SelfPayRates
Hospital New York-Newark-Jersey City, NY-NJ

Kingsbrook Jewish Medical Center

Kingsbrook Jewish Medical Center in Brooklyn, NY publishes cash prices for 236 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 218 of 233 procedures and above it for 13. By typical cash price it ranks #3 of 114 New York hospitals and #2 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

585 Schenectady Avenue Brooklyn NY 11203 Collected Sep 29, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs New YorkOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O - W/ CONTRAST $314.30 $635.00 $190.49–$707.17 76% below 51%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/O - W/ CONTRAST $314.30 $635.00 $190.49–$707.17 — 51%
Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS $30.65 $279.00 $29.11–$234.90 88% below 89%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS $30.65 $279.00 $29.11–$234.90 — 89%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE XRAY 3V OR MORE $30.65 $224.00 $29.11–$195.53 85% below 86%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE XRAY 3V OR MORE $30.65 $224.00 $29.11–$195.53 — 86%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL $174.81 $256.00 $144.49–$393.33 41% below 32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL $174.81 $256.00 $144.49–$393.33 — 32%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UP EXT W/O CONTRAST $262.99 $283.00 $113.54–$591.72 64% below 7%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UP EXT W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE NUCLEAR SCAN $404.95 $828.00 $384.71–$911.15 58% below 51%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE NUCLEAR SCAN $404.95 $828.00 $384.71–$911.15 — 51%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE $174.81 $264.00 $113.54–$393.33 44% below 34%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE $174.81 $264.00 $113.54–$393.33 — 34%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED $174.81 $217.00 $94.51–$393.33 29% below 19%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED $174.81 $217.00 $94.51–$393.33 — 19%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIOGRAPHY ABDOMEN/PELVIS W/WO CONTRAST $333.48 $903.87 $316.80–$783.88 79% below 63%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIOGRAPHY ABDOMEN/PELVIS W/WO CONTRAST $333.48 $903.87 $316.80–$783.88 — 63%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W &WO $333.48 $664.00 $190.49–$750.32 68% below 50%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W &WO $333.48 $664.00 $190.49–$750.32 — 50%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/W0 $333.48 $664.00 $190.49–$750.32 71% below 50%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/W0 $333.48 $664.00 $190.49–$750.32 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/O FOLL W CONTRAST $333.48 $664.00 $190.49–$750.32 74% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/O FOLL W CONTRAST $333.48 $664.00 $190.49–$750.32 — 50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HRT W3D IMAGE $333.48 $559.00 $316.80–$783.88 68% below 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HRT W3D IMAGE $333.48 $559.00 $316.80–$783.88 — 40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT WO DYE W CA TEST $262.99 $145.93 $94.51–$591.72 59% above -80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT WO DYE W CA TEST $262.99 $145.93 $94.51–$591.72 — -80%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST $314.30 $558.00 $259.12–$707.17 71% below 44%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST $314.30 $558.00 $259.12–$707.17 — 44%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELVIS W CONTRAST $314.30 $904.00 $298.58–$783.88 80% below 65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELVIS W CONTRAST $314.30 $904.00 $298.58–$783.88 — 65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV WO/FOLL CONS + 1 $314.30 $903.87 $298.58–$783.88 82% below 65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV WO/FOLL CONS + 1 $314.30 $903.87 $298.58–$783.88 — 65%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN WITH CONTRAST $314.30 $568.00 $190.49–$707.17 71% below 45%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN WITH CONTRAST $314.30 $568.00 $190.49–$707.17 — 45%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST $262.99 $283.00 $113.54–$591.72 69% below 7%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $262.99 $283.00 $113.54–$591.72 66% below 7%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST $314.30 $283.00 $113.54–$707.17 60% below -11%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST $314.30 $283.00 $113.54–$707.17 — -11%
CT scan of the head with contrast CPT 70460 HC CT HEAD WITH CONTRAST $314.30 $568.00 $190.49–$707.17 66% below 45%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD WITH CONTRAST $314.30 $568.00 $190.49–$707.17 — 45%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/O - W/CONTRAST $314.30 $635.00 $190.49–$707.17 70% below 51%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/O - W/CONTRAST $314.30 $635.00 $190.49–$707.17 — 51%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $262.99 $283.00 $113.54–$591.72 68% below 7%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $262.99 $283.00 $113.54–$591.72 70% below 7%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST $314.30 $1,162.00 $190.49–$707.17 67% below 73%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH CONTRAST $314.30 $1,162.00 $190.49–$707.17 67% below 73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS WITH CONTRAST $314.30 $1,162.00 $190.49–$707.17 — 73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST $314.30 $1,162.00 $190.49–$707.17 — 73%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX SCAN CAROTID ARTERIES $758.29 $540.00 $259.12–$1,706.15 26% above -40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUPLEX SCAN CAROTID ARTERIES $758.29 $540.00 $259.12–$1,706.15 — -40%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST/THORAX W/O-W/CONTRAST $314.30 $635.00 $190.49–$707.17 75% below 51%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST/THORAX W/O-W/CONTRAST $314.30 $635.00 $190.49–$707.17 — 51%
Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS $30.65 $146.00 $29.11–$195.53 85% below 79%
Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS $30.65 $146.00 $29.11–$195.53 — 79%
Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW $30.65 $146.00 $29.11–$195.53 84% below 79%
Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW $30.65 $146.00 $29.11–$195.53 — 79%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE XRAY $30.65 $145.93 $29.11–$195.53 85% below 79%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE XRAY $30.65 $145.93 $29.11–$195.53 — 79%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC RENAL SONOGRAM COMPLETE $758.29 $318.00 $113.54–$1,706.15 89% above -138%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC RENAL SONOGRAM COMPLETE $758.29 $318.00 $113.54–$1,706.15 — -138%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY-DXA(AXIAL) $145.21 $264.00 $113.54–$326.73 46% below 45%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY-DXA(AXIAL) $145.21 $264.00 $113.54–$326.73 — 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY-PDXA $145.21 $145.93 $94.51–$326.73 1% above —
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY-PDXA $145.21 $145.93 $94.51–$326.73 — —
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OBS US DETAILED SINGLE GEST $151.07 $540.05 $143.51–$536.11 73% below 72%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OBS US DETAILED SINGLE GEST $151.07 $540.05 $143.51–$536.11 — 72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST/THORAX W/O CONTRAST $262.99 $283.00 $113.54–$591.72 68% below 7%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST/THORAX W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST/THORAX WITH CONTRAST $314.30 $568.00 $190.49–$707.17 72% below 45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST/THORAX WITH CONTRAST $314.30 $568.00 $190.49–$707.17 — 45%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DX CAD BILAT $108.07 $407.24 $45.86–$333.49 — 73%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DX CAD BILAT $108.07 $407.24 $45.86–$333.49 — 73%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DX CAD UNILAT LT $108.07 $322.00 $37.33–$262.98 60% below 66%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DX CAD UNILAT RT $108.07 $322.00 $37.33–$262.98 60% below 66%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DX CAD UNILAT RT $108.07 $322.00 $37.33–$262.98 — 66%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DX CAD UNILAT LT $108.07 $322.00 $37.33–$262.98 — 66%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC DUPLEX SCAN-ARTERIESLOWER-PVC $758.29 $540.05 $259.12–$1,706.15 57% above -40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC DUPLEX SCAN-ARTERIESLOWER-PVC $758.29 $540.05 $259.12–$1,706.15 — -40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN VEINS EXTREM-BILAT $758.29 $540.05 $259.12–$1,706.15 — -40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX SCAN VEINS EXTREM-BILAT $758.29 $540.05 $259.12–$1,706.15 — -40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC COMPLETE TTE W/DOPPLER W/O CON $384.10 $1,344.00 $364.89–$1,227.74 64% below 71%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC COMPLETE TTE W/DOPPLER W/O CON $384.10 $1,344.00 $364.89–$1,227.74 — 71%
Elbow X-ray, 2 views CPT 73070 HC ELBOW XRAY 2V $30.65 $146.00 $29.11–$195.53 85% below 79%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW XRAY 2V $30.65 $146.00 $29.11–$195.53 — 79%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW XRAY $30.65 $145.93 $29.11–$195.53 85% below 79%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW XRAY $30.65 $145.93 $29.11–$195.53 — 79%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITO-M-IEAR W/O CONTRAST $262.99 $283.00 $113.54–$591.72 64% below 7%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITO-M-IEAR W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM XRAY $30.65 $145.93 $29.11–$195.53 85% below 79%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM XRAY $30.65 $145.93 $29.11–$195.53 — 79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILLIARY SYS IMAGING $404.95 $879.00 $384.71–$911.15 60% below 54%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILLIARY SYS IMAGING $404.95 $879.00 $384.71–$911.15 — 54%
Hand X-ray, 2 views CPT 73120 HC HAND XRAY 2V $30.65 $264.00 $29.11–$234.90 84% below 88%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND XRAY 2V $30.65 $264.00 $29.11–$234.90 — 88%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC HEEL XRAY $30.65 $146.00 $29.11–$195.53 83% below 79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC HEEL XRAY $30.65 $146.00 $29.11–$195.53 — 79%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST W/PORTABLE MONITOR.UNATTENDED $572.59 $431.00 $234.49–$1,288.32 43% above -33%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP TEST W/PORTABLE MONITOR.UNATTENDED $572.59 $431.00 $234.49–$1,288.32 — -33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP $1,016.08 $2,138.08 $932.60–$2,286.17 48% below 52%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP $1,016.08 $2,138.08 $932.60–$2,286.17 — 52%
Knee X-ray, 3 views CPT 73562 HC KNEE XRAY 3V $30.65 $224.00 $29.11–$195.53 85% below 86%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE XRAY 3V $30.65 $224.00 $29.11–$195.53 — 86%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOW EXT W/O CONTRAST $262.99 $283.00 $113.54–$591.72 63% below 7%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOW EXT W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LTD RECENT F/U $174.81 $318.00 $113.54–$393.33 47% below 45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LTD RECENT F/U $174.81 $318.00 $113.54–$393.33 — 45%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US EXTR NON-VASC LIMITED LT $174.81 $263.54 $113.54–$393.33 29% below 34%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US EXTR NON-VASC LIMITED RT $174.81 $263.54 $113.54–$393.33 29% below 34%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US EXTR NON-VASC LIMITED LT $174.81 $263.54 $113.54–$393.33 — 34%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US EXTR NON-VASC LIMITED RT $174.81 $263.54 $113.54–$393.33 — 34%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR C- $262.99 $190.00 $113.54–$591.72 40% below -38%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR C- $262.99 $190.00 $113.54–$591.72 — -38%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA/FIBULA (LEG) XRAY $30.65 $145.93 $29.11–$195.53 85% below 79%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA/FIBULA (LEG) XRAY $30.65 $145.93 $29.11–$195.53 — 79%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST $492.87 $675.00 $259.12–$1,108.95 60% below 27%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST $492.87 $675.00 $259.12–$1,108.95 — 27%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT WO CONT $384.88 $675.00 $259.12–$865.98 62% below 43%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT WO CONT $384.88 $675.00 $259.12–$865.98 — 43%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W &WO CONT $580.49 $1,138.00 $378.88–$1,306.10 68% below 49%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W &WO CONT $580.49 $1,138.00 $378.88–$1,306.10 — 49%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST $384.88 $675.00 $259.12–$865.98 63% below 43%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W & W/O $580.49 $1,138.00 $378.88–$1,306.10 65% below 49%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W & W/O $580.49 $1,138.00 $378.88–$1,306.10 — 49%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST $384.88 $675.00 $259.12–$865.98 63% below 43%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 65% below 49%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 — 49%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE W/O CONTRAST $384.88 $675.00 $259.12–$865.98 66% below 43%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMB SPINE W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMB SPINE W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 65% below 49%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMB SPINE W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 — 49%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THOR SPINE W/O CONTRAST $384.88 $675.00 $259.12–$865.98 62% below 43%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THOR SPINE W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CX SPINE W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 64% below 49%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CX SPINE W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 — 49%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CX SPINE W/O CONTRAST $384.88 $675.00 $259.12–$865.98 62% below 43%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CX SPINE W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 63% below 49%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CONTRAST $580.49 $1,138.00 $378.88–$1,306.10 — 49%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST $384.88 $675.00 $259.12–$865.98 63% below 43%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAST $384.88 $675.00 $259.12–$865.98 68% below 43%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAST $384.88 $675.00 $259.12–$865.98 — 43%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SFT.TIS.NECK W/CONTRAST $314.30 $568.00 $190.49–$707.17 68% below 45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SFT.TIS.NECK W/CONTRAST $314.30 $568.00 $190.49–$707.17 — 45%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SFT.TISNECK W/O CONTRAST $262.99 $283.00 $113.54–$591.72 67% below 7%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SFT.TISNECK W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Neck soft tissue X-ray CPT 70360 HC SOFT TISSUE OF NECK $30.65 $145.93 $29.11–$195.53 84% below 79%
Neck soft tissue X-ray inpatient CPT 70360 HC SOFT TISSUE OF NECK $30.65 $145.93 $29.11–$195.53 — 79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM-HT MUSCLE IMAGE SPECT MULTI $883.77 $2,880.00 $839.58–$2,908.96 62% below 69%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM-HT MUSCLE IMAGE SPECT MULTI $883.77 $2,880.00 $839.58–$2,908.96 — 69%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC COMPUTERIZED OPHTHALMIC IMAGING RETINA $124.00 $132.00 $64.07–$279.00 76% above 6%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC COMPUTERIZED OPHTHALMIC IMAGING RETINA $124.00 $132.00 $64.07–$279.00 — 6%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST $262.99 $283.00 $113.54–$591.72 68% below 7%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC ECHO EXAM OF PELVIS-F/UP LTD(N $174.81 $264.00 $113.54–$393.33 36% below 34%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC ECHO EXAM OF PELVIS-F/UP LTD(N $174.81 $264.00 $113.54–$393.33 — 34%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS-NON OB $758.29 $318.00 $113.54–$1,706.15 90% above -138%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS-NON OB $758.29 $318.00 $113.54–$1,706.15 — -138%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OBS US > 14 WKS 1 GEST $151.07 $318.00 $113.54–$339.90 57% below 52%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OBS US > 14 WKS 1 GEST $151.07 $318.00 $113.54–$339.90 — 52%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OBS US = < 14 WKS 1 GEST $151.07 $318.00 $113.54–$339.90 52% below 52%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OBS US = < 14 WKS 1 GEST $151.07 $318.00 $113.54–$339.90 — 52%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OBS US LIMITED $151.07 $270.00 $113.54–$339.90 48% below 44%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OBS US LIMITED $151.07 $270.00 $113.54–$339.90 — 44%
Rib X-ray, one side, 2 views CPT 71100 HC RIBS XRAY $30.65 $145.93 $29.11–$195.53 85% below 79%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC RIBS XRAY $30.65 $145.93 $29.11–$195.53 — 79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC DX RIBS W/ PA CHEST UNILATERAL $30.65 $263.00 $29.11–$234.90 86% below 88%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC DX RIBS W/ PA CHEST UNILATERAL $30.65 $263.00 $29.11–$234.90 — 88%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCR CAD BILAT $108.07 $328.00 $34.54–$267.98 — 67%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCR CAD BILAT $108.07 $328.00 $34.54–$267.98 — 67%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER XRAY 2V $30.65 $224.00 $29.11–$195.53 85% below 86%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER XRAY 2V $30.65 $224.00 $29.11–$195.53 — 86%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL 4VS XRAY $30.65 $263.54 $29.11–$234.90 86% below 88%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL 4VS XRAY $30.65 $263.54 $29.11–$234.90 — 88%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $1,016.08 $2,138.00 $932.60–$2,286.17 46% below 52%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $1,016.08 $2,138.00 $932.60–$2,286.17 — 52%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO W STRESS TEST W/O CONTRAS $384.10 $1,775.00 $364.89–$1,227.74 63% below 78%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO W STRESS TEST W/O CONTRAS $384.10 $1,775.00 $364.89–$1,227.74 — 78%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC MODIFIED BARIUM SWALLOW $302.50 $264.00 $190.49–$680.63 11% below -15%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC MODIFIED BARIUM SWALLOW $302.50 $264.00 $190.49–$680.63 — -15%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> $30.65 $145.93 $29.11–$195.53 83% below 79%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> $30.65 $145.93 $29.11–$195.53 — 79%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST $262.99 $283.00 $113.54–$591.72 70% below 7%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST $262.99 $283.00 $113.54–$591.72 — 7%
Toe X-ray, 2 or more views CPT 73660 HC TOE(S) XRAY 2V OR MORE $30.65 $145.93 $29.11–$195.53 83% below 79%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE(S) XRAY 2V OR MORE $30.65 $145.93 $29.11–$195.53 — 79%
Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL SONOGRAM $174.81 $318.00 $113.54–$393.33 53% below 45%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL SONOGRAM $174.81 $318.00 $113.54–$393.33 — 45%
Transvaginal ultrasound during pregnancy CPT 76817 HC OBS US TRANSVAGINAL $151.07 $270.00 $113.54–$339.90 48% below 44%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC OBS US TRANSVAGINAL $151.07 $270.00 $113.54–$339.90 — 44%
Ultrasound of the abdomen, complete CPT 76700 HC ABDOMINAL SONOGRAM $758.29 $318.00 $113.54–$1,706.15 69% above -138%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC ABDOMINAL SONOGRAM $758.29 $318.00 $113.54–$1,706.15 — -138%
Ultrasound of the scrotum and testicles CPT 76870 HC TESTICULAR SONOGRAM $174.81 $318.00 $113.54–$393.33 50% below 45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC TESTICULAR SONOGRAM $174.81 $318.00 $113.54–$393.33 — 45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US NECKTHYPARATHYPAROTID $174.81 $318.00 $113.54–$393.33 47% below 45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US NECKTHYPARATHYPAROTID $174.81 $318.00 $113.54–$393.33 — 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC G.I. SCAN XRAY $302.50 $472.55 $190.49–$680.63 28% below 36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC G.I. SCAN XRAY $302.50 $472.55 $190.49–$680.63 — 36%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS XRAY $30.65 $145.93 $29.11–$195.53 84% below 79%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS XRAY $30.65 $145.93 $29.11–$195.53 — 79%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX SCAN VEINS $174.81 $270.00 $113.54–$393.33 52% below 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX SCAN VEINS LEFT EXTR $174.81 $270.00 $113.54–$393.33 52% below 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX SCAN VEINS RIGHT EXTR $174.81 $270.00 $113.54–$393.33 52% below 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX SCAN VEINS $174.81 $270.00 $113.54–$393.33 — 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX SCAN VEINS RIGHT EXTR $174.81 $270.00 $113.54–$393.33 — 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX SCAN VEINS LEFT EXTR $174.81 $270.00 $113.54–$393.33 — 35%
Wrist X-ray, 2 views CPT 73100 HC WRIST XRAY 2V AP&LAT $30.65 $145.93 $29.11–$195.53 83% below 79%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST XRAY 2V AP&LAT $30.65 $145.93 $29.11–$195.53 — 79%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST XRAY $30.65 $146.00 $29.11–$195.53 85% below 79%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST XRAY $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS $30.65 $146.00 $29.11–$195.53 85% below 79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW $30.65 $146.00 $29.11–$195.53 85% below 79%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE AP&LAT $30.65 $224.00 $29.11–$195.53 84% below 86%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE AP&LAT $30.65 $224.00 $29.11–$195.53 — 86%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER XRAY $30.65 $146.00 $29.11–$195.53 82% below 79%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER XRAY $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of the foot, 2 views CPT 73620 HC FOOT XRAY 2V $30.65 $146.00 $29.11–$195.53 83% below 79%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT XRAY 2V $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT XRAY 3V OR MORE $30.65 $145.93 $29.11–$195.53 84% below 79%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT XRAY 3V OR MORE $30.65 $145.93 $29.11–$195.53 — 79%
X-ray of the hand, 3 or more views CPT 73130 HC HAND XRAY 3V $30.65 $145.93 $29.11–$195.53 85% below 79%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND XRAY 3V $30.65 $145.93 $29.11–$195.53 — 79%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE XRAY 2V $30.65 $146.00 $29.11–$195.53 85% below 79%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE XRAY 2V $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2V $30.65 $264.00 $29.11–$234.90 86% below 88%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2V $30.65 $264.00 $29.11–$234.90 — 88%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES XRAY (COMPLETE) $30.65 $146.00 $29.11–$195.53 83% below 79%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES XRAY (COMPLETE) $30.65 $146.00 $29.11–$195.53 — 79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL XRAY $30.65 $224.00 $29.11–$195.53 85% below 86%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL XRAY $30.65 $224.00 $29.11–$195.53 — 86%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS XRAY ANTEROPOSTERIOR VIEW $30.65 $264.00 $29.11–$234.90 86% below 88%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS XRAY ANTEROPOSTERIOR VIEW $30.65 $264.00 $29.11–$234.90 — 88%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC COCCYX & SACRUM XRAY $30.65 $145.93 $29.11–$195.53 83% below 79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC COCCYX & SACRUM XRAY $30.65 $145.93 $29.11–$195.53 — 79%

Lab tests

ProcedureCash price List priceInsurers payvs New YorkOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT - SERUM $5.08 $28.00 $4.61–$11.43 77% below 82%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT - SERUM $5.08 $28.00 $4.61–$11.43 — 82%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)-SERUM $5.08 $23.00 $4.51–$11.43 77% below 78%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)-SERUM $5.08 $23.00 $4.51–$11.43 — 78%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL $26.08 $95.00 $24.78–$85.73 85% below 73%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL $26.08 $95.00 $24.78–$85.73 — 73%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE-SERUM $5.08 $10.00 $4.51–$11.43 74% below 49%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE-SERUM $5.08 $10.00 $4.51–$11.43 — 49%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN MANGO $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN BEECH TREE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN ALMOND $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN PECAN NUT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN STRAWBERRY $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CASEIN BHMC $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN MELON $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN GLUTERN BHMC $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN GOOSE FEATHER BHMC $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN SUNFLOWER $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN HOUSE DUST GREER $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN GARLIC $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN HAZEL NUT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN RYE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN ENGLISH PLANTAIN $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN OAT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN BARLEY $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN BLUEBERRY $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN PLUM $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN APPLE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-BRAZIL NUT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CHERRY $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE EA QNT W MOD $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-PINEAPPLE IGE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN LENTIL $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CHICK PEA $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN ENGLISH WALNUT IGE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE EA QNT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN MILK $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN DERMATO PTERONYSSIU $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN PEACH $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN DERMATO FARINAE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CLAM $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CRAB $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN LOBSTER $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CASHEW NUT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN SHRIMP $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN BANANA $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN TOMATO $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN COMMON RAGWEED(SHOR $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CODFISH $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN COCKROACH $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CORN $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CHOCOLATE (COCOA) $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN EGG YOLK $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CHICKEN MEAT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN EGG WHITE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CHEESE CHEDDAR $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN DOG DANDER $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CELERY $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN RICE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CAT DANDER $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN TIMOTHY GRASS $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN BIRCH TREE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN SESAME SEED $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN BERMUDA GRASS $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN SOYBEAN $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN COCONUT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN ASPERGILLUS FUMIGAT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN ALTERNARIA TENUIS $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN WHEAT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENS ZONE 1 $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN CARROT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPE IGE $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN WALNUT TREE CALIF $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLEGEN PEA $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN PEANUT $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN MAPLE (BOX ELDER) $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN ELM $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN SALMON $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN TUNA $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen CPT 86003 Q-ALLERGEN OYSTER $3.69 $53.00 $3.50–$9.40 74% below 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CASEIN BHMC $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN SHRIMP $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN SESAME SEED $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN RICE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN PEANUT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN TOMATO $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN TIMOTHY GRASS $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN SOYBEAN $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN WHEAT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN WALNUT TREE CALIF $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN ELM $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN MANGO $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN MELON $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CHERRY $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN PEACH $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CLAM $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CASHEW NUT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN BANANA $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN COMMON RAGWEED(SHOR $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CODFISH $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN COCKROACH $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CHOCOLATE (COCOA) $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CHICKEN MEAT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CHEESE CHEDDAR $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CELERY $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CAT DANDER $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN BIRCH TREE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN BERMUDA GRASS $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN ASPERGILLUS FUMIGAT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN ALTERNARIA TENUIS $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENS ZONE 1 $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPE IGE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLEGEN PEA $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN MAPLE (BOX ELDER) $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN SALMON $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN OYSTER $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN BEECH TREE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN PECAN NUT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN GLUTERN BHMC $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN GOOSE FEATHER BHMC $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN SUNFLOWER $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN GARLIC $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN RYE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN OAT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN BARLEY $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN BLUEBERRY $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN PLUM $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-BRAZIL NUT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE EA QNT W MOD $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE EA QNT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN ENGLISH WALNUT IGE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CHICK PEA $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN LENTIL $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-PINEAPPLE IGE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN LOBSTER $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN MILK $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN ENGLISH PLANTAIN $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN HAZEL NUT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN HOUSE DUST GREER $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN DOG DANDER $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN EGG WHITE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN EGG YOLK $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CORN $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CRAB $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN DERMATO FARINAE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN DERMATO PTERONYSSIU $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN APPLE $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN ALMOND $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN TUNA $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN CARROT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN COCONUT $3.69 $53.00 $3.50–$9.40 — 93%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q-ALLERGEN STRAWBERRY $3.69 $53.00 $3.50–$9.40 — 93%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Q-CYCLIC CITRULLINE PEPTIDE $10.56 $100.00 $10.03–$23.76 77% below 89%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Q-CYCLIC CITRULLINE PEPTIDE $10.56 $100.00 $10.03–$23.76 — 89%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP $34.41 $177.00 $32.69–$77.42 72% below 81%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP $34.41 $177.00 $32.69–$77.42 — 81%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEVEL IV $43.62 $191.00 $41.44–$117.09 70% below 77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY LEVEL IV $43.62 $191.00 $41.44–$117.09 — 77%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE $9.56 $32.00 $8.13–$21.50 35% below 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER-VENIPUNCTURE $10.28 $32.00 $8.13–$23.12 30% below 68%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE $9.56 $32.00 $8.13–$21.50 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER-VENIPUNCTURE $10.28 $32.00 $8.13–$23.12 — 68%
C. difficile toxin gene test (stool PCR) CPT 87493 Q-CLOSTRIDIUM DIFFICILE TOXIN $38.67 $96.00 $32.42–$87.01 68% below 60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Q-CLOSTRIDIUM DIFFICILE TOXIN $38.67 $96.00 $32.42–$87.01 — 60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID COVID-19 AMP. PROBE TECH. $30.79 $100.00 $29.25–$92.36 66% below 69%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID COVID-19 AMP. PROBE TECH. $30.79 $100.00 $29.25–$92.36 — 69%
Calcium blood test, total CPT 82310 Q1316-CALCIUM TOTAL $5.08 $12.56 $4.49–$11.43 73% below 60%
Calcium blood test, total CPT 82310 CALCIUM-SERUMTOTAL $5.08 $29.00 $4.49–$11.43 73% below 82%
Calcium blood test, total inpatient CPT 82310 CALCIUM-SERUMTOTAL $5.08 $29.00 $4.49–$11.43 — 82%
Calcium blood test, total inpatient CPT 82310 Q1316-CALCIUM TOTAL $5.08 $12.56 $4.49–$11.43 — 60%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB $8.11 $32.00 $7.70–$23.18 81% below 75%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGG $8.11 $29.00 $7.70–$23.18 81% below 72%
Chickenpox (varicella) immunity blood test CPT 86787 Q-VARICELLA ZOSTER IGM $8.11 $72.50 $7.70–$23.18 81% below 89%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB $8.11 $32.00 $7.70–$23.18 — 75%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Q-VARICELLA ZOSTER IGM $8.11 $72.50 $7.70–$23.18 — 89%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGG $8.11 $29.00 $7.70–$23.18 — 72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Q-17305 CHLAMYDIA AMPLIF NA PR $21.64 $96.00 $20.56–$63.16 74% below 77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Q-17305 CHLAMYDIA AMPLIF NA PR $21.64 $96.00 $20.56–$63.16 — 77%
Creatinine blood test CPT 82565 CREATININE-SERUM $5.08 $29.00 $4.45–$11.43 78% below 82%
Creatinine blood test inpatient CPT 82565 CREATININE-SERUM $5.08 $29.00 $4.45–$11.43 — 82%
Folate (folic acid) blood test CPT 82746 FOLATE-SERUM $12.63 $83.00 $11.99–$28.41 77% below 85%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE-SERUM $12.63 $83.00 $11.99–$28.41 — 85%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT $5.08 $41.00 $4.83–$12.96 81% below 88%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT $5.08 $41.00 $4.83–$12.96 — 88%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Q-17305 NEISSERIA AMPL NA PROB $21.64 $96.00 $20.56–$63.16 77% below 77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Q-17305 NEISSERIA AMPL NA PROB $21.64 $96.00 $20.56–$63.16 — 77%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGM AB $8.11 $34.00 $7.70–$30.33 85% below 76%
H. pylori antibody blood test CPT 86677 HC H PYLORI IGM IGG IGA AB $8.11 $34.00 $7.70–$30.33 85% below 76%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGM AB $8.11 $34.00 $7.70–$30.33 — 76%
H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI IGM IGG IGA AB $8.11 $34.00 $7.70–$30.33 — 76%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV COMBO 4TH GEN $18.67 $54.00 $17.74–$43.34 77% below 65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV COMBO 4TH GEN $18.67 $54.00 $17.74–$43.34 — 65%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH-RISK $28.13 $88.00 $26.72–$63.29 64% below 68%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH-RISK $28.13 $88.00 $26.72–$63.29 — 68%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY $10.20 $42.00 $9.69–$22.95 77% below 76%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY $10.20 $42.00 $9.69–$22.95 — 76%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF.ANTIBODY $10.20 $36.00 $9.34–$22.95 74% below 72%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF.ANTIBODY $10.20 $36.00 $9.34–$22.95 — 72%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV AB W/RFLX TO RIBA $10.10 $50.00 $9.60–$25.69 81% below 80%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $10.10 $50.00 $9.60–$25.69 81% below 80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV AB W/RFLX TO RIBA $10.10 $50.00 $9.60–$25.69 — 80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $10.10 $50.00 $9.60–$25.69 — 80%
Herpes blood test, HSV-1 antibody CPT 86695 Q14992-HERPES VIRUS TYPE 1 $10.56 $32.40 $10.03–$23.76 70% below 67%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 AND 2-SPECIFIC AB IGG $10.56 $32.00 $10.03–$23.76 70% below 67%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Q14992-HERPES VIRUS TYPE 1 $10.56 $32.40 $10.03–$23.76 — 67%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 AND 2-SPECIFIC AB IGG $10.56 $32.00 $10.03–$23.76 — 67%
Herpes blood test, HSV-2 antibody CPT 86696 Q14992-HERPES VIRUS TYPE 2 $14.65 $48.75 $13.91–$34.83 74% below 70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Q14992-HERPES VIRUS TYPE 2 $14.65 $48.75 $13.91–$34.83 — 70%
High-sensitivity CRP (hs-CRP) test CPT 86141 Q-HI SENSITIVE CRP $10.35 $47.50 $9.83–$23.31 78% below 78%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Q-HI SENSITIVE CRP $10.35 $47.50 $9.83–$23.31 — 78%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $9.39 $44.00 $8.92–$21.13 77% below 79%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $9.39 $44.00 $8.92–$21.13 — 79%
Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID - LDH $5.08 $38.00 $4.83–$11.43 77% below 87%
Lactate dehydrogenase (LDH) blood test CPT 83615 L.D.H.-CHEM $5.08 $38.00 $4.83–$11.43 77% below 87%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L.D.H.-CHEM $5.08 $38.00 $4.83–$11.43 — 87%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BODY FLUID - LDH $5.08 $38.00 $4.83–$11.43 — 87%
Magnesium blood test CPT 83735 Q-URINE 24HR MAGNESIUM $5.08 $16.53 $4.83–$12.06 79% below 69%
Magnesium blood test CPT 83735 MAGNESIUM-SERUM $5.08 $35.00 $4.83–$12.06 79% below 85%
Magnesium blood test CPT 83735 MAGNESIUM - URINE $5.08 $35.00 $4.83–$12.06 79% below 85%
Magnesium blood test inpatient CPT 83735 MAGNESIUM - URINE $5.08 $35.00 $4.83–$12.06 — 85%
Magnesium blood test inpatient CPT 83735 Q-URINE 24HR MAGNESIUM $5.08 $16.53 $4.83–$12.06 — 69%
Magnesium blood test inpatient CPT 83735 MAGNESIUM-SERUM $5.08 $35.00 $4.83–$12.06 — 85%
Mumps immunity blood test CPT 86735 HC MUMPS VIRUS AB $8.11 $86.00 $7.70–$23.49 81% below 91%
Mumps immunity blood test CPT 86735 Q-MUMPS IGM AB $8.11 $100.00 $7.70–$23.49 81% below 92%
Mumps immunity blood test CPT 86735 MUMPS IGG $8.11 $86.00 $7.70–$23.49 81% below 91%
Mumps immunity blood test inpatient CPT 86735 Q-MUMPS IGM AB $8.11 $100.00 $7.70–$23.49 — 92%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS AB $8.11 $86.00 $7.70–$23.49 — 91%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG $8.11 $86.00 $7.70–$23.49 — 91%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $3.95 $9.00 $3.73–$8.89 75% below 56%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $3.95 $9.00 $3.73–$8.89 — 56%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA IA W DO $14.65 $33.00 $13.91–$32.95 64% below 56%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA IA W DO $14.65 $33.00 $13.91–$32.95 — 56%
Renin blood test CPT 84244 Q-RENIN $25.49 $78.00 $19.13–$57.34 68% below 67%
Renin blood test inpatient CPT 84244 Q-RENIN $25.49 $78.00 $19.13–$57.34 — 67%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER $5.25 $14.00 $4.93–$11.82 75% below 63%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER $5.25 $14.00 $4.93–$11.82 — 63%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANAL VOL/COUNT/MOT $37.56 $31.00 $10.71–$84.51 at median -21%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANAL VOL/COUNT/MOT $37.56 $31.00 $10.71–$84.51 — -21%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD STOOL UP 3 SPECIM $3.43 $18.00 $3.26–$7.88 74% below 81%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD STOOL UP 3 SPECIM $3.43 $18.00 $3.26–$7.88 — 81%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC T PALLIDUM AB (FTA-AB) $12.76 $33.00 $11.52–$28.70 70% below 61%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA TREPONEMAL AB $12.76 $26.00 $11.52–$28.70 70% below 51%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA TREPONEMAL AB $12.76 $26.00 $11.52–$28.70 — 51%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC T PALLIDUM AB (FTA-AB) $12.76 $33.00 $11.52–$28.70 — 61%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Q-QUANTIFERON $50.50 $135.00 $47.98–$113.63 66% below 63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Q-QUANTIFERON $50.50 $135.00 $47.98–$113.63 — 63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-THYROID STIMULATING HORMON $9.09 $96.00 $8.64–$30.24 88% below 91%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH-THYROID STIMULATING HORMON $9.09 $96.00 $8.64–$30.24 — 91%
Total IgE blood test CPT 82785 HC IGESERUM $12.63 $46.00 $11.99–$29.63 79% below 73%
Total IgE blood test inpatient CPT 82785 HC IGESERUM $12.63 $46.00 $11.99–$29.63 — 73%
Total thyroxine (T4) blood test CPT 84436 HC T4 THYROXINE TOTAL $5.76 $17.00 $5.47–$12.95 80% below 66%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 THYROXINE TOTAL $5.76 $17.00 $5.47–$12.95 — 66%
Transferrin blood test CPT 84466 TRANSFERRIN $12.63 $68.00 $11.10–$28.41 73% below 81%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $12.63 $68.00 $11.10–$28.41 — 81%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS NAA $21.64 $88.00 $20.56–$63.16 69% below 75%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS NAA $21.64 $88.00 $20.56–$63.16 — 75%
Triglycerides blood test CPT 84478 TRIGLYCERIDES $5.08 $31.00 $4.83–$11.43 80% below 84%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES $5.08 $31.00 $4.83–$11.43 — 84%
Urine microalbumin (albumin) test CPT 82043 HC Q-MICROALBUMIN (URINE) $5.08 $131.00 $4.83–$11.43 82% below 96%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN $5.08 $131.00 $4.83–$11.43 82% below 96%
Urine microalbumin (albumin) test CPT 82043 BH-MA 24HR URINE $5.08 $131.00 $4.83–$11.43 82% below 96%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Q-MICROALBUMIN (URINE) $5.08 $131.00 $4.83–$11.43 — 96%
Urine microalbumin (albumin) test inpatient CPT 82043 BH-MA 24HR URINE $5.08 $131.00 $4.83–$11.43 — 96%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN $5.08 $131.00 $4.83–$11.43 — 96%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12-SERUM $12.63 $86.00 $11.99–$28.41 77% below 85%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12-SERUM $12.63 $86.00 $11.99–$28.41 — 85%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Q-VITAMIN D (125 DEHYDROXY) $33.89 $94.00 $32.20–$76.26 66% below 64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Q-VITAMIN D (125 DEHYDROXY) $33.89 $94.00 $32.20–$76.26 — 64%
Zinc blood test CPT 84630 Q-ZINC/PLASMA $7.98 $28.00 $7.58–$20.50 77% below 72%
Zinc blood test inpatient CPT 84630 Q-ZINC/PLASMA $7.98 $28.00 $7.58–$20.50 — 72%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG/HUMAN CHORIONICQUAN $12.49 $111.00 $11.87–$28.11 78% below 89%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG/HUMAN CHORIONICQUAN $12.49 $111.00 $11.87–$28.11 — 89%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New YorkOff list
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE $548.83 $873.00 $333.35–$1,234.86 37% above 37%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE $548.83 $873.00 $333.35–$1,234.86 — 37%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ARRYTHMIA ELE $677.76 $1,233.23 $643.87–$1,524.95 16% below 45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ARRYTHMIA ELE $677.76 $1,233.23 $643.87–$1,524.95 — 45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/BX AND CURRETT $668.14 $639.46 $330.94–$1,503.31 1% above -4%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/BX AND CURRETT $668.14 $639.46 $330.94–$1,503.31 — -4%
Incision and drainage of a simple or single skin abscess CPT 10060 HC CS FX/DS TX EX HEAD/TMJ WO $410.21 $413.00 $217.89–$922.97 3% above 1%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC CS FX/DS TX EX HEAD/TMJ WO $410.21 $413.00 $217.89–$922.97 — 1%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL $706.30 $2,634.00 $670.98–$1,987.33 51% below 73%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL $706.30 $2,634.00 $670.98–$1,987.33 — 73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER-EXC TR-EXT B9+MARG 0.5 < CM $802.46 $1,430.00 $762.34–$1,805.54 26% below 44%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ER-EXC TR-EXT B9+MARG 0.5 < CM $802.46 $1,430.00 $762.34–$1,805.54 — 44%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ER-EXC FACE LES BENIGN < .5CM $802.46 $1,357.02 $762.34–$1,805.54 20% below 41%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 ER-EXC FACE LES BENIGN < .5CM $802.46 $1,357.02 $762.34–$1,805.54 — 41%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY/ESWL $1,712.72 $8,196.00 $1,627.08–$7,920.32 65% below 79%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY/ESWL $1,712.72 $8,196.00 $1,627.08–$7,920.32 — 79%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION(BLOOD/COMPONENT $642.74 $896.89 $479.12–$1,446.17 14% below 28%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION(BLOOD/COMPONENT $642.74 $896.89 $479.12–$1,446.17 — 28%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT $87.63 $448.80 $83.25–$492.03 54% below 80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX $87.63 $381.00 $83.25–$492.03 54% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CROUPETTE(PED.AEROSOL TENT) $87.63 $381.00 $83.25–$492.03 54% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION $87.63 $381.00 $83.25–$492.03 54% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MEDICATION NEBULIZER $87.63 $381.00 $83.25–$492.03 54% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER-NEBULIZER THERAPY $87.63 $381.00 $83.25–$492.03 54% below 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL MASK O2 THERAPY $87.63 $602.00 $83.25–$492.03 54% below 85%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL MASK O2 THERAPY $87.63 $602.00 $83.25–$492.03 — 85%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ER-NEBULIZER THERAPY $87.63 $381.00 $83.25–$492.03 — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION $87.63 $381.00 $83.25–$492.03 — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT $87.63 $448.80 $83.25–$492.03 — 80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MEDICATION NEBULIZER $87.63 $381.00 $83.25–$492.03 — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CROUPETTE(PED.AEROSOL TENT) $87.63 $381.00 $83.25–$492.03 — 77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX $87.63 $381.00 $83.25–$492.03 — 77%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADM IV INFU 1ST HOUR $317.58 $675.00 $301.70–$742.18 48% below 53%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADM IV INFU 1ST HOUR $317.58 $675.00 $301.70–$742.18 — 53%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC OPTH EXAM NEW COMPREH $30.30 $271.00 $28.79–$299.14 83% below 89%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC OPTH EXAM NEW COMPREH $30.30 $271.00 $28.79–$299.14 — 89%
Comprehensive eye exam, returning patient CPT 92014 HC OPTH EXAM EST COMPREH $30.30 $494.00 $28.79–$299.14 84% below 94%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC OPTH EXAM EST COMPREH $30.30 $494.00 $28.79–$299.14 — 94%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOMETRY COMBO $91.44 $318.44 $86.87–$289.12 53% below 71%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOMETRY COMBO $91.44 $318.44 $86.87–$289.12 — 71%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY $210.95 $591.00 $200.40–$485.15 68% below 64%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY $210.95 $591.00 $200.40–$485.15 — 64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG >/= 12 LEADS $49.71 $157.00 $47.22–$132.55 64% below 68%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG >/= 12 LEADS $49.71 $157.00 $47.22–$132.55 — 68%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ECT SEIZURES $455.77 $1,138.00 $432.98–$1,929.51 39% below 60%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ECT SEIZURES $455.77 $1,138.00 $432.98–$1,929.51 — 60%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRESS TEST/TREADMILL $197.30 $591.00 $187.44–$485.15 64% below 67%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRESS TEST/TREADMILL $197.30 $591.00 $187.44–$485.15 — 67%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PT > = 60 MI $269.56 $298.77 $192.76–$606.51 at median 10%
Family therapy with the patient, 50 minutes CPT 90847 HC CMD ADD ON-FAM PSY W/PT=>60 MIN $269.56 $298.77 $192.76–$606.51 at median 10%
Family therapy with the patient, 50 minutes CPT 90847 HC CFAM.PSYCHOTHER.W/PT. > 60 MIN LANGUAGE $269.56 $298.77 $192.76–$606.51 at median 10%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CFAM.PSYCHOTHER.W/PT. > 60 MIN LANGUAGE $269.56 $298.77 $192.76–$606.51 — 10%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PT > = 60 MI $269.56 $298.77 $192.76–$606.51 — 10%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CMD ADD ON-FAM PSY W/PT=>60 MIN $269.56 $298.77 $192.76–$606.51 — 10%
Family therapy without the patient, 50 minutes CPT 90846 HC FAM.MED.PSYCHOTHERAPY(W/OUT PT $134.78 $298.77 $128.04–$398.81 48% below 55%
Family therapy without the patient, 50 minutes CPT 90846 HC CMD ADD ON-FAM PSY WO PT=>30MIN $134.78 $298.77 $128.04–$398.81 48% below 55%
Family therapy without the patient, 50 minutes CPT 90846 HC CFAM PSYCHOTHER.W/O PT. > 30 MI LANGUAGE $134.78 $298.77 $128.04–$398.81 48% below 55%
Family therapy without the patient, 50 minutes CPT 90846 HC CFAM PSYCHOTHER.W/O PT. > =30 M $134.78 $298.77 $128.04–$398.81 48% below 55%
Family therapy without the patient, 50 minutes CPT 90846 HC PSYCHOTHERAPY - FAMILY 30 MIN $134.78 $299.00 $128.04–$398.81 48% below 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYCHOTHERAPY - FAMILY 30 MIN $134.78 $299.00 $128.04–$398.81 — 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC CFAM PSYCHOTHER.W/O PT. > 30 MI LANGUAGE $134.78 $298.77 $128.04–$398.81 — 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC CMD ADD ON-FAM PSY WO PT=>30MIN $134.78 $298.77 $128.04–$398.81 — 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC CFAM PSYCHOTHER.W/O PT. > =30 M $134.78 $298.77 $128.04–$398.81 — 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAM.MED.PSYCHOTHERAPY(W/OUT PT $134.78 $298.77 $128.04–$398.81 — 55%
Group psychotherapy session CPT 90853 HC BA BHP CDT - HALF DAY 41-64 $90.53 $274.00 $86.01–$228.26 26% below 67%
Group psychotherapy session CPT 90853 HC CDOS CD GROUP SESSION $90.53 $184.00 $86.01–$228.26 26% below 51%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY THERAPY $90.53 $274.00 $86.01–$228.26 26% below 67%
Group psychotherapy session CPT 90853 HC CMH ADULT GROUP THERAPY $90.53 $274.00 $86.01–$228.26 26% below 67%
Group psychotherapy session CPT 90853 HC BHP ADULT GROUP THERAPY $90.53 $274.00 $86.01–$228.26 26% below 67%
Group psychotherapy session CPT 90853 HC BA BHP CDT - FULL DAY 41-64 $90.53 $274.00 $86.01–$228.26 26% below 67%
Group psychotherapy session CPT 90853 HC BA BHP CDT - FULL DAY 1-40 $90.53 $274.00 $86.01–$228.26 26% below 67%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPYNON MEDICA $90.53 $178.93 $86.01–$228.26 26% below 49%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY MD ADD ON $90.53 $178.93 $86.01–$228.26 26% below 49%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPYNON MEDIC LANGUAGE $90.53 $178.93 $86.01–$228.26 26% below 49%
Group psychotherapy session CPT 90853 HC GRP PSYCHOTHERAPY (PER PERSON) $90.53 $178.93 $86.01–$228.26 26% below 49%
Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY - GROUP 1 HR $90.53 $184.00 $86.01–$228.26 26% below 51%
Group psychotherapy session inpatient CPT 90853 HC CMH ADULT GROUP THERAPY $90.53 $274.00 $86.01–$228.26 — 67%
Group psychotherapy session inpatient CPT 90853 HC GRP PSYCHOTHERAPY (PER PERSON) $90.53 $178.93 $86.01–$228.26 — 49%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPYNON MEDIC LANGUAGE $90.53 $178.93 $86.01–$228.26 — 49%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY MD ADD ON $90.53 $178.93 $86.01–$228.26 — 49%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPYNON MEDICA $90.53 $178.93 $86.01–$228.26 — 49%
Group psychotherapy session inpatient CPT 90853 HC BA BHP CDT - FULL DAY 1-40 $90.53 $274.00 $86.01–$228.26 — 67%
Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY - GROUP 1 HR $90.53 $184.00 $86.01–$228.26 — 51%
Group psychotherapy session inpatient CPT 90853 HC BA BHP CDT - FULL DAY 41-64 $90.53 $274.00 $86.01–$228.26 — 67%
Group psychotherapy session inpatient CPT 90853 HC BA BHP CDT - HALF DAY 41-64 $90.53 $274.00 $86.01–$228.26 — 67%
Group psychotherapy session inpatient CPT 90853 HC BHP ADULT GROUP THERAPY $90.53 $274.00 $86.01–$228.26 — 67%
Group psychotherapy session inpatient CPT 90853 HC CDOS CD GROUP SESSION $90.53 $184.00 $86.01–$228.26 — 51%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY THERAPY $90.53 $274.00 $86.01–$228.26 — 67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HR $317.58 $438.00 $230.99–$714.56 10% below 27%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRA IV INFUSE UP TO 1 HR $317.58 $438.44 $230.99–$714.56 10% below 28%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER-HYDRA IV INFUSE UP TO 1 HR $341.54 $216.00 $230.99–$768.46 3% below -58%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1 HR $317.58 $438.00 $230.99–$714.56 — 27%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRA IV INFUSE UP TO 1 HR $317.58 $438.44 $230.99–$714.56 — 28%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER-HYDRA IV INFUSE UP TO 1 HR $341.54 $216.00 $230.99–$768.46 — -58%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION TX; TO 1 HR $317.58 $438.44 $230.99–$714.56 26% below 28%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HR $317.58 $438.00 $230.99–$714.56 26% below 27%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HR $317.58 $438.00 $230.99–$714.56 — 27%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION TX; TO 1 HR $317.58 $438.44 $230.99–$714.56 — 28%
IV push of a medicine, first drug CPT 96374 IV PUSH $44.82 $423.00 $42.58–$477.92 82% below 89%
IV push of a medicine, first drug CPT 96374 HC TX/PROPH DX IV PUSH $44.82 $438.00 $42.58–$477.92 82% below 90%
IV push of a medicine, first drug CPT 96374 ER-TX/PROPH DX IV PUSH $48.20 $438.00 $45.79–$477.92 81% below 89%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH $44.82 $423.00 $42.58–$477.92 — 89%
IV push of a medicine, first drug inpatient CPT 96374 HC TX/PROPH DX IV PUSH $44.82 $438.00 $42.58–$477.92 — 90%
IV push of a medicine, first drug inpatient CPT 96374 ER-TX/PROPH DX IV PUSH $48.20 $438.00 $45.79–$477.92 — 89%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUT/INTRAMUSCULAR $13.36 $140.00 $12.69–$161.78 87% below 90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC INJ;SUBCUT IM $13.36 $140.00 $12.69–$161.78 87% below 90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-THERAPEUTIC INJ;SUBCUT IM $13.36 $73.00 $12.69–$161.78 87% below 82%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SUBCUT/INTRAMUSCULAR $13.36 $140.00 $12.69–$161.78 87% below 90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SUBCUT/INTRAMUSCULAR $13.36 $140.00 $12.69–$161.78 — 90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUT/INTRAMUSCULAR $13.36 $140.00 $12.69–$161.78 — 90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-THERAPEUTIC INJ;SUBCUT IM $13.36 $73.00 $12.69–$161.78 — 82%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC INJ;SUBCUT IM $13.36 $140.00 $12.69–$161.78 — 90%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVAL LANGUAGE $224.63 $299.00 $192.76–$505.42 6% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC MD ADD ON PSYCH DIAGNOSTIC EVALUATION $224.63 $299.00 $192.76–$505.42 6% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC CPEP PSYCH DIAGNOSTIC EVALUATION $224.63 $1,509.79 $192.76–$505.42 6% below 85%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION $224.63 $299.00 $192.76–$505.42 6% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSY DIAG INTERVIEW 45MIN $224.63 $299.00 $192.76–$505.42 6% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC CPEP PSYCH DIAG EVAL BRIEF VISIT $224.63 $503.27 $192.76–$505.42 6% below 55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC CPEP PSYCH DIAG EVAL FULL VISIT $224.63 $1,509.79 $192.76–$505.42 6% below 85%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC MD ADD ON PSYCH DIAGNOSTIC EVALUATION $224.63 $299.00 $192.76–$505.42 — 25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVAL LANGUAGE $224.63 $299.00 $192.76–$505.42 — 25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC CPEP PSYCH DIAGNOSTIC EVALUATION $224.63 $1,509.79 $192.76–$505.42 — 85%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC CPEP PSYCH DIAG EVAL BRIEF VISIT $224.63 $503.27 $192.76–$505.42 — 55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSY DIAG INTERVIEW 45MIN $224.63 $299.00 $192.76–$505.42 — 25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC CPEP PSYCH DIAG EVAL FULL VISIT $224.63 $1,509.79 $192.76–$505.42 — 85%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION $224.63 $299.00 $192.76–$505.42 — 25%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB $162.37 $643.00 $154.25–$838.46 57% below 75%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB $162.37 $643.00 $154.25–$838.46 — 75%
Neuromuscular re-education, 15 minutes CPT 97112 HC PMR-BALANCE TRAINING $49.42 $81.00 $32.40–$111.19 40% below 39%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NUEROMUSCULAR RE-ED $49.42 $81.00 $32.40–$111.19 40% below 39%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT-NEUROMUSCULR REEDUC.MOVMT/B $49.42 $81.44 $32.40–$111.19 40% below 39%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT-NEUROMUSCULR REEDUC.MOVMT/B $49.42 $81.44 $32.40–$111.19 — 39%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NUEROMUSCULAR RE-ED $49.42 $81.00 $32.40–$111.19 — 39%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PMR-BALANCE TRAINING $49.42 $81.00 $32.40–$111.19 — 39%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CL-INT NUTRITION THER EACH 15M $40.11 $78.00 $25.69–$90.24 26% below 49%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC INT NUTRITION THER EACH 15M $40.11 $78.00 $25.69–$90.24 26% below 49%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC INT NUTRITION THER EACH 15M $40.11 $78.00 $25.69–$90.24 — 49%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CL-INT NUTRITION THER EACH 15M $40.11 $78.00 $25.69–$90.24 — 49%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN $106.08 $213.30 $99.09–$238.69 38% below 50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN $106.08 $213.30 $99.09–$238.69 — 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $196.42 $197.66 $96.31–$441.95 29% below 1%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $196.42 $197.66 $96.31–$441.95 — 1%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $117.85 $197.66 $96.31–$265.17 35% below 40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $117.85 $197.66 $96.31–$265.17 — 40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $157.14 $198.00 $96.31–$353.56 34% below 21%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $157.14 $198.00 $96.31–$353.56 — 21%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PMR-JOINT MOBILIZATION $49.42 $64.22 $27.45–$111.19 41% below 23%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PMR-MYOFASCIAL RELEASE/STM $49.42 $64.22 $27.45–$111.19 41% below 23%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT-MYOFASC RELEASE/SOFTTIS.MOB $49.42 $64.00 $27.45–$111.19 41% below 23%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY $49.42 $64.00 $27.45–$111.19 41% below 23%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY $49.42 $64.00 $27.45–$111.19 — 23%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT-MYOFASC RELEASE/SOFTTIS.MOB $49.42 $64.00 $27.45–$111.19 — 23%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PMR-MYOFASCIAL RELEASE/STM $49.42 $64.22 $27.45–$111.19 — 23%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PMR-JOINT MOBILIZATION $49.42 $64.22 $27.45–$111.19 — 23%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC TBI-ACTIVE ASSISTANCE ROM EA 1 $49.42 $72.00 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC TBI-R.O.M. EXERCISESPT $49.42 $71.60 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE $49.42 $72.00 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT RANGE OF MOTION EXERCISES $49.42 $71.60 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT-PROM EXERCISE $49.42 $72.00 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT-AAROM EXERCISE $49.42 $72.00 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE $49.42 $72.00 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT-INDIV.HEP TRAIN. IN JT MOVE $49.42 $72.00 $28.76–$111.19 35% below 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE $49.42 $72.00 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE $49.42 $72.00 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT-AAROM EXERCISE $49.42 $72.00 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT-PROM EXERCISE $49.42 $72.00 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT-INDIV.HEP TRAIN. IN JT MOVE $49.42 $72.00 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT RANGE OF MOTION EXERCISES $49.42 $71.60 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC TBI-ACTIVE ASSISTANCE ROM EA 1 $49.42 $72.00 $28.76–$111.19 — 31%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC TBI-R.O.M. EXERCISESPT $49.42 $71.60 $28.76–$111.19 — 31%
Psychiatric evaluation with medical services CPT 90792 HC CPSYCH DIAG EVAL W/ MED SRVCS LANGUAGE $224.63 $298.77 $192.76–$505.42 22% below 25%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/ MED SRVCS $224.63 $298.77 $192.76–$505.42 22% below 25%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/ MED SRVCS $224.63 $298.77 $192.76–$505.42 — 25%
Psychiatric evaluation with medical services inpatient CPT 90792 HC CPSYCH DIAG EVAL W/ MED SRVCS LANGUAGE $224.63 $298.77 $192.76–$505.42 — 25%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCL TST EVAL PHYS/QHP 1ST $99.85 $672.00 $94.86–$485.15 71% below 85%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCL TST EVAL PHYS/QHP 1ST $99.85 $672.00 $94.86–$485.15 — 85%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYTX CRISIS INITIAL 60 MIN $179.71 $308.00 $170.72–$404.34 24% below 42%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC CMH ADULT CRISIS 60 MIN $179.71 $308.00 $170.72–$404.34 24% below 42%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC CMH ADULT CRISIS 60 MIN LOE $179.71 $308.00 $170.72–$404.34 24% below 42%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC COMM PSY SUP TX PGM PER DIEM $179.71 $1,095.47 $170.72–$404.34 24% below 84%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC CRISIS INTERVENTION PER DIEM $179.71 $1,467.74 $170.72–$404.34 24% below 88%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC ADULT CRISIS 2 PROV 4HR LOE $179.71 $308.00 $170.72–$404.34 24% below 42%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC ADULT CRISIS 2 PROV 1 HR LOE $179.71 $308.00 $170.72–$404.34 24% below 42%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PEDS CRISIS 2 PROV 1 HR LOE $179.71 $308.00 $170.72–$404.34 24% below 42%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS INTERVENTION PER DIEM $179.71 $1,467.74 $170.72–$404.34 — 88%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC ADULT CRISIS 2 PROV 1 HR LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYTX CRISIS INITIAL 60 MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PEDS CRISIS 2 PROV 1 HR LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CMH ADULT CRISIS 60 MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC ADULT CRISIS 2 PROV 4HR LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC COMM PSY SUP TX PGM PER DIEM $179.71 $1,095.47 $170.72–$404.34 — 84%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CMH ADULT CRISIS 60 MIN LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 30 minutes CPT 90832 HC CMH DEV PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC CMH PEDS PSYCHOTHERAPY 20-29 $134.78 $475.00 $128.04–$398.81 30% below 72%
Psychotherapy session, 30 minutes CPT 90832 HC BHP ADULT PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC CMH PEDS PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC INDIVIDUAL COUNSELING BRIEF $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC BHP PSYCHOTHERAPY 30MIN LOE $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC BHP ADULT PSYCHOTHERAPY 20-29 $134.78 $475.00 $128.04–$398.81 30% below 72%
Psychotherapy session, 30 minutes CPT 90832 HC CMH PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC CPSYTX PT&/FAMILY 30 MINS LANGUAGE $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC CMH PSYCHOTHERAPY 30MIN LOE $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC CMD ADD ON PSYTX PT&/FAMILY 30 $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30MIN INDIV $134.78 $475.00 $128.04–$398.81 30% below 72%
Psychotherapy session, 30 minutes CPT 90832 HC CMH ADULT CRISIS 30 MIN LOE $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT&/FAMILY 30 MINUTES $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes CPT 90832 HC CMH PSYCHOTHERAPY 20-29 MIN $134.78 $475.00 $128.04–$398.81 30% below 72%
Psychotherapy session, 30 minutes CPT 90832 HC IOP PSYCHOTHERAPY 30MIN $134.78 $475.00 $128.04–$398.81 30% below 72%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCH ASSESSMENT ADD-ON THERAPY 30 MINUTES $134.78 $308.00 $128.04–$398.81 30% below 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH PSYCHOTHERAPY 30MIN LOE $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30MIN INDIV $134.78 $475.00 $128.04–$398.81 — 72%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH PSYCHOTHERAPY 20-29 MIN $134.78 $475.00 $128.04–$398.81 — 72%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH PEDS PSYCHOTHERAPY 20-29 $134.78 $475.00 $128.04–$398.81 — 72%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC BHP ADULT PSYCHOTHERAPY 20-29 $134.78 $475.00 $128.04–$398.81 — 72%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CPSYTX PT&/FAMILY 30 MINS LANGUAGE $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMD ADD ON PSYTX PT&/FAMILY 30 $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX PT&/FAMILY 30 MINUTES $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IOP PSYCHOTHERAPY 30MIN $134.78 $475.00 $128.04–$398.81 — 72%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC INDIVIDUAL COUNSELING BRIEF $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCH ASSESSMENT ADD-ON THERAPY 30 MINUTES $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC BHP ADULT PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC BHP PSYCHOTHERAPY 30MIN LOE $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH PEDS PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH DEV PSYCHOTHERAPY 30MIN $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC CMH ADULT CRISIS 30 MIN LOE $134.78 $308.00 $128.04–$398.81 — 56%
Psychotherapy session, 45 minutes CPT 90834 HC PSYTX PT&/FAMILY 45 MINUTES $179.71 $298.77 $170.72–$404.34 29% below 40%
Psychotherapy session, 45 minutes CPT 90834 HC IOP PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 45 MIN $179.71 $298.77 $170.72–$404.34 29% below 40%
Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL COUNSELING NORMATIV $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC CMH PSYCHOTHERAPY 45MIN LOE $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC CMH PEDS PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC CMH DEV PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC BHP ADULT PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC CMH ADULT PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC BHP PSYCHOTHERAPY 45MIN LOE $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC CMH ADULT CRISIS 45 MIN LOE $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC CMH ADULT FAMILY PSYCHO WITH P $179.71 $308.00 $170.72–$404.34 29% below 42%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45MIN INDIV $179.71 $475.00 $170.72–$404.34 29% below 62%
Psychotherapy session, 45 minutes CPT 90834 HC CPSYTX PT&/FAMILY 45 MINUTES LANGUAGE $179.71 $298.77 $170.72–$404.34 29% below 40%
Psychotherapy session, 45 minutes CPT 90834 HC CMD ADD ON PSYTX PT&/FAMILY 45 $179.71 $298.77 $170.72–$404.34 29% below 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 45 MIN $179.71 $298.77 $170.72–$404.34 — 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMH ADULT FAMILY PSYCHO WITH P $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45MIN INDIV $179.71 $475.00 $170.72–$404.34 — 62%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CPSYTX PT&/FAMILY 45 MINUTES LANGUAGE $179.71 $298.77 $170.72–$404.34 — 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMD ADD ON PSYTX PT&/FAMILY 45 $179.71 $298.77 $170.72–$404.34 — 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX PT&/FAMILY 45 MINUTES $179.71 $298.77 $170.72–$404.34 — 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IOP PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL COUNSELING NORMATIV $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMH PSYCHOTHERAPY 45MIN LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMH PEDS PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMH DEV PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMH ADULT PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC CMH ADULT CRISIS 45 MIN LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC BHP PSYCHOTHERAPY 45MIN LOE $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC BHP ADULT PSYCHOTHERAPY 45MIN $179.71 $308.00 $170.72–$404.34 — 42%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PT& FAMILY 60 MINS. $179.71 $299.00 $170.72–$404.34 40% below 40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PT& FAMILY 60 MINS. $179.71 $299.00 $170.72–$404.34 — 40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE CESS COUNSEL 3-10 MIN $60.87 $124.00 $40.69–$136.96 35% above 51%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE CESS COUNSEL 3-10 MIN $60.87 $124.00 $40.69–$136.96 — 51%
Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREH $195.35 $455.00 $185.58–$458.48 50% below 57%
Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREH $195.35 $455.00 $185.58–$458.48 — 57%
Speech therapy session, individual CPT 92507 HC SPEECH TREATMENT INDIVIDUAL $143.77 $182.00 $74.62–$323.47 14% below 21%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH TREATMENT INDIVIDUAL $143.77 $182.00 $74.62–$323.47 — 21%
Spirometry (breathing test) CPT 94010 HC PEAK FLOW $87.63 $323.00 $83.25–$485.15 60% below 73%
Spirometry (breathing test) CPT 94010 HC INCENTIVE SPIROMETRY $87.63 $463.00 $83.25–$485.15 60% below 81%
Spirometry (breathing test) CPT 94010 SPIROMETRY $87.63 $176.00 $83.25–$485.15 60% below 50%
Spirometry (breathing test) inpatient CPT 94010 HC PEAK FLOW $87.63 $323.00 $83.25–$485.15 — 73%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $87.63 $176.00 $83.25–$485.15 — 50%
Spirometry (breathing test) inpatient CPT 94010 HC INCENTIVE SPIROMETRY $87.63 $463.00 $83.25–$485.15 — 81%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHOSPASM EVALUATION $323.84 $591.00 $307.65–$838.46 14% below 45%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHOSPASM EVALUATION $323.84 $591.00 $307.65–$838.46 — 45%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITY $49.42 $94.30 $35.05–$111.19 43% below 48%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY $49.42 $94.00 $35.05–$111.19 43% below 47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY $49.42 $94.00 $35.05–$111.19 — 47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITY $49.42 $94.30 $35.05–$111.19 — 48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY $37.87 $249.00 $35.98–$298.94 82% below 85%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY $37.87 $249.00 $35.98–$298.94 — 85%
Visual field test, extended CPT 92083 HC VISUAL FIELD EXT.-OPTH.ONLY $107.54 $249.41 $102.16–$298.94 68% below 57%
Visual field test, extended inpatient CPT 92083 HC VISUAL FIELD EXT.-OPTH.ONLY $107.54 $249.41 $102.16–$298.94 — 57%

Vaccines

ProcedureCash price List priceInsurers payvs New YorkOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANT VACCINE IM $28.98 $382.48 $27.53–$65.20 73% below 92%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANT VACCINE IM $28.98 $382.48 $27.53–$65.20 — 92%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 mRNA Vacc 50 MCG/0.5ML Susy 0.5 mL Syringe $28.98 $567.20 $27.53–$65.20 86% below 95%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC SARSCOV2 VAC 50 MCG/0.5ML IM $28.98 $518.00 $27.53–$65.20 86% below 94%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 mRNA Vacc 50 MCG/0.5ML Susp 0.5 mL Vial $28.98 $512.00 $27.53–$65.20 86% below 94%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC SARSCOV2 VAC 50 MCG/0.5ML IM $28.98 $518.00 $27.53–$65.20 — 94%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 mRNA Vacc 50 MCG/0.5ML Susy 0.5 mL Syringe $28.98 $567.20 $27.53–$65.20 — 95%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 mRNA Vacc 50 MCG/0.5ML Susp 0.5 mL Vial $28.98 $512.00 $27.53–$65.20 — 94%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 mRNA Vac-TriS 30 MCG/0.3ML Susy 0.3 mL Syringe $28.98 $590.76 $27.53–$65.20 87% below 95%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC SARSCV2 VAC 30MCG TRS-SUC IM $28.98 $460.00 $27.53–$65.20 87% below 94%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 mRNA Vac-TriS 30 MCG/0.3ML Susp 0.3 mL Vial $28.98 $460.00 $27.53–$65.20 87% below 94%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC SARSCV2 VAC 30MCG TRS-SUC IM $28.98 $460.00 $27.53–$65.20 — 94%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 mRNA Vac-TriS 30 MCG/0.3ML Susy 0.3 mL Syringe $28.98 $590.76 $27.53–$65.20 — 95%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 mRNA Vac-TriS 30 MCG/0.3ML Susp 0.3 mL Vial $28.98 $460.00 $27.53–$65.20 — 94%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 influenza vaccine recombinant 0.5 ML Sosy 0.5 mL Syringe $28.98 $47.95 $27.53–$65.20 73% below 40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC RIV3 VACCINE NO PRESERV IM $28.98 $262.92 $27.53–$65.20 73% below 89%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC RIV3 VACCINE NO PRESERV IM $28.98 $262.92 $27.53–$65.20 — 89%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 influenza vaccine recombinant 0.5 ML Sosy 0.5 mL Syringe $28.98 $47.95 $27.53–$65.20 — 40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza vaccine split virus 0.5 ML Susy 0.5 mL Syringe $12.67 $12.20 $12.04–$28.51 56% below -4%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC IIV3 VACC NO PRSV 0.5 ML IM $12.67 $77.45 $12.04–$28.51 56% below 84%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC IIV3 VACC NO PRSV 0.5 ML IM $12.67 $77.45 $12.04–$28.51 — 84%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza vaccine split virus 0.5 ML Susy 0.5 mL Syringe $12.67 $12.20 $12.04–$28.51 — -4%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $70.38 $241.92 $66.86–$158.36 21% below 71%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine Recombinant 20 mcg/mL Susp 1 mL Syringe $70.38 $28.07 $66.86–$158.36 21% below -151%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine Recombinant 20 mcg/mL Susy 1 mL Syringe $70.38 $206.72 $66.86–$158.36 21% below 66%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine Recombinant 20 mcg/mL Susy 1 mL Syringe $70.38 $206.72 $66.86–$158.36 — 66%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HB HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $70.38 $241.92 $66.86–$158.36 — 71%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine Recombinant 20 mcg/mL Susp 1 mL Syringe $70.38 $28.07 $66.86–$158.36 — -151%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACC 2/4 DOSE ADULT IM $28.98 $254.00 $27.53–$65.20 88% below 89%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 hepatitis B vaccine (Recombinant) adjuvanted 20 mcg/0.5mL Sosy 0.5 mL Syringe $28.98 $214.14 $27.53–$65.20 88% below 86%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPB VACC 2/4 DOSE ADULT IM $28.98 $254.00 $27.53–$65.20 — 89%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 hepatitis B vaccine (Recombinant) adjuvanted 20 mcg/0.5mL Sosy 0.5 mL Syringe $28.98 $214.14 $27.53–$65.20 — 86%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vac 10 mcg/0.5 mL Susy 0.5 mL Syringe $28.98 $23.40 $27.53–$65.20 36% below -24%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPATITIS B VACC 10 MCG SYRNG $28.98 $60.00 $27.53–$65.20 36% below 52%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPATITIS B VACC 10 MCG SYRNG $28.98 $60.00 $27.53–$65.20 — 52%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vac 10 mcg/0.5 mL Susy 0.5 mL Syringe $28.98 $23.40 $27.53–$65.20 — -24%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza vaccine high-dose 0.5 mL Susy 0.5 mL Syringe $28.98 $47.95 $27.53–$65.20 74% below 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB IIV VACCINE PRESERV FREE INCREASED AG COUNT IM $28.98 $262.92 $27.53–$65.20 74% below 89%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HB IIV VACCINE PRESERV FREE INCREASED AG COUNT IM $28.98 $262.92 $27.53–$65.20 — 89%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza vaccine high-dose 0.5 mL Susy 0.5 mL Syringe $28.98 $47.95 $27.53–$65.20 — 40%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC INFLUENZA INTRANASAL $22.54 $60.00 $21.41–$50.72 53% below 62%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC INFLUENZA INTRANASAL $22.54 $60.00 $21.41–$50.72 — 62%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcal 13 Susp 0.5 mL Syringe $60.10 $629.04 $57.09–$135.22 82% below 90%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOCOCCAL 13-VALENT CONJ VA $60.10 $152.00 $57.09–$135.22 82% below 60%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOCOCCAL 13-VALENT CONJ VA $60.10 $152.00 $57.09–$135.22 — 60%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcal 13 Susp 0.5 mL Syringe $60.10 $629.04 $57.09–$135.22 — 90%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 pneumococcal 15-Val Conj Vacc 0.5 ML Susy 0.5 mL Syringe $60.10 $186.93 $57.09–$135.22 82% below 68%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM $60.10 $842.08 $57.09–$135.22 82% below 93%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PCV15 VACCINE IM $60.10 $842.08 $57.09–$135.22 — 93%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 pneumococcal 15-Val Conj Vacc 0.5 ML Susy 0.5 mL Syringe $60.10 $186.93 $57.09–$135.22 — 68%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE IM $60.10 $880.54 $57.09–$135.22 86% below 93%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Val Conj Vacc 0.5 ML Susy 0.5 mL Syringe $60.10 $213.33 $57.09–$135.22 86% below 72%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE IM $60.10 $880.54 $57.09–$135.22 — 93%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Val Conj Vacc 0.5 ML Susy 0.5 mL Syringe $60.10 $213.33 $57.09–$135.22 — 72%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC PNEUMOCOCCAL CONJUGATE VACC 21 VALENT (PCV21)IM $60.10 $675.00 $57.09–$135.22 86% below 91%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pneumococcal 21-Val Conj Vacc 0.5 ML Sosy 0.5 mL Syringe $60.10 $234.69 $57.09–$135.22 86% below 74%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC PNEUMOCOCCAL CONJUGATE VACC 21 VALENT (PCV21)IM $60.10 $675.00 $57.09–$135.22 — 91%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 Pneumococcal 21-Val Conj Vacc 0.5 ML Sosy 0.5 mL Syringe $60.10 $234.69 $57.09–$135.22 — 74%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE $43.68 $139.00 $41.50–$98.28 71% below 69%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 25 mcg/0.5 mL Sosy 0.5 mL Syringe $43.68 $90.95 $41.50–$98.28 71% below 52%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE $43.68 $139.00 $41.50–$98.28 — 69%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 25 mcg/0.5 mL Sosy 0.5 mL Syringe $43.68 $90.95 $41.50–$98.28 — 52%

Dental

ProcedureCash price List priceInsurers payvs New YorkOff list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC PERIODONTAL SCALLING AND ROO $176.62 $4,919.00 $167.79–$1,452.60 84% below 96%
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 HC PERIODONTAL SCALLING AND ROO $176.62 $4,919.00 $167.79–$1,452.60 — 96%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 ER REMOV IMPCT TOOTH COMP BONE $174.95 $1,990.00 $166.20–$1,452.60 79% below 91%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 ER REMOV IMPCT TOOTH COMP BONE $174.95 $1,990.00 $166.20–$1,452.60 — 91%
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC MOLAR (EXCLUDING FINAL RESTO $245.90 $4,919.00 $233.61–$1,452.60 87% below 95%
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 HC MOLAR (EXCLUDING FINAL RESTO $245.90 $4,919.00 $233.61–$1,452.60 — 95%
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC PROPHYLAXIS-ADULT $70.85 $144.00 $67.31–$299.14 54% below 51%
Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 HC PROPHYLAXIS-ADULT $70.85 $144.00 $67.31–$299.14 — 51%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC EXTRACTION ERUPTED TOO $162.68 $2,285.00 $154.55–$1,452.60 79% below 93%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC EXTRACTION ERUPTED TOO $162.68 $2,285.00 $154.55–$1,452.60 — 93%

Source file: https://onebrooklynhealth.org/media/nrfb4rma/111631746_KingsbrookJewishMedicalCenter_StandardCharges.csv