Augusta Health
Augusta Health in Fishersville, VA publishes cash prices for 340 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Virginia median for 293 of 339 procedures and above it for 42. By typical cash price it ranks #7 of 66 Virginia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
78 Medical Center Drive, Fishersville, VA 22939 Collected Sep 22, 2026 Source price file Check a bill from this hospital (540) 332-4000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 490018 · CMS hospital register NPI 1053301127
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Augusta Health is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Augusta Health in Fishersville, VA:
- Feb 9, 2024 Warning notice
- May 16, 2024 Corrective action plan requested
- Jun 21, 2024 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W/Wo Contrast | $1,163.00 | $2,326.00 | — | 38% below | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W/Wo Contrast | $1,163.00 | $2,326.00 | — | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 Abdomen 2 Views | $304.00 | $608.00 | — | 7% below | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen 2 Views | $304.00 | $608.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Right Ankle 3+ Views | $226.00 | $452.00 | — | 33% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Left Ankle 3+ Views | $226.00 | $452.00 | — | 33% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Left Ankle 3+ Views | $226.00 | $452.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Right Ankle 3+ Views | $226.00 | $452.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Physio Study Arterial Ltd Tech | $314.50 | $629.00 | — | 19% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Physio Study Arterial Ltd Tech | $314.50 | $629.00 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Lt Upper Extrem W/O Contras | $411.50 | $823.00 | — | 64% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Rt Upper Extrem W/O Contras | $411.50 | $823.00 | — | 64% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Lt Upper Extrem W/O Contras | $411.50 | $823.00 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Rt Upper Extrem W/O Contras | $411.50 | $823.00 | — | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus Series | $451.50 | $903.00 | — | 7% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus Series | $451.50 | $903.00 | — | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nuc Bone Scan Whole Body | $606.50 | $1,213.00 | — | 56% below | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nuc Bone Scan Whole Body | $606.50 | $1,213.00 | — | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 Us Bil Breast Comp | $896.00 | $1,792.00 | — | 60% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Right Breast Comp | $598.00 | $1,196.00 | — | 7% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Left Breast Comp | $598.00 | $1,196.00 | — | 7% above | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Us Bil Breast Comp | $896.00 | $1,792.00 | — | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Left Breast Comp | $598.00 | $1,196.00 | — | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Right Breast Comp | $598.00 | $1,196.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited | $183.50 | $367.00 | — | 63% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Us Bil Breast Ltd | $275.00 | $550.00 | — | 45% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Left Breast Ltd | $183.50 | $367.00 | — | 63% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Right Breast Ltd | $183.50 | $367.00 | — | 63% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast Limited | $183.50 | $367.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Us Bil Breast Ltd | $275.00 | $550.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Left Breast Ltd | $183.50 | $367.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Right Breast Ltd | $183.50 | $367.00 | — | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ctv Abd Pelvis W Mips | $1,416.50 | $2,833.00 | — | 53% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abdomen And Pelvis | $1,416.50 | $2,833.00 | — | 53% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ctv Abd Pelvis W Mips | $1,416.50 | $2,833.00 | — | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abdomen And Pelvis | $1,416.50 | $2,833.00 | — | — | 50% |
| CT angiography (CTA) of the head CPT 70496 Ctv Head W Mips | $533.50 | $1,067.00 | — | 70% below | 50% |
| CT angiography (CTA) of the head CPT 70496 Ct Angio Head W/Wo Contrast | $533.50 | $1,067.00 | — | 70% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct Angio Head W/Wo Contrast | $533.50 | $1,067.00 | — | — | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ctv Head W Mips | $533.50 | $1,067.00 | — | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 Ct Angio Neck W/Wo Contrast | $333.50 | $667.00 | — | 83% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angio Neck W/Wo Contrast | $333.50 | $667.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ctv Chest W Mips | $756.00 | $1,512.00 | — | 58% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest (Non Cor) W/Wo Contr | $756.00 | $1,512.00 | — | 58% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Pulmonary Emboli | $756.00 | $1,512.00 | — | 58% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Aortic Dissection | $756.00 | $1,512.00 | — | 58% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Aortic Dissection | $756.00 | $1,512.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ctv Chest W Mips | $756.00 | $1,512.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Pulmonary Emboli | $756.00 | $1,512.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest (Non Cor) W/Wo Contr | $756.00 | $1,512.00 | — | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Hrt Wo Dye Wca Test | $450.00 | $900.00 | — | 126% above | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Hrt Wo Dye Wca Test | $450.00 | $900.00 | — | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen Pelvis W/O Contrast | $1,102.50 | $2,205.00 | — | 50% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen Pelvis W/O Contrast | $1,102.50 | $2,205.00 | — | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ctv Abd Pelvis Wo Mips | $1,357.50 | $2,715.00 | — | 56% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen Pelvis W/ Contrast | $1,357.50 | $2,715.00 | — | 56% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen Pelvis W/ Contrast | $1,357.50 | $2,715.00 | — | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ctv Abd Pelvis Wo Mips | $1,357.50 | $2,715.00 | — | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen Pelvis W/Wo Contras | $1,681.00 | $3,362.00 | — | 51% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abdomen Pelvis W/Wo Contras | $1,681.00 | $3,362.00 | — | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $1,056.00 | $2,112.00 | — | 36% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/ Contrast | $1,056.00 | $2,112.00 | — | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Contrast | $697.00 | $1,394.00 | — | 51% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Contrast | $697.00 | $1,394.00 | — | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinuses Limited | $382.50 | $765.00 | — | 71% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Contrast | $382.50 | $765.00 | — | 71% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Sinuses Limited | $382.50 | $765.00 | — | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Contrast | $382.50 | $765.00 | — | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Scan Head W/O Contrast | $380.00 | $760.00 | — | 71% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Scan Head W/O Contrast | $380.00 | $760.00 | — | — | 50% |
| CT scan of the head with contrast CPT 70460 Ct Scan Head W/Contrast | $457.50 | $915.00 | — | 70% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 Ct Scan Head W/Contrast | $457.50 | $915.00 | — | — | 50% |
| CT scan of the head without and with contrast CPT 70470 Ct Scan Head W/Wo Contrast | $501.50 | $1,003.00 | — | 71% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct Scan Head W/Wo Contrast | $501.50 | $1,003.00 | — | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/O Contrast | $1,913.00 | $3,826.00 | — | 20% above | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Spine Lumbar W/O Contrast | $1,913.00 | $3,826.00 | — | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/O Contrast | $807.00 | $1,614.00 | — | 50% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Spine Cervical W/O Contrast | $807.00 | $1,614.00 | — | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/ Contrast | $663.00 | $1,326.00 | — | 61% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/ Contrast | $663.00 | $1,326.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Exam Bilat Comp Tech | $1,104.00 | $2,208.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Exam Bilat Comp Tech | $1,104.00 | $2,208.00 | — | — | 50% |
| Chest CT scan without and with contrast CPT 71270 Ct Chest W/Wo Contrast | $682.00 | $1,364.00 | — | 65% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest W/Wo Contrast | $682.00 | $1,364.00 | — | — | 50% |
| Chest X-ray, 2 views CPT 71046 Chest 2 Views | $176.00 | $352.00 | — | 37% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views | $176.00 | $352.00 | — | — | 50% |
| Chest X-ray, single view CPT 71045 Chest Single View | $158.50 | $317.00 | — | 32% below | 50% |
| Chest X-ray, single view CPT 71045 Chest- Ap Portable | $158.50 | $317.00 | — | 32% below | 50% |
| Chest X-ray, single view CPT 71045 Chest Ap For Shunt Series | $158.50 | $317.00 | — | 32% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 Chest- Ap Portable | $158.50 | $317.00 | — | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 Chest Single View | $158.50 | $317.00 | — | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 Chest Ap For Shunt Series | $158.50 | $317.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Left Clavicle | $203.50 | $407.00 | — | 31% below | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Right Clavicle | $203.50 | $407.00 | — | 31% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Right Clavicle | $203.50 | $407.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Left Clavicle | $203.50 | $407.00 | — | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $262.50 | $525.00 | — | 59% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retroperitoneal Complete | $262.50 | $525.00 | — | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density Study | $275.00 | $550.00 | — | 53% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Study | $275.00 | $550.00 | — | 53% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Study | $275.00 | $550.00 | — | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Bone Density Study | $275.00 | $550.00 | — | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Sdocm Dxa Bd Peripheral | $80.50 | $161.00 | — | 67% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxr Dxa Bd Peripheral | $80.50 | $161.00 | — | 67% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Sdocm Dxa Bd Peripheral | $80.50 | $161.00 | — | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxr Dxa Bd Peripheral | $80.50 | $161.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest/Thorax Limited | $489.50 | $979.00 | — | 64% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Low Dose Follow Up | $489.50 | $979.00 | — | 64% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest High Res | $489.50 | $979.00 | — | 64% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/O Contrast | $489.50 | $979.00 | — | 64% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest Low Dose Follow Up | $489.50 | $979.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest/Thorax Limited | $489.50 | $979.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest W/O Contrast | $489.50 | $979.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest High Res | $489.50 | $979.00 | — | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Contrast | $576.00 | $1,152.00 | — | 67% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest W/ Contrast | $576.00 | $1,152.00 | — | — | 50% |
| Diagnostic mammogram, both breasts CPT 77066 Mammogram Bil Digital | $341.50 | $683.00 | — | 30% below | 50% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammogram Bil Digital | $341.50 | $683.00 | — | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Right Digital | $227.50 | $455.00 | — | 33% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Left Digital | $227.50 | $455.00 | — | 33% below | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Right Digital | $227.50 | $455.00 | — | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Left Digital | $227.50 | $455.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Arterial Stdy Lwr Ext Com Tech | $608.50 | $1,217.00 | — | 57% below | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Arterial Stdy Lwr Ext Com Tech | $608.50 | $1,217.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us-Bilateral Venous Ext Duplex | $729.50 | $1,459.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Ext Veins Bil/Comp Tech | $729.50 | $1,459.00 | — | 44% below | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us-Bilateral Venous Ext Duplex | $729.50 | $1,459.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Ext Veins Bil/Comp Tech | $729.50 | $1,459.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D Echo Complete - Tech | $1,622.50 | $3,245.00 | — | 6% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D Echo Complete - Tech | $1,622.50 | $3,245.00 | — | — | 50% |
| Elbow X-ray, 2 views one side CPT 73070 Right Elbow 2 Views | $203.50 | $407.00 | — | 24% below | 50% |
| Elbow X-ray, 2 views one side CPT 73070 Left Elbow 2 Views | $203.50 | $407.00 | — | 24% below | 50% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Left Elbow 2 Views | $203.50 | $407.00 | — | — | 50% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Right Elbow 2 Views | $203.50 | $407.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Left Elbow 3+ Views | $226.00 | $452.00 | — | 46% below | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Right Elbow 3+ Views | $226.00 | $452.00 | — | 46% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Right Elbow 3+ Views | $226.00 | $452.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Left Elbow 3+ Views | $226.00 | $452.00 | — | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orb/Sella/Pos Foss/Ear Wo C | $313.00 | $626.00 | — | 77% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orb/Sella/Pos Foss/Ear Wo C | $313.00 | $626.00 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones 3+ Views | $303.50 | $607.00 | — | 42% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones 3+Views | $303.50 | $607.00 | — | 42% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones 3+ Views | $303.50 | $607.00 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones 3+Views | $303.50 | $607.00 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Right Forearm 2 Views | $203.50 | $407.00 | — | 38% below | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Left Forearm 2 Views | $203.50 | $407.00 | — | 38% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Right Forearm 2 Views | $203.50 | $407.00 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Left Forearm 2 Views | $203.50 | $407.00 | — | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Imaging | $819.00 | $1,638.00 | — | 28% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Imaging | $819.00 | $1,638.00 | — | — | 50% |
| Hand X-ray, 2 views CPT 73120 Bil Hands 2 Views Each | $330.00 | $660.00 | — | 31% above | 50% |
| Hand X-ray, 2 views CPT 73120 Bil Hands Ap & Lat | $330.00 | $660.00 | — | 31% above | 50% |
| Hand X-ray, 2 views one side CPT 73120 Left Hand 2 Views | $220.00 | $440.00 | — | 13% below | 50% |
| Hand X-ray, 2 views one side CPT 73120 Right Hand Single View | $220.00 | $440.00 | — | 13% below | 50% |
| Hand X-ray, 2 views one side CPT 73120 Left Hand Single View | $220.00 | $440.00 | — | 13% below | 50% |
| Hand X-ray, 2 views one side CPT 73120 Right Hand 2 Views | $220.00 | $440.00 | — | 13% below | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 Bil Hands 2 Views Each | $330.00 | $660.00 | — | — | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 Bil Hands Ap & Lat | $330.00 | $660.00 | — | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Right Hand 2 Views | $220.00 | $440.00 | — | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Left Hand Single View | $220.00 | $440.00 | — | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Left Hand 2 Views | $220.00 | $440.00 | — | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Right Hand Single View | $220.00 | $440.00 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Right Os Calcis 2+ Views | $203.50 | $407.00 | — | 27% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Left Os Calcis 2+ Views | $203.50 | $407.00 | — | 27% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Right Os Calcis 2+ Views | $203.50 | $407.00 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Left Os Calcis 2+ Views | $203.50 | $407.00 | — | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended Pro | $79.00 | $158.00 | — | 83% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Unattended Pro | $79.00 | $158.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Poly Somnogram/Cpap Pro | $453.00 | $906.00 | — | 80% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Poly Somnogram/Cpap Tech | $2,452.00 | $4,904.00 | — | 10% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Poly Somnogram/Cpap Pro | $453.00 | $906.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Poly Somnogram/Cpap Tech | $2,452.00 | $4,904.00 | — | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 Right Knee 3 Views | $226.00 | $452.00 | — | 33% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 Left Knee 3 Views | $226.00 | $452.00 | — | 33% below | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Right Knee 3 Views | $226.00 | $452.00 | — | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Left Knee 3 Views | $226.00 | $452.00 | — | — | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Right Knee 4+ Views | $332.50 | $665.00 | — | 23% below | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Left Knee 4+ Views | $332.50 | $665.00 | — | 23% below | 50% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Left Knee 4+ Views | $332.50 | $665.00 | — | — | 50% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Right Knee 4+ Views | $332.50 | $665.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Bil Lower Extrem W/O Cont | $706.50 | $1,413.00 | — | 41% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Rt. Lower Extremity W/O Con | $471.00 | $942.00 | — | 61% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lt Lower Extremity W/O C | $471.00 | $942.00 | — | 61% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Bil Lower Extrem W/O Cont | $706.50 | $1,413.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lt Lower Extremity W/O C | $471.00 | $942.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Rt. Lower Extremity W/O Con | $471.00 | $942.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ed Us Abdomen Limited | $859.50 | $1,719.00 | — | 31% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abd(Sgl Organ/Quadrant/Fu) | $859.50 | $1,719.00 | — | 31% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ed Us Abdomen Limited | $859.50 | $1,719.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abd(Sgl Organ/Quadrant/Fu) | $859.50 | $1,719.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Extremity-Non Vascular Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ed Us Extremity - Non Vasc Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Rt Extremity-Non Vascul Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Mam Us Rt Extremity Nonvas Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Rsp Us Rt Extremity Nonvas Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Lt Extremity-Non Vascul Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Rsp Us Lt Extremity Nonvas Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Mam Us Lt Extremity Nonvas Ltd | $478.50 | $957.00 | — | 56% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ed Us Extremity - Non Vasc Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Extremity-Non Vascular Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Mam Us Rt Extremity Nonvas Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Lt Extremity-Non Vascul Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Rsp Us Lt Extremity Nonvas Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Mam Us Lt Extremity Nonvas Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Rt Extremity-Non Vascul Ltd | $478.50 | $957.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Rsp Us Rt Extremity Nonvas Ltd | $478.50 | $957.00 | — | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Low Dose Annual | $515.50 | $1,031.00 | — | 83% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Low Dose Initial | $515.50 | $1,031.00 | — | 83% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Chest Low Dose Initial | $515.50 | $1,031.00 | — | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Chest Low Dose Annual | $515.50 | $1,031.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Left Tibia/Fibula 2 Views | $203.50 | $407.00 | — | 35% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Right Tibia/Fibula 2 Views | $203.50 | $407.00 | — | 35% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Right Tibia/Fibula 2 Views | $203.50 | $407.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Left Tibia/Fibula 2 Views | $203.50 | $407.00 | — | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $692.00 | $1,384.00 | — | 70% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $692.00 | $1,384.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Lt Lower Extrem Any Joint | $700.50 | $1,401.00 | — | 64% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Rt Lower Extrem Any Joint | $700.50 | $1,401.00 | — | 64% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Lt Lower Extrem Any Joint | $700.50 | $1,401.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Rt Lower Extrem Any Joint | $700.50 | $1,401.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lt Joint Lower Extrem W/Wo | $1,504.00 | $3,008.00 | — | 56% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Rt Joint Lower Extrem W/Wo | $1,504.00 | $3,008.00 | — | 56% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Rt Joint Lower Extrem W/Wo | $1,504.00 | $3,008.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Lt Joint Lower Extrem W/Wo | $1,504.00 | $3,008.00 | — | — | 50% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O With Mrcp | $824.50 | $1,649.00 | — | 49% below | 50% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast | $824.50 | $1,649.00 | — | 49% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast | $824.50 | $1,649.00 | — | — | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O With Mrcp | $824.50 | $1,649.00 | — | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/Wo With Mrcp | $1,758.00 | $3,516.00 | — | 38% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/Wo Contrast | $1,758.00 | $3,516.00 | — | 38% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/Wo With Mrcp | $1,758.00 | $3,516.00 | — | — | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/Wo Contrast | $1,758.00 | $3,516.00 | — | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain (Incl Stem) Wo Cont | $781.50 | $1,563.00 | — | 60% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Stem Ltd W/O Contr | $781.50 | $1,563.00 | — | 60% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain (Incl Stem) Wo Cont | $781.50 | $1,563.00 | — | — | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Stem Ltd W/O Contr | $781.50 | $1,563.00 | — | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/Wo Contrast | $1,679.00 | $3,358.00 | — | 38% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/Wo Contrast | $1,679.00 | $3,358.00 | — | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Spinal Canal Lumbar W/O Co | $906.50 | $1,813.00 | — | 55% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Spinal Can Lumb Ltd W/O C | $906.50 | $1,813.00 | — | 55% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Spinal Canal Lumbar W/O Co | $906.50 | $1,813.00 | — | — | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Spinal Can Lumb Ltd W/O C | $906.50 | $1,813.00 | — | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spinal Can Lum W&W/O Cont | $1,792.00 | $3,584.00 | — | 46% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Spinal Can Lum W&W/O Cont | $1,792.00 | $3,584.00 | — | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spinalthoracic Ltd W/O Co | $766.50 | $1,533.00 | — | 62% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spinal Canal Thor Wo Cont | $766.50 | $1,533.00 | — | 62% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Spinalthoracic Ltd W/O Co | $766.50 | $1,533.00 | — | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Spinal Canal Thor Wo Cont | $766.50 | $1,533.00 | — | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spinal Can Cerv W&W/O Con | $2,744.00 | $5,488.00 | — | 16% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Spinal Can Cerv W&W/O Con | $2,744.00 | $5,488.00 | — | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spinal Canal/Cerv Wo Cont | $1,545.50 | $3,091.00 | — | 23% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Spinal Canal/Cerv Wo Cont | $1,545.50 | $3,091.00 | — | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/Wo Contrast | $1,317.50 | $2,635.00 | — | 58% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/Wo Contrast | $1,317.50 | $2,635.00 | — | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Contrast | $624.00 | $1,248.00 | — | 66% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Contrast | $624.00 | $1,248.00 | — | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Up Extrem Joint W/O | $1,044.50 | $2,089.00 | — | 46% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Lt Upper Extremity Any Joi | $1,044.50 | $2,089.00 | — | 46% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Rt Upper Extremity Any Joi | $1,044.50 | $2,089.00 | — | 46% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Up Extrem Joint W/O | $1,044.50 | $2,089.00 | — | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Lt Upper Extremity Any Joi | $1,044.50 | $2,089.00 | — | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Rt Upper Extremity Any Joi | $1,044.50 | $2,089.00 | — | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine 4+ Views | $303.50 | $607.00 | — | 37% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine-Trauma 4+ Views | $303.50 | $607.00 | — | 37% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine-Trauma 4+ Views | $303.50 | $607.00 | — | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine 4+ Views | $303.50 | $607.00 | — | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Neck Soft Tissue W/Contrast | $237.50 | $475.00 | — | 86% below | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Neck Soft Tissue W/Contrast | $237.50 | $475.00 | — | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Neck Soft Tissue W/O Con | $190.50 | $381.00 | — | 78% below | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Neck Soft Tissue W/O Con | $190.50 | $381.00 | — | — | 50% |
| Neck soft tissue X-ray CPT 70360 Neck Ap For Shunt Series | $204.00 | $408.00 | — | 41% below | 50% |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $204.00 | $408.00 | — | 41% below | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Ap For Shunt Series | $204.00 | $408.00 | — | — | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $204.00 | $408.00 | — | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult | $1,496.50 | $2,993.00 | — | 53% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult | $1,496.50 | $2,993.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Petct Neuroendocrine Rstg Cu64 | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Esophagus Staging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Esophagus Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Lymphoma Staging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Lymphoma Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Prostate Rstg Pylarify | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Prostate Init Pylarify | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Neuroendocrine Int Cu64 | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Lung Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Solid Tumor Subsequent | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Single Pulmonary Nodule | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Ovary Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Lung Staging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Solid Tumor Initial | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Breast Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Head/Neck Staging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Breast Staging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Thyroid Initial | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Ovary Initial | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Cervix Initial | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Thyroid Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Colorectal Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Colorectal Staging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Head/Neck Restaging | $4,261.50 | $8,523.00 | — | 3% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Lung Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Breast Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Prostate Rstg Pylarify | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Head/Neck Staging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Solid Tumor Initial | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Lung Staging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Ovary Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Breast Staging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Lymphoma Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Thyroid Initial | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Esophagus Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Prostate Init Pylarify | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Petct Neuroendocrine Rstg Cu64 | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Single Pulmonary Nodule | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Lymphoma Staging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Ovary Initial | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Cervix Initial | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Thyroid Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Esophagus Staging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Colorectal Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Head/Neck Restaging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Colorectal Staging | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Neuroendocrine Int Cu64 | $4,261.50 | $8,523.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Solid Tumor Subsequent | $4,261.50 | $8,523.00 | — | — | 50% |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Contrast | $547.50 | $1,095.00 | — | 63% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Contrast | $547.50 | $1,095.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis Non Ob Ltd Or F/U | $345.50 | $691.00 | — | 20% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ed Us Pelvic Limited | $345.50 | $691.00 | — | 20% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvis Non Ob Ltd Or F/U | $345.50 | $691.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ed Us Pelvic Limited | $345.50 | $691.00 | — | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob Complete | $734.00 | $1,468.00 | — | at median | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvis Non Ob Complete | $734.00 | $1,468.00 | — | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Obus Us Ts Anatomical Survey | $172.50 | $345.00 | — | 71% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Obus Us Ts Anatomical Survey | $172.50 | $345.00 | — | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Obus Us Ts Dating | $172.50 | $345.00 | — | 64% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Pelvis Ob < 14 Weeks | $172.50 | $345.00 | — | 64% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Obus Us Ts Dating | $172.50 | $345.00 | — | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Pelvis Ob < 14 Weeks | $172.50 | $345.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Obus Us Ts Limited | $350.00 | $700.00 | — | 26% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Ltd Fh/Plac Loc/Position | $350.00 | $700.00 | — | 26% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ed Us Transabdominal Pregnancy | $350.00 | $700.00 | — | 26% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Ob Ltd Fh/Plac Loc/Position | $350.00 | $700.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ed Us Transabdominal Pregnancy | $350.00 | $700.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Obus Us Ts Limited | $350.00 | $700.00 | — | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 Left Ribs | $203.50 | $407.00 | — | 38% below | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 Right Ribs | $203.50 | $407.00 | — | 38% below | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Left Ribs | $203.50 | $407.00 | — | — | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Right Ribs | $203.50 | $407.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Right Ribs W/Pa Chest | $303.50 | $607.00 | — | 26% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Left Ribs W/Pa Chest | $303.50 | $607.00 | — | 26% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Left Ribs W/Pa Chest | $303.50 | $607.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Right Ribs W/Pa Chest | $303.50 | $607.00 | — | — | 50% |
| Screening mammogram, both breasts CPT 77067 Mammogram Screen Digital Uni | $292.00 | $584.00 | — | 30% below | 50% |
| Screening mammogram, both breasts CPT 77067 Mammogram Bil Screen Digit | $292.00 | $584.00 | — | 30% below | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Screen Digital Uni | $292.00 | $584.00 | — | — | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Bil Screen Digit | $292.00 | $584.00 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Right Shoulder Complete | $226.00 | $452.00 | — | 29% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Left Shoulder Complete | $226.00 | $452.00 | — | 29% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Right Shoulder Complete | $226.00 | $452.00 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Left Shoulder Complete | $226.00 | $452.00 | — | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses-Paranasal 3+ Views | $226.00 | $452.00 | — | 54% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses-Paranasal 3+ Views | $226.00 | $452.00 | — | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull 1-3 Views | $275.00 | $550.00 | — | 20% below | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Ap & Lat For Shunt Serie | $275.00 | $550.00 | — | 20% below | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull 1-3 Views | $275.00 | $550.00 | — | — | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Ap & Lat For Shunt Serie | $275.00 | $550.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram Pro - Incomp | $442.50 | $885.00 | — | 80% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram Pro | $442.50 | $885.00 | — | 80% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram Tech | $2,452.00 | $4,904.00 | — | 12% above | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram Tech - Incomp | $2,452.00 | $4,904.00 | — | 12% above | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram Pro | $442.50 | $885.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram Pro - Incomp | $442.50 | $885.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram Tech | $2,452.00 | $4,904.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram Tech - Incomp | $2,452.00 | $4,904.00 | — | — | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography W/Stres -T | $1,836.50 | $3,673.00 | — | 7% above | 50% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echocardiography W/Stres -T | $1,836.50 | $3,673.00 | — | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Pharynx/Cer/Esophagus-Swallow | $451.50 | $903.00 | — | 7% below | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Pharynx/Cer/Esophagus-Swallow | $451.50 | $903.00 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Right Femur 2 Or More Views | $226.00 | $452.00 | — | 26% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Left Femur 2 Or More Views | $226.00 | $452.00 | — | 26% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Left Femur 2 Or More Views | $226.00 | $452.00 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Right Femur 2 Or More Views | $226.00 | $452.00 | — | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Spine Thoracic W/O Contrast | $1,739.00 | $3,478.00 | — | 8% above | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Spine Thoracic W/O Contrast | $1,739.00 | $3,478.00 | — | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 Toe(S) 2+ Views | $203.50 | $407.00 | — | 19% below | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toe(S) 2+ Views | $203.50 | $407.00 | — | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 Us Pelvis Transvaginal | $666.50 | $1,333.00 | — | 14% above | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Pelvis Transvaginal | $666.50 | $1,333.00 | — | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Transvaginal Ob | $983.50 | $1,967.00 | — | 105% above | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Transvaginal Ob | $983.50 | $1,967.00 | — | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdomen Complete | $955.50 | $1,911.00 | — | 10% above | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdomen Complete | $955.50 | $1,911.00 | — | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents | $788.50 | $1,577.00 | — | 10% above | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum And Contents | $788.50 | $1,577.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head & Neck-Soft Tissue | $461.50 | $923.00 | — | 25% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Of Head And Neck | $461.50 | $923.00 | — | 25% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Exam Of Head And Neck | $461.50 | $923.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Head & Neck-Soft Tissue | $461.50 | $923.00 | — | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Series Sgl Contrast | $451.50 | $903.00 | — | 46% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Series Sgl Contrast | $451.50 | $903.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Left Humerus 2+ Views | $203.50 | $407.00 | — | 40% below | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Right Humerus 2+ Views | $203.50 | $407.00 | — | 40% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Left Humerus 2+ Views | $203.50 | $407.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Right Humerus 2+ Views | $203.50 | $407.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Ext Veins Uni/Lmtd Pro | $52.00 | $104.00 | — | 93% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Ext Veins Uni/Lmtd Tech | $487.50 | $975.00 | — | 34% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Ed Us Rt Deep Vein Thrombosis | $487.50 | $975.00 | — | 34% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lt Venous Extremity | $487.50 | $975.00 | — | 34% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Rt Venous Extremity | $487.50 | $975.00 | — | 34% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Ed Us Lt Deep Vein Thrombosis | $487.50 | $975.00 | — | 34% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Ext Veins Uni/Lmtd Pro | $52.00 | $104.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Ext Veins Uni/Lmtd Tech | $487.50 | $975.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Rt Venous Extremity | $487.50 | $975.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Ed Us Rt Deep Vein Thrombosis | $487.50 | $975.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Lt Venous Extremity | $487.50 | $975.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Ed Us Lt Deep Vein Thrombosis | $487.50 | $975.00 | — | — | 50% |
| Wrist X-ray, 2 views one side CPT 73100 Right Wrist 2 Views | $203.50 | $407.00 | — | 20% below | 50% |
| Wrist X-ray, 2 views one side CPT 73100 Left Wrist Single View | $203.50 | $407.00 | — | 20% below | 50% |
| Wrist X-ray, 2 views one side CPT 73100 Right Wrist Single View | $203.50 | $407.00 | — | 20% below | 50% |
| Wrist X-ray, 2 views one side CPT 73100 Left Wrist 2 Views | $203.50 | $407.00 | — | 20% below | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Left Wrist 2 Views | $203.50 | $407.00 | — | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Right Wrist 2 Views | $203.50 | $407.00 | — | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Left Wrist Single View | $203.50 | $407.00 | — | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Right Wrist Single View | $203.50 | $407.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Left Wrist 3+ Views | $226.00 | $452.00 | — | 26% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Right Wrist 3+ Views | $226.00 | $452.00 | — | 26% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Left Wrist 3+ Views | $226.00 | $452.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Right Wrist 3+ Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Right Hip 2-3 Views | $226.00 | $452.00 | — | 10% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Left Hip 2-3 Views | $226.00 | $452.00 | — | 10% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Left Hip 2-3 Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Right Hip 2-3 Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen For Shunt Series | $204.00 | $408.00 | — | 26% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 Ap Abdomen Sitz Marker Study | $204.00 | $408.00 | — | 26% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen Single View | $204.00 | $408.00 | — | 26% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Single View | $204.00 | $408.00 | — | — | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Ap Abdomen Sitz Marker Study | $204.00 | $408.00 | — | — | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen For Shunt Series | $204.00 | $408.00 | — | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 Right Ankle Single View | $203.50 | $407.00 | — | 24% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 Left Ankle 2 Views | $203.50 | $407.00 | — | 24% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 Left Ankle Single View | $203.50 | $407.00 | — | 24% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 Right Ankle 2 Views | $203.50 | $407.00 | — | 24% below | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Right Ankle Single View | $203.50 | $407.00 | — | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Left Ankle Single View | $203.50 | $407.00 | — | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Right Ankle 2 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Left Ankle 2 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) 2+ Views | $203.50 | $407.00 | — | 14% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger(S) 2+ Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 Right Foot 2 Views | $203.50 | $407.00 | — | 31% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 Left Foot 2 Views | $203.50 | $407.00 | — | 31% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 Left Foot Single View | $203.50 | $407.00 | — | 31% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 Right Foot Single View | $203.50 | $407.00 | — | 31% below | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Left Foot 2 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Right Foot 2 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Left Foot Single View | $203.50 | $407.00 | — | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Right Foot Single View | $203.50 | $407.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Left Foot 3+ Views | $226.00 | $452.00 | — | 29% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Right Foot 3+ Views | $226.00 | $452.00 | — | 29% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Right Foot 3+ Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Left Foot 3+ Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 Right Hand 3+ Views | $226.00 | $452.00 | — | 24% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 Left Hand 3+ Views | $226.00 | $452.00 | — | 24% below | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Left Hand 3+ Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Right Hand 3+ Views | $226.00 | $452.00 | — | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Right Knee 1-2 Views | $203.50 | $407.00 | — | 22% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Left Knee 1-2 Views | $203.50 | $407.00 | — | 22% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Left Knee 1-2 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Right Knee 1-2 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral Spine 2-3 Views | $275.00 | $550.00 | — | 25% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbosacral Spine 2-3 Views | $275.00 | $550.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 Lumosacral Spine 4+ Views | $303.50 | $607.00 | — | 43% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Spine 4+ Views | $303.50 | $607.00 | — | 43% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbar Spine-Trauma | $303.50 | $607.00 | — | 43% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Spine 4+ Views | $303.50 | $607.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumosacral Spine 4+ Views | $303.50 | $607.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Spine-Trauma | $303.50 | $607.00 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Dxr Thoracic Spine Ap And Lat | $275.00 | $550.00 | — | 16% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 Views | $275.00 | $550.00 | — | 16% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Dxr Thoracic Spine Ap And Lat | $275.00 | $550.00 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2 Views | $275.00 | $550.00 | — | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complete | $203.50 | $407.00 | — | 29% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Complete | $203.50 | $407.00 | — | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2-3 Views | $203.50 | $407.00 | — | 46% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2-3 Views | $203.50 | $407.00 | — | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2 Views | $275.00 | $550.00 | — | 16% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1-2 Views | $275.00 | $550.00 | — | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx 2+ Views | $203.50 | $407.00 | — | 51% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx 2+ Views | $203.50 | $407.00 | — | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone | $81.00 | $162.00 | — | 65% below | 50% |
| ACTH blood test CPT 82024 Aml-Acth | $81.00 | $162.00 | — | 65% below | 50% |
| ACTH blood test inpatient CPT 82024 Aml-Acth | $81.00 | $162.00 | — | — | 50% |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone | $81.00 | $162.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Lcore - Sgot | $17.00 | $34.00 | — | 66% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Lcore - Sgot | $17.00 | $34.00 | — | — | 50% |
| Albumin blood test CPT 82040 Quest- Testo Bio Albumin | $14.50 | $29.00 | — | 63% below | 50% |
| Albumin blood test CPT 82040 Aml-Msp Serum Albumin | $14.50 | $29.00 | — | 63% below | 50% |
| Albumin blood test CPT 82040 Aml-Albumin Serum | $37.00 | $74.00 | — | 6% below | 50% |
| Albumin blood test CPT 82040 Assay Of Serum Albumin | $37.00 | $74.00 | — | 6% below | 50% |
| Albumin blood test inpatient CPT 82040 Quest- Testo Bio Albumin | $14.50 | $29.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 Aml-Msp Serum Albumin | $14.50 | $29.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 Assay Of Serum Albumin | $37.00 | $74.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 Aml-Albumin Serum | $37.00 | $74.00 | — | — | 50% |
| Aldosterone blood test CPT 82088 Aml-Aldosterone 24Hr Ur | $64.50 | $129.00 | — | 63% below | 50% |
| Aldosterone blood test CPT 82088 Aldosterone | $74.00 | $148.00 | — | 58% below | 50% |
| Aldosterone blood test CPT 82088 Aml-Aldosterone Serum | $74.00 | $148.00 | — | 58% below | 50% |
| Aldosterone blood test inpatient CPT 82088 Aml-Aldosterone 24Hr Ur | $64.50 | $129.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Aml-Aldosterone Serum | $74.00 | $148.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $74.00 | $148.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 C-Alkaline Phosphatase | $3.50 | $7.00 | — | 90% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Aml-Alkaline Phosphatase | $7.00 | $14.00 | — | 81% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Aml-Alk Phos Bone Specific | $20.50 | $41.00 | — | 44% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $37.00 | $74.00 | — | 1% above | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 C-Alkaline Phosphatase | $3.50 | $7.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Aml-Alkaline Phosphatase | $7.00 | $14.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Aml-Alk Phos Bone Specific | $20.50 | $41.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $37.00 | $74.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Lactalbumin | $9.00 | $18.00 | — | 64% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Penicillium Chrysogen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Rabbit | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Flounder Allergen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Oyster | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pork | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Aspergillus Fumigatus | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Blueberry Ige | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Short | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Helminth Halodes | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Alternaria Alternata | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Chocolate Allergn | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sheep Sorrel | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #17 | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Apple Allergen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergillus Flavus Ige | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Pineapple | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergy Test Ea. Allergen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Casein Ige | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml - Mushroom Ige | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Turkey | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tuna | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Beef | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Timothy Grass | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cat Dander | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cockroach German | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cladosporium Herbarum | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Codfish | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cashew Nut | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige D. Pteronyssinus | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gluten | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hazelnut (Filbert) | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G010-Ige Johnson Grass | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Trout Ige | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Brazil Nut | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast Test For Corn | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Milk | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Gluten Allergen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Cabbage Allergen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast Test For Banana | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sesame Seed | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Grapefruit | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Coconut Allergen | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oak White | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pigweed Common | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Latex | $9.50 | $19.00 | — | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #2 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Beef | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Milk | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Drmatophagoids Pteronysins | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Dermatophagoides Farinae | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Walnut | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Codfish | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Tuna | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Pecan | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast Macadamia Nut Allergn | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Chicken | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Cashew | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Peanut | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Brazil Nut | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Hazelnut | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Almond | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #22 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #21 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergillosis Fumigatus | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #20 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #19 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #18 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #16 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #15 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergillosis Niger Ige | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #14 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #13 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #12 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #11 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #10 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Ragweed Common | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #9 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Alternaria Tenuis | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #8 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Oak | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #7 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Maple Tree | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #6 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Birch Tree | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Pigweed | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Cedar | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Cottonwood | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #5 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Bermuda Grass | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Timothy Grass | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Sheep Sorrel | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Hickory/Pecan | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Elm Ige Allergen | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Penicillin Notat | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Johnson Grass Ige | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Cladosporioum Hebr Allerge | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast Test For Wheat | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Sesame Seed Allergen | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #4 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #3 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen #1 | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast Test For Soybean | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast Test For Egg White | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Dog | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Cat Dander | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Turkey Meat | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Pork (F26) Ige Allergen | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Cockroach | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mayo-Fhypp Mold Ige | $12.50 | $25.00 | — | 49% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mayo-Fhypp Pork Ige | $12.50 | $25.00 | — | 49% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mayo-Fhypp Beef Ige | $12.50 | $25.00 | — | 49% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergillus Nidulans Ige | $14.00 | $28.00 | — | 43% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Clam Allergen | $15.50 | $31.00 | — | 37% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Crab Allergen | $15.50 | $31.00 | — | 37% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Lobster Allergen | $15.50 | $31.00 | — | 37% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Blue Mussel Allergen | $15.50 | $31.00 | — | 37% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Oyster Allergen | $15.50 | $31.00 | — | 37% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml- Ara H1 | $16.00 | $32.00 | — | 35% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Ara H8 | $16.00 | $32.00 | — | 35% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Ara H3 | $16.00 | $32.00 | — | 35% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Ara H2 | $16.00 | $32.00 | — | 35% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Ara H9 | $16.00 | $32.00 | — | 35% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Shrimp | $16.50 | $33.00 | — | 33% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Turkey Feathers | $18.00 | $36.00 | — | 27% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml- Bean White Ige | $20.50 | $41.00 | — | 17% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Scallop | $21.00 | $42.00 | — | 15% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergilosis Amstelodmiige | $24.00 | $48.00 | — | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Onion | $24.00 | $48.00 | — | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergillus Terreus Ige | $24.00 | $48.00 | — | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Rast For Salmon | $24.00 | $48.00 | — | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ibt-Stachybotrys Ige | $24.50 | $49.00 | — | 1% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Allergen Pistacio | $24.50 | $49.00 | — | 1% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ibt-Parrot Feathers Ige | $25.00 | $50.00 | — | 1% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Aspergilosis Versicolorige | $25.00 | $50.00 | — | 1% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Flaxseed Ige | $29.00 | $58.00 | — | 18% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige D. Farinae | $29.00 | $58.00 | — | 18% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Soybean Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Soybean | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast For Scallop | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dog Dander | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Wheat Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lamb | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peanut | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Helminthosporium Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Alternaria Tenuis Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Cockatiel Feathers Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pecan Nut | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg White | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tomato | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Trout | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sesame Seed | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Shrimp | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Penicillium Notatum Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Peanut Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Walnut | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kidney Bean | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Wheat | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Cladosporium Herbarum Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Aspergillus Funmagatis | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Milk Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Canadia Albicans Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Flounder | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Salmon | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Onion | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coconut | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Almond | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chocolate/Cacao | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Uva-Egg White Ige | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walnut | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Yeast Allergen | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pistachio | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pecan Nut | $32.50 | $65.00 | — | 32% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Lima Bean Allergen | $37.50 | $75.00 | — | 52% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Quinoa Chenopodium Quinoa Ige | $37.50 | $75.00 | — | 52% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml-Chenopodium Quinoa Ige | $38.00 | $76.00 | — | 54% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aml- Pinto Bean Ige | $38.50 | $77.00 | — | 56% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Lactalbumin | $9.00 | $18.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Apple Allergen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Cabbage Allergen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast Test For Banana | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Grapefruit | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Coconut Allergen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Latex | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Flounder Allergen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Oyster | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Blueberry Ige | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Chocolate Allergn | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Pineapple | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml - Mushroom Ige | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #17 | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Trout Ige | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Rabbit | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast Test For Corn | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Gluten Allergen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Helminth Halodes | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergillus Flavus Ige | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergy Test Ea. Allergen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Casein Ige | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Turkey | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tuna | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Timothy Grass | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sheep Sorrel | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Short | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pork | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Penicillium Chrysogen | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pigweed Common | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oak White | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Milk | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-Ige Johnson Grass | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hazelnut (Filbert) | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gluten | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige D. Pteronyssinus | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cashew Nut | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Codfish | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cladosporium Herbarum | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cockroach German | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cat Dander | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Brazil Nut | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Beef | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Alternaria Alternata | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Aspergillus Fumigatus | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sesame Seed | $9.50 | $19.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Ragweed Common | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #21 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Penicillin Notat | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Elm Ige Allergen | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #20 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Hickory/Pecan | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergillosis Fumigatus | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #19 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #18 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #16 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #15 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Sheep Sorrel | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Timothy Grass | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #14 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Bermuda Grass | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Cottonwood | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergillosis Niger Ige | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Cedar | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Tuna | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Pigweed | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #5 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Birch Tree | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Maple Tree | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #6 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Oak | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #7 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Alternaria Tenuis | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #8 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #9 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #10 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #11 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #12 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #13 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Pecan | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast Macadamia Nut Allergn | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Beef | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast Test For Egg White | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Milk | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast Test For Soybean | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Turkey Meat | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Chicken | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Codfish | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Walnut | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Drmatophagoids Pteronysins | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Pork (F26) Ige Allergen | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Cashew | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #1 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Dermatophagoides Farinae | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #2 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #3 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Sesame Seed Allergen | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #4 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast Test For Wheat | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Cat Dander | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Peanut | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Cockroach | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Dog | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Brazil Nut | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Hazelnut | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Almond | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Cladosporioum Hebr Allerge | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen #22 | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Johnson Grass Ige | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mayo-Fhypp Beef Ige | $12.50 | $25.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mayo-Fhypp Pork Ige | $12.50 | $25.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mayo-Fhypp Mold Ige | $12.50 | $25.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergillus Nidulans Ige | $14.00 | $28.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Clam Allergen | $15.50 | $31.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Crab Allergen | $15.50 | $31.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Lobster Allergen | $15.50 | $31.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Blue Mussel Allergen | $15.50 | $31.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Oyster Allergen | $15.50 | $31.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Ara H9 | $16.00 | $32.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml- Ara H1 | $16.00 | $32.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Ara H3 | $16.00 | $32.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Ara H2 | $16.00 | $32.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Ara H8 | $16.00 | $32.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Shrimp | $16.50 | $33.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Turkey Feathers | $18.00 | $36.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml- Bean White Ige | $20.50 | $41.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Scallop | $21.00 | $42.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Salmon | $24.00 | $48.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergilosis Amstelodmiige | $24.00 | $48.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergillus Terreus Ige | $24.00 | $48.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Rast For Onion | $24.00 | $48.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Allergen Pistacio | $24.50 | $49.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ibt-Stachybotrys Ige | $24.50 | $49.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ibt-Parrot Feathers Ige | $25.00 | $50.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Aspergilosis Versicolorige | $25.00 | $50.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Flaxseed Ige | $29.00 | $58.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige D. Farinae | $29.00 | $58.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast For Scallop | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walnut | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pecan Nut | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Alternaria Tenuis Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Helminthosporium Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Almond | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Soybean Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chocolate/Cacao | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coconut | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dog Dander | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Canadia Albicans Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Aspergillus Funmagatis | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Cladosporium Herbarum Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Wheat | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Walnut | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Penicillium Notatum Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg White | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Egg White Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Flounder | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Trout | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tomato | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sesame Seed | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Milk Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kidney Bean | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Shrimp | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Salmon | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Soybean | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Peanut Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lamb | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Yeast Allergen | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pistachio | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pecan Nut | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peanut | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Uva-Wheat Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Onion | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Cockatiel Feathers Ige | $32.50 | $65.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Lima Bean Allergen | $37.50 | $75.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Quinoa Chenopodium Quinoa Ige | $37.50 | $75.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml-Chenopodium Quinoa Ige | $38.00 | $76.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aml- Pinto Bean Ige | $38.50 | $77.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Quest-Alphafetoprotein | $28.50 | $57.00 | — | 74% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Tumor Marker | $28.50 | $57.00 | — | 74% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Uva-Alphafetoprotein | $33.50 | $67.00 | — | 70% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Aml-Maternal Alpha Fetoprotein | $62.00 | $124.00 | — | 44% below | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Quest-Alphafetoprotein | $28.50 | $57.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Tumor Marker | $28.50 | $57.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Uva-Alphafetoprotein | $33.50 | $67.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Aml-Maternal Alpha Fetoprotein | $62.00 | $124.00 | — | — | 50% |
| Ammonia blood test CPT 82140 C-Ammonia | $19.50 | $39.00 | — | 79% below | 50% |
| Ammonia blood test CPT 82140 Aml-Urine Ammonium | $24.50 | $49.00 | — | 73% below | 50% |
| Ammonia blood test inpatient CPT 82140 C-Ammonia | $19.50 | $39.00 | — | — | 50% |
| Ammonia blood test inpatient CPT 82140 Aml-Urine Ammonium | $24.50 | $49.00 | — | — | 50% |
| Amylase blood test CPT 82150 Fl-Amylase Body Fluid | $13.00 | $26.00 | — | 77% below | 50% |
| Amylase blood test CPT 82150 C-Amylase Urine | $13.00 | $26.00 | — | 77% below | 50% |
| Amylase blood test inpatient CPT 82150 C-Amylase Urine | $13.00 | $26.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 Fl-Amylase Body Fluid | $13.00 | $26.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Aml-Ccp Igg Antibody | $64.00 | $128.00 | — | 12% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Pep Igg/A | $65.50 | $131.00 | — | 10% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Labcorp-Ccp Iga And Igg Ccp3.1 | $71.00 | $142.00 | — | 3% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Mayo-Ctdc Ccp Ab Igg | $75.50 | $151.00 | — | 3% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Aml-Ccp Igg Antibody | $64.00 | $128.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Pep Igg/A | $65.50 | $131.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Labcorp-Ccp Iga And Igg Ccp3.1 | $71.00 | $142.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Mayo-Ctdc Ccp Ab Igg | $75.50 | $151.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ser-Ana Screen | $13.50 | $27.00 | — | 90% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies (Ana) | $29.50 | $59.00 | — | 79% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Aml-Ana Ifa Reflex Cascade | $31.50 | $63.00 | — | 77% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Mayo- Ctdc Ana | $75.50 | $151.00 | — | 45% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ser-Ana Screen | $13.50 | $27.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies (Ana) | $29.50 | $59.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Aml-Ana Ifa Reflex Cascade | $31.50 | $63.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Mayo- Ctdc Ana | $75.50 | $151.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 C-Brain Natriuretic Peptide | $39.00 | $78.00 | — | 80% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Aml-Probnp N-Terminal | $161.00 | $322.00 | — | 17% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Probnp | $238.50 | $477.00 | — | 23% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 C-Brain Natriuretic Peptide | $39.00 | $78.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Aml-Probnp N-Terminal | $161.00 | $322.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt-Probnp | $238.50 | $477.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Throat Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Wounds-Misc Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Sputum Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Eye Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Ear Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Nasal & Sinus Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Genital Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Csf Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Fluid Not Csf Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 M-Or Culture | $11.00 | $22.00 | — | 84% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Uva-Aerobic Culture | $66.00 | $132.00 | — | 4% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cystic Fibrosis Respiratory Cu | $75.00 | $150.00 | — | 9% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Csf Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Sputum Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Throat Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Ear Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Nasal & Sinus Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Eye Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Fluid Not Csf Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Wounds-Misc Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Genital Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 M-Or Culture | $11.00 | $22.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Uva-Aerobic Culture | $66.00 | $132.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cystic Fibrosis Respiratory Cu | $75.00 | $150.00 | — | — | 50% |
| Bilirubin blood test, total CPT 82247 C-Neonatal Bilirubin | $4.50 | $9.00 | — | 90% below | 50% |
| Bilirubin blood test, total CPT 82247 C-Total Bilirubin | $4.50 | $9.00 | — | 90% below | 50% |
| Bilirubin blood test, total CPT 82247 Lcore - Bilirubin | $22.00 | $44.00 | — | 51% below | 50% |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid Total | $53.00 | $106.00 | — | 19% above | 50% |
| Bilirubin blood test, total CPT 82247 Aml-Bilirubin Body Fluid | $93.50 | $187.00 | — | 110% above | 50% |
| Bilirubin blood test, total inpatient CPT 82247 C-Neonatal Bilirubin | $4.50 | $9.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 C-Total Bilirubin | $4.50 | $9.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Lcore - Bilirubin | $22.00 | $44.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid Total | $53.00 | $106.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Aml-Bilirubin Body Fluid | $93.50 | $187.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path W/O Complex Disectin | $42.50 | $85.00 | — | 80% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path W/O Complex Disectin | $42.50 | $85.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $28.50 | $57.00 | — | 63% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Rad Onc Venipuncture / Lab | $28.50 | $57.00 | — | 63% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Rad Onc Venipuncture / Lab | $28.50 | $57.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $28.50 | $57.00 | — | — | 50% |
| Blood glucose (sugar) test CPT 82947 C-Glucose | $3.00 | $6.00 | — | 93% below | 50% |
| Blood glucose (sugar) test CPT 82947 C-Glucose 2 Hr Post Cibum | $8.50 | $17.00 | — | 81% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 C-Glucose | $3.00 | $6.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 C-Glucose 2 Hr Post Cibum | $8.50 | $17.00 | — | — | 50% |
| Blood lead test CPT 83655 Aml-Lead Blood | $17.50 | $35.00 | — | 72% below | 50% |
| Blood lead test CPT 83655 Aml-Lead Hm | $17.50 | $35.00 | — | 72% below | 50% |
| Blood lead test CPT 83655 Aml-Lead Urine | $25.50 | $51.00 | — | 59% below | 50% |
| Blood lead test CPT 83655 Lead Blood (Adult/Peds) | $91.00 | $182.00 | — | 45% above | 50% |
| Blood lead test inpatient CPT 83655 Aml-Lead Hm | $17.50 | $35.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Aml-Lead Blood | $17.50 | $35.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Aml-Lead Urine | $25.50 | $51.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Lead Blood (Adult/Peds) | $91.00 | $182.00 | — | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 C-Serum Pregnancy-Qualitative | $8.50 | $17.00 | — | 92% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 C-Serum Pregnancy-Qualitative | $8.50 | $17.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 C-Bun | $3.50 | $7.00 | — | 93% below | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 C-Bun | $3.50 | $7.00 | — | — | 50% |
| C-peptide blood test CPT 84681 C- C-Peptide (Fasting) | $33.00 | $66.00 | — | 70% below | 50% |
| C-peptide blood test inpatient CPT 84681 C- C-Peptide (Fasting) | $33.00 | $66.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $8.50 | $17.00 | — | 90% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Aml-Ibd Crp | $25.00 | $50.00 | — | 71% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Cdl-Synovial Fluid Crp | $55.50 | $111.00 | — | 35% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $8.50 | $17.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Aml-Ibd Crp | $25.00 | $50.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Cdl-Synovial Fluid Crp | $55.50 | $111.00 | — | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile By Pcr | $52.00 | $104.00 | — | 59% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile By Pcr | $52.00 | $104.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen 19-9 | $31.00 | $62.00 | — | 70% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Aml-Ca 19-9 | $31.00 | $62.00 | — | 70% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen 19-9 | $31.00 | $62.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Aml-Ca 19-9 | $31.00 | $62.00 | — | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 C-Ca-125 | $34.50 | $69.00 | — | 72% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 C-Ca-125 | $34.50 | $69.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Mic-Covid-19 Pcr | $69.00 | $138.00 | — | 10% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Ser-Covid-19 Pcr | $72.50 | $145.00 | — | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 S-Covid-19 Abbott Id Now | $72.50 | $145.00 | — | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Mic-Covid-19 Pcr | $69.00 | $138.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 S-Covid-19 Abbott Id Now | $72.50 | $145.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Ser-Covid-19 Pcr | $72.50 | $145.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 C-Carcinoembryonic Antigen-Cea | $20.00 | $40.00 | — | 83% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Ag (Cea)Fluid | $136.50 | $273.00 | — | 18% above | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 C-Carcinoembryonic Antigen-Cea | $20.00 | $40.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Ag (Cea)Fluid | $136.50 | $273.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Aml-Varicella Zoster Ifa Igm | $12.00 | $24.00 | — | 89% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Igm | $12.50 | $25.00 | — | 88% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Aml-Varicella Zoster Ifa Igg | $12.50 | $25.00 | — | 88% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Aml-Varicella Zoster Virus Ab | $13.00 | $26.00 | — | 88% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Pcr Ql | $74.00 | $148.00 | — | 30% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Igg | $74.00 | $148.00 | — | 30% below | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Aml-Varicella Zoster Ifa Igm | $12.00 | $24.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Igm | $12.50 | $25.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Aml-Varicella Zoster Ifa Igg | $12.50 | $25.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Aml-Varicella Zoster Virus Ab | $13.00 | $26.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Pcr Ql | $74.00 | $148.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Igg | $74.00 | $148.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 M-Chlamydia Trach Ampli Probe | $33.50 | $67.00 | — | 75% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Aml-Chlamydia Trachomatis Rna | $62.00 | $124.00 | — | 53% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 M-Chlamydia Trach Ampli Probe | $33.50 | $67.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Aml-Chlamydia Trachomatis Rna | $62.00 | $124.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Qst-Lipid Profile Lipo Nmr | $7.00 | $14.00 | — | 92% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Aml-Card Iq Lipid Panel | $130.00 | $260.00 | — | 53% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 P-Lipid Cardiac Risk | $130.00 | $260.00 | — | 53% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cardiac Risk | $130.00 | $260.00 | — | 53% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Qst-Lipid Profile Lipo Nmr | $7.00 | $14.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cardiac Risk | $130.00 | $260.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Aml-Card Iq Lipid Panel | $130.00 | $260.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 P-Lipid Cardiac Risk | $130.00 | $260.00 | — | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 H-Cbc With Diff | $9.50 | $19.00 | — | 67% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Diff | $80.00 | $160.00 | — | 178% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 H-Cbc With Diff | $9.50 | $19.00 | — | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff | $80.00 | $160.00 | — | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 H-Cbc | $6.50 | $13.00 | — | 92% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 Cbc | $57.50 | $115.00 | — | 30% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 H-Cbc | $6.50 | $13.00 | — | — | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc | $57.50 | $115.00 | — | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 P-Comprehensive Metabolic Prof | $10.50 | $21.00 | — | 94% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 P-Comprehensive Metabolic Prof | $10.50 | $21.00 | — | — | 50% |
| Cortisol blood test, total CPT 82533 C-Cortisol Stimulation 60 Min | $25.00 | $50.00 | — | 71% below | 50% |
| Cortisol blood test, total CPT 82533 C-Cortisol Stimulation 30 Min | $25.00 | $50.00 | — | 71% below | 50% |
| Cortisol blood test, total CPT 82533 C-Cortisol | $25.00 | $50.00 | — | 71% below | 50% |
| Cortisol blood test, total CPT 82533 C-Dexamethasone Suppression | $28.00 | $56.00 | — | 68% below | 50% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol Ms | $40.50 | $81.00 | — | 53% below | 50% |
| Cortisol blood test, total inpatient CPT 82533 C-Cortisol | $25.00 | $50.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 C-Cortisol Stimulation 60 Min | $25.00 | $50.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 C-Cortisol Stimulation 30 Min | $25.00 | $50.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 C-Dexamethasone Suppression | $28.00 | $56.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol Ms | $40.50 | $81.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 Aml-Ck Total | $8.50 | $17.00 | — | 87% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 Ck Total | $66.50 | $133.00 | — | 5% above | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Aml-Ck Total | $8.50 | $17.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Ck Total | $66.50 | $133.00 | — | — | 50% |
| Creatinine blood test CPT 82565 Creatinine Rad Contrast Screen | $66.50 | $133.00 | — | 4% above | 50% |
| Creatinine blood test inpatient CPT 82565 Creatinine Rad Contrast Screen | $66.50 | $133.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Aml-Cytomegalovirus Abs Igg | $16.50 | $33.00 | — | 76% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (Cmv) Igg | $16.50 | $33.00 | — | 76% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Aml-Cytomegalovirus Ab Igg | $35.50 | $71.00 | — | 48% below | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Aml-Cytomegalovirus Abs Igg | $16.50 | $33.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus (Cmv) Igg | $16.50 | $33.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Aml-Cytomegalovirus Ab Igg | $35.50 | $71.00 | — | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 H-D-Dimer Quantitative | $20.00 | $40.00 | — | 87% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 H-D-Dimer Quantitative | $20.00 | $40.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Uva-Dhes | $38.00 | $76.00 | — | 68% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate | $38.00 | $76.00 | — | 68% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-Sulfate | $38.00 | $76.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Uva-Dhes | $38.00 | $76.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Nida Drug Profile | $20.00 | $40.00 | — | 87% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 C-Drug Screen 5 Item | $20.00 | $40.00 | — | 87% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 C-Drug Abuse Screen 6 | $25.00 | $50.00 | — | 84% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 C-Medical Drug Of Abuse | $25.00 | $50.00 | — | 84% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 C-Drug Abuse Screen | $25.00 | $50.00 | — | 84% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Drug Screen Confirmation | $25.00 | $50.00 | — | 84% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Serum Das Unconf | $25.00 | $50.00 | — | 84% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Substance Abuse Panel 10 | $27.50 | $55.00 | — | 82% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Fentanyl Progressive | $36.00 | $72.00 | — | 77% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite Urine | $40.00 | $80.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Das Panel 9 Meconium | $43.00 | $86.00 | — | 72% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Substance Abuse Pan 10-50 | $52.50 | $105.00 | — | 66% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nms-Clonazepam Urine Screen | $68.50 | $137.00 | — | 55% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Quest- Drug Panel 8 | $70.50 | $141.00 | — | 54% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Screen W/Rflx | $108.50 | $217.00 | — | 29% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nms-Urine Heroin | $112.00 | $224.00 | — | 27% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nms - Zolpiderm Screen Urine | $112.00 | $224.00 | — | 27% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Urine | $112.00 | $224.00 | — | 27% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Screen Urine | $112.00 | $224.00 | — | 27% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr | $112.00 | $224.00 | — | 27% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Lcorp - Toxassure Ur Drug Scrn | $160.00 | $320.00 | — | 4% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Aml-Hypoglycemic Agent Screen | $164.50 | $329.00 | — | 7% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 C-Drug Screen 5 Item | $20.00 | $40.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Nida Drug Profile | $20.00 | $40.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 C-Drug Abuse Screen | $25.00 | $50.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Serum Das Unconf | $25.00 | $50.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Drug Screen Confirmation | $25.00 | $50.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 C-Drug Abuse Screen 6 | $25.00 | $50.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 C-Medical Drug Of Abuse | $25.00 | $50.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Substance Abuse Panel 10 | $27.50 | $55.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Fentanyl Progressive | $36.00 | $72.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite Urine | $40.00 | $80.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Das Panel 9 Meconium | $43.00 | $86.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Substance Abuse Pan 10-50 | $52.50 | $105.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nms-Clonazepam Urine Screen | $68.50 | $137.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Quest- Drug Panel 8 | $70.50 | $141.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine Screen W/Rflx | $108.50 | $217.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nms - Zolpiderm Screen Urine | $112.00 | $224.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nms-Urine Heroin | $112.00 | $224.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Screen Urine | $112.00 | $224.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Anlyzr | $112.00 | $224.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Urine | $112.00 | $224.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lcorp - Toxassure Ur Drug Scrn | $160.00 | $320.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Aml-Hypoglycemic Agent Screen | $164.50 | $329.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Aml-Ebv Ab Capsid Ag Igg | $19.00 | $38.00 | — | 79% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Aml-Ebv Ab Capsid Ag Igm | $19.50 | $39.00 | — | 79% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Aml-Eb Virus Igm | $32.00 | $64.00 | — | 65% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Vca Igm | $32.00 | $64.00 | — | 65% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Vca Igg | $37.00 | $74.00 | — | 60% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Aml-Epstein Barr Virus Ab | $37.00 | $74.00 | — | 60% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Aml-Ebv Ab Capsid Ag Igg | $19.00 | $38.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Aml-Ebv Ab Capsid Ag Igm | $19.50 | $39.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Aml-Eb Virus Igm | $32.00 | $64.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Vca Igm | $32.00 | $64.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Vca Igg | $37.00 | $74.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Aml-Epstein Barr Virus Ab | $37.00 | $74.00 | — | — | 50% |
| Estradiol blood test CPT 82670 Aml-Estradiol Ultrasensitive | $37.00 | $74.00 | — | 70% below | 50% |
| Estradiol blood test CPT 82670 Aml-Estradiol 17 Beta | $37.00 | $74.00 | — | 70% below | 50% |
| Estradiol blood test CPT 82670 Aml-Estradiol Total | $61.50 | $123.00 | — | 50% below | 50% |
| Estradiol blood test CPT 82670 Estradiol Sensitive | $116.50 | $233.00 | — | 5% below | 50% |
| Estradiol blood test inpatient CPT 82670 Aml-Estradiol Ultrasensitive | $37.00 | $74.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 Aml-Estradiol 17 Beta | $37.00 | $74.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 Aml-Estradiol Total | $61.50 | $123.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol Sensitive | $116.50 | $233.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 C-Follicle Stimulating Hormone | $19.00 | $38.00 | — | 82% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Aml- Fsh Pediatric | $59.00 | $118.00 | — | 44% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone | $59.00 | $118.00 | — | 44% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 C-Follicle Stimulating Hormone | $19.00 | $38.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone | $59.00 | $118.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Aml- Fsh Pediatric | $59.00 | $118.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $104.50 | $209.00 | — | 14% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Aml-Calprotectin | $111.50 | $223.00 | — | 8% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal | $104.50 | $209.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Aml-Calprotectin | $111.50 | $223.00 | — | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 C-Ferritin | $9.50 | $19.00 | — | 93% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 Aml- Ferritin | $98.00 | $196.00 | — | 24% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 C-Ferritin | $9.50 | $19.00 | — | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Aml- Ferritin | $98.00 | $196.00 | — | — | 50% |
| Fibrinogen blood test CPT 85384 H-Fibrinogen | $12.50 | $25.00 | — | 85% below | 50% |
| Fibrinogen blood test inpatient CPT 85384 H-Fibrinogen | $12.50 | $25.00 | — | — | 50% |
| Folate (folic acid) blood test CPT 82746 C-Folate | $23.00 | $46.00 | — | 79% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 C-Folate | $23.00 | $46.00 | — | — | 50% |
| Free T3 thyroid hormone test CPT 84481 Aml-T3-Free | $64.50 | $129.00 | — | 37% below | 50% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3) Free | $259.50 | $519.00 | — | 152% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 Aml-T3-Free | $64.50 | $129.00 | — | — | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3) Free | $259.50 | $519.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Aml-Free T4 By Equilib Dial | $16.50 | $33.00 | — | 79% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 By Dialysis/Mass Spec | $16.50 | $33.00 | — | 79% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 By Dialysis/Mass Spec | $16.50 | $33.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Aml-Free T4 By Equilib Dial | $16.50 | $33.00 | — | — | 50% |
| Free testosterone test CPT 84402 Quest-Free Testosterone | $65.50 | $131.00 | — | 64% below | 50% |
| Free testosterone test CPT 84402 Aml-Free Testosterone | $77.00 | $154.00 | — | 58% below | 50% |
| Free testosterone test CPT 84402 Assay Of Free Testosterone | $304.50 | $609.00 | — | 67% above | 50% |
| Free testosterone test inpatient CPT 84402 Quest-Free Testosterone | $65.50 | $131.00 | — | — | 50% |
| Free testosterone test inpatient CPT 84402 Aml-Free Testosterone | $77.00 | $154.00 | — | — | 50% |
| Free testosterone test inpatient CPT 84402 Assay Of Free Testosterone | $304.50 | $609.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 C-Ggt | $7.00 | $14.00 | — | 84% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Lcore - Ggt | $22.50 | $45.00 | — | 47% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 C-Ggt | $7.00 | $14.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Lcore - Ggt | $22.50 | $45.00 | — | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 C-Glucose Tolerance Test 3 Spe | $19.50 | $39.00 | — | 76% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 C-Glucose Tolerance Test 3 Spe | $19.50 | $39.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 M-Neisseria Gonorrhoeae Ampli | $33.50 | $67.00 | — | 69% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Aml- Neisseria Gc Rna Qual | $62.00 | $124.00 | — | 43% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 M-Neisseria Gonorrhoeae Ampli | $33.50 | $67.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Aml- Neisseria Gc Rna Qual | $62.00 | $124.00 | — | — | 50% |
| H. pylori antibody blood test CPT 86677 S-Helicobacter Pylori Antibody | $28.50 | $57.00 | — | 61% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 S-Helicobacter Pylori Antibody | $28.50 | $57.00 | — | — | 50% |
| H. pylori stool antigen test CPT 87338 Aml-Stool For H. Pylori Antige | $52.00 | $104.00 | — | 52% below | 50% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag Eia | $52.00 | $104.00 | — | 52% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Ag Eia | $52.00 | $104.00 | — | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Aml-Stool For H. Pylori Antige | $52.00 | $104.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Aml-Hiv-1 Rna Ultrasensitive | $73.50 | $147.00 | — | 75% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Viral Load Pcr | $88.50 | $177.00 | — | 70% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Aml-Csf Hiv-1 Rna By Pcr | $153.00 | $306.00 | — | 49% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Aml-Hiv-1 Rna Ultrasensitive | $73.50 | $147.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv Viral Load Pcr | $88.50 | $177.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Aml-Csf Hiv-1 Rna By Pcr | $153.00 | $306.00 | — | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 S-Hiv 1&2 Antibody Detection | $21.50 | $43.00 | — | 82% below | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 S-Hiv 1&2 Antibody Detection | $21.50 | $43.00 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 C-Hiv 1 & 2 Antibodies | $69.00 | $138.00 | — | 38% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Aml-Hiv 1 & 2 4Th Generation | $80.00 | $160.00 | — | 29% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ab/P24 Ag With Reflex | $80.00 | $160.00 | — | 29% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 C-Hiv 1 & 2 Antibodies | $69.00 | $138.00 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv Ab/P24 Ag With Reflex | $80.00 | $160.00 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Aml-Hiv 1 & 2 4Th Generation | $80.00 | $160.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Dna | $18.50 | $37.00 | — | 84% below | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Dna | $18.50 | $37.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycosylated A1C | $11.00 | $22.00 | — | 90% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $72.50 | $145.00 | — | 33% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 C-Glyco Hemoglobin A1C | $72.50 | $145.00 | — | 33% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated A1C | $11.00 | $22.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $72.50 | $145.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 C-Glyco Hemoglobin A1C | $72.50 | $145.00 | — | — | 50% |
| Hemoglobin blood test CPT 85018 Pch-Hemoglobin | $2.50 | $5.00 | — | 86% below | 50% |
| Hemoglobin blood test CPT 85018 H-Hemoglobin | $2.50 | $5.00 | — | 86% below | 50% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $14.50 | $29.00 | — | 19% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 H-Hemoglobin | $2.50 | $5.00 | — | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 Pch-Hemoglobin | $2.50 | $5.00 | — | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $14.50 | $29.00 | — | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 Aml-Hepatitis B Core Ab | $10.50 | $21.00 | — | 84% below | 50% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total | $81.50 | $163.00 | — | 23% above | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Aml-Hepatitis B Core Ab | $10.50 | $21.00 | — | — | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total | $81.50 | $163.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 C-Hep B Post Vaccine Screen | $6.50 | $13.00 | — | 92% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 C-Hepatitis B Surface Ab | $8.00 | $16.00 | — | 90% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Aml-Hepatitis B Surface Ab | $8.00 | $16.00 | — | 90% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 C-Hep B Post Vaccine Screen | $6.50 | $13.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 C-Hepatitis B Surface Ab | $8.00 | $16.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Aml-Hepatitis B Surface Ab | $8.00 | $16.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen | $5.00 | $10.00 | — | 92% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Aml-Hepatitis B Surface Ag | $6.50 | $13.00 | — | 90% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 C-Hepatitis B Surface Ag | $11.00 | $22.00 | — | 83% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen | $5.00 | $10.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Aml-Hepatitis B Surface Ag | $6.50 | $13.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 C-Hepatitis B Surface Ag | $11.00 | $22.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Aml-Hepatitis C Antibody | $8.50 | $17.00 | — | 89% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Antibody Rfx To Quant Pcr | $12.50 | $25.00 | — | 84% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Aml-Hepatitis C Antibody | $8.50 | $17.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Antibody Rfx To Quant Pcr | $12.50 | $25.00 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Uva-Hepatitis C Rna Pcr Quant | $163.00 | $326.00 | — | 36% below | 50% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-Pcr Quant Non-Graph | $163.00 | $326.00 | — | 36% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Uva-Hepatitis C Rna Pcr Quant | $163.00 | $326.00 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hcv Rt-Pcr Quant Non-Graph | $163.00 | $326.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Aml-Hsv 1 Igm Titer | $13.50 | $27.00 | — | 84% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Aml-Herpes Simplex Vir Type 1 | $24.00 | $48.00 | — | 71% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 | $76.50 | $153.00 | — | 9% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv-1 Type Specific Igg | $76.50 | $153.00 | — | 9% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Aml-Hsv 1 Igm Titer | $13.50 | $27.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Aml-Herpes Simplex Vir Type 1 | $24.00 | $48.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv-1 Type Specific Igg | $76.50 | $153.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Type 1 | $76.50 | $153.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Aml-Hsv 2 Igm Titer | $13.50 | $27.00 | — | 85% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Aml-Herp Simplex 2 Igg Ab | $15.50 | $31.00 | — | 83% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igg Type Spec | $16.50 | $33.00 | — | 82% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Aml-Herpes Simplex Type 2 | $35.50 | $71.00 | — | 61% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 | $104.50 | $209.00 | — | 14% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Aml-Hsv 2 Igm Titer | $13.50 | $27.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Aml-Herp Simplex 2 Igg Ab | $15.50 | $31.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igg Type Spec | $16.50 | $33.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Aml-Herpes Simplex Type 2 | $35.50 | $71.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Type 2 | $104.50 | $209.00 | — | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Crp High Sensitivity | $23.00 | $46.00 | — | 57% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Crp High Sensitivity | $23.00 | $46.00 | — | — | 50% |
| Homocysteine blood test CPT 83090 Cc-Hypcg Homocysteine | $49.00 | $98.00 | — | 56% below | 50% |
| Homocysteine blood test CPT 83090 C-Homocystine Plasma | $65.00 | $130.00 | — | 41% below | 50% |
| Homocysteine blood test inpatient CPT 83090 Cc-Hypcg Homocysteine | $49.00 | $98.00 | — | — | 50% |
| Homocysteine blood test inpatient CPT 83090 C-Homocystine Plasma | $65.00 | $130.00 | — | — | 50% |
| Insulin blood test CPT 83525 C-Insulin Plasma | $18.50 | $37.00 | — | 73% below | 50% |
| Insulin blood test CPT 83525 Eso-Insulin | $98.00 | $196.00 | — | 41% above | 50% |
| Insulin blood test CPT 83525 Assay Of Total Insulin | $98.00 | $196.00 | — | 41% above | 50% |
| Insulin blood test inpatient CPT 83525 C-Insulin Plasma | $18.50 | $37.00 | — | — | 50% |
| Insulin blood test inpatient CPT 83525 Eso-Insulin | $98.00 | $196.00 | — | — | 50% |
| Insulin blood test inpatient CPT 83525 Assay Of Total Insulin | $98.00 | $196.00 | — | — | 50% |
| Iron blood test (serum iron) CPT 83540 C-Iron | $5.00 | $10.00 | — | 94% below | 50% |
| Iron blood test (serum iron) CPT 83540 Assay Of Iron - Liver | $97.50 | $195.00 | — | 24% above | 50% |
| Iron blood test (serum iron) CPT 83540 Aml-Liver Tissue Iron Level | $97.50 | $195.00 | — | 24% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 C-Iron | $5.00 | $10.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Aml-Liver Tissue Iron Level | $97.50 | $195.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Assay Of Iron - Liver | $97.50 | $195.00 | — | — | 50% |
| LH (luteinizing hormone) test CPT 83002 C-Luteinizing Hormone | $19.00 | $38.00 | — | 86% below | 50% |
| LH (luteinizing hormone) test CPT 83002 Aml-Luteinizing Horm Pediatric | $40.50 | $81.00 | — | 70% below | 50% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (Lh) | $132.00 | $264.00 | — | 2% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 C-Luteinizing Hormone | $19.00 | $38.00 | — | — | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Aml-Luteinizing Horm Pediatric | $40.50 | $81.00 | — | — | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (Lh) | $132.00 | $264.00 | — | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 C-Lactic Acid | $24.50 | $49.00 | — | 73% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 C-Lactic Acid | $24.50 | $49.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 C-Ldh | $3.50 | $7.00 | — | 94% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh | $11.50 | $23.00 | — | 79% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Fl-Ldh Body Fluid | $11.50 | $23.00 | — | 79% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Aml-Ldh | $39.00 | $78.00 | — | 28% below | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 C-Ldh | $3.50 | $7.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh | $11.50 | $23.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Fl-Ldh Body Fluid | $11.50 | $23.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Aml-Ldh | $39.00 | $78.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 C-Lipase | $14.00 | $28.00 | — | 87% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 C-Lipase | $14.00 | $28.00 | — | — | 50% |
| Lyme disease antibody test CPT 86618 Aml-Lyme Sero Progressive | $25.00 | $50.00 | — | 71% below | 50% |
| Lyme disease antibody test CPT 86618 Aml-Lyme Borrelia B Serum | $28.00 | $56.00 | — | 68% below | 50% |
| Lyme disease antibody test CPT 86618 Aml-Lyme Borrelia B Csf | $38.00 | $76.00 | — | 57% below | 50% |
| Lyme disease antibody test CPT 86618 Aml- Lyme Borrel B Igm Csf | $38.00 | $76.00 | — | 57% below | 50% |
| Lyme disease antibody test CPT 86618 Aml-Lyme Borrel B Igm Serum | $38.00 | $76.00 | — | 57% below | 50% |
| Lyme disease antibody test CPT 86618 Aml-Lyme Albumin Serum | $38.00 | $76.00 | — | 57% below | 50% |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology W/Reflex | $93.00 | $186.00 | — | 6% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 Aml-Lyme Sero Progressive | $25.00 | $50.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Aml-Lyme Borrelia B Serum | $28.00 | $56.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Aml-Lyme Borrel B Igm Serum | $38.00 | $76.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Aml-Lyme Albumin Serum | $38.00 | $76.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Aml- Lyme Borrel B Igm Csf | $38.00 | $76.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Aml-Lyme Borrelia B Csf | $38.00 | $76.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology W/Reflex | $93.00 | $186.00 | — | — | 50% |
| Magnesium blood test CPT 83735 C-Magnesium | $7.00 | $14.00 | — | 87% below | 50% |
| Magnesium blood test CPT 83735 Aml-Urine Magnesium | $12.50 | $25.00 | — | 77% below | 50% |
| Magnesium blood test CPT 83735 C-Urine Magnesium | $13.00 | $26.00 | — | 76% below | 50% |
| Magnesium blood test CPT 83735 Aml-Magnesium Rbc | $16.50 | $33.00 | — | 70% below | 50% |
| Magnesium blood test CPT 83735 Magnesium Rbc | $56.50 | $113.00 | — | 3% above | 50% |
| Magnesium blood test inpatient CPT 83735 C-Magnesium | $7.00 | $14.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Aml-Urine Magnesium | $12.50 | $25.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 C-Urine Magnesium | $13.00 | $26.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Aml-Magnesium Rbc | $16.50 | $33.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Magnesium Rbc | $56.50 | $113.00 | — | — | 50% |
| Measles (rubeola) antibody test CPT 86765 Aml-Rubeola Igg | $32.00 | $64.00 | — | 57% below | 50% |
| Measles (rubeola) antibody test CPT 86765 Aml-Rubeola Ab (Csf) | $53.00 | $106.00 | — | 29% below | 50% |
| Measles (rubeola) antibody test CPT 86765 Measles Rubeola Ab Igg Csf | $98.00 | $196.00 | — | 31% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Aml-Rubeola Igg | $32.00 | $64.00 | — | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Aml-Rubeola Ab (Csf) | $53.00 | $106.00 | — | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Rubeola Ab Igg Csf | $98.00 | $196.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 S-Mono | $6.50 | $13.00 | — | 93% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Aml-Heterophile Abs | $11.50 | $23.00 | — | 87% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen | $42.00 | $84.00 | — | 53% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 S-Mono | $6.50 | $13.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Aml-Heterophile Abs | $11.50 | $23.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Screen | $42.00 | $84.00 | — | — | 50% |
| Mumps immunity blood test CPT 86735 S-Mumps Antibody Igg | $23.00 | $46.00 | — | 67% below | 50% |
| Mumps immunity blood test CPT 86735 Mumps Igg | $23.00 | $46.00 | — | 67% below | 50% |
| Mumps immunity blood test CPT 86735 Spl-Mumps Igg Antibody | $35.50 | $71.00 | — | 49% below | 50% |
| Mumps immunity blood test CPT 86735 Spl-Mumps Igm Antibody | $37.50 | $75.00 | — | 46% below | 50% |
| Mumps immunity blood test CPT 86735 Aml-Mumps Ab (Csf) | $54.00 | $108.00 | — | 22% below | 50% |
| Mumps immunity blood test CPT 86735 Mumps Igg Antibody | $94.50 | $189.00 | — | 36% above | 50% |
| Mumps immunity blood test CPT 86735 Mumps Igm Antibody | $94.50 | $189.00 | — | 36% above | 50% |
| Mumps immunity blood test inpatient CPT 86735 S-Mumps Antibody Igg | $23.00 | $46.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igg | $23.00 | $46.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Spl-Mumps Igg Antibody | $35.50 | $71.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Spl-Mumps Igm Antibody | $37.50 | $75.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Aml-Mumps Ab (Csf) | $54.00 | $108.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igm Antibody | $94.50 | $189.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igg Antibody | $94.50 | $189.00 | — | — | 50% |
| Obstetric blood test panel CPT 80055 P-Obstetric Panel | $65.00 | $130.00 | — | 65% below | 50% |
| Obstetric blood test panel inpatient CPT 80055 P-Obstetric Panel | $65.00 | $130.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 C-Prostate Spec Ag Free | $19.50 | $39.00 | — | 82% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $132.00 | $264.00 | — | 22% above | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 C-Prostate Spec Ag Free | $19.50 | $39.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free | $132.00 | $264.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 C-Prostatic Specific Ag | $16.50 | $33.00 | — | 83% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $58.50 | $117.00 | — | 41% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Aml-Psa Ultrasensitive | $62.00 | $124.00 | — | 37% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Mayo-Phi11 | $489.50 | $979.00 | — | 395% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 C-Prostatic Specific Ag | $16.50 | $33.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive | $58.50 | $117.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Aml-Psa Ultrasensitive | $62.00 | $124.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Mayo-Phi11 | $489.50 | $979.00 | — | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thinprep Hpv Mrna | $10.00 | $20.00 | — | 85% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thinprep Hpv Mrna | $10.00 | $20.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 C-Parathyroid Hormone Intact | $58.50 | $117.00 | — | 75% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 C-Parathyroid Hormone Intact | $58.50 | $117.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aml-Lupus Anticoag Ptt | $7.50 | $15.00 | — | 87% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 H-Mix Study Ptt Raw | $9.50 | $19.00 | — | 84% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aml-Partial Thromboplastin Tim | $21.00 | $42.00 | — | 65% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial | $40.50 | $81.00 | — | 32% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aml-Lupus Anticoag Ptt | $7.50 | $15.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 H-Mix Study Ptt Raw | $9.50 | $19.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aml-Partial Thromboplastin Tim | $21.00 | $42.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial | $40.50 | $81.00 | — | — | 50% |
| Potassium blood test CPT 84132 C-Potassium | $3.50 | $7.00 | — | 91% below | 50% |
| Potassium blood test inpatient CPT 84132 C-Potassium | $3.50 | $7.00 | — | — | 50% |
| Progesterone blood test CPT 84144 Aml-Progesterone | $31.50 | $63.00 | — | 83% below | 50% |
| Progesterone blood test inpatient CPT 84144 Aml-Progesterone | $31.50 | $63.00 | — | — | 50% |
| Prolactin blood test CPT 84146 C-Prolactin | $23.50 | $47.00 | — | 80% below | 50% |
| Prolactin blood test CPT 84146 Aml-Prolactin Monomeric | $32.00 | $64.00 | — | 73% below | 50% |
| Prolactin blood test CPT 84146 Aml-Prolactin Total | $32.00 | $64.00 | — | 73% below | 50% |
| Prolactin blood test CPT 84146 Aml-Prolactin Diluted | $80.00 | $160.00 | — | 32% below | 50% |
| Prolactin blood test CPT 84146 Aml-Prolactin Undiluted | $80.00 | $160.00 | — | 32% below | 50% |
| Prolactin blood test inpatient CPT 84146 C-Prolactin | $23.50 | $47.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 Aml-Prolactin Total | $32.00 | $64.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 Aml-Prolactin Monomeric | $32.00 | $64.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 Aml-Prolactin Diluted | $80.00 | $160.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 Aml-Prolactin Undiluted | $80.00 | $160.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $4.00 | $8.00 | — | 85% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 H-Prothrombin Time | $5.00 | $10.00 | — | 81% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $4.00 | $8.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 H-Prothrombin Time | $5.00 | $10.00 | — | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Any Number Classes | $51.50 | $103.00 | — | 21% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Any Number Classes | $51.50 | $103.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/Optic | $13.50 | $27.00 | — | 85% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay W/Optic | $13.50 | $27.00 | — | — | 50% |
| Renin blood test CPT 84244 Aml-Renin | $51.50 | $103.00 | — | 61% below | 50% |
| Renin blood test CPT 84244 Renin Activity Plasma | $174.50 | $349.00 | — | 32% above | 50% |
| Renin blood test inpatient CPT 84244 Aml-Renin | $51.50 | $103.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 Renin Activity Plasma | $174.50 | $349.00 | — | — | 50% |
| Rh blood typing CPT 86901 Bb-Rh | $9.00 | $18.00 | — | 85% below | 50% |
| Rh blood typing CPT 86901 Bb-Rh (Rhig) | $16.00 | $32.00 | — | 74% below | 50% |
| Rh blood typing inpatient CPT 86901 Bb-Rh | $9.00 | $18.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 Bb-Rh (Rhig) | $16.00 | $32.00 | — | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (Rf) | $36.00 | $72.00 | — | at median | 50% |
| Rheumatoid factor (RF) test CPT 86431 Aml-Rheumatoid Factor | $40.00 | $80.00 | — | 11% above | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (Rf) | $36.00 | $72.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Aml-Rheumatoid Factor | $40.00 | $80.00 | — | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 C-Rubella Titer | $6.00 | $12.00 | — | 94% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 Aml-Rubella Titer Igg | $14.00 | $28.00 | — | 86% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 Aml-Rubella Titer Igm | $30.50 | $61.00 | — | 69% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igm | $82.50 | $165.00 | — | 15% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 C-Rubella Titer | $6.00 | $12.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Aml-Rubella Titer Igg | $14.00 | $28.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Aml-Rubella Titer Igm | $30.50 | $61.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igm | $82.50 | $165.00 | — | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 H-Sed Rate | $5.50 | $11.00 | — | 90% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 H-Sed Rate | $5.50 | $11.00 | — | — | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 U-Seminal Analysis Complete | $39.50 | $79.00 | — | 74% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 U-Seminal Analysis Complete | $39.50 | $79.00 | — | — | 50% |
| Stool ova and parasites exam CPT 87177 M-Ova&Parasite Concentration | $7.50 | $15.00 | — | 86% below | 50% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Smear Id | $80.50 | $161.00 | — | 49% above | 50% |
| Stool ova and parasites exam inpatient CPT 87177 M-Ova&Parasite Concentration | $7.50 | $15.00 | — | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Smear Id | $80.50 | $161.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 St-Occult Blood | $5.00 | $10.00 | — | 78% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool For Occult Blood | $53.00 | $106.00 | — | 130% above | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 St-Occult Blood | $5.00 | $10.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool For Occult Blood | $53.00 | $106.00 | — | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood Ict | $73.50 | $147.00 | — | 5% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood Ict | $73.50 | $147.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T. Pallidum Ab (Fta-Ab) | $15.00 | $30.00 | — | 79% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Aml-Fta Abs | $15.00 | $30.00 | — | 79% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 C-Treponema Pallidum Antibody | $33.50 | $67.00 | — | 53% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Aml-Treponema Pallidum Ab | $43.50 | $87.00 | — | 39% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Antibodies | $71.00 | $142.00 | — | at median | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T Pallidum Screening Cascade | $71.00 | $142.00 | — | at median | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Aml-Syphilis Antibody Cascade | $72.00 | $144.00 | — | 2% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. Pallidum Ab (Fta-Ab) | $15.00 | $30.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Aml-Fta Abs | $15.00 | $30.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 C-Treponema Pallidum Antibody | $33.50 | $67.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Aml-Treponema Pallidum Ab | $43.50 | $87.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T Pallidum Screening Cascade | $71.00 | $142.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum Antibodies | $71.00 | $142.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Aml-Syphilis Antibody Cascade | $72.00 | $144.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Aml-Csf-Vdrl | $7.00 | $14.00 | — | 72% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Aml-Vdrl | $9.00 | $18.00 | — | 64% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $44.00 | $88.00 | — | 75% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Quant | $44.00 | $88.00 | — | 75% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf | $44.00 | $88.00 | — | 75% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Aml-Csf-Vdrl | $7.00 | $14.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Aml-Vdrl | $9.00 | $18.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Csf | $44.00 | $88.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr Quant | $44.00 | $88.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr | $44.00 | $88.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-Tb Gold Plus | $95.00 | $190.00 | — | 57% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Aml-Quantiferon Tb Antigen | $95.00 | $190.00 | — | 57% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon-Tb Gold Plus | $95.00 | $190.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Aml-Quantiferon Tb Antigen | $95.00 | $190.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Quest-Testosterone Total | $43.50 | $87.00 | — | 71% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Aml-Testosterone | $60.50 | $121.00 | — | 60% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay Of Total Testosterone | $200.50 | $401.00 | — | 34% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Quest-Testosterone Total | $43.50 | $87.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Aml-Testosterone | $60.50 | $121.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Of Total Testosterone | $200.50 | $401.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Aml-Atma | $16.00 | $32.00 | — | 78% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab | $34.50 | $69.00 | — | 54% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Aml-Lkm Antibodies Mayo Medica | $34.50 | $69.00 | — | 54% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Aml-Liver Cytosol Autoab Lc-1 | $94.00 | $188.00 | — | 27% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosol Type 1 Abs | $98.50 | $197.00 | — | 33% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (Tpo) Ab | $115.00 | $230.00 | — | 55% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies | $115.00 | $230.00 | — | 55% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Aml-Atma | $16.00 | $32.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab | $34.50 | $69.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Aml-Lkm Antibodies Mayo Medica | $34.50 | $69.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Aml-Liver Cytosol Autoab Lc-1 | $94.00 | $188.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosol Type 1 Abs | $98.50 | $197.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibodies | $115.00 | $230.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (Tpo) Ab | $115.00 | $230.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile | $9.50 | $19.00 | — | 90% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 C-Tsh | $9.50 | $19.00 | — | 90% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-Thyroid Stimulating Hormone | $9.50 | $19.00 | — | 90% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Aml - Cup Tsh | $30.50 | $61.00 | — | 69% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 P-Thyroid Stimulating Hormone | $9.50 | $19.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 C-Tsh | $9.50 | $19.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile | $9.50 | $19.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Aml - Cup Tsh | $30.50 | $61.00 | — | — | 50% |
| Total IgE blood test CPT 82785 Immunoglobulin E Total | $27.50 | $55.00 | — | 69% below | 50% |
| Total IgE blood test CPT 82785 Uva-Immunoglobulin Ige | $27.50 | $55.00 | — | 69% below | 50% |
| Total IgE blood test inpatient CPT 82785 Uva-Immunoglobulin Ige | $27.50 | $55.00 | — | — | 50% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total | $27.50 | $55.00 | — | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 C-T4 | $6.00 | $12.00 | — | 88% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 Assay Of Total Thyroxine | $65.00 | $130.00 | — | 35% above | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 C-T4 | $6.00 | $12.00 | — | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Assay Of Total Thyroxine | $65.00 | $130.00 | — | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 Aml-T3 By Ria | $52.00 | $104.00 | — | 49% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Aml-T3 By Ria | $52.00 | $104.00 | — | — | 50% |
| Transferrin blood test CPT 84466 C-Transferrin | $19.50 | $39.00 | — | 75% below | 50% |
| Transferrin blood test inpatient CPT 84466 C-Transferrin | $19.50 | $39.00 | — | — | 50% |
| Trichomonas test (NAAT) CPT 87661 Aml-Trichomonas Vaginalis Rna | $47.50 | $95.00 | — | 57% below | 50% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Rna Male | $91.50 | $183.00 | — | 17% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Aml-Trichomonas Vaginalis Rna | $47.50 | $95.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Rna Male | $91.50 | $183.00 | — | — | 50% |
| Triglycerides blood test CPT 84478 C-Triglycerides | $3.00 | $6.00 | — | 94% below | 50% |
| Triglycerides blood test inpatient CPT 84478 C-Triglycerides | $3.00 | $6.00 | — | — | 50% |
| Troponin test, quantitative CPT 84484 C-Troponin-I (Fei) | $9.50 | $19.00 | — | 91% below | 50% |
| Troponin test, quantitative CPT 84484 Aml-Troponin T (Tnt) | $39.00 | $78.00 | — | 62% below | 50% |
| Troponin test, quantitative CPT 84484 Istat Troponin | $90.50 | $181.00 | — | 11% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 C-Troponin-I (Fei) | $9.50 | $19.00 | — | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 Aml-Troponin T (Tnt) | $39.00 | $78.00 | — | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 Istat Troponin | $90.50 | $181.00 | — | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 U-Urinalysis With Microscopic | $10.00 | $20.00 | — | 78% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis W/Microscope | $70.00 | $140.00 | — | 57% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 U-Urinalysis With Microscopic | $10.00 | $20.00 | — | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis W/Microscope | $70.00 | $140.00 | — | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 U-Urinalysis-Single Component | $29.00 | $58.00 | — | 186% above | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 U-Urinalysis-Single Component | $29.00 | $58.00 | — | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope | $2.50 | $5.00 | — | 92% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 U-Urinalysis W/O Microscopic | $3.50 | $7.00 | — | 89% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick Chemistries | $26.50 | $53.00 | — | 20% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope | $2.50 | $5.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 U-Urinalysis W/O Microscopic | $3.50 | $7.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Dipstick Chemistries | $26.50 | $53.00 | — | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $15.00 | $30.00 | — | 27% below | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $15.00 | $30.00 | — | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 M-Uc Quantitative Colony Count | $13.00 | $26.00 | — | 83% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 M-Uc Quantitative Colony Count | $13.00 | $26.00 | — | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 C-Urine Microalbumin | $19.50 | $39.00 | — | 67% below | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 C-Urine Microalbumin | $19.50 | $39.00 | — | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $7.50 | $15.00 | — | 92% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 C-Urine Pregnancy Test | $10.00 | $20.00 | — | 89% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $7.50 | $15.00 | — | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 C-Urine Pregnancy Test | $10.00 | $20.00 | — | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 C-Vitamin B12 | $23.50 | $47.00 | — | 72% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 C-Vitamin B12 | $23.50 | $47.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D Lcms D2+D3 | $72.00 | $144.00 | — | 49% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 C- Vitamin D 25 Hydroxy | $76.50 | $153.00 | — | 46% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Aml-Vitamin D 25 D2 D3 | $76.50 | $153.00 | — | 46% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Mayo 25-Hydroxyvitamin D2 D3 | $124.50 | $249.00 | — | 12% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D Lcms D2+D3 | $72.00 | $144.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Aml-Vitamin D 25 D2 D3 | $76.50 | $153.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 C- Vitamin D 25 Hydroxy | $76.50 | $153.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Mayo 25-Hydroxyvitamin D2 D3 | $124.50 | $249.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Aml-Vitamin D | $104.50 | $209.00 | — | 52% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 125-Dihydroxyvitamin D By Ms | $104.50 | $209.00 | — | 52% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Aml-Vitamin D | $104.50 | $209.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 125-Dihydroxyvitamin D By Ms | $104.50 | $209.00 | — | — | 50% |
| Zinc blood test CPT 84630 Aml-Zinc | $19.50 | $39.00 | — | 70% below | 50% |
| Zinc blood test CPT 84630 Zinc | $19.50 | $39.00 | — | 70% below | 50% |
| Zinc blood test inpatient CPT 84630 Zinc | $19.50 | $39.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 Aml-Zinc | $19.50 | $39.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 C-Hcg-Quanitative | $17.00 | $34.00 | — | 87% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta Subunit Quant | $17.00 | $34.00 | — | 87% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Uva-Hcg | $19.50 | $39.00 | — | 86% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Aml-Hcg Quantitative | $27.00 | $54.00 | — | 80% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Beta Subunit Quant | $17.00 | $34.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 C-Hcg-Quanitative | $17.00 | $34.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Uva-Hcg | $19.50 | $39.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Aml-Hcg Quantitative | $27.00 | $54.00 | — | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $387.50 | $775.00 | — | 21% below | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine | $387.50 | $775.00 | — | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 R Breast Biopsy Stereo | $1,434.00 | $2,868.00 | — | 47% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 L Breast Biopsy Stereo | $1,434.00 | $2,868.00 | — | 47% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 R Breast Biopsy Stereo | $1,434.00 | $2,868.00 | — | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 L Breast Biopsy Stereo | $1,434.00 | $2,868.00 | — | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 Lt Hrt Cth W/Cors Inj W/Wo Lv | $11,686.50 | $23,373.00 | — | 21% above | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt Hrt Cth W/Cors Inj W/Wo Lv | $11,686.50 | $23,373.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $763.00 | $1,526.00 | — | 36% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Cath Lab | $763.00 | $1,526.00 | — | 36% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion | $763.00 | $1,526.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Cath Lab | $763.00 | $1,526.00 | — | — | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 Comp Eps Transsept Ablate Pulm | $5,214.50 | $10,429.00 | — | 76% below | 50% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Comp Eps Transsept Ablate Pulm | $5,214.50 | $10,429.00 | — | — | 50% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate | $900.00 | $1,800.00 | — | 40% below | 50% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate | $900.00 | $1,800.00 | — | — | 50% |
| Coronary stent placement, one artery CPT 92928 Perc Transcath Plc Incor Stent | $10,457.50 | $20,915.00 | — | at median | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 Perc Transcath Plc Incor Stent | $10,457.50 | $20,915.00 | — | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax | $110.00 | $220.00 | — | 13% above | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Bil | $164.00 | $328.00 | — | 68% above | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax | $110.00 | $220.00 | — | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Bil | $164.00 | $328.00 | — | — | 50% |
| Earwax removal with instruments, one ear both sides CPT 69210 Ear Irrigation - Bilateral | $191.50 | $383.00 | — | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 Ear Irrigation | $127.00 | $254.00 | — | 26% below | 50% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 Ear Irrigation - Bilateral | $191.50 | $383.00 | — | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Ear Irrigation | $127.00 | $254.00 | — | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Spinal Inj Single 1Cervicot | $1,238.50 | $2,477.00 | — | 8% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Spinal Inj Single 1Cervicot | $1,238.50 | $2,477.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Ct Inj Parav Facet Ls Lvl 1 | $1,302.00 | $2,604.00 | — | 7% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Ls Sgl Level | $1,302.00 | $2,604.00 | — | 7% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Facet Lumbosac Inj Sgl Bila | $1,952.50 | $3,905.00 | — | 39% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Ct Inj Parav Facet Ls Lvl 1 | $1,302.00 | $2,604.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Facet Ls Sgl Level | $1,302.00 | $2,604.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Facet Lumbosac Inj Sgl Bila | $1,952.50 | $3,905.00 | — | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj Proc Hysterosalpingography | $86.00 | $172.00 | — | 84% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Inj Proc Hysterosalpingography | $86.00 | $172.00 | — | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drain Abscess Simp | $236.50 | $473.00 | — | 39% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abscess | $236.50 | $473.00 | — | 39% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drain Abscess Simp | $236.50 | $473.00 | — | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Skin Abscess | $236.50 | $473.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Single Tendon/Ligament | $276.50 | $553.00 | — | 25% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/Ligament | $276.50 | $553.00 | — | 25% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/Ligament Bil | $379.00 | $758.00 | — | 3% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Single Tendon/Ligament | $276.50 | $553.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath/Ligament | $276.50 | $553.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath/Ligament Bil | $379.00 | $758.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Major Joint/Bursa Bilat W/O | $501.50 | $1,003.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Major Joint Or Bursa W/O Us | $334.00 | $668.00 | — | 14% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Joint/Bursa W/O Us | $334.00 | $668.00 | — | 14% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Jnt/Bursa W/O Us Bil | $501.50 | $1,003.00 | — | 29% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Inj/Asp Major Joint/Bursa Rt | $334.00 | $668.00 | — | 14% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Inj/Asp Major Joint/Bursa Left | $334.00 | $668.00 | — | 14% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 Major Joint/Bursa Bilat W/O | $501.50 | $1,003.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Joint/Bursa W/O Us | $334.00 | $668.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Major Joint Or Bursa W/O Us | $334.00 | $668.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Jnt/Bursa W/O Us Bil | $501.50 | $1,003.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Inj/Asp Major Joint/Bursa Left | $334.00 | $668.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Inj/Asp Major Joint/Bursa Rt | $334.00 | $668.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj Intermed Joint Or Bursa | $291.00 | $582.00 | — | 31% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Rt Inj Intermed Joint Or Burs | $291.00 | $582.00 | — | 31% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Joint/Bursa W/O U | $291.00 | $582.00 | — | 31% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Lt Inj Intermed Joint Or Burs | $291.00 | $582.00 | — | 31% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Joint/Bursa W/O Us | $291.00 | $582.00 | — | 31% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Jnt/Bursa W/O Us Bil | $436.00 | $872.00 | — | 3% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Joint/Bursa W/O Us | $291.00 | $582.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Rt Inj Intermed Joint Or Burs | $291.00 | $582.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Joint/Bursa W/O U | $291.00 | $582.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Lt Inj Intermed Joint Or Burs | $291.00 | $582.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inj Intermed Joint Or Bursa | $291.00 | $582.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Jnt/Bursa W/O Us Bil | $436.00 | $872.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocent Asp/Inj Jt Small | $276.50 | $553.00 | — | 25% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Rsp Small Joint Inj Asp Su | $276.50 | $553.00 | — | 25% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Lt Inj Small Joint Or Bursa | $276.50 | $553.00 | — | 25% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Rt Inj Small Joint Or Bursa | $276.50 | $553.00 | — | 25% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Joint/Bursa W/O Us | $276.50 | $553.00 | — | 25% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Jnt/Bursa W/O Us Bil | $415.00 | $830.00 | — | 13% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocent Asp/Inj Jt Small | $276.50 | $553.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Rt Inj Small Joint Or Bursa | $276.50 | $553.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Joint/Bursa W/O Us | $276.50 | $553.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Lt Inj Small Joint Or Bursa | $276.50 | $553.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Rsp Small Joint Inj Asp Su | $276.50 | $553.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Jnt/Bursa W/O Us Bil | $415.00 | $830.00 | — | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closscapp/Axilla/Trunk L | $516.00 | $1,032.00 | — | at median | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer Closscapp/Axilla/Trunk L | $516.00 | $1,032.00 | — | — | 50% |
| Left heart catheterization, diagnostic CPT 93452 Lt Heart Cath W/ Lv Inj | $7,016.00 | $14,032.00 | — | 7% above | 50% |
| Left heart catheterization, diagnostic inpatient CPT 93452 Lt Heart Cath W/ Lv Inj | $7,016.00 | $14,032.00 | — | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Lumbar Inj Diag Or Ther | $1,671.00 | $3,342.00 | — | 1% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Spinal Inj Sgl Ls (Caudal) | $1,671.00 | $3,342.00 | — | 1% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Lumbar Inj Diag Or Ther | $1,671.00 | $3,342.00 | — | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Spinal Inj Sgl Ls (Caudal) | $1,671.00 | $3,342.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Paravertebrae Lumbo Blck Bi | $1,955.00 | $3,910.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforum Ls Sgl Level | $1,302.00 | $2,604.00 | — | 14% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Transforaminal Nerve Block Ls | $1,302.00 | $2,604.00 | — | 14% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 Paravertebrae Lumbo Blck Bi | $1,955.00 | $3,910.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Transforaminal Nerve Block Ls | $1,302.00 | $2,604.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Transforum Ls Sgl Level | $1,302.00 | $2,604.00 | — | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail | $374.50 | $749.00 | — | 76% above | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail | $374.50 | $749.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) both sides CPT 64405 N Block Inj Occipital Bilat | $817.00 | $1,634.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 N Block Inj Occipital | $545.00 | $1,090.00 | — | 1% below | 50% |
| Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 N Block Inj Occipital Bilat | $817.00 | $1,634.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 N Block Inj Occipital | $545.00 | $1,090.00 | — | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 Insert Pacer W Tve Atr And Ven | $12,422.50 | $24,845.00 | — | 6% above | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insert Pacer W Tve Atr And Ven | $12,422.50 | $24,845.00 | — | — | 50% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/ Imaging | $747.50 | $1,495.00 | — | 36% below | 50% |
| Paracentesis with imaging guidance CPT 49083 Edus Abd Paracentesis W Image | $747.50 | $1,495.00 | — | 36% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Edus Abd Paracentesis W Image | $747.50 | $1,495.00 | — | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/ Imaging | $747.50 | $1,495.00 | — | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 Denrv Sgl Lumbosacral Bilat | $2,852.00 | $5,704.00 | — | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction Paravetebral Fa | $1,902.00 | $3,804.00 | — | 31% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 Denrv Sgl Lumbosacral Bilat | $2,852.00 | $5,704.00 | — | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction Paravetebral Fa | $1,902.00 | $3,804.00 | — | — | 50% |
| Removal of a breast lump, open surgery CPT 19120 Removal Of Breast Lesion | $7,104.00 | $14,208.00 | — | 21% above | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Removal Of Breast Lesion | $7,104.00 | $14,208.00 | — | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Fb Simple | $244.00 | $488.00 | — | 57% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Fb Simple | $244.00 | $488.00 | — | — | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 Lithotripsy Unilateral | $10,647.50 | $21,295.00 | — | 21% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 Lithotripsy Unilateral | $10,647.50 | $21,295.00 | — | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint | $239.50 | $479.00 | — | 1% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint | $239.50 | $479.00 | — | — | 50% |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint | $132.50 | $265.00 | — | 43% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application Lower Leg Splint | $132.50 | $265.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Lac 2.5Cm Or Less | $296.50 | $593.00 | — | 18% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Lac 2.5Cm Or Less | $296.50 | $593.00 | — | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Of Skin Sing Les | $745.00 | $1,490.00 | — | 139% above | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Of Skin Single Lesion | $745.00 | $1,490.00 | — | 139% above | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Of Skin Sing Les | $745.00 | $1,490.00 | — | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Of Skin Single Lesion | $745.00 | $1,490.00 | — | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags | $222.00 | $444.00 | — | 11% below | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags | $222.00 | $444.00 | — | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Lac 2.6-7.5Cm Or Less | $296.50 | $593.00 | — | 30% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Lac 2.6-7.5Cm Or Less | $296.50 | $593.00 | — | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Facial Lac 2.5Cm Less | $296.50 | $593.00 | — | 21% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Facial Lac 2.5Cm Less | $296.50 | $593.00 | — | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangen Skin Bx Single Lesion | $374.00 | $748.00 | — | 49% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangen Skin Bx Single Lesion | $374.00 | $748.00 | — | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 Rt Thoracentesis W/ Image Guid | $795.50 | $1,591.00 | — | 40% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 Lt Thoracentesis W/ Image Guid | $795.50 | $1,591.00 | — | 40% below | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 Ct Thoracentesis Left | $795.50 | $1,591.00 | — | 40% below | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 Ct Thoracentesis Rt | $795.50 | $1,591.00 | — | 40% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Lt Thoracentesis W/ Image Guid | $795.50 | $1,591.00 | — | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Rt Thoracentesis W/ Image Guid | $795.50 | $1,591.00 | — | — | 50% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Ct Thoracentesis Left | $795.50 | $1,591.00 | — | — | 50% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Ct Thoracentesis Rt | $795.50 | $1,591.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj(S) Muscle(S) | $323.00 | $646.00 | — | 12% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1-2 Mus Grps | $323.00 | $646.00 | — | 12% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Triggerpoint 1-2 Musc Grp U | $323.00 | $646.00 | — | 12% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Triggerpoint 1-2 Musc Grp U | $323.00 | $646.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point Inj(S) Muscle(S) | $323.00 | $646.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point Inj 1-2 Mus Grps | $323.00 | $646.00 | — | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 L Breast Biopsy Us | $1,434.00 | $2,868.00 | — | 29% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 R Breast Biopsy Us | $1,434.00 | $2,868.00 | — | 29% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 L Breast Biopsy Us | $1,434.00 | $2,868.00 | — | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 R Breast Biopsy Us | $1,434.00 | $2,868.00 | — | — | 50% |
| Vein ablation, radiofrequency, first vein both sides CPT 36475 Venous Ablation 1St Vein Bilat | $8,993.50 | $17,987.00 | — | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous 1St Vein | $5,995.50 | $11,991.00 | — | 49% above | 50% |
| Vein ablation, radiofrequency, first vein inpatient both sides CPT 36475 Venous Ablation 1St Vein Bilat | $8,993.50 | $17,987.00 | — | — | 50% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous 1St Vein | $5,995.50 | $11,991.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin Subcue Tissue | $442.00 | $884.00 | — | 26% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm/< | $442.00 | $884.00 | — | 26% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue 20 Sq Cm/< | $442.00 | $884.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Skin Subcue Tissue | $442.00 | $884.00 | — | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $722.00 | $1,444.00 | — | 15% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration | $722.00 | $1,444.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Heated Aerosol Subsequent Trea | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treat | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction Subsequent | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Inhalation Initial Tre | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Subsequent Treatment | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Heated Aerosol Initial Treatme | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Initial Treatment | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Inhalation Subsequent | $118.00 | $236.00 | — | 25% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Initial Treatment | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treat | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Heated Aerosol Subsequent Trea | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction Subsequent | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Inhalation Subsequent | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Heated Aerosol Initial Treatme | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Subsequent Treatment | $118.00 | $236.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Inhalation Initial Tre | $118.00 | $236.00 | — | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Initial Up To 1 Hr | $811.50 | $1,623.00 | — | 6% above | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Initial Up To 1 Hr | $811.50 | $1,623.00 | — | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 Level 6 Critical Care -E.D. | $2,367.50 | $4,735.00 | — | 7% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Level 6 Critical Care -E.D. | $2,367.50 | $4,735.00 | — | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy | $352.50 | $705.00 | — | 38% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy | $352.50 | $705.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tech | $116.50 | $233.00 | — | 44% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Tech | $116.50 | $233.00 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Level 1 Emergency Care | $267.00 | $534.00 | — | 42% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Level 1 Emergency Care | $267.00 | $534.00 | — | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Level 2 Emergency Care | $376.00 | $752.00 | — | 13% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Level 2 Emergency Care | $376.00 | $752.00 | — | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Level 3 Emergency Care | $693.50 | $1,387.00 | — | 38% above | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Level 3 Emergency Care | $693.50 | $1,387.00 | — | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Level 4 Emergency Care | $909.50 | $1,819.00 | — | at median | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Level 4 Emergency Care | $909.50 | $1,819.00 | — | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Level 5 Emergency Care | $1,609.00 | $3,218.00 | — | 12% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Level 5 Emergency Care | $1,609.00 | $3,218.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test W/O Nuclear - T | $453.00 | $906.00 | — | 40% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test W/ Nuclear - T | $453.00 | $906.00 | — | 40% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test W/O Nuclear - T | $453.00 | $906.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test W/ Nuclear - T | $453.00 | $906.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Initial 31-60 Min | $255.50 | $511.00 | — | 24% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion | $255.50 | $511.00 | — | 24% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Initial 31 Min - 1 Hr - Hyd | $255.50 | $511.00 | — | 24% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Initial 31Min-1Hr Hydr | $255.50 | $511.00 | — | 24% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Initial 31Min-1 Hr - Hydra | $255.50 | $511.00 | — | 24% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Initial 31Min-1 Hr - Hydra | $255.50 | $511.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Initial 31Min-1Hr Hydr | $255.50 | $511.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion | $255.50 | $511.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Initial 31 Min - 1 Hr - Hyd | $255.50 | $511.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Initial 31-60 Min | $255.50 | $511.00 | — | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial Up To 1 Hr | $307.00 | $614.00 | — | 16% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 Iv Initial Up To 1 Hr Thera | $307.00 | $614.00 | — | 16% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 Iv Initial Up To 1 Hr - The | $307.00 | $614.00 | — | 16% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Initial Up To 1 Hr Thera | $307.00 | $614.00 | — | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Initial Up To 1 Hr - The | $307.00 | $614.00 | — | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Initial Up To 1 Hr | $307.00 | $614.00 | — | — | 50% |
| IV push of a medicine, first drug CPT 96374 Iv Push Initial | $230.00 | $460.00 | — | 15% below | 50% |
| IV push of a medicine, first drug CPT 96374 Iv Push Initial Thpy/Pro/Dx | $230.00 | $460.00 | — | 15% below | 50% |
| IV push of a medicine, first drug CPT 96374 Ther/Proph/Diag Inj Iv Push | $230.00 | $460.00 | — | 15% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push Initial | $230.00 | $460.00 | — | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push Initial Thpy/Pro/Dx | $230.00 | $460.00 | — | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 Ther/Proph/Diag Inj Iv Push | $230.00 | $460.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sq Injection | $77.00 | $154.00 | — | 29% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im/Sq Ther/Pro/Di | $77.00 | $154.00 | — | 29% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im | $77.00 | $154.00 | — | 29% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im | $77.00 | $154.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sq Injection | $77.00 | $154.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Im/Sq Ther/Pro/Di | $77.00 | $154.00 | — | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies Pro | $116.50 | $233.00 | — | 75% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies | $331.50 | $663.00 | — | 30% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies Tech | $331.50 | $663.00 | — | 30% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies Pro | $116.50 | $233.00 | — | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies Tech | $331.50 | $663.00 | — | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies | $331.50 | $663.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot-Neuromuscular Reedu Ea 15 M | $58.50 | $117.00 | — | 46% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromusc. Re-Ed Each 15 Min | $58.50 | $117.00 | — | 46% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reedu Ea 1 | $58.50 | $117.00 | — | 46% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot-Neuromuscular Reedu Ea 15 M | $58.50 | $117.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuromuscular Reedu Ea 1 | $58.50 | $117.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromusc. Re-Ed Each 15 Min | $58.50 | $117.00 | — | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity | $227.50 | $455.00 | — | 6% above | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity | $227.50 | $455.00 | — | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity | $251.50 | $503.00 | — | 1% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity | $251.50 | $503.00 | — | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity | $208.50 | $417.00 | — | 3% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity | $208.50 | $417.00 | — | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity | $228.50 | $457.00 | — | 1% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity | $228.50 | $457.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techni Ea 15 Mi | $77.00 | $154.00 | — | 12% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Man Therapy Techniques 15 Min | $77.00 | $154.00 | — | 12% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Man Therapy Techniques 15 M | $77.00 | $154.00 | — | 12% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techn Ea 15 Min | $77.00 | $154.00 | — | 12% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Man Therapy Techniques 15 Min | $77.00 | $154.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Techni Ea 15 Mi | $77.00 | $154.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Man Therapy Techniques 15 M | $77.00 | $154.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Techn Ea 15 Min | $77.00 | $154.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Thera Exercies Ea 15 Min | $63.50 | $127.00 | — | 31% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Ea 15 Min | $63.50 | $127.00 | — | 31% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Thera Exercises Ea 15 Min | $63.50 | $127.00 | — | 31% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise Ea 15 Min | $63.50 | $127.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Thera Exercies Ea 15 Min | $63.50 | $127.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Thera Exercises Ea 15 Min | $63.50 | $127.00 | — | — | 50% |
| Speech and language evaluation CPT 92523 Eval Of Sp Sound Prod W Lang | $689.50 | $1,379.00 | — | 110% above | 50% |
| Speech and language evaluation inpatient CPT 92523 Eval Of Sp Sound Prod W Lang | $689.50 | $1,379.00 | — | — | 50% |
| Speech therapy session, individual CPT 92507 Speech Language Treatment | $182.50 | $365.00 | — | 3% above | 50% |
| Speech therapy session, individual inpatient CPT 92507 Speech Language Treatment | $182.50 | $365.00 | — | — | 50% |
| Spirometry (breathing test) CPT 94010 Simple Spirometry Pro | $36.00 | $72.00 | — | 86% below | 50% |
| Spirometry (breathing test) CPT 94010 Simple Spirometry Bath Pro | $36.00 | $72.00 | — | 86% below | 50% |
| Spirometry (breathing test) CPT 94010 Simple Spirometry Tech | $142.50 | $285.00 | — | 45% below | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Simple Spirometry Pro | $36.00 | $72.00 | — | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Simple Spirometry Bath Pro | $36.00 | $72.00 | — | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Simple Spirometry Tech | $142.50 | $285.00 | — | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 Bronch Eval Pre/Post Tech | $208.50 | $417.00 | — | 49% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Bronch Eval Pre/Post Tech | $208.50 | $417.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity Ea 15 Min | $51.50 | $103.00 | — | 50% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ther. Activities Ea 15 Min | $51.50 | $103.00 | — | 50% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ther. Activities Each 15 Min | $51.50 | $103.00 | — | 50% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity Ea 15 | $51.50 | $103.00 | — | 50% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity Ea 15 Min | $51.50 | $103.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ther. Activities Each 15 Min | $51.50 | $103.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity Ea 15 | $51.50 | $103.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ther. Activities Ea 15 Min | $51.50 | $103.00 | — | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $87.50 | $175.00 | — | 65% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $87.50 | $175.00 | — | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vac 50 Mcg/0.5Ml Im | $113.17 | $226.34 | — | 48% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01) | $140.25 | $280.50 | — | 83% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid 23-24 Vacc Mrna(Moderna) | $398.16 | $796.31 | — | 420% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vac 50 Mcg/0.5Ml Im | $113.17 | $226.34 | — | — | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01) | $140.25 | $280.50 | — | — | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Covid 23-24 Vacc Mrna(Moderna) | $398.16 | $796.31 | — | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vacc No Prsv Tri 0.5Ml | $12.92 | $25.84 | — | 62% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $80.03 | $160.06 | — | 133% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vacc No Prsv Tri 0.5Ml | $12.92 | $25.84 | — | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $80.03 | $160.06 | — | — | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep A/Hep B Vacc Adult Im | $85.78 | $171.56 | — | 52% below | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep A/Hep B Vacc Adult Im | $85.78 | $171.56 | — | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis Vaccine | $43.50 | $87.00 | — | 82% below | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis Vaccine | $43.50 | $87.00 | — | — | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepat B Vacc Pedi 10Mcg/0.5Ml | $32.11 | $64.22 | — | 66% below | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepat B Vacc Pedi 10Mcg/0.5Ml | $32.11 | $64.22 | — | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Moph B Poly Con Vac/Tet 10Mcg | $190.08 | $380.17 | — | 580% above | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Moph B Poly Con Vac/Tet 10Mcg | $190.08 | $380.17 | — | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc Prsv Free Inceas Ag | $45.48 | $90.95 | — | 72% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $288.70 | $577.41 | — | 79% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vacc Prsv Free Inceas Ag | $45.48 | $90.95 | — | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $288.70 | $577.41 | — | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R-Ii Vaccine | $526.52 | $1,053.04 | — | 55% above | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R-Ii Vaccine | $526.52 | $1,053.04 | — | — | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menquadfi: 10 Vial, Single-Dose In 1 Carton (49281-590-10) / .5 Ml In 1 Vial, Single-Dose (49281-590-58) | $512.04 | $1,024.07 | — | 74% above | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Menquadfi: 10 Vial, Single-Dose In 1 Carton (49281-590-10) / .5 Ml In 1 Vial, Single-Dose (49281-590-58) | $512.04 | $1,024.07 | — | — | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 Trumenba: 5 Syringe In 1 Carton (0005-0100-05) / .5 Ml In 1 Syringe (0005-0100-01) | $452.16 | $904.33 | — | 60% below | 50% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Trumenba: 5 Syringe In 1 Carton (0005-0100-05) / .5 Ml In 1 Syringe (0005-0100-01) | $452.16 | $904.33 | — | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal Vacc 20 Val Im | $367.41 | $734.82 | — | 12% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $795.62 | $1,591.24 | — | 142% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal Vacc 20 Val Im | $367.41 | $734.82 | — | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $795.62 | $1,591.24 | — | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vacc 23 Val Im | $179.31 | $358.62 | — | 6% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vacc 23 Val Im | $179.31 | $358.62 | — | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe | $1,710.96 | $3,421.91 | — | 43% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe | $1,710.96 | $3,421.91 | — | — | 50% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine Human Dipl Cell | $935.98 | $1,871.96 | — | at median | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Human Dipl Cell | $935.98 | $1,871.96 | — | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Vaccine Recombinant Im | $123.14 | $246.29 | — | 16% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Vaccine Recombinant Im | $123.14 | $246.29 | — | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine No Prsrv 7+Yrs Im | $19.12 | $38.24 | — | 85% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00) | $146.32 | $292.63 | — | 13% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $227.12 | $454.24 | — | 75% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine No Prsrv 7+Yrs Im | $19.12 | $38.24 | — | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00) | $146.32 | $292.63 | — | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $227.12 | $454.24 | — | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im | $30.16 | $60.33 | — | 72% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $246.90 | $493.81 | — | 128% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine 7 Yrs/> Im | $30.16 | $60.33 | — | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $246.90 | $493.81 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administratin Single | $35.00 | $70.00 | — | 38% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administration Single | $64.50 | $129.00 | — | 14% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Single | $64.50 | $129.00 | — | 14% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Inj Admin | $64.50 | $129.00 | — | 14% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Im/Sq | $64.50 | $129.00 | — | 14% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Administratin Single | $35.00 | $70.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Inj Admin | $64.50 | $129.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Single | $64.50 | $129.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Administration Single | $64.50 | $129.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Im/Sq | $64.50 | $129.00 | — | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Adminstration; Ea Add | $46.00 | $92.00 | — | 11% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Administration Ea Add | $46.00 | $92.00 | — | 11% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Adminstration; Ea Add | $46.00 | $92.00 | — | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Administration Ea Add | $46.00 | $92.00 | — | — | 50% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://hospitalpricedisclosure.com/Download.aspx?pxi=d6jdJrXuX3vgSYRgOlRq3w*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*