Hospital

Sutter Amador Hospital

Sutter Amador Hospital in Jackson, CA publishes cash prices for 307 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 289 of 300 procedures and below it for 10. By typical cash price it ranks #181 of 213 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

200 Mission Blvd, Jackson, CA 95642 Collected Sep 29, 2026 Source price file (209) 223-7500

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 050014 · CMS hospital register NPI 1447494323

The price file shows no self-pay discount

For 1069 of the 1069 prices listed here, the cash price in Sutter Amador Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

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 2 actions for a hospital named Sutter Amador Hospital in Jackson, CA:

Feb 13, 2025 Warning notice
Apr 2, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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 California	Off list
Abdominal CT scan without and with contrast CPT 74170 HCHG CT ABD W AND WO CONTR	$4,989.00	$4,989.00	—	76% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG CT ABD W AND WO CONTR	$4,989.00	$4,989.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 HCHG XR ABD CMPL W DECUB / ERECT 2 VIEW	$921.00	$921.00	—	114% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 HCHG XR ABD CMPL W DECUB / ERECT 2 VIEW	$921.00	$921.00	—	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 HCHG XR ANKLE 3 VIEW OR MORE LT	$866.00	$866.00	—	61% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 HCHG XR ANKLE 3 VIEW OR MORE RT	$866.00	$866.00	—	61% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HCHG XR ANKLE 3 VIEW OR MORE LT	$866.00	$866.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HCHG XR ANKLE 3 VIEW OR MORE RT	$866.00	$866.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG NI EXTREMITY ARTERIAL 1 LEVEL BILATERAL LTD	$871.00	$871.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG NI EXTREMITY ARTERIAL 1 LEVEL BILATERAL LTD	$871.00	$871.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HCHG CT EXTREM UPPER WO CONTR LT	$3,395.00	$3,395.00	—	49% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HCHG CT EXTREM UPPER WO CONTR RT	$3,395.00	$3,395.00	—	49% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HCHG CT EXTREM UPPER WO CONTR LT	$3,395.00	$3,395.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HCHG CT EXTREM UPPER WO CONTR RT	$3,395.00	$3,395.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW)	$1,132.00	$1,132.00	—	89% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW)	$1,132.00	$1,132.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 HCHG NM BONE SCAN WHOLE BODY	$3,457.00	$3,457.00	—	63% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG NM BONE SCAN WHOLE BODY	$3,457.00	$3,457.00	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 HCHG US BREAST COMPLETE LT	$1,092.00	$1,092.00	—	52% above	—
Breast ultrasound, complete, one breast one side CPT 76641 HCHG US BREAST COMPLETE RT	$1,092.00	$1,092.00	—	52% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG US BREAST COMPLETE LT	$1,092.00	$1,092.00	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG US BREAST COMPLETE RT	$1,092.00	$1,092.00	—	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG US BREAST LIMITED LT	$865.00	$865.00	—	60% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG US BREAST LIMITED RT	$865.00	$865.00	—	60% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG US BREAST LIMITED RT	$865.00	$865.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG US BREAST LIMITED LT	$865.00	$865.00	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG CT ANGIO ABD&PELV W/O&W/DYE	$7,842.00	$7,842.00	—	45% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG CT ANGIO ABD&PELV W/O&W/DYE	$7,842.00	$7,842.00	—	—	—
CT angiography (CTA) of the head CPT 70496 HCHG CTA HEAD/BRAIN W AND WO CONTR	$6,173.00	$6,173.00	—	99% above	—
CT angiography (CTA) of the head inpatient CPT 70496 HCHG CTA HEAD/BRAIN W AND WO CONTR	$6,173.00	$6,173.00	—	—	—
CT angiography (CTA) of the neck CPT 70498 HCHG CTA NECK W AND WO CONTR	$4,673.00	$4,673.00	—	58% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 HCHG CTA NECK W AND WO CONTR	$4,673.00	$4,673.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST W AND WO CONTR	$6,885.00	$6,885.00	—	104% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST W AND WO CONTR	$6,885.00	$6,885.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABD & PELVIS W/O CON	$6,374.00	$6,374.00	—	110% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABD & PELVIS W/O CON	$6,374.00	$6,374.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABD & PELVIS W/CON	$8,287.00	$8,287.00	—	101% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD & PELVIS W/CON	$8,287.00	$8,287.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD & PELVIS 1+ REGION W/WO CONTRAST	$8,994.00	$8,994.00	—	101% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD & PELVIS 1+ REGION W/WO CONTRAST	$8,994.00	$8,994.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 HCHG CT ABD W CONTR	$4,755.00	$4,755.00	—	89% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABD W CONTR	$4,755.00	$4,755.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 HCHG CT ABD WO CONTR	$4,058.00	$4,058.00	—	113% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABD WO CONTR	$4,058.00	$4,058.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXILLOFACIAL WO CONTR	$4,272.00	$4,272.00	—	96% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXILLOFACIAL WO CONTR	$4,272.00	$4,272.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT BRAIN WO CONTR	$4,312.00	$4,312.00	—	88% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT BRAIN WO CONTR	$4,312.00	$4,312.00	—	—	—
CT scan of the head with contrast CPT 70460 HCHG CT BRAIN W CONTR	$4,869.00	$4,869.00	—	80% above	—
CT scan of the head with contrast inpatient CPT 70460 HCHG CT BRAIN W CONTR	$4,869.00	$4,869.00	—	—	—
CT scan of the head without and with contrast CPT 70470 HCHG CT BRAIN W AND WO CONTR	$5,345.00	$5,345.00	—	75% above	—
CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT BRAIN W AND WO CONTR	$5,345.00	$5,345.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT SPINE LUMB WO CONTR	$4,803.00	$4,803.00	—	68% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT SPINE LUMB WO CONTR	$4,803.00	$4,803.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT SPINE CERV WO CONTR	$5,058.00	$5,058.00	—	74% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT SPINE CERV WO CONTR	$5,058.00	$5,058.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W CONTR	$5,746.00	$5,746.00	—	126% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W CONTR	$5,746.00	$5,746.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HCHG NI DUPLEX EXTRACRANIAL BILATERAL	$2,747.00	$2,747.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HCHG NI DUPLEX EXTRACRANIAL BILATERAL	$2,747.00	$2,747.00	—	—	—
Chest CT scan without and with contrast CPT 71270 HCHG CT THORAX DX W/O CNTRST FLWD CNTRST	$5,607.00	$5,607.00	—	81% above	—
Chest CT scan without and with contrast inpatient CPT 71270 HCHG CT THORAX DX W/O CNTRST FLWD CNTRST	$5,607.00	$5,607.00	—	—	—
Chest X-ray, 2 views CPT 71046 HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW	$804.00	$804.00	—	97% above	—
Chest X-ray, 2 views CPT 71046 HCHG XR CHEST SPECIAL VIEWS 2 VIEW	$804.00	$804.00	—	97% above	—
Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW	$804.00	$804.00	—	—	—
Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST SPECIAL VIEWS 2 VIEW	$804.00	$804.00	—	—	—
Chest X-ray, single view CPT 71045 HCHG XR CHEST FRONTAL 1 VIEW	$738.00	$738.00	—	103% above	—
Chest X-ray, single view inpatient CPT 71045 HCHG XR CHEST FRONTAL 1 VIEW	$738.00	$738.00	—	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 HCHG XR CLAVICLE RT	$612.00	$612.00	—	26% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 HCHG XR CLAVICLE LT	$612.00	$612.00	—	26% above	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HCHG XR CLAVICLE RT	$612.00	$612.00	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HCHG XR CLAVICLE LT	$612.00	$612.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONEUM COMPLETE	$1,326.00	$1,326.00	—	55% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONEUM COMPLETE	$1,326.00	$1,326.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG XR DEXA HIP, SPINE, AND/OR PELVIS	$913.00	$913.00	—	81% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG XR DEXA HIP, SPINE, AND/OR PELVIS	$913.00	$913.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG XR DEXA APPEN	$377.00	$377.00	—	36% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG XR DEXA APPEN	$377.00	$377.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US OB DETAILED SINGLE FETUS	$1,325.00	$1,325.00	—	47% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG US OB DETAILED SINGLE FETUS	$1,325.00	$1,325.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT THORAX DX W/O CNTRST	$4,097.00	$4,097.00	—	104% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT THORAX DX W/O CNTRST	$4,097.00	$4,097.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT THORAX DX W/CONTRAST	$5,153.00	$5,153.00	—	78% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT THORAX DX W/CONTRAST	$5,153.00	$5,153.00	—	—	—
Diagnostic mammogram, both breasts CPT 77066 HCHG XR MAMMO DX W/WO CAD BIL	$929.00	$929.00	—	85% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 HCHG XR MAMMO DX W/WO CAD BIL	$929.00	$929.00	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 HCHG XR MAMMO DX W/WO CAD LT	$677.00	$677.00	—	80% above	—
Diagnostic mammogram, one breast one side CPT 77065 HCHG XR MAMMO DX W/WO CAD RT	$677.00	$677.00	—	80% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG XR MAMMO DX W/WO CAD RT	$677.00	$677.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG XR MAMMO DX W/WO CAD LT	$677.00	$677.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG NI DUPLEX EXTREMITY LOW BILATERAL	$2,196.00	$2,196.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG NI DUPLEX EXTREMITY LOW BILATERAL	$2,196.00	$2,196.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG NI DUPLEX EXTREMITY VEINS BILATERAL	$2,286.00	$2,286.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG NI DUPLEX EXTREMITY VEINS BILATERAL	$2,286.00	$2,286.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG CA TTE W/DOPPLER COMPLETE	$4,223.00	$4,223.00	—	57% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG CA TTE W/DOPPLER COMPLETE	$4,223.00	$4,223.00	—	—	—
Elbow X-ray, 2 views one side CPT 73070 HCHG XR ELBOW 2 VIEW RT	$752.00	$752.00	—	91% above	—
Elbow X-ray, 2 views one side CPT 73070 HCHG XR ELBOW 2 VIEW LT	$752.00	$752.00	—	91% above	—
Elbow X-ray, 2 views inpatient one side CPT 73070 HCHG XR ELBOW 2 VIEW LT	$752.00	$752.00	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 HCHG XR ELBOW 2 VIEW RT	$752.00	$752.00	—	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 HCHG XR ELBOW 3 VIEW OR MORE RT	$844.00	$844.00	—	76% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 HCHG XR ELBOW 3 VIEW OR MORE LT	$844.00	$844.00	—	76% above	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HCHG XR ELBOW 3 VIEW OR MORE RT	$844.00	$844.00	—	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HCHG XR ELBOW 3 VIEW OR MORE LT	$844.00	$844.00	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT ORBIT AND SELLA FOSSA WO CONTR	$3,592.00	$3,592.00	—	57% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT ORBIT AND SELLA FOSSA WO CONTR	$3,592.00	$3,592.00	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG XR FACIAL BONE 3 VIEW OR MORE	$728.00	$728.00	—	47% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG XR FACIAL BONE 3 VIEW OR MORE	$728.00	$728.00	—	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HCHG XR FOREARM LT	$726.00	$726.00	—	82% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HCHG XR FOREARM RT	$726.00	$726.00	—	82% above	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HCHG XR FOREARM RT	$726.00	$726.00	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HCHG XR FOREARM LT	$726.00	$726.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG NM HEPATOBILIRY SYS IMAGE	$2,851.00	$2,851.00	—	55% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG NM HEPATOBILIRY SYS IMAGE	$2,851.00	$2,851.00	—	—	—
Hand X-ray, 2 views one side CPT 73120 HCHG XR HAND 2 VIEW LT	$801.00	$801.00	—	97% above	—
Hand X-ray, 2 views one side CPT 73120 HCHG XR HAND 2 VIEW RT	$801.00	$801.00	—	97% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 HCHG XR HAND 2 VIEW RT	$801.00	$801.00	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 HCHG XR HAND 2 VIEW LT	$801.00	$801.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HCHG XR CALCANEUS 2 VIEW OR MORE RT	$642.00	$642.00	—	83% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HCHG XR CALCANEUS 2 VIEW OR MORE LT	$642.00	$642.00	—	83% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HCHG XR CALCANEUS 2 VIEW OR MORE LT	$642.00	$642.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HCHG XR CALCANEUS 2 VIEW OR MORE RT	$642.00	$642.00	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG SLEEP STUDY UNATTENDED	$697.00	$697.00	—	8% below	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG SLEEP STUDY UNATTENDED	$697.00	$697.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOM 6/>YR SLP W/CPAP 4/> ADD PARM > 6HR	$5,446.00	$5,446.00	—	49% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOM 6/>YR SLP W/CPAP 4/> ADD PARM > 6HR	$5,446.00	$5,446.00	—	—	—
Knee X-ray, 3 views one side CPT 73562 HCHG XR KNEE 3 VIEW LT	$954.00	$954.00	—	108% above	—
Knee X-ray, 3 views one side CPT 73562 HCHG XR KNEE 3 VIEW RT	$954.00	$954.00	—	108% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 HCHG XR KNEE 3 VIEW LT	$954.00	$954.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 HCHG XR KNEE 3 VIEW RT	$954.00	$954.00	—	—	—
Knee X-ray, complete, 4 or more views one side CPT 73564 HCHG XR KNEE 4 VIEW OR MORE RT	$1,025.00	$1,025.00	—	75% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 HCHG XR KNEE 4 VIEW OR MORE LT	$1,025.00	$1,025.00	—	75% above	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HCHG XR KNEE 4 VIEW OR MORE LT	$1,025.00	$1,025.00	—	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HCHG XR KNEE 4 VIEW OR MORE RT	$1,025.00	$1,025.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HCHG CT EXTREM LOWER WO CONTR RT	$3,471.00	$3,471.00	—	63% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HCHG CT EXTREM LOWER WO CONTR LT	$3,471.00	$3,471.00	—	63% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HCHG CT EXTREM LOWER WO CONTR LT	$3,471.00	$3,471.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HCHG CT EXTREM LOWER WO CONTR RT	$3,471.00	$3,471.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG US ABD LTD	$1,656.00	$1,656.00	—	100% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG US ABD LTD	$1,656.00	$1,656.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE RT	$674.00	$674.00	—	34% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE LT	$674.00	$674.00	—	34% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE LT	$674.00	$674.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE RT	$674.00	$674.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT THORAX LW DOSE LUNG CANCER SCR W/O CONTRAST	$242.00	$242.00	—	27% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT THORAX LW DOSE LUNG CANCER SCR W/O CONTRAST	$242.00	$242.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HCHG XR TIBIA FIBULA LT	$645.00	$645.00	—	49% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HCHG XR TIBIA FIBULA RT	$645.00	$645.00	—	49% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HCHG XR TIBIA FIBULA LT	$645.00	$645.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HCHG XR TIBIA FIBULA RT	$645.00	$645.00	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 HCHG MRA HEAD WO CONTR	$5,677.00	$5,677.00	—	93% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG MRA HEAD WO CONTR	$5,677.00	$5,677.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HCHG MRI EXTREM LOWER JOINT WO CONTR LT	$4,976.00	$4,976.00	—	53% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HCHG MRI EXTREM LOWER JOINT WO CONTR RT	$4,976.00	$4,976.00	—	53% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HCHG MRI EXTREM LOWER JOINT WO CONTR RT	$4,976.00	$4,976.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HCHG MRI EXTREM LOWER JOINT WO CONTR LT	$4,976.00	$4,976.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HCHG MRI EXTREM LOWER JOINT W AND WO CONTR RT	$7,534.00	$7,534.00	—	61% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HCHG MRI EXTREM LOWER JOINT W AND WO CONTR LT	$7,534.00	$7,534.00	—	61% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HCHG MRI EXTREM LOWER JOINT W AND WO CONTR RT	$7,534.00	$7,534.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HCHG MRI EXTREM LOWER JOINT W AND WO CONTR LT	$7,534.00	$7,534.00	—	—	—
MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN WO CONTR	$4,410.00	$4,410.00	—	59% above	—
MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN WO CONTR	$4,410.00	$4,410.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W AND WO CONTR	$6,139.00	$6,139.00	—	41% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W AND WO CONTR	$6,139.00	$6,139.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN W STEM WO CONTR	$5,481.00	$5,481.00	—	86% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN W STEM WO CONTR	$5,481.00	$5,481.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN W STEM W AND WO CONTR	$8,334.00	$8,334.00	—	90% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W STEM W AND WO CONTR	$8,334.00	$8,334.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 HCHG MRI SPINE LUMB WO CONTR	$5,217.00	$5,217.00	—	68% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI SPINE LUMB WO CONTR	$5,217.00	$5,217.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI SPINE LUMB W AND WO CONTR	$8,441.00	$8,441.00	—	85% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI SPINE LUMB W AND WO CONTR	$8,441.00	$8,441.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI SPINE THOR WO CONTR	$5,458.00	$5,458.00	—	80% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI SPINE THOR WO CONTR	$5,458.00	$5,458.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI SPINE CERV W AND WO CONTR	$8,560.00	$8,560.00	—	94% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI SPINE CERV W AND WO CONTR	$8,560.00	$8,560.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI SPINE CERV WO CONTR	$5,265.00	$5,265.00	—	72% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI SPINE CERV WO CONTR	$5,265.00	$5,265.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W AND WO CONTR	$8,535.00	$8,535.00	—	100% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W AND WO CONTR	$8,535.00	$8,535.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS WO CONTR	$5,735.00	$5,735.00	—	123% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS WO CONTR	$5,735.00	$5,735.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HCHG MRI EXTREM UPPER JOINT WO CONTR LT	$4,860.00	$4,860.00	—	82% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HCHG MRI EXTREM UPPER JOINT WO CONTR RT	$4,860.00	$4,860.00	—	82% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HCHG MRI EXTREM UPPER JOINT WO CONTR LT	$4,860.00	$4,860.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HCHG MRI EXTREM UPPER JOINT WO CONTR RT	$4,860.00	$4,860.00	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG XR SPINE CERVICAL 4 OR 5 VIEWS	$1,175.00	$1,175.00	—	92% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG XR SPINE CERVICAL 4 OR 5 VIEWS	$1,175.00	$1,175.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 HCHG CT NECK W CONTR	$3,976.00	$3,976.00	—	54% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG CT NECK W CONTR	$3,976.00	$3,976.00	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 HCHG CT NECK WO CONTR	$3,325.00	$3,325.00	—	63% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG CT NECK WO CONTR	$3,325.00	$3,325.00	—	—	—
Neck soft tissue X-ray CPT 70360 HCHG XR NECK SOFT TISSUE	$593.00	$593.00	—	85% above	—
Neck soft tissue X-ray inpatient CPT 70360 HCHG XR NECK SOFT TISSUE	$593.00	$593.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG NM MYOCARDIAL PERFUSION SPECT MULTI ACQ	$9,698.00	$9,698.00	—	141% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG NM MYOCARDIAL PERFUSION SPECT MULTI ACQ	$9,698.00	$9,698.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HCHG PET W/CT ATT SKLL TO THGH	$8,591.00	$8,591.00	—	19% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HCHG PET W/CT ATT SKLL TO THGH	$8,591.00	$8,591.00	—	—	—
Pelvic CT scan without contrast CPT 72192 HCHG CT PELVIS WO CONTR	$4,656.00	$4,656.00	—	137% above	—
Pelvic CT scan without contrast inpatient CPT 72192 HCHG CT PELVIS WO CONTR	$4,656.00	$4,656.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US PELVIC LTD FOLLOW-UP NON-OB	$944.00	$944.00	—	67% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG US PELVIC LTD FOLLOW-UP NON-OB	$944.00	$944.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELVIC COMPLETE NON-OB	$1,596.00	$1,596.00	—	70% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELVIC COMPLETE NON-OB	$1,596.00	$1,596.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US OB > 14 WEEKS SINGLE FETUS	$1,479.00	$1,479.00	—	64% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US OB > 14 WEEKS SINGLE FETUS	$1,479.00	$1,479.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG US OB < 14 WEEKS SINGLE FETUS	$1,625.00	$1,625.00	—	97% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG US OB < 14 WEEKS SINGLE FETUS	$1,625.00	$1,625.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US OB LTD 1 OR MORE FETUS	$1,194.00	$1,194.00	—	97% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US OB LTD 1 OR MORE FETUS	$1,194.00	$1,194.00	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 HCHG XR RIBS UNI 2V LT	$640.00	$640.00	—	38% above	—
Rib X-ray, one side, 2 views one side CPT 71100 HCHG XR RIBS UNI 2V RT	$640.00	$640.00	—	38% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG XR RIBS UNI 2V RT	$640.00	$640.00	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG XR RIBS UNI 2V LT	$640.00	$640.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HCHG XR RIBS UNI & PA CHEST LT	$854.00	$854.00	—	39% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HCHG XR RIBS UNI & PA CHEST RT	$854.00	$854.00	—	39% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HCHG XR RIBS UNI & PA CHEST LT	$854.00	$854.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HCHG XR RIBS UNI & PA CHEST RT	$854.00	$854.00	—	—	—
Screening mammogram, both breasts CPT 77067 HCHG XR MAMMO SCREENING W/WO CAD BIL	$602.00	$602.00	—	94% above	—
Screening mammogram, both breasts inpatient CPT 77067 HCHG XR MAMMO SCREENING W/WO CAD BIL	$602.00	$602.00	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HCHG XR SHOULDER 2 VIEW OR MORE LT	$890.00	$890.00	—	58% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HCHG XR SHOULDER 2 VIEW OR MORE RT	$890.00	$890.00	—	58% above	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HCHG XR SHOULDER 2 VIEW OR MORE RT	$890.00	$890.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HCHG XR SHOULDER 2 VIEW OR MORE LT	$890.00	$890.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 HCHG XR SINUS PARA 3 VIEW OR MORE	$589.00	$589.00	—	29% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG XR SINUS PARA 3 VIEW OR MORE	$589.00	$589.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 HCHG XR SKULL LESS 4 VIEW	$770.00	$770.00	—	82% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG XR SKULL LESS 4 VIEW	$770.00	$770.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND > 6 HR	$4,917.00	$4,917.00	—	1% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND > 6 HR	$4,917.00	$4,917.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HCHG CA ECHO TTE 2D W/WO M-MODE REST&STRS CONT ECG	$4,006.00	$4,006.00	—	26% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HCHG CA ECHO TTE 2D W/WO M-MODE REST&STRS CONT ECG	$4,329.00	$4,329.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG XR SWALLOWING FUNCTION CONTRAST STUDY	$1,251.00	$1,251.00	—	89% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG XR SWALLOWING FUNCTION CONTRAST STUDY	$1,251.00	$1,251.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HCHG XR EXAM FEMUR MIN 2 VIEWS LT	$797.00	$797.00	—	104% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HCHG XR EXAM FEMUR MIN 2 VIEWS RT	$797.00	$797.00	—	104% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HCHG XR EXAM FEMUR MIN 2 VIEWS LT	$797.00	$797.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HCHG XR EXAM FEMUR MIN 2 VIEWS RT	$797.00	$797.00	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG CT SPINE THOR WO CONTR	$4,811.00	$4,811.00	—	71% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG CT SPINE THOR WO CONTR	$4,811.00	$4,811.00	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 HCHG XR TOE(S) 2 VIEW OR MORE LT	$662.00	$662.00	—	100% above	—
Toe X-ray, 2 or more views one side CPT 73660 HCHG XR TOE(S) 2V OR MORE RT	$662.00	$662.00	—	100% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG XR TOE(S) 2V OR MORE RT	$662.00	$662.00	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG XR TOE(S) 2 VIEW OR MORE LT	$662.00	$662.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANSVAGINAL NON-OB	$1,310.00	$1,310.00	—	83% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANSVAGINAL NON-OB	$1,310.00	$1,310.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 HCHG US OB TRANSVAGINAL	$1,457.00	$1,457.00	—	115% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG US OB TRANSVAGINAL	$1,457.00	$1,457.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 HCHG US ABD COMPLETE	$1,887.00	$1,887.00	—	66% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABD COMPLETE	$1,887.00	$1,887.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 HCHG US TESTICULAR SCROTUM	$1,224.00	$1,224.00	—	37% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US TESTICULAR SCROTUM	$1,224.00	$1,224.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US HEAD AND NECK SOFT TISSUE	$1,368.00	$1,368.00	—	63% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US HEAD AND NECK SOFT TISSUE	$1,368.00	$1,368.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG XR UGI TRC SINGLE CONTRAST STUDY	$1,319.00	$1,319.00	—	114% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG XR UGI TRC SINGLE CONTRAST STUDY	$1,319.00	$1,319.00	—	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HCHG XR HUMERUS LT	$732.00	$732.00	—	71% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HCHG XR HUMERUS RT	$732.00	$732.00	—	71% above	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HCHG XR HUMERUS LT	$732.00	$732.00	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HCHG XR HUMERUS RT	$732.00	$732.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG NI DUPLX EXT VEINS UNI RT	$1,629.00	$1,629.00	—	82% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG NI DUPLX EXT VEINS UNI LT	$1,629.00	$1,629.00	—	82% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG NI DUPLX EXT VEINS UNI RT	$1,629.00	$1,629.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG NI DUPLX EXT VEINS UNI LT	$1,629.00	$1,629.00	—	—	—
Wrist X-ray, 2 views one side CPT 73100 HCHG XR WRIST 2 VIEW LT	$675.00	$675.00	—	74% above	—
Wrist X-ray, 2 views one side CPT 73100 HCHG XR WRIST 2 VIEW RT	$675.00	$675.00	—	74% above	—
Wrist X-ray, 2 views inpatient one side CPT 73100 HCHG XR WRIST 2 VIEW RT	$675.00	$675.00	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 HCHG XR WRIST 2 VIEW LT	$675.00	$675.00	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 HCHG XR WRIST 3 VIEW OR MORE LT	$862.00	$862.00	—	71% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 HCHG XR WRIST 3 VIEW OR MORE RT	$862.00	$862.00	—	71% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HCHG XR WRIST 3 VIEW OR MORE RT	$862.00	$862.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HCHG XR WRIST 3 VIEW OR MORE LT	$862.00	$862.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS	$768.00	$768.00	—	82% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS	$768.00	$768.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 HCHG XR ABD AP 1 VIEW	$666.00	$666.00	—	121% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG XR ABD AP 1 VIEW	$666.00	$666.00	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 HCHG XR ANKLE 2 VIEW LT	$743.00	$743.00	—	89% above	—
X-ray of the ankle, 2 views one side CPT 73600 HCHG XR ANKLE 2 VIEW RT	$743.00	$743.00	—	89% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 HCHG XR ANKLE 2 VIEW LT	$743.00	$743.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 HCHG XR ANKLE 2 VIEW RT	$743.00	$743.00	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 HCHG XR FINGER(S) 2 VIEW OR MORE LT	$681.00	$681.00	—	82% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 HCHG XR FINGER(S) 2 VIEW OR MORE RT	$681.00	$681.00	—	82% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG XR FINGER(S) 2 VIEW OR MORE RT	$681.00	$681.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG XR FINGER(S) 2 VIEW OR MORE LT	$681.00	$681.00	—	—	—
X-ray of the foot, 2 views one side CPT 73620 HCHG XR FOOT 2 VIEW LT	$698.00	$698.00	—	72% above	—
X-ray of the foot, 2 views one side CPT 73620 HCHG XR FOOT 2 VIEW RT	$698.00	$698.00	—	72% above	—
X-ray of the foot, 2 views inpatient one side CPT 73620 HCHG XR FOOT 2 VIEW RT	$698.00	$698.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 HCHG XR FOOT 2 VIEW LT	$698.00	$698.00	—	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 HCHG XR FOOT 3 VIEW OR MORE LT	$918.00	$918.00	—	78% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 HCHG XR FOOT 3 VIEW OR MORE RT	$918.00	$918.00	—	78% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG XR FOOT 3 VIEW OR MORE LT	$918.00	$918.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG XR FOOT 3 VIEW OR MORE RT	$918.00	$918.00	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HCHG XR HAND 3 VIEW OR MORE LT	$886.00	$886.00	—	74% above	—
X-ray of the hand, 3 or more views one side CPT 73130 HCHG XR HAND 3 VIEW OR MORE RT	$886.00	$886.00	—	74% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HCHG XR HAND 3 VIEW OR MORE LT	$886.00	$886.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HCHG XR HAND 3 VIEW OR MORE RT	$886.00	$886.00	—	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEW LT	$709.00	$709.00	—	85% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEW RT	$709.00	$709.00	—	85% above	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEW RT	$709.00	$709.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEW LT	$709.00	$709.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG XR SPINE LUMB 2 OR 3 VIEW	$966.00	$966.00	—	95% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG XR SPINE LUMB 2 OR 3 VIEW	$966.00	$966.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 HCHG XR SPINE LUMB 4 VIEW OR MORE	$1,151.00	$1,151.00	—	70% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG XR SPINE LUMB 4 VIEW OR MORE	$1,151.00	$1,151.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG XR SPINE THOR 2 VIEW	$932.00	$932.00	—	101% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG XR SPINE THOR 2 VIEW	$932.00	$932.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 HCHG XR NASAL BONES 3 VIEW OR MORE	$692.00	$692.00	—	53% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG XR NASAL BONES 3 VIEW OR MORE	$692.00	$692.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS	$864.00	$864.00	—	90% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS	$864.00	$864.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG XR PELVIC 1 OR 2 VIEW	$770.00	$770.00	—	94% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG XR PELVIC 1 OR 2 VIEW	$770.00	$770.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG XR SACRUM COCCYX	$738.00	$738.00	—	53% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG XR SACRUM COCCYX	$738.00	$738.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG CORE ALT (SGPT)	$112.00	$112.00	—	160% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG ALT (SGPT)	$113.00	$113.00	—	162% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG CORE ALT (SGPT)	$112.00	$112.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG ALT (SGPT)	$113.00	$113.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG CORE AST (SGOT)	$114.00	$114.00	—	151% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG AST (SGOT)	$114.00	$114.00	—	151% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG CORE AST (SGOT)	$114.00	$114.00	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG AST (SGOT)	$114.00	$114.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG CORE HEPATITIS PNL ACUTE	$391.00	$391.00	—	44% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG HEPATITIS PANEL ACUTE	$391.00	$391.00	—	44% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG CORE HEPATITIS PNL ACUTE	$391.00	$391.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG HEPATITIS PANEL ACUTE	$391.00	$391.00	—	—	—
Albumin blood test CPT 82040 HCHG ALBUMIN	$82.00	$82.00	—	229% above	—
Albumin blood test inpatient CPT 82040 HCHG ALBUMIN	$82.00	$82.00	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 HCHG CORE ALK PHOSPHATASE	$94.00	$94.00	—	154% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 HCHG ALKALINE PHOSPHATASE	$97.00	$97.00	—	162% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG CORE ALK PHOSPHATASE	$94.00	$94.00	—	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG ALKALINE PHOSPHATASE	$97.00	$97.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG CORE ALLERGEN SPECIFIC IGE QN/SEMI CRUDE EXT	$78.00	$78.00	—	838% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG CORE ALLERGEN SPECIFIC IGE QN/SEMI CRUDE EXT	$78.00	$78.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG ALPHA-FETOPROTEIN SERUM	$157.00	$157.00	—	67% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG AFP TUMOR MARKER	$170.00	$170.00	—	81% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG CORE AFP TUMOR MARKER	$176.00	$176.00	—	87% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG ALPHA-FETOPROTEIN SERUM	$157.00	$157.00	—	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG AFP TUMOR MARKER	$170.00	$170.00	—	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG CORE AFP TUMOR MARKER	$176.00	$176.00	—	—	—
Ammonia blood test CPT 82140 HCHG CORE AMMONIA	$327.00	$327.00	—	81% above	—
Ammonia blood test CPT 82140 HCHG AMMONIA	$327.00	$327.00	—	81% above	—
Ammonia blood test inpatient CPT 82140 HCHG AMMONIA	$327.00	$327.00	—	—	—
Ammonia blood test inpatient CPT 82140 HCHG CORE AMMONIA	$327.00	$327.00	—	—	—
Amylase blood test CPT 82150 HCHG CORE AMYLASE FLD	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG CORE AMYLASE	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG ASSAY OF AMYLASE	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG AMYLASE URINE TIMED	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG AMYLASE URINE RANDOM	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG AMYLASE URINE 2HR	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG AMYLASE FLUID	$220.00	$220.00	—	231% above	—
Amylase blood test CPT 82150 HCHG AMYLASE	$220.00	$220.00	—	231% above	—
Amylase blood test inpatient CPT 82150 HCHG AMYLASE FLUID	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG CORE AMYLASE	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG CORE AMYLASE FLD	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG AMYLASE	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG AMYLASE URINE 2HR	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG AMYLASE URINE RANDOM	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG AMYLASE URINE TIMED	$220.00	$220.00	—	—	—
Amylase blood test inpatient CPT 82150 HCHG ASSAY OF AMYLASE	$220.00	$220.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CORE CYCLIC CITRULLINATED PEPTIDE ANTIBODY	$42.00	$42.00	—	76% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HCHG CORE CYCLIC CITRULLINATED PEPTIDE ANTIBODY	$42.00	$42.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG CORE ANA (ANTI NUCLEAR AB)	$98.00	$98.00	—	89% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG CORE ANA (ANTI NUCLEAR AB)	$98.00	$98.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG CORE NATRIURETIC PEPTIDE	$478.00	$478.00	—	129% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG NATRIURETIC PEPTIDE	$478.00	$478.00	—	129% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG NATRIURETIC PEPTIDE	$478.00	$478.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG CORE NATRIURETIC PEPTIDE	$478.00	$478.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULT BODY FLUID	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULT FLUID	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULT CSF	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE BACTERIA OTHER	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULT NASAL	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULT OTHER SOURCE AEROBIC NOT UR/BLD/STL	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULT OTHER SOURCE AEROBIC	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULTURE CATHETER TIP	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE SPUTUM	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULTURE EAR	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CORE CULTURE EYE	$423.00	$423.00	—	218% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE SPUTUM	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULT NASAL	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULT OTHER SOURCE AEROBIC	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULTURE CATHETER TIP	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULTURE EAR	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULTURE EYE	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULT FLUID	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULT CSF	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE BACTERIA OTHER	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULT OTHER SOURCE AEROBIC NOT UR/BLD/STL	$423.00	$423.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CORE CULT BODY FLUID	$423.00	$423.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL	$383.00	$383.00	—	98% above	—
Basic metabolic panel (blood test) CPT 80048 HCHG CORE BASIC METBLC PNL TOTAL CA	$383.00	$383.00	—	98% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL	$383.00	$383.00	—	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 HCHG CORE BASIC METBLC PNL TOTAL CA	$383.00	$383.00	—	—	—
Bilirubin blood test, total CPT 82247 HCHG CORE BILIRUBIN TOTAL	$123.00	$123.00	—	172% above	—
Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN NEONATAL	$127.00	$127.00	—	181% above	—
Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN TOTAL	$127.00	$127.00	—	181% above	—
Bilirubin blood test, total inpatient CPT 82247 HCHG CORE BILIRUBIN TOTAL	$123.00	$123.00	—	—	—
Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN TOTAL	$127.00	$127.00	—	—	—
Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN NEONATAL	$127.00	$127.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG REF CYTO CL BLK 5 CNT/1 KARY	$103.00	$103.00	—	21% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG SURGICAL PATHOLOGY LEVEL IV	$223.00	$223.00	—	72% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG REF SURGICAL PATHOLOGY LEVEL IV	$849.00	$849.00	—	553% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG REF CYTO CL BLK 5 CNT/1 KARY	$103.00	$103.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG SURGICAL PATHOLOGY LEVEL IV	$223.00	$223.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG REF SURGICAL PATHOLOGY LEVEL IV	$849.00	$849.00	—	—	—
Blood culture for bacteria CPT 87040 HCHG CULTURE BLOOD	$374.00	$374.00	—	37% above	—
Blood culture for bacteria CPT 87040 HCHG CORE CULT BLD BACTERIA	$374.00	$374.00	—	37% above	—
Blood culture for bacteria inpatient CPT 87040 HCHG CULTURE BLOOD	$374.00	$374.00	—	—	—
Blood culture for bacteria inpatient CPT 87040 HCHG CORE CULT BLD BACTERIA	$374.00	$374.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE CDPH PRENATAL	$6.00	$6.00	—	70% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE	$50.00	$50.00	—	150% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG OBS VENIPUNCTURE	$50.00	$50.00	—	150% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE CDPH PRENATAL	$6.00	$6.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG OBS VENIPUNCTURE	$50.00	$50.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE	$50.00	$50.00	—	—	—
Blood glucose (sugar) test CPT 82947 HCHG POCT GLUCOSE	$114.00	$114.00	—	204% above	—
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE	$114.00	$114.00	—	204% above	—
Blood glucose (sugar) test CPT 82947 HCHG CORE GLUCOSE	$114.00	$114.00	—	204% above	—
Blood glucose (sugar) test inpatient CPT 82947 HCHG CORE GLUCOSE	$114.00	$114.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HCHG POCT GLUCOSE	$114.00	$114.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE	$114.00	$114.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG CORE PREGNANCY TEST SER QL	$235.00	$235.00	—	35% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG CHORIONIC GONADOTROPIN ASSAY	$235.00	$235.00	—	35% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG BETA HCG QUALITATIVE	$235.00	$235.00	—	35% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG CHORIONIC GONADOTROPIN ASSAY	$235.00	$235.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG BETA HCG QUALITATIVE	$235.00	$235.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG CORE PREGNANCY TEST SER QL	$235.00	$235.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO TYPE SEROLOGIC	$205.00	$205.00	—	95% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG BLOOD TYPING ABO	$205.00	$205.00	—	95% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO RECHECK UNIT/PATIENT	$205.00	$205.00	—	95% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG CORE ABO TYP SEROLOGIC	$205.00	$205.00	—	95% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO TYPE SEROLOGIC	$205.00	$205.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG BLOOD TYPING ABO	$205.00	$205.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO RECHECK UNIT/PATIENT	$205.00	$205.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG CORE ABO TYP SEROLOGIC	$205.00	$205.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 HCHG UREA NITROGEN QUANTITATIVE	$106.00	$106.00	—	189% above	—
Blood urea nitrogen (BUN) test CPT 84520 HCHG CORE UREA NITROGEN FLUID	$106.00	$106.00	—	189% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG CORE UREA NITROGEN FLUID	$106.00	$106.00	—	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG UREA NITROGEN QUANTITATIVE	$106.00	$106.00	—	—	—
C-peptide blood test CPT 84681 HCHG CORE C-PEPTIDE	$128.00	$128.00	—	101% above	—
C-peptide blood test inpatient CPT 84681 HCHG CORE C-PEPTIDE	$128.00	$128.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG C REACTIVE PROTEIN	$177.00	$177.00	—	157% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG CORE C REACTIVE PROTEIN	$177.00	$177.00	—	157% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG CORE C REACTIVE PROTEIN	$177.00	$177.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG C REACTIVE PROTEIN	$177.00	$177.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 HCHG CORE C DIFF AMPLIFIED PROBE	$336.00	$336.00	—	120% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG CORE C DIFF AMPLIFIED PROBE	$336.00	$336.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 HCHG CA 19 9	$179.00	$179.00	—	218% above	—
CA 19-9 blood test (tumor marker) CPT 86301 HCHG CORE CA 19 9	$179.00	$179.00	—	218% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG CA 19 9	$179.00	$179.00	—	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG CORE CA 19 9	$179.00	$179.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CORE CA 125	$217.00	$217.00	—	57% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CA 125	$217.00	$217.00	—	57% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CA 125	$217.00	$217.00	—	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CORE CA 125	$217.00	$217.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ	$304.00	$304.00	—	230% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ	$304.00	$304.00	—	230% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ	$304.00	$304.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ	$304.00	$304.00	—	—	—
Calcium blood test, total CPT 82310 HCHG CORE CALCIUM	$108.00	$108.00	—	75% above	—
Calcium blood test, total CPT 82310 HCHG CALCIUM FLUID	$108.00	$108.00	—	75% above	—
Calcium blood test, total CPT 82310 HCHG CALCIUM	$112.00	$112.00	—	81% above	—
Calcium blood test, total inpatient CPT 82310 HCHG CORE CALCIUM	$108.00	$108.00	—	—	—
Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM FLUID	$108.00	$108.00	—	—	—
Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM	$112.00	$112.00	—	—	—
Calcium blood test, total inpatient CPT 82310 HCHG ASSAY OF CALCIUM TOTAL	$112.00	$112.00	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CORE CEA	$286.00	$286.00	—	169% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA	$286.00	$286.00	—	169% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA	$286.00	$286.00	—	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CORE CEA	$286.00	$286.00	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 HCHG CORE VZV AB IGM	$111.00	$111.00	—	193% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HCHG CORE VZV AB	$111.00	$111.00	—	193% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HCHG CORE VZV AB IGG	$115.00	$115.00	—	203% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG CORE VZV AB	$111.00	$111.00	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG CORE VZV AB IGM	$111.00	$111.00	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG CORE VZV AB IGG	$115.00	$115.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG CORE CHLAMYDIA TRACH AMP PRB	$275.00	$275.00	—	404% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG CORE CHLAMYDIA TRACH AMP PRB	$275.00	$275.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG CORE LIPID PNL	$343.00	$343.00	—	200% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL	$343.00	$343.00	—	200% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL	$343.00	$343.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG CORE LIPID PNL	$343.00	$343.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL	$217.00	$217.00	—	96% above	—
Complete blood count (CBC) with differential CPT 85025 HCHG CORE CBC AUTO W AUTO DIFF WBC	$217.00	$217.00	—	96% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CORE CBC AUTO W AUTO DIFF WBC	$217.00	$217.00	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL	$217.00	$217.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 HCHG CBC AUTOMATED	$150.00	$150.00	—	73% above	—
Complete blood count (CBC), no differential CPT 85027 HCHG CORE CBC AUTO	$150.00	$150.00	—	73% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC AUTOMATED	$150.00	$150.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CORE CBC AUTO	$150.00	$150.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL	$471.00	$471.00	—	84% above	—
Comprehensive metabolic panel (blood test) CPT 80053 HCHG CORE COMPR MET PNL	$471.00	$471.00	—	84% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL	$471.00	$471.00	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG CORE COMPR MET PNL	$471.00	$471.00	—	—	—
Cortisol blood test, total CPT 82533 HCHG CORE CORTISOL (PM DRAW)	$283.00	$283.00	—	186% above	—
Cortisol blood test, total CPT 82533 HCHG CORE CORTISOL (AM DRAW)	$283.00	$283.00	—	186% above	—
Cortisol blood test, total CPT 82533 HCHG CORTISOL TOTAL	$283.00	$283.00	—	186% above	—
Cortisol blood test, total CPT 82533 HCHG CORE CORTISOL TOTAL	$283.00	$283.00	—	186% above	—
Cortisol blood test, total inpatient CPT 82533 HCHG CORE CORTISOL (PM DRAW)	$283.00	$283.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 HCHG CORE CORTISOL TOTAL	$283.00	$283.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 HCHG CORE CORTISOL (AM DRAW)	$283.00	$283.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL TOTAL	$283.00	$283.00	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 HCHG CK TOTAL	$243.00	$243.00	—	178% above	—
Creatine kinase (CK) blood test, total CPT 82550 HCHG CORE CK TOTAL	$243.00	$243.00	—	178% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CK TOTAL	$243.00	$243.00	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CORE CK TOTAL	$243.00	$243.00	—	—	—
Creatinine blood test CPT 82565 HCHG CREATININE	$117.00	$117.00	—	145% above	—
Creatinine blood test CPT 82565 HCHG CORE CREATININE	$117.00	$117.00	—	145% above	—
Creatinine blood test inpatient CPT 82565 HCHG CREATININE	$117.00	$117.00	—	—	—
Creatinine blood test inpatient CPT 82565 HCHG CORE CREATININE	$117.00	$117.00	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CORE CMV AB IGG	$96.00	$96.00	—	206% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CORE CMV AB IGG	$96.00	$96.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 HCHG CORE D DIMER QN	$295.00	$295.00	—	106% above	—
D-dimer blood test (blood clot marker) CPT 85379 HCHG D DIMER QUANTITATIVE	$295.00	$295.00	—	106% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG D DIMER QUANTITATIVE	$295.00	$295.00	—	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG CORE D DIMER QN	$295.00	$295.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG CORE DHEA SULFATE	$144.00	$144.00	—	43% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG CORE DHEA SULFATE	$144.00	$144.00	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG CORE DRUG SCREEN CLASS LIST A	$621.00	$621.00	—	770% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN CLASS LIST A	$621.00	$621.00	—	770% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG ALCOHOLS URINE	$621.00	$621.00	—	770% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG TEST PRESUMP NOT OPT	$621.00	$621.00	—	770% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG CORE ALCOHOLS URINE	$621.00	$621.00	—	770% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG CORE ALCOHOLS URINE	$621.00	$621.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG ALCOHOLS URINE	$621.00	$621.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG CORE DRUG SCREEN CLASS LIST A	$621.00	$621.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG TEST PRESUMP NOT OPT	$621.00	$621.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN CLASS LIST A	$621.00	$621.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG CORE ELECTROLYTE PNL	$176.00	$176.00	—	102% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG ELECTROLYTE PANEL	$176.00	$176.00	—	102% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG CORE ELECTROLYTE PNL	$176.00	$176.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG ELECTROLYTE PANEL	$176.00	$176.00	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EBV VCA AB IGM	$66.00	$66.00	—	142% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EBV VCA AB IGG	$67.00	$67.00	—	146% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG CORE EBV VCA AB IGG	$76.00	$76.00	—	179% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG CORE EBV VCA AB IGM	$76.00	$76.00	—	179% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EBV VCA AB IGM	$66.00	$66.00	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EBV VCA AB IGG	$67.00	$67.00	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG CORE EBV VCA AB IGM	$76.00	$76.00	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG CORE EBV VCA AB IGG	$76.00	$76.00	—	—	—
Estradiol blood test CPT 82670 HCHG ASSAY OF TOTAL ESTRADIOL	$216.00	$216.00	—	135% above	—
Estradiol blood test inpatient CPT 82670 HCHG ASSAY OF TOTAL ESTRADIOL	$216.00	$216.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 HCHG CORE FSH	$198.00	$198.00	—	91% above	—
FSH (follicle-stimulating hormone) test CPT 83001 HCHG FSH	$198.00	$198.00	—	91% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG CORE FSH	$198.00	$198.00	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG FSH	$198.00	$198.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 HCHG CORE FERRITIN	$256.00	$256.00	—	139% above	—
Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN	$256.00	$256.00	—	139% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 HCHG CORE FERRITIN	$256.00	$256.00	—	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 HCHG FERRITIN	$256.00	$256.00	—	—	—
Fibrinogen blood test CPT 85384 HCHG CORE FIBRINOGEN	$255.00	$255.00	—	77% above	—
Fibrinogen blood test CPT 85384 HCHG FIBRINOGEN ACTIVITY	$255.00	$255.00	—	77% above	—
Fibrinogen blood test inpatient CPT 85384 HCHG CORE FIBRINOGEN	$255.00	$255.00	—	—	—
Fibrinogen blood test inpatient CPT 85384 HCHG FIBRINOGEN ACTIVITY	$255.00	$255.00	—	—	—
Folate (folic acid) blood test CPT 82746 HCHG FOLATE	$231.00	$231.00	—	112% above	—
Folate (folic acid) blood test CPT 82746 HCHG CORE FOLATE	$231.00	$231.00	—	112% above	—
Folate (folic acid) blood test inpatient CPT 82746 HCHG CORE FOLATE	$231.00	$231.00	—	—	—
Folate (folic acid) blood test inpatient CPT 82746 HCHG FOLATE	$231.00	$231.00	—	—	—
Free T3 thyroid hormone test CPT 84481 HCHG T3 FREE	$226.00	$226.00	—	120% above	—
Free T3 thyroid hormone test CPT 84481 HCHG CORE T3 FREE	$226.00	$226.00	—	120% above	—
Free T3 thyroid hormone test inpatient CPT 84481 HCHG T3 FREE	$226.00	$226.00	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 HCHG CORE T3 FREE	$226.00	$226.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG CORE FREE T4	$231.00	$231.00	—	239% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG FREE T4	$231.00	$231.00	—	239% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG CORE FREE T4	$231.00	$231.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG FREE T4	$231.00	$231.00	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG CORE GGT	$143.00	$143.00	—	221% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG GGT	$176.00	$176.00	—	295% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG CORE GGT	$143.00	$143.00	—	—	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG GGT	$176.00	$176.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG CORE GLUCOSE 2HR PP	$86.00	$86.00	—	74% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 1HR PP	$86.00	$86.00	—	74% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 2HR PP	$86.00	$86.00	—	74% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE PRENATAL 50 GRAM SCREEN	$86.00	$86.00	—	74% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE TOL TEST 1 HR	$86.00	$86.00	—	74% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 2HR PP	$86.00	$86.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE PRENATAL 50 GRAM SCREEN	$86.00	$86.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE TOL TEST 1 HR	$86.00	$86.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG CORE GLUCOSE 2HR PP	$86.00	$86.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 1HR PP	$86.00	$86.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOLERANCE FIRST 3 SPECIMENS	$150.00	$150.00	—	9% above	—
Glucose tolerance test, 3 samples CPT 82951 HCHG GTT 4HR 1ST 3 SPEC	$150.00	$150.00	—	9% above	—
Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOLERANCE TEST (GTT)	$150.00	$150.00	—	9% above	—
Glucose tolerance test, 3 samples CPT 82951 HCHG GTT 3HR 1ST 3 SPEC	$150.00	$150.00	—	9% above	—
Glucose tolerance test, 3 samples CPT 82951 HCHG GTT 5HR 1ST 3 SPEC	$151.00	$151.00	—	10% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOLERANCE FIRST 3 SPECIMENS	$150.00	$150.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOLERANCE TEST (GTT)	$150.00	$150.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GTT 4HR 1ST 3 SPEC	$150.00	$150.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GTT 3HR 1ST 3 SPEC	$150.00	$150.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GTT 5HR 1ST 3 SPEC	$151.00	$151.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG CORE GC AMP PRB	$285.00	$285.00	—	332% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG CORE GC AMP PRB	$285.00	$285.00	—	—	—
H. pylori antibody blood test CPT 86677 HCHG CORE H PYLORI AB TOTAL	$118.00	$118.00	—	4% above	—
H. pylori antibody blood test CPT 86677 HCHG CORE H PYLORI AB IGG	$118.00	$118.00	—	4% above	—
H. pylori antibody blood test CPT 86677 HCHG H PYLORI AB	$118.00	$118.00	—	4% above	—
H. pylori antibody blood test inpatient CPT 86677 HCHG CORE H PYLORI AB TOTAL	$118.00	$118.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 HCHG H PYLORI AB	$118.00	$118.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 HCHG CORE H PYLORI AB IGG	$118.00	$118.00	—	—	—
H. pylori stool antigen test CPT 87338 HCHG CORE H PYLORI STL EIA	$180.00	$180.00	—	114% above	—
H. pylori stool antigen test inpatient CPT 87338 HCHG CORE H PYLORI STL EIA	$180.00	$180.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG CORE HIV 1 RNA QN PCR W/WO REVRS TRNSCRP	$456.00	$456.00	—	315% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG CORE HIV 1 RNA QN PCR W/WO REVRS TRNSCRP	$456.00	$456.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV 1/HIV 2 AB	$172.00	$172.00	—	188% above	—
HIV-1 and HIV-2 antibody test CPT 86703 HCHG CORE HIV 1/HIV 2 AB	$172.00	$172.00	—	188% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG CORE HIV 1/HIV 2 AB	$172.00	$172.00	—	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG HIV 1/HIV 2 AB	$172.00	$172.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG W/HIV-1/HIV-2 AB	$253.00	$253.00	—	190% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB	$253.00	$253.00	—	190% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV-1 AG W/HIV-1/HIV-2 AB	$253.00	$253.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB	$253.00	$253.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG HEMOGLOBIN GLYCOSYLATED A1C	$203.00	$203.00	—	211% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C	$203.00	$203.00	—	211% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C	$203.00	$203.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG HEMOGLOBIN GLYCOSYLATED A1C	$203.00	$203.00	—	—	—
Hemoglobin blood test CPT 85018 HCHG CORE HEMOGLOBIN	$73.00	$73.00	—	81% above	—
Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN	$75.00	$75.00	—	86% above	—
Hemoglobin blood test inpatient CPT 85018 HCHG CORE HEMOGLOBIN	$73.00	$73.00	—	—	—
Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN	$75.00	$75.00	—	—	—
Hepatitis B core antibody test (total) CPT 86704 HCHG CORE HB CORE AB TOTAL	$137.00	$137.00	—	263% above	—
Hepatitis B core antibody test (total) CPT 86704 HCHG HEPATITIS B CORE AB TOTAL	$137.00	$137.00	—	263% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG HEPATITIS B CORE AB TOTAL	$137.00	$137.00	—	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG CORE HB CORE AB TOTAL	$137.00	$137.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG HEPATITIS B SURFACE AB	$137.00	$137.00	—	221% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG CORE HBS AB	$139.00	$139.00	—	226% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG HEPATITIS B SURFACE AB	$137.00	$137.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG CORE HBS AB	$139.00	$139.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG CORE HBS AG	$147.00	$147.00	—	105% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HEPATITIS B SURFACE AG	$147.00	$147.00	—	105% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG CORE HBS AG	$147.00	$147.00	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG HEPATITIS B SURFACE AG	$147.00	$147.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C AB	$182.00	$182.00	—	209% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HCHG CORE HCV AB	$182.00	$182.00	—	209% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG HEPATITIS C AB	$182.00	$182.00	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG CORE HCV AB	$182.00	$182.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG CORE HEP C VIRUS PCR QN W/WO REV TRNS	$432.00	$432.00	—	392% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG CORE HEP C VIRUS PCR QN W/WO REV TRNS	$432.00	$432.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HCHG CORE HSV 1 AB IGG TYPE SPECIFIC	$25.00	$25.00	—	29% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG CORE HSV 1 AB IGG TYPE SPECIFIC	$25.00	$25.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HCHG CORE HSV 2 AB IGG TYPE SPECIFIC	$24.00	$24.00	—	at median	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG CORE HSV 2 AB IGG TYPE SPECIFIC	$24.00	$24.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG CORE C REACTIVE PROTEIN HS	$227.00	$227.00	—	235% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY	$227.00	$227.00	—	235% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY	$227.00	$227.00	—	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG CORE C REACTIVE PROTEIN HS	$227.00	$227.00	—	—	—
Homocysteine blood test CPT 83090 HCHG CORE HOMOCYSTINE	$254.00	$254.00	—	256% above	—
Homocysteine blood test CPT 83090 HCHG HOMOCYSTINE	$254.00	$254.00	—	256% above	—
Homocysteine blood test inpatient CPT 83090 HCHG CORE HOMOCYSTINE	$254.00	$254.00	—	—	—
Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTINE	$254.00	$254.00	—	—	—
Insulin blood test CPT 83525 HCHG CORE INSULIN	$210.00	$210.00	—	367% above	—
Insulin blood test inpatient CPT 83525 HCHG CORE INSULIN	$210.00	$210.00	—	—	—
Iron blood test (serum iron) CPT 83540 HCHG IRON	$140.00	$140.00	—	139% above	—
Iron blood test (serum iron) CPT 83540 HCHG CORE IRON	$140.00	$140.00	—	139% above	—
Iron blood test (serum iron) inpatient CPT 83540 HCHG CORE IRON	$140.00	$140.00	—	—	—
Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON	$140.00	$140.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 HCHG IRON BINDING CAPACITY	$114.00	$114.00	—	54% above	—
Iron-binding capacity (TIBC) test CPT 83550 HCHG CORE IRON BINDING CAPACITY	$114.00	$114.00	—	54% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG CORE IRON BINDING CAPACITY	$114.00	$114.00	—	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG IRON BINDING CAPACITY	$114.00	$114.00	—	—	—
Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL	$275.00	$275.00	—	93% above	—
Kidney function blood test panel CPT 80069 HCHG CORE RENAL FUNCTION PNL	$275.00	$275.00	—	93% above	—
Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL	$275.00	$275.00	—	—	—
Kidney function blood test panel inpatient CPT 80069 HCHG CORE RENAL FUNCTION PNL	$275.00	$275.00	—	—	—
LH (luteinizing hormone) test CPT 83002 HCHG CORE LH	$265.00	$265.00	—	144% above	—
LH (luteinizing hormone) test CPT 83002 HCHG LH	$265.00	$265.00	—	144% above	—
LH (luteinizing hormone) test inpatient CPT 83002 HCHG LH	$265.00	$265.00	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 HCHG CORE LH	$265.00	$265.00	—	—	—
Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID CSF	$265.00	$265.00	—	87% above	—
Lactate (lactic acid) blood test CPT 83605 HCHG CORE LACTIC ACID	$265.00	$265.00	—	87% above	—
Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID PLASMA	$265.00	$265.00	—	87% above	—
Lactate (lactic acid) blood test CPT 83605 HCHG POCT LACTIC ACID	$265.00	$265.00	—	87% above	—
Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID BLOOD	$265.00	$265.00	—	87% above	—
Lactate (lactic acid) blood test CPT 83605 HCHG ASSAY OF LACTIC ACID	$265.00	$265.00	—	87% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG CORE LACTIC ACID	$265.00	$265.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG POCT LACTIC ACID	$265.00	$265.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID CSF	$265.00	$265.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID PLASMA	$265.00	$265.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID BLOOD	$265.00	$265.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG ASSAY OF LACTIC ACID	$265.00	$265.00	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG CORE LDH	$157.00	$157.00	—	366% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LACTATE (LD) (LDH) ENZYME	$157.00	$157.00	—	366% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LDH	$157.00	$157.00	—	366% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LDH FLUID	$157.00	$157.00	—	366% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LDH	$157.00	$157.00	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG CORE LDH	$157.00	$157.00	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LDH FLUID	$157.00	$157.00	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LACTATE (LD) (LDH) ENZYME	$157.00	$157.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE	$275.00	$275.00	—	150% above	—
Lipase blood test (pancreas enzyme) CPT 83690 HCHG CORE LIPASE	$275.00	$275.00	—	150% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG CORE LIPASE	$275.00	$275.00	—	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE	$275.00	$275.00	—	—	—
Liver function blood test panel CPT 80076 HCHG CORE HEPATIC FUNCTION PNL	$309.00	$309.00	—	104% above	—
Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL	$309.00	$309.00	—	104% above	—
Liver function blood test panel inpatient CPT 80076 HCHG CORE HEPATIC FUNCTION PNL	$309.00	$309.00	—	—	—
Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL	$309.00	$309.00	—	—	—
Magnesium blood test CPT 83735 HCHG ASSAY OF MAGNESIUM	$219.00	$219.00	—	176% above	—
Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM	$219.00	$219.00	—	176% above	—
Magnesium blood test CPT 83735 HCHG MAGNESIUM URINE TIMED	$219.00	$219.00	—	176% above	—
Magnesium blood test CPT 83735 HCHG MAGNESIUM URINE	$219.00	$219.00	—	176% above	—
Magnesium blood test CPT 83735 HCHG MAGNESIUM	$219.00	$219.00	—	176% above	—
Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM UR RAN	$219.00	$219.00	—	176% above	—
Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM UR TIM	$219.00	$219.00	—	176% above	—
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM URINE	$219.00	$219.00	—	—	—
Magnesium blood test inpatient CPT 83735 HCHG ASSAY OF MAGNESIUM	$219.00	$219.00	—	—	—
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM URINE TIMED	$219.00	$219.00	—	—	—
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM	$219.00	$219.00	—	—	—
Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM UR RAN	$219.00	$219.00	—	—	—
Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM UR TIM	$219.00	$219.00	—	—	—
Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM	$219.00	$219.00	—	—	—
Measles (rubeola) antibody test CPT 86765 HCHG CORE RUBEOLA AB IGG	$84.00	$84.00	—	152% above	—
Measles (rubeola) antibody test CPT 86765 HCHG CORE RUBEOLA AB IGM	$84.00	$84.00	—	152% above	—
Measles (rubeola) antibody test inpatient CPT 86765 HCHG CORE RUBEOLA AB IGM	$84.00	$84.00	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 HCHG CORE RUBEOLA AB IGG	$84.00	$84.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HCHG HETEROPHILE ANTIBODIES SCREENING	$173.00	$173.00	—	65% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 HCHG CORE MONO TEST SCRN	$173.00	$173.00	—	65% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 HCHG HETEROPHILE AB SCREEN	$173.00	$173.00	—	65% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG HETEROPHILE ANTIBODIES SCREENING	$173.00	$173.00	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG HETEROPHILE AB SCREEN	$173.00	$173.00	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG CORE MONO TEST SCRN	$173.00	$173.00	—	—	—
Mumps immunity blood test CPT 86735 HCHG CORE MUMPS AB IGG	$112.00	$112.00	—	476% above	—
Mumps immunity blood test inpatient CPT 86735 HCHG CORE MUMPS AB IGG	$112.00	$112.00	—	—	—
Obstetric blood test panel CPT 80055 HCHG CORE PRENATAL PNL	$118.00	$118.00	—	49% below	—
Obstetric blood test panel CPT 80055 HCHG PRENATAL PANEL	$118.00	$118.00	—	49% below	—
Obstetric blood test panel inpatient CPT 80055 HCHG PRENATAL PANEL	$118.00	$118.00	—	—	—
Obstetric blood test panel inpatient CPT 80055 HCHG CORE PRENATAL PNL	$118.00	$118.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA FREE	$201.00	$201.00	—	250% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG CORE PSA FREE	$201.00	$201.00	—	250% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA FREE	$201.00	$201.00	—	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG CORE PSA FREE	$201.00	$201.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA TOTAL DIAGNOSTIC	$231.00	$231.00	—	294% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG CORE PSA TOTAL DIAGNOSTIC	$242.00	$242.00	—	313% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA TOTAL DIAGNOSTIC	$231.00	$231.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG CORE PSA TOTAL DIAGNOSTIC	$242.00	$242.00	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 HCHG REF CYTOPATHOLGY CERV/VAG THIN LAYER PREP MANL RESN	$65.00	$65.00	—	21% below	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG REF CYTOPATHOLGY CERV/VAG THIN LAYER PREP MANL RESN	$65.00	$65.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HCHG REF CYTOPATHOLGY CERVICAL/VAGINAL THIN LAYER PREP	$50.00	$50.00	—	45% below	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HCHG REF CYTOPATHOLGY CERVICAL/VAGINAL THIN LAYER PREP	$50.00	$50.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 HCHG CORE PTH INTACT	$400.00	$400.00	—	263% above	—
Parathyroid hormone (PTH) blood test CPT 83970 HCHG PTH	$400.00	$400.00	—	263% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG PTH	$400.00	$400.00	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG CORE PTH INTACT	$400.00	$400.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT PLASMA OR WHOLE BLOOD	$187.00	$187.00	—	181% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG CORE PTT PLAS OR WB	$187.00	$187.00	—	181% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG CORE PTT PLAS OR WB	$187.00	$187.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT PLASMA OR WHOLE BLOOD	$187.00	$187.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 HCHG PHOSPHORUS (PO4)	$142.00	$142.00	—	88% above	—
Phosphorus (phosphate) blood test CPT 84100 HCHG CORE PHOSPHORUS (PO4)	$142.00	$142.00	—	88% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG PHOSPHORUS (PO4)	$142.00	$142.00	—	—	—
Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG CORE PHOSPHORUS (PO4)	$142.00	$142.00	—	—	—
Potassium blood test CPT 84132 HCHG ASSAY OF SERUM POTASSIUM	$155.00	$155.00	—	112% above	—
Potassium blood test CPT 84132 HCHG POTASSIUM FLUID	$155.00	$155.00	—	112% above	—
Potassium blood test CPT 84132 HCHG POTASSIUM	$155.00	$155.00	—	112% above	—
Potassium blood test CPT 84132 HCHG POCT POTASSIUM	$155.00	$155.00	—	112% above	—
Potassium blood test CPT 84132 HCHG CORE POTASSIUM	$155.00	$155.00	—	112% above	—
Potassium blood test inpatient CPT 84132 HCHG POCT POTASSIUM	$155.00	$155.00	—	—	—
Potassium blood test inpatient CPT 84132 HCHG CORE POTASSIUM	$155.00	$155.00	—	—	—
Potassium blood test inpatient CPT 84132 HCHG POTASSIUM FLUID	$155.00	$155.00	—	—	—
Potassium blood test inpatient CPT 84132 HCHG POTASSIUM	$155.00	$155.00	—	—	—
Potassium blood test inpatient CPT 84132 HCHG ASSAY OF SERUM POTASSIUM	$155.00	$155.00	—	—	—
Progesterone blood test CPT 84144 HCHG CORE PROGESTERONE	$232.00	$232.00	—	171% above	—
Progesterone blood test CPT 84144 HCHG PROGESTERONE	$232.00	$232.00	—	171% above	—
Progesterone blood test inpatient CPT 84144 HCHG PROGESTERONE	$232.00	$232.00	—	—	—
Progesterone blood test inpatient CPT 84144 HCHG CORE PROGESTERONE	$232.00	$232.00	—	—	—
Prolactin blood test CPT 84146 HCHG CORE PROLACTIN	$262.00	$262.00	—	145% above	—
Prolactin blood test CPT 84146 HCHG PROLACTIN	$262.00	$262.00	—	145% above	—
Prolactin blood test inpatient CPT 84146 HCHG CORE PROLACTIN	$262.00	$262.00	—	—	—
Prolactin blood test inpatient CPT 84146 HCHG PROLACTIN	$262.00	$262.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHROMBIN TIME	$158.00	$158.00	—	140% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG CORE PROTHROMBIN TIME	$158.00	$158.00	—	140% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG CORE PROTHROMBIN TIME	$158.00	$158.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME	$158.00	$158.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HCHG POCT STREP A ASSAY W/OPTIC	$209.00	$209.00	—	89% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HCHG POCT STREP A ASSAY W/OPTIC	$209.00	$209.00	—	—	—
Rh blood typing CPT 86901 HCHG RH TYPE SEROLOGIC	$161.00	$161.00	—	127% above	—
Rh blood typing CPT 86901 HCHG CORE RH TYPE SEROLOGIC	$161.00	$161.00	—	127% above	—
Rh blood typing inpatient CPT 86901 HCHG CORE RH TYPE SEROLOGIC	$161.00	$161.00	—	—	—
Rh blood typing inpatient CPT 86901 HCHG RH TYPE SEROLOGIC	$161.00	$161.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 HCHG RHEUMATOID FACTOR QUANTITATIVE	$78.00	$78.00	—	491% above	—
Rheumatoid factor (RF) test CPT 86431 HCHG CORE RHEUMATOID FCTR QN	$79.00	$79.00	—	498% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUMATOID FACTOR QUANTITATIVE	$78.00	$78.00	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 HCHG CORE RHEUMATOID FCTR QN	$79.00	$79.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 HCHG CORE RUBELLA AB	$97.00	$97.00	—	73% above	—
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB	$97.00	$97.00	—	73% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB	$97.00	$97.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG CORE RUBELLA AB	$97.00	$97.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG CORE SEDIMENTATION RATE AUTO	$80.00	$80.00	—	43% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG SEDIMENTATION RATE AUTOMATED	$80.00	$80.00	—	43% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HCHG SEDIMENTATION RATE AUTOMATED	$80.00	$80.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HCHG CORE SEDIMENTATION RATE AUTO	$80.00	$80.00	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HCHG SEMEN ANALYSIS COMPLETE	$202.00	$202.00	—	45% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HCHG SEMEN ANALYSIS COMPLETE	$202.00	$202.00	—	—	—
Sodium blood test CPT 84295 HCHG CORE SODIUM	$119.00	$119.00	—	82% above	—
Sodium blood test CPT 84295 HCHG SODIUM	$132.00	$132.00	—	101% above	—
Sodium blood test CPT 84295 HCHG POCT SODIUM	$132.00	$132.00	—	101% above	—
Sodium blood test inpatient CPT 84295 HCHG CORE SODIUM	$119.00	$119.00	—	—	—
Sodium blood test inpatient CPT 84295 HCHG SODIUM	$132.00	$132.00	—	—	—
Sodium blood test inpatient CPT 84295 HCHG POCT SODIUM	$132.00	$132.00	—	—	—
Stool ova and parasites exam CPT 87177 HCHG OVA AND PARASITES W/ CONCENTRATION	$46.00	$46.00	—	120% above	—
Stool ova and parasites exam CPT 87177 HCHG CORE OVA & PARASITES W CONC	$46.00	$46.00	—	120% above	—
Stool ova and parasites exam inpatient CPT 87177 HCHG OVA AND PARASITES W/ CONCENTRATION	$46.00	$46.00	—	—	—
Stool ova and parasites exam inpatient CPT 87177 HCHG CORE OVA & PARASITES W CONC	$46.00	$46.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD FECES MULTIPLE SPECIMENS SCREENING	$96.00	$96.00	—	146% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG CORE OCCLT BLD STL QL MULT SPC	$96.00	$96.00	—	146% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG CORE OCCLT BLD STL QL MULT SPC	$96.00	$96.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG OCCULT BLOOD FECES MULTIPLE SPECIMENS SCREENING	$96.00	$96.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG CORE ASSY TST BLD FCL	$96.00	$96.00	—	145% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG TEST BLOOD FECAL ASSAY	$96.00	$96.00	—	145% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG TEST BLOOD FECAL ASSAY	$96.00	$96.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG CORE ASSY TST BLD FCL	$96.00	$96.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG CORE TREPONEMA PALLIDUM	$85.00	$85.00	—	277% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG CORE TREPONEMA PALLIDUM	$85.00	$85.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG CORE RPR NON-TREPNML AB QL	$101.00	$101.00	—	381% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG RPR NON-TREPNML AB QL	$101.00	$101.00	—	381% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG BLOOD SEROLOGY QUALITATIVE	$101.00	$101.00	—	381% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG BLOOD SEROLOGY QUALITATIVE	$101.00	$101.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG CORE RPR NON-TREPNML AB QL	$101.00	$101.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG RPR NON-TREPNML AB QL	$101.00	$101.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG CORE TB TST CELL IMM MS	$662.00	$662.00	—	584% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HCHG CORE TB TST CELL IMM MS	$662.00	$662.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL	$136.00	$136.00	—	176% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG CORE TESTOSTERONE TOTAL	$141.00	$141.00	—	186% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL	$136.00	$136.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG CORE TESTOSTERONE TOTAL	$141.00	$141.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG CORE MICROSOMAL AB	$110.00	$110.00	—	381% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG CORE MICROSOMAL AB	$110.00	$110.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG CORE TSH	$313.00	$313.00	—	188% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH	$313.00	$313.00	—	188% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG CORE TSH	$313.00	$313.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH	$313.00	$313.00	—	—	—
Total IgE blood test CPT 82785 HCHG IGE	$179.00	$179.00	—	180% above	—
Total IgE blood test CPT 82785 HCHG CORE IGE	$185.00	$185.00	—	189% above	—
Total IgE blood test inpatient CPT 82785 HCHG IGE	$179.00	$179.00	—	—	—
Total IgE blood test inpatient CPT 82785 HCHG CORE IGE	$185.00	$185.00	—	—	—
Total cholesterol blood test CPT 82465 HCHG ASSAY BLD/SERUM CHOLESTEROL	$118.00	$118.00	—	168% above	—
Total cholesterol blood test CPT 82465 HCHG CHOLESTEROL	$118.00	$118.00	—	168% above	—
Total cholesterol blood test CPT 82465 HCHG CORE CHOLESTEROL	$119.00	$119.00	—	170% above	—
Total cholesterol blood test CPT 82465 HCHG CHOLESTEROL FLUID	$119.00	$119.00	—	170% above	—
Total cholesterol blood test inpatient CPT 82465 HCHG ASSAY BLD/SERUM CHOLESTEROL	$118.00	$118.00	—	—	—
Total cholesterol blood test inpatient CPT 82465 HCHG CHOLESTEROL	$118.00	$118.00	—	—	—
Total cholesterol blood test inpatient CPT 82465 HCHG CHOLESTEROL FLUID	$119.00	$119.00	—	—	—
Total cholesterol blood test inpatient CPT 82465 HCHG CORE CHOLESTEROL	$119.00	$119.00	—	—	—
Total thyroxine (T4) blood test CPT 84436 HCHG CORE THYROXINE (T4)	$123.00	$123.00	—	214% above	—
Total thyroxine (T4) blood test CPT 84436 HCHG THYROXINE (T4)	$123.00	$123.00	—	214% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 HCHG THYROXINE (T4)	$123.00	$123.00	—	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 HCHG CORE THYROXINE (T4)	$123.00	$123.00	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 HCHG T3 TOTAL	$185.00	$185.00	—	137% above	—
Total triiodothyronine (T3) blood test CPT 84480 HCHG CORE T3 TOTAL	$191.00	$191.00	—	145% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 HCHG T3 TOTAL	$185.00	$185.00	—	—	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 HCHG CORE T3 TOTAL	$191.00	$191.00	—	—	—
Transferrin blood test CPT 84466 HCHG CORE TRANSFERRIN	$158.00	$158.00	—	152% above	—
Transferrin blood test CPT 84466 HCHG TRANSFERRIN	$158.00	$158.00	—	152% above	—
Transferrin blood test inpatient CPT 84466 HCHG TRANSFERRIN	$158.00	$158.00	—	—	—
Transferrin blood test inpatient CPT 84466 HCHG CORE TRANSFERRIN	$158.00	$158.00	—	—	—
Triglycerides blood test CPT 84478 HCHG ASSAY OF TRIGLYCERIDES	$149.00	$149.00	—	261% above	—
Triglycerides blood test CPT 84478 HCHG CORE TRIGLYCERIDE	$162.00	$162.00	—	293% above	—
Triglycerides blood test CPT 84478 HCHG TRIGLYCERIDE	$162.00	$162.00	—	293% above	—
Triglycerides blood test CPT 84478 HCHG TRIGLYCERIDE BODY FLUID	$162.00	$162.00	—	293% above	—
Triglycerides blood test inpatient CPT 84478 HCHG CORE TRIGLYCERIDE	$162.00	$162.00	—	—	—
Triglycerides blood test inpatient CPT 84478 HCHG TRIGLYCERIDE BODY FLUID	$162.00	$162.00	—	—	—
Triglycerides blood test inpatient CPT 84478 HCHG ASSAY OF TRIGLYCERIDES	$162.00	$162.00	—	—	—
Triglycerides blood test inpatient CPT 84478 HCHG TRIGLYCERIDE	$162.00	$162.00	—	—	—
Troponin test, quantitative CPT 84484 HCHG ASSAY OF TROPONIN QUANT	$391.00	$391.00	—	116% above	—
Troponin test, quantitative CPT 84484 HCHG CORE ASSAY OF TROPONIN QUANT	$391.00	$391.00	—	116% above	—
Troponin test, quantitative inpatient CPT 84484 HCHG CORE ASSAY OF TROPONIN QUANT	$391.00	$391.00	—	—	—
Troponin test, quantitative inpatient CPT 84484 HCHG ASSAY OF TROPONIN QUANT	$391.00	$391.00	—	—	—
Uric acid blood test CPT 84550 HCHG CORE URIC ACID	$134.00	$134.00	—	105% above	—
Uric acid blood test CPT 84550 HCHG URIC ACID	$134.00	$134.00	—	105% above	—
Uric acid blood test inpatient CPT 84550 HCHG CORE URIC ACID	$134.00	$134.00	—	—	—
Uric acid blood test inpatient CPT 84550 HCHG URIC ACID	$134.00	$134.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM	$141.00	$141.00	—	70% above	—
Urinalysis with microscope exam, automated CPT 81001 HCHG CORE URNALYSIS AUTO W/ MICRO	$141.00	$141.00	—	70% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG CORE URNALYSIS AUTO W/ MICRO	$141.00	$141.00	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM	$141.00	$141.00	—	—	—
Urinalysis with microscope exam, manual CPT 81000 HCHG URINALYSIS MANUAL W/ MICROSCOPIC EXAM	$31.00	$31.00	—	2% below	—
Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG URINALYSIS MANUAL W/ MICROSCOPIC EXAM	$31.00	$31.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS AUTOMATED W/OUT MICROSCOPIC EXAM	$81.00	$81.00	—	45% above	—
Urinalysis without microscope exam, automated CPT 81003 HCHG CORE URNALYSIS AUTO W/O MICRO	$81.00	$81.00	—	45% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS AUTOMATED W/OUT MICROSCOPIC EXAM	$81.00	$81.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG CORE URNALYSIS AUTO W/O MICRO	$81.00	$81.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS DIP W/O SCOPE	$42.00	$42.00	—	20% above	—
Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS MANUAL W/OUT MICROSCOPIC EXAM	$47.00	$47.00	—	34% above	—
Urinalysis without microscope exam, manual CPT 81002 HCHG CORE URNALYSIS SGL ASSAY	$47.00	$47.00	—	34% above	—
Urinalysis without microscope exam, manual CPT 81002 HCHG POCT URNALYSIS MAN W/O MICRO	$47.00	$47.00	—	34% above	—
Urinalysis without microscope exam, manual CPT 81002 HCHG SPECIFIC GRAVITY URINE	$49.00	$49.00	—	40% above	—
Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS SINGLE ASSAY	$49.00	$49.00	—	40% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS DIP W/O SCOPE	$42.00	$42.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG CORE URNALYSIS SGL ASSAY	$47.00	$47.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS MANUAL W/OUT MICROSCOPIC EXAM	$47.00	$47.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG POCT URNALYSIS MAN W/O MICRO	$47.00	$47.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG SPECIFIC GRAVITY URINE	$49.00	$49.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS SINGLE ASSAY	$49.00	$49.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 HCHG CULTURE URINE COLONY COUNT ONLY	$237.00	$237.00	—	70% above	—
Urine culture for bacteria, with colony count CPT 87086 HCHG CORE CULT UR COLONY CT ONLY	$237.00	$237.00	—	70% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CORE CULT UR COLONY CT ONLY	$237.00	$237.00	—	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CULTURE URINE COLONY COUNT ONLY	$237.00	$237.00	—	—	—
Urine microalbumin (albumin) test CPT 82043 HCHG CORE MICROALBUMIN UR 24HR	$90.00	$90.00	—	152% above	—
Urine microalbumin (albumin) test CPT 82043 HCHG MICROALBUMIN QUANTITATIVE	$90.00	$90.00	—	152% above	—
Urine microalbumin (albumin) test CPT 82043 HCHG MICROALBUMIN URINE RANDOM	$90.00	$90.00	—	152% above	—
Urine microalbumin (albumin) test CPT 82043 HCHG MICROALBUMIN URINE 24HR	$90.00	$90.00	—	152% above	—
Urine microalbumin (albumin) test CPT 82043 HCHG CORE MICROALBUMIN UR RAN	$90.00	$90.00	—	152% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICROALBUMIN URINE 24HR	$90.00	$90.00	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG CORE MICROALBUMIN UR 24HR	$90.00	$90.00	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG CORE MICROALBUMIN UR RAN	$90.00	$90.00	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICROALBUMIN URINE RANDOM	$90.00	$90.00	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICROALBUMIN QUANTITATIVE	$90.00	$90.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 HCHG PREGNANCY SCREEN URINE	$190.00	$190.00	—	116% above	—
Urine pregnancy test, read by color change CPT 81025 HCHG POCT PREGNANCY SCREEN URINE	$190.00	$190.00	—	116% above	—
Urine pregnancy test, read by color change CPT 81025 HCHG CORE PREGNANCY SCRN UR	$190.00	$190.00	—	116% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCHG POCT PREGNANCY SCREEN URINE	$190.00	$190.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCHG CORE PREGNANCY SCRN UR	$190.00	$190.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCHG PREGNANCY SCREEN URINE	$190.00	$190.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B12	$228.00	$228.00	—	145% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 HCHG CORE VITAMIN B12	$228.00	$228.00	—	145% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG CORE VITAMIN B12	$228.00	$228.00	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG VITAMIN B12	$228.00	$228.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG VITAMIN D 25HYDROXY	$221.00	$221.00	—	238% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG CORE VITAMIN D 25HYDROXY	$232.00	$232.00	—	255% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG VITAMIN D 25HYDROXY	$221.00	$221.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG CORE VITAMIN D 25HYDROXY	$232.00	$232.00	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HCHG CORE VITAMIN D (125 DI HYDROX)	$167.00	$167.00	—	146% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HCHG CORE VITAMIN D (125 DI HYDROX)	$167.00	$167.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG CORE BETA HCG QUAN	$395.00	$395.00	—	121% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG CHORIONIC GONADOTROPIN TEST	$395.00	$395.00	—	121% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG BETA HCG QUANTITATIVE	$395.00	$395.00	—	121% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG CORE BETA HCG QUAN	$395.00	$395.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG BETA HCG QUANTITATIVE	$395.00	$395.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG CHORIONIC GONADOTROPIN TEST	$395.00	$395.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG BX BREAST 1ST LESION STRTCTC	$4,947.00	$4,947.00	—	14% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG BX BREAST 1ST LESION STRTCTC	$4,947.00	$4,947.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION ELECTRIC EXTERNAL	$3,313.00	$3,313.00	—	77% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG OBS CARDIOVERSION ELECTRIC EXTERNAL	$3,313.00	$3,313.00	—	77% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CA CARDIOVERSION ELECTRIC EXTERNAL	$3,462.00	$3,462.00	—	85% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG OBS CARDIOVERSION ELECTRIC EXTERNAL	$3,313.00	$3,313.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION ELECTRIC EXTERNAL	$3,313.00	$3,313.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CA CARDIOVERSION ELECTRIC EXTERNAL	$3,462.00	$3,462.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION NEWBORN	$354.00	$354.00	—	67% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION NEWBORN	$354.00	$354.00	—	—	—
Cystoscopy with ureteral stent placement CPT 52332 HCHG CYSTO W/ INS URETERAL STENT	$12,537.00	$12,537.00	—	114% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 HCHG CYSTO W/ INS URETERAL STENT	$12,537.00	$12,537.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HCHG OBS BX ENDOMETRIUM NO DIL	$2,458.00	$2,458.00	—	350% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HCHG OBS BX ENDOMETRIUM NO DIL	$2,458.00	$2,458.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE	$3,954.00	$3,954.00	—	102% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE	$3,954.00	$3,954.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJECTION FACET L/S 1 LVL	$3,984.00	$3,984.00	—	93% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJECTION FACET L/S 1 LVL	$3,984.00	$3,984.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 HCHG DRAINAGE ABSCESS SIMPLE/SINGLE	$1,241.00	$1,241.00	—	165% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG DRAINAGE ABSCESS SIMPLE/SINGLE	$1,268.00	$1,268.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US LT	$1,865.00	$1,865.00	—	96% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US RT	$1,865.00	$1,865.00	—	96% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US LT	$1,979.00	$1,979.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US RT	$1,979.00	$1,979.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US	$1,751.00	$1,751.00	—	141% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US	$1,850.00	$1,850.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE	$4,340.00	$4,340.00	—	95% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE	$4,340.00	$4,340.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE	$5,600.00	$5,600.00	—	240% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE	$5,600.00	$5,600.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$3,902.00	$3,902.00	—	101% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$3,902.00	$3,902.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 HCHG REMOVE NAIL PLATE SINGLE	$793.00	$793.00	—	64% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG REMOVE NAIL PLATE SINGLE	$793.00	$793.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ NRV AA/STRD GREATER OCCIPITAL	$1,309.00	$1,309.00	—	49% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ NRV AA/STRD GREATER OCCIPITAL	$1,309.00	$1,309.00	—	—	—
Paracentesis with imaging guidance CPT 49083 HCHG ABD PARACENTESIS W/IMAGING	$3,147.00	$3,147.00	—	71% above	—
Paracentesis with imaging guidance inpatient CPT 49083 HCHG ABD PARACENTESIS W/IMAGING	$3,147.00	$3,147.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG DESTROY LUMB/SAC FACET JNT	$4,751.00	$4,751.00	—	27% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG DESTROY LUMB/SAC FACET JNT	$4,751.00	$4,751.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 HCHG REMOVAL FB SUBQ TISS SMPL	$1,636.00	$1,636.00	—	68% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG REMOVAL FB SUBQ TISS SMPL	$1,636.00	$1,636.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG OBS LUMBAR PUNCTURE DX	$2,433.00	$2,433.00	—	84% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DX	$2,433.00	$2,433.00	—	84% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DX	$2,433.00	$2,433.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG OBS LUMBAR PUNCTURE DX	$2,433.00	$2,433.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 HCHG THORACENTESIS W/IMAGING	$3,017.00	$3,017.00	—	48% above	—
Thoracentesis with imaging guidance one side CPT 32555 HCHG THORACENTESIS W/IMAGING RT	$3,017.00	$3,017.00	—	48% above	—
Thoracentesis with imaging guidance one side CPT 32555 HCHG THORACENTESIS W/IMAGING LT	$3,017.00	$3,017.00	—	48% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 HCHG THORACENTESIS W/IMAGING	$3,017.00	$3,017.00	—	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 HCHG THORACENTESIS W/IMAGING RT	$3,017.00	$3,017.00	—	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 HCHG THORACENTESIS W/IMAGING LT	$3,017.00	$3,017.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES	$1,238.00	$1,238.00	—	98% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES	$1,238.00	$1,238.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG BX BREAST 1ST LESION US IMAG	$4,352.00	$4,352.00	—	35% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG BX BREAST 1ST LESION US IMAG	$4,352.00	$4,352.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRIDE SQ TISS <=20CM	$2,232.00	$2,232.00	—	228% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DEBRIDE SQ TISS <=20CM	$2,232.00	$2,232.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION <=2 HRS	$682.00	$682.00	—	22% below	—
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 2-4 HRS	$1,364.00	$1,364.00	—	56% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 4-6 HRS	$2,046.00	$2,046.00	—	134% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION > 6 HRS	$2,728.00	$2,728.00	—	212% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION <=2 HRS	$682.00	$682.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION 2-4 HRS	$1,364.00	$1,364.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION 4-6 HRS	$2,046.00	$2,046.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION > 6 HRS	$2,728.00	$2,728.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AIRWAY INHALATION TREATMENT	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI/NEB INITIAL	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPV INITIAL	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB TX INITIAL	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL TX INITIAL	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL TREATMENT SUBSEQUENT	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB TREATMENT SUBSEQUENT	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPV TREATMENT SUBSEQUENT	$685.00	$685.00	—	112% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI/NEB INITIAL	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AIRWAY INHALATION TREATMENT	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPV TREATMENT SUBSEQUENT	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL TREATMENT SUBSEQUENT	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL TX INITIAL	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB TX INITIAL	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB TREATMENT SUBSEQUENT	$685.00	$685.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPV INITIAL	$685.00	$685.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 HCHG OBS INFUSN CHEMO 0-60 MN	$1,408.00	$1,408.00	—	61% above	—
Chemotherapy IV infusion, first hour CPT 96413 HCHG CHEMO INFUSION INITIAL UP TO 1 HR	$1,408.00	$1,408.00	—	61% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG OBS INFUSN CHEMO 0-60 MN	$1,408.00	$1,408.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG CHEMO INFUSION INITIAL UP TO 1 HR	$1,408.00	$1,408.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 HCHG ED CRIT CARE 1ST 30-74 MN	$9,840.00	$9,840.00	—	113% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG ED CRIT CARE 1ST 30-74 MN	$9,840.00	$9,840.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG AWAKE AND DROWSY RECORDS 20-40 MIN	$1,719.00	$1,719.00	—	68% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG EEG AWAKE AND DROWSY RECORDS 20-40 MIN	$1,719.00	$1,719.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG 12 LEAD TRACING ONLY	$614.00	$614.00	—	82% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG 12 LEAD TRACING ONLY	$614.00	$614.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG ED LEVEL 1	$494.00	$494.00	—	17% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG ED LEVEL 1	$494.00	$494.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG ED LEVEL 2	$1,253.00	$1,253.00	—	44% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG ED LEVEL 2	$1,253.00	$1,253.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG ED LEVEL 3	$2,449.00	$2,449.00	—	61% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG ED LEVEL 3	$2,449.00	$2,449.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG ED LEVEL 4	$4,038.00	$4,038.00	—	49% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG ED LEVEL 4	$4,038.00	$4,038.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG ED LEVEL 5	$6,017.00	$6,017.00	—	70% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG ED LEVEL 5	$6,017.00	$6,017.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CA CARDIAC STRESS TEST	$2,345.00	$2,345.00	—	74% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG CA CARDIAC STRESS TEST	$2,345.00	$2,345.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INFUSION HYDRATION INITIAL UP TO 1 HR	$923.00	$923.00	—	87% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INFUSION HYDRATION INITIAL UP TO 1 HR	$923.00	$923.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 HCHG INFUSION INITIAL W/MED UP TO 1 HR	$966.00	$966.00	—	64% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INFUSION INITIAL W/MED UP TO 1 HR	$966.00	$966.00	—	—	—
IV push of a medicine, first drug CPT 96374 HCHG IV PUSH INITIAL DRUG	$515.00	$515.00	—	46% above	—
IV push of a medicine, first drug inpatient CPT 96374 HCHG IV PUSH INITIAL DRUG	$515.00	$515.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJECTION IM/SQ EA	$274.00	$274.00	—	53% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJECTION IM/SQ EA	$274.00	$274.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MEDICAL NUTRITION THERAPY ASSESSMENT AND INTERVENT	$118.00	$118.00	—	18% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MEDICAL NUTRITION THERAPY ASSESSMENT AND INTERVENT	$118.00	$118.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 HCHG PSYCHOTHERAPY PT 60MIN	$538.00	$538.00	—	47% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG PSYCHOTHERAPY PT 60MIN	$538.00	$538.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HCHG SMOKING CESSATION COUNSELING 3-10 M	$106.00	$106.00	—	44% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HCHG SMOKING CESSATION COUNSELING 3-10 M	$106.00	$106.00	—	—	—
Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY	$653.00	$653.00	—	84% above	—
Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY	$653.00	$653.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 HCHG SPIROMETRY PRE AND POST BRONCHODILATOR	$1,449.00	$1,449.00	—	81% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG SPIROMETRY PRE AND POST BRONCHODILATOR	$1,449.00	$1,449.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG OBS PHLEBOTOMY THERAPUTIC	$505.00	$505.00	—	56% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY	$515.00	$515.00	—	59% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG OBS PHLEBOTOMY THERAPUTIC	$505.00	$505.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY	$515.00	$515.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$571.25	$571.25	—	304% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$571.25	$571.25	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$164.68	$164.68	—	300% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$164.68	$164.68	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP	$562.50	$562.50	—	411% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$999.74	$999.74	—	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$1,422.01	$1,422.01	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,698.50	$1,698.50	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG INITIAL IMMUNIZATION ADMINISTRATION	$162.00	$162.00	—	56% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG HEPATITIS B VACCINE ADMIN	$162.00	$162.00	—	56% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG HEPATITIS B VACCINE ADMIN	$162.00	$162.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG INITIAL IMMUNIZATION ADMINISTRATION	$162.00	$162.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG EACH ADDITIONAL IMMUNIZATION ADMINISTRATION	$119.00	$119.00	—	54% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG EACH ADDITIONAL IMMUNIZATION ADMINISTRATION	$119.00	$119.00	—	—	—

Source file: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1447494323_sutter-amador-hospital_standardcharges.csv