Hospital

Hills and Dales General Hospital

Hills and Dales General Hospital in Cass City, MI publishes cash prices for 252 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 above the Michigan median for 156 of 247 procedures and below it for 85. By typical cash price it ranks #53 of 94 Michigan hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

4675 Hill Street, Cass City, MI 48726 Collected Sep 29, 2026 Source price file (989) 872-2121

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 231316 · CMS hospital register NPI 1154367001

Scans and imaging

ProcedureCash price List priceInsurers payvs MichiganOff list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/O W/ Contrast $2,222.22 $2,849.00 $1,269.06 51% above 22%
Abdominal X-ray, 2 views CPT 74019 Hchg Abdomen 2 Views $207.48 $266.00 $79.56 at median 22%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ankle/Brachial Index $565.50 $725.00 $117.78 90% above 22%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body $1,839.24 $2,358.00 $671.58 114% above 22%
Breast ultrasound, limited (one breast or one area) CPT 76642 Hchg Mg Breast US Dx $141.18 $181.00 $410.28 45% below 22%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hchg Cta Abdomen Pelvis W/ W/O Contrast $3,141.06 $4,027.00 $94.38 27% above 22%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W/O W/Contrast $2,192.58 $2,811.00 $1,650.48 58% above 22%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O W/Contrast $2,222.22 $2,849.00 $2,425.80 52% above 22%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hchg CT Abd/Pelvis W/O Contrast $1,159.86 $1,487.00 $329.94 34% below 22%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hchg CT Abd/Pelvis W/Contrast $2,469.48 $3,166.00 $78.78 at median 22%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hchg CT Abd W/WO & Pelvis W/Contrast $2,789.28 $3,576.00 $226.98 8% above 22%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hchg CT Abd/Pelvis W/WO Contrast $2,789.28 $3,576.00 $248.04 8% above 22%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/ Contrast $1,960.14 $2,513.00 $752.70 33% above 22%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast $920.40 $1,180.00 $458.64 1% above 22%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Facial Bones/Sinus W/O Contrast $996.06 $1,277.00 $629.46 1% below 22%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast $752.70 $965.00 $1,220.70 11% below 22%
CT scan of the head without and with contrast CPT 70470 CT Head W/O W/ Contrast $1,290.90 $1,655.00 $2,658.24 2% below 22%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hchg CT Spine Lumbar W/O Contrast $934.44 $1,198.00 $585.00 4% below 22%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical W/O Contr $945.36 $1,212.00 $1,681.68 6% below 22%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Contrast $1,970.28 $2,526.00 $1,290.90 54% above 22%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Carotid Artery Complete $1,220.70 $1,565.00 $565.50 45% above 22%
Chest CT scan without and with contrast CPT 71270 CT Chest W & W/O Contrast $1,560.00 $2,000.00 $31.75 at median 22%
Chest X-ray, 2 views CPT 71046 Hchg Chest 2 Views $186.42 $239.00 $70.98 5% above 22%
Chest X-ray, single view CPT 71045 Hchg Chest 1 View $138.84 $178.00 $260.52 at median 22%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Complete $588.90 $755.00 $588.90 5% above 22%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal $588.90 $755.00 $2,425.80 5% above 22%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Study Dexa $237.12 $304.00 $347.88 22% below 22%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contrast $934.44 $1,198.00 $1,220.70 1% above 22%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W/ Contrast $1,272.18 $1,631.00 $671.58 3% above 22%
Diagnostic mammogram, both breasts both sides CPT 77066 Hchg Mg Breast Diagnostic Bilateral $298.74 $383.00 $24.18 — 22%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Arterial Imag Lwr Extr Bi $1,626.30 $2,085.00 $2,705.04 — 22%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Venous Extremity Veins Bi $1,237.08 $1,586.00 $477.36 — 22%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hchg Echo 2d W/Doppler & Color Flow $1,031.16 $1,322.00 $124.80 22% below 22%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Iac/Mastoids W/O Contrast $1,119.30 $1,435.00 $1,272.18 16% above 22%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Maxilla Orbits $280.02 $359.00 $375.18 10% above 22%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hchg NM Hepatobiliary W/O Kinevac $2,098.20 $2,690.00 $312.00 124% above 22%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hchg Hst Home Sleep Study $410.28 $526.00 $31.20 at median 22%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended $410.28 $526.00 $42.12 at median 22%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomn & Cpap Initiation/Mgmt $4,255.68 $5,456.00 $101.40 29% above 22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hchg ED US Abdomen Limited $477.36 $612.00 $19.50 15% above 22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited $477.36 $612.00 $31.75 15% above 22%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hchg US Extremity Limited $248.04 $318.00 $226.98 21% below 22%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hchg US Extremity Limited Bilater $248.04 $318.00 $2,789.28 21% below 22%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hchg Thorax Lung Cancer Low Dose Scrn $985.14 $1,263.00 $12.48 261% above 22%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast $1,807.26 $2,317.00 $1,378.26 18% above 22%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hchg MR Breast Bilateral W/Cad W/O and W/ Contrast $652.08 $836.00 $51.48 — 22%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast $1,450.80 $1,860.00 $1,378.26 5% below 22%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O W/Contrast $2,673.06 $3,427.00 $4,066.92 7% below 22%
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contr $1,443.78 $1,851.00 $31.20 7% below 22%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/O W/ Contrast $2,403.96 $3,082.00 $231.66 at median 22%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar/Sacrum WO Cont $1,385.28 $1,776.00 $7.02 10% below 22%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar/Sacrum W/WO Contr $2,410.98 $3,091.00 $4,255.68 9% below 22%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic W/O Contr $1,378.26 $1,767.00 $260.52 11% below 22%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical W/O Contr $1,381.38 $1,771.00 $78.78 11% below 22%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O W/Contrast $2,658.24 $3,408.00 $4,066.92 1% above 22%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast $1,822.08 $2,336.00 $31.75 16% above 22%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Extre Up Jnt Only W/O Cont Bil $2,371.98 $3,041.00 $716.82 37% above 22%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Extre Up Jnt Only W/O Cont Rt $1,581.84 $2,028.00 $2,371.98 9% below 22%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Extre Up Jnt Only W/O Cont Lt $1,581.84 $2,028.00 $494.52 9% below 22%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radex Spine Cervical 4 or 5 Views $316.68 $406.00 $208.26 37% above 22%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cer $327.60 $420.00 $0.78 41% above 22%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W/ Contrast $1,356.42 $1,739.00 $588.90 10% above 22%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue W/O Contrast $1,021.80 $1,310.00 $996.06 7% above 22%
Neck soft tissue X-ray CPT 70360 Neck Soft Tissue $180.96 $232.00 $694.98 22% above 22%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hchg NM Myocardial Rest/Spect $2,868.84 $3,678.00 $117.78 6% above 22%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast $930.54 $1,193.00 $1,960.14 3% above 22%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Non OB Limited $210.60 $270.00 $629.46 22% below 22%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non OB $586.56 $752.00 $78.78 9% above 22%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Preg >14 Weeks Single Gest $711.36 $912.00 $804.96 44% above 22%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Preg <14 Weeks Single Gest $567.84 $728.00 $2,945.28 24% above 22%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited $186.42 $239.00 $711.36 40% below 22%
Screening mammogram, both breasts both sides CPT 77067 Hchg Mg Breast Screen Bilateral $245.70 $315.00 $245.70 — 22%
Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinuses Complete $218.40 $280.00 $588.90 2% above 22%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram-Nocturnal(Sas) $4,066.92 $5,214.00 $101.40 31% above 22%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hchg Radiologic Exam Swallow Function Contrast Study $797.16 $1,022.00 $2,654.34 119% above 22%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hchg CT Spine Thoracic W/O Contrast $941.46 $1,207.00 $91.26 2% below 22%
Transvaginal pelvic ultrasound CPT 76830 US Endo/Trans Vaginal $694.98 $891.00 $1,378.26 56% above 22%
Transvaginal ultrasound during pregnancy CPT 76817 US OB-Transvaginal $458.64 $588.00 $210.60 32% above 22%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete $629.46 $807.00 $2,410.98 7% above 22%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum $562.38 $721.00 $357.24 14% above 22%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck Soft Tissue/Thyroid $671.58 $861.00 $2,673.06 50% above 22%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hchg Radiologic Exam Upper GI Trc Single Contrast Study $680.16 $872.00 $945.36 88% above 22%
X-ray of the abdomen, 1 view CPT 74018 Hchg Abdomen 1 View $173.16 $222.00 $73.32 17% above 22%
X-ray of the hand, 3 or more views CPT 73130 Radex Hand Minimum 3 Views $223.86 $287.00 $208.26 32% above 22%
X-ray of the hand, 3 or more views CPT 73130 Hand 3+ View Bil $347.88 $446.00 $231.66 105% above 22%
X-ray of the hand, 3 or more views one side CPT 73130 Hand 3+ View Rt $231.66 $297.00 $1,119.30 37% above 22%
X-ray of the hand, 3 or more views one side CPT 73130 Hand 3+ View Lt $231.66 $297.00 $1,356.42 37% above 22%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radex Spine Lumbosacral 2/3 Views $226.20 $290.00 $1,116.96 10% above 22%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 2 View $234.00 $300.00 $231.66 14% above 22%
X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbar 4 View $317.46 $407.00 $752.70 6% above 22%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic Ap/Lat $186.42 $239.00 $432.12 5% above 22%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones $237.12 $304.00 $255.84 46% above 22%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radex Spine Cervical 2 or 3 Views $223.86 $287.00 $208.26 15% above 22%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cer $231.66 $297.00 $180.96 19% above 22%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 View $157.56 $202.00 $996.06 2% above 22%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum/Coccyx $194.22 $249.00 $327.60 23% above 22%

Lab tests

ProcedureCash price List priceInsurers payvs MichiganOff list
ACTH blood test CPT 82024 Hchg Acth (Adrenocorticotropic Hormone) $178.62 $229.00 $565.50 91% above 22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Pt) $24.18 $31.00 $17.94 1% above 22%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Ot) $24.18 $31.00 $21.06 10% above 22%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel $220.74 $283.00 $49.92 30% above 22%
Albumin blood test CPT 82040 Hchg Testosterone Free/Bioavail/Total 82040 $22.62 $29.00 $160.68 13% above 22%
Albumin blood test CPT 82040 Albumin $22.62 $29.00 $25.74 13% above 22%
Albumin blood test CPT 82040 Hchg Immunoglobulin G CSF Index 82040 $22.62 $29.00 $82.68 13% above 22%
Albumin blood test CPT 82040 Hchg Testosterone, Free, Bioavail and Total, Warde 82040 $22.62 $29.00 $157.56 13% above 22%
Aldosterone blood test CPT 82088 Aldosterone Urine $188.76 $242.00 $226.98 241% above 22%
Aldosterone blood test CPT 82088 Aldosterone $188.76 $242.00 $3,194.10 241% above 22%
Aldosterone blood test CPT 82088 Hchg Alldosterone/Renin Activity Ratio 82088 $188.76 $242.00 $45.24 241% above 22%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk. Phosphatase $24.18 $31.00 $39.78 15% above 22%
Alkaline phosphatase (ALP) blood test CPT 84075 Hchg Alk Phos Total and Iso 84075 $24.18 $31.00 $6.24 15% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Asergillus Fumigatus $24.18 $31.00 $137.28 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen, Mulberry, Ige $24.18 $31.00 $23.40 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Stinging Insects Panel 86003 X4 $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Stinging Insects Panel 86003 $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Seafood Panel 86003 X4 $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Black Pepper Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Blue Mussel Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Beta-Lactoglobulin Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Avacado Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Banana Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Apple Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Almond Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Plum Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Beef Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Yeast Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Barley Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Tomato Ige $24.18 $31.00 $26.52 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Chicken Meat Ige $24.18 $31.00 $150.54 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Wheat $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Walnut $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Soybean $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Shrimp $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Scallop $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rough Marshelder $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Redtop, Bentgrass $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Peanut $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Orchard Grass $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Oak Tree $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mites, D. Pteronyssinus $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mold, Alternaria Tenuis $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mites, D. Farinae $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Milk $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Latex $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Hormodendrum $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen German Cockroach $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Elm Tree $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Egg. $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Egg White $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Dog Dander $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Corn/Maize $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Common Silver Birch Tree $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Common Ragweed $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cod $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Clam $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cat Epi and Dander $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF $24.18 $31.00 $117.78 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Food Alpha-Lactalbumin $24.18 $31.00 $357.24 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen, House Dust Stier $24.18 $31.00 $117.78 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Box-Elder/Maple Tree $24.18 $31.00 $31.20 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Seafood Panel 86003 $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Nut Panel 86003 X4 $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergens Nut Panel 86003 $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergin Pumpkin Seed Ige $24.18 $31.00 $31.20 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Blackberry Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Alleergen Tree, White Mulberry Tree $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Yellow Jacket Venom Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Yellow Faced Hornet Venom Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Pine Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Faced Hornet Venom Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Ash Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Western Ragweed Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Wasp Venom Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Walnut Tree Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Timothy Grass Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Strawberry Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Stemphyllium Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Sagebrush/Wormwood Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rye Grass Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Russian Thistle Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rough Pigweed Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Red Sorrel Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Penicillium Chrysogenum Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pecan Hickory Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Olive Tree Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Nettle Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mugwort Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mucor Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mountain Cedar Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Meadow Fescue Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen English Plantain Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen June Grass Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Johnson Grass Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen House Dust Greer Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Honeybee Venom Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Helminth Halodes Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Goodefoot/Lambs Quarter Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Giant Ragweed Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Fusarium Moniliforme Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Firebush (Kochia) Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen False Ragweed Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Epi Purpurascens Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Eastern Sycamore Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Dandelion Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cottonwood Tree Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Corn Pollen Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cedar Tree Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cauliflower Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Buckwheat Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Bermuda Grass Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Ascaris Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Candida Albicans Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Aur Pullulans Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Horse Dander Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Guinea Pig Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Feather Mix Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cow Hair & Dander Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Whey Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Watermelon Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Tuna Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Sugarbeet Seed Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Sesame Seed Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Salmon Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rye Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Rice Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pear Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Raspberry Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Potato Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pork Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pistachio Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pineapple Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pine Nut Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pecan Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Peach Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Pea Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Parsley Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Papaya Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Oyster Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Orange Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Oats Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen White Bean Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Malt Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Macadamia Nut Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Lobster Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Lima Bean Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Lettuce Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Kiwi Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Mulberry Red Tree Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Melon Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Hazelnut Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Gluten Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Garlic Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Egg Yolk Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cucumber Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Crab Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Coffee Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Coconut Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cinnamon Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Chocolate Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cherry Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cheese Mold Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cheese Cheddar Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Celery Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cashew Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Casein Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Carrot Ige $24.18 $31.00 $298.74 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Cabbage Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Broccoli Ige $24.18 $31.00 $24.18 264% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Hchg Allergen Brazil Nut Ige $24.18 $31.00 $24.18 264% above 22%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein $77.22 $99.00 $56.94 51% above 22%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Afp (Alpha-Feto-Protein) Tumor Marker $77.22 $99.00 $24.18 51% above 22%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Maternal Serum Integrated Afp $77.22 $99.00 $77.22 51% above 22%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Quad Screen (Maternal Serum) 82105 $77.22 $99.00 $244.92 51% above 22%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hchg Maternal Serum Alpha Fetoproten (Afp) $77.22 $99.00 $477.36 51% above 22%
Ammonia blood test CPT 82140 Ammonia Blood $67.86 $87.00 $85.02 4% above 22%
Ammonia blood test CPT 82140 Hchg Supersaturation, Random, U 82140 $67.86 $87.00 $128.70 4% above 22%
Ammonia blood test CPT 82140 Hchg Usr 24 Ammonium $67.86 $87.00 $24.18 4% above 22%
Ammonia blood test CPT 82140 Hchg Ammonia Oupatient $67.86 $87.00 $24.18 4% above 22%
Ammonia blood test CPT 82140 Hchg Ammonia Outpatient $67.86 $87.00 $333.84 4% above 22%
Amylase blood test CPT 82150 Amylase Body Fluid $29.64 $38.00 $29.64 52% above 22%
Amylase blood test CPT 82150 Amylase $29.64 $38.00 $17.94 52% above 22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody $59.28 $76.00 $12.48 15% above 22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hchg Connective Tissue Disease Cascade, S 86200 $59.28 $76.00 $53.04 15% above 22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cycclic Citrul Peptide Igg Antibody $59.28 $76.00 $157.56 15% above 22%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hchg Connective Tissue Disease Cascade, S 86038 $55.38 $71.00 $56.16 6% above 22%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hchg Ana Ifa W/Rlx to Connective Tissue Disease Abs 86038 $56.16 $72.00 $62.40 8% above 22%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Antibody(Itabn) $56.16 $72.00 $14.04 8% above 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuetic Peptide $182.52 $234.00 $29.64 160% above 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hchg Nt-Probnp $182.52 $234.00 $24.18 160% above 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hchg Nt-Pro Bnp $182.52 $234.00 $60.84 160% above 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hchg Pro B-Type Natriuretic Peptide (Bnp) $182.52 $234.00 $24.18 160% above 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Misc Chg-Lab C/Ds $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Cult/Ds $39.78 $51.00 $31.20 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchoaveolar Lavage Culture $39.78 $51.00 $31.20 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cath Tip Culture $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hchg Nasal Culture $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Cult/Ds $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture Only $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture/Ds $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 C Aerob $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hchg Culture, Tissue, Aerobic $39.78 $51.00 $119.34 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hchg Abdominal Peritoneal Fluid Culture 87070 $39.78 $51.00 $119.34 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture/Ds $39.78 $51.00 $39.78 25% below 22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Anaero/Aero Wndc/Ds $39.78 $51.00 $39.78 25% below 22%
Basic metabolic panel (blood test) CPT 80048 Hchg Hdhlth Hf Lab Bmp $20.28 $26.00 $4.68 65% below 22%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel $84.24 $108.00 $163.02 44% above 22%
Bilirubin blood test, total CPT 82247 Bilirubin, Total $23.40 $30.00 $28.08 5% above 22%
Bilirubin blood test, total CPT 82247 Hchg Total Bilirubin Body Fluid $23.40 $30.00 $4.68 5% above 22%
Bilirubin blood test, total CPT 82247 Neonatal Bili(Total) $23.40 $30.00 $31.98 5% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Path Exam 88305 $42.12 $54.00 $32.76 53% below 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Path Exam Addl 88305 $42.12 $54.00 $32.76 53% below 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surg Pathology Gross&Microscopic Exam $56.16 $72.00 $223.86 37% below 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Neogenomics Compass 88305 $284.70 $365.00 $32.76 219% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Bone Marrow, Neogenomics Compass 88305 2 $284.70 $365.00 $737.88 219% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross/Micro, Level 4 $284.70 $365.00 $53.82 219% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hchg Renal Biopsy Light Microscopy 88305 $284.70 $365.00 $934.44 219% above 22%
Blood culture for bacteria CPT 87040 Blood Culture $47.58 $61.00 $13.26 24% below 22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture $11.70 $15.00 $125.58 8% below 22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Out $40.56 $52.00 $294.84 218% above 22%
Blood glucose (sugar) test CPT 82947 Hchg Hdhlth Hf Lab Glucose Facting $7.02 $9.00 $164.58 71% below 22%
Blood glucose (sugar) test CPT 82947 Glucose Non-Fasting $17.94 $23.00 $17.16 25% below 22%
Blood glucose (sugar) test CPT 82947 Hchg Glucometer Nova Stat $17.94 $23.00 $83.46 25% below 22%
Blood glucose (sugar) test CPT 82947 Glucose Fasting-Fbs $17.94 $23.00 $56.94 25% below 22%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hr Pp $17.94 $23.00 $17.94 25% below 22%
Blood glucose (sugar) test CPT 82947 Glucose 2-Hr Pp, Meal $17.94 $23.00 $17.94 25% below 22%
Blood lead test CPT 83655 Assay of Lead $7.02 $9.00 $871.26 33% below 22%
Blood lead test CPT 83655 Lead Urine $56.16 $72.00 $180.96 436% above 22%
Blood lead test CPT 83655 Hchg Heavy Metal Screen W/Rflx, 24hr U 83655 $56.16 $72.00 $273.00 436% above 22%
Blood lead test CPT 83655 Lead Whole Blood Quantitative $56.16 $72.00 $60.84 436% above 22%
Blood lead test CPT 83655 Hchg Heavy Metals Scrn With Demographics 83655 $56.16 $72.00 $220.74 436% above 22%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg,Serum (Hcg Qual) $33.54 $43.00 $68.64 9% below 22%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg,Doif $33.54 $43.00 $75.66 9% below 22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Anti-A $13.26 $17.00 $75.66 61% below 22%
Blood urea nitrogen (BUN) test CPT 84520 Bun (Urea Nitrogen) $17.94 $23.00 $56.16 3% above 22%
C-peptide blood test CPT 84681 Hchg C-Peptide $96.72 $124.00 $24.18 63% above 22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Re1 Protein $24.18 $31.00 $31.20 27% below 22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hchg Ibd Sgi Diagnostic 86140 $24.18 $31.00 $59.28 27% below 22%
C. difficile toxin gene test (stool PCR) CPT 87493 Hchg Clostridium Dificile Toxin Pcr $172.38 $221.00 $30.42 63% above 22%
CA 19-9 blood test (tumor marker) CPT 86301 Hchg Cancer Antigen 19-9 $96.72 $124.00 $53.04 20% above 22%
Calcium blood test, total CPT 82310 Hchg Supersaturation, Random, U 82310 $24.18 $31.00 $786.82–$1,049.10 21% above 22%
Calcium blood test, total CPT 82310 Calcium $24.18 $31.00 $2,222.22 21% above 22%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea (Roche) $87.36 $112.00 $21.06 5% above 22%
Chickenpox (varicella) immunity blood test CPT 86787 Hchg Varicella Zoster Igg Ab $59.28 $76.00 $24.18 47% above 22%
Chickenpox (varicella) immunity blood test CPT 86787 Hchg Varicella Zoster Igm Ab $59.28 $76.00 $24.18 47% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Amplified Bd Probe Tec $163.02 $209.00 $47.58 120% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Clamydia Trachmatic Amp $163.02 $209.00 $737.88 120% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Trachomatis Amplified (Bd Probetec) Test $163.02 $209.00 $63.18 120% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Trachomatis Mis Site Amplified $163.02 $209.00 $163.02 120% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Trachomatis Amp Urine $163.02 $209.00 $117.78 120% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg Chlamydia Amplified Off Pap $163.02 $209.00 $16.38 120% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hchg C. Trach/N. Gonorr Amplified Rna 87491 $163.02 $209.00 $163.02 120% above 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hchg Hdhlth Hf Lab Lipid Panel $20.28 $26.00 $12.48 60% below 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $104.52 $134.00 $33.54 105% above 22%
Complete blood count (CBC) with differential CPT 85025 Hchg Hdhlth Hf Lab Cbc W/Diff $12.48 $16.00 $2,469.48 70% below 22%
Complete blood count (CBC) with differential CPT 85025 Cbc W/Auto Diff $35.10 $45.00 $78.78 14% below 22%
Complete blood count (CBC), no differential CPT 85027 Cbc Counts $29.64 $38.00 $35.88 2% above 22%
Comprehensive metabolic panel (blood test) CPT 80053 Hchg Hdhlth Hf Lab Cmp $20.28 $26.00 $354.12 73% below 22%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $124.80 $160.00 $2,403.96 66% above 22%
Cortisol blood test, total CPT 82533 Cortisol Am Serum $75.66 $97.00 $65.52 122% above 22%
Cortisol blood test, total CPT 82533 Hchg Cortisol Free and Total 82533 $75.66 $97.00 $59.28 122% above 22%
Cortisol blood test, total CPT 82533 Hchg Cortisol Saliva $75.66 $97.00 $79.56 122% above 22%
Cortisol blood test, total CPT 82533 Cortisol, Stim/Suppress Studies $75.66 $97.00 $39.78 122% above 22%
Cortisol blood test, total CPT 82533 Cortisol Pm Serum $75.66 $97.00 $31.98 122% above 22%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Total $29.64 $38.00 $24.18 1% below 22%
Creatine kinase (CK) blood test, total CPT 82550 Hchg CK Isoenzymes 82550 $29.64 $38.00 $24.18 1% below 22%
Creatinine blood test CPT 82565 Creatinine $23.40 $30.00 $39.78 at median 22%
D-dimer blood test (blood clot marker) CPT 85379 Hchg Thrombophilia Profile 85379 $47.58 $61.00 $354.12 22% above 22%
D-dimer blood test (blood clot marker) CPT 85379 Dimer, Quantitative Assay $47.58 $61.00 $28.08 22% above 22%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hchg Dhea-S $102.96 $132.00 $66.30 60% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Serum Prescription/Otc $287.82 $369.00 $39.78 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Serum Comprehensive 80307 $287.82 $369.00 $599.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Pain Clinic Drug Screen Urine $287.82 $369.00 $17.16 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Tramadol Screen Urine $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Gabapentin, U $287.82 $369.00 $599.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Controlled Substance Monitoring Panel, U 80307 $287.82 $369.00 $42.12 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Stimulants Urine $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Scr Pain Management Pnl Urine W Interp 80307 $287.82 $369.00 $146.64 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Controlled Substance Monitoring Panel, Urine 80307 $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 11 Urine- Medical $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 8 Urine- Medical $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 9 Urine- Medical $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Drug Screen Panel 10 Urine- Medical $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Tricyclic Antidepressant UR Quant $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Barbiturate Screen $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Opiates Screen $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Cocaine Screen $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Ethanol Urine $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Mecstat 12 Oxycodone $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Drug Screen 11 Medical $287.82 $369.00 $287.82 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Drug Screen 10 Medical $287.82 $369.00 $119.34 394% above 22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hchg Urine Drug Screen 9 Medical $287.82 $369.00 $0.78 394% above 22%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Serum $31.98 $41.00 $2,673.06 8% below 22%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hchg Epstein-Barr Virus Ab Panel 86665 $83.46 $107.00 $163.02 48% above 22%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv - Vca Igm $83.46 $107.00 $188.76 48% above 22%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv - Vca (Igg) $83.46 $107.00 $188.76 48% above 22%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hchg Epstein-Barr Virus Ab Panel 86665 2 $83.46 $107.00 $101.40 48% above 22%
Estradiol blood test CPT 82670 Hchg Estradiol Free Serum 82670 $129.48 $166.00 $52.26 82% above 22%
Estradiol blood test CPT 82670 Estradiol $129.48 $166.00 $23.40 82% above 22%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh Serum $85.80 $110.00 $17.94 8% above 22%
Fecal calprotectin (stool inflammation test) CPT 83993 Hchg Calprotectin $91.26 $117.00 $599.82 49% above 22%
Fecal calprotectin (stool inflammation test) CPT 83993 Hchg Pancreatic Elastase and Calprotectin Panel 83993 $91.26 $117.00 $287.82 49% above 22%
Ferritin blood test (iron stores) CPT 82728 Ferritin $62.40 $80.00 $1,443.78 3% above 22%
Fibrinogen blood test CPT 85384 Hchg Thrombophilia Profile 85384 $45.24 $58.00 $70.98 66% above 22%
Fibrinogen blood test CPT 85384 Fibrinogen $45.24 $58.00 $63.96 66% above 22%
Folate (folic acid) blood test CPT 82746 Folate Serum $68.64 $88.00 $2,673.06 1% below 22%
Free T3 thyroid hormone test CPT 84481 Hchg Triiodothyroid Free $78.00 $100.00 $39.78 20% above 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg Hdhlth Hf Lab Ft4 $17.94 $23.00 $53.04 44% below 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg T4 Free $41.34 $53.00 $56.16 29% above 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg T4 Free by Equilibrium Dialysis $41.34 $53.00 $85.02 29% above 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hchg T4 Fre $41.34 $53.00 $53.04 29% above 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine (Ft4) $41.34 $53.00 $20.28 29% above 22%
Free testosterone test CPT 84402 Hchg Testosterone Total Bioavailable and Free Serum 84402 $117.78 $151.00 $43.68 154% above 22%
Free testosterone test CPT 84402 Hchg Testosterone Free Female/Children $117.78 $151.00 $43.68 154% above 22%
Free testosterone test CPT 84402 Free Testosterone $117.78 $151.00 $117.78 154% above 22%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SGGT $32.76 $42.00 $19.50 7% above 22%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hchg Hd 1 Hour Glucose Tolerance $21.06 $27.00 $35.88 5% below 22%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Screen $21.06 $27.00 $237.12 5% below 22%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance $59.28 $76.00 $19.50 3% above 22%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Chg $59.28 $76.00 $88.92 3% above 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg C. Trach/N. Gonorr Amplified Rna 87591 $163.02 $209.00 $85.02 68% above 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg Neisseria Gonorrhoeae Nucleic Acid by Tma $163.02 $209.00 $56.94 68% above 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg Neisseria Gonorrhoea Mi Sie Amplified $163.02 $209.00 $26.52 68% above 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hchg Neisseria Gonorrhoeae Amp Urine $163.02 $209.00 $163.02 68% above 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae $163.02 $209.00 $599.82 68% above 22%
H. pylori stool antigen test CPT 87338 Hchg Helicobacter Pylori Antigen Stool $66.30 $85.00 $61.62 5% above 22%
H. pylori stool antigen test CPT 87338 Hchg H. Pylori Stool Antigen $66.30 $85.00 $39.78 5% above 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hchg Health Fair Hgb A1c Screen $8.58 $11.00 $241.80 78% below 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hchg Hdhlth Hf Lab Hgba1c $13.26 $17.00 $20.28 65% below 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hchg Hemoglobin A1c (by Ion-Exchange) $45.24 $58.00 $2,098.20 18% above 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Aic $45.24 $58.00 $104.52 18% above 22%
Hemoglobin blood test CPT 85018 Hemoglobin Automated $10.92 $14.00 $31.20 32% below 22%
Hepatitis B core antibody test (total) CPT 86704 Hchg Hepatitis B Core Ab Total $55.38 $71.00 $42.12 25% above 22%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Anti-Hbs (Surface) $49.92 $64.00 $122.46 22% above 22%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbs-Ag (B-Antigen) $47.58 $61.00 $577.98 17% above 22%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody $65.52 $84.00 $146.64 36% above 22%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hchg Hcv Rna Detect/Quant, S $198.12 $254.00 $35.88 120% above 22%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hchg Hepatitis C Virus Rna Qnt Pcr $198.12 $254.00 $109.20 120% above 22%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hchg Hepatitis C Virus Genotype Panel 87522 $198.12 $254.00 $672.36 120% above 22%
Herpes blood test, HSV-1 antibody CPT 86695 Hchg Herpes Simplex Virus Type Specific Igg Ab 86695 $60.84 $78.00 $46.02 46% above 22%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Igg I Ab $60.84 $78.00 $124.02 46% above 22%
Herpes blood test, HSV-2 antibody CPT 86696 Hchg Herpes Simplex Virus Type Specific Igg Ab 86696 $88.92 $114.00 $52.26 114% above 22%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Igg II Ab $88.92 $114.00 $49.92 114% above 22%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp, High Sensitive $59.28 $76.00 $88.92 4% above 22%
Homocysteine blood test CPT 83090 Hchg Homocysteine $82.68 $106.00 $191.10 12% above 22%
Insulin blood test CPT 83525 Hchg Insulin 120 Minute $23.40 $30.00 $53.04 39% below 22%
Insulin blood test CPT 83525 Hchg Insulin 30 Minute $53.04 $68.00 $74.10 38% above 22%
Insulin blood test CPT 83525 Hchg Insulin $53.04 $68.00 $129.48 38% above 22%
Insulin blood test CPT 83525 Hchg Insulin 60 Minute $53.04 $68.00 $0.78 38% above 22%
Insulin blood test CPT 83525 Hchg Insulin 90 Minute $53.04 $68.00 $53.04 38% above 22%
Iron blood test (serum iron) CPT 83540 IRON $29.64 $38.00 $19.50 1% above 22%
Iron-binding capacity (TIBC) test CPT 83550 #NAME? $39.78 $51.00 $29.64 at median 22%
Kidney function blood test panel CPT 80069 Renal Function Panel $39.78 $51.00 $65.52 36% below 22%
LH (luteinizing hormone) test CPT 83002 Lutenizing Hormone $85.02 $109.00 $129.48 12% above 22%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid $53.82 $69.00 $31.20 19% above 22%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh (Body Fluid) $28.08 $36.00 $20.28 17% above 22%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $28.08 $36.00 $17.94 17% above 22%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $31.98 $41.00 $31.20 14% above 22%
Liver function blood test panel CPT 80076 Hchg Hdhlth Hf Lab Hepatic Panel $31.20 $40.00 $84.24 36% below 22%
Liver function blood test panel CPT 80076 Hepatic Function Panel $84.24 $108.00 $333.84 73% above 22%
Lyme disease antibody test CPT 86618 Hchg Tick-Borne Ab Panel, S 86618 $78.78 $101.00 $508.56 200% above 22%
Lyme disease antibody test CPT 86618 Hchg Lyme Disease Antibody $78.78 $101.00 $577.98 200% above 22%
Magnesium blood test CPT 83735 Magnesium $31.20 $40.00 $31.20 48% above 22%
Magnesium blood test CPT 83735 Hchg Magnesium RBC $31.20 $40.00 $35.88 48% above 22%
Magnesium blood test CPT 83735 Hchg Kidney Stone Supersaturation Urine Magnesium $31.20 $40.00 $31.20 48% above 22%
Magnesium blood test CPT 83735 Hchg Supersaturation, Random, U 83735 $31.20 $40.00 $410.28 48% above 22%
Magnesium blood test CPT 83735 Magnesium Random Urine $31.20 $40.00 $234.00 48% above 22%
Magnesium blood test CPT 83735 Hchg Electrolytes and Osmolality Feces Magnesium $31.20 $40.00 $245.70 48% above 22%
Magnesium blood test CPT 83735 Magnesium 24 Hr/UR $31.20 $40.00 $14.04 48% above 22%
Measles (rubeola) antibody test CPT 86765 Hchg Rubeola Antibody Igg $59.28 $76.00 $71.76 140% above 22%
Measles (rubeola) antibody test CPT 86765 Hchg Rubeola Igg Ab $59.28 $76.00 $79.56 140% above 22%
Measles (rubeola) antibody test CPT 86765 Hchg Measles (Rubeola) Antibody Igg $59.28 $76.00 $126.36 140% above 22%
Measles (rubeola) antibody test CPT 86765 Hchg Rubeola Antibody Igm $59.28 $76.00 $71.76 140% above 22%
Mumps immunity blood test CPT 86735 Hchg Mumps Antibody Igg $60.06 $77.00 $63.18 140% above 22%
Mumps immunity blood test CPT 86735 Hchg Mumps Antibody Igm $60.06 $77.00 $14.04 140% above 22%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hchg Psa Free $85.02 $109.00 $119.34 48% above 22%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hchg Prostate Specific Antigen Total and Free Serum 84154 $85.02 $109.00 $119.34 48% above 22%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hchg Psa T & F 84153 $85.02 $109.00 $410.28 69% above 22%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hchg Psa Total $85.02 $109.00 $51.48 69% above 22%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hchg Prostate Specific Antigen Total and Free Serum 84153 $85.02 $109.00 $70.20 69% above 22%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Diagnostic $85.02 $109.00 $671.58 69% above 22%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytology Gyn Thin Layer Dx $123.24 $158.00 $2,346.24 71% above 22%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hchg Cytl Gyn T/L Scr $93.60 $120.00 $24.18 26% above 22%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hchg Cytl Gyn T/L Diag $93.60 $120.00 $24.18 26% above 22%
Parathyroid hormone (PTH) blood test CPT 83970 Hchg Parathyroid Hormone Intact $191.10 $245.00 $329.94 49% above 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Lupus Anticoagulant Ptt 85730 $28.08 $36.00 $63.18 8% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Mayoalupp Lupus Anticoagulant Profile Prsc $28.08 $36.00 $195.00 8% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Lupus Anticoagulant Prof Aptsc $28.08 $36.00 $71.76 8% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Trombophlia Profile 85730 $28.08 $36.00 $85.02 8% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hchg Thromboplastin Time Part $28.08 $36.00 $117.78 8% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt (Ptt) $28.08 $36.00 $47.58 8% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 Therapeutic Appt-Acl $28.08 $36.00 $56.94 8% below 22%
Phosphorus (phosphate) blood test CPT 84100 Hchg Electrolytes and Osmolality Feces Phosphorous $21.06 $27.00 $63.18 at median 22%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus $21.06 $27.00 $28.08 at median 22%
Potassium blood test CPT 84132 Hchg Hdhlth Hf Lab Potassium $6.24 $8.00 $326.04 72% below 22%
Potassium blood test CPT 84132 Potassium $21.06 $27.00 $2,658.24 5% below 22%
Progesterone blood test CPT 84144 Hchg Progesterone $96.72 $124.00 $39.78 52% above 22%
Prolactin blood test CPT 84146 Hchg Prolactin Macroadenoma $88.92 $114.00 $508.56 23% above 22%
Prolactin blood test CPT 84146 Prolactin $88.92 $114.00 $17.94 23% above 22%
Prothrombin time (PT/INR) clotting test CPT 85610 Hchg Prothrombin Time $19.50 $25.00 $39.78 9% above 22%
Prothrombin time (PT/INR) clotting test CPT 85610 Hchg Lupus Anticoagulant Prof Ptsc $19.50 $25.00 $19.50 9% above 22%
Prothrombin time (PT/INR) clotting test CPT 85610 Hchg Thrombophilia Profile 85610 $19.50 $25.00 $19.50 9% above 22%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $19.50 $25.00 $477.36 9% above 22%
Prothrombin time (PT/INR) clotting test CPT 85610 Therapuetic, Protime $19.50 $25.00 $31.75 9% above 22%
Renin blood test CPT 84244 Hchg Direct Renin $101.40 $130.00 $49.92 167% above 22%
Rh blood typing CPT 86901 Hchg Rh Only $13.26 $17.00 $136.50 52% below 22%
Rh blood typing CPT 86901 Rh Type Charge $13.26 $17.00 $45.24 52% below 22%
Rubella antibody test (immunity check) CPT 86762 Hchg Torc Igm Panel 86762 $66.30 $85.00 $83.46 59% above 22%
Rubella antibody test (immunity check) CPT 86762 Hchg Rubella Quant Igg $66.30 $85.00 $163.02 59% above 22%
Rubella antibody test (immunity check) CPT 86762 Rubella-Immunestatus $66.30 $85.00 $1,671.54 59% above 22%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hchg Esr Westergren $12.48 $16.00 $508.56 48% below 22%
Stool ova and parasites exam CPT 87177 Hchg Ova and Parasites Comprehensive 87177 $40.56 $52.00 $128.70 6% above 22%
Stool ova and parasites exam CPT 87177 Hchg Ova Parasites Smear Conc ID 87177 $40.56 $52.00 $333.84 6% above 22%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hchg Treponema Pallidum (Syphilis) Ab by Tp-Pa $60.84 $78.00 $287.04 32% above 22%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hchg Syphilis Antibody $60.84 $78.00 $226.98 32% above 22%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hchg Quantiferon TB $287.04 $368.00 $2,789.28 126% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Total $119.34 $153.00 $119.34 82% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone,T,Bio,Free,S 84403 $119.34 $153.00 $39.78 82% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Total Female/Children $119.34 $153.00 $39.78 82% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Total Women/Children $119.34 $153.00 $198.12 82% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Free/Bioavail/Total 84403 $119.34 $153.00 $31.20 82% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone Bioavail Male 84403 $119.34 $153.00 $78.00 82% above 22%
Testosterone blood test, total (not free testosterone) CPT 84403 Hchg Testosterone, Free, Bioavail and Total, Warde 84403 $239.46 $307.00 $283.14 265% above 22%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Antibody $67.86 $87.00 $235.56 54% above 22%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hchg Thyroperoxidase (Tpo) Antibodies $67.86 $87.00 $78.78 54% above 22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hchg Hdhlth Hf Lab Tsh $17.94 $23.00 $20.28 72% below 22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hchg Thyroid Function Cascade $78.00 $100.00 $85.02 21% above 22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone $78.00 $100.00 $33.54 21% above 22%
Total IgE blood test CPT 82785 Hchg Immunoglobulin E $76.44 $98.00 $117.78 73% above 22%
Total cholesterol blood test CPT 82465 Cholesterol $19.50 $25.00 $24.18 1% below 22%
Total thyroxine (T4) blood test CPT 84436 Hchg Free Thyroxine Index(Fti), S 84436 $31.98 $41.00 $74.88 15% below 22%
Total thyroxine (T4) blood test CPT 84436 T4 Total $31.98 $41.00 $65.52 15% below 22%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total $65.52 $84.00 $16.38 36% above 22%
Transferrin blood test CPT 84466 Transferrin $58.50 $75.00 $223.08 3% above 22%
Trichomonas test (NAAT) CPT 87661 Hchg Trichomonas Vaginalis Rna Qual Tma $163.02 $209.00 $60.84 133% above 22%
Trichomonas test (NAAT) CPT 87661 Hchg Nfct Ds Bct Vaginosis Vaginitis Mult Amp Probe 87661 $163.02 $209.00 $32.76 133% above 22%
Trichomonas test (NAAT) CPT 87661 Hchg Trichomonas Vaginalis Pcr $163.02 $209.00 $49.92 133% above 22%
Triglycerides blood test CPT 84478 Triglycerides $26.52 $34.00 $31.20 47% above 22%
Triglycerides blood test CPT 84478 Hchg Triglyceride Body Fluid $26.52 $34.00 $173.16 47% above 22%
Troponin test, quantitative CPT 84484 Troponin I $57.72 $74.00 $24.18 59% above 22%
Troponin test, quantitative CPT 84484 Hchg Troponin T $57.72 $74.00 $294.25–$392.34 59% above 22%
Uric acid blood test CPT 84550 Uric Acid $20.28 $26.00 $17.94 10% below 22%
Urinalysis with microscope exam, automated CPT 81001 Bill Ua Auto With Micro $14.04 $18.00 $237.12 30% below 22%
Urinalysis without microscope exam, automated CPT 81003 Hchg Ua W/O Micro Automated $10.14 $13.00 $284.70 20% below 22%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Ds $35.88 $46.00 $255.84 34% below 22%
Urine microalbumin (albumin) test CPT 82043 Hchg Hdhlth Hf Albumin, Urine, Quantitative $15.60 $20.00 $13.26 40% below 22%
Urine microalbumin (albumin) test CPT 82043 Random Urine Microalbumin $26.52 $34.00 $8.58 2% above 22%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Qualitative Urine $39.78 $51.00 $75.66 49% above 22%
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 $70.20 $90.00 $19.50 21% above 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hchg Hdhlth Hf Lab Vit D $23.40 $30.00 $137.28 70% below 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hchg Vitamin D 25-Hydroxy $137.28 $176.00 $29.64 75% above 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hchg Vitamin D 25-Hydroxy D2 and D3 Serum $137.28 $176.00 $20.28 75% above 22%
Zinc blood test CPT 84630 Hchg Zinc RBC Whole Blood $52.26 $67.00 $235.56 185% above 22%
Zinc blood test CPT 84630 Hchg Zinc Serum $52.26 $67.00 $56.94 185% above 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hchg Maternal Serum Integrated Hcg $70.20 $90.00 $85.02 41% above 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hchg Hd Hcg Tumor Marker $70.20 $90.00 $284.70 41% above 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Total Beta Hcg $70.20 $90.00 $68.64 41% above 22%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MichiganOff list
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $871.26 $1,117.00 $477.36 38% below 22%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $762.84 $978.00 $24.18 33% below 22%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple $728.52 $934.00 $1,074.06 36% below 22%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $571.74 $733.00 $372.06 34% below 22%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia $271.44 $348.00 $79.56 52% below 22%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $173.16 $222.00 $3.90 78% below 22%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hchg Cervical/Thoracic Interlaminar Epidural Steroid Injection With Fluoros $1,155.18 $1,481.00 $35.88 50% above 22%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level $147.42 $189.00 $31.75 87% below 22%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hchg Facet Joint Block, First Level, Lumbar $1,522.56 $1,952.00 $354.12 29% above 22%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible $574.86 $737.00 $62.40 63% above 22%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy $1,116.96 $1,432.00 $103.74 58% below 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US $73.32 $94.00 $229.32 77% below 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR PR Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US $73.32 $94.00 $136.50 77% below 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hchg HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Bl $494.52 $634.00 $273.00 52% above 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Sc>Arthrocentesis Intermed Joint $494.52 $634.00 $565.50 52% above 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hchg Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US $494.52 $634.00 $63.18 52% above 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hchg Sc>Arthrocentesis Intermed Joint $494.52 $634.00 $1,897.74 52% above 22%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy $1,019.46 $1,307.00 $134.94 24% below 22%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $160.68 $206.00 $1,031.16 83% below 22%
Lower-back epidural injection, with imaging guidance CPT 62323 Hchg Lumbar/Sacral Interlaminar Epidural Steroid Injection With Fluoroscopy $1,155.18 $1,481.00 $652.08 19% above 22%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach $208.26 $267.00 $632.58 85% below 22%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing $1,931.28 $2,476.00 $496.08 42% below 22%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Hchg Laparoscopy, Surgical Prostatectomy Include Robotic Assist When Perfor $17,198.22 $22,049.00 $20.28 419% above 22%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $312.00 $400.00 $63.18 83% below 22%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hchg Medial Branch Rfa (Radiofrequency Ablation), Lumbar or Sacral $3,225.30 $4,135.00 $698.10 74% above 22%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind $571.74 $733.00 $190.32 33% below 22%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind $571.74 $733.00 $17.16 33% below 22%
Thoracentesis with imaging guidance CPT 32555 Hchg US Thoracentesis W/Imaging $1,049.10 $1,345.00 $119.34 3% above 22%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/> $500.76 $642.00 $11.70 42% below 22%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 $496.08 $636.00 $531.18 32% below 22%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles $88.92 $114.00 $3.90 76% below 22%
Trigger point injections, 1 or 2 muscles CPT 20552 Hchg Inject Trigger Point, 1 or 2 $494.52 $634.00 $53.04 32% above 22%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam $1,797.12 $2,304.00 $484.38 47% above 22%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple $632.58 $811.00 $31.20 27% below 22%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech $829.14 $1,063.00 $484.38 72% above 22%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $484.38 $621.00 $63.18 1% above 22%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt $665.34 $853.00 $73.32 5% above 22%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm $218.40 $280.00 $173.16 61% below 22%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/< $218.40 $280.00 $42.90 61% below 22%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hchg Oms Debridement, Subq Tissue, Initial Up to 20 Sq Cm $665.34 $853.00 $80.34 19% above 22%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MichiganOff list
Blood transfusion (giving blood or blood components) CPT 36430 Hchg Blood Product Transfusion $725.40 $930.00 $35.88 20% above 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment Inhaler $355.68 $456.00 $355.68 119% above 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulized Medication $355.68 $456.00 $4,066.92 119% above 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment (Neb) $355.68 $456.00 $1,072.50 119% above 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG Aerosol Treatment - Initial $355.68 $456.00 $19.50 119% above 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hchg Airway Inhalation Treatment $355.68 $456.00 $936.00 119% above 22%
Chemotherapy IV infusion, first hour CPT 96413 Hchg Chemo Infusion Int Hr $565.50 $725.00 $35.10 15% above 22%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy $2,713.62 $3,479.00 $2,124.72 290% above 22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Routine $101.40 $130.00 $985.14 9% below 22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hchg Ekg Routine $101.40 $130.00 $1,869.62 9% below 22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hchg Ekg 12 Lead $103.74 $133.00 $410.28 7% below 22%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Level 5/Extended-Significant $1,072.50 $1,375.00 $31.75 27% below 22%
Exercise stress test, tracing only, the hospital charge CPT 93017 Ekg Stress Test $524.16 $672.00 $48.40 30% below 22%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hchg Hydration Int Ecc $357.24 $458.00 $35.88 42% above 22%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration 1 Only $357.24 $458.00 $56.94 42% above 22%
IV infusion of a medicine, first hour CPT 96365 Hchg O/P Int in Piggyback $357.24 $458.00 $28.08 22% above 22%
IV infusion of a medicine, first hour CPT 96365 O/P IV Infusion Up to 1 Hr $357.24 $458.00 $31.75 22% above 22%
IV push of a medicine, first drug CPT 96374 IV Push $357.24 $458.00 $231.66 95% above 22%
IV push of a medicine, first drug CPT 96374 Hchg Int Ivp Ecc $357.24 $458.00 $469.56 95% above 22%
IV push of a medicine, first drug CPT 96374 Therapeutic/Diag Inj IV $357.24 $458.00 $117.78 95% above 22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im $16.38 $21.00 $19.50 81% below 22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hchg Therapeutic/Dia Inj Im Subq Ecc $117.78 $151.00 $78.78 36% above 22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sub Q/Im Injection $117.78 $151.00 $101.40 36% above 22%
Neuromuscular re-education, 15 minutes CPT 97112 Hchg Pt Neuromuscular Reeducationh $151.32 $194.00 $579.54 92% above 22%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Devlpmntl $153.66 $197.00 $81.90 95% above 22%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hchg Initial Nutrition Therapy, Each 15 Min $56.16 $72.00 $70.20 31% above 22%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy $106.08 $136.00 $4,255.68 28% above 22%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy $124.80 $160.00 $139.62 50% above 22%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Kinetic Therapeutic Exercise $81.90 $105.00 $151.32 at median 22%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise $139.62 $179.00 $106.08 70% above 22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit 10 Minutes $57.72 $74.00 $24.18 29% above 22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min $57.72 $74.00 $248.82 29% above 22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hchg Established Pt Clinic Level 2 $70.20 $90.00 $198.12 57% above 22%
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn $65.52 $84.00 $383.76 83% below 22%
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry $231.66 $297.00 $31.75 41% below 22%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hchg Phlebotomy Therapeutic $212.94 $273.00 $32.76 1% above 22%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hchg Phlebotomy - Whole Blood $212.94 $273.00 $173.16 1% above 22%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic $212.94 $273.00 $355.68 1% above 22%

Vaccines

ProcedureCash price List priceInsurers payvs MichiganOff list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $20.28 $26.00 $1.56 11% below 22%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $23.40 $30.00 $31.75 3% above 22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine $30.42 $39.00 $1.56 32% above 22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hchg Immunization Admin Subq/Im 1 Vaccine $117.78 $151.00 $80.34 411% above 22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hchg Tetanus Admin $117.78 $151.00 $212.94 411% above 22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hchg Vaccine Admin Non Flu $117.78 $151.00 $24.18 411% above 22%

Source file: https://aspirerhs.org/wp-content/uploads/2026/03/381619577_hills-and-dales-general-hospital_standardcharges.csv