SelfPayRates
Hospital Washington-Arlington-Alexandria, DC-VA-MD-WV

Children's National Hospital

Children's National Hospital in Washington, DC publishes cash prices for 284 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the District of Columbia median for 133 of 263 procedures and above it for 108. By typical cash price it ranks #3 of 6 District of Columbia hospitals and #4 of 19 hospitals in the Washington, DC area, cheapest first. Click a procedure to compare it with other hospitals nearby.

111 Michigan Avenue Nw, Washington, DC 20010 Collected Sep 29, 2026 Source price file (202) 476-5000

Children's hospital Emergency department CCN 093300 · CMS hospital register NPI 1912939703

Scans and imaging

ProcedureCash price List priceInsurers payvs District of ColumbiaOff list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Bilat 3+ Views $706.00 $1,412.00 $32.38–$1,550.00 — 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle LT 3+ Views $353.00 $706.00 $32.38–$1,550.00 at median 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle RT 3+ Views $353.00 $706.00 $32.38–$1,550.00 at median 50%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Bilat 3+ Views $706.00 $1,412.00 $593.04–$772.36 — 50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle LT 3+ Views $353.00 $706.00 $296.52–$386.18 — 50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle RT 3+ Views $353.00 $706.00 $296.52–$386.18 — 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus $424.00 $848.00 $78.26–$1,550.00 6% below 50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus $424.00 $848.00 $356.16–$463.86 — 50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Scan Whole Body $1,749.50 $3,499.00 $259.46–$2,379.32 20% above 50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone/Joint Scan Whole Body $1,749.50 $3,499.00 $1,469.58–$1,913.95 — 50%
Breast ultrasound, complete, one breast CPT 76641 US Breast Complete $640.00 $1,280.00 $77.88–$1,550.00 28% above 50%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Complete $640.00 $1,280.00 $537.60–$700.16 — 50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Limited $596.00 $1,192.00 $60.53–$1,550.00 31% above 50%
Breast ultrasound, limited (one breast or one area) CPT 76642 76642 (ED Only) Breast US, limited $596.00 $1,192.00 $60.53–$1,550.00 31% above 50%
Breast ultrasound, limited (one breast or one area) CPT 76642 3M $ US BREAST LIMITED $596.00 $1,192.00 $60.53–$1,550.00 31% above 50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 (ED Only) Breast US, limited $596.00 $1,192.00 $500.64–$652.02 — 50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Limited $596.00 $1,192.00 $500.64–$652.02 — 50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 3M $ US BREAST LIMITED $596.00 $1,192.00 $500.64–$652.02 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Chest Angio $1,926.00 $3,852.00 $232.09–$5,147.78 7% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Chest Angio $1,926.00 $3,852.00 $1,617.84–$2,107.04 — 50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 3M $ CT ANGIO HRT3D IMAGE $2,515.00 $5,030.00 $249.43–$4,638.69 72% above 50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart 3D $2,515.00 $5,030.00 $249.43–$4,638.69 72% above 50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart 3D $2,515.00 $5,030.00 $2,112.60–$2,751.41 — 50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 3M $ CT ANGIO HRT3D IMAGE $2,515.00 $5,030.00 $2,112.60–$2,751.41 — 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen + Pelvis wo Contrast $1,677.00 $3,354.00 $121.05–$7,037.70 1% below 50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen + Pelvis wo Contrast $1,677.00 $3,354.00 $1,408.68–$1,834.64 — 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen + Pelvis w/ Contrast $2,298.50 $4,597.00 $254.85–$9,616.44 17% below 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen + Pelvis w/ Contrast $2,298.50 $4,597.00 $1,930.74–$2,514.56 — 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen + Pelvis w/wo Contrast $2,816.50 $5,633.00 $287.61–$10,764.94 4% above 50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen + Pelvis w/wo Contrast $2,816.50 $5,633.00 $2,365.86–$3,081.25 — 50%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast $2,356.50 $4,713.00 $201.64–$3,351.68 23% above 50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast $2,356.50 $4,713.00 $1,979.46–$2,578.01 — 50%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen wo Contrast $1,937.50 $3,875.00 $95.61–$2,837.20 29% above 50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen wo Contrast $1,937.50 $3,875.00 $1,627.50–$2,119.62 — 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial wo Contrast $1,431.50 $2,863.00 $103.71–$2,435.17 4% above 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Medtronic $1,431.50 $2,863.00 $103.71–$2,435.17 4% above 50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus Medtronic $1,431.50 $2,863.00 $1,202.46–$1,566.06 — 50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial wo Contrast $1,431.50 $2,863.00 $1,202.46–$1,566.06 — 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Low Dose $1,382.50 $2,765.00 $79.03–$2,300.29 at median 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain wo Contrast $1,382.50 $2,765.00 $79.03–$2,300.29 at median 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Port Brain wo Contrast $1,382.50 $2,765.00 $79.03–$2,300.29 at median 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Trauma $1,382.50 $2,765.00 $79.03–$2,300.29 at median 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Stealth/ROSA $1,382.50 $2,765.00 $79.03–$2,300.29 at median 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Port Brain wo Contrast $1,382.50 $2,765.00 $1,161.30–$1,512.45 — 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Stealth/ROSA $1,382.50 $2,765.00 $1,161.30–$1,512.45 — 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Low Dose $1,382.50 $2,765.00 $1,161.30–$1,512.45 — 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain wo Contrast $1,382.50 $2,765.00 $1,161.30–$1,512.45 — 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Trauma $1,382.50 $2,765.00 $1,161.30–$1,512.45 — 50%
CT scan of the head with contrast CPT 70460 CT Brain w/ Contrast $1,543.50 $3,087.00 $112.96–$2,809.38 10% above 50%
CT scan of the head with contrast inpatient CPT 70460 CT Brain w/ Contrast $1,543.50 $3,087.00 $1,296.54–$1,688.59 — 50%
CT scan of the head without and with contrast CPT 70470 CT Brain w/wo Contrast $2,461.50 $4,923.00 $134.55–$3,443.40 23% above 50%
CT scan of the head without and with contrast inpatient CPT 70470 CT Brain w/wo Contrast $2,461.50 $4,923.00 $2,067.66–$2,692.88 — 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine wo Contrast $1,225.50 $2,451.00 $97.93–$2,922.77 18% below 50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine wo Contrast $1,225.50 $2,451.00 $1,029.42–$1,340.70 — 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine wo Contrast $1,517.50 $3,035.00 $98.70–$2,922.77 6% below 50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine wo Contrast $1,517.50 $3,035.00 $1,274.70–$1,660.14 — 50%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast $1,399.50 $2,799.00 $203.18–$3,296.47 21% below 50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast $1,399.50 $2,799.00 $1,175.58–$1,531.05 — 50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US D-Scan ExtraCran Art Bilat $915.50 $1,831.00 $173.48–$8,350.56 — 50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US D-Scan ExtraCran Art Bilat $915.50 $1,831.00 $769.02–$1,001.56 — 50%
Chest X-ray, 2 views CPT 71046 XR Chest 2 View AP + Lat $283.50 $567.00 $26.98–$801.19 at median 50%
Chest X-ray, 2 views CPT 71046 XR Port Chest 2 Views $283.50 $567.00 $26.98–$801.19 at median 50%
Chest X-ray, 2 views CPT 71046 XR Chest Stereo $283.50 $567.00 $26.98–$801.19 at median 50%
Chest X-ray, 2 views CPT 71046 XR Chest w/Fluoro 2 Views $283.50 $567.00 $26.98–$801.19 at median 50%
Chest X-ray, 2 views one side CPT 71046 XR Port CH AP/Left Lat 2 Views $283.50 $567.00 $26.98–$801.19 at median 50%
Chest X-ray, 2 views inpatient CPT 71046 XR Port Chest 2 Views $283.50 $567.00 $238.14–$310.15 — 50%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest Stereo $283.50 $567.00 $238.14–$310.15 — 50%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest w/Fluoro 2 Views $283.50 $567.00 $238.14–$310.15 — 50%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 View AP + Lat $283.50 $567.00 $238.14–$310.15 — 50%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Port CH AP/Left Lat 2 Views $283.50 $567.00 $238.14–$310.15 — 50%
Chest X-ray, single view CPT 71045 XR Port Chest AP 1 View $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view CPT 71045 XR Chest 1 View $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view CPT 71045 XR Trauma Series $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view CPT 71045 XR Port Abd/Chest 1 View $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view CPT 71045 XR Port Chest Cross Table Lat $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view CPT 71045 XR VA Shunt Series $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view CPT 71045 3M $ X-RAY EXAM CHEST 1 VIEW $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view one side CPT 71045 XR Port Chest Left Lat Decub $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view one side CPT 71045 XR Port Chest Right Lat Decub $243.50 $487.00 $20.04–$1,550.00 at median 50%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient CPT 71045 XR Port Chest Cross Table Lat $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient CPT 71045 3M $ X-RAY EXAM CHEST 1 VIEW $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient CPT 71045 XR Port Chest AP 1 View $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient CPT 71045 XR Trauma Series $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient CPT 71045 XR Port Abd/Chest 1 View $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient CPT 71045 XR VA Shunt Series $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient one side CPT 71045 XR Port Chest Left Lat Decub $243.50 $487.00 $204.54–$266.39 — 50%
Chest X-ray, single view inpatient one side CPT 71045 XR Port Chest Right Lat Decub $243.50 $487.00 $204.54–$266.39 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal with Doppler $740.50 $1,481.00 $84.42–$1,550.00 22% above 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Voiding Urosonogram $740.50 $1,481.00 $84.42–$1,550.00 22% above 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete $740.50 $1,481.00 $84.42–$1,550.00 22% above 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal $740.50 $1,481.00 $84.42–$1,550.00 22% above 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal $740.50 $1,481.00 $84.42–$1,550.00 22% above 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal $740.50 $1,481.00 $622.02–$810.11 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Voiding Urosonogram $740.50 $1,481.00 $622.02–$810.11 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete $740.50 $1,481.00 $622.02–$810.11 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal with Doppler $740.50 $1,481.00 $622.02–$810.11 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal $740.50 $1,481.00 $622.02–$810.11 — 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density Axial $802.50 $1,605.00 $34.69–$1,550.00 66% above 50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Axial $802.50 $1,605.00 $674.10–$877.93 — 50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Detailed Fetus 1ST $694.50 $1,389.00 $102.15–$2,426.91 4% above 50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Detailed Fetus 1ST $694.50 $1,389.00 $583.38–$759.78 — 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest + Abd + Pelvis wo Contrast $1,431.50 $2,863.00 $97.54–$2,922.77 1% below 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest wo Contrast $1,431.50 $2,863.00 $97.54–$2,922.77 1% below 50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest wo Contrast $1,431.50 $2,863.00 $1,202.46–$1,566.06 — 50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest + Abd + Pelvis wo Contrast $1,431.50 $2,863.00 $1,202.46–$1,566.06 — 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest + Abd + Pelvis w/ Contrast $1,751.50 $3,503.00 $132.62–$3,429.49 10% below 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast $1,751.50 $3,503.00 $132.62–$3,429.49 10% below 50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest + Abd + Pelvis w/ Contrast $1,751.50 $3,503.00 $1,471.26–$1,916.14 — 50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast $1,751.50 $3,503.00 $1,471.26–$1,916.14 — 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US D-Scan Low Ext Artery Comp/Bilat $921.00 $1,842.00 $230.54–$9,940.08 — 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Portable Low Ext Artery Comp/Bilat $921.00 $1,842.00 $230.54–$9,940.08 — 50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US D-Scan Low Ext Artery Comp/Bilat $921.00 $1,842.00 $773.64–$1,007.57 — 50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Portable Low Ext Artery Comp/Bilat $921.00 $1,842.00 $773.64–$1,007.57 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Doppler Low Extremity Veins Bilat $952.00 $1,904.00 $176.18–$8,108.59 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US D-Scan Extremity Veins Comp/Bilat $952.00 $1,904.00 $176.18–$8,108.59 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Doppler Up Extremity Veins Bilat $952.00 $1,904.00 $176.18–$8,108.59 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US D-Scan Extremity Veins Comp/Bilat $952.00 $1,904.00 $799.68–$1,041.49 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Doppler Low Extremity Veins Bilat $952.00 $1,904.00 $799.68–$1,041.49 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Doppler Up Extremity Veins Bilat $952.00 $1,904.00 $799.68–$1,041.49 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,799.50 $3,599.00 $146.11–$9,032.92 at median 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ISCV $ TTE W/DOPPLER COMPLETE $1,799.50 $3,599.00 $146.11–$9,032.92 at median 50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE $1,799.50 $3,599.00 $1,511.58–$1,968.65 — 50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ISCV $ TTE W/DOPPLER COMPLETE $1,799.50 $3,599.00 $1,511.58–$1,968.65 — 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Scan + CCK $1,679.50 $3,359.00 $295.70–$2,284.12 5% below 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Scan $1,679.50 $3,359.00 $295.70–$2,284.12 5% below 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Scan + CCK $1,679.50 $3,359.00 $1,410.78–$1,837.37 — 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Scan $1,679.50 $3,359.00 $1,410.78–$1,837.37 — 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 HOME SLEEP STUDY UNATTENDED $218.00 $436.00 $61.29–$6,637.05 — 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Performed -> CPT 95806 - UNATTENDED SLEEP STUDY AIRFLOW HRT RATE&O2 SAT E $218.00 $436.00 $61.29–$6,637.05 — 50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Performed -> CPT 95806 - UNATTENDED SLEEP STUDY AIRFLOW HRT RATE&O2 SAT E $218.00 $436.00 $183.12–$238.49 — 50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 95806 HOME SLEEP STUDY UNATTENDED $218.00 $436.00 $183.12–$238.49 — 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study Performed -> PSG/CPAP (6yrs-18yrs) $6,663.00 $13,326.00 $619.87–$30,083.93 — 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study Performed -> PSG/CPAP (6yrs-18yrs) $6,663.00 $13,326.00 $5,596.92–$7,289.32 — 50%
Knee X-ray, 3 views both sides CPT 73562 XR Knee Bilat 3 Views $811.00 $1,622.00 $36.62–$1,102.96 — 50%
Knee X-ray, 3 views one side CPT 73562 XR Knee LT 3 Views $405.50 $811.00 $36.62–$729.04 25% above 50%
Knee X-ray, 3 views one side CPT 73562 XR Knee RT 3 Views $405.50 $811.00 $36.62–$729.04 25% above 50%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee Bilat 3 Views $811.00 $1,622.00 $681.24–$887.23 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee LT 3 Views $405.50 $811.00 $340.62–$443.62 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee RT 3 Views $405.50 $811.00 $340.62–$443.62 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 (ED Only) Abdomen, FAST, lower back, abdominal wall $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Bowel w/Contrast $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen w/Doppler Limited $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Portable Abdomen Limited $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen w/ Contrast $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 3M $ ECHO EXAM OF ABDOMEN $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix $627.00 $1,254.00 $68.24–$1,550.00 27% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 (ED Only) Abdomen, FAST, lower back, abdominal wall $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 3M $ ECHO EXAM OF ABDOMEN $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Bowel w/Contrast $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen w/Doppler Limited $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen w/ Contrast $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited $627.00 $1,254.00 $526.68–$685.94 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Portable Abdomen Limited $627.00 $1,254.00 $526.68–$685.94 — 50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR Knee Bilat wo Contrast $4,026.00 $8,052.00 $165.00–$5,475.36 — 50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR Hip Bilat wo Contrast $4,026.00 $8,052.00 $165.00–$5,475.36 — 50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR Ankle Bilat wo Contrast $4,026.00 $8,052.00 $165.00–$5,475.36 — 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Knee RT wo Contrast $2,013.00 $4,026.00 $165.00–$5,077.73 15% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Hip RT wo Contrast $2,013.00 $4,026.00 $165.00–$5,077.73 15% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Knee LT wo Contrast $2,013.00 $4,026.00 $165.00–$5,077.73 15% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Hip LT wo Contrast $2,013.00 $4,026.00 $165.00–$5,077.73 15% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Ankle LT wo Contrast $2,013.00 $4,026.00 $165.00–$5,077.73 15% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Ankle RT wo Contrast $2,013.00 $4,026.00 $165.00–$5,077.73 15% above 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MR Ankle Bilat wo Contrast $4,026.00 $8,052.00 $3,381.84–$4,404.44 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MR Hip Bilat wo Contrast $4,026.00 $8,052.00 $3,381.84–$4,404.44 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MR Knee Bilat wo Contrast $4,026.00 $8,052.00 $3,381.84–$4,404.44 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR Knee LT wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR Knee RT wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR Hip RT wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR Ankle LT wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR Hip LT wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR Ankle RT wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR Ankle Bilat w/wo Contrast $6,640.00 $13,280.00 $332.34–$10,874.45 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR Knee Bilat w/wo Contrast $6,640.00 $13,280.00 $332.34–$10,874.45 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR Hip Bilat w/wo Contrast $6,640.00 $13,280.00 $332.34–$10,874.45 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Ankle LT w/wo Contrast $3,320.00 $6,640.00 $332.34–$10,874.45 22% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Knee RT w/wo Contrast $3,320.00 $6,640.00 $332.34–$10,874.45 22% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Ankle RT w/wo Contrast $3,320.00 $6,640.00 $332.34–$10,874.45 22% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Hip LT w/wo Contrast $3,320.00 $6,640.00 $332.34–$10,874.45 22% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Hip RT w/wo Contrast $3,320.00 $6,640.00 $332.34–$10,874.45 22% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Knee LT w/wo Contrast $3,320.00 $6,640.00 $332.34–$10,874.45 22% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR Hip Bilat w/wo Contrast $6,640.00 $13,280.00 $5,577.60–$7,264.16 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR Ankle Bilat w/wo Contrast $6,640.00 $13,280.00 $5,577.60–$7,264.16 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR Knee Bilat w/wo Contrast $6,640.00 $13,280.00 $5,577.60–$7,264.16 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR Ankle LT w/wo Contrast $3,320.00 $6,640.00 $2,788.80–$3,632.08 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR Hip LT w/wo Contrast $3,320.00 $6,640.00 $2,788.80–$3,632.08 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR Hip RT w/wo Contrast $3,320.00 $6,640.00 $2,788.80–$3,632.08 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR Knee LT w/wo Contrast $3,320.00 $6,640.00 $2,788.80–$3,632.08 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR Knee RT w/wo Contrast $3,320.00 $6,640.00 $2,788.80–$3,632.08 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR Ankle RT w/wo Contrast $3,320.00 $6,640.00 $2,788.80–$3,632.08 — 50%
MRI of the abdomen without contrast CPT 74181 MRCP $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Abdomen Ferriscan $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Urography w/wo Contrast $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Abdomen wo Contrast $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Research Fetal Abd No Report $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Fetal Abdomen Research $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Abdomen Limited $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast CPT 74181 MR Abdomen Research Twitch $2,032.50 $4,065.00 $150.36–$5,147.78 9% above 50%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Fetal Abdomen Research $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Research Fetal Abd No Report $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Abdomen Limited $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Abdomen Ferriscan $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Urography w/wo Contrast $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Abdomen wo Contrast $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen without contrast inpatient CPT 74181 MR Abdomen Research Twitch $2,032.50 $4,065.00 $1,707.30–$2,223.55 — 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR Abdomen w/wo Contrast $2,828.00 $5,656.00 $276.43–$10,946.61 2% above 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR Enterography w/wo Contrast $2,828.00 $5,656.00 $276.43–$10,946.61 2% above 50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR Enterography w/wo Contrast $2,828.00 $5,656.00 $2,375.52–$3,093.83 — 50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR Abdomen w/wo Contrast $2,828.00 $5,656.00 $2,375.52–$3,093.83 — 50%
MRI of the brain, no contrast dye CPT 70551 MR Brain wo Contrast Recurring x 4 $2,080.50 $4,161.00 $150.36–$5,202.74 8% above 50%
MRI of the brain, no contrast dye CPT 70551 MR Brain Limited $2,080.50 $4,161.00 $150.36–$5,202.74 8% above 50%
MRI of the brain, no contrast dye CPT 70551 MR Brain wo Contrast Recurring x 2 $2,080.50 $4,161.00 $150.36–$5,202.74 8% above 50%
MRI of the brain, no contrast dye CPT 70551 MR Brain wo Contrast $2,080.50 $4,161.00 $150.36–$5,202.74 8% above 50%
MRI of the brain, no contrast dye CPT 70551 MR Research Fetal Brain $2,080.50 $4,161.00 $150.36–$5,202.74 8% above 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR Research Fetal Brain $2,080.50 $4,161.00 $1,747.62–$2,276.07 — 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR Brain wo Contrast Recurring x 4 $2,080.50 $4,161.00 $1,747.62–$2,276.07 — 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR Brain wo Contrast Recurring x 2 $2,080.50 $4,161.00 $1,747.62–$2,276.07 — 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR Brain wo Contrast $2,080.50 $4,161.00 $1,747.62–$2,276.07 — 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR Brain Limited $2,080.50 $4,161.00 $1,747.62–$2,276.07 — 50%
MRI of the brain, with and without contrast dye CPT 70553 MR Brain w/wo Contrast recurring x 4 $3,267.00 $6,534.00 $249.44–$11,113.86 13% above 50%
MRI of the brain, with and without contrast dye CPT 70553 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $3,267.00 $6,534.00 $249.44–$11,113.86 13% above 50%
MRI of the brain, with and without contrast dye CPT 70553 MR Brain w/wo Contrast $3,267.00 $6,534.00 $249.44–$11,113.86 13% above 50%
MRI of the brain, with and without contrast dye CPT 70553 MR Lifu Brain $3,267.00 $6,534.00 $249.44–$11,113.86 13% above 50%
MRI of the brain, with and without contrast dye CPT 70553 MR Brain w/wo Contrast recurring x 2 $3,267.00 $6,534.00 $249.44–$11,113.86 13% above 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR Lifu Brain $3,267.00 $6,534.00 $2,744.28–$3,574.10 — 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR Brain w/wo Contrast recurring x 2 $3,267.00 $6,534.00 $2,744.28–$3,574.10 — 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR Brain w/wo Contrast $3,267.00 $6,534.00 $2,744.28–$3,574.10 — 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $3,267.00 $6,534.00 $2,744.28–$3,574.10 — 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR Brain w/wo Contrast recurring x 4 $3,267.00 $6,534.00 $2,744.28–$3,574.10 — 50%
MRI of the lower back, no contrast dye CPT 72148 MR Spine Lumbar wo Contrast $2,013.00 $4,026.00 $143.80–$5,696.07 6% above 50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR Spine Lumbar wo Contrast $2,013.00 $4,026.00 $1,690.92–$2,202.22 — 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MR Spine Lumbar w/wo Contrast $3,211.00 $6,422.00 $249.44–$11,113.86 3% above 50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR Spine Lumbar w/wo Contrast $3,211.00 $6,422.00 $2,697.24–$3,512.83 — 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR Spine Thoracic wo Contrast $1,953.00 $3,906.00 $143.42–$5,751.70 5% above 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR Spine Thoracic wo Contrast $1,953.00 $3,906.00 $143.42–$5,751.70 5% above 50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR Spine Thoracic wo Contrast $1,953.00 $3,906.00 $1,640.52–$2,136.58 — 50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR Spine Thoracic wo Contrast $1,953.00 $3,906.00 $1,640.52–$2,136.58 — 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR Spine Entire w/wo Contrast $3,936.00 $7,872.00 $250.21–$11,214.26 15% above 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR Brain + Entire Spine wo Contrast $3,936.00 $7,872.00 $250.21–$11,214.26 15% above 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR Spine Cervical w/wo Contrast $3,936.00 $7,872.00 $250.21–$11,214.26 15% above 50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR Spine Cervical w/wo Contrast $3,936.00 $7,872.00 $3,306.24–$4,305.98 — 50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR Brain + Entire Spine wo Contrast $3,936.00 $7,872.00 $3,306.24–$4,305.98 — 50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR Spine Entire w/wo Contrast $3,936.00 $7,872.00 $3,306.24–$4,305.98 — 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR Spine Cervical wo Contrast $2,030.00 $4,060.00 $143.03–$5,258.38 7% above 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR Spine Entire wo Contrast $2,030.00 $4,060.00 $143.03–$5,258.38 7% above 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR Brain + Entire Spine w/wo Contrast $2,030.00 $4,060.00 $143.03–$5,258.38 7% above 50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR Spine Entire wo Contrast $2,030.00 $4,060.00 $1,705.20–$2,220.82 — 50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR Spine Cervical wo Contrast $2,030.00 $4,060.00 $1,705.20–$2,220.82 — 50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR Brain + Entire Spine w/wo Contrast $2,030.00 $4,060.00 $1,705.20–$2,220.82 — 50%
MRI of the pelvis without and with contrast CPT 72197 MR Sacroiliac Joints w/wo Contrast $2,828.00 $5,656.00 $274.89–$10,946.61 8% below 50%
MRI of the pelvis without and with contrast CPT 72197 MR Sacrum/Coccyx wwo Contrast $2,828.00 $5,656.00 $274.89–$10,946.61 8% below 50%
MRI of the pelvis without and with contrast CPT 72197 MR Pelvis w/wo Contrast $2,828.00 $5,656.00 $274.89–$10,946.61 8% below 50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR Sacrum/Coccyx wwo Contrast $2,828.00 $5,656.00 $2,375.52–$3,093.83 — 50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR Sacroiliac Joints w/wo Contrast $2,828.00 $5,656.00 $2,375.52–$3,093.83 — 50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR Pelvis w/wo Contrast $2,828.00 $5,656.00 $2,375.52–$3,093.83 — 50%
MRI of the pelvis, no contrast dye CPT 72195 MR Hip Version/Tibial Torsion $2,166.50 $4,333.00 $188.14–$5,150.73 10% above 50%
MRI of the pelvis, no contrast dye CPT 72195 MR Sacroiliac Joints wo Contrast $2,166.50 $4,333.00 $188.14–$5,150.73 10% above 50%
MRI of the pelvis, no contrast dye CPT 72195 MR Pelvis wo Contrast $2,166.50 $4,333.00 $188.14–$5,150.73 10% above 50%
MRI of the pelvis, no contrast dye CPT 72195 MR Sacrum/Coccyx wo Contrast $2,166.50 $4,333.00 $188.14–$5,150.73 10% above 50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR Sacrum/Coccyx wo Contrast $2,166.50 $4,333.00 $1,819.86–$2,370.15 — 50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR Sacroiliac Joints wo Contrast $2,166.50 $4,333.00 $1,819.86–$2,370.15 — 50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR Pelvis wo Contrast $2,166.50 $4,333.00 $1,819.86–$2,370.15 — 50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR Hip Version/Tibial Torsion $2,166.50 $4,333.00 $1,819.86–$2,370.15 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR Wrist Bilat wo Contrast $4,367.00 $8,734.00 $165.39–$5,939.12 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR Elbow Bilat wo Contrast $4,367.00 $8,734.00 $165.39–$5,939.12 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR Shoulder Bilat wo Contrast $4,367.00 $8,734.00 $165.39–$5,939.12 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Wrist LT wo Contrast $2,183.50 $4,367.00 $165.39–$5,077.73 8% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Wrist RT wo Contrast $2,183.50 $4,367.00 $165.39–$5,077.73 8% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Elbow LT wo Contrast $2,183.50 $4,367.00 $165.39–$5,077.73 8% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Shoulder RT wo Contrast $2,183.50 $4,367.00 $165.39–$5,077.73 8% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Shoulder LT wo Contrast $2,183.50 $4,367.00 $165.39–$5,077.73 8% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Elbow RT wo Contrast $2,183.50 $4,367.00 $165.39–$5,077.73 8% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MR Shoulder Bilat wo Contrast $4,367.00 $8,734.00 $3,668.28–$4,777.50 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MR Elbow Bilat wo Contrast $4,367.00 $8,734.00 $3,668.28–$4,777.50 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MR Wrist Bilat wo Contrast $4,367.00 $8,734.00 $3,668.28–$4,777.50 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Elbow LT wo Contrast $2,183.50 $4,367.00 $1,834.14–$2,388.75 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Wrist LT wo Contrast $2,183.50 $4,367.00 $1,834.14–$2,388.75 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Wrist RT wo Contrast $2,183.50 $4,367.00 $1,834.14–$2,388.75 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Elbow RT wo Contrast $2,183.50 $4,367.00 $1,834.14–$2,388.75 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Shoulder RT wo Contrast $2,183.50 $4,367.00 $1,834.14–$2,388.75 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Shoulder LT wo Contrast $2,183.50 $4,367.00 $1,834.14–$2,388.75 — 50%
OCT scan of the retina (optical coherence tomography) CPT 92134 92134 Cptr Ophth Dx Img Post Segmts $119.50 $239.00 $16.96–$1,454.11 — 50%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 92134 Cptr Ophth Dx Img Post Segmts $119.50 $239.00 $100.38–$130.73 — 50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Skull Base to Mid Thigh $5,007.50 $10,015.00 $1,550.00–$8,863.72 8% below 50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Skull Base to Mid Thigh $5,007.50 $10,015.00 $4,206.30–$5,478.20 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited $564.50 $1,129.00 $30.84–$1,550.00 55% above 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 3M $ ECHO EXAM OF PELVIS LIMITED $564.50 $1,129.00 $30.84–$1,550.00 55% above 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 (ED Only) Bladder, Pelvis (nonOB), Buttock/pelvic wall US, limited $564.50 $1,129.00 $30.84–$1,550.00 55% above 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 (ED Only) Bladder, Pelvis (nonOB), Buttock/pelvic wall US, limited $564.50 $1,129.00 $474.18–$617.56 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 3M $ ECHO EXAM OF PELVIS LIMITED $564.50 $1,129.00 $474.18–$617.56 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OB Limited $564.50 $1,129.00 $474.18–$617.56 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Portable Pelvis $658.00 $1,316.00 $83.65–$1,550.00 2% above 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB $658.00 $1,316.00 $83.65–$1,550.00 2% above 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis w/Doppler Limited $658.00 $1,316.00 $83.65–$1,550.00 2% above 50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB $658.00 $1,316.00 $552.72–$719.85 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Portable Pelvis $658.00 $1,316.00 $552.72–$719.85 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis w/Doppler Limited $658.00 $1,316.00 $552.72–$719.85 — 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pelvis OB Complete $693.00 $1,386.00 $100.62–$1,320.81 2% above 50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pelvis OB Complete $693.00 $1,386.00 $582.12–$758.14 — 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1st Trimester $669.50 $1,339.00 $80.58–$1,550.00 14% above 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1st Trimester $669.50 $1,339.00 $562.38–$732.43 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 (ED Only) Pregnant uterus US, limited $622.00 $1,244.00 $57.83–$1,550.00 38% above 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pelvis OB Limited $622.00 $1,244.00 $57.83–$1,550.00 38% above 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 3M $ OB US, LIMITED STUDY $622.00 $1,244.00 $57.83–$1,550.00 38% above 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pelvis OB Limited $622.00 $1,244.00 $522.48–$680.47 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 (ED Only) Pregnant uterus US, limited $622.00 $1,244.00 $522.48–$680.47 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 3M $ OB US, LIMITED STUDY $622.00 $1,244.00 $522.48–$680.47 — 50%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Bilat 2 Views $695.00 $1,390.00 $29.68–$1,550.00 — 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder LT 2 Views $347.50 $695.00 $29.68–$1,550.00 9% above 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder RT 2 Views $347.50 $695.00 $29.68–$1,550.00 9% above 50%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Bilat 2 Views $695.00 $1,390.00 $583.80–$760.33 — 50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder LT 2 Views $347.50 $695.00 $291.90–$380.17 — 50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder RT 2 Views $347.50 $695.00 $291.90–$380.17 — 50%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Performed -> PSG (6YRS - 18 YRS) $4,659.50 $9,319.00 $591.34–$27,528.00 — 50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Performed -> PSG (6YRS - 18 YRS) $4,659.50 $9,319.00 $3,913.98–$5,097.49 — 50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL Swallowing Function $745.00 $1,490.00 $111.81–$1,550.00 2% below 50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL Swallowing Function $745.00 $1,490.00 $625.80–$815.03 — 50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal $572.00 $1,144.00 $98.30–$1,550.00 10% below 50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal non OB $572.00 $1,144.00 $98.30–$1,550.00 10% below 50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal non OB $572.00 $1,144.00 $480.48–$625.77 — 50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal $572.00 $1,144.00 $480.48–$625.77 — 50%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal $557.50 $1,115.00 $65.15–$1,550.00 at median 50%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL ULTRASOUND $557.50 $1,115.00 $65.15–$1,550.00 at median 50%
Transvaginal ultrasound during pregnancy CPT 76817 ISCV $ TRANSVAGINAL ULTRASOUND $557.50 $1,115.00 $65.15–$1,550.00 at median 50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal $557.50 $1,115.00 $468.30–$609.90 — 50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL ULTRASOUND $557.50 $1,115.00 $468.30–$609.90 — 50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ISCV $ TRANSVAGINAL ULTRASOUND $557.50 $1,115.00 $468.30–$609.90 — 50%
Ultrasound of the abdomen, complete CPT 76700 US Portable Abdomen Complete $899.50 $1,799.00 $89.44–$1,223.32 29% above 50%
Ultrasound of the abdomen, complete CPT 76700 US Abd Comp w/Elastography $899.50 $1,799.00 $89.44–$1,223.32 29% above 50%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen w/Doppler Complete $899.50 $1,799.00 $89.44–$1,223.32 29% above 50%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Comp w/Doppler Lim $899.50 $1,799.00 $89.44–$1,223.32 29% above 50%
Ultrasound of the abdomen, complete CPT 76700 US ED Trauma Abdomen $899.50 $1,799.00 $89.44–$1,223.32 29% above 50%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete $899.50 $1,799.00 $89.44–$1,223.32 29% above 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Comp w/Doppler Lim $899.50 $1,799.00 $755.58–$984.05 — 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen w/Doppler Complete $899.50 $1,799.00 $755.58–$984.05 — 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abd Comp w/Elastography $899.50 $1,799.00 $755.58–$984.05 — 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Portable Abdomen Complete $899.50 $1,799.00 $755.58–$984.05 — 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ED Trauma Abdomen $899.50 $1,799.00 $755.58–$984.05 — 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete $899.50 $1,799.00 $755.58–$984.05 — 50%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum $540.50 $1,081.00 $80.57–$1,550.00 17% above 50%
Ultrasound of the scrotum and testicles CPT 76870 76870 (ED Only) Groin, Scrotum (not for torsion) US, limited $540.50 $1,081.00 $80.57–$1,550.00 17% above 50%
Ultrasound of the scrotum and testicles CPT 76870 US Portable Scrotum $540.50 $1,081.00 $80.57–$1,550.00 17% above 50%
Ultrasound of the scrotum and testicles CPT 76870 3M $ US, SCROTUM AND CONTENTS $540.50 $1,081.00 $80.57–$1,550.00 17% above 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Portable Scrotum $540.50 $1,081.00 $454.02–$591.31 — 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 (ED Only) Groin, Scrotum (not for torsion) US, limited $540.50 $1,081.00 $454.02–$591.31 — 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum $540.50 $1,081.00 $454.02–$591.31 — 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 3M $ US, SCROTUM AND CONTENTS $540.50 $1,081.00 $454.02–$591.31 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 3M $ US EXAM OF HEAD AND NECK $706.00 $1,412.00 $95.61–$1,550.00 30% above 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid $706.00 $1,412.00 $95.61–$1,550.00 30% above 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue - Head/Neck $706.00 $1,412.00 $95.61–$1,550.00 30% above 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Brachial Plexus $706.00 $1,412.00 $95.61–$1,550.00 30% above 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 (ED Only) Head and Neck US, limited $706.00 $1,412.00 $95.61–$1,550.00 30% above 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Port Soft Tissue - Head/Neck $706.00 $1,412.00 $95.61–$1,550.00 30% above 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue - Head/Neck $706.00 $1,412.00 $593.04–$772.36 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Brachial Plexus $706.00 $1,412.00 $593.04–$772.36 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Port Soft Tissue - Head/Neck $706.00 $1,412.00 $593.04–$772.36 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 (ED Only) Head and Neck US, limited $706.00 $1,412.00 $593.04–$772.36 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid $706.00 $1,412.00 $593.04–$772.36 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 3M $ US EXAM OF HEAD AND NECK $706.00 $1,412.00 $593.04–$772.36 — 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL Upper GI wo KUB $763.00 $1,526.00 $95.61–$1,550.00 23% above 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL Upper GI wo KUB $763.00 $1,526.00 $640.92–$834.72 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 (ED Only) Duplex veins DVT $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 DUPLEX EXT VEINS UNIL/LIMIT $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Portable Extremity Veins Lim $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US D-Scan Extremity Veins Comp/RT $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Doppler Low Extremity Veins RT $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US D-Scan Extremity Veins Comp/LT $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Doppler Low Extremity Veins LT $938.00 $1,876.00 $112.57–$5,519.98 33% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 DUPLEX EXT VEINS UNIL/LIMIT $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 (ED Only) Duplex veins DVT $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Portable Extremity Veins Lim $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Doppler Low Extremity Veins RT $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US D-Scan Extremity Veins Comp/RT $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US D-Scan Extremity Veins Comp/LT $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Doppler Low Extremity Veins LT $938.00 $1,876.00 $787.92–$1,026.17 — 50%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Bilat 3 Views $671.00 $1,342.00 $38.16–$1,550.00 — 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist LT 3 Views $335.50 $671.00 $38.16–$1,550.00 at median 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist RT 3 Views $335.50 $671.00 $38.16–$1,550.00 at median 50%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Bilat 3 Views $671.00 $1,342.00 $563.64–$734.07 — 50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist RT 3 Views $335.50 $671.00 $281.82–$367.04 — 50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist LT 3 Views $335.50 $671.00 $281.82–$367.04 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip RT + Pelvis 2 Views $348.50 $697.00 $42.79–$1,550.00 121% above 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip LT + Pelvis 2 Views $348.50 $697.00 $42.79–$1,550.00 121% above 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip RT + Pelvis 2 Views $348.50 $697.00 $292.74–$381.26 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip LT + Pelvis 2 Views $348.50 $697.00 $292.74–$381.26 — 50%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen Cross Table $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view CPT 74018 XR Port Abdomen 1 View $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view CPT 74018 XR Port Abdomen Cross Table $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view one side CPT 74018 XR Abd Right Lat Decub $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view one side CPT 74018 XR Port Abd Right Lat Decub $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view one side CPT 74018 XR Port Abd Left Lat Decub $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view one side CPT 74018 XR Abd Left Lat Decub $278.50 $557.00 $24.67–$1,550.00 13% below 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Port Abdomen 1 View $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen Cross Table $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Port Abdomen Cross Table $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR Abd Left Lat Decub $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR Port Abd Left Lat Decub $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR Port Abd Right Lat Decub $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR Abd Right Lat Decub $278.50 $557.00 $233.94–$304.68 — 50%
X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle Bilat 2 Views $622.00 $1,244.00 $28.14–$1,550.00 — 50%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle LT 2 Views $311.00 $622.00 $28.14–$1,550.00 20% above 50%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle RT 2 Views $311.00 $622.00 $28.14–$1,550.00 20% above 50%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle Bilat 2 Views $622.00 $1,244.00 $522.48–$680.47 — 50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle LT 2 Views $311.00 $622.00 $261.24–$340.23 — 50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle RT 2 Views $311.00 $622.00 $261.24–$340.23 — 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger RT Thumb $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger LT 3rd Digit $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger LT 4th Digit $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger LT 5th Digit $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger LT Index $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger LT Thumb $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger RT 3rd Digit $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger RT 4th Digit $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger RT 5th Digit $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger RT Index $254.00 $508.00 $36.62–$1,550.00 at median 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger LT 4th Digit $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger LT 3rd Digit $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger LT 5th Digit $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger LT Index $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger LT Thumb $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger RT 3rd Digit $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger RT 4th Digit $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger RT 5th Digit $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger RT Index $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger RT Thumb $254.00 $508.00 $213.36–$277.88 — 50%
X-ray of the foot, 2 views both sides CPT 73620 XR Foot Bilat 2 Views $848.00 $1,696.00 $24.28–$1,550.00 — 50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot LT 2 Views $424.00 $848.00 $24.28–$1,550.00 35% above 50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot RT 2 Views $424.00 $848.00 $24.28–$1,550.00 35% above 50%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot Bilat 2 Views $848.00 $1,696.00 $712.32–$927.71 — 50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot RT 2 Views $424.00 $848.00 $356.16–$463.86 — 50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot LT 2 Views $424.00 $848.00 $356.16–$463.86 — 50%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Bilat 3+ Views $661.00 $1,322.00 $30.07–$898.96 — 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot RT 3+ Views $330.50 $661.00 $30.07–$729.04 at median 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot LT 3+ Views $330.50 $661.00 $30.07–$729.04 at median 50%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Bilat 3+ Views $661.00 $1,322.00 $555.24–$723.13 — 50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot LT 3+ Views $330.50 $661.00 $277.62–$361.57 — 50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot RT 3+ Views $330.50 $661.00 $277.62–$361.57 — 50%
X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Bilat 3 Views $640.00 $1,280.00 $33.54–$1,550.00 — 50%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand LT 3 Views $320.00 $640.00 $33.54–$1,550.00 3% below 50%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand RT 3 Views $320.00 $640.00 $33.54–$1,550.00 3% below 50%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Bilat 3 Views $640.00 $1,280.00 $537.60–$700.16 — 50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand RT 3 Views $320.00 $640.00 $268.80–$350.08 — 50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand LT 3 Views $320.00 $640.00 $268.80–$350.08 — 50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee Bilat 2 Views $585.00 $1,170.00 $30.07–$1,550.00 — 50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee LT 2 Views $292.50 $585.00 $30.07–$1,550.00 21% above 50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee RT 2 Views $292.50 $585.00 $30.07–$1,550.00 21% above 50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee Bilat 2 Views $585.00 $1,170.00 $491.40–$639.99 — 50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee RT 2 Views $292.50 $585.00 $245.70–$320.00 — 50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee LT 2 Views $292.50 $585.00 $245.70–$320.00 — 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2-3 Views $364.00 $728.00 $33.54–$1,550.00 5% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2-3 Views $364.00 $728.00 $305.76–$398.22 — 50%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4 Views $494.50 $989.00 $45.49–$1,550.00 12% below 50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4 Views $494.50 $989.00 $415.38–$540.98 — 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views $401.00 $802.00 $26.98–$1,550.00 74% above 50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views $401.00 $802.00 $336.84–$438.69 — 50%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views $335.00 $670.00 $33.92–$1,550.00 39% above 50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views $335.00 $670.00 $281.40–$366.49 — 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2-3 Views $358.50 $717.00 $33.54–$1,550.00 5% above 50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2-3 Views $358.50 $717.00 $301.14–$392.20 — 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1-2 Views $289.00 $578.00 $22.74–$1,550.00 at median 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1-2 View $289.00 $578.00 $22.74–$1,550.00 at median 50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1-2 View $289.00 $578.00 $242.76–$316.17 — 50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1-2 Views $289.00 $578.00 $242.76–$316.17 — 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2 Views $324.00 $648.00 $28.14–$1,550.00 21% above 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2 Views $324.00 $648.00 $272.16–$354.46 — 50%

Lab tests

ProcedureCash price List priceInsurers payvs District of ColumbiaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase $82.50 $165.00 $5.30–$238.87 37% above 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase $82.50 $165.00 $69.30–$90.25 — 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase $82.50 $165.00 $5.18–$233.06 40% above 50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase $82.50 $165.00 $69.30–$90.25 — 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute w/Reflex $57.50 $115.00 $41.40–$2,147.91 87% below 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute w/Reflex $57.50 $115.00 $48.30–$62.91 — 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP ALLERGY PROF ALLG SPEC IGE CRUDE XTRC EA $7.00 $14.00 $5.04–$235.64 85% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 .Hazelnut Component Panel $16.00 $32.00 $5.22–$235.64 65% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE REFLEX HAZELNUT $16.00 $32.00 $5.22–$235.64 65% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 .Brazil Nut Component $16.00 $32.00 $5.22–$235.64 65% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex (K82)IgE $27.50 $55.00 $5.22–$235.64 40% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cocoa (f93) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Animal Group Allergy Panel $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Crab Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Seafood Group Allergy Panel 19 $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Corn Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cereal Group Allergy Panel 15 $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cultivated Wheat Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Group Allergy Panel 11 $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken feathers Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hickory/Pecan Tree IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagiodes farinae Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium herbarum IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 D. pteronyssinus Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Gulf Flounder IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew nut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pigeon Feathers IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Birch Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pepper Cayenne IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio nut Allergern IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sunflower Seed IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Green Bean Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Fire Ant IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Red Cedar Tree IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Greer Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Firebush IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Kiwi Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 June Grass (g8) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lambs quarters Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cauliflower IgE Allergen $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Squid Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Maple Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ovalbumin IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Milk Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ovomucoid IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Coffee Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oat Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood Tree allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Willow Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 White Pine Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 White Ash Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Amoxicillin Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria alternata Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed (short) Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 False Ragweed Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Giant Ragweed Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Johnson grass Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Orchard grass Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy grass Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin G Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin notatum Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sweet Potato Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Potato Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond nut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Apple Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus fumigatus Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Barley Antigen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Beech Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Beef Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Grape Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Peach Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Turkey Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pear Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Banana Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Chickpea Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lentil Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lima Bean Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pea Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lamb Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pork Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Rye Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Guinea Pig Epithelium Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hamster Epithelium Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Horse Hair/Dander Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Epithelium Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Ampicillin Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin V Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Rabbit Epithelium Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Rat Epithelium Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Haddock Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Herring Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mackerel Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sardine Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Tilapia Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Trout Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Blueberry Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cherry Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Raspberry Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium moniliforme Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Helminthosporium Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor racemosus Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sycamore Tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pigweed Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Broccoli Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cabbage Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cinnamon Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Garlic Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mustard Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Nutmeg Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Parsley Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Poppy Seed Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Spinach Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Honeybee Venom Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mosquito Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Paper wasp Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 White faced Hornet Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket Venom Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Faced Hornet Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lemon Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oyster Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Clam Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Blue Mussel Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pine (Pinon) Nut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Asparagus Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mango Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus niger IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT STINGING INSECT PNL $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT TREE NUT PNL $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT ANIMAL GRP $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT MOLD GRP $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg white Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT SEAFOOD PNL $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm tree Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT CEREAL GRP $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Onion Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SP IGE QUANT EGG COMP $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Orange Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE RECOMB PEANUT COMPONENTS $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan nut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg component Panel $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple Allegen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Plum (f255) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Watermelon (Rf329) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Rice Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Stinging Insect Panel $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Coriander/Cilantro (F317)IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sunflower (Rw204) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree nut Allergy Panel w/Component reflex $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Catfish Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Casein Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Flaxseed (f333) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken meat Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Celery (f85) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (t6) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Melon (f87) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 White Bean IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat dander Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut IgE w/Component Reflex $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Summer Squash IgE Allergen $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut IgE w/reflex Component Panel $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Candida albicans Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Blackberry (rf211) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Gelatin Porcine IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Avocado Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Apricot (f237) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut IgE with Reflex to Component $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Yeast (f45) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Tomato Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Gelatin, Bovine (c74) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Green Pepper (Unripe) (f263) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut (f18) IgE w/ refl Component $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Perennial Rye Grass (g5) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Carrot Allergen IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Paprika/Sweet Pepper (f218) IgE $45.50 $91.00 $5.22–$235.64 at median 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cumin IgE $48.00 $96.00 $5.22–$235.64 5% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 .Cashew Nut Component $60.00 $120.00 $5.22–$235.64 32% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Tapioca IgE $94.50 $189.00 $5.22–$235.64 108% above 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP ALLERGY PROF ALLG SPEC IGE CRUDE XTRC EA $7.00 $14.00 $5.88–$7.66 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE REFLEX HAZELNUT $16.00 $32.00 $13.44–$17.50 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Brazil Nut Component $16.00 $32.00 $13.44–$17.50 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Hazelnut Component Panel $16.00 $32.00 $13.44–$17.50 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex (K82)IgE $27.50 $55.00 $23.10–$30.09 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus niger IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT STINGING INSECT PNL $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT TREE NUT PNL $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT ANIMAL GRP $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT MOLD GRP $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT SEAFOOD PNL $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT CEREAL GRP $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SP IGE QUANT EGG COMP $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE RECOMB PEANUT COMPONENTS $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg component Panel $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Plum (f255) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Watermelon (Rf329) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stinging Insect Panel $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coriander/Cilantro (F317)IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sunflower (Rw204) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tree nut Allergy Panel w/Component reflex $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apricot (f237) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut IgE with Reflex to Component $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yeast (f45) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gelatin, Bovine (c74) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Pepper (Unripe) (f263) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut (f18) IgE w/ refl Component $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perennial Rye Grass (g5) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paprika/Sweet Pepper (f218) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut IgE w/Component Reflex $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Summer Squash IgE Allergen $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut IgE w/reflex Component Panel $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blackberry (rf211) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gelatin Porcine IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Flaxseed (f333) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Celery (f85) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (t6) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Melon (f87) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Bean IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Mulberry IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Animal Group Allergy Panel $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Seafood Group Allergy Panel 19 $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cereal Group Allergy Panel 15 $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Group Allergy Panel 11 $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory/Pecan Tree IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium herbarum IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gulf Flounder IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pigeon Feathers IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pepper Cayenne IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sunflower Seed IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fire Ant IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Red Cedar Tree IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Firebush IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 June Grass (g8) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cauliflower IgE Allergen $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Squid Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ovalbumin IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ovomucoid IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coffee Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood Tree allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Avocado Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mango Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Asparagus Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine (Pinon) Nut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blue Mussel Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lemon Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Faced Hornet Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket Venom Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White faced Hornet Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper wasp Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mosquito Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honeybee Venom Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Spinach Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Poppy Seed Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Parsley Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nutmeg Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mustard Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cinnamon Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cabbage Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Broccoli Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pigweed Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sycamore Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor racemosus Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Helminthosporium Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium moniliforme Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Raspberry Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cherry Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blueberry Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trout Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tilapia Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sardine Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mackerel Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Herring Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Haddock Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rat Epithelium Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rabbit Epithelium Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin V Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ampicillin Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Urine Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Epithelium Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Hair/Dander Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hamster Epithelium Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Guinea Pig Epithelium Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pea Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lima Bean Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lentil Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chickpea Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pear Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Turkey Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peach Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grape Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beech Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley Antigen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus fumigatus Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apple Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond nut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Potato Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sweet Potato Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin notatum Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin G Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy grass Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orchard grass Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson grass Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Giant Ragweed Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 False Ragweed Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Ragweed (short) Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria alternata Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Amoxicillin Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Pine Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Willow Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oat Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lambs quarters Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kiwi Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Greer Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Bean Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pistachio nut Allergern IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Birch Tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew nut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. pteronyssinus Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dermatophagiodes farinae Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken feathers Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cultivated Wheat Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocoa (f93) IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken meat Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Casein Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Catfish Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida albicans Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat dander Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carrot Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple Allegen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan nut Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onion Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm tree Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg white Allergen IgE $45.50 $91.00 $38.22–$49.78 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cumin IgE $48.00 $96.00 $40.32–$52.51 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Cashew Nut Component $60.00 $120.00 $50.40–$65.64 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tapioca IgE $94.50 $189.00 $79.38–$103.38 — 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide (CCP) IgG $107.00 $214.00 $12.95–$592.02 15% below 50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide (CCP) IgG $107.00 $214.00 $89.88–$117.06 — 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen $61.00 $122.00 $12.09–$545.21 15% below 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-centromere Ab, IFA $198.00 $396.00 $12.09–$545.21 176% above 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen $61.00 $122.00 $51.24–$66.73 — 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-centromere Ab, IFA $198.00 $396.00 $166.32–$216.61 — 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-Terminal Brain Natriuretic Peptide $261.50 $523.00 $39.26–$1,531.04 at median 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N-Terminal Brain Natriuretic Peptide $261.50 $523.00 $219.66–$286.08 — 50%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel $222.00 $444.00 $8.46–$381.87 1% above 50%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel $222.00 $444.00 $186.48–$242.87 — 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity $288.50 $577.00 $38.44–$1,230.19 10% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy $462.50 $925.00 $38.44–$1,230.19 44% above 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity $288.50 $577.00 $242.34–$315.62 — 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy $462.50 $925.00 $388.50–$505.98 — 50%
Blood culture for bacteria CPT 87040 Anaerobic Blood Culture $201.00 $402.00 $10.32–$465.48 110% above 50%
Blood culture for bacteria CPT 87040 Stem Cell Blood Culture Aerobic $201.00 $402.00 $10.32–$465.48 110% above 50%
Blood culture for bacteria CPT 87040 Aerobic Blood Culture $201.00 $402.00 $10.32–$465.48 110% above 50%
Blood culture for bacteria inpatient CPT 87040 Aerobic Blood Culture $201.00 $402.00 $168.84–$219.89 — 50%
Blood culture for bacteria inpatient CPT 87040 Stem Cell Blood Culture Aerobic $201.00 $402.00 $168.84–$219.89 — 50%
Blood culture for bacteria inpatient CPT 87040 Anaerobic Blood Culture $201.00 $402.00 $168.84–$219.89 — 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Draw Charge $34.50 $69.00 $3.60–$96.84 38% above 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Draw Charge $34.50 $69.00 $28.98–$37.74 — 50%
Blood glucose (sugar) test CPT 82947 CORE VBG W LYTES GLUCOSE QNT BLD WBLD $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 Glucose Level $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 POC Glucose, Whole Blood (Radiometer) $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 .Glucose Baseline $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 Glucose Whole Blood POC $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 Whole Blood Glucose $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 CORE ABG W LYTES GLUCOSE QNT BLD WBLD $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test CPT 82947 POC GLUCOSE ABG W LYTES RADIOMEER $46.00 $92.00 $3.93–$176.89 3% above 50%
Blood glucose (sugar) test inpatient CPT 82947 CORE VBG W LYTES GLUCOSE QNT BLD WBLD $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 POC Glucose, Whole Blood (Radiometer) $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose Baseline $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Whole Blood POC $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 Whole Blood Glucose $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 CORE ABG W LYTES GLUCOSE QNT BLD WBLD $46.00 $92.00 $38.64–$50.32 — 50%
Blood glucose (sugar) test inpatient CPT 82947 POC GLUCOSE ABG W LYTES RADIOMEER $46.00 $92.00 $38.64–$50.32 — 50%
Blood lead test CPT 83655 HEAVEY METAL RANDOM UR LEAD $39.00 $78.00 $12.11–$545.85 61% below 50%
Blood lead test CPT 83655 HEAVY METALS TIMED UR LEAD $70.50 $141.00 $12.11–$545.85 30% below 50%
Blood lead test CPT 83655 Lead Level, Venous $97.00 $194.00 $12.11–$545.85 3% below 50%
Blood lead test CPT 83655 Lead Capillary $144.00 $288.00 $12.11–$545.85 44% above 50%
Blood lead test CPT 83655 HEAVY METALS BLOOD LEAD $167.00 $334.00 $12.11–$545.85 67% above 50%
Blood lead test CPT 83655 Lead, 24hr Urine $252.50 $505.00 $12.11–$545.85 152% above 50%
Blood lead test inpatient CPT 83655 HEAVEY METAL RANDOM UR LEAD $39.00 $78.00 $32.76–$42.67 — 50%
Blood lead test inpatient CPT 83655 HEAVY METALS TIMED UR LEAD $70.50 $141.00 $59.22–$77.13 — 50%
Blood lead test inpatient CPT 83655 Lead Level, Venous $97.00 $194.00 $81.48–$106.12 — 50%
Blood lead test inpatient CPT 83655 Lead Capillary $144.00 $288.00 $120.96–$157.54 — 50%
Blood lead test inpatient CPT 83655 HEAVY METALS BLOOD LEAD $167.00 $334.00 $140.28–$182.70 — 50%
Blood lead test inpatient CPT 83655 Lead, 24hr Urine $252.50 $505.00 $212.10–$276.24 — 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BO RL ABO type $161.50 $323.00 $5.00–$563.78 at median 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Isoagglutinin Titer IgM/IgG $161.50 $323.00 $5.00–$563.78 at median 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh $161.50 $323.00 $5.00–$563.78 at median 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonate ABO/Rh $161.50 $323.00 $5.00–$563.78 at median 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Isoagglutinin Titer IgM $161.50 $323.00 $5.00–$563.78 at median 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh $161.50 $323.00 $135.66–$176.68 — 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BO RL ABO type $161.50 $323.00 $135.66–$176.68 — 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Neonate ABO/Rh $161.50 $323.00 $135.66–$176.68 — 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Isoagglutinin Titer IgM $161.50 $323.00 $135.66–$176.68 — 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Isoagglutinin Titer IgM/IgG $161.50 $323.00 $135.66–$176.68 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein $88.00 $176.00 $5.18–$233.38 8% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein $88.00 $176.00 $73.92–$96.27 — 50%
C. difficile toxin gene test (stool PCR) CPT 87493 C. difficile Toxin PCR $199.50 $399.00 $37.27–$1,604.64 at median 50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. difficile Toxin PCR $199.50 $399.00 $167.58–$218.25 — 50%
CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen GI 19-9 $112.50 $225.00 $20.81–$938.38 24% below 50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen GI 19-9 $112.50 $225.00 $94.50–$123.08 — 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 $75.50 $151.00 $20.81–$938.38 47% below 50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 $75.50 $151.00 $63.42–$82.60 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC SARS CoV2 PCR $361.50 $723.00 $51.31–$1,656.93 726% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 PCR Nasal $361.50 $723.00 $51.31–$1,656.93 726% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 PCR Nasopharynx $361.50 $723.00 $51.31–$1,656.93 726% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 PCR Throat $361.50 $723.00 $51.31–$1,656.93 726% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 PCR Endotracheal aspirate $361.50 $723.00 $51.31–$1,656.93 726% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 PCR Endotracheal aspirate $361.50 $723.00 $303.66–$395.48 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 PCR Nasopharynx $361.50 $723.00 $303.66–$395.48 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC SARS CoV2 PCR $361.50 $723.00 $303.66–$395.48 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 PCR Throat $361.50 $723.00 $303.66–$395.48 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 PCR Nasal $361.50 $723.00 $303.66–$395.48 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis RNA TMA $202.00 $404.00 $35.09–$1,583.01 11% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis/N. gonorrhoeae TMA-Urine (SO) $202.00 $404.00 $35.09–$1,583.01 11% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE URINE $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE VAGINA $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE EYE $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE RECTUM $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE THROAT $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE URETHRA $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR-Eye $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR-Rectum $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR-Urine $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR-Vagina $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR-Throat $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR-Urethra $212.50 $425.00 $35.09–$1,583.01 6% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis RNA TMA $202.00 $404.00 $169.68–$220.99 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis/N. gonorrhoeae TMA-Urine (SO) $202.00 $404.00 $169.68–$220.99 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE URETHRA $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE URINE $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE VAGINA $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE EYE $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE RECTUM $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG CHLAMYDIA T AMP NA PROBE THROAT $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR-Eye $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR-Rectum $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR-Urine $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR-Vagina $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR-Throat $212.50 $425.00 $178.50–$232.47 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR-Urethra $212.50 $425.00 $178.50–$232.47 — 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $133.50 $267.00 $13.39–$604.28 41% above 50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $133.50 $267.00 $112.14–$146.05 — 50%
Complete blood count (CBC) with differential CPT 85025 Auto Differential $117.50 $235.00 $7.77–$350.56 27% above 50%
Complete blood count (CBC) with differential CPT 85025 .BCL Complete Blood Count $117.50 $235.00 $7.77–$350.56 27% above 50%
Complete blood count (CBC) with differential inpatient CPT 85025 Auto Differential $117.50 $235.00 $98.70–$128.54 — 50%
Complete blood count (CBC) with differential inpatient CPT 85025 .BCL Complete Blood Count $117.50 $235.00 $98.70–$128.54 — 50%
Complete blood count (CBC), no differential CPT 85027 Manual Differential $117.50 $235.00 $6.47–$291.81 17% above 50%
Complete blood count (CBC), no differential CPT 85027 CBC Only (NO DIFF) $117.50 $235.00 $6.47–$291.81 17% above 50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC Only (NO DIFF) $117.50 $235.00 $98.70–$128.54 — 50%
Complete blood count (CBC), no differential inpatient CPT 85027 Manual Differential $117.50 $235.00 $98.70–$128.54 — 50%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $388.00 $776.00 $10.56–$537.77 32% above 50%
Comprehensive metabolic panel (blood test) CPT 80053 xxComprehensive Metabolic Panel CHEMO $388.00 $776.00 $10.56–$537.77 32% above 50%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel + Mg +Phos $388.00 $776.00 $10.56–$537.77 32% above 50%
Comprehensive metabolic panel (blood test) CPT 80053 .BCL Comprehensive Metabolic Panel $388.00 $776.00 $10.56–$537.77 32% above 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel + Mg +Phos $388.00 $776.00 $325.92–$424.47 — 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $388.00 $776.00 $325.92–$424.47 — 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 xxComprehensive Metabolic Panel CHEMO $388.00 $776.00 $325.92–$424.47 — 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 .BCL Comprehensive Metabolic Panel $388.00 $776.00 $325.92–$424.47 — 50%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer $124.50 $249.00 $10.18–$365.09 18% above 50%
D-dimer blood test (blood clot marker) CPT 85379 FIBRINOLYSIS FIBRIN DEGRAD DDIMER QNT $303.50 $607.00 $10.18–$420.65 188% above 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer $124.50 $249.00 $104.58–$136.20 — 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRINOLYSIS FIBRIN DEGRAD DDIMER QNT $303.50 $607.00 $254.94–$332.03 — 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate, Steroid $247.50 $495.00 $22.23–$1,002.94 16% above 50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate, Steroid $247.50 $495.00 $207.90–$270.76 — 50%
Estradiol blood test CPT 82670 Estradiol Ultrasensitive $150.00 $300.00 $27.94–$1,260.21 31% below 50%
Estradiol blood test CPT 82670 zzz.Estradiol ultrasensitive test 0 (baseline) $157.50 $315.00 $27.94–$1,260.21 27% below 50%
Estradiol blood test CPT 82670 zzz.Estradiol ultrasensitive test (60 mins) $157.50 $315.00 $27.94–$1,260.21 27% below 50%
Estradiol blood test CPT 82670 Estradiol Level Assay $235.00 $470.00 $27.94–$1,260.21 9% above 50%
Estradiol blood test inpatient CPT 82670 Estradiol Ultrasensitive $150.00 $300.00 $126.00–$164.10 — 50%
Estradiol blood test inpatient CPT 82670 zzz.Estradiol ultrasensitive test 0 (baseline) $157.50 $315.00 $132.30–$172.31 — 50%
Estradiol blood test inpatient CPT 82670 zzz.Estradiol ultrasensitive test (60 mins) $157.50 $315.00 $132.30–$172.31 — 50%
Estradiol blood test inpatient CPT 82670 Estradiol Level Assay $235.00 $470.00 $197.40–$257.09 — 50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, Pediatrics $118.50 $237.00 $18.58–$838.31 24% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 zzz.FSH 3rd Generation test 0 (baseline) $193.00 $386.00 $18.58–$838.31 24% above 50%
FSH (follicle-stimulating hormone) test CPT 83001 zzz.FSH 3rd Generation test (60 mins) $193.00 $386.00 $18.58–$838.31 24% above 50%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone $193.00 $386.00 $18.58–$838.31 24% above 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, Pediatrics $118.50 $237.00 $99.54–$129.64 — 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 zzz.FSH 3rd Generation test (60 mins) $193.00 $386.00 $162.12–$211.14 — 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone $193.00 $386.00 $162.12–$211.14 — 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 zzz.FSH 3rd Generation test 0 (baseline) $193.00 $386.00 $162.12–$211.14 — 50%
Fecal calprotectin (stool inflammation test) CPT 83993 zzCalprotectin, Stool $352.00 $704.00 $19.63–$897.38 34% above 50%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool $352.00 $704.00 $19.63–$897.38 34% above 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 zzCalprotectin, Stool $352.00 $704.00 $295.68–$385.09 — 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool $352.00 $704.00 $295.68–$385.09 — 50%
Ferritin blood test (iron stores) CPT 82728 Thalassemia and Hemoglobinopathy Eval $128.50 $257.00 $13.63–$614.29 at median 50%
Ferritin blood test (iron stores) CPT 82728 Ferritin $167.00 $334.00 $13.63–$614.29 30% above 50%
Ferritin blood test (iron stores) CPT 82728 TIBC W IRON AND FERRITIN (FERRITIN) $167.00 $334.00 $13.63–$614.29 30% above 50%
Ferritin blood test (iron stores) inpatient CPT 82728 Thalassemia and Hemoglobinopathy Eval $128.50 $257.00 $107.94–$140.58 — 50%
Ferritin blood test (iron stores) inpatient CPT 82728 TIBC W IRON AND FERRITIN (FERRITIN) $167.00 $334.00 $140.28–$182.70 — 50%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin $167.00 $334.00 $140.28–$182.70 — 50%
Folate (folic acid) blood test CPT 82746 Folate Level $118.50 $237.00 $14.70–$663.03 1% below 50%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level $118.50 $237.00 $99.54–$129.64 — 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 (Confirmation Only) $163.00 $326.00 $9.02–$406.73 59% above 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Assay $163.00 $326.00 $9.02–$406.73 59% above 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 (Confirmation Only) $163.00 $326.00 $136.92–$178.32 — 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Assay $163.00 $326.00 $136.92–$178.32 — 50%
Free testosterone test CPT 84402 Bio-Available Testosterone $40.00 $80.00 $25.47–$1,148.20 79% below 50%
Free testosterone test CPT 84402 Testosterone, Free $73.00 $146.00 $25.47–$1,148.20 62% below 50%
Free testosterone test CPT 84402 Testosterone, Total & Free $181.50 $363.00 $25.47–$1,148.20 5% below 50%
Free testosterone test inpatient CPT 84402 Bio-Available Testosterone $40.00 $80.00 $33.60–$43.76 — 50%
Free testosterone test inpatient CPT 84402 Testosterone, Free $73.00 $146.00 $61.32–$79.86 — 50%
Free testosterone test inpatient CPT 84402 Testosterone, Total & Free $181.50 $363.00 $152.46–$198.56 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .Glucose 2 Hour $48.00 $96.00 $4.75–$214.34 5% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .Glucose 1 Hour $48.00 $96.00 $4.75–$214.34 5% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .Glucose 1 Hour $48.00 $96.00 $40.32–$52.51 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .Glucose 2 Hour $48.00 $96.00 $40.32–$52.51 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP PROBE $281.50 $563.00 $35.09–$1,583.01 13% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 UMC C TRACH N GON RMA TMA NEISSERIA $281.50 $563.00 $35.09–$1,583.01 13% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae RNA TMA $281.50 $563.00 $35.09–$1,583.01 13% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR Urine $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Throat $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Vagina $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Urethra $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Urine $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR Throat $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR Urethra $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Rectum $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. trachomatis and N. gonorrhoeae PCR -Eye $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR Vagina $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR Eye $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR Rectum $296.00 $592.00 $35.09–$1,583.01 19% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 UMC C TRACH N GON RMA TMA NEISSERIA $281.50 $563.00 $236.46–$307.96 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP PROBE $281.50 $563.00 $236.46–$307.96 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae RNA TMA $281.50 $563.00 $236.46–$307.96 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR Throat $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR Eye $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Vagina $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR Rectum $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR Urine $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Throat $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. trachomatis and N. gonorrhoeae PCR -Eye $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Rectum $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Urine $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR Urethra $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR Vagina $296.00 $592.00 $248.64–$323.82 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. trachomatis and N. gonorrhoeae PCR-Urethra $296.00 $592.00 $248.64–$323.82 — 50%
H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag-Stool $99.00 $198.00 $14.38–$496.79 30% below 50%
H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag-Stool $99.00 $198.00 $83.16–$108.31 — 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Quantitative PCR $147.00 $294.00 $85.10–$3,837.77 58% below 50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA Quantitative PCR $147.00 $294.00 $123.48–$160.82 — 50%
HIV-1 and HIV-2 antibody test CPT 86703 BMT PANEL HIV1/HIV2 SNGL RSLT Ab $40.00 $80.00 $13.71–$618.81 60% below 50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AG AB SCRN 4TH GEN SNGL $124.00 $248.00 $13.71–$618.81 25% above 50%
HIV-1 and HIV-2 antibody test CPT 86703 POC Oraquick HIV Screen w/reflex Confirmation $124.00 $248.00 $13.71–$618.81 25% above 50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 BMT PANEL HIV1/HIV2 SNGL RSLT Ab $40.00 $80.00 $33.60–$43.76 — 50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 POC Oraquick HIV Screen w/reflex Confirmation $124.00 $248.00 $104.16–$135.66 — 50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AG AB SCRN 4TH GEN SNGL $124.00 $248.00 $104.16–$135.66 — 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 .HIV Ag/Ab 4th Generation with reflexes (SO) $90.00 $180.00 $24.08–$1,101.39 20% below 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 .HIV Ag/Ab 4th Generation with reflexes (SO) $90.00 $180.00 $75.60–$98.46 — 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POC Hemoglobin A1C (DCA) $104.50 $209.00 $9.71–$437.72 12% above 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C $104.50 $209.00 $9.71–$437.72 12% above 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 POC Hemoglobin A1C (DCA) $104.50 $209.00 $87.78–$114.32 — 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C $104.50 $209.00 $87.78–$114.32 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody $98.00 $196.00 $10.74–$484.52 12% above 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Quantitative $103.00 $206.00 $10.74–$484.52 17% above 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody $98.00 $196.00 $82.32–$107.21 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody Quantitative $103.00 $206.00 $86.52–$112.68 — 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 BMT PANEL Hepatitis B Surface Ag IA $37.50 $75.00 $10.33–$465.80 55% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/reflex to confirm $79.50 $159.00 $10.33–$465.80 5% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS DIAGNOSTIC PANEL HBSAG $79.50 $159.00 $10.33–$465.80 5% below 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 BMT PANEL Hepatitis B Surface Ag IA $37.50 $75.00 $31.50–$41.02 — 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/reflex to confirm $79.50 $159.00 $66.78–$86.97 — 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS DIAGNOSTIC PANEL HBSAG $79.50 $159.00 $66.78–$86.97 — 50%
Hepatitis C antibody blood test (screening) CPT 86803 BMT PANEL Hepatitis C AB $58.50 $117.00 $14.27–$643.66 40% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Total $115.00 $230.00 $14.27–$643.66 17% above 50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS DIAGNOSTIC PANEL HEP C AB $115.00 $230.00 $14.27–$643.66 17% above 50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS IMMUNITY PANEL HEP C AB $121.00 $242.00 $14.27–$643.66 24% above 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 BMT PANEL Hepatitis C AB $58.50 $117.00 $49.14–$64.00 — 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Total $115.00 $230.00 $96.60–$125.81 — 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS DIAGNOSTIC PANEL HEP C AB $115.00 $230.00 $96.60–$125.81 — 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS IMMUNITY PANEL HEP C AB $121.00 $242.00 $101.64–$132.37 — 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C, RNA Quantitative PCR $177.50 $355.00 $42.84–$1,279.90 54% below 50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RNA Quant RT PCR $87.50 $175.00 $42.84–$1,279.90 77% below 50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C, RNA Quantitative PCR $177.50 $355.00 $149.10–$194.19 — 50%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RNA Quant RT PCR $87.50 $175.00 $73.50–$95.72 — 50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV AB IGG $67.00 $134.00 $13.19–$594.92 53% below 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV AB IGG $67.00 $134.00 $56.28–$73.30 — 50%
Herpes blood test, HSV-2 antibody CPT 86696 AB HSV TYPE 2 BC X00273 $30.50 $61.00 $19.35–$873.17 75% below 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB HSV TYPE 2 BC X00273 $30.50 $61.00 $25.62–$33.37 — 50%
Homocysteine blood test CPT 83090 Homocysteine Level $277.50 $555.00 $17.92–$760.84 15% above 50%
Homocysteine blood test inpatient CPT 83090 Homocysteine Level $277.50 $555.00 $233.10–$303.58 — 50%
Insulin blood test CPT 83525 .Insulin 2 Hour $97.50 $195.00 $11.43–$515.83 6% below 50%
Insulin blood test CPT 83525 Insulin Level $97.50 $195.00 $11.43–$515.83 6% below 50%
Insulin blood test CPT 83525 .Insulin Baseline $97.50 $195.00 $11.43–$515.83 6% below 50%
Insulin blood test inpatient CPT 83525 Insulin Level $97.50 $195.00 $81.90–$106.67 — 50%
Insulin blood test inpatient CPT 83525 .Insulin 2 Hour $97.50 $195.00 $81.90–$106.67 — 50%
Insulin blood test inpatient CPT 83525 .Insulin Baseline $97.50 $195.00 $81.90–$106.67 — 50%
Iron blood test (serum iron) CPT 83540 Iron Level $123.00 $246.00 $6.47–$292.13 26% above 50%
Iron blood test (serum iron) CPT 83540 TIBC W IRON AND FERRITIN (IRON) $123.00 $246.00 $6.47–$292.13 26% above 50%
Iron blood test (serum iron) CPT 83540 TOTAL IRON BINDING CAPACITY W IRON (IRON) $123.00 $246.00 $6.47–$292.13 26% above 50%
Iron blood test (serum iron) CPT 83540 83540 AP Bill Iron (TR) $173.50 $347.00 $6.47–$292.13 77% above 50%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level $123.00 $246.00 $103.32–$134.56 — 50%
Iron blood test (serum iron) inpatient CPT 83540 TIBC W IRON AND FERRITIN (IRON) $123.00 $246.00 $103.32–$134.56 — 50%
Iron blood test (serum iron) inpatient CPT 83540 TOTAL IRON BINDING CAPACITY W IRON (IRON) $123.00 $246.00 $103.32–$134.56 — 50%
Iron blood test (serum iron) inpatient CPT 83540 83540 AP Bill Iron (TR) $173.50 $347.00 $145.74–$189.81 — 50%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity w/Iron and Ferritin $133.00 $266.00 $8.74–$394.14 8% above 50%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity with Iron $133.00 $266.00 $8.74–$394.14 8% above 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity w/Iron and Ferritin $133.00 $266.00 $111.72–$145.50 — 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity with Iron $133.00 $266.00 $111.72–$145.50 — 50%
Kidney function blood test panel CPT 80069 Renal Function Panel $292.00 $584.00 $8.68–$404.71 101% above 50%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $292.00 $584.00 $245.28–$319.45 — 50%
LH (luteinizing hormone) test CPT 83002 LH, Post-Pubertal Patients $78.00 $156.00 $18.52–$835.41 50% below 50%
LH (luteinizing hormone) test CPT 83002 LH 3rd Generation (SO) $115.50 $231.00 $18.52–$835.41 25% below 50%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone $190.00 $380.00 $18.52–$835.41 23% above 50%
LH (luteinizing hormone) test CPT 83002 zzz.LH 3rd generation test (60 mins) $190.00 $380.00 $18.52–$835.41 23% above 50%
LH (luteinizing hormone) test CPT 83002 zzz.LH 3rd generation test 0 (baseline) $190.00 $380.00 $18.52–$835.41 23% above 50%
LH (luteinizing hormone) test inpatient CPT 83002 LH, Post-Pubertal Patients $78.00 $156.00 $65.52–$85.33 — 50%
LH (luteinizing hormone) test inpatient CPT 83002 LH 3rd Generation (SO) $115.50 $231.00 $97.02–$126.36 — 50%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone $190.00 $380.00 $159.60–$207.86 — 50%
LH (luteinizing hormone) test inpatient CPT 83002 zzz.LH 3rd generation test 0 (baseline) $190.00 $380.00 $159.60–$207.86 — 50%
LH (luteinizing hormone) test inpatient CPT 83002 zzz.LH 3rd generation test (60 mins) $190.00 $380.00 $159.60–$207.86 — 50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $107.50 $215.00 $6.89–$310.53 43% above 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase $107.50 $215.00 $90.30–$117.61 — 50%
Liver function blood test panel CPT 80076 .BCL Hepatic Function Panel $236.00 $472.00 $8.17–$368.64 2% above 50%
Liver function blood test panel CPT 80076 Hepatic Function Panel $236.00 $472.00 $8.17–$368.64 2% above 50%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $236.00 $472.00 $198.24–$258.18 — 50%
Liver function blood test panel inpatient CPT 80076 .BCL Hepatic Function Panel $236.00 $472.00 $198.24–$258.18 — 50%
Lyme disease antibody test CPT 86618 Lyme IgG and IgM (screen with confirmation) $157.00 $314.00 $17.03–$768.26 1% above 50%
Lyme disease antibody test CPT 86618 B BURGDORFERI AB $157.00 $314.00 $17.03–$768.26 1% above 50%
Lyme disease antibody test inpatient CPT 86618 Lyme IgG and IgM (screen with confirmation) $157.00 $314.00 $131.88–$171.76 — 50%
Lyme disease antibody test inpatient CPT 86618 B BURGDORFERI AB $157.00 $314.00 $131.88–$171.76 — 50%
Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine $22.50 $45.00 $6.70–$302.14 69% below 50%
Magnesium blood test CPT 83735 Magnesium Level Urine $30.50 $61.00 $6.70–$302.14 57% below 50%
Magnesium blood test CPT 83735 Magnesium Level $104.50 $209.00 $6.70–$302.14 46% above 50%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL WITH CMP AND PHOS $104.50 $209.00 $6.70–$302.14 46% above 50%
Magnesium blood test inpatient CPT 83735 Magnesium Level 24 Hour Urine $22.50 $45.00 $18.90–$24.61 — 50%
Magnesium blood test inpatient CPT 83735 Magnesium Level Urine $30.50 $61.00 $25.62–$33.37 — 50%
Magnesium blood test inpatient CPT 83735 Magnesium Level $104.50 $209.00 $87.78–$114.32 — 50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL WITH CMP AND PHOS $104.50 $209.00 $87.78–$114.32 — 50%
Measles (rubeola) antibody test CPT 86765 Rubeola (Measles) Antibody IgG $115.50 $231.00 $12.88–$441.59 1% above 50%
Measles (rubeola) antibody test CPT 86765 Rubeola (Measles) Antibody IgM $210.00 $420.00 $12.88–$441.59 84% above 50%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola (Measles) Antibody IgG $115.50 $231.00 $97.02–$126.36 — 50%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola (Measles) Antibody IgM $210.00 $420.00 $176.40–$229.74 — 50%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody Screen $99.00 $198.00 $5.18–$233.38 86% above 50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody Screen $99.00 $198.00 $83.16–$108.31 — 50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep PAP with Reflex to HR HPV DNA $118.00 $236.00 $20.26–$913.85 14% below 50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep PAP with Reflex to HR HPV DNA $118.00 $236.00 $99.12–$129.09 — 50%
Parathyroid hormone (PTH) blood test CPT 83970 Intact Parathyroid Hormone $323.50 $647.00 $41.28–$1,861.59 at median 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Intact Parathyroid Hormone $323.50 $647.00 $271.74–$353.91 — 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT (PTT) $32.00 $64.00 $6.01–$270.51 55% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 .BILL ONLY PTT HEP NEUTRAL (REFLEX LUPUS PNL) $40.50 $81.00 $6.01–$270.51 43% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 UMC PT/PTT THROMBOPLASTIN TIME PARTIAL $102.50 $205.00 $6.01–$270.51 44% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA $108.00 $216.00 $6.01–$270.51 52% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HEPARIN NEUTRALIZATION THROMBIN TIME PARTIAL $108.00 $216.00 $6.01–$270.51 52% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HEPARIN NEUTRALIZATION PTT PARTIAL $108.00 $216.00 $6.01–$270.51 52% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PT/PTT THROMBOPLASTIN TIME PARTIAL $108.00 $216.00 $6.01–$270.51 52% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Screen aPTT Anticoagulant $108.00 $216.00 $6.01–$270.51 52% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time $108.00 $216.00 $6.01–$270.51 52% above 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT (PTT) $32.00 $64.00 $26.88–$35.01 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .BILL ONLY PTT HEP NEUTRAL (REFLEX LUPUS PNL) $40.50 $81.00 $34.02–$44.31 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 UMC PT/PTT THROMBOPLASTIN TIME PARTIAL $102.50 $205.00 $86.10–$112.14 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA $108.00 $216.00 $90.72–$118.15 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HEPARIN NEUTRALIZATION THROMBIN TIME PARTIAL $108.00 $216.00 $90.72–$118.15 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HEPARIN NEUTRALIZATION PTT PARTIAL $108.00 $216.00 $90.72–$118.15 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Screen aPTT Anticoagulant $108.00 $216.00 $90.72–$118.15 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time $108.00 $216.00 $90.72–$118.15 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PT/PTT THROMBOPLASTIN TIME PARTIAL $108.00 $216.00 $90.72–$118.15 — 50%
Progesterone blood test CPT 84144 Progesterone, LC/MS $88.00 $176.00 $20.86–$940.96 44% below 50%
Progesterone blood test inpatient CPT 84144 Progesterone, LC/MS $88.00 $176.00 $73.92–$96.27 — 50%
Prolactin blood test CPT 84146 Prolactin Level $184.00 $368.00 $19.38–$874.14 134% above 50%
Prolactin blood test inpatient CPT 84146 Prolactin Level $184.00 $368.00 $154.56–$201.30 — 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoagulant $31.50 $63.00 $4.29–$177.22 19% below 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/PTT $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 .POC INR (BCL) $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Screen PT Anticoagulant $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 HEPARIN NEUTRALIZATION PT $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 HEPARIN NEUTRALIZATION PROTHROMBIN TIME $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 PLT AGGREGATION WHOLE BLD EA AGENT $96.50 $193.00 $4.29–$177.22 148% above 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoagulant $31.50 $63.00 $26.46–$34.46 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/PTT $96.50 $193.00 $81.06–$105.57 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HEPARIN NEUTRALIZATION PROTHROMBIN TIME $96.50 $193.00 $81.06–$105.57 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HEPARIN NEUTRALIZATION PT $96.50 $193.00 $81.06–$105.57 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PLT AGGREGATION WHOLE BLD EA AGENT $96.50 $193.00 $81.06–$105.57 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .POC INR (BCL) $96.50 $193.00 $81.06–$105.57 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Screen PT Anticoagulant $96.50 $193.00 $81.06–$105.57 — 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $96.50 $193.00 $81.06–$105.57 — 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC Urine Drug Screen $32.50 $65.00 $12.60–$655.93 77% below 50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POC Urine Drug Screen $32.50 $65.00 $27.30–$35.55 — 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC Group A Strep $102.00 $204.00 $16.53–$496.79 9% below 50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC Group A Strep $102.00 $204.00 $85.68–$111.59 — 50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Serum $79.50 $159.00 $5.67–$255.98 25% above 50%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Serum $79.50 $159.00 $66.78–$86.97 — 50%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgG $80.00 $160.00 $14.39–$649.15 20% below 50%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgM $187.00 $374.00 $14.39–$649.15 88% above 50%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgG $80.00 $160.00 $67.20–$87.52 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgM $187.00 $374.00 $157.08–$204.58 — 50%
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam $91.50 $183.00 $8.90–$276.96 23% above 50%
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam $91.50 $183.00 $76.86–$100.10 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 BMT PANEL SYPHILLIS NON-TREP QUAL $24.00 $48.00 $4.27–$192.39 40% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF $42.00 $84.00 $4.27–$192.39 5% above 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR w/ Reflex Titer and FTA-ABS $45.50 $91.00 $4.27–$192.39 14% above 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 BMT PANEL SYPHILLIS NON-TREP QUAL $24.00 $48.00 $20.16–$26.26 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL-CSF $42.00 $84.00 $35.28–$45.95 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR w/ Reflex Titer and FTA-ABS $45.50 $91.00 $38.22–$49.78 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-TB Gold $104.50 $209.00 $61.98–$2,833.86 at median 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus (TB blood test) $104.50 $209.00 $61.98–$2,833.86 at median 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus (TB blood test) $104.50 $209.00 $87.78–$114.32 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon-TB Gold $104.50 $209.00 $87.78–$114.32 — 50%
Testosterone blood test, total (not free testosterone) CPT 84403 (BILL COMPONENT 43697 FREE) $40.50 $81.00 $25.81–$1,164.66 80% below 50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL AND FREE $181.50 $363.00 $25.81–$1,164.66 9% below 50%
Testosterone blood test, total (not free testosterone) CPT 84403 .Testosterone test 0 (baseline) $200.50 $401.00 $25.81–$1,164.66 at median 50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Steroid $200.50 $401.00 $25.81–$1,164.66 at median 50%
Testosterone blood test, total (not free testosterone) CPT 84403 .Testosterone test (60 mins) $200.50 $401.00 $25.81–$1,164.66 at median 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 (BILL COMPONENT 43697 FREE) $40.50 $81.00 $34.02–$44.31 — 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL AND FREE $181.50 $363.00 $152.46–$198.56 — 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 .Testosterone test 0 (baseline) $200.50 $401.00 $168.42–$219.35 — 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Steroid $200.50 $401.00 $168.42–$219.35 — 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 .Testosterone test (60 mins) $200.50 $401.00 $168.42–$219.35 — 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID AB GRP ANTI TPO $134.00 $268.00 $14.55–$656.25 1% above 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS MICROSOMAL AB $134.00 $268.00 $14.55–$656.25 1% above 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome, AB $168.00 $336.00 $14.55–$656.25 26% above 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS MICROSOMAL AB $134.00 $268.00 $112.56–$146.60 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID AB GRP ANTI TPO $134.00 $268.00 $112.56–$146.60 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome, AB $168.00 $336.00 $141.12–$183.79 — 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWBORN SCREEN THYROID STIM HORMONE $26.50 $53.00 $16.80–$757.61 79% below 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone $174.00 $348.00 $16.80–$757.61 39% above 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone with Reflex $174.00 $348.00 $16.80–$757.61 39% above 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroglobulin $174.00 $348.00 $16.80–$757.61 39% above 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NEWBORN SCREEN THYROID STIM HORMONE $26.50 $53.00 $22.26–$28.99 — 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone with Reflex $174.00 $348.00 $146.16–$190.36 — 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone $174.00 $348.00 $146.16–$190.36 — 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroglobulin $174.00 $348.00 $146.16–$190.36 — 50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis PCR Urethra $79.00 $158.00 $35.09–$1,545.24 43% below 50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis PCR Vagina $79.00 $158.00 $35.09–$1,545.24 43% below 50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis PCR Urine $79.00 $158.00 $35.09–$1,545.24 43% below 50%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis PCR Urine $79.00 $158.00 $66.36–$86.43 — 50%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis PCR Urethra $79.00 $158.00 $66.36–$86.43 — 50%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis PCR Vagina $79.00 $158.00 $66.36–$86.43 — 50%
Uric acid blood test CPT 84550 Uric Acid Rasburicase $88.00 $176.00 $4.52–$203.69 83% above 50%
Uric acid blood test CPT 84550 Uric Acid $88.00 $176.00 $4.52–$203.69 83% above 50%
Uric acid blood test inpatient CPT 84550 Uric Acid $88.00 $176.00 $73.92–$96.27 — 50%
Uric acid blood test inpatient CPT 84550 Uric Acid Rasburicase $88.00 $176.00 $73.92–$96.27 — 50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Complete, Chemotherapy $88.00 $176.00 $3.17–$143.00 120% above 50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Reflex Culture $88.00 $176.00 $3.17–$143.00 120% above 50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/UPreg Fem >12y, Reflex Cult $88.00 $176.00 $3.17–$143.00 120% above 50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/UPreg Female >12y $88.00 $176.00 $3.17–$143.00 120% above 50%
Urinalysis with microscope exam, automated CPT 81001 Complete Urinalysis $88.00 $176.00 $3.17–$143.00 120% above 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/UPreg Female >12y $88.00 $176.00 $73.92–$96.27 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Complete Urinalysis $88.00 $176.00 $73.92–$96.27 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Reflex Culture $88.00 $176.00 $73.92–$96.27 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/UPreg Fem >12y, Reflex Cult $88.00 $176.00 $73.92–$96.27 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Complete, Chemotherapy $88.00 $176.00 $73.92–$96.27 — 50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis CHEMO, Automated w/o Microscopy $29.00 $58.00 $2.25–$101.36 5% above 50%
Urinalysis without microscope exam, automated CPT 81003 Urine Macroscopic $29.00 $58.00 $2.25–$101.36 5% above 50%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Macroscopic $29.00 $58.00 $24.36–$31.73 — 50%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis CHEMO, Automated w/o Microscopy $29.00 $58.00 $24.36–$31.73 — 50%
Urinalysis without microscope exam, manual CPT 81002 POC Urine Macroscopic-Clintek $32.50 $65.00 $3.48–$115.24 at median 50%
Urinalysis without microscope exam, manual CPT 81002 POC Urine Macroscopic- Dipstick $32.50 $65.00 $3.48–$115.24 at median 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urine Macroscopic-Clintek $32.50 $65.00 $27.30–$35.55 — 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urine Macroscopic- Dipstick $32.50 $65.00 $27.30–$35.55 — 50%
Urine culture for bacteria, with colony count CPT 87086 .Urine Culture Reflex $64.50 $129.00 $8.07–$364.12 10% below 50%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture $64.50 $129.00 $8.07–$364.12 10% below 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 .Urine Culture Reflex $64.50 $129.00 $54.18–$70.56 — 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture $64.50 $129.00 $54.18–$70.56 — 50%
Urine pregnancy test, read by color change CPT 81025 Beta Human Chorionic Gonadotropin Qualitative Urine $109.50 $219.00 $8.61–$285.36 55% above 50%
Urine pregnancy test, read by color change CPT 81025 BETA HCG URINE PREG QUAL W COMPLETE UA $109.50 $219.00 $8.61–$285.36 55% above 50%
Urine pregnancy test, read by color change CPT 81025 POC Pregnancy Test, Ur. Clinitek $109.50 $219.00 $8.61–$285.36 55% above 50%
Urine pregnancy test, read by color change CPT 81025 BETA HCG URINE PREG QIAL W COMPLETE UA RFLX CULT $109.50 $219.00 $8.61–$285.36 55% above 50%
Urine pregnancy test, read by color change CPT 81025 POC Pregnancy Test, Urine $109.50 $219.00 $8.61–$285.36 55% above 50%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG URINE PREG QUAL W COMPLETE UA $109.50 $219.00 $91.98–$119.79 — 50%
Urine pregnancy test, read by color change inpatient CPT 81025 POC Pregnancy Test, Urine $109.50 $219.00 $91.98–$119.79 — 50%
Urine pregnancy test, read by color change inpatient CPT 81025 POC Pregnancy Test, Ur. Clinitek $109.50 $219.00 $91.98–$119.79 — 50%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG URINE PREG QIAL W COMPLETE UA RFLX CULT $109.50 $219.00 $91.98–$119.79 — 50%
Urine pregnancy test, read by color change inpatient CPT 81025 Beta Human Chorionic Gonadotropin Qualitative Urine $109.50 $219.00 $91.98–$119.79 — 50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Assay $111.50 $223.00 $15.08–$679.82 9% below 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Assay $111.50 $223.00 $93.66–$121.98 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 Hydroxy, Total $333.50 $667.00 $29.60–$1,335.10 39% above 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25 Hydroxy, Total $333.50 $667.00 $280.14–$364.85 — 50%
Zinc blood test CPT 84630 Zinc, RBC $67.50 $135.00 $11.39–$470.00 36% below 50%
Zinc blood test CPT 84630 Zinc Plasma $115.50 $231.00 $11.39–$470.00 10% above 50%
Zinc blood test inpatient CPT 84630 Zinc, RBC $67.50 $135.00 $56.70–$73.84 — 50%
Zinc blood test inpatient CPT 84630 Zinc Plasma $115.50 $231.00 $97.02–$126.36 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta HCG CSF $71.00 $142.00 $15.05–$654.32 39% below 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Human Chorionic Gonadotropin Quantitative $148.50 $297.00 $15.05–$654.32 27% above 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta HCG CSF $71.00 $142.00 $59.64–$77.67 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Human Chorionic Gonadotropin Quantitative $148.50 $297.00 $124.74–$162.46 — 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs District of ColumbiaOff list
Botox injections for chronic migraine both sides CPT 64615 64615 Chemodenerv facial/trigem/cerv spine muscle, BI muscle migraine $369.00 $738.00 $168.79–$3,162.00 — 50%
Botox injections for chronic migraine inpatient both sides CPT 64615 64615 Chemodenerv facial/trigem/cerv spine muscle, BI muscle migraine $369.00 $738.00 $309.96–$403.69 — 50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed Tx w/o Manip; Dist Fib Fx (Lat Malleol) $512.00 $1,024.00 $366.96–$4,902.00 6% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Closed Tx w/o Manip; Dist Fib Fx (Lat Malleol) $512.00 $1,024.00 $430.08–$560.13 — 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Closed Tx w/o Manip; MT Fx $363.00 $726.00 $253.49–$2,442.00 19% below 50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 Closed Tx w/o Manip; MT Fx $363.00 $726.00 $304.92–$397.12 — 50%
Cardiac catheterization with coronary angiogram CPT 93458 3M $ L HRT ARTERY VENTRICLE ANGIO $4,268.00 $8,536.00 $816.98–$157,566.95 — 50%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 3M $ L HRT ARTERY VENTRICLE ANGIO $4,268.00 $8,536.00 $3,585.12–$4,669.19 — 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 3M $ CARDIOVERSION $818.00 $1,636.00 $167.73–$18,548.00 38% below 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960- CARDIOVERSION $818.00 $1,636.00 $167.73–$10,913.67 38% below 50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 3M $ CARDIOVERSION $818.00 $1,636.00 $687.12–$894.89 — 50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960- CARDIOVERSION $818.00 $1,636.00 $687.12–$894.89 — 50%
Catheter ablation for atrial fibrillation CPT 93656 3M $ COMPRE EP EVAL ABLTJ ATR FIB $32,207.00 $64,414.00 $991.61–$278,890.31 at median 50%
Catheter ablation for atrial fibrillation inpatient CPT 93656 3M $ COMPRE EP EVAL ABLTJ ATR FIB $32,207.00 $64,414.00 $27,053.88–$35,234.46 — 50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 CIRCUM 28 DAYS OR OLDER $2,561.00 $5,122.00 $215.38–$6,265.00 — 50%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 CIRCUM 28 DAYS OR OLDER $2,561.00 $5,122.00 $2,151.24–$2,801.73 — 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Circumcision, Newborn, Clamp $3,322.50 $6,645.00 $163.10–$4,902.00 — 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 Circumcision, Newborn, Clamp $3,322.50 $6,645.00 $2,790.90–$3,634.82 — 50%
Circumcision, surgical, older than a newborn CPT 54160 54160 CIRCUMCISION, NEONATE $834.50 $1,669.00 $244.36–$6,265.00 — 50%
Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 CIRCUMCISION, NEONATE $834.50 $1,669.00 $700.98–$912.94 — 50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed Tx w/o Manip, Dist Rad Fx $425.00 $850.00 $306.00–$2,442.00 16% below 50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 Closed Tx w/o Manip, Dist Rad Fx $425.00 $850.00 $357.00–$464.95 — 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destr Premalig Lsn, 1st Lsn $248.50 $497.00 $76.34–$4,902.00 9% below 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destr Premalig Lsn, 1st Lsn $248.50 $497.00 $208.74–$271.86 — 50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 REMOVE IMPACTED EAR WAX UNI $191.00 $382.00 $18.11–$3,162.00 17% above 50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 REMOVE IMPACTED EAR WAX UNI $191.00 $382.00 $160.44–$208.95 — 50%
Earwax removal with instruments, one ear CPT 69210 69210 Removal Impacted Cerumen, One/Both Ears $182.50 $365.00 $52.80–$4,902.00 9% below 50%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Removal Impacted Cerumen, One/Both Ears $182.50 $365.00 $153.30–$199.66 — 50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Njx Interlaminar Crv/Thrc $935.50 $1,871.00 $290.55–$4,902.00 22% below 50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Njx Interlaminar Crv/Thrc $935.50 $1,871.00 $785.82–$1,023.44 — 50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR Facet Inj Lumbosacral Single $1,113.00 $2,226.00 $198.36–$4,902.00 31% below 50%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR Facet Inj Lumbosacral Single $1,113.00 $2,226.00 $934.92–$1,217.62 — 50%
IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion of IUD $562.00 $1,124.00 $120.82–$3,162.00 16% above 50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insertion of IUD $562.00 $1,124.00 $472.08–$614.83 — 50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I+D, Abscess, Simple/Single $581.50 $1,163.00 $142.63–$4,902.00 37% above 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I+D, Abscess, Simple/Single $581.50 $1,163.00 $488.46–$636.16 — 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inj, Single Tendon Sheath or Ligament, Aponeurosis $404.00 $808.00 $64.12–$4,902.00 28% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inj, Single Tendon Sheath or Ligament, Aponeurosis $404.00 $808.00 $339.36–$441.98 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocent/Aspirat/Inj, Major Jt/Bursa $451.00 $902.00 $72.02–$4,902.00 11% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR JT Inject Large $451.00 $902.00 $72.02–$7,727.00 11% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocent/Aspirat/Inj, Major Jt/Bursa $451.00 $902.00 $378.84–$493.39 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IR JT Inject Large $451.00 $902.00 $378.84–$493.39 — 50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Nexplanon insertion $161.50 $323.00 $111.69–$2,442.00 at median 50%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Nexplanon insertion $161.50 $323.00 $135.66–$176.68 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR JT Inject Medium $408.00 $816.00 $60.59–$7,727.00 22% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocent/Aspirat/Inj, Intermed Jt/Bursa $408.00 $816.00 $60.59–$4,902.00 22% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IR JT Inject Medium $408.00 $816.00 $342.72–$446.35 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocent/Aspirat/Inj, Intermed Jt/Bursa $408.00 $816.00 $342.72–$446.35 — 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 IR JT Inject Small $408.00 $816.00 $59.52–$7,727.00 18% below 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocent/Aspirat/Inj, Small Jt/Bursa $408.00 $816.00 $59.52–$4,902.00 18% below 50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 IR JT Inject Small $408.00 $816.00 $342.72–$446.35 — 50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Arthrocent/Aspirat/Inj, Small Jt/Bursa $408.00 $816.00 $342.72–$446.35 — 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Int repair of scalp, axillae, trunk, extremities (excluding hands and feet), <= 2.5cm $968.50 $1,937.00 $292.60–$6,265.00 44% above 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Int repair of scalp, axillae, trunk, extremities (excluding hands and feet), <= 2.5cm $968.50 $1,937.00 $813.54–$1,059.54 — 50%
Left heart catheterization, diagnostic one side CPT 93452 3M $ LT HRT CATH WO CORONARY $4,268.00 $8,536.00 $723.68–$77,095.73 — 50%
Left heart catheterization, diagnostic inpatient one side CPT 93452 3M $ LT HRT CATH WO CORONARY $4,268.00 $8,536.00 $3,585.12–$4,669.19 — 50%
Lower-back epidural injection, with imaging guidance CPT 62323 IR Njx Interlaminar Crv Sac $935.50 $1,871.00 $286.20–$4,902.00 19% below 50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Njx Interlaminar Crv Sac $935.50 $1,871.00 $785.82–$1,023.44 — 50%
Lower-back epidural injection, without imaging guidance CPT 62322 IR Epidural Inj Lumbosacral $1,113.00 $2,226.00 $145.41–$4,902.00 13% below 50%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTRLMR LMBR SAC WO IMG - 62322 $1,113.00 $2,226.00 $145.41–$4,902.00 13% below 50%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTRLMR LMBR SAC WO IMG - 62322 $1,113.00 $2,226.00 $934.92–$1,217.62 — 50%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 IR Epidural Inj Lumbosacral $1,113.00 $2,226.00 $934.92–$1,217.62 — 50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR Sacral Nerve Root Inj $1,113.00 $2,226.00 $273.05–$4,902.00 14% below 50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR Sacral Nerve Root Inj $1,113.00 $2,226.00 $934.92–$1,217.62 — 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exsn Ben Lsn, To 0.5 cm, T/A/L, Incl Margins, Excl Skin Tag $879.50 $1,759.00 $144.03–$4,902.00 7% below 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exsn Ben Lsn, To 0.5 cm, T/A/L, Incl Margins, Excl Skin Tag $879.50 $1,759.00 $738.78–$962.17 — 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exsn Ben Lsn, To 0.5 cm, F/E/E/N/L/M, Incl Margins $879.50 $1,759.00 $159.96–$4,902.00 at median 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exsn Ben Lsn, To 0.5 cm, F/E/E/N/L/M, Incl Margins $879.50 $1,759.00 $738.78–$962.17 — 50%
Nail removal (partial or complete), one nail CPT 11730 11730 Nail Plate Avulsion, Single, Simple, Partial/Complete $399.00 $798.00 $127.22–$6,265.00 6% above 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Nail Plate Avulsion, Single, Simple, Partial/Complete $399.00 $798.00 $335.16–$436.51 — 50%
Occipital nerve block (injection for headaches) CPT 64405 64405 Inj, Anes Agent; Greater Occipital Nrv $369.00 $738.00 $83.25–$4,902.00 7% below 50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Inj, Anes Agent; Greater Occipital Nrv $369.00 $738.00 $309.96–$403.69 — 50%
Pacemaker implant (dual chamber) CPT 33208 3M $ INSRT HEART PM ATRIAL & VENT $15,302.00 $30,604.00 $551.23–$51,419.00 3% below 50%
Pacemaker implant (dual chamber) inpatient CPT 33208 3M $ INSRT HEART PM ATRIAL & VENT $15,302.00 $30,604.00 $12,853.68–$16,740.39 — 50%
Paracentesis with imaging guidance CPT 49083 IR Paracentesis $1,172.00 $2,344.00 $321.54–$4,902.00 9% below 50%
Paracentesis with imaging guidance CPT 49083 49083 (ED Only) US guided abdominal paracentesis $1,172.00 $2,344.00 $321.54–$4,601.00 9% below 50%
Paracentesis with imaging guidance inpatient CPT 49083 49083 (ED Only) US guided abdominal paracentesis $1,172.00 $2,344.00 $984.48–$1,282.17 — 50%
Paracentesis with imaging guidance inpatient CPT 49083 IR Paracentesis $1,172.00 $2,344.00 $984.48–$1,282.17 — 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exsn, Nail/Matrix, Perm Removal $499.50 $999.00 $178.07–$4,902.00 7% below 50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Exsn, Nail/Matrix, Perm Removal $499.50 $999.00 $419.58–$546.45 — 50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTR W NEUROLY PVF JOINT, LUMB/SA, SINGLE - 64635 $2,441.00 $4,882.00 $486.52–$10,290.00 25% below 50%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTR W NEUROLY PVF JOINT, LUMB/SA, SINGLE - 64635 $2,441.00 $4,882.00 $2,050.44–$2,670.45 — 50%
Removal of a foreign object under the skin, simple CPT 10120 10120 FB Incsn+Removal, SQ Tiss, Simple $559.00 $1,118.00 $169.99–$4,902.00 16% below 50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 FB Incsn+Removal, SQ Tiss, Simple $559.00 $1,118.00 $469.56–$611.55 — 50%
Short arm cast (elbow to hand) CPT 29075 Short Arm Cast - 29075 $356.00 $712.00 $102.55–$2,442.00 12% below 50%
Short arm cast (elbow to hand) CPT 29075 29075 Appl, Cast; Elbow-Finger (Short Arm) $356.00 $712.00 $102.55–$2,442.00 12% below 50%
Short arm cast (elbow to hand) inpatient CPT 29075 Short Arm Cast - 29075 $356.00 $712.00 $299.04–$389.46 — 50%
Short arm cast (elbow to hand) inpatient CPT 29075 29075 Appl, Cast; Elbow-Finger (Short Arm) $356.00 $712.00 $299.04–$389.46 — 50%
Short arm splint (forearm and hand) CPT 29125 29125 Appl, Short Arm Splint; Static (Forearm-Hand) $302.50 $605.00 $77.95–$2,442.00 17% above 50%
Short arm splint (forearm and hand) CPT 29125 Short Arm Splint - 29125' $302.50 $605.00 $77.95–$2,442.00 17% above 50%
Short arm splint (forearm and hand) inpatient CPT 29125 29125 Appl, Short Arm Splint; Static (Forearm-Hand) $302.50 $605.00 $254.10–$330.94 — 50%
Short arm splint (forearm and hand) inpatient CPT 29125 Short Arm Splint - 29125' $302.50 $605.00 $254.10–$330.94 — 50%
Short leg cast (below the knee) CPT 29405 Short Leg Cast - 29405 $397.50 $795.00 $92.80–$2,442.00 1% below 50%
Short leg cast (below the knee) CPT 29405 29405, APP SHORT LE CAST $397.50 $795.00 $92.80–$2,442.00 1% below 50%
Short leg cast (below the knee) inpatient CPT 29405 29405, APP SHORT LE CAST $397.50 $795.00 $333.90–$434.87 — 50%
Short leg cast (below the knee) inpatient CPT 29405 Short Leg Cast - 29405 $397.50 $795.00 $333.90–$434.87 — 50%
Short leg splint (calf to foot) CPT 29515 Short Leg Splint - 29515 $288.50 $577.00 $83.86–$2,442.00 7% above 50%
Short leg splint (calf to foot) CPT 29515 29515 Appl, Short Leg Splint (Calf-Foot) $288.50 $577.00 $83.86–$2,442.00 7% above 50%
Short leg splint (calf to foot) CPT 29515 Long Leg Splint - 29505 $288.50 $577.00 $83.86–$2,442.00 7% above 50%
Short leg splint (calf to foot) inpatient CPT 29515 29515 Appl, Short Leg Splint (Calf-Foot) $288.50 $577.00 $242.34–$315.62 — 50%
Short leg splint (calf to foot) inpatient CPT 29515 Short Leg Splint - 29515 $288.50 $577.00 $242.34–$315.62 — 50%
Short leg splint (calf to foot) inpatient CPT 29515 Long Leg Splint - 29505 $288.50 $577.00 $242.34–$315.62 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple repair of scalp, neck, axillae, genitalia, trunk, extremities, <= 2.5cm $265.50 $531.00 $104.94–$283.55 18% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Simple repair of scalp, neck, axillae, genitalia, trunk, extremities, <= 2.5cm $265.50 $531.00 $223.02–$290.46 — 50%
Skin biopsy, punch, one lesion CPT 11104 3M $ PUNCH BX SKIN SINGLE LESION $499.50 $999.00 $138.57–$7,727.00 7% below 50%
Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BX SKIN SINGLE LESION $499.50 $999.00 $138.57–$2,442.00 7% below 50%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PUNCH BX SKIN SINGLE LESION $499.50 $999.00 $419.58–$546.45 — 50%
Skin biopsy, punch, one lesion inpatient CPT 11104 3M $ PUNCH BX SKIN SINGLE LESION $499.50 $999.00 $419.58–$546.45 — 50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exsn Malig Lsn, To 0.5 cm, T/A/L, Incl Margins $879.50 $1,759.00 $220.59–$4,902.00 14% below 50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 Exsn Malig Lsn, To 0.5 cm, T/A/L, Incl Margins $879.50 $1,759.00 $738.78–$962.17 — 50%
Skin tag removal, up to 15 tags CPT 11200 11200 Remove Skin Tag, Upto 15 Lsns; Mult Fibrocutan Tags, Any Area $265.50 $531.00 $103.93–$6,265.00 3% below 50%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Remove Skin Tag, Upto 15 Lsns; Mult Fibrocutan Tags, Any Area $265.50 $531.00 $223.02–$290.46 — 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 IR LP For Diagnostic $935.50 $1,871.00 $163.33–$4,902.00 5% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Punct, Lumbar, Dx $935.50 $1,871.00 $163.33–$4,902.00 5% below 50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 IR LP For Diagnostic $935.50 $1,871.00 $785.82–$1,023.44 — 50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spinal Punct, Lumbar, Dx $935.50 $1,871.00 $785.82–$1,023.44 — 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Simple repair of scalp, neck, axillae, genitalia, trunk, extremities, 2.6-7.5cm $303.00 $606.00 $127.10–$2,442.00 11% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Simple repair of scalp, neck, axillae, genitalia, trunk, extremities, 2.6-7.5cm $303.00 $606.00 $254.52–$331.48 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple repair of face, ears, eyelids, nose, lips, mucous membranes, <= 2.5cm $797.50 $1,595.00 $125.10–$2,442.00 98% above 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Simple repair of face, ears, eyelids, nose, lips, mucous membranes, <= 2.5cm $797.50 $1,595.00 $669.90–$872.47 — 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGNTL BX SKIN SINGLE LES $459.00 $918.00 $111.20–$2,442.00 at median 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 3M $ TANGNTL BX SKIN SINGLE LES $459.00 $918.00 $111.20–$7,727.00 at median 50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 3M $ TANGNTL BX SKIN SINGLE LES $459.00 $918.00 $385.56–$502.15 — 50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 TANGNTL BX SKIN SINGLE LES $459.00 $918.00 $385.56–$502.15 — 50%
Thoracentesis with imaging guidance CPT 32555 32555 (ED Only) US guided thoracentesis $981.00 $1,962.00 $344.26–$3,162.00 11% below 50%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis $981.00 $1,962.00 $344.26–$4,902.00 11% below 50%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis $981.00 $1,962.00 $824.04–$1,073.21 — 50%
Thoracentesis with imaging guidance inpatient CPT 32555 32555 (ED Only) US guided thoracentesis $981.00 $1,962.00 $824.04–$1,073.21 — 50%
Tonsil and adenoid removal, age 12 or older CPT 42821 42821 T & A; AGE 12 OR MORE $4,054.00 $8,108.00 $337.90–$10,290.00 — 50%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 T & A; AGE 12 OR MORE $4,054.00 $8,108.00 $3,405.36–$4,435.08 — 50%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj, Trigger Point, 1-2 Muscles, Single/Mult $369.00 $738.00 $57.60–$4,902.00 26% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 IR Aspiration Ganglion Cyst $369.00 $738.00 $57.60–$7,727.00 26% below 50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj, Trigger Point, 1-2 Muscles, Single/Mult $369.00 $738.00 $309.96–$403.69 — 50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR Aspiration Ganglion Cyst $369.00 $738.00 $309.96–$403.69 — 50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236- UGI W SUBMUCOS INJ $1,172.00 $2,344.00 $442.00–$6,265.00 — 50%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236- UGI W SUBMUCOS INJ $1,172.00 $2,344.00 $984.48–$1,282.17 — 50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 55250 Vasectomy Uni/BI SPX W/ Postop Semen Exams $2,706.50 $5,413.00 $370.93–$6,265.00 — 50%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 55250 Vasectomy Uni/BI SPX W/ Postop Semen Exams $2,706.50 $5,413.00 $2,273.46–$2,960.91 — 50%
Wart removal, up to 14 warts CPT 17110 17110 Destr Ben Lsn, 1 - 14 Lsns (Excl Skin Tags/Cut Vasc Prolif Lsns) $265.50 $531.00 $127.99–$6,265.00 5% below 50%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destr Ben Lsn, 1 - 14 Lsns (Excl Skin Tags/Cut Vasc Prolif Lsns) $265.50 $531.00 $223.02–$290.46 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 3M $ CLEANSING OF SKIN/TISSUE $499.50 $999.00 $144.70–$7,727.00 33% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debrid SQ Tissue, 1st 20 sq cm $499.50 $999.00 $144.70–$6,265.00 33% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 3M $ CLEANSING OF SKIN/TISSUE $499.50 $999.00 $419.58–$546.45 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debrid SQ Tissue, 1st 20 sq cm $499.50 $999.00 $419.58–$546.45 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs District of ColumbiaOff list
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Blood/Components $869.50 $1,739.00 $49.72–$3,162.00 12% below 50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Blood/Components $869.50 $1,739.00 $730.38–$951.23 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 4 -> MetaNeb $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 4 -> MDI w/spacer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 4 -> Small volume nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 4 -> Dry powder inhaler $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 3 -> Dry powder inhaler $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 2 -> MetaNeb $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 5 -> Small volume nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 5 -> Respigard nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 3 -> MDI w/spacer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 2 -> MDI w/spacer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 5 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 5 -> MetaNeb $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 3 -> MetaNeb $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 5 -> MDI w/spacer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 5 -> Dry powder inhaler $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Non/Pressurized Inhal Tx, Acute Airway Obstruct/Sputum Induct for Dx $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Admin Charge -> INH Tx Charge 94640 $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER TX $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Inhalation Admin Charge $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Delivery Device Charge $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Delivery Device Charge 2 $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 3 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Delivery Device Charge Subsequent $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Delivery Device Charge Subsequent 2 $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 3 -> Respigard nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 3 -> Small volume nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 1 -> Small volume nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 1 -> Respigard nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 1 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 1 -> MetaNeb $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 1 -> MDI w/spacer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 1 -> Dry powder inhaler $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 2 -> Small volume nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 2 -> Dry powder inhaler $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 2 -> Respigard nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 2 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 4 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Device 4 -> Respigard nebulizer $267.50 $535.00 $9.25–$413.49 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 2 -> MDI w/spacer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Delivery Device Charge 2 $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 5 -> Small volume nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 4 -> Dry powder inhaler $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 4 -> MDI w/spacer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Delivery Device Charge Subsequent $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 5 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 2 -> Respigard nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 2 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 1 -> Respigard nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 1 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 5 -> Respigard nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 4 -> MetaNeb $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 1 -> MetaNeb $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 4 -> Small volume nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 1 -> MDI w/spacer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 5 -> MDI w/spacer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 2 -> MetaNeb $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 3 -> MDI w/spacer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 5 -> MetaNeb $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 5 -> Dry powder inhaler $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Non/Pressurized Inhal Tx, Acute Airway Obstruct/Sputum Induct for Dx $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 1 -> Dry powder inhaler $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Admin Charge -> INH Tx Charge 94640 $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER TX $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 3 -> Small volume nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Inhalation Admin Charge $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 4 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 3 -> MetaNeb $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Delivery Device Charge $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 2 -> Small volume nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Delivery Device Charge Subsequent 2 $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 3 -> Mini-heart/Aeroneb inline w/vent (Single dose tx) $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 1 -> Small volume nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 4 -> Respigard nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 3 -> Respigard nebulizer $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 3 -> Dry powder inhaler $267.50 $535.00 $224.70–$292.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Device 2 -> Dry powder inhaler $267.50 $535.00 $224.70–$292.64 — 50%
Chemotherapy IV infusion, first hour CPT 96413 INF/C IV Infusion initial/single $832.50 $1,665.00 $141.01–$6,262.50 5% below 50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 INF/C IV Infusion initial/single $832.50 $1,665.00 $699.30–$910.75 — 50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004 Ophth Med Exam/Eval; New Pt, Comprehensive, 1+ Visits $175.50 $351.00 $126.36–$2,803.09 45% below 50%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 92004 Ophth Med Exam/Eval; New Pt, Comprehensive, 1+ Visits $175.50 $351.00 $147.42–$192.00 — 50%
Comprehensive eye exam, returning patient CPT 92014 92014 Ophth Med Exam/Eval; Est Pt, Comprehensive, 1+ Visits $175.50 $351.00 $126.36–$2,196.33 8% below 50%
Comprehensive eye exam, returning patient inpatient CPT 92014 92014 Ophth Med Exam/Eval; Est Pt, Comprehensive, 1+ Visits $175.50 $351.00 $147.42–$192.00 — 50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 Comprehensive; Air-Bone, Discrim, Srt $385.00 $770.00 $39.39–$1,680.60 at median 50%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557 Comprehensive; Air-Bone, Discrim, Srt $385.00 $770.00 $323.40–$421.19 — 50%
Critical care, first 30 to 74 minutes CPT 99291 ER SERV LEVEL 6(CRIT CARE) $3,837.50 $7,675.00 $296.56–$5,665.00 68% above 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER SERV LEVEL 6(CRIT CARE) $3,837.50 $7,675.00 $3,223.50–$4,198.23 — 50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Type -> 95816 û EEG Awake and Drowsy (up to 40 minutes) $1,000.00 $2,000.00 $384.00–$6,253.59 8% above 50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Type -> 95816 û EEG Awake and Drowsy (up to 40 minutes) $1,000.00 $2,000.00 $840.00–$1,094.00 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Oncology EKG - Ambulatory $281.00 $562.00 $7.32–$609.95 3% above 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 - EKG- CPRU $281.00 $562.00 $7.32–$609.95 3% above 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $281.00 $562.00 $7.32–$609.95 3% above 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - Amb $281.00 $562.00 $7.32–$609.95 3% above 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - Tracing $281.00 $562.00 $7.32–$609.95 3% above 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Oncology EKG - Ambulatory $281.00 $562.00 $236.04–$307.41 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - Tracing $281.00 $562.00 $236.04–$307.41 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $281.00 $562.00 $236.04–$307.41 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - Amb $281.00 $562.00 $236.04–$307.41 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 - EKG- CPRU $281.00 $562.00 $236.04–$307.41 — 50%
Electroconvulsive therapy (ECT), one session CPT 90870 90870 Electroconvulsive Therapy $663.50 $1,327.00 $187.57–$12,560.76 — 50%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 90870 Electroconvulsive Therapy $663.50 $1,327.00 $557.34–$725.87 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - ER No Phys or LIP Needed $110.50 $221.00 $11.99–$555.00 69% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - ER No Phys or LIP Needed $110.50 $221.00 $92.82–$120.89 — 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - ER Straightfwd MDM $323.50 $647.00 $44.06–$699.00 48% below 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - ER Straightfwd MDM $323.50 $647.00 $271.74–$353.91 — 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - ER Low MDM $613.50 $1,227.00 $74.24–$1,338.00 42% below 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - ER Low MDM $613.50 $1,227.00 $515.34–$671.17 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - ER Mod MDM $1,319.50 $2,639.00 $126.62–$2,605.00 21% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - ER Mod MDM $1,319.50 $2,639.00 $1,108.38–$1,443.53 — 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - ER High MDM $2,747.00 $5,494.00 $183.47–$5,665.00 2% above 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - ER High MDM $2,747.00 $5,494.00 $2,307.48–$3,005.22 — 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 - Pharmacological Cardiovascular stress testing, tracing only (Procainamide Challenges) $1,211.50 $2,423.00 $44.33–$2,312.86 1% below 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Procainimide Challenge $1,211.50 $2,423.00 $44.33–$2,312.86 1% below 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiology Stress Charges -> 93017 CV Stress Test w/ECG, Tracing Only w/o Interp+Rpt $1,211.50 $2,423.00 $44.33–$2,312.86 1% below 50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Procainimide Challenge $1,211.50 $2,423.00 $1,017.66–$1,325.38 — 50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiology Stress Charges -> 93017 CV Stress Test w/ECG, Tracing Only w/o Interp+Rpt $1,211.50 $2,423.00 $1,017.66–$1,325.38 — 50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 - Pharmacological Cardiovascular stress testing, tracing only (Procainamide Challenges) $1,211.50 $2,423.00 $1,017.66–$1,325.38 — 50%
Eye exam, returning patient, intermediate CPT 92012 92012 Ophth Med Exam/Eval; Est Pt, Intermediate $175.50 $351.00 $97.75–$1,431.20 8% below 50%
Eye exam, returning patient, intermediate inpatient CPT 92012 92012 Ophth Med Exam/Eval; Est Pt, Intermediate $175.50 $351.00 $147.42–$192.00 — 50%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychothrpy w/Pt Present (Conjoint Psychotherapy) $211.50 $423.00 $110.60–$293.14 7% below 50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychothrpy w/Pt Present (Conjoint Psychotherapy) $211.50 $423.00 $177.66–$231.38 — 50%
Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychothrpy w/o Pt Present $211.50 $423.00 $106.07–$293.14 7% below 50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychothrpy w/o Pt Present $211.50 $423.00 $177.66–$231.38 — 50%
Group psychotherapy session CPT 90853 90853 Grp Psychothrpy (Excl Mult-Family Grp) $116.00 $232.00 $30.69–$160.78 52% below 50%
Group psychotherapy session inpatient CPT 90853 90853 Grp Psychothrpy (Excl Mult-Family Grp) $116.00 $232.00 $97.44–$126.90 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF/H IV Inf Initial 31 - 60 min $405.50 $811.00 $35.11–$5,560.37 at median 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP HYD IV INFUSION INIT 31-60M $405.50 $811.00 $35.11–$5,560.37 at median 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OP HYD IV INFUSION INIT 31-60M $405.50 $811.00 $340.62–$443.62 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF/H IV Inf Initial 31 - 60 min $405.50 $811.00 $340.62–$443.62 — 50%
IV infusion of a medicine, first hour CPT 96365 OP IV INF INITIAL UP TO 1HR $456.00 $912.00 $68.07–$7,806.50 11% below 50%
IV infusion of a medicine, first hour CPT 96365 INF/NC IV Infusion Ther Initial $456.00 $912.00 $68.07–$7,806.50 11% below 50%
IV infusion of a medicine, first hour inpatient CPT 96365 OP IV INF INITIAL UP TO 1HR $456.00 $912.00 $383.04–$498.86 — 50%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/NC IV Infusion Ther Initial $456.00 $912.00 $383.04–$498.86 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP THERPROPHDIAG INJ SCIM $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Med Admin Injection $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Nirsevimab Admin Charge -> Nirsevimab Admin 96372 $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subsequent Medication Admin Charge 96372 $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Nirsevimab Admin Charge -> Nirsevimab Second Admin 96372 $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Medication Admin Charge 96372 $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Synagis Administration Charge -> Medication Administration 96372 $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Medication Administration Charge -> Admin injection 96372 $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/NC SQ/IM injection $252.00 $504.00 $15.83–$1,771.93 50% above 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Subsequent Medication Admin Charge 96372 $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Nirsevimab Admin Charge -> Nirsevimab Admin 96372 $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Synagis Administration Charge -> Medication Administration 96372 $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Medication Admin Charge 96372 $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Med Admin Injection $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Medication Administration Charge -> Admin injection 96372 $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP THERPROPHDIAG INJ SCIM $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF/NC SQ/IM injection $252.00 $504.00 $211.68–$275.69 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Nirsevimab Admin Charge -> Nirsevimab Second Admin 96372 $252.00 $504.00 $211.68–$275.69 — 50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCH DIAGNOSTIC EVALUATION $211.50 $423.00 $152.28–$694.00 14% below 50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 PSYCH DIAGNOSTIC EVALUATION $211.50 $423.00 $177.66–$231.38 — 50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Velocity -> 95910 for the study of 7-8 nerves $389.50 $779.00 $80.96–$2,022.78 16% below 50%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Velocity -> 95910 for the study of 7-8 nerves $389.50 $779.00 $327.18–$426.11 — 50%
Neuromuscular re-education, 15 minutes CPT 97112 97112-OT-NEUROMUSCULAR REEDUCATION EA 15 MINS $149.50 $299.00 $35.98–$841.86 37% above 50%
Neuromuscular re-education, 15 minutes CPT 97112 97112-PT-NEUROMUSCULAR REEDUCATION EA 15 MINS $149.50 $299.00 $35.98–$841.86 37% above 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112-OT-NEUROMUSCULAR REEDUCATION EA 15 MINS $149.50 $299.00 $125.58–$163.55 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112-PT-NEUROMUSCULAR REEDUCATION EA 15 MINS $149.50 $299.00 $125.58–$163.55 — 50%
New patient office visit, about 30 minutes CPT 99203 99203 - OP New Low MDM or 30 min $93.50 $187.00 $78.54–$122.83 53% below 50%
New patient office visit, about 30 minutes inpatient CPT 99203 99203 - OP New Low MDM or 30 min $93.50 $187.00 $99.86 — 50%
New patient office visit, about 45 minutes CPT 99204 99204 - OP New Mod MDM or 45 min $93.50 $187.00 $78.54–$183.17 63% below 50%
New patient office visit, about 45 minutes inpatient CPT 99204 99204 - OP New Mod MDM or 45 min $93.50 $187.00 $99.86 — 50%
New patient office visit, about 60 minutes CPT 99205 99205 - OP New High MDM or 60 min $93.50 $187.00 $78.54–$241.63 69% below 50%
New patient office visit, about 60 minutes inpatient CPT 99205 99205 - OP New High MDM or 60 min $93.50 $187.00 $99.86 — 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 - OP New Straightfwd MDM or 15 min $93.50 $187.00 $78.54–$99.86 51% below 50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 - OP New Straightfwd MDM or 15 min $93.50 $187.00 $99.86 — 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Med Nutrition Therapy, 15 Min, (Init Assess/Intervent w/Pt) $60.00 $120.00 $40.09–$247.00 15% below 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 Med Nutrition Therapy, 15 Min, (Init Assess/Intervent w/Pt) $60.00 $120.00 $50.40–$65.64 — 50%
Occupational therapy evaluation, low complexity CPT 97165 97165 OT EVAL LOW COMPLEX 30 MIN $179.00 $358.00 $113.16–$2,196.15 6% below 50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 OT EVAL LOW COMPLEX 30 MIN $179.00 $358.00 $150.36–$195.83 — 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 PT EVAL HIGH COMPLEX 45 MIN $505.00 $1,010.00 $110.07–$2,196.15 13% above 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 97163 PT EVAL HIGH COMPLEX 45 MIN $505.00 $1,010.00 $424.20–$552.47 — 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 PT EVAL LOW COMPLEX 20 MIN $147.00 $294.00 $105.84–$2,196.15 54% below 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 97161 PT EVAL LOW COMPLEX 20 MIN $147.00 $294.00 $123.48–$160.82 — 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 PT EVAL MOD COMPLEX 30 MIN $488.00 $976.00 $110.07–$2,196.15 9% above 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162 PT EVAL MOD COMPLEX 30 MIN $488.00 $976.00 $409.92–$533.87 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140-PT-MANUAL THERAPY EA 15 MINS $179.00 $358.00 $30.50–$805.25 51% above 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140-OT-MANUAL THERAPY EA 15 MINS $179.00 $358.00 $30.50–$805.25 51% above 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140-OT-MANUAL THERAPY EA 15 MINS $179.00 $358.00 $150.36–$195.83 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140-PT-MANUAL THERAPY EA 15 MINS $179.00 $358.00 $150.36–$195.83 — 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110-PT-THERAPEUTIC EXERCISES EA 15 MINS $156.00 $312.00 $32.34–$878.46 41% above 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110-OT-THERAPEUTIC EXERCISES EA 15 MINS $156.00 $312.00 $32.34–$878.46 41% above 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110-PT-THERAPEUTIC EXERCISES EA 15 MINS $156.00 $312.00 $131.04–$170.66 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110-OT-THERAPEUTIC EXERCISES EA 15 MINS $156.00 $312.00 $131.04–$170.66 — 50%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Comp Preventive Med 18 to 39 years New 99385 $93.50 $187.00 $67.32–$141.89 52% below 50%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Comp Preventive Med 18 to 39 years New 99385 $93.50 $187.00 $78.54–$102.29 — 50%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Comp Preventive Med 18 to 39 years Est 99395 $93.50 $187.00 $67.32–$129.59 52% below 50%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Periodic Comp Preventive Med 18 to 39 years Est 99395 $93.50 $187.00 $78.54–$102.29 — 50%
Psychiatric evaluation with medical services CPT 90792 90792 Psych diag eval w/med srvcs $211.50 $423.00 $152.28–$694.00 23% below 50%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych diag eval w/med srvcs $211.50 $423.00 $177.66–$231.38 — 50%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 96130 PSYCL TST EVAL PHYS/QHP 1ST $389.50 $779.00 $128.68–$736.19 at median 50%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 96130 PSYCL TST EVAL PHYS/QHP 1ST $389.50 $779.00 $327.18–$426.11 — 50%
Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psychotherapy crisis, initial 60 min $211.50 $423.00 $152.28–$293.14 48% below 50%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 90839 Psychotherapy crisis, initial 60 min $211.50 $423.00 $177.66–$231.38 — 50%
Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy pt+/familym, 30 minutes $211.50 $423.00 $85.93–$4,799.23 4% below 50%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psychotherapy pt+/familym, 30 minutes $211.50 $423.00 $177.66–$231.38 — 50%
Psychotherapy session, 45 minutes CPT 90834 90834 Psychotherapy pt+/family 45 minutes $211.50 $423.00 $113.42–$4,799.23 at median 50%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psychotherapy pt+/family 45 minutes $211.50 $423.00 $177.66–$231.38 — 50%
Psychotherapy session, 60 minutes CPT 90837 90837 Psychotherapy pt+/family 60 minutes $211.50 $423.00 $152.28–$4,799.23 15% below 50%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psychotherapy pt+/family 60 minutes $211.50 $423.00 $177.66–$231.38 — 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $93.50 $187.00 $15.52–$99.86 41% above 50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $93.50 $187.00 $99.86 — 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 - OP Est High MDM or 40 min $93.50 $187.00 $78.54–$196.97 63% below 50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 - OP Est High MDM or 40 min $93.50 $187.00 $99.86 — 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 - OP Est Low MDM or 20 min $93.50 $187.00 $78.54–$100.28 49% below 50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 - OP Est Low MDM or 20 min $93.50 $187.00 $99.86 — 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 - OP Est Mod MDM or 30 min $93.50 $187.00 $78.54–$140.72 58% below 50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 - OP Est Mod MDM or 30 min $93.50 $187.00 $99.86 — 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 - OP Est Straightfwd MDM or 10 min $93.50 $187.00 $62.45–$99.86 37% below 50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 - OP Est Straightfwd MDM or 10 min $93.50 $187.00 $99.86 — 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 3M $ OFFICE/OP CONSULTATION NEW/ESTAB LOW MEDICAL DECISION MAKING 30 MIN $93.50 $187.00 $78.54–$122.37 — 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 - OP C/S Low MDM or 30 Min $93.50 $187.00 $78.54–$122.37 — 50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 - OP C/S Low MDM or 30 Min $93.50 $187.00 $99.86 — 50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 3M $ OFFICE/OP CONSULTATION NEW/ESTAB LOW MEDICAL DECISION MAKING 30 MIN $93.50 $187.00 $99.86 — 50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 - OP C/S Mod MDM or 40 Min $93.50 $187.00 $78.54–$173.59 — 50%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 - OP C/S Mod MDM or 40 Min $93.50 $187.00 $99.86 — 50%
Speech and language evaluation CPT 92523 92523 Evaluation Of Speech $584.50 $1,169.00 $249.58–$2,598.78 57% above 50%
Speech and language evaluation CPT 92523 92523 Evaluation Of Speech-SRC $584.50 $1,169.00 $249.58–$2,598.78 57% above 50%
Speech and language evaluation inpatient CPT 92523 92523 Evaluation Of Speech $584.50 $1,169.00 $490.98–$639.44 — 50%
Speech and language evaluation inpatient CPT 92523 92523 Evaluation Of Speech-SRC $584.50 $1,169.00 $490.98–$639.44 — 50%
Speech therapy session, individual CPT 92507 92507 Speech Therapy, Individual-SRC $261.00 $522.00 $83.75–$1,537.31 1% below 50%
Speech therapy session, individual CPT 92507 92507 Speech Therapy, Individual $261.00 $522.00 $83.75–$1,537.31 1% below 50%
Speech therapy session, individual inpatient CPT 92507 92507 Speech Therapy, Individual $261.00 $522.00 $219.24–$285.53 — 50%
Speech therapy session, individual inpatient CPT 92507 92507 Speech Therapy, Individual-SRC $261.00 $522.00 $219.24–$285.53 — 50%
Spirometry (breathing test) CPT 94010 94010 Spirom w/Graphic Record/Vital Capacity/Flow Rate +/- Max Voluntary Vent $337.00 $674.00 $22.36–$1,101.87 8% below 50%
Spirometry (breathing test) inpatient CPT 94010 94010 Spirom w/Graphic Record/Vital Capacity/Flow Rate +/- Max Voluntary Vent $337.00 $674.00 $283.08–$368.68 — 50%
Spirometry before and after a bronchodilator CPT 94060 94060 Spirom, Bronchodilator Resp, Pre/Post Bronchodilator $561.00 $1,122.00 $33.54–$1,826.07 8% above 50%
Spirometry before and after a bronchodilator inpatient CPT 94060 94060 Spirom, Bronchodilator Resp, Pre/Post Bronchodilator $561.00 $1,122.00 $471.24–$613.73 — 50%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 90867 REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M $389.50 $779.00 $280.44–$1,361.96 — 50%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 90867 REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M $389.50 $779.00 $327.18–$426.11 — 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 97530-PT-THERAPEUTIC ACTIVITY DIR EA 15M $116.00 $232.00 $39.33–$951.66 8% above 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 97530-OT-THERAPEUTIC ACTIVITY DIR EA 15M $116.00 $232.00 $39.33–$951.66 8% above 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530-PT-THERAPEUTIC ACTIVITY DIR EA 15M $116.00 $232.00 $97.44–$126.90 — 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530-OT-THERAPEUTIC ACTIVITY DIR EA 15M $116.00 $232.00 $97.44–$126.90 — 50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Phlebotomy, Therapeutic $161.50 $323.00 $103.69–$2,449.16 29% below 50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 Phlebotomy, Therapeutic $161.50 $323.00 $135.66–$176.68 — 50%
Visual field test, extended both sides CPT 92083 92083 Visual Field Exam, Extended; Uni/Bilat w/Interp/Report $161.50 $323.00 $42.40–$2,463.76 — 50%
Visual field test, extended inpatient both sides CPT 92083 92083 Visual Field Exam, Extended; Uni/Bilat w/Interp/Report $161.50 $323.00 $135.66–$176.68 — 50%

Vaccines

ProcedureCash price List priceInsurers payvs District of ColumbiaOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 3M $ IMMUNIZATION ADMIN, SINGLE $89.00 $178.00 $23.16–$958.70 16% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administration Charge -> One Vaccine Admin 90471 $89.00 $178.00 $23.16–$958.70 16% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471- Immunization, One Vaccine $89.00 $178.00 $23.16–$958.70 16% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CNH Rabies Administration Charge -> One Vaccine Admin 90471 $89.00 $178.00 $23.16–$958.70 16% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Administration Charge -> One Vaccine Admin 90471 $89.00 $178.00 $74.76–$97.37 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 3M $ IMMUNIZATION ADMIN, SINGLE $89.00 $178.00 $74.76–$97.37 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CNH Rabies Administration Charge -> One Vaccine Admin 90471 $89.00 $178.00 $74.76–$97.37 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471- Immunization, One Vaccine $89.00 $178.00 $74.76–$97.37 — 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization, Ea Addl Vaccine $48.50 $97.00 $16.30–$632.56 48% below 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 3M $ IMMUNIZATION ADM; EA ADDTL VAC $48.50 $97.00 $16.30–$632.56 48% below 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Administration Charge -> Additional Vaccine Admin 90472 $48.50 $97.00 $16.30–$632.56 48% below 50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization, Ea Addl Vaccine $48.50 $97.00 $40.74–$53.06 — 50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Administration Charge -> Additional Vaccine Admin 90472 $48.50 $97.00 $40.74–$53.06 — 50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 3M $ IMMUNIZATION ADM; EA ADDTL VAC $48.50 $97.00 $40.74–$53.06 — 50%

Source file: https://stronger.childrensnational.org/files/530196580_childrens-national-hospital_standardcharges.csv