Hendrick Medical Center South
Listed in its price file as “Hendrick Medical Center”.
Hendrick Medical Center South in Abilene, TX publishes cash prices for 265 common procedures listed here, from its own machine-readable price file updated Dec 8, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 252 of 263 procedures and below it for 11. By typical cash price it ranks #244 of 301 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
6250 US-83, Abilene, TX 79606 Collected Sep 29, 2026 Source price file (325) 670-2000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 450229 · CMS hospital register NPI 1528064649
The price file shows no self-pay discount
For 1814 of the 1814 prices listed here, the cash price in Hendrick Medical Center South's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
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 7 actions for a hospital named Hendrick Medical Center South in Abilene, TX:
- Apr 19, 2021 Warning notice
- Sep 30, 2021 Corrective action plan requested
- Jan 11, 2022 Case closed
- Dec 11, 2023 Corrective action plan requested
- Apr 3, 2024 Case closed
- May 23, 2025 Warning notice
- Jun 11, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
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 Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE 3 VIEWS | $924.13 | $924.13 | $38.59–$822.48 | 184% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE 3 VIEWS. | $924.13 | $924.13 | $38.59–$822.48 | 184% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE 3 VIEWS. | $924.13 | $924.13 | $166.34–$822.48 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE 3 VIEWS | $924.13 | $924.13 | $166.34–$822.48 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE/BRACHIAL INDICES | $1,399.91 | $1,399.91 | $251.98–$1,245.92 | 130% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INV VASCULAR STUDIES SLVL | $1,399.91 | $1,399.91 | $251.98–$1,245.92 | 130% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY-PRE/POST ABIS | $1,399.91 | $1,399.91 | $251.98–$1,245.92 | 130% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INV VASCULAR STUDIES SLVL | $1,399.91 | $1,399.91 | $251.98–$1,245.92 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE/BRACHIAL INDICES | $1,399.91 | $1,399.91 | $251.98–$1,245.92 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREMITY STUDY-PRE/POST ABIS | $1,399.91 | $1,399.91 | $251.98–$1,245.92 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FLUOROSCOPY FOREIGN BODY ESOPH | $1,415.58 | $1,415.58 | $102.44–$1,259.87 | 182% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FLUOROSCOPY FOREIGN BODY ESOPH | $1,415.58 | $1,415.58 | $254.80–$1,259.87 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN TOTAL BODY | $4,789.54 | $4,789.54 | $289.44–$4,262.69 | 176% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN TOTAL BODY | $4,789.54 | $4,789.54 | $862.12–$4,262.69 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE UNILATERAL [US] | $892.36 | $892.36 | $108.06–$794.20 | 102% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE UNILATERAL [US] | $892.36 | $892.36 | $160.62–$794.20 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED (ED) | $594.10 | $594.10 | $89.46–$528.75 | 72% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED UNILATERAL [US] | $594.10 | $594.10 | $89.46–$528.75 | 72% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED (ED) | $594.10 | $594.10 | $106.94–$528.75 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED UNILATERAL [US] | $594.10 | $594.10 | $106.94–$528.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CAT ANGIO CHEST W&WO CONTRAST (CT) | $7,575.88 | $7,575.88 | $183.81–$6,742.53 | 167% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CAT ANGIO CHEST W&WO CONTRAST (CT) | $7,575.88 | $7,575.88 | $1,363.66–$6,742.53 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $4,411.56 | $4,411.56 | $183.81–$3,926.29 | 164% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $4,411.56 | $4,411.56 | $794.08–$3,926.29 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $1,812.11 | $1,812.11 | $90.91–$1,612.78 | 856% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $1,812.11 | $1,812.11 | $326.18–$1,612.78 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD - PELVIS W/O CONTRAST | $9,179.30 | $9,179.30 | $197.52–$8,169.58 | 174% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD - PELVIS W/O CONTRAST | $9,179.30 | $9,179.30 | $1,652.27–$8,169.58 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN - PELVIS W/CONTRAST | $11,094.71 | $11,094.71 | $327.68–$9,874.29 | 185% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN - PELVIS W/CONTRAST | $11,094.71 | $11,094.71 | $1,997.05–$9,874.29 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD - PELVIS 1 OR MORE SECTION/REGNS | $12,741.45 | $12,741.45 | $367.69–$11,339.89 | 205% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD - PELVIS 1 OR MORE SECTION/REGNS | $12,741.45 | $12,741.45 | $2,293.46–$11,339.89 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CAT ABDOMEN W/CONTRAST COMPLET | $7,086.04 | $7,086.04 | $183.81–$6,306.58 | 171% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CAT ABDOMEN W/CONTRAST COMPLET | $7,086.04 | $7,086.04 | $1,275.49–$6,306.58 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CAT ABDOMEN WO/CONTRAST COMPLE | $5,756.68 | $5,756.68 | $109.99–$5,123.45 | 186% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CAT ABDOMEN WO/CONTRAST COMPLE | $5,756.68 | $5,756.68 | $1,036.20–$5,123.45 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CAT MAXILO FACIAL WO/CNTRS COM | $5,828.66 | $5,828.66 | $109.99–$5,187.51 | 250% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CAT MAXILO FACIAL WO/CNTRS COM [DX] | $5,828.66 | $5,828.66 | $109.99–$5,187.51 | 250% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CAT MAXILO FACIAL WO/CNTRS COM [DX] | $5,828.66 | $5,828.66 | $1,049.16–$5,187.51 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CAT MAXILO FACIAL WO/CNTRS COM | $5,828.66 | $5,828.66 | $1,049.16–$5,187.51 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CAT HEAD WO/CONTRAST COMPLETE | $5,720.48 | $5,720.48 | $109.99–$5,091.23 | 200% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CAT HEAD WO/CONTRAST COMPLETE | $5,720.48 | $5,720.48 | $1,029.69–$5,091.23 | — | — |
| CT scan of the head with contrast CPT 70460 CAT HEAD W/CONTRAST COMPLETE | $5,793.09 | $5,793.09 | $159.98–$5,155.85 | 229% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CAT HEAD W/CONTRAST COMPLETE | $5,793.09 | $5,793.09 | $1,042.76–$5,155.85 | — | — |
| CT scan of the head without and with contrast CPT 70470 CAT HEAD W&WO/CONTRAST COMPLET | $7,679.37 | $7,679.37 | $183.81–$6,834.64 | 230% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CAT HEAD W&WO/CONTRAST COMPLET | $7,679.37 | $7,679.37 | $1,382.29–$6,834.64 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CAT LUMBR SPINE WO/CNTRST COMP | $6,694.59 | $6,694.59 | $109.99–$5,958.19 | 226% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CAT LUMBR SPINE WO/CNTRST COMP | $6,694.59 | $6,694.59 | $1,205.03–$5,958.19 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CAT CERV SPINE WO/CONTRAST COM | $7,071.58 | $7,071.58 | $109.99–$6,293.71 | 235% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CAT CERV SPINE WO/CONTRAST COM | $7,071.58 | $7,071.58 | $1,272.88–$6,293.71 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CAT PELVIS W/CNTRST COMPLETE | $6,929.96 | $6,929.96 | $183.81–$6,167.66 | 215% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CAT PELVIS W/CNTRST COMPLETE | $6,929.96 | $6,929.96 | $1,247.39–$6,167.66 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID ECHO STUDY | $3,419.05 | $3,419.05 | $197.18–$3,042.95 | 148% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN CAROTID | $3,419.05 | $3,419.05 | $197.18–$3,042.95 | 148% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID ECHO STUDY | $3,419.05 | $3,419.05 | $615.43–$3,042.95 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX SCAN CAROTID | $3,419.05 | $3,419.05 | $615.43–$3,042.95 | — | — |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST2 VIEWS | $876.24 | $876.24 | $35.44–$779.85 | 122% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST2 VIEWS | $876.24 | $876.24 | $157.72–$779.85 | — | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST1 VIEW | $854.12 | $854.12 | $27.02–$760.17 | 164% above | — |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST1 VIEW | $854.12 | $854.12 | $153.74–$760.17 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 ULTRASOUND RENAL-BILATERAL | $1,751.51 | $1,751.51 | $109.99–$1,558.84 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP [C2] | $1,751.51 | $1,751.51 | $109.99–$1,558.84 | 137% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 ULTRASOUND RENAL-BILATERAL | $1,751.51 | $1,751.51 | $315.27–$1,558.84 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP [C2] | $1,751.51 | $1,751.51 | $315.27–$1,558.84 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY (DEXA). | $1,338.09 | $1,338.09 | $41.04–$1,190.90 | 222% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY (DEXA). | $1,338.09 | $1,338.09 | $240.86–$1,190.90 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY EMTREMITY. | $699.95 | $699.95 | $33.33–$622.96 | 218% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY EMTREMITY. | $699.95 | $699.95 | $125.99–$622.96 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS [US] | $2,514.65 | $2,514.65 | $186.65–$2,238.04 | 264% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS [A-T] | $2,514.65 | $2,514.65 | $186.65–$2,238.04 | 264% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS [L&D] | $2,514.65 | $2,514.65 | $186.65–$2,238.04 | 264% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS [OBED] | $2,514.65 | $2,514.65 | $186.65–$2,238.04 | 264% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS [L&D] | $2,514.65 | $2,514.65 | $452.64–$2,238.04 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS [OBED] | $2,514.65 | $2,514.65 | $452.64–$2,238.04 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS [A-T] | $2,514.65 | $2,514.65 | $452.64–$2,238.04 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS [US] | $2,514.65 | $2,514.65 | $452.64–$2,238.04 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CAT CHEST HIGH RESOLUTION | $5,492.67 | $5,492.67 | $109.99–$4,888.48 | 198% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CAT CHEST WO/CONTRAST COMPLETE | $5,492.67 | $5,492.67 | $109.99–$4,888.48 | 198% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CAT CHEST WO/CONTRAST COMPLETE | $5,492.67 | $5,492.67 | $988.68–$4,888.48 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CAT CHEST HIGH RESOLUTION | $5,492.67 | $5,492.67 | $988.68–$4,888.48 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CAT CHEST W/CONTRAST COMPLETE | $7,433.92 | $7,433.92 | $180.33–$6,616.19 | 230% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CAT CHEST W/CONTRAST COMPLETE | $7,433.92 | $7,433.92 | $1,338.11–$6,616.19 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $951.52 | $951.52 | $267.22–$846.85 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $951.52 | $951.52 | $171.27–$846.85 | — | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $777.65 | $777.65 | $208.81–$692.11 | 186% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI | $777.65 | $777.65 | $139.98–$692.11 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXT ARTERIAL ECHO BILA | $3,333.46 | $3,333.46 | $248.39–$2,966.78 | 84% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX L E ARTERIAL | $3,333.46 | $3,333.46 | $248.39–$2,966.78 | 84% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX L E ARTERIAL | $3,333.46 | $3,333.46 | $600.02–$2,966.78 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LOWER EXT ARTERIAL ECHO BILA | $3,333.46 | $3,333.46 | $600.02–$2,966.78 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 LOWER EXT VENOUS ECHO BILAT | $3,404.08 | $3,404.08 | $194.02–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 ULTRASOUND UP EXT VENOUS BILAT | $3,404.08 | $3,404.08 | $194.02–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UPPER EXT VENOUS ECHO BILAT | $3,404.08 | $3,404.08 | $194.02–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX L EXTREMITY VENOUS BILATERAL | $3,404.08 | $3,404.08 | $194.02–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX L EXTREMITY VENOUS BILA | $3,404.08 | $3,404.08 | $194.02–$3,029.63 | 71% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND UP EXT VENOUSBILATERAL | $3,404.08 | $3,404.08 | $194.02–$3,029.63 | 71% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX L EXTREMITY VENOUS BILATERAL | $3,404.08 | $3,404.08 | $612.73–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 LOWER EXT VENOUS ECHO BILAT | $3,404.08 | $3,404.08 | $612.73–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UPPER EXT VENOUS ECHO BILAT | $3,404.08 | $3,404.08 | $612.73–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 ULTRASOUND UP EXT VENOUS BILAT | $3,404.08 | $3,404.08 | $612.73–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX L EXTREMITY VENOUS BILA | $3,404.08 | $3,404.08 | $612.73–$3,029.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 ULTRASOUND UP EXT VENOUSBILATERAL | $3,404.08 | $3,404.08 | $612.73–$3,029.63 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER, COMPLETE | $3,418.84 | $3,418.84 | $615.39–$3,042.77 | 46% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER, COMPLETE | $3,418.84 | $3,418.84 | $615.39–$3,042.77 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING--NUC MED | $4,342.84 | $4,342.84 | $318.21–$3,865.13 | 171% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING--NUC MED | $4,342.84 | $4,342.84 | $781.71–$3,865.13 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY SCREEN UNATTENDED | $890.87 | $890.87 | $160.36–$792.87 | 18% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY SCREEN UNATTENDED | $890.87 | $890.87 | $160.36–$792.87 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM CPAP 4 + PARAMETRS 6 YRS + | $13,565.13 | $13,565.13 | $2,441.72–$12,072.97 | 191% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM CPAP 4 + PARAMETRS 6 YRS + | $13,565.13 | $13,565.13 | $2,441.72–$12,072.97 | — | — |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS. | $906.82 | $906.82 | $43.16–$807.07 | 169% above | — |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $906.82 | $906.82 | $43.16–$807.07 | 169% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS | $906.82 | $906.82 | $163.23–$807.07 | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS. | $906.82 | $906.82 | $163.23–$807.07 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND HEPATIC. | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABDOMEN LIMITED [SED] | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND HEPATIC | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMEN LIMITED | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND GALLBLADDER | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABDOMEN LIMITED TC | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND GALLBLADDER. | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMEN LIMITED. | $1,766.33 | $1,766.33 | $91.57–$1,572.03 | 181% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMEN LIMITED | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND HEPATIC | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S ABDOMEN LIMITED [SED] | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND GALLBLADDER | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S ABDOMEN LIMITED TC | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND HEPATIC. | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND GALLBLADDER. | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMEN LIMITED. | $1,766.33 | $1,766.33 | $317.94–$1,572.03 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCRN C- LOW DOSE [CT] | $446.28 | $446.28 | $109.99–$397.19 | 86% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCRN C- LOW DOSE [CT] | $446.28 | $446.28 | $80.33–$397.19 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LEG ANY JOINT WO/CONTRAST | $8,289.71 | $8,289.71 | $219.28–$7,377.84 | 306% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LEG ANY JOINT WO/CONTRAST | $8,289.71 | $8,289.71 | $1,492.15–$7,377.84 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LEG ANY JOINT W&WO/CONTRST | $12,894.51 | $12,894.51 | $384.74–$11,476.11 | 363% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LEG ANY JOINT W&WO/CONTRST | $12,894.51 | $12,894.51 | $2,321.01–$11,476.11 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO/CONTRAST | $7,848.46 | $7,848.46 | $211.90–$6,985.13 | 253% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO/CONTRAST | $7,848.46 | $7,848.46 | $1,412.72–$6,985.13 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO/CONTRAST | $11,883.34 | $11,883.34 | $365.93–$10,576.17 | 265% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&WO/CONTRAST | $11,883.34 | $11,883.34 | $2,139.00–$10,576.17 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI INTERAUDITORY CANAL WO/C | $8,043.09 | $8,043.09 | $212.26–$7,158.35 | 267% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/CONTRAST | $8,043.09 | $8,043.09 | $212.26–$7,158.35 | 267% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO/CONTRAST | $8,043.09 | $8,043.09 | $212.26–$7,158.35 | 267% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO/CONTRAST | $8,043.09 | $8,043.09 | $1,447.76–$7,158.35 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI INTERAUDITORY CANAL WO/C | $8,043.09 | $8,043.09 | $1,447.76–$7,158.35 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY WO/CONTRAST | $8,043.09 | $8,043.09 | $1,447.76–$7,158.35 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W&WO/CONTRAST | $12,256.38 | $12,256.38 | $344.52–$10,908.18 | 306% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO/CONTRAST | $12,256.38 | $12,256.38 | $344.52–$10,908.18 | 306% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI INTERAUDITORY CANAL W&WO/C | $12,256.38 | $12,256.38 | $344.52–$10,908.18 | 306% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY W&WO/CONTRAST | $12,256.38 | $12,256.38 | $2,206.15–$10,908.18 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI INTERAUDITORY CANAL W&WO/C | $12,256.38 | $12,256.38 | $2,206.15–$10,908.18 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO/CONTRAST | $12,256.38 | $12,256.38 | $2,206.15–$10,908.18 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO/CONTRAST | $8,592.92 | $8,592.92 | $207.00–$7,647.70 | 276% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO/CONTRAST | $8,592.92 | $8,592.92 | $1,546.73–$7,647.70 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W&WO/CONTRAST | $12,460.98 | $12,460.98 | $345.59–$11,090.27 | 290% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W&WO/CONTRAST | $12,460.98 | $12,460.98 | $2,242.98–$11,090.27 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO/CONTRAST | $8,580.96 | $8,580.96 | $205.95–$7,637.05 | 300% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO/CONTRAST | $8,580.96 | $8,580.96 | $1,544.57–$7,637.05 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W&WO/CNTRST | $11,690.22 | $11,690.22 | $346.28–$10,404.30 | 258% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W&WO/CNTRST | $11,690.22 | $11,690.22 | $2,104.24–$10,404.30 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO/CONTRAST | $8,390.76 | $8,390.76 | $206.30–$7,467.78 | 262% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO/CONTRAST | $8,390.76 | $8,390.76 | $1,510.34–$7,467.78 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO/CONTRAST | $12,162.80 | $12,162.80 | $364.52–$10,824.89 | 260% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO/CONTRAST | $12,162.80 | $12,162.80 | $2,189.30–$10,824.89 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO/CONTRAST | $7,404.44 | $7,404.44 | $245.14–$6,589.95 | 201% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO/CONTRAST | $7,404.44 | $7,404.44 | $1,332.80–$6,589.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ARM ANY JOINT WO/CONTRAST | $7,890.46 | $7,890.46 | $219.62–$7,022.51 | 341% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI ARM ANY JOINT WO/CONTRAST | $7,890.46 | $7,890.46 | $1,420.28–$7,022.51 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT | $11,413.63 | $11,413.63 | $459.95–$10,158.13 | 163% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT, MULT | $11,413.63 | $11,413.63 | $2,054.45–$10,158.13 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT, SKULL-THIGH | $19,535.94 | $19,535.94 | $1,563.82–$17,386.99 | 315% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT, SKULL-THIGH | $19,535.94 | $19,535.94 | $3,516.47–$17,386.99 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIS LIMITED NON-OB [SED] | $1,200.21 | $1,200.21 | $53.33–$1,068.19 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S FOLLICLES OF PREGNANCY (RADIOLOGY CENTER) | $1,200.21 | $1,200.21 | $53.33–$1,068.19 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIS LIMITED NON-OB TC | $1,200.21 | $1,200.21 | $53.33–$1,068.19 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S LIMITED PELVIS BLADDER SCAN | $1,200.21 | $1,200.21 | $53.33–$1,068.19 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S FOLLICLES OF PELVIS (ULTRASOUND) | $1,200.21 | $1,200.21 | $53.33–$1,068.19 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S PELVIS LIMITED NON-OB [SED] | $1,200.21 | $1,200.21 | $216.04–$1,068.19 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S FOLLICLES OF PREGNANCY (RADIOLOGY CENTER) | $1,200.21 | $1,200.21 | $216.04–$1,068.19 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S PELVIS LIMITED NON-OB TC | $1,200.21 | $1,200.21 | $216.04–$1,068.19 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S LIMITED PELVIS BLADDER SCAN | $1,200.21 | $1,200.21 | $216.04–$1,068.19 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S FOLLICLES OF PELVIS (ULTRASOUND) | $1,200.21 | $1,200.21 | $216.04–$1,068.19 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE [SED] | $2,030.76 | $2,030.76 | $101.09–$1,807.38 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS. | $2,030.76 | $2,030.76 | $101.09–$1,807.38 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 SONOGRAM, PELVIS | $2,030.76 | $2,030.76 | $101.09–$1,807.38 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE [ED] | $2,030.76 | $2,030.76 | $101.09–$1,807.38 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS | $2,030.76 | $2,030.76 | $101.09–$1,807.38 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 SONOGRAM, PELVIS [SED] | $2,030.76 | $2,030.76 | $101.09–$1,807.38 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE [ED] | $2,030.76 | $2,030.76 | $365.54–$1,807.38 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE [SED] | $2,030.76 | $2,030.76 | $365.54–$1,807.38 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 SONOGRAM, PELVIS | $2,030.76 | $2,030.76 | $365.54–$1,807.38 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND PELVIS. | $2,030.76 | $2,030.76 | $365.54–$1,807.38 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 SONOGRAM, PELVIS [SED] | $2,030.76 | $2,030.76 | $365.54–$1,807.38 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND PELVIS | $2,030.76 | $2,030.76 | $365.54–$1,807.38 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREGNANCY COMPLETE. | $2,085.36 | $2,085.36 | $109.99–$1,855.97 | 220% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US 14 WKS OR GRTR SNGL OR 1ST FETUS [L&D] | $2,085.36 | $2,085.36 | $109.99–$1,855.97 | 220% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US 14 WKS OR GRTR SNGL OR 1ST FETUS [ANT] | $2,085.36 | $2,085.36 | $109.99–$1,855.97 | 220% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREGNANCY COMPLETE | $2,085.36 | $2,085.36 | $109.99–$1,855.97 | 220% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US 14 WKS OR GRTR SNGL OR 1ST FETUS [ANT] | $2,085.36 | $2,085.36 | $375.36–$1,855.97 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US 14 WKS OR GRTR SNGL OR 1ST FETUS [L&D] | $2,085.36 | $2,085.36 | $375.36–$1,855.97 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND PREGNANCY COMPLETE. | $2,085.36 | $2,085.36 | $375.36–$1,855.97 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND PREGNANCY COMPLETE | $2,085.36 | $2,085.36 | $375.36–$1,855.97 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 U/S FIRST TRIMASTER PREG | $1,434.96 | $1,434.96 | $109.99–$1,277.11 | 134% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 U/S FIRST TRIMESTER PREG (ULTRASOUND) | $1,434.96 | $1,434.96 | $109.99–$1,277.11 | 134% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 U/S FIRST TRIMESTER PREG (ULTRASOUND) | $1,434.96 | $1,434.96 | $258.29–$1,277.11 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 U/S FIRST TRIMASTER PREG | $1,434.96 | $1,434.96 | $258.29–$1,277.11 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) L&D | $1,005.86 | $1,005.86 | $85.26–$895.22 | 119% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) [A-T] | $1,005.86 | $1,005.86 | $85.26–$895.22 | 119% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) [OBED] | $1,005.86 | $1,005.86 | $85.26–$895.22 | 119% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S PREGNANCY LIMITED [SED] | $1,005.86 | $1,005.86 | $85.26–$895.22 | 119% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) [US] | $1,005.86 | $1,005.86 | $85.26–$895.22 | 119% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S PREGNANCY LIMITED TC | $1,005.86 | $1,005.86 | $85.26–$895.22 | 119% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1+ FETUS(S) L&D | $1,005.86 | $1,005.86 | $181.05–$895.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1+ FETUS(S) [US] | $1,005.86 | $1,005.86 | $181.05–$895.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1+ FETUS(S) [OBED] | $1,005.86 | $1,005.86 | $181.05–$895.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S PREGNANCY LIMITED [SED] | $1,005.86 | $1,005.86 | $181.05–$895.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1+ FETUS(S) [A-T] | $1,005.86 | $1,005.86 | $181.05–$895.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S PREGNANCY LIMITED TC | $1,005.86 | $1,005.86 | $181.05–$895.22 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $761.43 | $761.43 | $220.82–$677.67 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $761.43 | $761.43 | $137.06–$677.67 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEWS | $940.31 | $940.31 | $36.84–$836.88 | 206% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VIEWS | $940.31 | $940.31 | $169.26–$836.88 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6 YRS AND OLDER; 4 OR MORE PARAMTRS | $12,066.88 | $12,066.88 | $2,172.04–$10,739.52 | 191% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6 YRS AND OLDER; 4 OR MORE PARAMTRS | $12,066.88 | $12,066.88 | $2,172.04–$10,739.52 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $5,749.33 | $5,749.33 | $1,034.88–$5,116.90 | 111% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE | $5,749.33 | $5,749.33 | $1,034.88–$5,116.90 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION-GASTROFRAFFIN | $1,495.74 | $1,495.74 | $131.21–$1,331.21 | 149% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS BARIUM W/FLUOROSCOPY | $1,495.74 | $1,495.74 | $131.21–$1,331.21 | 149% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION-GASTROFRAFFIN | $1,495.74 | $1,495.74 | $269.23–$1,331.21 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGUS BARIUM W/FLUOROSCOPY | $1,495.74 | $1,495.74 | $269.23–$1,331.21 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND ENDOVAGINAL | $1,660.14 | $1,660.14 | $109.99–$1,477.52 | 158% above | — |
| Transvaginal pelvic ultrasound CPT 76830 GYN TRANSVAGINAL (L&D) | $1,660.14 | $1,660.14 | $109.99–$1,477.52 | 158% above | — |
| Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAGINAL US (OBED) | $1,660.14 | $1,660.14 | $109.99–$1,477.52 | 158% above | — |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND ENDOVAGINAL. | $1,660.14 | $1,660.14 | $109.99–$1,477.52 | 158% above | — |
| Transvaginal pelvic ultrasound CPT 76830 GYN TRANSVAGINAL (A-T) | $1,660.14 | $1,660.14 | $109.99–$1,477.52 | 158% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND ENDOVAGINAL. | $1,660.14 | $1,660.14 | $298.83–$1,477.52 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 GYN TRANSVAGINAL (A-T) | $1,660.14 | $1,660.14 | $298.83–$1,477.52 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND ENDOVAGINAL | $1,660.14 | $1,660.14 | $298.83–$1,477.52 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 NON-OB TRANSVAGINAL US (OBED) | $1,660.14 | $1,660.14 | $298.83–$1,477.52 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 GYN TRANSVAGINAL (L&D) | $1,660.14 | $1,660.14 | $298.83–$1,477.52 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US [OBED] | $1,368.72 | $1,368.72 | $97.53–$1,218.16 | 167% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 U/S PREGNANCY TRANSVAGINAL (RADIOLOGY CENTER) | $1,368.72 | $1,368.72 | $97.53–$1,218.16 | 167% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US [T-A] | $1,368.72 | $1,368.72 | $97.53–$1,218.16 | 167% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US [L&D] | $1,368.72 | $1,368.72 | $97.53–$1,218.16 | 167% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 U/S PREGNANCY TRANSVAGINAL (ULTRASOUND) | $1,368.72 | $1,368.72 | $97.53–$1,218.16 | 167% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US [L&D] | $1,368.72 | $1,368.72 | $246.37–$1,218.16 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 U/S PREGNANCY TRANSVAGINAL (RADIOLOGY CENTER) | $1,368.72 | $1,368.72 | $246.37–$1,218.16 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US [T-A] | $1,368.72 | $1,368.72 | $246.37–$1,218.16 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 U/S PREGNANCY TRANSVAGINAL (ULTRASOUND) | $1,368.72 | $1,368.72 | $246.37–$1,218.16 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US [OBED] | $1,368.72 | $1,368.72 | $246.37–$1,218.16 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 SONOGRAM, ABDOMEN AT BEDSIDE [SED] | $2,306.07 | $2,306.07 | $109.99–$2,052.40 | 167% above | — |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMINAL. | $2,306.07 | $2,306.07 | $109.99–$2,052.40 | 167% above | — |
| Ultrasound of the abdomen, complete CPT 76700 U/S ABDOMEN TC | $2,306.07 | $2,306.07 | $109.99–$2,052.40 | 167% above | — |
| Ultrasound of the abdomen, complete CPT 76700 SONOGRAM, ABDOMEN AT BEDSIDE | $2,306.07 | $2,306.07 | $109.99–$2,052.40 | 167% above | — |
| Ultrasound of the abdomen, complete CPT 76700 U/S ABDOMEN [SED] | $2,306.07 | $2,306.07 | $109.99–$2,052.40 | 167% above | — |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMINAL | $2,306.07 | $2,306.07 | $109.99–$2,052.40 | 167% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 U/S ABDOMEN TC | $2,306.07 | $2,306.07 | $415.09–$2,052.40 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 SONOGRAM, ABDOMEN AT BEDSIDE | $2,306.07 | $2,306.07 | $415.09–$2,052.40 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMINAL. | $2,306.07 | $2,306.07 | $415.09–$2,052.40 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMINAL | $2,306.07 | $2,306.07 | $415.09–$2,052.40 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 U/S ABDOMEN [SED] | $2,306.07 | $2,306.07 | $415.09–$2,052.40 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 SONOGRAM, ABDOMEN AT BEDSIDE [SED] | $2,306.07 | $2,306.07 | $415.09–$2,052.40 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCROTUM & CONTENTS | $1,764.39 | $1,764.39 | $105.25–$1,570.31 | 188% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCROTUM & CONTENTS. | $1,764.39 | $1,764.39 | $105.25–$1,570.31 | 188% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS (ED) | $1,764.39 | $1,764.39 | $105.25–$1,570.31 | 188% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ULTRASOUND SCROTUM & CONTENTS | $1,764.39 | $1,764.39 | $317.59–$1,570.31 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ULTRASOUND SCROTUM & CONTENTS. | $1,764.39 | $1,764.39 | $317.59–$1,570.31 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS (ED) | $1,764.39 | $1,764.39 | $317.59–$1,570.31 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND THYROID | $1,580.29 | $1,580.29 | $109.99–$1,406.46 | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK [TC] | $1,580.29 | $1,580.29 | $109.99–$1,406.46 | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND NECK SOFT TISSUE | $1,580.29 | $1,580.29 | $109.99–$1,406.46 | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK [SED] | $1,580.29 | $1,580.29 | $109.99–$1,406.46 | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND THYROID. | $1,580.29 | $1,580.29 | $109.99–$1,406.46 | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND NECK SOFT TISSUE | $1,580.29 | $1,580.29 | $284.45–$1,406.46 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK [SED] | $1,580.29 | $1,580.29 | $284.45–$1,406.46 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND THYROID. | $1,580.29 | $1,580.29 | $284.45–$1,406.46 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND THYROID | $1,580.29 | $1,580.29 | $284.45–$1,406.46 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK [TC] | $1,580.29 | $1,580.29 | $284.45–$1,406.46 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/WO DELAYED FILMS, WO KUB (XRAY) | $1,950.76 | $1,950.76 | $129.11–$1,736.18 | 165% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/WO DELAYED FILMS, WO KUB (XRAY) | $1,950.76 | $1,950.76 | $351.14–$1,736.18 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX UP EXT VENOUS LIMITED | $2,270.43 | $2,270.43 | $111.66–$2,020.68 | 183% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX LOW EXT VENOUS LIMITED. | $2,270.43 | $2,270.43 | $111.66–$2,020.68 | 183% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX UP EXT VENOUS LIMITED. | $2,270.43 | $2,270.43 | $111.66–$2,020.68 | 183% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 LOWER EXTREM VENOUS ECHO UNILA | $2,270.43 | $2,270.43 | $111.66–$2,020.68 | 183% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX LOW EXT VENOUS LIMITED | $2,270.43 | $2,270.43 | $111.66–$2,020.68 | 183% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UPPER EXT VENOUS ECHO UNILAT | $2,270.43 | $2,270.43 | $111.66–$2,020.68 | 183% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX UP EXT VENOUS LIMITED | $2,270.43 | $2,270.43 | $408.68–$2,020.68 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX UP EXT VENOUS LIMITED. | $2,270.43 | $2,270.43 | $408.68–$2,020.68 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 LOWER EXTREM VENOUS ECHO UNILA | $2,270.43 | $2,270.43 | $408.68–$2,020.68 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX LOW EXT VENOUS LIMITED | $2,270.43 | $2,270.43 | $408.68–$2,020.68 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX LOW EXT VENOUS LIMITED. | $2,270.43 | $2,270.43 | $408.68–$2,020.68 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UPPER EXT VENOUS ECHO UNILAT | $2,270.43 | $2,270.43 | $408.68–$2,020.68 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 CARPAL BONE SERIES | $1,019.27 | $1,019.27 | $43.51–$907.15 | 228% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE SERIES | $1,019.27 | $1,019.27 | $43.51–$907.15 | 228% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 NAVICULAR COMPLETE SERIES | $1,019.27 | $1,019.27 | $43.51–$907.15 | 228% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CARPAL BONE SERIES | $1,019.27 | $1,019.27 | $183.47–$907.15 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 NAVICULAR COMPLETE SERIES | $1,019.27 | $1,019.27 | $183.47–$907.15 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMPLETE SERIES | $1,019.27 | $1,019.27 | $183.47–$907.15 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $604.93 | $604.93 | $50.17–$538.39 | 62% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $604.93 | $604.93 | $108.89–$538.39 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $826.65 | $826.65 | $31.92–$735.72 | 144% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $826.65 | $826.65 | $148.80–$735.72 | — | — |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $751.25 | $751.25 | $34.03–$668.61 | 166% above | — |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS. | $751.25 | $751.25 | $34.03–$668.61 | 166% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS | $751.25 | $751.25 | $135.23–$668.61 | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS. | $751.25 | $751.25 | $135.23–$668.61 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2 VIEWS.. | $759.01 | $759.01 | $40.35–$675.52 | 215% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2 VIEWS | $759.01 | $759.01 | $40.35–$675.52 | 215% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER 2 VIEWS | $759.01 | $759.01 | $136.62–$675.52 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER 2 VIEWS.. | $759.01 | $759.01 | $136.62–$675.52 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS.. | $776.37 | $776.37 | $30.18–$690.97 | 170% above | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $776.37 | $776.37 | $30.18–$690.97 | 170% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS | $776.37 | $776.37 | $139.75–$690.97 | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS.. | $776.37 | $776.37 | $139.75–$690.97 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE MIN 3 VWS | $923.04 | $923.04 | $36.13–$821.51 | 153% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE MIN 3 VIEWS | $923.04 | $923.04 | $36.13–$821.51 | 153% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE MIN 3 VIEWS | $923.04 | $923.04 | $166.15–$821.51 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE MIN 3 VWS | $923.04 | $923.04 | $166.15–$821.51 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND MINIMUM 3 VIEWS COMPLETE | $911.90 | $911.90 | $39.30–$811.59 | 179% above | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND MINIMUM 3 VIEWS COMPLETE. | $911.90 | $911.90 | $39.30–$811.59 | 179% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MINIMUM 3 VIEWS COMPLETE. | $911.90 | $911.90 | $164.14–$811.59 | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MINIMUM 3 VIEWS COMPLETE | $911.90 | $911.90 | $164.14–$811.59 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2 VIEWS.. | $870.39 | $870.39 | $36.13–$774.65 | 214% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2 VIEWS | $870.39 | $870.39 | $36.13–$774.65 | 214% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2 VIEWS | $870.39 | $870.39 | $156.67–$774.65 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2 VIEWS.. | $870.39 | $870.39 | $156.67–$774.65 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBO-SACRAL 2 VIEWS | $1,017.36 | $1,017.36 | $42.11–$905.45 | 118% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBO-SACRAL 2 VIEWS | $1,017.36 | $1,017.36 | $183.12–$905.45 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE L-S COMPLETE W/OBLIQUES | $1,387.93 | $1,387.93 | $54.74–$1,235.26 | 121% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE L-S COMPLETE W/OBLIQUES | $1,387.93 | $1,387.93 | $249.83–$1,235.26 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE DORSAL 2 VIEWS | $1,021.68 | $1,021.68 | $34.73–$909.30 | 153% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE DORSAL 2 VIEWS | $1,021.68 | $1,021.68 | $183.90–$909.30 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $954.89 | $954.89 | $39.65–$849.85 | 228% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES. | $954.89 | $954.89 | $39.65–$849.85 | 228% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES. | $954.89 | $954.89 | $171.88–$849.85 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $954.89 | $954.89 | $171.88–$849.85 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 VIEWS | $931.25 | $931.25 | $41.75–$828.81 | 149% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2 - 3 VIEWS | $931.25 | $931.25 | $41.75–$828.81 | 149% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2-3 VIEWS | $931.25 | $931.25 | $167.63–$828.81 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2 - 3 VIEWS | $931.25 | $931.25 | $167.63–$828.81 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW | $855.96 | $855.96 | $29.46–$761.80 | 130% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS. | $855.96 | $855.96 | $29.46–$761.80 | 130% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 VIEW | $855.96 | $855.96 | $154.07–$761.80 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS. | $855.96 | $855.96 | $154.07–$761.80 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX 2 VIEWS | $878.39 | $878.39 | $34.39–$781.77 | 168% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX.. | $878.39 | $878.39 | $34.39–$781.77 | 168% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX | $878.39 | $878.39 | $34.39–$781.77 | 168% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM 2 VIEWS | $878.39 | $878.39 | $34.39–$781.77 | 168% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX 2 VIEWS | $878.39 | $878.39 | $158.11–$781.77 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX.. | $878.39 | $878.39 | $158.11–$781.77 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM 2 VIEWS | $878.39 | $878.39 | $158.11–$781.77 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX | $878.39 | $878.39 | $158.11–$781.77 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 [HP] ACUTE HEPATITIS PANEL | $1,145.96 | $1,145.96 | $68.51–$1,019.90 | 196% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 [HP] ACUTE HEPATITIS PANEL | $1,145.96 | $1,145.96 | $206.27–$1,019.90 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS SMUT [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM MAYDIS [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ADENOVIRUS [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENT ALLERGENS PANEL (25) | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 7 | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS FOOD 20 | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGY TESTING R | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENT ALLERGENS IMMUNOCAP | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENT FOOD IMMUNOCAP | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 QUEST IC MOUSE URINE PROTEIN | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SEAFOOD GROUP PER EACH | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 QUEST IMMUNO PER EACH | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC - A | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE; QUAN OR SEMIQUAN, EA ALRGN | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE; QUAN OR SEMIQUAN, EA ALRG | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE; QUAN/SEMIQUAN, EA ALGN | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS. [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE MITE [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAIR/DANDER CAT [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC - B | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC - C | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC - D | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC - E | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG SP IGE; QUAN OR SEMIQUAN | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL EA ALLERGEN [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG-WHOLE [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, WESTERN [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED, ROUGH [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS. [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM INTERSEM [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM SPP [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT SMUT [] | $114.50 | $114.50 | $7.51–$101.91 | 317% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG SP IGE; QUAN OR SEMIQUAN | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC - E | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC - D | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC - C | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC - B | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC - A | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUEST IMMUNO PER EACH | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEAFOOD GROUP PER EACH | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENT ALLERGENS PANEL (25) | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS ZONE 7 | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS FOOD 20 | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGY TESTING R | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENT ALLERGENS IMMUNOCAP | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENT FOOD IMMUNOCAP | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUEST IC MOUSE URINE PROTEIN | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE; QUAN OR SEMIQUAN, EA ALRGN | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE; QUAN OR SEMIQUAN, EA ALRG | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE; QUAN/SEMIQUAN, EA ALGN | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS. [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D FARINAE MITE [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAIR/DANDER CAT [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED, WESTERN [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED, ROUGH [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS. [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM SPP [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM INTERSEM [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT SMUT [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D PTERONYSSINUS [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS SMUT [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM MAYDIS [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADENOVIRUS [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG-WHOLE [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL EA ALLERGEN [] | $114.50 | $114.50 | $20.61–$101.91 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP(CYCLIC CITRULLINATED PEPTIDE) | $500.88 | $500.88 | $18.63–$445.78 | 815% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP(CYCLIC CITRULLINATED PEPTIDE) | $500.88 | $500.88 | $90.16–$445.78 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA);. | $374.99 | $374.99 | $17.39–$333.74 | 311% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA) ; | $374.99 | $374.99 | $17.39–$333.74 | 311% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES [] | $374.99 | $374.99 | $17.39–$333.74 | 311% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA); [] | $374.99 | $374.99 | $17.39–$333.74 | 311% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA) ; | $374.99 | $374.99 | $67.50–$333.74 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES [] | $374.99 | $374.99 | $67.50–$333.74 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA); [] | $374.99 | $374.99 | $67.50–$333.74 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA);. | $374.99 | $374.99 | $67.50–$333.74 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST LVL 4 | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST-- LVL 4 | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATH - LVL 4 | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK CYTOLOGY | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW W/ASPIRATION G&M | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 G&M SINGLE COMPLICATED 88305 | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATH LEVEL 4 | $942.56 | $942.56 | $164.24–$838.88 | 217% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST-- LVL 4 | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 G&M SINGLE COMPLICATED 88305 | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW W/ASPIRATION G&M | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATH LEVEL 4 | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATH - LVL 4 | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST LVL 4 | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK CYTOLOGY | $942.56 | $942.56 | $169.66–$838.88 | — | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $507.36 | $507.36 | $14.85–$451.55 | 112% above | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE-ANTIMICROBIAL | $507.36 | $507.36 | $14.85–$451.55 | 112% above | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $507.36 | $507.36 | $91.32–$451.55 | — | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE-ANTIMICROBIAL | $507.36 | $507.36 | $91.32–$451.55 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE-BLOOD SPECMN FOR LAB [LACT] | $27.56 | $27.56 | $4.96–$24.53 | 37% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE BLOOD DRAW [C7] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTUE (RESP-SAT ED) | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE (ONC) | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 NATERA VENIPUNCTURE CHARGE | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE [PEDI] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE [CHF] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION/PROCESSING | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE BLOOD DRAW [C5] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE [OPI] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTUREN [CARDRHB] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE [INF] | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $29.76 | $29.76 | $5.36–$26.49 | 48% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE-BLOOD SPECMN FOR LAB [LACT] | $27.56 | $27.56 | $4.96–$24.53 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE (ONC) | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTUREN [CARDRHB] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION/PROCESSING | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE BLOOD DRAW [C7] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NATERA VENIPUNCTURE CHARGE | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTUE (RESP-SAT ED) | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE [CHF] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE [OPI] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE BLOOD DRAW [C5] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE [PEDI] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE [INF] | $29.76 | $29.76 | $5.36–$26.49 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUALITATIVE | $37.18 | $37.18 | $10.82–$33.09 | 73% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUALITATIVE | $37.18 | $37.18 | $6.69–$33.09 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO CB | $599.38 | $599.38 | $4.31–$533.45 | 578% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $599.38 | $599.38 | $4.31–$533.45 | 578% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO. []] | $599.38 | $599.38 | $4.31–$533.45 | 578% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO. []] | $599.38 | $599.38 | $107.89–$533.45 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO CB | $599.38 | $599.38 | $107.89–$533.45 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $599.38 | $599.38 | $107.89–$533.45 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, SYNOVIAL FLUID [CNSA] | $244.00 | $244.00 | $7.46–$217.16 | 319% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, SYNOVIAL FLUID [CPJI] | $244.00 | $244.00 | $7.46–$217.16 | 319% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN [NOT PER EA] | $244.00 | $244.00 | $7.46–$217.16 | 319% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) | $244.00 | $244.00 | $7.46–$217.16 | 319% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, SYNOVIAL FLUID [PJI] | $244.00 | $244.00 | $7.46–$217.16 | 319% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, SYNOVIAL FLUID [PJI] | $244.00 | $244.00 | $43.92–$217.16 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, SYNOVIAL FLUID [CPJI] | $244.00 | $244.00 | $43.92–$217.16 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP) | $244.00 | $244.00 | $43.92–$217.16 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN [NOT PER EA] | $244.00 | $244.00 | $43.92–$217.16 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, SYNOVIAL FLUID [CNSA] | $244.00 | $244.00 | $43.92–$217.16 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF, AMPLIFIED PROBE | $608.48 | $608.48 | $53.61–$541.55 | 244% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF, AMPLIFIED PROBE | $608.48 | $608.48 | $109.53–$541.55 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9 | $668.39 | $668.39 | $29.94–$594.87 | 394% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19-9 | $668.39 | $668.39 | $120.31–$594.87 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 ANTIGEN | $697.56 | $697.56 | $29.94–$620.83 | 335% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 ANTIGEN | $697.56 | $697.56 | $125.56–$620.83 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 CORONAVIRUS BY PCR | $312.74 | $312.74 | $73.80–$278.34 | 251% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 CORONAVIRUS BY PCR | $312.74 | $312.74 | $56.29–$278.34 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T, AMPLIF NA PROBE [] | $730.75 | $730.75 | $50.47–$650.37 | 480% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DNA/CHLAMYDIA T AMPLIF PROBE | $730.75 | $730.75 | $50.47–$650.37 | 480% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE [PATH] | $730.75 | $730.75 | $50.47–$650.37 | 480% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY DNA PROBE | $730.75 | $730.75 | $50.47–$650.37 | 480% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 DNA/CHLAMYDIA T AMPLIF PROBE | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY DNA PROBE | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T, AMPLIF NA PROBE [] | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE [PATH] | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $264.59 | $264.59 | $11.17–$235.49 | 182% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $264.59 | $264.59 | $47.63–$235.49 | — | — |
| Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT | $246.35 | $246.35 | $9.30–$219.25 | 152% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $246.35 | $246.35 | $9.30–$219.25 | 152% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/DIFFERENTIAL [] | $246.35 | $246.35 | $9.30–$219.25 | 152% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $246.35 | $246.35 | $44.34–$219.25 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/DIFFERENTIAL [] | $246.35 | $246.35 | $44.34–$219.25 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPL AUTOM CBC W PLT | $246.35 | $246.35 | $44.34–$219.25 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL COMPREHENSIVE.. | $748.45 | $748.45 | $15.18–$666.12 | 121% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PANEL COMPREHENSIVE.. | $748.45 | $748.45 | $134.72–$666.12 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT [CHS] | $421.63 | $421.63 | $14.64–$375.25 | 141% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT [CHS] | $421.63 | $421.63 | $75.89–$375.25 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $664.90 | $664.90 | $31.98–$591.76 | 332% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $664.90 | $664.90 | $119.68–$591.76 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL R | $791.07 | $791.07 | $40.19–$704.05 | 445% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL R | $791.07 | $791.07 | $142.39–$704.05 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $172.34 | $172.34 | $28.25–$153.38 | 19% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL | $172.34 | $172.34 | $31.02–$153.38 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN ASSAY SERUM | $412.29 | $412.29 | $19.60–$366.94 | 299% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN ASSAY SERUM | $412.29 | $412.29 | $74.21–$366.94 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $422.58 | $422.58 | $21.15–$376.10 | 354% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $422.58 | $422.58 | $76.06–$376.10 | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE-TRIIODOTHYRONINE | $621.11 | $621.11 | $24.37–$552.79 | 345% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE-TRIIODOTHYRONINE | $621.11 | $621.11 | $111.80–$552.79 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE R | $406.40 | $406.40 | $12.98–$361.70 | 352% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE R | $406.40 | $406.40 | $73.15–$361.70 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE [][] | $668.92 | $668.92 | $36.63–$595.34 | 505% above | — |
| Free testosterone test CPT 84402 [RL] TESTOSTERONE FREE FEMALES AND CHILDREN | $668.92 | $668.92 | $36.63–$595.34 | 505% above | — |
| Free testosterone test CPT 84402 FREE TESTOSTERONE | $668.92 | $668.92 | $36.63–$595.34 | 505% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE [][] | $668.92 | $668.92 | $120.41–$595.34 | — | — |
| Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE | $668.92 | $668.92 | $120.41–$595.34 | — | — |
| Free testosterone test inpatient CPT 84402 [RL] TESTOSTERONE FREE FEMALES AND CHILDREN | $668.92 | $668.92 | $120.41–$595.34 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA, AMPLIF NA PROBE [] | $730.75 | $730.75 | $50.47–$650.37 | 416% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEA DNA AMP PROB [PATH] | $730.75 | $730.75 | $50.47–$650.37 | 416% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 PROBE DNA NEISSERIA AMPLIF | $730.75 | $730.75 | $50.47–$650.37 | 416% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 PROBE DNA NEISSERIA AMPLIF | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA, AMPLIF NA PROBE [] | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEA DNA AMP PROB [PATH] | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODIES | $378.41 | $378.41 | $24.23–$336.78 | 190% above | — |
| H. pylori antibody blood test CPT 86677 AB; HELICOBACTER PYLORI | $378.41 | $378.41 | $24.23–$336.78 | 190% above | — |
| H. pylori antibody blood test inpatient CPT 86677 AB; HELICOBACTER PYLORI | $378.41 | $378.41 | $68.11–$336.78 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODIES | $378.41 | $378.41 | $68.11–$336.78 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR | $1,665.44 | $1,665.44 | $122.41–$1,482.24 | 417% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR | $1,665.44 | $1,665.44 | $299.78–$1,482.24 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV IADNA - HIGH-RISK TYPES | $204.64 | $204.64 | $50.47–$182.13 | 188% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV IADNA - HIGH-RISK TYPES | $204.64 | $204.64 | $36.84–$182.13 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB - HEP B | $359.96 | $359.96 | $15.46–$320.36 | 455% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AB HBSAB | $359.96 | $359.96 | $15.46–$320.36 | 455% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB TITER | $359.96 | $359.96 | $15.46–$320.36 | 455% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY | $359.96 | $359.96 | $15.46–$320.36 | 455% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB - HEP B | $359.96 | $359.96 | $64.79–$320.36 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY | $359.96 | $359.96 | $64.79–$320.36 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB TITER | $359.96 | $359.96 | $64.79–$320.36 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 AB HBSAB | $359.96 | $359.96 | $64.79–$320.36 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA | $350.55 | $350.55 | $14.86–$311.99 | 350% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN | $350.55 | $350.55 | $14.86–$311.99 | 350% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 SURFACE AG EIA, HEP B | $350.55 | $350.55 | $14.86–$311.99 | 350% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN | $350.55 | $350.55 | $63.10–$311.99 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SURFACE AG EIA, HEP B | $350.55 | $350.55 | $63.10–$311.99 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA | $350.55 | $350.55 | $63.10–$311.99 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV HEPTIMAX | $1,040.69 | $1,040.69 | $61.62–$926.21 | 253% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA ULTRAQUANT | $1,040.69 | $1,040.69 | $61.62–$926.21 | 253% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANTITATIVE | $1,040.69 | $1,040.69 | $61.62–$926.21 | 253% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REFLEX HCV SUBTYPR | $1,040.69 | $1,040.69 | $61.62–$926.21 | 253% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY DNA ASSAY BRANCHED | $1,040.69 | $1,040.69 | $61.62–$926.21 | 253% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT RFX SUBTYPR | $1,040.69 | $1,040.69 | $61.62–$926.21 | 253% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANTITATIVE | $1,040.69 | $1,040.69 | $187.32–$926.21 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA ULTRAQUANT | $1,040.69 | $1,040.69 | $187.32–$926.21 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT RFX SUBTYPR | $1,040.69 | $1,040.69 | $187.32–$926.21 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REFLEX HCV SUBTYPR | $1,040.69 | $1,040.69 | $187.32–$926.21 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY DNA ASSAY BRANCHED | $1,040.69 | $1,040.69 | $187.32–$926.21 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV HEPTIMAX | $1,040.69 | $1,040.69 | $187.32–$926.21 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I IGM | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I IGG | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY, HERPES SIMPLEX, TYPE 1 | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX, TYPE 1 [] | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I, IGM [] | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I, IGG [] | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST [PATH] | $534.30 | $534.30 | $18.97–$475.53 | 576% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I IGM | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST [PATH] | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I, IGG [] | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I, IGM [] | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX, TYPE 1 [] | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY, HERPES SIMPLEX, TYPE 1 | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I IGG | $534.30 | $534.30 | $96.17–$475.53 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST [PATH] | $169.91 | $169.91 | $27.84–$151.22 | 88% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY, HERPES SIMPLEX, TYPE 2 | $169.91 | $169.91 | $27.84–$151.22 | 88% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST [PATH] | $169.91 | $169.91 | $30.58–$151.22 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY, HERPES SIMPLEX, TYPE 2 | $169.91 | $169.91 | $30.58–$151.22 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY | $267.25 | $267.25 | $18.63–$237.85 | 235% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVITY | $267.25 | $267.25 | $48.11–$237.85 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $531.17 | $531.17 | $25.78–$472.74 | 254% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $531.17 | $531.17 | $95.61–$472.74 | — | — |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $354.78 | $354.78 | $16.44–$315.75 | 325% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL | $354.78 | $354.78 | $63.86–$315.75 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $218.44 | $218.44 | $9.30–$194.41 | 145% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $218.44 | $218.44 | $39.32–$194.41 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $330.64 | $330.64 | $12.57–$294.27 | 237% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $330.64 | $330.64 | $59.52–$294.27 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM | $377.08 | $377.08 | $9.91–$335.60 | 284% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, URINE | $377.08 | $377.08 | $9.91–$335.60 | 284% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, URINE | $377.08 | $377.08 | $67.87–$335.60 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM | $377.08 | $377.08 | $67.87–$335.60 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL.. | $578.37 | $578.37 | $11.75–$514.75 | 128% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL.. | $578.37 | $578.37 | $104.11–$514.75 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE QUANTITATIVE R | $351.31 | $351.31 | $9.64–$312.67 | 617% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $351.31 | $351.31 | $9.64–$312.67 | 617% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE QUANTITATIVE R | $351.31 | $351.31 | $63.24–$312.67 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM | $351.31 | $351.31 | $63.24–$312.67 | — | — |
| Measles (rubeola) antibody test CPT 86765 AB; RUBEOLA | $383.91 | $383.91 | $18.53–$341.68 | 966% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS IGG ANTIBODY R | $383.91 | $383.91 | $18.53–$341.68 | 966% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA VIRUS IGG ANTIBODY R | $383.91 | $383.91 | $69.10–$341.68 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 AB; RUBEOLA | $383.91 | $383.91 | $69.10–$341.68 | — | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $278.78 | $278.78 | $81.96–$248.11 | 10% above | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $278.78 | $278.78 | $50.18–$248.11 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE. [] | $413.83 | $413.83 | $26.45–$368.31 | 267% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE. [] | $413.83 | $413.83 | $74.49–$368.31 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL [] | $514.52 | $514.52 | $26.45–$457.92 | 471% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN. | $514.52 | $514.52 | $26.45–$457.92 | 471% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL [] | $514.52 | $514.52 | $92.61–$457.92 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN. | $514.52 | $514.52 | $92.61–$457.92 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER [CHS] | $114.33 | $114.33 | $29.14–$101.75 | 26% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER [CHS] | $114.33 | $114.33 | $20.58–$101.75 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE [] | $1,080.53 | $1,080.53 | $59.39–$961.67 | 394% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH | $1,080.53 | $1,080.53 | $59.39–$961.67 | 394% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE ASSAY [] | $1,080.53 | $1,080.53 | $59.39–$961.67 | 394% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE ASSAY [] | $1,080.53 | $1,080.53 | $194.50–$961.67 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH | $1,080.53 | $1,080.53 | $194.50–$961.67 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE [] | $1,080.53 | $1,080.53 | $194.50–$961.67 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME . [] | $356.52 | $356.52 | $8.64–$317.30 | 560% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL. [] | $356.52 | $356.52 | $8.64–$317.30 | 560% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD | $356.52 | $356.52 | $8.64–$317.30 | 560% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $356.52 | $356.52 | $8.64–$317.30 | 560% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT; PLASMA OR WHOLE BLOOD | $356.52 | $356.52 | $64.17–$317.30 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL. [] | $356.52 | $356.52 | $64.17–$317.30 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME . [] | $356.52 | $356.52 | $64.17–$317.30 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME | $356.52 | $356.52 | $64.17–$317.30 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE ASSAY | $599.83 | $599.83 | $30.01–$533.85 | 431% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY | $599.83 | $599.83 | $107.97–$533.85 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN ASSAY | $555.83 | $555.83 | $27.88–$494.69 | 379% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN ASSAY | $555.83 | $555.83 | $100.05–$494.69 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE - VISUALLY INTERPRETED DEVICE [PATH] | $52.08 | $52.08 | $15.31–$52.16 | 59% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 NICOTINE - VISUALLY INTERPRETED DEVICE [PATH] | $52.08 | $52.08 | $9.37–$46.35 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE [] | $291.33 | $291.33 | $8.16–$259.28 | 421% above | — |
| Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR | $291.33 | $291.33 | $8.16–$259.28 | 421% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $291.33 | $291.33 | $8.16–$259.28 | 421% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR | $291.33 | $291.33 | $52.44–$259.28 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUAN RHEUM FACTOR | $291.33 | $291.33 | $52.44–$259.28 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE [] | $291.33 | $291.33 | $52.44–$259.28 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGM | $69.38 | $69.38 | $20.40–$61.75 | 43% above | — |
| Rubella antibody test (immunity check) CPT 86762 AB; RUBELLA.. | $316.52 | $316.52 | $20.70–$281.70 | 550% above | — |
| Rubella antibody test (immunity check) CPT 86762 AB; RUBELLA. [] | $316.52 | $316.52 | $20.70–$281.70 | 550% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY [PATH] | $316.52 | $316.52 | $20.70–$281.70 | 550% above | — |
| Rubella antibody test (immunity check) CPT 86762 AB; RUBELLA | $316.52 | $316.52 | $20.70–$281.70 | 550% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $316.52 | $316.52 | $20.70–$281.70 | 550% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGM ANTIBODY R | $316.52 | $316.52 | $20.70–$281.70 | 550% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGM | $69.38 | $69.38 | $12.49–$61.75 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 AB; RUBELLA | $316.52 | $316.52 | $56.97–$281.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY [PATH] | $316.52 | $316.52 | $56.97–$281.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGM ANTIBODY R | $316.52 | $316.52 | $56.97–$281.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $316.52 | $316.52 | $56.97–$281.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 AB; RUBELLA.. | $316.52 | $316.52 | $56.97–$281.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 AB; RUBELLA. [] | $316.52 | $316.52 | $56.97–$281.70 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED [CHS] | $15.25 | $15.25 | $3.89–$13.57 | 73% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED [CHS] | $15.25 | $15.25 | $2.75–$13.57 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $413.35 | $413.35 | $40.87–$367.88 | 220% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $413.35 | $413.35 | $74.40–$367.88 | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES... [] | $341.91 | $341.91 | $12.81–$304.30 | 284% above | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES, DIR SMR W ID | $341.91 | $341.91 | $12.81–$304.30 | 284% above | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $341.91 | $341.91 | $12.81–$304.30 | 284% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $341.91 | $341.91 | $61.54–$304.30 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES... [] | $341.91 | $341.91 | $61.54–$304.30 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES, DIR SMR W ID | $341.91 | $341.91 | $61.54–$304.30 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, RPR, STS; QUAL | $225.43 | $225.43 | $6.14–$200.63 | 320% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, RPR, STS; QUAL | $225.43 | $225.43 | $40.58–$200.63 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $983.53 | $983.53 | $89.17–$875.34 | 360% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 T-SPOT TB | $983.53 | $983.53 | $89.17–$875.34 | 360% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 T-SPOT TB | $983.53 | $983.53 | $177.04–$875.34 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $983.53 | $983.53 | $177.04–$875.34 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $732.27 | $732.27 | $37.13–$651.72 | 638% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL | $732.27 | $732.27 | $37.13–$651.72 | 638% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL [] | $732.27 | $732.27 | $37.13–$651.72 | 638% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE | $732.27 | $732.27 | $131.81–$651.72 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL | $732.27 | $732.27 | $131.81–$651.72 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL [] | $732.27 | $732.27 | $131.81–$651.72 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL TPO ABS | $459.95 | $459.95 | $20.93–$409.36 | 412% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB, EACH | $459.95 | $459.95 | $20.93–$409.36 | 412% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES [] | $459.95 | $459.95 | $20.93–$409.36 | 412% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES [][] | $459.95 | $459.95 | $20.93–$409.36 | 412% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES [] | $459.95 | $459.95 | $82.79–$409.36 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB, EACH | $459.95 | $459.95 | $82.79–$409.36 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI MICROSOMAL TPO ABS | $459.95 | $459.95 | $82.79–$409.36 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES [][] | $459.95 | $459.95 | $82.79–$409.36 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $730.75 | $730.75 | $50.47–$650.37 | 736% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $730.75 | $730.75 | $131.54–$650.37 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URIN DIP, A W MICRO | $203.41 | $203.41 | $4.56–$181.03 | 89% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URIN DIP, A W MICRO. [] | $203.41 | $203.41 | $4.56–$181.03 | 89% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URIN DIP, A W MICRO | $203.41 | $203.41 | $36.61–$181.03 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URIN DIP, A W MICRO. [] | $203.41 | $203.41 | $36.61–$181.03 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, BACTERIAL; URINE | $337.00 | $337.00 | $11.60–$299.93 | 137% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, BACTERIAL; URINE | $337.00 | $337.00 | $60.66–$299.93 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $441.06 | $441.06 | $21.69–$392.54 | 386% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $441.06 | $441.06 | $79.39–$392.54 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D ASSAY [] | $746.09 | $746.09 | $42.59–$664.02 | 506% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY | $746.09 | $746.09 | $42.59–$664.02 | 506% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D ASSAY [] | $746.09 | $746.09 | $134.30–$664.02 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY | $746.09 | $746.09 | $134.30–$664.02 | — | — |
| Zinc blood test CPT 84630 ZINC | $319.95 | $319.95 | $16.39–$284.76 | 363% above | — |
| Zinc blood test inpatient CPT 84630 ZINC | $319.95 | $319.95 | $57.59–$284.76 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC (HCG), QUAN | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC(HCG), QUAN | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHRONIC GONADOTROPIN [] | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHRONIC GONADOTROPIN | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-TUMOR MARKER | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-TOTAL | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE [] | $585.79 | $585.79 | $21.65–$521.35 | 433% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHRONIC GONADOTROPIN [] | $585.79 | $585.79 | $105.44–$521.35 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHRONIC GONADOTROPIN | $585.79 | $585.79 | $105.44–$521.35 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC (HCG), QUAN | $585.79 | $585.79 | $105.44–$521.35 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC(HCG), QUAN | $585.79 | $585.79 | $105.44–$521.35 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG-TUMOR MARKER | $585.79 | $585.79 | $105.44–$521.35 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG-TOTAL | $585.79 | $585.79 | $105.44–$521.35 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE [] | $585.79 | $585.79 | $105.44–$521.35 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE 1X MAX/SESSION | $1,335.40 | $1,335.40 | $105.00–$1,188.51 | 140% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE 1X MAX/SESSION | $1,335.40 | $1,335.40 | $240.37–$1,188.51 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC [HRC] | $10,244.58 | $10,244.58 | $2,607.94–$9,117.68 | 193% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC [HRC] | $10,244.58 | $10,244.58 | $1,844.02–$9,117.68 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DISTAL FIB FX WO MANIP [SED] | $1,101.44 | $1,101.44 | $323.82–$980.28 | 136% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DISTAL FIB FX WO MANIP | $1,101.44 | $1,101.44 | $323.82–$980.28 | 136% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DISTAL FIB FX WO MANIP | $1,101.44 | $1,101.44 | $198.26–$980.28 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DISTAL FIB FX WO MANIP [SED] | $1,101.44 | $1,101.44 | $198.26–$980.28 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX WO MANIP | $780.12 | $780.12 | $140.42–$694.31 | 179% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX WO MANIP [SED] | $780.12 | $780.12 | $140.42–$694.31 | 179% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSAL FX WO MANIP | $780.12 | $780.12 | $140.42–$694.31 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSAL FX WO MANIP [SED] | $780.12 | $780.12 | $140.42–$694.31 | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH W/COR ANGIO W/W/O LVG | $24,328.47 | $24,328.47 | $5,414.90–$21,652.34 | 104% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART CATH W/COR ANGIO W/W/O LVG | $24,328.47 | $24,328.47 | $4,379.12–$21,652.34 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [C2] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [A6] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [A5] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [P6] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [P5-NEURO/TELE] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [P7] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [L&D] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [J8] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [A3/A4] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [A4] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE [CLRR] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [T-A] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [PEDI] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [PACU] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [CATHLB] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [P3] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [PREOP] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [ED] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NIC--CARDIOVERSION ELECTRIC EXT | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [DIALYSIS] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [C3 - PCU] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [C6] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [C5] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [EP] | $4,071.33 | $4,071.33 | $1,019.27–$15,750.00 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [C7] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT [SED] | $4,071.33 | $4,071.33 | $1,019.27–$3,623.48 | 182% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [P3] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [C3 - PCU] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [PEDI] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [PACU] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NIC--CARDIOVERSION ELECTRIC EXT | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [ED] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [C7] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [SED] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [CATHLB] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [DIALYSIS] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [C6] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [A5] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [A6] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [C5] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [P6] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [P5-NEURO/TELE] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [P7] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [L&D] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [J8] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [A3/A4] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [A4] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE [CLRR] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [T-A] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [PREOP] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [C2] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT [EP] | $4,071.33 | $4,071.33 | $732.84–$3,623.48 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL [EP] | $116,149.82 | $116,149.82 | $15,750.00–$103,373.34 | 222% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL [EP] | $116,149.82 | $116,149.82 | $15,750.00–$103,373.34 | 222% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL [EP] | $116,149.82 | $116,149.82 | $20,906.97–$103,373.34 | — | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL [EP] | $116,149.82 | $116,149.82 | $20,906.97–$103,373.34 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH CLAMP [OP PEDI] | $17,636.81 | $17,636.81 | $3,365.94–$15,696.76 | 1336% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH CLAMP [PEDI] | $17,636.81 | $17,636.81 | $3,365.94–$15,696.76 | 1336% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH CLAMP [NICU] | $17,636.81 | $17,636.81 | $3,365.94–$15,696.76 | 1336% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH CLAMP | $17,636.81 | $17,636.81 | $3,365.94–$15,696.76 | 1336% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH CLAMP [NICU] | $17,636.81 | $17,636.81 | $3,174.63–$15,696.76 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH CLAMP [OP PEDI] | $17,636.81 | $17,636.81 | $3,174.63–$15,696.76 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH CLAMP | $17,636.81 | $17,636.81 | $3,174.63–$15,696.76 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH CLAMP [PEDI] | $17,636.81 | $17,636.81 | $3,174.63–$15,696.76 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX RADIUS DISTAL CLSD WO/MANIP. [SED] | $1,499.82 | $1,499.82 | $269.97–$1,334.84 | 193% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX RADIUS DISTAL CLSD WO/MANIP. | $1,499.82 | $1,499.82 | $269.97–$1,334.84 | 193% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX RADIUS DISTAL CLSD WO/MANIP. [SED] | $1,499.82 | $1,499.82 | $269.97–$1,334.84 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX RADIUS DISTAL CLSD WO/MANIP. | $1,499.82 | $1,499.82 | $269.97–$1,334.84 | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] | $6,133.45 | $6,133.45 | $1,803.23–$5,458.77 | 539% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] | $6,133.45 | $6,133.45 | $1,104.02–$5,458.77 | — | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/TUMOR REMOVAL,FLEXIBLE--GI | $6,424.87 | $6,424.87 | $1,888.91–$5,718.13 | 437% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/TUMOR REMOVAL,FLEXIBLE--GI | $6,424.87 | $6,424.87 | $1,156.48–$5,718.13 | — | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY,FLEXIBLE W/BIOPSY--GI | $7,208.77 | $7,208.77 | $1,908.02–$6,415.81 | 473% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY,FLEXIBLE W/BIOPSY--GI | $7,208.77 | $7,208.77 | $1,297.58–$6,415.81 | — | — |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY--GI | $6,595.58 | $6,595.58 | $1,451.37–$5,870.07 | 328% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY--GI | $6,595.58 | $6,595.58 | $1,187.20–$5,870.07 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/INSERT URETERAL STENT | $16,831.31 | $16,831.31 | $4,200.00–$14,979.87 | 288% above | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO W/INSERT URETERAL STENT | $16,831.31 | $16,831.31 | $3,029.64–$14,979.87 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY [P6] | $3,043.32 | $3,043.32 | $894.74–$4,200.00 | 165% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY [CCU] | $3,043.32 | $3,043.32 | $894.74–$4,200.00 | 165% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY [P6] | $3,043.32 | $3,043.32 | $547.80–$2,708.55 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY [CCU] | $3,043.32 | $3,043.32 | $547.80–$2,708.55 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR BENIGN/PM LES; 1ST | $1,172.25 | $1,172.25 | $105.00–$1,043.30 | 486% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR BENIGN/PM LES; 1ST | $1,172.25 | $1,172.25 | $211.01–$1,043.30 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI (ED) | $516.86 | $516.86 | $104.52–$460.01 | 321% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI [SED] | $516.86 | $516.86 | $104.52–$460.01 | 321% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI (ED) | $516.86 | $516.86 | $93.03–$460.01 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI [SED] | $516.86 | $516.86 | $93.03–$460.01 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN. | $555.15 | $555.15 | $104.52–$494.08 | 248% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN [HBO] | $555.15 | $555.15 | $104.52–$494.08 | 248% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN. [SED] | $555.15 | $555.15 | $104.52–$494.08 | 248% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN. | $555.15 | $555.15 | $99.93–$494.08 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN. [SED] | $555.15 | $555.15 | $99.93–$494.08 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN [HBO] | $555.15 | $555.15 | $99.93–$494.08 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC [PLZARAD] | $3,657.79 | $3,657.79 | $1,075.39–$3,255.43 | 154% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC [DXRAD] | $3,657.79 | $3,657.79 | $1,075.39–$3,255.43 | 154% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC [DXRAD] | $3,657.79 | $3,657.79 | $658.40–$3,255.43 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC [PLZARAD] | $3,657.79 | $3,657.79 | $658.40–$3,255.43 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV [CT] | $4,671.92 | $4,671.92 | $1,373.54–$4,200.00 | 176% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV [DXRAD] | $4,671.92 | $4,671.92 | $1,373.54–$4,200.00 | 176% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV [PLZARAD] | $4,671.92 | $4,671.92 | $1,373.54–$4,200.00 | 176% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV [PLZARAD] | $4,671.92 | $4,671.92 | $840.95–$4,158.01 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV [CT] | $4,671.92 | $4,671.92 | $840.95–$4,158.01 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV [DXRAD] | $4,671.92 | $4,671.92 | $840.95–$4,158.01 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC [TMSC] | $6,068.12 | $6,068.12 | $1,092.26–$5,400.63 | 6% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC [TMSC] | $6,068.12 | $6,068.12 | $1,092.26–$5,400.63 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY.--GI | $4,288.36 | $4,288.36 | $771.90–$4,200.00 | 367% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY.--GI | $4,288.36 | $4,288.36 | $771.90–$3,816.64 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $4,081.72 | $4,081.72 | $734.71–$4,200.00 | 358% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S) | $4,081.72 | $4,081.72 | $734.71–$3,632.73 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS [TMSC] | $298.76 | $298.76 | $53.78–$265.90 | 36% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [C2] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [PEDI] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [P3] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [DIALYSIS] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [HBO] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [C5] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [C7] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE [SED] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [OBED] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [A5] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [A6] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [C3 PCU] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [P6] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [C6] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [P5-NEURO/TELE] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [P7] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [L&D] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [J8] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [A3/A4] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL [A4] | $1,573.38 | $1,573.38 | $105.00–$1,400.31 | 236% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS [TMSC] | $298.76 | $298.76 | $53.78–$265.90 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [OBED] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE [SED] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [C7] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [C5] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [HBO] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [J8] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [A3/A4] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [A4] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [PEDI] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [P3] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [DIALYSIS] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [A5] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [A6] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [C3 PCU] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [C2] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [P6] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [C6] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [P5-NEURO/TELE] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [P7] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL [L&D] | $1,573.38 | $1,573.38 | $283.21–$1,400.31 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/TRIGGER PTS/LIG/GANG CYST | $1,921.16 | $1,921.16 | $345.81–$1,709.83 | 335% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT [CT] | $1,921.16 | $1,921.16 | $345.81–$4,200.00 | 335% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/TRIGGER PTS/LIG/GANG CYST [SED] | $1,921.16 | $1,921.16 | $345.81–$1,709.83 | 335% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT [CT] | $1,921.16 | $1,921.16 | $345.81–$1,709.83 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON/TRIGGER PTS/LIG/GANG CYST [SED] | $1,921.16 | $1,921.16 | $345.81–$1,709.83 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON/TRIGGER PTS/LIG/GANG CYST | $1,921.16 | $1,921.16 | $345.81–$1,709.83 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASPIRATE LG JOINT, BURSA, GANGLION CYST [ED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A3/A4] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A4] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [PLZARAD] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [PEDI] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [T-A] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [DXRAD] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASPIRATE LG JOINT, BURSA, GANGLION CYST [SED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C7] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATE OR INJECT MAJOR JOINT ( INTV RAD ) | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [DIALYSIS] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P3] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A5] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A6] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C3] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C2] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C5] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P6] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C6] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P5-NEURO/TELE] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P7] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US (J8) | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 247% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C7] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [DXRAD] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASPIRATE LG JOINT, BURSA, GANGLION CYST [ED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P3] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [PEDI] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [T-A] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [PLZARAD] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [DIALYSIS] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A6] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C3] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C2] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C5] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P6] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [C6] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P5-NEURO/TELE] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [P7] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US (J8) | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A3/A4] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A4] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US [A5] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASPIRATE LG JOINT, BURSA, GANGLION CYST [SED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATE OR INJECT MAJOR JOINT ( INTV RAD ) | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P6] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C5] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C2] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [PEDI] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US [DXRAD] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [T-A] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US [PLZARAD] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ/ASPIRATE INTERMEDIATE JOINT,BURSE OR GANGLION CYST | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [DIALYSIS] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ/ASPIRATE INTRMED JOINT,BURSE OR GANGLION CYST [SED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P3] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A3/A4] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [J8] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P7] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P5-NEURO/TELE] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C7] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C6] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATE OF INJECT MED JOINT ( INTV RAD ) | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A4] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A5] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A6] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C3] | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 249% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C6] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A5] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A6] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C3] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C2] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C5] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P6] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P5-NEURO/TELE] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P7] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [J8] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A3/A4] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [A4] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US [PLZARAD] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [T-A] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [PEDI] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [P3] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASPIRATE INTERMEDIATE JOINT,BURSE OR GANGLION CYST | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [DIALYSIS] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATE OF INJECT MED JOINT ( INTV RAD ) | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US [C7] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASPIRATE INTRMED JOINT,BURSE OR GANGLION CYST [SED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US [DXRAD] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ/ASPIRTE SM JNT,BURSE,GANGLN CYST(F/T) [SED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | 479% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ/ASPIRATE SM JOINT,BURSE OR GANGLION CYST(FINGERS TOES) | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | 479% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATE OF INJECT SMALL JOINT ( INTV RAD ) | $2,055.60 | $2,055.60 | $370.01–$4,200.00 | 479% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATE OF INJECT SMALL JOINT ( INTV RAD ) | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ/ASPIRATE SM JOINT,BURSE OR GANGLION CYST(FINGERS TOES) | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ/ASPIRTE SM JNT,BURSE,GANGLN CYST(F/T) [SED] | $2,055.60 | $2,055.60 | $370.01–$1,829.48 | — | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY [HBW] | $19,815.84 | $19,815.84 | $2,215.84–$17,636.10 | 8% above | — |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 LAP SLEEVE GASTRECTOMY [HBW] | $19,815.84 | $19,815.84 | $3,566.85–$17,636.10 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC/I SCALP/AXILL/TRUNK/EXT LESS THAN 2.5 CM [SED] | $1,017.57 | $1,017.57 | $183.16–$905.64 | 91% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC/I SCALP/AXILL/TRUNK/EXT LESS THAN 2.5 CM | $1,017.57 | $1,017.57 | $183.16–$905.64 | 91% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC/I SCALP/AXILL/TRUNK/EXT LESS THAN 2.5 CM | $1,017.57 | $1,017.57 | $183.16–$905.64 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC/I SCALP/AXILL/TRUNK/EXT LESS THAN 2.5 CM [SED] | $1,017.57 | $1,017.57 | $183.16–$905.64 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH W/LVG | $27,499.72 | $27,499.72 | $5,414.90–$24,474.75 | 179% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH W/LVG | $27,499.72 | $27,499.72 | $4,949.95–$24,474.75 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC W-IMAGE GUIDNC [INTV RAD] | $4,141.18 | $4,141.18 | $1,187.59–$3,685.65 | 147% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC [DXRAD] | $4,141.18 | $4,141.18 | $1,187.59–$3,685.65 | 147% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC [PLZARAD] | $4,141.18 | $4,141.18 | $1,187.59–$3,685.65 | 147% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC [DXRAD] | $4,141.18 | $4,141.18 | $745.41–$3,685.65 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC W-IMAGE GUIDNC [INTV RAD] | $4,141.18 | $4,141.18 | $745.41–$3,685.65 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC [PLZARAD] | $4,141.18 | $4,141.18 | $745.41–$3,685.65 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S [PLZARAD] | $4,671.92 | $4,671.92 | $1,373.54–$4,200.00 | 240% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S [DXRAD] | $4,671.92 | $4,671.92 | $1,373.54–$4,200.00 | 240% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S [INTV RAD] | $4,671.92 | $4,671.92 | $1,373.54–$4,200.00 | 240% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S [PLZARAD] | $4,671.92 | $4,671.92 | $840.95–$4,158.01 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S [DXRAD] | $4,671.92 | $4,671.92 | $840.95–$4,158.01 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S [INTV RAD] | $4,671.92 | $4,671.92 | $840.95–$4,158.01 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL SINGLE SIMPLE [HBO] | $562.73 | $562.73 | $105.00–$500.83 | 94% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL SINGLE SIMPLE. | $562.73 | $562.73 | $165.44–$500.83 | 94% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL SINGLE SIMPLE. [SED] | $562.73 | $562.73 | $165.44–$500.83 | 94% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL SINGLE SIMPLE [HBO] | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL SINGLE SIMPLE. [SED] | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL SINGLE SIMPLE. | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH ; GREATER OCCIPITAL NERVE (ED) | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | 430% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH ; GREATER OCCIPITAL NERVE [OR] | $2,263.73 | $2,263.73 | $407.47–$4,200.00 | 430% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANESTHETIC AGT; GT OCCIPITAL NERVE [INF] | $2,263.73 | $2,263.73 | $407.47–$4,200.00 | 430% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANESTHETIC AGT; GT OCCIPITAL NERVE [OPI] | $2,263.73 | $2,263.73 | $407.47–$4,200.00 | 430% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL [PLZARAD] | $2,263.73 | $2,263.73 | $407.47–$4,200.00 | 430% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH ; GREATER OCCIPITAL NERVE [SED] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | 430% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL [DXRAD] | $2,263.73 | $2,263.73 | $407.47–$4,200.00 | 430% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION ANESTHETIC AGT; GT OCCIPITAL NERVE [INF] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL [DXRAD] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION ANESTHETIC AGT; GT OCCIPITAL NERVE [OPI] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL [PLZARAD] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH ; GREATER OCCIPITAL NERVE [OR] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH ; GREATER OCCIPITAL NERVE (ED) | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH ; GREATER OCCIPITAL NERVE [SED] | $2,263.73 | $2,263.73 | $407.47–$2,014.72 | — | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W-IMAGING -- [A5] | $4,762.55 | $4,762.55 | $1,400.19–$4,238.67 | 193% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W-IMAGING -- US | $4,762.61 | $4,762.61 | $1,400.21–$4,238.72 | 193% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING [TC] | $4,762.61 | $4,762.61 | $1,400.21–$4,238.72 | 193% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING -- ( INTV RAD ) | $4,762.61 | $4,762.61 | $1,400.21–$4,238.72 | 193% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W-IMAGING -- CT | $4,762.61 | $4,762.61 | $1,400.21–$4,238.72 | 193% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING [SED] | $4,762.61 | $4,762.61 | $1,400.21–$4,238.72 | 193% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W-IMAGING -- [A5] | $4,762.55 | $4,762.55 | $857.26–$4,238.67 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W-IMAGING -- US | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING -- ( INTV RAD ) | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W-IMAGING -- CT | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING [SED] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING [TC] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED [SED] | $3,443.23 | $3,443.23 | $619.78–$3,064.47 | 554% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED (ED) | $3,443.23 | $3,443.23 | $619.78–$3,064.47 | 554% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED [SED] | $3,443.23 | $3,443.23 | $619.78–$3,064.47 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED (ED) | $3,443.23 | $3,443.23 | $619.78–$3,064.47 | — | — |
| Prostate biopsy CPT 55700 PROSTATE BX US | $14,231.65 | $14,231.65 | $3,365.94–$12,666.17 | 442% above | — |
| Prostate biopsy inpatient CPT 55700 PROSTATE BX US | $14,231.65 | $14,231.65 | $2,561.70–$12,666.17 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT [DXRAD] | $9,965.71 | $9,965.71 | $2,929.92–$8,869.48 | 254% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT [PLZARAD] | $9,965.71 | $9,965.71 | $2,929.92–$8,869.48 | 254% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT [PLZARAD] | $9,965.71 | $9,965.71 | $1,793.83–$8,869.48 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT [DXRAD] | $9,965.71 | $9,965.71 | $1,793.83–$8,869.48 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FOREIGN BODY, SUB Q TISSUES, SIMPLE [SED] | $971.46 | $971.46 | $174.86–$864.60 | 83% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FOREIGN BODY, SUB Q TISSUES, SIMPLE | $971.46 | $971.46 | $174.86–$864.60 | 83% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FOREIGN BODY, SUB Q TISSUES, SIMPLE | $971.46 | $971.46 | $174.86–$864.60 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FOREIGN BODY, SUB Q TISSUES, SIMPLE [SED] | $971.46 | $971.46 | $174.86–$864.60 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN COLONOSCOPY PT NOT HI RISK--GI | $6,304.24 | $6,304.24 | $1,451.37–$5,610.77 | 827% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCRN COLONOSCOPY PT NOT HI RISK--GI | $6,304.24 | $6,304.24 | $1,134.76–$5,610.77 | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY ON HI RISK PT--GI | $5,033.76 | $5,033.76 | $1,451.37–$4,480.05 | 402% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCRN COLONOSCOPY ON HI RISK PT--GI | $5,033.76 | $5,033.76 | $906.08–$4,480.05 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE-UNILAT | $36,813.77 | $36,813.77 | $5,735.23–$32,764.26 | 410% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE-UNILAT | $36,813.77 | $36,813.77 | $6,626.48–$32,764.26 | — | — |
| Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM. | $836.96 | $836.96 | $207.16–$744.89 | 247% above | — |
| Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM. [SED] | $836.96 | $836.96 | $207.16–$744.89 | 247% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM. | $836.96 | $836.96 | $150.65–$744.89 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM. [SED] | $836.96 | $836.96 | $150.65–$744.89 | — | — |
| Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG. [SED] | $868.71 | $868.71 | $156.37–$773.15 | 225% above | — |
| Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG. | $868.71 | $868.71 | $156.37–$773.15 | 225% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG. [SED] | $868.71 | $868.71 | $156.37–$773.15 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG. | $868.71 | $868.71 | $156.37–$773.15 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC/S SCALP/NECK/TRUNK/EXTREMITIES/EXT GEN 2.5 OR LESS | $957.17 | $957.17 | $281.41–$851.88 | 162% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC/S SCALP/NECK/TRUNK/EXTR/EXT GEN 2.5 OR LESS [SED] | $957.17 | $957.17 | $281.41–$851.88 | 162% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC/S SCALP/NECK/TRUNK/EXTR/EXT GEN 2.5 OR LESS [SED] | $957.17 | $957.17 | $172.29–$851.88 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC/S SCALP/NECK/TRUNK/EXTREMITIES/EXT GEN 2.5 OR LESS | $957.17 | $957.17 | $172.29–$851.88 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION [A3] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 215% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION [HBO] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 215% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION [SED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 215% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION [A5] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 215% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION [ED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 215% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION [SED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION [A5] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION [A3] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION [ED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION [HBO] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS LESS THAN/EQL TO 15 LESIONS (WBN) | $562.73 | $562.73 | $105.00–$500.83 | 77% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS LESS THAN/EQL TO 15 LESIONS [SED] | $562.73 | $562.73 | $165.44–$500.83 | 77% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS LESS THAN/EQL TO 15 LESIONS (ED) | $562.73 | $562.73 | $165.44–$500.83 | 77% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS LESS THAN/EQL TO 15 LESIONS (WBN) | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS LESS THAN/EQL TO 15 LESIONS [SED] | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS LESS THAN/EQL TO 15 LESIONS (ED) | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A4] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [OBED] | $3,627.81 | $3,627.81 | $1,066.58–$3,228.75 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG. [SED] | $3,627.81 | $3,627.81 | $1,066.58–$3,228.75 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C7] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C5] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C6] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P6] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [PEDI] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE [DXRAD] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG ( INTV RAD ) | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [DIALYSIS] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG. | $3,627.81 | $3,627.81 | $1,066.58–$3,228.75 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [PREOP] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [PACU] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG [NICU] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG [M/BABY] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [T-A] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P3] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A3/A4] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A5] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A6] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C3] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C2] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P5-NEURO/TELE] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P7] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [L&D] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [J8] | $3,627.81 | $3,627.81 | $1,066.58–$4,200.00 | 247% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A5] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A6] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [L&D] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P7] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C6] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C5] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C7] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG. [SED] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [OBED] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P5-NEURO/TELE] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C2] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [C3] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P3] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [T-A] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG [M/BABY] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG [NICU] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [PACU] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [PREOP] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG. | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [DIALYSIS] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG ( INTV RAD ) | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE [DXRAD] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [PEDI] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [P6] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A4] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [J8] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC [A3/A4] | $3,627.81 | $3,627.81 | $653.01–$3,228.75 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/S SCALP/NECK/TRNK/EXTREM/EXT GEN 2.6-7.5CM [SED] | $1,023.93 | $1,023.93 | $301.04–$911.30 | 124% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/S SCALP/NECK/TRNK/EXTREM/EXT GEN 2.6-7.5CM | $1,023.93 | $1,023.93 | $301.04–$911.30 | 124% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC/S SCALP/NECK/TRNK/EXTREM/EXT GEN 2.6-7.5CM | $1,023.93 | $1,023.93 | $184.31–$911.30 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC/S SCALP/NECK/TRNK/EXTREM/EXT GEN 2.6-7.5CM [SED] | $1,023.93 | $1,023.93 | $184.31–$911.30 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC/S FACE/EAR/EYE/NOSE/LIPS 2.5CM OR LESS | $990.40 | $990.40 | $291.18–$881.46 | 154% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC/S FACE/EAR/EYE/NOSE/LIPS 2.5CM OR LESS [SED] | $990.40 | $990.40 | $291.18–$881.46 | 154% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC/S FACE/EAR/EYE/NOSE/LIPS 2.5CM OR LESS [SED] | $990.40 | $990.40 | $178.27–$881.46 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC/S FACE/EAR/EYE/NOSE/LIPS 2.5CM OR LESS | $990.40 | $990.40 | $178.27–$881.46 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION [HBO] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 292% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION [SED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 292% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION [ED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | 292% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION [SED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION [ED] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION [HBO] | $1,413.30 | $1,413.30 | $254.39–$1,257.84 | — | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [A5] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [TC] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING ( INTV RAD ) | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [CT] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [US] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [SED] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [A6] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING [P5] | $4,762.61 | $4,762.61 | $1,197.97–$4,238.72 | 235% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [A5] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [TC] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING ( INTV RAD ) | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [CT] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [US] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [SED] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [P5] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING [A6] | $4,762.61 | $4,762.61 | $857.27–$4,238.72 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCLES (ED) | $1,741.01 | $1,741.01 | $313.38–$1,549.50 | 202% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL [PLZARAD] | $1,741.01 | $1,741.01 | $313.38–$4,200.00 | 202% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCLES [SED] | $1,741.01 | $1,741.01 | $313.38–$1,549.50 | 202% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL [DXRAD] | $1,741.01 | $1,741.01 | $313.38–$4,200.00 | 202% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCLES (ED) | $1,741.01 | $1,741.01 | $313.38–$1,549.50 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCLES [SED] | $1,741.01 | $1,741.01 | $313.38–$1,549.50 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL [DXRAD] | $1,741.01 | $1,741.01 | $313.38–$1,549.50 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL [PLZARAD] | $1,741.01 | $1,741.01 | $313.38–$1,549.50 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG [US] | $10,244.58 | $10,244.58 | $2,607.94–$9,117.68 | 272% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG [US] | $10,244.58 | $10,244.58 | $1,844.02–$9,117.68 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPHAGEAL BALLOON DILATION LESS THAN 30MM DIAM [GI] | $6,504.69 | $6,504.69 | $1,912.38–$5,789.17 | 343% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPHAGEAL BALLOON DILATION LESS THAN 30MM DIAM [GI] | $6,504.69 | $6,504.69 | $1,170.84–$5,789.17 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY--GI | $6,362.32 | $6,362.32 | $1,493.25–$5,662.46 | 380% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY--GI | $6,362.32 | $6,362.32 | $1,145.22–$5,662.46 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W SUBMUCOS INJ [GI] | $5,031.18 | $5,031.18 | $1,479.17–$4,477.75 | 588% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W SUBMUCOS INJ [GI] | $5,031.18 | $5,031.18 | $905.61–$4,477.75 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/TUMOR REMOVAL-SNARE--GI | $6,089.90 | $6,089.90 | $1,790.43–$5,420.01 | 435% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/TUMOR REMOVAL-SNARE--GI | $6,089.90 | $6,089.90 | $1,096.18–$5,420.01 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ESOPHAGEAL GUIDEWIRE DILATION--GI | $5,515.01 | $5,515.01 | $1,493.25–$4,908.36 | 654% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 ESOPHAGEAL GUIDEWIRE DILATION--GI | $5,515.01 | $5,515.01 | $992.70–$4,908.36 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 E G DUODENOSCOPY [GI] | $5,635.00 | $5,635.00 | $1,493.25–$5,015.15 | 287% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 E G DUODENOSCOPY [GI] | $5,635.00 | $5,635.00 | $1,014.30–$5,015.15 | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST INCL US [ENDO] | $18,438.41 | $18,438.41 | $4,200.00–$16,410.18 | 1284% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST INCL US [ENDO] | $18,438.41 | $18,438.41 | $3,318.91–$16,410.18 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CYSTO W LITHOTRIPSY - UNILATERAL | $36,813.77 | $36,813.77 | $7,875.00–$32,764.26 | 395% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient one side CPT 52353 CYSTO W LITHOTRIPSY - UNILATERAL | $36,813.77 | $36,813.77 | $6,626.48–$32,764.26 | — | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CYSTO/URETERO W/LITHOTRIPSY W/STENT - UNILATERAL | $25,635.67 | $25,635.67 | $7,536.89–$22,815.75 | 378% above | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient one side CPT 52356 CYSTO/URETERO W/LITHOTRIPSY W/STENT - UNILATERAL | $25,635.67 | $25,635.67 | $4,614.42–$22,815.75 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN [NIC] | $14,187.28 | $14,187.28 | $4,171.06–$12,626.68 | 241% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN [NIC] | $14,187.28 | $14,187.28 | $2,553.71–$12,626.68 | — | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 [SED] | $562.73 | $562.73 | $165.44–$500.83 | 181% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 [ED] | $562.73 | $562.73 | $165.44–$500.83 | 181% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 [SED] | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 [ED] | $562.73 | $562.73 | $101.29–$500.83 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUB Q TISSUE 1ST 20 SQ CM/< [C7] | $1,774.61 | $1,774.61 | $521.74–$4,200.00 | 75% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN, SUBCUTANEOUS TISSUE | $2,755.67 | $2,755.67 | $607.07–$4,200.00 | 172% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< [EP] | $2,755.67 | $2,755.67 | $607.07–$4,200.00 | 172% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUB Q TISSUE [SED] | $2,755.67 | $2,755.67 | $607.07–$2,452.55 | 172% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUB Q TISSUE | $2,755.67 | $2,755.67 | $607.07–$2,452.55 | 172% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUB Q TISSUE 1ST 20 SQ CM/< [C7] | $1,774.61 | $1,774.61 | $319.43–$1,579.40 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUB Q TISSUE | $2,755.67 | $2,755.67 | $496.02–$2,452.55 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUB Q TISSUE [SED] | $2,755.67 | $2,755.67 | $496.02–$2,452.55 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN, SUBCUTANEOUS TISSUE | $2,755.67 | $2,755.67 | $496.02–$2,452.55 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< [EP] | $2,755.67 | $2,755.67 | $496.02–$2,452.55 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 NIC--TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $2,140.46 | $2,140.46 | $385.28–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - REPEAT VISIT [SED] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (C7) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [PRE-OP] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS [HCR] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COM [C5] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS P6 | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [EP] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (CCU) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (C6) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [P5-NEURO/TELE] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [P7] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (PCU) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (P7) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (J8) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD COMPONENTS [OPI] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [A4] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [A3/A4] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (CLRR) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (A-T) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (A5) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (NICU) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (ANESTHESIA) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (PACU) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (P3-PCU) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (ENDOSCOPY)-GI | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (OR] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [INF] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (C4) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (TCU) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (PEDI) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (NSY) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (OB/GYN) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (RENAL DIALYSIS) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD REPEAT VISIT [DIALYSIS] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (CHF) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS [INTVRAD] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (A6) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD COMPONENTS [N-ADMIN] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD COMPONENTS (ONC) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD REPEAT VISIT [OBED] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (OBED) | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [SED] | $2,140.50 | $2,140.50 | $385.29–$4,200.00 | 142% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 NIC--TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $2,140.46 | $2,140.46 | $385.28–$1,905.01 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [EP] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (C6) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (ANESTHESIA) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (PACU) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (P3-PCU) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (ENDOSCOPY)-GI | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (OR] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [INF] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (C4) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (TCU) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (PEDI) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (NSY) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (OB/GYN) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (RENAL DIALYSIS) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD REPEAT VISIT [DIALYSIS] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (CHF) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS [INTVRAD] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (A6) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (PCU) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [P7] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [P5-NEURO/TELE] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (CCU) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF BLOOD OR BLOOD COMPONENTS [N-ADMIN] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF BLOOD OR BLOOD COMPONENTS (ONC) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD REPEAT VISIT [OBED] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (OBED) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - REPEAT VISIT [SED] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [SED] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (C7) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [PRE-OP] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS [HCR] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COM [C5] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS P6 | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (P7) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (J8) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF BLOOD OR BLOOD COMPONENTS [OPI] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [A4] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS [A3/A4] | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (CLRR) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (A-T) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (A5) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS (NICU) | $2,140.50 | $2,140.50 | $385.29–$1,905.05 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN-MDI-IPPB AIRWAY INHALTN TRMT [PULM] | $1,065.75 | $1,065.75 | $191.84–$948.52 | 424% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN-MDI-IPPB AIRWAY INHALTN TRMT [RESP] | $1,065.75 | $1,065.75 | $191.84–$948.52 | 424% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN-MDI-IPPB AIRWAY INHALTN TRMT [PULM] | $1,065.75 | $1,065.75 | $191.84–$948.52 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN-MDI-IPPB AIRWAY INHALTN TRMT [RESP] | $1,065.75 | $1,065.75 | $191.84–$948.52 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY IV INFUSION 1 HR [P7] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [NA] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR DS MED - (OIS) | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY IV INFUSION 1 HR [C7] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR DS MED - [C-6] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR DS MED [C5] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR A6 | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [PEDI] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [INF] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [A-T] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [P3] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [A3/A4] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION TO 1 HR [A4] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [OPI] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR J8 | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR P6 | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY INFUSION TO 1 HR [P5-NEURO/TELE] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY IV INFUSION 1 HR [C2] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY IV INFUSION 1 HR [C3] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 THRPY IV INFUSION 1 HR [A5] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | 153% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION TO 1 HR [A4] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [A-T] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY IV INFUSION 1 HR [C3] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY IV INFUSION 1 HR [C2] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [P5-NEURO/TELE] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY IV INFUSION 1 HR [P7] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR P6 | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR J8 | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [OPI] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [INF] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [NA] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY IV INFUSION 1 HR [A5] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [A3/A4] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [P3] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR DS MED - (OIS) | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY IV INFUSION 1 HR [C7] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR DS MED - [C-6] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR DS MED [C5] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR A6 | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 THRPY INFUSION TO 1 HR [PEDI] | $1,365.62 | $1,365.62 | $245.81–$1,215.40 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE INIT 30-74 MIN [ED] | $8,893.20 | $8,893.20 | $2,614.60–$7,914.95 | 243% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE INITL 30-74 MIN [SED] | $8,893.20 | $8,893.20 | $2,614.60–$7,914.95 | 243% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC INIT 30-74M TRAUMA EVAL W/O PREHOSP NOTIFY [HMCS/HMCB] | $14,325.70 | $14,325.70 | $3,760.00–$12,749.87 | 453% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC INIT 30-74M TRAUMA EVAL W/O PREHOSP NOTIFY [HMCN] | $19,693.20 | $19,693.20 | $3,760.00–$17,526.95 | 660% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC INIT 30-74M TRAUMA PARTIAL W/O PREHOSP NOTIFY [HMCS/HMCB] | $19,758.21 | $19,758.21 | $3,760.00–$17,584.81 | 662% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC INIT 30-74M TRAUMA FULL W/O PREHOSP NOTIFY [HMCS/HMCB] | $24,987.21 | $24,987.21 | $3,760.00–$22,238.62 | 864% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC INIT 30-74M TRAUMA PARTIAL TEAM W/O PREHOSP NOTIFY [HMCN] | $25,093.20 | $25,093.20 | $3,760.00–$22,332.95 | 868% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC INIT 30-74M TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCN] | $30,493.20 | $30,493.20 | $3,760.00–$27,138.95 | 1077% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE INITL 30-74 MIN [SED] | $8,893.20 | $8,893.20 | $1,600.78–$7,914.95 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE INIT 30-74 MIN [ED] | $8,893.20 | $8,893.20 | $1,600.78–$7,914.95 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC INIT 30-74M TRAUMA EVAL W/O PREHOSP NOTIFY [HMCS/HMCB] | $14,325.70 | $14,325.70 | $2,578.63–$12,749.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC INIT 30-74M TRAUMA EVAL W/O PREHOSP NOTIFY [HMCN] | $19,693.20 | $19,693.20 | $3,544.78–$17,526.95 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC INIT 30-74M TRAUMA PARTIAL W/O PREHOSP NOTIFY [HMCS/HMCB] | $19,758.21 | $19,758.21 | $3,556.48–$17,584.81 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC INIT 30-74M TRAUMA FULL W/O PREHOSP NOTIFY [HMCS/HMCB] | $24,987.21 | $24,987.21 | $4,497.70–$22,238.62 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC INIT 30-74M TRAUMA PARTIAL TEAM W/O PREHOSP NOTIFY [HMCN] | $25,093.20 | $25,093.20 | $4,516.78–$22,332.95 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC INIT 30-74M TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCN] | $30,493.20 | $30,493.20 | $5,488.78–$27,138.95 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $1,888.60 | $1,888.60 | $339.95–$1,680.85 | 93% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY | $1,888.60 | $1,888.60 | $339.95–$1,680.85 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM | $634.67 | $634.67 | $114.24–$564.86 | 119% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG WITH MAGNET | $634.67 | $634.67 | $114.24–$564.86 | 119% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG WITHOUT MAGNET | $634.67 | $634.67 | $114.24–$564.86 | 119% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING [HOPD CARD] | $634.67 | $634.67 | $114.24–$564.86 | 119% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM. | $634.67 | $634.67 | $114.24–$564.86 | 119% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING W/O I&R [CHF] | $634.67 | $634.67 | $114.24–$564.86 | 119% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM | $634.67 | $634.67 | $114.24–$564.86 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM. | $634.67 | $634.67 | $114.24–$564.86 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG WITHOUT MAGNET | $634.67 | $634.67 | $114.24–$564.86 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG WITH MAGNET | $634.67 | $634.67 | $114.24–$564.86 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING W/O I&R [CHF] | $634.67 | $634.67 | $114.24–$564.86 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING [HOPD CARD] | $634.67 | $634.67 | $114.24–$564.86 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY EVAL LEVEL 1 [OBED] | $731.73 | $731.73 | $215.13–$651.24 | 179% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY EVAL LEVEL 1 [ED] | $731.73 | $731.73 | $215.13–$651.24 | 179% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY EVAL LEVEL 1 [SED] | $731.73 | $731.73 | $215.13–$651.24 | 179% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY EVAL LEVEL 1 [OBED] | $731.73 | $731.73 | $131.71–$651.24 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY EVAL LEVEL 1 [ED] | $731.73 | $731.73 | $131.71–$651.24 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY EVAL LEVEL 1 [SED] | $731.73 | $731.73 | $131.71–$651.24 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY EVAL LEVEL 2 [OBED] | $1,373.12 | $1,373.12 | $403.70–$1,222.08 | 193% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY EVAL LEVEL 2 [ED] | $1,373.12 | $1,373.12 | $403.70–$1,222.08 | 193% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY EVAL LEVEL 2 [SED] | $1,373.12 | $1,373.12 | $403.70–$1,222.08 | 193% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY EVAL LEVEL 2 [OBED] | $1,373.12 | $1,373.12 | $247.16–$1,222.08 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY EVAL LEVEL 2 [SED] | $1,373.12 | $1,373.12 | $247.16–$1,222.08 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY EVAL LEVEL 2 [ED] | $1,373.12 | $1,373.12 | $247.16–$1,222.08 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY EVAL LEVEL 3 [SANE] | $271.77 | $271.77 | $79.90–$1,204.00 | 66% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY EVAL LEVEL 3 [SED] | $2,041.58 | $2,041.58 | $600.22–$1,817.01 | 158% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY EVAL LEVEL 3 [OBED] | $2,041.58 | $2,041.58 | $600.22–$1,817.01 | 158% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY EVAL LEVEL 3 [ED] | $2,041.58 | $2,041.58 | $600.22–$1,817.01 | 158% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/M 3 TRAUMA EVALUATION W/O PREHOSP NOTIFY [HMCS/HMCB] | $7,474.09 | $7,474.09 | $945.00–$6,651.94 | 844% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/M 3 TRAUMA EVALUATION W/O PREHOSPITAL NOTIFY [HMCN] | $12,841.58 | $12,841.58 | $945.00–$11,429.01 | 1522% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY EVAL LEVEL 3 [SANE] | $271.77 | $271.77 | $48.92–$241.88 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY EVAL LEVEL 3 [ED] | $2,041.58 | $2,041.58 | $367.48–$1,817.01 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY EVAL LEVEL 3 [OBED] | $2,041.58 | $2,041.58 | $367.48–$1,817.01 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY EVAL LEVEL 3 [SED] | $2,041.58 | $2,041.58 | $367.48–$1,817.01 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/M 3 TRAUMA EVALUATION W/O PREHOSP NOTIFY [HMCS/HMCB] | $7,474.09 | $7,474.09 | $1,345.34–$6,651.94 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/M 3 TRAUMA EVALUATION W/O PREHOSPITAL NOTIFY [HMCN] | $12,841.58 | $12,841.58 | $2,311.48–$11,429.01 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY EVAL LEVEL 4 [OBED] | $4,064.08 | $4,064.08 | $1,194.84–$3,617.03 | 210% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY EVAL LEVEL 4 [ED] | $4,064.08 | $4,064.08 | $1,194.84–$3,617.03 | 210% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY EVAL LEVEL 4 [SED] | $4,064.08 | $4,064.08 | $1,194.84–$3,617.03 | 210% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/M 4 TRAUMA PARTIAL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $14,929.10 | $14,929.10 | $1,860.00–$13,286.90 | 1040% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/M 4 TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $20,060.90 | $20,060.90 | $1,860.00–$17,854.20 | 1432% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/M 4 TRAUMA PARTIAL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $20,264.08 | $20,264.08 | $1,860.00–$18,035.03 | 1447% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/M 4 TRAUMA FULL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $25,664.08 | $25,664.08 | $1,860.00–$22,841.03 | 1859% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY EVAL LEVEL 4 [OBED] | $4,064.08 | $4,064.08 | $731.53–$3,617.03 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY EVAL LEVEL 4 [SED] | $4,064.08 | $4,064.08 | $731.53–$3,617.03 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY EVAL LEVEL 4 [ED] | $4,064.08 | $4,064.08 | $731.53–$3,617.03 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/M 4 TRAUMA PARTIAL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $14,929.10 | $14,929.10 | $2,687.24–$13,286.90 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/M 4 TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $20,060.90 | $20,060.90 | $3,610.96–$17,854.20 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/M 4 TRAUMA PARTIAL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $20,264.08 | $20,264.08 | $3,647.53–$18,035.03 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/M 4 TRAUMA FULL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $25,664.08 | $25,664.08 | $4,619.53–$22,841.03 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY EVAL LEVEL 5 [SANE] | $271.77 | $271.77 | $79.90–$4,760.00 | 86% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY EVAL LEVEL 5 [SED] | $8,893.20 | $8,893.20 | $2,614.60–$7,914.95 | 343% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY EVAL LEVEL 5 [ED] | $8,893.20 | $8,893.20 | $2,614.60–$7,914.95 | 343% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY EVAL LEVEL 5 [OBED] | $8,893.20 | $8,893.20 | $2,614.60–$7,914.95 | 343% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/M 5 TRAUMA PARTIAL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $19,758.21 | $19,758.21 | $3,760.00–$17,584.81 | 884% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/M 5 TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $24,987.21 | $24,987.21 | $3,760.00–$22,238.62 | 1145% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/M 5 TRAUMA PARTIAL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $25,093.20 | $25,093.20 | $3,760.00–$22,332.95 | 1150% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/M 5 TRAUMA FULL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $30,493.20 | $30,493.20 | $3,760.00–$27,138.95 | 1419% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY EVAL LEVEL 5 [SANE] | $271.77 | $271.77 | $48.92–$241.88 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY EVAL LEVEL 5 [ED] | $8,893.20 | $8,893.20 | $1,600.78–$7,914.95 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY EVAL LEVEL 5 [OBED] | $8,893.20 | $8,893.20 | $1,600.78–$7,914.95 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY EVAL LEVEL 5 [SED] | $8,893.20 | $8,893.20 | $1,600.78–$7,914.95 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/M 5 TRAUMA PARTIAL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $19,758.21 | $19,758.21 | $3,556.48–$17,584.81 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/M 5 TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] | $24,987.21 | $24,987.21 | $4,497.70–$22,238.62 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/M 5 TRAUMA PARTIAL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $25,093.20 | $25,093.20 | $4,516.78–$22,332.95 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/M 5 TRAUMA FULL TEAM W/O PREHOSPITAL NOTIFY [HMCN] | $30,493.20 | $30,493.20 | $5,488.78–$27,138.95 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST-CARDIOVASCULAR. | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | 134% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING [ NUC MED] | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | 134% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST,CARDIOVASCULAR [SED] | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | 134% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST-CARDIOVASCULAR (CARDIAC REHAB) | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | 134% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST,CARDIOVASCULAR | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | 134% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST-CARDIOVASCULAR. | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST; TRACING [ NUC MED] | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST,CARDIOVASCULAR [SED] | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST-CARDIOVASCULAR (CARDIAC REHAB) | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST,CARDIOVASCULAR | $3,003.66 | $3,003.66 | $540.66–$2,673.26 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION [31 MIN TO 1 HR] [HDC] | $484.24 | $484.24 | $87.16–$430.97 | 8% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [A-6] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [P5-NEURO/TELE] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [P7] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - P6 | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [OPI] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [J8] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [A4] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [A3/A4] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [A-T] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [A5] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT [NICU] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT 31-60 MINS- (P3-PCU) | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - (PRE-OP) | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - PACU | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT [INF] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - C4 | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [ED] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [L&D] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [DIALYSIS] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - (NIC) | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INITIAL [PEDI] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [C-3] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [C-6] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [C-2] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT [C5] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [VC] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - [C7] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [SED] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION [PLAZA] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [OBED] | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT - (OIS) | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUSION; INIT | $826.41 | $826.41 | $148.75–$735.50 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION [31 MIN TO 1 HR] [HDC] | $484.24 | $484.24 | $87.16–$430.97 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - (OIS) | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [OBED] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION [PLAZA] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [SED] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [C7] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [VC] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT [C5] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [C-2] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [C-6] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [C-3] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [A-6] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INITIAL [PEDI] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - (NIC) | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [DIALYSIS] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [L&D] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [ED] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - C4 | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT [INF] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - PACU | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - (PRE-OP) | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT 31-60 MINS- (P3-PCU) | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT [NICU] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS [A-T] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [A3/A4] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [A5] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [P5-NEURO/TELE] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [A4] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [J8] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [OPI] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - P6 | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUSION; INIT - [P7] | $826.41 | $826.41 | $148.75–$735.50 | — | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THER INIT HR | $343.32 | $343.32 | $61.80–$305.55 | 27% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [SED] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR C6 | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [P5-NEURO/TELE] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [P7] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR P6 | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (OB/GYN) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [OPI] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (J8) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [A4] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [A3/A4] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (HRAD) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (C4) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; 16 MIN TO 1 HR (CLRR) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (A-T) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR PEDI | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR A5 | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [NICU] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR P3 PCU | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (DS) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR - PACU | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [INF] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR TCU | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [ED] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [DIALYSIS] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (NIC) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (CHF) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (RAD) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (RADT) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (NM) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (CT) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (US) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (MRI) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (PUL) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (HB) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (A6) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (C3) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (C2) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [C5] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (HCR) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (VC) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR C7 | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR [SED] | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR (OBED) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR DS MED (OIS) | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX; TO 1 HR | $993.82 | $993.82 | $178.89–$884.50 | 112% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THER INIT HR | $343.32 | $343.32 | $61.80–$305.55 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR PEDI | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR A5 | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [NICU] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR DS MED (OIS) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (OBED) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [SED] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [SED] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR P3 PCU | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (DS) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR - PACU | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [INF] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR TCU | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [ED] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [DIALYSIS] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (NIC) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (CHF) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; 16 MIN TO 1 HR (CLRR) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (HRAD) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (C4) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (A-T) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (RAD) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (RADT) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (NM) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (CT) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (US) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (MRI) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (PUL) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (HB) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (A6) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (C3) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (C2) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [C5] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (HCR) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (VC) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR C7 | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (J8) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [OPI] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR (OB/GYN) | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR P6 | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [P7] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [P5-NEURO/TELE] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR C6 | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [A4] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX; TO 1 HR [A3/A4] | $993.82 | $993.82 | $178.89–$884.50 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ | $124.35 | $124.35 | $22.38–$110.67 | 18% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (J8) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (P7) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM - [OPI] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [A4] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [A3/A4] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (HRAD) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (CLRR) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [A-T] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (A5) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (NICU) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (P3-PCU) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (DS) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM - PACU | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [INF] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (C4) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM [HOPD] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP THERAP OR DX INJ, SQ OR IM (TCU) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (L&D) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (RENAL DIALYSIS) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM - (NIC) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (CHF) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (RAD) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [INTV RAD] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (RADT) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (NM) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (CT) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (US) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (MRI) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (PUL) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (HB) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (PEDI) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (A6) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (PCU) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [P5-NEURO/TELE] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (C6) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (CCU) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM P6 | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [C5] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (HCR) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM (C7) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP THERAP OR DX INJ, SQ OR IM [SED] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [OBED] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM - (OIS) | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DX INJ, SQ OR IM [NA] | $391.73 | $391.73 | $70.51–$348.64 | 158% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SUBQ | $124.35 | $124.35 | $22.38–$110.67 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (DS) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM - PACU | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (P3-PCU) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM - (OIS) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [OBED] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP THERAP OR DX INJ, SQ OR IM [SED] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (C7) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (HCR) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [C5] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM P6 | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (CCU) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (C6) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [P5-NEURO/TELE] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (PCU) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (A6) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (PEDI) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (HB) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (PUL) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (MRI) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (US) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (CT) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (P7) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (J8) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM - [OPI] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [A4] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [A3/A4] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (HRAD) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (CLRR) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [A-T] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (A5) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (NICU) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [INF] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (C4) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM [HOPD] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP THERAP OR DX INJ, SQ OR IM (TCU) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (L&D) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (RENAL DIALYSIS) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM - (NIC) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (NM) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (RADT) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [INTV RAD] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (RAD) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM (CHF) | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP OR DX INJ, SQ OR IM [NA] | $391.73 | $391.73 | $70.51–$348.64 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $2,480.44 | $2,480.44 | $446.48–$2,207.59 | 228% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES / PEDICLE STIMULATION [OR] | $2,480.44 | $2,480.44 | $446.48–$2,207.59 | 228% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES / PEDICLE STIMULATION [OR] | $2,480.44 | $2,480.44 | $446.48–$2,207.59 | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $2,480.44 | $2,480.44 | $446.48–$2,207.59 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL INITIAL ASSESSMENT (VENDOR) | $217.48 | $217.48 | $39.15–$193.56 | 276% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THERAPY; EACH 15M | $217.48 | $217.48 | $39.15–$193.56 | 276% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL INITIAL ASSESSMENT | $217.48 | $217.48 | $39.15–$193.56 | 276% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL INITIAL ASSESSMENT (VENDOR) | $217.48 | $217.48 | $39.15–$193.56 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITION THERAPY; EACH 15M | $217.48 | $217.48 | $39.15–$193.56 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL INITIAL ASSESSMENT | $217.48 | $217.48 | $39.15–$193.56 | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR [EEG] | $1,245.49 | $1,245.49 | $224.19–$1,108.49 | 306% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR [EEG] | $1,245.49 | $1,245.49 | $224.19–$1,108.49 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3+ TO 10 MIN | $112.87 | $112.87 | $20.32–$100.45 | 163% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN [HBO] | $112.87 | $112.87 | $20.32–$100.45 | 163% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3+ TO 10 MIN [LNC] | $112.87 | $112.87 | $20.32–$100.45 | 163% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN [HBO] | $112.87 | $112.87 | $20.32–$100.45 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3+ TO 10 MIN [LNC] | $112.87 | $112.87 | $20.32–$100.45 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3+ TO 10 MIN | $112.87 | $112.87 | $20.32–$100.45 | — | — |
| Spirometry (breathing test) CPT 94010 PFT BASIC | $1,044.06 | $1,044.06 | $187.93–$929.21 | 193% above | — |
| Spirometry (breathing test) CPT 94010 PEAK EXPIRATORY FLOW RATE | $1,044.06 | $1,044.06 | $187.93–$929.21 | 193% above | — |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION BASIC STUDY | $1,044.06 | $1,044.06 | $187.93–$929.21 | 193% above | — |
| Spirometry (breathing test) CPT 94010 OCC HEALTH SPIROMETRY [PULM REHAB] | $1,044.06 | $1,044.06 | $187.93–$929.21 | 193% above | — |
| Spirometry (breathing test) inpatient CPT 94010 OCC HEALTH SPIROMETRY [PULM REHAB] | $1,044.06 | $1,044.06 | $187.93–$929.21 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 PFT BASIC | $1,044.06 | $1,044.06 | $187.93–$929.21 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 PEAK EXPIRATORY FLOW RATE | $1,044.06 | $1,044.06 | $187.93–$929.21 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION BASIC STUDY | $1,044.06 | $1,044.06 | $187.93–$929.21 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PFT BEFORE AND AFTER BRONCHODILATOR | $1,350.60 | $1,350.60 | $243.11–$1,202.03 | 127% above | — |
| Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION B/A BD | $1,350.60 | $1,350.60 | $243.11–$1,202.03 | 127% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION B/A BD | $1,350.60 | $1,350.60 | $243.11–$1,202.03 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT BEFORE AND AFTER BRONCHODILATOR | $1,350.60 | $1,350.60 | $243.11–$1,202.03 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY. | $537.70 | $537.70 | $158.08–$478.55 | 126% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $537.70 | $537.70 | $158.08–$478.55 | 126% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC (ONC) | $537.70 | $537.70 | $158.08–$478.55 | 126% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC [PEDI] | $537.70 | $537.70 | $158.08–$478.55 | 126% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC [OPI] | $537.70 | $537.70 | $158.08–$478.55 | 126% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC [INF] | $537.70 | $537.70 | $158.08–$478.55 | 126% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC (ONC) | $537.70 | $537.70 | $96.79–$478.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC [PEDI] | $537.70 | $537.70 | $96.79–$478.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $537.70 | $537.70 | $96.79–$478.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY. | $537.70 | $537.70 | $96.79–$478.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC [OPI] | $537.70 | $537.70 | $96.79–$478.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC [INF] | $537.70 | $537.70 | $96.79–$478.55 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE NO PRESERV 4 YEARS AND OLDER IM (0117-02) | $25.89 | $25.89 | $6.21–$23.04 | 46% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL TRIV PFS 2025-2026 (45MCG/0.5ML) [0904-52] | $161.25 | $161.25 | $38.70–$143.51 | 238% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE NO PRESERV 5 YEARS AND OLDER IM(0012-01) | $170.49 | $170.49 | $40.92–$151.74 | 258% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE NO PRESERV 3 AND OLDER IM [0012-50] | $193.89 | $193.89 | $46.53–$172.56 | 307% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE 10 DOSE 2013-14 VACC [0392-15] | $1,642.15 | $1,642.15 | $394.12–$1,461.51 | 3346% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE NO PRESERV 4 YEARS AND OLDER IM (0117-02) | $25.89 | $25.89 | $4.66–$23.04 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL TRIV PFS 2025-2026 (45MCG/0.5ML) [0904-52] | $161.25 | $161.25 | $29.03–$143.51 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE NO PRESERV 5 YEARS AND OLDER IM(0012-01) | $170.49 | $170.49 | $30.69–$151.74 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE NO PRESERV 3 AND OLDER IM [0012-50] | $193.89 | $193.89 | $34.90–$172.56 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE 10 DOSE 2013-14 VACC [0392-15] | $1,642.15 | $1,642.15 | $295.59–$1,461.51 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 IM ADULT HEP-A VACCINE [0826-46] | $1,013.80 | $1,013.80 | $243.31–$902.28 | 350% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 IM ADULT HEP-A VACCINE [0826-46] | $1,013.80 | $1,013.80 | $182.48–$902.28 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC ADULT 3 DOSE IM/PF [0821-52+] | $747.75 | $747.75 | $179.46–$665.50 | 316% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC ADULT 3 DOSE IM/PF [0821-52+] | $747.75 | $747.75 | $134.60–$665.50 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE 2019-2020 180MCG/0.5ML | $529.55 | $529.55 | $127.09–$471.30 | 255% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE TRIV HD PFS 2025-2026 (180MCG/0.5ML) [0125-65] | $618.39 | $618.39 | $148.41–$550.37 | 314% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE TRIV HD PFS 24-25 (180MCG/0.5ML SYR) [0124-65] | $618.39 | $618.39 | $148.41–$550.37 | 314% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 2022-2023 FLUZONE HD QUADV PF VACCINE [0122-65] | $677.40 | $677.40 | $162.58–$602.89 | 354% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE QIV HD PFS 23-24 10 NR [0123-65] | $710.88 | $710.88 | $170.61–$632.68 | 376% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE 2019-20 VACCINE 65YRS AND UP [040565] | $726.69 | $726.69 | $174.41–$646.75 | 387% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE IIV4HD PFS2021-22 (6MOS-UP) | $837.33 | $837.33 | $200.96–$745.22 | 461% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE 2019-2020 180MCG/0.5ML | $529.55 | $529.55 | $95.32–$471.30 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE TRIV HD PFS 24-25 (180MCG/0.5ML SYR) [0124-65] | $618.39 | $618.39 | $111.31–$550.37 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE TRIV HD PFS 2025-2026 (180MCG/0.5ML) [0125-65] | $618.39 | $618.39 | $111.31–$550.37 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 2022-2023 FLUZONE HD QUADV PF VACCINE [0122-65] | $677.40 | $677.40 | $121.93–$602.89 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE QIV HD PFS 23-24 10 NR [0123-65] | $710.88 | $710.88 | $127.96–$632.68 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE 2019-20 VACCINE 65YRS AND UP [040565] | $726.69 | $726.69 | $130.80–$646.75 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE IIV4HD PFS2021-22 (6MOS-UP) | $837.33 | $837.33 | $150.72–$745.22 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 SQ MMR VACCINE [4681-00] | $1,131.05 | $1,131.05 | $271.45–$1,006.63 | 357% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 SQ MMR VACCINE [4681-00] | $1,131.05 | $1,131.05 | $203.59–$1,006.63 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM [0955-09] | $1,538.16 | $1,538.16 | $276.87–$1,368.96 | 334% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE IM [0589-05] | $2,070.40 | $2,070.40 | $496.90–$1,842.66 | 484% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM VACC IM [0955-09] | $1,538.16 | $1,538.16 | $276.87–$1,368.96 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE IM [0589-05] | $2,070.40 | $2,070.40 | $372.67–$1,842.66 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE IM [0976-20] | $2,344.20 | $2,344.20 | $421.96–$2,086.34 | 287% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACC 2 DOSE IM [0976-20] | $2,344.20 | $2,344.20 | $421.96–$2,086.34 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 PFS 0.5 ML UD [2000-02+] | $3,363.42 | $3,363.42 | $807.22–$2,993.44 | 497% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 PFS 0.5 ML UD [2000-02+] | $3,363.42 | $3,363.42 | $605.42–$2,993.44 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO VACCINE PPSV23 2+ YRS IM/SQ | $1,188.40 | $1,188.40 | $285.22–$1,057.68 | 370% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 0.5ML (4943-00) | $1,366.48 | $1,366.48 | $327.96–$1,216.17 | 440% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO VACCINE PPSV23 2+ YRS IM/SQ | $1,188.40 | $1,188.40 | $213.91–$1,057.68 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 0.5ML (4943-00) | $1,366.48 | $1,366.48 | $245.97–$1,216.17 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM [0575-15] | $6,070.27 | $6,070.27 | $1,456.86–$5,402.54 | 519% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN .5ML IM [0575-15] | $6,070.27 | $6,070.27 | $1,092.65–$5,402.54 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM 120MCG/0.5ML [2465-01] | $2,896.39 | $2,896.39 | $695.13–$2,577.79 | 355% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC PREF BIVALENT IM 120MCG/0.5ML [2465-01] | $2,896.39 | $2,896.39 | $521.35–$2,577.79 | — | — |
| Rabies vaccine, one dose CPT 90675 IM RABIES VACCINE PER 1ML [0501-02] | $4,977.82 | $4,977.82 | $1,194.68–$4,430.26 | 385% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 IM RABIES VACCINE PER 1ML [0501-02] | $4,977.82 | $4,977.82 | $896.01–$4,430.26 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE 7YRS UP IM [0215-15] | $327.72 | $327.72 | $78.65–$291.67 | 161% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE 7YRS UP IM [0215-15] | $327.72 | $327.72 | $58.99–$291.67 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 & OLDER IM [0842-52] | $625.58 | $625.58 | $150.14–$556.77 | 301% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 & OLDER IM [0842-52] | $625.58 | $625.58 | $112.60–$556.77 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE [NA] | $298.61 | $298.61 | $53.75–$265.76 | 300% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $298.61 | $298.61 | $53.75–$265.76 | 300% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE [NA] | $298.61 | $298.61 | $53.75–$265.76 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $298.61 | $298.61 | $53.75–$265.76 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC | $91.59 | $91.59 | $16.49–$81.52 | 71% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC | $91.59 | $91.59 | $16.49–$81.52 | — | — |