Lima Memorial Health System
Lima Memorial Health System in Lima, OH publishes cash prices for 525 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 442 of 520 procedures and above it for 75. By typical cash price it ranks #3 of 139 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1001 Bellefontaine Avenue, Lima, OH 45804 Collected Sep 22, 2026 Source price file Check a bill from this hospital (419) 998-4731
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 360009 · CMS hospital register NPI 1336144732
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Lima Memorial Health System is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen Wo & Wdye | $224.10 | $249.00 | — | 83% below | 10% |
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen Wo And W/ Contrst | $1,794.60 | $1,994.00 | — | 35% above | 10% |
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W W/O Contrast | $1,794.60 | $1,994.00 | — | 35% above | 10% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen Wo & Wdye | $224.10 | $249.00 | — | — | 10% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen Wo And W/ Contrst | $1,794.60 | $1,994.00 | — | — | 10% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W W/O Contrast | $1,794.60 | $1,994.00 | — | — | 10% |
| Abdominal X-ray, 2 views CPT 74019 X-Ray Exam Abdomen 2 Views | $250.20 | $278.00 | — | 26% below | 10% |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-Ray Exam Abdomen 2 Views | $250.20 | $278.00 | — | — | 10% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray Exam Of Ankle | $101.70 | $113.00 | — | 68% below | 10% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Min 3 Views | $212.40 | $236.00 | — | 34% below | 10% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray Exam Of Ankle | $101.70 | $113.00 | — | — | 10% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Min 3 Views | $212.40 | $236.00 | — | — | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Uprl Xtremity Art 2 Levels | $142.20 | $158.00 | — | 70% below | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non Inv Up/Low Extrem Art:1 Lv | $829.80 | $922.00 | — | 72% above | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Uprl Xtremity Art 2 Levels | $142.20 | $158.00 | — | — | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Non Inv Up/Low Extrem Art:1 Lv | $829.80 | $922.00 | — | — | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 Ct Upper Extrem Wo Cont Bilat | $1,359.90 | $1,511.00 | — | — | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extremity Wo Dye | $137.70 | $153.00 | — | 85% below | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extrem Wo Cont-Bilate | $1,359.90 | $1,511.00 | — | 44% above | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extremity Wo Contrast | $1,359.90 | $1,511.00 | — | 44% above | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 Ct Upper Extrem Wo Cont Bilat | $1,359.90 | $1,511.00 | — | — | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extremity Wo Dye | $137.70 | $153.00 | — | — | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extrem Wo Cont-Bilate | $1,359.90 | $1,511.00 | — | — | 10% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extremity Wo Contrast | $1,359.90 | $1,511.00 | — | — | 10% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-Ray Xm Esophagus 1Cntrst | $224.10 | $249.00 | — | 49% below | 10% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus, Radiologic Exam | $793.80 | $882.00 | — | 79% above | 10% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-Ray Xm Esophagus 1Cntrst | $224.10 | $249.00 | — | — | 10% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus, Radiologic Exam | $793.80 | $882.00 | — | — | 10% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imaging Whole Body | $472.50 | $525.00 | — | 69% below | 10% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone&Or Joint Image Whole Body | $3,961.80 | $4,402.00 | — | 158% above | 10% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Imaging Whole Body | $472.50 | $525.00 | — | — | 10% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone&Or Joint Image Whole Body | $3,961.80 | $4,402.00 | — | — | 10% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Unilateral | $1,404.00 | $1,560.00 | — | 194% above | 10% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Breast Complete Unilateral | $1,404.00 | $1,560.00 | — | — | 10% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Unilateral | $1,220.40 | $1,356.00 | — | 198% above | 10% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Breast Limited Unilateral | $1,220.40 | $1,356.00 | — | — | 10% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd&Pelv Wo&Wdye | $462.60 | $514.00 | — | 78% below | 10% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd/Pelvis | $1,794.60 | $1,994.00 | — | 16% below | 10% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd&Pelv Wo&Wdye | $462.60 | $514.00 | — | — | 10% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd/Pelvis | $1,794.60 | $1,994.00 | — | — | 10% |
| CT angiography (CTA) of the head CPT 70496 Ct Angiography Head | $224.10 | $249.00 | — | 83% below | 10% |
| CT angiography (CTA) of the head CPT 70496 Ct Angiography Head W/Wo | $1,994.40 | $2,216.00 | — | 49% above | 10% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct Angiography Head | $224.10 | $249.00 | — | — | 10% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct Angiography Head W/Wo | $1,994.40 | $2,216.00 | — | — | 10% |
| CT angiography (CTA) of the neck CPT 70498 Ct Angiography Neck | $224.10 | $249.00 | — | 83% below | 10% |
| CT angiography (CTA) of the neck CPT 70498 Ct Angiogrphy Neck W/Wo | $1,753.20 | $1,948.00 | — | 34% above | 10% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angiography Neck | $224.10 | $249.00 | — | — | 10% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angiogrphy Neck W/Wo | $1,753.20 | $1,948.00 | — | — | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W/Wo | $1,606.50 | $1,785.00 | — | 13% above | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angiography Chest W/Wo | $1,606.50 | $1,785.00 | — | — | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Angio Hrt W3D Image | $224.10 | $249.00 | — | 86% below | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Coronary Cta | $404.10 | $449.00 | — | 75% below | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Angio Hrt W3D Image | $224.10 | $249.00 | — | — | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Coronary Cta | $404.10 | $449.00 | — | — | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Cardiac Scoring | $84.60 | $94.00 | — | 70% below | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Hrt Wo Dye Wca Test | $101.70 | $113.00 | — | 64% below | 10% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Cardiac Scoring | $84.60 | $94.00 | — | — | 10% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Hrt Wo Dye Wca Test | $101.70 | $113.00 | — | — | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen Pelvis Wo Contrast | $2,719.80 | $3,022.00 | — | 71% above | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen & Pelvis Wo Contras | $2,719.80 | $3,022.00 | — | 71% above | 10% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen Pelvis Wo Contrast | $2,719.80 | $3,022.00 | — | — | 10% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen & Pelvis Wo Contras | $2,719.80 | $3,022.00 | — | — | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen Pelvis W Contrast | $3,155.40 | $3,506.00 | — | 59% above | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen & Pelvis W Contrast | $3,155.40 | $3,506.00 | — | 59% above | 10% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen & Pelvis W Contrast | $3,155.40 | $3,506.00 | — | — | 10% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen Pelvis W Contrast | $3,155.40 | $3,506.00 | — | — | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen & Pelvis W & Wo Con | $3,373.20 | $3,748.00 | — | 44% above | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen Pelvis W/Wo Contras | $3,373.20 | $3,748.00 | — | 44% above | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abdomen Pelvis W/Wo Contras | $3,373.20 | $3,748.00 | — | — | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abdomen & Pelvis W & Wo Con | $3,373.20 | $3,748.00 | — | — | 10% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Contrast | $1,699.20 | $1,888.00 | — | 46% above | 10% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W Contrast | $1,699.20 | $1,888.00 | — | 46% above | 10% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Contrast | $1,699.20 | $1,888.00 | — | — | 10% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W Contrast | $1,699.20 | $1,888.00 | — | — | 10% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo Contrast | $1,299.60 | $1,444.00 | — | 24% above | 10% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen Wo Contrast | $1,299.60 | $1,444.00 | — | — | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Area W/O Cont | $1,458.00 | $1,620.00 | — | 67% above | 10% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial Area W/O Cont | $1,458.00 | $1,620.00 | — | — | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head Or Brain W/O Contrast | $1,539.00 | $1,710.00 | — | 84% above | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head Or Brain Without Contr | $1,539.00 | $1,710.00 | — | 84% above | 10% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head Or Brain W/O Contrast | $1,539.00 | $1,710.00 | — | — | 10% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head Or Brain Without Contr | $1,539.00 | $1,710.00 | — | — | 10% |
| CT scan of the head with contrast CPT 70460 Ct Head Or Brain W/ Contrast | $1,620.00 | $1,800.00 | — | 61% above | 10% |
| CT scan of the head with contrast CPT 70460 Ct Head Or Brain With Contrast | $1,620.00 | $1,800.00 | — | 61% above | 10% |
| CT scan of the head with contrast inpatient CPT 70460 Ct Head Or Brain With Contrast | $1,620.00 | $1,800.00 | — | — | 10% |
| CT scan of the head with contrast inpatient CPT 70460 Ct Head Or Brain W/ Contrast | $1,620.00 | $1,800.00 | — | — | 10% |
| CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W/Or W/O Cont | $1,701.00 | $1,890.00 | — | 43% above | 10% |
| CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W/O & W Contr | $1,701.00 | $1,890.00 | — | 43% above | 10% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct Head Or Brain W/O & W Contr | $1,701.00 | $1,890.00 | — | — | 10% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct Head Or Brain W/Or W/O Cont | $1,701.00 | $1,890.00 | — | — | 10% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine Wo Contrast | $1,500.30 | $1,667.00 | — | 36% above | 10% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine Wo Contrast | $1,500.30 | $1,667.00 | — | — | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine Wo Contrast | $1,863.00 | $2,070.00 | — | 74% above | 10% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cervical Spine Wo Contrast | $1,863.00 | $2,070.00 | — | — | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W Contrast | $1,794.60 | $1,994.00 | — | 47% above | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis With Contrast | $1,794.60 | $1,994.00 | — | 47% above | 10% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis With Contrast | $1,794.60 | $1,994.00 | — | — | 10% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W Contrast | $1,794.60 | $1,994.00 | — | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial Bilat Study | $289.80 | $322.00 | — | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Carotid Arteries Com Bi | $1,653.30 | $1,837.00 | — | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial Bilat Study | $289.80 | $322.00 | — | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Carotid Arteries Com Bi | $1,653.30 | $1,837.00 | — | — | 10% |
| Chest CT scan without and with contrast CPT 71270 Ct Thorax Dx C-C | $224.10 | $249.00 | — | 85% below | 10% |
| Chest CT scan without and with contrast CPT 71270 Ct Chest W & Wo Contrast | $1,417.50 | $1,575.00 | — | 6% below | 10% |
| Chest CT scan without and with contrast CPT 71270 Ct Chest W/Wo Contrast | $1,417.50 | $1,575.00 | — | 6% below | 10% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Thorax Dx C-C | $224.10 | $249.00 | — | — | 10% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest W & Wo Contrast | $1,417.50 | $1,575.00 | — | — | 10% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest W/Wo Contrast | $1,417.50 | $1,575.00 | — | — | 10% |
| Chest X-ray, 2 views CPT 71046 X-Ray Exam Chest 2 Views | $101.70 | $113.00 | — | 61% below | 10% |
| Chest X-ray, 2 views CPT 71046 Chest 2 View Frontal & Lateral | $326.70 | $363.00 | — | 24% above | 10% |
| Chest X-ray, 2 views inpatient CPT 71046 X-Ray Exam Chest 2 Views | $101.70 | $113.00 | — | — | 10% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2 View Frontal & Lateral | $326.70 | $363.00 | — | — | 10% |
| Chest X-ray, single view CPT 71045 X-Ray Exam Chest 1 View | $101.70 | $113.00 | — | 54% below | 10% |
| Chest X-ray, single view CPT 71045 Chest 1 View Frontal | $451.80 | $502.00 | — | 102% above | 10% |
| Chest X-ray, single view inpatient CPT 71045 X-Ray Exam Chest 1 View | $101.70 | $113.00 | — | — | 10% |
| Chest X-ray, single view inpatient CPT 71045 Chest 1 View Frontal | $451.80 | $502.00 | — | — | 10% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray Exam Of Collar Bone | $101.70 | $113.00 | — | 62% below | 10% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle Complete | $238.50 | $265.00 | — | 12% below | 10% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-Ray Exam Of Collar Bone | $101.70 | $113.00 | — | — | 10% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle Complete | $238.50 | $265.00 | — | — | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Retroperitoneal Complete | $1,440.00 | $1,600.00 | — | 103% above | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Retroperitoneal Complete | $1,440.00 | $1,600.00 | — | — | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial | $137.70 | $153.00 | — | 70% below | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa, Axial Skeleton Study | $839.70 | $933.00 | — | 85% above | 10% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Axial | $137.70 | $153.00 | — | — | 10% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa, Axial Skeleton Study | $839.70 | $933.00 | — | — | 10% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Densityperipheral | $101.70 | $113.00 | — | 60% below | 10% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa, Peripheral Study | $546.30 | $607.00 | — | 113% above | 10% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa Bone Densityperipheral | $101.70 | $113.00 | — | — | 10% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa, Peripheral Study | $546.30 | $607.00 | — | — | 10% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Sngl Fetus | $289.80 | $322.00 | — | 66% below | 10% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Us Detailed Sngl Fetus | $289.80 | $322.00 | — | — | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax Dx C- | $137.70 | $153.00 | — | 85% below | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Without Contrast | $756.00 | $840.00 | — | 20% below | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Without Contrast Mp | $756.00 | $840.00 | — | 20% below | 10% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax Dx C- | $137.70 | $153.00 | — | — | 10% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest Without Contrast Mp | $756.00 | $840.00 | — | — | 10% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest Without Contrast | $756.00 | $840.00 | — | — | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax Dx C | $224.10 | $249.00 | — | 82% below | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest With Contrast | $945.00 | $1,050.00 | — | 22% below | 10% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax Dx C | $224.10 | $249.00 | — | — | 10% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest With Contrast | $945.00 | $1,050.00 | — | — | 10% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi | $538.20 | $598.00 | — | — | 10% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi | $538.20 | $598.00 | — | — | 10% |
| Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Uni | $468.00 | $520.00 | — | 30% above | 10% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Uni | $468.00 | $520.00 | — | — | 10% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower Extremity Study | $289.80 | $322.00 | — | 68% below | 10% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Dup Lower Extremity Arter:Bil | $2,618.10 | $2,909.00 | — | 192% above | 10% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower Extremity Study | $289.80 | $322.00 | — | — | 10% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Dup Lower Extremity Arter:Bil | $2,618.10 | $2,909.00 | — | — | 10% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity Study | $289.80 | $322.00 | — | 68% below | 10% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Extremity Comp Bilatera | $3,294.00 | $3,660.00 | — | 268% above | 10% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity Study | $289.80 | $322.00 | — | — | 10% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Extremity Comp Bilatera | $3,294.00 | $3,660.00 | — | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte Wdoppler Complete | $606.60 | $674.00 | — | 64% below | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Complete Tte | $4,372.20 | $4,858.00 | — | 159% above | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte Wdoppler Complete | $606.60 | $674.00 | — | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Complete Tte | $4,372.20 | $4,858.00 | — | — | 10% |
| Elbow X-ray, 2 views CPT 73070 X-Ray Exam Of Elbow | $101.70 | $113.00 | — | 61% below | 10% |
| Elbow X-ray, 2 views CPT 73070 Elbow 2 Views | $639.00 | $710.00 | — | 145% above | 10% |
| Elbow X-ray, 2 views inpatient CPT 73070 X-Ray Exam Of Elbow | $101.70 | $113.00 | — | — | 10% |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views | $639.00 | $710.00 | — | — | 10% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray Exam Of Elbow | $101.70 | $113.00 | — | 68% below | 10% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Complete Min 3 Views | $212.40 | $236.00 | — | 33% below | 10% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-Ray Exam Of Elbow | $101.70 | $113.00 | — | — | 10% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Complete Min 3 Views | $212.40 | $236.00 | — | — | 10% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbitearfossa Wo Dye | $137.70 | $153.00 | — | 84% below | 10% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orb Sella Or Iac W/O Contr | $1,620.00 | $1,800.00 | — | 88% above | 10% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orb,Sella,Or Iac W/O Contra | $1,620.00 | $1,800.00 | — | 88% above | 10% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbitearfossa Wo Dye | $137.70 | $153.00 | — | — | 10% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orb Sella Or Iac W/O Contr | $1,620.00 | $1,800.00 | — | — | 10% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orb,Sella,Or Iac W/O Contra | $1,620.00 | $1,800.00 | — | — | 10% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray Exam Of Facial Bones | $137.70 | $153.00 | — | 63% below | 10% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Comp Min 3 Views | $1,094.40 | $1,216.00 | — | 190% above | 10% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-Ray Exam Of Facial Bones | $137.70 | $153.00 | — | — | 10% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Comp Min 3 Views | $1,094.40 | $1,216.00 | — | — | 10% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray Exam Of Forearm | $101.70 | $113.00 | — | 63% below | 10% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views | $198.90 | $221.00 | — | 27% below | 10% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-Ray Exam Of Forearm | $101.70 | $113.00 | — | — | 10% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views | $198.90 | $221.00 | — | — | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging | $472.50 | $525.00 | — | 70% below | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobil Sys Img W/Wo Gb | $3,536.10 | $3,929.00 | — | 123% above | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging | $472.50 | $525.00 | — | — | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm Hepatobil Sys Img W/Wo Gb | $3,536.10 | $3,929.00 | — | — | 10% |
| Hand X-ray, 2 views CPT 73120 X-Ray Exam Of Hand | $137.70 | $153.00 | — | 48% below | 10% |
| Hand X-ray, 2 views CPT 73120 Hand 2 Views | $731.70 | $813.00 | — | 174% above | 10% |
| Hand X-ray, 2 views inpatient CPT 73120 X-Ray Exam Of Hand | $137.70 | $153.00 | — | — | 10% |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 2 Views | $731.70 | $813.00 | — | — | 10% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray Exam Of Heel | $101.70 | $113.00 | — | 63% below | 10% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneous Min 2 Views | $169.20 | $188.00 | — | 38% below | 10% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-Ray Exam Of Heel | $101.70 | $113.00 | — | — | 10% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneous Min 2 Views | $169.20 | $188.00 | — | — | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unatt&Resp Efft | $1,141.20 | $1,268.00 | — | 63% above | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Unatt&Resp Efft | $1,141.20 | $1,268.00 | — | — | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Staging 4>, W/Cpap Atten | $9,324.00 | $10,360.00 | — | 127% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Staging 4>, W/Cpap At*52 | $9,324.00 | $10,360.00 | — | 127% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6Yrs Cpap 4 Parm | $9,557.10 | $10,619.00 | — | 132% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Staging 4>, W/Cpap At*52 | $9,324.00 | $10,360.00 | — | — | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Staging 4>, W/Cpap Atten | $9,324.00 | $10,360.00 | — | — | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6Yrs Cpap 4 Parm | $9,557.10 | $10,619.00 | — | — | 10% |
| Knee X-ray, 3 views CPT 73562 X-Ray Exam Of Knee 3 | $101.70 | $113.00 | — | 71% below | 10% |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views | $360.00 | $400.00 | — | 2% above | 10% |
| Knee X-ray, 3 views inpatient CPT 73562 X-Ray Exam Of Knee 3 | $101.70 | $113.00 | — | — | 10% |
| Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views | $360.00 | $400.00 | — | — | 10% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-Ray Exam Knee 4 Or More | $137.70 | $153.00 | — | 65% below | 10% |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee 4 Or More Views | $396.00 | $440.00 | — | 1% above | 10% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-Ray Exam Knee 4 Or More | $137.70 | $153.00 | — | — | 10% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee 4 Or More Views | $396.00 | $440.00 | — | — | 10% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 Ct Lower Extrem Wo Cont-Bilat | $1,500.30 | $1,667.00 | — | — | 10% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extremity Wo Dye | $137.70 | $153.00 | — | 85% below | 10% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrem Wo Cont Bilate | $1,500.30 | $1,667.00 | — | 59% above | 10% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extremity Wo Contrast | $1,500.30 | $1,667.00 | — | 59% above | 10% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 Ct Lower Extrem Wo Cont-Bilat | $1,500.30 | $1,667.00 | — | — | 10% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extremity Wo Dye | $137.70 | $153.00 | — | — | 10% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extremity Wo Contrast | $1,500.30 | $1,667.00 | — | — | 10% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extrem Wo Cont Bilate | $1,500.30 | $1,667.00 | — | — | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen | $137.70 | $153.00 | — | 75% below | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited (Org/Qua) | $844.20 | $938.00 | — | 53% above | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $844.20 | $938.00 | — | 53% above | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen | $137.70 | $153.00 | — | — | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdomen Limited | $844.20 | $938.00 | — | — | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdomen Limited (Org/Qua) | $844.20 | $938.00 | — | — | 10% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Lmtd Jtnonvasc Xtr Strux | $137.70 | $153.00 | — | 71% below | 10% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Extremity Non Vascular | $872.10 | $969.00 | — | 83% above | 10% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Extremity Non Vascular-Usmp | $872.10 | $969.00 | — | 83% above | 10% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Lmtd Jtnonvasc Xtr Strux | $137.70 | $153.00 | — | — | 10% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Extremity Non Vascular-Usmp | $872.10 | $969.00 | — | — | 10% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Extremity Non Vascular | $872.10 | $969.00 | — | — | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C- | $137.70 | $153.00 | — | 53% below | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Screen Low Dose | $142.20 | $158.00 | — | 52% below | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Screen Low Dose Mp | $142.20 | $158.00 | — | 52% below | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C- | $137.70 | $153.00 | — | — | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Chest Screen Low Dose Mp | $142.20 | $158.00 | — | — | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Chest Screen Low Dose | $142.20 | $158.00 | — | — | 10% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray Exam Of Lower Leg | $101.70 | $113.00 | — | 63% below | 10% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia Fibula 2 Views | $198.90 | $221.00 | — | 27% below | 10% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-Ray Exam Of Lower Leg | $101.70 | $113.00 | — | — | 10% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia Fibula 2 Views | $198.90 | $221.00 | — | — | 10% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr Angiography Head Wo Dye | $289.80 | $322.00 | — | 80% below | 10% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $1,417.50 | $1,575.00 | — | 2% below | 10% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr Angiography Head Wo Dye | $289.80 | $322.00 | — | — | 10% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $1,417.50 | $1,575.00 | — | — | 10% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast C- Wcad Bi | $367.20 | $408.00 | — | — | 10% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri Breast C- Wcad Bi | $367.20 | $408.00 | — | — | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Jnt Of Lwr Extre Wo Dye | $289.80 | $322.00 | — | 83% below | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Lower Extrem Joint Wo Cont | $1,568.70 | $1,743.00 | — | 10% below | 10% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Jnt Of Lwr Extre Wo Dye | $289.80 | $322.00 | — | — | 10% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Lower Extrem Joint Wo Cont | $1,568.70 | $1,743.00 | — | — | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Lwr Extr Wo&Wdye | $462.60 | $514.00 | — | 81% below | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Lower Extrem Joint W&Wo Co | $1,898.10 | $2,109.00 | — | 21% below | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Lwr Extr Wo&Wdye | $462.60 | $514.00 | — | — | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Lower Extrem Joint W&Wo Co | $1,898.10 | $2,109.00 | — | — | 10% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen Without Contrast | $2,459.70 | $2,733.00 | — | 33% above | 10% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast | $2,459.70 | $2,733.00 | — | 33% above | 10% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen Without Contrast | $2,459.70 | $2,733.00 | — | — | 10% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast | $2,459.70 | $2,733.00 | — | — | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Wo & Wdye | $462.60 | $514.00 | — | 80% below | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W & W/O Contrast | $2,547.00 | $2,830.00 | — | 11% above | 10% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen Wo & Wdye | $462.60 | $514.00 | — | — | 10% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W & W/O Contrast | $2,547.00 | $2,830.00 | — | — | 10% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Contrast Client | $1,989.00 | $2,210.00 | — | 23% above | 10% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Contrast | $2,088.90 | $2,321.00 | — | 30% above | 10% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Wo Contrast Client | $1,989.00 | $2,210.00 | — | — | 10% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Contrast | $2,088.90 | $2,321.00 | — | — | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain Stem Wo & Wdye | $462.60 | $514.00 | — | 79% below | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O Cont Follow W/C | $2,731.50 | $3,035.00 | — | 25% above | 10% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain Stem Wo & Wdye | $462.60 | $514.00 | — | — | 10% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O Cont Follow W/C | $2,731.50 | $3,035.00 | — | — | 10% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Contrast | $2,777.40 | $3,086.00 | — | 67% above | 10% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Contrast | $2,777.40 | $3,086.00 | — | — | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumber Spine Wo & W Contra | $3,360.60 | $3,734.00 | — | 44% above | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine Wo & W Contra | $3,360.60 | $3,734.00 | — | 44% above | 10% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine Wo & W Contra | $3,360.60 | $3,734.00 | — | — | 10% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumber Spine Wo & W Contra | $3,360.60 | $3,734.00 | — | — | 10% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/O Contras | $2,121.30 | $2,357.00 | — | 26% above | 10% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine W/O Contras | $2,121.30 | $2,357.00 | — | — | 10% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Neck Spine Wo & Wdye | $462.60 | $514.00 | — | 80% below | 10% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cerv Spine W/O & W Contras | $3,024.90 | $3,361.00 | — | 34% above | 10% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Neck Spine Wo & Wdye | $462.60 | $514.00 | — | — | 10% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cerv Spine W/O & W Contras | $3,024.90 | $3,361.00 | — | — | 10% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/O Contras | $2,500.20 | $2,778.00 | — | 52% above | 10% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Cervical Spine W/O Contras | $2,500.20 | $2,778.00 | — | — | 10% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wo & Wdye | $462.60 | $514.00 | — | 76% below | 10% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W & W/O Contrast | $2,453.40 | $2,726.00 | — | 25% above | 10% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis Wo & Wdye | $462.60 | $514.00 | — | — | 10% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W & W/O Contrast | $2,453.40 | $2,726.00 | — | — | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Dye | $289.80 | $322.00 | — | 81% below | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Contrast | $1,568.70 | $1,743.00 | — | 3% above | 10% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis Wo Dye | $289.80 | $322.00 | — | — | 10% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Contrast | $1,568.70 | $1,743.00 | — | — | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Joint Upr Extrem Wo Dye | $289.80 | $322.00 | — | 81% below | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Upper Extrem Joint W/O Con | $1,568.70 | $1,743.00 | — | 4% above | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Joint Upr Extrem Wo Dye | $289.80 | $322.00 | — | — | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Upper Extrem Joint W/O Con | $1,568.70 | $1,743.00 | — | — | 10% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray Exam Neck Spine 45Vws | $137.70 | $153.00 | — | 69% below | 10% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine Min 4 Views | $305.10 | $339.00 | — | 32% below | 10% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray Exam Neck Spine 45Vws | $137.70 | $153.00 | — | — | 10% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine Min 4 Views | $305.10 | $339.00 | — | — | 10% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck Wdye | $224.10 | $249.00 | — | 81% below | 10% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck W/Contrast | $1,753.20 | $1,948.00 | — | 48% above | 10% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck Wdye | $224.10 | $249.00 | — | — | 10% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck W/Contrast | $1,753.20 | $1,948.00 | — | — | 10% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck Wo Dye | $137.70 | $153.00 | — | 85% below | 10% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck Wo Contras | $1,539.00 | $1,710.00 | — | 67% above | 10% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Soft Tissue Neck Wo Dye | $137.70 | $153.00 | — | — | 10% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Soft Tissue Neck Wo Contras | $1,539.00 | $1,710.00 | — | — | 10% |
| Neck soft tissue X-ray CPT 70360 X-Ray Exam Of Neck | $101.70 | $113.00 | — | 61% below | 10% |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $182.70 | $203.00 | — | 30% below | 10% |
| Neck soft tissue X-ray inpatient CPT 70360 X-Ray Exam Of Neck | $101.70 | $113.00 | — | — | 10% |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $182.70 | $203.00 | — | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult | $1,638.90 | $1,821.00 | — | 59% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Perf Spect Mx Studies | $8,221.50 | $9,135.00 | — | 105% above | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult | $1,638.90 | $1,821.00 | — | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard Perf Spect Mx Studies | $8,221.50 | $9,135.00 | — | — | 10% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Ophth Dx Img Post Segmt | $70.20 | $78.00 | — | 11% below | 10% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr Ophth Dx Img Post Segmt | $70.20 | $78.00 | — | — | 10% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Image Wct Skull-Thigh | $1,856.70 | $2,063.00 | — | 62% below | 10% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Image W/Ct Skull-Thigh | $4,889.70 | $5,433.00 | — | 1% above | 10% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Image Wct Skull-Thigh | $1,856.70 | $2,063.00 | — | — | 10% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Image W/Ct Skull-Thigh | $4,889.70 | $5,433.00 | — | — | 10% |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis Wo Dye | $137.70 | $153.00 | — | 86% below | 10% |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis Wo Contrast | $1,699.20 | $1,888.00 | — | 69% above | 10% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis Wo Dye | $137.70 | $153.00 | — | — | 10% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis Wo Contrast | $1,699.20 | $1,888.00 | — | — | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Non Obst-Bladder Lmt | $1,134.00 | $1,260.00 | — | 161% above | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvic Non Obst-Bladder Lmt | $1,134.00 | $1,260.00 | — | — | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Echo Non Ob Complete | $1,570.50 | $1,745.00 | — | 212% above | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Echo Non Ob Complete | $1,570.50 | $1,745.00 | — | — | 10% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Ultrasound >14 Wks-Sng Ges | $1,395.90 | $1,551.00 | — | 133% above | 10% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Ultrasound >14 Wks-Sng Ges | $1,395.90 | $1,551.00 | — | — | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Ultrasound <14 Wks-Sng Gest | $1,178.10 | $1,309.00 | — | 115% above | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Ultrasound <14 Wks-Sng Gest | $1,178.10 | $1,309.00 | — | — | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us Limited Fetuss | $137.70 | $153.00 | — | 71% below | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnant Uterus Limit:Fetal | $506.70 | $563.00 | — | 6% above | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Us Limited Fetuss | $137.70 | $153.00 | — | — | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnant Uterus Limit:Fetal | $506.70 | $563.00 | — | — | 10% |
| Rib X-ray, one side, 2 views CPT 71100 X-Ray Exam Ribs Uni 2 Views | $101.70 | $113.00 | — | 67% below | 10% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs Unilateral 2 Views | $212.40 | $236.00 | — | 30% below | 10% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 X-Ray Exam Ribs Uni 2 Views | $101.70 | $113.00 | — | — | 10% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Unilateral 2 Views | $212.40 | $236.00 | — | — | 10% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Ribs Uni W/Pa Cxr Min 3 Views | $252.00 | $280.00 | — | 34% below | 10% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-Ray Exam Unilat Ribschest | $137.70 | $153.00 | — | 64% below | 10% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Ribs Uni W/Pa Cxr Min 3 Views | $252.00 | $280.00 | — | — | 10% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-Ray Exam Unilat Ribschest | $137.70 | $153.00 | — | — | 10% |
| Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad | $406.80 | $452.00 | — | — | 10% |
| Screening mammogram, both breasts CPT 77067 Scr Mammo Uni Incl Cad | $406.80 | $452.00 | — | 112% above | 10% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad | $406.80 | $452.00 | — | — | 10% |
| Screening mammogram, both breasts inpatient CPT 77067 Scr Mammo Uni Incl Cad | $406.80 | $452.00 | — | — | 10% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray Exam Of Shoulder | $101.70 | $113.00 | — | 70% below | 10% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Min 2 Views | $212.40 | $236.00 | — | 37% below | 10% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray Exam Of Shoulder | $101.70 | $113.00 | — | — | 10% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Min 2 Views | $212.40 | $236.00 | — | — | 10% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-Ray Exam Of Sinuses | $101.70 | $113.00 | — | 72% below | 10% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Complete Min 3 Views | $957.60 | $1,064.00 | — | 165% above | 10% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-Ray Exam Of Sinuses | $101.70 | $113.00 | — | — | 10% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Complete Min 3 Views | $957.60 | $1,064.00 | — | — | 10% |
| Skull X-ray, fewer than 4 views CPT 70250 X-Ray Exam Of Skull | $137.70 | $153.00 | — | 52% below | 10% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 Views | $957.60 | $1,064.00 | — | 231% above | 10% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-Ray Exam Of Skull | $137.70 | $153.00 | — | — | 10% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less Than 4 Views | $957.60 | $1,064.00 | — | — | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Staging W 4> Param,Atten | $7,653.60 | $8,504.00 | — | 113% above | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Staging W 4> Param,At*52 | $7,653.60 | $8,504.00 | — | 113% above | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6 Yrs 4 Param | $7,845.30 | $8,717.00 | — | 118% above | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Staging W 4> Param,Atten | $7,653.60 | $8,504.00 | — | — | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Staging W 4> Param,At*52 | $7,653.60 | $8,504.00 | — | — | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6 Yrs 4 Param | $7,845.30 | $8,717.00 | — | — | 10% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete | $606.60 | $674.00 | — | 70% below | 10% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete Echo | $4,311.00 | $4,790.00 | — | 110% above | 10% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete | $606.60 | $674.00 | — | — | 10% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete Echo | $4,311.00 | $4,790.00 | — | — | 10% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-Ray Xm Swlng Funcj C | $224.10 | $249.00 | — | 56% below | 10% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-Ray Xm Swlng Funcj C | $224.10 | $249.00 | — | — | 10% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray Exam Of Femur 2 | $101.70 | $113.00 | — | 62% below | 10% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur 2 Views | $264.60 | $294.00 | — | 2% below | 10% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-Ray Exam Of Femur 2 | $101.70 | $113.00 | — | — | 10% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur 2 Views | $264.60 | $294.00 | — | — | 10% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Chest Spine Wo Dye | $137.70 | $153.00 | — | 85% below | 10% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic Spine Wo Contrast | $1,359.90 | $1,511.00 | — | 50% above | 10% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Chest Spine Wo Dye | $137.70 | $153.00 | — | — | 10% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic Spine Wo Contrast | $1,359.90 | $1,511.00 | — | — | 10% |
| Toe X-ray, 2 or more views CPT 73660 X-Ray Exam Of Toes | $101.70 | $113.00 | — | 59% below | 10% |
| Toe X-ray, 2 or more views CPT 73660 Toe Or Toes Min 2 Views | $159.30 | $177.00 | — | 36% below | 10% |
| Toe X-ray, 2 or more views inpatient CPT 73660 X-Ray Exam Of Toes | $101.70 | $113.00 | — | — | 10% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toe Or Toes Min 2 Views | $159.30 | $177.00 | — | — | 10% |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal Ultrasound | $1,395.90 | $1,551.00 | — | 148% above | 10% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal Ultrasound | $1,395.90 | $1,551.00 | — | — | 10% |
| Transvaginal ultrasound during pregnancy CPT 76817 Ob Ultrasound Transvaginal Us | $1,134.00 | $1,260.00 | — | 126% above | 10% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ob Ultrasound Transvaginal Us | $1,134.00 | $1,260.00 | — | — | 10% |
| Ultrasound of the abdomen, complete CPT 76700 Abdominal Echo-Complete | $2,792.70 | $3,103.00 | — | 345% above | 10% |
| Ultrasound of the abdomen, complete CPT 76700 Abdominal Echo Complete | $2,792.70 | $3,103.00 | — | 345% above | 10% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Abdominal Echo-Complete | $2,792.70 | $3,103.00 | — | — | 10% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Abdominal Echo Complete | $2,792.70 | $3,103.00 | — | — | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 Echo Scrotum And Contents | $1,395.90 | $1,551.00 | — | 160% above | 10% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Echo Scrotum And Contents | $1,395.90 | $1,551.00 | — | — | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tissue Head/Neck | $1,483.20 | $1,648.00 | — | 159% above | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tissue Head/Neck | $1,483.20 | $1,648.00 | — | — | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst | $1,125.00 | $1,250.00 | — | 90% above | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst | $1,125.00 | $1,250.00 | — | — | 10% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Min 2 Views | $159.30 | $177.00 | — | 42% below | 10% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Min 2 Views | $159.30 | $177.00 | — | — | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity Study | $137.70 | $153.00 | — | 81% below | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Extremity Veins Uni/Lim | $1,592.10 | $1,769.00 | — | 116% above | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity Study | $137.70 | $153.00 | — | — | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Extremity Veins Uni/Lim | $1,592.10 | $1,769.00 | — | — | 10% |
| Wrist X-ray, 2 views CPT 73100 X-Ray Exam Of Wrist | $101.70 | $113.00 | — | 61% below | 10% |
| Wrist X-ray, 2 views CPT 73100 Wrist 2 Views | $775.80 | $862.00 | — | 197% above | 10% |
| Wrist X-ray, 2 views inpatient CPT 73100 X-Ray Exam Of Wrist | $101.70 | $113.00 | — | — | 10% |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 Views | $775.80 | $862.00 | — | — | 10% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Complete Min 3 Views | $198.90 | $221.00 | — | 41% below | 10% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Complete Min 3 Views | $198.90 | $221.00 | — | — | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray Exam Hip Uni 2-3 Views | $354.60 | $394.00 | — | 15% above | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray Exam Hip Uni 2-3 Views | $354.60 | $394.00 | — | — | 10% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen Ap View | $194.40 | $216.00 | — | 24% below | 10% |
| X-ray of the abdomen, 1 view CPT 74018 X-Ray Exam Abdomen 1 View | $485.10 | $539.00 | — | 89% above | 10% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Ap View | $194.40 | $216.00 | — | — | 10% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray Exam Abdomen 1 View | $485.10 | $539.00 | — | — | 10% |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views | $684.90 | $761.00 | — | 175% above | 10% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2 Views | $684.90 | $761.00 | — | — | 10% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-Ray Exam Of Fingers | $101.70 | $113.00 | — | 61% below | 10% |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger Min 2 Views | $172.80 | $192.00 | — | 33% below | 10% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray Exam Of Fingers | $101.70 | $113.00 | — | — | 10% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger Min 2 Views | $172.80 | $192.00 | — | — | 10% |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views | $684.90 | $761.00 | — | 195% above | 10% |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views | $684.90 | $761.00 | — | — | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray Exam Of Foot | $101.70 | $113.00 | — | 67% below | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot Min 3 Views | $201.60 | $224.00 | — | 34% below | 10% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray Exam Of Foot | $101.70 | $113.00 | — | — | 10% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Min 3 Views | $201.60 | $224.00 | — | — | 10% |
| X-ray of the hand, 3 or more views CPT 73130 X-Ray Exam Of Hand | $101.70 | $113.00 | — | 69% below | 10% |
| X-ray of the hand, 3 or more views CPT 73130 Hand Min 3 Views | $201.60 | $224.00 | — | 38% below | 10% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray Exam Of Hand | $101.70 | $113.00 | — | — | 10% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Min 3 Views | $201.60 | $224.00 | — | — | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-Ray Exam Of Knee 1 Or 2 | $101.70 | $113.00 | — | 63% below | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 Or 2 Views | $331.20 | $368.00 | — | 21% above | 10% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray Exam Of Knee 1 Or 2 | $101.70 | $113.00 | — | — | 10% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 1 Or 2 Views | $331.20 | $368.00 | — | — | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Exam L-S Spine 23 Vws | $137.70 | $153.00 | — | 57% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine 2-3 Views | $238.50 | $265.00 | — | 26% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray Exam L-S Spine 23 Vws | $137.70 | $153.00 | — | — | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar Spine 2-3 Views | $238.50 | $265.00 | — | — | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray Exam L-2 Spine 4Vws | $137.70 | $153.00 | — | 71% below | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbar Spine Min 4 Views | $317.70 | $353.00 | — | 32% below | 10% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Exam L-2 Spine 4Vws | $137.70 | $153.00 | — | — | 10% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Spine Min 4 Views | $317.70 | $353.00 | — | — | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Exam Thorac Spine 2Vws | $137.70 | $153.00 | — | 54% below | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 Views | $548.10 | $609.00 | — | 81% above | 10% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray Exam Thorac Spine 2Vws | $137.70 | $153.00 | — | — | 10% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2 Views | $548.10 | $609.00 | — | — | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3 Views | $912.60 | $1,014.00 | — | 212% above | 10% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3 Views | $912.60 | $1,014.00 | — | — | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2-3 Views | $185.40 | $206.00 | — | 45% below | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2 3 Views | $731.70 | $813.00 | — | 119% above | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2-3 Views | $185.40 | $206.00 | — | — | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2 3 Views | $731.70 | $813.00 | — | — | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray Exam Of Pelvis | $137.70 | $153.00 | — | 45% below | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2 Views | $185.40 | $206.00 | — | 26% below | 10% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray Exam Of Pelvis | $137.70 | $153.00 | — | — | 10% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1-2 Views | $185.40 | $206.00 | — | — | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray Exam Sacrum Tailbone | $101.70 | $113.00 | — | 66% below | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Min 2 Views | $238.50 | $265.00 | — | 20% below | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray Exam Sacrum Tailbone | $101.70 | $113.00 | — | — | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx Min 2 Views | $238.50 | $265.00 | — | — | 10% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Assay Of Acth | $47.70 | $53.00 | — | 64% below | 10% |
| ACTH blood test CPT 82024 Adrenocorticotropic Horm Acth | $73.80 | $82.00 | — | 44% below | 10% |
| ACTH blood test CPT 82024 Acth | $167.40 | $186.00 | — | 27% above | 10% |
| ACTH blood test inpatient CPT 82024 Assay Of Acth | $47.70 | $53.00 | — | — | 10% |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Horm Acth | $73.80 | $82.00 | — | — | 10% |
| ACTH blood test inpatient CPT 82024 Acth | $167.40 | $186.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt:Hfp | $5.40 | $6.00 | — | 81% below | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino Alt Sgpt | $6.30 | $7.00 | — | 77% below | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt:Cmp | $8.10 | $9.00 | — | 71% below | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt(Alt) | $13.50 | $15.00 | — | 52% below | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase;Alanine Amino Alt | $28.80 | $32.00 | — | 3% above | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt.Renal Services.Mod Cf | $38.70 | $43.00 | — | 39% above | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) - Fibro | $94.50 | $105.00 | — | 238% above | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt:Hfp | $5.40 | $6.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino Alt Sgpt | $6.30 | $7.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt:Cmp | $8.10 | $9.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt(Alt) | $13.50 | $15.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase;Alanine Amino Alt | $28.80 | $32.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt.Renal Services.Mod Cf | $38.70 | $43.00 | — | — | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt) - Fibro | $94.50 | $105.00 | — | — | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot:Hfp | $5.40 | $6.00 | — | 79% below | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot | $6.30 | $7.00 | — | 75% below | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot:Cmp | $8.10 | $9.00 | — | 68% below | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot(Ast) | $13.50 | $15.00 | — | 46% below | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast.Renal Services.Mod Cd | $36.00 | $40.00 | — | 43% above | 10% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot:Hfp | $5.40 | $6.00 | — | — | 10% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase Ast Sgot | $6.30 | $7.00 | — | — | 10% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot:Cmp | $8.10 | $9.00 | — | — | 10% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot(Ast) | $13.50 | $15.00 | — | — | 10% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast.Renal Services.Mod Cd | $36.00 | $40.00 | — | — | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $59.40 | $66.00 | — | 73% below | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel (Hepa) | $689.40 | $766.00 | — | 217% above | 10% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $59.40 | $66.00 | — | — | 10% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel (Hepa) | $689.40 | $766.00 | — | — | 10% |
| Albumin blood test CPT 82040 Assay Of Serum Albumin | $6.30 | $7.00 | — | 71% below | 10% |
| Albumin blood test CPT 82040 Albumin:Cmp | $8.10 | $9.00 | — | 63% below | 10% |
| Albumin blood test CPT 82040 Albumin,Serum Misc | $10.80 | $12.00 | — | 51% below | 10% |
| Albumin blood test CPT 82040 Albumin | $12.60 | $14.00 | — | 43% below | 10% |
| Albumin blood test CPT 82040 *Albumin, Ms Pnl.Msclp | $18.00 | $20.00 | — | 19% below | 10% |
| Albumin blood test CPT 82040 Albumin:Hfp | $31.50 | $35.00 | — | 43% above | 10% |
| Albumin blood test CPT 82040 Alb.Renal Services.Mod Cd | $36.00 | $40.00 | — | 63% above | 10% |
| Albumin blood test CPT 82040 Albumin 2 Hr | $36.00 | $40.00 | — | 63% above | 10% |
| Albumin blood test inpatient CPT 82040 Assay Of Serum Albumin | $6.30 | $7.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 Albumin:Cmp | $8.10 | $9.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 Albumin,Serum Misc | $10.80 | $12.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 Albumin | $12.60 | $14.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 *Albumin, Ms Pnl.Msclp | $18.00 | $20.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 Albumin:Hfp | $31.50 | $35.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 Albumin 2 Hr | $36.00 | $40.00 | — | — | 10% |
| Albumin blood test inpatient CPT 82040 Alb.Renal Services.Mod Cd | $36.00 | $40.00 | — | — | 10% |
| Aldosterone blood test CPT 82088 Assay Of Aldosterone | $49.50 | $55.00 | — | 65% below | 10% |
| Aldosterone blood test CPT 82088 Aldosterone | $52.20 | $58.00 | — | 63% below | 10% |
| Aldosterone blood test CPT 82088 24 Hour Urine Aldosterone | $150.30 | $167.00 | — | 7% above | 10% |
| Aldosterone blood test inpatient CPT 82088 Assay Of Aldosterone | $49.50 | $55.00 | — | — | 10% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $52.20 | $58.00 | — | — | 10% |
| Aldosterone blood test inpatient CPT 82088 24 Hour Urine Aldosterone | $150.30 | $167.00 | — | — | 10% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase:Hfp | $5.40 | $6.00 | — | 78% below | 10% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay Alkaline Phosphatase | $6.30 | $7.00 | — | 74% below | 10% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase:Cmp | $8.10 | $9.00 | — | 66% below | 10% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $15.30 | $17.00 | — | 36% below | 10% |
| Alkaline phosphatase (ALP) blood test CPT 84075 *Alk Phos Isoenzymes.M9002 | $18.90 | $21.00 | — | 21% below | 10% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkp.Renal Services.Mod Cd | $36.00 | $40.00 | — | 50% above | 10% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase:Hfp | $5.40 | $6.00 | — | — | 10% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay Alkaline Phosphatase | $6.30 | $7.00 | — | — | 10% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase:Cmp | $8.10 | $9.00 | — | — | 10% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $15.30 | $17.00 | — | — | 10% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 *Alk Phos Isoenzymes.M9002 | $18.90 | $21.00 | — | — | 10% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkp.Renal Services.Mod Cd | $36.00 | $40.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg Spec Ige Crude Xtrc Ea | $6.30 | $7.00 | — | 73% below | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Latex | $31.50 | $35.00 | — | 35% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten,Ige.M82894 | $35.10 | $39.00 | — | 50% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Bayst | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Corn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Stwb | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Tom | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Tuna | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Walnf | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Wheat | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Wpot | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Engpl | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Hord | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Almd | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Brazn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cashn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pecn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Hazn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Soyb | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Dpter | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Dfar | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Sesame | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Catd | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Dogd | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Murn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Bermg | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Whgli | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Shrmp | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Scal | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Rice | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pork | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pean | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Orng | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Must | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Timgr | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cockr | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pnot | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cherb | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Afumi | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Aalt | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Mapl | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Bir | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Milk | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Gpea | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Mced | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Oak | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Elm | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Waln | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Mapls | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cottw | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Wash | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pec | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Mulb | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Rag | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Rusth | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pigw | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Sheep | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Meld | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Nett | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Aniger | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Calb | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cacr | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cluna | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Epurp | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Fmon | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Hhalo | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Mucr | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Pbet | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Rnig | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Stem | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Trub | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Tpull | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cbur | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant John | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant June | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Lamq | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Mug | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Bana | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Beef | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Chic | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Choc | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cinn | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Cod | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Gar | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Eggy | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant Eggw | $44.10 | $49.00 | — | 88% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige;Ea Aller | $61.20 | $68.00 | — | 162% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mini Rast Direct Access | $90.00 | $100.00 | — | 285% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Child Allergen Direct Access | $135.00 | $150.00 | — | 477% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen Direct Access | $180.00 | $200.00 | — | 669% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Mrast | $454.50 | $505.00 | — | 1842% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Childp | $728.10 | $809.00 | — | 3012% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Moldpa | $774.00 | $860.00 | — | 3208% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Inh24P | $1,138.50 | $1,265.00 | — | 4765% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Food | $1,229.40 | $1,366.00 | — | 5154% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Respa | $1,275.30 | $1,417.00 | — | 5350% above | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg Spec Ige Crude Xtrc Ea | $6.30 | $7.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Latex | $31.50 | $35.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten,Ige.M82894 | $35.10 | $39.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Soyb | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Tpull | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Whgli | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cbur | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Gar | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Mapl | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant John | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Eggw | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Aalt | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant June | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Eggy | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Lamq | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Milk | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Mapls | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Calb | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cacr | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cluna | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Epurp | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Fmon | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Hhalo | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Mucr | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pbet | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Rnig | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Stwb | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Stem | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Trub | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Beef | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Bir | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Gpea | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Chic | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Mced | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Wpot | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Oak | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Choc | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Elm | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Waln | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Wheat | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cottw | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Walnf | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Wash | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Tuna | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pec | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Tom | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Mulb | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cinn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Rag | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Corn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Rusth | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pigw | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Sheep | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Meld | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Nett | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Aniger | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Afumi | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cherb | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pnot | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cockr | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Timgr | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Must | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Orng | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pean | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pork | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Mug | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cod | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Bayst | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Rice | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Scal | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Sesame | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Bermg | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Murn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Dogd | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Catd | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Dfar | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Bana | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Dpter | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Shrmp | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Hazn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Pecn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Cashn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Brazn | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Almd | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Hord | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant Engpl | $44.10 | $49.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige;Ea Aller | $61.20 | $68.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mini Rast Direct Access | $90.00 | $100.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Child Allergen Direct Access | $135.00 | $150.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergen Direct Access | $180.00 | $200.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Mrast | $454.50 | $505.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Childp | $728.10 | $809.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Moldpa | $774.00 | $860.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Inh24P | $1,138.50 | $1,265.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Food | $1,229.40 | $1,366.00 | — | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Respa | $1,275.30 | $1,417.00 | — | — | 10% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum | $21.60 | $24.00 | — | 64% below | 10% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprot Single Maternal | $48.60 | $54.00 | — | 20% below | 10% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 *Alpha Fetoprotein,Estr.Afpms | $53.10 | $59.00 | — | 12% below | 10% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein,Tumor Marker | $79.20 | $88.00 | — | 31% above | 10% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum | $21.60 | $24.00 | — | — | 10% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprot Single Maternal | $48.60 | $54.00 | — | — | 10% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 *Alpha Fetoprotein,Estr.Afpms | $53.10 | $59.00 | — | — | 10% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein,Tumor Marker | $79.20 | $88.00 | — | — | 10% |
| Ammonia blood test CPT 82140 Assay Of Ammonia | $16.20 | $18.00 | — | 70% below | 10% |
| Ammonia blood test CPT 82140 Ammonia | $173.70 | $193.00 | — | 217% above | 10% |
| Ammonia blood test CPT 82140 Ammonia Ur Mayo | $369.90 | $411.00 | — | 576% above | 10% |
| Ammonia blood test inpatient CPT 82140 Assay Of Ammonia | $16.20 | $18.00 | — | — | 10% |
| Ammonia blood test inpatient CPT 82140 Ammonia | $173.70 | $193.00 | — | — | 10% |
| Ammonia blood test inpatient CPT 82140 Ammonia Ur Mayo | $369.90 | $411.00 | — | — | 10% |
| Amylase blood test CPT 82150 Assay Of Amylase | $7.20 | $8.00 | — | 85% below | 10% |
| Amylase blood test CPT 82150 Amylase (Serum) | $29.70 | $33.00 | — | 38% below | 10% |
| Amylase blood test CPT 82150 Amylase | $34.20 | $38.00 | — | 29% below | 10% |
| Amylase blood test CPT 82150 Amylase Urine Random | $169.20 | $188.00 | — | 253% above | 10% |
| Amylase blood test CPT 82150 *Amylase 24 Hr Urine.Uamy | $169.20 | $188.00 | — | 253% above | 10% |
| Amylase blood test CPT 82150 *Amylase, Urine - 2 Hour | $169.20 | $188.00 | — | 253% above | 10% |
| Amylase blood test CPT 82150 Amylase Fluid | $173.70 | $193.00 | — | 263% above | 10% |
| Amylase blood test inpatient CPT 82150 Assay Of Amylase | $7.20 | $8.00 | — | — | 10% |
| Amylase blood test inpatient CPT 82150 Amylase (Serum) | $29.70 | $33.00 | — | — | 10% |
| Amylase blood test inpatient CPT 82150 Amylase | $34.20 | $38.00 | — | — | 10% |
| Amylase blood test inpatient CPT 82150 *Amylase 24 Hr Urine.Uamy | $169.20 | $188.00 | — | — | 10% |
| Amylase blood test inpatient CPT 82150 *Amylase, Urine - 2 Hour | $169.20 | $188.00 | — | — | 10% |
| Amylase blood test inpatient CPT 82150 Amylase Urine Random | $169.20 | $188.00 | — | — | 10% |
| Amylase blood test inpatient CPT 82150 Amylase Fluid | $173.70 | $193.00 | — | — | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody | $15.30 | $17.00 | — | 74% below | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrul Peptide.M84182 | $124.20 | $138.00 | — | 115% above | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $149.40 | $166.00 | — | 158% above | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp Antibody | $15.30 | $17.00 | — | — | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrul Peptide.M84182 | $124.20 | $138.00 | — | — | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide | $149.40 | $166.00 | — | — | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies | $14.40 | $16.00 | — | 74% below | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ana | $99.00 | $110.00 | — | 79% above | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 *Ana Screen.Anas | $310.50 | $345.00 | — | 462% above | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Scrn Ena By Elia Symphony | $310.50 | $345.00 | — | 462% above | 10% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies | $14.40 | $16.00 | — | — | 10% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Ana | $99.00 | $110.00 | — | — | 10% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 *Ana Screen.Anas | $310.50 | $345.00 | — | — | 10% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Scrn Ena By Elia Symphony | $310.50 | $345.00 | — | — | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay Of Natriuretic Peptide | $47.70 | $53.00 | — | 68% below | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro Bnp 84291 | $65.70 | $73.00 | — | 56% below | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay Nt-Pronatriuretic Pept | $125.10 | $139.00 | — | 16% below | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide | $288.90 | $321.00 | — | 93% above | 10% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay Of Natriuretic Peptide | $47.70 | $53.00 | — | — | 10% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Pro Bnp 84291 | $65.70 | $73.00 | — | — | 10% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay Nt-Pronatriuretic Pept | $125.10 | $139.00 | — | — | 10% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide | $288.90 | $321.00 | — | — | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Othr Specimn Aerobic | $10.80 | $12.00 | — | 84% below | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture,Routine | $18.00 | $20.00 | — | 73% below | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture,Bact Any Other Source | $54.90 | $61.00 | — | 17% below | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Environmental Culture | $134.10 | $149.00 | — | 103% above | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Othr Specimn Aerobic | $10.80 | $12.00 | — | — | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture,Routine | $18.00 | $20.00 | — | — | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture,Bact Any Other Source | $54.90 | $61.00 | — | — | 10% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Environmental Culture | $134.10 | $149.00 | — | — | 10% |
| Basic metabolic panel (blood test) CPT 80048 Metabolic Panel Total Ca | $10.80 | $12.00 | — | 84% below | 10% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Bmp | $39.60 | $44.00 | — | 40% below | 10% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic Panel Total Ca | $10.80 | $12.00 | — | — | 10% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Bmp | $39.60 | $44.00 | — | — | 10% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total:Hfp | $5.40 | $6.00 | — | 77% below | 10% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total:Cmp | $8.10 | $9.00 | — | 66% below | 10% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $13.50 | $15.00 | — | 44% below | 10% |
| Bilirubin blood test, total CPT 82247 Bilirubin;Total | $28.80 | $32.00 | — | 20% above | 10% |
| Bilirubin blood test, total CPT 82247 Tbil (Chem 9) | $45.00 | $50.00 | — | 88% above | 10% |
| Bilirubin blood test, total CPT 82247 Tbil.Renal Services.Mod Cf | $45.00 | $50.00 | — | 88% above | 10% |
| Bilirubin blood test, total CPT 82247 Bilirubin Neo-Natal | $45.00 | $50.00 | — | 88% above | 10% |
| Bilirubin blood test, total CPT 82247 *Paracentesis Fluid Bil.M8390 | $49.50 | $55.00 | — | 106% above | 10% |
| Bilirubin blood test, total CPT 82247 Total Bilirubin - Fibro | $94.50 | $105.00 | — | 294% above | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total:Hfp | $5.40 | $6.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total:Cmp | $8.10 | $9.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $13.50 | $15.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin;Total | $28.80 | $32.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Neo-Natal | $45.00 | $50.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Tbil (Chem 9) | $45.00 | $50.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Tbil.Renal Services.Mod Cf | $45.00 | $50.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 *Paracentesis Fluid Bil.M8390 | $49.50 | $55.00 | — | — | 10% |
| Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin - Fibro | $94.50 | $105.00 | — | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 *Bone Marrow Biopsy 88305 | $417.60 | $464.00 | — | 105% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 *Gross & Micro Level Iv 88305 | $432.90 | $481.00 | — | 113% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross & Micro Iv -Renal/Mus/Bm | $432.90 | $481.00 | — | 113% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *Bone Marrow Biopsy 88305 | $417.60 | $464.00 | — | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *Gross & Micro Level Iv 88305 | $432.90 | $481.00 | — | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Gross & Micro Iv -Renal/Mus/Bm | $432.90 | $481.00 | — | — | 10% |
| Blood culture for bacteria CPT 87040 Blood Culture For Bacteria | $12.60 | $14.00 | — | 87% below | 10% |
| Blood culture for bacteria CPT 87040 Culture,Blood.Bc | $207.00 | $230.00 | — | 121% above | 10% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria | $12.60 | $14.00 | — | — | 10% |
| Blood culture for bacteria inpatient CPT 87040 Culture,Blood.Bc | $207.00 | $230.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture | $9.90 | $11.00 | — | 38% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture(Mp).Mplvp | $9.90 | $11.00 | — | 38% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Rad Tx | $9.90 | $11.00 | — | 38% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture, Coll Venous Bld | $9.90 | $11.00 | — | 38% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Occ Health | $9.90 | $11.00 | — | 38% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $9.90 | $11.00 | — | 38% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Oncology | $27.90 | $31.00 | — | 75% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture | $9.90 | $11.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture(Mp).Mplvp | $9.90 | $11.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $9.90 | $11.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture - Rad Tx | $9.90 | $11.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture - Occ Health | $9.90 | $11.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture, Coll Venous Bld | $9.90 | $11.00 | — | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Oncology | $27.90 | $31.00 | — | — | 10% |
| Blood glucose (sugar) test CPT 82947 Assay Glucose Blood Quant | $4.36 | $4.84 | — | 82% below | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $13.50 | $15.00 | — | 43% below | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Pp | $13.50 | $15.00 | — | 43% below | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose Random | $13.50 | $15.00 | — | 43% below | 10% |
| Blood glucose (sugar) test CPT 82947 *Cardiac Chem 8,Glu.Cc8A,Cc8B | $27.00 | $30.00 | — | 15% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting:Cmp | $38.70 | $43.00 | — | 64% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose Random:Bmp | $38.70 | $43.00 | — | 64% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glu (Chem 9) | $44.10 | $49.00 | — | 87% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glu.Renal Services.Mod Cf | $44.10 | $49.00 | — | 87% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose (Chem 7) | $44.10 | $49.00 | — | 87% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hr Pet | $44.10 | $49.00 | — | 87% above | 10% |
| Blood glucose (sugar) test CPT 82947 Glucose,Quant-Ist8 | $44.10 | $49.00 | — | 87% above | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Assay Glucose Blood Quant | $4.36 | $4.84 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hour Pp | $13.50 | $15.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Random | $13.50 | $15.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting | $13.50 | $15.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 *Cardiac Chem 8,Glu.Cc8A,Cc8B | $27.00 | $30.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting:Cmp | $38.70 | $43.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Random:Bmp | $38.70 | $43.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hr Pet | $44.10 | $49.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glu (Chem 9) | $44.10 | $49.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glu.Renal Services.Mod Cf | $44.10 | $49.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose (Chem 7) | $44.10 | $49.00 | — | — | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose,Quant-Ist8 | $44.10 | $49.00 | — | — | 10% |
| Blood lead test CPT 83655 Assay Of Lead | $14.40 | $16.00 | — | 70% below | 10% |
| Blood lead test CPT 83655 Heavy Metal Screen-Lead | $36.90 | $41.00 | — | 24% below | 10% |
| Blood lead test CPT 83655 Lead Bld.M15070 | $36.90 | $41.00 | — | 24% below | 10% |
| Blood lead test CPT 83655 Lead | $36.90 | $41.00 | — | 24% below | 10% |
| Blood lead test CPT 83655 *Lead,Heavy Metal Blood | $36.90 | $41.00 | — | 24% below | 10% |
| Blood lead test CPT 83655 *Lead.Leap | $54.00 | $60.00 | — | 11% above | 10% |
| Blood lead test inpatient CPT 83655 Assay Of Lead | $14.40 | $16.00 | — | — | 10% |
| Blood lead test inpatient CPT 83655 Lead Bld.M15070 | $36.90 | $41.00 | — | — | 10% |
| Blood lead test inpatient CPT 83655 Heavy Metal Screen-Lead | $36.90 | $41.00 | — | — | 10% |
| Blood lead test inpatient CPT 83655 Lead | $36.90 | $41.00 | — | — | 10% |
| Blood lead test inpatient CPT 83655 *Lead,Heavy Metal Blood | $36.90 | $41.00 | — | — | 10% |
| Blood lead test inpatient CPT 83655 *Lead.Leap | $54.00 | $60.00 | — | — | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay | $8.10 | $9.00 | — | 85% below | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy, Serum | $18.00 | $20.00 | — | 67% below | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin Assay | $8.10 | $9.00 | — | — | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy, Serum | $18.00 | $20.00 | — | — | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing,Serologic;Abo | $88.20 | $98.00 | — | 48% above | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing,Serologic;Abo | $88.20 | $98.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Assay Of Urea Nitrogen | $4.36 | $4.84 | — | 81% below | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun:Cmp | $5.40 | $6.00 | — | 77% below | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun:Bmpw | $8.10 | $9.00 | — | 65% below | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun | $13.50 | $15.00 | — | 42% below | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen,Quant-Ist8 | $44.10 | $49.00 | — | 89% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun.Renal Services.Mod Cd | $44.10 | $49.00 | — | 89% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun (Chem 7) | $44.10 | $49.00 | — | 89% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun 2 Hr | $44.10 | $49.00 | — | 89% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun (Chem 9) | $44.10 | $49.00 | — | 89% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant 4 Hr | $73.80 | $82.00 | — | 216% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant Baseline | $73.80 | $82.00 | — | 216% above | 10% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant 2 Hr | $73.80 | $82.00 | — | 216% above | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay Of Urea Nitrogen | $4.36 | $4.84 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun:Cmp | $5.40 | $6.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun:Bmpw | $8.10 | $9.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun | $13.50 | $15.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun (Chem 7) | $44.10 | $49.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun (Chem 9) | $44.10 | $49.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen,Quant-Ist8 | $44.10 | $49.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun 2 Hr | $44.10 | $49.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun.Renal Services.Mod Cd | $44.10 | $49.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant 4 Hr | $73.80 | $82.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant Baseline | $73.80 | $82.00 | — | — | 10% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant 2 Hr | $73.80 | $82.00 | — | — | 10% |
| C-peptide blood test CPT 84681 Assay Of C-Peptide | $27.00 | $30.00 | — | 66% below | 10% |
| C-peptide blood test CPT 84681 C. Peptide | $60.30 | $67.00 | — | 24% below | 10% |
| C-peptide blood test inpatient CPT 84681 Assay Of C-Peptide | $27.00 | $30.00 | — | — | 10% |
| C-peptide blood test inpatient CPT 84681 C. Peptide | $60.30 | $67.00 | — | — | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $53.10 | $59.00 | — | 6% above | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $53.10 | $59.00 | — | — | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe | $45.00 | $50.00 | — | 65% below | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Diff,Amp Probe | $87.30 | $97.00 | — | 33% below | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clos Diff Toxin Gene Amp Probe | $351.00 | $390.00 | — | 169% above | 10% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe | $45.00 | $50.00 | — | — | 10% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Diff,Amp Probe | $87.30 | $97.00 | — | — | 10% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clos Diff Toxin Gene Amp Probe | $351.00 | $390.00 | — | — | 10% |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay Tumor Ca 19-9 | $27.00 | $30.00 | — | 63% below | 10% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9.M9288 | $73.80 | $82.00 | — | 1% above | 10% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay Tumor Ca 19-9 | $27.00 | $30.00 | — | — | 10% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9.M9288 | $73.80 | $82.00 | — | — | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay Tumor Ca 125 | $27.00 | $30.00 | — | 71% below | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $161.10 | $179.00 | — | 72% above | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca125, Ov Monitor | $337.50 | $375.00 | — | 261% above | 10% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay Tumor Ca 125 | $27.00 | $30.00 | — | — | 10% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $161.10 | $179.00 | — | — | 10% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca125, Ov Monitor | $337.50 | $375.00 | — | — | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sarscov2 & Inf A&B Amp Prb | $153.90 | $171.00 | — | 9% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $370.80 | $412.00 | — | 163% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sarscov2 & Inf A&B Amp Prb | $153.90 | $171.00 | — | — | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $370.80 | $412.00 | — | — | 10% |
| Calcium blood test, total CPT 82310 Assay Of Calcium | $6.30 | $7.00 | — | 80% below | 10% |
| Calcium blood test, total CPT 82310 Calcium,Serum:Cmp | $8.10 | $9.00 | — | 74% below | 10% |
| Calcium blood test, total CPT 82310 Calcium : Bmpw | $8.10 | $9.00 | — | 74% below | 10% |
| Calcium blood test, total CPT 82310 Calcium, Serum | $13.50 | $15.00 | — | 57% below | 10% |
| Calcium blood test, total CPT 82310 Parathormone-Calcium-Send Out | $22.50 | $25.00 | — | 29% below | 10% |
| Calcium blood test, total CPT 82310 Ca.Renal Services.Mod Cd | $38.70 | $43.00 | — | 22% above | 10% |
| Calcium blood test, total CPT 82310 Ca (Chem 9) | $38.70 | $43.00 | — | 22% above | 10% |
| Calcium blood test, total CPT 82310 Calcium,Body Fluid | $38.70 | $43.00 | — | 22% above | 10% |
| Calcium blood test, total inpatient CPT 82310 Assay Of Calcium | $6.30 | $7.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Calcium,Serum:Cmp | $8.10 | $9.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Calcium : Bmpw | $8.10 | $9.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Calcium, Serum | $13.50 | $15.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Parathormone-Calcium-Send Out | $22.50 | $25.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Ca (Chem 9) | $38.70 | $43.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Ca.Renal Services.Mod Cd | $38.70 | $43.00 | — | — | 10% |
| Calcium blood test, total inpatient CPT 82310 Calcium,Body Fluid | $38.70 | $43.00 | — | — | 10% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $23.40 | $26.00 | — | 73% below | 10% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea | $45.00 | $50.00 | — | 48% below | 10% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (Cea) | $58.50 | $65.00 | — | 33% below | 10% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen | $23.40 | $26.00 | — | — | 10% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea | $45.00 | $50.00 | — | — | 10% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (Cea) | $58.50 | $65.00 | — | — | 10% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Antibody | $15.30 | $17.00 | — | 74% below | 10% |
| Chickenpox (varicella) immunity blood test CPT 86787 Antibody; Varicella Zoster | $44.10 | $49.00 | — | 24% below | 10% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster (Varzo Igg) | $112.50 | $125.00 | — | 94% above | 10% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster (Varzo Igm) | $112.50 | $125.00 | — | 94% above | 10% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Ab-Sendout | $279.90 | $311.00 | — | 384% above | 10% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Antibody | $15.30 | $17.00 | — | — | 10% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Antibody; Varicella Zoster | $44.10 | $49.00 | — | — | 10% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster (Varzo Igg) | $112.50 | $125.00 | — | — | 10% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster (Varzo Igm) | $112.50 | $125.00 | — | — | 10% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Ab-Sendout | $279.90 | $311.00 | — | — | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach Dna Amp Probe | $43.20 | $48.00 | — | 53% below | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.Trachomatis Amp Probe.M81096 | $82.80 | $92.00 | — | 10% below | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna Probe.Cpg,Cpu | $87.30 | $97.00 | — | 5% below | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach Dna Amp Probe | $43.20 | $48.00 | — | — | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.Trachomatis Amp Probe.M81096 | $82.80 | $92.00 | — | — | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Dna Probe.Cpg,Cpu | $87.30 | $97.00 | — | — | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $36.90 | $41.00 | — | 30% below | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $36.90 | $41.00 | — | — | 10% |
| Complete blood count (CBC) with differential CPT 85025 Complete Cbc Wauto Diff Wbc | $9.00 | $10.00 | — | 75% below | 10% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count | $24.30 | $27.00 | — | 33% below | 10% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count Mayo | $24.30 | $27.00 | — | 33% below | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Cbc Wauto Diff Wbc | $9.00 | $10.00 | — | — | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count Mayo | $24.30 | $27.00 | — | — | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count | $24.30 | $27.00 | — | — | 10% |
| Complete blood count (CBC), no differential CPT 85027 Complete Cbc Automated | $7.20 | $8.00 | — | 79% below | 10% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Without Diff | $18.90 | $21.00 | — | 44% below | 10% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Cbc Automated | $7.20 | $8.00 | — | — | 10% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Without Diff | $18.90 | $21.00 | — | — | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehen Metabolic Panel | $12.60 | $14.00 | — | 80% below | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $66.60 | $74.00 | — | 5% above | 10% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel | $12.60 | $14.00 | — | — | 10% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $66.60 | $74.00 | — | — | 10% |
| Cortisol blood test, total CPT 82533 Cortisol 30 Min - Acth Stim Lo | $42.30 | $47.00 | — | 42% below | 10% |
| Cortisol blood test, total CPT 82533 Cortisol, Total | $45.00 | $50.00 | — | 38% below | 10% |
| Cortisol blood test, total CPT 82533 Cortisol.M8545 | $73.80 | $82.00 | — | 2% above | 10% |
| Cortisol blood test, total CPT 82533 *Cortisol.Corts | $100.80 | $112.00 | — | 39% above | 10% |
| Cortisol blood test, total CPT 82533 Cortisol | $130.50 | $145.00 | — | 80% above | 10% |
| Cortisol blood test, total CPT 82533 Total Cortisol | $132.30 | $147.00 | — | 83% above | 10% |
| Cortisol blood test, total CPT 82533 *Cortisol.Corst | $179.10 | $199.00 | — | 147% above | 10% |
| Cortisol blood test, total CPT 82533 *Cortisol.Corst (2) | $179.10 | $199.00 | — | 147% above | 10% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 30 Min - Acth Stim Lo | $42.30 | $47.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, Total | $45.00 | $50.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol.M8545 | $73.80 | $82.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 *Cortisol.Corts | $100.80 | $112.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol | $130.50 | $145.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 Total Cortisol | $132.30 | $147.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 *Cortisol.Corst (2) | $179.10 | $199.00 | — | — | 10% |
| Cortisol blood test, total inpatient CPT 82533 *Cortisol.Corst | $179.10 | $199.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 Assay Of Ck Cpk | $7.20 | $8.00 | — | 80% below | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk | $18.00 | $20.00 | — | 49% below | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 Ck-Cpkr | $18.00 | $20.00 | — | 49% below | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk Total.M80906 | $38.70 | $43.00 | — | 9% above | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Ck) | $48.60 | $54.00 | — | 37% above | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk.Renal Services.Mod Cf | $81.90 | $91.00 | — | 131% above | 10% |
| Creatine kinase (CK) blood test, total CPT 82550 *Ck Total | $185.40 | $206.00 | — | 424% above | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay Of Ck Cpk | $7.20 | $8.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Ck-Cpkr | $18.00 | $20.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk | $18.00 | $20.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk Total.M80906 | $38.70 | $43.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (Ck) | $48.60 | $54.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk.Renal Services.Mod Cf | $81.90 | $91.00 | — | — | 10% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 *Ck Total | $185.40 | $206.00 | — | — | 10% |
| Creatinine blood test CPT 82565 Assay Of Creatinine | $6.30 | $7.00 | — | 74% below | 10% |
| Creatinine blood test CPT 82565 Creatinine,Serum:Bmpw | $8.10 | $9.00 | — | 67% below | 10% |
| Creatinine blood test CPT 82565 Creatinine,Serum:Cmp | $8.10 | $9.00 | — | 67% below | 10% |
| Creatinine blood test CPT 82565 Creatinine,Istat | $12.60 | $14.00 | — | 49% below | 10% |
| Creatinine blood test CPT 82565 Creatinine, Serum | $12.60 | $14.00 | — | 49% below | 10% |
| Creatinine blood test CPT 82565 Creatinine-Ist8 | $44.10 | $49.00 | — | 79% above | 10% |
| Creatinine blood test CPT 82565 Creat (Chem 9) | $44.10 | $49.00 | — | 79% above | 10% |
| Creatinine blood test CPT 82565 Cret (Chem 7) | $44.10 | $49.00 | — | 79% above | 10% |
| Creatinine blood test CPT 82565 Cret.Renal Services.Mod Cd | $44.10 | $49.00 | — | 79% above | 10% |
| Creatinine blood test CPT 82565 Creatinine Serum 2 Hr | $44.10 | $49.00 | — | 79% above | 10% |
| Creatinine blood test inpatient CPT 82565 Assay Of Creatinine | $6.30 | $7.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creatinine,Serum:Bmpw | $8.10 | $9.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creatinine,Serum:Cmp | $8.10 | $9.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creatinine,Istat | $12.60 | $14.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creatinine, Serum | $12.60 | $14.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Cret (Chem 7) | $44.10 | $49.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creatinine-Ist8 | $44.10 | $49.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creatinine Serum 2 Hr | $44.10 | $49.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Creat (Chem 9) | $44.10 | $49.00 | — | — | 10% |
| Creatinine blood test inpatient CPT 82565 Cret.Renal Services.Mod Cd | $44.10 | $49.00 | — | — | 10% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody | $16.20 | $18.00 | — | 76% below | 10% |
| Cytomegalovirus (CMV) antibody test CPT 86644 *Cytomegalovirus Ab | $27.90 | $31.00 | — | 59% below | 10% |
| Cytomegalovirus (CMV) antibody test CPT 86644 *Cmv Anitbody Igg | $33.30 | $37.00 | — | 52% below | 10% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Ab Igg | $58.50 | $65.00 | — | 15% below | 10% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody | $16.20 | $18.00 | — | — | 10% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 *Cytomegalovirus Ab | $27.90 | $31.00 | — | — | 10% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 *Cmv Anitbody Igg | $33.30 | $37.00 | — | — | 10% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Ab Igg | $58.50 | $65.00 | — | — | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradation Quant | $12.60 | $14.00 | — | 82% below | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Alupp | $62.10 | $69.00 | — | 11% below | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 *Fibrin Degr Products,Ddim Qnt | $109.80 | $122.00 | — | 58% above | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer,Quantitative.Dim | $121.50 | $135.00 | — | 75% above | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 *Fdp,Ddimer Quantitative | $126.00 | $140.00 | — | 81% above | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 *Fibrin Degrad, Ddim, Quant | $139.50 | $155.00 | — | 100% above | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Degradation Quant | $12.60 | $14.00 | — | — | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Alupp | $62.10 | $69.00 | — | — | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 *Fibrin Degr Products,Ddim Qnt | $109.80 | $122.00 | — | — | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer,Quantitative.Dim | $121.50 | $135.00 | — | — | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 *Fdp,Ddimer Quantitative | $126.00 | $140.00 | — | — | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 *Fibrin Degrad, Ddim, Quant | $139.50 | $155.00 | — | — | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone | $27.90 | $31.00 | — | 72% below | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate | $132.30 | $147.00 | — | 33% above | 10% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone | $27.90 | $31.00 | — | — | 10% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate | $132.30 | $147.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Coll Only Non Dot | $27.00 | $30.00 | — | 72% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Scr.Occh.10 Panel.Ohdr10 | $39.60 | $44.00 | — | 59% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen,9 Panel | $39.60 | $44.00 | — | 59% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Expanded Drug Screen,10 Panel | $40.50 | $45.00 | — | 58% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nida Drug Screen | $49.50 | $55.00 | — | 48% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Scrn,Qual Each.Oxyc | $68.40 | $76.00 | — | 28% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen,Qual,Multiple Drug | $77.40 | $86.00 | — | 19% below | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs Of Abuse Screen, Serum | $207.00 | $230.00 | — | 117% above | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr | $247.50 | $275.00 | — | 159% above | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 7 Panel Drug Screen | $280.80 | $312.00 | — | 194% above | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Umbilic | $493.20 | $548.00 | — | 416% above | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen,Qual,Multi 10 Pnl | $530.10 | $589.00 | — | 455% above | 10% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen,Qual,Multi 11 Panl | $609.30 | $677.00 | — | 538% above | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Coll Only Non Dot | $27.00 | $30.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen,9 Panel | $39.60 | $44.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Scr.Occh.10 Panel.Ohdr10 | $39.60 | $44.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Expanded Drug Screen,10 Panel | $40.50 | $45.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nida Drug Screen | $49.50 | $55.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Scrn,Qual Each.Oxyc | $68.40 | $76.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen,Qual,Multiple Drug | $77.40 | $86.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs Of Abuse Screen, Serum | $207.00 | $230.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Anlyzr | $247.50 | $275.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 7 Panel Drug Screen | $280.80 | $312.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Umbilic | $493.20 | $548.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen,Qual,Multi 10 Pnl | $530.10 | $589.00 | — | — | 10% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen,Qual,Multi 11 Panl | $609.30 | $677.00 | — | — | 10% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $18.90 | $21.00 | — | 60% below | 10% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $18.90 | $21.00 | — | — | 10% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Capsid Vca | $22.50 | $25.00 | — | 65% below | 10% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Vca | $59.40 | $66.00 | — | 9% below | 10% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Capsid Igg | $71.10 | $79.00 | — | 9% above | 10% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Capsid Igm | $71.10 | $79.00 | — | 9% above | 10% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Capsid Vca | $22.50 | $25.00 | — | — | 10% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Vca | $59.40 | $66.00 | — | — | 10% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Capsid Igg | $71.10 | $79.00 | — | — | 10% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Capsid Igm | $71.10 | $79.00 | — | — | 10% |
| Estradiol blood test CPT 82670 Assay Of Total Estradiol | $35.10 | $39.00 | — | 69% below | 10% |
| Estradiol blood test CPT 82670 *Estradiol Total.M84230 | $54.00 | $60.00 | — | 52% below | 10% |
| Estradiol blood test CPT 82670 Estradiol Total | $336.60 | $374.00 | — | 201% above | 10% |
| Estradiol blood test inpatient CPT 82670 Assay Of Total Estradiol | $35.10 | $39.00 | — | — | 10% |
| Estradiol blood test inpatient CPT 82670 *Estradiol Total.M84230 | $54.00 | $60.00 | — | — | 10% |
| Estradiol blood test inpatient CPT 82670 Estradiol Total | $336.60 | $374.00 | — | — | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay Of Gonadotropin Fsh | $23.40 | $26.00 | — | 73% below | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $110.70 | $123.00 | — | 29% above | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Hormone Bld | $110.70 | $123.00 | — | 29% above | 10% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay Of Gonadotropin Fsh | $23.40 | $26.00 | — | — | 10% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh | $110.70 | $123.00 | — | — | 10% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stim Hormone Bld | $110.70 | $123.00 | — | — | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Assay For Calprotectin Fecal | $24.30 | $27.00 | — | 84% below | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin,Fecal.Misc | $170.10 | $189.00 | — | 14% above | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin; Fecal | $479.70 | $533.00 | — | 221% above | 10% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay For Calprotectin Fecal | $24.30 | $27.00 | — | — | 10% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin,Fecal.Misc | $170.10 | $189.00 | — | — | 10% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin; Fecal | $479.70 | $533.00 | — | — | 10% |
| Ferritin blood test (iron stores) CPT 82728 Assay Of Ferritin | $15.30 | $17.00 | — | 80% below | 10% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $34.20 | $38.00 | — | 55% below | 10% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (Sickle Hgbopathy) | $63.90 | $71.00 | — | 16% below | 10% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin.M8689 | $81.90 | $91.00 | — | 8% above | 10% |
| Ferritin blood test (iron stores) CPT 82728 *Ferritin;Thal & Hgbpathy Eval | $138.60 | $154.00 | — | 82% above | 10% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay Of Ferritin | $15.30 | $17.00 | — | — | 10% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $34.20 | $38.00 | — | — | 10% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (Sickle Hgbopathy) | $63.90 | $71.00 | — | — | 10% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin.M8689 | $81.90 | $91.00 | — | — | 10% |
| Ferritin blood test (iron stores) inpatient CPT 82728 *Ferritin;Thal & Hgbpathy Eval | $138.60 | $154.00 | — | — | 10% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity (Ckteg) | $50.40 | $56.00 | — | 12% above | 10% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity2 Ckteg | $50.40 | $56.00 | — | 12% above | 10% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity2 Crtteg | $61.20 | $68.00 | — | 36% above | 10% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity Crtteg | $61.20 | $68.00 | — | 36% above | 10% |
| Fibrinogen blood test CPT 85384 Fibrinogen; Activity | $90.90 | $101.00 | — | 102% above | 10% |
| Fibrinogen blood test CPT 85384 *Fibrinogen Activity | $104.40 | $116.00 | — | 132% above | 10% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $105.30 | $117.00 | — | 134% above | 10% |
| Fibrinogen blood test CPT 85384 *Fibrinogen Activ (Hypercoag) | $116.10 | $129.00 | — | 158% above | 10% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity (Ckteg) | $50.40 | $56.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity2 Ckteg | $50.40 | $56.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity Crtteg | $61.20 | $68.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity2 Crtteg | $61.20 | $68.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen; Activity | $90.90 | $101.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 *Fibrinogen Activity | $104.40 | $116.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity | $105.30 | $117.00 | — | — | 10% |
| Fibrinogen blood test inpatient CPT 85384 *Fibrinogen Activ (Hypercoag) | $116.10 | $129.00 | — | — | 10% |
| Folate (folic acid) blood test CPT 82746 Assay Of Folic Acid Serum | $18.00 | $20.00 | — | 73% below | 10% |
| Folate (folic acid) blood test CPT 82746 Folic Acid; Serum | $41.40 | $46.00 | — | 39% below | 10% |
| Folate (folic acid) blood test inpatient CPT 82746 Assay Of Folic Acid Serum | $18.00 | $20.00 | — | — | 10% |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid; Serum | $41.40 | $46.00 | — | — | 10% |
| Free T3 thyroid hormone test CPT 84481 Free Assay Ft-3 | $21.60 | $24.00 | — | 72% below | 10% |
| Free T3 thyroid hormone test CPT 84481 T3 Free,Triiodothyronine | $113.40 | $126.00 | — | 49% above | 10% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3 Free So | $266.40 | $296.00 | — | 250% above | 10% |
| Free T3 thyroid hormone test inpatient CPT 84481 Free Assay Ft-3 | $21.60 | $24.00 | — | — | 10% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free,Triiodothyronine | $113.40 | $126.00 | — | — | 10% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine T3 Free So | $266.40 | $296.00 | — | — | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay Of Free Thyroxine | $10.80 | $12.00 | — | 75% below | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4.Mayo Reflx Test | $17.10 | $19.00 | — | 60% below | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $23.40 | $26.00 | — | 45% below | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4.M8725 | $35.10 | $39.00 | — | 17% below | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Frt4D-Assay Of Free Thyroxine | $105.30 | $117.00 | — | 148% above | 10% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay Of Free Thyroxine | $10.80 | $12.00 | — | — | 10% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4.Mayo Reflx Test | $17.10 | $19.00 | — | — | 10% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free | $23.40 | $26.00 | — | — | 10% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4.M8725 | $35.10 | $39.00 | — | — | 10% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Frt4D-Assay Of Free Thyroxine | $105.30 | $117.00 | — | — | 10% |
| Free testosterone test CPT 84402 Assay Of Free Testosterone | $31.50 | $35.00 | — | 68% below | 10% |
| Free testosterone test CPT 84402 Testosterone, Free Bld | $104.40 | $116.00 | — | 7% above | 10% |
| Free testosterone test inpatient CPT 84402 Assay Of Free Testosterone | $31.50 | $35.00 | — | — | 10% |
| Free testosterone test inpatient CPT 84402 Testosterone, Free Bld | $104.40 | $116.00 | — | — | 10% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase,Gamma Ggt | $28.80 | $32.00 | — | 32% below | 10% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay Of Ggt | $42.30 | $47.00 | — | 1% below | 10% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt Assay - Fibro | $94.50 | $105.00 | — | 122% above | 10% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase,Gamma(Ggt) | $128.70 | $143.00 | — | 202% above | 10% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt.Renal Services.Mod Cf | $128.70 | $143.00 | — | 202% above | 10% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase,Gamma Ggt | $28.80 | $32.00 | — | — | 10% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay Of Ggt | $42.30 | $47.00 | — | — | 10% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt Assay - Fibro | $94.50 | $105.00 | — | — | 10% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase,Gamma(Ggt) | $128.70 | $143.00 | — | — | 10% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt.Renal Services.Mod Cf | $128.70 | $143.00 | — | — | 10% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $109.80 | $122.00 | — | 50% below | 10% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $109.80 | $122.00 | — | — | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Test | $5.40 | $6.00 | — | 86% below | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, Post Gl | $92.70 | $103.00 | — | 141% above | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Test | $5.40 | $6.00 | — | — | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, Post Gl | $92.70 | $103.00 | — | — | 10% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test Gtt | $15.30 | $17.00 | — | 77% below | 10% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 6 Hr | $159.30 | $177.00 | — | 137% above | 10% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 4 Hr | $191.70 | $213.00 | — | 185% above | 10% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 5 Hr | $191.70 | $213.00 | — | 185% above | 10% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2 Hr | $199.80 | $222.00 | — | 197% above | 10% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hr | $199.80 | $222.00 | — | 197% above | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test Gtt | $15.30 | $17.00 | — | — | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 6 Hr | $159.30 | $177.00 | — | — | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 4 Hr | $191.70 | $213.00 | — | — | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 5 Hr | $191.70 | $213.00 | — | — | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2 Hr | $199.80 | $222.00 | — | — | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Hr | $199.80 | $222.00 | — | — | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae Dna Amp Prob | $43.20 | $48.00 | — | 54% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Amp Probe M84465 | $55.80 | $62.00 | — | 40% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae,Amp Prbe | $82.80 | $92.00 | — | 11% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Dna Probe.Gcg,Gcu | $87.30 | $97.00 | — | 6% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae Dna Amp Prob | $43.20 | $48.00 | — | — | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea Amp Probe M84465 | $55.80 | $62.00 | — | — | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae,Amp Prbe | $82.80 | $92.00 | — | — | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gc Dna Probe.Gcg,Gcu | $87.30 | $97.00 | — | — | 10% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody | $21.60 | $24.00 | — | 71% below | 10% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody | $21.60 | $24.00 | — | — | 10% |
| H. pylori stool antigen test CPT 87338 Hpylori Stool Ia | $16.20 | $18.00 | — | 77% below | 10% |
| H. pylori stool antigen test CPT 87338 H Pylori Antigen,Feces | $296.10 | $329.00 | — | 324% above | 10% |
| H. pylori stool antigen test inpatient CPT 87338 Hpylori Stool Ia | $16.20 | $18.00 | — | — | 10% |
| H. pylori stool antigen test inpatient CPT 87338 H Pylori Antigen,Feces | $296.10 | $329.00 | — | — | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quant&Revrse Trnscrpj | $104.40 | $116.00 | — | 71% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv By Pcr | $321.30 | $357.00 | — | 10% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1,Quantification M89402 | $321.30 | $357.00 | — | 10% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quant&Revrse Trnscrpj | $104.40 | $116.00 | — | — | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv By Pcr | $321.30 | $357.00 | — | — | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1,Quantification M89402 | $321.30 | $357.00 | — | — | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1Hiv-2 1 Result Antbdy | $15.30 | $17.00 | — | 75% below | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 *Hiv-1 & Hiv-2 Ab.M9333 | $112.50 | $125.00 | — | 82% above | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1 & Hiv-2 Abs.Hivc | $135.00 | $150.00 | — | 119% above | 10% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1Hiv-2 1 Result Antbdy | $15.30 | $17.00 | — | — | 10% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 *Hiv-1 & Hiv-2 Ab.M9333 | $112.50 | $125.00 | — | — | 10% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1 & Hiv-2 Abs.Hivc | $135.00 | $150.00 | — | — | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag Whiv-1 & Hiv-2 Ab | $29.70 | $33.00 | — | 60% below | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 Hiv-2 Ab | $124.20 | $138.00 | — | 68% above | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag Whiv-1 & Hiv-2 Ab | $29.70 | $33.00 | — | — | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 Hiv-2 Ab | $124.20 | $138.00 | — | — | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test | $11.70 | $13.00 | — | 74% below | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1C | $32.40 | $36.00 | — | 29% below | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test | $11.70 | $13.00 | — | — | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1C | $32.40 | $36.00 | — | — | 10% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $3.27 | $3.63 | — | 80% below | 10% |
| Hemoglobin blood test CPT 85018 Hgb | $6.30 | $7.00 | — | 61% below | 10% |
| Hemoglobin blood test CPT 85018 *Cardiac Chem 8,Hgb.Cc8A,Cc8B | $28.80 | $32.00 | — | 78% above | 10% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $3.27 | $3.63 | — | — | 10% |
| Hemoglobin blood test inpatient CPT 85018 Hgb | $6.30 | $7.00 | — | — | 10% |
| Hemoglobin blood test inpatient CPT 85018 *Cardiac Chem 8,Hgb.Cc8A,Cc8B | $28.80 | $32.00 | — | — | 10% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody Total | $14.40 | $16.00 | — | 73% below | 10% |
| Hepatitis B core antibody test (total) CPT 86704 Hbc Ab,Igg And Igm.M8347 | $265.50 | $295.00 | — | 392% above | 10% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core,Total | $304.20 | $338.00 | — | 464% above | 10% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody Total | $14.40 | $16.00 | — | — | 10% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hbc Ab,Igg And Igm.M8347 | $265.50 | $295.00 | — | — | 10% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core,Total | $304.20 | $338.00 | — | — | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody | $12.60 | $14.00 | — | 74% below | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab Mayo | $196.20 | $218.00 | — | 306% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab.Mayo | $261.00 | $290.00 | — | 440% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab | $298.80 | $332.00 | — | 518% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody | $12.60 | $14.00 | — | — | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab Mayo | $196.20 | $218.00 | — | — | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab.Mayo | $261.00 | $290.00 | — | — | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab | $298.80 | $332.00 | — | — | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Ia | $12.60 | $14.00 | — | 73% below | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag.M9013 | $132.30 | $147.00 | — | 180% above | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 *Hepatitis B Surface Ag.Hbag | $158.40 | $176.00 | — | 235% above | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antige:Ahp | $168.30 | $187.00 | — | 256% above | 10% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Ia | $12.60 | $14.00 | — | — | 10% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag.M9013 | $132.30 | $147.00 | — | — | 10% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 *Hepatitis B Surface Ag.Hbag | $158.40 | $176.00 | — | — | 10% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antige:Ahp | $168.30 | $187.00 | — | — | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test | $16.20 | $18.00 | — | 75% below | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody.Hpcc | $102.60 | $114.00 | — | 60% above | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 Anti - Hcv | $283.50 | $315.00 | — | 343% above | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody:Ahp | $325.80 | $362.00 | — | 409% above | 10% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab Test | $16.20 | $18.00 | — | — | 10% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody.Hpcc | $102.60 | $114.00 | — | — | 10% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Anti - Hcv | $283.50 | $315.00 | — | — | 10% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody:Ahp | $325.80 | $362.00 | — | — | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Revrs Trnscrpj | $51.30 | $57.00 | — | 73% below | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Quantitative Rna | $247.50 | $275.00 | — | 29% above | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C,Quant Pcr/Viral Ld | $371.70 | $413.00 | — | 93% above | 10% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj | $51.30 | $57.00 | — | — | 10% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Quantitative Rna | $247.50 | $275.00 | — | — | 10% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C,Quant Pcr/Viral Ld | $371.70 | $413.00 | — | — | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 Test | $15.30 | $17.00 | — | 74% below | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 *Her Simplex Type I Ab.M8762 | $23.40 | $26.00 | — | 60% below | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 *Herpes Simplex Type 1.Torch | $26.10 | $29.00 | — | 56% below | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 *Hsv1 Torch Igg M83304 | $30.60 | $34.00 | — | 48% below | 10% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Type 1 Test | $15.30 | $17.00 | — | — | 10% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 *Her Simplex Type I Ab.M8762 | $23.40 | $26.00 | — | — | 10% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 *Herpes Simplex Type 1.Torch | $26.10 | $29.00 | — | — | 10% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 *Hsv1 Torch Igg M83304 | $30.60 | $34.00 | — | — | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Test | $24.30 | $27.00 | — | 63% below | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 *Herp Simplex Type Ii Ab.M8762 | $34.20 | $38.00 | — | 48% below | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 *Herpes Simplex Type Ii.Torch | $37.80 | $42.00 | — | 43% below | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 *Hsvii Torch Igg M83304 | $44.10 | $49.00 | — | 33% below | 10% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Type 2 Test | $24.30 | $27.00 | — | — | 10% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 *Herp Simplex Type Ii Ab.M8762 | $34.20 | $38.00 | — | — | 10% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 *Herpes Simplex Type Ii.Torch | $37.80 | $42.00 | — | — | 10% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 *Hsvii Torch Igg M83304 | $44.10 | $49.00 | — | — | 10% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein Hs | $15.30 | $17.00 | — | 77% below | 10% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Prot,Hs.Crphs | $81.90 | $91.00 | — | 21% above | 10% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein Hs | $15.30 | $17.00 | — | — | 10% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Prot,Hs.Crphs | $81.90 | $91.00 | — | — | 10% |
| Homocysteine blood test CPT 83090 Assay Of Homocystine | $22.50 | $25.00 | — | 72% below | 10% |
| Homocysteine blood test CPT 83090 Homocysteine | $87.30 | $97.00 | — | 8% above | 10% |
| Homocysteine blood test inpatient CPT 83090 Assay Of Homocystine | $22.50 | $25.00 | — | — | 10% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine | $87.30 | $97.00 | — | — | 10% |
| Insulin blood test CPT 83525 Assay Of Insulin | $13.50 | $15.00 | — | 74% below | 10% |
| Insulin blood test CPT 83525 Insulin Level | $67.50 | $75.00 | — | 31% above | 10% |
| Insulin blood test CPT 83525 Insulin; Total | $119.70 | $133.00 | — | 133% above | 10% |
| Insulin blood test CPT 83525 Insulin,Total 2 Hr | $119.70 | $133.00 | — | 133% above | 10% |
| Insulin blood test inpatient CPT 83525 Assay Of Insulin | $13.50 | $15.00 | — | — | 10% |
| Insulin blood test inpatient CPT 83525 Insulin Level | $67.50 | $75.00 | — | — | 10% |
| Insulin blood test inpatient CPT 83525 Insulin; Total | $119.70 | $133.00 | — | — | 10% |
| Insulin blood test inpatient CPT 83525 Insulin,Total 2 Hr | $119.70 | $133.00 | — | — | 10% |
| Iron blood test (serum iron) CPT 83540 Assay Of Iron | $7.20 | $8.00 | — | 81% below | 10% |
| Iron blood test (serum iron) CPT 83540 Iron | $16.20 | $18.00 | — | 57% below | 10% |
| Iron blood test (serum iron) CPT 83540 Iron Liver Tissue.M8350 | $52.20 | $58.00 | — | 37% above | 10% |
| Iron blood test (serum iron) inpatient CPT 83540 Assay Of Iron | $7.20 | $8.00 | — | — | 10% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $16.20 | $18.00 | — | — | 10% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Liver Tissue.M8350 | $52.20 | $58.00 | — | — | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Test | $10.80 | $12.00 | — | 72% below | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 *Binding Capacity Ticb,M9412 | $36.90 | $41.00 | — | 5% below | 10% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Test | $10.80 | $12.00 | — | — | 10% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 *Binding Capacity Ticb,M9412 | $36.90 | $41.00 | — | — | 10% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $47.70 | $53.00 | — | 34% below | 10% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $47.70 | $53.00 | — | — | 10% |
| LH (luteinizing hormone) test CPT 83002 Assay Of Gonadotropin Lh | $23.40 | $26.00 | — | 76% below | 10% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $144.90 | $161.00 | — | 52% above | 10% |
| LH (luteinizing hormone) test inpatient CPT 83002 Assay Of Gonadotropin Lh | $23.40 | $26.00 | — | — | 10% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $144.90 | $161.00 | — | — | 10% |
| Lactate (lactic acid) blood test CPT 83605 Assay Of Lactic Acid | $13.50 | $15.00 | — | 74% below | 10% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $86.40 | $96.00 | — | 66% above | 10% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Csf | $132.30 | $147.00 | — | 154% above | 10% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Fluid | $132.30 | $147.00 | — | 154% above | 10% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Serum | $132.30 | $147.00 | — | 154% above | 10% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Bedside | $150.30 | $167.00 | — | 189% above | 10% |
| Lactate (lactic acid) blood test CPT 83605 Assay Of Lactic Acid V/Abglac | $150.30 | $167.00 | — | 189% above | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay Of Lactic Acid | $13.50 | $15.00 | — | — | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $86.40 | $96.00 | — | — | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Serum | $132.30 | $147.00 | — | — | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Fluid | $132.30 | $147.00 | — | — | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Csf | $132.30 | $147.00 | — | — | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Bedside | $150.30 | $167.00 | — | — | 10% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay Of Lactic Acid V/Abglac | $150.30 | $167.00 | — | — | 10% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Ld Ldh Enzyme | $7.20 | $8.00 | — | 74% below | 10% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh | $18.00 | $20.00 | — | 34% below | 10% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh.Renal Services.Mod Cd | $89.10 | $99.00 | — | 226% above | 10% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Fluid | $89.10 | $99.00 | — | 226% above | 10% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Body Fluid - Send Out | $146.70 | $163.00 | — | 437% above | 10% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Ld Ldh Enzyme | $7.20 | $8.00 | — | — | 10% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh | $18.00 | $20.00 | — | — | 10% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Fluid | $89.10 | $99.00 | — | — | 10% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh.Renal Services.Mod Cd | $89.10 | $99.00 | — | — | 10% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Body Fluid - Send Out | $146.70 | $163.00 | — | — | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay Of Lipase | $8.10 | $9.00 | — | 86% below | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase.M90347 | $63.00 | $70.00 | — | 8% above | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $122.40 | $136.00 | — | 110% above | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Fluid | $122.40 | $136.00 | — | 110% above | 10% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay Of Lipase | $8.10 | $9.00 | — | — | 10% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase.M90347 | $63.00 | $70.00 | — | — | 10% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $122.40 | $136.00 | — | — | 10% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Fluid | $122.40 | $136.00 | — | — | 10% |
| Liver function blood test panel CPT 80076 Hepatic Panel | $33.30 | $37.00 | — | 45% below | 10% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Panel | $33.30 | $37.00 | — | — | 10% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody | $21.60 | $24.00 | — | 72% below | 10% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi.Lyme | $45.90 | $51.00 | — | 40% below | 10% |
| Lyme disease antibody test CPT 86618 *Borrelia Burgdorferi.M80294 | $108.00 | $120.00 | — | 41% above | 10% |
| Lyme disease antibody test CPT 86618 *Borrelia Burgdorferi Igg Igm | $109.80 | $122.00 | — | 43% above | 10% |
| Lyme disease antibody test CPT 86618 *Test Lyme Titer .M90522 | $134.10 | $149.00 | — | 75% above | 10% |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology.M82516 | $179.10 | $199.00 | — | 134% above | 10% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody | $21.60 | $24.00 | — | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 Borrelia Burgdorferi.Lyme | $45.90 | $51.00 | — | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 *Borrelia Burgdorferi.M80294 | $108.00 | $120.00 | — | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 *Borrelia Burgdorferi Igg Igm | $109.80 | $122.00 | — | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 *Test Lyme Titer .M90522 | $134.10 | $149.00 | — | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology.M82516 | $179.10 | $199.00 | — | — | 10% |
| Magnesium blood test CPT 83735 *Magnesium,Urine.Umg,Umgr | $75.60 | $84.00 | — | 124% above | 10% |
| Magnesium blood test CPT 83735 Urine Magnesium Random | $75.60 | $84.00 | — | 124% above | 10% |
| Magnesium blood test CPT 83735 Magnesium | $79.20 | $88.00 | — | 134% above | 10% |
| Magnesium blood test CPT 83735 Assay Of Magnesium | $86.40 | $96.00 | — | 156% above | 10% |
| Magnesium blood test inpatient CPT 83735 *Magnesium,Urine.Umg,Umgr | $75.60 | $84.00 | — | — | 10% |
| Magnesium blood test inpatient CPT 83735 Urine Magnesium Random | $75.60 | $84.00 | — | — | 10% |
| Magnesium blood test inpatient CPT 83735 Magnesium | $79.20 | $88.00 | — | — | 10% |
| Magnesium blood test inpatient CPT 83735 Assay Of Magnesium | $86.40 | $96.00 | — | — | 10% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibody | $15.30 | $17.00 | — | 73% below | 10% |
| Measles (rubeola) antibody test CPT 86765 Antibody; Rubeola | $41.40 | $46.00 | — | 28% below | 10% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab,Igg.M8763 | $49.50 | $55.00 | — | 13% below | 10% |
| Measles (rubeola) antibody test CPT 86765 *Rubeola Antibody,Igm.M8763 | $66.60 | $74.00 | — | 17% above | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody | $15.30 | $17.00 | — | — | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 Antibody; Rubeola | $41.40 | $46.00 | — | — | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab,Igg.M8763 | $49.50 | $55.00 | — | — | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 *Rubeola Antibody,Igm.M8763 | $66.60 | $74.00 | — | — | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody Screen | $6.30 | $7.00 | — | 88% below | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test | $23.40 | $26.00 | — | 56% below | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophil Antibody | $59.40 | $66.00 | — | 12% above | 10% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody Screen | $6.30 | $7.00 | — | — | 10% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test | $23.40 | $26.00 | — | — | 10% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophil Antibody | $59.40 | $66.00 | — | — | 10% |
| Mumps immunity blood test CPT 86735 Mumps Antibody | $15.30 | $17.00 | — | 74% below | 10% |
| Mumps immunity blood test CPT 86735 Mumps Igg Ab | $90.90 | $101.00 | — | 55% above | 10% |
| Mumps immunity blood test CPT 86735 Mumps Igm Ab | $90.90 | $101.00 | — | 55% above | 10% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies | $108.90 | $121.00 | — | 86% above | 10% |
| Mumps immunity blood test CPT 86735 Mumps Ab Igg&Igm | $108.90 | $121.00 | — | 86% above | 10% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibody | $15.30 | $17.00 | — | — | 10% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igm Ab | $90.90 | $101.00 | — | — | 10% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igg Ab | $90.90 | $101.00 | — | — | 10% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies | $108.90 | $121.00 | — | — | 10% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Ab Igg&Igm | $108.90 | $121.00 | — | — | 10% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $59.40 | $66.00 | — | 72% below | 10% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel | $59.40 | $66.00 | — | — | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay Of Psa Free | $23.40 | $26.00 | — | 72% below | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa.Freps | $104.40 | $116.00 | — | 26% above | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa, Hybritech | $185.40 | $206.00 | — | 125% above | 10% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay Of Psa Free | $23.40 | $26.00 | — | — | 10% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa.Freps | $104.40 | $116.00 | — | — | 10% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa, Hybritech | $185.40 | $206.00 | — | — | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay Of Psa Total | $23.40 | $26.00 | — | 70% below | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa,Total Diagnostic.Psa | $45.90 | $51.00 | — | 42% below | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa.Freps | $50.40 | $56.00 | — | 36% below | 10% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay Of Psa Total | $23.40 | $26.00 | — | — | 10% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa,Total Diagnostic.Psa | $45.90 | $51.00 | — | — | 10% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa.Freps | $50.40 | $56.00 | — | — | 10% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath Cv Auto Fluid Redo | $32.40 | $36.00 | — | 67% below | 10% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath Cv Auto Fluid Redo | $32.40 | $36.00 | — | — | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath Cv Thin Layer | $25.20 | $28.00 | — | 72% below | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thinprep Pap Diag Mayo | $101.70 | $113.00 | — | 12% above | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath Cv Thin Layer | $25.20 | $28.00 | — | — | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thinprep Pap Diag Mayo | $101.70 | $113.00 | — | — | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay Of Parathormone | $50.40 | $56.00 | — | 64% below | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone.M86157 | $54.00 | $60.00 | — | 62% below | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone,Intact | $192.60 | $214.00 | — | 36% above | 10% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay Of Parathormone | $50.40 | $56.00 | — | — | 10% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone.M86157 | $54.00 | $60.00 | — | — | 10% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone,Intact | $192.60 | $214.00 | — | — | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt | $15.30 | $17.00 | — | 59% below | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 *Lupus Anti-Coagulant-Ptt.M552 | $55.80 | $62.00 | — | 49% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 *Thromboplastin Time; Ptt | $64.80 | $72.00 | — | 73% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 *Thromboplastin Time;Ptt | $74.70 | $83.00 | — | 99% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial | $74.70 | $83.00 | — | 99% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 *Thromboplastin,Partial Ptt | $81.90 | $91.00 | — | 118% above | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt | $15.30 | $17.00 | — | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 *Lupus Anti-Coagulant-Ptt.M552 | $55.80 | $62.00 | — | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 *Thromboplastin Time; Ptt | $64.80 | $72.00 | — | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 *Thromboplastin Time;Ptt | $74.70 | $83.00 | — | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial | $74.70 | $83.00 | — | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 *Thromboplastin,Partial Ptt | $81.90 | $91.00 | — | — | 10% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus, Serum | $11.70 | $13.00 | — | 67% below | 10% |
| Phosphorus (phosphate) blood test CPT 84100 Phos.Renal Services.Mod Cd | $36.00 | $40.00 | — | 1% above | 10% |
| Phosphorus (phosphate) blood test CPT 84100 Assay Of Phosphorus | $61.20 | $68.00 | — | 71% above | 10% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus, Serum | $11.70 | $13.00 | — | — | 10% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phos.Renal Services.Mod Cd | $36.00 | $40.00 | — | — | 10% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Assay Of Phosphorus | $61.20 | $68.00 | — | — | 10% |
| Potassium blood test CPT 84132 Assay Of Serum Potassium | $5.40 | $6.00 | — | 77% below | 10% |
| Potassium blood test CPT 84132 Potassium (K):Cmp | $8.10 | $9.00 | — | 65% below | 10% |
| Potassium blood test CPT 84132 Potassium (K):Bmpw | $8.10 | $9.00 | — | 65% below | 10% |
| Potassium blood test CPT 84132 K.Ist4 | $10.80 | $12.00 | — | 54% below | 10% |
| Potassium blood test CPT 84132 Potassium (K) | $11.70 | $13.00 | — | 50% below | 10% |
| Potassium blood test CPT 84132 *Cardiac Chem 8,K.Cc8A,Cc8B | $32.40 | $36.00 | — | 39% above | 10% |
| Potassium blood test CPT 84132 Potassium-Renal Svc.Mod Cd | $45.00 | $50.00 | — | 93% above | 10% |
| Potassium blood test CPT 84132 Potassium (K) (Chem 7) | $45.00 | $50.00 | — | 93% above | 10% |
| Potassium blood test CPT 84132 K+;Ser,Plas,Whl Bld-Ist8 | $45.00 | $50.00 | — | 93% above | 10% |
| Potassium blood test CPT 84132 Potassium (Chem 9) | $45.00 | $50.00 | — | 93% above | 10% |
| Potassium blood test CPT 84132 Potassium, Whole Blood | $72.00 | $80.00 | — | 208% above | 10% |
| Potassium blood test inpatient CPT 84132 Assay Of Serum Potassium | $5.40 | $6.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium (K):Bmpw | $8.10 | $9.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium (K):Cmp | $8.10 | $9.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 K.Ist4 | $10.80 | $12.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium (K) | $11.70 | $13.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 *Cardiac Chem 8,K.Cc8A,Cc8B | $32.40 | $36.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium (Chem 9) | $45.00 | $50.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium (K) (Chem 7) | $45.00 | $50.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium-Renal Svc.Mod Cd | $45.00 | $50.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 K+;Ser,Plas,Whl Bld-Ist8 | $45.00 | $50.00 | — | — | 10% |
| Potassium blood test inpatient CPT 84132 Potassium, Whole Blood | $72.00 | $80.00 | — | — | 10% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chrmoml Aneuploidy | $933.30 | $1,037.00 | — | 36% below | 10% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chrmoml Aneuploidy | $933.30 | $1,037.00 | — | — | 10% |
| Progesterone blood test CPT 84144 Assay Of Progesterone | $27.00 | $30.00 | — | 67% below | 10% |
| Progesterone blood test CPT 84144 Progesterone Bld | $93.60 | $104.00 | — | 16% above | 10% |
| Progesterone blood test CPT 84144 Progesterone | $165.60 | $184.00 | — | 104% above | 10% |
| Progesterone blood test inpatient CPT 84144 Assay Of Progesterone | $27.00 | $30.00 | — | — | 10% |
| Progesterone blood test inpatient CPT 84144 Progesterone Bld | $93.60 | $104.00 | — | — | 10% |
| Progesterone blood test inpatient CPT 84144 Progesterone | $165.60 | $184.00 | — | — | 10% |
| Prolactin blood test CPT 84146 Assay Of Prolactin | $24.30 | $27.00 | — | 72% below | 10% |
| Prolactin blood test CPT 84146 *Prolactin 15 Min Trfe | $72.90 | $81.00 | — | 16% below | 10% |
| Prolactin blood test CPT 84146 *Prolactin Baseline Trfe | $72.90 | $81.00 | — | 16% below | 10% |
| Prolactin blood test CPT 84146 *Prolactin 30 Min Trfe | $72.90 | $81.00 | — | 16% below | 10% |
| Prolactin blood test CPT 84146 Prolactin | $79.20 | $88.00 | — | 9% below | 10% |
| Prolactin blood test CPT 84146 Prolactin, Unprecipitate | $88.20 | $98.00 | — | 1% above | 10% |
| Prolactin blood test CPT 84146 *Prolactin Panel.Trfe | $212.40 | $236.00 | — | 144% above | 10% |
| Prolactin blood test CPT 84146 *Prolactin 60 Min.Trfe | $303.30 | $337.00 | — | 248% above | 10% |
| Prolactin blood test CPT 84146 Prolactin 15 Min | $303.30 | $337.00 | — | 248% above | 10% |
| Prolactin blood test CPT 84146 Prolactin 30 Min | $303.30 | $337.00 | — | 248% above | 10% |
| Prolactin blood test inpatient CPT 84146 Assay Of Prolactin | $24.30 | $27.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 *Prolactin 30 Min Trfe | $72.90 | $81.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 *Prolactin Baseline Trfe | $72.90 | $81.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 *Prolactin 15 Min Trfe | $72.90 | $81.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $79.20 | $88.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 Prolactin, Unprecipitate | $88.20 | $98.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 *Prolactin Panel.Trfe | $212.40 | $236.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 Prolactin 30 Min | $303.30 | $337.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 Prolactin 15 Min | $303.30 | $337.00 | — | — | 10% |
| Prolactin blood test inpatient CPT 84146 *Prolactin 60 Min.Trfe | $303.30 | $337.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $18.00 | $20.00 | — | 25% below | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time(Mp).Mppt | $18.00 | $20.00 | — | 25% below | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Protime | $23.40 | $26.00 | — | 3% below | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 *Protime.M552 | $36.00 | $40.00 | — | 50% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pharmacy Prothrombin Time | $40.50 | $45.00 | — | 68% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Phpt Ml | $40.50 | $45.00 | — | 68% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 *Prothrombin Time (Coag Bleed) | $45.90 | $51.00 | — | 91% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 *Prothrombin Time (Proclot) | $48.60 | $54.00 | — | 102% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 *Prothrombin Time (Hypercoag) | $54.00 | $60.00 | — | 125% above | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $18.00 | $20.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time(Mp).Mppt | $18.00 | $20.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime | $23.40 | $26.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *Protime.M552 | $36.00 | $40.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pharmacy Prothrombin Time | $40.50 | $45.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Phpt Ml | $40.50 | $45.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *Prothrombin Time (Coag Bleed) | $45.90 | $51.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *Prothrombin Time (Proclot) | $48.60 | $54.00 | — | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *Prothrombin Time (Hypercoag) | $54.00 | $60.00 | — | — | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Prsmv Dir Opt Obs | $14.40 | $16.00 | — | 75% below | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs | $14.40 | $16.00 | — | — | 10% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Assay Woptic | $21.60 | $24.00 | — | 67% below | 10% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A And B Ag.Inf | $336.60 | $374.00 | — | 413% above | 10% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay Woptic | $21.60 | $24.00 | — | — | 10% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A And B Ag.Inf | $336.60 | $374.00 | — | — | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay Woptic | $21.60 | $24.00 | — | 62% below | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen | $29.70 | $33.00 | — | 48% below | 10% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay Woptic | $21.60 | $24.00 | — | — | 10% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep Screen | $29.70 | $33.00 | — | — | 10% |
| Renin blood test CPT 84244 Assay Of Renin | $27.90 | $31.00 | — | 67% below | 10% |
| Renin blood test CPT 84244 Renin | $72.00 | $80.00 | — | 16% below | 10% |
| Renin blood test inpatient CPT 84244 Assay Of Renin | $27.90 | $31.00 | — | — | 10% |
| Renin blood test inpatient CPT 84244 Renin | $72.00 | $80.00 | — | — | 10% |
| Rh blood typing CPT 86901 Blood Typing;Serologic;Rh | $28.80 | $32.00 | — | 23% below | 10% |
| Rh blood typing inpatient CPT 86901 Blood Typing;Serologic;Rh | $28.80 | $32.00 | — | — | 10% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant | $6.30 | $7.00 | — | 81% below | 10% |
| Rheumatoid factor (RF) test CPT 86431 Ra Factor,Quantitative | $103.50 | $115.00 | — | 212% above | 10% |
| Rheumatoid factor (RF) test CPT 86431 Ra Titer | $218.70 | $243.00 | — | 560% above | 10% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant | $6.30 | $7.00 | — | — | 10% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Ra Factor,Quantitative | $103.50 | $115.00 | — | — | 10% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Ra Titer | $218.70 | $243.00 | — | — | 10% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $16.20 | $18.00 | — | 67% below | 10% |
| Rubella antibody test (immunity check) CPT 86762 *Rubella Ab.Torch | $27.90 | $31.00 | — | 43% below | 10% |
| Rubella antibody test (immunity check) CPT 86762 *Rubella Torch Igg M83304 | $33.30 | $37.00 | — | 32% below | 10% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Titer Igm | $117.90 | $131.00 | — | 140% above | 10% |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $148.50 | $165.00 | — | 202% above | 10% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Ab | $148.50 | $165.00 | — | 202% above | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody | $16.20 | $18.00 | — | — | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 *Rubella Ab.Torch | $27.90 | $31.00 | — | — | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 *Rubella Torch Igg M83304 | $33.30 | $37.00 | — | — | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Titer Igm | $117.90 | $131.00 | — | — | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella | $148.50 | $165.00 | — | — | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg Ab | $148.50 | $165.00 | — | — | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedrate | $11.70 | $13.00 | — | 69% below | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Erythrocyte Sedrate | $11.70 | $13.00 | — | — | 10% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Anal Volcountmot | $14.40 | $16.00 | — | 89% below | 10% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Anal Volcountmot | $14.40 | $16.00 | — | — | 10% |
| Sodium blood test CPT 84295 Assay Of Serum Sodium | $5.40 | $6.00 | — | 80% below | 10% |
| Sodium blood test CPT 84295 Sodium:Bmpw | $8.10 | $9.00 | — | 70% below | 10% |
| Sodium blood test CPT 84295 Sodium:Cmp | $8.10 | $9.00 | — | 70% below | 10% |
| Sodium blood test CPT 84295 Na.Ist4 | $10.80 | $12.00 | — | 60% below | 10% |
| Sodium blood test CPT 84295 Sodium (Na) | $16.20 | $18.00 | — | 40% below | 10% |
| Sodium blood test CPT 84295 Na.Renal Services.Mod Cd | $33.30 | $37.00 | — | 22% above | 10% |
| Sodium blood test CPT 84295 Sodium;Ser,Plas,Whl Bld-Ist8 | $33.30 | $37.00 | — | 22% above | 10% |
| Sodium blood test CPT 84295 Na.Renal Services.Mod Cf | $33.30 | $37.00 | — | 22% above | 10% |
| Sodium blood test CPT 84295 Sodium (Na) (Chem 9) | $33.30 | $37.00 | — | 22% above | 10% |
| Sodium blood test CPT 84295 *Cardiac Chem 8,Na.Cc8A,Cc8B | $33.30 | $37.00 | — | 22% above | 10% |
| Sodium blood test CPT 84295 Sodium (Na) (Chem 7) | $33.30 | $37.00 | — | 22% above | 10% |
| Sodium blood test inpatient CPT 84295 Assay Of Serum Sodium | $5.40 | $6.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Sodium:Cmp | $8.10 | $9.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Sodium:Bmpw | $8.10 | $9.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Na.Ist4 | $10.80 | $12.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Sodium (Na) | $16.20 | $18.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Na.Renal Services.Mod Cf | $33.30 | $37.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Sodium (Na) (Chem 9) | $33.30 | $37.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Sodium (Na) (Chem 7) | $33.30 | $37.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 *Cardiac Chem 8,Na.Cc8A,Cc8B | $33.30 | $37.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Na.Renal Services.Mod Cd | $33.30 | $37.00 | — | — | 10% |
| Sodium blood test inpatient CPT 84295 Sodium;Ser,Plas,Whl Bld-Ist8 | $33.30 | $37.00 | — | — | 10% |
| Stool ova and parasites exam CPT 87177 Ova And Parasites Smears | $10.80 | $12.00 | — | 73% below | 10% |
| Stool ova and parasites exam CPT 87177 *O+P,Direct Smrs,Conc,Id.M9216 | $67.50 | $75.00 | — | 70% above | 10% |
| Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Smears | $10.80 | $12.00 | — | — | 10% |
| Stool ova and parasites exam inpatient CPT 87177 *O+P,Direct Smrs,Conc,Id.M9216 | $67.50 | $75.00 | — | — | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces | $5.40 | $6.00 | — | 81% below | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen.Ocbls | $7.20 | $8.00 | — | 75% below | 10% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces | $5.40 | $6.00 | — | — | 10% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Screen.Ocbls | $7.20 | $8.00 | — | — | 10% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test For Blood Fecal | $20.70 | $23.00 | — | 61% below | 10% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood,Occult,Immunoassay,Ocbl | $36.90 | $41.00 | — | 31% below | 10% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay Test For Blood Fecal | $20.70 | $23.00 | — | — | 10% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood,Occult,Immunoassay,Ocbl | $36.90 | $41.00 | — | — | 10% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum | $15.30 | $17.00 | — | 74% below | 10% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab Nsaip | $46.80 | $52.00 | — | 19% below | 10% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab Syphn | $72.90 | $81.00 | — | 26% above | 10% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Palllidum Syphab | $87.30 | $97.00 | — | 51% above | 10% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Abs(Misc Test) | $95.40 | $106.00 | — | 65% above | 10% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum | $15.30 | $17.00 | — | — | 10% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum Ab Nsaip | $46.80 | $52.00 | — | — | 10% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum Ab Syphn | $72.90 | $81.00 | — | — | 10% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Palllidum Syphab | $87.30 | $97.00 | — | — | 10% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta-Abs(Misc Test) | $95.40 | $106.00 | — | — | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual | $5.40 | $6.00 | — | 77% below | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (Vdrl) | $13.50 | $15.00 | — | 43% below | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf,Qual.Csfvd(M9028) | $46.80 | $52.00 | — | 96% above | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Rpr.Syphab Reflex | $113.40 | $126.00 | — | 375% above | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual | $5.40 | $6.00 | — | — | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr (Vdrl) | $13.50 | $15.00 | — | — | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Csf,Qual.Csfvd(M9028) | $46.80 | $52.00 | — | — | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Rpr.Syphab Reflex | $113.40 | $126.00 | — | — | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Test Cell Immun Measure | $75.60 | $84.00 | — | 35% below | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test,Cell Med Imm | $264.60 | $294.00 | — | 126% above | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb Test Cell Immun Measure | $75.60 | $84.00 | — | — | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis Test,Cell Med Imm | $264.60 | $294.00 | — | — | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay Of Total Testosterone | $31.50 | $35.00 | — | 66% below | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone,Total | $102.60 | $114.00 | — | 11% above | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Bld Total | $102.60 | $114.00 | — | 11% above | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; Total | $182.70 | $203.00 | — | 98% above | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Of Total Testosterone | $31.50 | $35.00 | — | — | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone,Total | $102.60 | $114.00 | — | — | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Bld Total | $102.60 | $114.00 | — | — | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone; Total | $182.70 | $203.00 | — | — | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibody Each | $16.20 | $18.00 | — | 75% below | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibody Each Lkm | $60.30 | $67.00 | — | 7% below | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 *Viral Peroxidase Ab.M86649 | $65.70 | $73.00 | — | 1% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies, Each | $77.40 | $86.00 | — | 19% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antimicrosomal | $108.90 | $121.00 | — | 68% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Group-Microsomal Ab | $113.40 | $126.00 | — | 74% above | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody Each | $16.20 | $18.00 | — | — | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody Each Lkm | $60.30 | $67.00 | — | — | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 *Viral Peroxidase Ab.M86649 | $65.70 | $73.00 | — | — | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibodies, Each | $77.40 | $86.00 | — | — | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antimicrosomal | $108.90 | $121.00 | — | — | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Group-Microsomal Ab | $113.40 | $126.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay Thyroid Stim Hormone | $21.60 | $24.00 | — | 71% below | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Sensitive.Thyfc | $38.70 | $43.00 | — | 49% below | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh | $55.80 | $62.00 | — | 26% below | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Sensitive.M8939 | $71.10 | $79.00 | — | 5% below | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh 60 Min | $205.20 | $228.00 | — | 173% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh 30 Min | $205.20 | $228.00 | — | 173% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh 15 Min | $205.20 | $228.00 | — | 173% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Sensitive.Tshs | $205.20 | $228.00 | — | 173% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay Thyroid Stim Hormone | $21.60 | $24.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Sensitive.Thyfc | $38.70 | $43.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh | $55.80 | $62.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Sensitive.M8939 | $71.10 | $79.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Sensitive.Tshs | $205.20 | $228.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh 60 Min | $205.20 | $228.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh 30 Min | $205.20 | $228.00 | — | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh 15 Min | $205.20 | $228.00 | — | — | 10% |
| Total IgE blood test CPT 82785 Assay Of Ige | $21.60 | $24.00 | — | 65% below | 10% |
| Total IgE blood test CPT 82785 Ige Total | $79.20 | $88.00 | — | 28% above | 10% |
| Total IgE blood test CPT 82785 Gammaglobulin Ige | $81.90 | $91.00 | — | 32% above | 10% |
| Total IgE blood test inpatient CPT 82785 Assay Of Ige | $21.60 | $24.00 | — | — | 10% |
| Total IgE blood test inpatient CPT 82785 Ige Total | $79.20 | $88.00 | — | — | 10% |
| Total IgE blood test inpatient CPT 82785 Gammaglobulin Ige | $81.90 | $91.00 | — | — | 10% |
| Total cholesterol blood test CPT 82465 Assay Bldserum Cholesterol | $5.40 | $6.00 | — | 85% below | 10% |
| Total cholesterol blood test CPT 82465 Cholesterol,Total-Nmr | $5.40 | $6.00 | — | 85% below | 10% |
| Total cholesterol blood test CPT 82465 Cholesterol | $12.60 | $14.00 | — | 66% below | 10% |
| Total cholesterol blood test CPT 82465 Cholesterol; Lipar | $13.50 | $15.00 | — | 63% below | 10% |
| Total cholesterol blood test CPT 82465 *Cholesterol Total.Lippr | $16.20 | $18.00 | — | 56% below | 10% |
| Total cholesterol blood test CPT 82465 Cholesterol,Fingerstick | $41.40 | $46.00 | — | 13% above | 10% |
| Total cholesterol blood test CPT 82465 Chol.Renal Services.Mod Cf | $50.40 | $56.00 | — | 38% above | 10% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol,Total-Nmr | $5.40 | $6.00 | — | — | 10% |
| Total cholesterol blood test inpatient CPT 82465 Assay Bldserum Cholesterol | $5.40 | $6.00 | — | — | 10% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $12.60 | $14.00 | — | — | 10% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol; Lipar | $13.50 | $15.00 | — | — | 10% |
| Total cholesterol blood test inpatient CPT 82465 *Cholesterol Total.Lippr | $16.20 | $18.00 | — | — | 10% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol,Fingerstick | $41.40 | $46.00 | — | — | 10% |
| Total cholesterol blood test inpatient CPT 82465 Chol.Renal Services.Mod Cf | $50.40 | $56.00 | — | — | 10% |
| Total thyroxine (T4) blood test CPT 84436 Assay Of Total Thyroxine | $8.10 | $9.00 | — | 81% below | 10% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine; Total | $59.40 | $66.00 | — | 42% above | 10% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine Total | $90.00 | $100.00 | — | 115% above | 10% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine,Total.T4 | $126.90 | $141.00 | — | 203% above | 10% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Assay Of Total Thyroxine | $8.10 | $9.00 | — | — | 10% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine; Total | $59.40 | $66.00 | — | — | 10% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine Total | $90.00 | $100.00 | — | — | 10% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine,Total.T4 | $126.90 | $141.00 | — | — | 10% |
| Total triiodothyronine (T3) blood test CPT 84480 Assay Triiodothyronine T3 | $16.20 | $18.00 | — | 73% below | 10% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) | $18.00 | $20.00 | — | 70% below | 10% |
| Total triiodothyronine (T3) blood test CPT 84480 Total T3 | $238.50 | $265.00 | — | 297% above | 10% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Assay Triiodothyronine T3 | $16.20 | $18.00 | — | — | 10% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) | $18.00 | $20.00 | — | — | 10% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Total T3 | $238.50 | $265.00 | — | — | 10% |
| Transferrin blood test CPT 84466 Assay Of Transferrin | $14.40 | $16.00 | — | 81% below | 10% |
| Transferrin blood test CPT 84466 Transferrin | $43.20 | $48.00 | — | 42% below | 10% |
| Transferrin blood test CPT 84466 *Transferrin.Tibc | $43.20 | $48.00 | — | 42% below | 10% |
| Transferrin blood test inpatient CPT 84466 Assay Of Transferrin | $14.40 | $16.00 | — | — | 10% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $43.20 | $48.00 | — | — | 10% |
| Transferrin blood test inpatient CPT 84466 *Transferrin.Tibc | $43.20 | $48.00 | — | — | 10% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Ampl Tvu | $87.30 | $97.00 | — | 1% above | 10% |
| Trichomonas test (NAAT) CPT 87661 Inf Ag Detect Trichomonas Vag | $123.30 | $137.00 | — | 43% above | 10% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif | $333.00 | $370.00 | — | 285% above | 10% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Ampl Tvu | $87.30 | $97.00 | — | — | 10% |
| Trichomonas test (NAAT) inpatient CPT 87661 Inf Ag Detect Trichomonas Vag | $123.30 | $137.00 | — | — | 10% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif | $333.00 | $370.00 | — | — | 10% |
| Triglycerides blood test CPT 84478 Assay Of Triglycerides | $6.30 | $7.00 | — | 82% below | 10% |
| Triglycerides blood test CPT 84478 Triglycerides-Nmr | $9.00 | $10.00 | — | 74% below | 10% |
| Triglycerides blood test CPT 84478 Triglycerides-Lipar | $18.00 | $20.00 | — | 48% below | 10% |
| Triglycerides blood test CPT 84478 Triglycerides | $18.90 | $21.00 | — | 45% below | 10% |
| Triglycerides blood test CPT 84478 Triglycerides; Lippr | $21.60 | $24.00 | — | 37% below | 10% |
| Triglycerides blood test CPT 84478 Triglycerides Fluid | $44.10 | $49.00 | — | 28% above | 10% |
| Triglycerides blood test CPT 84478 Trig.Renal Services.Mod Cf | $48.60 | $54.00 | — | 41% above | 10% |
| Triglycerides blood test inpatient CPT 84478 Assay Of Triglycerides | $6.30 | $7.00 | — | — | 10% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides-Nmr | $9.00 | $10.00 | — | — | 10% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides-Lipar | $18.00 | $20.00 | — | — | 10% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $18.90 | $21.00 | — | — | 10% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides; Lippr | $21.60 | $24.00 | — | — | 10% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Fluid | $44.10 | $49.00 | — | — | 10% |
| Triglycerides blood test inpatient CPT 84478 Trig.Renal Services.Mod Cf | $48.60 | $54.00 | — | — | 10% |
| Troponin test, quantitative CPT 84484 Assay Of Troponin Quant | $14.40 | $16.00 | — | 83% below | 10% |
| Troponin test, quantitative CPT 84484 High Sens Trop I, Quant | $115.20 | $128.00 | — | 37% above | 10% |
| Troponin test, quantitative CPT 84484 Troponin, Quantitative | $115.20 | $128.00 | — | 37% above | 10% |
| Troponin test, quantitative CPT 84484 Assay Of Troponin Quant So | $169.20 | $188.00 | — | 101% above | 10% |
| Troponin test, quantitative inpatient CPT 84484 Assay Of Troponin Quant | $14.40 | $16.00 | — | — | 10% |
| Troponin test, quantitative inpatient CPT 84484 Troponin, Quantitative | $115.20 | $128.00 | — | — | 10% |
| Troponin test, quantitative inpatient CPT 84484 High Sens Trop I, Quant | $115.20 | $128.00 | — | — | 10% |
| Troponin test, quantitative inpatient CPT 84484 Assay Of Troponin Quant So | $169.20 | $188.00 | — | — | 10% |
| Uric acid blood test CPT 84550 Assay Of Blooduric Acid | $5.40 | $6.00 | — | 85% below | 10% |
| Uric acid blood test CPT 84550 Uric.Renal Services.Mod Cf | $79.20 | $88.00 | — | 125% above | 10% |
| Uric acid blood test CPT 84550 Uric Acid Serum | $79.20 | $88.00 | — | 125% above | 10% |
| Uric acid blood test inpatient CPT 84550 Assay Of Blooduric Acid | $5.40 | $6.00 | — | — | 10% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Serum | $79.20 | $88.00 | — | — | 10% |
| Uric acid blood test inpatient CPT 84550 Uric.Renal Services.Mod Cf | $79.20 | $88.00 | — | — | 10% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto Wscope | $4.36 | $4.84 | — | 84% below | 10% |
| Urinalysis with microscope exam, automated CPT 81001 Urflx,Possible Culture.Urflx | $12.60 | $14.00 | — | 53% below | 10% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis W Req Micr.Uam | $12.60 | $14.00 | — | 53% below | 10% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto Wscope | $4.36 | $4.84 | — | — | 10% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urflx,Possible Culture.Urflx | $12.60 | $14.00 | — | — | 10% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis W Req Micr.Uam | $12.60 | $14.00 | — | — | 10% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Nonauto Wscope | $5.40 | $6.00 | — | 70% below | 10% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Nonauto Wscope | $5.40 | $6.00 | — | — | 10% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto Wo Scope | $3.27 | $3.63 | — | 86% below | 10% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis (Umac) | $12.60 | $14.00 | — | 46% below | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto Wo Scope | $3.27 | $3.63 | — | — | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis (Umac) | $12.60 | $14.00 | — | — | 10% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto Wo Scope | $4.36 | $4.84 | — | 73% below | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto Wo Scope | $4.36 | $4.84 | — | — | 10% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culturecolony Count | $9.00 | $10.00 | — | 84% below | 10% |
| Urine culture for bacteria, with colony count CPT 87086 Culture,Urine.Uc,Ucr | $30.60 | $34.00 | — | 46% below | 10% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culturecolony Count | $9.00 | $10.00 | — | — | 10% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture,Urine.Uc,Ucr | $30.60 | $34.00 | — | — | 10% |
| Urine microalbumin (albumin) test CPT 82043 Ur Albumin Quantitative | $7.20 | $8.00 | — | 86% below | 10% |
| Urine microalbumin (albumin) test CPT 82043 *Microalbumin 24Hr Urine Quant | $145.80 | $162.00 | — | 187% above | 10% |
| Urine microalbumin (albumin) test CPT 82043 *Urine Microalbumin Quant.Mcr | $145.80 | $162.00 | — | 187% above | 10% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Ur Albumin Quantitative | $7.20 | $8.00 | — | — | 10% |
| Urine microalbumin (albumin) test inpatient CPT 82043 *Microalbumin 24Hr Urine Quant | $145.80 | $162.00 | — | — | 10% |
| Urine microalbumin (albumin) test inpatient CPT 82043 *Urine Microalbumin Quant.Mcr | $145.80 | $162.00 | — | — | 10% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $10.80 | $12.00 | — | 78% below | 10% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy, Urine | $18.00 | $20.00 | — | 63% below | 10% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $10.80 | $12.00 | — | — | 10% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy, Urine | $18.00 | $20.00 | — | — | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 | $18.00 | $20.00 | — | 76% below | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12.B12 | $37.80 | $42.00 | — | 49% below | 10% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 | $18.00 | $20.00 | — | — | 10% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12.B12 | $37.80 | $42.00 | — | — | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $36.00 | $40.00 | — | 62% below | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 *Vitamin D,Calcifediol.M83670 | $104.40 | $116.00 | — | 11% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 Hydroxy | $104.40 | $116.00 | — | 11% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $36.00 | $40.00 | — | — | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 *Vitamin D,Calcifediol.M83670 | $104.40 | $116.00 | — | — | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D; 25 Hydroxy | $104.40 | $116.00 | — | — | 10% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy | $47.70 | $53.00 | — | 69% below | 10% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxy, Vitamin D | $95.40 | $106.00 | — | 38% below | 10% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25 Dihydroxy | $304.20 | $338.00 | — | 98% above | 10% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy | $47.70 | $53.00 | — | — | 10% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxy, Vitamin D | $95.40 | $106.00 | — | — | 10% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25 Dihydroxy | $304.20 | $338.00 | — | — | 10% |
| Zinc blood test CPT 84630 Assay Of Zinc | $13.50 | $15.00 | — | 74% below | 10% |
| Zinc blood test CPT 84630 Zinc | $54.00 | $60.00 | — | 5% above | 10% |
| Zinc blood test inpatient CPT 84630 Assay Of Zinc | $13.50 | $15.00 | — | — | 10% |
| Zinc blood test inpatient CPT 84630 Zinc | $54.00 | $60.00 | — | — | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test | $18.00 | $20.00 | — | 73% below | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin,Chor (Hcg) Quant | $38.70 | $43.00 | — | 43% below | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg-B Quant | $48.60 | $54.00 | — | 28% below | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 *Hcg,Afp Maternal.Afpms | $103.50 | $115.00 | — | 53% above | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test | $18.00 | $20.00 | — | — | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin,Chor (Hcg) Quant | $38.70 | $43.00 | — | — | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg-B Quant | $48.60 | $54.00 | — | — | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 *Hcg,Afp Maternal.Afpms | $103.50 | $115.00 | — | — | 10% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal Of Adenoids | $3,433.50 | $3,815.00 | — | 52% below | 10% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal Of Adenoids | $3,433.50 | $3,815.00 | — | — | 10% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck Spine Fuse&Remov Bel C2 | $15,472.80 | $17,192.00 | — | 72% below | 10% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck Spine Fuse&Remov Bel C2 | $15,472.80 | $17,192.00 | — | — | 10% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy | $1,363.50 | $1,515.00 | — | 23% below | 10% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy | $1,363.50 | $1,515.00 | — | — | 10% |
| Appendectomy, open surgery CPT 44950 Appendectomy | $3,993.30 | $4,437.00 | — | 206% above | 10% |
| Appendectomy, open surgery inpatient CPT 44950 Appendectomy | $3,993.30 | $4,437.00 | — | — | 10% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee Arthroscopysurgery | $7,860.60 | $8,734.00 | — | 79% below | 10% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee Arthroscopysurgery | $7,860.60 | $8,734.00 | — | — | 10% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho Arthrs Srg Rt8Tr Cuf Rpr | $7,860.60 | $8,734.00 | — | 72% below | 10% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Sho Arthrs Srg Rt8Tr Cuf Rpr | $7,860.60 | $8,734.00 | — | — | 10% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nslsins Ndsc Surg Max Sins | $7,308.00 | $8,120.00 | — | 63% below | 10% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nslsins Ndsc Surg Max Sins | $7,308.00 | $8,120.00 | — | — | 10% |
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $328.50 | $365.00 | — | 41% below | 10% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine | $328.50 | $365.00 | — | — | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1St Lesion Strtctc | $1,766.70 | $1,963.00 | — | 56% below | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Stereo Guid Br Bx 1St Lesion | $14,429.70 | $16,033.00 | — | 260% above | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1St Lesion Strtctc | $1,766.70 | $1,963.00 | — | — | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Stereo Guid Br Bx 1St Lesion | $14,429.70 | $16,033.00 | — | — | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture | $297.00 | $330.00 | — | 21% below | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment Of Ankle Fracture | $297.00 | $330.00 | — | — | 10% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat Metatarsal Fracture | $259.20 | $288.00 | — | 29% below | 10% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat Metatarsal Fracture | $259.20 | $288.00 | — | — | 10% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction Hallux Valgus | $3,553.20 | $3,948.00 | — | 85% below | 10% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction Hallux Valgus | $3,553.20 | $3,948.00 | — | — | 10% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Correction Hallux Valgus | $3,553.20 | $3,948.00 | — | 75% below | 10% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction Hallux Valgus | $3,553.20 | $3,948.00 | — | — | 10% |
| Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Arteryventricle Angio | $3,639.60 | $4,044.00 | — | 70% below | 10% |
| Cardiac catheterization with coronary angiogram CPT 93458 Angio For Lhc With Lv | $13,294.80 | $14,772.00 | — | 11% above | 10% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L Hrt Arteryventricle Angio | $3,639.60 | $4,044.00 | — | — | 10% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Angio For Lhc With Lv | $13,294.80 | $14,772.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext | $704.70 | $783.00 | — | 66% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective-Er | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective-Cath L | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective Pcu | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective Icu | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective Ctc | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion,Elective Pacu | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective Hvu | $1,333.80 | $1,482.00 | — | 35% below | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext | $704.70 | $783.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective Ctc | $1,333.80 | $1,482.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective-Cath L | $1,333.80 | $1,482.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective Pcu | $1,333.80 | $1,482.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion,Elective Pacu | $1,333.80 | $1,482.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective Hvu | $1,333.80 | $1,482.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective Icu | $1,333.80 | $1,482.00 | — | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective-Er | $1,333.80 | $1,482.00 | — | — | 10% |
| Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery | $2,203.20 | $2,448.00 | — | 73% below | 10% |
| Carpal tunnel release, open surgery inpatient CPT 64721 Carpal Tunnel Surgery | $2,203.20 | $2,448.00 | — | — | 10% |
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Wo Ecp | $2,607.30 | $2,897.00 | — | 65% below | 10% |
| Cataract surgery with lens implant inpatient CPT 66984 Xcapsl Ctrc Rmvl Wo Ecp | $2,607.30 | $2,897.00 | — | — | 10% |
| Catheter ablation for atrial fibrillation CPT 93656 Tx Atrial Fib Pulm Vein Isol | $26,929.80 | $29,922.00 | — | 21% below | 10% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Tx Atrial Fib Pulm Vein Isol | $26,929.80 | $29,922.00 | — | — | 10% |
| Cervical biopsy CPT 57500 Biopsy Of Cervix | $796.50 | $885.00 | — | 54% below | 10% |
| Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix | $796.50 | $885.00 | — | — | 10% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean Delivery | $4,074.30 | $4,527.00 | — | 15% below | 10% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean Delivery | $4,074.30 | $4,527.00 | — | — | 10% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 Days Or Older | $2,246.40 | $2,496.00 | — | 63% below | 10% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 Days Or Older | $2,246.40 | $2,496.00 | — | — | 10% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Wregionl Block | $2,246.40 | $2,496.00 | — | 27% above | 10% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Wregionl Block | $2,246.40 | $2,496.00 | — | — | 10% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate | $722.70 | $803.00 | — | 64% below | 10% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate | $722.70 | $803.00 | — | — | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radiusulna | $259.20 | $288.00 | — | 37% below | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat Fracture Radiusulna | $259.20 | $288.00 | — | — | 10% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy Wendoscope Us | $1,301.40 | $1,446.00 | — | 58% below | 10% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy Wendoscope Us | $1,301.40 | $1,446.00 | — | — | 10% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy Wlesion Removal | $1,301.40 | $1,446.00 | — | 61% below | 10% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy Wlesion Removal | $1,301.40 | $1,446.00 | — | — | 10% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy And Biopsy | $1,301.40 | $1,446.00 | — | 61% below | 10% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy And Biopsy | $1,301.40 | $1,446.00 | — | — | 10% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy | $995.40 | $1,106.00 | — | 63% below | 10% |
| Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Colonoscopy | $995.40 | $1,106.00 | — | — | 10% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Of Cervix Wscope Leep | $3,292.20 | $3,658.00 | — | 15% below | 10% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx Of Cervix Wscope Leep | $3,292.20 | $3,658.00 | — | — | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bxcurett Of Cervix Wscope | $353.70 | $393.00 | — | 61% below | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bxcurett Of Cervix Wscope | $353.70 | $393.00 | — | — | 10% |
| Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Cplx Wo Ecp | $2,607.30 | $2,897.00 | — | 64% below | 10% |
| Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl Ctrc Rmvl Cplx Wo Ecp | $2,607.30 | $2,897.00 | — | — | 10% |
| Coronary stent placement, one artery CPT 92928 Ptca W/Bare Metal Stent | $17,620.20 | $19,578.00 | — | 37% above | 10% |
| Coronary stent placement, one artery inpatient CPT 92928 Ptca W/Bare Metal Stent | $17,620.20 | $19,578.00 | — | — | 10% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy And Treatment | $3,858.30 | $4,287.00 | — | 61% below | 10% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy And Treatment | $3,858.30 | $4,287.00 | — | — | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $180.90 | $201.00 | — | 91% below | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy | $180.90 | $201.00 | — | — | 10% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage | $3,292.20 | $3,658.00 | — | 53% below | 10% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation And Curettage | $3,292.20 | $3,658.00 | — | — | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion | $279.90 | $311.00 | — | 38% above | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion | $279.90 | $311.00 | — | — | 10% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create Eardrum Opening | $1,697.40 | $1,886.00 | — | 60% below | 10% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create Eardrum Opening | $1,697.40 | $1,886.00 | — | — | 10% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening | $567.00 | $630.00 | — | 57% below | 10% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create Eardrum Opening | $567.00 | $630.00 | — | — | 10% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni | $16.20 | $18.00 | — | 90% below | 10% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Uni | $16.20 | $18.00 | — | — | 10% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax Uni | $32.40 | $36.00 | — | 79% below | 10% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax Uni | $32.40 | $36.00 | — | — | 10% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining | $215.10 | $239.00 | — | 44% below | 10% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Of Uterus Lining | $215.10 | $239.00 | — | — | 10% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nslsins Ndsc Wtot Ethmdct | $7,308.00 | $8,120.00 | — | 44% below | 10% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Nslsins Ndsc Wtot Ethmdct | $7,308.00 | $8,120.00 | — | — | 10% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nslsins Ndsc Frnt Tiss Rmvl | $7,308.00 | $8,120.00 | — | 68% below | 10% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nslsins Ndsc Frnt Tiss Rmvl | $7,308.00 | $8,120.00 | — | — | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration Maxillary Sinus | $3,887.10 | $4,319.00 | — | 63% below | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Exploration Maxillary Sinus | $3,887.10 | $4,319.00 | — | — | 10% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy Maxillary Sinus | $7,308.00 | $8,120.00 | — | 66% below | 10% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy Maxillary Sinus | $7,308.00 | $8,120.00 | — | — | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crvthrc | $797.40 | $886.00 | — | 64% below | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj,Epidural Cerv/Thorac W Si | $2,539.80 | $2,822.00 | — | 14% above | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crvthrc | $797.40 | $886.00 | — | — | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj,Epidural Cerv/Thorac W Si | $2,539.80 | $2,822.00 | — | — | 10% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Eye Drug | $400.50 | $445.00 | — | 2% above | 10% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Injection Eye Drug | $400.50 | $445.00 | — | — | 10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt Ls 1 Lev | $1,032.30 | $1,147.00 | — | 53% below | 10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Lumbar/Sacral Facet Block | $2,343.60 | $2,604.00 | — | 7% above | 10% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Jnt Ls 1 Lev | $1,032.30 | $1,147.00 | — | — | 10% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Lumbar/Sacral Facet Block | $2,343.60 | $2,604.00 | — | — | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Sigmoidoscopy | $995.40 | $1,106.00 | — | 61% below | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy | $995.40 | $1,106.00 | — | — | 10% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy | $6,349.50 | $7,055.00 | — | 64% below | 10% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic Cholecystectomy | $6,349.50 | $7,055.00 | — | — | 10% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo Cholecystectomygraph | $6,349.50 | $7,055.00 | — | 64% below | 10% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo Cholecystectomygraph | $6,349.50 | $7,055.00 | — | — | 10% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Removal Of Gallbladder | $1,658.70 | $1,843.00 | — | 54% below | 10% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal Of Gallbladder | $1,658.70 | $1,843.00 | — | — | 10% |
| Hammertoe correction surgery CPT 28285 Repair Of Hammertoe | $3,553.20 | $3,948.00 | — | 63% below | 10% |
| Hammertoe correction surgery inpatient CPT 28285 Repair Of Hammertoe | $3,553.20 | $3,948.00 | — | — | 10% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Of Hemorrhoids | $995.40 | $1,106.00 | — | 48% below | 10% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation Of Hemorrhoids | $995.40 | $1,106.00 | — | — | 10% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Remove Intext Hem 1 Group | $3,065.40 | $3,406.00 | — | 67% below | 10% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove Intext Hem 1 Group | $3,065.40 | $3,406.00 | — | — | 10% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total Hip Arthroplasty | $2,547.00 | $2,830.00 | — | 94% below | 10% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total Hip Arthroplasty | $2,547.00 | $2,830.00 | — | — | 10% |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Hysterectomy | $1,553.40 | $1,726.00 | — | 48% below | 10% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total Hysterectomy | $1,553.40 | $1,726.00 | — | — | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter For Hysterography | $84.60 | $94.00 | — | 78% below | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hystersonography Inj Proc | $683.10 | $759.00 | — | 79% above | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hystersonography Inj Proc Us | $683.10 | $759.00 | — | 79% above | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter For Hysterography | $84.60 | $94.00 | — | — | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hystersonography Inj Proc Us | $683.10 | $759.00 | — | — | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hystersonography Inj Proc | $683.10 | $759.00 | — | — | 10% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Ablation | $5,533.20 | $6,148.00 | — | 52% below | 10% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy Ablation | $5,533.20 | $6,148.00 | — | — | 10% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Biopsy | $3,292.20 | $3,658.00 | — | 65% below | 10% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy Biopsy | $3,292.20 | $3,658.00 | — | — | 10% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device | $43.20 | $48.00 | — | 91% below | 10% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device | $43.20 | $48.00 | — | — | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abscess | $225.00 | $250.00 | — | 42% below | 10% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Skin Abscess | $225.00 | $250.00 | — | — | 10% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp Ihern Init Reduc 5 Yr | $3,993.30 | $4,437.00 | — | 62% below | 10% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp Ihern Init Reduc 5 Yr | $3,993.30 | $4,437.00 | — | — | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheathligament | $328.50 | $365.00 | — | 3% below | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Proc Tendon/Cyst/Ligament | $405.00 | $450.00 | — | 19% above | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/Ligament | $471.60 | $524.00 | — | 39% above | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheathligament | $328.50 | $365.00 | — | — | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Proc Tendon/Cyst/Ligament | $405.00 | $450.00 | — | — | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath/Ligament | $471.60 | $524.00 | — | — | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Draininj Jointbursa Wo Us | $81.90 | $91.00 | — | 88% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis,Asp-Inj Maj Jnt | $648.00 | $720.00 | — | 7% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis,Aspir Major Jnt | $754.20 | $838.00 | — | 8% above | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Draininj Jointbursa Wo Us | $81.90 | $91.00 | — | — | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis,Asp-Inj Maj Jnt | $648.00 | $720.00 | — | — | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis,Aspir Major Jnt | $754.20 | $838.00 | — | — | 10% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device | $436.50 | $485.00 | — | 16% above | 10% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant Device | $436.50 | $485.00 | — | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Draininj Jointbursa Wo Us | $81.90 | $91.00 | — | 87% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj Proc Intermediate Joint | $554.40 | $616.00 | — | 10% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocent Asp Small Joint | $645.30 | $717.00 | — | 5% above | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocent Asp/Inj Inter Joint | $645.30 | $717.00 | — | 5% above | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis,Aspirat Int Jnt | $645.30 | $717.00 | — | 5% above | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Draininj Jointbursa Wo Us | $81.90 | $91.00 | — | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inj Proc Intermediate Joint | $554.40 | $616.00 | — | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis,Aspirat Int Jnt | $645.30 | $717.00 | — | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocent Asp Small Joint | $645.30 | $717.00 | — | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocent Asp/Inj Inter Joint | $645.30 | $717.00 | — | — | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Draininj Jointbursa Wo Us | $81.90 | $91.00 | — | 83% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocent Asp/Inj Small Joint | $470.70 | $523.00 | — | 5% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Draininj Jointbursa Wo Us | $81.90 | $91.00 | — | — | 10% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocent Asp/Inj Small Joint | $470.70 | $523.00 | — | — | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | 86% below | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | — | 10% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | 72% below | 10% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | — | 10% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | 73% below | 10% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | — | 10% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | 74% below | 10% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee Arthroscopysurgery | $3,553.20 | $3,948.00 | — | — | 10% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Gastric Bypassroux-En-Y | $2,698.20 | $2,998.00 | — | 89% below | 10% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Lap Gastric Bypassroux-En-Y | $2,698.20 | $2,998.00 | — | — | 10% |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 Lap Place Gastr Adj Device | $11,178.00 | $12,420.00 | — | — | 10% |
| Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 Lap Place Gastr Adj Device | $11,178.00 | $12,420.00 | — | — | 10% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy Appendectomy | $6,349.50 | $7,055.00 | — | 64% below | 10% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy Appendectomy | $6,349.50 | $7,055.00 | — | — | 10% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy Fundoplasty | $11,178.00 | $12,420.00 | — | 49% below | 10% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy Fundoplasty | $11,178.00 | $12,420.00 | — | — | 10% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh Uterus 250 G Or Less | $11,178.00 | $12,420.00 | — | 71% below | 10% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Tlh Uterus 250 G Or Less | $11,178.00 | $12,420.00 | — | — | 10% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh Wto 250 G Or Less | $11,178.00 | $12,420.00 | — | 71% below | 10% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh Wto 250 G Or Less | $11,178.00 | $12,420.00 | — | — | 10% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap Ing Hernia Repair Init | $6,349.50 | $7,055.00 | — | 73% below | 10% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap Ing Hernia Repair Init | $6,349.50 | $7,055.00 | — | — | 10% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Ing Hernia Repair Recur | $6,349.50 | $7,055.00 | — | 76% below | 10% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap Ing Hernia Repair Recur | $6,349.50 | $7,055.00 | — | — | 10% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Lap Rmvl Gastr Adj All Parts | $3,853.80 | $4,282.00 | — | 77% below | 10% |
| Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 Lap Rmvl Gastr Adj All Parts | $3,853.80 | $4,282.00 | — | — | 10% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy Remove Adnexa | $6,349.50 | $7,055.00 | — | 62% below | 10% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy Remove Adnexa | $6,349.50 | $7,055.00 | — | — | 10% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap Sleeve Gastrectomy | $1,732.50 | $1,925.00 | — | 95% below | 10% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Lap Sleeve Gastrectomy | $1,732.50 | $1,925.00 | — | — | 10% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After Cataract Laser Surgery | $631.80 | $702.00 | — | 55% below | 10% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After Cataract Laser Surgery | $631.80 | $702.00 | — | — | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Rpr Satext 2.5 Cm | $433.80 | $482.00 | — | 19% below | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd Rpr Satext 2.5 Cm | $433.80 | $482.00 | — | — | 10% |
| Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath Wventrclgrphy | $3,639.60 | $4,044.00 | — | 61% below | 10% |
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath | $10,838.70 | $12,043.00 | — | 17% above | 10% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath Wventrclgrphy | $3,639.60 | $4,044.00 | — | — | 10% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Heart Cath | $10,838.70 | $12,043.00 | — | — | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbrsac | $797.40 | $886.00 | — | 61% below | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Cisternogram Injection | $2,738.70 | $3,043.00 | — | 34% above | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj,Epidural Lumbar/Sacr W Si | $2,738.70 | $3,043.00 | — | 34% above | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbrsac | $797.40 | $886.00 | — | — | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Cisternogram Injection | $2,738.70 | $3,043.00 | — | — | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj,Epidural Lumbar/Sacr W Si | $2,738.70 | $3,043.00 | — | — | 10% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbrsac | $797.40 | $886.00 | — | 51% below | 10% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar Lmbrsac | $797.40 | $886.00 | — | — | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&Strd Tfrm Epi Ls 1 | $1,032.30 | $1,147.00 | — | 50% below | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Lumbar Epidural Nerve Block | $2,210.40 | $2,456.00 | — | 7% above | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Lumbar Nerve Root Inj | $2,210.40 | $2,456.00 | — | 7% above | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&Strd Tfrm Epi Ls 1 | $1,032.30 | $1,147.00 | — | — | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Lumbar Nerve Root Inj | $2,210.40 | $2,456.00 | — | — | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Lumbar Epidural Nerve Block | $2,210.40 | $2,456.00 | — | — | 10% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low Back Disk Surgery | $7,860.60 | $8,734.00 | — | 69% below | 10% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Low Back Disk Surgery | $7,860.60 | $8,734.00 | — | — | 10% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Lumbar Spine Fusion Combined | $15,472.80 | $17,192.00 | — | 85% below | 10% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 Lumbar Spine Fusion Combined | $15,472.80 | $17,192.00 | — | — | 10% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Lumbar Spine Fusion | $20,290.50 | $22,545.00 | — | 78% below | 10% |
| Lumbar interbody fusion (PLIF or TLIF), one level inpatient CPT 22630 Lumbar Spine Fusion | $20,290.50 | $22,545.00 | — | — | 10% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Remove Spine Lamina 1 Lmbr | $7,860.60 | $8,734.00 | — | 76% below | 10% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Remove Spine Lamina 1 Lmbr | $7,860.60 | $8,734.00 | — | — | 10% |
| Lumbar spinal fusion (posterior), one level CPT 22612 Lumbar Spine Fusion | $15,472.80 | $17,192.00 | — | 48% below | 10% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumbar Spine Fusion | $15,472.80 | $17,192.00 | — | — | 10% |
| Lumpectomy (partial mastectomy) CPT 19301 Partial Mastectomy | $3,962.70 | $4,403.00 | — | 77% below | 10% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial Mastectomy | $3,962.70 | $4,403.00 | — | — | 10% |
| Mastectomy (total removal of the breast) CPT 19303 Mast Simple Complete | $6,945.30 | $7,717.00 | — | 75% below | 10% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 Mast Simple Complete | $6,945.30 | $7,717.00 | — | — | 10% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care Of Miscarriage | $3,292.20 | $3,658.00 | — | 54% below | 10% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care Of Miscarriage | $3,292.20 | $3,658.00 | — | — | 10% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs 1 Stage Hnhfg | $657.00 | $730.00 | — | 45% below | 10% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs 1 Stage Hnhfg | $657.00 | $730.00 | — | — | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9 Marg 0.5 Cm | $781.20 | $868.00 | — | 42% below | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9 Marg 0.5 Cm | $781.20 | $868.00 | — | — | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-Mm B9 Marg 0.5 Cm | $781.20 | $868.00 | — | 43% below | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9 Marg 0.5 Cm | $781.20 | $868.00 | — | — | 10% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate | $84.60 | $94.00 | — | 73% below | 10% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Of Nail Plate | $84.60 | $94.00 | — | — | 10% |
| Occipital nerve block (injection for headaches) CPT 64405 Njx Aa&Strd Gr Ocpl Nrv | $328.50 | $365.00 | — | 58% below | 10% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx Aa&Strd Gr Ocpl Nrv | $328.50 | $365.00 | — | — | 10% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 Gastric Bypass For Obesity | $2,567.70 | $2,853.00 | — | — | 10% |
| Open Roux-en-Y gastric bypass through an abdominal incision inpatient CPT 43846 Gastric Bypass For Obesity | $2,567.70 | $2,853.00 | — | — | 10% |
| Pacemaker implant (dual chamber) CPT 33208 Insrt Heart Pm Atrial & Vent | $13,049.10 | $14,499.00 | — | 16% below | 10% |
| Pacemaker implant (dual chamber) CPT 33208 Insert New/Replace Gen A+V Lds | $13,772.70 | $15,303.00 | — | 12% below | 10% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt Heart Pm Atrial & Vent | $13,049.10 | $14,499.00 | — | — | 10% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insert New/Replace Gen A+V Lds | $13,772.70 | $15,303.00 | — | — | 10% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis Wimaging | $1,016.10 | $1,129.00 | — | 41% below | 10% |
| Paracentesis with imaging guidance CPT 49083 Paracentesis, Initial | $6,494.40 | $7,216.00 | — | 274% above | 10% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis Perit Lav,Ini | $6,494.40 | $7,216.00 | — | 274% above | 10% |
| Paracentesis with imaging guidance CPT 49083 Paracentesis - Initial | $6,494.40 | $7,216.00 | — | 274% above | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis Wimaging | $1,016.10 | $1,129.00 | — | — | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis, Initial | $6,494.40 | $7,216.00 | — | — | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis - Initial | $6,494.40 | $7,216.00 | — | — | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis Perit Lav,Ini | $6,494.40 | $7,216.00 | — | — | 10% |
| Partial knee replacement (one compartment) CPT 27446 Revision Of Knee Joint | $15,472.80 | $17,192.00 | — | 50% below | 10% |
| Partial knee replacement (one compartment) inpatient CPT 27446 Revision Of Knee Joint | $15,472.80 | $17,192.00 | — | — | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $433.80 | $482.00 | — | 44% below | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail And Nail Matr | $750.60 | $834.00 | — | 3% below | 10% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed | $433.80 | $482.00 | — | — | 10% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Of Nail And Nail Matr | $750.60 | $834.00 | — | — | 10% |
| Prostate biopsy CPT 55700 Biopsy Of Prostate | $2,246.40 | $2,496.00 | — | 11% above | 10% |
| Prostate biopsy inpatient CPT 55700 Biopsy Of Prostate | $2,246.40 | $2,496.00 | — | — | 10% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparo Radical Prostatectomy | $11,178.00 | $12,420.00 | — | 79% below | 10% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparo Radical Prostatectomy | $11,178.00 | $12,420.00 | — | — | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumbsac Facet Jnt | $2,203.20 | $2,448.00 | — | 34% below | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Rfa Lumbar Sacral Single Lvl | $9,671.40 | $10,746.00 | — | 190% above | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumbsac Facet Jnt | $2,203.20 | $2,448.00 | — | — | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Rfa Lumbar Sacral Single Lvl | $9,671.40 | $10,746.00 | — | — | 10% |
| Removal of a breast lump, open surgery CPT 19120 Removal Of Breast Lesion | $3,962.70 | $4,403.00 | — | 11% below | 10% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Removal Of Breast Lesion | $3,962.70 | $4,403.00 | — | — | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Of Foreign Body | $285.16 | $316.84 | — | 57% below | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body | $433.80 | $482.00 | — | 35% below | 10% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Of Foreign Body | $285.16 | $316.84 | — | — | 10% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body | $433.80 | $482.00 | — | — | 10% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial Removal Of Thyroid | $6,349.50 | $7,055.00 | — | 71% below | 10% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Partial Removal Of Thyroid | $6,349.50 | $7,055.00 | — | — | 10% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind | $995.40 | $1,106.00 | — | 62% below | 10% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind | $995.40 | $1,106.00 | — | — | 10% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind | $995.40 | $1,106.00 | — | 62% below | 10% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal Scrn; Hi Risk Ind | $995.40 | $1,106.00 | — | — | 10% |
| Septoplasty to straighten the nasal septum CPT 30520 Repair Of Nasal Septum | $3,433.50 | $3,815.00 | — | 83% below | 10% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair Of Nasal Septum | $3,433.50 | $3,815.00 | — | — | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting Of Kidney Stone | $3,858.30 | $4,287.00 | — | 61% below | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Fragmenting Of Kidney Stone | $3,858.30 | $4,287.00 | — | — | 10% |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast | $302.40 | $336.00 | — | 1% above | 10% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application Of Forearm Cast | $302.40 | $336.00 | — | — | 10% |
| Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint | $40.50 | $45.00 | — | 86% below | 10% |
| Short arm splint (forearm and hand) CPT 29125 Splint, Appl Short Arm Static | $228.60 | $254.00 | — | 21% below | 10% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint | $40.50 | $45.00 | — | — | 10% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splint, Appl Short Arm Static | $228.60 | $254.00 | — | — | 10% |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast | $302.40 | $336.00 | — | 21% below | 10% |
| Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast | $302.40 | $336.00 | — | — | 10% |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint | $177.30 | $197.00 | — | 40% below | 10% |
| Short leg splint (calf to foot) CPT 29515 Splint Application Short Leg | $279.90 | $311.00 | — | 5% below | 10% |
| Short leg splint (calf to foot) CPT 29515 Splint Application,Short Leg | $279.90 | $311.00 | — | 5% below | 10% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application Lower Leg Splint | $177.30 | $197.00 | — | — | 10% |
| Short leg splint (calf to foot) inpatient CPT 29515 Splint Application Short Leg | $279.90 | $311.00 | — | — | 10% |
| Short leg splint (calf to foot) inpatient CPT 29515 Splint Application,Short Leg | $279.90 | $311.00 | — | — | 10% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho Arthrs Srg Dstl Claviclc | $3,553.20 | $3,948.00 | — | 87% below | 10% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Sho Arthrs Srg Dstl Claviclc | $3,553.20 | $3,948.00 | — | — | 10% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Sho Arthrs Srg Decompression | $265.50 | $295.00 | — | 99% below | 10% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Sho Arthrs Srg Decompression | $265.50 | $295.00 | — | — | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Snaxgentrnk 2.5Cm | $65.70 | $73.00 | — | 80% below | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Superficial Wound <2.5 | $582.30 | $647.00 | — | 76% above | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr Snaxgentrnk 2.5Cm | $65.70 | $73.00 | — | — | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Superficial Wound <2.5 | $582.30 | $647.00 | — | — | 10% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $433.80 | $482.00 | — | 3% below | 10% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion | $433.80 | $482.00 | — | — | 10% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mal Marg 0.5 Cm | $781.20 | $868.00 | — | 43% below | 10% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mal Marg 0.5 Cm | $781.20 | $868.00 | — | — | 10% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags W15 | $76.50 | $85.00 | — | 74% below | 10% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags W15 | $76.50 | $85.00 | — | — | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx Lmbr Spi Pnxr | $797.40 | $886.00 | — | 26% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumber,Diagnos | $997.20 | $1,108.00 | — | 7% below | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx Lmbr Spi Pnxr | $797.40 | $886.00 | — | — | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumber,Diagnos | $997.20 | $1,108.00 | — | — | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Snaxgentrnk2.6-7.5Cm | $65.70 | $73.00 | — | 81% below | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Lac 2.5-7.5Cm Scalp Neck Extre | $689.40 | $766.00 | — | 96% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr Snaxgentrnk2.6-7.5Cm | $65.70 | $73.00 | — | — | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Lac 2.5-7.5Cm Scalp Neck Extre | $689.40 | $766.00 | — | — | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Feenlm 2.5 Cm | $65.70 | $73.00 | — | 79% below | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac <2.5Cm Face Ears Nose Lips | $596.70 | $663.00 | — | 88% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr Feenlm 2.5 Cm | $65.70 | $73.00 | — | — | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Lac <2.5Cm Face Ears Nose Lips | $596.70 | $663.00 | — | — | 10% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy Turp | $5,536.80 | $6,152.00 | — | 69% below | 10% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy Turp | $5,536.80 | $6,152.00 | — | — | 10% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les | $225.00 | $250.00 | — | 25% below | 10% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les | $225.00 | $250.00 | — | — | 10% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W Imaging | $678.60 | $754.00 | — | 61% below | 10% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Image Guidance | $1,867.50 | $2,075.00 | — | 7% above | 10% |
| Thoracentesis with imaging guidance CPT 32555 Aspriate Pleura W/ Imaging | $1,867.50 | $2,075.00 | — | 7% above | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W Imaging | $678.60 | $754.00 | — | — | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Image Guidance | $1,867.50 | $2,075.00 | — | — | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspriate Pleura W/ Imaging | $1,867.50 | $2,075.00 | — | — | 10% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove Tonsils And Adenoids | $3,433.50 | $3,815.00 | — | 34% below | 10% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove Tonsils And Adenoids | $3,433.50 | $3,815.00 | — | — | 10% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove Tonsils And Adenoids | $6,382.80 | $7,092.00 | — | 24% below | 10% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove Tonsils And Adenoids | $6,382.80 | $7,092.00 | — | — | 10% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal Of Tonsils | $3,433.50 | $3,815.00 | — | 70% below | 10% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal Of Tonsils | $3,433.50 | $3,815.00 | — | — | 10% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal Of Tonsils | $6,382.80 | $7,092.00 | — | at median | 10% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Removal Of Tonsils | $6,382.80 | $7,092.00 | — | — | 10% |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $15,472.80 | $17,192.00 | — | 65% below | 10% |
| Total hip replacement inpatient CPT 27130 Total Hip Arthroplasty | $15,472.80 | $17,192.00 | — | — | 10% |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $15,472.80 | $17,192.00 | — | 64% below | 10% |
| Total knee replacement inpatient CPT 27447 Total Knee Arthroplasty | $15,472.80 | $17,192.00 | — | — | 10% |
| Total shoulder replacement CPT 23472 Reconstruct Shoulder Joint | $15,472.80 | $17,192.00 | — | 72% below | 10% |
| Total shoulder replacement inpatient CPT 23472 Reconstruct Shoulder Joint | $15,472.80 | $17,192.00 | — | — | 10% |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal Of Thyroid | $6,349.50 | $7,055.00 | — | 78% below | 10% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 Removal Of Thyroid | $6,349.50 | $7,055.00 | — | — | 10% |
| Trigger finger release surgery CPT 26055 Incise Finger Tendon Sheath | $1,746.90 | $1,941.00 | — | 47% below | 10% |
| Trigger finger release surgery inpatient CPT 26055 Incise Finger Tendon Sheath | $1,746.90 | $1,941.00 | — | — | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 12 Muscl | $81.90 | $91.00 | — | 88% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Triger Point Injection | $659.70 | $733.00 | — | 5% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Point 1-2 Musc | $659.70 | $733.00 | — | 5% below | 10% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 12 Muscl | $81.90 | $91.00 | — | — | 10% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Trigger Point 1-2 Musc | $659.70 | $733.00 | — | — | 10% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Triger Point Injection | $659.70 | $733.00 | — | — | 10% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Tubal Cautery | $6,349.50 | $7,055.00 | — | at median | 10% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy Tubal Cautery | $6,349.50 | $7,055.00 | — | — | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1St Lesion Us Imag | $1,766.70 | $1,963.00 | — | 47% below | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Us Guid Br Bx 1St Lesion | $9,684.90 | $10,761.00 | — | 192% above | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Us Guide Br Bx 1St Lesion | $9,684.90 | $10,761.00 | — | 192% above | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1St Lesion Us Imag | $1,766.70 | $1,963.00 | — | — | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Us Guid Br Bx 1St Lesion | $9,684.90 | $10,761.00 | — | — | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Us Guide Br Bx 1St Lesion | $9,684.90 | $10,761.00 | — | — | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph Egd Dilation 30 Mm | $2,037.60 | $2,264.00 | — | 42% below | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph Egd Dilation 30 Mm | $2,037.60 | $2,264.00 | — | — | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Singlemultiple | $1,016.10 | $1,129.00 | — | 64% below | 10% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Biopsy Singlemultiple | $1,016.10 | $1,129.00 | — | — | 10% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr Gi Scope Wsubmuc Inj | $1,016.10 | $1,129.00 | — | 64% below | 10% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr Gi Scope Wsubmuc Inj | $1,016.10 | $1,129.00 | — | — | 10% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Remove Lesion Snare | $2,037.60 | $2,264.00 | — | 37% below | 10% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd Remove Lesion Snare | $2,037.60 | $2,264.00 | — | — | 10% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Guide Wire Insertion | $1,016.10 | $1,129.00 | — | 64% below | 10% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Guide Wire Insertion | $1,016.10 | $1,129.00 | — | — | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $1,016.10 | $1,129.00 | — | 61% below | 10% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash | $1,016.10 | $1,129.00 | — | — | 10% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd Wtransmural Drain Cyst | $6,316.20 | $7,018.00 | — | 38% above | 10% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd Wtransmural Drain Cyst | $6,316.20 | $7,018.00 | — | — | 10% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero Wlithotripsy | $5,536.80 | $6,152.00 | — | 53% below | 10% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero Wlithotripsy | $5,536.80 | $6,152.00 | — | — | 10% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cystouretero Wlithotripsy | $5,536.80 | $6,152.00 | — | 64% below | 10% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cystouretero Wlithotripsy | $5,536.80 | $6,152.00 | — | — | 10% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vbac Delivery | $3,859.20 | $4,288.00 | — | 22% below | 10% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac Delivery | $3,859.20 | $4,288.00 | — | — | 10% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetrical Care | $3,681.00 | $4,090.00 | — | 13% below | 10% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical Care | $3,681.00 | $4,090.00 | — | — | 10% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Ducts | $2,246.40 | $2,496.00 | — | 35% below | 10% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal Of Sperm Ducts | $2,246.40 | $2,496.00 | — | — | 10% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1St Vein | $3,592.80 | $3,992.00 | — | 45% below | 10% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1St Vein | $3,592.80 | $3,992.00 | — | — | 10% |
| Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion 1-14 | $68.40 | $76.00 | — | 78% below | 10% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion 1-14 | $68.40 | $76.00 | — | — | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm | $433.80 | $482.00 | — | 44% below | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue 20 Sq Cm | $433.80 | $482.00 | — | — | 10% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat Fx Rad Extra-Articul | $7,860.60 | $8,734.00 | — | 53% below | 10% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat Fx Rad Extra-Articul | $7,860.60 | $8,734.00 | — | — | 10% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service | $498.60 | $554.00 | — | 55% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - Hvu | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - 5 South | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood - 2 South | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Med Onc | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Pcu | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood - Er | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood - Ip Hemo | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - Icu | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - Obstetrics | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood - Pacu | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - Endoscopy | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Surgery | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood 3 North | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - 3S Cardiac | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood - Op Hemo | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood - Sopu | $1,070.10 | $1,189.00 | — | 4% below | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service | $498.60 | $554.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - Hvu | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood - 2 South | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood - Sopu | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - Endoscopy | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood - Pacu | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood 3 North | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood - Op Hemo | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Surgery | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood - Ip Hemo | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Med Onc | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - Obstetrics | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - Icu | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - 3S Cardiac | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Pcu | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - 5 South | $1,070.10 | $1,189.00 | — | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood - Er | $1,070.10 | $1,189.00 | — | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment | $263.70 | $293.00 | — | 50% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment - Rc | $263.70 | $293.00 | — | 50% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Ultrasonic Treatment | $263.70 | $293.00 | — | 50% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment - Rc | $263.70 | $293.00 | — | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Ultrasonic Treatment | $263.70 | $293.00 | — | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment | $263.70 | $293.00 | — | — | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion 1 Hr | $400.50 | $445.00 | — | 48% below | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Admin Iv Infusion 1St Hr | $747.90 | $831.00 | — | 2% below | 10% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion 1 Hr | $400.50 | $445.00 | — | — | 10% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Admin Iv Infusion 1St Hr | $747.90 | $831.00 | — | — | 10% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam New Patient | $149.40 | $166.00 | — | 42% below | 10% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye Exam New Patient | $149.40 | $166.00 | — | — | 10% |
| Comprehensive eye exam, returning patient CPT 92014 Eye Exam&Tx Estab Pt 1Vst | $149.40 | $166.00 | — | 35% below | 10% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam&Tx Estab Pt 1Vst | $149.40 | $166.00 | — | — | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Aud Audiometry Speech Rec Eval | $108.00 | $120.00 | — | 59% below | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Hearing Test | $175.50 | $195.00 | — | 33% below | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Aud Audiometry Speech Rec Eval | $108.00 | $120.00 | — | — | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Hearing Test | $175.50 | $195.00 | — | — | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care First Hour | $935.10 | $1,039.00 | — | 68% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 Emerg Charge-Critical Care | $4,512.60 | $5,014.00 | — | 54% above | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care W/ Trauma Act | $5,306.40 | $5,896.00 | — | 81% above | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care First Hour | $935.10 | $1,039.00 | — | — | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Emerg Charge-Critical Care | $4,512.60 | $5,014.00 | — | — | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Er Critical Care W/ Trauma Act | $5,306.40 | $5,896.00 | — | — | 10% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake And Drowsy | $2,128.50 | $2,365.00 | — | 123% above | 10% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake And Drowsy | $2,128.50 | $2,365.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Complete | $21.60 | $24.00 | — | 88% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing | $21.60 | $24.00 | — | 88% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Recording - Med Park | $433.80 | $482.00 | — | 134% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads Tracing (Ped Medp | $433.80 | $482.00 | — | 134% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads Tracing Only(Peds | $433.80 | $482.00 | — | 134% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Recording - Occ Health | $433.80 | $482.00 | — | 134% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Recording - Ctc | $433.80 | $482.00 | — | 134% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Complete | $21.60 | $24.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing | $21.60 | $24.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Recording - Med Park | $433.80 | $482.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Recording - Occ Health | $433.80 | $482.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Leads Tracing Only(Peds | $433.80 | $482.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Recording - Ctc | $433.80 | $482.00 | — | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Leads Tracing (Ped Medp | $433.80 | $482.00 | — | — | 10% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy | $612.00 | $680.00 | — | 55% below | 10% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy | $612.00 | $680.00 | — | — | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emerg Charge-Class I | $326.70 | $363.00 | — | 5% above | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emerg Charge-Class I | $326.70 | $363.00 | — | — | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit | $164.70 | $183.00 | — | 68% below | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emerg Charge-Class Ii | $491.40 | $546.00 | — | 4% below | 10% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Dept Visit | $164.70 | $183.00 | — | — | 10% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emerg Charge-Class Ii | $491.40 | $546.00 | — | — | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emerg Charge-Class Iii | $915.30 | $1,017.00 | — | 8% above | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Charge Iii/ With Trauma Act | $2,482.20 | $2,758.00 | — | 194% above | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emerg Charge-Class Iii | $915.30 | $1,017.00 | — | — | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Charge Iii/ With Trauma Act | $2,482.20 | $2,758.00 | — | — | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emerg Charge-Class Iv | $1,699.20 | $1,888.00 | — | 28% above | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emerg Charge- Iv W/ Trauma Act | $3,265.20 | $3,628.00 | — | 146% above | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emerg Charge-Class Iv | $1,699.20 | $1,888.00 | — | — | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emerg Charge- Iv W/ Trauma Act | $3,265.20 | $3,628.00 | — | — | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emerg Charge-Class V | $2,352.60 | $2,614.00 | — | 35% above | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emerg Charge- V W/ Trauma Act | $4,572.00 | $5,080.00 | — | 163% above | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emerg Charge-Class V | $2,352.60 | $2,614.00 | — | — | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emerg Charge- V W/ Trauma Act | $4,572.00 | $5,080.00 | — | — | 10% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test | $332.10 | $369.00 | — | 63% below | 10% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test W/Diag:Tracing Onl | $3,049.20 | $3,388.00 | — | 240% above | 10% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test | $332.10 | $369.00 | — | — | 10% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test W/Diag:Tracing Onl | $3,049.20 | $3,388.00 | — | — | 10% |
| Eye exam, returning patient, intermediate CPT 92012 Eye Exam Establish Patient | $149.40 | $166.00 | — | 51% below | 10% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Eye Exam Establish Patient | $149.40 | $166.00 | — | — | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psytx Wpt 50 Min | $167.40 | $186.00 | — | 44% below | 10% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psytx Wpt 50 Min | $167.40 | $186.00 | — | — | 10% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psytx Wo Pt 50 Min | $167.40 | $186.00 | — | 46% below | 10% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psytx Wo Pt 50 Min | $167.40 | $186.00 | — | — | 10% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $93.60 | $104.00 | — | 45% below | 10% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $93.60 | $104.00 | — | — | 10% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg Monitreprt Up To 48 Hrs | $109.80 | $122.00 | — | 80% below | 10% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg Monitreprt Up To 48 Hrs | $109.80 | $122.00 | — | — | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Init | $256.50 | $285.00 | — | 39% below | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion, Hydration 1St Hr | $678.60 | $754.00 | — | 62% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration 1St Hour | $678.60 | $754.00 | — | 62% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydrat1St Hr Ctc | $678.60 | $754.00 | — | 62% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydra 1St Hr | $678.60 | $754.00 | — | 62% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Iv Infusion Init | $256.50 | $285.00 | — | — | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion Hydration 1St Hour | $678.60 | $754.00 | — | — | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion, Hydration 1St Hr | $678.60 | $754.00 | — | — | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion Hydra 1St Hr | $678.60 | $754.00 | — | — | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion Hydrat1St Hr Ctc | $678.60 | $754.00 | — | — | 10% |
| IV infusion of a medicine, first hour CPT 96365 Therprophdiag Iv Inf Init | $256.50 | $285.00 | — | 41% below | 10% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion T Proph Diag 1St | $712.80 | $792.00 | — | 65% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Tx Proph Diag 1St | $712.80 | $792.00 | — | 65% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion, Tx,Proph,Diag 1St | $729.90 | $811.00 | — | 69% above | 10% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Therprophdiag Iv Inf Init | $256.50 | $285.00 | — | — | 10% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Tx Proph Diag 1St | $712.80 | $792.00 | — | — | 10% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion T Proph Diag 1St | $712.80 | $792.00 | — | — | 10% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion, Tx,Proph,Diag 1St | $729.90 | $811.00 | — | — | 10% |
| IV push of a medicine, first drug CPT 96374 Therprophdiag Inj Iv Push | $256.50 | $285.00 | — | at median | 10% |
| IV push of a medicine, first drug CPT 96374 Intrav Diag/Ther Inj Init Chf | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Iv Diag/Ther Injection Pcu | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag Ther Inj 3N | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj - Er | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj - 2S | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj - 5S | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj -Icu | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj -Hvu | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj-Sopu | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj-Ob | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj-Onc | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj-Chf | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug CPT 96374 Intravenous Diag/Ther Inj-3S | $378.90 | $421.00 | — | 48% above | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Therprophdiag Inj Iv Push | $256.50 | $285.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj - 2S | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj-3S | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intrav Diag/Ther Inj Init Chf | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj-Chf | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj-Onc | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Diag/Ther Injection Pcu | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj-Ob | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj-Sopu | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj -Hvu | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag Ther Inj 3N | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj -Icu | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj - 5S | $378.90 | $421.00 | — | — | 10% |
| IV push of a medicine, first drug inpatient CPT 96374 Intravenous Diag/Ther Inj - Er | $378.90 | $421.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therprophdiag Inj Scim | $20.70 | $23.00 | — | 85% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Hvu | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Onc | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj- Chf Cl | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Er | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - 2S | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - 5S | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Icu | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj 3N | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - 3S | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj -Occ Hl | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Chf | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj Pcu | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Ob | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj-Sopu | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj-Rad Tx | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subcutaneous Or Im Inj - Obs | $231.30 | $257.00 | — | 64% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therprophdiag Inj Scim | $20.70 | $23.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Icu | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj- Chf Cl | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj-Rad Tx | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Onc | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj-Sopu | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Obs | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Ob | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Hvu | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - 5S | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - 2S | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Er | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj 3N | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj Pcu | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - Chf | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj -Occ Hl | $231.30 | $257.00 | — | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subcutaneous Or Im Inj - 3S | $231.30 | $257.00 | — | — | 10% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation | $167.40 | $186.00 | — | 47% below | 10% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation | $167.40 | $186.00 | — | — | 10% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies | $332.10 | $369.00 | — | 76% below | 10% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies | $332.10 | $369.00 | — | — | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation | $50.40 | $56.00 | — | 54% below | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuro Muscular Re-Ed - 15 Min | $126.00 | $140.00 | — | 15% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot-Rehab-Neuromuscular Re-Educ | $148.50 | $165.00 | — | 35% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot-Neuromuscular Re-Education | $148.50 | $165.00 | — | 35% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuro Muscular Re-Ed 15 Min | $148.50 | $165.00 | — | 35% above | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation | $50.40 | $56.00 | — | — | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuro Muscular Re-Ed - 15 Min | $126.00 | $140.00 | — | — | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot-Rehab-Neuromuscular Re-Educ | $148.50 | $165.00 | — | — | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuro Muscular Re-Ed 15 Min | $148.50 | $165.00 | — | — | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot-Neuromuscular Re-Education | $148.50 | $165.00 | — | — | 10% |
| New patient office visit, about 30 minutes CPT 99203 Initial Visit - Level Iii | $369.00 | $410.00 | — | 236% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 E&M First Visit Level Iii | $369.00 | $410.00 | — | 236% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 Occ Health First Visit Iii Er | $369.00 | $410.00 | — | 236% above | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Occ Health First Visit Iii Er | $369.00 | $410.00 | — | — | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M First Visit Level Iii | $369.00 | $410.00 | — | — | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Initial Visit - Level Iii | $369.00 | $410.00 | — | — | 10% |
| New patient office visit, about 45 minutes CPT 99204 Initial Visit - Level Iv | $398.70 | $443.00 | — | 229% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 Initial Visit-Level Iv | $398.70 | $443.00 | — | 229% above | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Initial Visit-Level Iv | $398.70 | $443.00 | — | — | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Initial Visit - Level Iv | $398.70 | $443.00 | — | — | 10% |
| New patient office visit, about 60 minutes CPT 99205 Initial Visit - Level V | $439.20 | $488.00 | — | 154% above | 10% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Initial Visit - Level V | $439.20 | $488.00 | — | — | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Initial Visit - Level Ii | $319.50 | $355.00 | — | 215% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Initial Visit - Level Ii | $319.50 | $355.00 | — | — | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Indiv In | $47.70 | $53.00 | — | 26% below | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Indiv In | $47.70 | $53.00 | — | — | 10% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min | $257.40 | $286.00 | — | 1% below | 10% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min Reh | $257.40 | $286.00 | — | 1% below | 10% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Min Reh | $257.40 | $286.00 | — | — | 10% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Min | $257.40 | $286.00 | — | — | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Compx 45 Min Well | $277.20 | $308.00 | — | 8% below | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Compx 45 Min Reha | $296.10 | $329.00 | — | 2% below | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min | $296.10 | $329.00 | — | 2% below | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Compx 45 Min Well | $277.20 | $308.00 | — | — | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Compx 45 Min Reha | $296.10 | $329.00 | — | — | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 Min | $296.10 | $329.00 | — | — | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Compx 20 Min Welln | $240.30 | $267.00 | — | 8% below | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Compx 20 Min Rehab | $257.40 | $286.00 | — | 1% below | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min | $257.40 | $286.00 | — | 1% below | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Compx 20 Min Welln | $240.30 | $267.00 | — | — | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20 Min | $257.40 | $286.00 | — | — | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Compx 20 Min Rehab | $257.40 | $286.00 | — | — | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Compx 30 Min Welln | $259.20 | $288.00 | — | 7% below | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min | $277.20 | $308.00 | — | at median | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Compx 30 Min Rehab | $277.20 | $308.00 | — | at median | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Compx 30 Min Welln | $259.20 | $288.00 | — | — | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Compx 30 Min Rehab | $277.20 | $308.00 | — | — | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 Min | $277.20 | $308.00 | — | — | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 1 Regions | $40.50 | $45.00 | — | 63% below | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy - Each 15 Min | $126.00 | $140.00 | — | 14% above | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot-Manual Therapy | $134.10 | $149.00 | — | 21% above | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy-Ea 15 Min-Rehab | $134.10 | $149.00 | — | 21% above | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy 1 Regions | $40.50 | $45.00 | — | — | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy - Each 15 Min | $126.00 | $140.00 | — | — | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy-Ea 15 Min-Rehab | $134.10 | $149.00 | — | — | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot-Manual Therapy | $134.10 | $149.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exerc-15 Min* Bwc | $30.60 | $34.00 | — | 74% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises | $44.10 | $49.00 | — | 63% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeatic Exer15 Min-Lmhs Wc | $90.00 | $100.00 | — | 24% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Rehab-Therapeutic Exercise | $96.30 | $107.00 | — | 19% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tilt Table - Ea 15 Min | $96.30 | $107.00 | — | 19% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exerc-15 Min - Pt | $96.30 | $107.00 | — | 19% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exerc-15 Min-Rhab | $96.30 | $107.00 | — | 19% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Therapeutic Exercise | $96.30 | $107.00 | — | 19% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exerc-15 Min* Bwc | $30.60 | $34.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises | $44.10 | $49.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeatic Exer15 Min-Lmhs Wc | $90.00 | $100.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tilt Table - Ea 15 Min | $96.30 | $107.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exerc-15 Min-Rhab | $96.30 | $107.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Therapeutic Exercise | $96.30 | $107.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Rehab-Therapeutic Exercise | $96.30 | $107.00 | — | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exerc-15 Min - Pt | $96.30 | $107.00 | — | — | 10% |
| Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval Wmed Srvcs | $171.90 | $191.00 | — | 51% below | 10% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diag Eval Wmed Srvcs | $171.90 | $191.00 | — | — | 10% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Tst Eval Physqhp 1St | $332.10 | $369.00 | — | 22% below | 10% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psycl Tst Eval Physqhp 1St | $332.10 | $369.00 | — | — | 10% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min | $167.40 | $186.00 | — | 47% below | 10% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx Crisis Initial 60 Min | $167.40 | $186.00 | — | — | 10% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx W Pt 30 Minutes | $167.40 | $186.00 | — | 12% below | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx W Pt 30 Minutes | $167.40 | $186.00 | — | — | 10% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx W Pt 45 Minutes | $167.40 | $186.00 | — | 37% below | 10% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx W Pt 45 Minutes | $167.40 | $186.00 | — | — | 10% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx W Pt 60 Minutes | $167.40 | $186.00 | — | 47% below | 10% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx W Pt 60 Minutes | $167.40 | $186.00 | — | — | 10% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min | $11.70 | $13.00 | — | 73% below | 10% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav Chng Smoking 3-10 Min | $11.70 | $13.00 | — | — | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Follow Up Visit - Level V | $439.20 | $488.00 | — | 161% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Occ Health First Visit V Er | $439.20 | $488.00 | — | 161% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Occ Health First Visit V Er | $439.20 | $488.00 | — | — | 10% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Follow Up Visit - Level V | $439.20 | $488.00 | — | — | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Self Pay Derm Consult | $28.80 | $32.00 | — | 75% below | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Occ Health - First Visit Iii | $365.40 | $406.00 | — | 215% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Follow Up Visit - Level Iii | $365.40 | $406.00 | — | 215% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Self Pay Derm Consult | $28.80 | $32.00 | — | — | 10% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Follow Up Visit - Level Iii | $365.40 | $406.00 | — | — | 10% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Occ Health - First Visit Iii | $365.40 | $406.00 | — | — | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Occ Health - First Visit Iv | $398.70 | $443.00 | — | 191% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Follow Up Visit - Level Iv | $398.70 | $443.00 | — | 191% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Occ Health First Visit Iv Er | $398.70 | $443.00 | — | 191% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Occ Health - First Visit Iv | $398.70 | $443.00 | — | — | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Occ Health First Visit Iv Er | $398.70 | $443.00 | — | — | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Follow Up Visit - Level Iv | $398.70 | $443.00 | — | — | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Occ Health - First Visit Ii | $319.50 | $355.00 | — | 217% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Occ Health First Visit Ii Er | $319.50 | $355.00 | — | 217% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Follow Up Visit - Level Ii | $319.50 | $355.00 | — | 217% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Occ Health First Visit Ii Er | $319.50 | $355.00 | — | — | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Occ Health - First Visit Ii | $319.50 | $355.00 | — | — | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Follow Up Visit - Level Ii | $319.50 | $355.00 | — | — | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult New Est Patient | $422.10 | $469.00 | — | 186% above | 10% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult New Est Patient | $422.10 | $469.00 | — | — | 10% |
| Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen | $340.20 | $378.00 | — | at median | 10% |
| Speech and language evaluation CPT 92523 Eval Of Speech Pro With Lang | $475.20 | $528.00 | — | 39% above | 10% |
| Speech and language evaluation inpatient CPT 92523 Speech Sound Lang Comprehen | $340.20 | $378.00 | — | — | 10% |
| Speech and language evaluation inpatient CPT 92523 Eval Of Speech Pro With Lang | $475.20 | $528.00 | — | — | 10% |
| Speech therapy session, individual CPT 92507 Speechhearing Therapy | $115.20 | $128.00 | — | 47% below | 10% |
| Speech therapy session, individual CPT 92507 Sp Speech & Language Tx | $438.30 | $487.00 | — | 100% above | 10% |
| Speech therapy session, individual CPT 92507 Aud Audiometry Speech Rec Eval | $438.30 | $487.00 | — | 100% above | 10% |
| Speech therapy session, individual inpatient CPT 92507 Speechhearing Therapy | $115.20 | $128.00 | — | — | 10% |
| Speech therapy session, individual inpatient CPT 92507 Sp Speech & Language Tx | $438.30 | $487.00 | — | — | 10% |
| Speech therapy session, individual inpatient CPT 92507 Aud Audiometry Speech Rec Eval | $438.30 | $487.00 | — | — | 10% |
| Spirometry (breathing test) CPT 94010 Spirometry/ Pft Occ Health | $36.00 | $40.00 | — | 88% below | 10% |
| Spirometry (breathing test) CPT 94010 Breathing Capacity Test | $175.50 | $195.00 | — | 43% below | 10% |
| Spirometry (breathing test) CPT 94010 Spirometry | $840.60 | $934.00 | — | 171% above | 10% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry/ Pft Occ Health | $36.00 | $40.00 | — | — | 10% |
| Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test | $175.50 | $195.00 | — | — | 10% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry | $840.60 | $934.00 | — | — | 10% |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation Of Wheezing | $332.10 | $369.00 | — | 42% below | 10% |
| Spirometry before and after a bronchodilator CPT 94060 Pre & Post Spirometry | $944.10 | $1,049.00 | — | 65% above | 10% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation Of Wheezing | $332.10 | $369.00 | — | — | 10% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pre & Post Spirometry | $944.10 | $1,049.00 | — | — | 10% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Tcranial Magn Stim Tx Plan | $332.10 | $369.00 | — | 26% below | 10% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Tcranial Magn Stim Tx Plan | $332.10 | $369.00 | — | — | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities | $55.80 | $62.00 | — | 54% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities-Ea 15 M | $102.60 | $114.00 | — | 16% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot-Rehab-Therapeutic Activitie | $116.10 | $129.00 | — | 5% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot-Therapeutic Activities | $116.10 | $129.00 | — | 5% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Dynamic Therapeutic Act-15 Min | $116.10 | $129.00 | — | 5% below | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities | $55.80 | $62.00 | — | — | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities-Ea 15 M | $102.60 | $114.00 | — | — | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot-Rehab-Therapeutic Activitie | $116.10 | $129.00 | — | — | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Dynamic Therapeutic Act-15 Min | $116.10 | $129.00 | — | — | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot-Therapeutic Activities | $116.10 | $129.00 | — | — | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $142.20 | $158.00 | — | 40% below | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $254.70 | $283.00 | — | 8% above | 10% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $142.20 | $158.00 | — | — | 10% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $254.70 | $283.00 | — | — | 10% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular Stress Test | $104.40 | $116.00 | — | 87% below | 10% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular Stress Test | $104.40 | $116.00 | — | — | 10% |
| Visual field test, extended CPT 92083 Visual Field Examinations | $142.20 | $158.00 | — | 8% below | 10% |
| Visual field test, extended inpatient CPT 92083 Visual Field Examinations | $142.20 | $158.00 | — | — | 10% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine | $144.00 | $160.00 | — | 61% below | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Vaccine | $144.00 | $160.00 | — | — | 10% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Vaccine 7 Yrs Im | $23.46 | $26.07 | — | 64% below | 10% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Teta Dipth Acel Pert(Dtap) | $97.26 | $108.07 | — | 50% above | 10% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Vaccine 7 Yrs Im | $23.46 | $26.07 | — | — | 10% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Teta Dipth Acel Pert(Dtap) | $97.26 | $108.07 | — | — | 10% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hep B-Ipv Vaccine Im | $70.08 | $77.87 | — | 64% below | 10% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-Hep B-Ipv Vaccine Im | $70.08 | $77.87 | — | — | 10% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipvhib Vaccine Im | $23.06 | $25.62 | — | 85% below | 10% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-Ipvhib Vaccine Im | $23.06 | $25.62 | — | — | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc No Prsv 0.5 Ml Im | $30.02 | $33.35 | — | 34% below | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vacc Pf 0.5Ml Dose | $58.50 | $65.00 | — | 28% above | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 Vacc No Prsv 0.5 Ml Im | $30.02 | $33.35 | — | — | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vacc Pf 0.5Ml Dose | $58.50 | $65.00 | — | — | 10% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep Ahep B Vacc Adult Im | $24.30 | $27.00 | — | 92% below | 10% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep Ahep B Vacc Adult Im | $24.30 | $27.00 | — | — | 10% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Im | $78.30 | $87.00 | — | 60% below | 10% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix Inj 1440 El.U./1Ml | $204.55 | $227.28 | — | 5% above | 10% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa Vaccine Adult Im | $78.30 | $87.00 | — | — | 10% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Havrix Inj 1440 El.U./1Ml | $204.55 | $227.28 | — | — | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vac 10Mcg 20Yrs Up | $13.50 | $15.00 | — | 91% below | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vac 10Mcg 20Yrs Up | $13.50 | $15.00 | — | — | 10% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B Vac 10Mcg 20Yrs Up | $108.00 | $120.00 | — | 51% below | 10% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vacc 2 Dose Adult Im | $191.70 | $213.00 | — | 12% below | 10% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepatitis B Vac 10Mcg 20Yrs Up | $108.00 | $120.00 | — | — | 10% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb Vacc 2 Dose Adult Im | $191.70 | $213.00 | — | — | 10% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine Infant-Im | $64.88 | $72.09 | — | 8% above | 10% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vacc 3 Dose Pedadol Im | $102.99 | $114.43 | — | 72% above | 10% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Vaccine Infant-Im | $64.88 | $72.09 | — | — | 10% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepb Vacc 3 Dose Pedadol Im | $102.99 | $114.43 | — | — | 10% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vacc 3 Dose Im | $23.56 | $26.18 | — | 66% below | 10% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib Prp-Omp Vacc 3 Dose Im | $23.56 | $26.18 | — | — | 10% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Im | $23.50 | $26.11 | — | 23% below | 10% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus B Vaccine Inj | $51.49 | $57.21 | — | 69% above | 10% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib Prp-T Vaccine 4 Dose Im | $23.50 | $26.11 | — | — | 10% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemophilus B Vaccine Inj | $51.49 | $57.21 | — | — | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv No Prsv Increased Ag Im | $90.00 | $100.00 | — | 13% below | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv No Prsv Increased Ag Im | $90.00 | $100.00 | — | — | 10% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii Inj 0.5Ml Vial | $405.49 | $450.54 | — | 94% above | 10% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii Inj 0.5Ml Vial | $405.49 | $450.54 | — | — | 10% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo Vaccine Inj 0.5 Ml | $357.44 | $397.15 | — | 13% above | 10% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo Vaccine Inj 0.5 Ml | $357.44 | $397.15 | — | — | 10% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero Vaccine Inj 0.5 Ml | $548.79 | $609.77 | — | at median | 10% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Bexsero Vaccine Inj 0.5 Ml | $548.79 | $609.77 | — | — | 10% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 Vaccine Im | $279.00 | $310.00 | — | 36% below | 10% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar-13 Inj 0.5 Ml Vial | $600.19 | $666.88 | — | 37% above | 10% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pcv13 Vaccine Im | $279.00 | $310.00 | — | — | 10% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar-13 Inj 0.5 Ml Vial | $600.19 | $666.88 | — | — | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine Im | $337.50 | $375.00 | — | 49% below | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 Inj 0.5 Ml | $862.24 | $958.04 | — | 30% above | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine Im | $337.50 | $375.00 | — | — | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 Inj 0.5 Ml | $862.24 | $958.04 | — | — | 10% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Capvaxive 21 Inj 0.5 Ml | $766.74 | $851.93 | — | 136% above | 10% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 Capvaxive 21 Inj 0.5 Ml | $766.74 | $851.93 | — | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 0.5Ml Vial | $126.00 | $140.00 | — | 54% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vacc 2 Yrs Subqim | $144.00 | $160.00 | — | 48% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 Inj 0.5Ml Vial | $360.00 | $400.00 | — | 31% above | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 0.5Ml Vial | $126.00 | $140.00 | — | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vacc 2 Yrs Subqim | $144.00 | $160.00 | — | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 Inj 0.5Ml Vial | $360.00 | $400.00 | — | — | 10% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Ipv Scim | $23.98 | $26.65 | — | 62% below | 10% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus Ipv Scim | $23.98 | $26.65 | — | — | 10% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im | $705.71 | $784.12 | — | 32% below | 10% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im | $705.71 | $784.12 | — | — | 10% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoc Antb Seasn .5Ml Im | $438.74 | $487.49 | — | 68% below | 10% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv Monoc Antb Seasn .5Ml Im | $438.74 | $487.49 | — | — | 10% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine Im | $365.31 | $405.90 | — | 62% below | 10% |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies Vaccine 2.5Iu/Ml | $758.21 | $842.46 | — | 20% below | 10% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Im | $365.31 | $405.90 | — | — | 10% |
| Rabies vaccine, one dose inpatient CPT 90675 Imovax Rabies Vaccine 2.5Iu/Ml | $758.21 | $842.46 | — | — | 10% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 Vacc 2 Dose Live Oral | $69.98 | $77.76 | — | 73% below | 10% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rv1 Vacc 2 Dose Live Oral | $69.98 | $77.76 | — | — | 10% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vacc 3 Dose Live Oral | $23.06 | $25.62 | — | 83% below | 10% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rv5 Vacc 3 Dose Live Oral | $23.06 | $25.62 | — | — | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Vacc Recombinant Im | $266.40 | $296.00 | — | 47% below | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Vacc Recombinant Im | $266.40 | $296.00 | — | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vacc No Presv 7 Yrs Im | $39.60 | $44.00 | — | 56% below | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanu/Dip Tox Adult Tdvax | $169.34 | $188.16 | — | 89% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANU/DIP TOX ADULT TDVAX | $169.47 | $188.30 | — | 89% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vacc No Presv 7 Yrs Im | $39.60 | $44.00 | — | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanu/Dip Tox Adult Tdvax | $169.34 | $188.16 | — | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANU/DIP TOX ADULT TDVAX | $169.47 | $188.30 | — | — | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetan/Dipt/Pert Vaccine (Tdap) | $40.50 | $45.00 | — | 63% below | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs Im | $43.20 | $48.00 | — | 61% below | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetan/Dipt/Pert(Boostrix)Vacci | $163.58 | $181.76 | — | 48% above | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetan/Dipt/Pert Vaccine (Tdap) | $40.50 | $45.00 | — | — | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine 7 Yrs Im | $43.20 | $48.00 | — | — | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetan/Dipt/Pert(Boostrix)Vacci | $163.58 | $181.76 | — | — | 10% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine Im | $24.30 | $27.00 | — | 92% below | 10% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine Im | $24.30 | $27.00 | — | — | 10% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 Typhoid Vaccine Oral | $24.30 | $27.00 | — | 51% below | 10% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 Typhoid Vaccine Oral | $24.30 | $27.00 | — | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $19.80 | $22.00 | — | 51% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Vaccine Admin-One | $83.70 | $93.00 | — | 106% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Vaccine Admin One | $83.70 | $93.00 | — | 106% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Vaccine Admin-Hvu | $83.70 | $93.00 | — | 106% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Vacc Admin Pcu | $83.70 | $93.00 | — | 106% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin | $19.80 | $22.00 | — | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Vacc Admin Pcu | $83.70 | $93.00 | — | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Vaccine Admin-One | $83.70 | $93.00 | — | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Vaccine Admin-Hvu | $83.70 | $93.00 | — | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Vaccine Admin One | $83.70 | $93.00 | — | — | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Each Add | $14.40 | $16.00 | — | 59% below | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Vaccine Admin-Ea+ | $82.80 | $92.00 | — | 138% above | 10% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Each Add | $14.40 | $16.00 | — | — | 10% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Vaccine Admin-Ea+ | $82.80 | $92.00 | — | — | 10% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.limamemorial.org/media/bahnfbgb/344434676_lima-memorial-health-system_standardcharges.json