Hospital Peoria, IL

Carle Eureka Hospital

Carle Eureka Hospital in Eureka, IL publishes cash prices for 423 common procedures listed here, from its own machine-readable price file updated Apr 15, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 236 of 417 procedures and below it for 162. By typical cash price it ranks #54 of 105 Illinois hospitals and #2 of 5 hospitals in the Peoria, IL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

101 S Major St, Eureka, IL 61530-1246 Collected Sep 29, 2026 Source price file (309) 467-2371

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 141309 · CMS hospital register NPI 1184644023

The price file shows no self-pay discount

For 1904 of the 1904 prices listed here, the cash price in Carle Eureka 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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Xrays 3/> Views	$412.00	$412.00	$17.69–$346.08	20% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Xrays 3/> Views	$412.00	$412.00	$31.21–$272.33	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Artl Extmty Dpplr Sngl Lvl Bilat	$554.00	$554.00	$76.75–$465.36	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non-Invas Physiologic Std Extremity Art 2 Level	$414.00	$414.00	$76.75–$347.76	4% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Tcom During Hbo -Lower Legies	$554.00	$554.00	$76.75–$465.36	38% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Single Level Arterial Studies	$554.00	$554.00	$76.75–$465.36	38% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non-Invas Physiologic Std Extremity Art 1-2 Level	$554.00	$554.00	$76.75–$465.36	38% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Artl Extmty Dpplr Sngl Lvl Bilat	$554.00	$554.00	$55.40–$366.19	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Non-Invas Physiologic Std Extremity Art 2 Level	$414.00	$414.00	$41.40–$273.65	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Non-Invas Physiologic Std Extremity Art 1-2 Level	$554.00	$554.00	$55.40–$366.19	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Single Level Arterial Studies	$554.00	$554.00	$55.40–$366.19	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Tcom During Hbo -Lower Legies	$554.00	$554.00	$55.40–$366.19	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus Xrays	$776.00	$776.00	$60.05–$651.84	36% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus Xrays	$776.00	$776.00	$77.60–$512.94	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone/Joint Imaging -Whole Body	$2,111.00	$2,111.00	$230.10–$1,773.24	35% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone/Joint Imaging -Whole Body	$2,111.00	$2,111.00	$211.10–$1,395.37	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Unilateral Complete	$872.00	$872.00	$88.04–$732.48	80% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Unilateral Complete	$872.00	$872.00	$87.20–$576.39	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilateral Limited	$579.00	$579.00	$72.78–$486.36	36% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Unilateral Limited	$579.00	$579.00	$57.90–$382.72	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography -Chest	$4,388.00	$4,388.00	$187.96–$3,685.92	58% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography -Chest	$4,388.00	$4,388.00	$268.46–$2,900.47	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Hrt W/3d Image	$1,597.00	$1,597.00	$296.57–$1,341.48	6% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Hrt W/3d Image	$1,597.00	$1,597.00	$159.70–$1,055.62	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Hrt W/O Dye W/Ca Test	$644.00	$644.00	$93.26–$1,700.00	867% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Hrt W/O Dye W/Ca Test	$644.00	$644.00	$64.40–$425.68	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis W/O Contrast	$5,390.00	$5,390.00	$194.99–$4,527.60	57% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis W/O Contrast	$5,390.00	$5,390.00	$194.99–$3,562.79	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W/ Contrast	$6,523.00	$6,523.00	$322.23–$5,479.32	52% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis W/ Contrast	$6,523.00	$6,523.00	$322.23–$4,311.70	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W/ & W/O Contrast	$7,202.00	$7,202.00	$360.53–$6,049.68	48% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis W/ & W/O Contrast	$7,202.00	$7,202.00	$360.53–$4,760.52	—	—
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast	$4,328.00	$4,328.00	$187.96–$3,635.52	94% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast	$4,328.00	$4,328.00	$240.71–$2,860.81	—	—
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast	$1,384.00	$1,384.00	$112.03–$1,700.00	22% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast	$3,602.00	$3,602.00	$144.95–$2,380.92	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 G CT Scan,Maxillofacial Area,W/O Contrast	$1,384.00	$1,384.00	$112.03–$1,700.00	9% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast	$3,088.00	$3,088.00	$112.03–$2,593.92	103% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 G CT Scan,Maxillofacial Area,W/O Contrast	$1,384.00	$1,384.00	$135.00–$914.82	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial W/O Contrast	$3,088.00	$3,088.00	$135.00–$2,041.17	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast	$3,303.00	$3,303.00	$112.03–$2,774.52	93% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast	$3,303.00	$3,303.00	$112.18–$2,183.28	—	—
CT scan of the head with contrast CPT 70460 CT Head/Brain W/Contrast	$3,077.00	$3,077.00	$156.33–$2,584.68	63% above	—
CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast	$3,077.00	$3,077.00	$156.33–$2,033.90	—	—
CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/O & W/Contrast	$3,542.00	$3,542.00	$183.83–$2,975.28	55% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/O & W/Contrast	$3,542.00	$3,542.00	$183.83–$2,341.26	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Contrast	$3,232.00	$3,232.00	$112.03–$2,714.88	50% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Contrast	$3,232.00	$3,232.00	$136.14–$2,136.35	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Contrast	$3,827.00	$3,827.00	$112.03–$3,214.68	70% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O Contrast	$3,827.00	$3,827.00	$136.80–$2,529.65	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast	$4,388.00	$4,388.00	$187.96–$3,685.92	110% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast	$4,388.00	$4,388.00	$234.93–$2,900.47	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$970.00	$970.00	$82.00–$814.80	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial,Bilat	$1,384.00	$1,384.00	$179.04–$1,162.56	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scn Extrcrn Art Bilat Cmplt	$1,384.00	$1,384.00	$179.04–$1,162.56	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$970.00	$970.00	$97.00–$641.17	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial,Bilat	$1,384.00	$1,384.00	$138.40–$914.82	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scn Extrcrn Art Bilat Cmplt	$1,384.00	$1,384.00	$138.40–$914.82	—	—
Chest X-ray, 2 views CPT 71046 Radiologic Exam Chest 2 Views	$340.00	$340.00	$21.87–$285.60	15% above	—
Chest X-ray, 2 views inpatient CPT 71046 Radiologic Exam Chest 2 Views	$340.00	$340.00	$28.59–$224.74	—	—
Chest X-ray, single view CPT 71045 Radiologic Exam Chest Single View	$340.00	$340.00	$18.38–$285.60	42% above	—
Chest X-ray, single view inpatient CPT 71045 Radiologic Exam Chest Single View	$340.00	$340.00	$22.16–$224.74	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retrprtnl Complete	$1,085.00	$1,085.00	$92.47–$911.40	32% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Retrprtnl Complete	$1,085.00	$1,085.00	$92.47–$717.19	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual Energy Bone Densitometry	$776.00	$776.00	$19.80–$651.84	70% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dual Energy Bone Densitometry	$776.00	$776.00	$32.11–$512.94	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa,Bone Density, 1 or > Site, Apndclr Skeltn	$431.00	$431.00	$19.80–$362.04	83% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa,Bone Density, 1 or > Site, Apndclr Skeltn	$431.00	$431.00	$26.61–$284.89	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 High Risk OB Sono Single or 1rst Gest	$896.00	$896.00	$150.89–$752.64	2% below	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 High Risk OB Sono Single or 1rst Gest	$896.00	$896.00	$89.60–$592.26	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contrast	$3,399.00	$3,399.00	$112.03–$2,855.16	88% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest W/O Contrast	$3,399.00	$3,399.00	$140.96–$2,246.74	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W/Contrast	$4,317.00	$4,317.00	$176.07–$3,626.28	85% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W/Contrast	$4,317.00	$4,317.00	$176.07–$2,853.54	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammography Bilat W/Cad	$465.00	$465.00	$93.00–$390.60	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Bilat W/Cad	$465.00	$465.00	$46.50–$307.37	—	—
Diagnostic mammogram, one breast one side CPT 77065 Diagnostic Mammography Unilat W/Cad	$328.00	$328.00	$65.60–$275.52	8% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic Mammography Unilat W/Cad	$328.00	$328.00	$32.80–$216.81	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$1,235.00	$1,235.00	$82.00–$1,037.40	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dplx Scn Lwr Ext Art Bilat Cmplt	$1,360.00	$1,360.00	$223.89–$1,142.40	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Lo Extrem Art Bilat	$1,360.00	$1,360.00	$223.89–$1,142.40	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$1,235.00	$1,235.00	$123.50–$816.34	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplex Lo Extrem Art Bilat	$1,360.00	$1,360.00	$136.00–$898.96	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dplx Scn Lwr Ext Art Bilat Cmplt	$1,360.00	$1,360.00	$136.00–$898.96	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$948.00	$948.00	$82.00–$796.32	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Bilateral Venous Duplex	$2,063.00	$2,063.00	$176.18–$1,732.92	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Extrem Venous,Bilat	$2,063.00	$2,063.00	$176.18–$1,732.92	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$948.00	$948.00	$94.80–$626.63	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Extrem Venous,Bilat	$2,063.00	$2,063.00	$176.18–$1,363.64	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Bilateral Venous Duplex	$2,063.00	$2,063.00	$176.18–$1,363.64	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$1,014.00	$1,014.00	$82.00–$851.76	47% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete W/O Contrast	$1,705.00	$1,705.00	$201.38–$1,432.20	11% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Heart Xthoracic,Complete W Doppler	$1,705.00	$1,705.00	$201.38–$1,432.20	11% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$1,014.00	$1,014.00	$101.40–$670.25	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler, Complete W/O Contrast	$1,705.00	$1,705.00	$170.50–$1,127.01	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Heart Xthoracic,Complete W Doppler	$1,705.00	$1,705.00	$170.50–$1,127.01	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Syst Imaging W/Glbldr	$2,611.00	$2,611.00	$252.33–$2,193.24	89% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Syst Imaging W/Glbldr	$2,611.00	$2,611.00	$252.33–$1,725.87	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff	$7,143.00	$7,143.00	$80.64–$6,000.12	793% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff	$7,143.00	$7,143.00	$87.32–$4,721.52	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$3,065.00	$3,065.00	$82.00–$2,574.60	30% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 All Night Polysomnogram W/Cpap	$7,143.00	$7,143.00	$226.70–$6,000.12	63% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnogram W/Cpap (Split)	$7,143.00	$7,143.00	$226.70–$6,000.12	63% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$3,065.00	$3,065.00	$306.50–$2,025.97	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnogram W/Cpap (Split)	$7,143.00	$7,143.00	$592.05–$4,721.52	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 All Night Polysomnogram W/Cpap	$7,143.00	$7,143.00	$592.05–$4,721.52	—	—
Knee X-ray, 3 views CPT 73562 Knee Xrays 3 Views	$382.00	$382.00	$19.06–$320.88	at median	—
Knee X-ray, 3 views inpatient CPT 73562 Knee Xrays 3 Views	$382.00	$382.00	$34.26–$252.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound -Abdomen- Limited W/O Contrast	$896.00	$896.00	$75.01–$752.64	41% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdmnl Limited W/O Contrast	$896.00	$896.00	$75.01–$752.64	41% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound -Abdomen- Limited	$896.00	$896.00	$75.01–$752.64	41% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Limited Abdominal Area	$896.00	$896.00	$75.01–$752.64	41% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound -Abdomen- Limited	$896.00	$896.00	$75.01–$592.26	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound -Abdomen- Limited W/O Contrast	$896.00	$896.00	$75.01–$592.26	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Abdmnl Limited W/O Contrast	$896.00	$896.00	$75.01–$592.26	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Limited Abdominal Area	$896.00	$896.00	$75.01–$592.26	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$668.00	$668.00	$112.03–$1,700.00	20% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$668.00	$668.00	$66.80–$441.55	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Ext Joint W/O Contrast	$4,830.00	$4,830.00	$248.21–$4,057.20	74% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Ext Joint W/O Contrast	$4,830.00	$4,830.00	$248.21–$3,192.63	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Joint W & W/O Contrast	$6,869.00	$6,869.00	$373.86–$5,769.96	91% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Joint W & W/O Contrast	$6,869.00	$6,869.00	$475.13–$4,540.41	—	—
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast	$4,459.00	$4,459.00	$241.87–$3,745.56	63% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast	$4,459.00	$4,459.00	$241.87–$2,947.40	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast	$6,869.00	$6,869.00	$373.86–$5,769.96	83% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O & W/Contrast	$6,869.00	$6,869.00	$417.07–$4,540.41	—	—
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast	$4,197.00	$4,197.00	$241.18–$3,525.48	50% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast	$4,197.00	$4,197.00	$241.18–$2,774.22	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/O & W/Contrast	$6,869.00	$6,869.00	$373.86–$5,769.96	72% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/O & W/Contrast	$6,869.00	$6,869.00	$392.65–$4,540.41	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI L Spine W/O Contrast	$4,579.00	$4,579.00	$235.43–$3,846.36	58% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L Spine W/O Contrast	$4,579.00	$4,579.00	$235.43–$3,026.72	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine W/O & W/Contrast	$6,869.00	$6,869.00	$373.86–$5,769.96	68% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L Spine W/O & W/Contrast	$6,869.00	$6,869.00	$393.80–$4,540.41	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T Spine W/O Contrast	$4,401.00	$4,401.00	$234.66–$3,696.84	57% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T Spine W/O Contrast	$4,401.00	$4,401.00	$234.66–$2,909.06	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine W/O & W/Contrast	$6,869.00	$6,869.00	$373.86–$5,769.96	76% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C Spine W/O & W/Contrast	$6,869.00	$6,869.00	$394.56–$4,540.41	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C Spine W/O Contrast	$4,675.00	$4,675.00	$234.66–$3,927.00	59% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C Spine W/O Contrast	$4,675.00	$4,675.00	$234.66–$3,090.18	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast	$7,905.00	$7,905.00	$373.86–$6,640.20	129% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W/Contrast	$7,905.00	$7,905.00	$415.53–$5,225.21	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast	$4,830.00	$4,830.00	$255.69–$4,057.20	88% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast	$4,830.00	$4,830.00	$281.72–$3,192.63	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Uppr Ext Joint W/O Contrast	$4,830.00	$4,830.00	$248.59–$4,057.20	68% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Uppr Ext Joint W/O Contrast	$4,830.00	$4,830.00	$248.59–$3,192.63	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult	$4,245.00	$4,245.00	$366.35–$3,565.80	9% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult	$4,245.00	$4,245.00	$366.35–$2,805.95	—	—
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Cptrized Oph Dx Img Pst Segment Uni/Bi Retina	$204.00	$204.00	$30.94–$171.36	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Ophth Dx Img Post Segmt	$144.00	$144.00	$28.80–$120.96	74% above	—
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 Cptrized Oph Dx Img Pst Segment Uni/Bi Retina	$204.00	$204.00	$20.40–$134.84	—	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr Ophth Dx Img Post Segmt	$144.00	$144.00	$14.40–$95.18	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Scan Skull Base to Midthigh	$8,132.00	$8,132.00	$1,300.00–$6,830.88	36% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Scan Skull Base to Midthigh	$8,132.00	$8,132.00	$813.20–$5,375.25	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Follicles Sono (Repro Med)	$704.00	$704.00	$41.82–$591.36	51% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Pelvis Limited	$704.00	$704.00	$41.82–$591.36	51% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited US Pelvic (Non-OB)	$704.00	$704.00	$41.82–$591.36	51% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Ltd	$704.00	$704.00	$41.82–$591.36	51% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Ltd	$704.00	$704.00	$41.82–$465.34	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Follicles Sono (Repro Med)	$704.00	$704.00	$41.82–$465.34	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Pelvis Limited	$704.00	$704.00	$41.82–$465.34	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited US Pelvic (Non-OB)	$704.00	$704.00	$41.82–$465.34	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvis Complete	$1,085.00	$1,085.00	$89.86–$911.40	45% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvis Complete	$1,085.00	$1,085.00	$89.86–$717.19	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Routine Scrn OB Sono > 14 Wks	$1,085.00	$1,085.00	$112.03–$911.40	56% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Routine Scrn OB Sono > 14 Wks	$1,085.00	$1,085.00	$108.50–$717.19	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Routine OB Sono <14 Wks	$1,085.00	$1,085.00	$100.56–$911.40	73% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Routine OB Sono <14 Wks	$1,085.00	$1,085.00	$100.56–$717.19	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited US Pregnant Uterus	$919.00	$919.00	$69.67–$771.96	84% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Sono Limited	$919.00	$919.00	$69.67–$771.96	84% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Sono Limited	$919.00	$919.00	$69.67–$607.46	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited US Pregnant Uterus	$919.00	$919.00	$69.67–$607.46	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bilat W/Cad	$530.00	$530.00	$106.00–$445.20	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bilat W/Cad	$530.00	$530.00	$53.00–$350.33	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Xrays 2/> Views	$412.00	$412.00	$19.06–$346.08	14% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Xrays 2/> Views	$412.00	$412.00	$29.31–$272.33	—	—
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$2,933.00	$2,933.00	$82.00–$2,463.72	16% below	—
Sleep study in a lab (polysomnography) CPT 95810 All Night Polysomnography	$7,143.00	$7,143.00	$216.86–$6,000.12	105% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$2,933.00	$2,933.00	$293.30–$1,938.71	—	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 All Night Polysomnography	$7,143.00	$7,143.00	$565.68–$4,721.52	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress Tst W/Cmplt Cv Strs Tst W/O Contrast	$2,815.00	$2,815.00	$238.30–$2,364.60	88% above	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$2,815.00	$2,815.00	$238.30–$2,364.60	88% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress Tst W/Cmplt Cv Strs Tst W/O Contrast	$2,815.00	$2,815.00	$238.30–$1,860.72	—	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$2,815.00	$2,815.00	$238.30–$1,860.72	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function Xray	$776.00	$776.00	$53.12–$651.84	22% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Function Xray	$776.00	$776.00	$77.60–$512.94	—	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal	$1,085.00	$1,085.00	$101.68–$911.40	82% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal	$1,085.00	$1,085.00	$101.68–$717.19	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US Preg Uterus Transvag	$1,085.00	$1,085.00	$79.29–$911.40	122% above	—
Transvaginal ultrasound during pregnancy CPT 76817 OB Sono Transvaginal	$1,085.00	$1,085.00	$79.29–$911.40	122% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Preg Uterus Transvag	$1,085.00	$1,085.00	$79.29–$717.19	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB Sono Transvaginal	$1,085.00	$1,085.00	$79.29–$717.19	—	—
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$966.00	$966.00	$99.25–$811.44	1% below	—
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdmnl Complete W/O Contrast	$966.00	$966.00	$99.25–$811.44	1% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$966.00	$966.00	$96.60–$638.53	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdmnl Complete W/O Contrast	$966.00	$966.00	$96.60–$638.53	—	—
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum and Contents	$1,085.00	$1,085.00	$85.87–$911.40	61% above	—
Ultrasound of the scrotum and testicles CPT 76870 Ultrasoundscrotum	$1,085.00	$1,085.00	$85.87–$911.40	61% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasoundscrotum	$1,085.00	$1,085.00	$85.87–$717.19	—	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum and Contents	$1,085.00	$1,085.00	$85.87–$717.19	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound -Thyroid	$1,085.00	$1,085.00	$94.19–$911.40	76% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissues	$1,085.00	$1,085.00	$94.19–$911.40	76% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissues	$1,085.00	$1,085.00	$94.19–$717.19	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound -Thyroid	$1,085.00	$1,085.00	$94.19–$717.19	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper GI (Stomach) Xrays	$811.00	$811.00	$80.53–$681.24	15% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper GI (Stomach) Xrays	$811.00	$811.00	$81.10–$536.07	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Follow-Up Lmtd Ven Duplex	$1,085.00	$1,085.00	$111.61–$911.40	48% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Extrem Venous,Uni or Ltd	$1,085.00	$1,085.00	$111.61–$911.40	48% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$585.00	$585.00	$82.00–$491.40	20% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Follow-Up Lmtd Ven Duplex	$1,085.00	$1,085.00	$108.50–$717.19	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Extrem Venous,Uni or Ltd	$1,085.00	$1,085.00	$108.50–$717.19	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$585.00	$585.00	$58.50–$386.69	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Xrays 3/> Views	$483.00	$483.00	$17.69–$405.72	45% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Xrays 3/> Views	$483.00	$483.00	$34.51–$319.26	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Chg Radex Hip Unilateral With Pelvis 2-3 Views	$412.00	$412.00	$22.55–$346.08	42% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Chg Radex Hip Unilateral With Pelvis 2-3 Views	$412.00	$412.00	$39.59–$272.33	—	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic Exam Abdomen 1 View	$340.00	$340.00	$18.38–$285.60	28% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Radiologic Exam Abdomen 1 View	$340.00	$340.00	$25.46–$224.74	—	—
X-ray of the ankle, 2 views CPT 73600 Ankle Xrays 2 Views	$412.00	$412.00	$16.31–$346.08	44% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 Ankle Xrays 2 Views	$412.00	$412.00	$27.60–$272.33	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) Xrays 2/> Views	$412.00	$412.00	$14.18–$346.08	55% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger(S) Xrays 2/> Views	$412.00	$412.00	$31.92–$272.33	—	—
X-ray of the foot, 2 views CPT 73620 Foot Xrays 2 Views	$340.00	$340.00	$15.64–$285.60	24% above	—
X-ray of the foot, 2 views inpatient CPT 73620 Foot Xrays 2 Views	$340.00	$340.00	$24.03–$224.74	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 Foot Xrays 3/> Views	$412.00	$412.00	$17.01–$346.08	19% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Xrays 3/> Views	$412.00	$412.00	$29.01–$272.33	—	—
X-ray of the hand, 3 or more views CPT 73130 Hand Xrays 3/> Views	$483.00	$483.00	$17.69–$405.72	41% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Xrays 3/> Views	$483.00	$483.00	$31.21–$319.26	—	—
X-ray of the knee, 1 or 2 views CPT 73560 Knee Xrays 1-2 Views	$340.00	$340.00	$16.97–$285.60	11% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee Xrays 1-2 Views	$340.00	$340.00	$28.98–$224.74	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral Xrays 2-3 Views	$632.00	$632.00	$22.55–$530.88	54% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbosacral Xrays 2-3 Views	$632.00	$632.00	$33.81–$417.75	—	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Xrays 4/> Views	$632.00	$632.00	$26.71–$530.88	18% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Xrays 4/> Views	$632.00	$632.00	$43.27–$417.75	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine Xrays 2 Views	$632.00	$632.00	$20.45–$530.88	76% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine Xrays 2 Views	$632.00	$632.00	$27.98–$417.75	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Xrays 3/> Views	$412.00	$412.00	$17.69–$346.08	41% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Xrays 3/> Views	$412.00	$412.00	$32.31–$272.33	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine Xrays 2-3 Views	$412.00	$412.00	$22.55–$346.08	21% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine Xrays 2-3 Views	$412.00	$412.00	$33.54–$272.33	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis Xrays 1-2 Views	$632.00	$632.00	$17.69–$530.88	79% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis Xrays 1-2 Views	$632.00	$632.00	$23.78–$417.75	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Xrays 2/> Vws	$340.00	$340.00	$17.69–$285.60	1% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx Xrays 2/> Vws	$340.00	$340.00	$27.63–$224.74	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase, Alanine Amino	$62.00	$62.00	$4.56–$52.08	18% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase, Alanine Amino	$62.00	$62.00	$4.56–$40.98	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase, Aspartate Amino	$62.00	$62.00	$4.45–$52.08	18% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase, Aspartate Amino	$62.00	$62.00	$4.45–$40.98	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel, Ref	$191.00	$191.00	$38.20–$160.44	23% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel	$364.00	$364.00	$40.96–$305.76	46% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel, Ref	$191.00	$191.00	$19.10–$126.25	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel	$364.00	$364.00	$36.40–$240.60	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Food-Grain Panel Ref	$13.00	$13.00	$2.60–$10.92	51% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Food Nut Panel #1 Ref	$13.00	$13.00	$2.60–$10.92	51% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Food Panel Ref	$13.00	$13.00	$2.60–$10.92	51% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Panel Ref	$13.00	$13.00	$2.60–$10.92	51% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allrg Spc Ige Alpha-Gal Panel Ref	$15.00	$15.00	$3.00–$12.60	44% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige, Each, Ref	$28.00	$28.00	$4.49–$23.52	5% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allrg Spc Ige Qnt/Smqt Ea Ref	$47.00	$47.00	$4.49–$39.48	76% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Panel Ref	$13.00	$13.00	$1.30–$8.59	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Nut Panel #1 Ref	$13.00	$13.00	$1.30–$8.59	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food-Grain Panel Ref	$13.00	$13.00	$1.30–$8.59	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Panel Ref	$13.00	$13.00	$1.30–$8.59	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allrg Spc Ige Alpha-Gal Panel Ref	$15.00	$15.00	$1.50–$9.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige, Each, Ref	$28.00	$28.00	$2.80–$18.51	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allrg Spc Ige Qnt/Smqt Ea Ref	$47.00	$47.00	$4.49–$31.07	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrull Peptide Ab, S Ref	$90.00	$90.00	$11.14–$75.60	7% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrul Peptide Ab Ref	$129.00	$129.00	$11.14–$108.36	54% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrull Peptide Ab, S Ref	$52.00	$52.00	$5.20–$34.37	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrul Peptide Ab Ref	$129.00	$129.00	$11.14–$85.27	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ref	$17.00	$17.00	$3.40–$14.28	81% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab, S Ref	$48.00	$48.00	$9.60–$40.32	47% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibdies(Ana) Ref	$106.00	$106.00	$10.40–$89.04	18% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen	$208.00	$208.00	$10.40–$174.72	131% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Ref	$17.00	$17.00	$1.70–$11.24	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab, S Ref	$48.00	$48.00	$4.80–$31.73	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibdies(Ana) Ref	$106.00	$106.00	$10.40–$70.07	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen	$208.00	$208.00	$10.40–$137.49	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Nat Peptide (Bnp) S, Ref	$200.00	$200.00	$33.76–$168.00	9% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Natriuretic Peptide	$214.00	$214.00	$33.76–$179.76	17% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Ref	$313.00	$313.00	$33.76–$262.92	71% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide	$340.00	$340.00	$33.76–$285.60	85% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natiuretic Peptide Istat (POC)	$340.00	$340.00	$33.76–$285.60	85% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Nat Peptide (Bnp) S, Ref	$200.00	$200.00	$20.00–$132.20	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Natriuretic Peptide	$214.00	$214.00	$21.40–$141.45	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide Ref	$313.00	$313.00	$31.30–$206.89	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natiuretic Peptide Istat (POC)	$340.00	$340.00	$33.76–$224.74	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide	$340.00	$340.00	$33.76–$224.74	—	—
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$107.00	$107.00	$7.28–$89.88	16% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$107.00	$107.00	$7.28–$70.73	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgicalpathology Level-IV	$269.00	$269.00	$53.80–$225.96	12% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV -Surgical Path Ref	$352.00	$352.00	$55.84–$295.68	47% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path-Skin Microscopc Exam	$382.00	$382.00	$55.84–$320.88	60% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surg Path,Gross&Micro	$382.00	$382.00	$55.84–$320.88	60% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV -Surgical Path	$585.00	$585.00	$55.84–$491.40	144% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgicalpathology Level-IV	$269.00	$269.00	$26.90–$177.81	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV -Surgical Path Ref	$352.00	$352.00	$35.20–$232.67	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Surg Path,Gross&Micro	$382.00	$382.00	$38.20–$252.50	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path-Skin Microscopc Exam	$382.00	$382.00	$38.20–$252.50	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV -Surgical Path	$585.00	$585.00	$58.49–$386.69	—	—
Blood culture for bacteria CPT 87040 Blood Culture	$107.00	$107.00	$8.88–$89.88	32% below	—
Blood culture for bacteria CPT 87040 Bacterial Culture, Blood	$208.00	$208.00	$8.88–$174.72	31% above	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$107.00	$107.00	$8.88–$70.73	—	—
Blood culture for bacteria inpatient CPT 87040 Bacterial Culture, Blood	$208.00	$208.00	$8.88–$137.49	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$19.00	$19.00	$3.80–$15.96	18% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Home Veni Puncture	$34.00	$34.00	$6.80–$28.56	48% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture for Lab Specimen	$46.00	$46.00	$7.37–$38.64	100% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Veni Puncture	$46.00	$46.00	$7.37–$38.64	100% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$19.00	$19.00	$1.90–$12.56	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture for Lab Specimen	$30.00	$30.00	$3.00–$19.83	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Home Veni Puncture	$34.00	$34.00	$3.40–$22.47	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Veni Puncture	$46.00	$46.00	$4.60–$30.41	—	—
Blood glucose (sugar) test CPT 82947 Glucose Quantitative Blood Xcpt Reagent Strip	$12.00	$12.00	$2.40–$10.08	66% below	—
Blood glucose (sugar) test CPT 82947 Glucose Misc Ref	$53.00	$53.00	$3.38–$44.52	50% above	—
Blood glucose (sugar) test CPT 82947 Glucose Blood	$57.00	$57.00	$3.38–$47.88	62% above	—
Blood glucose (sugar) test CPT 82947 Blood Glucose Level	$57.00	$57.00	$3.38–$47.88	62% above	—
Blood glucose (sugar) test CPT 82947 Glucose 2 Hr Pp	$57.00	$57.00	$3.38–$47.88	62% above	—
Blood glucose (sugar) test CPT 82947 Assay, Glucose, Blood Quant	$57.00	$57.00	$3.38–$47.88	62% above	—
Blood glucose (sugar) test CPT 82947 Glucose, Quantitative	$62.00	$62.00	$3.38–$52.08	76% above	—
Blood glucose (sugar) test CPT 82947 Gtt Add Glucose	$93.00	$93.00	$3.38–$78.12	164% above	—
Blood glucose (sugar) test CPT 82947 Glucose	$125.00	$125.00	$3.38–$105.00	254% above	—
Blood glucose (sugar) test CPT 82947 Assay Quantitative,Blood Glucose	$193.00	$193.00	$3.38–$162.12	447% above	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Quantitative Blood Xcpt Reagent Strip	$12.00	$12.00	$1.20–$7.93	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Misc Ref	$53.00	$53.00	$3.38–$35.03	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood	$57.00	$57.00	$3.38–$37.68	—	—
Blood glucose (sugar) test inpatient CPT 82947 Assay, Glucose, Blood Quant	$57.00	$57.00	$3.38–$37.68	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hr Pp	$57.00	$57.00	$3.38–$37.68	—	—
Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose Level	$57.00	$57.00	$3.38–$37.68	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Quantitative	$62.00	$62.00	$3.38–$40.98	—	—
Blood glucose (sugar) test inpatient CPT 82947 Gtt Add Glucose	$93.00	$93.00	$3.38–$61.47	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$125.00	$125.00	$3.38–$82.63	—	—
Blood glucose (sugar) test inpatient CPT 82947 Assay Quantitative,Blood Glucose	$193.00	$193.00	$3.38–$127.57	—	—
Blood lead test CPT 83655 Lead, Blood Ref	$21.00	$21.00	$4.20–$17.64	61% below	—
Blood lead test CPT 83655 Lead, B Ref	$48.00	$48.00	$9.60–$40.32	11% below	—
Blood lead test CPT 83655 Lead, Urine (24hr) Ref	$78.00	$78.00	$10.41–$65.52	45% above	—
Blood lead test CPT 83655 Assay of Lead	$92.00	$92.00	$10.41–$77.28	71% above	—
Blood lead test CPT 83655 Lead Ref	$106.00	$106.00	$10.41–$89.04	97% above	—
Blood lead test inpatient CPT 83655 Lead, Blood Ref	$21.00	$21.00	$2.10–$13.88	—	—
Blood lead test inpatient CPT 83655 Lead, B Ref	$48.00	$48.00	$4.80–$31.73	—	—
Blood lead test inpatient CPT 83655 Lead, Urine (24hr) Ref	$78.00	$78.00	$7.80–$51.56	—	—
Blood lead test inpatient CPT 83655 Assay of Lead	$92.00	$92.00	$9.20–$60.81	—	—
Blood lead test inpatient CPT 83655 Lead Ref	$106.00	$106.00	$10.41–$70.07	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg, Qual-Serum	$92.00	$92.00	$6.47–$77.28	2% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Preg, Qual-Serum	$92.00	$92.00	$6.47–$60.81	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing, Abo	$387.00	$387.00	$2.57–$325.08	361% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing; Abo Ref	$516.00	$516.00	$2.57–$433.44	514% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing, Abo	$387.00	$387.00	$2.57–$255.81	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing; Abo Ref	$516.00	$516.00	$2.57–$341.08	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein (Sgi-Prometh)	$26.00	$26.00	$4.45–$21.84	61% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$70.00	$70.00	$4.45–$58.80	4% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein (Sgi-Prometh)	$26.00	$26.00	$2.60–$17.19	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$70.00	$70.00	$4.45–$46.27	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 Cpt-87493-Gpp-C Diff, Toxin Gene, Amp Probe	$208.00	$208.00	$32.05–$174.72	13% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin by Pcr	$382.00	$382.00	$32.05–$320.88	108% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Cpt-87493-Gpp-C Diff, Toxin Gene, Amp Probe	$208.00	$208.00	$20.80–$137.49	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Toxin by Pcr	$382.00	$382.00	$32.05–$252.50	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Ag 19-9, S Ref	$83.00	$83.00	$16.60–$69.72	21% below	—
CA 19-9 blood test (tumor marker) CPT 86301 Tumor Antigen, Ca 19-9 Ref	$147.00	$147.00	$17.90–$123.48	40% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9	$214.00	$214.00	$17.90–$179.76	104% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Ag 19-9, S Ref	$83.00	$83.00	$8.30–$54.86	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Tumor Antigen, Ca 19-9 Ref	$147.00	$147.00	$14.70–$97.17	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9	$214.00	$214.00	$17.90–$141.45	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Tumor Antigen, Ca 125 II Ref	$181.00	$181.00	$17.90–$152.04	12% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca125 (Vista)	$274.00	$274.00	$17.90–$230.16	70% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Tumor Antigen, Ca 125 II Ref	$181.00	$181.00	$17.90–$119.64	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca125 (Vista)	$274.00	$274.00	$17.90–$181.11	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Electrolyte Panel	$86.00	$86.00	$17.20–$72.24	26% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2-Rna, Pcr	$125.00	$125.00	$25.00–$105.00	8% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid	$144.00	$144.00	$28.80–$120.96	25% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$155.00	$155.00	$31.00–$130.20	34% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Electrolyte Panel	$86.00	$86.00	$8.60–$56.85	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2-Rna, Pcr	$125.00	$125.00	$12.50–$82.63	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid	$144.00	$144.00	$14.40–$95.18	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$155.00	$155.00	$15.50–$102.46	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Laboratory Test	$117.00	$117.00	$23.40–$98.28	13% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Laboratory Test Ref	$125.00	$125.00	$25.00–$105.00	7% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Iad Na Chlamydia Trach	$149.00	$149.00	$29.80–$125.16	10% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach, Dna, Amp Probe	$399.00	$399.00	$30.18–$335.16	195% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Laboratory Test	$117.00	$117.00	$11.70–$77.34	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Laboratory Test Ref	$125.00	$125.00	$12.50–$82.63	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Iad Na Chlamydia Trach	$149.00	$149.00	$14.90–$98.49	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach, Dna, Amp Probe	$399.00	$399.00	$30.18–$263.74	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$144.00	$144.00	$11.52–$120.96	13% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$144.00	$144.00	$11.52–$95.18	—	—
Complete blood count (CBC) with differential CPT 85025 Cbc W/Automated Differential	$61.00	$61.00	$6.68–$51.24	22% below	—
Complete blood count (CBC) with differential CPT 85025 Cbc W/Auto Diff	$83.00	$83.00	$6.68–$69.72	6% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/Automated Differential	$75.00	$75.00	$6.68–$49.58	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/Auto Diff	$83.00	$83.00	$6.68–$54.86	—	—
Complete blood count (CBC), no differential CPT 85027 Cbc W/O Differential	$49.00	$49.00	$5.56–$41.16	23% below	—
Complete blood count (CBC), no differential CPT 85027 Cbc (Itc Lab)	$125.00	$125.00	$5.56–$105.00	95% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc W/O Differential	$49.00	$49.00	$4.90–$32.39	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc (Itc Lab)	$125.00	$125.00	$5.56–$82.63	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Cmp Panel	$110.00	$110.00	$9.08–$92.40	27% below	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$144.00	$144.00	$9.08–$120.96	5% below	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel (Itc Lab)	$322.00	$322.00	$9.08–$270.48	113% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cmp Panel	$110.00	$110.00	$9.08–$72.71	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$144.00	$144.00	$9.08–$95.18	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel (Itc Lab)	$322.00	$322.00	$9.08–$212.84	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer, Ultrasensitive	$107.00	$107.00	$8.75–$89.88	7% below	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer (POC)	$208.00	$208.00	$8.75–$174.72	80% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer, Ultrasensitive	$107.00	$107.00	$8.75–$70.73	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer (POC)	$208.00	$208.00	$8.75–$137.49	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulphate Ref	$69.00	$69.00	$13.80–$57.96	36% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate Ref	$89.00	$89.00	$17.80–$74.76	17% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate, Ref	$192.00	$192.00	$19.12–$161.28	79% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulphate Ref	$69.00	$69.00	$6.90–$45.61	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate Ref	$89.00	$89.00	$8.90–$58.83	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-Sulfate, Ref	$192.00	$192.00	$19.12–$126.91	—	—
Estradiol blood test CPT 82670 Estradiol, S Ref	$112.00	$112.00	$22.40–$94.08	at median	—
Estradiol blood test CPT 82670 Assay -Estradiol	$185.00	$185.00	$24.03–$155.40	65% above	—
Estradiol blood test CPT 82670 Estradiol	$242.00	$242.00	$24.03–$203.28	116% above	—
Estradiol blood test CPT 82670 Assay of Estradiol	$364.00	$364.00	$24.03–$305.76	225% above	—
Estradiol blood test inpatient CPT 82670 Estradiol, S Ref	$112.00	$112.00	$11.20–$74.03	—	—
Estradiol blood test inpatient CPT 82670 Assay -Estradiol	$185.00	$185.00	$18.50–$122.29	—	—
Estradiol blood test inpatient CPT 82670 Estradiol	$242.00	$242.00	$24.03–$159.96	—	—
Estradiol blood test inpatient CPT 82670 Assay of Estradiol	$364.00	$364.00	$24.03–$240.60	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone	$172.00	$172.00	$15.98–$144.48	50% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$263.00	$263.00	$15.98–$220.92	129% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone	$172.00	$172.00	$15.98–$113.69	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$263.00	$263.00	$15.98–$173.84	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal Ref	$158.00	$158.00	$16.88–$132.72	7% below	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin,Stool	$221.00	$221.00	$16.88–$185.64	30% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$233.00	$233.00	$16.88–$195.72	37% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal Ref	$158.00	$158.00	$15.80–$104.44	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin,Stool	$221.00	$221.00	$16.88–$146.08	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal	$233.00	$233.00	$16.88–$154.01	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$118.00	$118.00	$11.72–$99.12	8% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$118.00	$118.00	$11.72–$78.00	—	—
Folate (folic acid) blood test CPT 82746 Folic Acid (Folate), Serum	$114.00	$114.00	$12.64–$95.76	2% above	—
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid (Folate), Serum	$114.00	$114.00	$11.40–$75.35	—	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3, Free Ref	$68.00	$68.00	$13.60–$57.12	28% below	—
Free T3 thyroid hormone test CPT 84481 Tc (Triiodothyronine), Free	$103.00	$103.00	$14.57–$86.52	9% above	—
Free T3 thyroid hormone test CPT 84481 T3 (Triiodothyronine), Free, S Ref	$117.00	$117.00	$14.57–$98.28	24% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine T3, Free Ref	$68.00	$68.00	$6.80–$44.95	—	—
Free T3 thyroid hormone test inpatient CPT 84481 Tc (Triiodothyronine), Free	$103.00	$103.00	$10.30–$68.08	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 (Triiodothyronine), Free, S Ref	$117.00	$117.00	$11.70–$77.34	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine, Free (T4)	$76.00	$76.00	$7.76–$63.84	34% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (Thyroxin T4) Free	$103.00	$103.00	$7.76–$86.52	10% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine, Free (T4)	$76.00	$76.00	$7.60–$50.24	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (Thyroxin T4) Free	$103.00	$103.00	$7.76–$68.08	—	—
Free testosterone test CPT 84402 Testosterone, Free, S, Ref	$75.00	$75.00	$15.00–$63.00	39% below	—
Free testosterone test CPT 84402 Testosterone, Free, S Ref	$102.00	$102.00	$20.40–$85.68	17% below	—
Free testosterone test CPT 84402 Testosterone, Free, Bioavail, S Ref	$102.00	$102.00	$20.40–$85.68	17% below	—
Free testosterone test inpatient CPT 84402 Testosterone, Free, S, Ref	$75.00	$75.00	$7.50–$49.58	—	—
Free testosterone test inpatient CPT 84402 Testosterone, Free, Bioavail, S Ref	$102.00	$102.00	$10.20–$67.42	—	—
Free testosterone test inpatient CPT 84402 Testosterone, Free, S Ref	$102.00	$102.00	$10.20–$67.42	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$352.00	$352.00	$31.89–$295.68	21% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$352.00	$352.00	$31.89–$232.67	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, Post Glucose Dose	$54.00	$54.00	$4.09–$45.36	3% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, Post Glucose Dose	$54.00	$54.00	$4.09–$35.69	—	—
Glucose tolerance test, 3 samples CPT 82951 Gtt, Three Specimens	$68.00	$68.00	$11.07–$57.12	46% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt, Three Specimens	$68.00	$68.00	$6.80–$44.95	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Laboratory Test	$117.00	$117.00	$23.40–$98.28	19% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CT/Gc Rna,Tma,Urogen	$133.00	$133.00	$26.60–$111.72	8% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Iad Na Ng	$167.00	$167.00	$30.18–$140.28	16% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae, Dna, Amp Prob	$399.00	$399.00	$30.18–$335.16	177% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Laboratory Test	$117.00	$117.00	$11.70–$77.34	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CT/Gc Rna,Tma,Urogen	$133.00	$133.00	$13.30–$87.91	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Iad Na Ng	$167.00	$167.00	$16.70–$110.39	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae, Dna, Amp Prob	$399.00	$399.00	$30.18–$263.74	—	—
H. pylori antibody blood test CPT 86677 Helicobactor Pylori Ab Ref	$29.00	$29.00	$5.80–$24.36	75% below	—
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody	$280.00	$280.00	$14.49–$235.20	145% above	—
H. pylori antibody blood test inpatient CPT 86677 Helicobactor Pylori Ab Ref	$29.00	$29.00	$2.90–$19.17	—	—
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody	$280.00	$280.00	$14.49–$185.08	—	—
H. pylori stool antigen test CPT 87338 H.Pylori Antigen, Stool	$172.00	$172.00	$12.37–$144.48	48% above	—
H. pylori stool antigen test CPT 87338 H Pylori Ag Qual-Stool	$191.00	$191.00	$12.37–$160.44	64% above	—
H. pylori stool antigen test inpatient CPT 87338 H.Pylori Antigen, Stool	$172.00	$172.00	$12.37–$113.69	—	—
H. pylori stool antigen test inpatient CPT 87338 H Pylori Ag Qual-Stool	$191.00	$191.00	$12.37–$126.25	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Laboratory Test Ref	$116.00	$116.00	$23.20–$97.44	64% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant, by Pcr	$394.00	$394.00	$73.19–$330.96	23% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna,Qn,Rt Pcr	$405.00	$405.00	$73.19–$340.20	26% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna	$872.00	$872.00	$73.19–$732.48	172% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Laboratory Test Ref	$116.00	$116.00	$11.60–$76.68	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Quant, by Pcr	$394.00	$394.00	$39.40–$260.43	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna,Qn,Rt Pcr	$405.00	$405.00	$40.50–$267.71	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna	$872.00	$872.00	$73.19–$576.39	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Ab Hiv1/Hiv2	$119.00	$119.00	$11.79–$99.96	at median	—
HIV-1 and HIV-2 antibody test CPT 86703 Labratory Test Ref	$135.00	$135.00	$11.79–$113.40	14% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Lab Service	$149.00	$149.00	$11.79–$125.16	26% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2, Single Assay	$155.00	$155.00	$11.79–$130.20	31% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Ab Hiv1/Hiv2	$119.00	$119.00	$11.79–$78.66	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Labratory Test Ref	$135.00	$135.00	$11.79–$89.24	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Lab Service	$149.00	$149.00	$11.79–$98.49	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2, Single Assay	$155.00	$155.00	$11.79–$102.46	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1/2 Ag and Ab Screen, S Ref	$86.00	$86.00	$17.20–$72.24	24% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv1/2 Ag/Ab,4 W/Rfl	$112.00	$112.00	$20.71–$94.08	at median	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ag Ab Single Result	$144.00	$144.00	$20.71–$120.96	28% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1/2 Ag and Ab Screen, S Ref	$86.00	$86.00	$8.60–$56.85	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv1/2 Ag/Ab,4 W/Rfl	$112.00	$112.00	$11.20–$74.03	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv Ag Ab Single Result	$144.00	$144.00	$14.40–$95.18	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Rna Hr E6/E7 Tma	$132.00	$132.00	$26.40–$110.88	10% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv Dna, High Risk, Ref	$225.00	$225.00	$30.18–$189.00	54% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Cpt-Hpv High Risk Types	$274.00	$274.00	$30.18–$230.16	87% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Rna Hr E6/E7 Tma	$132.00	$132.00	$13.20–$87.25	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv Dna, High Risk, Ref	$225.00	$225.00	$22.50–$148.73	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Cpt-Hpv High Risk Types	$274.00	$274.00	$27.40–$181.11	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, Glycated (A1c) Ref	$26.00	$26.00	$5.20–$21.84	70% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, Glycated (A1c)	$80.00	$80.00	$8.35–$67.20	9% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin, Glycated (A1c) Ref	$26.00	$26.00	$2.60–$17.19	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin, Glycated (A1c)	$80.00	$80.00	$8.00–$52.88	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Ref	$86.00	$86.00	$9.24–$72.24	4% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$191.00	$191.00	$9.24–$160.44	112% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Ref	$86.00	$86.00	$8.60–$56.85	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$191.00	$191.00	$9.24–$126.25	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag Confrm by Immunoassy Ref	$56.00	$56.00	$8.88–$47.04	35% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hiv 1&2 Reflux	$67.00	$67.00	$8.88–$56.28	22% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag	$67.00	$67.00	$8.88–$56.28	22% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$79.00	$79.00	$8.88–$66.36	8% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag, Eia	$208.00	$208.00	$8.88–$174.72	141% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hbsag Confrm by Immunoassy Ref	$56.00	$56.00	$5.60–$37.02	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hiv 1&2 Reflux	$67.00	$67.00	$6.70–$44.29	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hbsag	$67.00	$67.00	$6.70–$44.29	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$79.00	$79.00	$7.90–$52.22	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag, Eia	$208.00	$208.00	$8.88–$137.49	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody	$110.00	$110.00	$12.27–$92.40	at median	—
Hepatitis C antibody blood test (screening) CPT 86803 Hcv Ab	$144.00	$144.00	$12.27–$120.96	31% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test	$280.00	$280.00	$12.27–$235.20	154% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody	$110.00	$110.00	$11.00–$72.71	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Ab	$144.00	$144.00	$12.27–$95.18	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab Test	$280.00	$280.00	$12.27–$185.08	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna by Pcr Quant Ref	$301.00	$301.00	$36.84–$252.84	14% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Rna Quant by Pcr	$441.00	$441.00	$36.84–$370.44	66% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna by Pcr Quant Ref	$301.00	$301.00	$30.10–$198.96	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Rna Quant by Pcr	$441.00	$441.00	$36.84–$291.50	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Igg Index, Igm Ifa Ref	$53.00	$53.00	$10.60–$44.52	18% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Laboratory Service Ref	$53.00	$53.00	$10.60–$44.52	18% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Lab Service	$112.00	$112.00	$11.34–$94.08	72% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Laboratory Service Ref	$53.00	$53.00	$5.30–$35.03	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 Igg Index, Igm Ifa Ref	$53.00	$53.00	$5.30–$35.03	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Lab Service	$112.00	$112.00	$11.20–$74.03	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 1/2 Igm Titer Ref	$28.00	$28.00	$5.60–$23.52	64% below	—
Herpes blood test, HSV-2 antibody CPT 86696 Laboratory Service Ref	$77.00	$77.00	$15.40–$64.68	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igg Index, Igm Ifa Ref	$77.00	$77.00	$15.40–$64.68	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 Lab Service	$125.00	$125.00	$16.64–$105.00	62% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 1/2 Igm Titer Ref	$28.00	$28.00	$2.80–$18.51	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Laboratory Service Ref	$77.00	$77.00	$7.70–$50.90	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igg Index, Igm Ifa Ref	$77.00	$77.00	$7.70–$50.90	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Lab Service	$125.00	$125.00	$12.50–$82.63	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, High Sensitivity Ref	$116.00	$116.00	$11.14–$97.44	26% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp, High Sensitivity	$131.00	$131.00	$11.14–$110.04	42% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, High Sensitivity Ref	$116.00	$116.00	$11.14–$76.68	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp, High Sensitivity	$131.00	$131.00	$11.14–$86.59	—	—
Homocysteine blood test CPT 83090 Homocystine Level Ref	$120.00	$120.00	$15.41–$100.80	at median	—
Homocysteine blood test CPT 83090 Homocysteine Assay	$197.00	$197.00	$15.41–$165.48	64% above	—
Homocysteine blood test inpatient CPT 83090 Homocystine Level Ref	$120.00	$120.00	$12.00–$79.32	—	—
Homocysteine blood test inpatient CPT 83090 Homocysteine Assay	$197.00	$197.00	$15.41–$130.22	—	—
Insulin blood test CPT 83525 Insulin, S Ref	$46.00	$46.00	$9.20–$38.64	37% below	—
Insulin blood test CPT 83525 Insulin Ref	$106.00	$106.00	$9.83–$89.04	46% above	—
Insulin blood test CPT 83525 Insulin	$131.00	$131.00	$9.83–$110.04	80% above	—
Insulin blood test inpatient CPT 83525 Insulin, S Ref	$46.00	$46.00	$4.60–$30.41	—	—
Insulin blood test inpatient CPT 83525 Insulin Ref	$106.00	$106.00	$9.83–$70.07	—	—
Insulin blood test inpatient CPT 83525 Insulin	$131.00	$131.00	$9.83–$86.59	—	—
Iron blood test (serum iron) CPT 83540 IRON	$92.00	$92.00	$5.56–$77.28	16% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$92.00	$92.00	$5.56–$60.81	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$68.00	$68.00	$7.52–$57.12	2% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$68.00	$68.00	$6.80–$44.95	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$131.00	$131.00	$7.46–$110.04	11% below	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$131.00	$131.00	$7.46–$86.59	—	—
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (Lh)	$172.00	$172.00	$15.93–$144.48	75% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin (Lh)	$299.00	$299.00	$15.93–$251.16	204% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (Lh)	$172.00	$172.00	$15.93–$113.69	—	—
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin (Lh)	$299.00	$299.00	$15.93–$197.64	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$102.00	$102.00	$5.93–$85.68	27% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$102.00	$102.00	$5.93–$67.42	—	—
Liver function blood test panel CPT 80076 Hepatic Function Panel	$110.00	$110.00	$7.03–$92.40	15% below	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$110.00	$110.00	$7.03–$72.71	—	—
Lyme disease antibody test CPT 86618 Lyme Ab Screen Total Ref	$44.00	$44.00	$8.80–$36.96	38% below	—
Lyme disease antibody test CPT 86618 Lyme Disease Serology, S Ref	$68.00	$68.00	$13.60–$57.12	4% below	—
Lyme disease antibody test CPT 86618 Lyme Cns Infection Igg Screen, CSF, Ref	$68.00	$68.00	$13.60–$57.12	4% below	—
Lyme disease antibody test CPT 86618 Lyme Disease Serology, CSF Ref	$68.00	$68.00	$13.60–$57.12	4% below	—
Lyme disease antibody test CPT 86618 Lyme Disease Antibody, Ref	$147.00	$147.00	$14.65–$123.48	108% above	—
Lyme disease antibody test CPT 86618 Lyme Disease Antibody, Igg	$250.00	$250.00	$14.65–$210.00	254% above	—
Lyme disease antibody test CPT 86618 Lyme Disease Antibody, Igm	$269.00	$269.00	$14.65–$225.96	280% above	—
Lyme disease antibody test CPT 86618 Lyme Disease Ab	$607.00	$607.00	$14.65–$509.88	759% above	—
Lyme disease antibody test inpatient CPT 86618 Lyme Ab Screen Total Ref	$44.00	$44.00	$4.40–$29.08	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Cns Infection Igg Screen, CSF, Ref	$68.00	$68.00	$6.80–$44.95	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology, S Ref	$68.00	$68.00	$6.80–$44.95	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology, CSF Ref	$68.00	$68.00	$6.80–$44.95	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody, Ref	$147.00	$147.00	$14.65–$97.17	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody, Igg	$250.00	$250.00	$14.65–$165.25	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody, Igm	$269.00	$269.00	$14.65–$177.81	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab	$607.00	$607.00	$14.65–$401.23	—	—
Magnesium blood test CPT 83735 Magnesium, U Ref	$27.00	$27.00	$5.40–$22.68	62% below	—
Magnesium blood test CPT 83735 Magnesium	$86.00	$86.00	$5.76–$72.24	20% above	—
Magnesium blood test CPT 83735 Magnesium, RBC Ref	$106.00	$106.00	$5.76–$89.04	48% above	—
Magnesium blood test CPT 83735 Magnesium Urine	$111.00	$111.00	$5.76–$93.24	55% above	—
Magnesium blood test CPT 83735 Magnesium, Urine	$125.00	$125.00	$5.76–$105.00	75% above	—
Magnesium blood test inpatient CPT 83735 Magnesium, U Ref	$27.00	$27.00	$2.70–$17.85	—	—
Magnesium blood test inpatient CPT 83735 Magnesium	$86.00	$86.00	$5.76–$56.85	—	—
Magnesium blood test inpatient CPT 83735 Magnesium, RBC Ref	$106.00	$106.00	$5.76–$70.07	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$111.00	$111.00	$5.76–$73.37	—	—
Magnesium blood test inpatient CPT 83735 Magnesium, Urine	$125.00	$125.00	$5.76–$82.63	—	—
Measles (rubeola) antibody test CPT 86765 Rubeola (Measles) Ab, Igm, S Ref	$14.00	$14.00	$2.80–$12.88	81% below	—
Measles (rubeola) antibody test CPT 86765 Measles Igg Antibody Ref	$52.00	$52.00	$10.40–$43.68	28% below	—
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Igg, Igm Ifa Ref	$52.00	$52.00	$10.40–$43.68	28% below	—
Measles (rubeola) antibody test CPT 86765 Measles Ab Igg,Eia	$95.00	$95.00	$11.08–$79.80	31% above	—
Measles (rubeola) antibody test CPT 86765 Measles Igm Ab Ref	$105.00	$105.00	$11.08–$88.20	45% above	—
Measles (rubeola) antibody test CPT 86765 Measels Igg Ab	$161.00	$161.00	$11.08–$135.24	123% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola (Measles) Ab, Igm, S Ref	$14.00	$14.00	$1.40–$11.41	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles Igg Antibody Ref	$52.00	$52.00	$5.20–$34.37	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Igg, Igm Ifa Ref	$52.00	$52.00	$5.20–$34.37	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab Igg,Eia	$95.00	$95.00	$9.50–$62.80	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles Igm Ab Ref	$105.00	$105.00	$10.50–$69.41	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measels Igg Ab	$161.00	$161.00	$11.08–$106.42	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test	$24.00	$24.00	$4.45–$20.16	67% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test	$82.00	$82.00	$4.45–$54.20	—	—
Obstetric blood test panel CPT 80055 Obstetric Panel	$512.00	$512.00	$41.12–$430.08	147% above	—
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel	$512.00	$512.00	$41.12–$338.43	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa, S	$21.00	$21.00	$4.20–$18.39	78% below	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa Ref	$74.00	$74.00	$14.80–$62.16	23% below	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free	$139.00	$139.00	$15.82–$116.76	45% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa, S	$21.00	$21.00	$2.10–$16.29	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa Ref	$74.00	$74.00	$7.40–$48.91	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free	$139.00	$139.00	$13.90–$91.88	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen, S	$21.00	$21.00	$4.20–$18.39	80% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Ref	$74.00	$74.00	$14.80–$62.16	31% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Ultrasensitive Ref	$90.00	$90.00	$15.82–$75.60	16% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Total Psa Ref	$131.00	$131.00	$15.82–$110.04	22% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Diagnostic (Vista)	$144.00	$144.00	$15.82–$120.96	34% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total	$222.00	$222.00	$15.82–$186.48	107% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen, S	$21.00	$21.00	$2.10–$16.29	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Ref	$74.00	$74.00	$7.40–$48.91	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Ultrasensitive Ref	$90.00	$90.00	$9.00–$59.49	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Total Psa Ref	$131.00	$131.00	$13.10–$86.59	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Diagnostic (Vista)	$144.00	$144.00	$14.40–$95.18	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total	$222.00	$222.00	$15.82–$146.74	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, Screening Thin Prep, Ref	$248.00	$248.00	$22.88–$208.32	87% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Diag Cytol-Ml; Auto, Mnl Rescn	$305.00	$305.00	$22.88–$256.20	130% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopathology, Screening Thin Prep, Ref	$248.00	$248.00	$22.88–$163.93	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Diag Cytol-Ml; Auto, Mnl Rescn	$305.00	$305.00	$22.88–$201.61	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Thin Prep	$116.00	$116.00	$17.42–$97.44	5% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Dx Cyto Path-Ml Cx /Vag	$208.00	$208.00	$17.42–$174.72	89% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Thin Prep	$116.00	$116.00	$11.60–$76.68	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Dx Cyto Path-Ml Cx /Vag	$208.00	$208.00	$17.42–$137.49	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone,Intact Ref	$229.00	$229.00	$35.50–$192.36	5% above	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (Pth)	$250.00	$250.00	$35.50–$210.00	15% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone,Intact Ref	$229.00	$229.00	$22.90–$151.37	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (Pth)	$250.00	$250.00	$25.00–$165.25	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Ptl (Ptt)	$82.00	$82.00	$5.17–$68.88	26% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Ptl (Ptt)-Incubated	$110.00	$110.00	$5.17–$92.40	69% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplstn Time,Ptl(Ptt) Ref	$144.00	$144.00	$5.17–$120.96	121% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Ptl (Ptt)	$82.00	$82.00	$5.17–$54.20	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Ptl (Ptt)-Incubated	$110.00	$110.00	$5.17–$72.71	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplstn Time,Ptl(Ptt) Ref	$144.00	$144.00	$5.17–$95.18	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Maternit21 Ref	$3,036.00	$3,036.00	$607.20–$2,550.24	245% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Maternit21 Ref	$3,036.00	$3,036.00	$303.60–$2,006.80	—	—
Progesterone blood test CPT 84144 Progestrone	$197.00	$197.00	$17.94–$165.48	46% above	—
Progesterone blood test CPT 84144 Progesterone	$278.00	$278.00	$17.94–$233.52	106% above	—
Progesterone blood test CPT 84144 Assay of Progesterone	$352.00	$352.00	$17.94–$295.68	161% above	—
Progesterone blood test inpatient CPT 84144 Progestrone	$197.00	$197.00	$17.94–$130.22	—	—
Progesterone blood test inpatient CPT 84144 Progesterone	$278.00	$278.00	$17.94–$183.76	—	—
Progesterone blood test inpatient CPT 84144 Assay of Progesterone	$352.00	$352.00	$17.94–$232.67	—	—
Prolactin blood test CPT 84146 Prolactin Diluted	$72.00	$72.00	$14.40–$60.48	39% below	—
Prolactin blood test CPT 84146 Prolactin Undiluted	$72.00	$72.00	$14.40–$60.48	39% below	—
Prolactin blood test CPT 84146 Assay Prolactin	$84.00	$84.00	$16.67–$70.56	29% below	—
Prolactin blood test CPT 84146 Prolactin	$180.00	$180.00	$16.67–$151.20	53% above	—
Prolactin blood test inpatient CPT 84146 Prolactin Diluted	$72.00	$72.00	$7.20–$47.59	—	—
Prolactin blood test inpatient CPT 84146 Prolactin Undiluted	$72.00	$72.00	$7.20–$47.59	—	—
Prolactin blood test inpatient CPT 84146 Assay Prolactin	$84.00	$84.00	$8.40–$55.52	—	—
Prolactin blood test inpatient CPT 84146 Prolactin	$180.00	$180.00	$16.67–$118.98	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$65.00	$65.00	$3.69–$54.60	87% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-Incubated	$103.00	$103.00	$3.69–$86.52	197% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time	$103.00	$103.00	$3.69–$86.52	197% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$118.00	$118.00	$3.69–$99.12	240% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Ref	$127.00	$127.00	$3.69–$106.68	266% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$65.00	$65.00	$3.69–$42.97	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time-Incubated	$103.00	$103.00	$3.69–$68.08	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time	$103.00	$103.00	$3.69–$68.08	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$118.00	$118.00	$3.69–$78.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Ref	$127.00	$127.00	$3.69–$83.95	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test(S), Prsmp, Any NM Drg Cls/Dvcs/Prcs Drct Optical Obs Only	$82.00	$82.00	$10.84–$68.88	at median	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test(S), Prsmp, Any NM Drg Cls/Dvcs/Prcs Drct Optical Obs Only	$82.00	$82.00	$8.20–$54.20	—	—
Rapid flu test (influenza antigen) CPT 87804 Detect Agent,Immun,Dir Obs,Influenza	$92.00	$92.00	$14.23–$77.28	44% above	—
Rapid flu test (influenza antigen) CPT 87804 Infectious Agnt Antign Flu a/B	$125.00	$125.00	$14.23–$105.00	96% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Detect Agent,Immun,Dir Obs,Influenza	$92.00	$92.00	$9.20–$60.81	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Infectious Agnt Antign Flu a/B	$125.00	$125.00	$12.50–$82.63	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic	$92.00	$92.00	$14.22–$77.28	54% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus, Group A	$92.00	$92.00	$14.22–$77.28	54% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus, Group A	$92.00	$92.00	$9.20–$60.81	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic	$92.00	$92.00	$9.20–$60.81	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, Quant. Ref	$65.00	$65.00	$4.88–$54.60	10% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative	$119.00	$119.00	$4.88–$99.96	102% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor, Quant. Ref	$65.00	$65.00	$4.88–$42.97	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative	$119.00	$119.00	$4.88–$78.66	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Ab, Igg (Trchg) Ref	$15.00	$15.00	$3.00–$14.39	80% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Igm Titer Ref	$37.00	$37.00	$7.40–$31.08	52% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Screen	$75.00	$75.00	$12.38–$63.00	2% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Ab by Eia Ref	$102.00	$102.00	$12.38–$85.68	34% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella	$214.00	$214.00	$12.38–$179.76	180% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab, Igg (Trchg) Ref	$15.00	$15.00	$1.50–$12.75	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igm Titer Ref	$37.00	$37.00	$3.70–$24.46	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg Ab by Eia Ref	$102.00	$102.00	$10.20–$67.42	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg Screen	$137.00	$137.00	$12.38–$90.56	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$214.00	$214.00	$12.38–$141.45	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr (Photometric)	$57.00	$57.00	$2.32–$47.88	27% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr Westergren	$107.00	$107.00	$2.32–$89.88	139% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Esr (Photometric)	$57.00	$57.00	$2.32–$37.68	—	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Esr Westergren	$107.00	$107.00	$2.32–$70.73	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Fertility	$255.00	$255.00	$10.59–$214.20	74% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis Fertility	$255.00	$255.00	$10.59–$168.56	—	—
Stool ova and parasites exam CPT 87177 Ova and Parasite	$70.00	$70.00	$7.65–$58.80	2% below	—
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam	$137.00	$137.00	$7.65–$115.08	92% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite	$70.00	$70.00	$7.00–$46.27	—	—
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam	$137.00	$137.00	$7.65–$90.56	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood	$50.00	$50.00	$3.77–$42.00	85% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood - Feces	$51.00	$51.00	$3.77–$42.84	88% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 G Blood Occult,by Peroxid,Feces,Single, Colorectal Screen	$51.00	$51.00	$3.77–$42.84	88% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood	$50.00	$50.00	$3.77–$33.05	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood - Feces	$51.00	$51.00	$3.77–$33.71	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 G Blood Occult,by Peroxid,Feces,Single, Colorectal Screen	$51.00	$51.00	$3.77–$33.71	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood	$118.00	$118.00	$13.69–$99.12	69% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood	$118.00	$118.00	$11.80–$78.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Laboratory Test Ref	$13.00	$13.00	$2.60–$10.92	75% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr(Dx)Refl Fta	$42.00	$42.00	$3.67–$35.28	18% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl, Serum, Ref	$57.00	$57.00	$3.67–$47.88	12% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Laboratory Test	$62.00	$62.00	$3.67–$52.08	21% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Laboratory Test Ref	$13.00	$13.00	$1.30–$8.59	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr(Dx)Refl Fta	$42.00	$42.00	$3.67–$27.76	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Laboratory Test	$49.00	$49.00	$3.67–$32.39	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl, Serum, Ref	$57.00	$57.00	$3.67–$37.68	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon(R) Pl 4t	$221.00	$221.00	$44.20–$185.64	at median	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculsis Test;Cell Immun Rf	$248.00	$248.00	$49.60–$208.32	12% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Quantiferon	$423.00	$423.00	$53.30–$355.32	91% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon(R) Pl 4t	$221.00	$221.00	$22.10–$146.08	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculsis Test;Cell Immun Rf	$248.00	$248.00	$24.80–$163.93	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Quantiferon	$423.00	$423.00	$42.30–$279.60	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, S Ref	$93.00	$93.00	$18.60–$78.12	27% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Cpt-Tsttf Testos Total, Free Ref	$103.00	$103.00	$20.60–$86.52	19% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Cpt-Tttbf Testos Total, Bio, Free Ref	$103.00	$103.00	$20.60–$86.52	19% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Assay Total Testosterone Ref	$164.00	$164.00	$22.20–$137.76	29% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$305.00	$305.00	$22.20–$256.20	141% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, S Ref	$93.00	$93.00	$9.30–$61.47	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Cpt-Tttbf Testos Total, Bio, Free Ref	$103.00	$103.00	$10.30–$68.08	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Cpt-Tsttf Testos Total, Free Ref	$103.00	$103.00	$10.30–$68.08	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Total Testosterone Ref	$164.00	$164.00	$16.40–$108.40	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone	$305.00	$305.00	$22.20–$201.61	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Peroxidase Antibody Ref	$26.00	$26.00	$5.20–$21.84	67% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab, S Ref	$58.00	$58.00	$11.60–$48.72	27% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Abs Each Ref	$102.00	$102.00	$12.51–$85.68	29% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/Kidney Microsome Abs, S Ref	$109.00	$109.00	$12.51–$91.56	38% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal (Lkm-1) Abs (Igg), S Ref	$153.00	$153.00	$12.51–$128.52	94% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab	$167.00	$167.00	$12.51–$140.28	111% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Peroxidase Antibody Ref	$26.00	$26.00	$2.60–$17.19	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab, S Ref	$58.00	$58.00	$5.80–$38.34	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Abs Each Ref	$102.00	$102.00	$10.20–$67.42	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver/Kidney Microsome Abs, S Ref	$109.00	$109.00	$10.90–$72.05	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsomal (Lkm-1) Abs (Igg), S Ref	$153.00	$153.00	$12.51–$101.13	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab	$167.00	$167.00	$12.51–$110.39	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Nbs-Hypyothyroidism Scrn Ref	$67.00	$67.00	$13.40–$56.28	49% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$131.00	$131.00	$14.45–$110.04	at median	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Nbs-Hypyothyroidism Scrn Ref	$67.00	$67.00	$6.70–$44.29	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$131.00	$131.00	$13.10–$86.59	—	—
Trichomonas test (NAAT) CPT 87661 Tvag Rna Ql Tma	$87.00	$87.00	$17.40–$73.08	30% below	—
Trichomonas test (NAAT) CPT 87661 T.Vaginalis, Amplified Rna, Ref	$91.00	$91.00	$18.20–$76.44	27% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginosis, Amp Probe Tech	$122.00	$122.00	$24.40–$102.48	2% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonis Vaginalis Male	$272.00	$272.00	$30.18–$228.48	118% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Tvag Rna Ql Tma	$87.00	$87.00	$8.70–$57.51	—	—
Trichomonas test (NAAT) inpatient CPT 87661 T.Vaginalis, Amplified Rna, Ref	$91.00	$91.00	$9.10–$60.15	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginosis, Amp Probe Tech	$122.00	$122.00	$12.20–$80.64	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonis Vaginalis Male	$272.00	$272.00	$27.20–$179.79	—	—
Uric acid blood test CPT 84550 Uric Acid, Blood	$62.00	$62.00	$3.89–$52.08	13% below	—
Uric acid blood test inpatient CPT 84550 Uric Acid, Blood	$62.00	$62.00	$3.89–$40.98	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Microscopy	$111.00	$111.00	$2.73–$93.24	76% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Microscopy	$111.00	$111.00	$2.73–$73.37	—	—
Urinalysis without microscope exam, automated CPT 81003 Protein Urine	$47.00	$47.00	$1.94–$39.48	90% above	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microscopy	$67.00	$67.00	$1.94–$56.28	170% above	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis, Auto, W/O Scope	$67.00	$67.00	$1.94–$56.28	170% above	—
Urinalysis without microscope exam, automated CPT 81003 Ua-Dipstick Only (Itc Lab)	$71.00	$71.00	$1.94–$59.64	187% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Protein Urine	$47.00	$47.00	$1.94–$31.07	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Microscopy	$67.00	$67.00	$1.94–$44.29	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, Auto, W/O Scope	$67.00	$67.00	$1.94–$44.29	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Ua-Dipstick Only (Itc Lab)	$71.00	$71.00	$1.94–$46.93	—	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis -Specific Gravity	$26.00	$26.00	$2.99–$21.84	4% above	—
Urinalysis without microscope exam, manual CPT 81002 Urine Ph (Dipstick Non Automated)	$46.00	$46.00	$2.99–$38.64	84% above	—
Urinalysis without microscope exam, manual CPT 81002 Urine Protein	$46.00	$46.00	$2.99–$38.64	84% above	—
Urinalysis without microscope exam, manual CPT 81002 Bedside Urine Test Strip	$46.00	$46.00	$2.99–$38.64	84% above	—
Urinalysis without microscope exam, manual CPT 81002 Urine Reducing Substance	$53.00	$53.00	$2.99–$44.52	112% above	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis -Glucose	$62.00	$62.00	$2.99–$52.08	148% above	—
Urinalysis without microscope exam, manual CPT 81002 Clinitest	$71.00	$71.00	$2.99–$59.64	184% above	—
Urinalysis without microscope exam, manual CPT 81002 Leukocyte Esterase Fld	$110.00	$110.00	$2.99–$92.40	340% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis -Specific Gravity	$26.00	$26.00	$2.60–$17.19	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Bedside Urine Test Strip	$46.00	$46.00	$2.99–$30.41	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ph (Dipstick Non Automated)	$46.00	$46.00	$2.99–$30.41	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Protein	$46.00	$46.00	$2.99–$30.41	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Reducing Substance	$53.00	$53.00	$2.99–$35.03	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis -Glucose	$62.00	$62.00	$2.99–$40.98	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Clinitest	$71.00	$71.00	$2.99–$46.93	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Leukocyte Esterase Fld	$110.00	$110.00	$2.99–$72.71	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$70.00	$70.00	$6.94–$58.80	24% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$70.00	$70.00	$6.94–$46.27	—	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$89.00	$89.00	$7.40–$74.76	20% above	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy	$113.00	$113.00	$7.40–$94.92	52% above	—
Urine pregnancy test, read by color change CPT 81025 Bedside Urine Pregnancy	$113.00	$113.00	$7.40–$94.92	52% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$89.00	$89.00	$7.40–$58.83	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy	$113.00	$113.00	$7.40–$74.69	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Bedside Urine Pregnancy	$113.00	$113.00	$7.40–$74.69	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$114.00	$114.00	$12.97–$95.76	12% below	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$114.00	$114.00	$11.40–$75.35	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vita-D 25 Hydroxy Srm	$166.00	$166.00	$25.46–$139.44	8% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D3 (25-Hydroxy) Ref	$256.00	$256.00	$25.46–$215.04	42% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Oh Vitamin D Total	$274.00	$274.00	$25.46–$230.16	52% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vita-D 25 Hydroxy Srm	$166.00	$166.00	$16.60–$109.73	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D3 (25-Hydroxy) Ref	$256.00	$256.00	$25.46–$169.22	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 Oh Vitamin D Total	$274.00	$274.00	$25.46–$181.11	—	—
Zinc blood test CPT 84630 Zinc Ref	$78.00	$78.00	$9.80–$65.52	11% above	—
Zinc blood test CPT 84630 Zinc, Serum Ref	$98.00	$98.00	$9.80–$82.32	40% above	—
Zinc blood test inpatient CPT 84630 Zinc Ref	$78.00	$78.00	$7.80–$51.56	—	—
Zinc blood test inpatient CPT 84630 Zinc, Serum Ref	$98.00	$98.00	$9.80–$64.78	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Test Ref	$37.00	$37.00	$7.40–$31.08	65% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-Hcg Quantitative, S, Ref	$131.00	$131.00	$12.94–$110.04	25% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, Chorionic (Hcg)	$144.00	$144.00	$12.94–$120.96	37% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin, Quant	$256.00	$256.00	$12.94–$215.04	144% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Test Ref	$37.00	$37.00	$3.70–$24.46	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-Hcg Quantitative, S, Ref	$131.00	$131.00	$12.94–$86.59	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, Chorionic (Hcg)	$144.00	$144.00	$12.94–$95.18	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin, Quant	$256.00	$256.00	$12.94–$169.22	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$1,058.00	$1,058.00	$82.00–$3,552.91	70% below	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Adenoidectomy Primary <Age 12	$1,058.00	$1,058.00	$105.80–$699.34	—	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$9,041.00	$9,041.00	$82.00–$13,758.17	at median	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$9,041.00	$9,041.00	$904.10–$5,976.10	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$5,105.00	$5,105.00	$82.00–$7,775.89	34% below	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$5,105.00	$5,105.00	$510.50–$3,374.41	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$5,568.00	$5,568.00	$82.00–$7,775.89	28% below	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$5,568.00	$5,568.00	$556.80–$3,680.45	—	—
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$794.00	$794.00	$82.00–$666.96	134% above	—
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Facial Bil	$840.00	$840.00	$109.56–$705.60	148% above	—
Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$794.00	$794.00	$79.40–$524.83	—	—
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Facial Bil	$840.00	$840.00	$84.00–$555.24	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid	$2,977.00	$2,977.00	$82.00–$2,500.68	2% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Brst Bx W/Plc Lcl Dvc Stereotactic Guide, 1rst Lsn	$3,840.00	$3,840.00	$138.58–$3,225.60	31% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid	$2,977.00	$2,977.00	$138.58–$1,967.80	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Brst Bx W/Plc Lcl Dvc Stereotactic Guide, 1rst Lsn	$3,840.00	$3,840.00	$138.58–$2,538.24	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Rx Dist Fibula Fx	$1,073.00	$1,073.00	$82.00–$901.32	183% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$1,588.00	$1,588.00	$82.00–$1,333.92	319% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Rx Dist Fibula Fx	$1,073.00	$1,073.00	$107.30–$709.25	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$1,588.00	$1,588.00	$158.80–$1,049.67	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Rx Metatarsal Fx	$1,026.00	$1,026.00	$82.00–$861.84	61% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each	$1,103.00	$1,103.00	$82.00–$926.52	73% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Rx Metatarsal Fx	$1,026.00	$1,026.00	$102.60–$678.19	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each	$1,103.00	$1,103.00	$110.30–$729.08	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$4,554.00	$4,554.00	$82.00–$3,825.36	31% above	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$4,554.00	$4,554.00	$455.40–$3,010.19	—	—
Cardiac catheterization with coronary angiogram CPT 93458 Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$5,226.00	$5,226.00	$1,045.20–$4,389.84	49% below	—
Cardiac catheterization with coronary angiogram CPT 93458 Lt Heart Cath W/Cor Angiogrphy	$14,618.00	$14,618.00	$1,072.24–$12,279.12	43% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$5,226.00	$5,226.00	$522.60–$3,454.39	—	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt Heart Cath W/Cor Angiogrphy	$14,618.00	$14,618.00	$1,072.24–$9,662.50	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External	$805.00	$805.00	$82.00–$708.28	30% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective;Extern	$1,991.00	$1,991.00	$82.00–$1,672.44	74% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Elective Cardio Version	$1,991.00	$1,991.00	$115.22–$1,672.44	74% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$1,991.00	$1,991.00	$115.22–$1,672.44	74% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External	$805.00	$805.00	$80.50–$532.11	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$1,991.00	$1,991.00	$115.22–$1,316.05	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Elective Cardio Version	$1,991.00	$1,991.00	$115.22–$1,316.05	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective;Extern	$1,991.00	$1,991.00	$115.22–$1,316.05	—	—
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,227.00	$2,227.00	$82.00–$2,092.58	3% below	—
Carpal tunnel release, open surgery inpatient CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,227.00	$2,227.00	$222.70–$1,472.05	—	—
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$2,734.00	$2,734.00	$82.00–$2,473.11	45% below	—
Cataract surgery with lens implant inpatient CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$2,734.00	$2,734.00	$273.40–$1,807.17	—	—
Catheter ablation for atrial fibrillation CPT 93656 Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$5,998.00	$5,998.00	$1,040.84–$28,009.82	78% below	—
Catheter ablation for atrial fibrillation CPT 93656 Comp Ep Eval W/Ablation for a-Fib	$32,432.00	$32,432.00	$1,040.84–$28,009.82	17% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$5,998.00	$5,998.00	$599.80–$3,964.68	—	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Comp Ep Eval W/Ablation for a-Fib	$32,432.00	$32,432.00	$1,040.84–$21,437.55	—	—
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$728.00	$728.00	$64.40–$987.01	20% below	—
Cervical biopsy CPT 57500 Biopsy Cervix, 1 or More, or Excision of Lesion	$2,301.00	$2,301.00	$64.40–$1,932.84	151% above	—
Cervical biopsy inpatient CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$728.00	$728.00	$64.40–$481.21	—	—
Cervical biopsy inpatient CPT 57500 Biopsy Cervix, 1 or More, or Excision of Lesion	$2,301.00	$2,301.00	$64.40–$1,520.96	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum	$12,458.00	$12,458.00	$82.00–$10,464.72	145% above	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum	$12,458.00	$12,458.00	$1,245.80–$8,234.74	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$1,026.00	$1,026.00	$82.00–$2,240.09	54% below	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision Age >28 Days	$1,026.00	$1,026.00	$102.60–$678.19	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$794.00	$794.00	$82.00–$2,240.09	62% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision,Clamp,Newborn	$3,267.00	$3,267.00	$82.00–$2,744.28	57% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$794.00	$794.00	$79.40–$524.83	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision,Clamp,Newborn	$3,267.00	$3,267.00	$96.88–$2,159.49	—	—
Circumcision, surgical, older than a newborn CPT 54160 Circumcision,Othr,Newborn	$2,028.00	$2,028.00	$82.00–$1,703.52	75% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision,Othr,Newborn	$2,028.00	$2,028.00	$144.20–$1,340.51	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Rx Dist Rad/Ulna Fx	$1,001.00	$1,001.00	$82.00–$840.84	86% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj	$1,665.00	$1,665.00	$82.00–$1,398.60	209% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Rx Dist Rad/Ulna Fx	$1,001.00	$1,001.00	$100.10–$661.66	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj	$1,665.00	$1,665.00	$166.50–$1,100.57	—	—
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,227.00	$2,227.00	$82.00–$1,870.68	9% below	—
Colonoscopy with polyp removal CPT 45385 Colonoscopy,Remv Lesn,Snare	$3,232.00	$3,232.00	$82.00–$2,714.88	32% above	—
Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,227.00	$2,227.00	$222.70–$1,472.05	—	—
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy,Remv Lesn,Snare	$3,232.00	$3,232.00	$245.75–$2,136.35	—	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$2,117.00	$2,117.00	$82.00–$1,778.28	at median	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy,Biopsy	$3,172.00	$3,172.00	$82.00–$2,664.48	50% above	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$2,117.00	$2,117.00	$194.20–$1,399.34	—	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy,Biopsy	$3,172.00	$3,172.00	$194.20–$2,096.69	—	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,654.00	$1,654.00	$82.00–$1,389.36	11% below	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy,Diagnostic	$2,409.00	$2,409.00	$82.00–$2,023.56	30% above	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,654.00	$1,654.00	$165.40–$1,093.29	—	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy,Diagnostic	$2,409.00	$2,409.00	$178.84–$1,592.35	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy,Cervix W/Adj Vag,W/Loop Bx	$7,202.00	$7,202.00	$82.00–$6,049.68	161% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy,Cervix W/Adj Vag,W/Loop Bx	$7,202.00	$7,202.00	$138.47–$4,760.52	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$849.00	$849.00	$82.00–$713.16	84% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposc,Cervix W/Adj Vag,W/Bx & Curretag	$978.00	$978.00	$82.00–$821.52	111% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$849.00	$849.00	$84.90–$561.19	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposc,Cervix W/Adj Vag,W/Bx & Curretag	$978.00	$978.00	$97.80–$646.46	—	—
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$3,749.00	$3,749.00	$82.00–$3,149.16	47% below	—
Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$3,749.00	$3,749.00	$374.90–$2,478.09	—	—
Coronary stent placement, one artery CPT 92928 Perq Tcat Plmt Ntrac St 1 Les 1+C Segments	$3,165.00	$3,165.00	$82.00–$12,370.97	77% below	—
Coronary stent placement, one artery CPT 92928 Coronary Stent Placement - 1 Vsl	$13,474.00	$13,474.00	$587.67–$12,370.97	4% below	—
Coronary stent placement, one artery inpatient CPT 92928 Perq Tcat Plmt Ntrac St 1 Les 1+C Segments	$3,165.00	$3,165.00	$316.50–$2,092.07	—	—
Coronary stent placement, one artery inpatient CPT 92928 Coronary Stent Placement - 1 Vsl	$13,474.00	$13,474.00	$587.67–$8,906.31	—	—
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$2,227.00	$2,227.00	$82.00–$3,777.44	44% below	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cysto W/Insert Ureteral Stent	$2,227.00	$2,227.00	$158.02–$1,472.05	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$1,264.00	$1,264.00	$82.00–$1,061.76	17% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$1,048.00	$1,048.00	$82.28–$692.73	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$1,445.00	$1,445.00	$82.00–$3,468.96	51% below	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$1,445.00	$1,445.00	$144.50–$955.15	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$331.00	$331.00	$45.00–$278.04	98% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lsn First	$483.00	$483.00	$45.00–$405.72	189% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1st	$331.00	$331.00	$33.10–$218.79	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lsn First	$483.00	$483.00	$45.00–$319.26	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$805.00	$805.00	$82.00–$1,662.71	51% below	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Tympanostomy General Anesthesia	$805.00	$805.00	$80.50–$532.11	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$982.00	$982.00	$82.00–$824.88	79% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening,Local Anesth	$1,597.00	$1,597.00	$82.00–$1,341.48	190% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy Local/Topical Anesthesia	$982.00	$982.00	$98.20–$649.10	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create Eardrum Opening,Local Anesth	$1,597.00	$1,597.00	$114.79–$1,055.62	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$256.00	$256.00	$12.62–$215.04	124% above	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$256.00	$256.00	$12.62–$169.22	—	—
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen	$245.00	$245.00	$28.86–$205.80	96% above	—
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$243.00	$243.00	$28.86–$204.12	94% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Impacted Cerumen	$245.00	$245.00	$24.50–$161.95	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$245.00	$245.00	$24.50–$161.95	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$502.00	$502.00	$55.12–$421.68	48% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterus Lining	$608.00	$608.00	$55.12–$510.72	79% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$502.00	$502.00	$50.20–$331.82	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of Uterus Lining	$608.00	$608.00	$55.12–$401.89	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$1,687.00	$1,687.00	$82.00–$7,562.90	78% below	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$1,687.00	$1,687.00	$168.70–$1,115.11	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$1,974.00	$1,974.00	$82.00–$7,562.90	74% below	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$1,974.00	$1,974.00	$197.40–$1,304.81	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$948.00	$948.00	$82.00–$3,995.37	76% below	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$948.00	$948.00	$94.80–$626.63	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$1,389.00	$1,389.00	$82.00–$7,562.90	82% below	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$1,389.00	$1,389.00	$138.90–$918.13	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,290.00	$1,290.00	$82.00–$1,083.60	29% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Epid C/T Inj Ea Lvl W Image	$1,945.00	$1,945.00	$90.77–$1,633.80	7% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W/ Img Gdn	$2,493.00	$2,493.00	$82.00–$2,094.12	38% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Epid C/T Inj Ea Lvl W Image	$1,945.00	$1,945.00	$90.77–$1,285.65	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$2,279.00	$2,279.00	$90.77–$1,506.42	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W/ Img Gdn	$2,493.00	$2,493.00	$90.77–$1,647.87	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Njx Pharmacologic Agt Spx	$512.00	$512.00	$82.00–$430.08	at median	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Injection a Pharmacologic Agent (Sep Proc)	$1,217.00	$1,217.00	$82.00–$1,022.28	137% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal Njx Pharmacologic Agt Spx	$512.00	$512.00	$51.20–$338.43	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal Injection a Pharmacologic Agent (Sep Proc)	$1,217.00	$1,217.00	$91.47–$804.44	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$872.00	$872.00	$76.70–$947.82	41% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$2,195.00	$2,195.00	$76.70–$1,843.80	48% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Facet Inj L/S Single Lvl W Ima	$2,408.00	$2,408.00	$76.70–$2,022.72	62% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$872.00	$872.00	$76.70–$576.39	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$2,195.00	$2,195.00	$76.70–$1,450.90	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Facet Inj L/S Single Lvl W Ima	$2,408.00	$2,408.00	$76.70–$1,591.69	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$860.00	$860.00	$54.21–$996.56	6% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy,Diagnostic	$1,634.00	$1,634.00	$54.21–$1,372.56	79% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$860.00	$860.00	$54.21–$568.46	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy,Diagnostic	$1,634.00	$1,634.00	$54.21–$1,080.07	—	—
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$3,506.00	$3,506.00	$82.00–$6,478.50	46% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy	$3,506.00	$3,506.00	$350.60–$2,317.47	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$3,815.00	$3,815.00	$82.00–$6,478.50	41% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$3,815.00	$3,815.00	$381.50–$2,521.72	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$5,700.00	$5,700.00	$82.00–$4,788.00	16% above	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy	$5,700.00	$5,700.00	$570.00–$3,767.70	—	—
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$2,712.00	$2,712.00	$82.00–$3,506.34	4% below	—
Hammertoe correction surgery CPT 28285 Repair of Hammertoe,One	$9,734.00	$9,734.00	$82.00–$8,176.56	245% above	—
Hammertoe correction surgery inpatient CPT 28285 Correction Hammertoe	$2,712.00	$2,712.00	$271.20–$1,792.63	—	—
Hammertoe correction surgery inpatient CPT 28285 Repair of Hammertoe,One	$9,734.00	$9,734.00	$352.30–$6,434.17	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$1,379.00	$1,379.00	$82.00–$1,158.36	64% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$1,597.00	$1,597.00	$159.70–$1,055.62	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$2,624.00	$2,624.00	$82.00–$2,974.45	1% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$2,624.00	$2,624.00	$262.40–$1,734.46	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$5,304.00	$5,304.00	$82.00–$4,455.36	3% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$5,304.00	$5,304.00	$530.40–$3,505.94	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath/Inject Hysterosalpingogram	$530.00	$530.00	$49.22–$445.20	33% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath & Saline/Contrast Sonohyster/Hysterosalpi	$960.00	$960.00	$49.22–$806.40	140% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath/Inject Hysterosalpingogram	$530.00	$530.00	$49.22–$350.33	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath & Saline/Contrast Sonohyster/Hysterosalpi	$960.00	$960.00	$49.22–$634.56	—	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy,W/Endometrial Ablation	$8,239.00	$8,239.00	$82.00–$6,920.76	54% above	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$9,405.00	$9,405.00	$82.00–$7,900.20	76% above	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy,W/Endometrial Ablation	$8,239.00	$8,239.00	$214.26–$5,445.98	—	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy Endometrial Ablation	$9,405.00	$9,405.00	$214.26–$6,216.71	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$6,725.00	$6,725.00	$82.00–$5,649.00	105% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy,W/Endo Bx	$9,026.00	$9,026.00	$82.00–$7,581.84	175% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$6,725.00	$6,725.00	$201.26–$4,445.23	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy,W/Endo Bx	$9,026.00	$9,026.00	$201.26–$5,966.19	—	—
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device	$608.00	$608.00	$43.54–$510.72	66% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device	$608.00	$608.00	$43.54–$401.89	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single	$617.00	$617.00	$82.00–$518.28	53% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess Simple	$846.00	$846.00	$86.86–$710.64	110% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess-Simple/Single	$846.00	$846.00	$82.00–$710.64	110% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single	$617.00	$617.00	$61.70–$407.84	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess-Simple/Single	$846.00	$846.00	$84.60–$559.21	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drain Skin Abscess Simple	$846.00	$846.00	$84.60–$559.21	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$2,768.00	$2,768.00	$82.00–$3,836.82	28% below	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$2,768.00	$2,768.00	$276.80–$1,829.65	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$281.00	$281.00	$36.59–$328.94	32% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendon Sheath/Ligament	$933.00	$933.00	$36.59–$783.72	126% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$281.00	$281.00	$28.10–$185.74	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inject Tendon Sheath/Ligament	$933.00	$933.00	$36.59–$616.71	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$320.00	$320.00	$42.10–$328.94	29% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Asp/Inj Major Joint/Bursa W/O US Guidance	$788.00	$788.00	$42.10–$661.92	75% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject Large Joint/Bursa	$788.00	$788.00	$42.10–$661.92	75% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj Major Joint	$788.00	$788.00	$42.10–$661.92	75% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Maj Jnt WO Imag	$880.00	$880.00	$42.10–$739.20	96% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$320.00	$320.00	$32.00–$211.52	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject Large Joint/Bursa	$788.00	$788.00	$42.10–$520.87	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Inj Major Joint	$788.00	$788.00	$42.10–$520.87	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Asp/Inj Major Joint/Bursa W/O US Guidance	$788.00	$788.00	$42.10–$520.87	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Maj Jnt WO Imag	$880.00	$880.00	$42.10–$581.68	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Implant Device	$399.00	$399.00	$53.88–$335.16	73% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant	$529.00	$529.00	$53.88–$444.36	129% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Implant Device	$399.00	$399.00	$39.90–$263.74	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant	$529.00	$529.00	$52.90–$349.67	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$270.00	$270.00	$34.67–$328.94	28% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocent Intermed Joint/Burs	$880.00	$880.00	$34.67–$739.20	135% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject Intermediate Joint/Bursa	$1,037.00	$1,037.00	$34.67–$871.08	177% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Asp/Inj Intermed Joint/Bursa W/O US Guidance	$1,037.00	$1,037.00	$34.67–$871.08	177% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj Wrist Joint	$1,037.00	$1,037.00	$34.67–$871.08	177% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$270.00	$270.00	$27.00–$178.47	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocent Intermed Joint/Burs	$880.00	$880.00	$34.67–$581.68	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject Intermediate Joint/Bursa	$1,037.00	$1,037.00	$34.67–$685.46	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inj Wrist Joint	$1,037.00	$1,037.00	$34.67–$685.46	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Asp/Inj Intermed Joint/Bursa W/O US Guidance	$1,037.00	$1,037.00	$34.67–$685.46	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$259.00	$259.00	$32.94–$328.94	14% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Small Joint/Bursa	$632.00	$632.00	$32.94–$530.88	111% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Asp/Inj Small Joint/Bursa W/O US Guidance	$632.00	$632.00	$32.94–$530.88	111% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Small Joint/Bur	$880.00	$880.00	$32.94–$739.20	193% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$259.00	$259.00	$25.90–$171.20	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject Small Joint/Bursa	$632.00	$632.00	$32.94–$417.75	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Asp/Inj Small Joint/Bursa W/O US Guidance	$632.00	$632.00	$32.94–$417.75	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Small Joint/Bur	$880.00	$880.00	$32.94–$581.68	—	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral	$3,594.00	$3,594.00	$82.00–$3,506.34	7% below	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral	$3,594.00	$3,594.00	$359.40–$2,375.63	—	—
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg	$2,790.00	$2,790.00	$82.00–$3,506.34	27% below	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg	$2,790.00	$2,790.00	$279.00–$1,844.19	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving	$2,900.00	$2,900.00	$82.00–$3,506.34	17% below	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving	$2,900.00	$2,900.00	$290.00–$1,916.90	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg	$3,219.00	$3,219.00	$82.00–$3,506.34	25% below	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg	$3,219.00	$3,219.00	$321.90–$2,127.76	—	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$9,295.00	$9,295.00	$82.00–$7,807.80	81% below	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$9,295.00	$9,295.00	$929.50–$6,144.00	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$3,197.00	$3,197.00	$82.00–$6,478.50	37% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopic Appendectomy	$3,197.00	$3,197.00	$319.70–$2,113.22	—	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$5,767.00	$5,767.00	$82.00–$11,391.13	33% below	—
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$5,767.00	$5,767.00	$576.70–$3,811.99	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$4,686.00	$4,686.00	$82.00–$11,391.13	59% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$4,686.00	$4,686.00	$468.60–$3,097.45	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$2,271.00	$2,271.00	$82.00–$6,478.50	65% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$2,271.00	$2,271.00	$227.10–$1,501.13	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$2,955.00	$2,955.00	$82.00–$6,478.50	54% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$2,955.00	$2,955.00	$295.50–$1,953.26	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$3,429.00	$3,429.00	$82.00–$6,478.50	30% below	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$3,429.00	$3,429.00	$342.90–$2,266.57	—	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$6,020.00	$6,020.00	$82.00–$5,056.80	85% below	—
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$6,020.00	$6,020.00	$602.00–$3,979.22	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Post-Cataract Laser Surgery	$1,643.00	$1,643.00	$82.00–$1,380.12	147% above	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission Secondary Membranous Cataract; Laser (1+ Stages)	$1,896.00	$1,896.00	$82.00–$1,592.64	185% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Post-Cataract Laser Surgery	$1,643.00	$1,643.00	$164.30–$1,086.02	—	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Discission Secondary Membranous Cataract; Laser (1+ Stages)	$1,896.00	$1,896.00	$189.60–$1,253.26	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/<	$1,257.00	$1,257.00	$82.00–$1,055.88	113% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm	$1,394.00	$1,394.00	$82.00–$1,170.96	136% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/<	$1,257.00	$1,257.00	$125.70–$830.88	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm	$1,394.00	$1,394.00	$126.21–$921.43	—	—
Left heart catheterization, diagnostic one side CPT 93452 Left Heart Catheterization	$11,363.00	$11,363.00	$927.06–$9,544.92	53% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Heart Catheterization	$11,363.00	$11,363.00	$927.06–$7,510.94	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,268.00	$1,268.00	$82.00–$1,065.12	12% below	—
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/ Img Gdn	$1,717.00	$1,717.00	$82.00–$1,442.28	19% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 Epid Inj L/S/C Ea Lvl W Image	$1,945.00	$1,945.00	$84.17–$1,633.80	34% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,268.00	$1,268.00	$84.17–$838.15	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/ Img Gdn	$1,467.00	$1,467.00	$84.17–$969.69	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Epid Inj L/S/C Ea Lvl W Image	$1,945.00	$1,945.00	$84.17–$1,285.65	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$761.00	$761.00	$69.17–$947.82	47% below	—
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,455.00	$1,455.00	$69.17–$1,222.20	at median	—
Lower-back epidural injection, without imaging guidance CPT 62322 Epid Inj L/S/C Ea Lvl WO Imag	$1,945.00	$1,945.00	$69.17–$1,633.80	34% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$761.00	$761.00	$69.17–$503.02	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,455.00	$1,455.00	$69.17–$961.76	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Epid Inj L/S/C Ea Lvl WO Imag	$1,945.00	$1,945.00	$69.17–$1,285.65	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,169.00	$1,169.00	$82.00–$981.96	12% below	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Transf Inj L/S Sing Lvl W Gui	$2,408.00	$2,408.00	$93.73–$2,022.72	82% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj,Foramen,L/S,1 Level	$2,552.00	$2,552.00	$82.00–$2,143.68	93% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,169.00	$1,169.00	$93.73–$772.71	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj,Foramen,L/S,1 Level	$1,980.00	$1,980.00	$93.73–$1,308.78	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Transf Inj L/S Sing Lvl W Gui	$2,408.00	$2,408.00	$93.73–$1,591.69	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar	$5,105.00	$5,105.00	$82.00–$7,775.89	34% below	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar	$5,105.00	$5,105.00	$510.50–$3,374.41	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$5,799.00	$5,799.00	$82.00–$7,775.89	25% below	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$5,799.00	$5,799.00	$579.90–$3,833.14	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$8,379.00	$8,379.00	$82.00–$18,789.56	at median	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$8,379.00	$8,379.00	$837.90–$5,538.52	—	—
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$3,473.00	$3,473.00	$82.00–$4,195.85	2% below	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy Partial	$3,473.00	$3,473.00	$347.30–$2,295.65	—	—
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$5,072.00	$5,072.00	$82.00–$7,115.73	8% above	—
Mastectomy (total removal of the breast) inpatient CPT 19303 Mastectomy Simple Complete	$5,072.00	$5,072.00	$507.20–$3,352.59	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$2,139.00	$2,139.00	$82.00–$3,468.96	38% below	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Tx Missed Abortion First Trimester Surgical	$2,139.00	$2,139.00	$213.90–$1,413.88	—	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs, 1 Stage, Head/Neck/Hand/Feet/Gential	$1,561.00	$1,561.00	$82.00–$1,311.24	73% above	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$3,285.00	$3,285.00	$82.00–$2,759.40	265% above	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs, 1 Stage, Head/Neck/Hand/Feet/Gential	$1,561.00	$1,561.00	$156.10–$1,031.82	—	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$3,285.00	$3,285.00	$298.73–$2,171.39	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$629.00	$629.00	$69.50–$758.85	7% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Skin Benig <0.5 Cm Trunk,Arm,Leg	$896.00	$896.00	$69.50–$758.85	32% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$629.00	$629.00	$62.90–$415.77	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Skin Benig <0.5 Cm Trunk,Arm,Leg	$896.00	$896.00	$69.50–$592.26	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$695.00	$695.00	$82.00–$758.85	15% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Skin Benig <0.5 Cm Face,Facial	$1,407.00	$1,407.00	$82.00–$1,181.88	133% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$695.00	$695.00	$69.50–$459.40	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Skin Benig <0.5 Cm Face,Facial	$1,407.00	$1,407.00	$87.11–$930.03	—	—
Nail removal (partial or complete), one nail CPT 11730 Removal of Nail Plate	$470.00	$470.00	$54.06–$394.80	73% above	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate; Single	$470.00	$470.00	$54.06–$394.80	73% above	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$551.00	$551.00	$54.06–$462.84	102% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of Nail Plate; Single	$470.00	$470.00	$47.00–$310.67	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of Nail Plate	$470.00	$470.00	$47.00–$310.67	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$551.00	$551.00	$54.06–$364.21	—	—
Occipital nerve block (injection for headaches) CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$380.00	$380.00	$46.51–$328.94	22% below	—
Occipital nerve block (injection for headaches) CPT 64405 Nerve Blk Greater Occipital	$882.00	$882.00	$46.51–$740.88	81% above	—
Occipital nerve block (injection for headaches) CPT 64405 Inject Nerv Blck,Great Occiptl	$1,133.00	$1,133.00	$46.51–$951.72	133% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$380.00	$380.00	$38.00–$251.18	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve Blk Greater Occipital	$882.00	$882.00	$46.51–$583.00	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inject Nerv Blck,Great Occiptl	$1,133.00	$1,133.00	$46.51–$748.91	—	—
Pacemaker implant (dual chamber) CPT 33208 Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$2,768.00	$2,768.00	$82.00–$11,200.55	77% below	—
Pacemaker implant (dual chamber) CPT 33208 Insrt/Rplc Perm Pacemaker Av	$19,257.00	$19,257.00	$569.74–$16,175.88	57% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$2,768.00	$2,768.00	$276.80–$1,829.65	—	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt/Rplc Perm Pacemaker Av	$19,257.00	$19,257.00	$569.74–$12,728.88	—	—
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$1,477.00	$1,477.00	$82.00–$1,240.68	7% above	—
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis, W/ Imaging	$3,756.00	$3,756.00	$102.68–$3,155.04	173% above	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/ Imaging Guidance	$3,756.00	$3,756.00	$102.68–$3,155.04	173% above	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$3,756.00	$3,756.00	$82.00–$3,155.04	173% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$1,477.00	$1,477.00	$102.68–$976.30	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$3,756.00	$3,756.00	$102.68–$2,482.72	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis, W/ Imaging	$3,756.00	$3,756.00	$102.68–$2,482.72	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/ Imaging Guidance	$3,756.00	$3,756.00	$102.68–$2,482.72	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl	$783.00	$783.00	$82.00–$657.72	51% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of Nail; Part or Comp	$1,467.00	$1,467.00	$82.00–$1,232.28	182% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of Nail Bed	$1,467.00	$1,467.00	$82.00–$1,232.28	182% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl	$783.00	$783.00	$78.30–$517.56	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision of Nail; Part or Comp	$1,467.00	$1,467.00	$99.61–$969.69	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of Nail Bed	$1,467.00	$1,467.00	$99.61–$969.69	—	—
Prostate biopsy CPT 55700 Bx Prostate Needle or Punch, Singl or Mult	$3,363.00	$3,363.00	$128.97–$2,824.92	57% above	—
Prostate biopsy inpatient CPT 55700 Bx Prostate Needle or Punch, Singl or Mult	$3,363.00	$3,363.00	$128.97–$2,222.94	—	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$7,541.00	$7,541.00	$82.00–$11,391.13	91% below	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$7,541.00	$7,541.00	$754.10–$4,984.60	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Paravert Facet Jnt Lm/Sac W Im	$3,846.00	$3,846.00	$162.18–$3,230.64	67% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$6,212.00	$6,212.00	$82.00–$5,218.08	170% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$2,062.00	$2,062.00	$162.18–$1,362.98	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Paravert Facet Jnt Lm/Sac W Im	$3,846.00	$3,846.00	$162.18–$2,542.21	—	—
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,602.00	$2,602.00	$82.00–$4,195.85	40% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,602.00	$2,602.00	$260.20–$1,719.92	—	—
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$761.00	$761.00	$82.00–$639.24	64% above	—
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple	$1,260.00	$1,260.00	$87.39–$1,058.40	171% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$761.00	$761.00	$76.10–$503.02	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body Simple	$978.00	$978.00	$87.39–$646.46	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$3,682.00	$3,682.00	$82.00–$6,478.50	43% below	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$3,682.00	$3,682.00	$368.20–$2,433.80	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,654.00	$1,654.00	$82.00–$1,389.36	27% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind	$2,409.00	$2,409.00	$82.00–$2,023.56	6% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$1,654.00	$1,654.00	$165.40–$1,093.29	—	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind	$2,409.00	$2,409.00	$182.93–$1,592.35	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,654.00	$1,654.00	$349.02	31% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$2,409.00	$2,409.00	$82.00–$2,023.56	1% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$1,654.00	$1,654.00	$165.40–$1,093.29	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$2,409.00	$2,409.00	$182.49–$1,592.35	—	—
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$3,253.00	$3,253.00	$82.00–$3,552.91	14% below	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$3,253.00	$3,253.00	$325.30–$2,150.23	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$3,760.00	$3,760.00	$82.00–$3,777.44	37% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy Xtrcorp Shock Wave	$3,760.00	$3,760.00	$376.00–$2,485.36	—	—
Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow to Finger Short Arm	$431.00	$431.00	$58.15–$362.04	40% above	—
Short arm cast (elbow to hand) CPT 29075 Apply Forearm Cast	$823.00	$823.00	$58.15–$691.32	168% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Application Cast Elbow to Finger Short Arm	$431.00	$431.00	$43.10–$284.89	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Forearm Cast	$823.00	$823.00	$58.15–$544.00	—	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat	$322.00	$322.00	$37.33–$270.48	30% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 46-60'	$322.00	$322.00	$37.33–$270.48	30% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 8-15'	$322.00	$322.00	$37.33–$270.48	30% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 16-30'	$322.00	$322.00	$37.33–$270.48	30% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 31-45'	$322.00	$322.00	$37.33–$270.48	30% above	—
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static	$326.00	$326.00	$37.33–$273.84	32% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 16-30' Go	$333.00	$333.00	$37.33–$279.72	35% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 8-15' Gp	$333.00	$333.00	$37.33–$279.72	35% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 8-15' Go	$333.00	$333.00	$37.33–$279.72	35% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 16-30' Gp	$333.00	$333.00	$37.33–$279.72	35% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 31-45' Gp	$382.00	$382.00	$37.33–$320.88	55% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 46-60' Gp	$465.00	$465.00	$37.33–$390.60	88% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 46-60' Go	$465.00	$465.00	$37.33–$390.60	88% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 31-45' Go	$502.00	$502.00	$37.33–$421.68	103% above	—
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint,Static	$549.00	$549.00	$37.33–$461.16	122% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 16-30'	$322.00	$322.00	$32.20–$212.84	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 8-15'	$322.00	$322.00	$32.20–$212.84	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 46-60'	$322.00	$322.00	$32.20–$212.84	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 31-45'	$322.00	$322.00	$32.20–$212.84	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat	$322.00	$322.00	$32.20–$212.84	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint Forearm-Hand Static	$326.00	$326.00	$32.60–$215.49	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 8-15' Go	$333.00	$333.00	$33.30–$220.11	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 8-15' Gp	$333.00	$333.00	$33.30–$220.11	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 16-30' Go	$333.00	$333.00	$33.30–$220.11	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 16-30' Gp	$333.00	$333.00	$33.30–$220.11	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 31-45' Gp	$382.00	$382.00	$37.33–$252.50	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 46-60' Go	$465.00	$465.00	$37.33–$307.37	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 46-60' Gp	$465.00	$465.00	$37.33–$307.37	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 31-45' Go	$502.00	$502.00	$37.33–$331.82	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint,Static	$549.00	$549.00	$37.33–$362.89	—	—
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe	$402.00	$402.00	$53.63–$337.68	15% above	—
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$835.00	$835.00	$53.63–$701.40	139% above	—
Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Below Knee-Toe	$402.00	$402.00	$40.20–$265.72	—	—
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast	$835.00	$835.00	$53.63–$551.94	—	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 8'-30' Gp	$292.00	$292.00	$45.56–$245.28	18% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 8'-30' Go	$292.00	$292.00	$45.56–$245.28	18% above	—
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf to Foot	$358.00	$358.00	$45.56–$300.72	45% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 61"-75"	$405.00	$405.00	$45.56–$340.20	64% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 8"-30"	$405.00	$405.00	$45.56–$340.20	64% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 61'-75'	$405.00	$405.00	$45.56–$340.20	64% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 31'-60'	$405.00	$405.00	$45.56–$340.20	64% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg	$405.00	$405.00	$45.56–$340.20	64% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 31'-60' Gp	$431.00	$431.00	$45.56–$362.04	74% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 31'-60' Go	$431.00	$431.00	$45.56–$362.04	74% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 61'-75' Go	$668.00	$668.00	$45.56–$561.12	170% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 61'-75' Gp	$668.00	$668.00	$45.56–$561.12	170% above	—
Short leg splint (calf to foot) CPT 29515 Apply Lower Leg Splint	$691.00	$691.00	$45.56–$580.44	179% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 8'-30' Go	$292.00	$292.00	$29.20–$193.01	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 8'-30' Gp	$292.00	$292.00	$29.20–$193.01	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint Calf to Foot	$358.00	$358.00	$35.80–$236.64	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 31'-60'	$405.00	$405.00	$40.50–$267.71	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 61"-75"	$405.00	$405.00	$40.50–$267.71	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg	$405.00	$405.00	$40.50–$267.71	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 8"-30"	$405.00	$405.00	$40.50–$267.71	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 61'-75'	$405.00	$405.00	$40.50–$267.71	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 31'-60' Gp	$431.00	$431.00	$43.10–$284.89	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 31'-60' Go	$431.00	$431.00	$43.10–$284.89	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 61'-75' Gp	$668.00	$668.00	$45.56–$441.55	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 61'-75' Go	$668.00	$668.00	$45.56–$441.55	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Apply Lower Leg Splint	$691.00	$691.00	$45.56–$456.75	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$3,484.00	$3,484.00	$82.00–$3,506.34	28% below	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$3,484.00	$3,484.00	$348.40–$2,302.92	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$926.00	$926.00	$82.00–$777.84	96% below	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$926.00	$926.00	$92.60–$612.09	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$458.00	$458.00	$39.14–$384.72	26% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Resuperf Wnd Body <2.5cm	$632.00	$632.00	$39.14–$530.88	75% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$458.00	$458.00	$39.14–$302.74	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Resuperf Wnd Body <2.5cm	$632.00	$632.00	$39.14–$417.75	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$704.00	$704.00	$39.68–$591.36	83% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$629.00	$629.00	$39.68–$415.77	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$1,944.00	$1,944.00	$82.00–$1,632.96	291% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$1,944.00	$1,944.00	$102.10–$1,284.98	—	—
Skin tag removal, up to 15 tags CPT 11200 Removal of Skin Tags, Up to 15	$340.00	$340.00	$63.04–$285.60	37% above	—
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$446.00	$446.00	$63.04–$374.64	80% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags, Up to 15	$340.00	$340.00	$34.00–$224.74	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$446.00	$446.00	$44.60–$294.81	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Lumbar Spinal Puncture	$706.00	$706.00	$55.04–$756.44	15% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tap Diagnostic	$1,300.00	$1,300.00	$55.04–$1,092.00	56% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture	$1,300.00	$1,300.00	$55.04–$1,092.00	56% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic Lumbar Spinal Puncture	$706.00	$706.00	$55.04–$466.67	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture	$1,300.00	$1,300.00	$55.04–$859.30	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap Diagnostic	$1,300.00	$1,300.00	$55.04–$859.30	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Rpr Scalp/Neck/Axillae/Ext Gentl/Trnk/Ext 2.6-7.5cm	$389.00	$389.00	$51.21–$326.76	at median	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Resup Npterf Wnd Body 2.6-7.5 Cm [Eap 12002]	$389.00	$389.00	$51.21–$326.76	at median	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$563.00	$563.00	$51.21–$472.92	45% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Smpl Rpr Scalp/Neck/Axillae/Ext Gentl/Trnk/Ext 2.6-7.5cm	$389.00	$389.00	$38.90–$257.13	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Resup Npterf Wnd Body 2.6-7.5 Cm [Eap 12002]	$389.00	$389.00	$38.90–$257.13	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$563.00	$563.00	$51.21–$372.14	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/<	$563.00	$563.00	$47.93–$472.92	39% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Resuperf Wnd Face <2.5 Cm	$644.00	$644.00	$47.93–$540.96	59% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Smpl Rpr Face/Ears/Eyelids/Nose/Lips/Mcs Mbrn 2.5cm or <	$644.00	$644.00	$47.93–$540.96	59% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/<	$563.00	$563.00	$47.93–$372.14	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Smpl Rpr Face/Ears/Eyelids/Nose/Lips/Mcs Mbrn 2.5cm or <	$644.00	$644.00	$47.93–$425.68	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Resuperf Wnd Face <2.5 Cm	$644.00	$644.00	$47.93–$425.68	—	—
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$3,804.00	$3,804.00	$82.00–$5,745.80	33% below	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$3,804.00	$3,804.00	$380.40–$2,514.44	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$704.00	$704.00	$31.84–$591.36	133% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion	$704.00	$704.00	$31.84–$465.34	—	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$1,533.00	$1,533.00	$82.00–$1,287.72	31% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Imaging	$2,636.00	$2,636.00	$97.63–$2,214.24	125% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$1,533.00	$1,533.00	$97.63–$1,013.31	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Imaging	$2,636.00	$2,636.00	$97.63–$1,742.40	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$1,544.00	$1,544.00	$82.00–$3,552.91	58% below	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$1,544.00	$1,544.00	$154.40–$1,020.58	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$1,489.00	$1,489.00	$82.00–$6,343.80	74% below	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$1,489.00	$1,489.00	$148.90–$984.23	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$1,290.00	$1,290.00	$82.00–$3,552.91	58% below	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$1,290.00	$1,290.00	$129.00–$852.69	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$1,345.00	$1,345.00	$82.00–$6,343.80	58% below	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$1,345.00	$1,345.00	$134.50–$889.05	—	—
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$7,090.00	$7,090.00	$82.00–$13,758.17	3% above	—
Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$7,090.00	$7,090.00	$709.00–$4,686.49	—	—
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$7,078.00	$7,078.00	$82.00–$13,758.17	1% above	—
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$7,078.00	$7,078.00	$707.80–$4,678.56	—	—
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$7,575.00	$7,575.00	$82.00–$18,789.56	11% below	—
Total shoulder replacement inpatient CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$7,575.00	$7,575.00	$757.50–$5,007.08	—	—
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$4,829.00	$4,829.00	$82.00–$6,478.50	25% below	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy Total/Complete	$4,829.00	$4,829.00	$482.90–$3,191.97	—	—
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$2,702.00	$2,702.00	$82.00–$2,269.68	58% above	—
Trigger finger release surgery CPT 26055 Incise Finger Tendon Sheath	$3,410.00	$3,410.00	$82.00–$2,864.40	99% above	—
Trigger finger release surgery inpatient CPT 26055 Tendon Sheath Incision	$2,702.00	$2,702.00	$270.04–$1,786.02	—	—
Trigger finger release surgery inpatient CPT 26055 Incise Finger Tendon Sheath	$3,410.00	$3,410.00	$270.04–$2,254.01	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles	$281.00	$281.00	$34.38–$328.94	39% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Pt 1-2 Muscle	$880.00	$880.00	$34.38–$739.20	91% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Point, 1 or 2	$953.00	$953.00	$34.38–$800.52	107% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles	$281.00	$281.00	$28.10–$185.74	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Trigger Pt 1-2 Muscle	$880.00	$880.00	$34.38–$581.68	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Trigger Point, 1 or 2	$953.00	$953.00	$34.38–$629.93	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts	$1,940.00	$1,940.00	$82.00–$6,478.50	21% below	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy Fulguration Oviducts	$1,940.00	$1,940.00	$194.00–$1,282.34	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid	$2,933.00	$2,933.00	$82.00–$2,463.72	28% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Brst Bx W/Plc Lcl Dvc US Guide, 1rst Lsn	$5,102.00	$5,102.00	$130.16–$4,285.68	122% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid	$2,933.00	$2,933.00	$130.16–$1,938.71	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Brst Bx W/Plc Lcl Dvc US Guide, 1rst Lsn	$5,102.00	$5,102.00	$130.16–$3,372.42	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$5,248.00	$5,248.00	$82.00–$4,408.32	157% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$5,248.00	$5,248.00	$148.58–$3,468.93	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$1,842.00	$1,842.00	$82.00–$1,547.28	at median	—
Upper endoscopy (EGD) with biopsy CPT 43239 Upper GI Endoscopy,Biopsy	$2,170.00	$2,170.00	$82.00–$1,822.80	18% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple	$1,842.00	$1,842.00	$133.51–$1,217.56	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper GI Endoscopy,Biopsy	$2,170.00	$2,170.00	$133.51–$1,434.37	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$1,842.00	$1,842.00	$82.00–$1,547.28	12% below	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$1,842.00	$1,842.00	$132.66–$1,217.56	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,349.00	$2,349.00	$82.00–$2,056.34	6% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,349.00	$2,349.00	$189.45–$1,552.69	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,930.00	$1,930.00	$82.00–$1,621.20	24% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,930.00	$1,930.00	$160.30–$1,275.73	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$1,389.00	$1,389.00	$82.00–$1,166.76	9% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 Upper GI Endoscopy,Diagnosis	$1,478.00	$1,478.00	$82.00–$1,241.52	3% below	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$1,389.00	$1,389.00	$118.34–$918.13	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper GI Endoscopy,Diagnosis	$1,478.00	$1,478.00	$118.34–$976.96	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$16,330.00	$16,330.00	$422.33–$13,717.20	186% above	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$16,330.00	$16,330.00	$422.33–$10,794.13	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb	$11,819.00	$11,819.00	$82.00–$9,927.96	138% above	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb	$11,819.00	$11,819.00	$1,181.90–$7,812.36	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum	$11,201.00	$11,201.00	$82.00–$9,408.84	145% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum	$11,201.00	$11,201.00	$1,120.10–$7,403.86	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,808.00	$1,808.00	$82.00–$2,240.09	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of Sperm Duct(S)	$3,267.00	$3,267.00	$82.00–$2,744.28	113% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,808.00	$1,808.00	$180.80–$1,195.09	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of Sperm Duct(S)	$3,267.00	$3,267.00	$225.22–$2,159.49	—	—
Vein ablation, radiofrequency, first vein CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$6,659.00	$6,659.00	$82.00–$5,593.56	28% above	—
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf, 1st Vein	$11,375.00	$11,375.00	$82.00–$9,555.00	119% above	—
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Abltn Ext Vein Perct 1rst Vein	$14,915.00	$14,915.00	$306.27–$12,528.60	187% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$6,659.00	$6,659.00	$306.27–$4,401.60	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf, 1st Vein	$11,375.00	$11,375.00	$306.27–$7,518.88	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Abltn Ext Vein Perct 1rst Vein	$14,915.00	$14,915.00	$306.27–$9,858.82	—	—
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$546.00	$546.00	$55.06–$458.64	135% above	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14	$546.00	$546.00	$54.60–$360.91	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$639.00	$639.00	$50.34–$536.76	4% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid Skn & Subq <or=20sqcm	$1,204.00	$1,204.00	$50.34–$1,011.36	81% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Skin, Sub-Q Tissue	$1,204.00	$1,204.00	$50.34–$1,011.36	81% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Skin, Sub-Q Tissue; 1rst 20 Sq Cm or <	$1,204.00	$1,204.00	$50.34–$1,011.36	81% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$639.00	$639.00	$50.34–$422.38	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, Skin, Sub-Q Tissue; 1rst 20 Sq Cm or <	$1,204.00	$1,204.00	$50.34–$795.84	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debrid Skn & Subq <or=20sqcm	$1,204.00	$1,204.00	$50.34–$795.84	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, Skin, Sub-Q Tissue	$1,204.00	$1,204.00	$50.34–$795.84	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation	$3,793.00	$3,793.00	$82.00–$7,775.89	at median	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation	$3,793.00	$3,793.00	$379.30–$2,507.17	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Administer Transfusion	$739.00	$739.00	$39.69–$620.76	19% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Administer Transfusion	$739.00	$739.00	$39.69–$488.48	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neo Nebulizer Treatment	$610.00	$610.00	$8.39–$512.40	225% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction	$610.00	$610.00	$8.39–$512.40	225% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$610.00	$610.00	$8.39–$512.40	225% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment	$610.00	$610.00	$8.39–$512.40	225% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment	$610.00	$610.00	$8.39–$512.40	225% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment	$610.00	$610.00	$8.39–$403.21	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction	$610.00	$610.00	$8.39–$403.21	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment	$610.00	$610.00	$8.39–$403.21	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$610.00	$610.00	$8.39–$403.21	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Neo Nebulizer Treatment	$610.00	$610.00	$8.39–$403.21	—	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion -Up to 1hr	$1,181.00	$1,181.00	$129.58–$992.04	81% above	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion 1 Hr	$1,181.00	$1,181.00	$129.58–$992.04	81% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1 Hr	$1,181.00	$1,181.00	$118.10–$780.64	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion -Up to 1hr	$1,181.00	$1,181.00	$118.10–$780.64	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Opth Svcs Comprehensive New Pt	$423.00	$423.00	$73.23–$355.32	207% above	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst	$750.00	$750.00	$73.23–$630.00	445% above	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Opth Svcs Comprehensive New Pt	$423.00	$423.00	$42.30–$279.60	—	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst	$750.00	$750.00	$73.23–$495.75	—	—
Comprehensive eye exam, returning patient CPT 92014 Opth Svcs Comprehensive Est Pt	$347.00	$347.00	$59.17–$291.48	163% above	—
Comprehensive eye exam, returning patient CPT 92014 Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst	$629.00	$629.00	$59.17–$528.36	377% above	—
Comprehensive eye exam, returning patient inpatient CPT 92014 Opth Svcs Comprehensive Est Pt	$347.00	$347.00	$34.70–$229.37	—	—
Comprehensive eye exam, returning patient inpatient CPT 92014 Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst	$629.00	$629.00	$59.17–$415.77	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 90' Comprehensive Audiometry	$525.00	$525.00	$30.78–$441.00	106% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Hearing Test	$525.00	$525.00	$30.78–$441.00	106% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 60' Comprehensive Audiometry (Inpt)	$525.00	$525.00	$30.78–$441.00	106% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 60' Comprehensive Audiometry	$525.00	$525.00	$30.78–$441.00	106% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 60' Comprehensive Audiometry	$525.00	$525.00	$30.78–$347.03	—	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 60' Comprehensive Audiometry (Inpt)	$525.00	$525.00	$30.78–$347.03	—	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 90' Comprehensive Audiometry	$525.00	$525.00	$30.78–$347.03	—	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Hearing Test	$525.00	$525.00	$30.78–$347.03	—	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$794.00	$794.00	$82.00–$885.19	55% below	—
Critical care, first 30 to 74 minutes CPT 99291 Emergency Room Level 6	$2,028.00	$2,028.00	$151.72–$1,703.52	14% above	—
Critical care, first 30 to 74 minutes CPT 99291 OB Emergency Room Level 6	$2,028.00	$2,028.00	$151.72–$1,703.52	14% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$794.00	$794.00	$79.40–$524.83	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Emergency Room Level 6	$2,028.00	$2,028.00	$151.72–$1,340.51	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 OB Emergency Room Level 6	$2,028.00	$2,028.00	$151.72–$1,340.51	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$1,587.00	$1,587.00	$231.39–$1,333.08	90% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$1,754.00	$1,754.00	$231.39–$1,473.36	110% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$1,587.00	$1,587.00	$158.70–$1,049.01	—	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$1,754.00	$1,754.00	$175.40–$1,159.39	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram, Tracing	$245.00	$245.00	$6.48–$205.80	6% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing Only	$245.00	$245.00	$6.48–$205.80	6% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing Only	$245.00	$245.00	$6.48–$161.95	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram, Tracing	$245.00	$245.00	$6.48–$161.95	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy	$894.00	$894.00	$104.82–$920.24	6% above	—
Electroconvulsive therapy (ECT), one session CPT 90870 Medical Service	$1,229.00	$1,229.00	$104.82–$1,032.36	46% above	—
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy,1 Seiz	$1,229.00	$1,229.00	$104.82–$1,032.36	46% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy	$894.00	$894.00	$89.40–$590.93	—	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy,1 Seiz	$1,229.00	$1,229.00	$104.82–$812.37	—	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Medical Service	$1,229.00	$1,229.00	$104.82–$812.37	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB Emergency Room Level 1	$299.00	$299.00	$8.57–$251.16	66% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Level 1	$299.00	$299.00	$8.57–$251.16	66% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Level 1 Np/Pa	$299.00	$299.00	$8.57–$251.16	66% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB Emergency Room Level 1	$299.00	$299.00	$8.57–$197.64	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room Level 1	$299.00	$299.00	$8.57–$197.64	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room Level 1 Np/Pa	$299.00	$299.00	$8.57–$197.64	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Level 2	$494.00	$494.00	$30.07–$414.96	30% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB Emergency Room Level 2	$494.00	$494.00	$30.07–$414.96	30% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Level 2 Np/Pa	$494.00	$494.00	$30.07–$414.96	30% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB Emergency Room Level 2	$494.00	$494.00	$30.07–$326.53	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room Level 2 Np/Pa	$494.00	$494.00	$30.07–$326.53	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room Level 2	$494.00	$494.00	$30.07–$326.53	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB Emergency Room Level 3	$835.00	$835.00	$51.73–$701.40	27% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Level 3	$835.00	$835.00	$51.73–$701.40	27% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Level 3 Np/Pa	$835.00	$835.00	$51.73–$701.40	27% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB Emergency Room Level 3	$835.00	$835.00	$51.73–$551.94	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room Level 3	$835.00	$835.00	$51.73–$551.94	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room Level 3 Np/Pa	$835.00	$835.00	$51.73–$551.94	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB Emergency Room Level 4	$1,337.00	$1,337.00	$86.76–$1,123.08	24% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Level 4	$1,337.00	$1,337.00	$86.76–$1,123.08	24% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room Level 4	$1,337.00	$1,337.00	$86.76–$883.76	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB Emergency Room Level 4	$1,337.00	$1,337.00	$86.76–$883.76	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB Emergency Room Level 5	$1,991.00	$1,991.00	$126.53–$1,672.44	28% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Level 5	$1,991.00	$1,991.00	$126.53–$1,672.44	28% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room Level 5	$1,991.00	$1,991.00	$126.53–$1,316.05	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB Emergency Room Level 5	$1,991.00	$1,991.00	$126.53–$1,316.05	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Tst,Tracing Only	$953.00	$953.00	$35.98–$800.52	at median	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test Tracing Only	$953.00	$953.00	$35.98–$800.52	at median	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Tst,Tracing Only	$953.00	$953.00	$35.98–$629.93	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Stress Test Tracing Only	$953.00	$953.00	$35.98–$629.93	—	—
Eye exam, returning patient, intermediate CPT 92012 Opth Svcs Intermediate Est Pt	$256.00	$256.00	$39.43–$215.04	94% above	—
Eye exam, returning patient, intermediate CPT 92012 Oph Svcs Medical Xm&Eval Intermediate Est Pt	$436.00	$436.00	$39.43–$366.24	230% above	—
Eye exam, returning patient, intermediate inpatient CPT 92012 Opth Svcs Intermediate Est Pt	$256.00	$256.00	$25.60–$169.22	—	—
Eye exam, returning patient, intermediate inpatient CPT 92012 Oph Svcs Medical Xm&Eval Intermediate Est Pt	$436.00	$436.00	$39.43–$288.20	—	—
Family therapy with the patient, 50 minutes CPT 90847 Family Psytx W/Patient	$250.00	$250.00	$50.00–$210.00	45% above	—
Family therapy with the patient, 50 minutes CPT 90847 Fam Ther W Pt 50 Min MCR	$250.00	$250.00	$50.00–$210.00	45% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psytx W/Patient	$250.00	$250.00	$25.00–$165.25	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Fam Ther W Pt 50 Min MCR	$250.00	$250.00	$25.00–$165.25	—	—
Family therapy without the patient, 50 minutes CPT 90846 Family Psytx W/O Patient	$250.00	$250.00	$50.00–$210.00	45% above	—
Family therapy without the patient, 50 minutes CPT 90846 Fam Ther WO Pt 50 Min MCR	$250.00	$250.00	$50.00–$210.00	45% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psytx W/O Patient	$250.00	$250.00	$25.00–$165.25	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Fam Ther WO Pt 50 Min MCR	$250.00	$250.00	$25.00–$165.25	—	—
Group psychotherapy session CPT 90853 Group Psychotherapy	$80.00	$80.00	$16.00–$108.87	31% below	—
Group psychotherapy session CPT 90853 Group Therapy per Unit	$250.00	$250.00	$23.33–$210.00	116% above	—
Group psychotherapy session inpatient CPT 90853 Group Therapy per Unit	$250.00	$250.00	$23.33–$165.25	—	—
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$250.00	$250.00	$23.33–$165.25	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration IV Infusn Up to 1hr	$537.00	$537.00	$30.30–$451.08	64% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration IV Infusion Init	$537.00	$537.00	$30.30–$451.08	64% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration IV Infusn Up to 1hr	$537.00	$537.00	$30.30–$354.96	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration IV Infusion Init	$537.00	$537.00	$30.30–$354.96	—	—
IV infusion of a medicine, first hour CPT 96365 Ther/Proph/Diag IV Inf Init	$799.00	$799.00	$59.55–$671.16	99% above	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion -Up to 1hr	$799.00	$799.00	$59.55–$671.16	99% above	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion Up to 1hr	$799.00	$799.00	$59.55–$671.16	99% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Up to 1hr	$799.00	$799.00	$59.55–$528.14	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion -Up to 1hr	$799.00	$799.00	$59.55–$528.14	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Proph/Diag IV Inf Init	$799.00	$799.00	$59.55–$528.14	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im	$197.00	$197.00	$13.48–$165.48	85% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Ther/Diag Med Subq/Im	$197.00	$197.00	$13.48–$165.48	85% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection -Subcutan/Intramusc	$197.00	$197.00	$13.48–$165.48	85% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection,Therap/Proph/Diagnost, Im or Subcut	$197.00	$197.00	$13.48–$165.48	85% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Ther/Diag Med Subq/Im	$197.00	$197.00	$13.48–$130.22	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection,Therap/Proph/Diagnost, Im or Subcut	$197.00	$197.00	$13.48–$130.22	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im	$197.00	$197.00	$13.48–$130.22	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection -Subcutan/Intramusc	$197.00	$197.00	$13.48–$130.22	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$412.00	$412.00	$82.40–$346.08	76% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation	$412.00	$412.00	$41.20–$272.33	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Motor&Sens 7-8 Nrv Cndj Test	$727.00	$727.00	$145.40–$610.68	17% above	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$799.00	$799.00	$159.80–$671.16	29% above	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies	$948.00	$948.00	$166.73–$796.32	53% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Motor&Sens 7-8 Nrv Cndj Test	$727.00	$727.00	$72.70–$480.55	—	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$799.00	$799.00	$79.90–$528.14	—	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies 7-8 Studies	$948.00	$948.00	$94.80–$626.63	—	—
Neuromuscular re-education, 15 minutes CPT 97112 15' Neuromuscular Re-Education	$161.00	$161.00	$24.62–$135.24	38% above	—
Neuromuscular re-education, 15 minutes CPT 97112 15' Neuromuscular Re-Education Gp	$161.00	$161.00	$24.62–$135.24	38% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Education	$161.00	$161.00	$24.62–$135.24	38% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Education Gn	$161.00	$161.00	$24.62–$135.24	38% above	—
Neuromuscular re-education, 15 minutes CPT 97112 15' Neuromuscular Re-Education Go	$161.00	$161.00	$24.62–$135.24	38% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Sp Neuromuscular Re-Education	$161.00	$161.00	$24.62–$135.24	38% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Education	$161.00	$161.00	$16.10–$106.42	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 15' Neuromuscular Re-Education Go	$161.00	$161.00	$16.10–$106.42	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Education Gn	$161.00	$161.00	$16.10–$106.42	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Sp Neuromuscular Re-Education	$161.00	$161.00	$16.10–$106.42	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 15' Neuromuscular Re-Education	$161.00	$161.00	$16.10–$106.42	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 15' Neuromuscular Re-Education Gp	$161.00	$161.00	$16.10–$106.42	—	—
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$303.00	$303.00	$58.66–$254.52	41% above	—
New patient office visit, about 30 minutes CPT 99203 Prenatal New Low Mdm 30-44 Minutes	$303.00	$303.00	$58.66–$254.52	41% above	—
New patient office visit, about 30 minutes CPT 99203 Non-Emergent Care Lvl 3 New Pt	$405.00	$405.00	$58.66–$340.20	89% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Prenatal New Low Mdm 30-44 Minutes	$303.00	$303.00	$30.30–$200.28	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$303.00	$303.00	$30.30–$200.28	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Non-Emergent Care Lvl 3 New Pt	$405.00	$405.00	$40.50–$267.71	—	—
New patient office visit, about 45 minutes CPT 99204 Prenatal New Moderate Mdm 45-59 Minutes	$463.00	$463.00	$82.00–$388.92	55% above	—
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$463.00	$463.00	$82.00–$388.92	55% above	—
New patient office visit, about 45 minutes CPT 99204 Non-Emergent Care Lvl 4 New Pt	$530.00	$530.00	$82.00–$445.20	77% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$463.00	$463.00	$46.30–$306.04	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Prenatal New Moderate Mdm 45-59 Minutes	$463.00	$463.00	$46.30–$306.04	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Non-Emergent Care Lvl 4 New Pt	$530.00	$530.00	$53.00–$350.33	—	—
New patient office visit, about 60 minutes CPT 99205 Prenatal New High Mdm 60-74 Minutes	$585.00	$585.00	$82.00–$491.40	51% above	—
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes	$585.00	$585.00	$82.00–$491.40	51% above	—
New patient office visit, about 60 minutes CPT 99205 Non-Emergent Care Lvl 5 New Pt	$656.00	$656.00	$82.00–$551.04	69% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Prenatal New High Mdm 60-74 Minutes	$585.00	$585.00	$58.50–$386.69	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes	$585.00	$585.00	$58.50–$386.69	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Non-Emergent Care Lvl 5 New Pt	$656.00	$656.00	$65.60–$433.62	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Prenatal New Sf Mdm 15-29 Minutes	$215.00	$215.00	$33.84–$180.60	43% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$215.00	$215.00	$33.84–$180.60	43% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Non-Emergent Care Lvl 2 New Pt	$316.00	$316.00	$33.84–$265.44	111% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Prenatal New Sf Mdm 15-29 Minutes	$215.00	$215.00	$21.50–$142.12	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$215.00	$215.00	$21.50–$142.12	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Non-Emergent Care Lvl 2 New Pt	$316.00	$316.00	$31.60–$208.88	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 15' Nutrition Svcs - Onsite	$117.00	$117.00	$23.40–$98.28	113% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutr Ther, 1st, Indiv, Ea 15 Min	$117.00	$117.00	$23.40–$98.28	113% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 15' Nutrition Svcs - Offsite	$117.00	$117.00	$23.40–$98.28	113% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$193.00	$193.00	$32.79–$162.12	251% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Med Nutr Ther, 1st, Indiv, Ea 15 Min	$117.00	$117.00	$11.70–$77.34	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 15' Nutrition Svcs - Offsite	$117.00	$117.00	$11.70–$77.34	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 15' Nutrition Svcs - Onsite	$117.00	$117.00	$11.70–$77.34	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$193.00	$193.00	$19.30–$127.57	—	—
Occupational therapy evaluation, low complexity CPT 97165 15' Ot Evaluation-Onsite	$454.00	$454.00	$73.36–$381.36	63% above	—
Occupational therapy evaluation, low complexity CPT 97165 15' Ot Evaluation-Offsite	$454.00	$454.00	$73.36–$381.36	63% above	—
Occupational therapy evaluation, low complexity CPT 97165 15' Evaluation-Onsite	$454.00	$454.00	$73.36–$381.36	63% above	—
Occupational therapy evaluation, low complexity CPT 97165 15' Evaluation-Offsite	$454.00	$454.00	$73.36–$381.36	63% above	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity	$454.00	$454.00	$73.36–$381.36	63% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 15' Ot Evaluation-Offsite	$454.00	$454.00	$45.40–$300.09	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 15' Evaluation-Offsite	$454.00	$454.00	$45.40–$300.09	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 15' Ot Evaluation-Onsite	$454.00	$454.00	$45.40–$300.09	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity	$454.00	$454.00	$45.40–$300.09	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 15' Evaluation-Onsite	$454.00	$454.00	$45.40–$300.09	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity (31-60 Minutes)	$382.00	$382.00	$73.36–$320.88	11% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval - High Complexity	$382.00	$382.00	$73.36–$320.88	11% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity 61-90 Minutes)	$382.00	$382.00	$73.36–$320.88	11% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity	$382.00	$382.00	$73.36–$320.88	11% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity (0-30 Minutes)	$382.00	$382.00	$73.36–$320.88	11% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity (61-90 Minutes)	$470.00	$470.00	$73.36–$394.80	37% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval - High Complexity	$382.00	$382.00	$38.20–$252.50	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity	$382.00	$382.00	$38.20–$252.50	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity 61-90 Minutes)	$382.00	$382.00	$38.20–$252.50	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity (31-60 Minutes)	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity (0-30 Minutes)	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity (61-90 Minutes)	$470.00	$470.00	$47.00–$310.67	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 15' Pt Evaluation-Onsite	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 15' Evaluation-Onsite	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Occupational Therapy Eval	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 15' Evaluation-Offsite	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity Curtis	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 15' Pt Evaluation-Offsite	$394.00	$394.00	$73.36–$330.96	70% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity Curtis	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 15' Evaluation-Offsite	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 15' Pt Evaluation-Offsite	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 15' Evaluation-Onsite	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Occupational Therapy Eval	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 15' Pt Evaluation-Onsite	$394.00	$394.00	$39.40–$260.43	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity (0-30 Minutes)	$333.00	$333.00	$66.60–$279.72	5% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval - Mod Complexity	$333.00	$333.00	$66.60–$279.72	5% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity (61-90 Minutes)	$333.00	$333.00	$66.60–$279.72	5% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity	$333.00	$333.00	$66.60–$279.72	5% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity (31-60 Minutes)	$333.00	$333.00	$66.60–$279.72	5% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval - Mod Complexity	$333.00	$333.00	$33.30–$220.11	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity (0-30 Minutes)	$333.00	$333.00	$33.30–$220.11	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity (61-90 Minutes)	$333.00	$333.00	$33.30–$220.11	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity (31-60 Minutes)	$333.00	$333.00	$33.30–$220.11	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity	$333.00	$333.00	$33.30–$220.11	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 15' Manual Therapy Go	$155.00	$155.00	$19.83–$130.20	15% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 15' Manual Therapy Gp	$155.00	$155.00	$19.83–$130.20	15% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 15' Manual Therapy	$155.00	$155.00	$19.83–$130.20	15% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 15' Manual Therapy	$155.00	$155.00	$15.50–$102.46	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 15' Manual Therapy Gp	$155.00	$155.00	$15.50–$102.46	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 15' Manual Therapy Go	$155.00	$155.00	$15.50–$102.46	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Individual Therapeutic Proc-Offsite	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Sp Tx Exercise - Oral Motor Act	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Services on/Loc Code 11	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Therapeutic Exercise Gp	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Exercise - Oral Motor Act Gn	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Individual Therapeutic Proc-Onsite	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Individual Therapy-Onsite	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Services Off/Loc Code 99	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Services Off/Loc Code 12	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Individual Therapy-Offsite	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Therapeutic Exercise Go	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Therapeutic Exercise	$191.00	$191.00	$21.50–$160.44	62% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Therapeutic Exercise	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Individual Therapy-Offsite	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Individual Therapeutic Proc-Offsite	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Therapeutic Exercise Go	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Therapeutic Exercise Gp	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Individual Therapy-Onsite	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Individual Therapeutic Proc-Onsite	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tx Exercise - Oral Motor Act Gn	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Services on/Loc Code 11	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Sp Tx Exercise - Oral Motor Act	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Services Off/Loc Code 99	$191.00	$191.00	$19.10–$126.25	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Services Off/Loc Code 12	$191.00	$191.00	$19.10–$126.25	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 Preventive Visit,New,18-39	$286.00	$286.00	$57.20–$240.24	43% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive Visit,New,18-39	$286.00	$286.00	$28.60–$189.05	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit,New,40-64	$286.00	$286.00	$57.20–$240.24	29% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit,New,40-64	$286.00	$286.00	$28.60–$189.05	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Visit,New,65 & Over	$250.00	$250.00	$50.00–$210.00	14% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Preventive Visit,New,65 & Over	$250.00	$250.00	$25.00–$165.25	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Eureka College Sports Service	$82.00	$82.00	$16.40–$118.48	54% below	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Eureka College Sports Service	$82.00	$82.00	$8.20–$88.93	—	—
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$453.00	$453.00	$90.60–$380.52	67% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$465.00	$465.00	$46.50–$307.37	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psychological Tst Eval Svc Phys/Qhp First Hour	$431.00	$431.00	$86.20–$362.04	37% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psychological Tst Eval Svc Phys/Qhp First Hour	$431.00	$431.00	$43.10–$284.89	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis Initial 60 Minutes	$512.00	$512.00	$102.40–$430.08	113% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis Initial 60 Minutes	$512.00	$512.00	$51.20–$338.43	—	—
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes	$204.00	$204.00	$40.80–$190.21	19% above	—
Psychotherapy session, 30 minutes CPT 90832 Medical Service	$208.00	$208.00	$41.60–$190.21	21% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes	$204.00	$204.00	$20.40–$134.84	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Medical Service	$208.00	$208.00	$20.80–$137.49	—	—
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes	$265.00	$265.00	$53.00–$222.60	47% above	—
Psychotherapy session, 45 minutes CPT 90834 Medical Service	$292.00	$292.00	$58.40–$245.28	62% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes	$265.00	$265.00	$26.50–$175.17	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Medical Service	$292.00	$292.00	$29.20–$193.01	—	—
Psychotherapy session, 60 minutes CPT 90837 Medical Service	$347.00	$347.00	$69.40–$291.48	45% above	—
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes	$397.00	$397.00	$79.40–$333.48	65% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Medical Service	$347.00	$347.00	$34.70–$229.37	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes	$397.00	$397.00	$39.70–$262.42	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$43.00	$43.00	$8.60–$82.00	26% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/Tobacco Use Cessation Counseling; Intermediate, >3 Min	$82.00	$82.00	$9.66–$68.88	141% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, >3 Minutes	$82.00	$82.00	$9.66–$68.88	141% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$43.00	$43.00	$4.30–$28.42	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking/Tobacco Use Cessation Counseling; Intermediate, >3 Min	$82.00	$82.00	$8.20–$54.20	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, >3 Minutes	$82.00	$82.00	$8.20–$54.20	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Non-Emergent Care Lvl 5 Est Pt	$394.00	$394.00	$78.80–$330.96	37% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Prenatal Established High Mdm 40-54 Min	$408.00	$408.00	$81.60–$342.72	41% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min	$408.00	$408.00	$81.60–$342.72	41% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Non-Emergent Care Lvl 5 Est Pt	$394.00	$394.00	$39.40–$260.43	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Prenatal Established High Mdm 40-54 Min	$408.00	$408.00	$40.80–$269.69	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Established High Mdm 40 Min	$408.00	$408.00	$40.80–$269.69	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min	$210.00	$210.00	$42.00–$176.40	39% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Prenatal Established Low Mdm 20-29 Min	$210.00	$210.00	$42.00–$176.40	39% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Non-Emergent Care Lvl 3 Est Pt	$299.00	$299.00	$46.43–$251.16	98% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Established Low Mdm 20 Min	$210.00	$210.00	$21.00–$138.81	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Prenatal Established Low Mdm 20-29 Min	$210.00	$210.00	$21.00–$138.81	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Non-Emergent Care Lvl 3 Est Pt	$299.00	$299.00	$29.90–$197.64	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Prenatal Established Mod Mdm 30-39 Min	$309.00	$309.00	$61.80–$259.56	74% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$309.00	$309.00	$61.80–$259.56	74% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Non-Emergent Care Lvl 4 Est Pt	$347.00	$347.00	$68.51–$291.48	95% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cdc Clinic	$347.00	$347.00	$68.51–$291.48	95% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Prenatal Established Mod Mdm 30-39 Min	$309.00	$309.00	$30.90–$204.25	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$309.00	$309.00	$30.90–$204.25	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Non-Emergent Care Lvl 4 Est Pt	$347.00	$347.00	$34.70–$229.37	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Cdc Clinic	$347.00	$347.00	$34.70–$229.37	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min	$132.00	$132.00	$25.06–$110.88	10% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Prenatal Established Sf Mdm 10-19 Min	$132.00	$132.00	$25.06–$110.88	10% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Non-Emergent Care Lvl 2 Est Pt	$250.00	$250.00	$25.06–$210.00	108% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Established Sf Mdm 10 Min	$132.00	$132.00	$13.20–$87.25	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Prenatal Established Sf Mdm 10-19 Min	$132.00	$132.00	$13.20–$87.25	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Non-Emergent Care Lvl 2 Est Pt	$250.00	$250.00	$25.00–$165.25	—	—
Speech and language evaluation CPT 92523 5'-6' Speech/Audio Evaluation	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 3'-4' Speech/Audio Evaluation	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 1'-2' Speech/Audio Evaluation	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express on/Loc Code 11	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 15' Evaluation-Onsite	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 2'-3' Speech/Audio Evaluation	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Eval Speech Sound Prod W/ Eval Lang Comp/Exprsn	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 12	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 8'-59' Speech/Audio Evaluation	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Language Comp 8-60 Gn	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 99	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 4'-5' Speech/Audio Evaluation	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 15' Evaluation-Offsite	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 15' a/R Assessment-Offsite	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Language Comp 60-120 Gn	$340.00	$340.00	$68.00–$425.62	13% below	—
Speech and language evaluation CPT 92523 Language Comp 60-120	$740.00	$740.00	$148.00–$621.60	88% above	—
Speech and language evaluation CPT 92523 Language Comp	$740.00	$740.00	$148.00–$621.60	88% above	—
Speech and language evaluation CPT 92523 Eval Speech Prod W Language Comp 15min	$740.00	$740.00	$148.00–$621.60	88% above	—
Speech and language evaluation inpatient CPT 92523 4'-5' Speech/Audio Evaluation	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 15' a/R Assessment-Offsite	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Language Comp 60-120 Gn	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 2'-3' Speech/Audio Evaluation	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 99	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Prod W/ Eval Lang Comp/Exprsn	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 12	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Language Comp 8-60 Gn	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 3'-4' Speech/Audio Evaluation	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express on/Loc Code 11	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 1'-2' Speech/Audio Evaluation	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 8'-59' Speech/Audio Evaluation	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 5'-6' Speech/Audio Evaluation	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 15' Evaluation-Offsite	$340.00	$340.00	$34.00–$224.74	—	—
Speech and language evaluation inpatient CPT 92523 Language Comp 60-120	$740.00	$740.00	$74.00–$489.14	—	—
Speech and language evaluation inpatient CPT 92523 15' Evaluation-Onsite	$740.00	$740.00	$74.00–$489.14	—	—
Speech and language evaluation inpatient CPT 92523 Language Comp	$740.00	$740.00	$74.00–$489.14	—	—
Speech and language evaluation inpatient CPT 92523 Eval Speech Prod W Language Comp 15min	$740.00	$740.00	$74.00–$489.14	—	—
Speech therapy session, individual CPT 92507 Speech Treatment 8-15" Gn	$82.00	$82.00	$16.40–$142.84	60% below	—
Speech therapy session, individual CPT 92507 Speech Treatment 16-30" Gn	$161.00	$161.00	$32.20–$142.84	22% below	—
Speech therapy session, individual CPT 92507 Speech/Audio Treatment 16-29"	$245.00	$245.00	$49.00–$205.80	19% above	—
Speech therapy session, individual CPT 92507 Speech Treatment 31-45" Gn	$299.00	$299.00	$50.89–$251.16	45% above	—
Speech therapy session, individual CPT 92507 Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 Speech Treatment 8'-30' Gn	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 31'-60' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 46-60' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 61-75' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 91-120" Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 16-30' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 76-90' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 31-45' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 Speech Treatment > 90"	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 Sp 31'-60' Treatment for Feeding	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 8'-30' Speech Treatment	$305.00	$305.00	$50.89–$256.20	48% above	—
Speech therapy session, individual CPT 92507 Speech Therapy Services on/Loc Code 11	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 15' Individual Therapy-Offsite	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 15' Slp a/R Services-Onsite	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 15' Individual Therapy-Onsite	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 Speech Therapy Services Off/Loc Code 99	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 15' Slp a/R Services-Offsite	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 75-89" Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 Treatment of Speech & Language 15min	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 Speech/Audio Treatment 90"	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 Dscc Speech Therapy Treatment - 15 Min	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 Speech Therapy Services Off/Loc Code 12	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 31'-60' Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 60-74" Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 8'-30' Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 30-44" Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 16-29" Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 8-15" Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 61-90" Speech/Audio Treatment	$333.00	$333.00	$50.89–$279.72	62% above	—
Speech therapy session, individual CPT 92507 45-59" Speech/Audio Treatment	$418.00	$418.00	$50.89–$351.12	103% above	—
Speech therapy session, individual CPT 92507 Speech Treatment 46-60" Gn	$446.00	$446.00	$50.89–$374.64	117% above	—
Speech therapy session, individual CPT 92507 Speech Treatment 31'-60' Gn	$543.00	$543.00	$50.89–$456.12	164% above	—
Speech therapy session, individual CPT 92507 Speech Treatment 61-75" Gn	$596.00	$596.00	$50.89–$500.64	189% above	—
Speech therapy session, individual CPT 92507 Speech Treatment 76-90" Gn	$740.00	$740.00	$50.89–$621.60	259% above	—
Speech therapy session, individual CPT 92507 Speech Treatment > 90" Gn	$1,001.00	$1,001.00	$50.89–$840.84	386% above	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 8-15" Gn	$82.00	$82.00	$8.20–$54.20	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 16-30" Gn	$161.00	$161.00	$16.10–$106.42	—	—
Speech therapy session, individual inpatient CPT 92507 Speech/Audio Treatment 16-29"	$245.00	$245.00	$24.50–$161.95	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 31-45" Gn	$299.00	$299.00	$29.90–$197.64	—	—
Speech therapy session, individual inpatient CPT 92507 61-75' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 46-60' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 31'-60' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 91-120" Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 31-45' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 8'-30' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 8'-30' Gn	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 Sp 31'-60' Treatment for Feeding	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 76-90' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 16-30' Speech Treatment	$305.00	$305.00	$30.50–$201.61	—	—
Speech therapy session, individual inpatient CPT 92507 16-29" Speech/Audio Treatment	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Services Off/Loc Code 99	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Services Off/Loc Code 12	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Services on/Loc Code 11	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 15' Slp a/R Services-Onsite	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 15' Slp a/R Services-Offsite	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 15' Individual Therapy-Onsite	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 Dscc Speech Therapy Treatment - 15 Min	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 75-89" Speech/Audio Treatment	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 15' Individual Therapy-Offsite	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 Speech/Audio Treatment 90"	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 31'-60' Speech/Audio Treatment	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 8'-30' Speech/Audio Treatment	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 8-15" Speech/Audio Treatment	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 Treatment of Speech & Language 15min	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 30-44" Speech/Audio Treatment	$333.00	$333.00	$33.30–$220.11	—	—
Speech therapy session, individual inpatient CPT 92507 45-59" Speech/Audio Treatment	$418.00	$418.00	$41.80–$276.30	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 46-60" Gn	$446.00	$446.00	$44.60–$294.81	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 31'-60' Gn	$543.00	$543.00	$50.89–$358.92	—	—
Speech therapy session, individual inpatient CPT 92507 60-74" Speech/Audio Treatment	$579.00	$579.00	$50.89–$382.72	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 61-75" Gn	$596.00	$596.00	$50.89–$393.96	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment 76-90" Gn	$740.00	$740.00	$50.89–$489.14	—	—
Speech therapy session, individual inpatient CPT 92507 61-90" Speech/Audio Treatment	$751.00	$751.00	$50.89–$496.41	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment > 90"	$943.00	$943.00	$50.89–$623.32	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment > 90" Gn	$1,001.00	$1,001.00	$50.89–$661.66	—	—
Spirometry (breathing test) CPT 94010 F.V.C. Without Dilator	$208.00	$208.00	$25.23–$231.39	29% below	—
Spirometry (breathing test) CPT 94010 Employer Required Pulmonary Function	$208.00	$208.00	$25.23–$231.39	29% below	—
Spirometry (breathing test) CPT 94010 Breathing Capacity Test	$208.00	$208.00	$25.23–$231.39	29% below	—
Spirometry (breathing test) CPT 94010 Bedside Spirometry-Lap	$208.00	$208.00	$25.23–$231.39	29% below	—
Spirometry (breathing test) inpatient CPT 94010 F.V.C. Without Dilator	$208.00	$208.00	$20.80–$137.49	—	—
Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test	$208.00	$208.00	$20.80–$137.49	—	—
Spirometry (breathing test) inpatient CPT 94010 Bedside Spirometry-Lap	$208.00	$208.00	$20.80–$137.49	—	—
Spirometry (breathing test) inpatient CPT 94010 Employer Required Pulmonary Function	$208.00	$208.00	$20.80–$137.49	—	—
Spirometry before and after a bronchodilator CPT 94060 F.V.C. Pre and Post Dilator	$596.00	$596.00	$36.08–$500.64	14% above	—
Spirometry before and after a bronchodilator CPT 94060 Eval of Bronchospasm	$596.00	$596.00	$36.08–$500.64	14% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 F.V.C. Pre and Post Dilator	$596.00	$596.00	$36.08–$393.96	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Eval of Bronchospasm	$596.00	$596.00	$36.08–$393.96	—	—
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Repet Tms Tx Initial W/Map/Motr Threshld/Del&Mng	$316.00	$316.00	$63.20–$265.44	at median	—
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Repet Tms Tx Initial W/Map/Motr Threshld/Del&Mng	$316.00	$316.00	$31.60–$236.69	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Individual Funct Therapy-Onsite	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Services on/Loc Code 11	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Individual Therapy-Offsite	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Funct Therapy Activity Go	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Funct Therapy Activity	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Individual Funct Therapy-Offsite	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Funct Therapy Activity Gp	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Individual Therapy-Onsite	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Instruct Comp Swallowing Techn Gn	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Services Off/Loc Code 99	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Sp Instruct Comp Swallowing Techn	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Services Off/Loc Code 12	$161.00	$161.00	$26.81–$135.24	26% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Individual Funct Therapy-Offsite	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Funct Therapy Activity	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Instruct Comp Swallowing Techn Gn	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Services Off/Loc Code 12	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Services Off/Loc Code 99	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Services on/Loc Code 11	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Individual Funct Therapy-Onsite	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Funct Therapy Activity Go	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Individual Therapy-Offsite	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Funct Therapy Activity Gp	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Individual Therapy-Onsite	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Sp Instruct Comp Swallowing Techn	$161.00	$161.00	$16.10–$106.42	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$316.00	$316.00	$63.20–$265.44	52% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebtomy	$316.00	$316.00	$63.20–$265.44	52% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Theraputic Phlebotomy	$316.00	$316.00	$63.20–$265.44	52% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic	$316.00	$316.00	$63.20–$265.44	52% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Theraputic Phlebotomy	$316.00	$316.00	$31.60–$208.88	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$316.00	$316.00	$31.60–$208.88	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebtomy	$316.00	$316.00	$31.60–$208.88	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy, Therapeutic	$316.00	$316.00	$31.60–$208.88	—	—
Visual field test, extended both sides CPT 92083 Extended Visual Field Xm Uni/Bi I&R	$314.00	$314.00	$47.38–$263.76	—	—
Visual field test, extended both sides CPT 92083 Visual Field Exam-Extended Uni/Bilat W/Intrp Report	$347.00	$347.00	$47.38–$291.48	—	—
Visual field test, extended inpatient both sides CPT 92083 Extended Visual Field Xm Uni/Bi I&R	$314.00	$314.00	$31.40–$207.55	—	—
Visual field test, extended inpatient both sides CPT 92083 Visual Field Exam-Extended Uni/Bilat W/Intrp Report	$347.00	$347.00	$34.70–$229.37	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD 2025-26 65YR UP(PF)45 MCG(15 MCGX3)/0.5 ML INTRAMUSCULAR SYRINGE	$123.09	$123.09	$0.75–$103.40	37% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD 2025-26 65YR UP(PF)45 MCG(15 MCGX3)/0.5 ML INTRAMUSCULAR SYRINGE	$123.09	$123.09	$0.75–$81.36	—	—
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX 2025-2026(12Y UP)(PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$204.19	$204.19	$40.84–$171.52	at median	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX 2025-2026(12Y UP)(PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$204.19	$204.19	$20.42–$150.30	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 2025-26 (12Y UP)(PF) 30 MCG/0.3 ML INTRAMUSCULAR SYRINGE	$244.58	$244.58	$48.92–$205.45	at median	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COMIRNATY 2025-26 (12Y UP)(PF) 30 MCG/0.3 ML INTRAMUSCULAR SYRINGE	$244.58	$244.58	$24.46–$161.67	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$276.47	$276.47	$55.29–$232.23	at median	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$276.47	$276.47	$27.65–$183.83	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$28.42	$28.42	$5.68–$23.87	15% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$28.42	$28.42	$5.68–$23.87	15% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA 2025-2026 (3YR UP)(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$31.22	$31.22	$6.24–$26.22	7% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$28.42	$28.42	$2.84–$22.10	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$28.42	$28.42	$2.84–$22.10	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA 2025-2026 (3YR UP)(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$31.22	$31.22	$3.12–$22.10	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$413.87	$413.87	$82.77–$347.65	2% below	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$473.71	$473.71	$94.74–$397.92	12% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$413.87	$413.87	$41.39–$301.95	—	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$473.71	$473.71	$47.37–$313.12	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE	$203.54	$203.54	$40.71–$170.97	at median	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE	$203.54	$203.54	$20.35–$134.54	—	—
Hepatitis A vaccine, adult dose CPT 90632 VAQTA (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$120.40	$120.40	$24.08–$101.14	at median	—
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$128.80	$128.80	$25.76–$108.19	7% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$120.40	$120.40	$12.04–$79.58	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$128.80	$128.80	$12.88–$85.14	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$107.96	$107.96	$21.59–$90.69	at median	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$107.96	$107.96	$21.59–$90.69	at median	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$107.96	$107.96	$10.80–$72.49	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$107.96	$107.96	$10.80–$72.49	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE QUAD 2022-23 (PF) 240 MCG/0.7 ML IM SYRINGE	$88.35	$88.35	$17.67–$98.16	20% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE QUAD 2022-23 (PF) 240 MCG/0.7 ML IM SYRINGE	$88.35	$88.35	$8.84–$75.60	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX (PF) 10EXP3.4-4.2-3.3 CCID50/0.5ML SUBCUTANEOUS SUSPENSION	$140.57	$140.57	$28.11–$118.08	27% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II (PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLUTION	$140.57	$140.57	$28.11–$118.08	27% below	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II (PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLUTION	$140.57	$140.57	$14.06–$100.20	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PRIORIX (PF) 10EXP3.4-4.2-3.3 CCID50/0.5ML SUBCUTANEOUS SUSPENSION	$140.57	$140.57	$14.06–$100.20	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION (1 VIAL)	$254.28	$254.28	$50.86–$213.60	3% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$254.28	$254.28	$50.86–$213.60	3% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION (1 VIAL)	$254.28	$254.28	$25.43–$191.38	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$254.28	$254.28	$25.43–$191.38	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 50 MCG-50 MCG-50 MCG-25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$361.70	$361.70	$72.34–$303.83	at median	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 50 MCG-50 MCG-50 MCG-25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$361.70	$361.70	$36.17–$239.08	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$444.25	$444.25	$88.85–$373.17	1% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$444.25	$444.25	$44.43–$306.98	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$168.60	$168.60	$33.72–$141.62	7% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$547.94	$547.94	$54.79–$362.19	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$856.89	$856.89	$171.38–$719.79	29% below	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$856.89	$856.89	$85.69–$566.40	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$459.46	$459.46	$91.89–$385.95	at median	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$459.46	$459.46	$45.95–$309.93	—	—
Rabies vaccine, one dose CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$366.85	$366.85	$73.37–$332.45	49% below	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$554.98	$554.98	$111.00–$466.18	23% below	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACCINE (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$624.68	$624.68	$62.47–$412.91	—	—
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$625.84	$625.84	$62.58–$413.68	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SUSPENSION, KIT	$337.95	$337.95	$67.59–$283.88	31% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$349.44	$349.44	$69.89–$293.53	36% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SUSPENSION, KIT	$310.33	$310.33	$31.03–$207.91	—	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$349.44	$349.44	$34.94–$230.98	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$50.63	$50.63	$10.13–$42.53	34% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$213.70	$213.70	$18.83–$179.51	178% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$65.76	$65.76	$6.58–$43.47	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$213.70	$213.70	$18.83–$141.26	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SYRINGE	$71.66	$71.66	$14.33–$60.19	26% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2 LF-(2.5-5-3-5)-5 LF/0.5 ML IM SYRINGE	$73.01	$73.01	$14.60–$61.33	24% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$73.01	$73.01	$14.60–$61.33	24% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SYRINGE	$71.66	$71.66	$7.17–$47.37	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$73.01	$73.01	$7.30–$48.26	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2 LF-(2.5-5-3-5)-5 LF/0.5 ML IM SYRINGE	$73.01	$73.01	$7.30–$48.26	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$232.70	$232.70	$46.54–$195.47	18% above	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,209.66	$3,209.66	$135.60–$2,696.11	1522% above	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$232.70	$232.70	$23.27–$171.66	—	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,209.66	$3,209.66	$135.60–$2,121.59	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 H1n1 Vaccine Admin	$180.00	$180.00	$10.00–$151.20	198% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Special Vaccine Admin	$180.00	$180.00	$10.00–$151.20	198% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Vaccine	$180.00	$180.00	$10.00–$151.20	198% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administer 1 Vaccine/Toxoid	$180.00	$180.00	$10.00–$151.20	198% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 H1n1 Vaccine Admini	$180.00	$180.00	$10.00–$151.20	198% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administer 1 Vaccine/Toxoid	$180.00	$180.00	$10.00–$118.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Special Vaccine Admin	$180.00	$180.00	$10.00–$118.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 H1n1 Vaccine Admini	$180.00	$180.00	$10.00–$118.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 H1n1 Vaccine Admin	$180.00	$180.00	$10.00–$118.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Vaccine	$180.00	$180.00	$10.00–$118.98	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz,Admin,Each Addl	$75.00	$75.00	$10.00–$63.00	91% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Addtnl Vaccine	$75.00	$75.00	$10.00–$63.00	91% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Special Vaccine Admin 90472	$75.00	$75.00	$10.00–$63.00	91% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administer Adnl Vaccine/Toxoid	$75.00	$75.00	$10.00–$63.00	91% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administer Adnl Vaccine/Toxoid	$75.00	$75.00	$7.50–$49.58	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Special Vaccine Admin 90472	$75.00	$75.00	$7.50–$49.58	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Addtnl Vaccine	$75.00	$75.00	$7.50–$49.58	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniz,Admin,Each Addl	$75.00	$75.00	$7.50–$49.58	—	—

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11404/850688306_carle-eureka-hospital_standardcharges.csv