Hospital

Richland Memorial Hospital

Richland Memorial Hospital in Olney, IL publishes cash prices for 304 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 241 of 297 procedures and below it for 48. By typical cash price it ranks #96 of 105 Illinois hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

800 E Locust St, Olney, IL 62450-2553 Collected Sep 29, 2026 Source price file (618) 395-2131

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 141355 · CMS hospital register NPI 1467492124

The price file shows no self-pay discount

For 996 of the 996 prices listed here, the cash price in Richland Memorial 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	$672.00	$672.00	$141.12–$571.20	96% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Xrays 3/> Views	$672.00	$672.00	$201.60–$584.64	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Artl Extmty Dpplr Sngl Lvl Bilat	$914.00	$914.00	$191.94–$776.90	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Artl Extmty Dpplr Sngl Lvl Bilat	$914.00	$914.00	$274.20–$795.18	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus Xrays	$1,481.00	$1,481.00	$311.01–$1,258.85	160% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus Xrays	$1,481.00	$1,481.00	$444.30–$1,288.47	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone/Joint Imaging -Whole Body	$4,032.00	$4,032.00	$846.72–$3,427.20	157% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone/Joint Imaging -Whole Body	$4,032.00	$4,032.00	$1,209.60–$3,507.84	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Unilateral Complete	$1,071.00	$1,071.00	$224.91–$910.35	121% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Unilateral Complete	$1,071.00	$1,071.00	$321.30–$931.77	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilateral Limited	$1,071.00	$1,071.00	$224.91–$910.35	152% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Unilateral Limited	$1,071.00	$1,071.00	$321.30–$931.77	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography -Chest	$3,990.00	$3,990.00	$600.00–$3,391.50	44% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography -Chest	$3,990.00	$3,990.00	$1,197.00–$3,471.30	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Hrt W/O Dye W/Ca Test	$147.00	$147.00	$30.87–$600.00	121% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Hrt W/O Dye W/Ca Test	$147.00	$147.00	$44.10–$127.89	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis W/O Contrast	$5,586.00	$5,586.00	$600.00–$4,748.10	63% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis W/O Contrast	$5,586.00	$5,586.00	$1,675.80–$4,859.82	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W/ Contrast	$9,030.00	$9,030.00	$600.00–$7,675.50	111% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis W/ Contrast	$9,030.00	$9,030.00	$2,709.00–$7,856.10	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W/ & W/O Contrast	$9,923.00	$9,923.00	$600.00–$8,434.55	104% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis W/ & W/O Contrast	$9,923.00	$9,923.00	$2,976.90–$8,633.01	—	—
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast	$4,883.00	$4,883.00	$600.00–$4,150.55	119% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast	$4,883.00	$4,883.00	$1,464.90–$4,248.21	—	—
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast	$3,791.00	$3,791.00	$600.00–$3,222.35	114% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast	$3,791.00	$3,791.00	$1,137.30–$3,298.17	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast	$2,940.00	$2,940.00	$600.00–$2,499.00	93% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial W/O Contrast	$2,940.00	$2,940.00	$882.00–$2,557.80	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast	$2,783.00	$2,783.00	$584.43–$2,365.55	62% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast	$2,783.00	$2,783.00	$834.90–$2,421.21	—	—
CT scan of the head with contrast CPT 70460 CT Head/Brain W/Contrast	$4,106.00	$4,106.00	$600.00–$3,490.10	117% above	—
CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast	$4,106.00	$4,106.00	$1,231.80–$3,572.22	—	—
CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/O & W/Contrast	$4,883.00	$4,883.00	$600.00–$4,150.55	114% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/O & W/Contrast	$4,883.00	$4,883.00	$1,464.90–$4,248.21	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Contrast	$2,520.00	$2,520.00	$529.20–$2,142.00	17% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Contrast	$2,520.00	$2,520.00	$756.00–$2,192.40	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Contrast	$4,484.00	$4,484.00	$600.00–$3,811.40	100% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O Contrast	$4,484.00	$4,484.00	$1,345.20–$3,901.08	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast	$4,053.00	$4,053.00	$600.00–$3,445.05	94% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast	$4,053.00	$4,053.00	$1,215.90–$3,526.11	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scn Extrcrn Art Bilat Cmplt	$1,922.00	$1,922.00	$403.62–$1,633.70	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scn Extrcrn Art Bilat Cmplt	$1,922.00	$1,922.00	$576.60–$1,672.14	—	—
Chest X-ray, 2 views CPT 71046 Radiologic Exam Chest 2 Views	$567.00	$567.00	$119.07–$481.95	93% above	—
Chest X-ray, 2 views inpatient CPT 71046 Radiologic Exam Chest 2 Views	$567.00	$567.00	$170.10–$493.29	—	—
Chest X-ray, single view CPT 71045 Radiologic Exam Chest Single View	$483.00	$483.00	$101.43–$410.55	101% above	—
Chest X-ray, single view inpatient CPT 71045 Radiologic Exam Chest Single View	$483.00	$483.00	$144.90–$420.21	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retrprtnl Complete	$1,544.00	$1,544.00	$324.24–$1,312.40	88% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Retrprtnl Complete	$1,544.00	$1,544.00	$463.20–$1,343.28	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual Energy Bone Densitometry	$693.00	$693.00	$145.53–$589.05	52% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dual Energy Bone Densitometry	$693.00	$693.00	$207.90–$602.91	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa,Bone Density, 1 or > Site, Apndclr Skeltn	$352.00	$352.00	$73.92–$299.20	50% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa,Bone Density, 1 or > Site, Apndclr Skeltn	$352.00	$352.00	$105.60–$306.24	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 High Risk OB Sono Single or 1rst Gest	$1,680.00	$1,680.00	$352.80–$1,428.00	83% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 High Risk OB Sono Single or 1rst Gest	$1,680.00	$1,680.00	$504.00–$1,461.60	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contrast	$3,528.00	$3,528.00	$600.00–$2,998.80	95% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest W/O Contrast	$3,528.00	$3,528.00	$1,058.40–$3,069.36	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W/Contrast	$4,442.00	$4,442.00	$600.00–$3,775.70	91% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W/Contrast	$4,442.00	$4,442.00	$1,332.60–$3,864.54	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammography Bilat W/Cad	$735.00	$735.00	$154.35–$624.75	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Bilat W/Cad	$735.00	$735.00	$220.50–$639.45	—	—
Diagnostic mammogram, one breast one side CPT 77065 Diagnostic Mammography Unilat W/Cad	$609.00	$609.00	$127.89–$517.65	101% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic Mammography Unilat W/Cad	$609.00	$609.00	$182.70–$529.83	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dplx Scn Lwr Ext Art Bilat Cmplt	$1,491.00	$1,491.00	$313.11–$1,267.35	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dplx Scn Lwr Ext Art Bilat Cmplt	$1,491.00	$1,491.00	$447.30–$1,297.17	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Bilateral Venous Duplex	$1,743.00	$1,743.00	$366.03–$1,481.55	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Bilateral Venous Duplex	$1,743.00	$1,743.00	$522.90–$1,516.41	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$1,071.00	$1,071.00	$82.00–$910.35	44% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete W/O Contrast	$4,043.00	$4,043.00	$849.03–$3,436.55	111% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$1,071.00	$1,071.00	$321.30–$931.77	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler, Complete W/O Contrast	$4,043.00	$4,043.00	$1,212.90–$3,517.41	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Syst Imaging W/Glbldr	$3,077.00	$3,077.00	$646.17–$2,615.45	122% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Syst Imaging W/Glbldr	$3,077.00	$3,077.00	$923.10–$2,676.99	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 All Night Polysomnogram W/Cpap	$5,481.00	$5,481.00	$1,151.01–$4,658.85	25% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 All Night Polysomnogram W/Cpap	$5,481.00	$5,481.00	$1,644.30–$4,768.47	—	—
Knee X-ray, 3 views CPT 73562 Knee Xrays 3 Views	$945.00	$945.00	$198.45–$803.25	147% above	—
Knee X-ray, 3 views inpatient CPT 73562 Knee Xrays 3 Views	$945.00	$945.00	$283.50–$822.15	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Limited Abdominal Area	$1,470.00	$1,470.00	$308.70–$1,249.50	131% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdmnl Limited W/O Contrast	$1,481.00	$1,481.00	$311.01–$1,258.85	132% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Limited Abdominal Area	$1,470.00	$1,470.00	$441.00–$1,278.90	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Abdmnl Limited W/O Contrast	$1,481.00	$1,481.00	$444.30–$1,288.47	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$651.00	$651.00	$136.71–$600.00	17% 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-	$651.00	$651.00	$195.30–$566.37	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Ext Joint W/O Contrast	$3,560.00	$3,560.00	$747.60–$3,026.00	28% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Ext Joint W/O Contrast	$3,560.00	$3,560.00	$1,068.00–$3,097.20	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Joint W & W/O Contrast	$4,400.00	$4,400.00	$924.00–$3,740.00	23% 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	$4,400.00	$4,400.00	$1,320.00–$3,828.00	—	—
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast	$2,972.00	$2,972.00	$624.12–$2,526.20	9% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast	$2,972.00	$2,972.00	$891.60–$2,585.64	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast	$4,547.00	$4,547.00	$954.87–$3,864.95	21% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O & W/Contrast	$4,547.00	$4,547.00	$1,364.10–$3,955.89	—	—
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast	$4,368.00	$4,368.00	$917.28–$3,712.80	56% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast	$4,368.00	$4,368.00	$1,310.40–$3,800.16	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/O & W/Contrast	$5,891.00	$5,891.00	$1,200.00–$5,007.35	48% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/O & W/Contrast	$5,891.00	$5,891.00	$1,767.30–$5,125.17	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI L Spine W/O Contrast	$5,219.00	$5,219.00	$1,095.99–$4,436.15	81% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L Spine W/O Contrast	$5,219.00	$5,219.00	$1,565.70–$4,540.53	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine W/O & W/Contrast	$7,067.00	$7,067.00	$1,200.00–$6,006.95	73% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L Spine W/O & W/Contrast	$7,067.00	$7,067.00	$2,120.10–$6,148.29	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T Spine W/O Contrast	$4,368.00	$4,368.00	$917.28–$3,712.80	55% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T Spine W/O Contrast	$4,368.00	$4,368.00	$1,310.40–$3,800.16	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine W/O & W/Contrast	$6,983.00	$6,983.00	$1,200.00–$5,935.55	79% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C Spine W/O & W/Contrast	$6,983.00	$6,983.00	$2,094.90–$6,075.21	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C Spine W/O Contrast	$5,219.00	$5,219.00	$1,095.99–$4,436.15	78% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C Spine W/O Contrast	$5,219.00	$5,219.00	$1,565.70–$4,540.53	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast	$6,290.00	$6,290.00	$1,200.00–$5,346.50	76% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W/Contrast	$6,290.00	$6,290.00	$1,887.00–$5,472.30	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast	$2,226.00	$2,226.00	$467.46–$1,892.10	14% below	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast	$2,226.00	$2,226.00	$667.80–$1,936.62	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Uppr Ext Joint W/O Contrast	$5,345.00	$5,345.00	$1,122.45–$4,543.25	86% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Uppr Ext Joint W/O Contrast	$5,345.00	$5,345.00	$1,603.50–$4,650.15	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult	$8,064.00	$8,064.00	$1,693.44–$6,854.40	108% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult	$8,064.00	$8,064.00	$2,419.20–$7,015.68	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Scan Skull Base to Midthigh	$11,498.00	$11,498.00	$2,414.58–$9,773.30	92% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Scan Skull Base to Midthigh	$11,498.00	$11,498.00	$3,449.40–$10,003.26	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Pelvis Limited	$1,344.00	$1,344.00	$282.24–$1,142.40	189% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Pelvis Limited	$1,344.00	$1,344.00	$403.20–$1,169.28	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvis Complete	$1,722.00	$1,722.00	$361.62–$1,463.70	130% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvis Complete	$1,722.00	$1,722.00	$516.60–$1,498.14	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Routine Scrn OB Sono > 14 Wks	$1,680.00	$1,680.00	$352.80–$1,428.00	141% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Routine Scrn OB Sono > 14 Wks	$1,680.00	$1,680.00	$504.00–$1,461.60	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Routine OB Sono <14 Wks	$1,680.00	$1,680.00	$352.80–$1,428.00	168% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Routine OB Sono <14 Wks	$1,680.00	$1,680.00	$504.00–$1,461.60	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Sono Limited	$987.00	$987.00	$207.27–$838.95	97% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Sono Limited	$987.00	$987.00	$296.10–$858.69	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bilat W/Cad	$520.00	$520.00	$109.20–$442.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bilat W/Cad	$520.00	$520.00	$156.00–$452.40	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Xrays 2/> Views	$945.00	$945.00	$198.45–$803.25	161% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Xrays 2/> Views	$945.00	$945.00	$283.50–$822.15	—	—
Sleep study in a lab (polysomnography) CPT 95810 All Night Polysomnography	$6,353.00	$6,353.00	$1,334.13–$5,400.05	82% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 All Night Polysomnography	$6,353.00	$6,353.00	$1,905.90–$5,527.11	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function Xray	$1,617.00	$1,617.00	$339.57–$1,374.45	154% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Function Xray	$1,617.00	$1,617.00	$485.10–$1,406.79	—	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal	$1,901.00	$1,901.00	$399.21–$1,615.85	220% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal	$1,901.00	$1,901.00	$570.30–$1,653.87	—	—
Transvaginal ultrasound during pregnancy CPT 76817 OB Sono Transvaginal	$1,901.00	$1,901.00	$399.21–$1,615.85	288% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB Sono Transvaginal	$1,901.00	$1,901.00	$570.30–$1,653.87	—	—
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdmnl Complete W/O Contrast	$2,352.00	$2,352.00	$493.92–$1,999.20	142% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdmnl Complete W/O Contrast	$2,352.00	$2,352.00	$705.60–$2,046.24	—	—
Ultrasound of the scrotum and testicles CPT 76870 Ultrasoundscrotum	$1,607.00	$1,607.00	$337.47–$1,365.95	138% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasoundscrotum	$1,607.00	$1,607.00	$482.10–$1,398.09	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound -Thyroid	$1,544.00	$1,544.00	$324.24–$1,312.40	151% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound -Thyroid	$1,544.00	$1,544.00	$463.20–$1,343.28	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper GI (Stomach) Xrays	$1,071.00	$1,071.00	$224.91–$910.35	52% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper GI (Stomach) Xrays	$1,071.00	$1,071.00	$321.30–$931.77	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Follow-Up Lmtd Ven Duplex	$1,397.00	$1,397.00	$293.37–$1,187.45	90% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Follow-Up Lmtd Ven Duplex	$1,397.00	$1,397.00	$419.10–$1,215.39	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Xrays 3/> Views	$987.00	$987.00	$207.27–$838.95	197% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Xrays 3/> Views	$987.00	$987.00	$296.10–$858.69	—	—
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	$1,092.00	$1,092.00	$229.32–$928.20	277% 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	$1,092.00	$1,092.00	$327.60–$950.04	—	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic Exam Abdomen 1 View	$672.00	$672.00	$141.12–$571.20	152% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Radiologic Exam Abdomen 1 View	$672.00	$672.00	$201.60–$584.64	—	—
X-ray of the ankle, 2 views CPT 73600 Ankle Xrays 2 Views	$499.00	$499.00	$104.79–$424.15	74% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 Ankle Xrays 2 Views	$499.00	$499.00	$149.70–$434.13	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) Xrays 2/> Views	$546.00	$546.00	$114.66–$464.10	106% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger(S) Xrays 2/> Views	$546.00	$546.00	$163.80–$475.02	—	—
X-ray of the foot, 2 views CPT 73620 Foot Xrays 2 Views	$546.00	$546.00	$114.66–$464.10	99% above	—
X-ray of the foot, 2 views inpatient CPT 73620 Foot Xrays 2 Views	$546.00	$546.00	$163.80–$475.02	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 Foot Xrays 3/> Views	$693.00	$693.00	$145.53–$589.05	101% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Xrays 3/> Views	$693.00	$693.00	$207.90–$602.91	—	—
X-ray of the hand, 3 or more views CPT 73130 Hand Xrays 3/> Views	$735.00	$735.00	$154.35–$624.75	115% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Xrays 3/> Views	$735.00	$735.00	$220.50–$639.45	—	—
X-ray of the knee, 1 or 2 views CPT 73560 Knee Xrays 1-2 Views	$735.00	$735.00	$154.35–$624.75	140% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee Xrays 1-2 Views	$735.00	$735.00	$220.50–$639.45	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral Xrays 2-3 Views	$1,008.00	$1,008.00	$211.68–$856.80	145% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbosacral Xrays 2-3 Views	$1,008.00	$1,008.00	$302.40–$876.96	—	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Xrays 4/> Views	$1,376.00	$1,376.00	$288.96–$1,169.60	157% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Xrays 4/> Views	$1,376.00	$1,376.00	$412.80–$1,197.12	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine Xrays 2 Views	$987.00	$987.00	$207.27–$838.95	175% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine Xrays 2 Views	$987.00	$987.00	$296.10–$858.69	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Xrays 3/> Views	$987.00	$987.00	$207.27–$838.95	237% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Xrays 3/> Views	$987.00	$987.00	$296.10–$858.69	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine Xrays 2-3 Views	$956.00	$956.00	$200.76–$812.60	180% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine Xrays 2-3 Views	$956.00	$956.00	$286.80–$831.72	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis Xrays 1-2 Views	$672.00	$672.00	$141.12–$571.20	90% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis Xrays 1-2 Views	$672.00	$672.00	$201.60–$584.64	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Xrays 2/> Vws	$1,124.00	$1,124.00	$236.04–$955.40	234% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx Xrays 2/> Vws	$1,124.00	$1,124.00	$337.20–$977.88	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase, Alanine Amino	$299.00	$299.00	$62.79–$254.15	470% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase, Alanine Amino	$299.00	$299.00	$89.70–$260.13	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase, Aspartate Amino	$305.00	$305.00	$64.05–$259.25	481% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase, Aspartate Amino	$305.00	$305.00	$91.50–$265.35	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel, Ref	$535.00	$535.00	$112.35–$454.75	115% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel	$987.00	$987.00	$207.27–$838.95	297% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel, Ref	$535.00	$535.00	$160.50–$465.45	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel	$987.00	$987.00	$296.10–$858.69	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige, Each, Ref	$14.00	$14.00	$2.94–$11.90	48% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea	$16.00	$16.00	$3.36–$13.60	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allerg Sp Ige; Quan or Semiquan	$25.00	$25.00	$5.25–$21.25	7% below	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige, Each, Ref	$14.00	$14.00	$4.20–$12.18	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea	$16.00	$16.00	$4.80–$13.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allerg Sp Ige; Quan or Semiquan	$25.00	$25.00	$7.50–$21.75	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody	$39.00	$39.00	$8.19–$33.15	54% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrul Peptide Ab Ref	$265.00	$265.00	$55.65–$225.25	215% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody	$39.00	$39.00	$11.70–$33.93	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrul Peptide Ab Ref	$265.00	$265.00	$79.50–$230.55	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen	$336.00	$336.00	$70.56–$285.60	273% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibdies(Ana) Ref	$400.00	$400.00	$84.00–$340.00	344% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen	$336.00	$336.00	$100.80–$292.32	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibdies(Ana) Ref	$400.00	$400.00	$120.00–$348.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Natriuretic Peptide	$446.00	$446.00	$93.66–$379.10	143% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Natriuretic Peptide	$446.00	$446.00	$133.80–$388.02	—	—
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$305.00	$305.00	$64.05–$259.25	138% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$305.00	$305.00	$91.50–$265.35	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgicalpathology Level-IV	$510.00	$510.00	$107.10–$433.50	113% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgicalpathology Level-IV	$510.00	$510.00	$153.00–$443.70	—	—
Blood culture for bacteria CPT 87040 Blood Culture	$247.00	$247.00	$51.87–$209.95	56% above	—
Blood culture for bacteria CPT 87040 Bacterial Culture, Blood	$247.00	$247.00	$51.87–$209.95	56% above	—
Blood culture for bacteria inpatient CPT 87040 Bacterial Culture, Blood	$247.00	$247.00	$74.10–$214.89	—	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$247.00	$247.00	$74.10–$214.89	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Veni Puncture	$40.00	$40.00	$8.40–$34.00	74% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture for Lab Specimen	$40.00	$40.00	$8.40–$34.00	74% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$40.00	$40.00	$8.40–$34.00	74% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture for Lab Specimen	$40.00	$40.00	$12.00–$34.80	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Veni Puncture	$40.00	$40.00	$12.00–$34.80	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$40.00	$40.00	$12.00–$34.80	—	—
Blood glucose (sugar) test CPT 82947 Glucose, Quantitative	$194.00	$194.00	$40.74–$164.90	450% above	—
Blood glucose (sugar) test CPT 82947 Assay Quantitative,Blood Glucose	$194.00	$194.00	$40.74–$164.90	450% above	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Quantitative	$194.00	$194.00	$58.20–$168.78	—	—
Blood glucose (sugar) test inpatient CPT 82947 Assay Quantitative,Blood Glucose	$194.00	$194.00	$58.20–$168.78	—	—
Blood lead test CPT 83655 Assay of lead	$37.00	$37.00	$7.77–$31.45	31% below	—
Blood lead test CPT 83655 Lead, Blood Ref	$84.00	$84.00	$17.64–$71.40	56% above	—
Blood lead test inpatient CPT 83655 Assay of lead	$37.00	$37.00	$11.10–$32.19	—	—
Blood lead test inpatient CPT 83655 Lead, Blood Ref	$84.00	$84.00	$25.20–$73.08	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg, Qual-Serum	$210.00	$210.00	$44.10–$178.50	134% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Preg, Qual-Serum	$210.00	$210.00	$63.00–$182.70	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing, Abo	$406.00	$406.00	$85.26–$345.10	383% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing, Abo	$406.00	$406.00	$121.80–$353.22	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$205.00	$205.00	$43.05–$174.25	204% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$205.00	$205.00	$61.50–$178.35	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin by Pcr	$226.00	$226.00	$47.46–$192.10	23% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 Cpt-87493-Gpp-C Diff, Toxin Gene, Amp Probe	$263.00	$263.00	$55.23–$223.55	43% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Toxin by Pcr	$226.00	$226.00	$67.80–$196.62	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Cpt-87493-Gpp-C Diff, Toxin Gene, Amp Probe	$263.00	$263.00	$78.90–$228.81	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9	$347.00	$347.00	$72.87–$294.95	230% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Tumor Antigen, Ca 19-9 Ref	$740.00	$740.00	$155.40–$629.00	605% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9	$347.00	$347.00	$104.10–$301.89	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Tumor Antigen, Ca 19-9 Ref	$740.00	$740.00	$222.00–$643.80	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$231.00	$231.00	$48.51–$196.35	100% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2-Rna, Pcr	$231.00	$231.00	$48.51–$196.35	100% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid	$231.00	$231.00	$48.51–$196.35	100% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2-Rna, Pcr	$231.00	$231.00	$69.30–$200.97	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid	$231.00	$231.00	$69.30–$200.97	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$231.00	$231.00	$69.30–$200.97	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT/Gc Rna,Tma,Urogen	$175.00	$175.00	$36.75–$148.75	30% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Laboratory Test	$672.00	$672.00	$141.12–$571.20	397% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT/Gc Rna,Tma,Urogen	$175.00	$175.00	$52.50–$152.25	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Laboratory Test	$672.00	$672.00	$201.60–$584.64	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$299.00	$299.00	$62.79–$254.15	135% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$299.00	$299.00	$89.70–$260.13	—	—
Complete blood count (CBC) with differential CPT 85025 Cbc W/Auto Diff	$168.00	$168.00	$35.28–$142.80	114% above	—
Complete blood count (CBC) with differential CPT 85025 Cbc W/Automated Differential	$168.00	$168.00	$35.28–$142.80	114% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/Automated Differential	$168.00	$168.00	$50.40–$146.16	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/Auto Diff	$168.00	$168.00	$50.40–$146.16	—	—
Complete blood count (CBC), no differential CPT 85027 Cbc W/O Differential	$22.00	$22.00	$4.62–$18.70	66% below	—
Complete blood count (CBC), no differential CPT 85027 Cbc (Itc Lab)	$200.00	$200.00	$42.00–$170.00	212% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc W/O Differential	$22.00	$22.00	$6.60–$19.14	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc (Itc Lab)	$200.00	$200.00	$60.00–$174.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$452.00	$452.00	$94.92–$384.20	200% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Cmp Panel	$452.00	$452.00	$94.92–$384.20	200% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel (Itc Lab)	$504.00	$504.00	$105.84–$428.40	234% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cmp Panel	$452.00	$452.00	$135.60–$393.24	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$452.00	$452.00	$135.60–$393.24	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel (Itc Lab)	$504.00	$504.00	$151.20–$438.48	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer, Ultrasensitive	$305.00	$305.00	$64.05–$259.25	164% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer, Ultrasensitive	$305.00	$305.00	$91.50–$265.35	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$67.00	$67.00	$14.07–$56.95	38% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate, Ref	$499.00	$499.00	$104.79–$424.15	364% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate	$67.00	$67.00	$20.10–$58.29	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-Sulfate, Ref	$499.00	$499.00	$149.70–$434.13	—	—
Estradiol blood test CPT 82670 Estradiol, Serum, Ref	$24.00	$24.00	$5.04–$20.40	79% below	—
Estradiol blood test CPT 82670 Assay of total estradiol	$84.00	$84.00	$17.64–$71.40	25% below	—
Estradiol blood test CPT 82670 Assay -Estradiol	$520.00	$520.00	$109.20–$442.00	364% above	—
Estradiol blood test CPT 82670 Estradiol, Ref	$560.00	$560.00	$117.60–$476.00	400% above	—
Estradiol blood test inpatient CPT 82670 Estradiol, Serum, Ref	$24.00	$24.00	$7.20–$20.88	—	—
Estradiol blood test inpatient CPT 82670 Assay of total estradiol	$84.00	$84.00	$25.20–$73.08	—	—
Estradiol blood test inpatient CPT 82670 Assay -Estradiol	$520.00	$520.00	$156.00–$452.40	—	—
Estradiol blood test inpatient CPT 82670 Estradiol, Ref	$560.00	$560.00	$168.00–$487.20	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone	$446.00	$446.00	$93.66–$379.10	288% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$620.00	$620.00	$130.20–$527.00	439% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone	$446.00	$446.00	$133.80–$388.02	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$620.00	$620.00	$186.00–$539.40	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin,Stool	$156.00	$156.00	$32.76–$132.60	8% below	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$368.00	$368.00	$77.28–$312.80	116% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin,Stool	$156.00	$156.00	$46.80–$135.72	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal	$368.00	$368.00	$110.40–$320.16	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$462.00	$462.00	$97.02–$392.70	259% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$462.00	$462.00	$138.60–$401.94	—	—
Folate (folic acid) blood test CPT 82746 Folic Acid (Folate), Serum	$284.00	$284.00	$59.64–$241.40	153% above	—
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid (Folate), Serum	$284.00	$284.00	$85.20–$247.08	—	—
Free T3 thyroid hormone test CPT 84481 Tc (Triiodothyronine), Free	$326.00	$326.00	$68.46–$277.10	244% above	—
Free T3 thyroid hormone test CPT 84481 T-3, Free	$450.00	$450.00	$94.50–$382.50	375% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Tc (Triiodothyronine), Free	$326.00	$326.00	$97.80–$283.62	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T-3, Free	$450.00	$450.00	$135.00–$391.50	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine, Free (T4)	$231.00	$231.00	$48.51–$196.35	101% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine, Free (T4)	$231.00	$231.00	$69.30–$200.97	—	—
Free testosterone test CPT 84402 Assay of free testosterone	$77.00	$77.00	$16.17–$65.45	37% below	—
Free testosterone test CPT 84402 Testosterone, Free, S Ref	$280.00	$280.00	$58.80–$238.00	129% above	—
Free testosterone test inpatient CPT 84402 Assay of free testosterone	$77.00	$77.00	$23.10–$66.99	—	—
Free testosterone test inpatient CPT 84402 Testosterone, Free, S Ref	$280.00	$280.00	$84.00–$243.60	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$425.00	$425.00	$89.25–$361.25	46% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$425.00	$425.00	$127.50–$369.75	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, Post Glucose Dose	$116.00	$116.00	$24.36–$98.60	122% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, Post Glucose Dose	$116.00	$116.00	$34.80–$100.92	—	—
Glucose tolerance test, 3 samples CPT 82951 Gtt, Three Specimens	$236.00	$236.00	$49.56–$200.60	89% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt, Three Specimens	$236.00	$236.00	$70.80–$205.32	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CT/Gc Rna,Tma,Urogen	$175.00	$175.00	$36.75–$148.75	21% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob	$640.00	$640.00	$134.40–$544.00	344% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Laboratory Test	$672.00	$672.00	$141.12–$571.20	366% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CT/Gc Rna,Tma,Urogen	$175.00	$175.00	$52.50–$152.25	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob	$640.00	$640.00	$192.00–$556.80	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Laboratory Test	$672.00	$672.00	$201.60–$584.64	—	—
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody	$452.00	$452.00	$94.92–$384.20	295% above	—
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody	$452.00	$452.00	$135.60–$393.24	—	—
H. pylori stool antigen test CPT 87338 H.Pylori Antigen, Stool	$310.00	$310.00	$65.10–$263.50	167% above	—
H. pylori stool antigen test inpatient CPT 87338 H.Pylori Antigen, Stool	$310.00	$310.00	$93.00–$269.70	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna,Qn,Rt Pcr	$234.00	$234.00	$49.14–$198.90	27% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Arup - Hiv	$260.00	$260.00	$54.60–$221.00	19% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant, by Pcr	$630.00	$630.00	$132.30–$535.50	97% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna	$1,376.00	$1,376.00	$288.96–$1,169.60	330% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna,Qn,Rt Pcr	$234.00	$234.00	$70.20–$203.58	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Arup - Hiv	$260.00	$260.00	$78.00–$226.20	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Quant, by Pcr	$630.00	$630.00	$189.00–$548.10	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna	$1,376.00	$1,376.00	$412.80–$1,197.12	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Lab Service	$284.00	$284.00	$59.64–$241.40	140% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Lab Service	$284.00	$284.00	$85.20–$247.08	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv1/2 Ag/Ab,4 W/Rfl	$245.00	$245.00	$51.45–$208.25	118% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv1/2 Ag/Ab,4 W/Rfl	$245.00	$245.00	$73.50–$213.15	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Dna, High Risk, Ref	$194.00	$194.00	$40.74–$164.90	33% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv Dna, High Risk, Ref	$194.00	$194.00	$40.74–$164.90	33% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Rna Hr E6/E7 Tma	$275.00	$275.00	$57.75–$233.75	88% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Cpt-Hpv High Risk Types	$446.00	$446.00	$93.66–$379.10	205% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv Dna, High Risk, Ref	$194.00	$194.00	$58.20–$168.78	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Dna, High Risk, Ref	$194.00	$194.00	$58.20–$168.78	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Rna Hr E6/E7 Tma	$275.00	$275.00	$82.50–$239.25	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Cpt-Hpv High Risk Types	$446.00	$446.00	$133.80–$388.02	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, Glycated (A1c)	$310.00	$310.00	$65.10–$263.50	253% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin, Glycated (A1c)	$310.00	$310.00	$93.00–$269.70	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$310.00	$310.00	$65.10–$263.50	245% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$310.00	$310.00	$93.00–$269.70	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$252.00	$252.00	$52.92–$214.20	192% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag W/Conf	$570.00	$570.00	$119.70–$484.50	560% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$252.00	$252.00	$75.60–$219.24	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Ag W/Conf	$570.00	$570.00	$171.00–$495.90	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab W/Refl Hcv	$310.00	$310.00	$65.10–$263.50	181% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody	$425.00	$425.00	$89.25–$361.25	286% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Ab W/Refl Hcv	$310.00	$310.00	$93.00–$269.70	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody	$425.00	$425.00	$127.50–$369.75	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna by Pcr Quant Ref	$570.00	$570.00	$119.70–$484.50	115% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Rna Quant by Pcr	$704.00	$704.00	$147.84–$598.40	166% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna by Pcr Quant Ref	$570.00	$570.00	$171.00–$495.90	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Rna Quant by Pcr	$704.00	$704.00	$211.20–$612.48	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv1/2 Igm, W/Rfl	$13.00	$13.00	$2.73–$11.05	80% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test	$40.00	$40.00	$8.40–$34.00	38% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Lab Service	$280.00	$280.00	$58.80–$238.00	331% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv1/2 Igm, W/Rfl	$13.00	$13.00	$3.90–$11.31	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test	$40.00	$40.00	$12.00–$34.80	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Lab Service	$280.00	$280.00	$84.00–$243.60	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Hsv1/2 Igm, W/Rfl	$13.00	$13.00	$2.73–$11.05	83% below	—
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test	$59.00	$59.00	$12.39–$50.15	24% below	—
Herpes blood test, HSV-2 antibody CPT 86696 Lab Service	$280.00	$280.00	$58.80–$238.00	262% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv1/2 Igm, W/Rfl	$13.00	$13.00	$3.90–$11.31	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test	$59.00	$59.00	$17.70–$51.33	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Lab Service	$280.00	$280.00	$84.00–$243.60	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp, High Sensitivity	$215.00	$215.00	$45.15–$182.75	133% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp, High Sensitivity, Ref	$220.00	$220.00	$46.20–$187.00	138% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp, High Sensitivity	$215.00	$215.00	$64.50–$187.05	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp, High Sensitivity, Ref	$220.00	$220.00	$66.00–$191.40	—	—
Homocysteine blood test CPT 83090 Homocysteine Assay	$320.00	$320.00	$67.20–$272.00	167% above	—
Homocysteine blood test inpatient CPT 83090 Homocysteine Assay	$320.00	$320.00	$96.00–$278.40	—	—
Insulin blood test CPT 83525 Insulin	$215.00	$215.00	$45.15–$182.75	195% above	—
Insulin blood test CPT 83525 Insulin Ref	$510.00	$510.00	$107.10–$433.50	601% above	—
Insulin blood test inpatient CPT 83525 Insulin	$215.00	$215.00	$64.50–$187.05	—	—
Insulin blood test inpatient CPT 83525 Insulin Ref	$510.00	$510.00	$153.00–$443.70	—	—
Iron blood test (serum iron) CPT 83540 IRON	$326.00	$326.00	$68.46–$277.10	312% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$326.00	$326.00	$97.80–$283.62	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Ref	$35.00	$35.00	$7.35–$29.75	50% below	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$142.00	$142.00	$29.82–$120.70	104% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity Ref	$35.00	$35.00	$10.50–$30.45	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$142.00	$142.00	$42.60–$123.54	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$378.00	$378.00	$79.38–$321.30	157% above	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$378.00	$378.00	$113.40–$328.86	—	—
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (Lh)	$425.00	$425.00	$89.25–$361.25	332% above	—
LH (luteinizing hormone) test CPT 83002 LH	$810.00	$810.00	$170.10–$688.50	724% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (Lh)	$425.00	$425.00	$127.50–$369.75	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$810.00	$810.00	$243.00–$704.70	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$320.00	$320.00	$67.20–$272.00	298% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$320.00	$320.00	$96.00–$278.40	—	—
Liver function blood test panel CPT 80076 Hepatic Function Panel	$452.00	$452.00	$94.92–$384.20	251% above	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$452.00	$452.00	$135.60–$393.24	—	—
Lyme disease antibody test CPT 86618 Lyme Ab-Wb Confirm	$490.00	$490.00	$102.90–$416.50	593% above	—
Lyme disease antibody test inpatient CPT 86618 Lyme Ab-Wb Confirm	$490.00	$490.00	$147.00–$426.30	—	—
Magnesium blood test CPT 83735 Magnesium, Urine	$35.00	$35.00	$7.35–$29.75	51% below	—
Magnesium blood test CPT 83735 Magnesium	$320.00	$320.00	$67.20–$272.00	348% above	—
Magnesium blood test inpatient CPT 83735 Magnesium, Urine	$35.00	$35.00	$10.50–$30.45	—	—
Magnesium blood test inpatient CPT 83735 Magnesium	$320.00	$320.00	$96.00–$278.40	—	—
Measles (rubeola) antibody test CPT 86765 Measles Ab Igg,Eia	$215.00	$215.00	$45.15–$182.75	198% above	—
Measles (rubeola) antibody test CPT 86765 Measels Igg Ab	$263.00	$263.00	$55.23–$223.55	264% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab Igg,Eia	$215.00	$215.00	$64.50–$187.05	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measels Igg Ab	$263.00	$263.00	$78.90–$228.81	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test	$226.00	$226.00	$47.46–$192.10	210% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test	$226.00	$226.00	$67.80–$196.62	—	—
Obstetric blood test panel CPT 80055 Obstetric Panel	$830.00	$830.00	$174.30–$705.50	300% above	—
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel	$830.00	$830.00	$249.00–$722.10	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free	$99.00	$99.00	$20.79–$84.15	3% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free	$99.00	$99.00	$29.70–$86.13	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Ultrasensitive, Ref	$20.00	$20.00	$4.20–$17.00	81% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Ref	$99.00	$99.00	$20.79–$84.15	8% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Diagnostic (Vista)	$263.00	$263.00	$55.23–$223.55	145% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Ultrasensitive, Ref	$20.00	$20.00	$6.00–$17.40	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Ref	$99.00	$99.00	$29.70–$86.13	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Diagnostic (Vista)	$263.00	$263.00	$78.90–$228.81	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 Diag Cytol-Ml; Auto, Mnl Rescn	$200.00	$200.00	$42.00–$170.00	51% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, Screening Thin Prep, Ref	$400.00	$400.00	$84.00–$340.00	202% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Diag Cytol-Ml; Auto, Mnl Rescn	$200.00	$200.00	$60.00–$174.00	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopathology, Screening Thin Prep, Ref	$400.00	$400.00	$120.00–$348.00	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Dx Cyto Path-Ml Cx /Vag	$38.00	$38.00	$7.98–$32.30	65% below	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Dx Cyto Path-Ml Cx /Vag	$38.00	$38.00	$11.40–$33.06	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone,Intact Ref	$260.00	$260.00	$54.60–$221.00	20% above	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (Pth)	$683.00	$683.00	$143.43–$580.55	214% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone,Intact Ref	$260.00	$260.00	$78.00–$226.20	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (Pth)	$683.00	$683.00	$204.90–$594.21	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Ptl (Ptt)-Incubated	$175.00	$175.00	$36.75–$148.75	169% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Ptl (Ptt)	$200.00	$200.00	$42.00–$170.00	207% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Ptl (Ptt)-Incubated	$175.00	$175.00	$52.50–$152.25	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Ptl (Ptt)	$200.00	$200.00	$60.00–$174.00	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatal(Tm) Advanced	$2,860.00	$2,860.00	$600.60–$2,431.00	225% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Qnatal(Tm) Advanced	$2,860.00	$2,860.00	$858.00–$2,488.20	—	—
Progesterone blood test CPT 84144 Progestrone	$499.00	$499.00	$104.79–$424.15	270% above	—
Progesterone blood test CPT 84144 Progesterone	$560.00	$560.00	$117.60–$476.00	315% above	—
Progesterone blood test inpatient CPT 84144 Progestrone	$499.00	$499.00	$149.70–$434.13	—	—
Progesterone blood test inpatient CPT 84144 Progesterone	$560.00	$560.00	$168.00–$487.20	—	—
Prolactin blood test CPT 84146 Prolactin	$373.00	$373.00	$78.33–$317.05	217% above	—
Prolactin blood test inpatient CPT 84146 Prolactin	$373.00	$373.00	$111.90–$324.51	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$142.00	$142.00	$29.82–$120.70	309% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-Incubated	$165.00	$165.00	$34.65–$140.25	375% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$142.00	$142.00	$42.60–$123.54	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time-Incubated	$165.00	$165.00	$49.50–$143.55	—	—
Rapid flu test (influenza antigen) CPT 87804 Infectious Agnt Antign Flu a/B	$158.00	$158.00	$33.18–$134.30	147% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Infectious Agnt Antign Flu a/B	$158.00	$158.00	$47.40–$137.46	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus, Group A	$320.00	$320.00	$67.20–$272.00	435% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus, Group A	$320.00	$320.00	$96.00–$278.40	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative	$194.00	$194.00	$40.74–$164.90	229% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative	$194.00	$194.00	$58.20–$168.78	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$44.00	$44.00	$9.24–$37.40	42% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Immune	$210.00	$210.00	$44.10–$178.50	175% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Screen	$278.00	$278.00	$58.38–$236.30	264% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$44.00	$44.00	$13.20–$38.28	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Immune	$210.00	$210.00	$63.00–$182.70	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg Screen	$278.00	$278.00	$83.40–$241.86	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr (Photometric)	$142.00	$142.00	$29.82–$120.70	217% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr Westergren	$179.00	$179.00	$37.59–$152.15	300% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Esr (Photometric)	$142.00	$142.00	$42.60–$123.54	—	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Esr Westergren	$179.00	$179.00	$53.70–$155.73	—	—
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification	$27.00	$27.00	$5.67–$22.95	62% below	—
Stool ova and parasites exam CPT 87177 Ova and Parasite	$88.00	$88.00	$18.48–$74.80	23% above	—
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam	$194.00	$194.00	$40.74–$164.90	172% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites, direct smears, concentration and identification	$27.00	$27.00	$8.10–$23.49	—	—
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite	$88.00	$88.00	$26.40–$76.56	—	—
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam	$194.00	$194.00	$58.20–$168.78	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood - Feces	$101.00	$101.00	$21.21–$85.85	273% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood	$101.00	$101.00	$21.21–$85.85	273% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood	$101.00	$101.00	$30.30–$87.87	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood - Feces	$101.00	$101.00	$30.30–$87.87	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood, Ref	$64.00	$64.00	$13.44–$54.40	9% below	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood	$101.00	$101.00	$21.21–$85.85	44% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood, Ref	$64.00	$64.00	$19.20–$55.68	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood	$101.00	$101.00	$30.30–$87.87	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr(Dx)Refl Fta	$120.00	$120.00	$25.20–$102.00	135% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Laboratory Test	$158.00	$158.00	$33.18–$134.30	209% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr(Dx)Refl Fta	$120.00	$120.00	$36.00–$104.40	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Laboratory Test	$158.00	$158.00	$47.40–$137.46	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon(R) Pl 4t	$365.00	$365.00	$76.65–$310.25	65% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Quantiferon	$683.00	$683.00	$143.43–$580.55	209% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon(R) Pl 4t	$365.00	$365.00	$109.50–$317.55	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Quantiferon	$683.00	$683.00	$204.90–$594.21	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$43.00	$43.00	$9.03–$36.55	66% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone	$78.00	$78.00	$16.38–$66.30	38% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Assay Total Testosterone Ref	$205.00	$205.00	$43.05–$174.25	62% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Ref	$280.00	$280.00	$58.80–$238.00	121% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone	$43.00	$43.00	$12.90–$37.41	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone	$78.00	$78.00	$23.40–$67.86	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Total Testosterone Ref	$205.00	$205.00	$61.50–$178.35	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Ref	$280.00	$280.00	$84.00–$243.60	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Peroxidase Antibody Ref	$275.00	$275.00	$57.75–$233.75	248% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab	$278.00	$278.00	$58.38–$236.30	252% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Peroxidase Antibody Ref	$275.00	$275.00	$82.50–$239.25	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab	$278.00	$278.00	$83.40–$241.86	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$263.00	$263.00	$55.23–$223.55	100% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$263.00	$263.00	$78.90–$228.81	—	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginosis, Amp Probe Tech	$121.00	$121.00	$25.41–$102.85	3% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif	$141.00	$141.00	$29.61–$119.85	13% above	—
Trichomonas test (NAAT) CPT 87661 Tvag Rna Ql Tma	$416.00	$416.00	$87.36–$353.60	234% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginosis, Amp Probe Tech	$121.00	$121.00	$36.30–$105.27	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif	$141.00	$141.00	$42.30–$122.67	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Tvag Rna Ql Tma	$416.00	$416.00	$124.80–$361.92	—	—
Uric acid blood test CPT 84550 Uric Acid, Blood	$284.00	$284.00	$59.64–$241.40	300% above	—
Uric acid blood test inpatient CPT 84550 Uric Acid, Blood	$284.00	$284.00	$85.20–$247.08	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Microscopy	$142.00	$142.00	$29.82–$120.70	126% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Microscopy	$142.00	$142.00	$42.60–$123.54	—	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microscopy	$97.00	$97.00	$20.37–$82.45	291% above	—
Urinalysis without microscope exam, automated CPT 81003 Ua-Dipstick Only (Itc Lab)	$116.00	$116.00	$24.36–$98.60	368% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Microscopy	$97.00	$97.00	$29.10–$84.39	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Ua-Dipstick Only (Itc Lab)	$116.00	$116.00	$34.80–$100.92	—	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis -Specific Gravity	$97.00	$97.00	$20.37–$82.45	288% above	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis -Glucose	$97.00	$97.00	$20.37–$82.45	288% above	—
Urinalysis without microscope exam, manual CPT 81002 Clinitest	$116.00	$116.00	$24.36–$98.60	364% above	—
Urinalysis without microscope exam, manual CPT 81002 Urine Protein	$116.00	$116.00	$24.36–$98.60	364% above	—
Urinalysis without microscope exam, manual CPT 81002 Leukocyte Esterase Fld	$184.00	$184.00	$38.64–$156.40	636% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis -Glucose	$97.00	$97.00	$29.10–$84.39	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis -Specific Gravity	$97.00	$97.00	$29.10–$84.39	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Protein	$116.00	$116.00	$34.80–$100.92	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Clinitest	$116.00	$116.00	$34.80–$100.92	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Leukocyte Esterase Fld	$184.00	$184.00	$55.20–$160.08	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$263.00	$263.00	$55.23–$223.55	187% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$263.00	$263.00	$78.90–$228.81	—	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$168.00	$168.00	$35.28–$142.80	127% above	—
Urine pregnancy test, read by color change CPT 81025 Bedside Urine Pregnancy	$168.00	$168.00	$35.28–$142.80	127% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Bedside Urine Pregnancy	$168.00	$168.00	$50.40–$146.16	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$168.00	$168.00	$50.40–$146.16	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$326.00	$326.00	$68.46–$277.10	152% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$326.00	$326.00	$97.80–$283.62	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D,25-Oh,Total,Ia	$460.00	$460.00	$96.60–$391.00	154% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Oh Vitamin D Total	$557.00	$557.00	$116.97–$473.45	208% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vit D,25-Oh,Total,Ia	$460.00	$460.00	$138.00–$400.20	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 Oh Vitamin D Total	$557.00	$557.00	$167.10–$484.59	—	—
Zinc blood test CPT 84630 Assay of zinc	$35.00	$35.00	$7.35–$29.75	50% below	—
Zinc blood test inpatient CPT 84630 Assay of zinc	$35.00	$35.00	$10.50–$30.45	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, Chorionic (Hcg)	$378.00	$378.00	$79.38–$321.30	260% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, Chorionic (Hcg)	$378.00	$378.00	$113.40–$328.86	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Brst Bx W/Plc Lcl Dvc Stereotactic Guide, 1rst Lsn	$8,232.00	$8,232.00	$1,728.72–$6,997.20	181% above	—
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	$8,232.00	$8,232.00	$2,469.60–$7,161.84	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each	$1,491.00	$1,491.00	$82.00–$1,267.35	133% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each	$1,491.00	$1,491.00	$447.30–$1,297.17	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External	$1,208.00	$1,208.00	$82.00–$1,026.80	6% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Elective Cardio Version	$1,974.00	$1,974.00	$414.54–$1,677.90	72% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$1,974.00	$1,974.00	$414.54–$1,677.90	72% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External	$1,208.00	$1,208.00	$362.40–$1,050.96	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Elective Cardio Version	$1,974.00	$1,974.00	$592.20–$1,717.38	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$1,974.00	$1,974.00	$592.20–$1,717.38	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$2,678.00	$2,678.00	$82.00–$2,276.30	20% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision Age >28 Days	$2,678.00	$2,678.00	$803.40–$2,329.86	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$1,071.00	$1,071.00	$82.00–$910.35	49% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$1,071.00	$1,071.00	$321.30–$931.77	—	—
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$4,095.00	$4,095.00	$82.00–$3,480.75	67% above	—
Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$4,095.00	$4,095.00	$1,228.50–$3,562.65	—	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$3,633.00	$3,633.00	$82.00–$3,088.05	72% above	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$3,633.00	$3,633.00	$1,089.90–$3,160.71	—	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$3,045.00	$3,045.00	$82.00–$2,588.25	64% above	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$3,045.00	$3,045.00	$913.50–$2,649.15	—	—
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$2,919.00	$2,919.00	$82.00–$11,730.00	27% below	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cysto W/Insert Ureteral Stent	$2,919.00	$2,919.00	$875.70–$2,539.53	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$1,302.00	$1,302.00	$82.00–$1,106.70	21% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$1,302.00	$1,302.00	$390.60–$1,132.74	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$305.00	$305.00	$64.05–$259.25	167% above	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$305.00	$305.00	$91.50–$265.35	—	—
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$257.00	$257.00	$53.97–$218.45	106% above	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$257.00	$257.00	$77.10–$223.59	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Epid C/T Inj Ea Lvl W Image	$2,279.00	$2,279.00	$478.59–$1,937.15	26% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$2,531.00	$2,531.00	$82.00–$2,151.35	40% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W/ Img Gdn	$2,930.00	$2,930.00	$82.00–$2,490.50	62% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Epid C/T Inj Ea Lvl W Image	$2,279.00	$2,279.00	$683.70–$1,982.73	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$2,531.00	$2,531.00	$759.30–$2,201.97	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W/ Img Gdn	$2,930.00	$2,930.00	$879.00–$2,549.10	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$1,901.00	$1,901.00	$82.00–$1,615.85	28% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$2,583.00	$2,583.00	$82.00–$2,195.55	74% 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	$1,901.00	$1,901.00	$570.30–$1,653.87	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$2,583.00	$2,583.00	$774.90–$2,247.21	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$4,725.00	$4,725.00	$82.00–$4,016.25	19% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$4,725.00	$4,725.00	$1,417.50–$4,110.75	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$6,353.00	$6,353.00	$82.00–$5,400.05	8% above	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$6,353.00	$6,353.00	$1,905.90–$5,527.11	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$2,814.00	$2,814.00	$82.00–$2,391.90	26% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$2,814.00	$2,814.00	$844.20–$2,448.18	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,092.00	$1,092.00	$82.00–$928.20	19% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,092.00	$1,092.00	$327.60–$950.04	—	—
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$5,817.00	$5,817.00	$82.00–$11,730.00	10% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy	$5,817.00	$5,817.00	$1,745.10–$5,060.79	—	—
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$2,930.00	$2,930.00	$82.00–$2,490.50	4% above	—
Hammertoe correction surgery inpatient CPT 28285 Correction Hammertoe	$2,930.00	$2,930.00	$879.00–$2,549.10	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$1,271.00	$1,271.00	$82.00–$1,080.35	51% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$1,271.00	$1,271.00	$381.30–$1,105.77	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$3,644.00	$3,644.00	$82.00–$3,097.40	38% above	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$3,644.00	$3,644.00	$1,093.20–$3,170.28	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath/Inject Hysterosalpingogram	$683.00	$683.00	$143.43–$580.55	71% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath/Inject Hysterosalpingogram	$683.00	$683.00	$204.90–$594.21	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single	$599.00	$599.00	$82.00–$509.15	49% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess-Simple/Single	$651.00	$651.00	$82.00–$553.35	62% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess Simple	$683.00	$683.00	$82.00–$580.55	70% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single	$599.00	$599.00	$179.70–$521.13	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess-Simple/Single	$651.00	$651.00	$195.30–$566.37	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drain Skin Abscess Simple	$683.00	$683.00	$204.90–$594.21	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,274.00	$4,274.00	$82.00–$3,632.90	12% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,274.00	$4,274.00	$1,282.20–$3,718.38	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendon Sheath/Ligament	$1,911.00	$1,911.00	$401.31–$1,624.35	363% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inject Tendon Sheath/Ligament	$1,911.00	$1,911.00	$573.30–$1,662.57	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$494.00	$494.00	$82.00–$419.90	10% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Maj Jnt WO Imag	$977.00	$977.00	$205.17–$830.45	117% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Asp/Inj Major Joint/Bursa W/O US Guidance	$1,166.00	$1,166.00	$244.86–$991.10	159% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject Large Joint/Bursa	$1,166.00	$1,166.00	$82.00–$991.10	159% 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	$494.00	$494.00	$148.20–$429.78	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Maj Jnt WO Imag	$977.00	$977.00	$293.10–$849.99	—	—
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	$1,166.00	$1,166.00	$349.80–$1,014.42	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject Large Joint/Bursa	$1,166.00	$1,166.00	$349.80–$1,014.42	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$378.00	$378.00	$79.38–$321.30	1% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject Intermediate Joint/Bursa	$851.00	$851.00	$82.00–$723.35	127% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Asp/Inj Intermed Joint/Bursa W/O US Guidance	$893.00	$893.00	$187.53–$759.05	138% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocent Intermed Joint/Burs	$977.00	$977.00	$205.17–$830.45	161% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$378.00	$378.00	$113.40–$328.86	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject Intermediate Joint/Bursa	$851.00	$851.00	$255.30–$740.37	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Asp/Inj Intermed Joint/Bursa W/O US Guidance	$893.00	$893.00	$267.90–$776.91	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocent Intermed Joint/Burs	$977.00	$977.00	$293.10–$849.99	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Asp/Inj Small Joint/Bursa W/O US Guidance	$830.00	$830.00	$174.30–$705.50	177% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Small Joint/Bursa	$830.00	$830.00	$82.00–$705.50	177% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Small Joint/Bur	$977.00	$977.00	$205.17–$830.45	226% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject Small Joint/Bursa	$830.00	$830.00	$249.00–$722.10	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Asp/Inj Small Joint/Bursa W/O US Guidance	$830.00	$830.00	$249.00–$722.10	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Small Joint/Bur	$977.00	$977.00	$293.10–$849.99	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$4,883.00	$4,883.00	$82.00–$11,730.00	4% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopic Appendectomy	$4,883.00	$4,883.00	$1,464.90–$4,248.21	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$4,494.00	$4,494.00	$82.00–$11,730.00	30% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$4,494.00	$4,494.00	$1,348.20–$3,909.78	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$1,785.00	$1,785.00	$82.00–$11,730.00	72% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$1,785.00	$1,785.00	$535.50–$1,552.95	—	—
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/<	$1,008.00	$1,008.00	$82.00–$856.80	71% 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/<	$1,008.00	$1,008.00	$302.40–$876.96	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,974.00	$1,974.00	$82.00–$1,677.90	36% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 Epid Inj L/S/C Ea Lvl W Image	$2,279.00	$2,279.00	$478.59–$1,937.15	57% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/ Img Gdn	$2,783.00	$2,783.00	$82.00–$2,365.55	92% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,974.00	$1,974.00	$592.20–$1,717.38	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Epid Inj L/S/C Ea Lvl W Image	$2,279.00	$2,279.00	$683.70–$1,982.73	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/ Img Gdn	$2,783.00	$2,783.00	$834.90–$2,421.21	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,985.00	$1,985.00	$416.85–$1,687.25	37% above	—
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$2,006.00	$2,006.00	$82.00–$1,705.10	39% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,985.00	$1,985.00	$595.50–$1,726.95	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$2,006.00	$2,006.00	$601.80–$1,745.22	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj,Foramen,L/S,1 Level	$1,397.00	$1,397.00	$293.37–$1,187.45	6% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$2,279.00	$2,279.00	$82.00–$1,937.15	73% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Transf Inj L/S Sing Lvl W Gui	$2,930.00	$2,930.00	$615.30–$2,490.50	122% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj,Foramen,L/S,1 Level	$1,397.00	$1,397.00	$419.10–$1,215.39	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$2,279.00	$2,279.00	$683.70–$1,982.73	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Transf Inj L/S Sing Lvl W Gui	$2,930.00	$2,930.00	$879.00–$2,549.10	—	—
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$2,415.00	$2,415.00	$82.00–$2,052.75	32% below	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy Partial	$2,415.00	$2,415.00	$724.50–$2,101.05	—	—
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/<	$704.00	$704.00	$82.00–$598.40	17% 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/<	$704.00	$704.00	$211.20–$612.48	—	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/ Imaging Guidance	$1,113.00	$1,113.00	$233.73–$946.05	19% below	—
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$2,216.00	$2,216.00	$82.00–$1,883.60	61% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/ Imaging Guidance	$1,113.00	$1,113.00	$333.90–$968.31	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$2,216.00	$2,216.00	$664.80–$1,927.92	—	—
Prostate biopsy CPT 55700 Bx Prostate Needle or Punch, Singl or Mult	$5,492.00	$5,492.00	$1,153.32–$4,668.20	157% above	—
Prostate biopsy inpatient CPT 55700 Bx Prostate Needle or Punch, Singl or Mult	$5,492.00	$5,492.00	$1,647.60–$4,778.04	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$6,048.00	$6,048.00	$82.00–$5,140.80	163% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Paravert Facet Jnt Lm/Sac W Im	$6,048.00	$6,048.00	$1,270.08–$5,140.80	163% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$6,048.00	$6,048.00	$1,814.40–$5,261.76	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Paravert Facet Jnt Lm/Sac W Im	$6,048.00	$6,048.00	$1,814.40–$5,261.76	—	—
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$798.00	$798.00	$82.00–$678.30	72% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$798.00	$798.00	$239.40–$694.26	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$2,195.00	$2,195.00	$82.00–$1,865.75	66% below	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$2,195.00	$2,195.00	$658.50–$1,909.65	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$4,106.00	$4,106.00	$82.00–$3,490.10	80% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$4,106.00	$4,106.00	$1,231.80–$3,572.22	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$4,106.00	$4,106.00	$82.00–$3,490.10	72% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$4,106.00	$4,106.00	$1,231.80–$3,572.22	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$10,364.00	$10,364.00	$82.00–$11,730.00	74% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy Xtrcorp Shock Wave	$10,364.00	$10,364.00	$3,109.20–$9,016.68	—	—
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static	$399.00	$399.00	$82.00–$339.15	62% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 8-15'	$450.00	$450.00	$94.50–$382.50	82% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat	$450.00	$450.00	$94.50–$382.50	82% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 16-30'	$450.00	$450.00	$94.50–$382.50	82% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 31-45'	$450.00	$450.00	$94.50–$382.50	82% above	—
Short arm splint (forearm and hand) CPT 29125 Splint App Sht Arm Stat 46-60'	$450.00	$450.00	$94.50–$382.50	82% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint Forearm-Hand Static	$399.00	$399.00	$119.70–$347.13	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 46-60'	$450.00	$450.00	$135.00–$391.50	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 31-45'	$450.00	$450.00	$135.00–$391.50	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 8-15'	$450.00	$450.00	$135.00–$391.50	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat	$450.00	$450.00	$135.00–$391.50	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Splint App Sht Arm Stat 16-30'	$450.00	$450.00	$135.00–$391.50	—	—
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf to Foot	$420.00	$420.00	$82.00–$357.00	70% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 31'-60'	$495.00	$495.00	$103.95–$420.75	100% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 61'-75'	$495.00	$495.00	$103.95–$420.75	100% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg	$495.00	$495.00	$103.95–$420.75	100% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 8"-30"	$495.00	$495.00	$103.95–$420.75	100% above	—
Short leg splint (calf to foot) CPT 29515 Splint App Short Leg 61"-75"	$495.00	$495.00	$103.95–$420.75	100% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint Calf to Foot	$420.00	$420.00	$126.00–$365.40	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 31'-60'	$495.00	$495.00	$148.50–$430.65	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 8"-30"	$495.00	$495.00	$148.50–$430.65	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 61"-75"	$495.00	$495.00	$148.50–$430.65	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg 61'-75'	$495.00	$495.00	$148.50–$430.65	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Splint App Short Leg	$495.00	$495.00	$148.50–$430.65	—	—
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/<	$777.00	$777.00	$82.00–$660.45	115% 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/<	$777.00	$777.00	$233.10–$675.99	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$473.00	$473.00	$82.00–$402.05	23% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$473.00	$473.00	$141.90–$411.51	—	—
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$446.00	$446.00	$82.00–$379.10	80% above	—
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	$133.80–$388.02	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Lumbar Spinal Puncture	$1,040.00	$1,040.00	$82.00–$884.00	25% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture	$1,250.00	$1,250.00	$262.50–$1,062.50	50% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic Lumbar Spinal Puncture	$1,040.00	$1,040.00	$312.00–$904.80	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture	$1,250.00	$1,250.00	$375.00–$1,087.50	—	—
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	$945.00	$945.00	$82.00–$803.25	143% 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 Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$945.00	$945.00	$283.50–$822.15	—	—
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/<	$924.00	$924.00	$82.00–$785.40	128% 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/<	$924.00	$924.00	$277.20–$803.88	—	—
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$8,432.00	$8,432.00	$82.00–$7,167.20	47% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$8,432.00	$8,432.00	$2,529.60–$7,335.84	—	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Imaging	$1,439.00	$1,439.00	$302.19–$1,223.15	23% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$4,694.00	$4,694.00	$82.00–$3,989.90	300% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Imaging	$1,439.00	$1,439.00	$431.70–$1,251.93	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$4,694.00	$4,694.00	$1,408.20–$4,083.78	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Brst Bx W/Plc Lcl Dvc US Guide, 1rst Lsn	$3,864.00	$3,864.00	$811.44–$3,284.40	68% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Brst Bx W/Plc Lcl Dvc US Guide, 1rst Lsn	$3,864.00	$3,864.00	$1,159.20–$3,361.68	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$2,741.00	$2,741.00	$82.00–$2,329.85	49% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple	$2,741.00	$2,741.00	$822.30–$2,384.67	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,447.00	$2,447.00	$82.00–$2,079.95	2% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,447.00	$2,447.00	$734.10–$2,128.89	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$1,859.00	$1,859.00	$82.00–$1,580.15	22% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$1,859.00	$1,859.00	$557.70–$1,617.33	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$5,303.00	$5,303.00	$82.00–$4,507.55	7% below	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$5,303.00	$5,303.00	$1,590.90–$4,613.61	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$2,037.00	$2,037.00	$82.00–$1,731.45	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$2,037.00	$2,037.00	$611.10–$1,772.19	—	—
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$473.00	$473.00	$82.00–$402.05	104% above	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14	$473.00	$473.00	$141.90–$411.51	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$746.00	$746.00	$82.00–$634.10	12% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Skin, Sub-Q Tissue	$1,071.00	$1,071.00	$82.00–$910.35	61% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$746.00	$746.00	$223.80–$649.02	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, Skin, Sub-Q Tissue	$1,071.00	$1,071.00	$321.30–$931.77	—	—

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	$1,580.00	$1,580.00	$331.80–$1,343.00	73% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Administer Transfusion	$1,580.00	$1,580.00	$474.00–$1,374.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment	$247.00	$247.00	$51.87–$209.95	32% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction	$252.00	$252.00	$52.92–$214.20	34% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment	$578.00	$578.00	$121.38–$491.30	208% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment	$247.00	$247.00	$74.10–$214.89	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction	$252.00	$252.00	$75.60–$219.24	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment	$578.00	$578.00	$173.40–$502.86	—	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion -Up to 1hr	$1,071.00	$1,071.00	$224.91–$910.35	64% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion -Up to 1hr	$1,071.00	$1,071.00	$321.30–$931.77	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 60' Comprehensive Audiometry	$378.00	$378.00	$79.38–$321.30	48% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 60' Comprehensive Audiometry	$378.00	$378.00	$113.40–$328.86	—	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$1,586.00	$1,586.00	$82.00–$1,348.10	11% below	—
Critical care, first 30 to 74 minutes CPT 99291 Emergency Room Level 6	$3,885.00	$3,885.00	$815.85–$3,302.25	118% above	—
Critical care, first 30 to 74 minutes CPT 99291 OB Emergency Room Level 6	$3,885.00	$3,885.00	$815.85–$3,302.25	118% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$1,586.00	$1,586.00	$475.80–$1,379.82	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 OB Emergency Room Level 6	$3,885.00	$3,885.00	$1,165.50–$3,379.95	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Emergency Room Level 6	$3,885.00	$3,885.00	$1,165.50–$3,379.95	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing Only	$478.00	$478.00	$100.38–$406.30	107% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing Only	$478.00	$478.00	$143.40–$415.86	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Level 1	$331.00	$331.00	$69.51–$281.35	83% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB Emergency Room Level 1	$331.00	$331.00	$69.51–$281.35	83% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB Emergency Room Level 1	$331.00	$331.00	$99.30–$287.97	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room Level 1	$331.00	$331.00	$99.30–$287.97	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB Emergency Room Level 2	$693.00	$693.00	$145.53–$589.05	82% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Level 2	$693.00	$693.00	$145.53–$589.05	82% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room Level 2	$693.00	$693.00	$207.90–$602.91	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB Emergency Room Level 2	$693.00	$693.00	$207.90–$602.91	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Level 3	$1,082.00	$1,082.00	$227.22–$919.70	64% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB Emergency Room Level 3	$1,082.00	$1,082.00	$227.22–$919.70	64% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB Emergency Room Level 3	$1,082.00	$1,082.00	$324.60–$941.34	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room Level 3	$1,082.00	$1,082.00	$324.60–$941.34	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB Emergency Room Level 4	$1,722.00	$1,722.00	$361.62–$1,463.70	60% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Level 4	$1,722.00	$1,722.00	$361.62–$1,463.70	60% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room Level 4	$1,722.00	$1,722.00	$516.60–$1,498.14	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB Emergency Room Level 4	$1,722.00	$1,722.00	$516.60–$1,498.14	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB Emergency Room Level 5	$2,457.00	$2,457.00	$515.97–$2,088.45	58% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Level 5	$2,457.00	$2,457.00	$515.97–$2,088.45	58% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB Emergency Room Level 5	$2,457.00	$2,457.00	$737.10–$2,137.59	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room Level 5	$2,457.00	$2,457.00	$737.10–$2,137.59	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Tst,Tracing Only	$1,596.00	$1,596.00	$335.16–$1,356.60	67% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test Tracing Only	$1,596.00	$1,596.00	$335.16–$1,356.60	67% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Tst,Tracing Only	$1,596.00	$1,596.00	$478.80–$1,388.52	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Stress Test Tracing Only	$1,596.00	$1,596.00	$478.80–$1,388.52	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration IV Infusn Up to 1hr	$683.00	$683.00	$143.43–$580.55	108% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration IV Infusn Up to 1hr	$683.00	$683.00	$204.90–$594.21	—	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion -Up to 1hr	$840.00	$840.00	$176.40–$714.00	110% above	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion Up to 1hr	$840.00	$840.00	$176.40–$714.00	110% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Up to 1hr	$840.00	$840.00	$252.00–$730.80	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion -Up to 1hr	$840.00	$840.00	$252.00–$730.80	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection -Subcutan/Intramusc	$236.00	$236.00	$49.56–$200.60	122% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Ther/Diag Med Subq/Im	$236.00	$236.00	$49.56–$200.60	122% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection -Subcutan/Intramusc	$236.00	$236.00	$70.80–$205.32	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Ther/Diag Med Subq/Im	$236.00	$236.00	$70.80–$205.32	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Sp Neuromuscular Re-Education	$165.00	$165.00	$34.65–$140.25	41% above	—
Neuromuscular re-education, 15 minutes CPT 97112 15' Neuromuscular Re-Education	$220.00	$220.00	$46.20–$187.00	88% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Sp Neuromuscular Re-Education	$165.00	$165.00	$49.50–$143.55	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 15' Neuromuscular Re-Education	$220.00	$220.00	$66.00–$191.40	—	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity	$280.00	$280.00	$58.80–$238.00	1% above	—
Occupational therapy evaluation, low complexity CPT 97165 15' Evaluation-Onsite	$294.00	$294.00	$61.74–$249.90	6% above	—
Occupational therapy evaluation, low complexity CPT 97165 15' Evaluation-Offsite	$294.00	$294.00	$61.74–$249.90	6% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity	$280.00	$280.00	$84.00–$243.60	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 15' Evaluation-Onsite	$294.00	$294.00	$88.20–$255.78	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 15' Evaluation-Offsite	$294.00	$294.00	$88.20–$255.78	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity	$375.00	$375.00	$78.75–$318.75	9% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity 61-90 Minutes)	$375.00	$375.00	$78.75–$318.75	9% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity (31-60 Minutes)	$375.00	$375.00	$78.75–$318.75	9% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity (0-30 Minutes)	$375.00	$375.00	$78.75–$318.75	9% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval - High Complexity	$394.00	$394.00	$82.74–$334.90	15% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity 61-90 Minutes)	$375.00	$375.00	$112.50–$326.25	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity (31-60 Minutes)	$375.00	$375.00	$112.50–$326.25	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity	$375.00	$375.00	$112.50–$326.25	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity (0-30 Minutes)	$375.00	$375.00	$112.50–$326.25	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval - High Complexity	$394.00	$394.00	$118.20–$342.78	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity	$410.00	$410.00	$86.10–$348.50	76% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity Curtis	$410.00	$410.00	$86.10–$348.50	76% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 15' Evaluation-Onsite	$431.00	$431.00	$90.51–$366.35	86% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 15' Evaluation-Offsite	$431.00	$431.00	$90.51–$366.35	86% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity Curtis	$410.00	$410.00	$123.00–$356.70	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity	$410.00	$410.00	$123.00–$356.70	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 15' Evaluation-Offsite	$431.00	$431.00	$129.30–$374.97	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 15' Evaluation-Onsite	$431.00	$431.00	$129.30–$374.97	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity (31-60 Minutes)	$340.00	$340.00	$71.40–$289.00	7% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity	$340.00	$340.00	$71.40–$289.00	7% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity (61-90 Minutes)	$340.00	$340.00	$71.40–$289.00	7% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity (0-30 Minutes)	$340.00	$340.00	$71.40–$289.00	7% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval - Mod Complexity	$357.00	$357.00	$74.97–$303.45	13% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity (31-60 Minutes)	$340.00	$340.00	$102.00–$295.80	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity (61-90 Minutes)	$340.00	$340.00	$102.00–$295.80	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity	$340.00	$340.00	$102.00–$295.80	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity (0-30 Minutes)	$340.00	$340.00	$102.00–$295.80	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval - Mod Complexity	$357.00	$357.00	$107.10–$310.59	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 15' Manual Therapy	$240.00	$240.00	$50.40–$204.00	77% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 15' Manual Therapy	$240.00	$240.00	$72.00–$208.80	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Sp Tx Exercise - Oral Motor Act	$160.00	$160.00	$33.60–$136.00	36% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Individual Therapy-Onsite	$173.00	$173.00	$36.33–$147.05	47% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Individual Therapy-Offsite	$194.00	$194.00	$40.74–$164.90	64% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 15' Therapeutic Exercise	$305.00	$305.00	$64.05–$259.25	158% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Sp Tx Exercise - Oral Motor Act	$160.00	$160.00	$48.00–$139.20	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Individual Therapy-Onsite	$173.00	$173.00	$51.90–$150.51	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Individual Therapy-Offsite	$194.00	$194.00	$58.20–$168.78	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 15' Therapeutic Exercise	$305.00	$305.00	$91.50–$265.35	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit,New,40-64	$315.00	$315.00	$66.15–$267.75	42% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit,New,40-64	$315.00	$315.00	$94.50–$274.05	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$546.00	$546.00	$82.00–$464.10	129% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$546.00	$546.00	$163.80–$475.02	—	—
Speech and language evaluation CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 12	$295.00	$295.00	$61.95–$250.75	25% below	—
Speech and language evaluation CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 99	$295.00	$295.00	$61.95–$250.75	25% below	—
Speech and language evaluation CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express on/Loc Code 11	$295.00	$295.00	$61.95–$250.75	25% below	—
Speech and language evaluation CPT 92523 Language Comp	$910.00	$910.00	$191.10–$773.50	132% above	—
Speech and language evaluation CPT 92523 Language Comp 60-120	$910.00	$910.00	$191.10–$773.50	132% above	—
Speech and language evaluation CPT 92523 15' Evaluation-Onsite	$956.00	$956.00	$200.76–$812.60	143% above	—
Speech and language evaluation CPT 92523 Eval Speech Prod W Language Comp 15min	$956.00	$956.00	$200.76–$812.60	143% above	—
Speech and language evaluation inpatient CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 99	$295.00	$295.00	$88.50–$256.65	—	—
Speech and language evaluation inpatient CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express on/Loc Code 11	$295.00	$295.00	$88.50–$256.65	—	—
Speech and language evaluation inpatient CPT 92523 Sp Eval/Assess Sound Prod W/ Lang Comp and Express Off/Loc Code 12	$295.00	$295.00	$88.50–$256.65	—	—
Speech and language evaluation inpatient CPT 92523 Language Comp 60-120	$910.00	$910.00	$273.00–$791.70	—	—
Speech and language evaluation inpatient CPT 92523 Language Comp	$910.00	$910.00	$273.00–$791.70	—	—
Speech and language evaluation inpatient CPT 92523 15' Evaluation-Onsite	$956.00	$956.00	$286.80–$831.72	—	—
Speech and language evaluation inpatient CPT 92523 Eval Speech Prod W Language Comp 15min	$956.00	$956.00	$286.80–$831.72	—	—
Speech therapy session, individual CPT 92507 Speech Therapy Services Off/Loc Code 12	$99.00	$99.00	$20.79–$84.15	52% below	—
Speech therapy session, individual CPT 92507 Speech Therapy Services Off/Loc Code 99	$99.00	$99.00	$20.79–$84.15	52% below	—
Speech therapy session, individual CPT 92507 Speech Therapy Services on/Loc Code 11	$99.00	$99.00	$20.79–$84.15	52% below	—
Speech therapy session, individual CPT 92507 15' Slp a/R Services-Onsite	$185.00	$185.00	$38.85–$157.25	10% below	—
Speech therapy session, individual CPT 92507 Treatment of Speech & Language 15min	$210.00	$210.00	$44.10–$178.50	2% above	—
Speech therapy session, individual CPT 92507 15' Slp a/R Services-Offsite	$215.00	$215.00	$45.15–$182.75	4% above	—
Speech therapy session, individual CPT 92507 Speech/Audio Treatment 16-29"	$305.00	$305.00	$64.05–$259.25	48% above	—
Speech therapy session, individual CPT 92507 15' Individual Therapy-Onsite	$362.00	$362.00	$76.02–$307.70	76% above	—
Speech therapy session, individual CPT 92507 91-120" Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 76-90' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 Sp 31'-60' Treatment for Feeding	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 61-75' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 31'-60' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 31-45' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 46-60' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 16-30' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 8'-30' Speech Treatment	$375.00	$375.00	$78.75–$318.75	82% above	—
Speech therapy session, individual CPT 92507 15' Individual Therapy-Offsite	$394.00	$394.00	$82.74–$334.90	91% above	—
Speech therapy session, individual CPT 92507 Dscc Speech Therapy Treatment - 15 Min	$446.00	$446.00	$93.66–$379.10	117% above	—
Speech therapy session, individual CPT 92507 45-59" Speech/Audio Treatment	$520.00	$520.00	$109.20–$442.00	153% above	—
Speech therapy session, individual CPT 92507 60-74" Speech/Audio Treatment	$700.00	$700.00	$147.00–$595.00	240% above	—
Speech therapy session, individual CPT 92507 75-89" Speech/Audio Treatment	$880.00	$880.00	$184.80–$748.00	327% above	—
Speech therapy session, individual CPT 92507 61-90" Speech/Audio Treatment	$920.00	$920.00	$193.20–$782.00	347% above	—
Speech therapy session, individual CPT 92507 Speech Treatment > 90"	$1,150.00	$1,150.00	$241.50–$977.50	458% above	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Services Off/Loc Code 12	$99.00	$99.00	$29.70–$86.13	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Services on/Loc Code 11	$99.00	$99.00	$29.70–$86.13	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Services Off/Loc Code 99	$99.00	$99.00	$29.70–$86.13	—	—
Speech therapy session, individual inpatient CPT 92507 15' Slp a/R Services-Onsite	$185.00	$185.00	$55.50–$160.95	—	—
Speech therapy session, individual inpatient CPT 92507 Treatment of Speech & Language 15min	$210.00	$210.00	$63.00–$182.70	—	—
Speech therapy session, individual inpatient CPT 92507 15' Slp a/R Services-Offsite	$215.00	$215.00	$64.50–$187.05	—	—
Speech therapy session, individual inpatient CPT 92507 Speech/Audio Treatment 16-29"	$305.00	$305.00	$91.50–$265.35	—	—
Speech therapy session, individual inpatient CPT 92507 15' Individual Therapy-Onsite	$362.00	$362.00	$108.60–$314.94	—	—
Speech therapy session, individual inpatient CPT 92507 Sp 31'-60' Treatment for Feeding	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 8'-30' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 91-120" Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 76-90' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 61-75' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 31'-60' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 46-60' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 31-45' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 16-30' Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment	$375.00	$375.00	$112.50–$326.25	—	—
Speech therapy session, individual inpatient CPT 92507 15' Individual Therapy-Offsite	$394.00	$394.00	$118.20–$342.78	—	—
Speech therapy session, individual inpatient CPT 92507 Dscc Speech Therapy Treatment - 15 Min	$446.00	$446.00	$133.80–$388.02	—	—
Speech therapy session, individual inpatient CPT 92507 45-59" Speech/Audio Treatment	$520.00	$520.00	$156.00–$452.40	—	—
Speech therapy session, individual inpatient CPT 92507 60-74" Speech/Audio Treatment	$700.00	$700.00	$210.00–$609.00	—	—
Speech therapy session, individual inpatient CPT 92507 75-89" Speech/Audio Treatment	$880.00	$880.00	$264.00–$765.60	—	—
Speech therapy session, individual inpatient CPT 92507 61-90" Speech/Audio Treatment	$920.00	$920.00	$276.00–$800.40	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Treatment > 90"	$1,150.00	$1,150.00	$345.00–$1,000.50	—	—
Spirometry (breathing test) CPT 94010 Employer Required Pulmonary Function	$263.00	$263.00	$55.23–$223.55	11% below	—
Spirometry (breathing test) CPT 94010 Bedside Spirometry-Lap	$394.00	$394.00	$82.74–$334.90	34% above	—
Spirometry (breathing test) CPT 94010 F.V.C. Without Dilator	$509.00	$509.00	$106.89–$432.65	73% above	—
Spirometry (breathing test) inpatient CPT 94010 Employer Required Pulmonary Function	$263.00	$263.00	$78.90–$228.81	—	—
Spirometry (breathing test) inpatient CPT 94010 Bedside Spirometry-Lap	$394.00	$394.00	$118.20–$342.78	—	—
Spirometry (breathing test) inpatient CPT 94010 F.V.C. Without Dilator	$509.00	$509.00	$152.70–$442.83	—	—
Spirometry before and after a bronchodilator CPT 94060 F.V.C. Pre and Post Dilator	$840.00	$840.00	$176.40–$714.00	60% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 F.V.C. Pre and Post Dilator	$840.00	$840.00	$252.00–$730.80	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Sp Instruct Comp Swallowing Techn	$190.00	$190.00	$39.90–$161.50	48% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Individual Therapy-Onsite	$200.00	$200.00	$42.00–$170.00	56% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Funct Therapy Activity	$210.00	$210.00	$44.10–$178.50	64% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 15' Individual Therapy-Offsite	$215.00	$215.00	$45.15–$182.75	68% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Sp Instruct Comp Swallowing Techn	$190.00	$190.00	$57.00–$165.30	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Individual Therapy-Onsite	$200.00	$200.00	$60.00–$174.00	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Funct Therapy Activity	$210.00	$210.00	$63.00–$182.70	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 15' Individual Therapy-Offsite	$215.00	$215.00	$64.50–$187.05	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Theraputic Phlebotomy	$179.00	$179.00	$37.59–$152.15	14% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic	$226.00	$226.00	$47.46–$192.10	9% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Theraputic Phlebotomy	$179.00	$179.00	$53.70–$155.73	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy, Therapeutic	$226.00	$226.00	$67.80–$196.62	—	—

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	$25.85–$104.63	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	$36.93–$107.09	—	—
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	$42.88–$173.56	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	$61.26–$177.65	—	—
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	$51.36–$207.89	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	$73.37–$212.78	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$276.47	$276.47	$58.06–$235.00	at median	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$276.47	$276.47	$82.94–$240.53	—	—
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	$5.97–$24.16	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	$5.97–$24.16	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	$6.56–$26.54	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	$8.53–$24.73	—	—
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	$8.53–$24.73	—	—
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	$9.37–$27.16	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$413.87	$413.87	$86.91–$351.79	2% below	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$473.71	$473.71	$99.48–$402.65	12% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$413.87	$413.87	$124.16–$360.07	—	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$473.71	$473.71	$142.11–$412.13	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE	$203.54	$203.54	$42.74–$173.01	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	$61.06–$177.08	—	—
Hepatitis A vaccine, adult dose CPT 90632 VAQTA (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$120.40	$120.40	$25.28–$102.34	at median	—
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$128.80	$128.80	$27.05–$109.48	7% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$120.40	$120.40	$36.12–$104.75	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$128.80	$128.80	$38.64–$112.06	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$107.96	$107.96	$22.67–$91.77	at median	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$107.96	$107.96	$22.67–$91.77	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	$32.39–$93.93	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$107.96	$107.96	$32.39–$93.93	—	—
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	$18.55–$75.10	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	$26.51–$76.86	—	—
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	$29.52–$119.48	27% below	—
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	$29.52–$119.48	27% below	—
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	$42.17–$122.30	—	—
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	$42.17–$122.30	—	—
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	$53.40–$216.14	3% above	—
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	$53.40–$216.14	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 KIT (2 VIALS)	$254.28	$254.28	$76.28–$221.22	—	—
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	$76.28–$221.22	—	—
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	$75.96–$307.45	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	$108.51–$314.68	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$444.25	$444.25	$93.29–$377.61	1% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$444.25	$444.25	$133.28–$386.50	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$547.94	$547.94	$115.07–$465.75	201% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$547.94	$547.94	$164.38–$476.71	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$856.89	$856.89	$179.95–$728.36	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	$257.07–$745.49	—	—
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	$96.49–$390.54	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	$137.84–$399.73	—	—
Rabies vaccine, one dose CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$625.84	$625.84	$131.43–$531.96	13% below	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$675.66	$675.66	$141.89–$574.31	6% below	—
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$625.84	$625.84	$187.75–$544.48	—	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACCINE (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$675.66	$675.66	$202.70–$587.82	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SUSPENSION, KIT	$310.33	$310.33	$65.17–$263.78	21% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$349.44	$349.44	$73.38–$297.02	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	$93.10–$269.99	—	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$349.44	$349.44	$104.83–$304.01	—	—
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	$65.76	$65.76	$13.81–$55.90	15% 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	$44.88–$181.65	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	$19.73–$57.21	—	—
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	$64.11–$185.92	—	—
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	$15.05–$60.91	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	$15.33–$62.06	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	$15.33–$62.06	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	$21.50–$62.34	—	—
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	$21.90–$63.52	—	—
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	$21.90–$63.52	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$232.70	$232.70	$48.87–$197.80	18% above	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,209.66	$3,209.66	$674.03–$2,728.21	1522% above	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$232.70	$232.70	$69.81–$202.45	—	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,209.66	$3,209.66	$962.90–$2,792.40	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Vaccine	$116.00	$116.00	$24.36–$98.60	92% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administer 1 Vaccine/Toxoid	$121.00	$121.00	$25.41–$102.85	101% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Vaccine	$116.00	$116.00	$34.80–$100.92	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administer 1 Vaccine/Toxoid	$121.00	$121.00	$36.30–$105.27	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administer Adnl Vaccine/Toxoid	$121.00	$121.00	$25.41–$102.85	209% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Addtnl Vaccine	$121.00	$121.00	$25.41–$102.85	209% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Addtnl Vaccine	$121.00	$121.00	$36.30–$105.27	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administer Adnl Vaccine/Toxoid	$121.00	$121.00	$36.30–$105.27	—	—

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11476/371363001_richland-memorial-hospital-inc_standardcharges.csv