Hospital

Wray Community District Hospital

Wray Community District Hospital in Wray, CO publishes cash prices for 219 common procedures listed here, from its own machine-readable price file updated Mar 1, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 192 of 213 procedures and above it for 19. By typical cash price it ranks #9 of 49 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1017 W 7Th St, Wray, CO 80758 Collected Sep 29, 2026 Source price file (970) 332-4811

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 061309 · CMS hospital register

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 4 actions for a hospital named Wray Community District Hospital in Wray, CO:

Feb 8, 2024 Warning notice
May 14, 2024 Corrective action plan requested
Jul 10, 2024 Case closed
Jun 3, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body	$915.14	$1,220.18	—	72% below	25%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body	$915.14	$1,220.18	—	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography Chest w/ Contrast	$1,829.36	$2,439.15	—	24% below	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 WCDH CT Angio Chest	$1,829.36	$2,439.15	—	24% below	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 WCDH CT Angio Chest	$1,829.36	$2,439.15	—	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest w/ Contrast	$1,829.36	$2,439.15	—	—	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen/Pelvis w/o Contrast	$2,210.15	$2,946.87	—	11% above	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Chest /Abdomen/Pelvis w/o Contrast	$2,210.15	$2,946.87	—	11% above	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Chest /Abdomen/Pelvis w/o Contrast	$2,210.15	$2,946.87	—	—	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen/Pelvis w/o Contrast	$2,210.15	$2,946.87	—	—	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Chest /Abdomen/Pelvis w/ Contrast	$2,600.18	$3,466.90	—	8% below	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen/Pelvis w/ Contrast	$2,600.18	$3,466.90	—	8% below	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Chest /Abdomen/Pelvis w/ Contrast	$2,600.18	$3,466.90	—	—	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen/Pelvis w/ Contrast	$2,600.18	$3,466.90	—	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Chest /Abdomen/Pelvis w + w/o Contras	$3,061.42	$4,081.90	—	12% below	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen/Pelvis w + w/o Contrast	$3,061.42	$4,081.90	—	12% below	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen/Pelvis w + w/o Contrast	$3,061.42	$4,081.90	—	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Chest /Abdomen/Pelvis w + w/o Contras	$3,061.42	$4,081.90	—	—	25%
CT scan of the abdomen with contrast CPT 74160 WCDH CT Abdomen w/ Cont	$1,495.15	$1,993.53	—	29% below	25%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast	$1,495.15	$1,993.53	—	29% below	25%
CT scan of the abdomen with contrast CPT 74160 CT Chest/Abdomen w/Contrast	$1,495.15	$1,993.53	—	29% below	25%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast	$1,495.15	$1,993.53	—	—	25%
CT scan of the abdomen with contrast inpatient CPT 74160 WCDH CT Abdomen w/ Cont	$1,495.15	$1,993.53	—	—	25%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Chest/Abdomen w/Contrast	$1,495.15	$1,993.53	—	—	25%
CT scan of the abdomen without contrast CPT 74150 WCDH CT Abdomen w/o Cont	$1,300.12	$1,733.50	—	9% below	25%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast	$1,300.12	$1,733.50	—	9% below	25%
CT scan of the abdomen without contrast CPT 74150 CT Chest/Abdomen w/o Contrast	$1,300.12	$1,733.50	—	9% below	25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast	$1,300.12	$1,733.50	—	—	25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Chest/Abdomen w/o Contrast	$1,300.12	$1,733.50	—	—	25%
CT scan of the abdomen without contrast inpatient CPT 74150 WCDH CT Abdomen w/o Cont	$1,300.12	$1,733.50	—	—	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast	$1,105.11	$1,473.48	—	17% below	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast	$1,105.11	$1,473.48	—	—	25%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Contrast	$1,300.12	$1,733.50	—	6% below	25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Contrast	$1,300.12	$1,733.50	—	—	25%
CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Contrast	$1,495.15	$1,993.53	—	4% below	25%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Contrast	$1,495.15	$1,993.53	—	—	25%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Contrast	$1,761.38	$2,348.50	—	4% below	25%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Contrast	$1,761.38	$2,348.50	—	—	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast	$1,495.15	$1,993.53	—	1% above	25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast	$1,495.15	$1,993.53	—	—	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast	$1,495.15	$1,993.53	—	at median	25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast	$1,495.15	$1,993.53	—	—	25%
CT scan of the pelvis, with contrast dye CPT 72193 WCDH CT Pelvis w/ Cont	$1,495.15	$1,993.53	—	30% below	25%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast	$1,495.15	$1,993.53	—	30% below	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast	$1,495.15	$1,993.53	—	—	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 WCDH CT Pelvis w/ Cont	$1,495.15	$1,993.53	—	—	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$793.55	$1,058.07	—	—	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$793.55	$1,058.07	—	—	25%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$273.58	$364.78	—	12% below	25%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$273.58	$364.78	—	—	25%
Chest X-ray, single view CPT 71045 XR Chest 1 View	$222.98	$297.31	—	16% below	25%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View	$222.98	$297.31	—	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Aorta	$531.12	$708.16	—	26% below	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal Aorta	$531.12	$708.16	—	—	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 WCDH CT Chest w/o Cont	$1,495.15	$1,993.53	—	1% below	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution w/o Contrast	$1,495.15	$1,993.53	—	1% below	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contrast	$1,495.15	$1,993.53	—	1% below	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest W/O Contrast	$1,495.15	$1,993.53	—	—	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution w/o Contrast	$1,495.15	$1,993.53	—	—	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 WCDH CT Chest w/o Cont	$1,495.15	$1,993.53	—	—	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 WCDH CT Chest w/ Cont	$1,495.15	$1,993.53	—	20% below	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast	$1,495.15	$1,993.53	—	20% below	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 WCDH CT Chest w/ Cont	$1,495.15	$1,993.53	—	—	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast	$1,495.15	$1,993.53	—	—	25%
Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammo Diagnostic 3D Bilateral.	$346.32	$461.76	—	—	25%
Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammogram Diagnostic Bilateral.	$346.32	$461.76	—	—	25%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Mammogram Diagnostic Bilateral.	$346.32	$461.76	—	—	25%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Mammo Diagnostic 3D Bilateral.	$346.32	$461.76	—	—	25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral	$686.05	$914.73	—	—	25%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral	$686.05	$914.73	—	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral	$877.09	$1,169.45	—	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral	$877.09	$1,169.45	—	—	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral	$877.09	$1,169.45	—	—	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral	$877.09	$1,169.45	—	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echocardiogram Complete	$1,601.95	$2,135.93	—	28% below	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 BCE - US Echocardiogram Complete	$1,601.95	$2,135.93	—	28% below	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 BCE - US Echocardiogram Complete	$1,601.95	$2,135.93	—	—	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echocardiogram Complete	$1,601.95	$2,135.93	—	—	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA Scan w/o CCK	$932.30	$1,243.06	—	56% below	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HIDA Scan w/o CCK	$932.30	$1,243.06	—	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Split Night Sleep Study	$2,407.76	$3,210.35	—	35% below	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Positive Airway Pressure Titration Charge	$3,267.13	$4,356.17	—	12% below	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Split Night Sleep Study	$2,407.76	$3,210.35	—	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Positive Airway Pressure Titration Charge	$3,267.13	$4,356.17	—	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$465.64	$620.86	—	20% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$465.64	$620.86	—	—	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening	$1,170.11	$1,560.15	—	282% above	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening	$1,170.11	$1,560.15	—	—	25%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$1,320.38	$1,760.50	—	43% below	25%
MRI of the abdomen without contrast CPT 74181 MRI Cholangiopancreatography	$1,320.38	$1,760.50	—	43% below	25%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Cholangiopancreatography	$1,320.38	$1,760.50	—	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$1,320.38	$1,760.50	—	—	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,643.25	$2,191.00	—	49% below	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,643.25	$2,191.00	—	—	25%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$1,320.38	$1,760.50	—	41% below	25%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$1,320.38	$1,760.50	—	—	25%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$1,643.25	$2,191.00	—	49% below	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast	$1,643.25	$2,191.00	—	—	25%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$1,320.38	$1,760.50	—	35% below	25%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast	$1,320.38	$1,760.50	—	—	25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,643.25	$2,191.00	—	49% below	25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,643.25	$2,191.00	—	—	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$1,320.38	$1,760.50	—	42% below	25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast	$1,320.38	$1,760.50	—	—	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,643.25	$2,191.00	—	50% below	25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,643.25	$2,191.00	—	—	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$1,320.38	$1,760.50	—	40% below	25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast	$1,320.38	$1,760.50	—	—	25%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,643.25	$2,191.00	—	55% below	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,643.25	$2,191.00	—	—	25%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$1,320.38	$1,760.50	—	43% below	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$1,320.38	$1,760.50	—	—	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Spect Multi Rest/Stress	$2,466.65	$3,288.87	—	59% below	25%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Spect Multi Rest/Stress	$2,466.65	$3,288.87	—	—	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Complete	$503.36	$671.15	—	27% below	25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Complete	$503.36	$671.15	—	—	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited (AFI)	$429.90	$573.20	—	1% below	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited (AFI)	$429.90	$573.20	—	—	25%
Screening mammogram, both breasts both sides CPT 77067 MA Mammo Screening 3D Bilateral.	$266.40	$355.20	—	—	25%
Screening mammogram, both breasts inpatient both sides CPT 77067 MA Mammo Screening 3D Bilateral.	$266.40	$355.20	—	—	25%
Sleep study in a lab (polysomnography) CPT 95810 Routine Polysomnography	$2,407.76	$3,210.35	—	25% below	25%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Routine Polysomnography	$2,407.76	$3,210.35	—	—	25%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal	$515.86	$687.81	—	19% below	25%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal	$515.86	$687.81	—	—	25%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$723.97	$965.30	—	19% above	25%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$723.97	$965.30	—	—	25%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$562.95	$750.60	—	23% below	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$562.95	$750.60	—	—	25%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents)	$453.86	$605.14	—	32% below	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents)	$453.86	$605.14	—	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck Soft Tissue	$519.79	$693.05	—	18% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$519.79	$693.05	—	18% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Neck Soft Tissue	$519.79	$693.05	—	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$519.79	$693.05	—	—	25%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View	$221.10	$294.80	—	22% below	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View	$221.10	$294.80	—	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$324.04	$432.05	—	16% below	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$324.04	$432.05	—	—	25%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 Views	$499.65	$666.20	—	1% below	25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 Views	$499.65	$666.20	—	—	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$252.94	$337.25	—	22% below	25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$252.94	$337.25	—	—	25%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Minimum 3 Views	$335.72	$447.63	—	4% above	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Minimum 3 Views	$335.72	$447.63	—	—	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$296.59	$395.45	—	18% below	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views	$296.59	$395.45	—	—	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$217.50	$290.00	—	28% below	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$217.50	$290.00	—	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx Minimum 2 Views	$268.59	$358.12	—	13% below	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx Minimum 2 Views	$268.59	$358.12	—	—	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT 1	$59.83	$79.77	—	29% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALTV	$59.83	$79.77	—	29% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE ADMIN, PSPC	$101.65	$135.53	—	20% above	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALTV	$59.83	$79.77	—	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT 1	$59.83	$79.77	—	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE ADMIN, PSPC	$101.65	$135.53	—	—	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST 1	$59.83	$79.77	—	4% below	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTATE AM, PSPC	$101.65	$135.53	—	64% above	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST 1	$59.83	$79.77	—	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE ASPARTATE AM, PSPC	$101.65	$135.53	—	—	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile 8	$109.28	$145.70	—	77% below	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile 1	$109.28	$145.70	—	77% below	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute (RPS) PSPC	$218.38	$291.17	—	54% below	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Profile 1	$109.28	$145.70	—	—	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Profile 8	$109.28	$145.70	—	—	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute (RPS) PSPC	$218.38	$291.17	—	—	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Allergen PSPC	$53.30	$71.07	—	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel 1-Region XI (86003)	$56.50	$75.34	—	25% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Cultivated Corn, IgE	$68.15	$90.87	—	51% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Stachybotrys chartarum IGE 86003 PSPC	$97.99	$130.65	—	117% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Panel (86003) PSPC	$355.52	$474.03	—	687% above	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Allergen PSPC	$53.30	$71.07	—	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel 1-Region XI (86003)	$56.50	$75.34	—	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cultivated Corn, IgE	$68.15	$90.87	—	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stachybotrys chartarum IGE 86003 PSPC	$97.99	$130.65	—	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Panel (86003) PSPC	$355.52	$474.03	—	—	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG AB PSPC	$87.94	$117.26	—	31% below	25%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IgG AB PSPC	$87.94	$117.26	—	—	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANCA Associated Vascular 86036 PSPC	$66.73	$88.97	—	36% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA with Reflex	$76.73	$102.31	—	27% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen with Reflex to Antibody PSPC	$86.48	$115.31	—	17% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 BOWCDH ANA SCREEN	$86.48	$115.31	—	17% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA by IFA (RPS) PSPC	$116.32	$155.09	—	11% above	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANCA Associated Vascular 86036 PSPC	$66.73	$88.97	—	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA with Reflex	$76.73	$102.31	—	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Screen with Reflex to Antibody PSPC	$86.48	$115.31	—	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 BOWCDH ANA SCREEN	$86.48	$115.31	—	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA by IFA (RPS) PSPC	$116.32	$155.09	—	—	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT Pro-BNP	$105.77	$141.03	—	69% below	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT Pro-BNP	$105.77	$141.03	—	—	25%
Basic metabolic panel (blood test) CPT 80048 BMP 10	$108.28	$144.37	—	37% below	25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$114.91	$153.21	—	33% below	25%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP 10	$108.28	$144.37	—	—	25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$114.91	$153.21	—	—	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Aspirate Prep PSPC	$67.66	$90.22	—	88% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill MARROW ASPIRATE PREP	$67.66	$90.22	—	88% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BOWCDH Tissue Proc Sur Path LV4	$100.73	$134.31	—	82% below	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BOWCDH Tissue Proc Sur Path LV 1	$161.46	$215.28	—	71% below	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Aspirate Prep PSPC	$67.66	$90.22	—	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bill MARROW ASPIRATE PREP	$67.66	$90.22	—	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BOWCDH Tissue Proc Sur Path LV4	$100.73	$134.31	—	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BOWCDH Tissue Proc Sur Path LV 1	$161.46	$215.28	—	—	25%
Blood culture for bacteria CPT 87040 Aerobic Blood Culture, PSPC	$42.22	$56.29	—	85% below	25%
Blood culture for bacteria CPT 87040 Blood Culture	$174.04	$232.05	—	37% below	25%
Blood culture for bacteria inpatient CPT 87040 Aerobic Blood Culture, PSPC	$42.22	$56.29	—	—	25%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$174.04	$232.05	—	—	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$19.42	$25.90	—	42% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Charge.	$25.25	$33.67	—	25% below	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$19.42	$25.90	—	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Charge.	$25.25	$33.67	—	—	25%
Blood glucose (sugar) test CPT 82947 82947 Glucose Fasting	$59.83	$79.77	—	17% below	25%
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$59.83	$79.77	—	17% below	25%
Blood glucose (sugar) test inpatient CPT 82947 82947 Glucose Fasting	$59.83	$79.77	—	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting	$59.83	$79.77	—	—	25%
Blood lead test CPT 83655 Lead, Adult	$32.16	$42.88	—	71% below	25%
Blood lead test CPT 83655 Lead, Pediatric	$32.16	$42.88	—	71% below	25%
Blood lead test CPT 83655 Lead, Venous (RPS) PSPC	$49.02	$65.36	—	56% below	25%
Blood lead test CPT 83655 Lead, Capillary (RPS) PSPC	$49.02	$65.36	—	56% below	25%
Blood lead test CPT 83655 U Heavy Metals	$65.73	$87.64	—	41% below	25%
Blood lead test CPT 83655 Heavy Metals	$65.73	$87.64	—	41% below	25%
Blood lead test CPT 83655 U24 Heavy Metals	$65.73	$87.64	—	41% below	25%
Blood lead test CPT 83655 LEAD,SERUM,QUANT PSPC	$98.79	$131.72	—	11% below	25%
Blood lead test inpatient CPT 83655 Lead, Pediatric	$32.16	$42.88	—	—	25%
Blood lead test inpatient CPT 83655 Lead, Adult	$32.16	$42.88	—	—	25%
Blood lead test inpatient CPT 83655 Lead, Capillary (RPS) PSPC	$49.02	$65.36	—	—	25%
Blood lead test inpatient CPT 83655 Lead, Venous (RPS) PSPC	$49.02	$65.36	—	—	25%
Blood lead test inpatient CPT 83655 Heavy Metals	$65.73	$87.64	—	—	25%
Blood lead test inpatient CPT 83655 U24 Heavy Metals	$65.73	$87.64	—	—	25%
Blood lead test inpatient CPT 83655 U Heavy Metals	$65.73	$87.64	—	—	25%
Blood lead test inpatient CPT 83655 LEAD,SERUM,QUANT PSPC	$98.79	$131.72	—	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum 3	$58.98	$78.64	—	62% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum 3	$58.98	$78.64	—	—	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 History Check	$30.90	$41.20	—	71% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord Blood.	$30.90	$41.20	—	71% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Type and Scr	$30.90	$41.20	—	71% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORh	$93.75	$125.00	—	13% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH TYPE REF LAB ARC	$94.10	$125.47	—	12% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Rh	$94.95	$126.60	—	12% below	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord Blood.	$30.90	$41.20	—	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 History Check	$30.90	$41.20	—	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Type and Scr	$30.90	$41.20	—	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORh	$93.75	$125.00	—	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH TYPE REF LAB ARC	$94.10	$125.47	—	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Rh	$94.95	$126.60	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN PSPC	$30.03	$40.04	—	69% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, Cardiac PSPC	$76.54	$102.05	—	21% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-High Sens	$81.12	$108.16	—	16% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$81.12	$108.16	—	16% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$81.12	$108.16	—	16% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP- High Sensitivity	$81.12	$108.16	—	16% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN PSPC	$30.03	$40.04	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, Cardiac PSPC	$76.54	$102.05	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$81.12	$108.16	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP- High Sensitivity	$81.12	$108.16	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$81.12	$108.16	—	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP-High Sens	$81.12	$108.16	—	—	25%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff Toxin, DNA Detection, Confirmatory testing (RPS) PSPC	$170.80	$227.73	—	54% below	25%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff Toxins A&B, EIA	$178.04	$237.38	—	52% below	25%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff Toxin, DNA Detection, Confirmatory testing (RPS) PSPC	$170.80	$227.73	—	—	25%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. Diff Toxins A&B, EIA	$178.04	$237.38	—	—	25%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9, PSPC	$127.04	$169.39	—	39% below	25%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9, PSPC	$127.04	$169.39	—	—	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 PSPC	$99.26	$132.34	—	52% below	25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 PSPC	$99.26	$132.34	—	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR(GXpert COVFlu)	$73.12	$97.50	—	42% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2(Covid19)PCR(GXpert COVFLURSV)	$73.12	$97.50	—	42% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2(Covid19)PCR(GXpert COVFLURSV)	$73.12	$97.50	—	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) PCR(GXpert COVFlu)	$73.12	$97.50	—	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY PCR IHC	$46.31	$61.75	—	85% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CGAP	$62.98	$83.98	—	79% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis by PCR	$105.79	$141.05	—	65% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis	$199.19	$265.59	—	34% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY PCR IHC	$46.31	$61.75	—	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CGAP	$62.98	$83.98	—	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis by PCR	$105.79	$141.05	—	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis	$199.19	$265.59	—	—	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LipoProfile by NMR ARUP	$60.77	$81.03	—	53% below	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid	$148.40	$197.87	—	16% above	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LipoProfile by NMR ARUP	$60.77	$81.03	—	—	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid	$148.40	$197.87	—	—	25%
Complete blood count (CBC) with differential CPT 85025 Bill CBC w Diff (RPS Flow)	$48.08	$64.10	—	40% below	25%
Complete blood count (CBC) with differential inpatient CPT 85025 Bill CBC w Diff (RPS Flow)	$48.08	$64.10	—	—	25%
Complete blood count (CBC), no differential CPT 85027 Health Fair Panel PSPC	$38.62	$51.50	—	53% below	25%
Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Diff	$94.28	$125.70	—	15% above	25%
Complete blood count (CBC), no differential inpatient CPT 85027 Health Fair Panel PSPC	$38.62	$51.50	—	—	25%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Diff	$94.28	$125.70	—	—	25%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$131.32	$175.10	—	36% below	25%
Comprehensive metabolic panel (blood test) CPT 80053 CMP 12	$135.23	$180.30	—	34% below	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$131.32	$175.10	—	—	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP 12	$135.23	$180.30	—	—	25%
D-dimer blood test (blood clot marker) CPT 85379 Bill D-Dimer	$48.08	$64.10	—	73% below	25%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$74.78	$99.70	—	59% below	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Bill D-Dimer	$48.08	$64.10	—	—	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$74.78	$99.70	—	—	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate	$144.40	$192.54	—	35% below	25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate	$144.40	$192.54	—	—	25%
Estradiol blood test CPT 82670 Estradiol Level	$70.70	$94.27	—	75% below	25%
Estradiol blood test CPT 82670 Estradiol PSPC	$122.66	$163.54	—	56% below	25%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$70.70	$94.27	—	—	25%
Estradiol blood test inpatient CPT 82670 Estradiol PSPC	$122.66	$163.54	—	—	25%
FSH (follicle-stimulating hormone) test CPT 83001 Estradiol Level Urine	$48.29	$64.39	—	74% below	25%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$48.29	$64.39	—	74% below	25%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PSPC	$70.89	$94.52	—	62% below	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Estradiol Level Urine	$48.29	$64.39	—	—	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$48.29	$64.39	—	—	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PSPC	$70.89	$94.52	—	—	25%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool RPS	$610.17	$813.56	—	141% above	25%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool PSPC	$611.76	$815.68	—	141% above	25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool RPS	$610.17	$813.56	—	—	25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool PSPC	$611.76	$815.68	—	—	25%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$33.01	$44.01	—	76% below	25%
Ferritin blood test (iron stores) CPT 82728 Ferritin PSPC	$33.01	$44.01	—	76% below	25%
Ferritin blood test (iron stores) CPT 82728 BOWCDH FERRITIN	$33.01	$44.01	—	76% below	25%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$49.60	$66.14	—	64% below	25%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$33.01	$44.01	—	—	25%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin PSPC	$33.01	$44.01	—	—	25%
Ferritin blood test (iron stores) inpatient CPT 82728 BOWCDH FERRITIN	$33.01	$44.01	—	—	25%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$49.60	$66.14	—	—	25%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$40.23	$53.64	—	73% below	25%
Folate (folic acid) blood test CPT 82746 Folate Level	$40.23	$53.64	—	73% below	25%
Folate (folic acid) blood test CPT 82746 Folate, Serum PSPC	$46.42	$61.89	—	68% below	25%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$40.23	$53.64	—	—	25%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$40.23	$53.64	—	—	25%
Folate (folic acid) blood test inpatient CPT 82746 Folate, Serum PSPC	$46.42	$61.89	—	—	25%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine Free	$73.14	$97.52	—	57% below	25%
Free T3 thyroid hormone test CPT 84481 FT3 Free T3 PSPC	$128.18	$170.91	—	24% below	25%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine Free	$73.14	$97.52	—	—	25%
Free T3 thyroid hormone test inpatient CPT 84481 FT3 Free T3 PSPC	$128.18	$170.91	—	—	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FreeT4 PSPC	$42.38	$56.51	—	59% below	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$75.02	$100.02	—	27% below	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$75.02	$100.02	—	27% below	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FreeT4 PSPC	$42.38	$56.51	—	—	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free	$75.02	$100.02	—	—	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4	$75.02	$100.02	—	—	25%
Free testosterone test CPT 84402 BOWCDH TESTOSTERONE FREE	$79.14	$105.52	—	67% below	25%
Free testosterone test CPT 84402 Testosterone, Free Direct	$79.14	$105.52	—	67% below	25%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$79.33	$105.77	—	67% below	25%
Free testosterone test CPT 84402 Testo, Free Dir PSPC	$176.48	$235.30	—	26% below	25%
Free testosterone test inpatient CPT 84402 Testosterone, Free Direct	$79.14	$105.52	—	—	25%
Free testosterone test inpatient CPT 84402 BOWCDH TESTOSTERONE FREE	$79.14	$105.52	—	—	25%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$79.33	$105.77	—	—	25%
Free testosterone test inpatient CPT 84402 Testo, Free Dir PSPC	$176.48	$235.30	—	—	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 BioTe Female Post-Pellet Hormone Panel	$29.02	$38.69	—	93% below	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 BioTe Male Post-Pellet Hormone Panel	$29.02	$38.69	—	93% below	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 BioTe Female Pre-Pellet Hormone Panel	$98.66	$131.55	—	76% below	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 BioTe Male Pre-Pellet Hormone Panel	$98.66	$131.55	—	76% below	25%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 BioTe Male Post-Pellet Hormone Panel	$29.02	$38.69	—	—	25%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 BioTe Female Post-Pellet Hormone Panel	$29.02	$38.69	—	—	25%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 BioTe Female Pre-Pellet Hormone Panel	$98.66	$131.55	—	—	25%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 BioTe Male Pre-Pellet Hormone Panel	$98.66	$131.55	—	—	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Glucose	$99.77	$133.03	—	7% below	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT-1Hr OB	$282.82	$377.09	—	163% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gestational Glucose	$99.77	$133.03	—	—	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT-1Hr OB	$282.82	$377.09	—	—	25%
Glucose tolerance test, 3 samples CPT 82951 Gestational GTT	$102.77	$137.03	—	12% below	25%
Glucose tolerance test, 3 samples CPT 82951 .GTT-2 Hr OB	$102.77	$137.03	—	12% below	25%
Glucose tolerance test, 3 samples CPT 82951 .GTT-2 Hr	$102.77	$137.03	—	12% below	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gestational GTT	$102.77	$137.03	—	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT-2 Hr OB	$102.77	$137.03	—	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT-2 Hr	$102.77	$137.03	—	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlam/GC Amp Probe RPS	$46.31	$61.75	—	85% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae	$101.30	$135.07	—	68% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae by PCR	$105.79	$141.05	—	66% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlam/GC Amp Probe RPS	$46.31	$61.75	—	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae	$101.30	$135.07	—	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae by PCR	$105.79	$141.05	—	—	25%
H. pylori antibody blood test CPT 86677 H. Pylori IgG	$99.94	$133.25	—	54% below	25%
H. pylori antibody blood test CPT 86677 H Pylori IgG 1	$109.30	$145.73	—	49% below	25%
H. pylori antibody blood test CPT 86677 H. Pylori Ab	$116.02	$154.70	—	46% below	25%
H. pylori antibody blood test inpatient CPT 86677 H. Pylori IgG	$99.94	$133.25	—	—	25%
H. pylori antibody blood test inpatient CPT 86677 H Pylori IgG 1	$109.30	$145.73	—	—	25%
H. pylori antibody blood test inpatient CPT 86677 H. Pylori Ab	$116.02	$154.70	—	—	25%
H. pylori stool antigen test CPT 87338 H. Pylori Ag	$66.10	$88.14	—	55% below	25%
H. pylori stool antigen test CPT 87338 H Pylori Ag, Stool PSPC	$209.43	$279.24	—	43% above	25%
H. pylori stool antigen test inpatient CPT 87338 H. Pylori Ag	$66.10	$88.14	—	—	25%
H. pylori stool antigen test inpatient CPT 87338 H Pylori Ag, Stool PSPC	$209.43	$279.24	—	—	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA, Quantitative PCR MFL	$572.13	$762.84	—	22% below	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA, Quantitative PCR MFL	$572.13	$762.84	—	—	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ABS PSPC	$82.19	$109.59	—	53% below	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 ABS PSPC	$82.19	$109.59	—	—	25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Hi Risk DNA PSPC	$140.76	$187.68	—	4% above	25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Result PSPC	$148.59	$198.12	—	10% above	25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Assay PSPC	$148.59	$198.12	—	10% above	25%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Hi Risk DNA PSPC	$140.76	$187.68	—	—	25%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Result PSPC	$148.59	$198.12	—	—	25%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Assay PSPC	$148.59	$198.12	—	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Health Fair A1c PSPC	$14.54	$19.38	—	85% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POC	$27.10	$36.13	—	72% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$92.55	$123.40	—	5% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c 1	$98.27	$131.03	—	1% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Health Fair A1c PSPC	$14.54	$19.38	—	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c POC	$27.10	$36.13	—	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$92.55	$123.40	—	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c 1	$98.27	$131.03	—	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual PSPC	$81.41	$108.55	—	29% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B S AB PSPC	$81.41	$108.55	—	29% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B S AB PSPC	$81.41	$108.55	—	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab, Qual PSPC	$81.41	$108.55	—	—	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen PSPC	$45.92	$61.23	—	66% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B S AG PSPC	$46.31	$61.75	—	66% below	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen PSPC	$45.92	$61.23	—	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B S AG PSPC	$46.31	$61.75	—	—	25%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY PSPC	$70.34	$93.78	—	51% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus, AB PSPC	$93.50	$124.67	—	34% below	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY PSPC	$70.34	$93.78	—	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Virus, AB PSPC	$93.50	$124.67	—	—	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C RNA by PCR, Quant	$432.41	$576.55	—	17% above	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C RNA by PCR, Quant	$432.41	$576.55	—	—	25%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex I/II IgG	$63.76	$85.02	—	38% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus I & II Type Specific Antibody IGG	$146.64	$195.52	—	42% above	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex I/II IgG	$63.76	$85.02	—	—	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus I & II Type Specific Antibody IGG	$146.64	$195.52	—	—	25%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus I DNA (PCR)MIC PRL	$54.89	$73.19	—	58% below	25%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex I/II Specific IgG	$63.76	$85.02	—	51% below	25%
Herpes blood test, HSV-2 antibody one side CPT 86696 Thawed Aph Plasma ACDA RT<=24h 1st Cont.	$338.17	$450.90	—	158% above	25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus I DNA (PCR)MIC PRL	$54.89	$73.19	—	—	25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex I/II Specific IgG	$63.76	$85.02	—	—	25%
Herpes blood test, HSV-2 antibody inpatient one side CPT 86696 Thawed Aph Plasma ACDA RT<=24h 1st Cont.	$338.17	$450.90	—	—	25%
Homocysteine blood test CPT 83090 Homocysteine. Ser PSPC	$90.68	$120.90	—	61% below	25%
Homocysteine blood test CPT 83090 Homocysteine Total	$93.30	$124.40	—	60% below	25%
Homocysteine blood test inpatient CPT 83090 Homocysteine. Ser PSPC	$90.68	$120.90	—	—	25%
Homocysteine blood test inpatient CPT 83090 Homocysteine Total	$93.30	$124.40	—	—	25%
Insulin blood test CPT 83525 Insulin, Total PSPC	$79.24	$105.65	—	33% below	25%
Insulin blood test CPT 83525 Insulin Level	$81.58	$108.77	—	31% below	25%
Insulin blood test inpatient CPT 83525 Insulin, Total PSPC	$79.24	$105.65	—	—	25%
Insulin blood test inpatient CPT 83525 Insulin Level	$81.58	$108.77	—	—	25%
Iron blood test (serum iron) CPT 83540 Iron Level	$17.82	$23.76	—	80% below	25%
Iron blood test (serum iron) CPT 83540 Anemia Profile 2	$17.82	$23.76	—	80% below	25%
Iron blood test (serum iron) CPT 83540 Iron & Iron Binding	$17.82	$23.76	—	80% below	25%
Iron blood test (serum iron) CPT 83540 Iron PSPC	$33.01	$44.01	—	63% below	25%
Iron blood test (serum iron) CPT 83540 Iron Panel	$33.01	$44.01	—	63% below	25%
Iron blood test (serum iron) CPT 83540 IRON & IRON BINDING CAPACITY PSPC	$42.33	$56.44	—	52% below	25%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$17.82	$23.76	—	—	25%
Iron blood test (serum iron) inpatient CPT 83540 Anemia Profile 2	$17.82	$23.76	—	—	25%
Iron blood test (serum iron) inpatient CPT 83540 Iron & Iron Binding	$17.82	$23.76	—	—	25%
Iron blood test (serum iron) inpatient CPT 83540 Iron Panel	$33.01	$44.01	—	—	25%
Iron blood test (serum iron) inpatient CPT 83540 Iron PSPC	$33.01	$44.01	—	—	25%
Iron blood test (serum iron) inpatient CPT 83540 IRON & IRON BINDING CAPACITY PSPC	$42.33	$56.44	—	—	25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$24.29	$32.38	—	79% below	25%
Iron-binding capacity (TIBC) test CPT 83550 BOWCDH IRON BINDING CAPACITY	$33.01	$44.01	—	71% below	25%
Iron-binding capacity (TIBC) test CPT 83550 IronBind Cap PSPC	$33.01	$44.01	—	71% below	25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$24.29	$32.38	—	—	25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 BOWCDH IRON BINDING CAPACITY	$33.01	$44.01	—	—	25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IronBind Cap PSPC	$33.01	$44.01	—	—	25%
Kidney function blood test panel CPT 80069 Renal Panel	$107.95	$143.93	—	54% below	25%
Kidney function blood test panel CPT 80069 Renal Panel 1	$107.95	$143.93	—	54% below	25%
Kidney function blood test panel inpatient CPT 80069 Renal Panel 1	$107.95	$143.93	—	—	25%
Kidney function blood test panel inpatient CPT 80069 Renal Panel	$107.95	$143.93	—	—	25%
LH (luteinizing hormone) test CPT 83002 LH	$48.29	$64.39	—	74% below	25%
LH (luteinizing hormone) test CPT 83002 LH Lut Hormone PSPC	$70.89	$94.52	—	62% below	25%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$48.29	$64.39	—	—	25%
LH (luteinizing hormone) test inpatient CPT 83002 LH Lut Hormone PSPC	$70.89	$94.52	—	—	25%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$107.74	$143.66	—	7% below	25%
Lipase blood test (pancreas enzyme) CPT 83690 BF Lipase	$107.74	$143.66	—	7% below	25%
Lipase blood test (pancreas enzyme) CPT 83690 Body Fluid Lipase	$107.74	$143.66	—	7% below	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 BF Lipase	$107.74	$143.66	—	—	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$107.74	$143.66	—	—	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Body Fluid Lipase	$107.74	$143.66	—	—	25%
Liver function blood test panel CPT 80076 Liver Function Panel PSPC	$23.48	$31.30	—	92% below	25%
Liver function blood test panel CPT 80076 Hepatic Panel	$99.24	$132.32	—	65% below	25%
Liver function blood test panel CPT 80076 Hepatic Panel 1	$99.24	$132.32	—	65% below	25%
Liver function blood test panel CPT 80076 Hepatic Panel 10	$99.24	$132.32	—	65% below	25%
Liver function blood test panel inpatient CPT 80076 Liver Function Panel PSPC	$23.48	$31.30	—	—	25%
Liver function blood test panel inpatient CPT 80076 Hepatic Panel 10	$99.24	$132.32	—	—	25%
Liver function blood test panel inpatient CPT 80076 Hepatic Panel 1	$99.24	$132.32	—	—	25%
Liver function blood test panel inpatient CPT 80076 Hepatic Panel	$99.24	$132.32	—	—	25%
Lyme disease antibody test CPT 86618 Lyme Disease, reflex Western Blot	$118.56	$158.08	—	19% below	25%
Lyme disease antibody test CPT 86618 Lyme Dis Abs Reflx WB PSPC	$279.63	$372.84	—	91% above	25%
Lyme disease antibody test CPT 86618 Lyme Disease Ab, IgM	$280.41	$373.88	—	92% above	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease, reflex Western Blot	$118.56	$158.08	—	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Dis Abs Reflx WB PSPC	$279.63	$372.84	—	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab, IgM	$280.41	$373.88	—	—	25%
Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine	$97.24	$129.65	—	at median	25%
Magnesium blood test CPT 83735 Magnesium Level	$97.24	$129.65	—	at median	25%
Magnesium blood test CPT 83735 Magnesium, RBC	$116.18	$154.91	—	19% above	25%
Magnesium blood test inpatient CPT 83735 Magnesium Level 24 Hour Urine	$97.24	$129.65	—	—	25%
Magnesium blood test inpatient CPT 83735 Magnesium Level	$97.24	$129.65	—	—	25%
Magnesium blood test inpatient CPT 83735 Magnesium, RBC	$116.18	$154.91	—	—	25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IgG PSPC	$51.48	$68.64	—	54% below	25%
Measles (rubeola) antibody test CPT 86765 Measles/Mumps/Rubella/Varicella Zoster Immunity (RPS) PSPC	$214.11	$285.48	—	92% above	25%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IgG PSPC	$51.48	$68.64	—	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 Measles/Mumps/Rubella/Varicella Zoster Immunity (RPS) PSPC	$214.11	$285.48	—	—	25%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$24.18	$32.24	—	71% below	25%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen 6	$24.18	$32.24	—	71% below	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Screen 6	$24.18	$32.24	—	—	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$24.18	$32.24	—	—	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$45.94	$61.26	—	75% below	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen	$81.86	$109.15	—	55% below	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA-FREE PSPC	$82.80	$110.40	—	55% below	25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$45.94	$61.26	—	—	25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen	$81.86	$109.15	—	—	25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA-FREE PSPC	$82.80	$110.40	—	—	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Health Fair PSA PSPC	$28.97	$38.63	—	84% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic	$93.15	$124.20	—	49% below	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Health Fair PSA PSPC	$28.97	$38.63	—	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic	$93.15	$124.20	—	—	25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Liquid Based-SurePath PSPC	$77.55	$103.40	—	56% below	25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 AP Result PSPC	$77.55	$103.40	—	56% below	25%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 AP Result PSPC	$77.55	$103.40	—	—	25%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Liquid Based-SurePath PSPC	$77.55	$103.40	—	—	25%
Parathyroid hormone (PTH) blood test CPT 83970 BOWCDH Parathyroid Mid Molecule	$57.29	$76.39	—	84% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact	$159.32	$212.42	—	55% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH (Serial Monitor)	$159.32	$212.42	—	55% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact PSPC	$160.82	$214.42	—	55% below	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 BOWCDH Parathyroid Mid Molecule	$57.29	$76.39	—	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (Serial Monitor)	$159.32	$212.42	—	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH Intact	$159.32	$212.42	—	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact PSPC	$160.82	$214.42	—	—	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Vet PTT	$9.00	$12.00	—	86% below	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL PSPC	$58.28	$77.70	—	11% below	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAG 85730 PSPC	$60.97	$81.30	—	7% below	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$66.45	$88.60	—	1% above	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Vet PTT	$9.00	$12.00	—	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL PSPC	$58.28	$77.70	—	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAG 85730 PSPC	$60.97	$81.30	—	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$66.45	$88.60	—	—	25%
Progesterone blood test CPT 84144 Progesterone	$61.98	$82.64	—	68% below	25%
Progesterone blood test CPT 84144 Progesterone PSPC	$89.93	$119.90	—	54% below	25%
Progesterone blood test inpatient CPT 84144 Progesterone	$61.98	$82.64	—	—	25%
Progesterone blood test inpatient CPT 84144 Progesterone PSPC	$89.93	$119.90	—	—	25%
Prolactin blood test CPT 84146 Prolactin PSPC	$100.15	$133.53	—	48% below	25%
Prolactin blood test CPT 84146 Prolactin	$105.31	$140.41	—	46% below	25%
Prolactin blood test inpatient CPT 84146 Prolactin PSPC	$100.15	$133.53	—	—	25%
Prolactin blood test inpatient CPT 84146 Prolactin	$105.31	$140.41	—	—	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Vet PT	$9.00	$12.00	—	83% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 INR POC	$15.45	$20.60	—	71% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin Time	$15.45	$20.60	—	71% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Bill Prothrombin Time	$16.65	$22.20	—	69% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Bill Lupus Anticoag 85610	$21.08	$28.10	—	61% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Chronic Disease Management Visit	$35.03	$46.70	—	35% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$61.50	$82.00	—	15% above	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Vet PT	$9.00	$12.00	—	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin Time	$15.45	$20.60	—	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC	$15.45	$20.60	—	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Bill Prothrombin Time	$16.65	$22.20	—	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Bill Lupus Anticoag 85610	$21.08	$28.10	—	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Chronic Disease Management Visit	$35.03	$46.70	—	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$61.50	$82.00	—	—	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Express Test (Bill Only)	$62.30	$83.07	—	6% above	25%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Express Test (Bill Only)	$62.30	$83.07	—	—	25%
Rapid flu test (influenza antigen) CPT 87804 Influenza A&B POC	$8.77	$11.70	—	91% below	25%
Rapid flu test (influenza antigen) CPT 87804 Influenza A	$41.63	$55.51	—	59% below	25%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B SCREEN	$41.63	$55.51	—	59% below	25%
Rapid flu test (influenza antigen) CPT 87804 Influenza B	$41.63	$55.51	—	59% below	25%
Rapid flu test (influenza antigen) CPT 87804 Infliximab Concentration and Anti-Infliximab Antibody PSPC	$123.40	$164.54	—	22% above	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A&B POC	$8.77	$11.70	—	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B	$41.63	$55.51	—	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B SCREEN	$41.63	$55.51	—	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A	$41.63	$55.51	—	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Infliximab Concentration and Anti-Infliximab Antibody PSPC	$123.40	$164.54	—	—	25%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor PSPC	$56.84	$75.79	—	at median	25%
Rheumatoid factor (RF) test CPT 86431 BOWCDH RA TITER	$56.84	$75.79	—	at median	25%
Rheumatoid factor (RF) test CPT 86431 Arthritic/Collagen Disease l	$190.81	$254.41	—	237% above	25%
Rheumatoid factor (RF) test inpatient CPT 86431 BOWCDH RA TITER	$56.84	$75.79	—	—	25%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor PSPC	$56.84	$75.79	—	—	25%
Rheumatoid factor (RF) test inpatient CPT 86431 Arthritic/Collagen Disease l	$190.81	$254.41	—	—	25%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, IgG PSPC	$59.21	$78.95	—	52% below	25%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG	$59.96	$79.95	—	52% below	25%
Rubella antibody test (immunity check) CPT 86762 86762 VZI	$62.14	$82.86	—	50% below	25%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody	$62.89	$83.85	—	49% below	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody, IgG PSPC	$59.21	$78.95	—	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG	$59.96	$79.95	—	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 VZI	$62.14	$82.86	—	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody	$62.89	$83.85	—	—	25%
Stool ova and parasites exam CPT 87177 Ova/Special Stain PSPC	$95.93	$127.90	—	6% above	25%
Stool ova and parasites exam inpatient CPT 87177 Ova/Special Stain PSPC	$95.93	$127.90	—	—	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool for Occult Blood Screening POC	$11.18	$14.90	—	75% below	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool for Occult Blood Screening POC	$11.18	$14.90	—	—	25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood, Immunochemical	$28.79	$38.38	—	71% below	25%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood, Immunochemical	$28.79	$38.38	—	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Qual.	$28.18	$37.57	—	64% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Syph Ser PSPC	$61.01	$81.35	—	22% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Qual.	$28.18	$37.57	—	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Syph Ser PSPC	$61.01	$81.35	—	—	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Interferon Antigen Response (QuantiFERON-TB GOLD) PSPC	$217.04	$289.38	—	29% below	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Interferon Antigen Response (QuantiFERON-TB GOLD) PSPC	$217.04	$289.38	—	—	25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Free & Total	$30.76	$41.01	—	88% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone PSPC	$95.46	$127.28	—	63% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$110.56	$147.41	—	57% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Free & Weak	$176.95	$235.93	—	31% below	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Free & Total	$30.76	$41.01	—	—	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone PSPC	$95.46	$127.28	—	—	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total	$110.56	$147.41	—	—	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Free & Weak	$176.95	$235.93	—	—	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab PSPC	$33.97	$45.30	—	77% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB PSPC	$42.90	$57.20	—	71% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 TGAB PSPC	$42.90	$57.20	—	71% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab	$58.21	$77.61	—	60% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome Ab 1 PSPC	$101.89	$135.85	—	30% below	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab PSPC	$33.97	$45.30	—	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TGAB PSPC	$42.90	$57.20	—	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB PSPC	$42.90	$57.20	—	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Ab	$58.21	$77.61	—	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome Ab 1 PSPC	$101.89	$135.85	—	—	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Panel Reflex	$72.86	$97.15	—	57% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Panel	$123.40	$164.54	—	27% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Panel 5	$131.00	$174.66	—	22% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$131.00	$174.66	—	22% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$131.00	$174.66	—	22% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/ Reflex to FT4	$131.00	$174.66	—	22% below	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Panel Reflex	$72.86	$97.15	—	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Panel	$123.40	$164.54	—	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/ Reflex to FT4	$131.00	$174.66	—	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$131.00	$174.66	—	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$131.00	$174.66	—	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Panel 5	$131.00	$174.66	—	—	25%
Trichomonas test (NAAT) CPT 87661 Bill Trichomonas Vaginalis, NA	$334.23	$445.64	—	243% above	25%
Trichomonas test (NAAT) inpatient CPT 87661 Bill Trichomonas Vaginalis, NA	$334.23	$445.64	—	—	25%
Uric acid blood test CPT 84550 URIC ACID PSPC	$15.75	$21.00	—	79% below	25%
Uric acid blood test CPT 84550 Uric Acid	$59.83	$79.77	—	22% below	25%
Uric acid blood test inpatient CPT 84550 URIC ACID PSPC	$15.75	$21.00	—	—	25%
Uric acid blood test inpatient CPT 84550 Uric Acid	$59.83	$79.77	—	—	25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Complete 6	$17.16	$22.88	—	84% below	25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Complete	$72.54	$96.72	—	34% below	25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Complete 6	$17.16	$22.88	—	—	25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Complete	$72.54	$96.72	—	—	25%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis-Macroscopic	$48.26	$64.35	—	7% above	25%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick	$48.26	$64.35	—	7% above	25%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Physical - CLINIC	$48.26	$64.35	—	7% above	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick	$48.26	$64.35	—	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis-Macroscopic	$48.26	$64.35	—	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Physical - CLINIC	$48.26	$64.35	—	—	25%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture(RPS) PSPC	$52.55	$70.07	—	67% below	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture(RPS) PSPC	$52.55	$70.07	—	—	25%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine 3	$38.90	$51.87	—	48% below	25%
Urine pregnancy test, read by color change CPT 81025 hCG Qualitative, Serum or Urine	$38.90	$51.87	—	48% below	25%
Urine pregnancy test, read by color change CPT 81025 hCG Qualitative, Urine - CLINIC	$38.90	$51.87	—	48% below	25%
Urine pregnancy test, read by color change inpatient CPT 81025 hCG Qualitative, Urine - CLINIC	$38.90	$51.87	—	—	25%
Urine pregnancy test, read by color change inpatient CPT 81025 hCG Qualitative, Serum or Urine	$38.90	$51.87	—	—	25%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine 3	$38.90	$51.87	—	—	25%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12	$26.07	$34.76	—	83% below	25%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 & Folate	$26.82	$35.76	—	82% below	25%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 PSPC	$46.42	$61.89	—	69% below	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12	$26.07	$34.76	—	—	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 & Folate	$26.82	$35.76	—	—	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 PSPC	$46.42	$61.89	—	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D2/D3 25-OH PSPC	$86.46	$115.28	—	57% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$128.93	$171.91	—	36% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D 25-OH PSPC	$130.06	$173.41	—	35% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D2/D3 25-OH PSPC	$86.46	$115.28	—	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$128.93	$171.91	—	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vit D 25-OH PSPC	$130.06	$173.41	—	—	25%
Zinc blood test CPT 84630 Zinc, Serum or Plasma (RPS) PSPC	$82.99	$110.65	—	15% below	25%
Zinc blood test CPT 84630 Zinc	$279.25	$372.33	—	185% above	25%
Zinc blood test inpatient CPT 84630 Zinc, Serum or Plasma (RPS) PSPC	$82.99	$110.65	—	—	25%
Zinc blood test inpatient CPT 84630 Zinc	$279.25	$372.33	—	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quant	$66.45	$88.60	—	57% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Quantitative	$80.64	$107.52	—	48% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Pregnancy Test Serum	$80.64	$107.52	—	48% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BOWCDH HCG-QUANT	$87.49	$116.65	—	43% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702	$89.74	$119.65	—	42% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Quant	$66.45	$88.60	—	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Quantitative	$80.64	$107.52	—	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Pregnancy Test Serum	$80.64	$107.52	—	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BOWCDH HCG-QUANT	$87.49	$116.65	—	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702	$89.74	$119.65	—	—	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CHG Cardioversion, external, electrical	$1,442.49	$1,923.32	—	23% below	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CHG Cardioversion, external, electrical	$1,442.49	$1,923.32	—	—	25%
Cataract surgery with lens implant CPT 66984 Procedure- Cataract	$2,899.46	$3,865.94	—	50% below	25%
Cataract surgery with lens implant inpatient CPT 66984 Procedure- Cataract	$2,899.46	$3,865.94	—	—	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of distal radial fracture; without manipulation - WI	$235.70	$314.26	—	68% below	25%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of distal radial fracture; without manipulation - WI	$235.70	$314.26	—	—	25%
Colonoscopy with polyp removal CPT 45385 Colonoscopy-flex w/removal of tumor, polyp, lesion snare technique	$1,941.12	$2,588.16	—	24% below	25%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy-flex w/removal of tumor, polyp, lesion snare technique	$1,941.12	$2,588.16	—	—	25%
Colonoscopy with tissue sample CPT 45380 Procedure- Colonoscopy w/bx-single or mult	$1,960.09	$2,613.45	—	23% below	25%
Colonoscopy with tissue sample inpatient CPT 45380 Procedure- Colonoscopy w/bx-single or mult	$1,960.09	$2,613.45	—	—	25%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT TechFee	$48.32	$64.43	—	60% below	25%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT TechFee	$48.32	$64.43	—	—	25%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj, of diag or therapeutic substance, cervical or thoracic w/imag guidance	$853.25	$1,137.67	—	45% below	25%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj, of diag or therapeutic substance, cervical or thoracic w/imag guidance	$853.25	$1,137.67	—	—	25%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Medial Branch Block	$926.25	$1,235.00	—	28% below	25%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Facet Joint Injection tech	$926.25	$1,235.00	—	28% below	25%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Facet Joint Injection tech	$926.25	$1,235.00	—	—	25%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Medial Branch Block	$926.25	$1,235.00	—	—	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexib	$398.10	$530.80	—	47% below	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flexib	$398.10	$530.80	—	—	25%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE TechFee	$96.35	$128.47	—	69% below	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE TechFee	$96.35	$128.47	—	—	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Treatment Room/Inj single tendon sheath/ligament	$203.38	$271.18	—	65% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Treatment Room/Inj single tendon sheath/ligament	$203.38	$271.18	—	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Treatment Room/aspiration/inject major joint	$257.54	$343.39	—	62% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspir/Inj Mj Jnt ED Charge	$257.83	$343.77	—	62% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration/inject major joint ED	$257.83	$343.77	—	62% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee	$299.67	$399.56	—	56% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Treatment Room/aspiration/inject major joint	$257.54	$343.39	—	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspir/Inj Mj Jnt ED Charge	$257.83	$343.77	—	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration/inject major joint ED	$257.83	$343.77	—	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee	$299.67	$399.56	—	—	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US TechFee	$59.35	$79.13	—	91% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US TechFee	$59.35	$79.13	—	—	25%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag Procedure	$536.49	$715.32	—	57% below	25%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag Procedure	$536.49	$715.32	—	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee	$78.42	$104.56	—	84% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee	$78.42	$104.56	—	—	25%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj, diag or therapeutic substance w/imag guidance;lumbar or sacral	$853.25	$1,137.67	—	35% below	25%
Lower-back epidural injection, with imaging guidance CPT 62323 Treatment Room - Epidural	$853.25	$1,137.67	—	35% below	25%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj, diag or therapeutic substance w/imag guidance;lumbar or sacral	$853.25	$1,137.67	—	—	25%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Treatment Room - Epidural	$853.25	$1,137.67	—	—	25%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$241.46	$321.95	—	24% below	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$241.46	$321.95	—	—	25%
Occipital nerve block (injection for headaches) CPT 64405 Inj Greater Occipital Nerve TechFee	$926.25	$1,235.00	—	23% above	25%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Greater Occipital Nerve TechFee	$926.25	$1,235.00	—	—	25%
Paracentesis with imaging guidance CPT 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE TechFee	$136.01	$181.35	—	92% below	25%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE TechFee	$136.01	$181.35	—	—	25%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee	$69.17	$92.23	—	86% below	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee	$69.17	$92.23	—	—	25%
Short arm splint (forearm and hand) CPT 29125 ER Split App, arm/leg	$127.74	$170.32	—	57% below	25%
Short arm splint (forearm and hand) inpatient CPT 29125 ER Split App, arm/leg	$127.74	$170.32	—	—	25%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TechFee	$101.98	$135.97	—	74% below	25%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TechFee	$101.98	$135.97	—	—	25%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee	$71.73	$95.64	—	69% below	25%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee	$71.73	$95.64	—	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee	$94.36	$125.82	—	79% below	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee	$94.36	$125.82	—	—	25%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFee	$87.14	$116.19	—	70% below	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFee	$87.14	$116.19	—	—	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee	$340.80	$454.40	—	20% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee	$340.80	$454.40	—	—	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee	$100.77	$134.36	—	71% below	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee	$100.77	$134.36	—	—	25%
Thoracentesis with imaging guidance CPT 32555 CHG Thoracentesis - Charge	$617.98	$823.98	—	71% below	25%
Thoracentesis with imaging guidance inpatient CPT 32555 CHG Thoracentesis - Charge	$617.98	$823.98	—	—	25%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee	$52.91	$70.55	—	90% below	25%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee	$52.91	$70.55	—	—	25%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD-FLEX, TRANSORAL W/BALLOON DILATION OF ESO	$809.16	$1,078.88	—	64% below	25%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD-FLEX, TRANSORAL W/BALLOON DILATION OF ESO	$809.16	$1,078.88	—	—	25%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL TechFee	$2,190.38	$2,920.50	—	—	25%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL TechFee	$2,190.38	$2,920.50	—	—	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 1 Hour	$127.66	$170.22	—	92% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 2 Hour	$280.39	$373.85	—	81% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin	$301.59	$402.12	—	80% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 3 Hour	$360.44	$480.59	—	76% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 4 Hour	$440.57	$587.43	—	71% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 5 Hour	$520.70	$694.27	—	65% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 6 Hour	$600.76	$801.02	—	60% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 7 Hour	$680.90	$907.86	—	55% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 8 Hour	$760.96	$1,014.61	—	49% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 10 Hour	$921.14	$1,228.19	—	39% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 11 Hour	$1,001.27	$1,335.03	—	33% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 CHG Blood Administration - 12+ Hours	$1,081.40	$1,441.87	—	28% below	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 1 Hour	$127.66	$170.22	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 2 Hour	$280.39	$373.85	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin	$301.59	$402.12	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 3 Hour	$360.44	$480.59	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 4 Hour	$440.57	$587.43	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 5 Hour	$520.70	$694.27	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 6 Hour	$600.76	$801.02	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 7 Hour	$680.90	$907.86	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 8 Hour	$760.96	$1,014.61	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 10 Hour	$921.14	$1,228.19	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 11 Hour	$1,001.27	$1,335.03	—	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHG Blood Administration - 12+ Hours	$1,081.40	$1,441.87	—	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Inhalation treatment for acute airway obstruction or sputum induction for diagnostic purposes	$41.06	$54.75	—	87% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CHG SV, NEBULIZER, INITIAL	$97.28	$129.71	—	70% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment	$97.28	$129.71	—	70% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer treatment	$97.28	$129.71	—	70% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Inhalation treatment for acute airway obstruction or sputum induction for diagnostic purposes	$41.06	$54.75	—	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment	$97.28	$129.71	—	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CHG SV, NEBULIZER, INITIAL	$97.28	$129.71	—	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer treatment	$97.28	$129.71	—	—	25%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion Primary	$568.95	$758.60	—	52% below	25%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion Primary	$568.95	$758.60	—	—	25%
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 30-74 MIN PC	$363.83	$485.10	—	90% below	25%
Critical care, first 30 to 74 minutes CPT 99291 One-on-One Nursing Care: 30-74 minutes	$1,431.68	$1,908.90	—	59% below	25%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care - Lynx Visit Level	$1,475.96	$1,967.94	—	58% below	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 30-74 MIN PC	$363.83	$485.10	—	—	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 One-on-One Nursing Care: 30-74 minutes	$1,431.68	$1,908.90	—	—	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care - Lynx Visit Level	$1,475.96	$1,967.94	—	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 G0366 Ekg for initial prevent exam	$167.90	$223.86	—	35% below	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG/ECG (Lab)	$167.90	$223.86	—	35% below	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 G0366 Ekg for initial prevent exam	$167.90	$223.86	—	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG/ECG (Lab)	$167.90	$223.86	—	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - ED Visit, No Phys Presence Required	$146.20	$194.94	—	58% below	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - ED Visit, No Phys Presence Required	$146.20	$194.94	—	—	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ED Level 2, SF Dec Making - Lynx Visit Level	$260.42	$347.22	—	55% below	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Level 2	$260.42	$347.22	—	55% below	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282- ED Visit- SF Dec Making	$379.89	$506.52	—	35% below	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 ED Level 2, SF Dec Making - Lynx Visit Level	$260.42	$347.22	—	—	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Level 2	$260.42	$347.22	—	—	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282- ED Visit- SF Dec Making	$379.89	$506.52	—	—	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ED Level 3, Low Level Dec Making - Lynx Visit Level	$464.60	$619.47	—	57% below	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283- ED Visit- Low Level Dec Making	$645.84	$861.12	—	40% below	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 ED Level 3, Low Level Dec Making - Lynx Visit Level	$464.60	$619.47	—	—	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283- ED Visit- Low Level Dec Making	$645.84	$861.12	—	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ED Level 4, Mod Dec Making - Lynx Visit Level	$697.41	$929.88	—	59% below	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Level 4	$697.41	$929.88	—	59% below	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284- ED Visit- Mod Dec Making	$1,130.40	$1,507.20	—	34% below	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 ED Level 4, Mod Dec Making - Lynx Visit Level	$697.41	$929.88	—	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Level 4	$697.41	$929.88	—	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284- ED Visit- Mod Dec Making	$1,130.40	$1,507.20	—	—	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Level 5	$930.56	$1,240.74	—	63% below	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ED Level 5, High Dec Making - Lynx Visit Level	$930.56	$1,240.74	—	63% below	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285- ED Visit- High Dec Making	$1,405.55	$1,874.07	—	44% below	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 ED Level 5, High Dec Making - Lynx Visit Level	$930.56	$1,240.74	—	—	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Level 5	$930.56	$1,240.74	—	—	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285- ED Visit- High Dec Making	$1,405.55	$1,874.07	—	—	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 - Exercise Stress Test	$791.02	$1,054.69	—	36% below	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$791.02	$1,054.69	—	36% below	25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 - Exercise Stress Test	$791.02	$1,054.69	—	—	25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$791.02	$1,054.69	—	—	25%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Monitor 48 hr	$185.35	$247.13	—	at median	25%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Holter Monitor 48 hr	$185.35	$247.13	—	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour- Hosp	$48.65	$64.87	—	89% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Primary	$152.10	$202.80	—	67% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour- Hosp	$48.65	$64.87	—	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Primary	$152.10	$202.80	—	—	25%
IV infusion of a medicine, first hour CPT 96365 96365 IV Infusion Therapy, 1st Hour- Hosp	$300.69	$400.92	—	44% below	25%
IV infusion of a medicine, first hour CPT 96365 Med Infusion Primary	$301.27	$401.70	—	43% below	25%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Infusion Therapy, 1st Hour- Hosp	$300.69	$400.92	—	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 Med Infusion Primary	$301.27	$401.70	—	—	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection, pain/diagnostic - WCDH	$37.80	$50.40	—	77% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im	$61.58	$82.10	—	62% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection Admin, SQ or IM- Hosp	$76.44	$101.92	—	53% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Primary	$77.71	$103.61	—	53% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Primary- ED	$77.71	$103.61	—	53% below	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection, pain/diagnostic - WCDH	$37.80	$50.40	—	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im	$61.58	$82.10	—	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Injection Admin, SQ or IM- Hosp	$76.44	$101.92	—	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Primary	$77.71	$103.61	—	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Primary- ED	$77.71	$103.61	—	—	25%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-EDUCATION (ea. 15 mins) CHARGE, PTA	$96.07	$128.10	—	18% below	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-EDUCATION (ea. 15 mins) CHARGE, PTA	$96.07	$128.10	—	—	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Diet Consult 1-30 Min	$55.72	$74.30	—	at median	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy Initial 30 MIN	$55.72	$74.30	—	at median	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy Initial 30 MIN	$55.72	$74.30	—	—	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Diet Consult 1-30 Min	$55.72	$74.30	—	—	25%
Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy Charges	$137.66	$183.54	—	58% below	25%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Occupational Therapy Charges	$137.66	$183.54	—	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 45 MINS CHARGE	$180.74	$240.98	—	44% below	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 45 MINS CHARGE	$180.74	$240.98	—	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Traction Charge	$107.10	$142.80	—	7% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charge	$120.49	$160.65	—	20% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Traction Charge	$107.10	$142.80	—	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charge	$120.49	$160.65	—	—	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTHER EXERCISE-OT CHARGE	$111.91	$149.21	—	2% above	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTHER EXERCISE-OT CHARGE	$111.91	$149.21	—	—	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Skin/Wound Care -Level II	$121.88	$162.50	—	6% below	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Skin/Wound Care -Level II	$121.88	$162.50	—	—	25%
Spirometry (breathing test) CPT 94010 PEAK FLOW CHARGE	$200.85	$267.80	—	43% below	25%
Spirometry (breathing test) CPT 94010 Spirometry	$238.78	$318.37	—	32% below	25%
Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW CHARGE	$200.85	$267.80	—	—	25%
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$238.78	$318.37	—	—	25%
Spirometry before and after a bronchodilator CPT 94060 Spirometry, Pre & Post	$489.16	$652.21	—	6% above	25%
Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre/Post BD	$538.00	$717.34	—	16% above	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry, Pre & Post	$489.16	$652.21	—	—	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Pre/Post BD	$538.00	$717.34	—	—	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activity 15M	$73.79	$98.39	—	44% below	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Functional Activity 15M	$73.79	$98.39	—	—	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 NONCDM CHARGE RECORD PHARMACY	$226.56	$302.08	—	67% below	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 NONCDM CHARGE RECORD PHARMACY	$226.56	$302.08	—	—	25%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 NONCDM CHARGE RECORD PHARMACY	$394.31	$525.75	—	54% below	25%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 NONCDM CHARGE RECORD PHARMACY	$394.31	$525.75	—	—	25%
Hepatitis A vaccine, adult dose CPT 90632 NONCDM CHARGE RECORD PHARMACY	$113.67	$151.56	—	81% below	25%
Hepatitis A vaccine, adult dose inpatient CPT 90632 NONCDM CHARGE RECORD PHARMACY	$113.67	$151.56	—	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 NONCDM CHARGE RECORD PHARMACY	$94.48	$125.98	—	40% below	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 NONCDM CHARGE RECORD PHARMACY	$94.48	$125.98	—	—	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 NONCDM CHARGE RECORD PHARMACY	$131.59	$175.45	—	70% below	25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 NONCDM CHARGE RECORD PHARMACY	$131.59	$175.45	—	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 NONCDM CHARGE RECORD PHARMACY	$376.95	$502.60	—	56% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 NONCDM CHARGE RECORD PHARMACY	$376.95	$502.60	—	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE TechFee	$159.75	$213.00	—	57% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 NONCDM CHARGE RECORD PHARMACY	$161.14	$214.85	—	57% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE TechFee	$159.75	$213.00	—	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 NONCDM CHARGE RECORD PHARMACY	$161.14	$214.85	—	—	25%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick embryo cell 2.5 intl units REC	$892.09	$1,189.45	—	52% below	25%
Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick embryo cell 2.5 intl units REC	$892.09	$1,189.45	—	—	25%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 NONCDM CHARGE RECORD PHARMACY	$250.16	$333.55	—	22% below	25%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 NONCDM CHARGE RECORD PHARMACY	$250.16	$333.55	—	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$56.54	$75.38	—	81% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Vaccine IM	$58.24	$77.66	—	81% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac	$56.54	$75.38	—	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus Vaccine IM	$58.24	$77.66	—	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NONCDM CHARGE RECORD PHARMACY	$65.61	$87.48	—	76% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Sus	$188.48	$251.31	—	30% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NONCDM CHARGE RECORD PHARMACY	$65.61	$87.48	—	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Sus	$188.48	$251.31	—	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin, Initial	$58.80	$78.40	—	30% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin, Initial	$58.80	$78.40	—	—	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN, EA ADDL	$58.80	$78.40	—	27% below	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN, EA ADDL	$58.80	$78.40	—	—	25%

Source file: https://hospitalpricedisclosure.com/download.aspx?pi=WCPVLClkHEiOwGO6Nkv94g*-*