Hospital Washington-Arlington-Alexandria, DC-VA-MD-WV

MedStar Washington Hospital Center

MedStar Washington Hospital Center in Washington, DC publishes cash prices for 345 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the District of Columbia median for 101 of 299 procedures and below it for 27. By typical cash price it ranks #6 of 16 hospitals in the Washington, DC area, cheapest first. Click a procedure to compare it with other hospitals nearby.

110 Irving Street, NW, Washington DC, 20010 Collected Sep 29, 2026 Source price file (202) 877-7000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 090011 · CMS hospital register NPI 1548378235

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named MedStar Washington Hospital Center in Washington, DC:

Feb 8, 2024 Warning notice
Mar 28, 2024 Case closed
Mar 18, 2025 Met requirements

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs District of Columbia	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS	$301.03	$463.13	$90.46–$393.66	at median	35%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS	$301.03	$463.13	$134.31–$393.66	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NON INV SINGLE LVL BILAT	$627.59	$965.53	$280.00–$820.70	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$627.59	$965.53	$280.00–$820.70	45% above	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 U L EXT ART STUDY LMTD	$627.59	$965.53	$280.00–$820.70	45% above	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL PRESSURE INDEX	$627.59	$965.53	$280.00–$820.70	45% above	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 NON INV SINGLE LVL BILAT	$627.59	$965.53	$280.00–$820.70	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX	$627.59	$965.53	$280.00–$820.70	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE BRACHIAL PRESSURE INDEX	$627.59	$965.53	$280.00–$820.70	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 U L EXT ART STUDY LMTD	$627.59	$965.53	$280.00–$820.70	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM ESOPH W SCT CHEST	$844.89	$1,299.83	$260.79–$1,104.86	76% above	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM ESOPH W SCT CHEST	$844.89	$1,299.83	$376.95–$1,104.86	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 SCANNING BONE BODY PROFILE	$1,349.95	$2,076.85	$581.52–$2,096.76	at median	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 SCANNING BONE BODY PROFILE	$1,349.95	$2,076.85	$602.29–$1,765.32	—	35%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BRST COMPLETE UNI	$451.63	$694.82	$194.55–$685.29	at median	35%
Breast ultrasound, complete, one breast CPT 76641 GRANT ULTRASOUND BRST COMP UNI	$451.63	$694.82	$194.55–$685.29	at median	35%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BRST COMPLETE UNI	$451.63	$694.82	$201.50–$590.60	—	35%
Breast ultrasound, complete, one breast inpatient CPT 76641 GRANT ULTRASOUND BRST COMP UNI	$451.63	$694.82	$201.50–$590.60	—	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 GRANT ULTRASOUND BRST LMTD UNI	$451.63	$694.82	$194.55–$590.60	at median	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BRST LIMITED UNI	$451.63	$694.82	$194.55–$590.60	at median	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BRST LIMITED UNI	$451.63	$694.82	$201.50–$590.60	—	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 GRANT ULTRASOUND BRST LMTD UNI	$451.63	$694.82	$201.50–$590.60	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC CT ANGIOGRAPHY CHEST NONCOR	$2,204.05	$3,390.85	$949.44–$2,882.22	at median	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST NON COR	$2,204.05	$3,390.85	$949.44–$2,882.22	at median	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC CT ANGIO PULMONARY	$2,204.05	$3,390.85	$949.44–$2,882.22	at median	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 IR CT ANG CHEST WO	$2,204.05	$3,390.85	$949.44–$2,882.22	at median	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC IR CT ANGIO CHEST NONCOR	$2,204.05	$3,390.85	$949.44–$2,882.22	at median	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 IR CT ANG CHEST WO	$2,204.05	$3,390.85	$983.35–$2,882.22	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 BC CT ANGIO PULMONARY	$2,204.05	$3,390.85	$983.35–$2,882.22	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 BC CT ANGIOGRAPHY CHEST NONCOR	$2,204.05	$3,390.85	$983.35–$2,882.22	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST NON COR	$2,204.05	$3,390.85	$983.35–$2,882.22	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 BC IR CT ANGIO CHEST NONCOR	$2,204.05	$3,390.85	$983.35–$2,882.22	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY ART 3D	$1,319.16	$2,029.48	$588.55–$2,901.16	at median	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART CORONARY ART 3D	$1,319.16	$2,029.48	$588.55–$1,725.06	—	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING WO C	$320.83	$493.58	$138.20–$692.11	at median	35%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SCORING WO C	$320.83	$493.58	$143.14–$419.54	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC IR CT ABD PELVIS WO CON	$1,698.63	$2,613.28	$731.72–$3,239.18	at median	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC NM PET CT ABD PEL WO CONT	$1,698.63	$2,613.28	$731.72–$3,239.18	at median	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONTRAST	$1,698.63	$2,613.28	$731.72–$3,239.18	at median	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC CT ABD PELVIS WO CONTRAST	$1,698.63	$2,613.28	$731.72–$3,239.18	at median	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$1,698.63	$2,613.28	$731.72–$3,239.18	at median	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 IR CT ABDOMEN PELVIS WO CONTRA	$1,698.63	$2,613.28	$731.72–$3,239.18	at median	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$1,698.63	$2,613.28	$757.85–$2,221.29	—	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 BC CT ABD PELVIS WO CONTRAST	$1,698.63	$2,613.28	$757.85–$2,221.29	—	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONTRAST	$1,698.63	$2,613.28	$757.85–$2,221.29	—	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 BC NM PET CT ABD PEL WO CONT	$1,698.63	$2,613.28	$757.85–$2,221.29	—	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 BC IR CT ABD PELVIS WO CON	$1,698.63	$2,613.28	$757.85–$2,221.29	—	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 IR CT ABDOMEN PELVIS WO CONTRA	$1,698.63	$2,613.28	$757.85–$2,221.29	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC CT ABD PELVIS W CONTRAST	$3,223.68	$4,959.51	$1,388.66–$4,426.07	at median	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC IR CT ABD PELVIS W CONTRAST	$3,223.68	$4,959.51	$1,388.66–$4,426.07	at median	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC NM PET CT ABD PEL W CONT	$3,223.68	$4,959.51	$1,388.66–$4,426.07	at median	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 IR CT ABD AND PELV WITH CONTRAST	$3,223.68	$4,959.51	$1,388.66–$4,426.07	at median	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELV WITH CONTRAST	$3,223.68	$4,959.51	$1,388.66–$4,426.07	at median	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BC NM PET CT ABD PEL W CONT	$3,223.68	$4,959.51	$1,438.26–$4,215.58	—	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 IR CT ABD AND PELV WITH CONTRAST	$3,223.68	$4,959.51	$1,438.26–$4,215.58	—	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BC CT ABD PELVIS W CONTRAST	$3,223.68	$4,959.51	$1,438.26–$4,215.58	—	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELV WITH CONTRAST	$3,223.68	$4,959.51	$1,438.26–$4,215.58	—	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BC IR CT ABD PELVIS W CONTRAST	$3,223.68	$4,959.51	$1,438.26–$4,215.58	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WO W CONT	$2,598.26	$3,997.32	$1,119.25–$4,954.68	at median	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC NM CT ABDOMEN PELV WO W CON	$2,598.26	$3,997.32	$1,119.25–$4,954.68	at median	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 NM CT ABDOMEN PELVIS WO W CONT	$2,598.26	$3,997.32	$1,119.25–$4,954.68	at median	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC CT ABD PELVIS WO W CONT	$2,598.26	$3,997.32	$1,119.25–$4,954.68	at median	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC IR CT ABD PELVIS WO W CON	$2,598.26	$3,997.32	$1,119.25–$4,954.68	at median	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 IR CT ABDOMEN PELVIS WO W CONT	$2,598.26	$3,997.32	$1,119.25–$4,954.68	at median	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WO W CONT	$2,598.26	$3,997.32	$1,159.22–$3,397.72	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 BC CT ABD PELVIS WO W CONT	$2,598.26	$3,997.32	$1,159.22–$3,397.72	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 BC NM CT ABDOMEN PELV WO W CON	$2,598.26	$3,997.32	$1,159.22–$3,397.72	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 NM CT ABDOMEN PELVIS WO W CONT	$2,598.26	$3,997.32	$1,159.22–$3,397.72	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 IR CT ABDOMEN PELVIS WO W CONT	$2,598.26	$3,997.32	$1,159.22–$3,397.72	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 BC IR CT ABD PELVIS WO W CON	$2,598.26	$3,997.32	$1,159.22–$3,397.72	—	35%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$639.85–$1,942.39	at median	35%
CT scan of the abdomen with contrast CPT 74160 BC CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$639.85–$1,942.39	at median	35%
CT scan of the abdomen with contrast CPT 74160 BC IR CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$639.85–$1,942.39	at median	35%
CT scan of the abdomen with contrast CPT 74160 IR CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$639.85–$1,942.39	at median	35%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$662.70–$1,942.39	—	35%
CT scan of the abdomen with contrast inpatient CPT 74160 BC IR CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$662.70–$1,942.39	—	35%
CT scan of the abdomen with contrast inpatient CPT 74160 IR CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$662.70–$1,942.39	—	35%
CT scan of the abdomen with contrast inpatient CPT 74160 BC CT ABDOMEN W CONTRAST	$1,485.36	$2,285.17	$662.70–$1,942.39	—	35%
CT scan of the abdomen without contrast CPT 74150 BC CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$511.88–$1,553.94	at median	35%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$511.88–$1,553.94	at median	35%
CT scan of the abdomen without contrast CPT 74150 BC IR CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$511.88–$1,553.94	at median	35%
CT scan of the abdomen without contrast CPT 74150 IR CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$511.88–$1,553.94	at median	35%
CT scan of the abdomen without contrast inpatient CPT 74150 BC CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$530.17–$1,553.94	—	35%
CT scan of the abdomen without contrast inpatient CPT 74150 IR CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$530.17–$1,553.94	—	35%
CT scan of the abdomen without contrast inpatient CPT 74150 BC IR CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$530.17–$1,553.94	—	35%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$1,188.30	$1,828.16	$530.17–$1,553.94	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 BC CT MAXILLOFACIAL WO CONT	$1,323.44	$2,036.06	$570.10–$1,730.65	at median	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$1,323.44	$2,036.06	$570.10–$1,730.65	at median	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 IR SINUSES COMPLETE DRY	$1,323.44	$2,036.06	$570.10–$1,730.65	at median	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 BC CT MAXILLOFACIAL WO CONT	$1,323.44	$2,036.06	$590.46–$1,730.65	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$1,323.44	$2,036.06	$590.46–$1,730.65	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 IR SINUSES COMPLETE DRY	$1,323.44	$2,036.06	$590.46–$1,730.65	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 IR CT HEAD OR BRAIN WO CON	$1,372.20	$2,111.08	$591.10–$1,794.42	at median	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONTRAST	$1,372.20	$2,111.08	$591.10–$1,794.42	at median	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT OR BRAIN WITHOUT CONTRAST	$1,372.20	$2,111.08	$591.10–$1,794.42	at median	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST	$1,372.20	$2,111.08	$591.10–$1,794.42	at median	35%
CT scan of the head or brain, no contrast dye CPT 70450 BC CT HEAD OR BRAIN WO CONT	$1,372.20	$2,111.08	$591.10–$1,794.42	at median	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 IR CT HEAD OR BRAIN WO CON	$1,372.20	$2,111.08	$612.21–$1,794.42	—	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONTRAST	$1,372.20	$2,111.08	$612.21–$1,794.42	—	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT OR BRAIN WITHOUT CONTRAST	$1,372.20	$2,111.08	$612.21–$1,794.42	—	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 BC CT HEAD OR BRAIN WO CONT	$1,372.20	$2,111.08	$612.21–$1,794.42	—	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST	$1,372.20	$2,111.08	$612.21–$1,794.42	—	35%
CT scan of the head with contrast CPT 70460 IR CT HEAD W CONTRAST	$1,257.43	$1,934.51	$541.66–$1,644.33	at median	35%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$1,257.43	$1,934.51	$541.66–$1,644.33	at median	35%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$1,257.43	$1,934.51	$541.66–$1,644.33	at median	35%
CT scan of the head with contrast CPT 70460 BC CT HEAD OR BRAIN W CONTRAST	$1,257.43	$1,934.51	$541.66–$1,644.33	at median	35%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$1,257.43	$1,934.51	$561.01–$1,644.33	—	35%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$1,257.43	$1,934.51	$561.01–$1,644.33	—	35%
CT scan of the head with contrast inpatient CPT 70460 BC CT HEAD OR BRAIN W CONTRAST	$1,257.43	$1,934.51	$561.01–$1,644.33	—	35%
CT scan of the head with contrast inpatient CPT 70460 IR CT HEAD W CONTRAST	$1,257.43	$1,934.51	$561.01–$1,644.33	—	35%
CT scan of the head without and with contrast CPT 70470 IR CT HEAD WO W CONTRAST	$1,526.88	$2,349.04	$657.73–$1,996.68	at median	35%
CT scan of the head without and with contrast CPT 70470 BC CT HEAD OR BRAIN WO W CONT	$1,526.88	$2,349.04	$657.73–$1,996.68	at median	35%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W CONTRAST	$1,526.88	$2,349.04	$657.73–$1,996.68	at median	35%
CT scan of the head without and with contrast inpatient CPT 70470 BC CT HEAD OR BRAIN WO W CONT	$1,526.88	$2,349.04	$681.22–$1,996.68	—	35%
CT scan of the head without and with contrast inpatient CPT 70470 IR CT HEAD WO W CONTRAST	$1,526.88	$2,349.04	$681.22–$1,996.68	—	35%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W CONTRAST	$1,526.88	$2,349.04	$681.22–$1,996.68	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 IR CT SPINE LUMBAR WO CONTRAST	$1,777.91	$2,735.25	$765.87–$2,324.96	at median	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT OR LUMBAR SPINE WO CONTRAST	$1,777.91	$2,735.25	$765.87–$2,324.96	at median	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 BC CT SPINE LUMBAR WO CONTRAST	$1,777.91	$2,735.25	$765.87–$2,324.96	at median	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONTRAST	$1,777.91	$2,735.25	$765.87–$2,324.96	at median	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT OR LUMBAR SPINE WO CONTRAST	$1,777.91	$2,735.25	$793.22–$2,324.96	—	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 IR CT SPINE LUMBAR WO CONTRAST	$1,777.91	$2,735.25	$793.22–$2,324.96	—	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONTRAST	$1,777.91	$2,735.25	$793.22–$2,324.96	—	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 BC CT SPINE LUMBAR WO CONTRAST	$1,777.91	$2,735.25	$793.22–$2,324.96	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CONTRAST	$1,712.13	$2,634.04	$737.53–$2,238.93	at median	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 BC CT SPINE CERVICAL WO CONT	$1,712.13	$2,634.04	$737.53–$2,238.93	at median	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 IR CT SPINE CERVICAL WO CON	$1,712.13	$2,634.04	$737.53–$2,238.93	at median	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT OR CERVICAL SPINE W O CONT	$1,712.13	$2,634.04	$737.53–$2,238.93	at median	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 IR CT SPINE CERVICAL WO CON	$1,712.13	$2,634.04	$763.87–$2,238.93	—	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT OR CERVICAL SPINE W O CONT	$1,712.13	$2,634.04	$763.87–$2,238.93	—	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 BC CT SPINE CERVICAL WO CONT	$1,712.13	$2,634.04	$763.87–$2,238.93	—	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CONTRAST	$1,712.13	$2,634.04	$763.87–$2,238.93	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 BC CT PELVIS W CONTRAST	$2,921.37	$4,494.41	$1,107.11–$3,820.25	35% above	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,921.37	$4,494.41	$1,107.11–$3,820.25	35% above	35%
CT scan of the pelvis, with contrast dye CPT 72193 IR CT PELVIS W CONTRAST	$2,921.37	$4,494.41	$1,107.11–$3,820.25	35% above	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 IR CT PELVIS W CONTRAST	$2,921.37	$4,494.41	$1,303.38–$3,820.25	—	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 BC CT PELVIS W CONTRAST	$2,921.37	$4,494.41	$1,303.38–$3,820.25	—	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$2,921.37	$4,494.41	$1,303.38–$3,820.25	—	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX	$1,163.00	$1,789.23	$518.88–$1,564.85	at median	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DOPP EXTRACRAN ARTS COMP	$1,163.00	$1,789.23	$518.88–$1,564.85	at median	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLEX	$1,163.00	$1,789.23	$518.88–$1,520.85	—	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DOPP EXTRACRAN ARTS COMP	$1,163.00	$1,789.23	$518.88–$1,520.85	—	35%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$437.57	$673.18	$188.49–$572.20	at median	35%
Chest X-ray, 2 views CPT 71046 BC CHEST 2 VIEWS	$437.57	$673.18	$188.49–$572.20	at median	35%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$437.57	$673.18	$195.22–$572.20	—	35%
Chest X-ray, 2 views inpatient CPT 71046 BC CHEST 2 VIEWS	$437.57	$673.18	$195.22–$572.20	—	35%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$413.09	$635.53	$177.95–$540.20	at median	35%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$413.09	$635.53	$184.30–$540.20	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 BC ECHO RETROPERITONEAL COMP.	$534.75	$822.69	$230.35–$739.82	at median	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$534.75	$822.69	$230.35–$739.82	at median	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 BC ECHO RETROPERITONEAL COMP.	$534.75	$822.69	$238.58–$699.29	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$534.75	$822.69	$238.58–$699.29	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC DXA BONE DENSITY AXIAL	$548.50	$843.85	$236.28–$717.27	31% above	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA HIP SPN PELV	$548.50	$843.85	$236.28–$717.27	31% above	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA HIP SPN PELV	$548.50	$843.85	$244.72–$717.27	—	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC DXA BONE DENSITY AXIAL	$548.50	$843.85	$244.72–$717.27	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA RAD WRST HEEL	$365.36	$562.09	$80.70–$477.78	18% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC DXA BONE DENSITY PERIPHERAL	$365.36	$562.09	$80.70–$477.78	18% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA RAD WRST HEEL	$365.36	$562.09	$163.01–$477.78	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC DXA BONE DENSITY PERIPHERAL	$365.36	$562.09	$163.01–$477.78	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTSND OB UTS AND ANA EXAM SGL	$642.79	$988.90	$276.89–$921.07	at median	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB W FETAL ANATOMY SINGLE	$642.79	$988.90	$276.89–$921.07	at median	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTSND OB MORE THAN14WKS ANA EXM SG	$642.79	$988.90	$276.89–$921.07	at median	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ULTSND OB UTS AND ANA EXAM SGL	$642.79	$988.90	$286.78–$840.56	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ULTSND OB MORE THAN14WKS ANA EXM SG	$642.79	$988.90	$286.78–$840.56	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB W FETAL ANATOMY SINGLE	$642.79	$988.90	$286.78–$840.56	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC IR CT CHEST WO CON DIAG	$1,465.65	$2,254.85	$631.36–$1,916.62	at median	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC NM PET CT CHEST WO CONT	$1,465.65	$2,254.85	$631.36–$1,916.62	at median	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC CT CHEST WO CONTRAST DIAG	$1,465.65	$2,254.85	$631.36–$1,916.62	at median	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT CONTRAST DIAG	$1,465.65	$2,254.85	$631.36–$1,916.62	at median	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 IR CT CHEST WO CONTRAST DIAG	$1,465.65	$2,254.85	$631.36–$1,916.62	at median	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST DIAG	$1,465.65	$2,254.85	$631.36–$1,916.62	at median	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 BC IR CT CHEST WO CON DIAG	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 IR CT CHEST WO CONTRAST DIAG	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST DIAG	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITHOUT CONTRAST DIAG	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 BC CT CHEST WO CONTRAST DIAG	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 BC NM PET CT CHEST WO CONT	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC NM PET CT CHEST W CONT	$2,130.21	$3,277.25	$917.63–$2,785.66	at median	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST DIAG	$2,130.21	$3,277.25	$917.63–$2,785.66	at median	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC CT CHEST W CONTRAST DIAG	$2,130.21	$3,277.25	$917.63–$2,785.66	at median	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 IR CT CHEST ENHANCED DIAG	$2,130.21	$3,277.25	$917.63–$2,785.66	at median	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ENHANCED DIAG	$2,130.21	$3,277.25	$917.63–$2,785.66	at median	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC IR CT CHEST W CONTRAST DIAG	$2,130.21	$3,277.25	$917.63–$2,785.66	at median	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 BC NM PET CT CHEST W CONT	$2,130.21	$3,277.25	$950.40–$2,785.66	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 IR CT CHEST ENHANCED DIAG	$2,130.21	$3,277.25	$950.40–$2,785.66	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 BC IR CT CHEST W CONTRAST DIAG	$2,130.21	$3,277.25	$950.40–$2,785.66	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ENHANCED DIAG	$2,130.21	$3,277.25	$950.40–$2,785.66	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 BC CT CHEST W CONTRAST DIAG	$2,130.21	$3,277.25	$950.40–$2,785.66	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST DIAG	$2,130.21	$3,277.25	$950.40–$2,785.66	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 GRANT MAMMOGRAPHY BILAT	$535.72	$824.18	$121.61–$1,155.65	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAG MAMMO BILAT	$535.72	$824.18	$121.61–$1,155.65	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 BC DIGITAL 4V DIAG MAMMO BILAT	$535.72	$824.18	$121.61–$1,155.65	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BC DIGITAL 4V DIAG MAMMO BILAT	$535.72	$824.18	$239.01–$700.55	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DIAG MAMMO BILAT	$535.72	$824.18	$239.01–$700.55	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 GRANT MAMMOGRAPHY BILAT	$535.72	$824.18	$239.01–$700.55	—	35%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL DIAG MAMMO UNILAT	$418.78	$644.27	$94.79–$903.41	2% above	35%
Diagnostic mammogram, one breast one side CPT 77065 GRANT MAMMO UNILAT	$418.78	$644.27	$94.79–$903.41	2% above	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 GRANT MAMMO UNILAT	$418.78	$644.27	$186.84–$547.63	—	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIGITAL DIAG MAMMO UNILAT	$418.78	$644.27	$186.84–$547.63	—	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LE ARTERIAL DUPLEX	$962.62	$1,480.95	$429.48–$2,117.03	19% above	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN LOWER EXT ARTERIAL	$962.62	$1,480.95	$429.48–$2,117.03	19% above	35%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LE ARTERIAL DUPLEX	$962.62	$1,480.95	$429.48–$1,258.81	—	35%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX SCAN LOWER EXT ARTERIAL	$962.62	$1,480.95	$429.48–$1,258.81	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN DUPLEX UPR LWR BILAT	$713.95	$1,098.39	$318.53–$1,564.85	—	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 LE VENOUS DUPLEX	$713.95	$1,098.39	$318.53–$1,564.85	—	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 UE VENOUS DUPLEX	$713.95	$1,098.39	$318.53–$1,564.85	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEN DUPLEX UPR LWR BILAT	$713.95	$1,098.39	$318.53–$933.63	—	35%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 LE VENOUS DUPLEX	$713.95	$1,098.39	$318.53–$933.63	—	35%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 UE VENOUS DUPLEX	$713.95	$1,098.39	$318.53–$933.63	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE 2D W DOPP CF	$1,865.74	$2,870.37	$832.41–$2,439.81	at median	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTE 2D W DOPP CF	$1,865.74	$2,870.37	$832.41–$2,439.81	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SCAN W GB	$1,896.47	$2,917.65	$816.94–$2,945.66	2% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBIL SCAN W GB	$1,896.47	$2,917.65	$846.12–$2,480.00	—	35%
Knee X-ray, 3 views CPT 73562 KNEE 3 VWS	$256.34	$394.37	$100.60–$335.21	at median	35%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VWS	$256.34	$394.37	$114.37–$335.21	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BC US ABDOM LIMITED FAST	$366.59	$563.99	$163.56–$600.07	at median	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABD LIMITED	$366.59	$563.99	$157.92–$600.07	at median	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$366.59	$563.99	$157.92–$600.07	at median	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABD LIMITED	$366.59	$563.99	$163.56–$479.39	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 BC US ABDOM LIMITED FAST	$366.59	$563.99	$163.56–$479.39	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED	$366.59	$563.99	$163.56–$479.39	—	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$1,465.65	$2,254.85	$313.89–$1,916.62	at median	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$1,465.65	$2,254.85	$653.91–$1,916.62	—	35%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST W O W INCL CAD BIL	$2,451.94	$3,772.22	$1,056.22–$4,203.36	at median	35%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST W O W INCL CAD BIL	$2,451.94	$3,772.22	$1,093.94–$3,206.39	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT WO CONT	$1,584.35	$2,437.46	$682.49–$2,514.36	at median	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT WO CONT	$1,584.35	$2,437.46	$706.86–$2,071.84	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT WO W CONT	$2,637.64	$4,057.90	$1,136.21–$3,767.64	at median	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT WO W CONT	$2,637.64	$4,057.90	$1,176.79–$3,449.22	—	35%
MRI of the abdomen without contrast CPT 74181 BC MRI ABDOMEN WO CONT	$1,683.39	$2,589.83	$725.15–$2,491.94	at median	35%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$1,683.39	$2,589.83	$725.15–$2,491.94	at median	35%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$1,683.39	$2,589.83	$751.05–$2,201.36	—	35%
MRI of the abdomen without contrast inpatient CPT 74181 BC MRI ABDOMEN WO CONT	$1,683.39	$2,589.83	$751.05–$2,201.36	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 BC MRI ABDOMEN WO W CONT	$2,723.14	$4,189.45	$1,173.05–$3,974.25	at median	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W CONTRAST	$2,723.14	$4,189.45	$1,173.05–$3,974.25	at median	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 BC MRI ABDOMEN WO W CONT	$2,723.14	$4,189.45	$1,214.94–$3,561.03	—	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO W CONTRAST	$2,723.14	$4,189.45	$1,214.94–$3,561.03	—	35%
MRI of the brain, no contrast dye CPT 70551 BC MRI BRAIN WO CONTRAST	$1,769.57	$2,722.41	$762.27–$2,640.42	at median	35%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$1,769.57	$2,722.41	$762.27–$2,640.42	at median	35%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$1,769.57	$2,722.41	$789.50–$2,314.05	—	35%
MRI of the brain, no contrast dye inpatient CPT 70551 BC MRI BRAIN WO CONTRAST	$1,769.57	$2,722.41	$789.50–$2,314.05	—	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO W CONTRAST	$2,525.13	$3,884.81	$1,087.75–$3,936.14	at median	35%
MRI of the brain, with and without contrast dye CPT 70553 BC MRI BRAIN WO W CONTRAST	$2,525.13	$3,884.81	$1,087.75–$3,936.14	at median	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO W CONTRAST	$2,525.13	$3,884.81	$1,126.59–$3,302.09	—	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BC MRI BRAIN WO W CONTRAST	$2,525.13	$3,884.81	$1,126.59–$3,302.09	—	35%
MRI of the lower back, no contrast dye CPT 72148 BC MRI SPINE LUMBAR WO CONT	$2,396.86	$3,687.48	$1,032.49–$3,134.36	33% above	35%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTRAST	$2,396.86	$3,687.48	$1,032.49–$3,134.36	33% above	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 BC MRI SPINE LUMBAR WO CONT	$2,396.86	$3,687.48	$1,069.37–$3,134.36	—	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONTRAST	$2,396.86	$3,687.48	$1,069.37–$3,134.36	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WO W CONTRAST	$3,855.74	$5,931.91	$1,660.93–$5,042.12	26% above	35%
MRI of the lower back, without and then with contrast dye CPT 72158 BC MRI SPINE LUMBAR WO W CON	$3,855.74	$5,931.91	$1,660.93–$5,042.12	26% above	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 BC MRI SPINE LUMBAR WO W CON	$3,855.74	$5,931.91	$1,720.25–$5,042.12	—	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR WO W CONTRAST	$3,855.74	$5,931.91	$1,720.25–$5,042.12	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 BC MRI SPINE THORACIC WO CONT	$2,396.86	$3,687.48	$1,032.49–$3,134.36	35% above	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTRAST	$2,396.86	$3,687.48	$1,032.49–$3,134.36	35% above	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CONTRAST	$2,396.86	$3,687.48	$1,069.37–$3,134.36	—	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 BC MRI SPINE THORACIC WO CONT	$2,396.86	$3,687.48	$1,069.37–$3,134.36	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 BC MRI SPINE CERVICAL WO W CON	$3,855.74	$5,931.91	$1,660.93–$5,042.12	29% above	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL WO W CONT	$3,855.74	$5,931.91	$1,660.93–$5,042.12	29% above	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL WO W CONT	$3,855.74	$5,931.91	$1,720.25–$5,042.12	—	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 BC MRI SPINE CERVICAL WO W CON	$3,855.74	$5,931.91	$1,720.25–$5,042.12	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CONTRAST	$2,396.86	$3,687.48	$1,032.49–$3,134.36	36% above	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 BC MRI SPINE CERVICAL WO CONT	$2,396.86	$3,687.48	$1,032.49–$3,134.36	36% above	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 BC MRI SPINE CERVICAL WO CONT	$2,396.86	$3,687.48	$1,069.37–$3,134.36	—	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CONTRAST	$2,396.86	$3,687.48	$1,069.37–$3,134.36	—	35%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W CONTRAST	$4,213.52	$6,482.34	$1,815.06–$5,509.99	28% above	35%
MRI of the pelvis without and with contrast CPT 72197 BC MRI PELVIS WO W CONT	$4,213.52	$6,482.34	$1,815.06–$5,509.99	28% above	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 BC MRI PELVIS WO W CONT	$4,213.52	$6,482.34	$1,879.88–$5,509.99	—	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W CONTRAST	$4,213.52	$6,482.34	$1,879.88–$5,509.99	—	35%
MRI of the pelvis, no contrast dye CPT 72195 BC MRI PELVIS WO CONT	$2,380.81	$3,662.79	$1,025.58–$3,113.37	34% above	35%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O CONTRAST	$2,380.81	$3,662.79	$1,025.58–$3,113.37	34% above	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 BC MRI PELVIS WO CONT	$2,380.81	$3,662.79	$1,062.21–$3,113.37	—	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W O CONTRAST	$2,380.81	$3,662.79	$1,062.21–$3,113.37	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT WO CONT	$2,207.83	$3,396.66	$951.06–$2,887.16	20% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT WO CONT	$2,207.83	$3,396.66	$985.03–$2,887.16	—	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC PERFUS IMG SPECT MULTI	$4,075.25	$6,269.61	$1,755.49–$5,329.17	at median	35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC PERFUS IMG SPECT MULTI	$4,075.25	$6,269.61	$1,818.19–$5,329.17	—	35%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 OPTH IM PT SEG UNI BILAT RET	$193.23	$297.27	$86.21–$252.68	—	35%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 OPTH IM PT SEG UNI BILAT RET	$193.23	$297.27	$86.21–$252.68	—	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT EYES TO THIGHS	$6,847.74	$10,534.98	$2,949.79–$8,954.73	17% above	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT EYES TO THIGHS	$6,847.74	$10,534.98	$3,055.14–$8,954.73	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHOGRAPHY PELVIC F U NON OB	$396.55	$610.08	$170.82–$518.57	19% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTR PELVIC LTD	$396.55	$610.08	$170.82–$518.57	19% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BC ECHOGRAPHY PELVIC NONOB LTD	$396.55	$610.08	$170.82–$518.57	19% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 BC ECHOGRAPHY PELVIC NONOB LTD	$396.55	$610.08	$176.92–$518.57	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHOGRAPHY PELVIC F U NON OB	$396.55	$610.08	$176.92–$518.57	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTR PELVIC LTD	$396.55	$610.08	$176.92–$518.57	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ECHOGRAPHY PELVIC NON OB	$630.51	$970.02	$271.61–$824.52	at median	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTR PELVIC NON OB	$630.51	$970.02	$271.61–$824.52	at median	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 BC ECHOGRAPHY PELVIC NON OB	$630.51	$970.02	$271.61–$824.52	at median	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ECHOGRAPHY PELVIC NON OB	$630.51	$970.02	$281.31–$824.52	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTR PELVIC NON OB	$630.51	$970.02	$281.31–$824.52	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 BC ECHOGRAPHY PELVIC NON OB	$630.51	$970.02	$281.31–$824.52	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPL SINGLE AFTER1STTRI	$884.64	$1,360.99	$381.08–$1,156.84	32% above	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 BC ECHOGRAPHY PREGNANCY COMP	$884.64	$1,360.99	$381.08–$1,156.84	32% above	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTSND OB UTS MORE THAN 14WKS SGL	$884.64	$1,360.99	$381.08–$1,156.84	32% above	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTSND OB MORE THAN14WKS SGL	$884.64	$1,360.99	$381.08–$1,156.84	32% above	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 BC ECHOGRAPHY PREGNANCY COMP	$884.64	$1,360.99	$394.69–$1,156.84	—	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTSND OB MORE THAN14WKS SGL	$884.64	$1,360.99	$394.69–$1,156.84	—	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTSND OB UTS MORE THAN 14WKS SGL	$884.64	$1,360.99	$394.69–$1,156.84	—	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPL SINGLE AFTER1STTRI	$884.64	$1,360.99	$394.69–$1,156.84	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTSND OB UTS 1ST TRI SGL	$630.51	$970.02	$271.61–$824.52	16% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 BC FET AND MAT EVAL 1ST TRI LESS THAN 14 WKS	$630.51	$970.02	$271.61–$824.52	16% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMPL SINGLE 1ST TRI	$630.51	$970.02	$271.61–$824.52	16% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ULTSND OB UTS 1ST TRI SGL	$630.51	$970.02	$281.31–$824.52	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMPL SINGLE 1ST TRI	$630.51	$970.02	$281.31–$824.52	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 BC FET AND MAT EVAL 1ST TRI LESS THAN 14 WKS	$630.51	$970.02	$281.31–$824.52	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTSND OB UTS LIMITED	$409.75	$630.38	$176.51–$535.82	at median	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US O.B. LIMITED	$409.75	$630.38	$176.51–$535.82	at median	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BC ECHOGRAPHY PREGNANCY LTD	$409.75	$630.38	$176.51–$535.82	at median	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS LTD	$409.75	$630.38	$176.51–$535.82	at median	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 BC ECHOGRAPHY PREGNANCY LTD	$409.75	$630.38	$182.81–$535.82	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US O.B. LIMITED	$409.75	$630.38	$182.81–$535.82	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTSND OB UTS LIMITED	$409.75	$630.38	$182.81–$535.82	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG UTERUS LTD	$409.75	$630.38	$182.81–$535.82	—	35%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL 4V SCRN MAMMO BILAT	$447.11	$687.86	$100.30–$954.54	—	35%
Screening mammogram, both breasts both sides CPT 77067 BC GRANT MAMMO SCREENING BILAT	$447.11	$687.86	$100.30–$954.54	—	35%
Screening mammogram, both breasts both sides CPT 77067 BC DIGITAL 4V SCRN MAMMO BILAT	$447.11	$687.86	$100.30–$954.54	—	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 BC DIGITAL 4V SCRN MAMMO BILAT	$447.11	$687.86	$199.48–$584.68	—	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL 4V SCRN MAMMO BILAT	$447.11	$687.86	$199.48–$584.68	—	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 BC GRANT MAMMO SCREENING BILAT	$447.11	$687.86	$199.48–$584.68	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE	$229.78	$353.50	$83.94–$300.47	at median	35%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE	$229.78	$353.50	$102.51–$300.47	—	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W SUPANDECG MON COMP	$1,464.79	$2,253.52	$653.52–$1,915.49	—	35%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO W SUPANDECG MON COMP	$1,464.79	$2,253.52	$653.52–$1,915.49	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLW FUNCT W CINE VID CON	$960.49	$1,477.68	$256.02–$1,256.03	24% above	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLW FUNCT W CINE VID CON	$960.49	$1,477.68	$428.53–$1,256.03	—	35%
Transvaginal pelvic ultrasound CPT 76830 ULTR TRANSVAGINAL	$707.40	$1,088.31	$304.73–$925.06	2% above	35%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON OB	$707.40	$1,088.31	$304.73–$925.06	2% above	35%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$707.40	$1,088.31	$304.73–$925.06	2% above	35%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL NON OB	$707.40	$1,088.31	$304.73–$925.06	2% above	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND TRANSVAGINAL NON OB	$707.40	$1,088.31	$315.61–$925.06	—	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$707.40	$1,088.31	$315.61–$925.06	—	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULTR TRANSVAGINAL	$707.40	$1,088.31	$315.61–$925.06	—	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON OB	$707.40	$1,088.31	$315.61–$925.06	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$630.51	$970.02	$260.79–$824.52	at median	35%
Transvaginal ultrasound during pregnancy CPT 76817 ULTSND OB UTS TRANSVAG	$630.51	$970.02	$260.79–$824.52	at median	35%
Transvaginal ultrasound during pregnancy CPT 76817 BC TV PREG UTERUS W IMAGDOC	$630.51	$970.02	$260.79–$824.52	at median	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 BC TV PREG UTERUS W IMAGDOC	$630.51	$970.02	$281.31–$824.52	—	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$630.51	$970.02	$281.31–$824.52	—	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ULTSND OB UTS TRANSVAG	$630.51	$970.02	$281.31–$824.52	—	35%
Ultrasound of the abdomen, complete CPT 76700 BC ECHOGRAPHY ABDOMEN COMP.	$751.87	$1,156.73	$323.88–$983.22	16% above	35%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$751.87	$1,156.73	$323.88–$983.22	16% above	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$751.87	$1,156.73	$335.45–$983.22	—	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 BC ECHOGRAPHY ABDOMEN COMP.	$751.87	$1,156.73	$335.45–$983.22	—	35%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$528.24	$812.68	$227.55–$690.78	34% above	35%
Ultrasound of the scrotum and testicles CPT 76870 BC ECHOGRAPHY SCROTAL	$528.24	$812.68	$227.55–$690.78	34% above	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$528.24	$812.68	$235.68–$690.78	—	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 BC ECHOGRAPHY SCROTAL	$528.24	$812.68	$235.68–$690.78	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ECHO SOFT TISSUEHEAD AND NEC	$466.03	$716.97	$200.75–$855.71	at median	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 IR US EXAM OF HEAD AND NECK	$466.03	$716.97	$200.75–$855.71	at median	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 IR US EXAM OF HEAD AND NECK	$466.03	$716.97	$207.92–$609.42	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ECHO SOFT TISSUEHEAD AND NEC	$466.03	$716.97	$207.92–$609.42	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI TRAC W SCT W CONT	$480.71	$739.55	$207.07–$746.64	at median	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BC XR UPPER GI SNGL CON W SBFT	$480.71	$739.55	$207.07–$746.64	at median	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI TRAC W SCT W CONT	$480.71	$739.55	$214.47–$628.62	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BC XR UPPER GI SNGL CON W SBFT	$480.71	$739.55	$214.47–$628.62	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 UE VENOUS DUPLEX LIMITED	$477.48	$734.59	$213.03–$944.32	at median	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 LE VENOUS DUPLEXLIMITED	$477.48	$734.59	$213.03–$944.32	at median	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXTR VENOUS LTD OR UNI	$477.48	$734.59	$213.03–$944.32	at median	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXTR VENOUS LTD OR UNI	$477.48	$734.59	$213.03–$624.40	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 LE VENOUS DUPLEXLIMITED	$477.48	$734.59	$213.03–$624.40	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 UE VENOUS DUPLEX LIMITED	$477.48	$734.59	$213.03–$624.40	—	35%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3VWS	$310.90	$478.30	$102.60–$406.56	at median	35%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3VWS	$310.90	$478.30	$138.71–$406.56	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2 3 VIEWS	$134.39	$206.76	$57.89–$289.92	at median	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP 2 3 VIEWS	$134.39	$206.76	$59.96–$175.75	—	35%
X-ray of the abdomen, 1 view CPT 74018 BC ABDOMEN SINGLE VIEW	$319.14	$490.98	$137.47–$417.33	at median	35%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW	$319.14	$490.98	$137.47–$417.33	at median	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 BC ABDOMEN SINGLE VIEW	$319.14	$490.98	$142.38–$417.33	—	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE VIEW	$319.14	$490.98	$142.38–$417.33	—	35%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$205.93	$316.82	$76.83–$269.30	at median	35%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$205.93	$316.82	$91.88–$269.30	—	35%
X-ray of the finger(s), 2 or more views CPT 73140 FINGERS MIN 2 VWS	$217.02	$333.88	$88.94–$283.80	at median	35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS MIN 2 VWS	$217.02	$333.88	$96.83–$283.80	—	35%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VWS	$205.93	$316.82	$73.80–$269.30	at median	35%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VWS	$205.93	$316.82	$91.88–$269.30	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VWS	$242.66	$373.32	$88.94–$317.32	at median	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VWS	$242.66	$373.32	$108.26–$317.32	—	35%
X-ray of the hand, 3 or more views CPT 73130 HAND MINIMUM OF 3 VIEWS	$328.29	$505.06	$90.46–$429.30	at median	35%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MINIMUM OF 3 VIEWS	$328.29	$505.06	$146.47–$429.30	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VWS	$193.82	$298.18	$79.87–$253.45	at median	35%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VWS	$193.82	$298.18	$86.47–$253.45	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR AP AND LAT	$407.30	$626.61	$112.75–$532.62	2% above	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR AP AND LAT	$407.30	$626.61	$181.72–$532.62	—	35%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR W OBL	$716.05	$1,101.61	$157.73–$936.37	14% above	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR W OBL	$716.05	$1,101.61	$319.47–$936.37	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEW	$193.82	$298.18	$83.49–$253.45	8% below	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 BC SPINE THORACIC 2 VIEW	$193.82	$298.18	$83.49–$253.45	8% below	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEW	$193.82	$298.18	$86.47–$253.45	—	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 BC SPINE THORACIC 2 VIEW	$193.82	$298.18	$86.47–$253.45	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$217.60	$334.77	$93.74–$284.55	at median	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$217.60	$334.77	$97.08–$284.55	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC SPINE CERVICAL 3 VWS OR LES	$340.33	$523.58	$105.16–$445.04	at median	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC SPINE CERVICAL 3 OR LESS VW	$340.33	$523.58	$105.16–$445.04	at median	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3 VWS OR LES	$340.33	$523.58	$105.16–$445.04	at median	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 BC SPINE CERVICAL 3 VWS OR LES	$340.33	$523.58	$151.84–$445.04	—	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 BC SPINE CERVICAL 3 OR LESS VW	$340.33	$523.58	$151.84–$445.04	—	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 3 VWS OR LES	$340.33	$523.58	$151.84–$445.04	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VWS	$278.61	$428.63	$70.76–$364.34	at median	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VWS	$278.61	$428.63	$124.30–$364.34	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$399.52	$614.65	$85.46–$522.45	90% above	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$399.52	$614.65	$178.25–$522.45	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs District of Columbia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANS ALAN AMINO ALT SGPT	$60.34	$92.83	$5.30–$78.91	40% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANS ALAN AMINO ALT SGPT	$60.34	$92.83	$5.30–$78.91	40% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO	$60.34	$92.83	$5.30–$78.91	40% above	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANS ALAN AMINO ALT SGPT	$60.34	$92.83	$26.92–$78.91	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANS ALAN AMINO ALT SGPT	$60.34	$92.83	$26.92–$78.91	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO	$60.34	$92.83	$26.92–$78.91	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANS ASPAR AMINO AST SGOT	$58.72	$90.34	$5.18–$76.79	at median	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTAT AST	$58.72	$90.34	$5.18–$76.79	at median	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE ASPARTAT AST	$58.72	$90.34	$26.20–$76.79	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANS ASPAR AMINO AST SGOT	$58.72	$90.34	$26.20–$76.79	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$651.94	$1,002.99	$47.63–$852.54	39% above	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$651.94	$1,002.99	$290.87–$852.54	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$30.05	$46.23	$5.22–$54.56	51% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SINGLE ALLERGIN	$30.05	$46.23	$5.22–$54.56	51% below	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$30.05	$46.23	$13.41–$39.30	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SINGLE ALLERGIN	$30.05	$46.23	$13.41–$39.30	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$78.90	$121.39	$12.95–$135.40	45% below	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$78.90	$121.39	$35.20–$103.18	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES ANA	$80.70	$124.16	$12.09–$126.37	at median	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODIES	$80.70	$124.16	$12.09–$126.37	at median	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES ANA	$80.70	$124.16	$36.01–$105.54	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODIES	$80.70	$124.16	$36.01–$105.54	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATURIURETIC PEPTIDE	$406.11	$624.79	$39.26–$531.07	28% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIUERTIC PEPTIDE	$406.11	$624.79	$39.26–$531.07	28% above	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATURIURETIC PEPTIDE	$406.11	$624.79	$181.19–$531.07	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIUERTIC PEPTIDE	$406.11	$624.79	$181.19–$531.07	—	35%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL TOT CA	$181.41	$279.09	$8.46–$237.23	at median	35%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CA TOT	$181.41	$279.09	$8.46–$237.23	at median	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL TOT CA	$181.41	$279.09	$80.94–$237.23	—	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL CA TOT	$181.41	$279.09	$80.94–$237.23	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATHLEVEL IV	$353.47	$543.80	$157.70–$462.23	at median	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV SURG PATH GROSS EXAM	$353.47	$543.80	$157.70–$462.23	at median	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATHLEVEL IV COMPLEX	$353.47	$543.80	$157.70–$462.23	at median	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BX	$598.81	$921.25	$267.16–$783.06	69% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATHLEVEL IV COMPLEX	$353.47	$543.80	$157.70–$462.23	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEV IV SURG PATH GROSS EXAM	$353.47	$543.80	$157.70–$462.23	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATHLEVEL IV	$353.47	$543.80	$157.70–$462.23	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BX	$598.81	$921.25	$267.16–$783.06	—	35%
Blood culture for bacteria CPT 87040 CULT BACTERIAL DEF BLOOD	$95.80	$147.38	$10.32–$125.27	11% above	35%
Blood culture for bacteria inpatient CPT 87040 CULT BACTERIAL DEF BLOOD	$95.80	$147.38	$42.74–$125.27	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$24.37	$37.49	$9.34–$31.87	2% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT BLOOD VENIPUNCTURE	$24.37	$37.49	$9.34–$31.87	2% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECT VENIPUNCTURE	$24.37	$37.49	$9.34–$31.87	2% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECT VENIPUNCTURE	$24.37	$37.49	$9.34–$31.87	2% below	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECT VENIPUNCTURE	$24.37	$37.49	$10.87–$31.87	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECT VENIPUNCTURE	$24.37	$37.49	$10.87–$31.87	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECT BLOOD VENIPUNCTURE	$24.37	$37.49	$10.87–$31.87	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$24.37	$37.49	$10.87–$31.87	—	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE POC	$44.66	$68.70	$3.93–$58.40	at median	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE	$44.66	$68.70	$3.93–$58.40	at median	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE	$44.66	$68.70	$3.93–$58.40	at median	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE POC	$44.66	$68.70	$19.92–$58.40	—	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE	$44.66	$68.70	$19.92–$58.40	—	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE	$44.66	$68.70	$19.92–$58.40	—	35%
Blood lead test CPT 83655 LEAD	$156.46	$240.70	$12.11–$204.60	19% above	35%
Blood lead test inpatient CPT 83655 LEAD	$156.46	$240.70	$69.80–$204.60	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADO CHORION HCGQUAL	$58.05	$89.30	$7.52–$78.55	2% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN CHORIONIC QUAL.	$58.05	$89.30	$7.52–$78.55	2% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN CHORIONIC QUAL.	$58.05	$89.30	$25.90–$75.90	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADO CHORION HCGQUAL	$58.05	$89.30	$25.90–$75.90	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$171.61	$264.01	$31.15–$224.41	at median	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$171.61	$264.01	$76.56–$224.41	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$36.44	$56.06	$5.18–$54.13	62% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$36.44	$56.06	$16.26–$47.65	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 INF AGT DET BY NUC ACID C.DIFF	$210.35	$323.62	$37.27–$355.92	at median	35%
C. difficile toxin gene test (stool PCR) CPT 87493 INF AGT NUC ACID C DIFF TOX	$210.35	$323.62	$37.27–$355.92	at median	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGT DET BY NUC ACID C.DIFF	$210.35	$323.62	$93.85–$275.08	—	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGT NUC ACID C DIFF TOX	$210.35	$323.62	$93.85–$275.08	—	35%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR QNT CA19 9	$117.61	$180.94	$20.81–$217.52	33% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG QNT CA19 9	$117.61	$180.94	$20.81–$217.52	33% below	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR QNT CA19 9	$117.61	$180.94	$52.47–$153.80	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG QNT CA19 9	$117.61	$180.94	$52.47–$153.80	—	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN QUANT CA125	$117.61	$180.94	$20.81–$217.52	30% below	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNO TUMOR AG QUANT CA125	$117.61	$180.94	$20.81–$217.52	30% below	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR ANTIGEN QUANT CA125	$117.61	$180.94	$52.47–$153.80	—	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNO TUMOR AG QUANT CA125	$117.61	$180.94	$52.47–$153.80	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 COVID 19 AMP PRB	$31.52	$48.49	$14.06–$367.52	12% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV 2 COVID 19 AMP PRB	$31.52	$48.49	$14.06–$41.22	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFEC AGNT BY NUC ACID CHLAM	$252.53	$388.51	$35.09–$366.95	at median	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$252.53	$388.51	$35.09–$366.95	at median	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$252.53	$388.51	$112.67–$330.23	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFEC AGNT BY NUC ACID CHLAM	$252.53	$388.51	$112.67–$330.23	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPIP PANEL	$104.04	$160.06	$13.39–$140.77	10% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$104.04	$160.06	$13.39–$140.77	10% above	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPIP PANEL	$104.04	$160.06	$46.42–$136.05	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$104.04	$160.06	$46.42–$136.05	—	35%
Complete blood count (CBC) with differential CPT 85025 HEMOGRAM PLT AUTO COMPLETE DIF	$92.24	$141.91	$7.77–$120.62	at median	35%
Complete blood count (CBC) with differential CPT 85025 HEM AND PLATE CT AUTO AND AUTO CBC	$92.24	$141.91	$7.77–$120.62	at median	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM PLT AUTO COMPLETE DIF	$92.24	$141.91	$41.15–$120.62	—	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HEM AND PLATE CT AUTO AND AUTO CBC	$92.24	$141.91	$41.15–$120.62	—	35%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM AND PLT COUNT	$107.06	$164.70	$6.47–$139.99	6% above	35%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM AND PLT COUNT S	$107.06	$164.70	$6.47–$139.99	6% above	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM AND PLT COUNT S	$107.06	$164.70	$47.76–$139.99	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM AND PLT COUNT	$107.06	$164.70	$47.76–$139.99	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$202.27	$311.18	$10.56–$264.50	at median	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$202.27	$311.18	$90.24–$264.50	—	35%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE	$101.22	$155.73	$10.18–$132.37	at median	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE	$101.22	$155.73	$45.16–$132.37	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$203.34	$312.83	$22.23–$265.91	at median	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEASULFATE	$203.34	$312.83	$22.23–$265.91	at median	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS	$203.34	$312.83	$90.72–$265.91	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEASULFATE	$203.34	$312.83	$90.72–$265.91	—	35%
Estradiol blood test CPT 82670 ESTRADIOL	$215.91	$332.17	$27.94–$292.13	at median	35%
Estradiol blood test CPT 82670 ESTRADIO 17 BETA	$215.91	$332.17	$27.94–$292.13	at median	35%
Estradiol blood test inpatient CPT 82670 ESTRADIO 17 BETA	$215.91	$332.17	$96.33–$282.34	—	35%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$215.91	$332.17	$96.33–$282.34	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FSH	$264.56	$407.02	$18.58–$345.97	70% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FSH	$264.56	$407.02	$118.04–$345.97	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$261.81	$402.78	$19.63–$342.36	5% above	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$261.81	$402.78	$116.81–$342.36	—	35%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$159.00	$244.61	$13.63–$207.92	at median	35%
Ferritin blood test (iron stores) CPT 82728 FERRETIN	$159.00	$244.61	$13.63–$207.92	at median	35%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$159.00	$244.61	$70.94–$207.92	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRETIN	$159.00	$244.61	$70.94–$207.92	—	35%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$122.00	$187.69	$14.70–$159.54	2% above	35%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$122.00	$187.69	$54.43–$159.54	—	35%
Free T3 thyroid hormone test CPT 84481 T 3 FREE	$190.76	$293.48	$16.94–$249.46	14% above	35%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE	$190.76	$293.48	$16.94–$249.46	14% above	35%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3 FREE	$190.76	$293.48	$85.11–$249.46	—	35%
Free T3 thyroid hormone test inpatient CPT 84481 T 3 FREE	$190.76	$293.48	$85.11–$249.46	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$102.57	$157.80	$9.02–$134.13	at median	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$102.57	$157.80	$9.02–$134.13	at median	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$102.57	$157.80	$45.76–$134.13	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$102.57	$157.80	$45.76–$134.13	—	35%
Free testosterone test CPT 84402 TESTOSTERONE UR FREE	$226.27	$348.11	$25.47–$295.89	at median	35%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$226.27	$348.11	$25.47–$295.89	at median	35%
Free testosterone test inpatient CPT 84402 TESTOSTERONE UR FREE	$226.27	$348.11	$100.95–$295.89	—	35%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$226.27	$348.11	$100.95–$295.89	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$43.09	$66.29	$4.75–$56.35	at median	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$43.09	$66.29	$19.22–$56.35	—	35%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST	$137.39	$211.37	$12.87–$179.66	31% above	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST	$137.39	$211.37	$61.30–$179.66	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA PCR	$214.79	$330.44	$35.09–$366.95	at median	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP PR	$214.79	$330.44	$35.09–$366.95	at median	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP PR	$214.79	$330.44	$95.83–$280.87	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA PCR	$214.79	$330.44	$95.83–$280.87	—	35%
H. pylori antibody blood test CPT 86677 ANTIBODY HELICOBACTER PYLORI	$97.87	$150.57	$16.85–$151.72	at median	35%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYL IGA	$97.87	$150.57	$16.85–$151.72	at median	35%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYL IGA	$97.87	$150.57	$43.67–$127.98	—	35%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY HELICOBACTER PYLORI	$97.87	$150.57	$43.67–$127.98	—	35%
H. pylori stool antigen test CPT 87338 INF AGT AG DET IMMUNO H.PYLORI	$264.78	$407.36	$14.38–$346.26	at median	35%
H. pylori stool antigen test CPT 87338 INFEC AGNT H. PYLORI	$264.78	$407.36	$14.38–$346.26	at median	35%
H. pylori stool antigen test inpatient CPT 87338 INFEC AGNT H. PYLORI	$264.78	$407.36	$118.13–$346.26	—	35%
H. pylori stool antigen test inpatient CPT 87338 INF AGT AG DET IMMUNO H.PYLORI	$264.78	$407.36	$118.13–$346.26	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QUANT	$692.57	$1,065.49	$85.10–$905.67	at median	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR QUANT	$692.57	$1,065.49	$308.99–$905.67	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 AB HIV 1 HIV 2 SNGL ASSY	$99.05	$152.38	$13.71–$143.34	at median	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1 AND HIV2 SINGLE RESULT	$99.05	$152.38	$13.71–$143.34	at median	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 AB HIV 1 HIV 2 SNGL ASSY	$99.05	$152.38	$44.19–$129.52	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1 AND HIV2 SINGLE RESULT	$99.05	$152.38	$44.19–$129.52	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 INF AGT AG EIA MULTI HIV 1 2	$134.89	$207.52	$24.08–$244.30	at median	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 INF AGT AG EIA MULTI HIV 1 2	$134.89	$207.52	$60.18–$176.39	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 INF AGT NUC ACD HPV HIGH RISK	$186.85	$287.46	$35.09–$351.13	at median	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$186.85	$287.46	$35.09–$351.13	at median	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INF AGT NUC ACD HPV HIGH RISK	$186.85	$287.46	$83.36–$244.34	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$186.85	$287.46	$83.36–$244.34	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C B	$166.95	$256.84	$9.71–$218.31	79% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATE A1C	$166.95	$256.84	$9.71–$218.31	79% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATE A1C	$166.95	$256.84	$9.71–$218.31	79% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATE A1C	$166.95	$256.84	$74.48–$218.31	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATE A1C	$166.95	$256.84	$74.48–$218.31	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C B	$166.95	$256.84	$74.48–$218.31	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB HBSAB	$87.82	$135.10	$10.74–$114.84	at median	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB HBSAB	$87.82	$135.10	$39.18–$114.84	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AGHBSAG	$92.85	$142.84	$10.33–$121.41	at median	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF AGHBSAG	$92.85	$142.84	$41.42–$121.41	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$100.09	$153.98	$14.27–$149.21	at median	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$100.09	$153.98	$44.65–$130.88	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$406.45	$625.31	$42.84–$531.51	at median	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$406.45	$625.31	$181.34–$531.51	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I	$157.79	$242.75	$13.19–$206.34	at median	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I	$157.79	$242.75	$70.40–$206.34	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$136.69	$210.29	$19.35–$202.34	at median	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$136.69	$210.29	$60.98–$178.75	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENS	$105.23	$161.89	$12.95–$137.61	at median	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENS	$105.23	$161.89	$46.95–$137.61	—	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$182.16	$280.25	$17.92–$238.21	11% below	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA	$182.16	$280.25	$17.92–$238.21	11% below	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA	$182.16	$280.25	$81.27–$238.21	—	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$182.16	$280.25	$81.27–$238.21	—	35%
Insulin blood test CPT 83525 INSULIN	$121.29	$186.60	$11.43–$158.61	11% above	35%
Insulin blood test inpatient CPT 83525 INSULIN	$121.29	$186.60	$54.11–$158.61	—	35%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$97.90	$150.62	$6.47–$128.03	2% above	35%
Iron blood test (serum iron) CPT 83540 IRON	$97.90	$150.62	$6.47–$128.03	2% above	35%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$97.90	$150.62	$43.68–$128.03	—	35%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$97.90	$150.62	$43.68–$128.03	—	35%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$131.83	$202.82	$8.74–$172.40	27% above	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING	$131.83	$202.82	$58.82–$172.40	—	35%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$195.70	$301.08	$8.68–$255.92	105% above	35%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$195.70	$301.08	$87.31–$255.92	—	35%
LH (luteinizing hormone) test CPT 83002 GONADATROPIN LH	$278.51	$428.48	$18.52–$364.21	80% above	35%
LH (luteinizing hormone) test inpatient CPT 83002 GONADATROPIN LH	$278.51	$428.48	$124.26–$364.21	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$77.37	$119.03	$6.89–$101.18	3% above	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$77.37	$119.03	$34.52–$101.18	—	35%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$243.96	$375.32	$8.17–$319.02	5% above	35%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$243.96	$375.32	$108.84–$319.02	—	35%
Lyme disease antibody test CPT 86618 ATBY BORRELIA	$96.27	$148.10	$17.03–$178.07	37% below	35%
Lyme disease antibody test CPT 86618 LYME DISEASEIGM ANTIBODY	$96.27	$148.10	$17.03–$178.07	37% below	35%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASEIGM ANTIBODY	$96.27	$148.10	$42.95–$125.88	—	35%
Lyme disease antibody test inpatient CPT 86618 ATBY BORRELIA	$96.27	$148.10	$42.95–$125.88	—	35%
Magnesium blood test CPT 83735 MAGNESIUM	$94.71	$145.70	$6.70–$123.84	30% above	35%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$94.71	$145.70	$42.25–$123.84	—	35%
Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA	$127.74	$196.52	$12.88–$167.04	13% above	35%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA	$127.74	$196.52	$56.99–$167.04	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 IMMUNE COMPLEX ASSAY	$42.28	$65.05	$5.18–$55.29	at median	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCRNG	$42.28	$65.05	$5.18–$55.29	at median	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 IMMUNE COMPLEX ASSAY	$42.28	$65.05	$18.86–$55.29	—	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCRNG	$42.28	$65.05	$18.86–$55.29	—	35%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$465.76	$716.56	$47.81–$630.15	7% above	35%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$465.76	$716.56	$207.80–$609.08	—	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$209.31	$322.02	$18.39–$273.72	22% above	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$209.31	$322.02	$93.39–$273.72	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN PSA	$207.96	$319.94	$18.39–$271.95	39% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA UROCOR TOTAL	$207.96	$319.94	$18.39–$271.95	39% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE CANCER SCREENING	$304.49	$468.44	$18.39–$398.17	104% above	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA UROCOR TOTAL	$207.96	$319.94	$92.78–$271.95	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN PSA	$207.96	$319.94	$92.78–$271.95	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE CANCER SCREENING	$304.49	$468.44	$135.85–$398.17	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 SCRN THINPREP PAP	$156.53	$240.82	$20.26–$211.79	at median	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 SCRN THINPREP PAP	$156.53	$240.82	$69.84–$204.70	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$353.57	$543.95	$41.28–$462.36	at median	35%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE PTH	$353.57	$543.95	$41.28–$462.36	at median	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE PTH	$353.57	$543.95	$157.75–$462.36	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$353.57	$543.95	$157.75–$462.36	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL PTT PLASMA OR WHOLE BL	$93.10	$143.23	$6.01–$121.75	29% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME	$93.10	$143.23	$6.01–$121.75	29% above	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME	$93.10	$143.23	$41.54–$121.75	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL PTT PLASMA OR WHOLE BL	$93.10	$143.23	$41.54–$121.75	—	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET CHROM ANEUPL13 18 21	$2,489.07	$3,829.34	$759.05–$3,254.94	at median	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET CHROM ANEUPL13 18 22	$2,489.07	$3,829.34	$759.05–$3,254.94	at median	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET CHROM ANEUPL13 18 22	$2,489.07	$3,829.34	$1,110.51–$3,254.94	—	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET CHROM ANEUPL13 18 21	$2,489.07	$3,829.34	$1,110.51–$3,254.94	—	35%
Progesterone blood test CPT 84144 PROGESTERONE	$183.96	$283.02	$20.86–$240.57	at median	35%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$183.96	$283.02	$82.08–$240.57	—	35%
Prolactin blood test CPT 84146 PROLACTIN	$74.40	$114.46	$19.38–$202.63	at median	35%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$74.40	$114.46	$33.19–$97.29	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR	$62.61	$96.32	$4.29–$81.87	61% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$62.61	$96.32	$4.29–$81.87	61% above	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME INR	$62.61	$96.32	$27.93–$81.87	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$62.61	$96.32	$27.93–$81.87	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$178.17	$274.11	$12.60–$232.99	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$178.17	$274.11	$79.49–$232.99	—	35%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B. RAPID ID	$67.60	$104.00	$16.55–$125.44	33% below	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A B. RAPID ID	$67.60	$104.00	$30.16–$88.40	—	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP GROUP A SCREEN THROAT	$157.24	$241.91	$16.53–$205.62	30% above	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP. GR A IMMUNO W OPTICAL	$157.24	$241.91	$16.53–$205.62	30% above	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 INF AGT AG STREP GROUP A	$157.24	$241.91	$16.53–$205.62	30% above	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP. GR A IMMUNO W OPTICAL	$157.24	$241.91	$16.53–$205.62	30% above	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP GROUP A SCREEN THROAT	$157.24	$241.91	$70.15–$205.62	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP. GR A IMMUNO W OPTICAL	$157.24	$241.91	$70.15–$205.62	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP. GR A IMMUNO W OPTICAL	$157.24	$241.91	$70.15–$205.62	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INF AGT AG STREP GROUP A	$157.24	$241.91	$70.15–$205.62	—	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QNT	$81.76	$125.78	$5.67–$106.91	73% above	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$81.76	$125.78	$5.67–$106.91	73% above	35%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$81.76	$125.78	$36.48–$106.91	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QNT	$81.76	$125.78	$36.48–$106.91	—	35%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA	$104.07	$160.11	$14.39–$150.50	at median	35%
Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY RUBELLA	$104.07	$160.11	$46.43–$136.09	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTOMATED	$20.85	$32.08	$2.70–$28.21	at median	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTOMATED	$20.85	$32.08	$9.30–$27.27	—	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$164.55	$253.16	$12.31–$215.19	55% above	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS VOL CT MOT DIF	$164.55	$253.16	$12.31–$215.19	55% above	35%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS VOL CT MOT DIF	$164.55	$253.16	$73.42–$215.19	—	35%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$164.55	$253.16	$73.42–$215.19	—	35%
Stool ova and parasites exam CPT 87177 OVA PARASITE DIR SMR ID	$130.99	$201.53	$8.90–$171.30	76% above	35%
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITE DIR SMR ID	$130.99	$201.53	$58.44–$171.30	—	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCLT QL STOOL SINGLE	$36.56	$56.24	$4.38–$47.80	15% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SINGLE SPEC	$36.56	$56.24	$4.38–$47.80	15% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT FECES CONSECUTIVE	$36.56	$56.24	$4.38–$47.80	15% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 GUAIAC OCCULT BLOOD	$36.56	$56.24	$4.38–$47.80	15% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL HEMOCULT	$36.56	$56.24	$4.38–$47.80	15% above	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL HEMOCULT	$36.56	$56.24	$16.31–$47.80	—	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 GUAIAC OCCULT BLOOD	$36.56	$56.24	$16.31–$47.80	—	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCLT QL STOOL SINGLE	$36.56	$56.24	$16.31–$47.80	—	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SINGLE SPEC	$36.56	$56.24	$16.31–$47.80	—	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT FECES CONSECUTIVE	$36.56	$56.24	$16.31–$47.80	—	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCC BLD IMMUNOASSAY 1 3	$122.88	$189.04	$15.92–$166.26	at median	35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD OCC BLD IMMUNOASSAY 1 3	$122.88	$189.04	$54.82–$160.68	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE	$60.78	$93.50	$4.27–$79.47	25% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUALITATIVE	$60.78	$93.50	$27.11–$79.47	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB MSURMENT GMMA INT AG	$93.02	$143.10	$41.50–$647.91	40% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB MSURMENT GMMA INT AG	$93.02	$143.10	$41.50–$121.64	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTER PLASMA TOT	$199.52	$306.96	$25.81–$269.93	at median	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$199.52	$306.96	$25.81–$269.93	at median	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTER PLASMA TOT	$199.52	$306.96	$89.02–$260.92	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$199.52	$306.96	$89.02–$260.92	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY THYROID	$118.78	$182.74	$14.55–$155.33	at median	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY THYROID	$118.78	$182.74	$52.99–$155.33	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$189.15	$291.00	$16.80–$247.35	4% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE TSH	$189.15	$291.00	$16.80–$247.35	4% above	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$189.15	$291.00	$84.39–$247.35	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE TSH	$189.15	$291.00	$84.39–$247.35	—	35%
Trichomonas test (NAAT) CPT 87661 INF AGT NUC AC T.VAG AMP	$145.99	$224.60	$35.09–$342.75	at median	35%
Trichomonas test (NAAT) inpatient CPT 87661 INF AGT NUC AC T.VAG AMP	$145.99	$224.60	$65.13–$190.91	—	35%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$48.18	$74.13	$4.52–$63.01	at median	35%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$48.18	$74.13	$21.50–$63.01	—	35%
Urinalysis with microscope exam, automated CPT 81001 URINE DIP TABLET AUTO MICRO	$33.72	$51.88	$3.17–$44.10	2% below	35%
Urinalysis with microscope exam, automated CPT 81001 URINE DIP TABLET AUTO MICRO	$33.72	$51.88	$3.17–$44.10	2% below	35%
Urinalysis with microscope exam, automated CPT 81001 UA AUTOMATED W MICROSCOPY	$33.72	$51.88	$3.17–$44.10	2% below	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE DIP TABLET AUTO MICRO	$33.72	$51.88	$15.05–$44.10	—	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTOMATED W MICROSCOPY	$33.72	$51.88	$15.05–$44.10	—	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE DIP TABLET AUTO MICRO	$33.72	$51.88	$15.05–$44.10	—	35%
Urinalysis with microscope exam, manual CPT 81000 UA NON AUTOMATED W MICRO	$25.43	$39.12	$4.02–$33.25	—	35%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON AUTOMATED W MICRO	$25.43	$39.12	$11.34–$33.25	—	35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W O SCOPE	$70.63	$108.66	$2.25–$92.36	171% above	35%
Urinalysis without microscope exam, automated CPT 81003 URINE DIP TAB AUTO NONMICRO	$70.63	$108.66	$2.25–$92.36	171% above	35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS BY DIP AUTO	$70.63	$108.66	$2.25–$92.36	171% above	35%
Urinalysis without microscope exam, automated CPT 81003 UR INALYSIS AUTOMATED WO MICRO	$70.63	$108.66	$2.25–$92.36	171% above	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS BY DIP AUTO	$70.63	$108.66	$31.51–$92.36	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP TAB AUTO NONMICRO	$70.63	$108.66	$31.51–$92.36	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W O SCOPE	$70.63	$108.66	$31.51–$92.36	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR INALYSIS AUTOMATED WO MICRO	$70.63	$108.66	$31.51–$92.36	—	35%
Urinalysis without microscope exam, manual CPT 81002 UA NON AUTOMATED WO MICRO	$19.44	$29.91	$3.48–$26.78	40% below	35%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W O SCOPE	$19.44	$29.91	$3.48–$26.78	40% below	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W O SCOPE	$19.44	$29.91	$8.67–$25.42	—	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON AUTOMATED WO MICRO	$19.44	$29.91	$8.67–$25.42	—	35%
Urine culture for bacteria, with colony count CPT 87086 CULT BACT URINE QUANT COLONY	$71.56	$110.09	$8.07–$93.58	at median	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT BACT URINE QUANT COLONY	$71.56	$110.09	$31.93–$93.58	—	35%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$36.08	$55.50	$8.61–$66.16	at median	35%
Urine pregnancy test, read by color change CPT 81025 IR URINE PREGNANCY TEST	$36.08	$55.50	$8.61–$66.16	at median	35%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$36.08	$55.50	$8.61–$66.16	at median	35%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$36.08	$55.50	$8.61–$66.16	at median	35%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$36.08	$55.50	$16.09–$47.18	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$36.08	$55.50	$16.09–$47.18	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$36.08	$55.50	$16.09–$47.18	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 IR URINE PREGNANCY TEST	$36.08	$55.50	$16.09–$47.18	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VITAMIN B 12	$129.15	$198.69	$15.08–$168.89	5% above	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VITAMIN B 12	$129.15	$198.69	$57.62–$168.89	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY	$228.73	$351.89	$29.60–$309.46	at median	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 DYDROXY	$228.73	$351.89	$29.60–$309.46	at median	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY	$228.73	$351.89	$102.05–$299.11	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 DYDROXY	$228.73	$351.89	$102.05–$299.11	—	35%
Zinc blood test CPT 84630 ZINC	$105.61	$162.47	$11.39–$138.10	at median	35%
Zinc blood test inpatient CPT 84630 ZINC	$105.61	$162.47	$47.12–$138.10	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADO CHORION HCGQUANT	$133.76	$205.79	$15.05–$174.92	at median	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROP CHORION QUANT	$133.76	$205.79	$15.05–$174.92	at median	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADO CHORION HCGQUANT	$133.76	$205.79	$59.68–$174.92	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROP CHORION QUANT	$133.76	$205.79	$59.68–$174.92	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs District of Columbia	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$591.83	$910.50	$264.04–$3,175.00	—	35%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$591.83	$910.50	$264.04–$773.92	—	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LESION STRTCTC	$2,850.04	$4,384.68	$1,271.56–$4,109.00	1% below	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST 1ST LESION STRTCTC	$2,850.04	$4,384.68	$1,271.56–$3,726.98	—	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREAT ANKLE FRACTURE	$736.85	$1,133.62	$328.75–$963.58	28% above	35%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREAT ANKLE FRACTURE	$736.85	$1,133.62	$328.75–$963.58	—	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$635.91	$978.33	$283.72–$3,175.00	23% above	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FX WO MANIPULATION	$635.91	$978.33	$283.72–$831.58	23% above	35%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL FX WO MANIPULATION	$635.91	$978.33	$283.72–$831.58	—	35%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE	$635.91	$978.33	$283.72–$831.58	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$1,856.46	$2,856.09	$828.27–$2,427.68	4% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,856.46	$2,856.09	$669.82–$2,427.68	4% above	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,856.46	$2,856.09	$828.27–$2,427.68	—	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$1,856.46	$2,856.09	$828.27–$2,427.68	—	35%
Carpal tunnel release, open surgery CPT 64721 NEUR AND OR TRANSPO MED NERV	$5,068.15	$7,797.15	$558.00–$6,627.58	at median	35%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUR AND OR TRANSPO MED NERV	$5,068.15	$7,797.15	$2,261.17–$6,627.58	—	35%
Catheter ablation for atrial fibrillation CPT 93656 ATRL FIB PULM VN ISOL PCNG ICE	$42,252.61	$65,004.01	$9,719.00–$74,221.00	—	35%
Catheter ablation for atrial fibrillation inpatient CPT 93656 ATRL FIB PULM VN ISOL PCNG ICE	$42,252.61	$65,004.01	$18,851.16–$55,253.41	—	35%
Cervical biopsy CPT 57500 BIOP EXC W WO FULG	$1,091.73	$1,679.59	$287.00–$3,175.00	39% below	35%
Cervical biopsy CPT 57500 CERVICAL BIOPSY	$1,091.73	$1,679.59	$287.00–$3,175.00	39% below	35%
Cervical biopsy CPT 57500 OB GYNBX CERVIX 1 OR MORE	$1,091.73	$1,679.59	$287.00–$3,175.00	39% below	35%
Cervical biopsy inpatient CPT 57500 BIOP EXC W WO FULG	$1,091.73	$1,679.59	$487.08–$1,427.65	—	35%
Cervical biopsy inpatient CPT 57500 CERVICAL BIOPSY	$1,091.73	$1,679.59	$487.08–$1,427.65	—	35%
Cervical biopsy inpatient CPT 57500 OB GYNBX CERVIX 1 OR MORE	$1,091.73	$1,679.59	$487.08–$1,427.65	—	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RADIUS ULNA CLSD W O MAN	$728.94	$1,121.45	$325.22–$953.23	28% above	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS ULNA	$728.94	$1,121.45	$287.00–$3,175.00	28% above	35%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS ULNA	$728.94	$1,121.45	$325.22–$953.23	—	35%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX RADIUS ULNA CLSD W O MAN	$728.94	$1,121.45	$325.22–$953.23	—	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 OB GYN COLP W LOOP BIOP	$5,223.77	$8,036.57	$1,076.00–$10,592.00	9% below	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY W LOOP BIO CRVX	$5,223.77	$8,036.57	$1,076.00–$10,592.00	9% below	35%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY W LOOP BIO CRVX	$5,223.77	$8,036.57	$2,330.61–$6,831.08	—	35%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 OB GYN COLP W LOOP BIOP	$5,223.77	$8,036.57	$2,330.61–$6,831.08	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX CURETT OF CERVIX W SCOPE	$1,257.46	$1,934.56	$287.00–$4,046.00	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 OB GYN COLPSCPY W BIOPS	$1,257.46	$1,934.56	$287.00–$4,046.00	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W BX ENDO CRVX	$1,257.46	$1,934.56	$287.00–$4,046.00	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W BX ENDO CRVX	$1,257.46	$1,934.56	$561.02–$1,644.38	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX CURETT OF CERVIX W SCOPE	$1,257.46	$1,934.56	$561.02–$1,644.38	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 OB GYN COLPSCPY W BIOPS	$1,257.46	$1,934.56	$561.02–$1,644.38	—	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHOSCOPY	$2,739.14	$4,214.06	$416.00–$3,581.95	at median	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$2,739.14	$4,214.06	$416.00–$3,581.95	at median	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHOSCOPY	$2,739.14	$4,214.06	$1,222.08–$3,581.95	—	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$2,739.14	$4,214.06	$1,222.08–$3,581.95	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PER LESION FIRST	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN PREMLG LESION	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST BENGN LES EXC SKN TAGS1ST	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PER LESION FIRST	$294.76	$453.47	$131.51–$385.45	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST BENGN LES EXC SKN TAGS1ST	$294.76	$453.47	$131.51–$385.45	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY BENIGN PREMLG LESION	$294.76	$453.47	$131.51–$385.45	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION	$294.76	$453.47	$131.51–$385.45	—	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 TYMPANOSTOMY W TUBE UNILAT	$1,678.43	$2,582.20	$748.84–$4,974.00	—	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient one side CPT 69433 TYMPANOSTOMY W TUBE UNILAT	$1,678.43	$2,582.20	$748.84–$2,194.87	—	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACT CERUMEN IRR UNI	$140.15	$215.61	$62.53–$183.27	at median	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACT CERUMEN IRR UNI	$140.15	$215.61	$62.53–$183.27	—	35%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACT CERUMEN INST UNI	$336.36	$517.48	$150.07–$439.86	54% above	35%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACT CERUMEN INST UNI	$336.36	$517.48	$150.07–$439.86	—	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL	$480.30	$738.93	$214.29–$3,175.00	20% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY	$480.30	$738.93	$214.29–$3,175.00	20% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 OB GYNENDOMETRIAL BIOPSY	$480.30	$738.93	$214.29–$3,175.00	20% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 OB GYNENDOMETRIAL BIOPSY	$480.30	$738.93	$214.29–$628.09	—	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY	$480.30	$738.93	$214.29–$628.09	—	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL	$480.30	$738.93	$214.29–$628.09	—	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR ESI CERV THOR W IMAGING	$2,198.04	$3,381.60	$980.66–$3,175.00	51% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTRLAMNR CRV THORC W GUID	$2,198.04	$3,381.60	$980.66–$3,175.00	51% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR ESI CERV THOR W IMAGING	$2,198.04	$3,381.60	$980.66–$2,874.36	—	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTRLAMNR CRV THORC W GUID	$2,198.04	$3,381.60	$980.66–$2,874.36	—	35%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION INTRAVITREAL PHARM	$1,378.84	$2,121.29	$287.00–$3,175.00	at median	35%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION INTRAVITREAL PHARM	$1,378.84	$2,121.29	$615.17–$1,803.10	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACET JNT NERVE LUM	$2,054.04	$3,160.06	$916.42–$3,175.00	at median	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L S 1 LEV	$2,054.04	$3,160.06	$916.42–$3,175.00	at median	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FACET JNT NERVE LUM	$2,054.04	$3,160.06	$916.42–$2,686.05	—	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L S 1 LEV	$2,054.04	$3,160.06	$916.42–$2,686.05	—	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY	$2,239.64	$3,445.60	$999.22–$3,175.00	—	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCPY FLX DIAGNOSTIC	$2,239.64	$3,445.60	$999.22–$3,175.00	—	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY	$2,239.64	$3,445.60	$999.22–$2,928.76	—	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCPY FLX DIAGNOSTIC	$2,239.64	$3,445.60	$999.22–$2,928.76	—	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID RUBBER BAND LIGAT	$3,073.15	$4,727.93	$1,371.10–$4,018.74	107% above	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 BANDING OF HEMORRHOIDS INTERNL	$3,073.15	$4,727.93	$1,371.10–$4,018.74	107% above	35%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID RUBBER BAND LIGAT	$3,073.15	$4,727.93	$1,371.10–$4,018.74	—	35%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 BANDING OF HEMORRHOIDS INTERNL	$3,073.15	$4,727.93	$1,371.10–$4,018.74	—	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SONOHYSTER HYSTEROSALPI	$268.11	$412.48	$119.62–$3,175.00	at median	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HSG INJ IC	$268.11	$412.48	$119.62–$3,175.00	at median	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HSG INJ IC	$268.11	$412.48	$119.62–$350.61	—	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ SONOHYSTER HYSTEROSALPI	$268.11	$412.48	$119.62–$350.61	—	35%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W ENDOMET ABLATON	$7,350.15	$11,307.93	$3,279.30–$10,592.00	—	35%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY W ENDOMET ABLATON	$7,350.15	$11,307.93	$3,279.30–$9,611.74	—	35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTERO W BX ENDM POL W WO DANDC	$6,728.36	$10,351.32	$637.00–$8,798.62	—	35%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTERO W BX ENDM POL W WO DANDC	$6,728.36	$10,351.32	$3,001.88–$8,798.62	—	35%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$635.80	$978.16	$58.89–$3,175.00	56% above	35%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION	$635.80	$978.16	$58.89–$3,175.00	56% above	35%
IUD insertion (the device itself billed separately) CPT 58300 OB GYNIUD INSERTION	$635.80	$978.16	$58.89–$3,175.00	56% above	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 OB GYNIUD INSERTION	$635.80	$978.16	$283.67–$831.44	—	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION	$635.80	$978.16	$283.67–$831.44	—	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$635.80	$978.16	$283.67–$831.44	—	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION DRAINAGE SKIN ABSCESS	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE REMOVAL	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE SIMPLE	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D SIMPLE ABSCESS	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 IANDD SKN ABSCESS SIMPLE	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 INC AND DRN SKIN ABS	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE ABSCESS SINGLE SIMPLE	$467.21	$718.78	$208.45–$3,175.00	23% above	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE REMOVAL	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 IANDD SKN ABSCESS SIMPLE	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE ABSCESS SINGLE SIMPLE	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE SIMPLE	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC AND DRN SKIN ABS	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D SIMPLE ABSCESS	$467.21	$718.78	$208.45–$610.96	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION DRAINAGE SKIN ABSCESS	$467.21	$718.78	$208.45–$610.96	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 IR CT INJ SNGL TENDON LIGAMENT	$716.89	$1,102.91	$287.00–$3,175.00	at median	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGAMENT	$716.89	$1,102.91	$319.84–$937.47	at median	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON LIGAMENT	$716.89	$1,102.91	$287.00–$3,175.00	at median	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND SHTH LIG GANG CYST	$716.89	$1,102.91	$287.00–$3,175.00	at median	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON LIGAMENT	$716.89	$1,102.91	$319.84–$937.47	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIGAMENT	$716.89	$1,102.91	$319.84–$937.47	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 IR CT INJ SNGL TENDON LIGAMENT	$716.89	$1,102.91	$319.84–$937.47	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND SHTH LIG GANG CYST	$716.89	$1,102.91	$319.84–$937.47	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENT SHOU HIP KNEE	$557.92	$858.34	$248.92–$3,175.00	at median	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJ JNT BURSA MAJ WO ULT	$557.92	$858.34	$248.92–$729.59	at median	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT BURSA INJECTION	$557.92	$858.34	$248.92–$3,175.00	at median	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT SHOU HIP KNEE	$557.92	$858.34	$248.92–$3,175.00	at median	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INJ JNT BURSA MAJ WO ULT	$557.92	$858.34	$248.92–$729.59	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT SHOU HIP KNEE	$557.92	$858.34	$248.92–$729.59	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENT SHOU HIP KNEE	$557.92	$858.34	$248.92–$729.59	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT BURSA INJECTION	$557.92	$858.34	$248.92–$729.59	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT	$180.19	$277.21	$80.39–$3,175.00	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 OB GYN IMPLANON INSERTION	$180.19	$277.21	$80.39–$3,175.00	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 IMPLANON INSERTION	$180.19	$277.21	$80.39–$3,175.00	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG DELIVERY IMPLANT	$180.19	$277.21	$80.39–$235.63	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 IMPLANON INSERTION	$180.19	$277.21	$80.39–$235.63	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 OB GYN IMPLANON INSERTION	$180.19	$277.21	$80.39–$235.63	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT TMJ WR AN EL	$639.39	$983.68	$285.27–$3,175.00	at median	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHR ASPAND INJINTRJNT BURW OUS	$639.39	$983.68	$285.27–$3,175.00	at median	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN INJ JNT BURSA INT WO ULT	$639.39	$983.68	$285.27–$836.13	at median	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHR ASPAND INJINTRJNT BURW OUS	$639.39	$983.68	$285.27–$836.13	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT TMJ WR AN EL	$639.39	$983.68	$285.27–$836.13	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN INJ JNT BURSA INT WO ULT	$639.39	$983.68	$285.27–$836.13	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ ASP OF SMALL JOINT WO IMG	$584.04	$898.52	$260.57–$3,175.00	at median	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN INJ JNT BURSA SM W O ULT	$584.04	$898.52	$260.57–$763.74	at median	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN INJ JNT BURSA SM W O ULT	$584.04	$898.52	$260.57–$763.74	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ ASP OF SMALL JOINT WO IMG	$584.04	$898.52	$260.57–$763.74	—	35%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER	$1,893.96	$2,913.79	$845.00–$4,046.00	—	35%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER	$1,893.96	$2,913.79	$845.00–$2,476.72	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S A T EXT 2.5 CM LESS THAN	$578.98	$890.74	$258.31–$757.13	at median	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTER LESS THAN 2.5CM S A T E	$578.98	$890.74	$258.31–$3,175.00	at median	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S A T EXT 2.5 CM LESS THAN	$578.98	$890.74	$258.31–$757.13	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTER LESS THAN 2.5CM S A T E	$578.98	$890.74	$258.31–$757.13	—	35%
Lower-back epidural injection, with imaging guidance CPT 62323 IR ESI LUMB SACR WITH IMAGING	$1,362.32	$2,095.88	$607.81–$3,175.00	at median	35%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LMBR SAC	$1,362.32	$2,095.88	$607.81–$3,175.00	at median	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LMBR SAC	$1,362.32	$2,095.88	$607.81–$1,781.50	—	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR ESI LUMB SACR WITH IMAGING	$1,362.32	$2,095.88	$607.81–$1,781.50	—	35%
Lower-back epidural injection, without imaging guidance CPT 62322 IR ESI LUMB SACR W O IMAGING	$1,543.39	$2,374.44	$688.59–$3,175.00	8% above	35%
Lower-back epidural injection, without imaging guidance CPT 62322 DX LUMBAR PUNCT FOR N M W IMG	$1,543.39	$2,374.44	$688.59–$3,175.00	8% above	35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 IR ESI LUMB SACR W O IMAGING	$1,543.39	$2,374.44	$688.59–$2,018.27	—	35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 DX LUMBAR PUNCT FOR N M W IMG	$1,543.39	$2,374.44	$688.59–$2,018.27	—	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NERV INJ LUMB SACRAL SING LV	$2,585.30	$3,977.38	$416.00–$3,380.77	75% above	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NERV INJ LUMB SACRAL SING LV	$2,585.30	$3,977.38	$1,153.44–$3,380.77	—	35%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$4,387.97	$6,750.72	$1,957.71–$5,738.11	at median	35%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE	$4,387.97	$6,750.72	$1,957.71–$5,738.11	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BGN LESLESS THAN .5CM T A L	$1,007.14	$1,549.45	$449.34–$6,056.00	at median	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC PER BENIGN LESLESS THAN0.5 T A L	$1,007.14	$1,549.45	$449.34–$6,056.00	at median	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR EXT B9 AND MARG 0.5 LESS THAN CM	$1,007.14	$1,549.45	$449.34–$6,056.00	at median	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC PER BENIGN LESLESS THAN0.5 T A L	$1,007.14	$1,549.45	$449.34–$1,317.03	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR EXT B9 AND MARG 0.5 LESS THAN CM	$1,007.14	$1,549.45	$449.34–$1,317.03	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BGN LESLESS THAN .5CM T A L	$1,007.14	$1,549.45	$449.34–$1,317.03	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE MM B9 AND MARG 0.5 LESS THAN CM	$1,007.14	$1,549.45	$449.34–$4,046.00	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LES FACE EAR NOSELESS THAN0.5CM	$1,007.14	$1,549.45	$449.34–$4,046.00	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BGN LESLESS THAN 0.5CMF E E N L M	$1,007.14	$1,549.45	$449.34–$4,046.00	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LES FACE EAR NOSELESS THAN0.5CM	$1,007.14	$1,549.45	$449.34–$1,317.03	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BGN LESLESS THAN 0.5CMF E E N L M	$1,007.14	$1,549.45	$449.34–$1,317.03	—	35%
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 AND MARG 0.5 LESS THAN CM	$1,007.14	$1,549.45	$449.34–$1,317.03	—	35%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$356.18	$547.97	$158.91–$3,175.00	at median	35%
Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PLT PART COMP SIMP	$356.18	$547.97	$158.91–$3,175.00	at median	35%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$356.18	$547.97	$158.91–$3,175.00	at median	35%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE PART COMP SNG	$356.18	$547.97	$158.91–$465.77	at median	35%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE PART COMP SNGL	$356.18	$547.97	$158.91–$3,175.00	at median	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE PART COMP SNG	$356.18	$547.97	$158.91–$465.77	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE PART COMP SNGL	$356.18	$547.97	$158.91–$465.77	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$356.18	$547.97	$158.91–$465.77	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$356.18	$547.97	$158.91–$465.77	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVE NAIL PLT PART COMP SIMP	$356.18	$547.97	$158.91–$465.77	—	35%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH STER OCCIPITAL	$421.95	$649.15	$188.25–$551.78	at median	35%
Occipital nerve block (injection for headaches) CPT 64405 INJECT ANES OCCIPITAL NERVE	$421.95	$649.15	$188.25–$3,175.00	at median	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECT ANES OCCIPITAL NERVE	$421.95	$649.15	$188.25–$551.78	—	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH STER OCCIPITAL	$421.95	$649.15	$188.25–$551.78	—	35%
Pacemaker implant (dual chamber) CPT 33208 DDD PCR A AND V LD	$19,129.73	$29,430.36	$8,534.80–$35,969.00	—	35%
Pacemaker implant (dual chamber) inpatient CPT 33208 DDD PCR A AND V LD	$19,129.73	$29,430.36	$8,534.80–$25,015.81	—	35%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W US GUIDANCE	$1,403.14	$2,158.67	$626.01–$4,046.00	at median	35%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAGING	$1,403.14	$2,158.67	$626.01–$1,834.87	at median	35%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W CT GUIDANCE	$1,403.14	$2,158.67	$626.01–$4,046.00	at median	35%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS W CT GUIDANCE	$1,403.14	$2,158.67	$626.01–$4,046.00	at median	35%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMG GUID	$1,403.14	$2,158.67	$626.01–$4,046.00	at median	35%
Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS W CT GUIDANCE	$1,403.14	$2,158.67	$626.01–$1,834.87	—	35%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W CT GUIDANCE	$1,403.14	$2,158.67	$626.01–$1,834.87	—	35%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W US GUIDANCE	$1,403.14	$2,158.67	$626.01–$1,834.87	—	35%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMG GUID	$1,403.14	$2,158.67	$626.01–$1,834.87	—	35%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMAGING	$1,403.14	$2,158.67	$626.01–$1,834.87	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$578.98	$890.74	$258.31–$3,175.00	at median	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PART CMP	$578.98	$890.74	$258.31–$757.13	at median	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL MATRIXECTOMY	$578.98	$890.74	$258.31–$3,175.00	at median	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MATRIX PART CMP	$578.98	$890.74	$258.31–$757.13	—	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$578.98	$890.74	$258.31–$757.13	—	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL MATRIXECTOMY	$578.98	$890.74	$258.31–$757.13	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB SAC FACET JNT	$3,277.48	$5,042.27	$1,076.00–$5,620.00	at median	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR BY AGENT LUMB SAC 1ST	$3,277.48	$5,042.27	$1,076.00–$5,620.00	at median	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTR BY AGENT LUMB SAC 1ST	$3,277.48	$5,042.27	$1,462.26–$4,285.93	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB SAC FACET JNT	$3,277.48	$5,042.27	$1,462.26–$4,285.93	—	35%
Removal of a breast lump, open surgery CPT 19120 EXC CYST FIBROADENOMA OTH TUM	$5,335.21	$8,208.01	$637.00–$6,976.81	at median	35%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST FIBROADENOMA OTH TUM	$5,335.21	$8,208.01	$2,380.32–$6,976.81	—	35%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL SIMPLE	$901.17	$1,386.42	$402.06–$1,178.46	18% above	35%
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND DRAINAGE REMOVAL	$901.17	$1,386.42	$287.00–$3,175.00	18% above	35%
Removal of a foreign object under the skin, simple CPT 10120 INCIS AND REM FB SUBQ SIMPLE	$901.17	$1,386.42	$287.00–$3,175.00	18% above	35%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$901.17	$1,386.42	$287.00–$3,175.00	18% above	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS AND REM FB SUBQ SIMPLE	$901.17	$1,386.42	$402.06–$1,178.46	—	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION AND DRAINAGE REMOVAL	$901.17	$1,386.42	$402.06–$1,178.46	—	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$901.17	$1,386.42	$402.06–$1,178.46	—	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY REMOVAL SIMPLE	$901.17	$1,386.42	$402.06–$1,178.46	—	35%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCR COLNSCP NO HG RS MDCARE	$1,480.93	$2,278.35	$558.00–$4,046.00	—	35%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCR COLNSCP NO HG RS MDCARE	$1,480.93	$2,278.35	$660.72–$1,936.60	—	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 CA SCRN COLONSCOPY HGH RISK	$1,731.73	$2,664.20	$558.00–$4,046.00	—	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 CA SCRN COLONSCOPY HGH RISK	$1,731.73	$2,664.20	$772.62–$2,264.57	—	35%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$607.96	$935.32	$271.24–$795.02	at median	35%
Short arm cast (elbow to hand) CPT 29075 APPL CAST SHORT ARM EL FINGER	$607.96	$935.32	$271.24–$795.02	at median	35%
Short arm cast (elbow to hand) CPT 29075 PT CAST APPL SHRT ARM EL FINGR	$607.96	$935.32	$271.24–$795.02	at median	35%
Short arm cast (elbow to hand) CPT 29075 OT CAST APPL SHRT ARM EL FINGR	$607.96	$935.32	$271.24–$795.02	at median	35%
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST ELB FING	$607.96	$935.32	$271.24–$795.02	at median	35%
Short arm cast (elbow to hand) CPT 29075 CAST APPL SHORT ARM EL FINGER	$607.96	$935.32	$271.24–$795.02	at median	35%
Short arm cast (elbow to hand) inpatient CPT 29075 PT CAST APPL SHRT ARM EL FINGR	$607.96	$935.32	$271.24–$795.02	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL CAST SHORT ARM EL FINGER	$607.96	$935.32	$271.24–$795.02	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST ELB FING	$607.96	$935.32	$271.24–$795.02	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST	$607.96	$935.32	$271.24–$795.02	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST APPL SHORT ARM EL FINGER	$607.96	$935.32	$271.24–$795.02	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 OT CAST APPL SHRT ARM EL FINGR	$607.96	$935.32	$271.24–$795.02	—	35%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$462.48	$711.51	$206.34–$604.78	96% above	35%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT STATIC	$462.48	$711.51	$206.34–$604.78	96% above	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$462.48	$711.51	$206.34–$604.78	—	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT STATIC	$462.48	$711.51	$206.34–$604.78	—	35%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$629.38	$968.27	$280.80–$823.03	13% above	35%
Short leg cast (below the knee) CPT 29405 CAST APPL SHORT LEG KNEES TOES	$629.38	$968.27	$280.80–$823.03	13% above	35%
Short leg cast (below the knee) CPT 29405 CAST APP SHRT LEG KNEE TOES	$629.38	$968.27	$280.80–$823.03	13% above	35%
Short leg cast (below the knee) CPT 29405 PT CAST APP SHRT LEG KNEE TOES	$629.38	$968.27	$280.80–$823.03	13% above	35%
Short leg cast (below the knee) CPT 29405 APP SHRT LEG CAST BLW KNEE TOE	$629.38	$968.27	$280.80–$823.03	13% above	35%
Short leg cast (below the knee) CPT 29405 OT CAST APPL SHRT LEG KNEE TOE	$629.38	$968.27	$280.80–$823.03	13% above	35%
Short leg cast (below the knee) inpatient CPT 29405 APP SHRT LEG CAST BLW KNEE TOE	$629.38	$968.27	$280.80–$823.03	—	35%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$629.38	$968.27	$280.80–$823.03	—	35%
Short leg cast (below the knee) inpatient CPT 29405 CAST APPL SHORT LEG KNEES TOES	$629.38	$968.27	$280.80–$823.03	—	35%
Short leg cast (below the knee) inpatient CPT 29405 PT CAST APP SHRT LEG KNEE TOES	$629.38	$968.27	$280.80–$823.03	—	35%
Short leg cast (below the knee) inpatient CPT 29405 OT CAST APPL SHRT LEG KNEE TOE	$629.38	$968.27	$280.80–$823.03	—	35%
Short leg cast (below the knee) inpatient CPT 29405 CAST APP SHRT LEG KNEE TOES	$629.38	$968.27	$280.80–$823.03	—	35%
Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT CALF FT	$462.48	$711.51	$206.34–$604.78	at median	35%
Short leg splint (calf to foot) CPT 29515 PT APL SHORT LEG SPLNT CALF FT	$462.48	$711.51	$206.34–$604.78	at median	35%
Short leg splint (calf to foot) CPT 29515 APP SHRT LEG SPL CALF TO FOOT	$462.48	$711.51	$206.34–$604.78	at median	35%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$462.48	$711.51	$206.34–$604.78	at median	35%
Short leg splint (calf to foot) CPT 29515 APPL SHRT LEG SPL CALF FOOT	$462.48	$711.51	$206.34–$604.78	at median	35%
Short leg splint (calf to foot) CPT 29515 OT APL SHORT LEG SPLNT CALF FT	$462.48	$711.51	$206.34–$604.78	at median	35%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SHRT LEG SPL CALF FOOT	$462.48	$711.51	$206.34–$604.78	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHRT LEG SPL CALF TO FOOT	$462.48	$711.51	$206.34–$604.78	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$462.48	$711.51	$206.34–$604.78	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SHORT LEG SPLINT CALF FT	$462.48	$711.51	$206.34–$604.78	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 OT APL SHORT LEG SPLNT CALF FT	$462.48	$711.51	$206.34–$604.78	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 PT APL SHORT LEG SPLNT CALF FT	$462.48	$711.51	$206.34–$604.78	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP REP LESS THANEQUALS 2.5CM S N A G T E	$427.30	$657.38	$190.64–$558.77	12% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S N AX GEN TRNK 2.5CM LESS THAN	$427.30	$657.38	$190.64–$3,175.00	12% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP REP LESS THAN 2.5CM S N A G T E	$427.30	$657.38	$190.64–$558.77	12% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMP REP LESS THAN 2.5CM S N A G T E	$427.30	$657.38	$190.64–$558.77	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S N AX GEN TRNK 2.5CM LESS THAN	$427.30	$657.38	$190.64–$558.77	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMP REP LESS THANEQUALS 2.5CM S N A G T E	$427.30	$657.38	$190.64–$558.77	—	35%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES	$578.98	$890.74	$258.31–$757.13	at median	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LES	$578.98	$890.74	$258.31–$757.13	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LESLESS THAN 0.5CM T A L	$1,028.12	$1,581.73	$287.00–$3,175.00	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR EXT MLG AND MARG 0.5 LESS THAN CM	$1,028.12	$1,581.73	$287.00–$3,175.00	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LESLESS THAN 0.5CM T A L	$1,028.12	$1,581.73	$458.70–$1,344.47	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR EXT MLG AND MARG 0.5 LESS THAN CM	$1,028.12	$1,581.73	$458.70–$1,344.47	—	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS LESS THAN15	$280.24	$431.14	$125.03–$366.47	at median	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS LESS THAN EQUALS 15	$280.24	$431.14	$125.03–$366.47	at median	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS LESS THAN EQUALS 15	$280.24	$431.14	$125.03–$366.47	—	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS LESS THAN15	$280.24	$431.14	$125.03–$366.47	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCT LUMBAR DIAG	$999.97	$1,538.41	$430.75–$1,307.65	at median	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOST	$999.97	$1,538.41	$446.14–$3,175.00	at median	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$999.97	$1,538.41	$446.14–$3,175.00	at median	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP	$999.97	$1,538.41	$446.14–$3,175.00	at median	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR LUMBAR PUNC DIAG WO FLUORO	$999.97	$1,538.41	$430.75–$1,307.65	at median	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCT LUMBAR DIAG	$999.97	$1,538.41	$446.14–$1,307.65	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP	$999.97	$1,538.41	$446.14–$1,307.65	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$999.97	$1,538.41	$446.14–$1,307.65	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR LUMBAR PUNC DIAG WO FLUORO	$999.97	$1,538.41	$446.14–$1,307.65	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOST	$999.97	$1,538.41	$446.14–$1,307.65	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMP REP2.6CM 7.5CM S N A G T E	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMP REP2.6CM 7.5CM S N A G T E	$427.30	$657.38	$190.64–$558.77	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP REP LESS THAN 2.5 F E E N L M	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR F E E N L M 2.5 CM LESS THAN	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SCALP WOUND 2.5CM OR LESS	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EYELID LACERAT REPAIR LESS THAN2.5CM	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP REP LESS THANEQUALS 2.5 F E E N L M	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP RP LESS THAN 2.5 F E E N L M	$427.30	$657.38	$190.64–$558.77	12% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR F E E N L M 2.5 CM LESS THAN	$427.30	$657.38	$190.64–$558.77	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EYELID LACERAT REPAIR LESS THAN2.5CM	$427.30	$657.38	$190.64–$558.77	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMP REP LESS THANEQUALS 2.5 F E E N L M	$427.30	$657.38	$190.64–$558.77	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMP REP LESS THAN 2.5 F E E N L M	$427.30	$657.38	$190.64–$558.77	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMP RP LESS THAN 2.5 F E E N L M	$427.30	$657.38	$190.64–$558.77	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SCALP WOUND 2.5CM OR LESS	$427.30	$657.38	$190.64–$558.77	—	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$462.49	$711.52	$206.34–$3,175.00	at median	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$462.49	$711.52	$206.34–$604.79	—	35%
Thoracentesis with imaging guidance CPT 32555 CT THORACEN W IMG GUIDE	$1,228.69	$1,890.29	$548.18–$3,175.00	at median	35%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING	$1,228.69	$1,890.29	$548.18–$3,175.00	at median	35%
Thoracentesis with imaging guidance CPT 32555 THORACENT W IMAGE GUIDE	$1,228.69	$1,890.29	$548.18–$3,175.00	at median	35%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W US GUIDANCE	$1,228.69	$1,890.29	$548.18–$3,175.00	at median	35%
Thoracentesis with imaging guidance CPT 32555 IR CT THORACENTESIS IMG GUIDED	$1,228.69	$1,890.29	$548.18–$3,175.00	at median	35%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W US GUIDANCE	$1,228.69	$1,890.29	$548.18–$1,606.75	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENT W IMAGE GUIDE	$1,228.69	$1,890.29	$548.18–$1,606.75	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 IR CT THORACENTESIS IMG GUIDED	$1,228.69	$1,890.29	$548.18–$1,606.75	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING	$1,228.69	$1,890.29	$548.18–$1,606.75	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACEN W IMG GUIDE	$1,228.69	$1,890.29	$548.18–$1,606.75	—	35%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$4,604.07	$7,083.18	$558.00–$6,020.70	at median	35%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH	$4,604.07	$7,083.18	$2,054.12–$6,020.70	—	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSC	$716.89	$1,102.91	$287.00–$3,175.00	14% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGL MULT TRIG PNT 1 2	$716.89	$1,102.91	$287.00–$3,175.00	14% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 IR TRIGGER PT INJ 1 OR 2 MUSC	$716.89	$1,102.91	$287.00–$3,175.00	14% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER INJ 1 OR 2 MUSC	$716.89	$1,102.91	$287.00–$3,175.00	14% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 2 MUSCL	$716.89	$1,102.91	$319.84–$937.47	14% above	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 2 MUSCL	$716.89	$1,102.91	$319.84–$937.47	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR TRIGGER PT INJ 1 OR 2 MUSC	$716.89	$1,102.91	$319.84–$937.47	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SINGL MULT TRIG PNT 1 2	$716.89	$1,102.91	$319.84–$937.47	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSC	$716.89	$1,102.91	$319.84–$937.47	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER INJ 1 OR 2 MUSC	$716.89	$1,102.91	$319.84–$937.47	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BIOPSY BREAST 1ST LESION	$2,850.04	$4,384.68	$1,271.56–$4,109.00	1% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 IR BIOPSY BREAST 1ST LESION	$2,850.04	$4,384.68	$1,271.56–$4,109.00	1% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BRST 1ST LESION US IMAG	$2,850.04	$4,384.68	$1,271.56–$4,109.00	1% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 IR BIOPSY BREAST 1ST LESION	$2,850.04	$4,384.68	$1,271.56–$3,726.98	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BIOPSY BREAST 1ST LESION	$2,850.04	$4,384.68	$1,271.56–$3,726.98	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BRST 1ST LESION US IMAG	$2,850.04	$4,384.68	$1,271.56–$3,726.98	—	35%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE MULTIPLE	$1,908.42	$2,936.03	$851.45–$2,495.63	17% above	35%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE MULTIPLE	$1,908.42	$2,936.03	$851.45–$2,495.63	—	35%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI DIAGNOSTIC BRUSH WASH	$1,098.11	$1,689.40	$489.93–$1,435.99	at median	35%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPR GI DIAGNOSTIC BRUSH WASH	$1,098.11	$1,689.40	$489.93–$1,435.99	—	35%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI BI W PO SEMEN EX	$5,761.85	$8,864.39	$558.00–$7,534.73	—	35%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI BI W PO SEMEN EX	$5,761.85	$8,864.39	$2,570.67–$7,534.73	—	35%
Vein ablation, radiofrequency, first vein CPT 36475 PERC ENDOVEN RF ABL 1ST VEIN	$7,830.23	$12,046.50	$3,493.48–$10,592.00	at median	35%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 PERC ENDOVEN RF ABL 1ST VEIN	$7,830.23	$12,046.50	$3,493.48–$10,239.52	—	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION 1 14	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION 1 14	$294.76	$453.47	$131.51–$385.45	at median	35%
Wart removal, up to 14 warts CPT 17110 DEST OF FLAT WRT MOL CONT LESS THAN14	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1 14	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION 1 14	$294.76	$453.47	$131.51–$3,175.00	at median	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESION 1 14	$294.76	$453.47	$131.51–$385.45	—	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESION 1 14	$294.76	$453.47	$131.51–$385.45	—	35%
Wart removal, up to 14 warts inpatient CPT 17110 DEST OF FLAT WRT MOL CONT LESS THAN14	$294.76	$453.47	$131.51–$385.45	—	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1 14	$294.76	$453.47	$131.51–$385.45	—	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION 1 14	$294.76	$453.47	$131.51–$385.45	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCUT TISS LESS THAN20 SQ CM	$988.71	$1,521.09	$441.12–$1,292.93	at median	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKN SC 1ST LESS THAN20SQ CM	$988.71	$1,521.09	$441.12–$4,046.00	at median	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM LESS THAN	$988.71	$1,521.09	$441.12–$4,046.00	at median	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCUT TISS LESS THAN EQUALS 20 SQ CM	$988.71	$1,521.09	$441.12–$1,292.93	at median	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBCUT TISS LESS THAN EQUALS 20 SQ CM	$988.71	$1,521.09	$441.12–$1,292.93	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBCUT TISS LESS THAN20 SQ CM	$988.71	$1,521.09	$441.12–$1,292.93	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM LESS THAN	$988.71	$1,521.09	$441.12–$1,292.93	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKN SC 1ST LESS THAN20SQ CM	$988.71	$1,521.09	$441.12–$1,292.93	—	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs District of Columbia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD BLD COMPONENTS	$1,099.13	$1,690.97	$490.38–$1,437.32	at median	35%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD BLD COMPON	$1,099.13	$1,690.97	$490.38–$1,437.32	at median	35%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,099.13	$1,690.97	$490.38–$1,437.32	at median	35%
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET TRANSFUSION	$1,099.13	$1,690.97	$490.38–$1,437.32	at median	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD BLD COMPON	$1,099.13	$1,690.97	$490.38–$1,437.32	—	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$1,099.13	$1,690.97	$490.38–$1,437.32	—	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET TRANSFUSION	$1,099.13	$1,690.97	$490.38–$1,437.32	—	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD BLD COMPONENTS	$1,099.13	$1,690.97	$490.38–$1,437.32	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TRTMENT	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TREATMENT	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI ADMIN INITIAL	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI ADMIN SUBSEQ	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VIBRATING MESH NEBULIZER	$320.06	$492.40	$72.86–$418.54	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VIBRATING MESH NEBULIZER	$320.06	$492.40	$142.80–$418.54	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DPI ADMIN INITIAL	$320.06	$492.40	$142.80–$418.54	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TREATMENT	$320.06	$492.40	$142.80–$418.54	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DPI ADMIN SUBSEQ	$320.06	$492.40	$142.80–$418.54	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT	$320.06	$492.40	$142.80–$418.54	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$320.06	$492.40	$142.80–$418.54	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TRTMENT	$320.06	$492.40	$142.80–$418.54	—	35%
Chemotherapy IV infusion, first hour CPT 96413 IV INFUSION CHEMO 1ST HOUR	$917.76	$1,411.94	$395.34–$1,200.15	at median	35%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION INIT HR	$917.76	$1,411.94	$395.34–$1,200.15	at median	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INFUSION CHEMO 1ST HOUR	$917.76	$1,411.94	$409.46–$1,200.15	—	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INFUSION INIT HR	$917.76	$1,411.94	$409.46–$1,200.15	—	35%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM COMPREHENSIVE NEW PT.	$385.00	$592.31	$99.00–$503.46	—	35%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EYE EXAM COMPREHENSIVE NEW PT.	$385.00	$592.31	$171.77–$503.46	—	35%
Comprehensive eye exam, returning patient CPT 92014 EYE EXAM COMPREHENSIVE EST PT.	$350.56	$539.33	$99.00–$458.43	—	35%
Comprehensive eye exam, returning patient inpatient CPT 92014 EYE EXAM COMPREHENSIVE EST PT.	$350.56	$539.33	$156.41–$458.43	—	35%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HEARING TEST COMP	$466.05	$717.00	$207.93–$609.45	—	35%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HEARING TEST COMP	$466.05	$717.00	$207.93–$609.45	—	35%
Critical care, first 30 to 74 minutes CPT 99291 CRIT EM VISIT LVL 6	$3,604.98	$5,546.13	$962.00–$4,714.21	58% above	35%
Critical care, first 30 to 74 minutes CPT 99291 E R LEVEL CRITICAL CARE	$3,604.98	$5,546.13	$962.00–$4,714.21	58% above	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 E R LEVEL CRITICAL CARE	$3,604.98	$5,546.13	$1,608.38–$4,714.21	—	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT EM VISIT LVL 6	$3,604.98	$5,546.13	$1,608.38–$4,714.21	—	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$853.50	$1,313.07	$380.79–$1,152.42	at median	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$853.50	$1,313.07	$380.79–$1,116.11	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$289.11	$444.78	$64.91–$378.06	28% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TECHNICAL	$289.11	$444.78	$64.91–$378.06	28% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY W O INTER RPT	$289.11	$444.78	$64.91–$378.06	28% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD	$289.11	$444.78	$64.91–$378.06	28% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG FOR INITIAL PREVENT EXAM	$300.77	$462.72	$64.91–$393.31	33% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$289.11	$444.78	$128.99–$378.06	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY W O INTER RPT	$289.11	$444.78	$128.99–$378.06	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD	$289.11	$444.78	$128.99–$378.06	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TECHNICAL	$289.11	$444.78	$128.99–$378.06	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG FOR INITIAL PREVENT EXAM	$300.77	$462.72	$134.19–$393.31	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EM SCREENING LVL 1	$409.70	$630.30	$96.00–$929.00	at median	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E R LEVEL 1	$409.70	$630.30	$96.00–$929.00	at median	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EM SCREENING LVL 1	$409.70	$630.30	$182.79–$535.76	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 E R LEVEL 1	$409.70	$630.30	$182.79–$535.76	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E R LEVEL II	$655.51	$1,008.47	$218.00–$1,981.00	at median	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MINOR EM VISIT LVL 2	$655.51	$1,008.47	$218.00–$1,981.00	at median	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MINOR EM VISIT LVL 2	$655.51	$1,008.47	$292.46–$857.20	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E R LEVEL II	$655.51	$1,008.47	$292.46–$857.20	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E R LEVEL III	$1,110.79	$1,708.90	$447.00–$3,102.00	at median	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MINOR EM VISIT LVL 3	$1,110.79	$1,708.90	$447.00–$3,102.00	at median	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E R LEVEL III	$1,110.79	$1,708.90	$495.58–$1,452.56	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MINOR EM VISIT LVL 3	$1,110.79	$1,708.90	$495.58–$1,452.56	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 REG EM VISIT LVL 4	$1,761.66	$2,710.25	$785.97–$5,231.00	at median	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E R LEVEL IV	$1,761.66	$2,710.25	$785.97–$5,231.00	at median	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E R LEVEL IV	$1,761.66	$2,710.25	$785.97–$2,303.71	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 REG EM VISIT LVL 4	$1,761.66	$2,710.25	$785.97–$2,303.71	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E R LEVEL V	$2,785.87	$4,285.95	$1,242.93–$6,810.00	5% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EXT EM VISIT LVL 5	$2,785.87	$4,285.95	$1,242.93–$6,810.00	5% above	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E R LEVEL V	$2,785.87	$4,285.95	$1,242.93–$3,643.06	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EXT EM VISIT LVL 5	$2,785.87	$4,285.95	$1,242.93–$3,643.06	—	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST	$1,233.00	$1,896.93	$324.31–$1,612.39	at median	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$1,233.00	$1,896.93	$324.31–$1,612.39	at median	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST	$1,233.00	$1,896.93	$550.11–$1,612.39	—	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST	$1,233.00	$1,896.93	$550.11–$1,612.39	—	35%
Eye exam, returning patient, intermediate CPT 92012 EYE EXAM INTERMEDIATE EST PT.	$247.36	$380.55	$99.00–$323.47	—	35%
Eye exam, returning patient, intermediate inpatient CPT 92012 EYE EXAM INTERMEDIATE EST PT.	$247.36	$380.55	$110.36–$323.47	—	35%
Family therapy with the patient, 50 minutes CPT 90847 ADULT FAMILY PSY TX W PT	$241.38	$371.36	$107.69–$315.66	44% below	35%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY MED PSY W PATIENT 50MIN	$241.38	$371.36	$107.69–$315.66	44% below	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 ADULT FAMILY PSY TX W PT	$241.38	$371.36	$107.69–$315.66	—	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY MED PSY W PATIENT 50MIN	$241.38	$371.36	$107.69–$315.66	—	35%
Family therapy without the patient, 50 minutes CPT 90846 ADULT FAMILY PSY TX W O PT	$215.35	$331.30	$96.08–$281.60	—	35%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY TX W O PATIENT 50MIN	$215.35	$331.30	$96.08–$281.60	—	35%
Family therapy without the patient, 50 minutes CPT 90846 ADULT FAMILY PSY TX W O PT 50M	$215.35	$331.30	$96.08–$281.60	—	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 ADULT FAMILY PSY TX W O PT	$215.35	$331.30	$96.08–$281.60	—	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 ADULT FAMILY PSY TX W O PT 50M	$215.35	$331.30	$96.08–$281.60	—	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY TX W O PATIENT 50MIN	$215.35	$331.30	$96.08–$281.60	—	35%
Group psychotherapy session CPT 90853 ADULT GROUP PSY TX	$258.45	$397.62	$115.31–$337.98	8% below	35%
Group psychotherapy session CPT 90853 GROUP PSY TX	$258.45	$397.62	$115.31–$337.98	8% below	35%
Group psychotherapy session inpatient CPT 90853 ADULT GROUP PSY TX	$258.45	$397.62	$115.31–$337.98	—	35%
Group psychotherapy session inpatient CPT 90853 GROUP PSY TX	$258.45	$397.62	$115.31–$337.98	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATE INFUSION IST HRMORE THAN30M	$496.95	$764.54	$221.72–$649.86	22% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 31MIN 1H	$496.95	$764.54	$221.72–$649.86	22% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATE INFUSION IST HR GREATER THAN 30M	$496.95	$764.54	$221.72–$649.86	22% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 31MIN 1H	$496.95	$764.54	$221.72–$649.86	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATE INFUSION IST HR GREATER THAN 30M	$496.95	$764.54	$221.72–$649.86	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATE INFUSION IST HRMORE THAN30M	$496.95	$764.54	$221.72–$649.86	—	35%
IV infusion of a medicine, first hour CPT 96365 IV NON CHEMO INFUSION INIT HR	$566.21	$871.09	$252.62–$740.43	at median	35%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR	$566.21	$871.09	$252.62–$740.43	at median	35%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HOUR	$566.21	$871.09	$252.62–$740.43	at median	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HOUR	$566.21	$871.09	$252.62–$740.43	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV NON CHEMO INFUSION INIT HR	$566.21	$871.09	$252.62–$740.43	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HOUR	$566.21	$871.09	$252.62–$740.43	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCUTAN INTRAMUSC INJ	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTIONS SUBQ IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCUT IM INJECTION	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM THYROTROPIN INJECTION	$186.32	$286.64	$80.26–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTIONS SUBQ IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ NON CHEMO SC IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ SC IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADULT PSY INJECTION SUBCUT IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM SQ	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN THER PROPH DIAG SUBQ IM	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUTANEOUS	$186.32	$286.64	$83.13–$243.64	24% above	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTIONS SUBQ IM	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUTANEOUS	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM SQ	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBCUTAN INTRAMUSC INJ	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADULT PSY INJECTION SUBCUT IM	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ SC IM	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ NON CHEMO SC IM	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM THYROTROPIN INJECTION	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBCUT IM INJECTION	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN THER PROPH DIAG SUBQ IM	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTIONS SUBQ IM	$186.32	$286.64	$83.13–$243.64	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC IM	$186.32	$286.64	$83.13–$243.64	—	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$585.37	$900.57	$261.17–$765.48	—	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$585.37	$900.57	$261.17–$765.48	—	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCT STUDIES 7 TO 8	$610.25	$938.85	$272.27–$798.02	12% above	35%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCT STUDIES 7 TO 8	$610.25	$938.85	$272.27–$798.02	—	35%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE ED BAL 15MIN	$124.11	$190.94	$36.01–$222.64	at median	35%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE ED BAL 15MIN	$124.11	$190.94	$36.01–$222.64	at median	35%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE ED BAL 15MIN	$124.11	$190.94	$36.01–$222.64	at median	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO RE ED BAL 15MIN	$124.11	$190.94	$55.37–$162.30	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO RE ED BAL 15MIN	$124.11	$190.94	$55.37–$162.30	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE ED BAL 15MIN	$124.11	$190.94	$55.37–$162.30	—	35%
New patient office visit, about 30 minutes CPT 99203 URO GYN NEW VST LEV 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 IR OP NEW LVL III	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 FIBROID NEW VISIT LEVEL 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW LEVEL 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 WCS CLINIC NEW LEVEL 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 PODIATRY NEW VST LEV 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 PLASTIC SURG NEW VST LEV 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 E AND M NEW PATIENT LEVEL 3 LOW	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 LVL3 NEW PT VISIT	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW LVL 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 VISIT NEW OB GYN L 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 VISIT NEW PERINAT L 3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW LEVEL3	$209.43	$322.20	$93.44–$273.87	10% above	35%
New patient office visit, about 30 minutes inpatient CPT 99203 LVL3 NEW PT VISIT	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW LVL 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 IR OP NEW LVL III	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW LEVEL3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW LEVEL 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 E AND M NEW PATIENT LEVEL 3 LOW	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW OB GYN L 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW PERINAT L 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 URO GYN NEW VST LEV 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 FIBROID NEW VISIT LEVEL 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 WCS CLINIC NEW LEVEL 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 PLASTIC SURG NEW VST LEV 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 PODIATRY NEW VST LEV 3	$209.43	$322.20	$93.44–$273.87	—	35%
New patient office visit, about 45 minutes CPT 99204 PODIATRY NEW VST LEV 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 CLINIC NEW LVL 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 IR OP NEW LVL IV	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 LVL4 NEW PT VSIT	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 CLINIC NEW LEVEL4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 CLINIC NEW LEVEL 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 E AND M NEW PATIENT LEVEL 4 MOD	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW OB GYN L 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW PERINAT L 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 URO GYN NEW VST LEV 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 FIBROID NEW VISIT LEVEL 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 WCS CLINIC NEW LEVEL 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes CPT 99204 PLASTIC SURG NEW VST LEV 4	$250.96	$386.09	$99.00–$328.18	at median	35%
New patient office visit, about 45 minutes inpatient CPT 99204 URO GYN NEW VST LEV 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 PODIATRY NEW VST LEV 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 PLASTIC SURG NEW VST LEV 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 WCS CLINIC NEW LEVEL 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 FIBROID NEW VISIT LEVEL 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW PERINAT L 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW OB GYN L 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 E AND M NEW PATIENT LEVEL 4 MOD	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC NEW LEVEL 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC NEW LEVEL4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 LVL4 NEW PT VSIT	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 IR OP NEW LVL IV	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC NEW LVL 4	$250.96	$386.09	$111.97–$328.18	—	35%
New patient office visit, about 60 minutes CPT 99205 E AND M NEW PATIENT LEVEL 5 HIGH	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW LEVEL 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW LEVEL5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 LVL5 NEW PT VISIT	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 IR OP NEW LVL V	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW LVL 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 WCS CLINIC NEW LEVEL 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW OB GYN L 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 PLASTIC SURG NEW VST LEV 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW PERINAT L 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 PODIATRY NEW VST LEV 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 URO GYN NEW VST LEV 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes CPT 99205 FIBROID NEW VISIT LEVEL 5	$298.58	$459.36	$99.00–$390.46	at median	35%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW OB GYN L 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 E AND M NEW PATIENT LEVEL 5 HIGH	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 FIBROID NEW VISIT LEVEL 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW LEVEL 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 PODIATRY NEW VST LEV 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW LEVEL5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 PLASTIC SURG NEW VST LEV 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 LVL5 NEW PT VISIT	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW PERINAT L 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 IR OP NEW LVL V	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 URO GYN NEW VST LEV 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW LVL 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 WCS CLINIC NEW LEVEL 5	$298.58	$459.36	$133.21–$390.46	—	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PODIATRY NEW VST LEV 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW PERINAT L 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 URO GYN NEW VST LEV 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW LEVEL 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW LEVEL2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 FIBROID NEW VISIT LEVEL 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WCS CLINIC NEW LEVEL 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LVL2 NEW PT VISIT	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 IR OP NEW LVL II	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW LVL 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PLASTIC SURG NEW VST LEV 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E AND M NEW PATIENT LEVEL 2 SF	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW OB GYN L 2	$188.21	$289.56	$83.97–$246.13	at median	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PLASTIC SURG NEW VST LEV 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 IR OP NEW LVL II	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FIBROID NEW VISIT LEVEL 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E AND M NEW PATIENT LEVEL 2 SF	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WCS CLINIC NEW LEVEL 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 URO GYN NEW VST LEV 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW PERINAT L 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PODIATRY NEW VST LEV 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LVL2 NEW PT VISIT	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW OB GYN L 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW LEVEL2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW LEVEL 2	$188.21	$289.56	$83.97–$246.13	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW LVL 2	$188.21	$289.56	$83.97–$246.13	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTR TX INITIAL EA 15M	$70.85	$109.00	$29.03–$92.65	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTR TX INITIAL EA 15M	$70.85	$109.00	$29.03–$92.65	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTR TX INITIAL EA 15M	$70.85	$109.00	$31.61–$92.65	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTR TX INITIAL EA 15M	$70.85	$109.00	$31.61–$92.65	—	35%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX BURN	$462.63	$711.74	$110.59–$604.98	at median	35%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX	$462.63	$711.74	$110.59–$604.98	at median	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX	$462.63	$711.74	$206.40–$604.98	—	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX BURN	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX	$462.63	$711.74	$107.65–$604.98	at median	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX BURN	$462.63	$711.74	$107.65–$604.98	at median	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX BURN	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX BURN	$462.63	$711.74	$107.65–$604.98	at median	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX	$462.63	$711.74	$107.65–$604.98	at median	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX BURN	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX	$462.63	$711.74	$107.65–$604.98	at median	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX BURN	$462.63	$711.74	$107.65–$604.98	at median	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX BURN	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX	$462.63	$711.74	$206.40–$604.98	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TX15 MIN	$140.10	$215.54	$30.50–$212.96	at median	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THER EA 15 MIN	$140.10	$215.54	$30.50–$212.96	at median	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER EA 15 MIN	$140.10	$215.54	$30.50–$212.96	at median	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THER EA 15 MIN	$140.10	$215.54	$30.50–$212.96	at median	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THER EA 15 MIN	$140.10	$215.54	$62.51–$183.21	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER EA 15 MIN	$140.10	$215.54	$62.51–$183.21	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL TX15 MIN	$140.10	$215.54	$62.51–$183.21	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THER EA 15 MIN	$140.10	$215.54	$62.51–$183.21	—	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EX EA 15 MIN	$129.97	$199.95	$31.96–$232.32	at median	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX EA 15 MIN	$129.97	$199.95	$31.96–$232.32	at median	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX EA 15 MIN	$129.97	$199.95	$31.96–$232.32	at median	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 MIN	$129.97	$199.95	$31.96–$232.32	at median	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 MIN	$129.97	$199.95	$57.99–$169.96	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EX EA 15 MIN	$129.97	$199.95	$57.99–$169.96	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX EA 15 MIN	$129.97	$199.95	$57.99–$169.96	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX EA 15 MIN	$129.97	$199.95	$57.99–$169.96	—	35%
Preventive checkup, new patient aged 18–39 CPT 99385 AWV NEW AGE 18 39	$237.34	$365.14	$99.00–$310.37	—	35%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 AWV NEW AGE 18 39	$237.34	$365.14	$105.89–$310.37	—	35%
Preventive checkup, new patient aged 40–64 CPT 99386 AWV NEW AGE 40 64	$237.34	$365.14	$99.00–$310.37	—	35%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 AWV NEW AGE 40 64	$237.34	$365.14	$105.89–$310.37	—	35%
Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PREVENTIVE EXAM MCARE	$230.39	$354.45	$99.00–$301.28	—	35%
Preventive checkup, new patient aged 65 or older CPT 99387 AWV NEW AGE 65 AND	$237.34	$365.14	$99.00–$310.37	—	35%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INITIAL PREVENTIVE EXAM MCARE	$230.39	$354.45	$102.79–$301.28	—	35%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 AWV NEW AGE 65 AND	$237.34	$365.14	$105.89–$310.37	—	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 AWV EST AGE 18 39	$237.34	$365.14	$99.00–$310.37	—	35%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 AWV EST AGE 18 39	$237.34	$365.14	$105.89–$310.37	—	35%
Preventive checkup, returning patient aged 40–64 CPT 99396 AWV EST AGE 40 64	$237.34	$365.14	$99.00–$310.37	—	35%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 AWV EST AGE 40 64	$237.34	$365.14	$105.89–$310.37	—	35%
Preventive checkup, returning patient aged 65 or older CPT 99397 AWV EST AGE 65 AND	$237.34	$365.14	$99.00–$310.37	—	35%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 AWV EST AGE 65 AND	$237.34	$365.14	$105.89–$310.37	—	35%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W MED SVCS	$585.37	$900.57	$261.17–$765.48	—	35%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W MED SVCS	$585.37	$900.57	$261.17–$765.48	—	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH TX CRISIS INITIAL 60 MIN	$483.70	$744.16	$215.81–$632.54	—	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH TX CRISIS INITIAL 60 MIN	$483.70	$744.16	$215.81–$632.54	—	35%
Psychotherapy session, 30 minutes CPT 90832 IND PSYCH TX 16 37M	$298.10	$458.62	$133.00–$389.83	—	35%
Psychotherapy session, 30 minutes inpatient CPT 90832 IND PSYCH TX 16 37M	$298.10	$458.62	$133.00–$389.83	—	35%
Psychotherapy session, 45 minutes CPT 90834 IND PSYCH TX 38 52M	$386.01	$593.86	$172.22–$504.78	—	35%
Psychotherapy session, 45 minutes inpatient CPT 90834 IND PSYCH TX 38 52M	$386.01	$593.86	$172.22–$504.78	—	35%
Psychotherapy session, 60 minutes CPT 90837 IND PSYCH TX 53 AND M	$353.91	$544.48	$157.90–$462.81	—	35%
Psychotherapy session, 60 minutes inpatient CPT 90837 IND PSYCH TX 53 AND M	$353.91	$544.48	$157.90–$462.81	—	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3 10 MIN	$66.38	$102.13	$29.62–$86.81	—	35%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3 10 MIN	$66.38	$102.13	$29.62–$86.81	—	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PODIATRY EST VST LEV 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC EST LEVEL 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC EST LEVEL5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC EST LVL 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LVL5 EST PT VISIT	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 IR OP EST LVL V	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT VISIT LEVEL 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PLASTIC SURG EST VST LEV 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MHVI TRANS EST VISIT LEVEL 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E AND M ESTAB PATIENT LEVEL 5 HIGH	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WCS CLINIC EST LEVEL 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT EST OB GYN L 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FIBROID EST VISIT LEVEL 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT EST PERINAT L 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 URO GYN EST VST LEV 5	$253.74	$390.37	$99.00–$331.81	at median	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 URO GYN EST VST LEV 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT VISIT LEVEL 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 IR OP EST LVL V	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LVL5 EST PT VISIT	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC EST LVL 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC EST LEVEL5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC EST LEVEL 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E AND M ESTAB PATIENT LEVEL 5 HIGH	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT EST OB GYN L 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT EST PERINAT L 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PODIATRY EST VST LEV 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PLASTIC SURG EST VST LEV 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MHVI TRANS EST VISIT LEVEL 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WCS CLINIC EST LEVEL 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FIBROID EST VISIT LEVEL 5	$253.74	$390.37	$113.21–$331.81	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VISIT LEVEL 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 MHVI TRANS EST VISIT LEVEL 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 IR OP EST LVL III	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WCS CLINIC EST LEVEL 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PODIATRY EST VST LEV 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 FIBROID EST VISIT LEVEL 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LVL3 EST PT VISIT	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 URO GYN EST VST LEV 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC EST LVL 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT EST PERINAT L 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC EST LEVEL3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC EST LEVEL 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E AND M EST PATIENT LEVEL 3 LOW	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT EST OB GYN L 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PLASTIC SURG EST VST LEV 3	$182.83	$281.27	$81.57–$239.08	at median	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC EST LEVEL 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LVL3 EST PT VISIT	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 IR OP EST LVL III	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT VISIT LEVEL 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PODIATRY EST VST LEV 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PLASTIC SURG EST VST LEV 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MHVI TRANS EST VISIT LEVEL 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WCS CLINIC EST LEVEL 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FIBROID EST VISIT LEVEL 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 URO GYN EST VST LEV 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT EST PERINAT L 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT EST OB GYN L 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E AND M EST PATIENT LEVEL 3 LOW	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC EST LVL 3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC EST LEVEL3	$182.83	$281.27	$81.57–$239.08	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC EST LEVEL 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MHVI TRANS EST VISIT LEVEL 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC EST LEVEL4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT EST PERINAT L 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC EST LVL 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT EST OB GYN L 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT VISIT LEVEL 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WCS CLINIC EST LEVEL 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LVL4 EST PT VISIT	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FIBROID EST VISIT LEVEL 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 IR OP EST LVL IV	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 URO GYN EST VST LEV 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PLASTIC SURG EST VST LEV 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E AND M EST PT LEVEL 4 MOD	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PODIATRY EST VST LEV 4	$223.18	$343.35	$99.00–$291.85	at median	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PLASTIC SURG EST VST LEV 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT EST OB GYN L 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT EST PERINAT L 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 URO GYN EST VST LEV 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FIBROID EST VISIT LEVEL 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WCS CLINIC EST LEVEL 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MHVI TRANS EST VISIT LEVEL 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E AND M EST PT LEVEL 4 MOD	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PODIATRY EST VST LEV 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT VISIT LEVEL 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 IR OP EST LVL IV	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LVL4 EST PT VISIT	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC EST LVL 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC EST LEVEL4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC EST LEVEL 4	$223.18	$343.35	$99.57–$291.85	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WCS CLINIC EST LEVEL 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MHVI TRANS EST VISIT LEVEL 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PLASTIC SURG EST VST LEV 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC EST LVL 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E AND M EST PATIENT LEVEL 2 SF	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LVL2 EST PT VISIT	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 URO GYN EST VST LEV 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 IR OP EST LVL II	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC EST LEVEL 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT VISIT LEVEL 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT EST OB GYN L 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PODIATRY EST VST LEV 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC EST LEVEL2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT EST PERINAT L 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FIBROID EST VISIT LEVEL 2	$146.74	$225.75	$65.47–$191.89	at median	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WCS CLINIC EST LEVEL 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FIBROID EST VISIT LEVEL 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 URO GYN EST VST LEV 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT EST PERINAT L 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT EST OB GYN L 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E AND M EST PATIENT LEVEL 2 SF	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC EST LEVEL 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC EST LEVEL2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC EST LVL 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LVL2 EST PT VISIT	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 IR OP EST LVL II	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT VISIT LEVEL 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PODIATRY EST VST LEV 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PLASTIC SURG EST VST LEV 2	$146.74	$225.75	$65.47–$191.89	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MHVI TRANS EST VISIT LEVEL 2	$146.74	$225.75	$65.47–$191.89	—	35%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$367.15	$564.84	$163.80–$687.28	2% below	35%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$367.15	$564.84	$163.80–$480.11	—	35%
Speech therapy session, individual CPT 92507 SP COMM COG LANG TX	$343.46	$528.40	$83.77–$449.14	2% above	35%
Speech therapy session, individual inpatient CPT 92507 SP COMM COG LANG TX	$343.46	$528.40	$153.24–$449.14	—	35%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$391.90	$602.92	$174.85–$512.48	at median	35%
Spirometry (breathing test) CPT 94010 INCENT SPIROMETRY	$391.90	$602.92	$174.85–$512.48	at median	35%
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY	$391.90	$602.92	$174.85–$512.48	at median	35%
Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY	$391.90	$602.92	$174.85–$512.48	at median	35%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$391.90	$602.92	$174.85–$512.48	at median	35%
Spirometry (breathing test) inpatient CPT 94010 INCENT SPIROMETRY	$391.90	$602.92	$174.85–$512.48	—	35%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$391.90	$602.92	$174.85–$512.48	—	35%
Spirometry (breathing test) inpatient CPT 94010 SIMPLE SPIROMETRY	$391.90	$602.92	$174.85–$512.48	—	35%
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETRY	$391.90	$602.92	$174.85–$512.48	—	35%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$391.90	$602.92	$174.85–$512.48	—	35%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$517.43	$796.04	$230.85–$676.63	—	35%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY WITH BRONCHODILATOR	$517.43	$796.04	$230.85–$676.63	—	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$517.43	$796.04	$230.85–$676.63	—	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY WITH BRONCHODILATOR	$517.43	$796.04	$230.85–$676.63	—	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT EA 15 MIN	$134.45	$206.84	$38.58–$251.68	at median	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACT EA 15 MIN	$134.45	$206.84	$38.58–$251.68	at median	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACT EA 15 MIN	$134.45	$206.84	$38.58–$251.68	at median	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACT EA 15 MIN	$134.45	$206.84	$59.98–$175.81	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THER ACT EA 15 MIN	$134.45	$206.84	$59.98–$175.81	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THER ACT EA 15 MIN	$134.45	$206.84	$59.98–$175.81	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOT	$809.03	$1,244.66	$360.95–$1,057.96	87% above	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$809.03	$1,244.66	$360.95–$1,057.96	87% above	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOT	$809.03	$1,244.66	$360.95–$1,057.96	—	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$809.03	$1,244.66	$360.95–$1,057.96	—	35%
Visual field test, extended CPT 92083 VISUAL FIELD EXAM EXT	$291.90	$449.07	$130.23–$384.56	—	35%
Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXAM EXT	$291.90	$449.07	$130.23–$381.71	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs District of Columbia	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID 2025 26 12Y AND SPIKEVAX	$213.85	$329.00	$95.41–$523.08	at median	35%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID 2024 25 12 AND MODERNA VAC	$314.53	$483.89	$140.33–$523.08	47% above	35%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID 2025 26 12Y AND SPIKEVAX	$213.85	$329.00	$95.41–$279.65	—	35%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID 2024 25 12 AND MODERNA VAC	$314.53	$483.89	$140.33–$411.31	—	35%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VAC INJ EA	$504.12	$775.57	$183.83–$659.23	12% above	35%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VAC INJ EA	$504.12	$775.57	$224.92–$659.23	—	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 MC INFLUTRIPFL 0.5ML FLULAVAL	$50.50	$77.69	$22.53–$72.30	at median	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 MC INFLUTRIPFL 0.5ML FLULAVAL	$50.50	$77.69	$22.53–$66.04	—	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMN PAPILLOMAVIR 9 VAC 0.5ML	$748.88	$1,152.13	$297.72–$979.31	15% above	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMN PAPILLOMAVIR 9 VAC 0.5ML	$748.88	$1,152.13	$334.12–$979.31	—	35%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX 20 MCG 720UNIT ML EA	$255.55	$393.16	$114.02–$334.19	at median	35%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX 20 MCG 720UNIT ML EA	$255.55	$393.16	$114.02–$334.19	—	35%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A 50 UNITS VACC	$272.22	$418.80	$121.45–$355.98	97% above	35%
Hepatitis A vaccine, adult dose CPT 90632 HEP A ADULT VAC 1440UNIT ML PF	$333.68	$513.36	$148.87–$436.36	142% above	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A 50 UNITS VACC	$272.22	$418.80	$121.45–$355.98	—	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A ADULT VAC 1440UNIT ML PF	$333.68	$513.36	$148.87–$436.36	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 MC HEP B VAC 5MCG 0.5ML PED	$52.85	$81.31	$23.58–$227.72	2% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 MC HEPB VACRECOMB 10MCG ML 1ML	$91.71	$141.09	$40.92–$227.72	70% above	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 MC HEPB VAC RECOM 20MCG ML 1ML	$252.60	$388.62	$68.47–$330.33	369% above	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 MC HEP B VAC 5MCG 0.5ML PED	$52.85	$81.31	$23.58–$69.11	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 MC HEPB VACRECOMB 10MCG ML 1ML	$91.71	$141.09	$40.92–$119.93	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 MC HEPB VAC RECOM 20MCG ML 1ML	$252.60	$388.62	$112.70–$330.33	—	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 MC INFLUTRIPFL 0.5ML FLUZONHD	$157.97	$243.03	$61.82–$270.18	at median	35%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 MC INFLUTRIPFL 0.5ML FLUZONHD	$157.97	$243.03	$70.48–$206.58	—	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M M R II VIRUS VAC INJ 1 EA	$311.12	$478.65	$138.81–$406.85	4% above	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M M R II VIRUS VAC INJ 1 EA	$311.12	$478.65	$138.81–$406.85	—	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A C Y W 135 VACC	$551.23	$848.05	$191.38–$720.84	11% above	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A C Y W 135 VACC	$551.23	$848.05	$245.93–$720.84	—	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCCA GRPBVAC 0.5MLINJ	$440.04	$676.99	$196.33–$575.44	at median	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCCA GRPBVAC 0.5MLINJ	$440.04	$676.99	$196.33–$575.44	—	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 MC PNEUMOCOC 20 VAL VACC 0.5ML	$557.75	$858.07	$248.84–$1,012.50	at median	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 MC PNEUMOCOC 20 VAL VACC 0.5ML	$557.75	$858.07	$248.84–$729.36	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 MC PNEUMOCOCCAL23 VAL VAC0.5ML	$240.29	$369.67	$107.20–$431.91	at median	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 MC PNEUMOCOCCAL23 VAL VAC0.5ML	$240.29	$369.67	$107.20–$314.22	—	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB ALIP 50MG 0.5ML INJ	$1,062.28	$1,634.28	$473.94–$1,634.28	at median	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB ALIP 50MG 0.5ML INJ	$1,062.28	$1,634.28	$473.94–$1,389.14	—	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE 120MCG 0.5ML INJ	$612.66	$942.56	$273.34–$942.56	at median	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE 120MCG 0.5ML INJ	$612.66	$942.56	$273.34–$801.18	—	35%
Rabies vaccine, one dose CPT 90675 RABIES PUR CHCKEMBR 2.5 IU VAC	$842.15	$1,295.62	$375.73–$1,101.28	2% above	35%
Rabies vaccine, one dose CPT 90675 RABIES 2.5 INTUNITS VACCINE	$1,007.01	$1,549.24	$449.28–$1,316.85	22% above	35%
Rabies vaccine, one dose inpatient CPT 90675 RABIES PUR CHCKEMBR 2.5 IU VAC	$842.15	$1,295.62	$375.73–$1,101.28	—	35%
Rabies vaccine, one dose inpatient CPT 90675 RABIES 2.5 INTUNITS VACCINE	$1,007.01	$1,549.24	$449.28–$1,316.85	—	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICEL ZOS50MCG 0.5MLSHINGRIX	$328.26	$505.02	$146.46–$429.27	3% below	35%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICEL ZOS50MCG 0.5MLSHINGRIX	$328.26	$505.02	$146.46–$429.27	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIP TOX 2 2U 0.5ML INJ	$55.63	$85.59	$24.82–$117.68	18% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIP TOX ADLT 0.5ML INJ	$128.43	$197.58	$57.30–$167.94	89% above	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIP TOX 2 2U 0.5ML INJ	$55.63	$85.59	$24.82–$72.75	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIP TOX ADLT 0.5ML INJ	$128.43	$197.58	$57.30–$167.94	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 0.5ML INJ	$236.01	$363.09	$105.30–$308.63	112% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TIP LOK INJ 0.5ML	$248.86	$382.86	$111.03–$325.43	124% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL 0.5ML INJ	$236.01	$363.09	$105.30–$308.63	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TIP LOK INJ 0.5ML	$248.86	$382.86	$111.03–$325.43	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE 1ST	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE 1ST	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BC ADMIN HEPATITIS B VACCINE	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BC INFLUENZA ADMIN	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADM 1ST	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCC VACCINE ADM 1ST	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION INITIAL	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BC PNEUMOCOCCAL ADMIN	$123.19	$189.53	$54.96–$161.10	at median	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BC PNEUMOCOCCAL ADMIN	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN INITIAL	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN INITIAL	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE 1ST	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BC INFLUENZA ADMIN	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE 1ST	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION INITIAL	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCC VACCINE ADM 1ST	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADM 1ST	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BC ADMIN HEPATITIS B VACCINE	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE ADDL	$121.89	$187.53	$54.38–$159.40	1% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ VACCINE EA ADDL INJ	$121.89	$187.53	$54.38–$159.40	1% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADD L	$121.89	$187.53	$54.38–$159.40	1% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN HEPATITIS B VACCINE ADDL	$123.19	$189.53	$54.96–$161.10	3% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PNEUMOCOCC VACCINE ADM ADDL	$123.19	$189.53	$54.96–$161.10	3% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INFLUENZA VACCINE ADM ADDL	$123.19	$189.53	$54.96–$161.10	3% above	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJ VACCINE EA ADDL INJ	$121.89	$187.53	$54.38–$159.40	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN VACCINE ADDL	$121.89	$187.53	$54.38–$159.40	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADD L	$121.89	$187.53	$54.38–$159.40	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INFLUENZA VACCINE ADM ADDL	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PNEUMOCOCC VACCINE ADM ADDL	$123.19	$189.53	$54.96–$161.10	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN HEPATITIS B VACCINE ADDL	$123.19	$189.53	$54.96–$161.10	—	35%

Dental

Procedure	Cash price	List price	Insurers pay	vs District of Columbia	Off list
Dental implant, surgical placement CDT D6010 ZIRCONIUM IMPLANT	$1,451.09	$2,232.45	$647.41–$1,897.58	—	35%
Dental implant, surgical placement inpatient CDT D6010 ZIRCONIUM IMPLANT	$1,451.09	$2,232.45	$647.41–$1,897.58	—	35%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 REMOVAL IMPACTION COMP BONY	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 REMOVAL IMPACTION COMP BONY	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION SINGLE TOOTH	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 ROOT REMOVAL EXPOSED	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION EA ADD TOOTH	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 EXTRACTION SINGLE TOOTH	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 EXTRACTION EA ADD TOOTH	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 ROOT REMOVAL EXPOSED	$3,118.75	$4,798.07	$1,391.44–$4,078.36	—	35%

Source file: https://www.medstarhealth.org/-/media/project/mho/medstar/billing-and-insurance/2026/521272129_medstar_washington_hospital_center_standardcharges.csv