$111.00	—	55%
Cytomegalovirus (CMV) antibody test CPT 86644 Immunology	$53.23	$118.00	$14.39–$118.00	25% below	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Immunology	$53.23	$118.00	$14.39–$118.00	—	55%
D-dimer blood test (blood clot marker) CPT 85379 Hematology and Coagulation	$72.18	$160.00	$20.36–$160.00	9% below	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hematology and Coagulation	$72.18	$160.00	$20.36–$160.00	—	55%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate Peds	$27.52	$61.00	$12.94–$87.88	81% below	55%
DHEA sulfate (DHEA-S) blood test CPT 82627 Chemistry	$110.07	$244.00	$44.46–$244.00	23% below	55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate Peds	$27.52	$61.00	$12.94–$87.88	—	55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Chemistry	$110.07	$244.00	$44.46–$244.00	—	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Assay	$16.26	$36.05	$7.65–$245.54	86% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug assay	$29.32	$65.00	$13.79–$245.54	75% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Date Rape Panel	$87.96	$195.00	$41.38–$245.54	24% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Assay	$144.35	$320.00	$67.90–$320.00	25% above	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug assay	$29.32	$65.00	$13.79–$245.54	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Date Rape Panel	$87.96	$195.00	$41.38–$245.54	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Assay	$144.35	$320.00	$67.90–$320.00	—	55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Organ/Disease oriented panels	$36.09	$80.00	$7.01–$80.00	26% below	55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Organ/Disease oriented panels	$36.09	$80.00	$7.01–$80.00	—	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 Immunology	$88.87	$197.00	$41.80–$197.00	8% above	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Immunology	$88.87	$197.00	$41.80–$197.00	—	55%
Estradiol blood test CPT 82670 Chemistry	$78.49	$174.00	$36.92–$174.00	39% below	55%
Estradiol blood test inpatient CPT 82670 Chemistry	$78.49	$174.00	$36.92–$174.00	—	55%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$36.09	$80.00	$16.98–$80.00	69% below	55%
FSH (follicle-stimulating hormone) test CPT 83001 Chemistry	$92.48	$205.00	$43.50–$205.00	20% below	55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$36.09	$80.00	$16.98–$80.00	—	55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chemistry	$92.48	$205.00	$43.50–$205.00	—	55%
Fecal calprotectin (stool inflammation test) CPT 83993 Chemistry	$158.34	$351.00	$16.69–$351.00	16% below	55%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Chemistry	$158.34	$351.00	$16.69–$351.00	—	55%
Ferritin blood test (iron stores) CPT 82728 Chemistry	$67.21	$149.00	$31.62–$149.00	26% below	55%
Ferritin blood test (iron stores) inpatient CPT 82728 Chemistry	$67.21	$149.00	$31.62–$149.00	—	55%
Fibrinogen blood test CPT 85384 Hematology and Coagulation	$11.28	$25.00	$5.31–$38.77	83% below	55%
Fibrinogen blood test CPT 85384 Hematology and Coagulation	$41.05	$91.00	$19.31–$91.00	39% below	55%
Fibrinogen blood test inpatient CPT 85384 Hematology and Coagulation	$41.05	$91.00	$19.31–$91.00	—	55%
Folate (folic acid) blood test CPT 82746 Chemistry	$72.63	$161.00	$34.16–$161.00	26% below	55%
Folate (folic acid) blood test inpatient CPT 82746 Chemistry	$72.63	$161.00	$34.16–$161.00	—	55%
Free T3 thyroid hormone test CPT 84481 Chemistry	$84.36	$187.00	$33.88–$187.00	13% below	55%
Free T3 thyroid hormone test inpatient CPT 84481 Chemistry	$84.36	$187.00	$33.88–$187.00	—	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Chemistry	$89.77	$199.00	$18.04–$199.00	11% above	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chemistry	$89.77	$199.00	$18.04–$199.00	—	55%
Free testosterone test CPT 84402 Chemistry	$71.27	$158.00	$33.53–$158.00	39% below	55%
Free testosterone test CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$71.27	$158.00	$33.53–$158.00	39% below	55%
Free testosterone test inpatient CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$71.27	$158.00	$33.53–$158.00	—	55%
Free testosterone test inpatient CPT 84402 Chemistry	$71.27	$158.00	$33.53–$158.00	—	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chemistry	$36.09	$80.00	$7.20–$80.00	32% below	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chemistry	$36.09	$80.00	$7.20–$80.00	—	55%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Organ/Disease oriented panels	$140.29	$311.00	$65.99–$311.00	49% below	55%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Organ/Disease oriented panels	$140.29	$311.00	$65.99–$311.00	—	55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chemistry	$22.55	$50.00	$4.75–$50.00	54% below	55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 1 Hour	$22.55	$50.00	$4.75–$50.00	54% below	55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chemistry	$22.55	$50.00	$4.75–$50.00	—	55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 1 Hour	$22.55	$50.00	$4.75–$50.00	—	55%
Glucose tolerance test, 3 samples CPT 82951 Glucose, 2 Hour	$19.40	$43.00	$12.87–$50.40	78% below	55%
Glucose tolerance test, 3 samples CPT 82951 Glucose, Pregnant 2 Hour	$19.40	$43.00	$12.87–$50.40	78% below	55%
Glucose tolerance test, 3 samples CPT 82951 Chemistry	$19.40	$43.00	$12.87–$50.40	78% below	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, Pregnant 2 Hour	$19.40	$43.00	$12.87–$50.40	—	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 Chemistry	$19.40	$43.00	$12.87–$50.40	—	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, 2 Hour	$19.40	$43.00	$12.87–$50.40	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$60.90	$135.00	$28.65–$138.28	57% below	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Microbiology	$64.51	$143.00	$30.34–$143.00	55% below	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$60.90	$135.00	$28.65–$138.28	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Microbiology	$64.51	$143.00	$30.34–$143.00	—	55%
H. pylori stool antigen test CPT 87338 Microbiology	$50.07	$111.00	$23.55–$111.00	61% below	55%
H. pylori stool antigen test inpatient CPT 87338 Microbiology	$50.07	$111.00	$23.55–$111.00	—	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant	$123.60	$274.00	$58.14–$336.00	68% below	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Microbiology	$129.47	$287.00	$60.90–$336.00	67% below	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Quant	$123.60	$274.00	$58.14–$336.00	—	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Microbiology	$129.47	$287.00	$60.90–$336.00	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Microbiology	$54.13	$120.00	$25.46–$120.00	47% below	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Microbiology	$54.13	$120.00	$25.46–$120.00	—	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Microbiology	$66.31	$147.00	$35.09–$147.00	54% below	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Microbiology	$66.31	$147.00	$35.09–$147.00	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chemistry	$47.82	$106.00	$19.42–$106.00	31% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chemistry	$47.82	$106.00	$19.42–$106.00	—	55%
Hemoglobin blood test CPT 85018 Co-Oximetry Profile	$42.40	$94.00	$4.74–$94.00	142% above	55%
Hemoglobin blood test CPT 85018 Hematology and Coagulation	$42.40	$94.00	$4.74–$94.00	142% above	55%
Hemoglobin blood test inpatient CPT 85018 Co-Oximetry Profile	$42.40	$94.00	$4.74–$94.00	—	55%
Hemoglobin blood test inpatient CPT 85018 Hematology and Coagulation	$42.40	$94.00	$4.74–$94.00	—	55%
Hepatitis B core antibody test (total) CPT 86704 Immunology	$59.55	$132.00	$24.10–$132.00	26% below	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 Immunology	$59.55	$132.00	$24.10–$132.00	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Immunology	$72.18	$160.00	$21.48–$160.00	3% below	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Immunology	$72.18	$160.00	$21.48–$160.00	—	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Microbiology	$50.97	$113.00	$20.66–$113.00	22% below	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Microbiology	$50.97	$113.00	$20.66–$113.00	—	55%
Hepatitis C antibody blood test (screening) CPT 86803 Immunology	$70.37	$156.00	$28.54–$156.00	12% below	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Immunology	$70.37	$156.00	$28.54–$156.00	—	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Quantitative by Tma	$201.19	$446.00	$85.68–$446.00	15% below	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 Microbiology	$211.57	$469.00	$85.68–$469.00	11% below	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Rna Quantitative by Tma	$201.19	$446.00	$85.68–$446.00	—	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Microbiology	$211.57	$469.00	$85.68–$469.00	—	55%
Herpes blood test, HSV-1 antibody CPT 86695 Immunology	$64.51	$143.00	$26.38–$143.00	5% below	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Immunology	$64.51	$143.00	$26.38–$143.00	—	55%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Igg	$96.08	$213.00	$38.70–$213.00	18% above	55%
Herpes blood test, HSV-2 antibody CPT 86696 Immunology	$96.08	$213.00	$38.70–$213.00	18% above	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Igg	$96.08	$213.00	$38.70–$213.00	—	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Immunology	$96.08	$213.00	$38.70–$213.00	—	55%
High-sensitivity CRP (hs-CRP) test CPT 86141 Immunology	$62.70	$139.00	$29.50–$139.00	22% below	55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Immunology	$62.70	$139.00	$29.50–$139.00	—	55%
Homocysteine blood test CPT 83090 Chemistry	$83.00	$184.00	$39.04–$184.00	30% below	55%
Homocysteine blood test inpatient CPT 83090 Chemistry	$83.00	$184.00	$39.04–$184.00	—	55%
Insulin blood test CPT 83525 Chemistry	$40.15	$89.00	$18.89–$89.00	41% below	55%
Insulin blood test inpatient CPT 83525 Chemistry	$40.15	$89.00	$18.89–$89.00	—	55%
Iron blood test (serum iron) CPT 83540 Chemistry	$33.38	$74.00	$15.70–$74.00	37% below	55%
Iron blood test (serum iron) inpatient CPT 83540 Chemistry	$33.38	$74.00	$15.70–$74.00	—	55%
Kidney function blood test panel CPT 80069 Organ/Disease oriented panels	$87.06	$193.00	$7.38–$193.00	15% below	55%
Kidney function blood test panel inpatient CPT 80069 Organ/Disease oriented panels	$87.06	$193.00	$7.38–$193.00	—	55%
LH (luteinizing hormone) test CPT 83002 Chemistry	$92.48	$205.00	$43.50–$205.00	5% below	55%
LH (luteinizing hormone) test inpatient CPT 83002 Chemistry	$92.48	$205.00	$43.50–$205.00	—	55%
Lactate (lactic acid) blood test CPT 83605 Chemistry	$53.68	$119.00	$25.25–$119.00	23% below	55%
Lactate (lactic acid) blood test inpatient CPT 83605 Chemistry	$53.68	$119.00	$25.25–$119.00	—	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 Chemistry	$86.16	$191.00	$12.08–$191.00	72% above	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chemistry	$86.16	$191.00	$12.08–$191.00	—	55%
Lipase blood test (pancreas enzyme) CPT 83690 Chemistry	$67.21	$149.00	$13.78–$149.00	1% below	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chemistry	$67.21	$149.00	$13.78–$149.00	—	55%
Liver function blood test panel CPT 80076 Organ/Disease oriented panels	$90.67	$201.00	$16.34–$201.00	11% below	55%
Liver function blood test panel inpatient CPT 80076 Organ/Disease oriented panels	$90.67	$201.00	$16.34–$201.00	—	55%
Lyme disease antibody test CPT 86618 Immunology	$84.36	$187.00	$39.68–$187.00	1% above	55%
Lyme disease antibody test inpatient CPT 86618 Immunology	$84.36	$187.00	$39.68–$187.00	—	55%
Magnesium blood test CPT 83735 Supersaturation Profile, Urine 24 Hr	$32.93	$73.00	$13.40–$73.00	37% below	55%
Magnesium blood test CPT 83735 Magnesium RBC	$32.93	$73.00	$13.40–$73.00	37% below	55%
Magnesium blood test CPT 83735 Chemistry	$34.28	$76.00	$13.40–$76.00	35% below	55%
Magnesium blood test inpatient CPT 83735 Supersaturation Profile, Urine 24 Hr	$32.93	$73.00	$13.40–$73.00	—	55%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$32.93	$73.00	$13.40–$73.00	—	55%
Magnesium blood test inpatient CPT 83735 Chemistry	$34.28	$76.00	$13.40–$76.00	—	55%
Measles (rubeola) antibody test CPT 86765 Immunology	$62.70	$139.00	$25.76–$139.00	24% below	55%
Measles (rubeola) antibody test inpatient CPT 86765 Immunology	$62.70	$139.00	$25.76–$139.00	—	55%
Mono test (heterophile antibody, Monospot) CPT 86308 Immunology	$42.40	$94.00	$10.36–$94.00	23% below	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Immunology	$42.40	$94.00	$10.36–$94.00	—	55%
Mumps immunity blood test CPT 86735 Immunology	$70.82	$157.00	$26.10–$157.00	17% below	55%
Mumps immunity blood test inpatient CPT 86735 Immunology	$70.82	$157.00	$26.10–$157.00	—	55%
PSA (prostate-specific antigen) blood test, free CPT 84154 Chemistry	$43.31	$96.00	$18.39–$96.00	53% below	55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Chemistry	$43.31	$96.00	$18.39–$96.00	—	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chemistry	$90.67	$201.00	$19.49–$201.00	5% below	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chemistry	$90.67	$201.00	$19.49–$201.00	—	55%
Parathyroid hormone (PTH) blood test CPT 83970 Ipth, Aspirate	$136.68	$303.00	$64.30–$303.00	36% below	55%
Parathyroid hormone (PTH) blood test CPT 83970 Chemistry	$143.00	$317.00	$67.27–$317.00	33% below	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Ipth, Aspirate	$136.68	$303.00	$64.30–$303.00	—	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chemistry	$143.00	$317.00	$67.27–$317.00	—	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hematology and Coagulation	$66.76	$148.00	$12.02–$148.00	27% above	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hematology and Coagulation	$66.76	$148.00	$12.02–$148.00	—	55%
Phosphorus (phosphate) blood test CPT 84100 Chemistry	$52.33	$116.00	$9.48–$116.00	26% above	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 Chemistry	$52.33	$116.00	$9.48–$116.00	—	55%
Potassium blood test CPT 84132 Blood Gas/Lytes Ven	$21.65	$48.00	$9.52–$48.00	21% below	55%
Potassium blood test CPT 84132 Chemistry	$50.97	$113.00	$9.52–$113.00	86% above	55%
Potassium blood test inpatient CPT 84132 Blood Gas/Lytes Ven	$21.65	$48.00	$9.52–$48.00	—	55%
Potassium blood test inpatient CPT 84132 Chemistry	$50.97	$113.00	$9.52–$113.00	—	55%
Progesterone blood test CPT 84144 Chemistry	$102.40	$227.00	$41.72–$227.00	15% below	55%
Progesterone blood test inpatient CPT 84144 Chemistry	$102.40	$227.00	$41.72–$227.00	—	55%
Prolactin blood test CPT 84146 Chemistry	$96.08	$213.00	$19.38–$213.00	21% below	55%
Prolactin blood test inpatient CPT 84146 Chemistry	$96.08	$213.00	$19.38–$213.00	—	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology and Coagulation	$9.02	$20.00	$4.24–$20.00	73% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology and Coagulation	$42.85	$95.00	$4.46–$95.00	27% above	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hematology and Coagulation	$42.85	$95.00	$4.46–$95.00	—	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Microbiology	$59.55	$132.00	$28.01–$132.00	31% above	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Microbiology	$59.55	$132.00	$28.01–$132.00	—	55%
Renin blood test CPT 84244 Chemistry	$86.16	$191.00	$21.99–$191.00	42% below	55%
Renin blood test inpatient CPT 84244 Chemistry	$86.16	$191.00	$21.99–$191.00	—	55%
Rh blood typing CPT 86901 CORD	$57.29	$127.00	$5.98–$127.00	44% above	55%
Rh blood typing CPT 86901 Transfusion Medicine	$57.29	$127.00	$5.98–$127.00	44% above	55%
Rh blood typing CPT 86901 RH	$57.29	$127.00	$5.98–$127.00	44% above	55%
Rh blood typing CPT 86901 Newborn Abo Rh	$57.29	$127.00	$5.98–$127.00	44% above	55%
Rh blood typing CPT 86901 Relative Blood Type	$57.29	$127.00	$5.98–$127.00	44% above	55%
Rh blood typing CPT 86901 Gelsc	$87.96	$195.00	$5.98–$195.00	122% above	55%
Rh blood typing inpatient CPT 86901 Transfusion Medicine	$57.29	$127.00	$5.98–$127.00	—	55%
Rh blood typing inpatient CPT 86901 Relative Blood Type	$57.29	$127.00	$5.98–$127.00	—	55%
Rh blood typing inpatient CPT 86901 CORD	$57.29	$127.00	$5.98–$127.00	—	55%
Rh blood typing inpatient CPT 86901 Newborn Abo Rh	$57.29	$127.00	$5.98–$127.00	—	55%
Rh blood typing inpatient CPT 86901 RH	$57.29	$127.00	$5.98–$127.00	—	55%
Rh blood typing inpatient CPT 86901 Gelsc	$87.96	$195.00	$5.98–$195.00	—	55%
Rheumatoid factor (RF) test CPT 86431 Ana Profile 12	$37.44	$83.00	$11.34–$83.00	36% below	55%
Rheumatoid factor (RF) test CPT 86431 Immunology	$39.25	$87.00	$11.34–$87.00	33% below	55%
Rheumatoid factor (RF) test inpatient CPT 86431 Ana Profile 12	$37.44	$83.00	$11.34–$83.00	—	55%
Rheumatoid factor (RF) test inpatient CPT 86431 Immunology	$39.25	$87.00	$11.34–$87.00	—	55%
Rubella antibody test (immunity check) CPT 86762 Immunology	$68.12	$151.00	$28.78–$151.00	17% below	55%
Rubella antibody test (immunity check) inpatient CPT 86762 Immunology	$68.12	$151.00	$28.78–$151.00	—	55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hematology and Coagulation	$37.89	$84.00	$10.34–$84.00	9% below	55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hematology and Coagulation	$37.89	$84.00	$10.34–$84.00	—	55%
Sodium blood test CPT 84295 Chemistry	$22.55	$50.00	$10.61–$50.00	9% below	55%
Sodium blood test CPT 84295 Blood Gas/Lytes Ven	$22.55	$50.00	$10.61–$50.00	9% below	55%
Sodium blood test inpatient CPT 84295 Blood Gas/Lytes Ven	$22.55	$50.00	$10.61–$50.00	—	55%
Sodium blood test inpatient CPT 84295 Chemistry	$22.55	$50.00	$10.61–$50.00	—	55%
Stool ova and parasites exam CPT 87177 Microbiology	$9.29	$20.60	$4.37–$34.89	86% below	55%
Stool ova and parasites exam CPT 87177 Microbiology	$42.85	$95.00	$17.80–$95.00	34% below	55%
Stool ova and parasites exam inpatient CPT 87177 Microbiology	$42.85	$95.00	$17.80–$95.00	—	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fit Colon Rectal Scrn	$50.07	$111.00	$15.92–$111.00	17% below	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fit Colon Rectal Scrn	$50.07	$111.00	$15.92–$111.00	—	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 Immunology	$69.02	$153.00	$26.48–$153.00	25% above	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Immunology	$69.02	$153.00	$26.48–$153.00	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Immunology	$40.15	$89.00	$8.54–$89.00	1% above	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Immunology	$40.15	$89.00	$8.54–$89.00	—	55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Immunology	$129.92	$288.00	$61.11–$288.00	49% below	55%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Immunology	$129.92	$288.00	$61.11–$288.00	—	55%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$121.35	$269.00	$57.08–$269.00	6% above	55%
Testosterone blood test, total (not free testosterone) CPT 84403 Chemistry	$127.21	$282.00	$59.84–$282.00	11% above	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$121.35	$269.00	$57.08–$269.00	—	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chemistry	$127.21	$282.00	$59.84–$282.00	—	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 Immunology	$71.72	$159.00	$33.74–$159.00	2% above	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Immunology	$71.72	$159.00	$33.74–$159.00	—	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chemistry	$74.43	$165.00	$49.50–$165.00	17% below	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chemistry	$74.43	$165.00	$49.50–$165.00	—	55%
Total IgE blood test CPT 82785 Chemistry	$130.82	$290.00	$61.54–$290.00	28% above	55%
Total IgE blood test inpatient CPT 82785 Chemistry	$130.82	$290.00	$61.54–$290.00	—	55%
Total cholesterol blood test CPT 82465 Chemistry	$29.77	$66.00	$8.70–$66.00	36% below	55%
Total cholesterol blood test inpatient CPT 82465 Chemistry	$29.77	$66.00	$8.70–$66.00	—	55%
Total thyroxine (T4) blood test CPT 84436 Chemistry	$34.28	$76.00	$13.74–$76.00	34% below	55%
Total thyroxine (T4) blood test inpatient CPT 84436 Chemistry	$34.28	$76.00	$13.74–$76.00	—	55%
Total triiodothyronine (T3) blood test CPT 84480 Chemistry	$54.58	$121.00	$25.68–$121.00	49% below	55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Chemistry	$54.58	$121.00	$25.68–$121.00	—	55%
Transferrin blood test CPT 84466 Chemistry	$62.70	$139.00	$29.50–$139.00	34% below	55%
Transferrin blood test inpatient CPT 84466 Chemistry	$62.70	$139.00	$29.50–$139.00	—	55%
Trichomonas test (NAAT) CPT 87661 Microbiology	$85.71	$190.00	$40.32–$190.00	37% below	55%
Trichomonas test (NAAT) inpatient CPT 87661 Microbiology	$85.71	$190.00	$40.32–$190.00	—	55%
Triglycerides blood test CPT 84478 Chemistry	$42.40	$94.00	$11.48–$94.00	21% below	55%
Triglycerides blood test inpatient CPT 84478 Chemistry	$42.40	$94.00	$11.48–$94.00	—	55%
Troponin test, quantitative CPT 84484 Chemistry	$110.07	$244.00	$43.65–$244.00	30% above	55%
Troponin test, quantitative inpatient CPT 84484 Chemistry	$110.07	$244.00	$43.65–$244.00	—	55%
Uric acid blood test CPT 84550 Chemistry	$52.33	$116.00	$9.04–$116.00	4% above	55%
Uric acid blood test inpatient CPT 84550 Chemistry	$52.33	$116.00	$9.04–$116.00	—	55%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis	$36.09	$80.00	$6.34–$80.00	at median	55%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis	$36.09	$80.00	$6.34–$80.00	—	55%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis	$23.91	$53.00	$4.50–$53.00	4% below	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis	$23.91	$53.00	$4.50–$53.00	—	55%
Urine culture for bacteria, with colony count CPT 87086 Microbiology	$72.18	$160.00	$8.27–$160.00	4% below	55%
Urine culture for bacteria, with colony count inpatient CPT 87086 Microbiology	$72.18	$160.00	$8.27–$160.00	—	55%
Urine microalbumin (albumin) test CPT 82043 Chemistry	$42.40	$94.00	$11.56–$94.00	35% below	55%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hr U	$42.40	$94.00	$11.56–$94.00	35% below	55%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hr U	$42.40	$94.00	$11.56–$94.00	—	55%
Urine microalbumin (albumin) test inpatient CPT 82043 Chemistry	$42.40	$94.00	$11.56–$94.00	—	55%
Urine pregnancy test, read by color change CPT 81025 Urinalysis	$31.58	$70.00	$14.85–$70.00	36% below	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Urinalysis	$31.58	$70.00	$14.85–$70.00	—	55%
Vitamin B12 (cobalamin) blood test CPT 82607 Chemistry	$73.98	$164.00	$34.80–$164.00	28% below	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chemistry	$73.98	$164.00	$34.80–$164.00	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chemistry	$129.47	$287.00	$59.20–$287.00	16% below	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Chemistry	$129.47	$287.00	$59.20–$287.00	—	55%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Chemistry	$72.63	$161.00	$38.50–$161.00	55% below	55%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Chemistry	$72.63	$161.00	$38.50–$161.00	—	55%
Zinc blood test CPT 84630 Zinc, Urine	$41.95	$93.00	$19.73–$93.00	48% below	55%
Zinc blood test CPT 84630 Chemistry	$41.95	$93.00	$19.73–$93.00	48% below	55%
Zinc blood test inpatient CPT 84630 Chemistry	$41.95	$93.00	$19.73–$93.00	—	55%
Zinc blood test inpatient CPT 84630 Zinc, Urine	$41.95	$93.00	$19.73–$93.00	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chemistry	$87.06	$193.00	$30.10–$193.00	26% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chemistry	$87.06	$193.00	$30.10–$193.00	—	55%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture	$233.22	$517.00	$109.71–$517.00	58% below	55%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture	$233.22	$517.00	$109.71–$517.00	—	55%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treatment of foot fracture	$231.87	$514.00	$109.07–$514.00	61% below	55%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treatment of foot fracture	$231.87	$514.00	$109.07–$514.00	—	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$655.90	$1,454.00	$270.99–$1,454.00	33% below	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$655.90	$1,454.00	$270.99–$1,454.00	—	55%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treatment of wrist fracture	$403.73	$895.00	$189.92–$895.00	34% below	55%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treatment of wrist fracture	$403.73	$895.00	$189.92–$895.00	—	55%
Colonoscopy with polyp removal CPT 45385 Colonoscopy with lesion removal	$1,665.91	$3,693.00	$1,191.30–$4,603.00	32% below	55%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with lesion removal	$1,665.91	$3,693.00	$1,191.30–$4,603.00	—	55%
Colonoscopy with tissue sample CPT 45380 Colonoscopy with biopsy	$1,314.05	$2,913.00	$955.46–$4,603.00	36% below	55%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy with biopsy	$1,314.05	$2,913.00	$955.46–$4,603.00	—	55%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,211.65	$2,686.00	$881.01–$3,912.00	30% below	55%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$1,211.65	$2,686.00	$881.01–$3,912.00	—	55%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax	$53.23	$118.00	$25.04–$227.00	43% below	55%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax	$53.23	$118.00	$25.04–$227.00	—	55%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax	$60.90	$135.00	$28.65–$227.00	27% below	55%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax	$60.90	$135.00	$28.65–$227.00	—	55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$345.54	$766.00	$162.55–$2,695.00	74% below	55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$345.54	$766.00	$162.55–$2,695.00	—	55%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 injection; lumbar/sacral, single level	$496.21	$1,100.00	$233.42–$2,695.00	69% below	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 injection; lumbar/sacral, single level	$496.21	$1,100.00	$233.42–$2,695.00	—	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$664.92	$1,474.00	$312.78–$2,695.00	22% below	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$664.92	$1,474.00	$312.78–$2,695.00	—	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for Hysterograp F	$202.09	$448.00	$95.07–$1,590.00	40% below	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for Hysterograp F	$202.09	$448.00	$95.07–$1,590.00	—	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$198.94	$441.00	$93.58–$2,417.00	32% below	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$198.94	$441.00	$93.58–$2,417.00	—	55%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection tendon sheath/ligament	$195.78	$434.00	$92.09–$2,417.00	43% below	55%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection tendon sheath/ligament	$195.78	$434.00	$92.09–$2,417.00	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drainage/injection major joint	$162.40	$360.00	$76.39–$2,417.00	63% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drainage/injection major joint	$162.40	$360.00	$76.39–$2,417.00	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drainage/injection intermediate joint	$199.84	$443.00	$94.00–$2,417.00	38% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drainage/injection intermediate joint	$199.84	$443.00	$94.00–$2,417.00	—	55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drainage/injection small joint w/imaging	$181.34	$402.00	$85.30–$2,417.00	51% below	55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drainage/injection small joint w/imaging	$181.34	$402.00	$85.30–$2,417.00	—	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound scalp, trunk extremities	$250.36	$555.00	$117.77–$737.55	53% below	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair wound scalp, trunk extremities	$250.36	$555.00	$117.77–$737.55	—	55%
Lower-back epidural injection, with imaging guidance CPT 62323 injection of diagnostic or therapeutic agent	$345.54	$766.00	$162.55–$2,695.00	70% below	55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 injection of diagnostic or therapeutic agent	$345.54	$766.00	$162.55–$2,695.00	—	55%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of diagnostic or therapeutic agent	$430.80	$955.00	$202.65–$2,695.00	48% below	55%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of diagnostic or therapeutic agent	$430.80	$955.00	$202.65–$2,695.00	—	55%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection foramen epidural; lumbar or sacral	$496.21	$1,100.00	$233.42–$2,695.00	54% below	55%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection foramen epidural; lumbar or sacral	$496.21	$1,100.00	$233.42–$2,695.00	—	55%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-Mm B9+Marg 0.5	$641.46	$1,422.00	$227.00–$1,422.00	25% above	55%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9+Marg 0.5	$641.46	$1,422.00	$227.00–$1,422.00	—	55%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$104.20	$231.00	$49.02–$2,417.00	56% below	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$104.20	$231.00	$49.02–$2,417.00	—	55%
Occipital nerve block (injection for headaches) CPT 64405 Injection; Occipital nerve	$370.35	$821.00	$174.22–$2,417.00	20% below	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection; Occipital nerve	$370.35	$821.00	$174.22–$2,417.00	—	55%
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis w/imaging	$439.82	$975.00	$206.90–$3,912.00	66% below	55%
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal paracentesis w/imaging	$439.82	$975.00	$206.90–$3,912.00	—	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$258.93	$574.00	$121.80–$737.55	21% below	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$258.93	$574.00	$121.80–$737.55	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,504.42	$3,335.00	$707.69–$5,080.00	39% below	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,504.42	$3,335.00	$707.69–$5,080.00	—	55%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$206.60	$458.00	$97.19–$2,417.00	39% below	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$206.60	$458.00	$97.19–$2,417.00	—	55%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Ca Screen Colonoscopy	$1,211.65	$2,686.00	$881.01–$2,695.00	37% below	55%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Ca Screen Colonoscopy	$1,211.65	$2,686.00	$881.01–$2,695.00	—	55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hi risk screening colonoscopy	$1,207.59	$2,677.00	$878.06–$2,695.00	36% below	55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hi risk screening colonoscopy	$1,207.59	$2,677.00	$878.06–$2,695.00	—	55%
Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast	$279.23	$619.00	$131.35–$619.00	11% above	55%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast	$279.23	$619.00	$131.35–$619.00	—	55%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$98.34	$218.00	$46.26–$242.00	44% below	55%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$98.34	$218.00	$46.26–$242.00	—	55%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$177.73	$394.00	$83.61–$490.27	24% below	55%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$177.73	$394.00	$83.61–$490.27	—	55%
Short leg splint (calf to foot) CPT 29515 Application of lower leg splint	$85.71	$190.00	$40.32–$291.29	59% below	55%
Short leg splint (calf to foot) inpatient CPT 29515 Application of lower leg splint	$85.71	$190.00	$40.32–$291.29	—	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair superficial wound	$254.87	$565.00	$119.89–$565.00	22% below	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair superficial wound	$254.87	$565.00	$119.89–$565.00	—	55%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy skin single lesion	$268.40	$595.00	$126.26–$2,417.00	12% above	55%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy skin single lesion	$268.40	$595.00	$126.26–$2,417.00	—	55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic spinal tap	$359.08	$796.00	$168.91–$2,695.00	41% below	55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic spinal tap	$359.08	$796.00	$168.91–$2,695.00	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair superficial wound	$263.44	$584.00	$123.92–$2,417.00	30% above	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair superficial wound	$263.44	$584.00	$123.92–$2,417.00	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair superficial wound	$238.18	$528.00	$112.04–$528.00	23% below	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair superficial wound	$238.18	$528.00	$112.04–$528.00	—	55%
Thoracentesis with imaging guidance CPT 32555 Aspirate peura with imaging	$398.32	$883.00	$187.37–$2,695.00	67% below	55%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate peura with imaging	$398.32	$883.00	$187.37–$2,695.00	—	55%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection trigger point	$340.13	$754.00	$92.28–$754.00	4% below	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection trigger point	$340.13	$754.00	$92.28–$754.00	—	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy breast; 1st lesion w/ imaging	$1,425.02	$3,159.00	$670.34–$4,603.00	29% below	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy breast; 1st lesion w/ imaging	$1,425.02	$3,159.00	$670.34–$4,603.00	—	55%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,744.85	$3,868.00	$958.10–$4,603.00	34% below	55%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,744.85	$3,868.00	$958.10–$4,603.00	—	55%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD with biopsy	$1,574.79	$3,491.00	$1,135.20–$3,912.00	at median	55%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD with biopsy	$1,574.79	$3,491.00	$1,135.20–$3,912.00	—	55%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Upper GI scope	$1,571.18	$3,483.00	$739.09–$3,912.00	3% above	55%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Upper GI scope	$1,571.18	$3,483.00	$739.09–$3,912.00	—	55%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD remove lesion; snare technique	$1,283.38	$2,845.00	$603.71–$4,603.00	42% below	55%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD remove lesion; snare technique	$1,283.38	$2,845.00	$603.71–$4,603.00	—	55%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD guide wire insertion	$1,883.79	$4,176.00	$886.15–$4,176.00	2% above	55%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD guide wire insertion	$1,883.79	$4,176.00	$886.15–$4,176.00	—	55%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,393.90	$3,090.00	$1,013.52–$3,912.00	5% below	55%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$1,393.90	$3,090.00	$1,013.52–$3,912.00	—	55%
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion, 1-14	$151.57	$336.00	$71.30–$366.82	23% below	55%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion, 1-14	$151.57	$336.00	$71.30–$366.82	—	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride skin tissue; 1st 20 cm	$181.79	$403.00	$85.52–$2,417.00	66% below	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride skin tissue; 1st 20 cm	$181.79	$403.00	$85.52–$2,417.00	—	55%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion	$386.14	$856.00	$181.64–$856.00	34% below	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion	$386.14	$856.00	$181.64–$856.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$147.06	$326.00	$69.18–$375.48	70% above	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$147.06	$326.00	$69.18–$375.48	—	55%
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV infusion; 1 hour	$265.25	$588.00	$124.77–$588.00	53% below	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV infusion; 1 hour	$265.25	$588.00	$124.77–$588.00	—	55%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam, New Patient	$120.80	$267.80	$56.83–$267.80	8% below	55%
Critical care, first 30 to 74 minutes CPT 99291 Critical care	$1,245.04	$2,760.00	$585.67–$2,760.00	30% below	55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care	$1,245.04	$2,760.00	$585.67–$2,760.00	—	55%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Complete	$31.58	$70.00	$14.85–$341.00	53% below	55%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Complete	$31.58	$70.00	$14.85–$341.00	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$135.33	$300.00	$79.75–$341.00	8% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$135.33	$300.00	$79.75–$341.00	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room visit	$132.17	$293.00	$62.17–$583.00	30% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room visit	$132.17	$293.00	$62.17–$583.00	—	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room visit	$264.80	$587.00	$124.56–$907.00	18% below	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room visit	$264.80	$587.00	$124.56–$907.00	—	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room visit	$397.42	$881.00	$186.95–$1,784.00	33% below	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room visit	$397.42	$881.00	$186.95–$1,784.00	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room visit	$615.75	$1,365.00	$289.65–$4,234.00	33% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room visit	$615.75	$1,365.00	$289.65–$4,234.00	—	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room visit	$404.64	$897.00	$190.34–$5,191.00	72% below	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room visit	$404.64	$897.00	$190.34–$5,191.00	—	55%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress test	$690.63	$1,531.00	$324.88–$1,554.00	13% below	55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress test	$690.63	$1,531.00	$324.88–$1,554.00	—	55%
Group psychotherapy session CPT 90853 Group Psychotherapy - Drug 2.0 Hrs	$143.45	$318.00	$25.30–$318.00	90% above	55%
Group psychotherapy session CPT 90853 Group Psychotherapy - Alcohol 2.0 Hrs	$143.45	$318.00	$25.30–$318.00	90% above	55%
Group psychotherapy session CPT 90853 Group Psychotherapy	$167.36	$371.00	$25.30–$371.00	122% above	55%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy - Drug 2.0 Hrs	$143.45	$318.00	$25.30–$318.00	—	55%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy - Alcohol 2.0 Hrs	$143.45	$318.00	$25.30–$318.00	—	55%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$167.36	$371.00	$25.30–$371.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Therapy	$120.89	$268.00	$56.87–$268.00	58% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Therapy	$120.89	$268.00	$56.87–$268.00	—	55%
IV infusion of a medicine, first hour CPT 96365 IV Therapy	$144.80	$321.00	$68.12–$321.00	54% below	55%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy	$144.80	$321.00	$68.12–$321.00	—	55%
IV push of a medicine, first drug CPT 96374 IV Therapy	$120.44	$267.00	$56.66–$267.00	27% below	55%
IV push of a medicine, first drug inpatient CPT 96374 IV Therapy	$120.44	$267.00	$56.66–$267.00	—	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic injection	$64.06	$142.00	$30.13–$142.00	21% below	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic injection	$64.06	$142.00	$30.13–$142.00	—	55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$174.12	$386.00	$81.91–$386.00	21% below	55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$174.12	$386.00	$81.91–$386.00	—	55%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$61.80	$137.00	$44.94–$291.00	35% below	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$61.80	$137.00	$44.94–$291.00	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition assessment	$53.68	$119.00	$25.25–$358.00	11% below	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition assessment	$53.68	$119.00	$25.25–$358.00	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy	$56.84	$126.00	$41.33–$291.00	41% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy	$56.84	$126.00	$41.33–$291.00	—	55%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min	$157.43	$349.00	$74.06–$349.00	47% below	55%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx Crisis Initial 60 Min	$157.43	$349.00	$74.06–$349.00	—	55%
Psychotherapy session, 30 minutes CPT 90832 Psytx W Pt 30 Minutes	$87.51	$194.00	$41.17–$296.61	18% below	55%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy; 30 minutes	$87.51	$194.00	$41.17–$296.61	18% below	55%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx W Pt 30 Minutes	$87.51	$194.00	$41.17–$296.61	—	55%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy; 30 minutes	$87.51	$194.00	$41.17–$296.61	—	55%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy; 45 minutes	$130.37	$289.00	$74.37–$289.00	8% below	55%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy; 45 minutes	$130.37	$289.00	$74.37–$289.00	—	55%
Psychotherapy session, 60 minutes CPT 90837 Psytx W Pt 60 Minutes	$174.12	$386.00	$110.07–$393.28	18% below	55%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx W Pt 60 Minutes	$174.12	$386.00	$110.07–$393.28	—	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit Est	$143.90	$319.00	$67.69–$688.80	51% below	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Visit Est	$143.90	$319.00	$67.69–$688.80	—	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit	$89.77	$199.00	$42.23–$347.63	45% below	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit	$89.77	$199.00	$42.23–$347.63	—	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit	$94.28	$209.00	$44.35–$489.78	49% below	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Est	$106.46	$236.00	$50.08–$489.78	43% below	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit	$94.28	$209.00	$44.35–$489.78	—	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Visit Est	$106.46	$236.00	$50.08–$489.78	—	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit	$43.76	$97.00	$20.58–$227.00	55% below	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit	$43.76	$97.00	$20.58–$227.00	—	55%
Speech and language evaluation CPT 92523 Speech/sound language comprehension	$359.98	$798.00	$169.34–$883.93	1% above	55%
Speech and language evaluation inpatient CPT 92523 Speech/sound language comprehension	$359.98	$798.00	$169.34–$883.93	—	55%
Speech therapy session, individual CPT 92507 Speech/Hearing Therapy	$230.96	$512.00	$139.06–$512.00	9% below	55%
Speech therapy session, individual inpatient CPT 92507 Speech/Hearing Therapy	$230.96	$512.00	$139.06–$512.00	—	55%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$73.98	$164.00	$34.80–$574.85	74% below	55%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$73.98	$164.00	$34.80–$574.85	—	55%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$219.23	$486.00	$103.13–$979.51	55% below	55%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$219.23	$486.00	$103.13–$979.51	—	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phelbotomy, Lab	$200.29	$444.00	$94.22–$444.00	at median	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$210.66	$467.00	$99.10–$467.00	5% above	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phelbotomy, Lab	$200.29	$444.00	$94.22–$444.00	—	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$210.66	$467.00	$99.10–$467.00	—	55%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular Stress Test	$62.26	$138.02	$29.29–$1,554.00	85% below	55%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$49.62	$110.00	$23.34–$293.09	27% below	55%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$49.62	$110.00	$23.34–$293.09	—	55%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$133.98	$297.00	$97.42–$567.58	20% below	55%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$133.98	$297.00	$97.42–$567.58	—	55%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$129.47	$287.00	$94.14–$547.42	21% below	55%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$129.47	$287.00	$94.14–$547.42	—	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$60.00	$133.00	$28.22–$133.00	45% above	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$60.00	$133.00	$28.22–$133.00	—	55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$59.55	$132.00	$30.77–$132.00	6% above	55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$59.55	$132.00	$30.77–$132.00	—	55%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$55.03	$122.00	$25.89–$251.85	64% below	55%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$55.03	$122.00	$25.89–$251.85	—	55%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$671.69	$1,489.00	$315.97–$1,792.03	34% below	55%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$671.69	$1,489.00	$315.97–$1,792.03	34% below	55%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$671.69	$1,489.00	$315.97–$1,792.03	—	55%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$671.69	$1,489.00	$315.97–$1,792.03	—	55%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$221.94	$492.00	$161.38–$1,016.65	60% below	55%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$221.94	$492.00	$161.38–$1,016.65	—	55%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$498.01	$1,104.00	$324.74–$1,104.00	14% below	55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$498.01	$1,104.00	$324.74–$1,104.00	—	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$24.36	$54.00	$17.71–$54.00	41% below	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$24.36	$54.00	$17.71–$54.00	—	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$37.44	$83.00	$27.22–$83.00	54% below	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$37.44	$83.00	$27.22–$83.00	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration	$36.09	$80.00	$16.98–$88.57	7% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration	$36.09	$80.00	$16.98–$88.57	—	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each additional immunization administration	$18.04	$40.00	$8.49–$40.00	44% below	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each additional immunization administration	$18.04	$40.00	$8.49–$40.00	—	55%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.healthpartners.com/content/dam/brand-identity/pdfs/care/390804125_hudsonhospital_standardcharges.csv