St Luke's Hospital - Carbon Campus
St Luke's Hospital - Carbon Campus in Lehighton, PA publishes cash prices for 309 common procedures listed here, from its own machine-readable price file updated Feb 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 269 of 304 procedures and below it for 26. By typical cash price it ranks #97 of 104 Pennsylvania hospitals and #5 of 9 hospitals in the Allentown, PA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
500 St Luke's Dr, Lehighton, PA 18235 Collected Sep 29, 2026 Source price file (610) 377-7001
Acute care hospital Emergency department CMS star rating 5 of 5 CCN 390335 · CMS hospital register NPI 1699340927
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HB X-RAY EXAM OF ANKLE (COMPLETE, 3 OR MORE VIEWS) | $830.00 | $1,000.00 | $87.64–$349.00 | 105% above | 17% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB X-RAY EXAM OF ANKLE (COMPLETE, 3 OR MORE VIEWS) | $830.00 | $1,000.00 | $259.50–$281.20 | — | 17% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB UPR/L XTREMITY ART 2 LEVELS | $616.69 | $743.00 | $57.57–$453.52 | 36% above | 17% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB VASCULAR SCREENING (SELF-PAY) | $1,452.50 | $1,750.00 | $57.57–$664.30 | 220% above | 17% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB UPR/L XTREMITY ART 2 LEVELS | $616.69 | $743.00 | $192.81–$208.93 | — | 17% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB VASCULAR SCREENING (SELF-PAY) | $1,452.50 | $1,750.00 | $454.12–$492.10 | — | 17% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB CONTRAST X-RAY ESOPHAGUS | $1,039.16 | $1,252.00 | $44.25–$497.68 | 134% above | 17% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB CONTRAST X-RAY ESOPHAGUS | $1,039.16 | $1,252.00 | $324.89–$352.06 | — | 17% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB BONE IMAGING WHOLE BODY | $5,581.75 | $6,725.00 | $119.75–$2,347.03 | 296% above | 17% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB BONE IMAGING WHOLE BODY | $5,581.75 | $6,725.00 | $1,745.14–$1,891.07 | — | 17% |
| Breast ultrasound, complete, one breast CPT 76641 HB ULTRASOUND BREAST COMPLETE | $600.09 | $723.00 | $105.85–$499.96 | 11% above | 17% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HB ULTRASOUND BREAST COMPLETE | $600.09 | $723.00 | $187.62–$203.31 | — | 17% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HB ULTRASOUND BREAST LIMITED | $460.65 | $555.00 | $87.64–$383.04 | at median | 17% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB ULTRASOUND BREAST LIMITED | $460.65 | $555.00 | $144.02–$156.07 | — | 17% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIOGRAPHY CHEST | $5,207.42 | $6,274.00 | $177.20–$2,451.31 | 230% above | 17% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CT ANGIOGRAPHY CHEST | $5,207.42 | $6,274.00 | $1,628.10–$1,764.25 | — | 17% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT ANGIO HRT W/3D IMAGE | $3,387.23 | $4,081.00 | $353.22–$1,864.36 | 86% above | 17% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT ANGIO HRT W/3D IMAGE | $3,387.23 | $4,081.00 | $1,059.02–$1,147.58 | — | 17% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HRT W/O DYE W/CA TEST | $566.89 | $683.00 | $67.07–$919.89 | 309% above | 17% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HRT W/O DYE W/CA TEST | $566.89 | $683.00 | $177.24–$192.06 | — | 17% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABD & PELVIS W/O CONTRAST | $6,188.48 | $7,456.00 | $193.53–$2,602.14 | 211% above | 17% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABD & PELVIS W/O CONTRAST | $6,188.48 | $7,456.00 | $1,934.83–$2,096.63 | — | 17% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABD & PELV W/CONTRAST | $8,784.72 | $10,584.00 | $302.63–$3,693.82 | 194% above | 17% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABD & PELV W/CONTRAST | $8,784.72 | $10,584.00 | $2,746.55–$2,976.22 | — | 17% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD & PELV 1/> REGNS | $11,480.56 | $13,832.00 | $355.48–$4,827.37 | 285% above | 17% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABD & PELV 1/> REGNS | $11,480.56 | $13,832.00 | $3,589.40–$3,889.56 | — | 17% |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN W/DYE | $4,726.02 | $5,694.00 | $175.88–$2,080.47 | 186% above | 17% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABDOMEN W/DYE | $4,726.02 | $5,694.00 | $1,477.59–$1,601.15 | — | 17% |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN W/O DYE | $3,351.54 | $4,038.00 | $105.85–$1,409.26 | 198% above | 17% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABDOMEN W/O DYE | $3,351.54 | $4,038.00 | $1,047.86–$1,135.49 | — | 17% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL W/O DYE | $3,811.36 | $4,592.00 | $105.85–$1,602.61 | 232% above | 17% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT MAXILLOFACIAL W/O DYE | $3,811.36 | $4,592.00 | $1,191.62–$1,291.27 | — | 17% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD/BRAIN W/O DYE | $2,616.16 | $3,152.00 | $105.85–$1,221.72 | 141% above | 17% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD/BRAIN W/O DYE | $2,616.16 | $3,152.00 | $817.94–$886.34 | — | 17% |
| CT scan of the head with contrast CPT 70460 HB CT HEAD/BRAIN W/DYE | $3,818.00 | $4,600.00 | $154.10–$1,605.40 | 179% above | 17% |
| CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD/BRAIN W/DYE | $3,818.00 | $4,600.00 | $1,193.70–$1,293.52 | — | 17% |
| CT scan of the head without and with contrast CPT 70470 HB CT HEAD/BRAIN W/O & W/DYE | $5,740.28 | $6,916.00 | $177.20–$2,413.68 | 206% above | 17% |
| CT scan of the head without and with contrast inpatient CPT 70470 HB CT HEAD/BRAIN W/O & W/DYE | $5,740.28 | $6,916.00 | $1,794.70–$1,944.78 | — | 17% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE W/O DYE | $3,526.67 | $4,249.00 | $105.85–$1,482.90 | 196% above | 17% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMBAR SPINE W/O DYE | $3,526.67 | $4,249.00 | $1,102.62–$1,194.82 | — | 17% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT NECK SPINE W/O DYE | $3,526.67 | $4,249.00 | $105.85–$1,482.90 | 181% above | 17% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT NECK SPINE W/O DYE | $3,526.67 | $4,249.00 | $1,102.62–$1,194.82 | — | 17% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W/DYE | $4,057.87 | $4,889.00 | $165.31–$1,853.21 | 139% above | 17% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W/DYE | $4,057.87 | $4,889.00 | $1,268.70–$1,374.79 | — | 17% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB EXTRACRANIAL BILAT STUDY | $4,550.89 | $5,483.00 | $174.47–$2,081.35 | — | 17% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB EXTRACRANIAL BILAT STUDY | $4,550.89 | $5,483.00 | $1,422.84–$1,541.82 | — | 17% |
| Chest X-ray, 2 views CPT 71046 HB X-RAY EXAM CHEST 2 VIEWS | $633.29 | $763.00 | $27.90–$266.29 | 118% above | 17% |
| Chest X-ray, 2 views inpatient CPT 71046 HB X-RAY EXAM CHEST 2 VIEWS | $633.29 | $763.00 | $198.00–$214.56 | — | 17% |
| Chest X-ray, single view CPT 71045 HB X-RAY EXAM CHEST 1 VIEW | $528.71 | $637.00 | $18.27–$246.15 | 181% above | 17% |
| Chest X-ray, single view inpatient CPT 71045 HB X-RAY EXAM CHEST 1 VIEW | $528.71 | $637.00 | $165.30–$179.12 | — | 17% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US EXAM ABDO BACK WALL COMP | $1,963.78 | $2,366.00 | $96.17–$825.73 | 154% above | 17% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB US EXAM ABDO BACK WALL COMP | $1,963.78 | $2,366.00 | $613.98–$665.32 | — | 17% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA BONE DENSITY AXIAL | $728.74 | $878.00 | $70.93–$434.16 | 164% above | 17% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB DXA BONE DENSITY AXIAL | $728.74 | $878.00 | $227.84–$246.89 | — | 17% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DEXA BODY COMPOSITION ANALYSIS | $166.83 | $201.00 | $32.43–$255.53 | at median | 17% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA BONE DENSITY/PERIPHERAL | $333.66 | $402.00 | $32.43–$255.53 | 100% above | 17% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB DEXA BODY COMPOSITION ANALYSIS | $166.83 | $201.00 | $52.16–$56.52 | — | 17% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB DXA BONE DENSITY/PERIPHERAL | $333.66 | $402.00 | $104.32–$113.04 | — | 17% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB OB US DETAILED SNGL FETUS | $3,078.47 | $3,709.00 | $217.25–$1,294.44 | 186% above | 17% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB OB US DETAILED SNGL FETUS | $3,078.47 | $3,709.00 | $962.49–$1,042.97 | — | 17% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT THORAX W/O DYE | $3,526.67 | $4,249.00 | $105.85–$1,482.90 | 223% above | 17% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT THORAX W/O DYE | $3,526.67 | $4,249.00 | $1,102.62–$1,194.82 | — | 17% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT THORAX W/DYE | $4,901.98 | $5,906.00 | $166.92–$2,061.19 | 233% above | 17% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT THORAX W/DYE | $4,901.98 | $5,906.00 | $1,532.61–$1,660.77 | — | 17% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DX MAMMO INCL CAD BI | $1,268.24 | $1,528.00 | $153.22–$849.92 | — | 17% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB DX MAMMO INCL CAD BI | $1,268.24 | $1,528.00 | $396.52–$429.67 | — | 17% |
| Diagnostic mammogram, one breast CPT 77065 HB DX MAMMO INCL CAD UNI | $1,038.33 | $1,251.00 | $120.84–$664.42 | 241% above | 17% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HB DX MAMMO INCL CAD UNI | $1,038.33 | $1,251.00 | $324.63–$351.78 | — | 17% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB LOWER EXTREMITY STUDY (COMPLETE/BILATERAL) | $6,536.25 | $7,875.00 | $173.24–$2,989.35 | — | 17% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB LOWER EXTREMITY STUDY (COMPLETE/BILATERAL) | $6,536.25 | $7,875.00 | $2,043.56–$2,214.45 | — | 17% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB EXTREMITY STUDY (COMPLETE BILATERAL) | $6,536.25 | $7,875.00 | $173.06–$2,989.35 | — | 17% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB EXTREMITY STUDY (COMPLETE BILATERAL) | $6,536.25 | $7,875.00 | $2,043.56–$2,214.45 | — | 17% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TTE W/DOPPLER COMPLETE | $3,930.88 | $4,736.00 | $166.40–$2,832.00 | 107% above | 17% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TTE W/DOPPLER COMPLETE | $3,930.88 | $4,736.00 | $1,228.99–$1,331.76 | — | 17% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING | $4,794.08 | $5,776.00 | $285.63–$2,015.82 | 253% above | 17% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING | $4,794.08 | $5,776.00 | $1,498.87–$1,624.21 | — | 17% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOM 6/>YRS CPAP 4/> PARM | $15,910.27 | $19,169.00 | $764.12–$7,276.55 | 407% above | 17% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOM 6/>YRS CPAP 4/> PARM | $15,910.27 | $19,169.00 | $4,974.36–$5,390.32 | — | 17% |
| Knee X-ray, 3 views CPT 73562 HB X-RAY EXAM OF KNEE 3 | $801.78 | $966.00 | $87.64–$337.13 | 99% above | 17% |
| Knee X-ray, 3 views inpatient CPT 73562 HB X-RAY EXAM OF KNEE 3 | $801.78 | $966.00 | $250.68–$271.64 | — | 17% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB ECHO EXAM OF ABDOMEN | $1,459.97 | $1,759.00 | $73.75–$613.89 | 111% above | 17% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB ECHO EXAM OF ABDOMEN | $1,459.97 | $1,759.00 | $456.46–$494.63 | — | 17% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT THORAX LUNG CANCER SCREENING | $2,031.01 | $2,447.00 | $105.85–$880.88 | 664% above | 17% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB CT THORAX LUNG CANCER SCREENING | $2,031.01 | $2,447.00 | $635.00–$688.10 | — | 17% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI JNT OF LWR EXTRE W/O DYE | $5,684.67 | $6,849.00 | $240.60–$2,422.12 | 179% above | 17% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI JNT OF LWR EXTRE W/O DYE | $5,684.67 | $6,849.00 | $1,777.32–$1,925.94 | — | 17% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI JOINT LWR EXTR W/O&W/DYE | $12,486.52 | $15,044.00 | $355.48–$5,250.36 | 232% above | 17% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI JOINT LWR EXTR W/O&W/DYE | $12,486.52 | $15,044.00 | $3,903.92–$4,230.37 | — | 17% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O DYE | $5,702.93 | $6,871.00 | $240.60–$2,425.03 | 189% above | 17% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W/O DYE | $5,702.93 | $6,871.00 | $1,783.02–$1,932.13 | — | 17% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W/O & W/DYE | $12,508.10 | $15,070.00 | $355.48–$5,259.43 | 242% above | 17% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN W/O & W/DYE | $12,508.10 | $15,070.00 | $3,910.66–$4,237.68 | — | 17% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN STEM W/O DYE | $5,748.58 | $6,926.00 | $240.60–$2,430.13 | 223% above | 17% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN STEM W/O DYE | $5,748.58 | $6,926.00 | $1,797.30–$1,947.59 | — | 17% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN STEM W/O & W/DYE | $12,760.42 | $15,374.00 | $355.48–$5,365.53 | 347% above | 17% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN STEM W/O & W/DYE | $12,760.42 | $15,374.00 | $3,989.55–$4,323.17 | — | 17% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O DYE | $6,377.72 | $7,684.00 | $240.60–$2,681.72 | 256% above | 17% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O DYE | $6,377.72 | $7,684.00 | $1,994.00–$2,160.74 | — | 17% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W/O & W/DYE | $12,760.42 | $15,374.00 | $355.48–$5,365.53 | 283% above | 17% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE W/O & W/DYE | $12,760.42 | $15,374.00 | $3,989.55–$4,323.17 | — | 17% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI CHEST SPINE W/O DYE | $6,377.72 | $7,684.00 | $240.60–$2,681.72 | 208% above | 17% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI CHEST SPINE W/O DYE | $6,377.72 | $7,684.00 | $1,994.00–$2,160.74 | — | 17% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI NECK SPINE W/O & W/DYE | $12,760.42 | $15,374.00 | $355.48–$5,365.53 | 347% above | 17% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI NECK SPINE W/O & W/DYE | $12,760.42 | $15,374.00 | $3,989.55–$4,323.17 | — | 17% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI NECK SPINE W/O DYE | $5,748.58 | $6,926.00 | $240.60–$2,429.68 | 227% above | 17% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI NECK SPINE W/O DYE | $5,748.58 | $6,926.00 | $1,797.30–$1,947.59 | — | 17% |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS W/O & W/DYE | $12,508.10 | $15,070.00 | $355.48–$5,259.43 | 254% above | 17% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS W/O & W/DYE | $12,508.10 | $15,070.00 | $3,910.66–$4,237.68 | — | 17% |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O DYE | $5,644.00 | $6,800.00 | $240.60–$2,423.39 | 196% above | 17% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O DYE | $5,644.00 | $6,800.00 | $1,764.60–$1,912.16 | — | 17% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI JOINT UPR EXTREM W/O DYE | $5,684.67 | $6,849.00 | $240.60–$2,422.12 | 164% above | 17% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB MRI JOINT UPR EXTREM W/O DYE | $5,684.67 | $6,849.00 | $1,777.32–$1,925.94 | — | 17% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB HT MUSCLE IMAGE SPECT MULT | $5,398.32 | $6,504.00 | $402.14–$3,649.64 | 28% above | 17% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB HT MUSCLE IMAGE SPECT MULT | $5,398.32 | $6,504.00 | $1,687.79–$1,828.92 | — | 17% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET IMAGE W/CT SKULL-THIGH | $18,632.67 | $22,449.00 | $1,451.85–$7,834.70 | 171% above | 17% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET IMAGE W/CT SKULL-THIGH | $18,632.67 | $22,449.00 | $5,825.52–$6,312.66 | — | 17% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US EXAM PELVIC LIMITED | $1,055.76 | $1,272.00 | $37.76–$443.93 | 136% above | 17% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US EXAM PELVIC LIMITED | $1,055.76 | $1,272.00 | $330.08–$357.69 | — | 17% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US EXAM PELVIC COMPLETE | $1,520.56 | $1,832.00 | $90.27–$639.37 | 172% above | 17% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US EXAM PELVIC COMPLETE | $1,520.56 | $1,832.00 | $475.40–$515.16 | — | 17% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB OB US >/= 14 WKS SNGL FETUS | $1,777.86 | $2,142.00 | $91.45–$747.56 | 181% above | 17% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB OB US >/= 14 WKS SNGL FETUS | $1,777.86 | $2,142.00 | $555.85–$602.33 | — | 17% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB OB US < 14 WKS SINGLE FETUS | $908.02 | $1,094.00 | $99.23–$564.49 | 62% above | 17% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB OB US < 14 WKS SINGLE FETUS | $908.02 | $1,094.00 | $283.89–$307.63 | — | 17% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB OB US LIMITED FETUS(S) | $1,094.77 | $1,319.00 | $75.52–$460.33 | 124% above | 17% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB OB US LIMITED FETUS(S) | $1,094.77 | $1,319.00 | $342.28–$370.90 | — | 17% |
| Screening mammogram, both breasts both sides CPT 77067 HB SCR MAMMO BI INCL CAD | $687.24 | $828.00 | $123.55–$702.00 | — | 17% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HB SCR MAMMO BI INCL CAD | $687.24 | $828.00 | $214.87–$232.83 | — | 17% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-RAY EXAM OF SHOULDER (COMPLETE, 2 OR MORE VIEWS) | $724.59 | $873.00 | $87.64–$304.68 | 110% above | 17% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB X-RAY EXAM OF SHOULDER (COMPLETE, 2 OR MORE VIEWS) | $724.59 | $873.00 | $226.54–$245.49 | — | 17% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOM 6/> YRS 4/> PARAM | $14,433.70 | $17,390.00 | $408.94–$6,601.24 | 305% above | 17% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOM 6/> YRS 4/> PARAM | $14,433.70 | $17,390.00 | $4,512.70–$4,890.07 | — | 17% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB STRESS TTE COMPLETE | $2,638.57 | $3,179.00 | $218.94–$2,832.00 | 40% above | 17% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB STRESS TTE COMPLETE | $2,638.57 | $3,179.00 | $824.95–$893.93 | — | 17% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB CINE/VID X-RAY THROAT/ESOPH | $3,701.80 | $4,460.00 | $54.28–$1,556.54 | 527% above | 17% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB CINE/VID X-RAY THROAT/ESOPH | $3,701.80 | $4,460.00 | $1,157.37–$1,254.15 | — | 17% |
| Transvaginal pelvic ultrasound CPT 76830 HB TRANSVAGINAL US NON-OB | $842.45 | $1,015.00 | $90.27–$591.06 | 50% above | 17% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB TRANSVAGINAL US NON-OB | $842.45 | $1,015.00 | $263.39–$285.42 | — | 17% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB TRANSVAGINAL US OBSTETRIC | $1,253.30 | $1,510.00 | $103.36–$526.99 | 129% above | 17% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB TRANSVAGINAL US OBSTETRIC | $1,253.30 | $1,510.00 | $391.85–$424.61 | — | 17% |
| Ultrasound of the abdomen, complete CPT 76700 HB US EXAM ABDOM COMPLETE | $1,963.78 | $2,366.00 | $105.85–$825.73 | 115% above | 17% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US EXAM ABDOM COMPLETE | $1,963.78 | $2,366.00 | $613.98–$665.32 | — | 17% |
| Ultrasound of the scrotum and testicles CPT 76870 HB US EXAM SCROTUM | $1,520.56 | $1,832.00 | $87.32–$639.37 | 146% above | 17% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US EXAM SCROTUM | $1,520.56 | $1,832.00 | $475.40–$515.16 | — | 17% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US EXAM OF HEAD AND NECK | $1,420.96 | $1,712.00 | $90.09–$597.49 | 153% above | 17% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US EXAM OF HEAD AND NECK | $1,420.96 | $1,712.00 | $444.26–$481.41 | — | 17% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB X-RAY UPPER GI DELAY W/O KUB | $891.42 | $1,074.00 | $76.70–$497.68 | 48% above | 17% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB X-RAY UPPER GI DELAY W/O KUB | $891.42 | $1,074.00 | $278.70–$302.01 | — | 17% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB EXTREMITY STUDY (UNILATERAL OR LIMITED) | $3,268.54 | $3,938.00 | $105.85–$1,494.86 | 323% above | 17% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB EXTREMITY STUDY (UNILATERAL OR LIMITED) | $3,268.54 | $3,938.00 | $1,021.91–$1,107.37 | — | 17% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB X-RAY EXAM OF WRIST (COMPLETE, 3 OR MORE VIEWS) | $762.77 | $919.00 | $87.64–$320.73 | 98% above | 17% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB X-RAY EXAM OF WRIST (COMPLETE, 3 OR MORE VIEWS) | $762.77 | $919.00 | $238.48–$258.42 | — | 17% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS | $830.00 | $1,000.00 | $87.64–$349.00 | 105% above | 17% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS | $830.00 | $1,000.00 | $259.50–$281.20 | — | 17% |
| X-ray of the abdomen, 1 view CPT 74018 HB X-RAY EXAM OF ABDOMEN (SINGLE ANTEROPOSTERIOR VIEW) | $664.00 | $800.00 | $24.95–$279.20 | 133% above | 17% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB X-RAY EXAM OF ABDOMEN (SINGLE ANTEROPOSTERIOR VIEW) | $664.00 | $800.00 | $207.60–$224.96 | — | 17% |
| X-ray of the ankle, 2 views CPT 73600 HB X-RAY EXAM OF ANKLE (2 VIEWS) | $618.35 | $745.00 | $87.64–$260.00 | 80% above | 17% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB X-RAY EXAM OF ANKLE (2 VIEWS) | $618.35 | $745.00 | $193.33–$209.49 | — | 17% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB X-RAY EXAM OF FINGER(S) | $582.66 | $702.00 | $74.95–$246.15 | 116% above | 17% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB X-RAY EXAM OF FINGER(S) | $582.66 | $702.00 | $182.17–$197.40 | — | 17% |
| X-ray of the foot, 2 views CPT 73620 HB X-RAY EXAM OF FOOT (2 VIEWS) | $634.95 | $765.00 | $87.64–$266.99 | 81% above | 17% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB X-RAY EXAM OF FOOT (2 VIEWS) | $634.95 | $765.00 | $198.52–$215.12 | — | 17% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB X-RAY EXAM OF FOOT (COMPLETE, 3 OR MORE VIEWS) | $761.94 | $918.00 | $87.64–$320.38 | 100% above | 17% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB X-RAY EXAM OF FOOT (COMPLETE, 3 OR MORE VIEWS) | $761.94 | $918.00 | $238.22–$258.14 | — | 17% |
| X-ray of the hand, 3 or more views CPT 73130 HB X-RAY EXAM OF HAND (COMPLETE, 3 OR MORE VIEWS) | $795.14 | $958.00 | $87.64–$334.34 | 150% above | 17% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB X-RAY EXAM OF HAND (COMPLETE, 3 OR MORE VIEWS) | $795.14 | $958.00 | $248.60–$269.39 | — | 17% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB X-RAY EXAM OF KNEE 1 OR 2 | $724.59 | $873.00 | $87.64–$304.68 | 155% above | 17% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB X-RAY EXAM OF KNEE 1 OR 2 | $724.59 | $873.00 | $226.54–$245.49 | — | 17% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-RAY EXAM L-S SPINE 2/3 VWS | $776.88 | $936.00 | $38.39–$326.66 | 131% above | 17% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB X-RAY EXAM L-S SPINE 2/3 VWS | $776.88 | $936.00 | $242.89–$263.20 | — | 17% |
| X-ray of the lower back, 4 or more views CPT 72110 HB X-RAY EXAM L-2 SPINE 4/>VWS | $1,456.65 | $1,755.00 | $43.21–$612.50 | 208% above | 17% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB X-RAY EXAM L-2 SPINE 4/>VWS | $1,456.65 | $1,755.00 | $455.42–$493.51 | — | 17% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-RAY EXAM THORAC SPINE 2VWS | $776.88 | $936.00 | $36.51–$326.66 | 116% above | 17% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB X-RAY EXAM THORAC SPINE 2VWS | $776.88 | $936.00 | $242.89–$263.20 | — | 17% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB X-RAY EXAM OF NASAL BONES | $654.04 | $788.00 | $22.42–$275.01 | 133% above | 17% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB X-RAY EXAM OF NASAL BONES | $654.04 | $788.00 | $204.49–$221.59 | — | 17% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-RAY EXAM NECK SPINE 2-3 VW | $776.88 | $936.00 | $31.27–$326.66 | 139% above | 17% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB X-RAY EXAM NECK SPINE 2-3 VW | $776.88 | $936.00 | $242.89–$263.20 | — | 17% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB X-RAY EXAM OF PELVIS (1 OR 2 VIEWS) | $456.50 | $550.00 | $20.65–$297.29 | 55% above | 17% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB X-RAY EXAM OF PELVIS (1 OR 2 VIEWS) | $456.50 | $550.00 | $142.72–$154.66 | — | 17% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-RAY EXAM SACRUM TAILBONE | $1,055.76 | $1,272.00 | $28.96–$443.93 | 216% above | 17% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB X-RAY EXAM SACRUM TAILBONE | $1,055.76 | $1,272.00 | $330.08–$357.69 | — | 17% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALANINE AMINO (ALT) (SGPT) | $107.07 | $129.00 | $5.30–$40.61 | 188% above | 17% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALANINE AMINO (ALT) (SGPT) | $107.07 | $129.00 | $33.48–$36.27 | — | 17% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB TRANSFERASE (AST) (SGOT) | $107.07 | $129.00 | $5.18–$39.67 | 193% above | 17% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB TRANSFERASE (AST) (SGOT) | $107.07 | $129.00 | $33.48–$36.27 | — | 17% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL | $726.25 | $875.00 | $47.63–$365.38 | 134% above | 17% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL | $726.25 | $875.00 | $227.06–$246.05 | — | 17% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN SPECIFIC IGE (EACH) | $78.85 | $95.00 | $5.22–$40.04 | 154% above | 17% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN SPECIFIC IGE (EACH) | $78.85 | $95.00 | $24.65–$26.71 | — | 17% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CCP ANTIBODY | $198.37 | $239.00 | $12.95–$99.36 | 125% above | 17% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CCP ANTIBODY | $198.37 | $239.00 | $62.02–$67.21 | — | 17% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANTINUCLEAR ANTIBODIES | $409.19 | $493.00 | $12.09–$138.58 | 464% above | 17% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANTINUCLEAR ANTIBODIES | $409.19 | $493.00 | $127.93–$138.63 | — | 17% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB ASSAY OF NATRIURETIC PEPTIDE | $518.75 | $625.00 | $39.26–$260.40 | 160% above | 17% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB ASSAY OF NATRIURETIC PEPTIDE | $518.75 | $625.00 | $162.19–$175.75 | — | 17% |
| Basic metabolic panel (blood test) CPT 80048 HB METABOLIC PANEL TOTAL CA | $129.48 | $156.00 | $8.46–$64.94 | 31% above | 17% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB METABOLIC PANEL TOTAL CA | $129.48 | $156.00 | $40.48–$43.87 | — | 17% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB TISSUE EXAM BY PATHOLOGIST (LEVEL IV) | $235.72 | $284.00 | $40.12–$325.45 | 25% above | 17% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB PRO TISSUE EXAM BY PATHOLOGIST (LEVEL IV) | $839.13 | $1,011.00 | $40.12–$325.45 | 347% above | 17% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB TISSUE EXAM BY PATHOLOGIST (LEVEL IV) | $235.72 | $284.00 | $73.70–$79.86 | — | 17% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB PRO TISSUE EXAM BY PATHOLOGIST (LEVEL IV) | $839.13 | $1,011.00 | $262.35–$284.29 | — | 17% |
| Blood culture for bacteria CPT 87040 HB BLOOD CULTURE FOR BACTERIA | $315.40 | $380.00 | $10.32–$106.82 | 239% above | 17% |
| Blood culture for bacteria inpatient CPT 87040 HB BLOOD CULTURE FOR BACTERIA | $315.40 | $380.00 | $98.61–$106.86 | — | 17% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB ROUTINE VENIPUNCTURE | $24.90 | $30.00 | $3.41–$31.82 | 78% above | 17% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB ROUTINE VENIPUNCTURE | $24.90 | $30.00 | $7.79–$8.44 | — | 17% |
| Blood glucose (sugar) test CPT 82947 HB ASSAY GLUCOSE BLOOD QUANT | $36.52 | $44.00 | $3.93–$30.11 | 35% above | 17% |
| Blood glucose (sugar) test inpatient CPT 82947 HB ASSAY GLUCOSE BLOOD QUANT | $36.52 | $44.00 | $11.42–$12.37 | — | 17% |
| Blood lead test CPT 83655 HB ASSAY OF LEAD | $165.17 | $199.00 | $11.80–$92.84 | 112% above | 17% |
| Blood lead test inpatient CPT 83655 HB ASSAY OF LEAD | $165.17 | $199.00 | $51.64–$55.96 | — | 17% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB CHORIONIC GONADOTROPIN ASSAY | $113.71 | $137.00 | $7.52–$57.64 | 93% above | 17% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB CHORIONIC GONADOTROPIN ASSAY | $113.71 | $137.00 | $35.55–$38.52 | — | 17% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO | $519.58 | $626.00 | $2.99–$175.97 | 308% above | 17% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO | $519.58 | $626.00 | $162.45–$176.03 | — | 17% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN | $122.01 | $147.00 | $3.54–$41.32 | 201% above | 17% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN | $122.01 | $147.00 | $38.15–$41.34 | — | 17% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C DIFF AMPLIFIED PROBE | $561.08 | $676.00 | $37.27–$264.13 | 170% above | 17% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB C DIFF AMPLIFIED PROBE | $561.08 | $676.00 | $175.42–$190.09 | — | 17% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB IMMUNOASSAY TUMOR CA 19-9 | $296.31 | $357.00 | $20.81–$159.62 | 116% above | 17% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB IMMUNOASSAY TUMOR CA 19-9 | $296.31 | $357.00 | $92.64–$100.39 | — | 17% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB IMMUNOASSAY TUMOR CA 125 | $296.31 | $357.00 | $20.81–$159.62 | 127% above | 17% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB IMMUNOASSAY TUMOR CA 125 | $296.31 | $357.00 | $92.64–$100.39 | — | 17% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB | $243.19 | $293.00 | $41.88–$240.13 | 180% above | 17% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB | $243.19 | $293.00 | $76.03–$82.39 | — | 17% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHYLMD TRACH DNA AMP PROBE | $524.56 | $632.00 | $27.36–$269.28 | 168% above | 17% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHYLMD TRACH DNA AMP PROBE | $524.56 | $632.00 | $164.00–$177.72 | — | 17% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL | $204.18 | $246.00 | $13.39–$102.82 | 116% above | 17% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL | $204.18 | $246.00 | $63.84–$69.18 | — | 17% |
| Complete blood count (CBC) with differential CPT 85025 HB COMPLETE CBC W/AUTO DIFF WBC | $156.04 | $188.00 | $7.08–$59.64 | 214% above | 17% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB COMPLETE CBC W/AUTO DIFF WBC | $156.04 | $188.00 | $48.79–$52.87 | — | 17% |
| Complete blood count (CBC), no differential CPT 85027 HB COMPLETE CBC AUTOMATED | $109.56 | $132.00 | $6.47–$49.65 | 143% above | 17% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB COMPLETE CBC AUTOMATED | $109.56 | $132.00 | $34.25–$37.12 | — | 17% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMPREHEN METABOLIC PANEL | $159.36 | $192.00 | $10.56–$81.12 | 29% above | 17% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMPREHEN METABOLIC PANEL | $159.36 | $192.00 | $49.82–$53.99 | — | 17% |
| D-dimer blood test (blood clot marker) CPT 85379 HB FIBRIN DEGRADATION QUANT | $123.67 | $149.00 | $10.18–$62.10 | 62% above | 17% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HB FIBRIN DEGRADATION QUANT | $123.67 | $149.00 | $38.67–$41.90 | — | 17% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DEHYDROEPIANDROSTERONE (SULFATE) | $357.73 | $431.00 | $22.23–$170.55 | 215% above | 17% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DEHYDROEPIANDROSTERONE (SULFATE) | $357.73 | $431.00 | $111.84–$121.20 | — | 17% |
| Estradiol blood test CPT 82670 HB ASSAY OF ESTRADIOL | $394.25 | $475.00 | $25.37–$214.37 | 177% above | 17% |
| Estradiol blood test inpatient CPT 82670 HB ASSAY OF ESTRADIOL | $394.25 | $475.00 | $123.26–$133.57 | — | 17% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB ASSAY OF GONADOTROPIN (FSH) | $470.61 | $567.00 | $18.58–$159.38 | 337% above | 17% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB ASSAY OF GONADOTROPIN (FSH) | $470.61 | $567.00 | $147.14–$159.44 | — | 17% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB ASSAY FOR CALPROTECTIN FECAL | $292.99 | $353.00 | $19.63–$150.59 | 113% above | 17% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB ASSAY FOR CALPROTECTIN FECAL | $292.99 | $353.00 | $91.60–$99.26 | — | 17% |
| Ferritin blood test (iron stores) CPT 82728 HB ASSAY OF FERRITIN | $386.78 | $466.00 | $13.63–$130.99 | 361% above | 17% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB ASSAY OF FERRITIN | $386.78 | $466.00 | $120.93–$131.04 | — | 17% |
| Folate (folic acid) blood test CPT 82746 HB ASSAY OF FOLIC ACID SERUM | $220.78 | $266.00 | $14.16–$112.81 | 154% above | 17% |
| Folate (folic acid) blood test inpatient CPT 82746 HB ASSAY OF FOLIC ACID SERUM | $220.78 | $266.00 | $69.03–$74.80 | — | 17% |
| Free T3 thyroid hormone test CPT 84481 HB FREE ASSAY (FT-3) | $264.77 | $319.00 | $16.94–$129.99 | 164% above | 17% |
| Free T3 thyroid hormone test inpatient CPT 84481 HB FREE ASSAY (FT-3) | $264.77 | $319.00 | $82.78–$89.70 | — | 17% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB ASSAY OF FREE THYROXINE | $136.95 | $165.00 | $9.02–$69.20 | 121% above | 17% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB ASSAY OF FREE THYROXINE | $136.95 | $165.00 | $42.82–$46.40 | — | 17% |
| Free testosterone test CPT 84402 HB ASSAY OF FREE TESTOSTERONE | $387.61 | $467.00 | $25.47–$195.35 | 200% above | 17% |
| Free testosterone test inpatient CPT 84402 HB ASSAY OF FREE TESTOSTERONE | $387.61 | $467.00 | $121.19–$131.32 | — | 17% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE TEST | $102.09 | $123.00 | $4.75–$36.41 | 170% above | 17% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE TEST | $102.09 | $123.00 | $31.92–$34.59 | — | 17% |
| Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE TOLERANCE TEST (GTT) | $245.68 | $296.00 | $12.87–$98.78 | 209% above | 17% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUCOSE TOLERANCE TEST (GTT) | $245.68 | $296.00 | $76.81–$83.24 | — | 17% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N.GONORRHOEAE DNA AMP PROB | $524.56 | $632.00 | $27.36–$269.28 | 227% above | 17% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N.GONORRHOEAE DNA AMP PROB | $524.56 | $632.00 | $164.00–$177.72 | — | 17% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER PYLORI ANTIBODY | $173.47 | $209.00 | $16.85–$111.34 | 40% above | 17% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER PYLORI ANTIBODY | $173.47 | $209.00 | $54.24–$58.77 | — | 17% |
| H. pylori stool antigen test CPT 87338 HB HPYLORI STOOL EIA | $176.79 | $213.00 | $14.38–$84.49 | 74% above | 17% |
| H. pylori stool antigen test inpatient CPT 87338 HB HPYLORI STOOL EIA | $176.79 | $213.00 | $55.27–$59.90 | — | 17% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 QUANT&REVRSE TRNSCRPJ | $1,298.95 | $1,565.00 | $85.10–$652.78 | 174% above | 17% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV-1 QUANT&REVRSE TRNSCRPJ | $1,298.95 | $1,565.00 | $406.12–$440.08 | — | 17% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV-1/HIV-2 1 RESULT ANTBDY | $303.78 | $366.00 | $13.71–$105.19 | 214% above | 17% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV-1/HIV-2 1 RESULT ANTBDY | $303.78 | $366.00 | $94.98–$102.92 | — | 17% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV-1 AG W/HIV-1 & HIV-2 AB | $357.73 | $431.00 | $24.08–$179.27 | 165% above | 17% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV-1 AG W/HIV-1 & HIV-2 AB | $357.73 | $431.00 | $111.84–$121.20 | — | 17% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH-RISK TYPES | $524.56 | $632.00 | $35.09–$250.94 | 159% above | 17% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV HIGH-RISK TYPES | $524.56 | $632.00 | $164.00–$177.72 | — | 17% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB GLYCOSYLATED HEMOGLOBIN TEST | $268.92 | $324.00 | $8.26–$91.08 | 447% above | 17% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB GLYCOSYLATED HEMOGLOBIN TEST | $268.92 | $324.00 | $84.08–$91.11 | — | 17% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE ANTIBODY | $162.68 | $196.00 | $10.74–$82.39 | 101% above | 17% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE ANTIBODY | $162.68 | $196.00 | $50.86–$55.12 | — | 17% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURFACE AG EIA | $156.87 | $189.00 | $10.33–$79.23 | 125% above | 17% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEPATITIS B SURFACE AG EIA | $156.87 | $189.00 | $49.05–$53.15 | — | 17% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB TEST | $207.50 | $250.00 | $14.27–$109.50 | 92% above | 17% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB TEST | $207.50 | $250.00 | $64.88–$70.30 | — | 17% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C REVRS TRNSCRPJ | $654.04 | $788.00 | $42.84–$328.60 | 146% above | 17% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C REVRS TRNSCRPJ | $654.04 | $788.00 | $204.49–$221.59 | — | 17% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HERPES SIMPLEX TYPE 1 TEST | $121.18 | $146.00 | $13.19–$101.14 | 64% above | 17% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HERPES SIMPLEX TYPE 1 TEST | $121.18 | $146.00 | $37.89–$41.06 | — | 17% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HERPES SIMPLEX TYPE 2 TEST | $293.82 | $354.00 | $19.35–$148.48 | 215% above | 17% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HERPES SIMPLEX TYPE 2 TEST | $293.82 | $354.00 | $91.86–$99.54 | — | 17% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB C-REACTIVE PROTEIN HS | $192.56 | $232.00 | $12.43–$99.36 | 165% above | 17% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB C-REACTIVE PROTEIN HS | $192.56 | $232.00 | $60.20–$65.24 | — | 17% |
| Homocysteine blood test CPT 83090 HB ASSAY OF HOMOCYSTINE | $258.13 | $311.00 | $17.92–$129.41 | 116% above | 17% |
| Homocysteine blood test inpatient CPT 83090 HB ASSAY OF HOMOCYSTINE | $258.13 | $311.00 | $80.70–$87.45 | — | 17% |
| Insulin blood test CPT 83525 HB ASSAY OF INSULIN | $175.13 | $211.00 | $11.43–$87.69 | 196% above | 17% |
| Insulin blood test inpatient CPT 83525 HB ASSAY OF INSULIN | $175.13 | $211.00 | $54.75–$59.33 | — | 17% |
| Iron blood test (serum iron) CPT 83540 HB ASSAY OF IRON | $141.93 | $171.00 | $6.47–$49.70 | 203% above | 17% |
| Iron blood test (serum iron) inpatient CPT 83540 HB ASSAY OF IRON | $141.93 | $171.00 | $44.37–$48.09 | — | 17% |
| Iron-binding capacity (TIBC) test CPT 83550 HB IRON BINDING TEST | $132.80 | $160.00 | $5.90–$67.10 | 113% above | 17% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HB IRON BINDING TEST | $132.80 | $160.00 | $41.52–$44.99 | — | 17% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL | $215.80 | $260.00 | $8.68–$73.09 | 172% above | 17% |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL | $215.80 | $260.00 | $67.47–$73.11 | — | 17% |
| LH (luteinizing hormone) test CPT 83002 HB ASSAY OF GONADOTROPIN (LH) | $475.59 | $573.00 | $18.52–$161.07 | 364% above | 17% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB ASSAY OF GONADOTROPIN (LH) | $475.59 | $573.00 | $148.69–$161.13 | — | 17% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB ASSAY OF LIPASE | $161.85 | $195.00 | $5.90–$54.81 | 227% above | 17% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB ASSAY OF LIPASE | $161.85 | $195.00 | $50.60–$54.83 | — | 17% |
| Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL | $284.69 | $343.00 | $8.17–$96.42 | 211% above | 17% |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL | $284.69 | $343.00 | $89.01–$96.45 | — | 17% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE ANTIBODY | $319.55 | $385.00 | $17.03–$130.67 | 237% above | 17% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE ANTIBODY | $319.55 | $385.00 | $99.91–$108.26 | — | 17% |
| Magnesium blood test CPT 83735 HB ASSAY OF MAGNESIUM | $152.72 | $184.00 | $6.70–$51.72 | 286% above | 17% |
| Magnesium blood test inpatient CPT 83735 HB ASSAY OF MAGNESIUM | $152.72 | $184.00 | $47.75–$51.74 | — | 17% |
| Measles (rubeola) antibody test CPT 86765 HB RUBEOLA ANTIBODY | $150.23 | $181.00 | $12.88–$75.14 | 88% above | 17% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA ANTIBODY | $150.23 | $181.00 | $46.97–$50.90 | — | 17% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE ANTIBODY SCREEN | $131.97 | $159.00 | $5.18–$44.69 | 240% above | 17% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE ANTIBODY SCREEN | $131.97 | $159.00 | $41.26–$44.71 | — | 17% |
| Obstetric blood test panel CPT 80055 HB OBSTETRIC PANEL | $941.22 | $1,134.00 | $14.16–$430.47 | 203% above | 17% |
| Obstetric blood test panel inpatient CPT 80055 HB OBSTETRIC PANEL | $941.22 | $1,134.00 | $294.27–$318.88 | — | 17% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB ASSAY OF PSA FREE | $320.38 | $386.00 | $18.39–$141.08 | 242% above | 17% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB ASSAY OF PSA FREE | $320.38 | $386.00 | $100.17–$108.54 | — | 17% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB ASSAY OF PSA TOTAL | $141.10 | $170.00 | $18.39–$141.08 | 38% above | 17% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB ASSAY OF PSA TOTAL | $141.10 | $170.00 | $44.12–$47.80 | — | 17% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HB CYTOPATH C/V AUTO FLUID REDO | $345.28 | $416.00 | $26.61–$202.81 | 282% above | 17% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HB CYTOPATH C/V AUTO FLUID REDO | $345.28 | $416.00 | $107.95–$116.98 | — | 17% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB CYTOPATH C/V THIN LAYER | $264.77 | $319.00 | $18.88–$155.42 | 333% above | 17% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB CYTOPATH C/V THIN LAYER | $264.77 | $319.00 | $82.78–$89.70 | — | 17% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB ASSAY OF PARATHORMONE | $629.97 | $759.00 | $41.28–$316.67 | 201% above | 17% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB ASSAY OF PARATHORMONE | $629.97 | $759.00 | $196.96–$213.43 | — | 17% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB THROMBOPLASTIN TIME PARTIAL (PLASMA/WHOLE BLOOD) | $159.36 | $192.00 | $6.01–$53.97 | 249% above | 17% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB THROMBOPLASTIN TIME PARTIAL (PLASMA/WHOLE BLOOD) | $159.36 | $192.00 | $49.82–$53.99 | — | 17% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB FETAL CHRMOML ANEUPLOIDY | $4,023.01 | $4,847.00 | $716.54–$4,215.60 | 20% above | 17% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HB FETAL CHRMOML ANEUPLOIDY | $4,023.01 | $4,847.00 | $1,257.80–$1,362.98 | — | 17% |
| Progesterone blood test CPT 84144 HB ASSAY OF PROGESTERONE | $296.31 | $357.00 | $20.06–$160.04 | 129% above | 17% |
| Progesterone blood test inpatient CPT 84144 HB ASSAY OF PROGESTERONE | $296.31 | $357.00 | $92.64–$100.39 | — | 17% |
| Prolactin blood test CPT 84146 HB ASSAY OF PROLACTIN | $539.50 | $650.00 | $19.38–$182.72 | 409% above | 17% |
| Prolactin blood test inpatient CPT 84146 HB ASSAY OF PROLACTIN | $539.50 | $650.00 | $168.68–$182.78 | — | 17% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $60.59 | $73.00 | $4.29–$30.16 | 107% above | 17% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME | $60.59 | $73.00 | $18.94–$20.53 | — | 17% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG TEST PRSMV DIR OPT OBS | $219.12 | $264.00 | $12.60–$78.60 | 568% above | 17% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUG TEST PRSMV DIR OPT OBS | $219.12 | $264.00 | $68.51–$74.24 | — | 17% |
| Rapid flu test (influenza antigen) CPT 87804 HB INFLUENZA ASSAY W/OPTIC | $172.64 | $208.00 | $13.39–$84.49 | 241% above | 17% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HB INFLUENZA ASSAY W/OPTIC | $172.64 | $208.00 | $53.98–$58.49 | — | 17% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB STREP A ASSAY W/OPTIC | $149.40 | $180.00 | $7.43–$84.49 | 139% above | 17% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB STREP A ASSAY W/OPTIC | $149.40 | $180.00 | $46.71–$50.62 | — | 17% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR QUANT | $410.02 | $494.00 | $5.67–$138.86 | 946% above | 17% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR QUANT | $410.02 | $494.00 | $128.19–$138.91 | — | 17% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA ANTIBODY | $219.12 | $264.00 | $14.39–$110.44 | 160% above | 17% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA ANTIBODY | $219.12 | $264.00 | $68.51–$74.24 | — | 17% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB RBC SED RATE AUTOMATED | $102.09 | $123.00 | $2.70–$34.58 | 356% above | 17% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB RBC SED RATE AUTOMATED | $102.09 | $123.00 | $31.92–$34.59 | — | 17% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN ANAL VOL/COUNT/MOT | $490.53 | $591.00 | $12.31–$166.13 | 416% above | 17% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN ANAL VOL/COUNT/MOT | $490.53 | $591.00 | $153.36–$166.19 | — | 17% |
| Stool ova and parasites exam CPT 87177 HB OVA AND PARASITES SMEARS | $129.48 | $156.00 | $8.85–$68.25 | 111% above | 17% |
| Stool ova and parasites exam inpatient CPT 87177 HB OVA AND PARASITES SMEARS | $129.48 | $156.00 | $40.48–$43.87 | — | 17% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB OCCULT BLOOD FECES | $28.22 | $34.00 | $4.09–$24.96 | 38% above | 17% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB OCCULT BLOOD FECES | $28.22 | $34.00 | $8.82–$9.56 | — | 17% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TEST NON-TREP QUAL | $112.88 | $136.00 | $4.27–$38.23 | 300% above | 17% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TEST NON-TREP QUAL | $112.88 | $136.00 | $35.29–$38.24 | — | 17% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB TEST CELL IMMUN MEASURE | $944.54 | $1,138.00 | $61.98–$475.45 | 247% above | 17% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB TB TEST CELL IMMUN MEASURE | $944.54 | $1,138.00 | $295.31–$320.01 | — | 17% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB ASSAY OF TOTAL TESTOSTERONE | $394.25 | $475.00 | $25.81–$198.08 | 146% above | 17% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB ASSAY OF TOTAL TESTOSTERONE | $394.25 | $475.00 | $123.26–$133.57 | — | 17% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB MICROSOMAL ANTIBODY EACH | $220.78 | $266.00 | $9.33–$111.65 | 207% above | 17% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB MICROSOMAL ANTIBODY EACH | $220.78 | $266.00 | $69.03–$74.80 | — | 17% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB ASSAY THYROID STIM HORMONE | $258.13 | $311.00 | $16.80–$128.89 | 186% above | 17% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB ASSAY THYROID STIM HORMONE | $258.13 | $311.00 | $80.70–$87.45 | — | 17% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS AMPLIF | $349.43 | $421.00 | $35.09–$251.52 | 99% above | 17% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS AMPLIF | $349.43 | $421.00 | $109.25–$118.39 | — | 17% |
| Uric acid blood test CPT 84550 HB ASSAY OF BLOOD/URIC ACID | $94.62 | $114.00 | $4.52–$34.63 | 177% above | 17% |
| Uric acid blood test inpatient CPT 84550 HB ASSAY OF BLOOD/URIC ACID | $94.62 | $114.00 | $29.58–$32.06 | — | 17% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS AUTO W/SCOPE | $94.62 | $114.00 | $3.17–$32.05 | 167% above | 17% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS AUTO W/SCOPE | $94.62 | $114.00 | $29.58–$32.06 | — | 17% |
| Urinalysis with microscope exam, manual CPT 81000 HB URINALYSIS NONAUTO W/SCOPE | $94.62 | $114.00 | $4.02–$32.05 | 267% above | 17% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HB URINALYSIS NONAUTO W/SCOPE | $94.62 | $114.00 | $29.58–$32.06 | — | 17% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O SCOPE | $34.86 | $42.00 | $2.25–$17.23 | 80% above | 17% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS AUTO W/O SCOPE | $34.86 | $42.00 | $10.90–$11.81 | — | 17% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE | $34.86 | $42.00 | $3.48–$19.65 | 74% above | 17% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE | $34.86 | $42.00 | $10.90–$11.81 | — | 17% |
| Urine culture for bacteria, with colony count CPT 87086 HB URINE CULTURE/COLONY COUNT | $123.67 | $149.00 | $8.07–$61.95 | 106% above | 17% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HB URINE CULTURE/COLONY COUNT | $123.67 | $149.00 | $38.67–$41.90 | — | 17% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREGNANCY TEST | $87.15 | $105.00 | $4.72–$48.55 | 148% above | 17% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREGNANCY TEST | $87.15 | $105.00 | $27.25–$29.53 | — | 17% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B-12 | $227.42 | $274.00 | $15.08–$115.64 | 162% above | 17% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B-12 | $227.42 | $274.00 | $71.10–$77.05 | — | 17% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D 25 HYDROXY | $460.65 | $555.00 | $29.60–$227.09 | 208% above | 17% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VITAMIN D 25 HYDROXY | $460.65 | $555.00 | $144.02–$156.07 | — | 17% |
| Zinc blood test CPT 84630 HB ASSAY OF ZINC | $158.53 | $191.00 | $11.39–$87.38 | 138% above | 17% |
| Zinc blood test inpatient CPT 84630 HB ASSAY OF ZINC | $158.53 | $191.00 | $49.56–$53.71 | — | 17% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB CHORIONIC GONADOTROPIN TEST | $219.95 | $265.00 | $15.05–$111.28 | 189% above | 17% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB CHORIONIC GONADOTROPIN TEST | $219.95 | $265.00 | $68.77–$74.52 | — | 17% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BX BREAST 1ST LESION STRTCTC | $7,322.26 | $8,822.00 | $174.99–$5,081.51 | 63% above | 17% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB BX BREAST 1ST LESION STRTCTC | $7,322.26 | $8,822.00 | $2,289.31–$2,480.75 | — | 17% |
| Cardiac catheterization with coronary angiogram CPT 93458 HB L HRT ARTERY/VENTRICLE ANGIO | $30,894.26 | $37,222.00 | $3,201.55–$13,448.00 | 241% above | 17% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB L HRT ARTERY/VENTRICLE ANGIO | $30,894.26 | $37,222.00 | $9,659.11–$10,466.83 | — | 17% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION ELECTRIC EXT | $2,232.70 | $2,690.00 | $102.66–$2,832.00 | 55% above | 17% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION ELECTRIC EXT | $2,232.70 | $2,690.00 | $698.05–$756.43 | — | 17% |
| Catheter ablation for atrial fibrillation CPT 93656 HB TX ATRIAL FIB PULM VEIN ISOL W/3D MAPPING | $13,985.50 | $16,850.00 | $2,864.50–$68,583.09 | 48% below | 17% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HB TX ATRIAL FIB PULM VEIN ISOL W/3D MAPPING | $13,985.50 | $16,850.00 | $4,372.57–$4,738.22 | — | 17% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION W/REGIONL BLOCK | $916.32 | $1,104.00 | $93.22–$6,682.00 | 3% below | 17% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRCUMCISION W/REGIONL BLOCK | $916.32 | $1,104.00 | $286.49–$310.44 | — | 17% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB TREAT FRACTURE RADIUS/ULNA (W/O MANIPULATION) | $3,484.34 | $4,198.00 | $135.11–$1,465.10 | 569% above | 17% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB TREAT FRACTURE RADIUS/ULNA (W/O MANIPULATION) | $3,484.34 | $4,198.00 | $1,089.38–$1,180.48 | — | 17% |
| Coronary stent placement, one artery CPT 92928 HB PRQ CARD STENT W/ANGIO 1 VSL | $24,503.26 | $29,522.00 | $5,018.74–$52,917.00 | 28% above | 17% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PRQ CARD STENT W/ANGIO 1 VSL | $24,503.26 | $29,522.00 | $7,660.96–$8,301.59 | — | 17% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HB REMOVE IMPACTED EAR WAX UNI (IRRIGATION/LAVAGE) | $209.99 | $253.00 | $43.01–$1,334.00 | 62% above | 17% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB REMOVE IMPACTED EAR WAX UNI (IRRIGATION/LAVAGE) | $209.99 | $253.00 | $65.65–$71.14 | — | 17% |
| Earwax removal with instruments, one ear CPT 69210 HB PRO REMOVE IMPACTED EAR WAX UNI | $315.40 | $380.00 | $59.13–$977.21 | 159% above | 17% |
| Earwax removal with instruments, one ear CPT 69210 HB REMOVE IMPACTED EAR WAX UNI | $379.31 | $457.00 | $59.13–$977.21 | 211% above | 17% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB PRO REMOVE IMPACTED EAR WAX UNI | $315.40 | $380.00 | $98.61–$106.86 | — | 17% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB REMOVE IMPACTED EAR WAX UNI | $379.31 | $457.00 | $118.59–$128.51 | — | 17% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB NJX INTERLAMINAR CRV/THRC | $3,867.80 | $4,660.00 | $105.26–$2,887.00 | 65% above | 17% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB NJX INTERLAMINAR CRV/THRC | $3,867.80 | $4,660.00 | $1,209.27–$1,310.39 | — | 17% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB INJ PARAVERT F JNT L/S 1 LEV | $629.97 | $759.00 | $129.03–$2,887.00 | 53% below | 17% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB INJ PARAVERT F JNT L/S 1 LEV | $629.97 | $759.00 | $196.96–$213.43 | — | 17% |
| Hammertoe correction surgery CPT 28285 HB REPAIR OF HAMMERTOE | $4,340.90 | $5,230.00 | $273.17–$9,070.71 | at median | 17% |
| Hammertoe correction surgery inpatient CPT 28285 HB REPAIR OF HAMMERTOE | $4,340.90 | $5,230.00 | $1,357.18–$1,470.68 | — | 17% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB CATHETER FOR HYSTEROGRAPHY | $1,494.83 | $1,801.00 | $53.87–$977.21 | 293% above | 17% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB CATHETER FOR HYSTEROGRAPHY | $1,494.83 | $1,801.00 | $467.36–$506.44 | — | 17% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB DRAINAGE OF SKIN ABSCESS (SIMPLE/SINGLE) | $1,103.07 | $1,329.00 | $27.73–$1,334.00 | 193% above | 17% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB DRAINAGE OF SKIN ABSCESS (SIMPLE/SINGLE) | $1,103.07 | $1,329.00 | $344.88–$373.71 | — | 17% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB INJ TENDON SHEATH/LIGAMENT | $456.50 | $550.00 | $37.76–$1,334.00 | 11% below | 17% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB INJ TENDON SHEATH/LIGAMENT | $456.50 | $550.00 | $142.72–$154.66 | — | 17% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB DRAIN/INJECT JOINT/BURSA (MAJOR JOINT OR BURSA) | $468.12 | $564.00 | $27.73–$1,334.00 | at median | 17% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB DRAIN/INJECT JOINT/BURSA (MAJOR JOINT OR BURSA) | $468.12 | $564.00 | $146.36–$158.60 | — | 17% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB DRAIN/INJECT JOINT/BURSA (INTERMEDIATE JOINT OR BURSA) | $312.08 | $376.00 | $25.37–$1,334.00 | 7% below | 17% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB DRAIN/INJECT JOINT/BURSA (INTERMEDIATE JOINT OR BURSA) | $312.08 | $376.00 | $97.57–$105.73 | — | 17% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB DRAIN/INJECT JOINT/BURSA (SMALL JOINT OR BURSA) | $410.85 | $495.00 | $21.24–$1,334.00 | at median | 17% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB DRAIN/INJECT JOINT/BURSA (SMALL JOINT OR BURSA) | $410.85 | $495.00 | $128.45–$139.19 | — | 17% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB INTMD RPR S/A/T/EXT2.5 CM/< | $1,594.43 | $1,921.00 | $28.91–$1,334.00 | 206% above | 17% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB INTMD RPR S/A/T/EXT2.5 CM/< | $1,594.43 | $1,921.00 | $498.50–$540.19 | — | 17% |
| Left heart catheterization, diagnostic one side CPT 93452 HB LEFT HRT CATH W/VENTRCLGRPHY | $24,694.99 | $29,753.00 | $3,201.55–$13,448.00 | 283% above | 17% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HB LEFT HRT CATH W/VENTRCLGRPHY | $24,694.99 | $29,753.00 | $7,720.90–$8,366.54 | — | 17% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB NJX INTERLAMINAR LMBR/SAC | $3,867.80 | $4,660.00 | $95.96–$2,887.00 | 85% above | 17% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB NJX INTERLAMINAR LMBR/SAC | $3,867.80 | $4,660.00 | $1,209.27–$1,310.39 | — | 17% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB INJ FORAMEN EPIDURAL L/S | $1,048.29 | $1,263.00 | $112.15–$2,887.00 | 42% below | 17% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB INJ FORAMEN EPIDURAL L/S | $1,048.29 | $1,263.00 | $327.75–$355.16 | — | 17% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HB MOHS 1 STAGE H/N/HF/G | $3,452.80 | $4,160.00 | $308.63–$2,832.00 | 187% above | 17% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HB MOHS 1 STAGE H/N/HF/G | $3,452.80 | $4,160.00 | $1,079.52–$1,169.79 | — | 17% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB EXC TR-EXT B9+MARG 0.5 CM< | $869.01 | $1,047.00 | $44.25–$2,832.00 | 4% below | 17% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HB EXC TR-EXT B9+MARG 0.5 CM< | $869.01 | $1,047.00 | $271.70–$294.42 | — | 17% |
| Nail removal (partial or complete), one nail CPT 11730 HB REMOVAL OF NAIL PLATE | $640.76 | $772.00 | $30.39–$1,334.00 | 66% above | 17% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB REMOVAL OF NAIL PLATE | $640.76 | $772.00 | $200.33–$217.09 | — | 17% |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $363.54 | $438.00 | $41.30–$2,832.00 | 28% below | 17% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HB INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $363.54 | $438.00 | $113.66–$123.17 | — | 17% |
| Pacemaker implant (dual chamber) CPT 33208 HB INSRT HEART PM ATRIAL & VENT | $8,578.88 | $10,336.00 | $546.42–$29,257.13 | 25% below | 17% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB INSRT HEART PM ATRIAL & VENT | $8,578.88 | $10,336.00 | $2,682.19–$2,906.48 | — | 17% |
| Paracentesis with imaging guidance CPT 49083 HB ABD PARACENTESIS W/IMAGING | $993.51 | $1,197.00 | $99.51–$4,299.73 | 37% below | 17% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABD PARACENTESIS W/IMAGING | $993.51 | $1,197.00 | $310.62–$336.60 | — | 17% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | $264.18–$2,832.00 | 62% above | 17% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | $403.26–$436.98 | — | 17% |
| Prostate biopsy CPT 55700 HB BIOPSY OF PROSTATE | $11,518.74 | $13,878.00 | $105.61–$5,726.88 | 223% above | 17% |
| Prostate biopsy inpatient CPT 55700 HB BIOPSY OF PROSTATE | $11,518.74 | $13,878.00 | $3,601.34–$3,902.49 | — | 17% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB DESTROY LUMB/SAC FACET JNT | $1,454.16 | $1,752.00 | $297.84–$5,459.22 | 50% below | 17% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HB DESTROY LUMB/SAC FACET JNT | $1,454.16 | $1,752.00 | $454.64–$492.66 | — | 17% |
| Removal of a foreign object under the skin, simple CPT 10120 HB REMOVE FOREIGN BODY (SIMPLE) | $429.94 | $518.00 | $35.99–$2,345.31 | 10% below | 17% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB REMOVE FOREIGN BODY (SIMPLE) | $429.94 | $518.00 | $134.42–$145.66 | — | 17% |
| Short arm splint (forearm and hand) CPT 29125 HB APPLY FOREARM SPLINT | $227.42 | $274.00 | $30.68–$1,334.00 | 15% below | 17% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB APPLY FOREARM SPLINT | $227.42 | $274.00 | $71.10–$77.05 | — | 17% |
| Short leg cast (below the knee) CPT 29405 HB APPLY SHORT LEG CAST | $688.90 | $830.00 | $59.59–$1,334.00 | 38% above | 17% |
| Short leg cast (below the knee) inpatient CPT 29405 HB APPLY SHORT LEG CAST | $688.90 | $830.00 | $215.38–$233.40 | — | 17% |
| Short leg splint (calf to foot) CPT 29515 HB APPLICATION LOWER LEG SPLINT | $572.70 | $690.00 | $41.30–$1,334.00 | 53% above | 17% |
| Short leg splint (calf to foot) CPT 29515 HB PRO APPLICATION LOWER LEG SPLINT | $678.94 | $818.00 | $41.30–$1,334.00 | 81% above | 17% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB APPLICATION LOWER LEG SPLINT | $572.70 | $690.00 | $179.06–$194.03 | — | 17% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB PRO APPLICATION LOWER LEG SPLINT | $678.94 | $818.00 | $212.27–$230.02 | — | 17% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB RPR S/N/AX/GEN/TRNK 2.5CM/< | $514.60 | $620.00 | $28.91–$1,334.00 | 1% above | 17% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB RPR S/N/AX/GEN/TRNK 2.5CM/< | $514.60 | $620.00 | $160.89–$174.34 | — | 17% |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BX SKIN SINGLE LESION | $566.06 | $682.00 | $47.71–$1,334.00 | 10% below | 17% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HB PUNCH BX SKIN SINGLE LESION | $566.06 | $682.00 | $176.98–$191.78 | — | 17% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB EXC TR-EXT MAL+MARG 0.5 CM/< | $1,034.18 | $1,246.00 | $94.40–$2,832.00 | at median | 17% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HB EXC TR-EXT MAL+MARG 0.5 CM/< | $1,034.18 | $1,246.00 | $323.34–$350.38 | — | 17% |
| Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL OF SKIN TAGS <W/15 | $834.15 | $1,005.00 | $36.58–$1,334.00 | 103% above | 17% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HB REMOVAL OF SKIN TAGS <W/15 | $834.15 | $1,005.00 | $260.80–$282.61 | — | 17% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL FLUID TAP DIAGNOSTIC | $610.88 | $736.00 | $49.56–$2,832.00 | 50% below | 17% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL FLUID TAP DIAGNOSTIC | $610.88 | $736.00 | $190.99–$206.96 | — | 17% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB RPR S/N/AX/GEN/TRNK2.6-7.5C | $636.61 | $767.00 | $41.89–$1,334.00 | 22% above | 17% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB RPR S/N/AX/GEN/TRNK2.6-7.5C | $636.61 | $767.00 | $199.04–$215.68 | — | 17% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGNTL BX SKIN SINGLE LES | $566.06 | $682.00 | $38.03–$1,334.00 | at median | 17% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB TANGNTL BX SKIN SINGLE LES | $566.06 | $682.00 | $176.98–$191.78 | — | 17% |
| Thoracentesis with imaging guidance CPT 32555 HB ASPIRATE PLEURA W/ IMAGING | $2,713.27 | $3,269.00 | $555.73–$4,299.73 | 80% above | 17% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB ASPIRATE PLEURA W/ IMAGING | $2,713.27 | $3,269.00 | $848.31–$919.24 | — | 17% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJ TRIGGER POINT 1/2 MUSCL | $465.63 | $561.00 | $36.65–$1,334.00 | at median | 17% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB INJ TRIGGER POINT 1/2 MUSCL | $465.63 | $561.00 | $145.58–$157.75 | — | 17% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB BX BREAST 1ST LESION US IMAG | $6,571.94 | $7,918.00 | $163.89–$5,081.51 | 78% above | 17% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB BX BREAST 1ST LESION US IMAG | $6,571.94 | $7,918.00 | $2,054.72–$2,226.54 | — | 17% |
| Wart removal, up to 14 warts CPT 17110 HB DESTRUCT B9 LESION 1-14 | $756.96 | $912.00 | $57.82–$2,345.31 | 102% above | 17% |
| Wart removal, up to 14 warts inpatient CPT 17110 HB DESTRUCT B9 LESION 1-14 | $756.96 | $912.00 | $236.66–$256.45 | — | 17% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEB SUBQ TISSUE 20 SQ CM/< | $709.65 | $855.00 | $38.94–$4,299.73 | 32% below | 17% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEB SUBQ TISSUE 20 SQ CM/< | $709.65 | $855.00 | $221.87–$240.43 | — | 17% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION SERVICE | $1,942.20 | $2,340.00 | $32.85–$2,832.00 | 77% above | 17% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION SERVICE | $1,942.20 | $2,340.00 | $607.23–$658.01 | — | 17% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AIRWAY INHALATION TREATMENT | $400.89 | $483.00 | $82.11–$568.60 | 98% above | 17% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AIRWAY INHALATION TREATMENT | $400.89 | $483.00 | $125.34–$135.82 | — | 17% |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV INFUSION 1 HR | $1,942.20 | $2,340.00 | $144.06–$927.29 | 152% above | 17% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV INFUSION 1 HR | $1,942.20 | $2,340.00 | $607.23–$658.01 | — | 17% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB COMPREHENSIVE HEARING TEST | $448.20 | $540.00 | $34.22–$437.41 | 25% above | 17% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HB COMPREHENSIVE HEARING TEST | $448.20 | $540.00 | $140.13–$151.85 | — | 17% |
| Critical care, first 30 to 74 minutes CPT 99291 HB CRITICAL CARE FIRST HOUR | $4,706.10 | $5,670.00 | $178.92–$6,342.00 | 151% above | 17% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB CRITICAL CARE FIRST HOUR | $4,706.10 | $5,670.00 | $1,471.37–$1,594.40 | — | 17% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG AWAKE AND DROWSY | $2,590.43 | $3,121.00 | $26.55–$2,421.00 | 239% above | 17% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG AWAKE AND DROWSY | $2,590.43 | $3,121.00 | $809.90–$877.63 | — | 17% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ELECTROCARDIOGRAM TRACING | $341.13 | $411.00 | $12.34–$166.07 | 88% above | 17% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ELECTROCARDIOGRAM TRACING | $341.13 | $411.00 | $106.65–$115.57 | — | 17% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HB ECT IN OR | $1,596.92 | $1,924.00 | $53.10–$1,483.36 | 26% above | 17% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HB ECT IN OR | $1,596.92 | $1,924.00 | $499.28–$541.03 | — | 17% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB PRO EMERGENCY DEPT VISIT (LEVEL 1, BREIF) | $258.96 | $312.00 | $75.00–$1,647.00 | at median | 17% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB EMERGENCY DEPT VISIT (LEVEL 1, BRIEF) | $486.38 | $586.00 | $25.20–$1,647.00 | 88% above | 17% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB PRO EMERGENCY DEPT VISIT (LEVEL 1, BREIF) | $258.96 | $312.00 | $80.96–$87.73 | — | 17% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB EMERGENCY DEPT VISIT (LEVEL 1, BRIEF) | $486.38 | $586.00 | $152.07–$164.78 | — | 17% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB PRO EMERGENCY DEPT VISIT (LEVEL 2, LIMITED) | $429.94 | $518.00 | $38.92–$1,647.00 | 2% above | 17% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB EMERGENCY DEPT VISIT (LEVEL 2, LIMITED) | $878.14 | $1,058.00 | $38.92–$1,647.00 | 108% above | 17% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB PRO EMERGENCY DEPT VISIT (LEVEL 2, LIMITED) | $429.94 | $518.00 | $134.42–$145.66 | — | 17% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB EMERGENCY DEPT VISIT (LEVEL 2, LIMITED) | $878.14 | $1,058.00 | $274.55–$297.51 | — | 17% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB PRO EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE) | $967.78 | $1,166.00 | $66.85–$1,647.00 | 44% above | 17% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE) | $1,762.92 | $2,124.00 | $66.85–$1,647.00 | 162% above | 17% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB PRO EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE) | $967.78 | $1,166.00 | $302.58–$327.88 | — | 17% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE) | $1,762.92 | $2,124.00 | $551.18–$597.27 | — | 17% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB PRO EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED) | $1,499.81 | $1,807.00 | $112.49–$1,647.00 | 53% above | 17% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED) | $3,307.55 | $3,985.00 | $112.49–$2,699.00 | 238% above | 17% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB PRO EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED) | $1,499.81 | $1,807.00 | $468.92–$508.13 | — | 17% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED) | $3,307.55 | $3,985.00 | $1,034.11–$1,120.58 | — | 17% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB PRO EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE) | $2,351.39 | $2,833.00 | $163.71–$1,714.00 | 77% above | 17% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE) | $4,400.66 | $5,302.00 | $163.71–$4,014.00 | 232% above | 17% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB PRO EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE) | $2,351.39 | $2,833.00 | $735.16–$796.64 | — | 17% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE) | $4,400.66 | $5,302.00 | $1,375.87–$1,490.92 | — | 17% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CARDIOVASCULAR STRESS TEST | $1,116.35 | $1,345.00 | $54.87–$2,832.00 | 17% above | 17% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CARDIOVASCULAR STRESS TEST | $1,116.35 | $1,345.00 | $349.03–$378.21 | — | 17% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYTX W/PATIENT | $557.76 | $672.00 | $114.24–$498.22 | 105% above | 17% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYTX W/PATIENT | $557.76 | $672.00 | $174.38–$188.97 | — | 17% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYTX W/O PATIENT | $473.93 | $571.00 | $97.07–$449.18 | 164% above | 17% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYTX W/O PATIENT | $473.93 | $571.00 | $148.17–$160.57 | — | 17% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY | $149.40 | $180.00 | $30.60–$258.59 | 17% above | 17% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY | $149.40 | $180.00 | $46.71–$50.62 | — | 17% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB HYDRATION IV INFUSION INIT | $731.23 | $881.00 | $37.32–$653.17 | 67% above | 17% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB HYDRATION IV INFUSION INIT | $731.23 | $881.00 | $228.62–$247.74 | — | 17% |
| IV infusion of a medicine, first hour CPT 96365 HB THER/PROPH/DIAG IV INF INIT | $891.42 | $1,074.00 | $46.37–$796.26 | 99% above | 17% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB THER/PROPH/DIAG IV INF INIT | $891.42 | $1,074.00 | $278.70–$302.01 | — | 17% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB THER/PROPH/DIAG INJ SC/IM | $101.26 | $122.00 | $14.99–$198.96 | 18% below | 17% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB THER/PROPH/DIAG INJ SC/IM | $101.26 | $122.00 | $31.66–$34.31 | — | 17% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCH DIAGNOSTIC EVALUATION | $707.99 | $853.00 | $145.01–$632.41 | 166% above | 17% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCH DIAGNOSTIC EVALUATION | $707.99 | $853.00 | $221.35–$239.86 | — | 17% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NRV CNDJ TEST 7-8 STUDIES | $3,532.48 | $4,256.00 | $165.03–$1,615.58 | 144% above | 17% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB NRV CNDJ TEST 7-8 STUDIES | $3,532.48 | $4,256.00 | $1,104.43–$1,196.79 | — | 17% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSCULAR REEDUCATION | $302.95 | $365.00 | $19.77–$347.00 | 156% above | 17% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSCULAR REEDUCATION | $302.95 | $365.00 | $94.72–$102.64 | — | 17% |
| New patient office visit, about 30 minutes CPT 99203 HB OFFICE/OUTPATIENT VISIT NEW (INTERMEDIATE) | $542.82 | $654.00 | $64.02–$484.88 | 127% above | 17% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB OFFICE/OUTPATIENT VISIT NEW (INTERMEDIATE) | $542.82 | $654.00 | $169.71–$183.90 | — | 17% |
| New patient office visit, about 45 minutes CPT 99204 HB OFFICE/OUTPATIENT VISIT NEW (EXTENDED) | $806.76 | $972.00 | $106.64–$720.64 | 169% above | 17% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB OFFICE/OUTPATIENT VISIT NEW (EXTENDED) | $806.76 | $972.00 | $252.23–$273.33 | — | 17% |
| New patient office visit, about 60 minutes CPT 99205 HB OFFICE/OUTPATIENT VISIT NEW (COMPREHENSIVE) | $1,035.01 | $1,247.00 | $138.70–$924.53 | 124% above | 17% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB OFFICE/OUTPATIENT VISIT NEW (COMPREHENSIVE) | $1,035.01 | $1,247.00 | $323.60–$350.66 | — | 17% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB OFFICE/OUTPATIENT VISIT NEW (LIMITED) | $352.75 | $425.00 | $41.69–$315.10 | 94% above | 17% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB OFFICE/OUTPATIENT VISIT NEW (LIMITED) | $352.75 | $425.00 | $110.29–$119.51 | — | 17% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION INDIV IN | $91.30 | $110.00 | $18.70–$231.00 | 81% above | 17% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION INDIV IN | $91.30 | $110.00 | $28.55–$30.93 | — | 17% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW COMPLEX 30 MIN | $539.50 | $650.00 | $67.30–$347.00 | 61% above | 17% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OT EVAL LOW COMPLEX 30 MIN | $539.50 | $650.00 | $168.68–$182.78 | — | 17% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH COMPLEX 45 MIN | $594.28 | $716.00 | $66.86–$347.00 | 75% above | 17% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL HIGH COMPLEX 45 MIN | $594.28 | $716.00 | $185.80–$201.34 | — | 17% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW COMPLEX 20 MIN | $539.50 | $650.00 | $66.86–$347.00 | 84% above | 17% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL LOW COMPLEX 20 MIN | $539.50 | $650.00 | $168.68–$182.78 | — | 17% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MOD COMPLEX 30 MIN | $566.06 | $682.00 | $66.86–$347.00 | 81% above | 17% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL MOD COMPLEX 30 MIN | $566.06 | $682.00 | $176.98–$191.78 | — | 17% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 1/> REGIONS | $312.08 | $376.00 | $18.08–$347.00 | 139% above | 17% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 1/> REGIONS | $312.08 | $376.00 | $97.57–$105.73 | — | 17% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISES | $311.25 | $375.00 | $9.89–$347.00 | 146% above | 17% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISES | $311.25 | $375.00 | $97.31–$105.45 | — | 17% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HB PREV VISIT NEW AGE 18-39 | $263.11 | $317.00 | $53.89–$235.02 | 103% above | 17% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HB PREV VISIT NEW AGE 18-39 | $263.11 | $317.00 | $82.26–$89.14 | — | 17% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HB PREV VISIT NEW AGE 40-64 | $292.16 | $352.00 | $59.84–$260.97 | 89% above | 17% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HB PREV VISIT NEW AGE 40-64 | $292.16 | $352.00 | $91.34–$98.98 | — | 17% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HB INIT PM E/M NEW PAT 65+ YRS | $317.06 | $382.00 | $64.94–$283.21 | 65% above | 17% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HB INIT PM E/M NEW PAT 65+ YRS | $317.06 | $382.00 | $99.13–$107.42 | — | 17% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HB PREV VISIT EST AGE 18-39 | $233.23 | $281.00 | $47.77–$208.33 | 106% above | 17% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HB PREV VISIT EST AGE 18-39 | $233.23 | $281.00 | $72.92–$79.02 | — | 17% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HB PREV VISIT EST AGE 40-64 | $273.07 | $329.00 | $55.93–$243.92 | 74% above | 17% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HB PREV VISIT EST AGE 40-64 | $273.07 | $329.00 | $85.38–$92.51 | — | 17% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HB PER PM REEVAL EST PAT 65+ YR | $285.52 | $344.00 | $58.48–$255.04 | 60% above | 17% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HB PER PM REEVAL EST PAT 65+ YR | $285.52 | $344.00 | $89.27–$96.73 | — | 17% |
| Psychiatric evaluation with medical services CPT 90792 HB PSYCH DIAG EVAL W/MED SRVCS | $708.82 | $854.00 | $88.50–$633.16 | 116% above | 17% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HB PSYCH DIAG EVAL W/MED SRVCS | $708.82 | $854.00 | $221.61–$240.14 | — | 17% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYTX PT&/FAMILY 30 MINUTES | $300.46 | $362.00 | $30.68–$449.18 | 29% above | 17% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYTX PT&/FAMILY 30 MINUTES | $300.46 | $362.00 | $93.94–$101.79 | — | 17% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYTX PT&/FAMILY 45 MINUTES | $449.86 | $542.00 | $46.02–$449.18 | 87% above | 17% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYTX PT&/FAMILY 45 MINUTES | $449.86 | $542.00 | $140.65–$152.41 | — | 17% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYTX PT&/FAMILY 60 MINUTES | $677.28 | $816.00 | $61.36–$604.98 | 124% above | 17% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYTX PT&/FAMILY 60 MINUTES | $677.28 | $816.00 | $211.75–$229.46 | — | 17% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB BEHAV CHNG SMOKING 3-10 MIN | $45.65 | $55.00 | $9.35–$231.00 | 24% above | 17% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB BEHAV CHNG SMOKING 3-10 MIN | $45.65 | $55.00 | $14.27–$15.47 | — | 17% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OFFICE/OUTPATIENT VISIT EST (COMPREHENSIVE) | $711.31 | $857.00 | $92.10–$635.38 | 165% above | 17% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB OFFICE/OUTPATIENT VISIT EST (COMPREHENSIVE) | $711.31 | $857.00 | $222.39–$240.99 | — | 17% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OFFICE/OUTPATIENT VISIT EST (INTERMEDIATE) | $267.26 | $322.00 | $41.30–$238.73 | 46% above | 17% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB OFFICE/OUTPATIENT VISIT EST (INTERMEDIATE) | $267.26 | $322.00 | $83.56–$90.55 | — | 17% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OFFICE/OUTPATIENT VISIT EST (EXTENDED) | $444.05 | $535.00 | $64.22–$396.65 | 128% above | 17% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB OFFICE/OUTPATIENT VISIT EST (EXTENDED) | $444.05 | $535.00 | $138.83–$150.44 | — | 17% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OFFICE/OUTPATIENT VISIT EST (LIMITED) | $180.94 | $218.00 | $30.68–$161.63 | 38% above | 17% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB OFFICE/OUTPATIENT VISIT EST (LIMITED) | $180.94 | $218.00 | $56.57–$61.30 | — | 17% |
| Speech and language evaluation CPT 92523 HB SPEECH SOUND LANG COMPREHEN | $1,160.34 | $1,398.00 | $170.04–$487.90 | 142% above | 17% |
| Speech and language evaluation inpatient CPT 92523 HB SPEECH SOUND LANG COMPREHEN | $1,160.34 | $1,398.00 | $362.78–$393.12 | — | 17% |
| Speech therapy session, individual CPT 92507 HB SPEECH/HEARING THERAPY (INDIVIDUAL) | $605.90 | $730.00 | $25.61–$347.00 | 105% above | 17% |
| Speech therapy session, individual inpatient CPT 92507 HB SPEECH/HEARING THERAPY (INDIVIDUAL) | $605.90 | $730.00 | $189.44–$205.28 | — | 17% |
| Spirometry (breathing test) CPT 94010 HB BREATHING CAPACITY TEST | $761.94 | $918.00 | $17.70–$437.41 | 145% above | 17% |
| Spirometry (breathing test) inpatient CPT 94010 HB BREATHING CAPACITY TEST | $761.94 | $918.00 | $238.22–$258.14 | — | 17% |
| Spirometry before and after a bronchodilator CPT 94060 HB EVALUATION OF WHEEZING (SPIROMETRY PRE/POST BRONCHODILATOR ADMINISTRATION) | $1,284.01 | $1,547.00 | $22.42–$870.55 | 97% above | 17% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB EVALUATION OF WHEEZING (SPIROMETRY PRE/POST BRONCHODILATOR ADMINISTRATION) | $1,284.01 | $1,547.00 | $401.45–$435.02 | — | 17% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITIES | $316.23 | $381.00 | $15.34–$347.00 | 149% above | 17% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITIES | $316.23 | $381.00 | $98.87–$107.14 | — | 17% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB PHLEBOTOMY | $693.05 | $835.00 | $3.41–$360.34 | 200% above | 17% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB PHLEBOTOMY | $693.05 | $835.00 | $216.68–$234.80 | — | 17% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HB CHICKEN POX VACCINE SC | $83.00 | $100.00 | $11.80–$219.45 | 60% below | 17% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HB CHICKEN POX VACCINE SC | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB FLU VACCINE NO PRESERV 3 & > | $83.00 | $100.00 | $11.80–$34.90 | 16% above | 17% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $120.18 | $144.80 | $11.80–$50.54 | 68% above | 17% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HB FLU VACCINE NO PRESERV 3 & > | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $120.18 | $144.80 | $37.58–$40.72 | — | 17% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB 9VHPV VACCINE 2/3 DOSE IM | $83.00 | $100.00 | $11.80–$368.98 | 64% below | 17% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HB 9VHPV VACCINE 2/3 DOSE IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HB HEP A/HEP B VACC ADULT IM | $83.00 | $100.00 | $11.80–$158.62 | 29% below | 17% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HB HEP A/HEP B VACC ADULT IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Hepatitis A vaccine, adult dose CPT 90632 HB HEP A VACCINE ADULT IM | $83.00 | $100.00 | $11.80–$90.73 | 4% below | 17% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $254.00 | $306.03 | $11.80–$106.80 | 195% above | 17% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HB HEP A VACCINE ADULT IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $254.00 | $306.03 | $79.41–$86.06 | — | 17% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB HEP B VACC ADULT 3 DOSE IM | $83.00 | $100.00 | $11.80–$79.21 | 6% above | 17% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY | $182.73 | $220.16 | $11.80–$79.21 | 133% above | 17% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HB HEP B VACC ADULT 3 DOSE IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY | $182.73 | $220.16 | $57.13–$61.91 | — | 17% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB IIV NO PRSV INCREASED AG IM | $83.00 | $100.00 | $11.80–$93.23 | 8% below | 17% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $550.70 | $663.50 | $11.80–$231.56 | 512% above | 17% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HB IIV NO PRSV INCREASED AG IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $550.70 | $663.50 | $172.18–$186.58 | — | 17% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HB MMR VACCINE SC | $83.00 | $100.00 | $11.80–$113.79 | 30% above | 17% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $349.57 | $421.17 | $11.80–$146.99 | 448% above | 17% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HB MMR VACCINE SC | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $349.57 | $421.17 | $109.29–$118.43 | — | 17% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB MENINGOCOCCAL VACCINE IM | $83.00 | $100.00 | $11.80–$199.95 | 11% below | 17% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $814.91 | $981.82 | $11.80–$342.66 | 771% above | 17% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN | $1,096.62 | $1,321.23 | $11.80–$461.11 | 1072% above | 17% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HB MENINGOCOCCAL VACCINE IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $814.91 | $981.82 | $254.78–$276.09 | — | 17% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN | $1,096.62 | $1,321.23 | $342.86–$371.53 | — | 17% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HB PNEUMOCOCCAL VACC 20 VAL IM | $83.00 | $100.00 | $11.80–$329.37 | 74% below | 17% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $2,005.59 | $2,416.37 | $11.80–$843.31 | 521% above | 17% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HB PNEUMOCOCCAL VACC 20 VAL IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $2,005.59 | $2,416.37 | $627.05–$679.48 | — | 17% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB PNEUMOCOCCAL VACC 23 VAL IM | $83.00 | $100.00 | $11.80–$140.50 | 8% below | 17% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HB PNEUMOCOCCAL VACC 23 VAL IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Rabies vaccine, one dose CPT 90675 HB RABIES VACCINE IM | $83.00 | $100.00 | $11.80–$881.00 | 86% below | 17% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $1,199.41 | $1,445.07 | $11.80–$881.00 | 100% above | 17% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $1,700.04 | $2,048.24 | $11.80–$881.00 | 183% above | 17% |
| Rabies vaccine, one dose inpatient CPT 90675 HB RABIES VACCINE IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $1,199.41 | $1,445.07 | $375.00–$406.35 | — | 17% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $1,700.04 | $2,048.24 | $531.52–$575.97 | — | 17% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB TD VACCINE NO PRSRV 7/> IM | $83.00 | $100.00 | $11.80–$49.25 | 49% above | 17% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HB TD VACCINE NO PRSRV 7/> IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB TDAP VACCINE 7 YRS/> IM | $83.00 | $100.00 | $11.80–$55.75 | 48% above | 17% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $293.96 | $354.17 | $11.80–$123.61 | 424% above | 17% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HB TDAP VACCINE 7 YRS/> IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $293.96 | $354.17 | $91.91–$99.59 | — | 17% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HB TYPHOID VACCINE IM | $83.00 | $100.00 | $11.80–$152.49 | at median | 17% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HB TYPHOID VACCINE IM | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUNIZATION ADMIN | $83.00 | $100.00 | $17.00–$198.96 | 31% above | 17% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUNIZATION ADMIN | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUNIZATION ADMIN EACH ADD | $83.00 | $100.00 | $10.20–$37.96 | 216% above | 17% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB IMMUNIZATION ADMIN EACH ADD | $83.00 | $100.00 | $25.95–$28.12 | — | 17% |