Androscoggin Valley Hospital
Androscoggin Valley Hospital in Berlin, NH publishes cash prices for 312 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New Hampshire median for 166 of 307 procedures and above it for 111. By typical cash price it ranks #11 of 19 New Hampshire hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
59 Page Hill Road, Berlin, NH 03570 Collected Sep 22, 2026 Source price file (603) 752-2200
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 301310 · CMS hospital register NPI 1386680593
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W & WO CONTRAST | $1,910.79 | $3,033.00 | $1,854.00–$3,033.00 | 9% below | 37% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W & WO CONTRAST | $1,910.79 | $3,033.00 | $1,854.00–$3,033.00 | — | 37% |
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAM ABD 2 VIEWS | $263.97 | $419.00 | $117.56–$419.00 | 1% above | 37% |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADIOLOGIC EXAM ABD 2 VIEWS | $263.97 | $419.00 | $117.56–$419.00 | — | 37% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY LEFT ANKLE MIN 3 VIEWS | $277.83 | $441.00 | $129.64–$432.18 | 6% above | 37% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY RIGHT ANKLE MIN 3 VIEWS | $277.83 | $441.00 | $129.64–$432.18 | 6% above | 37% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY RIGHT ANKLE MIN 3 VIEWS | $277.83 | $441.00 | $129.64–$432.18 | — | 37% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY LEFT ANKLE MIN 3 VIEWS | $277.83 | $441.00 | $129.64–$432.18 | — | 37% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDEX | $451.08 | $716.00 | $415.28–$606.32 | 6% above | 37% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE BRACHIAL INDEX | $451.08 | $716.00 | $415.28–$606.32 | — | 37% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT UPPER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $751.96–$1,908.77 | 12% above | 37% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT UPPER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $751.96–$1,908.77 | 12% above | 37% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT UPPER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $751.96–$1,908.77 | — | 37% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT UPPER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $751.96–$1,908.77 | — | 37% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RADIOLOGIC EXAM OF ESOPHAGUS | $399.42 | $634.00 | $299.57–$634.00 | 32% below | 37% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RADIOLOGIC EXAM OF ESOPHAGUS | $399.42 | $634.00 | $299.57–$634.00 | — | 37% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE&/OR JNT SCAN WHOLEBODY | $1,328.04 | $2,108.00 | $1,635.39–$1,859.26 | 21% below | 37% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE&/OR JNT SCAN WHOLEBODY | $1,328.04 | $2,108.00 | $1,635.39–$1,859.26 | — | 37% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST, UNILAT,LIMITED,LEFT | $364.14 | $578.00 | $239.84–$509.80 | 6% below | 37% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST,UNILAT,LIMITED,RIGHT | $364.14 | $578.00 | $239.84–$509.80 | 6% below | 37% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED | $388.71 | $617.00 | $239.84–$509.80 | 1% above | 37% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST, UNILAT,LIMITED,LEFT | $364.14 | $578.00 | $239.84–$509.80 | — | 37% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST,UNILAT,LIMITED,RIGHT | $364.14 | $578.00 | $239.84–$509.80 | — | 37% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED | $388.71 | $617.00 | $239.84–$509.80 | — | 37% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS W WO CONT | $2,489.76 | $3,952.00 | $1,854.00–$3,704.00 | 2% below | 37% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PELVIS W WO CONT | $2,489.76 | $3,952.00 | $1,854.00–$3,704.00 | — | 37% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD W CONTRAST | $2,190.51 | $3,477.00 | $1,854.00–$3,066.71 | 11% above | 37% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD W CONTRAST | $2,190.51 | $3,477.00 | $1,854.00–$3,066.71 | — | 37% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK W CONTRAST | $2,190.51 | $3,477.00 | $1,008.33–$3,407.46 | 11% above | 37% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK W CONTRAST | $2,190.51 | $3,477.00 | $1,008.33–$3,407.46 | — | 37% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST WOC & WC | $2,374.47 | $3,769.00 | $1,854.00–$3,769.00 | 14% above | 37% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST WOC & WC | $2,374.47 | $3,769.00 | $1,854.00–$3,769.00 | — | 37% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS WO CONTRAST | $2,795.31 | $4,437.00 | $1,854.00–$4,437.00 | 14% above | 37% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS WO CONTRAST | $2,795.31 | $4,437.00 | $1,854.00–$4,437.00 | — | 37% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W CONTRST | $2,989.35 | $4,745.00 | $1,854.00–$4,745.00 | 12% above | 37% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W CONTRST | $2,989.35 | $4,745.00 | $1,854.00–$4,745.00 | — | 37% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS 1+ SECT/REGNS | $3,183.39 | $5,053.00 | $2,387.54–$5,053.00 | 6% above | 37% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS 1+ SECT/REGNS | $3,183.39 | $5,053.00 | $2,387.54–$5,053.00 | — | 37% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $1,665.72 | $2,644.00 | $1,053.90–$2,051.22 | at median | 37% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST | $1,665.72 | $2,644.00 | $1,053.90–$2,051.22 | — | 37% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/C | $1,471.68 | $2,336.00 | $751.96–$1,908.77 | 9% above | 37% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO/C | $1,471.68 | $2,336.00 | $751.96–$1,908.77 | — | 37% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST | $1,471.68 | $2,336.00 | $677.44–$2,336.00 | at median | 37% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST | $1,471.68 | $2,336.00 | $677.44–$2,336.00 | — | 37% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRAST | $1,471.68 | $2,336.00 | $677.44–$2,336.00 | 12% above | 37% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRAST | $1,471.68 | $2,336.00 | $677.44–$2,336.00 | — | 37% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W CONTRAST | $1,665.72 | $2,644.00 | $851.11–$2,332.01 | 12% above | 37% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W CONTRAST | $1,665.72 | $2,644.00 | $851.11–$2,332.01 | — | 37% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W & WO CONTRAST | $1,859.76 | $2,952.00 | $1,604.86 | at median | 37% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W & WO CONTRAST | $1,859.76 | $2,952.00 | $1,604.86 | — | 37% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONTRAST | $1,471.68 | $2,336.00 | $751.96–$2,060.35 | 9% above | 37% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONTRAST | $1,471.68 | $2,336.00 | $751.96–$2,060.35 | — | 37% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTR | $1,471.68 | $2,336.00 | $906.13–$2,336.00 | 3% above | 37% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTR | $1,471.68 | $2,336.00 | $906.13–$2,336.00 | — | 37% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $1,665.72 | $2,644.00 | $2,051.22–$2,185.27 | 5% above | 37% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $1,665.72 | $2,644.00 | $2,051.22–$2,185.27 | — | 37% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 UD CAROTID DUPLEX SCAN BILAT | $885.15 | $1,405.00 | $663.86–$1,405.00 | — | 37% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 UD CAROTID DUPLEX SCAN BILAT | $885.15 | $1,405.00 | $663.86–$1,405.00 | — | 37% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS | $238.14 | $378.00 | $105.48–$378.00 | at median | 37% |
| Chest X-ray, 2 views inpatient CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS | $238.14 | $378.00 | $105.48–$378.00 | — | 37% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM CHEST ONE VIEW | $174.51 | $277.00 | $153.40–$265.92 | 15% below | 37% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAM CHEST ONE VIEW | $174.51 | $277.00 | $153.40–$265.92 | — | 37% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY LEFT CLAVICLE COMPLETE | $253.89 | $403.00 | $190.42–$403.00 | 3% above | 37% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY RIGHT CLAVICLE COMPLETE | $253.89 | $403.00 | $190.42–$403.00 | 3% above | 37% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY RIGHT CLAVICLE COMPLETE | $253.89 | $403.00 | $190.42–$403.00 | — | 37% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY LEFT CLAVICLE COMPLETE | $253.89 | $403.00 | $190.42–$403.00 | — | 37% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $515.97 | $819.00 | $336.45–$819.00 | 15% below | 37% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $515.97 | $819.00 | $336.45–$819.00 | — | 37% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY AXIAL SKELETON | $471.24 | $748.00 | $129.64–$748.00 | 12% above | 37% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY AXIAL SKELETON | $471.24 | $748.00 | $129.64–$748.00 | — | 37% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGLE FETUS | $950.04 | $1,508.00 | $390.24–$1,246.27 | at median | 37% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED SINGLE FETUS | $950.04 | $1,508.00 | $390.24–$1,246.27 | — | 37% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO CONTRAST | $1,471.68 | $2,336.00 | $1,199.77–$2,336.00 | 12% above | 37% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO CONTRAST | $1,471.68 | $2,336.00 | $1,199.77–$2,336.00 | — | 37% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST | $1,665.72 | $2,644.00 | $1,053.90–$2,600.00 | at median | 37% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONTRAST | $1,665.72 | $2,644.00 | $1,053.90–$2,600.00 | — | 37% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INC CAD | $646.38 | $1,026.00 | $484.79–$904.93 | — | 37% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INC CAD | $646.38 | $1,026.00 | $484.79–$904.93 | — | 37% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT LT INC CAD | $653.31 | $1,037.00 | $395.33–$1,037.00 | 12% above | 37% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT RT INC CAD | $653.31 | $1,037.00 | $395.33–$1,037.00 | 12% above | 37% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT RT INC CAD | $653.31 | $1,037.00 | $395.33–$1,037.00 | — | 37% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT LT INC CAD | $653.31 | $1,037.00 | $395.33–$1,037.00 | — | 37% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX EXT VEINS BILATERAL | $1,132.74 | $1,798.00 | $1,042.84–$1,798.00 | — | 37% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX EXT VEINS BILATERAL | $1,132.74 | $1,798.00 | $1,042.84–$1,798.00 | — | 37% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,729.35 | $2,745.00 | $1,544.34–$2,745.00 | 12% above | 37% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $1,729.35 | $2,745.00 | $1,544.34–$2,745.00 | — | 37% |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY RIGHT ELBOW (2 VIEWS) | $245.07 | $389.00 | $243.90–$389.00 | 5% below | 37% |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY LEFT ELBOW (2 VIEWS) | $245.07 | $389.00 | $243.90–$389.00 | 5% below | 37% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY RIGHT ELBOW (2 VIEWS) | $245.07 | $389.00 | $243.90–$389.00 | — | 37% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY LEFT ELBOW (2 VIEWS) | $245.07 | $389.00 | $243.90–$389.00 | — | 37% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY RT ELBOW (MIN 3 VIEWS) | $277.83 | $441.00 | $110.01–$441.00 | at median | 37% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY LT ELBOW (MIN 3 VIEWS) | $277.83 | $441.00 | $110.01–$441.00 | at median | 37% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY RT ELBOW (MIN 3 VIEWS) | $277.83 | $441.00 | $110.01–$441.00 | — | 37% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY LT ELBOW (MIN 3 VIEWS) | $277.83 | $441.00 | $110.01–$441.00 | — | 37% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT MID/INNER EAR WO CONT | $1,471.68 | $2,336.00 | $1,978.18 | 6% above | 37% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT MID/INNER EAR WO CONT | $1,471.68 | $2,336.00 | $1,978.18 | — | 37% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY FACIAL BONES MIN 3 VWS | $341.46 | $542.00 | $442.87 | 4% below | 37% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-RAY FACIAL BONES MIN 3 VWS | $341.46 | $542.00 | $442.87 | — | 37% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY RIGHT FOREARM (2 VIEWS) | $245.07 | $389.00 | $243.90–$343.10 | at median | 37% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY LEFT FOREARM (2 VIEWS) | $245.07 | $389.00 | $243.90–$343.10 | at median | 37% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X-RAY RIGHT FOREARM (2 VIEWS) | $245.07 | $389.00 | $243.90–$343.10 | — | 37% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X-RAY LEFT FOREARM (2 VIEWS) | $245.07 | $389.00 | $243.90–$343.10 | — | 37% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $1,282.68 | $2,036.00 | $1,310.78 | 26% below | 37% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $1,282.68 | $2,036.00 | $1,310.78 | — | 37% |
| Hand X-ray, 2 views one side CPT 73120 X-RAY RIGHT HAND (2 VIEWS) | $242.55 | $385.00 | $223.30–$326.03 | 8% below | 37% |
| Hand X-ray, 2 views one side CPT 73120 X-RAY LEFT HAND (2 VIEWS) | $242.55 | $385.00 | $223.30–$326.03 | 8% below | 37% |
| Hand X-ray, 2 views inpatient one side CPT 73120 X-RAY RIGHT HAND (2 VIEWS) | $242.55 | $385.00 | $223.30–$326.03 | — | 37% |
| Hand X-ray, 2 views inpatient one side CPT 73120 X-RAY LEFT HAND (2 VIEWS) | $242.55 | $385.00 | $223.30–$326.03 | — | 37% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY RIGHT HEEL (2 VIEWS) | $245.07 | $389.00 | $208.35–$343.10 | 1% above | 37% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY LEFT HEEL (2 VIEWS) | $245.07 | $389.00 | $208.35–$343.10 | 1% above | 37% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X-RAY LEFT HEEL (2 VIEWS) | $245.07 | $389.00 | $208.35–$343.10 | — | 37% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X-RAY RIGHT HEEL (2 VIEWS) | $245.07 | $389.00 | $208.35–$343.10 | — | 37% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT RESP EFFT | $400.05 | $635.00 | $361.11–$609.60 | 32% below | 37% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT RESP EFFT | $400.05 | $635.00 | $361.11–$609.60 | — | 37% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY CPAP / BIPAP | $2,752.47 | $4,369.00 | $2,064.35–$4,369.00 | 32% below | 37% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY CPAP / BIPAP | $2,752.47 | $4,369.00 | $2,064.35–$4,369.00 | — | 37% |
| Knee X-ray, 3 views one side CPT 73562 X-RAY LEFT KNEE (3 VIEWS) | $389.34 | $618.00 | $143.22–$618.00 | 14% above | 37% |
| Knee X-ray, 3 views one side CPT 73562 X-RAY RIGHT KNEE (3 VIEWS) | $389.34 | $618.00 | $143.22–$618.00 | 14% above | 37% |
| Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY LEFT KNEE (3 VIEWS) | $389.34 | $618.00 | $143.22–$618.00 | — | 37% |
| Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY RIGHT KNEE (3 VIEWS) | $389.34 | $618.00 | $143.22–$618.00 | — | 37% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY LT KNEE (4 OR MORE VIEW) | $347.13 | $551.00 | $260.35–$427.47 | 9% above | 37% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY RT KNEE (4 OR MORE VIEW) | $347.13 | $551.00 | $260.35–$427.47 | 9% above | 37% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY LT KNEE (4 OR MORE VIEW) | $347.13 | $551.00 | $260.35–$427.47 | — | 37% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY RT KNEE (4 OR MORE VIEW) | $347.13 | $551.00 | $260.35–$427.47 | — | 37% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT LOWER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $1,103.76–$2,336.00 | 12% above | 37% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT LOWER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $1,103.76–$2,336.00 | 12% above | 37% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT LOWER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $1,103.76–$2,336.00 | — | 37% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT LOWER EXTR WO CONTRAST | $1,471.68 | $2,336.00 | $1,103.76–$2,336.00 | — | 37% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD SINGLE ORGAN | $477.54 | $758.00 | $273.05–$758.00 | 4% below | 37% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LMTD SINGLE ORGAN | $477.54 | $758.00 | $273.05–$758.00 | — | 37% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR RT NON-VASCULAR LMTD | $299.25 | $475.00 | $378.67 | 9% below | 37% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR LT NON-VASCULAR LMTD | $299.25 | $475.00 | $378.67 | 9% below | 37% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR RT NON-VASCULAR LMTD | $299.25 | $475.00 | $378.67 | — | 37% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR LT NON-VASCULAR LMTD | $299.25 | $475.00 | $378.67 | — | 37% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CANCER SCREENING | $715.68 | $1,136.00 | $658.88–$1,136.00 | 8% below | 37% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LDCT FOR LUNG CANCER SCREENING | $715.68 | $1,136.00 | $658.88–$1,136.00 | — | 37% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY LT LOWER LEG (2 VIEWS) | $247.59 | $393.00 | $224.01–$393.00 | 8% below | 37% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY RT LOWER LEG (2 VIEWS) | $247.59 | $393.00 | $224.01–$393.00 | 8% below | 37% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X-RAY RT LOWER LEG (2 VIEWS) | $247.59 | $393.00 | $224.01–$393.00 | — | 37% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X-RAY LT LOWER LEG (2 VIEWS) | $247.59 | $393.00 | $224.01–$393.00 | — | 37% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST | $2,206.89 | $3,503.00 | $1,358.82–$1,876.21 | 12% above | 37% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST | $2,206.89 | $3,503.00 | $1,358.82–$1,876.21 | — | 37% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI, BREAST,W/CONT & CAD,BILAT | $3,083.22 | $4,894.00 | $3,025.59 | — | 37% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI, BREAST,W/CONT & CAD,BILAT | $3,083.22 | $4,894.00 | $3,025.59 | — | 37% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT LOW EXT JNT WO CONTRAST | $2,315.88 | $3,676.00 | $2,132.08–$3,242.23 | 12% above | 37% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT LOW EXTR JNT WO CONTR | $2,315.88 | $3,676.00 | $2,132.08–$3,242.23 | 12% above | 37% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT LOW EXT JNT WO CONTRAST | $2,315.88 | $3,676.00 | $2,132.08–$3,242.23 | — | 37% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT LOW EXTR JNT WO CONTR | $2,315.88 | $3,676.00 | $2,132.08–$3,242.23 | — | 37% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LT LOW EXT JNT W&WO CONTR | $3,912.93 | $6,211.00 | $4,951.41 | 6% above | 37% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RT LOW EXT JNT W&WO CONTR | $3,912.93 | $6,211.00 | $4,951.41 | 6% above | 37% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RT LOW EXT JNT W&WO CONTR | $3,912.93 | $6,211.00 | $4,951.41 | — | 37% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LT LOW EXT JNT W&WO CONTR | $3,912.93 | $6,211.00 | $4,951.41 | — | 37% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $2,778.93 | $4,411.00 | $2,781.00–$4,411.00 | 14% above | 37% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST | $2,778.93 | $4,411.00 | $2,781.00–$4,411.00 | — | 37% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST | $3,858.12 | $6,124.00 | $2,781.00–$6,124.00 | 8% above | 37% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & WO CONTRAST | $3,858.12 | $6,124.00 | $2,781.00–$6,124.00 | — | 37% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $2,565.99 | $4,073.00 | $2,362.34–$4,073.00 | 12% above | 37% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $2,565.99 | $4,073.00 | $2,362.34–$4,073.00 | — | 37% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST | $3,814.02 | $6,054.00 | $2,781.00–$5,339.63 | 9% above | 37% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST | $3,814.02 | $6,054.00 | $2,781.00–$5,339.63 | — | 37% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO CONTRAST | $2,753.73 | $4,371.00 | $1,695.51–$4,371.00 | 12% above | 37% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST | $2,753.73 | $4,371.00 | $1,695.51–$4,371.00 | — | 37% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W & WO CONTR | $3,703.77 | $5,879.00 | $2,777.83–$4,686.74 | 2% below | 37% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W & WO CONTR | $3,703.77 | $5,879.00 | $2,777.83–$4,686.74 | — | 37% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CONTRAST | $2,753.73 | $4,371.00 | $1,695.51–$3,855.22 | 12% above | 37% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CONTRAST | $2,753.73 | $4,371.00 | $1,695.51–$3,855.22 | — | 37% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W & WO CONTRAST | $3,471.93 | $5,511.00 | $1,301.97–$4,860.70 | at median | 37% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV SPINE W & WO CONTRAST | $3,471.93 | $5,511.00 | $1,301.97–$4,860.70 | — | 37% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST | $2,753.73 | $4,371.00 | $1,267.59–$3,855.22 | 12% above | 37% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST | $2,753.73 | $4,371.00 | $1,267.59–$3,855.22 | — | 37% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/C&W/C | $3,466.89 | $5,503.00 | $1,906.79–$4,387.00 | at median | 37% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/C&W/C | $3,466.89 | $5,503.00 | $1,906.79–$4,387.00 | — | 37% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $2,806.02 | $4,454.00 | $2,867.49–$3,550.73 | 12% above | 37% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST | $2,806.02 | $4,454.00 | $2,867.49–$3,550.73 | — | 37% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI U EXTR ANY JNT WO CONTRAST | $2,206.89 | $3,503.00 | $1,358.82–$3,503.00 | 12% above | 37% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI U EXTR ANY JNT WO CONTRAST | $2,206.89 | $3,503.00 | $1,358.82–$3,503.00 | — | 37% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS | $359.10 | $570.00 | $366.97–$465.75 | 11% below | 37% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS | $359.10 | $570.00 | $366.97–$465.75 | — | 37% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONTRAST | $1,665.72 | $2,644.00 | $1,787.00–$2,332.01 | 11% above | 37% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONTRAST | $1,665.72 | $2,644.00 | $1,787.00–$2,332.01 | — | 37% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO/C | $1,471.68 | $2,336.00 | $1,503.92–$1,930.70 | 11% above | 37% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO/C | $1,471.68 | $2,336.00 | $1,503.92–$1,930.70 | — | 37% |
| Neck soft tissue X-ray CPT 70360 X-RAY NECK SOFT TISSUE | $242.55 | $385.00 | $181.91–$385.00 | 11% above | 37% |
| Neck soft tissue X-ray inpatient CPT 70360 X-RAY NECK SOFT TISSUE | $242.55 | $385.00 | $181.91–$385.00 | — | 37% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION MLT STUDY | $3,226.86 | $5,122.00 | $1,639.63–$4,917.12 | 14% above | 37% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERFUSION MLT STUDY | $3,226.86 | $5,122.00 | $1,639.63–$4,917.12 | — | 37% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST | $1,471.68 | $2,336.00 | $931.13–$1,908.77 | 6% above | 37% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST | $1,471.68 | $2,336.00 | $931.13–$1,908.77 | — | 37% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED NON OB | $358.47 | $569.00 | $330.02–$569.00 | at median | 37% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED NON OB | $358.47 | $569.00 | $330.02–$569.00 | — | 37% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC (NON-OB) COMPLETE | $510.93 | $811.00 | $323.27–$811.00 | 3% below | 37% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC (NON-OB) COMPLETE | $510.93 | $811.00 | $323.27–$811.00 | — | 37% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SINGLE FETUS | $619.92 | $984.00 | $402.69–$867.89 | 1% above | 37% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SINGLE FETUS | $619.92 | $984.00 | $402.69–$867.89 | — | 37% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $497.07 | $789.00 | $322.87–$695.90 | 16% below | 37% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS | $497.07 | $789.00 | $322.87–$695.90 | — | 37% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUS(S) | $398.79 | $633.00 | $195.57–$536.04 | 4% below | 37% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED FETUS(S) | $398.79 | $633.00 | $195.57–$536.04 | — | 37% |
| Rib X-ray, one side, 2 views one side CPT 71100 X-RAY RIGHT RIBS (2 VIEWS) | $268.38 | $426.00 | $247.08–$426.00 | 12% above | 37% |
| Rib X-ray, one side, 2 views one side CPT 71100 X-RAY LEFT RIBS (2 VIEWS) | $268.38 | $426.00 | $247.08–$426.00 | 12% above | 37% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY LEFT RIBS (2 VIEWS) | $268.38 | $426.00 | $247.08–$426.00 | — | 37% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY RIGHT RIBS (2 VIEWS) | $268.38 | $426.00 | $247.08–$426.00 | — | 37% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INC CAD | $606.69 | $963.00 | $270.72–$963.00 | — | 37% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT LT INC CAD | $529.83 | $841.00 | $270.72–$963.00 | 11% above | 37% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT RT INC CAD | $529.83 | $841.00 | $270.72–$963.00 | 11% above | 37% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INC CAD | $606.69 | $963.00 | $270.72–$963.00 | — | 37% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT LT INC CAD | $529.83 | $841.00 | $270.72–$963.00 | — | 37% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT RT INC CAD | $529.83 | $841.00 | $270.72–$963.00 | — | 37% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY RT SHOULDER (MIN 2 VIEWS) | $260.19 | $413.00 | $116.05–$413.00 | at median | 37% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY LT SHOULDER (MIN 2 VIEW) | $260.19 | $413.00 | $116.05–$413.00 | at median | 37% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY RT SHOULDER (MIN 2 VIEWS) | $260.19 | $413.00 | $116.05–$413.00 | — | 37% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY LT SHOULDER (MIN 2 VIEW) | $260.19 | $413.00 | $116.05–$413.00 | — | 37% |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY SKULL ( <4 VIEWS) | $290.43 | $461.00 | $357.64 | 12% above | 37% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY SKULL ( <4 VIEWS) | $290.43 | $461.00 | $357.64 | — | 37% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 > W TECH | $2,117.43 | $3,361.00 | $2,107.35–$3,226.56 | 28% below | 37% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4 > W TECH | $2,117.43 | $3,361.00 | $2,107.35–$3,226.56 | — | 37% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO | $626.22 | $994.00 | $510.52–$876.71 | at median | 37% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FCN W CINE/VIDEO | $626.22 | $994.00 | $510.52–$876.71 | — | 37% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY RIGHT FEMUR MIN 2 VIEWS | $285.39 | $453.00 | $122.09–$453.00 | at median | 37% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY LEFT FEMUR MIN 2 VIEWS | $285.39 | $453.00 | $122.09–$453.00 | at median | 37% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY RIGHT FEMUR MIN 2 VIEWS | $285.39 | $453.00 | $122.09–$453.00 | — | 37% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY LEFT FEMUR MIN 2 VIEWS | $285.39 | $453.00 | $122.09–$453.00 | — | 37% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CONTR | $1,256.22 | $1,994.00 | $578.26–$1,780.00 | 1% below | 37% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CONTR | $1,256.22 | $1,994.00 | $578.26–$1,780.00 | — | 37% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEW RT | $263.97 | $419.00 | $197.98–$369.56 | 23% above | 37% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEW LT | $263.97 | $419.00 | $197.98–$369.56 | 23% above | 37% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) MIN 2 VIEW LT | $263.97 | $419.00 | $197.98–$369.56 | — | 37% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) MIN 2 VIEW RT | $263.97 | $419.00 | $197.98–$369.56 | — | 37% |
| Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAGINAL US | $589.68 | $936.00 | $395.33–$936.00 | 12% above | 37% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 NON-OB TRANSVAGINAL US | $589.68 | $936.00 | $395.33–$936.00 | — | 37% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $454.86 | $722.00 | $569.36–$636.80 | 5% above | 37% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $454.86 | $722.00 | $569.36–$636.80 | — | 37% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOMEN COMPLETE | $630.63 | $1,001.00 | $357.59–$1,001.00 | 4% below | 37% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOMEN COMPLETE | $630.63 | $1,001.00 | $357.59–$1,001.00 | — | 37% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $463.05 | $735.00 | $347.29–$648.27 | 10% below | 37% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS | $463.05 | $735.00 | $347.29–$648.27 | — | 37% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $539.91 | $857.00 | $383.25–$822.72 | 7% above | 37% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK | $539.91 | $857.00 | $383.25–$822.72 | — | 37% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI WO KUB | $540.54 | $858.00 | $537.97 | 21% below | 37% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI WO KUB | $540.54 | $858.00 | $537.97 | — | 37% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 LEFT HUMERUS MIN 2 VIEWS | $251.37 | $399.00 | $211.47–$351.92 | 5% below | 37% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 RIGHT HUMERUS MIN 2 VIEWS | $251.37 | $399.00 | $211.47–$351.92 | 5% below | 37% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 LEFT HUMERUS MIN 2 VIEWS | $251.37 | $399.00 | $211.47–$351.92 | — | 37% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 RIGHT HUMERUS MIN 2 VIEWS | $251.37 | $399.00 | $211.47–$351.92 | — | 37% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX EXT VEINS LT LMTD | $931.14 | $1,478.00 | $444.96–$1,478.00 | 14% above | 37% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX EXT VEINS RT LMTD | $931.14 | $1,478.00 | $444.96–$1,478.00 | 14% above | 37% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX EXT VEINS RT LMTD | $931.14 | $1,478.00 | $444.96–$1,478.00 | — | 37% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX EXT VEINS LT LMTD | $931.14 | $1,478.00 | $444.96–$1,478.00 | — | 37% |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY RIGHT WRIST (2 VIEWS) | $254.52 | $404.00 | $117.56–$356.33 | at median | 37% |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY LEFT WRIST (2 VIEWS) | $254.52 | $404.00 | $117.56–$356.33 | at median | 37% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY LEFT WRIST (2 VIEWS) | $254.52 | $404.00 | $117.56–$356.33 | — | 37% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY RIGHT WRIST (2 VIEWS) | $254.52 | $404.00 | $117.56–$356.33 | — | 37% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY RIGHT WRIST (MIN 3 VIEW) | $251.37 | $399.00 | $147.75–$399.00 | 6% below | 37% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY LEFT WRIST (MIN 3 VIEWS) | $251.37 | $399.00 | $147.75–$399.00 | 6% below | 37% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY RIGHT WRIST (MIN 3 VIEW) | $251.37 | $399.00 | $147.75–$399.00 | — | 37% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY LEFT WRIST (MIN 3 VIEWS) | $251.37 | $399.00 | $147.75–$399.00 | — | 37% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY RIGHT HIP (2-3 VIEWS) | $367.92 | $584.00 | $164.36–$584.00 | 14% above | 37% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY LEFT HIP (2-3 VIEWS) | $367.92 | $584.00 | $164.36–$584.00 | 14% above | 37% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY LEFT HIP (2-3 VIEWS) | $367.92 | $584.00 | $164.36–$584.00 | — | 37% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY RIGHT HIP (2-3 VIEWS) | $367.92 | $584.00 | $164.36–$584.00 | — | 37% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAM ABD ONE VIEW | $221.13 | $351.00 | $96.43–$351.00 | 1% below | 37% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAM ABD ONE VIEW | $221.13 | $351.00 | $96.43–$351.00 | — | 37% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY RIGHT ANKLE (2 VIEWS) | $259.56 | $412.00 | $313.94–$395.52 | 14% above | 37% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY LEFT ANKLE (2 VIEWS) | $259.56 | $412.00 | $313.94–$395.52 | 14% above | 37% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY LEFT ANKLE (2 VIEWS) | $259.56 | $412.00 | $313.94–$395.52 | — | 37% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY RIGHT ANKLE (2 VIEWS) | $259.56 | $412.00 | $313.94–$395.52 | — | 37% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEW RT | $233.10 | $370.00 | $174.83–$370.00 | 12% above | 37% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEW LT | $233.10 | $370.00 | $174.83–$370.00 | 12% above | 37% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) MIN 2 VIEW RT | $233.10 | $370.00 | $174.83–$370.00 | — | 37% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) MIN 2 VIEW LT | $233.10 | $370.00 | $174.83–$370.00 | — | 37% |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY RIGHT FOOT (2 VIEWS) | $224.91 | $357.00 | $284.60 | 1% below | 37% |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY LEFT FOOT (2 VIEWS) | $224.91 | $357.00 | $284.60 | 1% below | 37% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY RIGHT FOOT (2 VIEWS) | $224.91 | $357.00 | $284.60 | — | 37% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY LEFT FOOT (2 VIEWS) | $224.91 | $357.00 | $284.60 | — | 37% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY RIGHT FOOT MIN 3 VIEWS | $315.00 | $500.00 | $119.07–$500.00 | 6% above | 37% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY LEFT FOOT MIN 3 VIEWS | $315.00 | $500.00 | $119.07–$500.00 | 6% above | 37% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY RIGHT FOOT MIN 3 VIEWS | $315.00 | $500.00 | $119.07–$500.00 | — | 37% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY LEFT FOOT MIN 3 VIEWS | $315.00 | $500.00 | $119.07–$500.00 | — | 37% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY LEFT HAND (MIN 3 VIEWS) | $281.61 | $447.00 | $129.64–$447.00 | 3% above | 37% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY RIGHT HAND MIN 3 VIEWS | $281.61 | $447.00 | $129.64–$447.00 | 3% above | 37% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY LEFT HAND (MIN 3 VIEWS) | $281.61 | $447.00 | $129.64–$447.00 | — | 37% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY RIGHT HAND MIN 3 VIEWS | $281.61 | $447.00 | $129.64–$447.00 | — | 37% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY LEFT KNEE 1 - 2 VIEWS | $277.83 | $441.00 | $248.11–$423.36 | 12% above | 37% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY RIGHT KNEE 1 - 2 VIEWS | $277.83 | $441.00 | $248.11–$423.36 | 12% above | 37% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY RIGHT KNEE 1 - 2 VIEWS | $277.83 | $441.00 | $248.11–$423.36 | — | 37% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY LEFT KNEE 1 - 2 VIEWS | $277.83 | $441.00 | $248.11–$423.36 | — | 37% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY LOWER SPINE 2-3 VWS | $290.43 | $461.00 | $132.66–$461.00 | at median | 37% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY LOWER SPINE 2-3 VWS | $290.43 | $461.00 | $132.66–$461.00 | — | 37% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY LOWER SPINE (MIN 4 VIEW) | $402.57 | $639.00 | $176.44–$563.60 | 5% above | 37% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY LOWER SPINE (MIN 4 VIEW) | $402.57 | $639.00 | $176.44–$563.60 | — | 37% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY THORACIC SPINE (2 VIEWS) | $277.83 | $441.00 | $283.92–$388.96 | 2% below | 37% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY THORACIC SPINE (2 VIEWS) | $277.83 | $441.00 | $283.92–$388.96 | — | 37% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MIN3 VWS | $294.21 | $467.00 | $270.86–$395.47 | 4% above | 37% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MIN3 VWS | $294.21 | $467.00 | $270.86–$395.47 | — | 37% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM SPINE CERV 2-3 VWS | $268.38 | $426.00 | $131.15–$426.00 | 2% below | 37% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM SPINE CERV 2-3 VWS | $268.38 | $426.00 | $131.15–$426.00 | — | 37% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY PELVIS (1 OR 2 VIEWS) | $281.61 | $447.00 | $88.88–$447.00 | 10% above | 37% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY PELVIS (1 OR 2 VIEWS) | $281.61 | $447.00 | $88.88–$447.00 | — | 37% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY TAILBONE (MIN 2 VIEWS) | $238.14 | $378.00 | $293.25–$366.54 | at median | 37% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY TAILBONE (MIN 2 VIEWS) | $238.14 | $378.00 | $293.25–$366.54 | — | 37% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE | $221.76 | $352.00 | $35.08–$268.22 | 10% below | 37% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE | $221.76 | $352.00 | $35.08–$268.22 | — | 37% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $19.53 | $31.00 | $4.81–$31.00 | 70% below | 37% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $19.53 | $31.00 | $4.81–$31.00 | — | 37% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $18.90 | $30.00 | $4.70–$30.00 | 71% below | 37% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $18.90 | $30.00 | $4.70–$30.00 | — | 37% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PROFILE | $354.69 | $563.00 | $43.26–$563.00 | 4% above | 37% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PROFILE | $354.69 | $563.00 | $43.26–$563.00 | — | 37% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $44.10 | $70.00 | $4.49–$53.34 | 7% below | 37% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $44.10 | $70.00 | $4.49–$53.34 | — | 37% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $257.04 | $408.00 | $37.01–$262.67 | 8% above | 37% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $257.04 | $408.00 | $37.01–$262.67 | — | 37% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $32.76 | $52.00 | $4.70–$31.95 | 53% below | 37% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $32.76 | $52.00 | $4.70–$31.95 | — | 37% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EA ALLERGEN | $34.02 | $54.00 | $4.75–$54.00 | 6% above | 37% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EA ALLERGEN | $34.02 | $54.00 | $4.75–$54.00 | — | 37% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $60.48 | $96.00 | $15.24–$96.00 | 47% below | 37% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM | $60.48 | $96.00 | $15.24–$96.00 | — | 37% |
| Ammonia blood test CPT 82140 AMMONIA | $52.92 | $84.00 | $13.23–$65.17 | 40% below | 37% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $52.92 | $84.00 | $13.23–$65.17 | — | 37% |
| Amylase blood test CPT 82150 AMYLASE | $23.94 | $38.00 | $5.89–$36.48 | 65% below | 37% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $23.94 | $38.00 | $5.89–$36.48 | — | 37% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $47.25 | $75.00 | $11.76–$48.29 | 51% below | 37% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $47.25 | $75.00 | $11.76–$48.29 | — | 37% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $44.10 | $70.00 | $10.98–$70.00 | 54% below | 37% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $44.10 | $70.00 | $10.98–$70.00 | — | 37% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP NATRIURETIC PEPTIDE | $141.75 | $225.00 | $35.66–$225.00 | 22% below | 37% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP NATRIURETIC PEPTIDE | $141.75 | $225.00 | $35.66–$225.00 | — | 37% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE OTHR SOURCE | $31.50 | $50.00 | $7.83–$50.00 | 66% below | 37% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACTERIAL CULTURE OTHR SOURCE | $31.50 | $50.00 | $7.83–$50.00 | — | 37% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $54.18 | $86.00 | $7.69–$86.00 | 20% below | 37% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $54.18 | $86.00 | $7.69–$86.00 | — | 37% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN | $18.90 | $30.00 | $4.56–$30.00 | 49% below | 37% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN | $18.90 | $30.00 | $4.56–$30.00 | — | 37% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURGICAL PATH | $297.36 | $472.00 | $18.28–$1,183.78 | 14% above | 37% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV SURGICAL PATH | $297.36 | $472.00 | $18.28–$1,183.78 | — | 37% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $94.50 | $150.00 | $9.38–$150.00 | 28% below | 37% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $94.50 | $150.00 | $9.38–$150.00 | — | 37% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $16.38 | $26.00 | $3.34–$26.00 | at median | 37% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD | $16.38 | $26.00 | $3.34–$26.00 | at median | 37% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $16.38 | $26.00 | $3.34–$26.00 | — | 37% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING BLOOD | $16.38 | $26.00 | $3.34–$26.00 | — | 37% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD | $14.49 | $23.00 | $3.57–$23.00 | 51% below | 37% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD | $14.49 | $23.00 | $3.57–$23.00 | — | 37% |
| Blood lead test CPT 83655 LEAD | $44.10 | $70.00 | $11.00–$55.51 | 39% below | 37% |
| Blood lead test inpatient CPT 83655 LEAD | $44.10 | $70.00 | $11.00–$55.51 | — | 37% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $27.72 | $44.00 | $6.83–$42.24 | 68% below | 37% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE SERUM | $27.72 | $44.00 | $6.83–$42.24 | — | 37% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE AMERICAN RED CROSS | $11.34 | $18.00 | $2.72–$18.00 | 77% below | 37% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE AMERICAN RED CROSS | $11.34 | $18.00 | $2.72–$18.00 | — | 37% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUAN | $31.50 | $50.00 | $3.59–$50.00 | 12% above | 37% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUAN | $31.50 | $50.00 | $3.59–$50.00 | — | 37% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $131.67 | $209.00 | $18.90–$134.55 | at median | 37% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $131.67 | $209.00 | $18.90–$134.55 | — | 37% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $63.63 | $101.00 | $4.70–$101.00 | 3% below | 37% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $63.63 | $101.00 | $4.70–$101.00 | — | 37% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $134.82 | $214.00 | $166.02 | 30% below | 37% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $134.82 | $214.00 | $166.02 | — | 37% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY QUANT CA 19-9 | $131.67 | $209.00 | $20.56–$162.14 | 5% below | 37% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY QUANT CA 19-9 | $131.67 | $209.00 | $20.56–$162.14 | — | 37% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY QUANT CA 125 | $131.67 | $209.00 | $18.90–$131.04 | 10% below | 37% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY QUANT CA 125 | $131.67 | $209.00 | $18.90–$131.04 | — | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS 19 TESTING- STATE | $73.08 | $116.00 | $117.13–$142.75 | 47% below | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS 19 TESTING INHOUSE | $115.92 | $184.00 | $55.55–$142.75 | 16% below | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 AMP PROBE, H THRUPUT | $162.54 | $258.00 | $117.13–$142.75 | 18% above | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS 19 TESTING- STATE | $73.08 | $116.00 | $117.13–$142.75 | — | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS 19 TESTING INHOUSE | $115.92 | $184.00 | $55.55–$142.75 | — | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 AMP PROBE, H THRUPUT | $162.54 | $258.00 | $117.13–$142.75 | — | 37% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $18.90 | $30.00 | $4.68–$30.00 | 43% below | 37% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $18.90 | $30.00 | $4.68–$30.00 | — | 37% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $120.96 | $192.00 | $18.74–$192.00 | 7% below | 37% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $120.96 | $192.00 | $18.74–$192.00 | — | 37% |
| Chickenpox (varicella) immunity blood test CPT 86787 AB VARICELLA ZOSTER-STATE | $44.10 | $70.00 | $11.70–$96.57 | 57% below | 37% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY VARICELLA ZOSTER | $47.25 | $75.00 | $11.70–$96.57 | 54% below | 37% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 AB VARICELLA ZOSTER-STATE | $44.10 | $70.00 | $11.70–$96.57 | — | 37% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTIBODY VARICELLA ZOSTER | $47.25 | $75.00 | $11.70–$96.57 | — | 37% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $164.43 | $261.00 | $25.74–$261.00 | 4% below | 37% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $164.43 | $261.00 | $25.74–$261.00 | — | 37% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $137.34 | $218.00 | $12.16–$218.00 | 14% above | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $137.34 | $218.00 | $12.16–$218.00 | — | 37% |
| Complete blood count (CBC) with differential CPT 85025 CBC-DIFF-PLATELET CO | $44.10 | $70.00 | $7.06–$70.00 | at median | 37% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC-DIFF-PLATELET CO | $44.10 | $70.00 | $7.06–$70.00 | — | 37% |
| Complete blood count (CBC), no differential CPT 85027 CBC W PLT COMPL AUTOM | $45.99 | $73.00 | $5.88–$73.00 | at median | 37% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W PLT COMPL AUTOM | $45.99 | $73.00 | $5.88–$73.00 | — | 37% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $96.39 | $153.00 | $9.59–$153.00 | 4% above | 37% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $96.39 | $153.00 | $9.59–$153.00 | — | 37% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $102.69 | $163.00 | $14.81–$128.67 | at median | 37% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $102.69 | $163.00 | $14.81–$128.67 | — | 37% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $41.58 | $66.00 | $5.91–$66.00 | 37% below | 37% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $41.58 | $66.00 | $5.91–$66.00 | — | 37% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $18.90 | $30.00 | $4.65–$30.00 | 67% below | 37% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $18.90 | $30.00 | $4.65–$30.00 | — | 37% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY CYTOMEGALOVIRUS | $90.72 | $144.00 | $69.53–$111.72 | 20% below | 37% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY CYTOMEGALOVIRUS | $90.72 | $144.00 | $69.53–$111.72 | — | 37% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $37.80 | $60.00 | $9.25–$60.00 | 58% below | 37% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $37.80 | $60.00 | $9.25–$60.00 | — | 37% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $81.27 | $129.00 | $20.19–$100.08 | 43% below | 37% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $81.27 | $129.00 | $20.19–$100.08 | — | 37% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DS/T PRESUMP INSTRM ANALYZ | $180.18 | $286.00 | $54.66–$286.00 | 1% below | 37% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DS/T PRESUMP INSTRM ANALYZ | $180.18 | $286.00 | $54.66–$286.00 | — | 37% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $52.92 | $84.00 | $6.36–$84.00 | 1% above | 37% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $52.92 | $84.00 | $6.36–$84.00 | — | 37% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EPSTEIN-BARR VIRUS | $66.15 | $105.00 | $14.11–$67.60 | 35% below | 37% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ANTIBODY EPSTEIN-BARR VIRUS | $66.15 | $105.00 | $14.11–$67.60 | — | 37% |
| Estradiol blood test CPT 82670 ESTRADIOL | $100.80 | $160.00 | $25.38–$126.15 | 36% below | 37% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $100.80 | $160.00 | $25.38–$126.15 | — | 37% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $118.44 | $188.00 | $16.87–$180.48 | at median | 37% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $118.44 | $188.00 | $16.87–$180.48 | — | 37% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $71.19 | $113.00 | $24.49–$86.11 | 65% below | 37% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $71.19 | $113.00 | $24.49–$86.11 | — | 37% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $114.03 | $181.00 | $12.38–$181.00 | 12% above | 37% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $114.03 | $181.00 | $12.38–$181.00 | — | 37% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $35.91 | $57.00 | $8.83–$44.22 | 38% below | 37% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $35.91 | $57.00 | $8.83–$44.22 | — | 37% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $53.55 | $85.00 | $13.36–$85.00 | 37% below | 37% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $53.55 | $85.00 | $13.36–$85.00 | — | 37% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $107.10 | $170.00 | $15.38–$163.20 | 28% below | 37% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $107.10 | $170.00 | $15.38–$163.20 | — | 37% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $100.80 | $160.00 | $8.19–$160.00 | 5% above | 37% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE | $100.80 | $160.00 | $8.19–$160.00 | — | 37% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $92.61 | $147.00 | $23.13–$147.00 | 34% below | 37% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $92.61 | $147.00 | $23.13–$147.00 | — | 37% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 G G T | $47.25 | $75.00 | $6.54–$58.19 | 14% below | 37% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 G G T | $47.25 | $75.00 | $6.54–$58.19 | — | 37% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL CMP+TSH+CBC | $211.05 | $335.00 | $8.36–$420.00 | 9% below | 37% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HEALTH PANEL CMP+TSH+CBC | $211.05 | $335.00 | $8.36–$420.00 | — | 37% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE TEST | $17.64 | $28.00 | $4.32–$28.00 | 59% below | 37% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE TEST | $17.64 | $28.00 | $4.32–$28.00 | — | 37% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST WHOLE BLOOD | $44.10 | $70.00 | $11.69–$75.00 | 59% below | 37% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST SERUM | $47.25 | $75.00 | $11.69–$75.00 | 56% below | 37% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST WHOLE BLOOD | $44.10 | $70.00 | $11.69–$75.00 | — | 37% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST SERUM | $47.25 | $75.00 | $11.69–$75.00 | — | 37% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE | $238.14 | $378.00 | $25.74–$378.00 | 14% above | 37% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE | $238.14 | $378.00 | $25.74–$378.00 | — | 37% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN - STOOL | $52.29 | $83.00 | $11.34–$68.60 | 47% below | 37% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN - STOOL | $52.29 | $83.00 | $11.34–$68.60 | — | 37% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFECTIOUS AGENT DET NA PROBE | $307.44 | $488.00 | $77.29 | 27% below | 37% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 INFECTIOUS AGENT DET NA PROBE | $307.44 | $488.00 | $77.29 | — | 37% |
| HIV-1 and HIV-2 antibody test CPT 86703 AB HIV1 & HIV2 SINGLE ASSAY | $50.40 | $80.00 | $50.93 | at median | 37% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 AB HIV1 & HIV2 SINGLE ASSAY | $50.40 | $80.00 | $50.93 | — | 37% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1 AG WITH HIV1 & HIV2 AB | $143.64 | $228.00 | $21.87–$228.00 | 14% above | 37% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1 AG WITH HIV1 & HIV2 AB | $143.64 | $228.00 | $21.87–$228.00 | — | 37% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $61.74 | $98.00 | $8.82–$98.00 | at median | 37% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $61.74 | $98.00 | $8.82–$98.00 | — | 37% |
| Hemoglobin blood test CPT 85018 HGB ONLY | $9.45 | $15.00 | $2.15–$15.00 | 57% below | 37% |
| Hemoglobin blood test inpatient CPT 85018 HGB ONLY | $9.45 | $15.00 | $2.15–$15.00 | — | 37% |
| Hepatitis B core antibody test (total) CPT 86704 ANTIBODY HEP B CORE TOTAL | $44.10 | $70.00 | $10.94–$70.00 | 38% below | 37% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 ANTIBODY HEP B CORE TOTAL | $44.10 | $70.00 | $10.94–$70.00 | — | 37% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $39.69 | $63.00 | $9.75–$63.00 | 37% below | 37% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $39.69 | $63.00 | $9.75–$63.00 | — | 37% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA | $38.43 | $61.00 | $9.39–$61.00 | 48% below | 37% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA | $38.43 | $61.00 | $9.39–$61.00 | — | 37% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $52.29 | $83.00 | $12.96–$83.00 | 65% below | 37% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $52.29 | $83.00 | $12.96–$83.00 | — | 37% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C NUCLEIC ACID QUANT | $154.98 | $246.00 | $38.91–$246.00 | 66% below | 37% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $245.70 | $390.00 | $38.91–$246.00 | 45% below | 37% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C NUCLEIC ACID QUANT | $154.98 | $246.00 | $38.91–$246.00 | — | 37% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $245.70 | $390.00 | $38.91–$246.00 | — | 37% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1 | $84.42 | $134.00 | $11.98–$86.27 | 11% below | 37% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1 | $84.42 | $134.00 | $11.98–$86.27 | — | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY HERPES SIMPLEX TYPE 2 | $122.22 | $194.00 | $17.58–$124.90 | at median | 37% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY HERPES SIMPLEX TYPE 2 | $122.22 | $194.00 | $17.58–$124.90 | — | 37% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $47.25 | $75.00 | $11.76–$58.19 | 51% below | 37% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $47.25 | $75.00 | $11.76–$58.19 | — | 37% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $64.89 | $103.00 | $16.28–$79.91 | 50% below | 37% |
| Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTINE | $64.89 | $103.00 | $16.28–$79.91 | — | 37% |
| Insulin blood test CPT 83525 INSULIN | $71.82 | $114.00 | $66.12–$89.99 | 14% below | 37% |
| Insulin blood test inpatient CPT 83525 INSULIN | $71.82 | $114.00 | $66.12–$89.99 | — | 37% |
| Iron blood test (serum iron) CPT 83540 IRON | $41.58 | $66.00 | $5.88–$66.00 | 14% below | 37% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $41.58 | $66.00 | $5.88–$66.00 | — | 37% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $54.81 | $87.00 | $7.94–$87.00 | 7% above | 37% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $54.81 | $87.00 | $7.94–$87.00 | — | 37% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION | $64.89 | $103.00 | $7.89–$85.13 | 5% below | 37% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION | $64.89 | $103.00 | $7.89–$85.13 | — | 37% |
| LH (luteinizing hormone) test CPT 83002 LH | $67.41 | $107.00 | $16.82–$83.01 | 47% below | 37% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $67.41 | $107.00 | $16.82–$83.01 | — | 37% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $42.21 | $67.00 | $10.51–$64.32 | 46% below | 37% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $42.21 | $67.00 | $10.51–$64.32 | — | 37% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $39.06 | $62.00 | $5.48–$62.00 | 22% below | 37% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE | $39.06 | $62.00 | $5.48–$62.00 | — | 37% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $57.96 | $92.00 | $6.26–$92.00 | 22% below | 37% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $57.96 | $92.00 | $6.26–$92.00 | — | 37% |
| Liver function blood test panel CPT 80076 HFP | $61.11 | $97.00 | $7.42–$97.00 | 1% below | 37% |
| Liver function blood test panel inpatient CPT 80076 HFP | $61.11 | $97.00 | $7.42–$97.00 | — | 37% |
| Lyme disease antibody test CPT 86618 ANTIBODY LYME'S DISEASE | $61.74 | $98.00 | $14.11–$81.00 | 44% below | 37% |
| Lyme disease antibody test inpatient CPT 86618 ANTIBODY LYME'S DISEASE | $61.74 | $98.00 | $14.11–$81.00 | — | 37% |
| Magnesium blood test CPT 83735 MAGNESIUM | $53.55 | $85.00 | $6.09–$85.00 | 3% above | 37% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $53.55 | $85.00 | $6.09–$85.00 | — | 37% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA | $47.25 | $75.00 | $48.29–$61.99 | 49% below | 37% |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA | $47.25 | $75.00 | $48.29–$61.99 | — | 37% |
| Mono test (heterophile antibody, Monospot) CPT 86308 AB QUAL HETEROPHILE | $18.90 | $30.00 | $4.70–$23.27 | 66% below | 37% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 AB QUAL HETEROPHILE | $18.90 | $30.00 | $4.70–$23.27 | — | 37% |
| Mumps immunity blood test CPT 86735 ANTIBODY MUMPS STATE | $44.73 | $71.00 | $48.93–$62.81 | 48% below | 37% |
| Mumps immunity blood test CPT 86735 ANTIBODY MUMPS | $47.88 | $76.00 | $48.93–$62.81 | 44% below | 37% |
| Mumps immunity blood test inpatient CPT 86735 ANTIBODY MUMPS STATE | $44.73 | $71.00 | $48.93–$62.81 | — | 37% |
| Mumps immunity blood test inpatient CPT 86735 ANTIBODY MUMPS | $47.88 | $76.00 | $48.93–$62.81 | — | 37% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PROSTATIC SPECIFIC ANTIGE | $66.78 | $106.00 | $13.83–$106.00 | 26% below | 37% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PROSTATIC SPECIFIC ANTIGE | $66.78 | $106.00 | $13.83–$106.00 | — | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC ANTIGEN TOTAL | $66.78 | $106.00 | $14.34–$106.00 | 35% below | 37% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN TOTAL | $66.78 | $106.00 | $14.34–$106.00 | — | 37% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP THIN | $158.76 | $252.00 | $24.17–$246.96 | 33% above | 37% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP THIN | $158.76 | $252.00 | $24.17–$246.96 | — | 37% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $260.19 | $413.00 | $37.50–$413.00 | 12% above | 37% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE | $260.19 | $413.00 | $37.50–$413.00 | — | 37% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASMA OR WHOLE BLOOD | $22.68 | $36.00 | $5.46–$28.59 | 58% below | 37% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PLASMA OR WHOLE BLOOD | $22.68 | $36.00 | $5.46–$28.59 | — | 37% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE | $17.64 | $28.00 | $4.68–$26.88 | 71% below | 37% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHATE | $17.64 | $28.00 | $4.68–$26.88 | — | 37% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $17.64 | $28.00 | $4.33–$23.14 | 63% below | 37% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $17.64 | $28.00 | $4.33–$23.14 | — | 37% |
| Progesterone blood test CPT 84144 PROGESTERONE ASSAY | $120.33 | $191.00 | $18.94–$148.18 | 12% below | 37% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY | $120.33 | $191.00 | $18.94–$148.18 | — | 37% |
| Prolactin blood test CPT 84146 PROLACTIN | $69.93 | $111.00 | $17.60–$86.11 | 51% below | 37% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $69.93 | $111.00 | $17.60–$86.11 | — | 37% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WHOLE BLOOD | $40.32 | $64.00 | $3.90–$61.44 | at median | 37% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $40.32 | $64.00 | $3.90–$61.44 | at median | 37% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WHOLE BLOOD | $40.32 | $64.00 | $3.90–$61.44 | — | 37% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $40.32 | $64.00 | $3.90–$61.44 | — | 37% |
| Renin blood test CPT 84244 RENIN | $139.23 | $221.00 | $19.97–$142.28 | 7% below | 37% |
| Renin blood test inpatient CPT 84244 RENIN | $139.23 | $221.00 | $19.97–$142.28 | — | 37% |
| Rh blood typing CPT 86901 RH TYPE AMERICAN RED CROSS | $11.34 | $18.00 | $2.72–$18.00 | 77% below | 37% |
| Rh blood typing inpatient CPT 86901 RH TYPE AMERICAN RED CROSS | $11.34 | $18.00 | $2.72–$18.00 | — | 37% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $21.42 | $34.00 | $5.15–$34.00 | 57% below | 37% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $21.42 | $34.00 | $5.15–$34.00 | — | 37% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA | $52.29 | $83.00 | $13.07–$83.00 | 31% below | 37% |
| Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY RUBELLA | $52.29 | $83.00 | $13.07–$83.00 | — | 37% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE NONAUTOMATED | $10.71 | $17.00 | $2.46–$17.00 | 71% below | 37% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE NONAUTOMATED | $10.71 | $17.00 | $2.46–$17.00 | — | 37% |
| Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE | $18.27 | $29.00 | $4.37–$29.00 | 45% below | 37% |
| Sodium blood test inpatient CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE | $18.27 | $29.00 | $4.37–$29.00 | — | 37% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES DIR SMR W ID | $32.13 | $51.00 | $8.09–$51.00 | 69% below | 37% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES DIR SMR W ID | $32.13 | $51.00 | $8.09–$51.00 | — | 37% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL OCCULT BLOOD SCREENING | $15.12 | $24.00 | $3.98–$16.74 | 39% below | 37% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL OCCULT BLOOD SCREENING | $15.12 | $24.00 | $3.98–$16.74 | — | 37% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD SCREEN FHG QUAL 1-3 | $57.96 | $92.00 | $11.37–$124.13 | 54% below | 37% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FHG QUAL 1-3 | $100.80 | $160.00 | $57.68–$124.13 | 21% below | 37% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD SCREEN FHG QUAL 1-3 | $57.96 | $92.00 | $11.37–$124.13 | — | 37% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FHG QUAL 1-3 | $100.80 | $160.00 | $57.68–$124.13 | — | 37% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $16.38 | $26.00 | $3.87–$26.00 | 53% below | 37% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $16.38 | $26.00 | $3.87–$26.00 | — | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $223.65 | $355.00 | $56.29–$355.00 | 3% above | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE | $223.65 | $355.00 | $56.29–$355.00 | — | 37% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $93.87 | $149.00 | $23.45–$149.00 | 35% below | 37% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $93.87 | $149.00 | $23.45–$149.00 | — | 37% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EACH | $52.92 | $84.00 | $13.22–$80.64 | 56% below | 37% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EACH | $52.92 | $84.00 | $13.22–$80.64 | — | 37% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $124.11 | $197.00 | $15.26–$197.00 | 9% above | 37% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $124.11 | $197.00 | $15.26–$197.00 | — | 37% |
| Total IgE blood test CPT 82785 IGE | $59.85 | $95.00 | $14.95–$95.00 | 38% below | 37% |
| Total IgE blood test inpatient CPT 82785 IGE | $59.85 | $95.00 | $14.95–$95.00 | — | 37% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM OR WB | $16.38 | $26.00 | $3.95–$26.00 | 57% below | 37% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM OR WB | $16.38 | $26.00 | $3.95–$26.00 | — | 37% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL | $40.32 | $64.00 | $6.24–$50.46 | 37% below | 37% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL | $40.32 | $64.00 | $6.24–$50.46 | — | 37% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $51.66 | $82.00 | $12.88–$82.00 | 51% below | 37% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $51.66 | $82.00 | $12.88–$82.00 | — | 37% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $127.26 | $202.00 | $31.87 | 25% below | 37% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $127.26 | $202.00 | $31.87 | — | 37% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $21.42 | $34.00 | $5.22–$59.52 | 68% below | 37% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $21.42 | $34.00 | $5.22–$59.52 | — | 37% |
| Troponin test, quantitative CPT 84484 TROPONIN QUAN | $120.96 | $192.00 | $9.72–$184.32 | 3% below | 37% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUAN | $120.96 | $192.00 | $9.72–$184.32 | — | 37% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $17.01 | $27.00 | $4.11–$27.00 | 70% below | 37% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $17.01 | $27.00 | $4.11–$27.00 | — | 37% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/ SCOPE | $43.47 | $69.00 | $2.88–$66.24 | 7% below | 37% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/ SCOPE | $43.47 | $69.00 | $2.88–$66.24 | — | 37% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS WO MICRO | $9.45 | $15.00 | $1.76–$15.00 | 63% below | 37% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 AUTOMATED URINALYSIS WO MICRO | $9.45 | $15.00 | $1.76–$15.00 | — | 37% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $29.61 | $47.00 | $6.34–$47.00 | 63% below | 37% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $29.61 | $47.00 | $6.34–$47.00 | — | 37% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24 | $83.16 | $132.00 | $5.25–$132.00 | at median | 37% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE 24 | $83.16 | $132.00 | $5.25–$132.00 | — | 37% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR | $31.50 | $50.00 | $6.25–$50.00 | 11% below | 37% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $31.50 | $50.00 | $32.19 | 11% below | 37% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $31.50 | $50.00 | $32.19 | — | 37% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR | $31.50 | $50.00 | $6.25–$50.00 | — | 37% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL | $90.09 | $143.00 | $13.69–$143.00 | 8% below | 37% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 LEVEL | $90.09 | $143.00 | $13.69–$143.00 | — | 37% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $209.79 | $333.00 | $26.88–$333.00 | 12% above | 37% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $209.79 | $333.00 | $26.88–$333.00 | — | 37% |
| Zinc blood test CPT 84630 ZINC | $41.58 | $66.00 | $11.25–$51.20 | 53% below | 37% |
| Zinc blood test inpatient CPT 84630 ZINC | $41.58 | $66.00 | $11.25–$51.20 | — | 37% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC QUANT | $54.81 | $87.00 | $13.67–$87.00 | 44% below | 37% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC QUANT | $54.81 | $87.00 | $13.67–$87.00 | — | 37% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERY MUSC MIGRAINE | $355.32 | $564.00 | $289.67–$460.85 | at median | 37% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERY MUSC MIGRAINE | $355.32 | $564.00 | $289.67–$460.85 | — | 37% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $720.09 | $1,143.00 | $735.86–$870.97 | 27% below | 37% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $720.09 | $1,143.00 | $735.86–$870.97 | — | 37% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION ROOM CHARGE | $999.18 | $1,586.00 | $749.39–$1,343.07 | 122% above | 37% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION ROOM CHARGE | $999.18 | $1,586.00 | $749.39–$1,343.07 | — | 37% |
| Colonoscopy with polyp removal CPT 45385 Colon W/Polyp Snare Technique | $4,475.52 | $7,104.00 | $2,219.66–$3,827.00 | 125% above | 37% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colon W/Polyp Snare Technique | $4,475.52 | $7,104.00 | $2,219.66–$3,827.00 | — | 37% |
| Colonoscopy with tissue sample CPT 45380 Colo w/biopsy | $2,084.04 | $3,308.00 | $2,219.66–$3,827.00 | 19% above | 37% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colo w/biopsy | $2,084.04 | $3,308.00 | $2,219.66–$3,827.00 | — | 37% |
| Colonoscopy, diagnostic CPT 45378 Colo brushing/washing | $486.36 | $772.00 | $2,180.36–$3,827.00 | 62% below | 37% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colo brushing/washing | $486.36 | $772.00 | $2,180.36–$3,827.00 | — | 37% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED CERUMEN UNILAT | $71.82 | $114.00 | $53.87–$96.54 | at median | 37% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTED CERUMEN UNILAT | $71.82 | $114.00 | $53.87–$96.54 | — | 37% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECT EPID/SUBARA CERV W/IMAG | $926.10 | $1,470.00 | $1,009.48–$1,327.82 | 21% below | 37% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJECT EPID/SUBARA CERV W/IMAG | $926.10 | $1,470.00 | $1,009.48–$1,327.82 | — | 37% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,140.93 | $1,811.00 | $1,120.56–$1,932.00 | 16% below | 37% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,140.93 | $1,811.00 | $1,120.56–$1,932.00 | — | 37% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS | $177.66 | $282.00 | $200.25–$282.00 | 9% below | 37% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D OF ABSCESS | $177.66 | $282.00 | $200.25–$282.00 | — | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JNT/BURSA | $91.98 | $146.00 | $128.77–$319.68 | 72% below | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ ASPIR MAJOR JNT LT | $91.98 | $146.00 | $128.77–$319.68 | 72% below | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ ASPIR MAJOR JNT RT | $91.98 | $146.00 | $128.77–$319.68 | 72% below | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JNT/BURSA | $91.98 | $146.00 | $128.77–$319.68 | — | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJ ASPIR MAJOR JNT LT | $91.98 | $146.00 | $128.77–$319.68 | — | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJ ASPIR MAJOR JNT RT | $91.98 | $146.00 | $128.77–$319.68 | — | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA | $79.38 | $126.00 | $81.12–$126.00 | 70% below | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJ ASPIR INTERMEDIATE JNT RT | $173.88 | $276.00 | $81.12–$126.00 | 35% below | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJ ASPIR INTERMEDIATE JNT LT | $173.88 | $276.00 | $81.12–$126.00 | 35% below | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA | $79.38 | $126.00 | $81.12–$126.00 | — | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJ ASPIR INTERMEDIATE JNT LT | $173.88 | $276.00 | $81.12–$126.00 | — | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJ ASPIR INTERMEDIATE JNT RT | $173.88 | $276.00 | $81.12–$126.00 | — | 37% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JNT/BURSA | $67.41 | $107.00 | $94.37 | 72% below | 37% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT SM JNT/BURSA | $67.41 | $107.00 | $94.37 | — | 37% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT WND RPR S/TR/EXT =<2.5 CM | $616.14 | $978.00 | $694.48 | 90% above | 37% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT WND RPR S/TR/EXT =<2.5 CM | $616.14 | $978.00 | $694.48 | — | 37% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECT EPID/SUBARA LUMB W/IMAG | $926.10 | $1,470.00 | $1,216.45–$1,382.98 | 8% below | 37% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECT EPID/SUBARA LUMB W/IMAG | $926.10 | $1,470.00 | $1,216.45–$1,382.98 | — | 37% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PT SMPL SINGLE | $117.18 | $186.00 | $132.08 | 11% below | 37% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PT SMPL SINGLE | $117.18 | $186.00 | $132.08 | — | 37% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $825.30 | $1,310.00 | $769.10–$930.23 | 18% below | 37% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $825.30 | $1,310.00 | $769.10–$930.23 | — | 37% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $354.06 | $562.00 | $301.01–$495.68 | 1% below | 37% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $354.06 | $562.00 | $301.01–$495.68 | — | 37% |
| Prostate biopsy CPT 55700 PROSTATE NEEDLE PUNCH BX | $1,496.88 | $2,376.00 | $1,489.75–$2,012.05 | 21% above | 37% |
| Prostate biopsy inpatient CPT 55700 PROSTATE NEEDLE PUNCH BX | $1,496.88 | $2,376.00 | $1,489.75–$2,012.05 | — | 37% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,410.38 | $3,826.00 | $1,807.79–$3,374.53 | at median | 37% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,410.38 | $3,826.00 | $1,807.79–$3,374.53 | — | 37% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SIMPLE | $306.81 | $487.00 | $345.82 | 6% above | 37% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY SIMPLE | $306.81 | $487.00 | $345.82 | — | 37% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY SHOCKWAVE | $5,817.42 | $9,234.00 | $5,318.55–$7,545.19 | — | 37% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY SHOCKWAVE | $5,817.42 | $9,234.00 | $5,318.55–$7,545.19 | — | 37% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT | $109.62 | $174.00 | $82.22–$174.00 | at median | 37% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT | $109.62 | $174.00 | $82.22–$174.00 | — | 37% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $121.59 | $193.00 | $91.19–$163.43 | 13% above | 37% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT | $121.59 | $193.00 | $91.19–$163.43 | — | 37% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REP S/N/A/G/TR/E 2.5 CM/< | $545.58 | $866.00 | $266.30–$866.00 | 155% above | 37% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REP S/N/A/G/TR/E 2.5 CM/< | $545.58 | $866.00 | $266.30–$866.00 | — | 37% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SUPERFICIAL WND 2.6-7.5 CM | $358.47 | $569.00 | $330.02–$569.00 | 68% above | 37% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SUPERFICIAL WND 2.6-7.5 CM | $358.47 | $569.00 | $330.02–$569.00 | — | 37% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5CM OR < | $354.06 | $562.00 | $325.96–$475.91 | 67% above | 37% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5CM OR < | $354.06 | $562.00 | $325.96–$475.91 | — | 37% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BX,RT,W/LCL DEV,1ST LES | $1,453.41 | $2,307.00 | $1,638.20–$2,117.60 | 7% below | 37% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BX,LT,W/LCL DEV,1ST LES | $1,453.41 | $2,307.00 | $1,638.20–$2,117.60 | 7% below | 37% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BREAST BX,LT,W/LCL DEV,1ST LES | $1,453.41 | $2,307.00 | $1,638.20–$2,117.60 | — | 37% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BREAST BX,RT,W/LCL DEV,1ST LES | $1,453.41 | $2,307.00 | $1,638.20–$2,117.60 | — | 37% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY WITH BIOPSY | $1,616.58 | $2,566.00 | $2,493.42–$5,075.91 | 18% above | 37% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 GASTROSCOPY WITH BIOPSY | $1,616.58 | $2,566.00 | $2,493.42–$5,075.91 | — | 37% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY | $2,470.23 | $3,921.00 | $2,031.28–$5,895.36 | 71% above | 37% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 GASTROSCOPY | $2,470.23 | $3,921.00 | $2,031.28–$5,895.36 | — | 37% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $868.14 | $1,378.00 | $678.41–$1,322.88 | 14% above | 37% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR COMPONENT | $868.14 | $1,378.00 | $678.41–$1,322.88 | 14% above | 37% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR COMPONENT | $868.14 | $1,378.00 | $678.41–$1,322.88 | — | 37% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $868.14 | $1,378.00 | $678.41–$1,322.88 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALA TRT SUBQ | $99.54 | $158.00 | $133.40–$202.86 | 23% below | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX INITIAL | $144.90 | $230.00 | $133.40–$202.86 | 12% above | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT INITIAL | $144.90 | $230.00 | $118.13–$202.86 | 12% above | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT SUBSQ | $144.90 | $230.00 | $118.13–$202.86 | 12% above | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $144.90 | $230.00 | $133.40–$202.86 | 12% above | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALA TRT SUBQ | $99.54 | $158.00 | $133.40–$202.86 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT SUBSQ | $144.90 | $230.00 | $118.13–$202.86 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX INITIAL | $144.90 | $230.00 | $133.40–$202.86 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $144.90 | $230.00 | $133.40–$202.86 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT INITIAL | $144.90 | $230.00 | $118.13–$202.86 | — | 37% |
| Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION INITIAL 1 HR | $631.89 | $1,003.00 | $735.86–$1,143.00 | 12% above | 37% |
| Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION INITIAL HOUR | $720.09 | $1,143.00 | $735.86–$1,143.00 | 28% above | 37% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INFUSION INITIAL 1 HR | $631.89 | $1,003.00 | $735.86–$1,143.00 | — | 37% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INFUSION INITIAL HOUR | $720.09 | $1,143.00 | $735.86–$1,143.00 | — | 37% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMP AUD THRESHLD/SPEECH REC | $132.30 | $210.00 | $107.86 | 4% above | 37% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMP AUD THRESHLD/SPEECH REC | $132.30 | $210.00 | $107.86 | — | 37% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE, FIRST 30-74MIN | $2,357.46 | $3,742.00 | $2,170.36–$3,300.44 | 12% above | 37% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE, FIRST 30-74MIN | $2,357.46 | $3,742.00 | $2,170.36–$3,300.44 | — | 37% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG W/REC AWAKE AND DROWSY | $590.94 | $938.00 | $544.04–$938.00 | 20% below | 37% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG W/REC AWAKE AND DROWSY | $590.94 | $938.00 | $544.04–$938.00 | — | 37% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/RHYTHM STRIP | $207.27 | $329.00 | $168.97–$329.00 | 18% above | 37% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/RHYTHM STRIP | $207.27 | $329.00 | $168.97–$329.00 | — | 37% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT NOT REQUIRING PHYS | $156.87 | $249.00 | $140.09–$249.00 | 18% below | 37% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT NOT REQUIRING PHYS | $156.87 | $249.00 | $140.09–$249.00 | — | 37% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT W/STRAIGHTFWD MDM | $283.50 | $450.00 | $231.12–$450.00 | at median | 37% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT W/STRAIGHTFWD MDM | $283.50 | $450.00 | $231.12–$450.00 | — | 37% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT W/LOW MDM | $500.22 | $794.00 | $446.70–$762.24 | 6% below | 37% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT W/LOW MDM | $500.22 | $794.00 | $446.70–$762.24 | — | 37% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT W/MODERATE MDM | $786.87 | $1,249.00 | $641.49–$1,249.00 | 14% below | 37% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT W/MODERATE MDM | $786.87 | $1,249.00 | $641.49–$1,249.00 | — | 37% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT W/HIGH MDM | $1,129.59 | $1,793.00 | $1,154.33–$1,465.08 | 13% below | 37% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT W/HIGH MDM | $1,129.59 | $1,793.00 | $1,154.33–$1,465.08 | — | 37% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CVSCLR STRESS TEST W/TRACING | $836.01 | $1,327.00 | $627.01–$1,273.92 | 1% below | 37% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSCLR STRESS TEST W/TRACING | $836.01 | $1,327.00 | $627.01–$1,273.92 | — | 37% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INFUSION INITIAL | $294.21 | $467.00 | $220.66–$467.00 | 1% below | 37% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INFUSION INITIAL | $294.21 | $467.00 | $220.66–$467.00 | — | 37% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/PROPH/DIAG INITIAL | $348.39 | $553.00 | $346.56–$616.00 | 5% above | 37% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/PROPH/DIAG INITIAL | $348.39 | $553.00 | $346.56–$616.00 | — | 37% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL THER/PROPH/DIA | $200.34 | $318.00 | $191.85–$341.00 | 5% above | 37% |
| IV push of a medicine, first drug CPT 96374 IV INJ INITIAL THER/PROPH/DIAG | $214.83 | $341.00 | $191.85–$341.00 | 12% above | 37% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL THER/PROPH/DIA | $200.34 | $318.00 | $191.85–$341.00 | — | 37% |
| IV push of a medicine, first drug inpatient CPT 96374 IV INJ INITIAL THER/PROPH/DIAG | $214.83 | $341.00 | $191.85–$341.00 | — | 37% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SC IM | $88.20 | $140.00 | $71.90–$140.00 | 23% above | 37% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SC IM | $88.20 | $140.00 | $71.90–$140.00 | — | 37% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CONDUCTION TST 7-8 STUDIES | $408.87 | $649.00 | $406.93–$649.00 | 43% below | 37% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CONDUCTION TST 7-8 STUDIES | $408.87 | $649.00 | $406.93–$649.00 | — | 37% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED 15MIN PTA | $104.58 | $166.00 | $90.91–$177.00 | 6% above | 37% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION 15M | $111.51 | $177.00 | $90.91–$177.00 | 12% above | 37% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED 15MIN PTA | $104.58 | $166.00 | $90.91–$177.00 | — | 37% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION 15M | $111.51 | $177.00 | $90.91–$177.00 | — | 37% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT MED NUTRITION THER EA 15M | $42.84 | $68.00 | $39.44–$59.98 | 31% below | 37% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT MED NUTR THER OTC EA 15M | $42.84 | $68.00 | $39.44–$59.98 | 31% below | 37% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT MED NUTR THER OTC EA 15M | $42.84 | $68.00 | $39.44–$59.98 | — | 37% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT MED NUTRITION THER EA 15M | $42.84 | $68.00 | $39.44–$59.98 | — | 37% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $242.55 | $385.00 | $223.30–$339.57 | 2% above | 37% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $242.55 | $385.00 | $223.30–$339.57 | — | 37% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $309.33 | $491.00 | $232.00–$491.00 | 14% above | 37% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $309.33 | $491.00 | $232.00–$491.00 | — | 37% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $242.55 | $385.00 | $181.91–$385.00 | 7% above | 37% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $242.55 | $385.00 | $181.91–$385.00 | — | 37% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $273.42 | $434.00 | $229.65–$434.00 | 13% above | 37% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $273.42 | $434.00 | $229.65–$434.00 | — | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15MIN OTA | $98.28 | $156.00 | $99.76–$184.00 | 12% above | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15MIN PTA | $104.58 | $166.00 | $99.76–$184.00 | 20% above | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15M | $115.92 | $184.00 | $99.76–$184.00 | 33% above | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN | $115.92 | $184.00 | $99.76–$184.00 | 33% above | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15MIN OTA | $98.28 | $156.00 | $99.76–$184.00 | — | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15MIN PTA | $104.58 | $166.00 | $99.76–$184.00 | — | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN | $115.92 | $184.00 | $99.76–$184.00 | — | 37% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15M | $115.92 | $184.00 | $99.76–$184.00 | — | 37% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUT EXCERCISE 15MIN PTA | $112.14 | $178.00 | $97.07–$237.01 | 13% above | 37% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES 15 MIN | $119.07 | $189.00 | $97.07–$237.01 | 20% above | 37% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUT EXCERCISE 15MIN PTA | $112.14 | $178.00 | $97.07–$237.01 | — | 37% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES 15 MIN | $119.07 | $189.00 | $97.07–$237.01 | — | 37% |
| Speech therapy session, individual CPT 92507 SPEECH, LANGUAGE, VOICE TX | $224.91 | $357.00 | $210.17–$342.72 | 5% below | 37% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH, LANGUAGE, VOICE TX | $224.91 | $357.00 | $210.17–$342.72 | — | 37% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY W GRAPHIC RECORD | $44.10 | $70.00 | $52.20–$86.40 | 77% below | 37% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W GRAPHIC RECORD | $44.10 | $70.00 | $52.20–$86.40 | — | 37% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM PRE & POST BD | $193.41 | $307.00 | $145.06–$307.00 | 42% below | 37% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM PRE & POST BD | $193.41 | $307.00 | $145.06–$307.00 | — | 37% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACT 15MIN OTA | $105.21 | $167.00 | $103.24–$132.75 | 14% above | 37% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY 15MIN PTA | $105.21 | $167.00 | $89.43–$178.00 | 14% above | 37% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT TRANSFER TRAIN 15MIN PTA | $105.21 | $167.00 | $89.43–$178.00 | 14% above | 37% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT TRANSFER TRAIN 15M | $112.14 | $178.00 | $89.43–$178.00 | 21% above | 37% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY 15 MIN | $112.14 | $178.00 | $89.43–$178.00 | 21% above | 37% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY 15 MIN | $112.14 | $178.00 | $103.24–$132.75 | 21% above | 37% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT TRANSFER TRAIN 15MIN PTA | $105.21 | $167.00 | $89.43–$178.00 | — | 37% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACT 15MIN OTA | $105.21 | $167.00 | $103.24–$132.75 | — | 37% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15MIN PTA | $105.21 | $167.00 | $89.43–$178.00 | — | 37% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY 15 MIN | $112.14 | $178.00 | $103.24–$132.75 | — | 37% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT TRANSFER TRAIN 15M | $112.14 | $178.00 | $89.43–$178.00 | — | 37% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15 MIN | $112.14 | $178.00 | $89.43–$178.00 | — | 37% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $206.01 | $327.00 | $191.98–$270.27 | at median | 37% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $206.01 | $327.00 | $191.98–$270.27 | — | 37% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVIRIN VACC 3 YRS OR > IM | $10.71 | $17.00 | $24.85–$28.60 | 52% below | 37% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE PF 2024-25 | $69.06 | $109.62 | $24.85–$28.60 | 211% above | 37% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRIVALENT 2025-26 | $69.93 | $111.00 | $24.85–$28.60 | 215% above | 37% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVIRIN VACC 3 YRS OR > IM | $10.71 | $17.00 | $24.85–$28.60 | — | 37% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE PF 2024-25 | $69.06 | $109.62 | $24.85–$28.60 | — | 37% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE TRIVALENT 2025-26 | $69.93 | $111.00 | $24.85–$28.60 | — | 37% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE (PCEC)/PF | $825.30 | $1,310.00 | $1,132.16–$1,267.36 | 35% above | 37% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (PCEC)/PF | $825.30 | $1,310.00 | $1,132.16–$1,267.36 | — | 37% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap VACCINE IM 7 YRS > | $32.76 | $52.00 | $84.04–$216.57 | 38% below | 37% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >= 7 YEARS IM | $88.20 | $140.00 | $84.04–$216.57 | 67% above | 37% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP VACCINE | $201.11 | $319.22 | $84.04–$216.57 | 281% above | 37% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap VACCINE IM 7 YRS > | $32.76 | $52.00 | $84.04–$216.57 | — | 37% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >= 7 YEARS IM | $88.20 | $140.00 | $84.04–$216.57 | — | 37% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP VACCINE | $201.11 | $319.22 | $84.04–$216.57 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE WS | $31.50 | $50.00 | $31.90–$55.00 | 3% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE ED | $31.50 | $50.00 | $31.90–$55.00 | 3% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VARICELLA VAC LIVE 0.5 ML ADM | $32.76 | $52.00 | $31.90–$55.00 | 8% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE ICU | $33.39 | $53.00 | $31.90–$55.00 | 10% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE M/S | $33.39 | $53.00 | $31.90–$55.00 | 10% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE | $33.39 | $53.00 | $31.90–$55.00 | 10% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $33.39 | $53.00 | $31.90–$55.00 | 10% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION PNEUM VACCINE | $33.39 | $53.00 | $31.90–$55.00 | 10% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SINGLE | $34.65 | $55.00 | $31.90–$55.00 | 14% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM FLU VIRUS VACCINE | $34.65 | $55.00 | $31.90–$55.00 | 14% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $34.65 | $55.00 | $31.90–$55.00 | 14% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM PNEUMONIA VACCINE | $35.91 | $57.00 | $31.90–$55.00 | 18% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE WS | $31.50 | $50.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE ED | $31.50 | $50.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VARICELLA VAC LIVE 0.5 ML ADM | $32.76 | $52.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE | $33.39 | $53.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE ICU | $33.39 | $53.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE M/S | $33.39 | $53.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE | $33.39 | $53.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION PNEUM VACCINE | $33.39 | $53.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $34.65 | $55.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SINGLE | $34.65 | $55.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM FLU VIRUS VACCINE | $34.65 | $55.00 | $31.90–$55.00 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM PNEUMONIA VACCINE | $35.91 | $57.00 | $31.90–$55.00 | — | 37% |