Huntsville Hospital
Huntsville Hospital in Huntsville, AL publishes cash prices for 340 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 258 of 340 procedures and below it for 59. By typical cash price it ranks #46 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
101 SIVLEY ROAD, HUNTSVILLE, AL 35801 Collected Sep 27, 2026 Source price file Check a bill from this hospital (256) 265-1000
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 010039 · CMS hospital register NPI 1447221056
The price file shows no self-pay discount
For 1578 of the 1578 prices listed here, the cash price in Huntsville Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Huntsville Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
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 5 actions for a hospital named Huntsville Hospital in Huntsville, AL:
- Jul 20, 2021 Warning notice
- Jan 12, 2022 Corrective action plan requested
- Jun 17, 2022 Case closed
- Mar 31, 2025 Warning notice
- May 1, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 EP-P-EVAL ICD GEN. INI.IMPLANT | $745.50 | $745.50 | $186.38–$745.50 | 46% below | — |
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $2,434.50 | $2,434.50 | $157.00–$1,582.43 | 77% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 EP-P-EVAL ICD GEN. INI.IMPLANT | $745.50 | $745.50 | $186.38–$745.50 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $2,434.50 | $2,434.50 | $157.00–$1,582.43 | — | — |
| Abdominal X-ray, 2 views CPT 74019 CTHC-OMNIPAQUE 350 20ML | $114.50 | $114.50 | $51.53–$134.72 | 43% below | — |
| Abdominal X-ray, 2 views CPT 74019 EP-P-EVAL ICD LEAD INI.IMPLANT | $392.50 | $392.50 | $134.72–$392.50 | 95% above | — |
| Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS | $459.00 | $459.00 | $48.23–$298.35 | 129% above | — |
| Abdominal X-ray, 2 views CPT 74019 XR-ABD, AP & OBLIQUE | $487.00 | $487.00 | $48.23–$316.55 | 143% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 CTHC-OMNIPAQUE 350 20ML | $114.50 | $114.50 | $51.53–$134.72 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 EP-P-EVAL ICD LEAD INI.IMPLANT | $392.50 | $392.50 | $134.72–$392.50 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADEX ABDOMEN 2 VIEWS | $459.00 | $459.00 | $48.23–$298.35 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR-ABD, AP & OBLIQUE | $487.00 | $487.00 | $48.23–$316.55 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE,LEFT* | $364.00 | $364.00 | $79.35–$364.00 | 73% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 D-IMPLANT NOT CLASSIFIED R13 | $4,912.50 | $4,912.50 | $112.14–$3,193.13 | 2240% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 D-INDWELLING PORT R23 | $101,150.00 | $101,150.00 | $112.14–$65,747.50 | 48078% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE,LEFT* | $364.00 | $364.00 | $79.35–$364.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 D-IMPLANT NOT CLASSIFIED R13 | $4,912.50 | $4,912.50 | $112.14–$3,193.13 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 D-INDWELLING PORT R23 | $101,150.00 | $101,150.00 | $112.14–$65,747.50 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY RIGHT W/O C | $2,247.00 | $2,247.00 | $95.32–$1,460.55 | 136% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY RIGHT W/O C | $2,247.00 | $2,247.00 | $95.32–$1,460.55 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BOOT EQUALIZER SMALL | $238.50 | $238.50 | $107.33–$238.50 | 14% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $834.00 | $834.00 | $55.71–$542.10 | 202% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BOOT EQUALIZER SMALL | $238.50 | $238.50 | $107.33–$238.50 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $834.00 | $834.00 | $55.71–$542.10 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $1,918.50 | $1,918.50 | $364.49–$1,918.50 | 74% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $1,918.50 | $1,918.50 | $364.49–$1,918.50 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,LT | $367.00 | $367.00 | $91.75–$367.00 | 42% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,RT | $367.00 | $367.00 | $91.75–$367.00 | 42% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BLLN,GORE Q50 PLUS STENT GRAFT | $4,102.80 | $4,102.80 | $135.43–$2,666.82 | 1490% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,LT | $367.00 | $367.00 | $91.75–$367.00 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,RT | $367.00 | $367.00 | $91.75–$367.00 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BLLN,GORE Q50 PLUS STENT GRAFT | $4,102.80 | $4,102.80 | $135.43–$2,666.82 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST,LIMITED | $367.00 | $367.00 | $79.35–$260.31 | 44% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BC-US-BREAST,LIMITED,UNI,RT | $367.00 | $367.00 | $79.35–$367.00 | 44% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 STAPLE-SECURE STRAP 25 5MM | $4,467.00 | $4,467.00 | $112.14–$2,903.55 | 1654% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST,LIMITED | $367.00 | $367.00 | $79.35–$260.31 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BC-US-BREAST,LIMITED,UNI,RT | $367.00 | $367.00 | $79.35–$367.00 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 STAPLE-SECURE STRAP 25 5MM | $4,467.00 | $4,467.00 | $112.14–$2,903.55 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT-CTA ABDOMEN & PELVIS | $5,913.50 | $5,913.50 | $157.00–$3,843.78 | 133% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT-CTA ABDOMEN & PELVIS | $5,913.50 | $5,913.50 | $157.00–$3,843.78 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT-ANGIO HEAD W/WO CONTRAST | $2,958.00 | $2,958.00 | $157.00–$1,922.70 | 91% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT-ANGIO HEAD W/WO CONTRAST | $2,958.00 | $2,958.00 | $157.00–$1,922.70 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT-ANGIO NECK W/WO CONTRAST | $2,958.00 | $2,958.00 | $157.00–$1,922.70 | 112% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT-ANGIO NECK W/WO CONTRAST | $2,958.00 | $2,958.00 | $157.00–$1,922.70 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT-ANGIO CHEST W/WO CONTRAST | $3,206.50 | $3,206.50 | $157.00–$2,084.23 | 135% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT-ANGIO CHEST W/WO CONTRAST | $3,206.50 | $3,206.50 | $157.00–$2,084.23 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 THC-CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $318.09–$1,550.64 | 31% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $157.00–$1,260.03 | 31% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $157.00–$1,260.03 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 THC-CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $318.09–$1,550.64 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $79.35–$284.07 | 25% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $79.35–$158.69 | 25% above | — |
| CT of the heart without contrast dye to measure coronary calcium one side CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $79.35–$284.07 | 25% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $79.35–$158.69 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $79.35–$284.07 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient one side CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $79.35–$284.07 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD & PELVIS; WO CONTRAST | $2,086.50 | $2,086.50 | $64.69–$1,356.23 | 3% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD & PELVIS; WO CONTRAST | $2,086.50 | $2,086.50 | $64.69–$1,356.23 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $157.00–$3,155.75 | 113% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD & PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $64.69–$3,155.75 | 113% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD & PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $64.69–$3,155.75 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $157.00–$3,155.75 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD & PELVIS; WO IN REGION | $5,053.50 | $5,053.50 | $64.69–$3,284.78 | 97% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD & PELVIS; WO IN REGION | $5,053.50 | $5,053.50 | $64.69–$3,284.78 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMINAL W/CONTRAST | $2,321.50 | $2,321.50 | $159.92–$2,321.50 | 69% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMINAL W/CONTRAST | $2,321.50 | $2,321.50 | $159.92–$2,321.50 | — | — |
| CT scan of the abdomen without contrast CPT 74150 D-ANCHOR/SCREW R05 | $884.50 | $884.50 | $221.13–$574.93 | 20% below | — |
| CT scan of the abdomen without contrast CPT 74150 CT-URINARY TRACT STONE, ABD | $1,287.50 | $1,287.50 | $95.32–$836.88 | 16% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 D-ANCHOR/SCREW R05 | $884.50 | $884.50 | $221.13–$574.93 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-URINARY TRACT STONE, ABD | $1,287.50 | $1,287.50 | $95.32–$836.88 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 OR-DRILL CANNULATED 3.5X160MM | $1,925.50 | $1,925.50 | $274.51–$1,251.58 | 66% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,317.50 | $2,317.50 | $95.32–$2,317.50 | 99% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 OR-DRILL CANNULATED 3.5X160MM | $1,925.50 | $1,925.50 | $274.51–$1,251.58 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,317.50 | $2,317.50 | $95.32–$2,317.50 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD W/O CONTRAST | $2,320.50 | $2,320.50 | $95.32–$2,320.50 | 112% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD W/O CONTRAST | $2,320.50 | $2,320.50 | $95.32–$2,320.50 | — | — |
| CT scan of the head with contrast CPT 70460 CT-HEAD W/CONTRAST | $2,505.50 | $2,505.50 | $159.92–$2,505.50 | 121% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W/CONTRAST | $2,505.50 | $2,505.50 | $159.92–$2,505.50 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,723.00 | $2,723.00 | $157.00–$1,769.95 | 63% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,723.00 | $2,723.00 | $157.00–$1,769.95 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERVICAL SPINE W/O CONTRAST | $2,321.50 | $2,321.50 | $95.32–$2,321.50 | 78% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERVICAL SPINE W/O CONTRAST | $2,321.50 | $2,321.50 | $95.32–$2,321.50 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 OR-OPTIMESH MEDIUM | $38,552.50 | $38,552.50 | $743.65–$25,059.13 | 2847% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 OR-OPTIMESH MEDIUM | $38,552.50 | $38,552.50 | $743.65–$25,059.13 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST W/WO CONTRAST | $2,227.00 | $2,227.00 | $157.00–$1,447.55 | 40% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST W/WO CONTRAST | $2,227.00 | $2,227.00 | $157.00–$1,447.55 | — | — |
| Chest X-ray, 2 views CPT 71046 INTRO SHTH 6FR 21GA 40CM 23CM | $454.00 | $454.00 | $112.14–$295.10 | 138% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 INTRO SHTH 6FR 21GA 40CM 23CM | $454.00 | $454.00 | $112.14–$295.10 | — | — |
| Chest X-ray, single view CPT 71045 XR-DECUBITUS CHEST | $325.50 | $325.50 | $79.35–$211.58 | 128% above | — |
| Chest X-ray, single view CPT 71045 XR-CHEST, LAT VIEW ONLY | $366.00 | $366.00 | $32.55–$237.90 | 156% above | — |
| Chest X-ray, single view one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $367.00 | $367.00 | $32.55–$238.55 | 157% above | — |
| Chest X-ray, single view one side CPT 71045 PLTE LEIB 4H ST NO BAR | $1,081.50 | $1,081.50 | $112.14–$702.98 | 657% above | — |
| Chest X-ray, single view one side CPT 71045 D-IMPLANT NOT CLASSIFIED R12 | $3,537.00 | $3,537.00 | $112.14–$2,299.05 | 2374% above | — |
| Chest X-ray, single view inpatient CPT 71045 XR-DECUBITUS CHEST | $325.50 | $325.50 | $79.35–$211.58 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-CHEST, LAT VIEW ONLY | $366.00 | $366.00 | $32.55–$237.90 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $367.00 | $367.00 | $32.55–$238.55 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 PLTE LEIB 4H ST NO BAR | $1,081.50 | $1,081.50 | $112.14–$702.98 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 D-IMPLANT NOT CLASSIFIED R12 | $3,537.00 | $3,537.00 | $112.14–$2,299.05 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE,LT* | $255.00 | $255.00 | $63.75–$255.00 | 60% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE,RT* | $255.00 | $255.00 | $63.75–$255.00 | 60% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-XR-CLAVICLE,RT | $306.00 | $306.00 | $4.88–$198.90 | 92% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-XR-CLAVICLE,LT | $306.00 | $306.00 | $76.50–$306.00 | 92% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 D-INDWELLING PORT R24 | $144,500.00 | $144,500.00 | $112.14–$93,925.00 | 90575% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE,RT* | $255.00 | $255.00 | $63.75–$255.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE,LT* | $255.00 | $255.00 | $63.75–$255.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-XR-CLAVICLE,RT | $306.00 | $306.00 | $4.88–$198.90 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-XR-CLAVICLE,LT | $306.00 | $306.00 | $76.50–$306.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 D-INDWELLING PORT R24 | $144,500.00 | $144,500.00 | $112.14–$93,925.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETROPERITONEAL SONO. | $795.00 | $795.00 | $34.67–$516.75 | 101% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETROPERITONEAL SONO. | $795.00 | $795.00 | $34.67–$516.75 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC-PEDS DEXA SCAN (AXIAL) | $539.00 | $539.00 | $66.15–$539.00 | 92% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC-BONE DENSITOMETRY | $556.50 | $556.50 | $63.18–$361.73 | 98% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC-PEDS DEXA SCAN (AXIAL) | $539.00 | $539.00 | $66.15–$539.00 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC-BONE DENSITOMETRY | $556.50 | $556.50 | $63.18–$361.73 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-BONE DENSITY(PIXIAL)APPENDI | $280.50 | $280.50 | $48.23–$202.38 | 191% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-PEDS DEXA SCAN (PERIPHERAL) | $304.50 | $304.50 | $76.13–$712.71 | 216% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-BONE DENSITY(PIXIAL)APPENDI | $280.50 | $280.50 | $48.23–$202.38 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-PEDS DEXA SCAN (PERIPHERAL) | $304.50 | $304.50 | $76.13–$712.71 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $2,185.50 | $2,185.50 | $95.32–$2,185.50 | 87% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C- | $2,185.50 | $2,185.50 | $95.32–$2,185.50 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST W/CONTRAST | $2,213.50 | $2,213.50 | $159.92–$2,213.50 | 60% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST W/CONTRAST | $2,213.50 | $2,213.50 | $159.92–$2,213.50 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $317.50 | $317.50 | $96.53–$206.38 | 36% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $317.50 | $317.50 | $96.53–$206.38 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $269.50 | $269.50 | $75.30–$175.18 | 29% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $269.50 | $269.50 | $75.30–$175.18 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,782.00 | $1,782.00 | $217.55–$1,640.08 | 188% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EPS-PPM,ASSURITY SR PM1240 | $32,982.50 | $32,982.50 | $307.85–$21,438.63 | 5226% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EPS-PPM,ASSURITY DR PM2240 | $34,700.00 | $34,700.00 | $307.85–$22,555.00 | 5503% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY | $1,782.00 | $1,782.00 | $217.55–$1,640.08 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EPS-PPM,ASSURITY SR PM1240 | $32,982.50 | $32,982.50 | $307.85–$21,438.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EPS-PPM,ASSURITY DR PM2240 | $34,700.00 | $34,700.00 | $307.85–$22,555.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $421.25–$2,082.17 | 60% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,895.00 | $1,895.00 | $308.20–$1,895.00 | 80% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $421.25–$2,082.17 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $1,895.00 | $1,895.00 | $308.20–$1,895.00 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW, AP & LATERAL, RT | $282.00 | $282.00 | $39.26–$202.38 | 92% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW, AP/LATERAL, LEFT | $282.00 | $282.00 | $39.26–$202.38 | 92% above | — |
| Elbow X-ray, 2 views one side CPT 73070 OR-XR-ELBOW, AP & LAT,LT | $338.40 | $338.40 | $39.26–$219.96 | 131% above | — |
| Elbow X-ray, 2 views one side CPT 73070 OR-XR-ELBOW, AP & LAT,RT | $338.40 | $338.40 | $39.26–$219.96 | 131% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW, AP & LATERAL, RT | $282.00 | $282.00 | $39.26–$202.38 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW, AP/LATERAL, LEFT | $282.00 | $282.00 | $39.26–$202.38 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 OR-XR-ELBOW, AP & LAT,LT | $338.40 | $338.40 | $39.26–$219.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 OR-XR-ELBOW, AP & LAT,RT | $338.40 | $338.40 | $39.26–$219.96 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW, RT | $364.00 | $364.00 | $43.75–$236.60 | 125% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 D-IMPLANT NOT CLASSIFIED R15 | $8,675.00 | $8,675.00 | $112.14–$5,638.75 | 5262% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 D-INDWELLING PORT R25 | $202,300.00 | $202,300.00 | $112.14–$131,495.00 | 124939% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW, RT | $364.00 | $364.00 | $43.75–$236.60 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 D-IMPLANT NOT CLASSIFIED R15 | $8,675.00 | $8,675.00 | $112.14–$5,638.75 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 D-INDWELLING PORT R25 | $202,300.00 | $202,300.00 | $112.14–$131,495.00 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT/SELLA/ETC W/O CONTRAS | $2,533.00 | $2,533.00 | $95.32–$2,533.00 | 150% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT/SELLA/ETC W/O CONTRAS | $2,533.00 | $2,533.00 | $95.32–$2,533.00 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR-FACIAL BONES, COMPLETE | $606.00 | $606.00 | $95.32–$393.90 | 148% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR-FACIAL BONES, COMPLETE | $606.00 | $606.00 | $95.32–$393.90 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 ZYPREXA 5MG | $47.54 | $47.54 | $21.39–$134.72 | 70% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 ZYPREXA 5MG | $47.54 | $47.54 | $21.39–$134.72 | 70% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM, LEFT* | $265.50 | $265.50 | $40.76–$202.38 | 65% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM, RT | $265.50 | $265.50 | $24.61–$172.58 | 65% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OR-XR-FOREARM,LT | $318.60 | $318.60 | $79.35–$207.09 | 99% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OR-XR-FOREARM,RT | $318.60 | $318.60 | $79.35–$207.09 | 99% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 D-IMPLANT NOT CLASSIFIED R17 | $17,350.00 | $17,350.00 | $112.14–$11,277.50 | 10712% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 ZYPREXA 5MG | $47.54 | $47.54 | $21.39–$134.72 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 ZYPREXA 5MG | $47.54 | $47.54 | $21.39–$134.72 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR-FOREARM, RT | $265.50 | $265.50 | $24.61–$172.58 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR-FOREARM, LEFT* | $265.50 | $265.50 | $40.76–$202.38 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 OR-XR-FOREARM,RT | $318.60 | $318.60 | $79.35–$207.09 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 OR-XR-FOREARM,LT | $318.60 | $318.60 | $79.35–$207.09 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 D-IMPLANT NOT CLASSIFIED R17 | $17,350.00 | $17,350.00 | $112.14–$11,277.50 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-BILIARY PATENCY HIDA | $1,702.00 | $1,702.00 | $122.49–$1,702.00 | 75% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-BILIARY PATENCY HIDA | $1,702.00 | $1,702.00 | $122.49–$1,702.00 | — | — |
| Hand X-ray, 2 views CPT 73120 XR-HANDS BIL PA 1 VIEW | $185.00 | $185.00 | $46.25–$185.00 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 CATH, IMAGER II CONT 5X165X.03 | $118.00 | $118.00 | $53.10–$134.72 | 20% below | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND,SINGLE VIEW,RIGHT | $185.00 | $185.00 | $43.01–$185.00 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-RIGHT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $83.25–$185.00 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND,SINGLE VIEW, LEFT | $185.00 | $185.00 | $43.01–$185.00 | 26% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 XR-HANDS BIL PA 1 VIEW | $185.00 | $185.00 | $46.25–$185.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 CATH, IMAGER II CONT 5X165X.03 | $118.00 | $118.00 | $53.10–$134.72 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-RIGHT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $83.25–$185.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND,SINGLE VIEW,RIGHT | $185.00 | $185.00 | $43.01–$185.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND,SINGLE VIEW, LEFT | $185.00 | $185.00 | $43.01–$185.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HEEL, RT* | $324.50 | $324.50 | $79.35–$324.50 | 121% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HEEL, LEFT* | $324.50 | $324.50 | $39.26–$210.93 | 121% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OR-XR-HEEL,RT | $389.40 | $389.40 | $79.35–$253.11 | 166% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 D-MESH R03 | $491.50 | $491.50 | $112.14–$319.48 | 235% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 D-INDWELLING PORT R18 | $24,290.00 | $24,290.00 | $112.14–$15,788.50 | 16466% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HEEL, RT* | $324.50 | $324.50 | $79.35–$324.50 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HEEL, LEFT* | $324.50 | $324.50 | $39.26–$210.93 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OR-XR-HEEL,RT | $389.40 | $389.40 | $79.35–$253.11 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 D-MESH R03 | $491.50 | $491.50 | $112.14–$319.48 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 D-INDWELLING PORT R18 | $24,290.00 | $24,290.00 | $112.14–$15,788.50 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED & RESP | $336.00 | $336.00 | $151.20–$336.00 | 2% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PLATE, CLAV 3.5 X 6 HOLE | $8,828.20 | $8,828.20 | $203.27–$5,738.33 | 2583% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED & RESP | $336.00 | $336.00 | $151.20–$336.00 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PLATE, CLAV 3.5 X 6 HOLE | $8,828.20 | $8,828.20 | $203.27–$5,738.33 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE LEFT(3 VIEWS OR LESS) | $173.50 | $173.50 | $57.94–$173.50 | 2% below | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE LEFT(3 VIEWS OR LESS) | $173.50 | $173.50 | $57.94–$173.50 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 LAB-SPECIAL STAIN GRPII,INT/RP | $131.50 | $131.50 | $65.75–$134.72 | 41% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 LAB-SPECIAL STAIN GRPII,INT/RP | $131.50 | $131.50 | $65.75–$134.72 | 41% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $425.00 | $425.00 | $95.32–$425.00 | 89% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 D-IMPLANT NOT CLASSIFIED R24 | $144,500.00 | $144,500.00 | $134.72–$93,925.00 | 64265% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 LAB-SPECIAL STAIN GRPII,INT/RP | $131.50 | $131.50 | $65.75–$134.72 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 LAB-SPECIAL STAIN GRPII,INT/RP | $131.50 | $131.50 | $65.75–$134.72 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $425.00 | $425.00 | $95.32–$425.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 D-IMPLANT NOT CLASSIFIED R24 | $144,500.00 | $144,500.00 | $134.72–$93,925.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-PEDS SCANOGRAM | $756.00 | $756.00 | $95.32–$756.00 | 15% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 EXTREMITY STUDY | $891.00 | $891.00 | $217.55–$891.00 | at median | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 SZR IMPL 11.5-12.5CM NATRELLE | $1,572.00 | $1,572.00 | $274.51–$1,021.80 | 77% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $2,257.50 | $2,257.50 | $95.32–$1,467.38 | 154% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 EXTREMITY STUDY | $891.00 | $891.00 | $217.55–$891.00 | at median | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT | $2,257.50 | $2,257.50 | $95.32–$1,467.38 | 154% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT RT | $2,257.50 | $2,257.50 | $95.32–$1,467.38 | 154% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-PEDS SCANOGRAM | $756.00 | $756.00 | $95.32–$756.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 EXTREMITY STUDY | $891.00 | $891.00 | $217.55–$891.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 SZR IMPL 11.5-12.5CM NATRELLE | $1,572.00 | $1,572.00 | $274.51–$1,021.80 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE | $2,257.50 | $2,257.50 | $95.32–$1,467.38 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 EXTREMITY STUDY | $891.00 | $891.00 | $217.55–$891.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O CONT RT | $2,257.50 | $2,257.50 | $95.32–$1,467.38 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT | $2,257.50 | $2,257.50 | $95.32–$1,467.38 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $822.00 | $822.00 | $95.32–$534.30 | 126% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $822.00 | $822.00 | $95.32–$534.30 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ED-POCUS-MUSCUSKEL/SOFT TISSUE | $200.00 | $200.00 | $50.00–$190.64 | at median | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $1,217.00 | $1,217.00 | $68.40–$791.05 | 508% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 OR-PLT .6MM MICRO CNTR RNDB | $1,256.50 | $1,256.50 | $135.43–$816.73 | 528% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ED-POCUS-MUSCUSKEL/SOFT TISSUE | $200.00 | $200.00 | $50.00–$190.64 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $1,217.00 | $1,217.00 | $68.40–$791.05 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 OR-PLT .6MM MICRO CNTR RNDB | $1,256.50 | $1,256.50 | $135.43–$816.73 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-SCREENING CT LUNG CANCER | $2,215.00 | $2,215.00 | $95.32–$1,439.75 | 923% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-SCREENING CT LUNG CANCER | $2,215.00 | $2,215.00 | $95.32–$1,439.75 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA/FIBULA,LT* | $472.00 | $472.00 | $79.35–$472.00 | 138% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA/FIBULA,RT | $472.00 | $472.00 | $44.51–$306.80 | 138% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OR-XR-TIBIA/FIBULA,RT | $566.40 | $566.40 | $79.35–$368.16 | 186% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 ANCHOR/SCREW BN/BN,TIS/BN | $660.00 | $660.00 | $112.14–$429.00 | 233% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 D-INDWELLING PORT R12 | $3,537.00 | $3,537.00 | $112.14–$2,299.05 | 1684% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 D-MESH R17 | $17,350.00 | $17,350.00 | $112.14–$11,277.50 | 8649% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA/FIBULA,RT | $472.00 | $472.00 | $44.51–$306.80 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA/FIBULA,LT* | $472.00 | $472.00 | $79.35–$472.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 OR-XR-TIBIA/FIBULA,RT | $566.40 | $566.40 | $79.35–$368.16 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 ANCHOR/SCREW BN/BN,TIS/BN | $660.00 | $660.00 | $112.14–$429.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 D-INDWELLING PORT R12 | $3,537.00 | $3,537.00 | $112.14–$2,299.05 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 D-MESH R17 | $17,350.00 | $17,350.00 | $112.14–$11,277.50 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR-ANGIO HEAD W/O CONTR | $3,684.50 | $3,684.50 | $217.55–$2,394.93 | 133% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR-ANGIO HEAD W/O CONTR | $3,684.50 | $3,684.50 | $217.55–$2,394.93 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 CATH, SPINAL | $2,631.60 | $2,631.60 | $345.00–$1,710.54 | 61% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 CATH, SPINAL | $2,631.60 | $2,631.60 | $345.00–$1,710.54 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | 130% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | 130% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | — | — |
| MRI of the abdomen without contrast CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $600.00 | $600.00 | $217.55–$599.22 | 57% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $600.00 | $600.00 | $217.55–$599.22 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | 133% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | — | — |
| MRI of the brain, no contrast dye CPT 70551 OR-OVITEX 1S PERMANENT 20X20 | $37,454.50 | $37,454.50 | $599.22–$24,345.43 | 2088% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 OR-OVITEX 1S PERMANENT 20X20 | $37,454.50 | $37,454.50 | $599.22–$24,345.43 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN W/WO CONTR | $4,819.00 | $4,819.00 | $318.09–$3,132.35 | 108% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN W/WO CONTR | $4,819.00 | $4,819.00 | $318.09–$3,132.35 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMBAR SPINE W/WO CONTR | $4,974.50 | $4,974.50 | $318.09–$3,233.43 | 105% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMBAR SPINE W/WO CONTR | $4,974.50 | $4,974.50 | $318.09–$3,233.43 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-C/SPINE W/WO CONTR | $4,892.50 | $4,892.50 | $318.09–$3,180.13 | 121% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-C/SPINE W/WO CONTR | $4,892.50 | $4,892.50 | $318.09–$3,180.13 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 D-NEUROSTIMULATOR LEAD R11 | $2,751.00 | $2,751.00 | $599.22–$1,788.15 | 70% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-C/SPINE W/O CONTR | $4,237.50 | $4,237.50 | $217.55–$2,754.38 | 162% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 D-NEUROSTIMULATOR LEAD R11 | $2,751.00 | $2,751.00 | $599.22–$1,788.15 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-C/SPINE W/O CONTR | $4,237.50 | $4,237.50 | $217.55–$2,754.38 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS W/WO CONTR | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | 127% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS W/WO CONTR | $4,747.00 | $4,747.00 | $318.09–$3,085.55 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS W/O CONTR | $3,575.00 | $3,575.00 | $217.55–$2,323.75 | 138% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS W/O CONTR | $3,575.00 | $3,575.00 | $217.55–$2,323.75 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 PC-SCS EVAL W/REPROGRAMMING | $1,870.00 | $1,870.00 | $86.68–$1,215.50 | 27% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $4,211.50 | $4,211.50 | $217.55–$2,737.48 | 187% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $4,211.50 | $4,211.50 | $217.55–$2,737.48 | 187% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 PC-SCS EVAL W/REPROGRAMMING | $1,870.00 | $1,870.00 | $86.68–$1,215.50 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $4,211.50 | $4,211.50 | $217.55–$2,737.48 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $4,211.50 | $4,211.50 | $217.55–$2,737.48 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR-C-SPINE WITH OBLIQUES | $430.50 | $430.50 | $72.13–$279.83 | 52% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR-C-SPINE WITH OBLIQUES | $430.50 | $430.50 | $72.13–$279.83 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT-NECK W/CONTRAST | $2,247.00 | $2,247.00 | $157.00–$1,460.55 | 78% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 OR-INNATE 4.5X45MM MC IMPL | $7,820.50 | $7,820.50 | $743.65–$5,083.33 | 518% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK W/CONTRAST | $2,247.00 | $2,247.00 | $157.00–$1,460.55 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 OR-INNATE 4.5X45MM MC IMPL | $7,820.50 | $7,820.50 | $743.65–$5,083.33 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 ANCHOR/SCREW BN/BN,TIS/BN | $668.00 | $668.00 | $167.00–$434.20 | 31% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT-NECK W/O CONTRAST | $2,119.50 | $2,119.50 | $95.32–$1,377.68 | 118% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 ANCHOR/SCREW BN/BN,TIS/BN | $668.00 | $668.00 | $167.00–$434.20 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK W/O CONTRAST | $2,119.50 | $2,119.50 | $95.32–$1,377.68 | — | — |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $354.00 | $354.00 | $45.24–$230.10 | 117% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 X-RAY EXAM OF NECK | $354.00 | $354.00 | $45.24–$230.10 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 D-NEUROSTIM LEAD TEST KIT R04 | $688.00 | $688.00 | $172.00–$2,269.21 | 67% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 ELECTRODE, FLOW ASSIST BIPOLAR | $713.00 | $713.00 | $178.25–$2,269.21 | 66% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 D-NEUROSTIM LEAD TEST KIT R07 | $1,277.50 | $1,277.50 | $319.38–$2,269.21 | 39% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 D-NEUROSTIM LEAD TEST KIT R09 | $1,768.50 | $1,768.50 | $442.13–$2,269.21 | 15% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 XR-ANGIO-URET STENT EXC/ILEAL | $2,358.50 | $2,358.50 | $1,179.25–$2,358.50 | 13% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,652.50 | $2,652.50 | $663.13–$2,544.38 | 27% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 D-NEUROSTIM LEAD TEST KIT R04 | $688.00 | $688.00 | $172.00–$2,269.21 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 ELECTRODE, FLOW ASSIST BIPOLAR | $713.00 | $713.00 | $178.25–$2,269.21 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 D-NEUROSTIM LEAD TEST KIT R07 | $1,277.50 | $1,277.50 | $319.38–$2,269.21 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 D-NEUROSTIM LEAD TEST KIT R09 | $1,768.50 | $1,768.50 | $442.13–$2,269.21 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 XR-ANGIO-URET STENT EXC/ILEAL | $2,358.50 | $2,358.50 | $1,179.25–$2,358.50 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,652.50 | $2,652.50 | $663.13–$2,544.38 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 ANCHOR/SCREW BN/BN,TIS/BN | $1,187.50 | $1,187.50 | $296.88–$3,081.06 | 64% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 XR-BARIUM SWALLOW W/AIR CONTRA | $1,251.00 | $1,251.00 | $159.92–$3,081.06 | 62% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,917.00 | $4,917.00 | $1,303.75–$3,196.05 | 47% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM-PT-CT SKULL TO THIGH | $4,917.00 | $4,917.00 | $1,303.75–$3,196.05 | 47% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 OR-PUTTY C ALLOMATRIX 5CC | $5,565.00 | $5,565.00 | $1,391.25–$3,617.25 | 67% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 ANCHOR/SCREW BN/BN,TIS/BN | $1,187.50 | $1,187.50 | $296.88–$3,081.06 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 XR-BARIUM SWALLOW W/AIR CONTRA | $1,251.00 | $1,251.00 | $159.92–$3,081.06 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM-PT-CT SKULL TO THIGH | $4,917.00 | $4,917.00 | $1,303.75–$3,196.05 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,917.00 | $4,917.00 | $1,303.75–$3,196.05 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 OR-PUTTY C ALLOMATRIX 5CC | $5,565.00 | $5,565.00 | $1,391.25–$3,617.25 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS W/O CONTRAST | $799.50 | $799.50 | $95.32–$519.68 | 26% below | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS W/O CONTRAST | $799.50 | $799.50 | $95.32–$519.68 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ED-POCUS-BLADDER LIMITED | $200.00 | $200.00 | $50.00–$190.64 | 2% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 TISSUE EXAM BY PATHOLOGIST | $214.50 | $214.50 | $35.63–$260.31 | 9% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 INTRO/SHEATH, NON-LASER | $617.00 | $617.00 | $135.43–$401.05 | 214% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 OR-PLT .6MM MICRO CNTR RNDA | $859.00 | $859.00 | $135.43–$558.35 | 338% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ED-POCUS-BLADDER LIMITED | $200.00 | $200.00 | $50.00–$190.64 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 TISSUE EXAM BY PATHOLOGIST | $214.50 | $214.50 | $35.63–$260.31 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 INTRO/SHEATH, NON-LASER | $617.00 | $617.00 | $135.43–$401.05 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 OR-PLT .6MM MICRO CNTR RNDA | $859.00 | $859.00 | $135.43–$558.35 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 LAB-B-12 BINDING CAPACITY | $620.94 | $620.94 | $10.74–$620.94 | 62% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS | $696.00 | $696.00 | $4.70–$452.40 | 82% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 LAB-B-12 BINDING CAPACITY | $620.94 | $620.94 | $10.74–$620.94 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS | $696.00 | $696.00 | $4.70–$452.40 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $649.00 | $649.00 | $95.32–$421.85 | 115% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CVOR-GFT,VASCUTEK GELWEAVE | $9,404.00 | $9,404.00 | $135.43–$6,112.60 | 3010% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CL-P-REVAS(DCA)ADDL BRANCH,LD | $13,922.00 | $13,922.00 | $135.43–$9,049.30 | 4504% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS | $649.00 | $649.00 | $95.32–$421.85 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CVOR-GFT,VASCUTEK GELWEAVE | $9,404.00 | $9,404.00 | $135.43–$6,112.60 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CL-P-REVAS(DCA)ADDL BRANCH,LD | $13,922.00 | $13,922.00 | $135.43–$9,049.30 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS, LEFT (2 VIEWS) | $519.50 | $519.50 | $79.35–$337.68 | 149% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS, RIGHT (2 VIEWS) | $519.50 | $519.50 | $79.35–$337.68 | 149% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS, LEFT (2 VIEWS) | $519.50 | $519.50 | $79.35–$337.68 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS, RIGHT (2 VIEWS) | $519.50 | $519.50 | $79.35–$337.68 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS, LEFT W/PA CHEST | $784.50 | $784.50 | $14.21–$509.93 | 240% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS, RIGHT W/PA CHEST | $784.50 | $784.50 | $53.45–$509.93 | 240% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS, LEFT W/PA CHEST | $784.50 | $784.50 | $14.21–$509.93 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS, RIGHT W/PA CHEST | $784.50 | $784.50 | $53.45–$509.93 | — | — |
| Screening mammogram, both breasts CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $293.50 | $293.50 | $73.38–$190.78 | 40% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $293.50 | $293.50 | $73.38–$190.78 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER,RT* | $405.00 | $405.00 | $79.35–$263.25 | 102% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER,LT* | $405.00 | $405.00 | $79.35–$405.00 | 102% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 OR-XR-SHOULDER,LT | $486.00 | $486.00 | $79.35–$315.90 | 142% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 D-MESH R15 | $8,675.00 | $8,675.00 | $112.14–$5,638.75 | 4220% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER,RT* | $405.00 | $405.00 | $79.35–$263.25 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER,LT* | $405.00 | $405.00 | $79.35–$405.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 OR-XR-SHOULDER,LT | $486.00 | $486.00 | $79.35–$315.90 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 D-MESH R15 | $8,675.00 | $8,675.00 | $112.14–$5,638.75 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR-SINUSES PARANASAL | $414.50 | $414.50 | $54.95–$269.43 | 94% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR-SINUSES PARANASAL | $414.50 | $414.50 | $54.95–$269.43 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 OR-SKULL, <4 VIEWS | $464.40 | $464.40 | $52.72–$301.86 | 154% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 OR-SKULL, <4 VIEWS | $464.40 | $464.40 | $52.72–$301.86 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $3,997.00 | $3,997.00 | $782.96–$2,598.05 | 53% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $3,997.00 | $3,997.00 | $782.96–$2,598.05 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $218.13–$872.50 | at median | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 OR-SPACER SYNFIX 25 | $3,773.00 | $3,773.00 | $712.35–$2,452.45 | 332% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $218.13–$872.50 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 OR-SPACER SYNFIX 25 | $3,773.00 | $3,773.00 | $712.35–$2,452.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 MESH PROCEED 4X8 | $3,704.00 | $3,704.00 | $112.14–$2,407.60 | 1880% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 DVNCI VESSEL SEALER | $5,612.40 | $5,612.40 | $112.14–$3,648.06 | 2900% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 MESH PROCEED 4X8 | $3,704.00 | $3,704.00 | $112.14–$2,407.60 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 DVNCI VESSEL SEALER | $5,612.40 | $5,612.40 | $112.14–$3,648.06 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THORACIC SPINE W/O CONTRAST | $2,427.00 | $2,427.00 | $95.32–$2,427.00 | 106% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THORACIC SPINE W/O CONTRAST | $2,427.00 | $2,427.00 | $95.32–$2,427.00 | — | — |
| Toe X-ray, 2 or more views CPT 73660 PSY-FAMILY THERAPY | $234.00 | $234.00 | $105.30–$234.00 | 69% above | — |
| Toe X-ray, 2 or more views CPT 73660 BONE IMAGING 3 PHASE | $1,389.00 | $1,389.00 | $46.00–$1,389.00 | 906% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 PSY-FAMILY THERAPY | $234.00 | $234.00 | $105.30–$234.00 | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 BONE IMAGING 3 PHASE | $1,389.00 | $1,389.00 | $46.00–$1,389.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 INTRO/SHEATH, NON-LASER | $206.33 | $206.33 | $92.85–$260.31 | 39% below | — |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $759.00 | $759.00 | $95.32–$493.35 | 125% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 INTRO/SHEATH, NON-LASER | $206.33 | $206.33 | $92.85–$260.31 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB | $759.00 | $759.00 | $95.32–$493.35 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $95.32–$566.48 | 211% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $95.32–$566.48 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 GWRE LUNDERQUIST 260CM | $820.80 | $820.80 | $135.43–$533.52 | 123% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTAL SONO | $859.50 | $859.50 | $95.32–$558.68 | 133% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 GWRE LUNDERQUIST 260CM | $820.80 | $820.80 | $135.43–$533.52 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTAL SONO | $859.50 | $859.50 | $95.32–$558.68 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PC-02 FIRST HOUR | $139.50 | $139.50 | $62.78–$260.31 | 57% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $745.50 | $745.50 | $34.67–$484.58 | 128% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 PC-02 FIRST HOUR | $139.50 | $139.50 | $62.78–$260.31 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK | $745.50 | $745.50 | $34.67–$484.58 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY AORTA LEG ARTERIES | $4,990.00 | $4,990.00 | $45.24–$4,990.00 | 2636% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY EXAM OF HUMERUS | $364.00 | $364.00 | $79.35–$236.60 | 100% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY EXAM OF HUMERUS | $364.00 | $364.00 | $79.35–$364.00 | 100% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 OR-XR-HUMERUS,RT | $436.80 | $436.80 | $79.35–$283.92 | 139% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 D-MESH R07 | $1,277.50 | $1,277.50 | $112.14–$830.38 | 600% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY AORTA LEG ARTERIES | $4,990.00 | $4,990.00 | $45.24–$4,990.00 | 2636% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-RAY AORTA LEG ARTERIES | $4,990.00 | $4,990.00 | $45.24–$4,990.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY EXAM OF HUMERUS | $364.00 | $364.00 | $79.35–$236.60 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY EXAM OF HUMERUS | $364.00 | $364.00 | $79.35–$364.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 OR-XR-HUMERUS,RT | $436.80 | $436.80 | $79.35–$283.92 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 D-MESH R07 | $1,277.50 | $1,277.50 | $112.14–$830.38 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY AORTA LEG ARTERIES | $4,990.00 | $4,990.00 | $45.24–$4,990.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 KWRE DRILL TIP 2.5 SYN | $563.50 | $563.50 | $135.43–$366.28 | 84% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 OR-PLT .6MM MN MD ST MNDB 4 H | $564.50 | $564.50 | $135.43–$366.93 | 84% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $721.00 | $721.00 | $95.32–$743.65 | 135% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ANCHOR/SCREW BN/BN,TIS/BN | $9,369.00 | $9,369.00 | $135.43–$6,089.85 | 2959% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 OR-PLATE AFFIX/II | $34,811.40 | $34,811.40 | $135.43–$22,627.41 | 11267% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXTREMITY STUDY | $721.00 | $721.00 | $95.32–$743.65 | 135% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 KWRE DRILL TIP 2.5 SYN | $563.50 | $563.50 | $135.43–$366.28 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 OR-PLT .6MM MN MD ST MNDB 4 H | $564.50 | $564.50 | $135.43–$366.93 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY | $721.00 | $721.00 | $95.32–$743.65 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ANCHOR/SCREW BN/BN,TIS/BN | $9,369.00 | $9,369.00 | $135.43–$6,089.85 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 OR-PLATE AFFIX/II | $34,811.40 | $34,811.40 | $135.43–$22,627.41 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXTREMITY STUDY | $721.00 | $721.00 | $95.32–$743.65 | — | — |
| Wrist X-ray, 2 views CPT 73100 LAB-SURG HISTOLOGY-LEVEL V | $335.00 | $335.00 | $112.14–$335.00 | 158% above | — |
| Wrist X-ray, 2 views one side CPT 73100 LABETALOL INJ 5 MG | $127.67 | $127.67 | $61.28–$134.72 | 2% below | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY EXAM OF WRIST | $321.50 | $321.50 | $18.16–$208.98 | 147% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY EXAM OF WRIST | $321.50 | $321.50 | $79.35–$321.50 | 147% above | — |
| Wrist X-ray, 2 views one side CPT 73100 LAB-SURG HISTOLOGY-LEVEL V | $335.00 | $335.00 | $112.14–$335.00 | 158% above | — |
| Wrist X-ray, 2 views one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,LT | $385.80 | $385.80 | $48.99–$250.77 | 197% above | — |
| Wrist X-ray, 2 views one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,RT | $385.80 | $385.80 | $48.99–$250.77 | 197% above | — |
| Wrist X-ray, 2 views one side CPT 73100 D-MESH R13 | $4,912.50 | $4,912.50 | $112.14–$3,193.13 | 3679% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 LAB-SURG HISTOLOGY-LEVEL V | $335.00 | $335.00 | $112.14–$335.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 LABETALOL INJ 5 MG | $127.67 | $127.67 | $61.28–$134.72 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY EXAM OF WRIST | $321.50 | $321.50 | $18.16–$208.98 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY EXAM OF WRIST | $321.50 | $321.50 | $79.35–$321.50 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 LAB-SURG HISTOLOGY-LEVEL V | $335.00 | $335.00 | $112.14–$335.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,LT | $385.80 | $385.80 | $48.99–$250.77 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,RT | $385.80 | $385.80 | $48.99–$250.77 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 D-MESH R13 | $4,912.50 | $4,912.50 | $112.14–$3,193.13 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST,LT* | $364.00 | $364.00 | $79.35–$1,050.08 | 81% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST,RT | $364.00 | $364.00 | $57.94–$236.60 | 81% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST,RT | $364.00 | $364.00 | $57.94–$236.60 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST,LT* | $364.00 | $364.00 | $79.35–$1,050.08 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 OR-XR-PELVIS,MIN 2V,CHILD | $331.20 | $331.20 | $79.35–$215.28 | 82% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-PELVIS W/ RIGHT HIP | $713.00 | $713.00 | $66.15–$463.45 | 293% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-PELVIS W/ LEFT HIP | $713.00 | $713.00 | $66.15–$463.45 | 293% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-HIP,UNILATAL,LEFT, 2-3 VIEW | $713.00 | $713.00 | $66.15–$463.45 | 293% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 OR-XR-PELVIS,MIN 2V,CHILD | $331.20 | $331.20 | $79.35–$215.28 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-HIP,UNILATAL,LEFT, 2-3 VIEW | $713.00 | $713.00 | $66.15–$463.45 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-PELVIS W/ RIGHT HIP | $713.00 | $713.00 | $66.15–$463.45 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-PELVIS W/ LEFT HIP | $713.00 | $713.00 | $66.15–$463.45 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $79.35–$470.93 | 400% above | — |
| X-ray of the abdomen, 1 view one side CPT 74018 XR-ABD, DECUB, RIGHT | $406.50 | $406.50 | $79.35–$264.23 | 180% above | — |
| X-ray of the abdomen, 1 view one side CPT 74018 XR-ABD, DECUB, LEFT | $406.50 | $406.50 | $40.02–$264.23 | 180% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $79.35–$470.93 | — | — |
| X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-ABD, DECUB, RIGHT | $406.50 | $406.50 | $79.35–$264.23 | — | — |
| X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-ABD, DECUB, LEFT | $406.50 | $406.50 | $40.02–$264.23 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE, AP/LAT, RIGHT | $360.50 | $360.50 | $46.74–$234.33 | 161% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE, AP/LAT, LEFT | $360.50 | $360.50 | $46.74–$234.33 | 161% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 PC-RECOVERY TIME 61-90 MINUTES | $1,557.00 | $1,557.00 | $112.14–$1,012.05 | 1025% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 PC-RECOVERY TIME 91-120 MINUTE | $2,075.50 | $2,075.50 | $112.14–$1,349.08 | 1400% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE, AP/LAT, RIGHT | $360.50 | $360.50 | $46.74–$234.33 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE, AP/LAT, LEFT | $360.50 | $360.50 | $46.74–$234.33 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 PC-RECOVERY TIME 61-90 MINUTES | $1,557.00 | $1,557.00 | $112.14–$1,012.05 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 PC-RECOVERY TIME 91-120 MINUTE | $2,075.50 | $2,075.50 | $112.14–$1,349.08 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 XR-THORACIC SPINE | $410.00 | $410.00 | $55.71–$266.50 | 181% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 ECHO-F/U OR LTD W/ BUBBLE STUD | $682.50 | $682.50 | $112.14–$682.50 | 367% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR-THORACIC SPINE | $410.00 | $410.00 | $55.71–$266.50 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 ECHO-F/U OR LTD W/ BUBBLE STUD | $682.50 | $682.50 | $112.14–$682.50 | — | — |
| X-ray of the foot, 2 views CPT 73620 MOMETASONE 220MCG INHALER, 30I | $208.90 | $208.90 | $94.01–$208.90 | 56% above | — |
| X-ray of the foot, 2 views CPT 73620 MR-VENOUS BRAIN W/O CONTR | $3,684.50 | $3,684.50 | $134.72–$2,394.93 | 2647% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT, 2 VIEWS, RIGHT | $115.50 | $115.50 | $28.88–$134.72 | 14% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT, 2 VIEWS, LEFT | $115.50 | $115.50 | $40.02–$134.72 | 14% below | — |
| X-ray of the foot, 2 views one side CPT 73620 MOMETASONE 220MCG INHALER, 30I | $208.90 | $208.90 | $94.01–$208.90 | 56% above | — |
| X-ray of the foot, 2 views one side CPT 73620 MR-VENOUS BRAIN W/O CONTR | $3,684.50 | $3,684.50 | $134.72–$2,394.93 | 2647% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 MOMETASONE 220MCG INHALER, 30I | $208.90 | $208.90 | $94.01–$208.90 | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 MR-VENOUS BRAIN W/O CONTR | $3,684.50 | $3,684.50 | $134.72–$2,394.93 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT, 2 VIEWS, RIGHT | $115.50 | $115.50 | $28.88–$134.72 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT, 2 VIEWS, LEFT | $115.50 | $115.50 | $40.02–$134.72 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 MOMETASONE 220MCG INHALER, 30I | $208.90 | $208.90 | $94.01–$208.90 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 MR-VENOUS BRAIN W/O CONTR | $3,684.50 | $3,684.50 | $134.72–$2,394.93 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT, RT | $364.00 | $364.00 | $3.24–$236.60 | 102% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT, LEFT* | $364.00 | $364.00 | $79.35–$364.00 | 102% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 OR-XR-FOOT,LT | $436.80 | $436.80 | $79.35–$283.92 | 143% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 OR-XR-FOOT,RT | $436.80 | $436.80 | $79.35–$283.92 | 143% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 D-IMPLANT NOT CLASSIFIED R16 | $12,145.00 | $12,145.00 | $112.14–$7,894.25 | 6643% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 D-INDWELLING PORT R26 | $231,200.00 | $231,200.00 | $112.14–$150,280.00 | 128259% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT, RT | $364.00 | $364.00 | $3.24–$236.60 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT, LEFT* | $364.00 | $364.00 | $79.35–$364.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 OR-XR-FOOT,RT | $436.80 | $436.80 | $79.35–$283.92 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 OR-XR-FOOT,LT | $436.80 | $436.80 | $79.35–$283.92 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 D-IMPLANT NOT CLASSIFIED R16 | $12,145.00 | $12,145.00 | $112.14–$7,894.25 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 D-INDWELLING PORT R26 | $231,200.00 | $231,200.00 | $112.14–$150,280.00 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 LAB-COPPER, LIVER TISSUE | $471.60 | $471.60 | $9.31–$471.60 | 135% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 D-MESH R02 | $295.00 | $295.00 | $112.14–$191.75 | 47% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND, LEFT* | $351.00 | $351.00 | $79.35–$351.00 | 75% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 LAB-COPPER, LIVER TISSUE | $471.60 | $471.60 | $9.31–$471.60 | 135% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 LAB-COPPER, LIVER TISSUE | $471.60 | $471.60 | $9.31–$471.60 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 D-MESH R02 | $295.00 | $295.00 | $112.14–$191.75 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND, LEFT* | $351.00 | $351.00 | $79.35–$351.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 LAB-COPPER, LIVER TISSUE | $471.60 | $471.60 | $9.31–$471.60 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $79.35–$417.00 | 184% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $79.35–$417.00 | 184% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 D-INDWELLING PORT R04 | $688.00 | $688.00 | $112.14–$447.20 | 369% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 MESH (IMPLANTABLE) | $755.50 | $755.50 | $112.14–$491.08 | 415% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 D-MESH R11 | $2,751.00 | $2,751.00 | $112.14–$1,788.15 | 1776% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 D-IMPLANT NOT CLASSIFIED R25 | $202,300.00 | $202,300.00 | $112.14–$131,495.00 | 137819% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 D-IMPLANT NOT CLASSIFIED R26 | $231,200.00 | $231,200.00 | $112.14–$150,280.00 | 157522% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $79.35–$417.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $79.35–$417.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 D-INDWELLING PORT R04 | $688.00 | $688.00 | $112.14–$447.20 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 MESH (IMPLANTABLE) | $755.50 | $755.50 | $112.14–$491.08 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 D-MESH R11 | $2,751.00 | $2,751.00 | $112.14–$1,788.15 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 D-IMPLANT NOT CLASSIFIED R25 | $202,300.00 | $202,300.00 | $112.14–$131,495.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 D-IMPLANT NOT CLASSIFIED R26 | $231,200.00 | $231,200.00 | $112.14–$150,280.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $398.00 | $398.00 | $52.72–$272.40 | 97% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-LUMBAR SPINE | $398.00 | $398.00 | $52.72–$272.40 | 97% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views one side CPT 72100 MRC DRN/INJ SML JT W/O US RT | $813.00 | $813.00 | $134.72–$559.73 | 303% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $398.00 | $398.00 | $52.72–$272.40 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR-LUMBAR SPINE | $398.00 | $398.00 | $52.72–$272.40 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient one side CPT 72100 MRC DRN/INJ SML JT W/O US RT | $813.00 | $813.00 | $134.72–$559.73 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR-MESOBLAST STUDY | $100.40 | $100.40 | $45.18–$134.72 | 65% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 INTERSTIM NERO STIM LEAD | $22,798.00 | $22,798.00 | $134.72–$14,818.70 | 7830% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-MESOBLAST STUDY | $100.40 | $100.40 | $45.18–$134.72 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 INTERSTIM NERO STIM LEAD | $22,798.00 | $22,798.00 | $134.72–$14,818.70 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $625.50 | $625.50 | $11.34–$406.58 | 218% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $95.32–$487.89 | 281% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $625.50 | $625.50 | $11.34–$406.58 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $95.32–$487.89 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR-NASAL BONES | $362.00 | $362.00 | $53.45–$235.30 | 108% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR-NASAL BONES | $362.00 | $362.00 | $53.45–$235.30 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SET IV BLOOD FLUID WARM LVL 1 | $203.50 | $203.50 | $91.58–$165.58 | 2% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $364.00 | $364.00 | $52.72–$236.60 | 82% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-C-SPINE AP/LATERAL | $364.00 | $364.00 | $79.35–$236.60 | 82% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $109.20–$436.80 | 119% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SET IV BLOOD FLUID WARM LVL 1 | $203.50 | $203.50 | $91.58–$165.58 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $364.00 | $364.00 | $52.72–$236.60 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR-C-SPINE AP/LATERAL | $364.00 | $364.00 | $79.35–$236.60 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $109.20–$436.80 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 SUTURE, SILK 5-0 P-3 640G | $81.00 | $81.00 | $36.45–$134.72 | 50% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $119.25–$135.43 | 62% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 OR-XR-PELVIS-AP | $513.00 | $513.00 | $95.32–$333.45 | 214% above | — |
| X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR-PELVIS OBLIQUE, LEFT | $427.50 | $427.50 | $50.49–$277.88 | 162% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 SUTURE, SILK 5-0 P-3 640G | $81.00 | $81.00 | $36.45–$134.72 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $119.25–$135.43 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 OR-XR-PELVIS-AP | $513.00 | $513.00 | $95.32–$333.45 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR-PELVIS OBLIQUE, LEFT | $427.50 | $427.50 | $50.49–$277.88 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 MRC SYNCH AUDIO-VIDEO NEW MOD | $353.00 | $353.00 | $112.14–$229.45 | 73% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 MRC SYNCH AUDIO-VIDEO NEW MOD | $353.00 | $353.00 | $112.14–$229.45 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 LAB-ACTH LEVEL | $332.50 | $332.50 | $28.97–$216.13 | 148% above | — |
| ACTH blood test inpatient CPT 82024 LAB-ACTH LEVEL | $332.50 | $332.50 | $28.97–$216.13 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LAB-SGOT (AST) | $129.50 | $129.50 | $3.89–$84.18 | 280% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB-SGOT (AST) | $129.50 | $129.50 | $3.89–$84.18 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LAB-HEPATITIS PROFILE | $936.50 | $936.50 | $19.55–$608.73 | 323% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 LAB-HEPATITIS PROFILE | $936.50 | $936.50 | $19.55–$608.73 | — | — |
| Albumin blood test CPT 82040 LAB-SFIGM-ALBUMIN,S | $43.46 | $43.46 | $3.71–$43.46 | 67% above | — |
| Albumin blood test CPT 82040 LAB-CSF IGG IND, ALBUMIN,SERUM | $45.67 | $45.67 | $3.71–$19,530.41 | 75% above | — |
| Albumin blood test CPT 82040 LAB-ALBUMIN, SERUM, PLASMA OR | $178.50 | $178.50 | $3.71–$178.50 | 584% above | — |
| Albumin blood test CPT 82040 LAB-NSAIM-NEUROSYPHILIS IGG, A | $185.10 | $185.10 | $3.71–$450.72 | 609% above | — |
| Albumin blood test inpatient CPT 82040 LAB-SFIGM-ALBUMIN,S | $43.46 | $43.46 | $3.71–$43.46 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-CSF IGG IND, ALBUMIN,SERUM | $45.67 | $45.67 | $3.71–$19,530.41 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-ALBUMIN, SERUM, PLASMA OR | $178.50 | $178.50 | $3.71–$178.50 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-NSAIM-NEUROSYPHILIS IGG, A | $185.10 | $185.10 | $3.71–$450.72 | — | — |
| Aldosterone blood test CPT 82088 LAB-ALDOSTERONE, BLOOD | $162.78 | $162.78 | $30.56–$162.78 | 25% above | — |
| Aldosterone blood test CPT 82088 LAB-ALDOSTERONE 24 HR | $432.30 | $432.30 | $30.56–$281.00 | 232% above | — |
| Aldosterone blood test inpatient CPT 82088 LAB-ALDOSTERONE, BLOOD | $162.78 | $162.78 | $30.56–$162.78 | — | — |
| Aldosterone blood test inpatient CPT 82088 LAB-ALDOSTERONE 24 HR | $432.30 | $432.30 | $30.56–$281.00 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 LAB-ALK PHOS | $109.50 | $109.50 | $3.89–$71.18 | 321% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $5.12–$264.23 | 1461% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 INSJ PICC <5 YR W/O IMAGING | $1,583.00 | $1,583.00 | $11.53–$1,583.00 | 5979% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB-ALK PHOS | $109.50 | $109.50 | $3.89–$71.18 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $5.12–$264.23 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 INSJ PICC <5 YR W/O IMAGING | $1,583.00 | $1,583.00 | $11.53–$1,583.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $3.92–$25.55 | 159% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SARS-COV-2 COVID-19 ANTIBODY | $42.13 | $42.13 | $4.24–$42.13 | 177% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 NBAR ET TUBE HLDR ALL SIZES | $77.66 | $77.66 | $5.15–$50.48 | 411% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $3.92–$187.00 | 1130% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 VANCOMYCIN 1500 MG/250 ML SCA | $243.64 | $243.64 | $24.61–$158.37 | 1503% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OFFICE O/P NEW LOW 30 MIN | $250.00 | $250.00 | $112.50–$172.00 | 1545% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALLERGEN SPEC IGE PANEL EA | $255.00 | $255.00 | $3.92–$255.00 | 1578% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $129.00–$172.00 | 1854% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 VANCOMYCIN 1250 MG/250 ML SCA | $307.47 | $307.47 | $24.61–$199.86 | 1923% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-FBBLEM-BASS BLACK IGE | $348.69 | $348.69 | $3.92–$348.69 | 2194% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $24.61–$257.01 | 2501% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 VANCOMYCIN 1750MG/500ML SCA | $431.97 | $431.97 | $24.61–$280.78 | 2742% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALGAL-GALACTOSE-ALPHA-1,3. | $432.30 | $432.30 | $3.92–$432.30 | 2744% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-TILAPIA, IGE | $440.00 | $440.00 | $3.92–$286.00 | 2795% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERCLOT 3GM-9CM 2PCH PK1 | $1,740.50 | $1,740.50 | $5.15–$1,131.33 | 11351% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOR/SCREW BN/BN,TIS/BN | $7,192.00 | $7,192.00 | $5.15–$4,674.80 | 47216% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-BRIDGE ST 25X20X20 4L | $10,569.50 | $10,569.50 | $5.15–$6,870.18 | 69436% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESH SURG PHASIX ECHO 2 11CM | $15,404.50 | $15,404.50 | $5.15–$10,012.93 | 101245% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STENT, NON-COA/NON-COV W/DEL | $15,962.00 | $15,962.00 | $5.15–$10,375.30 | 104913% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESH SURG PHASIX ECHO 2 15CM | $26,305.00 | $26,305.00 | $5.15–$17,098.25 | 172959% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESH SURG PHASIX ECHO 2 20X15 | $29,767.00 | $29,767.00 | $5.15–$19,348.55 | 195736% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $3.92–$25.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SARS-COV-2 COVID-19 ANTIBODY | $42.13 | $42.13 | $4.24–$42.13 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NBAR ET TUBE HLDR ALL SIZES | $77.66 | $77.66 | $5.15–$50.48 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $3.92–$187.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANCOMYCIN 1500 MG/250 ML SCA | $243.64 | $243.64 | $24.61–$158.37 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OFFICE O/P NEW LOW 30 MIN | $250.00 | $250.00 | $112.50–$172.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALLERGEN SPEC IGE PANEL EA | $255.00 | $255.00 | $3.92–$255.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $129.00–$172.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANCOMYCIN 1250 MG/250 ML SCA | $307.47 | $307.47 | $24.61–$199.86 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-FBBLEM-BASS BLACK IGE | $348.69 | $348.69 | $3.92–$348.69 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $24.61–$257.01 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANCOMYCIN 1750MG/500ML SCA | $431.97 | $431.97 | $24.61–$280.78 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALGAL-GALACTOSE-ALPHA-1,3. | $432.30 | $432.30 | $3.92–$432.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-TILAPIA, IGE | $440.00 | $440.00 | $3.92–$286.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERCLOT 3GM-9CM 2PCH PK1 | $1,740.50 | $1,740.50 | $5.15–$1,131.33 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANCHOR/SCREW BN/BN,TIS/BN | $7,192.00 | $7,192.00 | $5.15–$4,674.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-BRIDGE ST 25X20X20 4L | $10,569.50 | $10,569.50 | $5.15–$6,870.18 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESH SURG PHASIX ECHO 2 11CM | $15,404.50 | $15,404.50 | $5.15–$10,012.93 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STENT, NON-COA/NON-COV W/DEL | $15,962.00 | $15,962.00 | $5.15–$10,375.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESH SURG PHASIX ECHO 2 15CM | $26,305.00 | $26,305.00 | $5.15–$17,098.25 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESH SURG PHASIX ECHO 2 20X15 | $29,767.00 | $29,767.00 | $5.15–$19,348.55 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 LAB-AFP, MATERNAL | $110.04 | $110.04 | $12.58–$110.04 | 50% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 PHA-ADSORBANASE 5% 15ML | $114.68 | $114.68 | $16.57–$114.68 | 57% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB-AFP, MATERNAL | $110.04 | $110.04 | $12.58–$110.04 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 PHA-ADSORBANASE 5% 15ML | $114.68 | $114.68 | $16.57–$114.68 | — | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, URINE TIMED | $130.50 | $130.50 | $4.86–$130.50 | 197% above | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, SERUM | $154.50 | $154.50 | $4.86–$100.43 | 251% above | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, FLUID | $156.50 | $156.50 | $4.86–$156.50 | 256% above | — |
| Amylase blood test CPT 82150 LAB-HK-AMYLASE, BF | $163.00 | $163.00 | $4.86–$105.95 | 270% above | — |
| Amylase blood test CPT 82150 D-PERSONAL INTERBODY CAGE R11 | $2,751.00 | $2,751.00 | $6.40–$1,788.15 | 6152% above | — |
| Amylase blood test CPT 82150 D-NEUROSTIM NONRECHARGE R22 | $72,250.00 | $72,250.00 | $6.40–$46,962.50 | 164105% above | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, URINE TIMED | $130.50 | $130.50 | $4.86–$130.50 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, SERUM | $154.50 | $154.50 | $4.86–$100.43 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, FLUID | $156.50 | $156.50 | $4.86–$156.50 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-HK-AMYLASE, BF | $163.00 | $163.00 | $4.86–$105.95 | — | — |
| Amylase blood test inpatient CPT 82150 D-PERSONAL INTERBODY CAGE R11 | $2,751.00 | $2,751.00 | $6.40–$1,788.15 | — | — |
| Amylase blood test inpatient CPT 82150 D-NEUROSTIM NONRECHARGE R22 | $72,250.00 | $72,250.00 | $6.40–$46,962.50 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB-CONNECT TISS DZ, CCP | $113.81 | $113.81 | $9.71–$113.81 | 117% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB-CONNECT TISS DZ, CCP | $113.81 | $113.81 | $9.71–$113.81 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB-B NATRIURETIC PEPTIDE | $239.50 | $239.50 | $29.45–$155.68 | 130% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 EP-P-ARR. INDUCTION VIA PACING | $1,551.00 | $1,551.00 | $75.24–$1,551.00 | 1391% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB-B NATRIURETIC PEPTIDE | $239.50 | $239.50 | $29.45–$155.68 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 EP-P-ARR. INDUCTION VIA PACING | $1,551.00 | $1,551.00 | $75.24–$1,551.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ALLOPURINOL INJ 1 MG | $26.30 | $26.30 | $4.40–$17.10 | 50% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $112.50 | $112.50 | $6.47–$73.13 | 115% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB-AEROBIC CULT (EXCEPT URINE | $149.50 | $149.50 | $6.47–$97.18 | 186% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ALLOPURINOL INJ 1 MG | $26.30 | $26.30 | $4.40–$17.10 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $112.50 | $112.50 | $6.47–$73.13 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB-AEROBIC CULT (EXCEPT URINE | $149.50 | $149.50 | $6.47–$97.18 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $390.00 | $390.00 | $3.77–$253.50 | 1502% above | — |
| Bilirubin blood test, total CPT 82247 CARTRIDGE N02 POLAR CATH 2-NC- | $393.00 | $393.00 | $4.96–$255.45 | 1514% above | — |
| Bilirubin blood test, total CPT 82247 D-NEUROSTIM NONRECHARGE R23 | $101,150.00 | $101,150.00 | $4.96–$65,747.50 | 415300% above | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $390.00 | $390.00 | $3.77–$253.50 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 CARTRIDGE N02 POLAR CATH 2-NC- | $393.00 | $393.00 | $4.96–$255.45 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 D-NEUROSTIM NONRECHARGE R23 | $101,150.00 | $101,150.00 | $4.96–$65,747.50 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-VP RENAL BIOPSY, HC GROSS/ | $275.10 | $275.10 | $28.13–$178.82 | 64% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-MUSM,MUSCLE BX SURG LVL 4 | $1,147.00 | $1,147.00 | $35.63–$1,147.00 | 583% above | — |
| Biopsy tissue exam by a pathologist (level IV) one side CPT 88305 D-HEMODIAL/PERITON LT CATH R21 | $50,575.00 | $50,575.00 | $34.20–$32,873.75 | 30004% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-VP RENAL BIOPSY, HC GROSS/ | $275.10 | $275.10 | $28.13–$178.82 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-MUSM,MUSCLE BX SURG LVL 4 | $1,147.00 | $1,147.00 | $35.63–$1,147.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient one side CPT 88305 D-HEMODIAL/PERITON LT CATH R21 | $50,575.00 | $50,575.00 | $34.20–$32,873.75 | — | — |
| Blood culture for bacteria CPT 87040 LAB-BLOOD CULTURE, AEROBIC | $287.00 | $287.00 | $7.74–$879.78 | 250% above | — |
| Blood culture for bacteria CPT 87040 D-NEUROSTIMULATOR LEAD R16 | $12,145.00 | $12,145.00 | $10.20–$7,894.25 | 14715% above | — |
| Blood culture for bacteria inpatient CPT 87040 LAB-BLOOD CULTURE, AEROBIC | $287.00 | $287.00 | $7.74–$879.78 | — | — |
| Blood culture for bacteria inpatient CPT 87040 D-NEUROSTIMULATOR LEAD R16 | $12,145.00 | $12,145.00 | $10.20–$7,894.25 | — | — |
| Blood draw from a vein (venipuncture), collection fee only both sides CPT 36415 EPS-CATH,ABLATION BI-DIRECTION | $20,570.50 | $20,570.50 | $4.39–$13,370.83 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.00 | $18.00 | $7.01–$29.67 | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.50–$18.00 | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INJECTION, OLANZAPINE, 2.5MG | $42.37 | $42.37 | $4.39–$27.54 | 488% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLADE, BEAVER | $120.00 | $120.00 | $4.39–$78.00 | 1567% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PLATE, 1/4 TUBULAR 8H | $851.00 | $851.00 | $4.39–$553.15 | 11719% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BAR, CARBON CONCT LG 11X250 | $2,498.40 | $2,498.40 | $4.39–$1,623.96 | 34600% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 OR-ROD 5.5MM SS/SS ST GLOBUS | $4,810.80 | $4,810.80 | $4.39–$3,127.02 | 66717% above | — |
| Blood draw from a vein (venipuncture), collection fee only one side CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.50–$18.00 | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient both sides CPT 36415 EPS-CATH,ABLATION BI-DIRECTION | $20,570.50 | $20,570.50 | $4.39–$13,370.83 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.50–$18.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.00 | $18.00 | $7.01–$29.67 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INJECTION, OLANZAPINE, 2.5MG | $42.37 | $42.37 | $4.39–$27.54 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLADE, BEAVER | $120.00 | $120.00 | $4.39–$78.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PLATE, 1/4 TUBULAR 8H | $851.00 | $851.00 | $4.39–$553.15 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BAR, CARBON CONCT LG 11X250 | $2,498.40 | $2,498.40 | $4.39–$1,623.96 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 OR-ROD 5.5MM SS/SS ST GLOBUS | $4,810.80 | $4,810.80 | $4.39–$3,127.02 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient one side CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.50–$18.00 | — | — |
| Blood glucose (sugar) test CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $2.95–$75.40 | 344% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $2.95–$75.40 | — | — |
| Blood lead test CPT 83655 LITHOSTAT 250MG TAB | $8.40 | $8.40 | $3.78–$25.88 | 80% below | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, BLOOD | $62.88 | $62.88 | $9.08–$40.87 | 53% above | — |
| Blood lead test CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.08–$63.27 | 53% above | — |
| Blood lead test CPT 83655 LAB-HMBLDM, HEAVY METAL, LEAD | $70.00 | $70.00 | $9.08–$45.50 | 70% above | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, URINE | $242.80 | $242.80 | $9.08–$157.82 | 489% above | — |
| Blood lead test inpatient CPT 83655 LITHOSTAT 250MG TAB | $8.40 | $8.40 | $3.78–$25.88 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, BLOOD | $62.88 | $62.88 | $9.08–$40.87 | — | — |
| Blood lead test inpatient CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.08–$63.27 | — | — |
| Blood lead test inpatient CPT 83655 LAB-HMBLDM, HEAVY METAL, LEAD | $70.00 | $70.00 | $9.08–$45.50 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, URINE | $242.80 | $242.80 | $9.08–$157.82 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-PNP ABO | $18.00 | $18.00 | $2.43–$121.31 | 72% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO RECHECK | $29.50 | $29.50 | $2.43–$121.31 | 55% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO | $89.50 | $89.50 | $2.43–$121.31 | 37% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-PNP ABO | $18.00 | $18.00 | $2.43–$121.31 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO RECHECK | $29.50 | $29.50 | $2.43–$121.31 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO | $89.50 | $89.50 | $2.43–$121.31 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 INDOMETHACIN 100MG RECTAL SUPP | $11.70 | $11.70 | $3.91–$11.70 | 58% below | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 INDOMETHACIN 100MG RECTAL SUPP | $11.70 | $11.70 | $3.91–$11.70 | — | — |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $118.50 | $118.50 | $15.61–$77.03 | 60% above | — |
| C-peptide blood test CPT 84681 LAB-VEDOZM-VEDOLIZUMAB,QN W AB | $627.86 | $627.86 | $10.59–$408.11 | 745% above | — |
| C-peptide blood test inpatient CPT 84681 ASSAY OF C-PEPTIDE | $118.50 | $118.50 | $15.61–$77.03 | — | — |
| C-peptide blood test inpatient CPT 84681 LAB-VEDOZM-VEDOLIZUMAB,QN W AB | $627.86 | $627.86 | $10.59–$408.11 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CATH FOLEY 28F 30CC SCONE | $18.00 | $18.00 | $5.12–$24.61 | 59% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-CRPR-C-REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$104.50 | 137% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-C REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$67.93 | 137% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CATH FOLEY 28F 30CC SCONE | $18.00 | $18.00 | $5.12–$24.61 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-CRPR-C-REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$104.50 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-C REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$67.93 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 KENALOG CREAM 0.5% 20GM TUBE | $77.00 | $77.00 | $34.65–$77.00 | 21% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $292.50 | $292.50 | $0.12–$190.13 | 198% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 KENALOG CREAM 0.5% 20GM TUBE | $77.00 | $77.00 | $34.65–$77.00 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $292.50 | $292.50 | $0.12–$190.13 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 LAB-CA 19-9 | $122.50 | $122.50 | $15.61–$79.63 | 19% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB-CA 19-9 | $122.50 | $122.50 | $15.61–$79.63 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 LAB-CA 125 | $153.50 | $153.50 | $15.61–$153.50 | 79% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 LAB-CA 125 | $153.50 | $153.50 | $15.61–$153.50 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-KACOV2-KAILOS ASSURE SENTI | $55.00 | $55.00 | $13.75–$55.00 | 6% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-VP RENAL BIOPSY, SURG PATH | $801.72 | $801.72 | $35.63–$801.72 | 1266% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BARD MIDLINE KIT 22GAX8CM | $888.00 | $888.00 | $50.69–$577.20 | 1413% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $38.48–$943.20 | 1507% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 WASHED RED BLOOD CELLS UNIT | $1,837.00 | $1,837.00 | $50.69–$1,194.05 | 3029% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-KACOV2-KAILOS ASSURE SENTI | $55.00 | $55.00 | $13.75–$55.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-VP RENAL BIOPSY, SURG PATH | $801.72 | $801.72 | $35.63–$801.72 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 BARD MIDLINE KIT 22GAX8CM | $888.00 | $888.00 | $50.69–$577.20 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $38.48–$943.20 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 WASHED RED BLOOD CELLS UNIT | $1,837.00 | $1,837.00 | $50.69–$1,194.05 | — | — |
| Calcium blood test, total CPT 82310 LAB-CALCIUM | $106.00 | $106.00 | $3.87–$68.90 | 288% above | — |
| Calcium blood test, total inpatient CPT 82310 LAB-CALCIUM | $106.00 | $106.00 | $3.87–$68.90 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 LAB-CEA | $348.00 | $348.00 | $14.22–$226.20 | 340% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB-CEA | $348.00 | $348.00 | $14.22–$226.20 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $98.25 | $98.25 | $9.66–$98.25 | 65% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 OR-PLT 80X80X.6MM FRNTL MXL SI | $1,598.50 | $1,598.50 | $12.72–$1,039.03 | 2581% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY | $98.25 | $98.25 | $9.66–$98.25 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 OR-PLT 80X80X.6MM FRNTL MXL SI | $1,598.50 | $1,598.50 | $12.72–$1,039.03 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RHO D IMMUNE GLOBULIN 100 IU | $41.06 | $41.06 | $9.44–$64.69 | 37% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-CHLAMYDIA TRACHOMATIS,AMPL | $293.50 | $293.50 | $26.32–$190.78 | 352% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 COCHLEAR DERMLOCK | $18,229.50 | $18,229.50 | $34.67–$11,849.18 | 27945% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RHO D IMMUNE GLOBULIN 100 IU | $41.06 | $41.06 | $9.44–$64.69 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-CHLAMYDIA TRACHOMATIS,AMPL | $293.50 | $293.50 | $26.32–$190.78 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 COCHLEAR DERMLOCK | $18,229.50 | $18,229.50 | $34.67–$11,849.18 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB-LIPID PROFILE | $270.00 | $270.00 | $10.04–$175.50 | 417% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB-LIPID PROFILE | $270.00 | $270.00 | $10.04–$175.50 | — | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-PNP CBC WITH DIFF | $20.00 | $20.00 | $5.83–$20.00 | 45% below | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-CBC & DIFF, AUTOMATED | $154.50 | $154.50 | $5.83–$154.50 | 322% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-PNP CBC WITH DIFF | $20.00 | $20.00 | $5.83–$20.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-CBC & DIFF, AUTOMATED | $154.50 | $154.50 | $5.83–$154.50 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 PULSE OXIMETER PROBE | $70.00 | $70.00 | $10.43–$45.50 | 8% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 LAB-COMP METABOLIC PANEL | $224.00 | $224.00 | $7.92–$224.00 | 195% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 PULSE OXIMETER PROBE | $70.00 | $70.00 | $10.43–$45.50 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB-COMP METABOLIC PANEL | $224.00 | $224.00 | $7.92–$224.00 | — | — |
| Cortisol blood test, total CPT 82533 LAB-SALCTM-CORTISOL, SALIVIA | $314.40 | $314.40 | $12.23–$204.36 | 376% above | — |
| Cortisol blood test, total inpatient CPT 82533 LAB-SALCTM-CORTISOL, SALIVIA | $314.40 | $314.40 | $12.23–$204.36 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 LAB-CPK | $152.00 | $152.00 | $4.88–$152.00 | 368% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB-CPK | $152.00 | $152.00 | $4.88–$152.00 | — | — |
| Creatinine blood test CPT 82565 D-PERSONAL INTERBODY CAGE R16 | $12,145.00 | $12,145.00 | $5.06–$7,894.25 | 41779% above | — |
| Creatinine blood test inpatient CPT 82565 D-PERSONAL INTERBODY CAGE R16 | $12,145.00 | $12,145.00 | $5.06–$7,894.25 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 LAB-CMV, IGG | $83.00 | $83.00 | $10.79–$53.95 | 22% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 LAB-TORCH, CMV AB, IGG | $138.50 | $138.50 | $10.79–$13,870.06 | 104% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CLAMP, MULTI PIN 4POS MR SAFE | $5,589.00 | $5,589.00 | $14.21–$3,632.85 | 8143% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB-CMV, IGG | $83.00 | $83.00 | $10.79–$53.95 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB-TORCH, CMV AB, IGG | $138.50 | $138.50 | $10.79–$13,870.06 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CLAMP, MULTI PIN 4POS MR SAFE | $5,589.00 | $5,589.00 | $14.21–$3,632.85 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 LAB-DHEA-S TO MAYO | $174.65 | $174.65 | $16.67–$20,238.20 | 99% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 LAB-DHEA SULFATE SERUM | $176.50 | $176.50 | $16.67–$114.73 | 101% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB-DHEA-S TO MAYO | $174.65 | $174.65 | $16.67–$20,238.20 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB-DHEA SULFATE SERUM | $176.50 | $176.50 | $16.67–$114.73 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUGS OF ABUSE 5 SCRN, MEC | $117.90 | $117.90 | $46.61–$117.90 | 47% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEPATITS A (VAQTA) 25U/0.5ML | $176.17 | $176.17 | $40.52–$114.51 | 119% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUG OF ABUSE SCREEN,URINE | $324.00 | $324.00 | $46.61–$324.00 | 303% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-ETHYLENE GLYCOL | $353.70 | $353.70 | $46.61–$353.70 | 340% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUGS OF ABUSE 4 SCRN, MEC | $393.00 | $393.00 | $46.61–$255.45 | 389% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-HK-OPTMX-OPIATE CONF, COC | $411.47 | $411.47 | $50.49–$267.46 | 412% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUG,TEST,PRESUM,SVT,GC/MS | $530.00 | $530.00 | $46.61–$530.00 | 560% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PLTE TIT LCDCP 2.4X31 4H | $2,621.50 | $2,621.50 | $61.39–$1,703.98 | 3164% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 STENT-ZILVER PTX OTW X-80/100 | $14,949.00 | $14,949.00 | $61.39–$9,716.85 | 18512% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUGS OF ABUSE 5 SCRN, MEC | $117.90 | $117.90 | $46.61–$117.90 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEPATITS A (VAQTA) 25U/0.5ML | $176.17 | $176.17 | $40.52–$114.51 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUG OF ABUSE SCREEN,URINE | $324.00 | $324.00 | $46.61–$324.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-ETHYLENE GLYCOL | $353.70 | $353.70 | $46.61–$353.70 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUGS OF ABUSE 4 SCRN, MEC | $393.00 | $393.00 | $46.61–$255.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-HK-OPTMX-OPIATE CONF, COC | $411.47 | $411.47 | $50.49–$267.46 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUG,TEST,PRESUM,SVT,GC/MS | $530.00 | $530.00 | $46.61–$530.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PLTE TIT LCDCP 2.4X31 4H | $2,621.50 | $2,621.50 | $61.39–$1,703.98 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 STENT-ZILVER PTX OTW X-80/100 | $14,949.00 | $14,949.00 | $61.39–$9,716.85 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 RO-SIMULATION SIMPLE | $887.00 | $887.00 | $17.92–$887.00 | 1624% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 RO-SIMULATION SIMPLE | $887.00 | $887.00 | $17.92–$887.00 | — | — |
| Estradiol blood test CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $20.96–$20,238.20 | 57% above | — |
| Estradiol blood test inpatient CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $20.96–$20,238.20 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB-FSH LEVEL | $109.00 | $109.00 | $13.94–$122.49 | 26% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB-FSH LEVEL | $109.00 | $109.00 | $13.94–$122.49 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 OR-DART CHONDRAL 1.3X18MM | $951.00 | $951.00 | $19.40–$618.15 | 389% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 LAB-CALPROTECTIN, FECES | $1,179.00 | $1,179.00 | $14.72–$766.35 | 506% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 STENT-ZILVER PTX OTW X X 60 | $12,450.60 | $12,450.60 | $19.40–$8,092.89 | 6298% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 OR-DART CHONDRAL 1.3X18MM | $951.00 | $951.00 | $19.40–$618.15 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB-CALPROTECTIN, FECES | $1,179.00 | $1,179.00 | $14.72–$766.35 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 STENT-ZILVER PTX OTW X X 60 | $12,450.60 | $12,450.60 | $19.40–$8,092.89 | — | — |
| Ferritin blood test (iron stores) CPT 82728 LAB-FERRITIN | $223.50 | $223.50 | $10.22–$145.28 | 298% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 LAB-FERRITIN | $223.50 | $223.50 | $10.22–$145.28 | — | — |
| Fibrinogen blood test CPT 85384 LAB-TEG,FIBRINOGEN,K ANGLE | $90.00 | $90.00 | $7.29–$58.50 | 95% above | — |
| Fibrinogen blood test CPT 85384 CLS-MERIT EXACTA SHEATH | $187.50 | $187.50 | $8.72–$121.88 | 306% above | — |
| Fibrinogen blood test CPT 85384 LAB-AATHRM-FIBRINOGEN | $208.68 | $208.68 | $7.29–$208.68 | 352% above | — |
| Fibrinogen blood test CPT 85384 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $7.29–$146.84 | 390% above | — |
| Fibrinogen blood test CPT 85384 PLATE,FIB 2.7/3.5X6HX112/116 | $6,470.60 | $6,470.60 | $8.72–$4,205.89 | 13924% above | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-TEG,FIBRINOGEN,K ANGLE | $90.00 | $90.00 | $7.29–$58.50 | — | — |
| Fibrinogen blood test inpatient CPT 85384 CLS-MERIT EXACTA SHEATH | $187.50 | $187.50 | $8.72–$121.88 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-AATHRM-FIBRINOGEN | $208.68 | $208.68 | $7.29–$208.68 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $7.29–$146.84 | — | — |
| Fibrinogen blood test inpatient CPT 85384 PLATE,FIB 2.7/3.5X6HX112/116 | $6,470.60 | $6,470.60 | $8.72–$4,205.89 | — | — |
| Folate (folic acid) blood test CPT 82746 LAB-FOLATE | $176.00 | $176.00 | $11.03–$114.40 | 186% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 LAB-FOLATE | $176.00 | $176.00 | $11.03–$114.40 | — | — |
| Free T3 thyroid hormone test CPT 84481 LAB-T-3 FREE | $183.00 | $183.00 | $12.71–$1,495.60 | 166% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 LAB-T-3 FREE | $183.00 | $183.00 | $12.71–$1,495.60 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ANCOBON 500 MG. | $56.89 | $56.89 | $8.91–$56.89 | 7% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $6.77–$204.36 | 235% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ANCOBON 500 MG. | $56.89 | $56.89 | $8.91–$56.89 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $6.77–$204.36 | — | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $74.20 | $74.20 | $19.10–$58.93 | at median | — |
| Free testosterone test CPT 84402 ANCHOR/SCREW BN/BN,TIS/BN | $2,602.50 | $2,602.50 | $25.17–$1,691.63 | 3407% above | — |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $74.20 | $74.20 | $19.10–$58.93 | — | — |
| Free testosterone test inpatient CPT 84402 ANCHOR/SCREW BN/BN,TIS/BN | $2,602.50 | $2,602.50 | $25.17–$1,691.63 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB-GGT | $154.50 | $154.50 | $5.40–$100.43 | 370% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB-GGT | $154.50 | $154.50 | $5.40–$100.43 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GUIDEWIRE, ARROW DUO SHORT | $48.00 | $48.00 | $19.55–$48.00 | 56% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $19.55–$150.80 | 112% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GUIDEWIRE, ARROW DUO SHORT | $48.00 | $48.00 | $19.55–$48.00 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $19.55–$150.80 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB-GRAM STAIN | $77.00 | $77.00 | $3.20–$50.05 | 91% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB-GRAM STAIN | $77.00 | $77.00 | $3.20–$50.05 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 LAB-GLUCOSE TOLERANCE TEST,3 | $245.50 | $245.50 | $9.65–$245.50 | 302% above | — |
| Glucose tolerance test, 3 samples CPT 82951 D-VASCULAR GRAFT R16 | $12,145.00 | $12,145.00 | $12.72–$7,894.25 | 19810% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LAB-GLUCOSE TOLERANCE TEST,3 | $245.50 | $245.50 | $9.65–$245.50 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 D-VASCULAR GRAFT R16 | $12,145.00 | $12,145.00 | $12.72–$7,894.25 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $98.25 | $98.25 | $26.32–$97.48 | 40% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $196.50 | $196.50 | $26.32–$196.50 | 181% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-NEISSERIA GONORRHOEAE,AMPL | $293.50 | $293.50 | $26.32–$190.78 | 319% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 OR-SLING,ELEV VAG APICAL/POST | $15,565.20 | $15,565.20 | $34.67–$10,117.38 | 22136% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $98.25 | $98.25 | $26.32–$97.48 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $196.50 | $196.50 | $26.32–$196.50 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-NEISSERIA GONORRHOEAE,AMPL | $293.50 | $293.50 | $26.32–$190.78 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 OR-SLING,ELEV VAG APICAL/POST | $15,565.20 | $15,565.20 | $34.67–$10,117.38 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 ROMIPLOSTIM 10MCG INJECTION | $336.03 | $336.03 | $64.69–$218.42 | 45% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 ROMIPLOSTIM 10MCG INJECTION | $336.03 | $336.03 | $64.69–$218.42 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CYCLOPHOSPHAMIDE, ORAL, 25MG | $6.55 | $6.55 | $1.51–$11.53 | 78% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB-HEMOGLOBIN A-1-C (MAYO) | $70.74 | $70.74 | $7.28–$45.98 | 136% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 OR-CVR BUR H .5MM 18MM CNTR CF | $1,370.50 | $1,370.50 | $9.59–$890.83 | 4468% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CYCLOPHOSPHAMIDE, ORAL, 25MG | $6.55 | $6.55 | $1.51–$11.53 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB-HEMOGLOBIN A-1-C (MAYO) | $70.74 | $70.74 | $7.28–$45.98 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 OR-CVR BUR H .5MM 18MM CNTR CF | $1,370.50 | $1,370.50 | $9.59–$890.83 | — | — |
| Hemoglobin blood test CPT 85018 LAB-BLOOD COUNT, HEMOGLOBIN | $46.50 | $46.50 | $1.78–$46.50 | 166% above | — |
| Hemoglobin blood test CPT 85018 D-VASCULAR GRAFT R24 | $144,500.00 | $144,500.00 | $2.34–$93,925.00 | 825614% above | — |
| Hemoglobin blood test inpatient CPT 85018 LAB-BLOOD COUNT, HEMOGLOBIN | $46.50 | $46.50 | $1.78–$46.50 | — | — |
| Hemoglobin blood test inpatient CPT 85018 D-VASCULAR GRAFT R24 | $144,500.00 | $144,500.00 | $2.34–$93,925.00 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 LAB-CORABM-HBC TOTAL AB W REF | $117.90 | $117.90 | $9.04–$76.64 | 97% above | — |
| Hepatitis B core antibody test (total) CPT 86704 OR-DRILL BIT 1.5MM | $608.50 | $608.50 | $11.90–$395.53 | 919% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 LAB-CORABM-HBC TOTAL AB W REF | $117.90 | $117.90 | $9.04–$76.64 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 OR-DRILL BIT 1.5MM | $608.50 | $608.50 | $11.90–$395.53 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB-HBSAB | $182.50 | $182.50 | $8.06–$182.50 | 251% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB-HBSAB | $182.50 | $182.50 | $8.06–$182.50 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-PNP HBSAG | $45.00 | $45.00 | $7.75–$36.78 | 20% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-VALPROIC ACID LEVEL | $152.00 | $152.00 | $8.39–$98.80 | 307% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-HBSAG | $154.50 | $154.50 | $7.75–$154.50 | 313% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-PNP HBSAG | $45.00 | $45.00 | $7.75–$36.78 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-VALPROIC ACID LEVEL | $152.00 | $152.00 | $8.39–$98.80 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-HBSAG | $154.50 | $154.50 | $7.75–$154.50 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 LAB-HEPATITIS C ANTIBODY | $187.00 | $187.00 | $10.70–$121.55 | 159% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB-HEPATITIS C ANTIBODY | $187.00 | $187.00 | $10.70–$121.55 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 THROMBIN, TOPICAL 5000 UNITS | $462.88 | $462.88 | $42.33–$300.87 | 138% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 LAB-HEPATITIS C, QUANTIFICATIO | $719.50 | $719.50 | $32.13–$467.68 | 270% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 THROMBIN, TOPICAL 5000 UNITS | $462.88 | $462.88 | $42.33–$300.87 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB-HEPATITIS C, QUANTIFICATIO | $719.50 | $719.50 | $32.13–$467.68 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 LAB-HSVG-HERPES SIMPLEX, TYPE | $60.28 | $60.28 | $9.89–$39.18 | 2% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB-HSVG-HERPES SIMPLEX, TYPE | $60.28 | $60.28 | $9.89–$39.18 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $88.43 | $88.43 | $14.51–$88.43 | 40% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-TORCH, HSVAB, II, IGG | $138.50 | $138.50 | $14.51–$1,024.49 | 120% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 OR-BURR ABRADER HV SHEATH 5.5 | $903.00 | $903.00 | $19.12–$586.95 | 1333% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 CLAMP, MED OPEN MR SAFE 390.03 | $3,804.00 | $3,804.00 | $19.12–$2,472.60 | 5938% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $88.43 | $88.43 | $14.51–$88.43 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-TORCH, HSVAB, II, IGG | $138.50 | $138.50 | $14.51–$1,024.49 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 OR-BURR ABRADER HV SHEATH 5.5 | $903.00 | $903.00 | $19.12–$586.95 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 CLAMP, MED OPEN MR SAFE 390.03 | $3,804.00 | $3,804.00 | $19.12–$2,472.60 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-CRMP1M-HS CRP | $91.65 | $91.65 | $9.71–$91.65 | 72% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $134.00 | $134.00 | $9.71–$87.10 | 151% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 PERSONALIZED INTERBODY CAGE | $5,604.00 | $5,604.00 | $12.80–$3,642.60 | 10394% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-CRMP1M-HS CRP | $91.65 | $91.65 | $9.71–$91.65 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS | $134.00 | $134.00 | $9.71–$87.10 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 PERSONALIZED INTERBODY CAGE | $5,604.00 | $5,604.00 | $12.80–$3,642.60 | — | — |
| Homocysteine blood test CPT 83090 KETAMINE 1,000 MG/100 ML NS | $50.40 | $50.40 | $17.71–$32.76 | 61% below | — |
| Homocysteine blood test CPT 83090 LAB-HOMOCYSTEINE | $218.50 | $218.50 | $13.44–$142.03 | 69% above | — |
| Homocysteine blood test CPT 83090 LAB-FACTOR VIII ASSAY | $526.50 | $526.50 | $13.43–$342.23 | 307% above | — |
| Homocysteine blood test inpatient CPT 83090 KETAMINE 1,000 MG/100 ML NS | $50.40 | $50.40 | $17.71–$32.76 | — | — |
| Homocysteine blood test inpatient CPT 83090 LAB-HOMOCYSTEINE | $218.50 | $218.50 | $13.44–$142.03 | — | — |
| Homocysteine blood test inpatient CPT 83090 LAB-FACTOR VIII ASSAY | $526.50 | $526.50 | $13.43–$342.23 | — | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $109.50 | $109.50 | $8.57–$122.49 | 58% above | — |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN | $109.50 | $109.50 | $8.57–$122.49 | — | — |
| Iron blood test (serum iron) CPT 83540 LAB-IRON SERUM | $114.00 | $114.00 | $4.85–$114.00 | 301% above | — |
| Iron blood test (serum iron) CPT 83540 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $4.85–$214.58 | 1060% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-IRON SERUM | $114.00 | $114.00 | $4.85–$114.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $4.85–$214.58 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 LAB-TIBC* | $132.00 | $132.00 | $6.56–$85.80 | 213% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 D-VASCULAR GRAFT R18 | $24,290.00 | $24,290.00 | $8.63–$15,788.50 | 57569% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB-TIBC* | $132.00 | $132.00 | $6.56–$85.80 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 D-VASCULAR GRAFT R18 | $24,290.00 | $24,290.00 | $8.63–$15,788.50 | — | — |
| Kidney function blood test panel CPT 80069 LAB-RENAL FUNCTION PANEL | $208.00 | $208.00 | $6.51–$135.20 | 172% above | — |
| Kidney function blood test panel CPT 80069 SP-TRAY, PARACENTESIS | $237.00 | $237.00 | $8.57–$154.05 | 210% above | — |
| Kidney function blood test panel inpatient CPT 80069 LAB-RENAL FUNCTION PANEL | $208.00 | $208.00 | $6.51–$135.20 | — | — |
| Kidney function blood test panel inpatient CPT 80069 SP-TRAY, PARACENTESIS | $237.00 | $237.00 | $8.57–$154.05 | — | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LH, BLOOD | $113.50 | $113.50 | $13.89–$122.49 | 21% above | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $13.89–$990.84 | 1525% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LH, BLOOD | $113.50 | $113.50 | $13.89–$122.49 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $13.89–$990.84 | — | — |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $143.50 | $143.50 | $0.76–$143.50 | 145% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID | $143.50 | $143.50 | $0.76–$143.50 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, BODY FLUID | $78.60 | $78.60 | $4.53–$51.09 | 213% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, SERUM | $109.00 | $109.00 | $4.53–$70.85 | 335% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-HK-LDH, BF | $141.00 | $141.00 | $4.53–$91.65 | 462% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-HK-LDH, CSF | $145.00 | $145.00 | $4.53–$94.25 | 478% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, FLUIDS | $165.50 | $165.50 | $4.53–$107.58 | 560% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, BODY FLUID | $78.60 | $78.60 | $4.53–$51.09 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, SERUM | $109.00 | $109.00 | $4.53–$70.85 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-HK-LDH, BF | $141.00 | $141.00 | $4.53–$91.65 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-HK-LDH, CSF | $145.00 | $145.00 | $4.53–$94.25 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, FLUIDS | $165.50 | $165.50 | $4.53–$107.58 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LAB-LIPASE | $136.00 | $136.00 | $5.17–$88.40 | 174% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB-LIPASE | $136.00 | $136.00 | $5.17–$88.40 | — | — |
| Liver function blood test panel CPT 80076 LAB-HEPATIC FUNCTION PANEL | $165.00 | $165.00 | $2.81–$165.00 | 108% above | — |
| Liver function blood test panel inpatient CPT 80076 LAB-HEPATIC FUNCTION PANEL | $165.00 | $165.00 | $2.81–$165.00 | — | — |
| Lyme disease antibody test CPT 86618 MR-WHOLE BODY SCAN LTD (SELF) | $160.00 | $160.00 | $24.61–$160.00 | 118% above | — |
| Lyme disease antibody test CPT 86618 LAB-TICKSM LYME DIS SEROLOGY,S | $296.00 | $296.00 | $12.77–$296.00 | 303% above | — |
| Lyme disease antibody test CPT 86618 LAB-LYME DISEASE SEROLOGY | $325.15 | $325.15 | $12.77–$8,415.72 | 343% above | — |
| Lyme disease antibody test inpatient CPT 86618 MR-WHOLE BODY SCAN LTD (SELF) | $160.00 | $160.00 | $24.61–$160.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-TICKSM LYME DIS SEROLOGY,S | $296.00 | $296.00 | $12.77–$296.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-LYME DISEASE SEROLOGY | $325.15 | $325.15 | $12.77–$8,415.72 | — | — |
| Magnesium blood test CPT 83735 SITAGLIPTIN 50 MG TAB | $20.00 | $20.00 | $6.63–$20.00 | 11% below | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.03–$106.11 | 372% above | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM | $131.00 | $131.00 | $5.03–$131.00 | 482% above | — |
| Magnesium blood test inpatient CPT 83735 SITAGLIPTIN 50 MG TAB | $20.00 | $20.00 | $6.63–$20.00 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.03–$106.11 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM | $131.00 | $131.00 | $5.03–$131.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA IGG SCREEN | $82.50 | $82.50 | $9.66–$82.50 | 87% above | — |
| Measles (rubeola) antibody test CPT 86765 X-RAY EXAM CHEST 1 VIEW | $318.50 | $318.50 | $12.72–$207.03 | 624% above | — |
| Measles (rubeola) antibody test CPT 86765 X-RAY EXAM OF PELVIS | $427.50 | $427.50 | $12.72–$277.88 | 871% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA IGG SCREEN | $82.50 | $82.50 | $9.66–$82.50 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 X-RAY EXAM CHEST 1 VIEW | $318.50 | $318.50 | $12.72–$207.03 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 X-RAY EXAM OF PELVIS | $427.50 | $427.50 | $12.72–$277.88 | — | — |
| Mumps immunity blood test CPT 86735 LAB-MUMPS IGG | $81.00 | $81.00 | $9.79–$52.65 | 84% above | — |
| Mumps immunity blood test CPT 86735 TUBE, FEEDING ROSS-FLEXIFLO | $109.00 | $109.00 | $12.89–$70.85 | 148% above | — |
| Mumps immunity blood test inpatient CPT 86735 LAB-MUMPS IGG | $81.00 | $81.00 | $9.79–$52.65 | — | — |
| Mumps immunity blood test inpatient CPT 86735 TUBE, FEEDING ROSS-FLEXIFLO | $109.00 | $109.00 | $12.89–$70.85 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB-FREE PSA | $146.00 | $146.00 | $13.79–$146.00 | 112% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB-FREE PSA | $146.00 | $146.00 | $13.79–$146.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB-PSA, TOTAL | $138.00 | $138.00 | $13.79–$138.00 | 69% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB-PSA, TOTAL | $138.00 | $138.00 | $13.79–$138.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB-THINPREP WITH HPV CO-TEST | $223.00 | $223.00 | $15.20–$223.00 | 444% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $223.22 | $223.22 | $15.20–$145.09 | 445% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ED-TRANSCUT PACEMKR (TEMP) | $858.00 | $858.00 | $20.02–$858.00 | 1993% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 XR-PNB SEPARATOR FLEX/.014 GWR | $20,751.00 | $20,751.00 | $20.02–$13,488.15 | 50525% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB-THINPREP WITH HPV CO-TEST | $223.00 | $223.00 | $15.20–$223.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $223.22 | $223.22 | $15.20–$145.09 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ED-TRANSCUT PACEMKR (TEMP) | $858.00 | $858.00 | $20.02–$858.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 XR-PNB SEPARATOR FLEX/.014 GWR | $20,751.00 | $20,751.00 | $20.02–$13,488.15 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $987.00 | $987.00 | $30.96–$987.00 | 628% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE | $987.00 | $987.00 | $30.96–$987.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.51–$66.34 | 57% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.51–$66.34 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 LAB-PHOSPHORUS INORGANIC | $88.00 | $88.00 | $3.56–$57.20 | 261% above | — |
| Phosphorus (phosphate) blood test CPT 84100 LAB-PHOSPHORUS, FECES | $106.11 | $106.11 | $3.56–$106.11 | 336% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB-PHOSPHORUS INORGANIC | $88.00 | $88.00 | $3.56–$57.20 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB-PHOSPHORUS, FECES | $106.11 | $106.11 | $3.56–$106.11 | — | — |
| Potassium blood test CPT 84132 POC-POTASSIUM | $44.50 | $44.50 | $3.57–$28.93 | 62% above | — |
| Potassium blood test CPT 84132 LAB-POTASSIUM,SERUM,PLASMA OR | $66.50 | $66.50 | $3.57–$66.50 | 141% above | — |
| Potassium blood test CPT 84132 D-INSERT RETRIEVAL DEVICE R05 | $884.50 | $884.50 | $4.70–$574.93 | 3111% above | — |
| Potassium blood test inpatient CPT 84132 POC-POTASSIUM | $44.50 | $44.50 | $3.57–$28.93 | — | — |
| Potassium blood test inpatient CPT 84132 LAB-POTASSIUM,SERUM,PLASMA OR | $66.50 | $66.50 | $3.57–$66.50 | — | — |
| Potassium blood test inpatient CPT 84132 D-INSERT RETRIEVAL DEVICE R05 | $884.50 | $884.50 | $4.70–$574.93 | — | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $111.50 | $111.50 | $15.65–$72.48 | 13% above | — |
| Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE | $111.50 | $111.50 | $15.65–$72.48 | — | — |
| Prolactin blood test CPT 84146 LAB-PROLACTIN LEVEL | $113.50 | $113.50 | $14.54–$73.78 | 10% above | — |
| Prolactin blood test CPT 84146 XTRNL ECG REC<48 HRS REC | $262.50 | $262.50 | $19.15–$262.50 | 154% above | — |
| Prolactin blood test inpatient CPT 84146 LAB-PROLACTIN LEVEL | $113.50 | $113.50 | $14.54–$73.78 | — | — |
| Prolactin blood test inpatient CPT 84146 XTRNL ECG REC<48 HRS REC | $262.50 | $262.50 | $19.15–$262.50 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.22–$30.81 | 98% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $64.50 | $64.50 | $3.22–$64.50 | 170% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-AATHRM-PROT TIME, B | $92.11 | $92.11 | $3.22–$92.11 | 286% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-PROTHROMBIN TIME W/INR | $128.50 | $128.50 | $3.22–$599.22 | 438% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 OR-DRILL BIT 2.0MM CALIBRATED | $746.50 | $746.50 | $4.24–$485.23 | 3026% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-SFUNGM-1,3-BETA-D-GLUCAN | $833.32 | $833.32 | $3.49–$541.66 | 3390% above | — |
| Prothrombin time (PT/INR) clotting test one side CPT 85610 D-HEMODIAL/PERITON LT CATH R10 | $2,161.50 | $2,161.50 | $4.24–$1,404.98 | 8952% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.22–$30.81 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $64.50 | $64.50 | $3.22–$64.50 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-AATHRM-PROT TIME, B | $92.11 | $92.11 | $3.22–$92.11 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-PROTHROMBIN TIME W/INR | $128.50 | $128.50 | $3.22–$599.22 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 OR-DRILL BIT 2.0MM CALIBRATED | $746.50 | $746.50 | $4.24–$485.23 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-SFUNGM-1,3-BETA-D-GLUCAN | $833.32 | $833.32 | $3.49–$541.66 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient one side CPT 85610 D-HEMODIAL/PERITON LT CATH R10 | $2,161.50 | $2,161.50 | $4.24–$1,404.98 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LAB-HK-AMPMX-AMPHETAMINES CONF | $302.06 | $302.06 | $10.24–$196.34 | 539% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LAB-HK-AMPMX-AMPHETAMINES CONF | $302.06 | $302.06 | $10.24–$196.34 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 LAB-INFLUENZA A (CLIENT) | $14.86 | $14.86 | $7.43–$17.02 | 50% below | — |
| Rapid flu test (influenza antigen) CPT 87804 POC-INFLUENZA, A OR B, EACH | $99.00 | $99.00 | $12.41–$879.78 | 236% above | — |
| Rapid flu test (influenza antigen) CPT 87804 PENILE 700LGX INFRAPUBIC | $52,811.50 | $52,811.50 | $16.36–$34,327.48 | 178922% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 LAB-INFLUENZA A (CLIENT) | $14.86 | $14.86 | $7.43–$17.02 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC-INFLUENZA, A OR B, EACH | $99.00 | $99.00 | $12.41–$879.78 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 PENILE 700LGX INFRAPUBIC | $52,811.50 | $52,811.50 | $16.36–$34,327.48 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 ILLUMINATOR PHASTIPP DISP | $2,350.00 | $2,350.00 | $16.32–$1,527.50 | 5345% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 ILLUMINATOR PHASTIPP DISP | $2,350.00 | $2,350.00 | $16.32–$1,527.50 | — | — |
| Rh blood typing CPT 86901 LAB-PNP RH | $18.00 | $18.00 | $2.43–$34.05 | 27% below | — |
| Rh blood typing CPT 86901 LAB-RH | $86.00 | $86.00 | $2.43–$68.11 | 247% above | — |
| Rh blood typing inpatient CPT 86901 LAB-PNP RH | $18.00 | $18.00 | $2.43–$34.05 | — | — |
| Rh blood typing inpatient CPT 86901 LAB-RH | $86.00 | $86.00 | $2.43–$68.11 | — | — |
| Rheumatoid factor (RF) test CPT 86431 D-BREAST PROSTHESIS R19 | $31,230.00 | $31,230.00 | $5.61–$20,299.50 | 69300% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 D-BREAST PROSTHESIS R19 | $31,230.00 | $31,230.00 | $5.61–$20,299.50 | — | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-PNP RUBELLA ANTIBODY | $38.00 | $38.00 | $3.48–$24.70 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-TORCH, RUBELLA IGG | $82.22 | $82.22 | $10.79–$53.44 | 116% above | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-RUBELLA ANTIBODY | $127.50 | $127.50 | $10.79–$82.88 | 236% above | — |
| Rubella antibody test (immunity check) CPT 86762 N-INVAS EAR/PLS OXIMTRY CONT | $238.50 | $238.50 | $14.21–$238.50 | 528% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-PNP RUBELLA ANTIBODY | $38.00 | $38.00 | $3.48–$24.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-TORCH, RUBELLA IGG | $82.22 | $82.22 | $10.79–$53.44 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-RUBELLA ANTIBODY | $127.50 | $127.50 | $10.79–$82.88 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 N-INVAS EAR/PLS OXIMTRY CONT | $238.50 | $238.50 | $14.21–$238.50 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 DRSG MAXORB II 4X4IN ALG ABS | $17.00 | $17.00 | $2.68–$13.22 | 28% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LAB-SED RATE,AUTOMATED | $120.00 | $120.00 | $2.03–$218.96 | 408% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 DRSG MAXORB II 4X4IN ALG ABS | $17.00 | $17.00 | $2.68–$13.22 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LAB-SED RATE,AUTOMATED | $120.00 | $120.00 | $2.03–$218.96 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 LAB-SEMEN ANALYSIS | $171.50 | $171.50 | $9.23–$111.48 | 97% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 LAB-SEMEN ANALYSIS | $171.50 | $171.50 | $9.23–$111.48 | — | — |
| Sodium blood test CPT 84295 LAB-SODIUM | $71.50 | $71.50 | $3.61–$46.48 | 202% above | — |
| Sodium blood test inpatient CPT 84295 LAB-SODIUM | $71.50 | $71.50 | $3.61–$46.48 | — | — |
| Stool ova and parasites exam CPT 87177 LAB-O & P DIRECT* | $100.50 | $100.50 | $6.68–$884.70 | 122% above | — |
| Stool ova and parasites exam inpatient CPT 87177 LAB-O & P DIRECT* | $100.50 | $100.50 | $6.68–$884.70 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 SP-HEMOCULT | $10.00 | $10.00 | $2.50–$11.53 | 34% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HD-OP UNSCHEDULED DIALYSIS TX | $1,296.75 | $1,296.75 | $4.33–$842.89 | 8499% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SP-HEMOCULT | $10.00 | $10.00 | $2.50–$11.53 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HD-OP UNSCHEDULED DIALYSIS TX | $1,296.75 | $1,296.75 | $4.33–$842.89 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $11.94–$81.25 | 127% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $11.94–$271.44 | 659% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ANCHOR/SCREW BN/BN,TIS/BN | $2,075.00 | $2,075.00 | $12.94–$1,348.75 | 3673% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $11.94–$81.25 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $11.94–$271.44 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ANCHOR/SCREW BN/BN,TIS/BN | $2,075.00 | $2,075.00 | $12.94–$1,348.75 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-PNP SYPHILIS IGG/M | $38.00 | $38.00 | $9.93–$36.78 | at median | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-SYPHILIS AB BY TP-PA | $294.83 | $294.83 | $9.93–$294.83 | 676% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-PNP SYPHILIS IGG/M | $38.00 | $38.00 | $9.93–$36.78 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-SYPHILIS AB BY TP-PA | $294.83 | $294.83 | $9.93–$294.83 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-VDRL-CSF | $113.00 | $113.00 | $3.20–$73.45 | 335% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-RPR TITER | $120.00 | $120.00 | $3.20–$120.00 | 362% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-VDRL-CSF | $113.00 | $113.00 | $3.20–$73.45 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-RPR TITER | $120.00 | $120.00 | $3.20–$120.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LAB-QUANTIFERON TB | $343.48 | $343.48 | $46.49–$343.48 | 200% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CL-CERV CAROTID STENT /W DIS P | $11,151.00 | $11,151.00 | $71.30–$7,248.15 | 9630% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LAB-QUANTIFERON TB | $343.48 | $343.48 | $46.49–$343.48 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CL-CERV CAROTID STENT /W DIS P | $11,151.00 | $11,151.00 | $71.30–$7,248.15 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 OR-BONE OSTEOAMP 5CC SELECT | $13,730.00 | $13,730.00 | $25.51–$8,924.50 | 19238% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 OR-BONE OSTEOAMP 5CC SELECT | $13,730.00 | $13,730.00 | $25.51–$8,924.50 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-LIVER KIDNEY AB | $171.00 | $171.00 | $10.91–$111.15 | 289% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-THYRO PEROXIDASE AB | $194.00 | $194.00 | $10.91–$194.00 | 341% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-CU INDEX, MICROSOMAL AB | $202.95 | $202.95 | $10.91–$131.92 | 361% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-LIVER KIDNEY AB | $171.00 | $171.00 | $10.91–$111.15 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-THYRO PEROXIDASE AB | $194.00 | $194.00 | $10.91–$194.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-CU INDEX, MICROSOMAL AB | $202.95 | $202.95 | $10.91–$131.92 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB-TSH | $140.50 | $140.50 | $12.60–$91.33 | 151% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB-CU INDEX, TSH | $234.46 | $234.46 | $12.60–$19,530.41 | 318% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB-TSH | $140.50 | $140.50 | $12.60–$91.33 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB-CU INDEX, TSH | $234.46 | $234.46 | $12.60–$19,530.41 | — | — |
| Total IgE blood test CPT 82785 NORVASC 5MG TAB | $9.66 | $9.66 | $4.35–$28.55 | 80% below | — |
| Total IgE blood test CPT 82785 LAB-PR943M IGE, S | $94.50 | $94.50 | $12.35–$94.50 | 91% above | — |
| Total IgE blood test CPT 82785 LAB-RESP PROF REG 6, IGE | $94.50 | $94.50 | $12.35–$5,327.84 | 91% above | — |
| Total IgE blood test CPT 82785 EPS-PACEMAKER ASSURITY MRI SR | $24,984.00 | $24,984.00 | $13.38–$16,239.60 | 50444% above | — |
| Total IgE blood test inpatient CPT 82785 NORVASC 5MG TAB | $9.66 | $9.66 | $4.35–$28.55 | — | — |
| Total IgE blood test inpatient CPT 82785 LAB-PR943M IGE, S | $94.50 | $94.50 | $12.35–$94.50 | — | — |
| Total IgE blood test inpatient CPT 82785 LAB-RESP PROF REG 6, IGE | $94.50 | $94.50 | $12.35–$5,327.84 | — | — |
| Total IgE blood test inpatient CPT 82785 EPS-PACEMAKER ASSURITY MRI SR | $24,984.00 | $24,984.00 | $13.38–$16,239.60 | — | — |
| Total cholesterol blood test CPT 82465 VIRACEPT 625MG TAB | $36.84 | $36.84 | $4.30–$36.84 | 20% above | — |
| Total cholesterol blood test CPT 82465 LAB-LIPID PANEL, MML, CHOLESTE | $49.83 | $49.83 | $3.26–$32.39 | 62% above | — |
| Total cholesterol blood test CPT 82465 LAB-CHOLESTEROL | $80.00 | $80.00 | $3.26–$80.00 | 160% above | — |
| Total cholesterol blood test inpatient CPT 82465 VIRACEPT 625MG TAB | $36.84 | $36.84 | $4.30–$36.84 | — | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-LIPID PANEL, MML, CHOLESTE | $49.83 | $49.83 | $3.26–$32.39 | — | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-CHOLESTEROL | $80.00 | $80.00 | $3.26–$80.00 | — | — |
| Total thyroxine (T4) blood test CPT 84436 LAB-THYROXIN (T-4) | $94.50 | $94.50 | $5.15–$423.02 | 96% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 LAB-THYROXIN (T-4) | $94.50 | $94.50 | $5.15–$423.02 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 LAB-T3 (TOTAL) | $114.50 | $114.50 | $10.64–$1,495.60 | 139% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB-T3 (TOTAL) | $114.50 | $114.50 | $10.64–$1,495.60 | — | — |
| Transferrin blood test CPT 84466 CATH, UMBILICAL FRENCH 5F 1603 | $89.50 | $89.50 | $12.60–$58.18 | 62% above | — |
| Transferrin blood test inpatient CPT 84466 CATH, UMBILICAL FRENCH 5F 1603 | $89.50 | $89.50 | $12.60–$58.18 | — | — |
| Trichomonas test (NAAT) CPT 87661 LAB-CTNGVT, TRICH VAGINAL DIAT | $196.50 | $196.50 | $26.32–$196.50 | 181% above | — |
| Trichomonas test (NAAT) CPT 87661 DIPROSONE 0.05% LOTION | $214.70 | $214.70 | $34.67–$214.70 | 207% above | — |
| Trichomonas test (NAAT) CPT 87661 LAB-HPVP,HPV BY PCR TO DIATHER | $235.80 | $235.80 | $26.32–$235.80 | 237% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $239.50 | $239.50 | $26.32–$155.68 | 242% above | — |
| Trichomonas test (NAAT) CPT 87661 OR-PROBE MDT NIM BIPOLAR | $915.00 | $915.00 | $34.67–$594.75 | 1207% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB-CTNGVT, TRICH VAGINAL DIAT | $196.50 | $196.50 | $26.32–$196.50 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 DIPROSONE 0.05% LOTION | $214.70 | $214.70 | $34.67–$214.70 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB-HPVP,HPV BY PCR TO DIATHER | $235.80 | $235.80 | $26.32–$235.80 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $239.50 | $239.50 | $26.32–$155.68 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 OR-PROBE MDT NIM BIPOLAR | $915.00 | $915.00 | $34.67–$594.75 | — | — |
| Triglycerides blood test CPT 84478 LAB-CRMP1M-TRIGLYCERIDES | $40.64 | $40.64 | $4.31–$26.42 | 29% above | — |
| Triglycerides blood test CPT 84478 LAB-LIPID PANEL, MML,TRIGLYCER | $65.87 | $65.87 | $4.31–$5,539.84 | 109% above | — |
| Triglycerides blood test CPT 84478 LAB-TRIGLYCERIDES | $109.00 | $109.00 | $4.31–$70.85 | 246% above | — |
| Triglycerides blood test CPT 84478 OR-PLT 2 HOLE 1.5MM SYNDESMOSI | $27,725.50 | $27,725.50 | $5.67–$18,021.58 | 88029% above | — |
| Triglycerides blood test inpatient CPT 84478 LAB-CRMP1M-TRIGLYCERIDES | $40.64 | $40.64 | $4.31–$26.42 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-LIPID PANEL, MML,TRIGLYCER | $65.87 | $65.87 | $4.31–$5,539.84 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-TRIGLYCERIDES | $109.00 | $109.00 | $4.31–$70.85 | — | — |
| Triglycerides blood test inpatient CPT 84478 OR-PLT 2 HOLE 1.5MM SYNDESMOSI | $27,725.50 | $27,725.50 | $5.67–$18,021.58 | — | — |
| Troponin test, quantitative CPT 84484 LAB-TROPONIN QUANT ULTRASEN | $187.50 | $187.50 | $9.35–$121.88 | 168% above | — |
| Troponin test, quantitative CPT 84484 LAB-TROPONIN I, HIGH SENSITIVI | $9,502.35 | $9,502.35 | $9.35–$6,176.53 | 13475% above | — |
| Troponin test, quantitative inpatient CPT 84484 LAB-TROPONIN QUANT ULTRASEN | $187.50 | $187.50 | $9.35–$121.88 | — | — |
| Troponin test, quantitative inpatient CPT 84484 LAB-TROPONIN I, HIGH SENSITIVI | $9,502.35 | $9,502.35 | $9.35–$6,176.53 | — | — |
| Uric acid blood test CPT 84550 LAB-URIC ACID | $111.50 | $111.50 | $3.39–$111.50 | 275% above | — |
| Uric acid blood test inpatient CPT 84550 LAB-URIC ACID | $111.50 | $111.50 | $3.39–$111.50 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.38–$32.00 | 3% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.38–$32.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 NM-1-131 SODIUM IODIDE CAP PER | $93.50 | $93.50 | $6.47–$60.78 | 327% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $103.00 | $103.00 | $1.69–$66.95 | 370% above | — |
| Urinalysis without microscope exam, automated CPT 81003 D-PERSONAL INTERBODY CAGE R10 | $2,161.50 | $2,161.50 | $2.22–$1,404.98 | 9770% above | — |
| Urinalysis without microscope exam, automated one side CPT 81003 XR-HAND, RT | $351.00 | $351.00 | $2.22–$228.15 | 1503% above | — |
| Urinalysis without microscope exam, automated one side CPT 81003 D-HEMODIAL/PERITON LT CATH R24 | $144,500.00 | $144,500.00 | $2.22–$93,925.00 | 659717% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 NM-1-131 SODIUM IODIDE CAP PER | $93.50 | $93.50 | $6.47–$60.78 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $103.00 | $103.00 | $1.69–$66.95 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 D-PERSONAL INTERBODY CAGE R10 | $2,161.50 | $2,161.50 | $2.22–$1,404.98 | — | — |
| Urinalysis without microscope exam, automated inpatient one side CPT 81003 XR-HAND, RT | $351.00 | $351.00 | $2.22–$228.15 | — | — |
| Urinalysis without microscope exam, automated inpatient one side CPT 81003 D-HEMODIAL/PERITON LT CATH R24 | $144,500.00 | $144,500.00 | $2.22–$93,925.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 OPSVC-URINE KETONES POC | $7.00 | $7.00 | $1.75–$7.00 | 41% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OPSVC-URINE KETONES POC | $7.00 | $7.00 | $1.75–$7.00 | — | — |
| Urine microalbumin (albumin) test CPT 82043 LAB-ALBRM-ALBUMIN, RANDOM, URI | $58.01 | $58.01 | $4.34–$58.01 | 42% above | — |
| Urine microalbumin (albumin) test CPT 82043 VISIBILITY BACKGROUND MATERIAL | $70.20 | $70.20 | $5.72–$45.63 | 71% above | — |
| Urine microalbumin (albumin) test CPT 82043 LAB-MICROALBUMIN | $111.50 | $111.50 | $4.34–$111.50 | 172% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 LAB-ALBRM-ALBUMIN, RANDOM, URI | $58.01 | $58.01 | $4.34–$58.01 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 VISIBILITY BACKGROUND MATERIAL | $70.20 | $70.20 | $5.72–$45.63 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 LAB-MICROALBUMIN | $111.50 | $111.50 | $4.34–$111.50 | — | — |
| Urine pregnancy test, read by color change CPT 81025 D-NEUROSTIM LEAD TEST KIT R01 | $98.50 | $98.50 | $6.47–$64.03 | 157% above | — |
| Urine pregnancy test, read by color change CPT 81025 OPMB-URINE PREGNANCY TEST | $132.00 | $132.00 | $6.46–$85.80 | 245% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $132.00 | $132.00 | $6.46–$85.80 | 245% above | — |
| Urine pregnancy test, read by color change CPT 81025 LAB-HCG, QUALITATIVE, URINE | $132.00 | $132.00 | $6.46–$85.80 | 245% above | — |
| Urine pregnancy test, read by color change CPT 81025 OR-PLT .5/.6MM MN REG 2T MNDB | $1,228.00 | $1,228.00 | $6.47–$798.20 | 3108% above | — |
| Urine pregnancy test, read by color change CPT 81025 OR-PLTE SYN PROX TIBIA TI 422. | $12,095.40 | $12,095.40 | $6.47–$7,862.01 | 31497% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 D-NEUROSTIM LEAD TEST KIT R01 | $98.50 | $98.50 | $6.47–$64.03 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 OPMB-URINE PREGNANCY TEST | $132.00 | $132.00 | $6.46–$85.80 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 LAB-HCG, QUALITATIVE, URINE | $132.00 | $132.00 | $6.46–$85.80 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $132.00 | $132.00 | $6.46–$85.80 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 OR-PLT .5/.6MM MN REG 2T MNDB | $1,228.00 | $1,228.00 | $6.47–$798.20 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 OR-PLTE SYN PROX TIBIA TI 422. | $12,095.40 | $12,095.40 | $6.47–$7,862.01 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 LAB-VITAMIN B12 | $176.00 | $176.00 | $11.31–$176.00 | 231% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB-VITAMIN B12 | $176.00 | $176.00 | $11.31–$176.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB-2425DM-25HDN:24,25 DIH, VI | $609.79 | $609.79 | $22.20–$396.36 | 545% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB-2425DM-25HDN:24,25 DIH, VI | $609.79 | $609.79 | $22.20–$396.36 | — | — |
| Zinc blood test CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $8.54–$61.31 | 104% above | — |
| Zinc blood test inpatient CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $8.54–$61.31 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-BHCGM-BETA-HUMAN CH,GON, Q | $143.92 | $143.92 | $11.29–$93.55 | 152% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-HCG TITER | $247.00 | $247.00 | $11.29–$160.55 | 333% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SP-ERCP BALLOON INFLATION SYST | $558.00 | $558.00 | $14.87–$362.70 | 877% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-BHCGM-BETA-HUMAN CH,GON, Q | $143.92 | $143.92 | $11.29–$93.55 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-HCG TITER | $247.00 | $247.00 | $11.29–$160.55 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SP-ERCP BALLOON INFLATION SYST | $558.00 | $558.00 | $14.87–$362.70 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $284.07–$1,060.00 | 36% above | — |
| Cardioversion, elective (restoring heart rhythm) one side CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $284.07–$1,060.00 | 36% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $284.07–$1,060.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient one side CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $284.07–$1,060.00 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $1,550.64–$28,588.50 | 14% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $1,550.64–$28,588.50 | — | — |
| Cervical biopsy CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $839.77–$2,368.00 | at median | — |
| Cervical biopsy inpatient CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $839.77–$2,368.00 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 NURS-CIRCUMCSN W/O PLBELL(>28 | $3,442.00 | $3,442.00 | $1,704.00–$4,620.40 | at median | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 NURS-CIRCUMCSN W/O PLBELL(>28 | $3,442.00 | $3,442.00 | $1,704.00–$4,620.40 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $3,442.00 | $3,442.00 | $1,220.00–$4,620.40 | 58% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $3,442.00 | $3,442.00 | $1,220.00–$4,620.40 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 CLS-MEDRAD AVANTA SPAT | $240.50 | $240.50 | $60.13–$4,620.40 | 76% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $3,442.00 | $3,442.00 | $635.76–$2,237.30 | 251% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 EPS-EASYTRAK LEAD III | $18,738.00 | $18,738.00 | $4,620.40–$12,179.70 | 1808% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CLS-MEDRAD AVANTA SPAT | $240.50 | $240.50 | $60.13–$4,620.40 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE | $3,442.00 | $3,442.00 | $635.76–$2,237.30 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 EPS-EASYTRAK LEAD III | $18,738.00 | $18,738.00 | $4,620.40–$12,179.70 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 TVGO-BX/CURETT CERVIX W/SCOPE | $837.00 | $837.00 | $277.84–$1,077.23 | at median | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 TVGO-BX/CURETT CERVIX W/SCOPE | $837.00 | $837.00 | $277.84–$1,077.23 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,704.00–$4,117.50 | at median | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,704.00–$4,117.50 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HWC-REMOVAL IMP CERUMEN IRRIG | $99.00 | $99.00 | $49.50–$99.00 | 1% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HWC-REMOVAL IMP CERUMEN IRRIG | $99.00 | $99.00 | $49.50–$99.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 HWC-REMOVAL IMP CERUMEN INSTRU | $99.00 | $99.00 | $44.55–$99.00 | 1% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HWC-REMOVAL IMP CERUMEN INSTRU | $99.00 | $99.00 | $44.55–$99.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR-SP-INJ FACET;LUMBAR/SACRAL, | $1,811.00 | $1,811.00 | $806.42–$2,012.98 | 69% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,811.00 | $1,811.00 | $806.42–$2,828.47 | 69% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,811.00 | $1,811.00 | $806.42–$2,828.47 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR-SP-INJ FACET;LUMBAR/SACRAL, | $1,811.00 | $1,811.00 | $806.42–$2,012.98 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $182.93–$2,828.47 | 186% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HWC-I&D ABCESS SIMPLE/SINGLE | $801.00 | $801.00 | $74.00–$801.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HWC-I&D ABCESS SIMPLE/SINGLE | $801.00 | $801.00 | $74.00–$801.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $182.93–$2,828.47 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PLASMA 1 DONOR FRZ W/IN 8 HR | $589.50 | $589.50 | $85.98–$849.05 | 57% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 MRC INJ TENDON SHTH/LIG RT | $813.00 | $813.00 | $203.25–$813.00 | 117% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PLASMA 1 DONOR FRZ W/IN 8 HR | $589.50 | $589.50 | $85.98–$849.05 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 MRC INJ TENDON SHTH/LIG RT | $813.00 | $813.00 | $203.25–$813.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $411.00 | $411.00 | $102.75–$566.04 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MRC DRN/INJ MAJ JT W/O US RT | $813.00 | $813.00 | $203.25–$813.00 | 111% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MRC DRN/INJ MAJ JT W/O US LT | $813.00 | $813.00 | $279.86–$813.00 | 111% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $411.00 | $411.00 | $102.75–$566.04 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MRC DRN/INJ MAJ JT W/O US RT | $813.00 | $813.00 | $203.25–$813.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MRC DRN/INJ MAJ JT W/O US LT | $813.00 | $813.00 | $279.86–$813.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR-INJ PROC WRIST, ELBOW OR AN | $411.00 | $411.00 | $184.95–$2,828.47 | 22% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MRC DRN/INJ INT JT W/O US RT | $813.00 | $813.00 | $279.86–$813.00 | 142% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 XR-INJ PROC WRIST, ELBOW OR AN | $411.00 | $411.00 | $184.95–$2,828.47 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MRC DRN/INJ INT JT W/O US RT | $813.00 | $813.00 | $279.86–$813.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR-JOINT INJ/ASPIR FINGER OR T | $411.00 | $411.00 | $267.15–$2,828.47 | 7% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR-ANGIO-JT INJ/ASPIR FINGER O | $411.00 | $411.00 | $205.50–$411.00 | 7% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR-ANGIO-JT INJ/ASPIR FINGER O | $411.00 | $411.00 | $205.50–$411.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR-JOINT INJ/ASPIR FINGER OR T | $411.00 | $411.00 | $267.15–$2,828.47 | — | — |
| Left heart catheterization, diagnostic CPT 93452 CL-P-LV ONLY | $4,678.50 | $4,678.50 | $2,105.33–$4,678.50 | at median | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 CL-P-LV ONLY | $4,678.50 | $4,678.50 | $2,105.33–$4,678.50 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 PLATE, 'Y' 2.0 3X1 | $1,542.50 | $1,542.50 | $694.13–$2,012.98 | 14% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-SP-INJ LUMBAR/SACRAL,NERVE | $2,995.50 | $2,995.50 | $643.59–$2,910.96 | 121% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $197.02–$2,828.47 | 121% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PLATE, 'Y' 2.0 3X1 | $1,542.50 | $1,542.50 | $694.13–$2,012.98 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-SP-INJ LUMBAR/SACRAL,NERVE | $2,995.50 | $2,995.50 | $643.59–$2,910.96 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $197.02–$2,828.47 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $507.15–$2,828.47 | at median | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 XR-SHEATH ENDOPHYS 8FX11 | $6,288.00 | $6,288.00 | $1,220.00–$4,087.20 | 458% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $507.15–$2,828.47 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR-SHEATH ENDOPHYS 8FX11 | $6,288.00 | $6,288.00 | $1,220.00–$4,087.20 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $612.75–$2,012.98 | 1% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $612.75–$2,012.98 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 CT-EXCISED BENIGN LESION < 5CM | $882.50 | $882.50 | $573.63–$2,828.47 | at median | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 CT-EXCISED BENIGN LESION < 5CM | $882.50 | $882.50 | $573.63–$2,828.47 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $3,386.00 | $3,386.00 | $2,200.90–$19,530.41 | 73% below | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT | $3,386.00 | $3,386.00 | $2,200.90–$19,530.41 | — | — |
| Paracentesis with imaging guidance CPT 49083 PUNCH CORNEAL DONOR 8.5/9 | $545.40 | $545.40 | $136.35–$1,739.17 | 40% below | — |
| Paracentesis with imaging guidance CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $744.30–$1,739.17 | 83% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,654.00 | $1,654.00 | $744.30–$2,828.47 | 83% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 PUNCH CORNEAL DONOR 8.5/9 | $545.40 | $545.40 | $136.35–$1,739.17 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $1,654.00 | $1,654.00 | $744.30–$2,828.47 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $744.30–$1,739.17 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HWC-EXCISION OF NAIL AND MATRI | $576.00 | $576.00 | $260.31–$576.00 | 3% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HWC-EXCISION OF NAIL AND MATRI | $576.00 | $576.00 | $260.31–$576.00 | — | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $1,276.28–$3,588.32 | at median | — |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $1,276.28–$3,588.32 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $129.13–$516.50 | at median | — |
| Removal of a foreign object under the skin, simple CPT 10120 HWC-I&REMOVE FOREIGN BDY SQ SI | $576.00 | $576.00 | $74.00–$576.00 | 12% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 PLATE, TITANIUM LCDCP 6H | $3,530.00 | $3,530.00 | $74.00–$2,767.44 | 583% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $129.13–$516.50 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HWC-I&REMOVE FOREIGN BDY SQ SI | $576.00 | $576.00 | $74.00–$576.00 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PLATE, TITANIUM LCDCP 6H | $3,530.00 | $3,530.00 | $74.00–$2,767.44 | — | — |
| Short arm splint (forearm and hand) CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $102.24–$456.50 | 165% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $102.24–$456.50 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $129.00–$381.76 | 7% below | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $157.50–$381.76 | 7% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $129.00–$381.76 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $157.50–$381.76 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,721.50 | $1,721.50 | $643.59–$2,828.47 | 155% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 D-IMPLANT NOT CLASSIFIED R11 | $2,751.00 | $2,751.00 | $1,220.00–$2,751.00 | 308% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR | $1,721.50 | $1,721.50 | $643.59–$2,828.47 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 D-IMPLANT NOT CLASSIFIED R11 | $2,751.00 | $2,751.00 | $1,220.00–$2,751.00 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HWC-TANGENTIAL BX SINGLE | $315.00 | $315.00 | $74.00–$1,048.54 | 2% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HWC-TANGENTIAL BX SINGLE | $315.00 | $315.00 | $74.00–$1,048.54 | — | — |
| Thoracentesis with imaging guidance CPT 32555 BLLN,BAKRI POSTPARTUM 24FR | $1,603.50 | $1,603.50 | $721.58–$2,241.78 | 52% above | — |
| Thoracentesis with imaging guidance CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $571.94–$9,688.28 | 122% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 BLLN,BAKRI POSTPARTUM 24FR | $1,603.50 | $1,603.50 | $721.58–$2,241.78 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $571.94–$9,688.28 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 SUTURE, MONCYL 5-0 PS-2 | $83.50 | $83.50 | $37.58–$566.04 | 74% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $411.00 | $411.00 | $184.95–$2,828.47 | 29% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 XR-ANGIO-TRIG PT INJECT,1-2 MU | $411.00 | $411.00 | $184.95–$566.04 | 29% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SUTURE, MONCYL 5-0 PS-2 | $83.50 | $83.50 | $37.58–$566.04 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $411.00 | $411.00 | $184.95–$2,828.47 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 XR-ANGIO-TRIG PT INJECT,1-2 MU | $411.00 | $411.00 | $184.95–$566.04 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 RO-BX BREAST 1ST LESION US IMA | $2,430.00 | $2,430.00 | $129.00–$2,430.00 | at median | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US-GUIDED BREAST BX | $2,430.00 | $2,430.00 | $607.50–$3,292.57 | at median | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 RO-BX BREAST 1ST LESION US IMA | $2,430.00 | $2,430.00 | $129.00–$2,430.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US-GUIDED BREAST BX | $2,430.00 | $2,430.00 | $607.50–$3,292.57 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 SINCALIDE 5MCG VIAL | $558.50 | $558.50 | $128.46–$6,014.04 | 90% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ACUMED PLTE CAP | $923.40 | $923.40 | $230.85–$6,014.04 | 84% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,743.50 | $5,743.50 | $1,329.00–$6,014.04 | at median | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 SINCALIDE 5MCG VIAL | $558.50 | $558.50 | $128.46–$6,014.04 | — | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ACUMED PLTE CAP | $923.40 | $923.40 | $230.85–$6,014.04 | — | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,743.50 | $5,743.50 | $1,329.00–$6,014.04 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HWC-DEBRIDE,SQ 20CM OR LESS | $576.00 | $576.00 | $288.00–$576.00 | at median | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HWC-DEBRIDE,SQ 20CM OR LESS | $576.00 | $576.00 | $288.00–$576.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 LAB-IBD SGI, CRP | $154.06 | $154.06 | $3.89–$1,083.27 | 61% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $542.50 | $542.50 | $80.66–$1,083.27 | 38% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 LAB-IBD SGI,DNASE SENS BY IFA | $825.30 | $825.30 | $32.70–$1,083.27 | 110% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 LAB-IBD SGI, PANCA IGG BY IFA | $825.30 | $825.30 | $32.70–$1,083.27 | 110% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 GUIDE WIRE | $1,590.19 | $1,590.19 | $397.55–$1,083.27 | 305% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OR-ROD SS ST HEX END GLOBUS | $5,423.40 | $5,423.40 | $1,083.27–$3,525.21 | 1281% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 ANCHOR/SCREW BN/BN,TIS/BN | $5,659.20 | $5,659.20 | $1,083.27–$3,678.48 | 1341% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OR-ROD 5.5 ST HEX-END GLOBUS | $5,914.20 | $5,914.20 | $1,083.27–$3,844.23 | 1406% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 LAB-IBD SGI, CRP | $154.06 | $154.06 | $3.89–$1,083.27 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT | $542.50 | $542.50 | $80.66–$1,083.27 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 LAB-IBD SGI,DNASE SENS BY IFA | $825.30 | $825.30 | $32.70–$1,083.27 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 LAB-IBD SGI, PANCA IGG BY IFA | $825.30 | $825.30 | $32.70–$1,083.27 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 GUIDE WIRE | $1,590.19 | $1,590.19 | $397.55–$1,083.27 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR-ROD SS ST HEX END GLOBUS | $5,423.40 | $5,423.40 | $1,083.27–$3,525.21 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ANCHOR/SCREW BN/BN,TIS/BN | $5,659.20 | $5,659.20 | $1,083.27–$3,678.48 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR-ROD 5.5 ST HEX-END GLOBUS | $5,914.20 | $5,914.20 | $1,083.27–$3,844.23 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction both sides CPT 94640 XR-HIPS,BILAT W/PELVIS 5 VIEWS | $998.50 | $998.50 | $95.32–$649.03 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $300.50 | $300.50 | $41.57–$300.50 | 140% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ACUMED HEAD RAD ANG | $20,790.00 | $20,790.00 | $122.49–$13,513.50 | 16499% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ALLODERM | $21,070.00 | $21,070.00 | $113.46–$13,695.50 | 16722% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient both sides CPT 94640 XR-HIPS,BILAT W/PELVIS 5 VIEWS | $998.50 | $998.50 | $95.32–$649.03 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $300.50 | $300.50 | $41.57–$300.50 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ACUMED HEAD RAD ANG | $20,790.00 | $20,790.00 | $122.49–$13,513.50 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ALLODERM | $21,070.00 | $21,070.00 | $113.46–$13,695.50 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $615.00 | $615.00 | $276.75–$615.00 | 37% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 OR-HOLDER PLATE SIMPLE 671.201 | $2,197.80 | $2,197.80 | $430.94–$1,428.57 | 390% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 PLATE, LK TALUS 2.4/2.7 | $7,590.54 | $7,590.54 | $430.94–$4,933.85 | 1593% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $615.00 | $615.00 | $276.75–$615.00 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 OR-HOLDER PLATE SIMPLE 671.201 | $2,197.80 | $2,197.80 | $430.94–$1,428.57 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 PLATE, LK TALUS 2.4/2.7 | $7,590.54 | $7,590.54 | $430.94–$4,933.85 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 ARM SLING, PEDS | $27.00 | $27.00 | $12.15–$192.24 | 83% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 ARM SLING, PEDS | $27.00 | $27.00 | $12.15–$192.24 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,497.50 | $1,497.50 | $344.00–$2,641.88 | 36% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $1,497.50 | $1,497.50 | $344.00–$2,641.88 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG-EEG AWAKE AND DROWSY | $1,045.00 | $1,045.00 | $196.87–$1,045.00 | 67% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG-EEG AWAKE AND DROWSY | $1,045.00 | $1,045.00 | $196.87–$1,045.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $202.50 | $202.50 | $50.63–$202.50 | 83% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $202.50 | $202.50 | $50.63–$202.50 | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$1,148.53 | at median | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$1,148.53 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $203.00 | $203.00 | $50.75–$286.46 | 42% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 RO-SPECIAL PHYSICS CONSULT | $910.00 | $910.00 | $122.55–$910.00 | 536% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SYMPHION FLUID MANAGEMENT | $3,292.20 | $3,292.20 | $286.46–$2,139.93 | 2202% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $203.00 | $203.00 | $50.75–$286.46 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 RO-SPECIAL PHYSICS CONSULT | $910.00 | $910.00 | $122.55–$910.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SYMPHION FLUID MANAGEMENT | $3,292.20 | $3,292.20 | $286.46–$2,139.93 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $375.00 | $375.00 | $93.75–$375.00 | 50% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM | $375.00 | $375.00 | $93.75–$375.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HEP B IMMUNE GLOBULIN,IM,0.5ML | $438.82 | $438.82 | $69.59–$286.46 | 25% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $165.00–$660.00 | 88% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HEP B IMMUNE GLOBULIN,IM,0.5ML | $438.82 | $438.82 | $69.59–$286.46 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $165.00–$660.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SINUS, ACLRT SYS ILLUMINATION | $3,070.00 | $3,070.00 | $286.46–$1,995.50 | 439% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 AXIS DERMIS ALLOGRAFT 8X12CM | $20,768.40 | $20,768.40 | $286.46–$13,499.46 | 3545% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CYTAL BURN MATRIX 10X15CM | $20,820.00 | $20,820.00 | $113.46–$13,533.00 | 3554% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SINUS, ACLRT SYS ILLUMINATION | $3,070.00 | $3,070.00 | $286.46–$1,995.50 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 AXIS DERMIS ALLOGRAFT 8X12CM | $20,768.40 | $20,768.40 | $286.46–$13,499.46 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CYTAL BURN MATRIX 10X15CM | $20,820.00 | $20,820.00 | $113.46–$13,533.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CYTAL BURN MATRIX 7X10CM | $9,785.40 | $9,785.40 | $113.46–$6,360.51 | 1112% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CYTAL BURN MATRIX 7X10CM | $9,785.40 | $9,785.40 | $113.46–$6,360.51 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $196.87–$986.00 | 62% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CODMAN EXT. DRAINAGE SYSTEM | $1,297.00 | $1,297.00 | $394.33–$843.05 | 113% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $196.87–$986.00 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CODMAN EXT. DRAINAGE SYSTEM | $1,297.00 | $1,297.00 | $394.33–$843.05 | — | — |
| Group psychotherapy session CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$503.74 | at median | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$503.74 | at median | — |
| Group psychotherapy session CPT 90853 D-PERSONAL INTERBODY CAGE R08 | $1,474.00 | $1,474.00 | $368.50–$958.10 | 1047% above | — |
| Group psychotherapy session CPT 90853 FORCEPS BIOPSY 2.0MM | $4,268.00 | $4,268.00 | $503.74–$2,774.20 | 3221% above | — |
| Group psychotherapy session inpatient CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$503.74 | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$503.74 | — | — |
| Group psychotherapy session inpatient CPT 90853 D-PERSONAL INTERBODY CAGE R08 | $1,474.00 | $1,474.00 | $368.50–$958.10 | — | — |
| Group psychotherapy session inpatient CPT 90853 FORCEPS BIOPSY 2.0MM | $4,268.00 | $4,268.00 | $503.74–$2,774.20 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $375.00 | $375.00 | $93.75–$712.99 | 60% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PLTE 3.5 WD ANG LP RECON 4H | $2,713.50 | $2,713.50 | $273.74–$1,763.78 | 1060% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PLTE 3.5 LP RECON 8H | $3,958.80 | $3,958.80 | $273.74–$2,573.22 | 1592% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $375.00 | $375.00 | $93.75–$712.99 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PLTE 3.5 WD ANG LP RECON 4H | $2,713.50 | $2,713.50 | $273.74–$1,763.78 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PLTE 3.5 LP RECON 8H | $3,958.80 | $3,958.80 | $273.74–$2,573.22 | — | — |
| IV infusion of a medicine, first hour CPT 96365 PED-THERAP INFUS 1ST HR, INI | $400.00 | $400.00 | $100.00–$712.99 | 37% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $100.00–$400.00 | 37% above | — |
| IV infusion of a medicine, first hour CPT 96365 WIRE MEIER THORACIC | $481.00 | $481.00 | $216.45–$712.99 | 65% above | — |
| IV infusion of a medicine, first hour CPT 96365 PLTE 3.5 LP RECON 10H | $3,410.00 | $3,410.00 | $273.74–$2,216.50 | 1071% above | — |
| IV infusion of a medicine, first hour CPT 96365 ANCHOR/SCREW BN/BN,TIS/BN | $10,571.50 | $10,571.50 | $273.74–$6,871.48 | 3530% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 PED-THERAP INFUS 1ST HR, INI | $400.00 | $400.00 | $100.00–$712.99 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $100.00–$400.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 WIRE MEIER THORACIC | $481.00 | $481.00 | $216.45–$712.99 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 PLTE 3.5 LP RECON 10H | $3,410.00 | $3,410.00 | $273.74–$2,216.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 ANCHOR/SCREW BN/BN,TIS/BN | $10,571.50 | $10,571.50 | $273.74–$6,871.48 | — | — |
| IV push of a medicine, first drug CPT 96374 RILUTEK 50MG TABLET | $92.98 | $92.98 | $41.84–$103.93 | 35% below | — |
| IV push of a medicine, first drug CPT 96374 CANL VENOUS 24F ST CVOR | $200.00 | $200.00 | $90.00–$200.00 | 39% above | — |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $375.00 | $375.00 | $103.93–$375.00 | 160% above | — |
| IV push of a medicine, first drug CPT 96374 PK OR ANGIO | $546.00 | $546.00 | $103.93–$418.79 | 279% above | — |
| IV push of a medicine, first drug CPT 96374 PLTE CF LK 2.0X3X3H LG CRESENT | $5,148.00 | $5,148.00 | $103.93–$3,346.20 | 3475% above | — |
| IV push of a medicine, first drug CPT 96374 PLTE 3.5 LP RECON 20H | $5,589.00 | $5,589.00 | $103.93–$3,632.85 | 3781% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 RILUTEK 50MG TABLET | $92.98 | $92.98 | $41.84–$103.93 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 CANL VENOUS 24F ST CVOR | $200.00 | $200.00 | $90.00–$200.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $375.00 | $375.00 | $103.93–$375.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 PK OR ANGIO | $546.00 | $546.00 | $103.93–$418.79 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 PLTE CF LK 2.0X3X3H LG CRESENT | $5,148.00 | $5,148.00 | $103.93–$3,346.20 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 PLTE 3.5 LP RECON 20H | $5,589.00 | $5,589.00 | $103.93–$3,632.85 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 BEVACIZUMAB 1.25MG/.05ML INVIT | $84.06 | $84.06 | $37.83–$103.93 | 28% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 LAB-COMPLEX SPECIAL STAIN FOR | $91.50 | $91.50 | $13.49–$103.93 | 40% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $65.65–$147.50 | 125% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CT-OMNIPAQUE 350 100ML | $550.00 | $550.00 | $92.46–$357.50 | 740% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CORLOPAM 10MG/ML 1ML AMP | $713.78 | $713.78 | $92.46–$463.96 | 990% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OR-BREAST,KELLER FUNNEL | $1,273.80 | $1,273.80 | $92.46–$827.97 | 1846% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CATH CTO MICROGUIDE XXCM | $2,125.50 | $2,125.50 | $92.46–$1,381.58 | 3147% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 BEVACIZUMAB 1.25MG/.05ML INVIT | $84.06 | $84.06 | $37.83–$103.93 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LAB-COMPLEX SPECIAL STAIN FOR | $91.50 | $91.50 | $13.49–$103.93 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $65.65–$147.50 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CT-OMNIPAQUE 350 100ML | $550.00 | $550.00 | $92.46–$357.50 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CORLOPAM 10MG/ML 1ML AMP | $713.78 | $713.78 | $92.46–$463.96 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OR-BREAST,KELLER FUNNEL | $1,273.80 | $1,273.80 | $92.46–$827.97 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CATH CTO MICROGUIDE XXCM | $2,125.50 | $2,125.50 | $92.46–$1,381.58 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EEG-NERVE CONDUCTION STUDY;7-8 | $1,446.00 | $1,446.00 | $340.23–$939.90 | 29% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 EEG-NERVE CONDUCTION STUDY;7-8 | $1,446.00 | $1,446.00 | $340.23–$939.90 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $30.63–$126.00 | 43% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $30.63–$151.50 | 72% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $151.50 | $151.50 | $30.63–$151.50 | 72% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 D-JOINT DEVICE R03 | $491.50 | $491.50 | $90.85–$319.48 | 459% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 D-JOINT DEVICE R04 | $688.00 | $688.00 | $90.85–$447.20 | 682% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PLTE TIT LOPRO BX 10 | $1,200.60 | $1,200.60 | $90.85–$780.39 | 1264% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $30.63–$126.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $151.50 | $151.50 | $30.63–$151.50 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $30.63–$151.50 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 D-JOINT DEVICE R03 | $491.50 | $491.50 | $90.85–$319.48 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 D-JOINT DEVICE R04 | $688.00 | $688.00 | $90.85–$447.20 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PLTE TIT LOPRO BX 10 | $1,200.60 | $1,200.60 | $90.85–$780.39 | — | — |
| New patient office visit, about 30 minutes CPT 99203 XR-BANANA PEEL SHEATH | $267.00 | $267.00 | $66.75–$286.46 | 39% above | — |
| New patient office visit, about 30 minutes CPT 99203 ANCHOR/SCREW BN/BN,TIS/BN | $448.00 | $448.00 | $112.00–$291.20 | 133% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 XR-BANANA PEEL SHEATH | $267.00 | $267.00 | $66.75–$286.46 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 ANCHOR/SCREW BN/BN,TIS/BN | $448.00 | $448.00 | $112.00–$291.20 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $129.00–$188.00 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 MRC O/P NEW LEVEL 5 | $493.00 | $493.00 | $129.00–$246.50 | 42% above | — |
| New patient office visit, about 60 minutes CPT 99205 OR-PLT CRNMXF 23H LVL1 | $524.50 | $524.50 | $131.13–$340.93 | 51% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $129.00–$188.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 MRC O/P NEW LEVEL 5 | $493.00 | $493.00 | $129.00–$246.50 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OR-PLT CRNMXF 23H LVL1 | $524.50 | $524.50 | $131.13–$340.93 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $192.50 | $192.50 | $86.63–$172.00 | 50% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OR-PLT CRNMXF 20H LVL1 | $602.50 | $602.50 | $150.63–$391.63 | 371% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 XR-HEADHUNTER GUIDEWIRE | $2,279.50 | $2,279.50 | $286.46–$1,481.68 | 1681% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $192.50 | $192.50 | $86.63–$172.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OR-PLT CRNMXF 20H LVL1 | $602.50 | $602.50 | $150.63–$391.63 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 XR-HEADHUNTER GUIDEWIRE | $2,279.50 | $2,279.50 | $286.46–$1,481.68 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $63.00 | $63.00 | $15.75–$63.00 | 22% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 SJ-MED NUTRITION THERAPY INITI | $88.26 | $88.26 | $29.12–$88.26 | 70% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN | $63.00 | $63.00 | $15.75–$63.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 SJ-MED NUTRITION THERAPY INITI | $88.26 | $88.26 | $29.12–$88.26 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $94.30–$434.55 | 25% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $94.30–$434.55 | 56% above | — |
| Occupational therapy evaluation, low complexity one side CPT 97165 XR-ANGIO-NEPHROURETER STENT,RT | $8,476.50 | $8,476.50 | $434.55–$6,427.80 | 3712% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $94.30–$434.55 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $94.30–$434.55 | — | — |
| Occupational therapy evaluation, low complexity inpatient one side CPT 97165 XR-ANGIO-NEPHROURETER STENT,RT | $8,476.50 | $8,476.50 | $434.55–$6,427.80 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 LAB-HBC TOTAL AB TO MAYO | $117.90 | $117.90 | $9.04–$563.22 | 41% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $556.50 | $556.50 | $91.96–$563.22 | 177% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 XR-ANGIO-EA BIL STENT EXIST AC | $14,419.00 | $14,419.00 | $563.22–$11,024.01 | 7089% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 LAB-HBC TOTAL AB TO MAYO | $117.90 | $117.90 | $9.04–$563.22 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $556.50 | $556.50 | $91.96–$563.22 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 XR-ANGIO-EA BIL STENT EXIST AC | $14,419.00 | $14,419.00 | $563.22–$11,024.01 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PPT-EVAL PLAN, LOW COMPLEXITY | $347.63 | $347.63 | $91.96–$225.96 | 98% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PPT-EVAL PLAN, LOW COMPLEXITY | $347.63 | $347.63 | $91.96–$225.96 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $417.00 | $417.00 | $91.96–$271.05 | 95% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 XR-ANGIO-BIL ACCESS/ENDO PROC | $11,065.00 | $11,065.00 | $563.22–$11,065.00 | 5065% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $417.00 | $417.00 | $91.96–$271.05 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 XR-ANGIO-BIL ACCESS/ENDO PROC | $11,065.00 | $11,065.00 | $563.22–$11,065.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $25.95–$121.50 | 8% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $25.95–$146.00 | 30% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 US EXAM PELVIC COMPLETE | $591.50 | $591.50 | $90.85–$384.48 | 428% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $25.95–$121.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $25.95–$146.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 US EXAM PELVIC COMPLETE | $591.50 | $591.50 | $90.85–$384.48 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PPT-THERA EX W/BIOFEEDBACK(15M | $114.50 | $114.50 | $27.20–$114.50 | 84% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTM-THERAPEUTIC EXER,EA 15 MIN | $137.50 | $137.50 | $27.20–$137.50 | 121% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $137.50 | $137.50 | $27.20–$137.50 | 121% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 LAB-DILANTIN LEVEL | $209.50 | $209.50 | $9.94–$209.50 | 237% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PLTE TIT LOPRO ST 4H | $262.00 | $262.00 | $65.50–$170.30 | 322% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ANCHOR/SCREW BN/BN,TIS/BN | $1,252.20 | $1,252.20 | $90.85–$813.93 | 1916% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 GUIDE WIRE | $3,529.00 | $3,529.00 | $90.85–$2,293.85 | 5583% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CATHETER, EP CORONARY SINUS | $15,122.50 | $15,122.50 | $90.85–$9,829.63 | 24252% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PPT-THERA EX W/BIOFEEDBACK(15M | $114.50 | $114.50 | $27.20–$114.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTM-THERAPEUTIC EXER,EA 15 MIN | $137.50 | $137.50 | $27.20–$137.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $137.50 | $137.50 | $27.20–$137.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 LAB-DILANTIN LEVEL | $209.50 | $209.50 | $9.94–$209.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PLTE TIT LOPRO ST 4H | $262.00 | $262.00 | $65.50–$170.30 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ANCHOR/SCREW BN/BN,TIS/BN | $1,252.20 | $1,252.20 | $90.85–$813.93 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 GUIDE WIRE | $3,529.00 | $3,529.00 | $90.85–$2,293.85 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CATHETER, EP CORONARY SINUS | $15,122.50 | $15,122.50 | $90.85–$9,829.63 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 DILATION EYE DROP MIX, 3ML | $182.47 | $182.47 | $45.62–$285.20 | 69% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSY-INDIVIDUAL THERAPY 30 MINS | $218.00 | $218.00 | $54.50–$218.00 | 102% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 DILATION EYE DROP MIX, 3ML | $182.47 | $182.47 | $45.62–$285.20 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY-INDIVIDUAL THERAPY 30 MINS | $218.00 | $218.00 | $54.50–$218.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 NIMODIPINE 30MG/1ML ORAL LIQUI | $36.20 | $36.20 | $9.05–$343.98 | 81% below | — |
| Psychotherapy session, 60 minutes CPT 90837 PSY-INDIVIDUAL THERAPY 60 MINS | $436.00 | $436.00 | $109.00–$323.66 | 126% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 NIMODIPINE 30MG/1ML ORAL LIQUI | $36.20 | $36.20 | $9.05–$343.98 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY-INDIVIDUAL THERAPY 60 MINS | $436.00 | $436.00 | $109.00–$323.66 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION 3-5 MINS | $49.00 | $49.00 | $12.25–$49.00 | 36% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 CCD-SMOK/TOBACCO COUNSEL 3-10M | $177.00 | $177.00 | $34.16–$177.00 | 390% above | — |
| Quit-smoking counseling, 3 to 10 minutes one side CPT 99406 PLTE LEIB 6X17H RECON LT/RT | $11,532.00 | $11,532.00 | $56.67–$7,495.80 | 31827% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE CESSATION 3-5 MINS | $49.00 | $49.00 | $12.25–$49.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 CCD-SMOK/TOBACCO COUNSEL 3-10M | $177.00 | $177.00 | $34.16–$177.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient one side CPT 99406 PLTE LEIB 6X17H RECON LT/RT | $11,532.00 | $11,532.00 | $56.67–$7,495.80 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OR-PLT CRNMXF 34-35H LVL1 | $1,033.00 | $1,033.00 | $258.25–$671.45 | 379% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OR-PLT CRNMXF 34-35H LVL1 | $1,033.00 | $1,033.00 | $258.25–$671.45 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $297.00 | $297.00 | $129.00–$172.00 | 55% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PC-CLINIC VISIT LEVEL 4, ESTAB | $356.50 | $356.50 | $129.00–$178.25 | 86% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 XR-ANGIODYNAMICS INFUSION CATH | $1,066.50 | $1,066.50 | $266.63–$693.23 | 455% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $297.00 | $297.00 | $129.00–$172.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PC-CLINIC VISIT LEVEL 4, ESTAB | $356.50 | $356.50 | $129.00–$178.25 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 XR-ANGIODYNAMICS INFUSION CATH | $1,066.50 | $1,066.50 | $266.63–$693.23 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 KETALAR 100MG 5ML | $82.64 | $82.64 | $20.66–$286.46 | 15% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $86.63–$172.00 | 98% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $103.95–$172.00 | 138% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 KETALAR 100MG 5ML | $82.64 | $82.64 | $20.66–$286.46 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $86.63–$172.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $103.95–$172.00 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 TVGO-OFF/OP CNSLTJ NEW/EST LOW | $355.00 | $355.00 | $129.00–$177.50 | 177% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 TVGO-OFF/OP CNSLTJ NEW/EST LOW | $355.00 | $355.00 | $129.00–$177.50 | — | — |
| Speech and language evaluation both sides CPT 92523 INS CATH REN ART 1ST BILAT | $8,614.50 | $8,614.50 | $150.00–$5,757.66 | — | — |
| Speech and language evaluation one side CPT 92523 XR-VERT SEL SUBCL/INNOM,UNI,RT | $12,479.00 | $12,479.00 | $150.00–$8,111.35 | 2717% above | — |
| Speech and language evaluation inpatient both sides CPT 92523 INS CATH REN ART 1ST BILAT | $8,614.50 | $8,614.50 | $150.00–$5,757.66 | — | — |
| Speech and language evaluation inpatient one side CPT 92523 XR-VERT SEL SUBCL/INNOM,UNI,RT | $12,479.00 | $12,479.00 | $150.00–$8,111.35 | — | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC15) | $108.50 | $108.50 | $48.83–$543.68 | at median | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC/30) | $244.50 | $244.50 | $71.96–$543.68 | 125% above | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC/60) | $414.00 | $414.00 | $71.96–$543.68 | 282% above | — |
| Speech therapy session, individual CPT 92507 INSERT PACING LEAD & CONNECT | $2,569.00 | $2,569.00 | $543.68–$9,815.49 | 2268% above | — |
| Speech therapy session, individual CPT 92507 D-JOINT DEVICE R22 | $72,250.00 | $72,250.00 | $543.68–$46,962.50 | 66490% above | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC15) | $108.50 | $108.50 | $48.83–$543.68 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC/30) | $244.50 | $244.50 | $71.96–$543.68 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC/60) | $414.00 | $414.00 | $71.96–$543.68 | — | — |
| Speech therapy session, individual inpatient CPT 92507 INSERT PACING LEAD & CONNECT | $2,569.00 | $2,569.00 | $543.68–$9,815.49 | — | — |
| Speech therapy session, individual inpatient CPT 92507 D-JOINT DEVICE R22 | $72,250.00 | $72,250.00 | $543.68–$46,962.50 | — | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $493.50 | $493.50 | $62.09–$493.50 | 186% above | — |
| Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST | $493.50 | $493.50 | $62.09–$493.50 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 BASIC SPIROMETRY W/DILATOR | $852.50 | $852.50 | $213.13–$852.50 | 171% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $213.13–$852.50 | 171% above | — |
| Spirometry before and after a bronchodilator CPT 94060 OR-PLATE APT ANT CERV C154-XX- | $6,500.00 | $6,500.00 | $240.76–$4,225.00 | 1963% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $213.13–$852.50 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BASIC SPIROMETRY W/DILATOR | $852.50 | $852.50 | $213.13–$852.50 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 OR-PLATE APT ANT CERV C154-XX- | $6,500.00 | $6,500.00 | $240.76–$4,225.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 SUTURE, PROLENE 0 FSLX | $61.20 | $61.20 | $15.30–$90.85 | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 LAB-RENIN | $110.04 | $110.04 | $16.49–$110.04 | 80% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PPT-THERAP ACTIVITIES 15 MINS | $119.00 | $119.00 | $32.42–$119.00 | 94% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $24.61–$143.50 | 134% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $32.42–$200.00 | 382% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SUTURE, PROLENE 0 FSLX | $61.20 | $61.20 | $15.30–$90.85 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 LAB-RENIN | $110.04 | $110.04 | $16.49–$110.04 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PPT-THERAP ACTIVITIES 15 MINS | $119.00 | $119.00 | $32.42–$119.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $24.61–$143.50 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $32.42–$200.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $121.31–$332.50 | 200% above | — |
| Therapeutic phlebotomy (removing blood as treatment) one side CPT 99195 PLATE,HUM 2.7/3.5/10H RT SYN | $8,513.00 | $8,513.00 | $138.10–$5,533.45 | 7569% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $121.31–$332.50 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient one side CPT 99195 PLATE,HUM 2.7/3.5/10H RT SYN | $8,513.00 | $8,513.00 | $138.10–$5,533.45 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $28.55–$547.76 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 2023-24 12Y+ VACCINE | $845.30 | $845.30 | $63.71–$549.45 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SENSOR ADULT INVOS OXIMETER | $864.00 | $864.00 | $63.71–$561.60 | 3% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $28.55–$547.76 | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COMIRNATY 2023-24 12Y+ VACCINE | $845.30 | $845.30 | $63.71–$549.45 | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SENSOR ADULT INVOS OXIMETER | $864.00 | $864.00 | $63.71–$561.60 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 LAB-PROTEIN ELECT,OTHER FLUIDS | $225.50 | $225.50 | $13.37–$258.20 | 54% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $158.10–$446.80 | 40% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 LAB-PROTEIN ELECT,OTHER FLUIDS | $225.50 | $225.50 | $13.37–$258.20 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $158.10–$446.80 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TRIPLE ANTIGEN INJ 0.5ML | $154.88 | $154.88 | $38.72–$154.88 | 40% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TRIPLE ANTIGEN INJ 0.5ML | $154.88 | $154.88 | $38.72–$154.88 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX 0.5ML SD VIAL | $373.09 | $373.09 | $63.71–$242.51 | 13% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX 0.5ML SD VIAL | $373.09 | $373.09 | $63.71–$242.51 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX VACCINE 0.5 ML 2024-25 | $114.55 | $114.55 | $18.33–$74.46 | 112% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX VACCINE 0.5 ML 2024-25 | $114.55 | $114.55 | $18.33–$74.46 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $370.36–$1,046.67 | 25% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $370.36–$1,046.67 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1ML SYR | $377.12 | $377.12 | $63.71–$245.13 | 146% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1ML SYR | $377.12 | $377.12 | $63.71–$245.13 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX PED .5ML VIAL | $221.80 | $221.80 | $45.14–$144.17 | 85% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX PED .5ML VIAL | $221.80 | $221.80 | $45.14–$144.17 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ANCHOR/SCREW BN/BN,TIS/BN | $29.50 | $29.50 | $7.38–$63.71 | 80% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $35.26–$143.24 | 46% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ANCHOR/SCREW BN/BN,TIS/BN | $29.50 | $29.50 | $7.38–$63.71 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $35.26–$143.24 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML SYR | $95.16 | $95.16 | $15.23–$63.71 | 26% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML SYR | $95.16 | $95.16 | $15.23–$63.71 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACINE | $329.51 | $329.51 | $82.38–$214.18 | 107% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACINE | $329.51 | $329.51 | $82.38–$214.18 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $149.92–$423.69 | 93% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $175.44–$701.76 | 108% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $149.92–$423.69 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $175.44–$701.76 | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 CT-PERQ SACRAL AUGMENT UNI INJ | $5,212.00 | $5,212.00 | $258.20–$6,814.32 | 647% above | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 CT-PERQ SACRAL AUGMENT UNI INJ | $5,212.00 | $5,212.00 | $258.20–$6,814.32 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMO CONJ VACCINE, 13 VALENT | $1,051.74 | $1,051.74 | $168.28–$683.63 | 111% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMO CONJ VACCINE, 13 VALENT | $1,051.74 | $1,051.74 | $168.28–$683.63 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VACCINE | $916.93 | $916.93 | $146.71–$596.00 | 35% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 VAXNEUVANCE VACCINE | $916.93 | $916.93 | $146.71–$596.00 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE | $1,056.56 | $1,056.56 | $169.05–$686.76 | 30% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 VACCINE | $1,056.56 | $1,056.56 | $169.05–$686.76 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX | $520.95 | $520.95 | $63.71–$338.62 | 170% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX | $520.95 | $520.95 | $63.71–$338.62 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100 MCG/ML SYR | $3,619.54 | $3,619.54 | $686.46–$2,641.88 | at median | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 DEV BLLN DIL XPRESS LOPROFILE | $15,705.08 | $15,705.08 | $2,641.88–$10,208.30 | 334% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 BEYFORTUS 100 MCG/ML SYR | $3,619.54 | $3,619.54 | $686.46–$2,641.88 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 DEV BLLN DIL XPRESS LOPROFILE | $15,705.08 | $15,705.08 | $2,641.88–$10,208.30 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MCG/0.5 ML SYR | $3,619.54 | $3,619.54 | $686.46–$2,641.88 | at median | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MCG/0.5 ML SYR | $3,619.54 | $3,619.54 | $686.46–$2,641.88 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 MOD SED SAME PHYS/QHP 5/>YRS | $595.50 | $595.50 | $148.88–$387.08 | 67% below | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 MOD SED SAME PHYS/QHP 5/>YRS | $595.50 | $595.50 | $148.88–$387.08 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $240.55–$962.18 | 49% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $240.55–$962.18 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $8.59–$63.71 | 69% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $8.59–$63.71 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPH/ACEL PERTUS>7 0.5ML | $294.12 | $294.12 | $67.65–$191.18 | 122% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET/DIPH/ACEL PERTUS>7 0.5ML | $294.12 | $294.12 | $67.65–$191.18 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $89.00 | $89.00 | $22.25–$90.43 | 49% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ALDARA 5% CREAM 0.25GM PACKET | $97.70 | $97.70 | $24.43–$97.70 | 64% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 XR-EPIDURAL BLOOD PATCH | $1,225.50 | $1,225.50 | $90.43–$2,828.47 | 1954% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 DRSG TRAC ABD ABTHERA | $2,692.50 | $2,692.50 | $90.43–$1,750.13 | 4414% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OR-ARTHREX BIOCOMPOSITE IMPLAN | $10,320.00 | $10,320.00 | $90.43–$6,708.00 | 17201% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $89.00 | $89.00 | $22.25–$90.43 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ALDARA 5% CREAM 0.25GM PACKET | $97.70 | $97.70 | $24.43–$97.70 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 XR-EPIDURAL BLOOD PATCH | $1,225.50 | $1,225.50 | $90.43–$2,828.47 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 DRSG TRAC ABD ABTHERA | $2,692.50 | $2,692.50 | $90.43–$1,750.13 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OR-ARTHREX BIOCOMPOSITE IMPLAN | $10,320.00 | $10,320.00 | $90.43–$6,708.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $107.00 | $107.00 | $26.75–$107.00 | 116% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $30.59–$118.56 | 156% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SURGICEL POWDER ABSORBABLE HEM | $1,419.60 | $1,419.60 | $90.43–$922.74 | 2762% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD | $107.00 | $107.00 | $26.75–$107.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $30.59–$118.56 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SURGICEL POWDER ABSORBABLE HEM | $1,419.60 | $1,419.60 | $90.43–$922.74 | — | — |
Source file: https://hh.health/wp-content/uploads/630845288_Huntsville-Hospital_standardcharges.csv