Hospital

Deckerville Community Hospital

Deckerville Community Hospital in Deckerville, MI publishes cash prices for 456 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 Michigan median for 226 of 448 procedures and above it for 218. By typical cash price it ranks #41 of 94 Michigan hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

3559 Pine Street Deckerville MI 48427 Collected Sep 29, 2026 Source price file (810) 376-2835

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 231311 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/O W/ Contrast	$2,165.24	$2,849.00	$1,909.88	48% above	24%
Abdominal X-ray, 2 views CPT 74019 Hchg Abdomen 2 Views	$202.16	$266.00	$168.72	3% below	24%
Ankle X-ray, complete, 3 or more views CPT 73610 Radex Ankle Complete Minimum 3 Views	$213.56	$281.00	$180.88	13% above	24%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle 3+ View Bil	$331.36	$436.00	$288.04	75% above	24%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3+ View Rt	$221.16	$291.00	$1.52	17% above	24%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3+ View Lt	$221.16	$291.00	$191.52	17% above	24%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ankle/Brachial Index	$551.00	$725.00	$784.32	86% above	24%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Extremity Upper W/O Contrast Bil	$1,004.72	$1,322.00	$1,611.96	7% above	24%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Extremity Upper W/O Contrast Rt	$1,260.84	$1,659.00	$913.52	35% above	24%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Extremity Upper W/O Contrast Lt	$1,260.84	$1,659.00	$2,153.84	35% above	24%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hchg Radiologic Exam Esophagus Single Constrast Study	$539.60	$710.00	$163.40	101% above	24%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body	$1,792.08	$2,358.00	$2,070.24	108% above	24%
Breast ultrasound, complete, one breast CPT 76641 Hchg Mg Breast Full Breast US Scrn	$264.48	$348.00	$3.80	11% below	24%
Breast ultrasound, limited (one breast or one area) CPT 76642 Hchg Mg Breast US Dx	$137.56	$181.00	$264.48	46% below	24%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hchg Cta Abdomen Pelvis W/ W/O Contrast	$3,060.52	$4,027.00	$48.64	23% above	24%
CT angiography (CTA) of the head CPT 70496 Cta Head W/O W/Contrast	$2,139.40	$2,815.00	$1,378.64	53% above	24%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W/O W/Contrast	$2,136.36	$2,811.00	$2,139.40	54% above	24%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O W/Contrast	$2,165.24	$2,849.00	$2,136.36	48% above	24%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hchg CT Abd/Pelvis W/O Contrast	$1,130.12	$1,487.00	$2,717.76	36% below	24%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hchg CT Abd/Pelvis W/Contrast	$2,406.16	$3,166.00	$2,717.76	3% below	24%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hchg CT Abd/Pelvis W/WO Contrast	$2,717.76	$3,576.00	$76.00	5% above	24%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hchg CT Abd W/WO & Pelvis W/Contrast	$2,717.76	$3,576.00	$76.00	5% above	24%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/ Contrast	$1,909.88	$2,513.00	$896.80	30% above	24%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast	$896.80	$1,180.00	$1,257.80	2% below	24%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Facial Bones/Sinus W/O Contrast	$970.52	$1,277.00	$921.12	3% below	24%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast	$733.40	$965.00	$2.28	13% below	24%
CT scan of the head with contrast CPT 70460 CT Head W/ Contrast	$1,052.60	$1,385.00	$733.40	14% below	24%
CT scan of the head without and with contrast CPT 70470 CT Head W/O W/ Contrast	$1,257.80	$1,655.00	$1,052.60	4% below	24%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hchg CT Spine Lumbar W/O Contrast	$910.48	$1,198.00	$1.52	6% below	24%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical W/O Contr	$921.12	$1,212.00	$1.52	9% below	24%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Contrast	$1,919.76	$2,526.00	$906.68	50% above	24%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Carotid Artery Complete	$1,189.40	$1,565.00	$1,319.36	42% above	24%
Chest CT scan without and with contrast CPT 71270 CT Chest W & W/O Contrast	$1,520.00	$2,000.00	$1,239.56	2% below	24%
Chest X-ray, 2 views CPT 71046 Hchg Chest 2 Views	$181.64	$239.00	$910.48	2% above	24%
Chest X-ray, single view CPT 71045 Hchg Chest 1 View	$135.28	$178.00	$164.92	3% below	24%
Collarbone (clavicle) X-ray, complete CPT 73000 Radex Clavicle Complete	$185.44	$244.00	$298.68	18% above	24%
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle Bil	$191.52	$252.00	$424.84	21% above	24%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle Lt	$191.52	$252.00	$231.04	21% above	24%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle Rt	$191.52	$252.00	$191.52	21% above	24%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Complete	$573.80	$755.00	$446.88	2% above	24%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal	$573.80	$755.00	$1,537.48	2% above	24%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Study Dexa	$231.04	$304.00	$163.40	24% below	24%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contrast	$910.48	$1,198.00	$1.52	1% below	24%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W/ Contrast	$1,239.56	$1,631.00	$2.28	1% above	24%
Diagnostic mammogram, both breasts both sides CPT 77066 Hchg Mg Breast Diagnostic Bilateral	$291.08	$383.00	$239.40	—	24%
Diagnostic mammogram, one breast one side CPT 77065 Hchg Mg Breast Diagnostic Unilat Lt	$226.48	$298.00	$226.48	24% below	24%
Diagnostic mammogram, one breast one side CPT 77065 Hchg Mg Breast Diagnostic Unilat Rt	$226.48	$298.00	$291.08	24% below	24%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Arterial Imag Lwr Extr Bi	$1,584.60	$2,085.00	$945.44	—	24%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Venous Extremity Veins Bi	$1,205.36	$1,586.00	$766.84	—	24%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hchg Echo 2d W/Doppler & Color Flow	$1,004.72	$1,322.00	$23.56	24% below	24%
Elbow X-ray, 2 views CPT 73070 Radex Elbow 2 Views	$160.36	$211.00	$183.16	20% above	24%
Elbow X-ray, 2 views one side CPT 73070 Elbow 2 View Rt	$165.68	$218.00	$191.52	24% above	24%
Elbow X-ray, 2 views one side CPT 73070 Elbow 2 View Lt	$165.68	$218.00	$189.24	24% above	24%
Elbow X-ray, complete, 3 or more views CPT 73080 Radex Elbow Complete Minimum 3 Views	$185.44	$244.00	$160.36	12% above	24%
Elbow X-ray, complete, 3 or more views CPT 73080 Elbow 3+ View Bil	$288.04	$379.00	$275.88	74% above	24%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3+ View Rt	$191.52	$252.00	$191.52	16% above	24%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3+ View Lt	$191.52	$252.00	$165.68	16% above	24%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Iac/Mastoids W/O Contrast	$1,090.60	$1,435.00	$1,321.64	13% above	24%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Maxilla Orbits	$272.84	$359.00	$176.32	7% above	24%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Radex Forearm 2 Views	$163.40	$215.00	$185.44	2% below	24%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm (Radius and Ulna) Bil	$253.08	$333.00	$283.48	52% above	24%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm (Radius and Ulna) Lt	$168.72	$222.00	$191.52	1% above	24%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm (Radius and Ulna) Rt	$168.72	$222.00	$165.68	1% above	24%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hchg NM Hepatobiliary W/O Kinevac	$2,044.40	$2,690.00	$1,849.84	119% above	24%
Hand X-ray, 2 views both sides CPT 73120 Hand 2 View Bilateral	$275.88	$363.00	$179.36	—	24%
Hand X-ray, 2 views one side CPT 73120 Hand 2 View Lt	$183.92	$242.00	$256.88	26% above	24%
Hand X-ray, 2 views one side CPT 73120 Hand 2 View Rt	$183.92	$242.00	$168.72	26% above	24%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus (Os Calcis/Heel) Bil	$245.48	$323.00	$249.28	90% above	24%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Calcaneus (Os Calcis/Heel) Rt	$163.40	$215.00	$186.96	26% above	24%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Calcaneus (Os Calcis/Heel) Lt	$163.40	$215.00	$205.20	26% above	24%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended	$399.76	$526.00	$0.76	3% below	24%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hchg Hst Home Sleep Study	$399.76	$526.00	$277.40	3% below	24%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomn & Cpap Initiation/Mgmt	$4,146.56	$5,456.00	$2,929.80	26% above	24%
Knee X-ray, 3 views CPT 73562 Radiologic Examination Knee 3 Views	$240.92	$317.00	$198.36	35% above	24%
Knee X-ray, 3 views CPT 73562 Knee 3 View Bil	$373.92	$492.00	$338.96	109% above	24%
Knee X-ray, 3 views one side CPT 73562 Knee 3 View Lt	$249.28	$328.00	$205.20	39% above	24%
Knee X-ray, 3 views one side CPT 73562 Knee 3 View Rt	$249.28	$328.00	$189.24	39% above	24%
Knee X-ray, complete, 4 or more views CPT 73564 Radiologic Exam Knee Complete 4/More Views	$273.60	$360.00	$240.92	38% above	24%
Knee X-ray, complete, 4 or more views CPT 73564 Knee 4+ View Bil	$424.84	$559.00	$385.32	115% above	24%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4+ View Lt	$282.72	$372.00	$225.72	43% above	24%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4+ View Rt	$282.72	$372.00	$205.20	43% above	24%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Extremity Lower W/O Contrast Bil	$1,004.72	$1,322.00	$1,004.72	3% below	24%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Extremity Lower W/O Contrast Lt	$913.52	$1,202.00	$1,239.56	12% below	24%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Extremity Lower W/O Contrast Rt	$913.52	$1,202.00	$1.52	12% below	24%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hchg ED US Abdomen Limited	$465.12	$612.00	$175.56	12% above	24%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$465.12	$612.00	$465.12	12% above	24%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hchg US Extremity Limited Bilater	$241.68	$318.00	$1,130.12	23% below	24%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hchg US Extremity Limited	$241.68	$318.00	$85.12	23% below	24%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hchg Thorax Lung Cancer Low Dose Scrn	$959.88	$1,263.00	$1.52	252% above	24%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Radiologic Examination Tibia & Fibula 2 Views	$180.88	$238.00	$273.60	2% above	24%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Lower Leg (Tib/Fib) Bil	$279.68	$368.00	$373.92	58% above	24%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Lower Leg (Tib/Fib) Lt	$186.96	$246.00	$249.28	6% above	24%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Lower Leg (Tib/Fib) Rt	$186.96	$246.00	$186.96	6% above	24%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast	$1,760.92	$2,317.00	$2,635.68	15% above	24%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hchg MR Breast Bilateral W/Cad W/O and W/ Contrast	$635.36	$836.00	$2,606.80	—	24%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Extre Low Jnt Only W/O Cont Bil	$2,306.60	$3,035.00	$2,311.16	54% above	24%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extre Low Jnt Only W/O Cont Rt	$1,537.48	$2,023.00	$2,618.20	3% above	24%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extre Low Jnt Only W/O Cont Lt	$1,537.48	$2,023.00	$1,803.48	3% above	24%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extre Low Jt Only W/O W/Cont Rt	$3,145.64	$4,139.00	$3,145.64	54% above	24%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extre Low Jt Only W/O W/Cont Lt	$3,145.64	$4,139.00	$3,365.28	54% above	24%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast	$1,413.60	$1,860.00	$2,968.56	7% below	24%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O W/Contrast	$2,604.52	$3,427.00	$2,447.96	10% below	24%
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contr	$1,406.76	$1,851.00	$1,406.76	10% below	24%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/O W/ Contrast	$2,342.32	$3,082.00	$2,068.72	3% below	24%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar/Sacrum WO Cont	$1,349.76	$1,776.00	$2,096.84	13% below	24%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar/Sacrum W/WO Contr	$2,349.16	$3,091.00	$2,363.60	11% below	24%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic W/O Contr	$1,342.92	$1,767.00	$2,118.12	13% below	24%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical W/WO Contr	$2,356.00	$3,100.00	$2,068.72	9% below	24%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical W/O Contr	$1,345.96	$1,771.00	$2,342.32	13% below	24%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O W/Contrast	$2,590.08	$3,408.00	$1,775.36	2% below	24%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast	$1,775.36	$2,336.00	$4,031.80	13% above	24%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Extre Up Jnt Only W/O Cont Bil	$2,311.16	$3,041.00	$2,795.28	33% above	24%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Extre Up Jnt Only W/O Cont Lt	$1,541.28	$2,028.00	$3,412.40	11% below	24%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Extre Up Jnt Only W/O Cont Rt	$1,541.28	$2,028.00	$1,541.28	11% below	24%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radex Spine Cervical 4 or 5 Views	$308.56	$406.00	$218.12	33% above	24%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cer	$319.20	$420.00	$225.72	38% above	24%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W/ Contrast	$1,321.64	$1,739.00	$995.60	7% above	24%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue W/O Contrast	$995.60	$1,310.00	$1,098.20	4% above	24%
Neck soft tissue X-ray CPT 70360 Neck Soft Tissue	$176.32	$232.00	$324.52	19% above	24%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hchg NM Myocardial Rest/Spect	$2,795.28	$3,678.00	$1,948.64	3% above	24%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Cptrized Oph Dx Img Pst Segment Uni/Bi Retina	$28.12	$37.00	$25.84	—	24%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast	$906.68	$1,193.00	$1,520.00	at median	24%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Non OB Limited	$205.20	$270.00	$253.84	24% below	24%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non OB	$571.52	$752.00	$693.12	7% above	24%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Preg >14 Weeks Single Gest	$693.12	$912.00	$465.12	40% above	24%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Preg <14 Weeks Single Gest	$553.28	$728.00	$613.32	21% above	24%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$181.64	$239.00	$553.28	42% below	24%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs, 2 View W/O Chest Uni Rt	$205.20	$270.00	$231.04	11% above	24%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs 2 View W/O Chest Uni Lt	$205.20	$270.00	$755.44	11% above	24%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs, 2 View W/Pa Chest Uni Rt	$231.04	$304.00	$163.40	2% above	24%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs 2 View W/Pa Chest Uni Lt	$231.04	$304.00	$15.20	2% above	24%
Screening mammogram, both breasts both sides CPT 77067 Hchg Mg Breast Screen Bilateral	$239.40	$315.00	$181.64	—	24%
Shoulder X-ray, complete, 2 or more views CPT 73030 Radex Shoulder Complete Minimum 2 Views	$195.32	$257.00	$185.44	2% above	24%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder 2+ View Bil	$303.24	$399.00	$307.80	58% above	24%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2+ View Lt	$202.16	$266.00	$111.72	5% above	24%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2+ View Rt	$202.16	$266.00	$119.32	5% above	24%
Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinuses Complete	$212.80	$280.00	$1.52	1% below	24%
Skull X-ray, fewer than 4 views CPT 70250 Skull <4 Views	$212.80	$280.00	$212.80	14% above	24%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram-Nocturnal(Sas)	$3,962.64	$5,214.00	$76.76	28% above	24%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hchg Radiologic Exam Swallow Function Contrast Study	$776.72	$1,022.00	$282.72	113% above	24%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic Examination Femur Minimum 2 Views	$202.92	$267.00	$300.96	2% above	24%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hchg Femur 2 V-Lt	$209.76	$276.00	$209.76	5% above	24%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hchg Femur 2 V-Rt	$209.76	$276.00	$165.68	5% above	24%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hchg CT Spine Thoracic W/O Contrast	$917.32	$1,207.00	$120.84	5% below	24%
Toe X-ray, 2 or more views CPT 73660 Radex Toe Minimum 2 Views	$173.28	$228.00	$158.08	45% above	24%
Toe X-ray, 2 or more views one side CPT 73660 Toe - Digit, 2nd 2v Rt	$179.36	$236.00	$179.36	50% above	24%
Toe X-ray, 2 or more views one side CPT 73660 Toe - Digit, 2nd 2v Lt	$179.36	$236.00	$247.00	50% above	24%
Transvaginal pelvic ultrasound CPT 76830 US Endo/Trans Vaginal	$677.16	$891.00	$613.32	52% above	24%
Transvaginal ultrasound during pregnancy CPT 76817 US OB-Transvaginal	$446.88	$588.00	$253.84	28% above	24%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$613.32	$807.00	$654.36	4% above	24%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$547.96	$721.00	$571.52	11% above	24%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck Soft Tissue/Thyroid	$654.36	$861.00	$1.52	46% above	24%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hchg Radiologic Exam Upper GI Trc Single Contrast Study	$662.72	$872.00	$599.64	83% above	24%
Upper arm X-ray (humerus), 2 views CPT 73060 Radex Humerus Minimum 2 Views	$183.16	$241.00	$195.32	4% above	24%
Upper arm X-ray (humerus), 2 views CPT 73060 Humerus 2+ View Bil	$283.48	$373.00	$191.52	61% above	24%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus 2+ View Lt	$189.24	$249.00	$202.16	8% above	24%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus 2+ View Rt	$189.24	$249.00	$225.72	8% above	24%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Venous Extrem Veins Uni Lt	$766.84	$1,009.00	$848.92	49% above	24%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Venous Extrem Veins Uni Rt	$766.84	$1,009.00	$551.00	49% above	24%
Wrist X-ray, 2 views CPT 73100 Radex Wrist 2 Views	$195.32	$257.00	$163.40	40% above	24%
Wrist X-ray, 2 views CPT 73100 Wrist 2 View Bil	$303.24	$399.00	$307.80	118% above	24%
Wrist X-ray, 2 views one side CPT 73100 Wrist 2 View Rt	$202.16	$266.00	$256.88	45% above	24%
Wrist X-ray, 2 views one side CPT 73100 Wrist 2 View Lt	$202.16	$266.00	$168.72	45% above	24%
Wrist X-ray, complete, 3 or more views CPT 73110 Radex Wrist Complete Minimum 3 Views	$248.52	$327.00	$195.32	36% above	24%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist 3+ View Bil	$385.32	$507.00	$303.24	111% above	24%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3+ View Rt	$256.88	$338.00	$243.96	41% above	24%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3+ View Lt	$256.88	$338.00	$202.16	41% above	24%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radex Hip Unilateral With Pelvis 2-3 Views	$278.16	$366.00	$26.60	42% above	24%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hchg Hip 2-3 V W/Pelvis-Lt	$288.04	$379.00	$288.04	47% above	24%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hchg Hip 2-3 V W/Pelvis-Rt	$288.04	$379.00	$186.96	47% above	24%
X-ray of the abdomen, 1 view CPT 74018 Hchg Abdomen 1 View	$168.72	$222.00	$75.24	14% above	24%
X-ray of the ankle, 2 views CPT 73600 Ankle 2 View Bil	$288.04	$379.00	$279.68	67% above	24%
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Lt	$191.52	$252.00	$186.96	11% above	24%
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Rt	$191.52	$252.00	$221.16	11% above	24%
X-ray of the finger(s), 2 or more views CPT 73140 Radex Fingr Minimum 2 Views	$238.64	$314.00	$218.12	97% above	24%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger - Digit, 2nd 2v Rt	$247.00	$325.00	$247.00	104% above	24%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger - Digit, 2nd 2v Lt	$247.00	$325.00	$202.16	104% above	24%
X-ray of the foot, 2 views CPT 73620 Radiologic Examination Foot 2 Views	$160.36	$211.00	$213.56	9% above	24%
X-ray of the foot, 2 views CPT 73620 Foot 2 View Bil	$249.28	$328.00	$331.36	70% above	24%
X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Rt	$165.68	$218.00	$205.20	13% above	24%
X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Lt	$165.68	$218.00	$221.16	13% above	24%
X-ray of the foot, complete, 3 or more views CPT 73630 Radex Foot Complete Minimum 3 Views	$198.36	$261.00	$160.36	16% above	24%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3+ View Bil	$307.80	$405.00	$288.04	81% above	24%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3+ View Lt	$205.20	$270.00	$165.68	20% above	24%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3+ View Rt	$205.20	$270.00	$165.68	20% above	24%
X-ray of the hand, 3 or more views CPT 73130 Radex Hand Minimum 3 Views	$218.12	$287.00	$248.52	29% above	24%
X-ray of the hand, 3 or more views CPT 73130 Hand 3+ View Bil	$338.96	$446.00	$253.08	100% above	24%
X-ray of the hand, 3 or more views one side CPT 73130 Hand 3+ View Lt	$225.72	$297.00	$365.56	33% above	24%
X-ray of the hand, 3 or more views one side CPT 73130 Hand 3+ View Rt	$225.72	$297.00	$183.92	33% above	24%
X-ray of the knee, 1 or 2 views CPT 73560 Radiologic Examination Knee 1/2 Views	$198.36	$261.00	$238.64	28% above	24%
X-ray of the knee, 1 or 2 views CPT 73560 Knee 1+ View Bil	$307.80	$405.00	$303.24	99% above	24%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1+ View Lt	$205.20	$270.00	$183.92	33% above	24%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1+ View Rt	$205.20	$270.00	$249.28	33% above	24%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radex Spine Lumbosacral 2/3 Views	$220.40	$290.00	$11.40	7% above	24%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 2 View	$228.00	$300.00	$1.52	11% above	24%
X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbar 4 View	$309.32	$407.00	$228.00	3% above	24%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic Ap/Lat	$181.64	$239.00	$249.28	3% above	24%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones	$231.04	$304.00	$272.84	42% above	24%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radex Spine Cervical 2 or 3 Views	$218.12	$287.00	$223.44	12% above	24%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cer	$225.72	$297.00	$241.68	16% above	24%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 View	$153.52	$202.00	$309.32	1% below	24%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum/Coccyx	$189.24	$249.00	$223.44	20% above	24%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
ACTH blood test CPT 82024 Hchg Acth (Adrenocorticotropic Hormone)	$174.04	$229.00	$64.60	86% above	24%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Pt)	$23.56	$31.00	$23.56	2% below	24%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Ot)	$23.56	$31.00	$27.36	7% above	24%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel	$215.08	$283.00	$29.64	27% above	24%
Albumin blood test CPT 82040 Albumin	$22.04	$29.00	$28.88	10% above	24%
Albumin blood test CPT 82040 Hchg Testosterone Free/Bioavail/Total 82040	$22.04	$29.00	$98.04	10% above	24%
Albumin blood test CPT 82040 Hchg Immunoglobulin G CSF Index 82040	$22.04	$29.00	$41.04	10% above	24%
Albumin blood test CPT 82040 Hchg Testosterone, Free, Bioavail and Total, Warde 82040	$22.04	$29.00	$98.04	10% above	24%
Aldosterone blood test CPT 82088 Aldosterone Urine	$183.92	$242.00	$57.00	233% above	24%
Aldosterone blood test CPT 82088 Hchg Alldosterone/Renin Activity Ratio 82088	$183.92	$242.00	$23.56	233% above	24%
Aldosterone blood test CPT 82088 Aldosterone	$183.92	$242.00	$20.52	233% above	24%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk. Phosphatase	$23.56	$31.00	$22.04	12% above	24%
Alkaline phosphatase (ALP) blood test CPT 84075 Hchg Alk Phos Total and Iso 84075	$23.56	$31.00	$987.24	12% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pork Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF	$23.56	$31.00	$34.96	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Food Alpha-Lactalbumin	$23.56	$31.00	$40.28	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen, House Dust Stier	$23.56	$31.00	$40.28	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Asergillus Fumigatus	$23.56	$31.00	$80.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Box-Elder/Maple Tree	$23.56	$31.00	$41.04	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cat Epi and Dander	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Clam	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Sagebrush/Wormwood Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rye Grass Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Russian Thistle Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rough Pigweed Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Red Sorrel Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Penicillium Chrysogenum Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pecan Hickory Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Olive Tree Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Nettle Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mugwort Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mucor Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Oyster Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Papaya Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mountain Cedar Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Meadow Fescue Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Parsley Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pea Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen English Plantain Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen June Grass Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Johnson Grass Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen House Dust Greer Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Honeybee Venom Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Helminth Halodes Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Goodefoot/Lambs Quarter Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Giant Ragweed Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Fusarium Moniliforme Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Firebush (Kochia) Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen False Ragweed Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Epi Purpurascens Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Eastern Sycamore Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Dandelion Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cottonwood Tree Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Corn Pollen Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cedar Tree Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cauliflower Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Buckwheat Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Bermuda Grass Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Ascaris Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Candida Albicans Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Aur Pullulans Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Horse Dander Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Peach Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pecan Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pine Nut Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pineapple Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Guinea Pig Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Feather Mix Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cow Hair & Dander Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Whey Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Watermelon Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Tuna Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Sugarbeet Seed Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Sesame Seed Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Salmon Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rye Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rice Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pear Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Raspberry Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Potato Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pistachio Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cod	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Common Ragweed	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Common Silver Birch Tree	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Corn/Maize	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Dog Dander	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Egg White	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Egg.	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Elm Tree	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen German Cockroach	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Hormodendrum	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Latex	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Milk	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mites, D. Farinae	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mold, Alternaria Tenuis	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mites, D. Pteronyssinus	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Oak Tree	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Orchard Grass	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Peanut	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Redtop, Bentgrass	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rough Marshelder	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Scallop	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Shrimp	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Soybean	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Walnut	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Wheat	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Chicken Meat Ige	$23.56	$31.00	$80.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Tomato Ige	$23.56	$31.00	$46.36	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Barley Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Yeast Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Beef Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Plum Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Almond Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Apple Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Banana Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Avacado Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Beta-Lactoglobulin Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Blue Mussel Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Black Pepper Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Brazil Nut Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Broccoli Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cabbage Ige	$23.56	$31.00	$239.40	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Carrot Ige	$23.56	$31.00	$239.40	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Casein Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cashew Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Celery Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cheese Cheddar Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cheese Mold Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cherry Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Chocolate Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cinnamon Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Coconut Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Coffee Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Crab Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cucumber Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Egg Yolk Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Garlic Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Gluten Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Hazelnut Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Melon Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mulberry Red Tree Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Kiwi Ige	$23.56	$31.00	$54.72	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Lettuce Ige	$23.56	$31.00	$76.76	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Lima Bean Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Lobster Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Macadamia Nut Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen, Mulberry, Ige	$23.56	$31.00	$317.68	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Stinging Insects Panel 86003 X4	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Malt Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Bean Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Stinging Insects Panel 86003	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Oats Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Orange Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Seafood Panel 86003 X4	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Seafood Panel 86003	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Nut Panel 86003 X4	$23.56	$31.00	$68.40	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Nut Panel 86003	$23.56	$31.00	$158.84	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergin Pumpkin Seed Ige	$23.56	$31.00	$44.08	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Blackberry Ige	$23.56	$31.00	$20.52	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Alleergen Tree, White Mulberry Tree	$23.56	$31.00	$27.36	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Yellow Jacket Venom Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Yellow Faced Hornet Venom Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Pine Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Faced Hornet Venom Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Ash Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Western Ragweed Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Wasp Venom Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Walnut Tree Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Timothy Grass Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Strawberry Ige	$23.56	$31.00	$23.56	254% above	24%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Stemphyllium Ige	$23.56	$31.00	$23.56	254% above	24%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Maternal Serum Alpha Fetoproten (Afp)	$75.24	$99.00	$158.84	48% above	24%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Quad Screen (Maternal Serum) 82105	$75.24	$99.00	$25.08	48% above	24%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Maternal Serum Integrated Afp	$75.24	$99.00	$68.40	48% above	24%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Afp (Alpha-Feto-Protein) Tumor Marker	$75.24	$99.00	$51.68	48% above	24%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein	$75.24	$99.00	$53.20	48% above	24%
Ammonia blood test CPT 82140 Hchg Supersaturation, Random, U 82140	$66.12	$87.00	$23.56	2% above	24%
Ammonia blood test CPT 82140 Ammonia Blood	$66.12	$87.00	$82.84	2% above	24%
Ammonia blood test CPT 82140 Hchg Ammonia Outpatient	$66.12	$87.00	$60.80	2% above	24%
Ammonia blood test CPT 82140 Hchg Ammonia Oupatient	$66.12	$87.00	$68.40	2% above	24%
Ammonia blood test CPT 82140 Hchg Usr 24 Ammonium	$66.12	$87.00	$31.16	2% above	24%
Amylase blood test CPT 82150 Amylase Body Fluid	$28.88	$38.00	$27.36	48% above	24%
Amylase blood test CPT 82150 Amylase	$28.88	$38.00	$82.84	48% above	24%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hchg Connective Tissue Disease Cascade, S 86200	$57.76	$76.00	$158.84	12% above	24%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cycclic Citrul Peptide Igg Antibody	$57.76	$76.00	$34.96	12% above	24%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody	$57.76	$76.00	$12.16	12% above	24%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hchg Connective Tissue Disease Cascade, S 86038	$53.96	$71.00	$38.76	3% above	24%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Antibody(Itabn)	$54.72	$72.00	$73.72	5% above	24%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hchg Ana Ifa W/Rlx to Connective Tissue Disease Abs 86038	$54.72	$72.00	$158.84	5% above	24%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuetic Peptide	$177.84	$234.00	$86.64	154% above	24%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hchg Nt-Pro Bnp	$177.84	$234.00	$15.20	154% above	24%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hchg Nt-Probnp	$177.84	$234.00	$38.76	154% above	24%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hchg Pro B-Type Natriuretic Peptide (Bnp)	$177.84	$234.00	$27.36	154% above	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Misc Chg-Lab C/Ds	$38.76	$51.00	$38.76	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Cult/Ds	$38.76	$51.00	$38.76	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hchg Nasal Culture	$38.76	$51.00	$8.36	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Anaero/Aero Wndc/Ds	$38.76	$51.00	$38.76	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hchg Abdominal Peritoneal Fluid Culture 87070	$38.76	$51.00	$116.28	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchoaveolar Lavage Culture	$38.76	$51.00	$177.84	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture/Ds	$38.76	$51.00	$54.72	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture Only	$38.76	$51.00	$38.76	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Cult/Ds	$38.76	$51.00	$38.76	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hchg Culture, Tissue, Aerobic	$38.76	$51.00	$158.84	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 C Aerob	$38.76	$51.00	$38.76	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cath Tip Culture	$38.76	$51.00	$34.96	27% below	24%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture/Ds	$38.76	$51.00	$38.76	27% below	24%
Basic metabolic panel (blood test) CPT 80048 Hchg Hdhlth Hf Lab Bmp	$19.76	$26.00	$12.16	66% below	24%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$82.08	$108.00	$73.72	41% above	24%
Bilirubin blood test, total CPT 82247 Neonatal Bili(Total)	$22.80	$30.00	$31.16	3% above	24%
Bilirubin blood test, total CPT 82247 Bilirubin, Total	$22.80	$30.00	$28.88	3% above	24%
Bilirubin blood test, total CPT 82247 Hchg Total Bilirubin Body Fluid	$22.80	$30.00	$68.40	3% above	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Path Exam 88305	$41.04	$54.00	$31.92	54% below	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Path Exam Addl 88305	$41.04	$54.00	$41.04	54% below	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surg Pathology Gross&Microscopic Exam	$54.72	$72.00	$3.04	39% below	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross/Micro, Level 4	$277.40	$365.00	$177.84	211% above	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Neogenomics Compass 88305 2	$277.40	$365.00	$277.40	211% above	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Renal Biopsy Light Microscopy 88305	$277.40	$365.00	$175.56	211% above	24%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Neogenomics Compass 88305	$277.40	$365.00	$959.88	211% above	24%
Blood culture for bacteria CPT 87040 Blood Culture	$46.36	$61.00	$19.00	26% below	24%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture	$11.40	$15.00	$30.40	11% below	24%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Out	$39.52	$52.00	$158.84	209% above	24%
Blood glucose (sugar) test CPT 82947 Hchg Hdhlth Hf Lab Glucose Facting	$6.84	$9.00	$599.64	72% below	24%
Blood glucose (sugar) test CPT 82947 Glucose 2-Hr Pp, Meal	$17.48	$23.00	$17.48	27% below	24%
Blood glucose (sugar) test CPT 82947 Glucose Fasting-Fbs	$17.48	$23.00	$31.16	27% below	24%
Blood glucose (sugar) test CPT 82947 Glucose Non-Fasting	$17.48	$23.00	$17.48	27% below	24%
Blood glucose (sugar) test CPT 82947 Hchg Glucometer Nova Stat	$17.48	$23.00	$1.52	27% below	24%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hr Pp	$17.48	$23.00	$17.48	27% below	24%
Blood lead test CPT 83655 Assay of Lead	$6.84	$9.00	$4.56	35% below	24%
Blood lead test CPT 83655 Hchg Heavy Metal Screen W/Rflx, 24hr U 83655	$54.72	$72.00	$959.88	423% above	24%
Blood lead test CPT 83655 Hchg Heavy Metals Scrn With Demographics 83655	$54.72	$72.00	$23.56	423% above	24%
Blood lead test CPT 83655 Lead Urine	$54.72	$72.00	$57.00	423% above	24%
Blood lead test CPT 83655 Lead Whole Blood Quantitative	$54.72	$72.00	$66.12	423% above	24%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg,Doif	$32.68	$43.00	$82.08	12% below	24%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg,Serum (Hcg Qual)	$32.68	$43.00	$40.28	12% below	24%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Anti-A	$12.92	$17.00	$24.32	62% below	24%
Blood urea nitrogen (BUN) test CPT 84520 Bun (Urea Nitrogen)	$17.48	$23.00	$17.48	at median	24%
C-peptide blood test CPT 84681 Hchg C-Peptide	$94.24	$124.00	$64.60	59% above	24%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Re1 Protein	$23.56	$31.00	$76.00	29% below	24%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hchg Ibd Sgi Diagnostic 86140	$23.56	$31.00	$73.72	29% below	24%
C. difficile toxin gene test (stool PCR) CPT 87493 Hchg Clostridium Dificile Toxin Pcr	$167.96	$221.00	$347.32	59% above	24%
CA 19-9 blood test (tumor marker) CPT 86301 Hchg Cancer Antigen 19-9	$94.24	$124.00	$94.24	17% above	24%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hchg Cancer Antigen 125	$94.24	$124.00	$186.20	14% above	24%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hchg Covid19 Pcr Roche	$231.80	$305.00	$959.88	164% above	24%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hchg Covid-19 Pcr	$231.80	$305.00	$231.80	164% above	24%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hchg Comprehensive Virus Panel, Covw	$231.80	$305.00	$231.80	164% above	24%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Hchg Sars-Cov-2 Qual Rt-Pcr	$231.80	$305.00	$30.40	164% above	24%
Calcium blood test, total CPT 82310 Hchg Supersaturation, Random, U 82310	$23.56	$31.00	$30.40	18% above	24%
Calcium blood test, total CPT 82310 Calcium	$23.56	$31.00	$20.52	18% above	24%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea (Roche)	$85.12	$112.00	$59.28	3% above	24%
Chickenpox (varicella) immunity blood test CPT 86787 Hchg Varicella Zoster Igm Ab	$57.76	$76.00	$57.76	43% above	24%
Chickenpox (varicella) immunity blood test CPT 86787 Hchg Varicella Zoster Igg Ab	$57.76	$76.00	$53.96	43% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Amplified Bd Probe Tec	$158.84	$209.00	$38.76	115% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg C. Trach/N. Gonorr Amplified Rna 87491	$158.84	$209.00	$122.36	115% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Trachomatis Amp Urine	$158.84	$209.00	$39.52	115% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Clamydia Trachmatic Amp	$158.84	$209.00	$38.76	115% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Trachomatis Amplified (Bd Probetec) Test	$158.84	$209.00	$158.84	115% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Trachomatis Mis Site Amplified	$158.84	$209.00	$158.84	115% above	24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Amplified Off Pap	$158.84	$209.00	$116.28	115% above	24%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hchg Hdhlth Hf Lab Lipid Panel	$19.76	$26.00	$19.76	61% below	24%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$101.84	$134.00	$121.60	100% above	24%
Complete blood count (CBC) with differential CPT 85025 Hchg Hdhlth Hf Lab Cbc W/Diff	$12.16	$16.00	$158.84	70% below	24%
Complete blood count (CBC) with differential CPT 85025 Cbc W/Auto Diff	$34.20	$45.00	$57.76	17% below	24%
Complete blood count (CBC), no differential CPT 85027 Cbc Counts	$28.88	$38.00	$19.00	at median	24%
Comprehensive metabolic panel (blood test) CPT 80053 Hchg Hdhlth Hf Lab Cmp	$19.76	$26.00	$12.16	74% below	24%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$121.60	$160.00	$73.72	62% above	24%
Cortisol blood test, total CPT 82533 Cortisol Am Serum	$73.72	$97.00	$76.00	117% above	24%
Cortisol blood test, total CPT 82533 Cortisol, Stim/Suppress Studies	$73.72	$97.00	$44.08	117% above	24%
Cortisol blood test, total CPT 82533 Hchg Cortisol Saliva	$73.72	$97.00	$34.96	117% above	24%
Cortisol blood test, total CPT 82533 Hchg Cortisol Free and Total 82533	$73.72	$97.00	$23.56	117% above	24%
Cortisol blood test, total CPT 82533 Cortisol Pm Serum	$73.72	$97.00	$23.56	117% above	24%
Creatine kinase (CK) blood test, total CPT 82550 Hchg CK Isoenzymes 82550	$28.88	$38.00	$66.12	4% below	24%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Total	$28.88	$38.00	$38.76	4% below	24%
Creatinine blood test CPT 82565 Creatinine	$22.80	$30.00	$25.08	3% below	24%
Cytomegalovirus (CMV) antibody test CPT 86644 Hchg Cytomegalovirus Igg	$64.60	$85.00	$57.76	58% above	24%
D-dimer blood test (blood clot marker) CPT 85379 Dimer, Quantitative Assay	$46.36	$61.00	$13.68	19% above	24%
D-dimer blood test (blood clot marker) CPT 85379 Hchg Thrombophilia Profile 85379	$46.36	$61.00	$373.92	19% above	24%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hchg Dhea-S	$100.32	$132.00	$75.24	56% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 11 Urine- Medical	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Stimulants Urine	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Tramadol Screen Urine	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Pain Clinic Drug Screen Urine	$280.44	$369.00	$88.92	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Serum Comprehensive 80307	$280.44	$369.00	$57.76	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 10 Urine- Medical	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Drug Screen 9 Medical	$280.44	$369.00	$585.20	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Drug Screen 10 Medical	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Drug Screen 11 Medical	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Mecstat 12 Oxycodone	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Ethanol Urine	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Cocaine Screen	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Opiates Screen	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Barbiturate Screen	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Tricyclic Antidepressant UR Quant	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Controlled Substance Monitoring Panel, U 80307	$280.44	$369.00	$49.40	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 9 Urine- Medical	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 8 Urine- Medical	$280.44	$369.00	$280.44	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Scr Pain Management Pnl Urine W Interp 80307	$280.44	$369.00	$98.04	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Serum Prescription/Otc	$280.44	$369.00	$238.64	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Controlled Substance Monitoring Panel, Urine 80307	$280.44	$369.00	$0.01	382% above	24%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Gabapentin, U	$280.44	$369.00	$155.04	382% above	24%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Serum	$31.16	$41.00	$22.04	11% below	24%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv - Vca (Igg)	$81.32	$107.00	$48.64	44% above	24%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hchg Epstein-Barr Virus Ab Panel 86665 2	$81.32	$107.00	$81.32	44% above	24%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hchg Epstein-Barr Virus Ab Panel 86665	$81.32	$107.00	$69.16	44% above	24%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv - Vca Igm	$81.32	$107.00	$81.32	44% above	24%
Estradiol blood test CPT 82670 Hchg Estradiol Free Serum 82670	$126.16	$166.00	$133.76	77% above	24%
Estradiol blood test CPT 82670 Estradiol	$126.16	$166.00	$101.84	77% above	24%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh Serum	$83.60	$110.00	$44.08	5% above	24%
Fecal calprotectin (stool inflammation test) CPT 83993 Hchg Calprotectin	$88.92	$117.00	$23.56	46% above	24%
Fecal calprotectin (stool inflammation test) CPT 83993 Hchg Pancreatic Elastase and Calprotectin Panel 83993	$88.92	$117.00	$53.96	46% above	24%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$60.80	$80.00	$68.40	1% above	24%
Fibrinogen blood test CPT 85384 Hchg Thrombophilia Profile 85384	$44.08	$58.00	$42.56	62% above	24%
Fibrinogen blood test CPT 85384 Fibrinogen	$44.08	$58.00	$69.16	62% above	24%
Folate (folic acid) blood test CPT 82746 Folate Serum	$66.88	$88.00	$68.40	3% below	24%
Free T3 thyroid hormone test CPT 84481 Hchg Triiodothyroid Free	$76.00	$100.00	$76.76	17% above	24%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg Hdhlth Hf Lab Ft4	$17.48	$23.00	$17.48	45% below	24%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg T4 Free	$40.28	$53.00	$27.36	26% above	24%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg T4 Fre	$40.28	$53.00	$76.00	26% above	24%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine (Ft4)	$40.28	$53.00	$60.80	26% above	24%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg T4 Free by Equilibrium Dialysis	$40.28	$53.00	$38.76	26% above	24%
Free testosterone test CPT 84402 Hchg Testosterone Free Female/Children	$114.76	$151.00	$13.68	148% above	24%
Free testosterone test CPT 84402 Hchg Testosterone Total Bioavailable and Free Serum 84402	$114.76	$151.00	$648.28	148% above	24%
Free testosterone test CPT 84402 Free Testosterone	$114.76	$151.00	$61.56	148% above	24%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SGGT	$31.92	$42.00	$66.12	4% above	24%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hchg General Health Panel 80050	$434.72	$572.00	$170.24	157% above	24%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Screen	$20.52	$27.00	$183.92	8% below	24%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hchg Hd 1 Hour Glucose Tolerance	$20.52	$27.00	$8.36	8% below	24%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance	$57.76	$76.00	$15.96	at median	24%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Chg	$57.76	$76.00	$22.80	at median	24%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg Neisseria Gonorrhoeae Nucleic Acid by Tma	$158.84	$209.00	$54.72	64% above	24%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg Neisseria Gonorrhoeae Amp Urine	$158.84	$209.00	$39.52	64% above	24%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg Neisseria Gonorrhoea Mi Sie Amplified	$158.84	$209.00	$25.84	64% above	24%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg C. Trach/N. Gonorr Amplified Rna 87591	$158.84	$209.00	$19.76	64% above	24%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae	$158.84	$209.00	$38.76	64% above	24%
H. pylori antibody blood test CPT 86677 Hchg Helicobacter Pylori Antibody Igg	$76.00	$100.00	$95.76	34% above	24%
H. pylori stool antigen test CPT 87338 Hchg H. Pylori Stool Antigen	$64.60	$85.00	$806.36	2% above	24%
H. pylori stool antigen test CPT 87338 Hchg Helicobacter Pylori Antigen Stool	$64.60	$85.00	$61.56	2% above	24%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hchg Hiv-1 Rna Quant Ultra (Rt-Pcr)	$384.56	$506.00	$158.84	189% above	24%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hchg Hiv Antibody/Antigen	$107.92	$142.00	$517.56	138% above	24%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hchg Hpv High Risk	$158.84	$209.00	$910.48	115% above	24%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hchg Health Fair Hgb A1c Screen	$8.36	$11.00	$75.24	78% below	24%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hchg Hdhlth Hf Lab Hgba1c	$12.92	$17.00	$17.48	66% below	24%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Aic	$44.08	$58.00	$126.16	15% above	24%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hchg Hemoglobin A1c (by Ion-Exchange)	$44.08	$58.00	$133.76	15% above	24%
Hemoglobin blood test CPT 85018 Hemoglobin Automated	$10.64	$14.00	$20.52	34% below	24%
Hepatitis B core antibody test (total) CPT 86704 Hchg Hepatitis B Core Ab Total	$53.96	$71.00	$76.00	22% above	24%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Anti-Hbs (Surface)	$48.64	$64.00	$46.36	18% above	24%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbs-Ag (B-Antigen)	$46.36	$61.00	$54.72	14% above	24%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$63.84	$84.00	$37.24	33% above	24%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hchg Hcv Rna Detect/Quant, S	$193.04	$254.00	$193.04	114% above	24%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hchg Hepatitis C Virus Rna Qnt Pcr	$193.04	$254.00	$384.56	114% above	24%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hchg Hepatitis C Virus Genotype Panel 87522	$193.04	$254.00	$116.28	114% above	24%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Igg I Ab	$59.28	$78.00	$67.64	42% above	24%
Herpes blood test, HSV-1 antibody CPT 86695 Hchg Herpes Simplex Virus Type Specific Igg Ab 86695	$59.28	$78.00	$50.92	42% above	24%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Igg II Ab	$86.64	$114.00	$59.28	108% above	24%
Herpes blood test, HSV-2 antibody CPT 86696 Hchg Herpes Simplex Virus Type Specific Igg Ab 86696	$86.64	$114.00	$59.28	108% above	24%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp, High Sensitive	$57.76	$76.00	$177.84	1% above	24%
Homocysteine blood test CPT 83090 Hchg Homocysteine	$80.56	$106.00	$94.24	9% above	24%
Insulin blood test CPT 83525 Hchg Insulin 120 Minute	$22.80	$30.00	$70.68	41% below	24%
Insulin blood test CPT 83525 Hchg Insulin 60 Minute	$51.68	$68.00	$109.44	34% above	24%
Insulin blood test CPT 83525 Hchg Insulin 30 Minute	$51.68	$68.00	$75.24	34% above	24%
Insulin blood test CPT 83525 Hchg Insulin 90 Minute	$51.68	$68.00	$51.68	34% above	24%
Insulin blood test CPT 83525 Hchg Insulin	$51.68	$68.00	$94.24	34% above	24%
Iron blood test (serum iron) CPT 83540 IRON	$28.88	$38.00	$23.56	1% below	24%
Iron-binding capacity (TIBC) test CPT 83550 #NAME?	$38.76	$51.00	$31.16	2% below	24%
Kidney function blood test panel CPT 80069 Renal Function Panel	$38.76	$51.00	$126.16	37% below	24%
LH (luteinizing hormone) test CPT 83002 Lutenizing Hormone	$82.84	$109.00	$83.60	9% above	24%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$52.44	$69.00	$28.88	16% above	24%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$27.36	$36.00	$22.80	14% above	24%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh (Body Fluid)	$27.36	$36.00	$27.36	14% above	24%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$31.16	$41.00	$41.04	11% above	24%
Liver function blood test panel CPT 80076 Hchg Hdhlth Hf Lab Hepatic Panel	$30.40	$40.00	$53.96	38% below	24%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$82.08	$108.00	$121.60	68% above	24%
Lyme disease antibody test CPT 86618 Hchg Tick-Borne Ab Panel, S 86618	$76.76	$101.00	$103.36	192% above	24%
Lyme disease antibody test CPT 86618 Hchg Lyme Disease Antibody	$76.76	$101.00	$19.00	192% above	24%
Magnesium blood test CPT 83735 Hchg Kidney Stone Supersaturation Urine Magnesium	$30.40	$40.00	$19.00	44% above	24%
Magnesium blood test CPT 83735 Hchg Electrolytes and Osmolality Feces Magnesium	$30.40	$40.00	$19.00	44% above	24%
Magnesium blood test CPT 83735 Magnesium Random Urine	$30.40	$40.00	$57.00	44% above	24%
Magnesium blood test CPT 83735 Magnesium	$30.40	$40.00	$27.36	44% above	24%
Magnesium blood test CPT 83735 Magnesium 24 Hr/UR	$30.40	$40.00	$28.88	44% above	24%
Magnesium blood test CPT 83735 Hchg Supersaturation, Random, U 83735	$30.40	$40.00	$34.96	44% above	24%
Magnesium blood test CPT 83735 Hchg Magnesium RBC	$30.40	$40.00	$23.56	44% above	24%
Measles (rubeola) antibody test CPT 86765 Hchg Rubeola Antibody Igm	$57.76	$76.00	$57.76	134% above	24%
Measles (rubeola) antibody test CPT 86765 Hchg Rubeola Antibody Igg	$57.76	$76.00	$161.12	134% above	24%
Measles (rubeola) antibody test CPT 86765 Hchg Measles (Rubeola) Antibody Igg	$57.76	$76.00	$23.56	134% above	24%
Measles (rubeola) antibody test CPT 86765 Hchg Rubeola Igg Ab	$57.76	$76.00	$114.76	134% above	24%
Mono test (heterophile antibody, Monospot) CPT 86308 Hchg Arup 0050621 Heterophile Ab W/Rflx to Titer	$23.56	$31.00	$58.52	42% below	24%
Mono test (heterophile antibody, Monospot) CPT 86308 Hchg Mononucleosis Screen	$23.56	$31.00	$78.28	42% below	24%
Mumps immunity blood test CPT 86735 Hchg Mumps Antibody Igg	$58.52	$77.00	$44.08	134% above	24%
Mumps immunity blood test CPT 86735 Hchg Mumps Antibody Igm	$58.52	$77.00	$12.92	134% above	24%
Obstetric blood test panel CPT 80055 Hchg OB Panel	$215.84	$284.00	$19.00	23% above	24%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hchg Psa Free	$82.84	$109.00	$82.84	44% above	24%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hchg Prostate Specific Antigen Total and Free Serum 84154	$82.84	$109.00	$82.84	44% above	24%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hchg Prostate Specific Antigen Total and Free Serum 84153	$82.84	$109.00	$582.16	65% above	24%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hchg Psa T & F 84153	$82.84	$109.00	$79.80	65% above	24%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hchg Psa Total	$82.84	$109.00	$116.28	65% above	24%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Diagnostic	$82.84	$109.00	$85.12	65% above	24%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytology Gyn Thin Layer Dx	$120.08	$158.00	$119.32	66% above	24%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hchg Cytl Gyn T/L Diag	$91.20	$120.00	$2,337.00	23% above	24%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hchg Cytl Gyn T/L Scr	$91.20	$120.00	$91.20	23% above	24%
Parathyroid hormone (PTH) blood test CPT 83970 Hchg Parathyroid Hormone Intact	$186.20	$245.00	$116.28	45% above	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Mayoalupp Lupus Anticoagulant Profile Prsc	$27.36	$36.00	$30.40	10% below	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Lupus Anticoagulant Prof Aptsc	$27.36	$36.00	$158.84	10% below	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Trombophlia Profile 85730	$27.36	$36.00	$116.28	10% below	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Lupus Anticoagulant Ptt 85730	$27.36	$36.00	$30.40	10% below	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Thromboplastin Time Part	$27.36	$36.00	$9.88	10% below	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt (Ptt)	$27.36	$36.00	$19.00	10% below	24%
Partial thromboplastin time (PTT) clotting test CPT 85730 Therapeutic Appt-Acl	$27.36	$36.00	$34.96	10% below	24%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus	$20.52	$27.00	$19.76	2% below	24%
Phosphorus (phosphate) blood test CPT 84100 Hchg Electrolytes and Osmolality Feces Phosphorous	$20.52	$27.00	$22.04	2% below	24%
Potassium blood test CPT 84132 Hchg Hdhlth Hf Lab Potassium	$6.08	$8.00	$15.20	72% below	24%
Potassium blood test CPT 84132 Potassium	$20.52	$27.00	$30.40	7% below	24%
Progesterone blood test CPT 84144 Hchg Progesterone	$94.24	$124.00	$19.00	48% above	24%
Prolactin blood test CPT 84146 Hchg Prolactin Macroadenoma	$86.64	$114.00	$41.04	20% above	24%
Prolactin blood test CPT 84146 Prolactin	$86.64	$114.00	$40.28	20% above	24%
Prothrombin time (PT/INR) clotting test CPT 85610 Hchg Prothrombin Time	$19.00	$25.00	$158.84	6% above	24%
Prothrombin time (PT/INR) clotting test CPT 85610 Hchg Lupus Anticoagulant Prof Ptsc	$19.00	$25.00	$177.84	6% above	24%
Prothrombin time (PT/INR) clotting test CPT 85610 Therapuetic, Protime	$19.00	$25.00	$34.20	6% above	24%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$19.00	$25.00	$13.68	6% above	24%
Prothrombin time (PT/INR) clotting test CPT 85610 Hchg Thrombophilia Profile 85610	$19.00	$25.00	$133.76	6% above	24%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hchg Medical Drug Screen	$56.24	$74.00	$72.20	59% above	24%
Rapid flu test (influenza antigen) CPT 87804 Iaadiadoo Influenza	$9.12	$12.00	$12.16	81% below	24%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen	$66.12	$87.00	$215.08	38% above	24%
Rapid flu test (influenza antigen) CPT 87804 Influenza a and B Antigen--Sch Only	$66.12	$87.00	$95.76	38% above	24%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Iaadiadoo Streptococcus Group A	$9.12	$12.00	$9.12	81% below	24%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Beta Strep Screen/Culture	$74.48	$98.00	$38.76	57% above	24%
Renin blood test CPT 84244 Hchg Direct Renin	$98.80	$130.00	$183.92	160% above	24%
Rh blood typing CPT 86901 Hchg Rh Only	$12.92	$17.00	$24.32	53% below	24%
Rh blood typing CPT 86901 Rh Type Charge	$12.92	$17.00	$12.92	53% below	24%
Rheumatoid factor (RF) test CPT 86431 Hchg Rheumatoid Factor Quant	$25.84	$34.00	$50.92	22% below	24%
Rubella antibody test (immunity check) CPT 86762 Hchg Torc Igm Panel 86762	$64.60	$85.00	$64.60	55% above	24%
Rubella antibody test (immunity check) CPT 86762 Rubella-Immunestatus	$64.60	$85.00	$53.20	55% above	24%
Rubella antibody test (immunity check) CPT 86762 Hchg Rubella Quant Igg	$64.60	$85.00	$174.04	55% above	24%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hchg Esr Westergren	$12.16	$16.00	$7.60	49% below	24%
Sodium blood test CPT 84295 Sodium	$22.04	$29.00	$57.76	5% above	24%
Stool ova and parasites exam CPT 87177 Hchg Ova Parasites Smear Conc ID 87177	$39.52	$52.00	$83.60	3% above	24%
Stool ova and parasites exam CPT 87177 Hchg Ova and Parasites Comprehensive 87177	$39.52	$52.00	$158.84	3% above	24%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hchg Occult Blood, 1-3 Specimens	$19.00	$25.00	$73.72	8% above	24%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Cv Ultra Diagnostic	$72.20	$95.00	$16.72	93% above	24%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hchg Treponema Pallidum (Syphilis) Ab by Tp-Pa	$59.28	$78.00	$23.56	28% above	24%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hchg Syphilis Antibody	$59.28	$78.00	$15.20	28% above	24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hchg Vdrl Screen CSF	$19.00	$25.00	$23.56	9% above	24%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hchg Quantiferon TB	$279.68	$368.00	$2,406.16	121% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Total	$116.28	$153.00	$30.40	77% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone,T,Bio,Free,S 84403	$116.28	$153.00	$158.84	77% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Total Female/Children	$116.28	$153.00	$27.36	77% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Total Women/Children	$116.28	$153.00	$158.84	77% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Free/Bioavail/Total 84403	$116.28	$153.00	$23.56	77% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Bioavail Male 84403	$116.28	$153.00	$23.56	77% above	24%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone, Free, Bioavail and Total, Warde 84403	$233.32	$307.00	$23.56	256% above	24%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Antibody	$66.12	$87.00	$29.64	50% above	24%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hchg Thyroperoxidase (Tpo) Antibodies	$66.12	$87.00	$23.56	50% above	24%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hchg Hdhlth Hf Lab Tsh	$17.48	$23.00	$19.76	73% below	24%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$76.00	$100.00	$60.80	18% above	24%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hchg Thyroid Function Cascade	$76.00	$100.00	$27.36	18% above	24%
Total IgE blood test CPT 82785 Hchg Immunoglobulin E	$74.48	$98.00	$76.76	68% above	24%
Total cholesterol blood test CPT 82465 Cholesterol	$19.00	$25.00	$28.88	4% below	24%
Total thyroxine (T4) blood test CPT 84436 T4 Total	$31.16	$41.00	$63.84	18% below	24%
Total thyroxine (T4) blood test CPT 84436 Hchg Free Thyroxine Index(Fti), S 84436	$31.16	$41.00	$57.76	18% below	24%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$63.84	$84.00	$76.00	33% above	24%
Transferrin blood test CPT 84466 Transferrin	$57.00	$75.00	$30.93	at median	24%
Trichomonas test (NAAT) CPT 87661 Hchg Nfct Ds Bct Vaginosis Vaginitis Mult Amp Probe 87661	$158.84	$209.00	$158.84	127% above	24%
Trichomonas test (NAAT) CPT 87661 Hchg Trichomonas Vaginalis Pcr	$158.84	$209.00	$98.04	127% above	24%
Trichomonas test (NAAT) CPT 87661 Hchg Trichomonas Vaginalis Rna Qual Tma	$158.84	$209.00	$851.20	127% above	24%
Triglycerides blood test CPT 84478 Triglycerides	$25.84	$34.00	$19.76	44% above	24%
Triglycerides blood test CPT 84478 Hchg Triglyceride Body Fluid	$25.84	$34.00	$8.36	44% above	24%
Troponin test, quantitative CPT 84484 Troponin I	$56.24	$74.00	$126.16	55% above	24%
Troponin test, quantitative CPT 84484 Hchg Troponin T	$56.24	$74.00	$177.84	55% above	24%
Uric acid blood test CPT 84550 Uric Acid	$19.76	$26.00	$28.88	12% below	24%
Urinalysis with microscope exam, automated CPT 81001 Bill Ua Auto With Micro	$13.68	$18.00	$34.20	32% below	24%
Urinalysis without microscope exam, automated CPT 81003 Hchg Ua W/O Micro Automated	$9.88	$13.00	$158.84	22% below	24%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity, UR	$15.20	$20.00	$28.88	12% above	24%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Ds	$34.96	$46.00	$38.76	36% below	24%
Urine microalbumin (albumin) test CPT 82043 Hchg Hdhlth Hf Albumin, Urine, Quantitative	$15.20	$20.00	$7.60	42% below	24%
Urine microalbumin (albumin) test CPT 82043 Random Urine Microalbumin	$25.84	$34.00	$82.84	1% below	24%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Qualitative Urine	$38.76	$51.00	$82.08	45% above	24%
Vitamin B12 (cobalamin) blood test CPT 82607 B-12	$68.40	$90.00	$19.00	18% above	24%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hchg Hdhlth Hf Lab Vit D	$22.80	$30.00	$17.48	71% below	24%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hchg Vitamin D 25-Hydroxy	$133.76	$176.00	$23.56	71% above	24%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hchg Vitamin D 25-Hydroxy D2 and D3 Serum	$133.76	$176.00	$76.00	71% above	24%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hchg Vitamin D 1 25-Dihydroxy	$173.28	$228.00	$17.48	119% above	24%
Zinc blood test CPT 84630 Hchg Zinc Serum	$50.92	$67.00	$55.48	177% above	24%
Zinc blood test CPT 84630 Hchg Zinc RBC Whole Blood	$50.92	$67.00	$4,060.68	177% above	24%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hchg Hd Hcg Tumor Marker	$68.40	$90.00	$38.76	38% above	24%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Total Beta Hcg	$68.40	$90.00	$82.08	38% above	24%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hchg Maternal Serum Integrated Hcg	$68.40	$90.00	$300.96	38% above	24%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$354.92	$467.00	$411.16	21% below	24%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$2,722.32	$3,582.00	$85.12	25% below	24%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$1,766.24	$2,324.00	$1,252.48	59% below	24%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Hchg Arthroscopic Anterior Cruciate Ligament (Acl) Reconstruction	$11,645.48	$15,323.00	$5,268.32	171% above	24%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$1,763.20	$2,320.00	$219.64	10% below	24%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$243.96	$321.00	$611.80	57% below	24%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hchg Mg Breast Stero Bx W/Clip and Spec	$2,638.72	$3,472.00	$71.44	12% above	24%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$422.56	$556.00	$717.44	18% above	24%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each	$291.84	$384.00	$1,064.76	14% below	24%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$1,148.36	$1,511.00	$743.28	9% below	24%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Ecc	$1,059.44	$1,394.00	$510.72	9% above	24%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$709.84	$934.00	$978.88	40% below	24%
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$848.92	$1,117.00	$1,162.04	39% below	24%
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$192.28	$253.00	$253.08	68% below	24%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$234.08	$308.00	$611.80	82% below	24%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj	$458.28	$603.00	$1,501.76	26% above	24%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$743.28	$978.00	$798.76	35% below	24%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$709.84	$934.00	$557.08	38% below	24%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$557.08	$733.00	$207.48	36% below	24%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$253.08	$333.00	$191.52	90% below	24%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$210.52	$277.00	$134.52	34% below	24%
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$1,162.04	$1,529.00	$486.40	17% below	24%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$655.12	$862.00	$985.72	34% below	24%
Cystoscopy with ureteral stent placement CPT 52332 Hchg Cystourethroscopy W/Insertion of Indwelling Ureteral Stent	$5,674.92	$7,467.00	$5,674.92	472% above	24%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$392.92	$517.00	$23.56	44% below	24%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$493.24	$649.00	$132.24	32% below	24%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruc Benign/Premal,First Lesion	$88.16	$116.00	$41.04	3% below	24%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$88.16	$116.00	$324.52	3% below	24%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$264.48	$348.00	$262.96	53% below	24%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$262.96	$346.00	$209.76	83% above	24%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hchg Removal of Impacted Cerumem Using Irrigation/Lavage Unilater	$98.80	$130.00	$145.92	36% above	24%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$26.60	$35.00	$9.88	63% below	24%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$62.32	$82.00	$157.32	26% below	24%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$132.24	$174.00	$128.44	37% below	24%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$168.72	$222.00	$93.48	78% below	24%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hchg Cervical/Thoracic Interlaminar Epidural Steroid Injection With Fluoros	$1,125.56	$1,481.00	$481.84	46% above	24%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hchg Facet Joint Block, First Level, Lumbar	$1,483.52	$1,952.00	$417.24	26% above	24%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$560.12	$737.00	$12.16	59% above	24%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$240.92	$317.00	$1,146.08	68% below	24%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$1,088.32	$1,432.00	$516.04	60% below	24%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$1,183.32	$1,557.00	$1,088.32	23% below	24%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$974.32	$1,282.00	$402.80	16% above	24%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$367.84	$484.00	$194.56	28% below	24%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$855.00	$1,125.00	$787.36	26% below	24%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$1,615.76	$2,126.00	$892.24	38% below	24%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$1,963.84	$2,584.00	$535.04	at median	24%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$134.52	$177.00	$1,539.00	49% below	24%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single	$164.92	$217.00	$150.48	39% below	24%
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess Simple	$164.92	$217.00	$25.84	39% below	24%
Incision and drainage of a simple or single skin abscess CPT 10060 Hchg Drain Skin Abscess Simple	$325.28	$428.00	$317.68	21% above	24%
Incision and drainage of a simple or single skin abscess CPT 10060 Hchg I & D Abscess Simple/Single	$325.28	$428.00	$279.68	21% above	24%
Incision and drainage of a simple or single skin abscess CPT 10060 Hchg Incision/Drainage Abcess; Simpl	$325.28	$428.00	$338.96	21% above	24%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$864.12	$1,137.00	$1,183.32	50% below	24%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$48.64	$64.00	$107.16	87% below	24%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR Inject Tendon Sheath/Ligament	$75.24	$99.00	$23.56	80% below	24%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$84.36	$111.00	$71.44	78% below	24%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR Drain/Inject Large Joint/Bursa	$84.36	$111.00	$37.24	78% below	24%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hchg Large Joint Steroid Injections (I.E., Shoulder, Hip, Knee, Sacroiliac)	$481.84	$634.00	$4,819.16	27% above	24%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hchg Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$481.84	$634.00	$481.84	27% above	24%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthocentesis/Aspir/Inj Maj Joint	$481.84	$634.00	$95.76	27% above	24%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hchg Arthrocentesis Major Joint	$481.84	$634.00	$256.88	27% above	24%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR Insertion Drug Delivery Implant	$159.60	$210.00	$228.00	1% above	24%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant	$165.68	$218.00	$148.96	4% above	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR PR Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$71.44	$94.00	$684.00	78% below	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$71.44	$94.00	$69.92	78% below	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Sc>Arthrocentesis Intermed Joint	$481.84	$634.00	$402.04	48% above	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hchg Sc>Arthrocentesis Intermed Joint	$481.84	$634.00	$192.28	48% above	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hchg HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Bl	$481.84	$634.00	$3.04	48% above	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hchg Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$481.84	$634.00	$207.48	48% above	24%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR Drain/Inject Small Joint/Bursa	$69.92	$92.00	$9.12	81% below	24%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$69.92	$92.00	$78.28	81% below	24%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral	$1,254.76	$1,651.00	$990.28	33% below	24%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg	$990.28	$1,303.00	$1,027.52	45% below	24%
Knee arthroscopy with meniscus trim CPT 29881 Hchg Knee Arthroscopy With Medial or Lateral Meniscus Repair	$5,268.32	$6,932.00	$5,268.32	193% above	24%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving	$1,027.52	$1,352.00	$1,207.64	52% below	24%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Hchg Knee Arthroscopy With Medial and Lateral Meniscus Repair	$5,268.32	$6,932.00	$28,116.96	144% above	24%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg	$1,133.92	$1,492.00	$1,158.24	38% below	24%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$993.32	$1,307.00	$674.12	26% below	24%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$1,440.96	$1,896.00	$842.08	23% below	24%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$716.68	$943.00	$971.28	31% below	24%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$1,034.36	$1,361.00	$88.16	33% below	24%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Post-Cataract Laser Surgery	$486.40	$640.00	$367.84	59% below	24%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/<	$340.48	$448.00	$493.24	11% below	24%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hchg Intmd Rpr S/a/T/Ext 2.5 Cm/<	$648.28	$853.00	$325.28	69% above	24%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$156.56	$206.00	$168.72	84% below	24%
Lower-back epidural injection, with imaging guidance CPT 62323 Hchg Lumbar/Sacral Interlaminar Epidural Steroid Injection With Fluoroscopy	$1,125.56	$1,481.00	$1,125.56	16% above	24%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$175.56	$231.00	$51.68	83% below	24%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar	$2,039.84	$2,684.00	$63.08	44% below	24%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$696.92	$917.00	$574.56	23% below	24%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Skin Benig <0.5 Cm Trunk,Arm,Leg	$166.44	$219.00	$149.72	69% below	24%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$166.44	$219.00	$234.08	69% below	24%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$186.96	$246.00	$426.36	72% below	24%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Skin Benig <0.5 Cm Face,Facial	$186.96	$246.00	$267.52	72% below	24%
Nail removal (partial or complete), one nail CPT 11730 Removal of Nail Plate	$148.96	$196.00	$377.72	26% below	24%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$148.96	$196.00	$57.76	26% below	24%
Occipital nerve block (injection for headaches) CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$119.32	$157.00	$491.72	72% below	24%
Occipital nerve block (injection for headaches) CPT 64405 Hchg Injection Anesthetic Agent Greater Occipital Nrv	$481.84	$634.00	$155.80	14% above	24%
Occipital nerve block (injection for headaches) CPT 64405 Hchg Occipital Nerve Block (Greater)	$481.84	$634.00	$29,792.76	14% above	24%
Paracentesis with imaging guidance CPT 49083 Hchg Abdominal Paracentesis, With Imaging Guidance	$1,475.16	$1,941.00	$436.24	38% above	24%
Paracentesis with imaging guidance CPT 49083 Hchg US Guided Paracente Abd	$1,475.16	$1,941.00	$3,060.52	38% above	24%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$1,890.12	$2,487.00	$1,102.00	57% below	24%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of Nail Bed	$208.24	$274.00	$174.04	58% below	24%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl	$208.24	$274.00	$41.04	58% below	24%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach	$202.92	$267.00	$758.48	85% below	24%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$1,881.76	$2,476.00	$202.92	43% below	24%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Hchg Laparoscopy, Surgical Prostatectomy Include Robotic Assist When Perfor	$16,757.24	$22,049.00	$16,757.24	405% above	24%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$304.00	$400.00	$104.88	84% below	24%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hchg Medial Branch Rfa (Radiofrequency Ablation), Lumbar or Sacral	$3,142.60	$4,135.00	$417.24	70% above	24%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$859.56	$1,131.00	$775.20	70% below	24%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple	$250.80	$330.00	$325.28	30% below	24%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$250.80	$330.00	$429.40	30% below	24%
Removal of a foreign object under the skin, simple CPT 10120 Hchg Incision and Removal Simple	$648.28	$853.00	$83.60	81% above	24%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$557.08	$733.00	$14.44	34% below	24%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$557.08	$733.00	$154.28	34% below	24%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$1,116.44	$1,469.00	$1,694.04	27% below	24%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$1,336.08	$1,758.00	$1,827.04	65% below	24%
Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow to Finger Short Arm	$116.28	$153.00	$128.44	46% below	24%
Short arm cast (elbow to hand) CPT 29075 PR Apply Forearm Cast	$116.28	$153.00	$602.68	46% below	24%
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static	$111.72	$147.00	$139.08	36% below	24%
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint,Static	$111.72	$147.00	$139.08	36% below	24%
Short arm splint (forearm and hand) CPT 29125 Hchg Application Short Arm Splint	$207.48	$273.00	$397.48	18% above	24%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe	$105.64	$139.00	$225.72	60% below	24%
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$105.64	$139.00	$9.12	60% below	24%
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf to Foot	$120.84	$159.00	$150.48	24% below	24%
Short leg splint (calf to foot) CPT 29515 Apply Lower Leg Splint	$120.84	$159.00	$98.80	24% below	24%
Short leg splint (calf to foot) CPT 29515 Hchg Application Lower Leg Splint-Marl	$256.12	$337.00	$2,615.92	61% above	24%
Short leg splint (calf to foot) CPT 29515 Hchg Application Short Leg Splint Calf Foot	$269.04	$354.00	$325.28	69% above	24%
Short leg splint (calf to foot) CPT 29515 HCHG PT Short Leg Splint App Units	$269.04	$354.00	$14.44	69% above	24%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$1,235.76	$1,626.00	$1,050.32	14% below	24%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Hchg Distal Clavicle Resection/Claviculectomy (Mumford)	$5,268.32	$6,932.00	$11,645.48	267% above	24%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$219.64	$289.00	$947.72	51% below	24%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Hchg Subacromial Decompression	$4,819.16	$6,341.00	$11,645.48	983% above	24%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Resuperf Wnd Body <2.5cm	$155.04	$204.00	$8.36	26% below	24%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$155.04	$204.00	$233.32	26% below	24%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hchg Rpr S/N/Ax/Gen/Trnk 2.5cm/<	$325.28	$428.00	$231.04	55% above	24%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hchg Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$338.96	$446.00	$302.48	61% above	24%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hchg Wound Rep; Sclp, Neck, Axillae, Ext Genitalia, Trunk and/or Extrem; <	$338.96	$446.00	$393.68	61% above	24%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$155.80	$205.00	$62.32	51% below	24%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$325.28	$428.00	$226.48	11% below	24%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$325.28	$428.00	$498.56	11% below	24%
Skin tag removal, up to 15 tags CPT 11200 Removal of Skin Tags, Up to 15	$120.08	$158.00	$212.80	33% below	24%
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$120.08	$158.00	$142.88	33% below	24%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture	$1,125.56	$1,481.00	$397.48	38% above	24%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$187.72	$247.00	$155.04	22% below	24%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Resup Npterf Wnd Body 2.6-7.5 Cm	$187.72	$247.00	$155.04	22% below	24%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hchg Rpr S/N/Ax/Gen/Trnk2.6-7.5cm	$325.28	$428.00	$325.28	35% above	24%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/<	$88.16	$116.00	$115.52	63% below	24%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hchg Rpr F/E/E/N/L/M 2.5 Cm/<	$325.28	$428.00	$648.28	38% above	24%
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$1,150.64	$1,514.00	$756.96	54% below	24%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$129.96	$171.00	$36.48	50% below	24%
Thoracentesis with imaging guidance CPT 32555 Hchg US Thoracentesis W/Imaging	$1,022.20	$1,345.00	$257.64	at median	24%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$487.92	$642.00	$483.36	43% below	24%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$483.36	$636.00	$262.20	34% below	24%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$411.16	$541.00	$487.92	45% below	24%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$2,318.76	$3,051.00	$75.24	58% below	24%
Total hip replacement CPT 27130 Hchg Total Hip Arthroplasty (Replacement)	$21,424.40	$28,190.00	$11,645.48	284% above	24%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$2,315.72	$3,047.00	$1,890.12	59% below	24%
Total knee replacement CPT 27447 Hchg Total Knee Arthroplasty (Replacement)	$21,424.40	$28,190.00	$645.24	281% above	24%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$2,373.48	$3,123.00	$1,162.04	26% below	24%
Total shoulder replacement CPT 23472 Hchg Total Shoulder Arthroplasty (Replacement), Including Reverse Shoulder	$30,337.68	$39,918.00	$11,645.48	846% above	24%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$973.56	$1,281.00	$929.48	10% below	24%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles	$86.64	$114.00	$74.48	77% below	24%
Trigger point injections, 1 or 2 muscles CPT 20552 Hchg Inject Trigger Point, 1 or 2	$481.84	$634.00	$66.12	29% above	24%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Hchg Mg Breast US Bx W/Clip and Spect Lt	$2,638.72	$3,472.00	$2,638.72	55% above	24%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Hchg Mg Breast US Bx W/Clip and Spec Rt	$2,638.72	$3,472.00	$427.12	55% above	24%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$1,751.04	$2,304.00	$676.40	43% above	24%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$616.36	$811.00	$11.40	29% below	24%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$807.88	$1,063.00	$510.72	68% above	24%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$676.40	$890.00	$627.76	3% below	24%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$471.96	$621.00	$630.80	1% below	24%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$610.28	$803.00	$553.28	21% below	24%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$648.28	$853.00	$83.60	3% above	24%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$434.72	$572.00	$540.36	—	24%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$147.44	$194.00	$650.56	17% below	24%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$212.80	$280.00	$655.88	62% below	24%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$212.80	$280.00	$168.72	62% below	24%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hchg Oms Debridement, Subq Tissue, Initial Up to 20 Sq Cm	$648.28	$853.00	$648.28	16% above	24%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation	$1,235.00	$1,625.00	$1,119.48	1% above	24%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Hchg Blood Product Transfusion	$706.80	$930.00	$1,066.28	17% above	24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment Inhaler	$346.56	$456.00	$168.72	114% above	24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulized Medication	$346.56	$456.00	$149.72	114% above	24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hchg Airway Inhalation Treatment	$346.56	$456.00	$688.56	114% above	24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment (Neb)	$346.56	$456.00	$33.44	114% above	24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG Aerosol Treatment - Initial	$346.56	$456.00	$72.20	114% above	24%
Chemotherapy IV infusion, first hour CPT 96413 Hchg Chemo Infusion Int Hr	$551.00	$725.00	$551.00	12% above	24%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$334.40	$440.00	$284.24	81% below	24%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Minutes	$1,444.76	$1,901.00	$19.00	19% below	24%
Critical care, first 30 to 74 minutes CPT 99291 ED Level 6/Critical	$1,444.76	$1,901.00	$1,045.00	19% below	24%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$2,644.04	$3,479.00	$3,112.20	280% above	24%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R	$18.24	$24.00	$185.44	15% below	24%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Routine	$98.80	$130.00	$30.93	11% below	24%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hchg Ekg Routine	$98.80	$130.00	$30.93	11% below	24%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hchg Ekg 12 Lead	$101.08	$133.00	$23.56	9% below	24%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1/Minimum	$144.40	$190.00	$706.04	11% below	24%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Triage With Protocols Int	$144.40	$190.00	$1,444.76	11% below	24%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Level 2/Minor	$266.00	$350.00	$144.40	19% below	24%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Level 3/Moderate	$464.36	$611.00	$266.00	15% below	24%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Level 4/Intermediate	$720.48	$948.00	$464.36	28% below	24%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Level 5/Extended-Significant	$1,045.00	$1,375.00	$720.48	29% below	24%
Exercise stress test, tracing only, the hospital charge CPT 93017 Ekg Stress Test	$510.72	$672.00	$98.80	32% below	24%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hchg Hydration Int Ecc	$348.08	$458.00	$76.76	38% above	24%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration 1 Only	$348.08	$458.00	$225.72	38% above	24%
IV infusion of a medicine, first hour CPT 96365 O/P IV Infusion Up to 1 Hr	$348.08	$458.00	$76.76	19% above	24%
IV infusion of a medicine, first hour CPT 96365 Hchg O/P Int in Piggyback	$348.08	$458.00	$1.52	19% above	24%
IV push of a medicine, first drug CPT 96374 IV Push	$348.08	$458.00	$76.76	90% above	24%
IV push of a medicine, first drug CPT 96374 Hchg Int Ivp Ecc	$348.08	$458.00	$74.48	90% above	24%
IV push of a medicine, first drug CPT 96374 Therapeutic/Diag Inj IV	$348.08	$458.00	$114.76	90% above	24%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im	$15.96	$21.00	$66.88	82% below	24%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hchg Therapeutic/Dia Inj Im Subq Ecc	$114.76	$151.00	$79.80	33% above	24%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sub Q/Im Injection	$114.76	$151.00	$57.00	33% above	24%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$214.32	$282.00	$18.24	4% below	24%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies	$162.64	$214.00	$122.36	68% below	24%
Neuromuscular re-education, 15 minutes CPT 97112 Hchg Pt Neuromuscular Reeducationh	$147.44	$194.00	$96.52	87% above	24%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Devlpmntl	$149.72	$197.00	$121.60	90% above	24%
New patient office visit, about 30 minutes CPT 99203 Office Outpatient New 30 Minutes	$120.08	$158.00	$85.12	9% above	24%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$120.08	$158.00	$85.12	9% above	24%
New patient office visit, about 30 minutes CPT 99203 New Pt Woundcare Level3	$234.08	$308.00	$180.88	113% above	24%
New patient office visit, about 30 minutes CPT 99203 Hchg New Pt Clinic Level 3	$241.68	$318.00	$157.32	120% above	24%
New patient office visit, about 45 minutes CPT 99204 Office Outpatient New 45 Minutes	$183.92	$242.00	$120.08	35% above	24%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$183.92	$242.00	$120.08	35% above	24%
New patient office visit, about 45 minutes CPT 99204 Hchg New Pt Clinic Level 4	$275.88	$363.00	$241.68	103% above	24%
New patient office visit, about 45 minutes CPT 99204 New Pt Woundcare Level4	$335.92	$442.00	$234.08	147% above	24%
New patient office visit, about 60 minutes CPT 99205 Office Outpatient New 60 Minutes	$232.56	$306.00	$183.92	49% above	24%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes	$232.56	$306.00	$183.92	49% above	24%
New patient office visit, about 60 minutes CPT 99205 Hchg New Pt Clinic Level 5	$414.20	$545.00	$275.88	165% above	24%
New patient office visit, about 60 minutes CPT 99205 New Pt Woundcare Level5	$471.20	$620.00	$335.92	202% above	24%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New 20 Minutes	$85.12	$112.00	$240.16	13% above	24%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$85.12	$112.00	$166.44	13% above	24%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hchg New Pt Clinic Level 2	$157.32	$207.00	$193.04	110% above	24%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Woundcare Level2	$180.88	$238.00	$112.48	141% above	24%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hchg Initial Nutrition Therapy, Each 15 Min	$54.72	$72.00	$88.92	28% above	24%
Occupational therapy evaluation, low complexity CPT 97165 Hchg Ot Eval Assessement Low	$232.56	$306.00	$180.88	17% above	24%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hchg Pt Eval Assessment High	$289.56	$381.00	$289.56	34% above	24%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hchg Pt Eval Assessment Low	$281.20	$370.00	$12.16	46% above	24%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hchg Pt Eval Assessment Moderate	$289.56	$381.00	$281.20	29% above	24%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy	$103.36	$136.00	$3.80	25% above	24%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy	$121.60	$160.00	$79.80	47% above	24%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Kinetic Therapeutic Exercise	$79.80	$105.00	$107.16	3% below	24%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise	$136.04	$179.00	$97.28	65% above	24%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs	$154.28	$203.00	$158.84	37% above	24%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs	$177.84	$234.00	$154.28	30% above	24%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs	$139.08	$183.00	$136.04	20% above	24%
Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Med Est Patient 40-64yrs	$148.20	$195.00	$139.08	4% above	24%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes	$97.28	$128.00	$250.80	31% below	24%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes	$128.44	$169.00	$41.80	24% below	24%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes	$190.00	$250.00	$52.44	12% below	24%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$17.48	$23.00	$46.36	45% below	24%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hchg Smoking Cessation 3-10 Minutes	$46.36	$61.00	$46.36	46% above	24%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hchg Established Pt Clinic Level 5	$164.16	$216.00	$169.48	39% above	24%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Outpatient Visit 40 Minutes	$171.00	$225.00	$127.68	45% above	24%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min	$171.00	$225.00	$127.68	45% above	24%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Outpatient Visit 15 Minutes	$88.16	$116.00	$56.24	7% above	24%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min	$88.16	$116.00	$56.24	7% above	24%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hchg Established Pt Clinic Level 3	$97.28	$128.00	$68.40	18% above	24%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Outpatient Visit 25 Minutes	$127.68	$168.00	$88.16	8% above	24%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$127.68	$168.00	$88.16	8% above	24%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hchg Established Pt Clinic Level 4	$169.48	$223.00	$97.28	43% above	24%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min	$56.24	$74.00	$25.84	26% above	24%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit 10 Minutes	$56.24	$74.00	$25.84	26% above	24%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hchg Established Pt Clinic Level 2	$68.40	$90.00	$61.56	53% above	24%
Speech and language evaluation CPT 92523 Hchg Eval of Language Comp/Expre/Recep Eval III (31-45 Min)	$302.48	$398.00	$385.32	11% below	24%
Speech and language evaluation CPT 92523 Hchg Eval of Language Comp/Expre/Recep Eval IV (46-60 Min)	$351.88	$463.00	$302.48	3% above	24%
Speech and language evaluation CPT 92523 Hchg Slp Eval of Language Comp/Expre/Recep Eval	$385.32	$507.00	$217.36	13% above	24%
Speech therapy session, individual CPT 92507 Hchg Slp Speech Treatment Indiv	$120.84	$159.00	$390.64	42% below	24%
Speech therapy session, individual CPT 92507 Speech Treatment Ind I (0-15)Min	$129.96	$171.00	$233.32	37% below	24%
Speech therapy session, individual CPT 92507 Speech Treatment Ind III (31-45)Min	$140.60	$185.00	$140.60	32% below	24%
Speech therapy session, individual CPT 92507 Speech Treatment Indi II (16-30)Min	$140.60	$185.00	$120.84	32% below	24%
Speech therapy session, individual CPT 92507 Speech Treatment Ind IV (46-60)Min	$176.32	$232.00	$140.60	15% below	24%
Spirometry (breathing test) CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj	$44.84	$59.00	$46.36	78% below	24%
Spirometry (breathing test) CPT 94010 Hchg Breathing Capacity/Spirometry	$149.72	$197.00	$47.12	26% below	24%
Spirometry (breathing test) CPT 94010 Pulm Mechanics Spirometry	$149.72	$197.00	$20.52	26% below	24%
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$63.84	$84.00	$54.72	84% below	24%
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry	$225.72	$297.00	$98.80	43% below	24%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hchg Pt Therapeutic/Functional Act	$120.08	$158.00	$78.28	56% above	24%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic/Functional Activity	$128.44	$169.00	$92.72	67% above	24%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hchg Phlebotomy - Whole Blood	$207.48	$273.00	$399.76	1% below	24%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$207.48	$273.00	$420.28	1% below	24%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hchg Phlebotomy Therapeutic	$207.48	$273.00	$52.44	1% below	24%
Visual field test, extended both sides CPT 92083 Extended Visual Field Xm Uni/Bi I&R	$41.80	$55.00	$22.80	—	24%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$66.12	$87.00	$39.44	42% above	24%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv Adjuvanted Vaccine for Intramuscular Use	$66.12	$87.00	$243.96	42% above	24%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$136.80	$180.00	$35.72	32% below	24%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$46.36	$61.00	$100.32	5% below	24%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im	$21.28	$28.00	$85.12	42% below	24%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$72.96	$96.00	$136.80	36% below	24%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$85.12	$112.00	$73.72	29% below	24%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$19.76	$26.00	$0.01	13% below	24%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$22.80	$30.00	$51.45	at median	24%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use	$220.40	$290.00	$23.56	24% below	24%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$61.56	$81.00	$15.20	44% below	24%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$28.88	$38.00	$61.56	51% below	24%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$51.68	$68.00	$21.28	36% below	24%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$21.28	$28.00	$283.48	21% below	24%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$22.80	$30.00	$94.24	43% below	24%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq	$70.68	$93.00	$21.28	45% below	24%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles Mumps Rubella Varicella Vacc Live Subq	$197.60	$260.00	$70.68	37% below	24%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$283.48	$373.00	$174.80	57% above	24%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c Recombnt Prtn & Outer Memb Vesic Vacc Im	$167.20	$220.00	$29.64	43% below	24%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im	$142.12	$187.00	$167.20	47% below	24%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$391.40	$515.00	$23.56	3% above	24%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,181.95	$1,555.20	$1,465.66	210% above	24%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$174.80	$230.00	$72.96	21% above	24%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated Subq/Im	$39.52	$52.00	$197.60	29% below	24%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$493.24	$649.00	$493.24	34% below	24%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoclonal Antb Seasonal Dose 0.5ml Im Use	$493.24	$649.00	$247.00	34% below	24%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,878.83	$2,472.15	$3.04	264% above	24%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 Vaccine 2 Dose Schedule Live for Oral Use	$100.32	$132.00	$82.08	40% below	24%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$27.36	$36.00	$1,720.64	40% below	24%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$209.23	$275.30	$43.89	357% above	24%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im	$35.72	$47.00	$39.52	46% below	24%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$175.56	$231.00	$30.93	166% above	24%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$232.90	$306.45	$4.64	253% above	24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine	$29.64	$39.00	$165.68	29% above	24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hchg Vaccine Admin Non Flu	$114.76	$151.00	$23.56	398% above	24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hchg Immunization Admin Subq/Im 1 Vaccine	$114.76	$151.00	$12.92	398% above	24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hchg Tetanus Admin	$114.76	$151.00	$161.12	398% above	24%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq ID Subq/Im Njxs Ea Vaccine	$19.00	$25.00	$29.64	3% below	24%

Source file: https://aspirerhs.org/wp-content/uploads/2026/03/381415390_deckerville-community-hospital_standardcharges.csv