NYU Langone – Tisch Hospital
Listed in its price file as “NYU Langone”.
NYU Langone – Tisch Hospital in New York, NY publishes cash prices for 464 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 324 of 456 procedures and above it for 94. By typical cash price it ranks #16 of 114 New York hospitals and #7 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
550 1st Ave., New York, NY 10016 Collected Sep 23, 2026 Source price file (212) 263-7300
Acute care hospital Emergency department CMS star rating 5 of 5 CCN 330214 · CMS hospital register NPI 1801992631
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O & W/CONTRAST | $1,316.95 | $6,931.31 | $64.22–$6,931.31 | 2% above | 81% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/O & W/CONTRAST | $1,316.95 | $6,931.31 | $64.22–$6,931.31 | — | 81% |
| Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $78.69 | $414.18 | $26.00–$450.00 | 69% below | 81% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $78.69 | $414.18 | $26.00–$450.00 | — | 81% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY EXAM OF ANKLE 3+ VIEWS | $75.25 | $396.06 | $28.00–$453.08 | 62% below | 81% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY EXAM OF ANKLE 3+ VIEWS | $75.25 | $396.06 | $28.00–$453.08 | — | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC N-INVAS PHYSIOLOGIC STD UPR/LXTR ART 1 LVL BI | $260.20 | $1,369.47 | $73.77–$1,369.47 | — | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC N-INVAS PHYSIOLOGIC STD UPR/LXTR ART 1 LVL BI | $260.20 | $1,369.47 | $73.77–$1,369.47 | — | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT; U EXTR WO CONTRAST | $736.45 | $3,876.07 | $45.81–$3,876.07 | at median | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT; U EXTR WO CONTRAST | $736.45 | $3,876.07 | $45.81–$3,876.07 | — | 81% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC X-RAY XM ESOPHAGUS 1CNTRST | $105.42 | $554.85 | $45.40–$810.82 | 69% below | 81% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC X-RAY XM ESOPHAGUS 1CNTRST | $105.42 | $554.85 | $45.40–$810.82 | — | 81% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY | $680.89 | $3,583.62 | $207.38–$3,939.71 | 29% below | 81% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY | $680.89 | $3,583.62 | $207.38–$3,939.71 | — | 81% |
| Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE | $282.15 | $1,485.00 | $70.78–$25,798.00 | 10% below | 81% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE | $282.15 | $1,485.00 | $70.78–$25,798.00 | — | 81% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED | $257.67 | $1,356.15 | $55.05–$6,487.00 | 4% above | 81% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED | $257.67 | $1,356.15 | $55.05–$6,487.00 | — | 81% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PELV W/O&W/CONT | $1,984.12 | $10,442.73 | $226.37–$10,442.73 | 27% above | 81% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PELV W/O&W/CONT | $1,984.12 | $10,442.73 | $226.37–$10,442.73 | — | 81% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY, HEAD | $1,369.92 | $7,210.08 | $80.71–$7,210.08 | 31% above | 81% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY, HEAD | $1,369.92 | $7,210.08 | $80.71–$7,210.08 | — | 81% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY, NECK | $1,405.23 | $7,395.94 | $80.71–$7,395.94 | 24% above | 81% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY, NECK | $1,405.23 | $7,395.94 | $80.71–$7,395.94 | — | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY, CHEST | $1,265.85 | $6,662.39 | $84.70–$6,662.39 | at median | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY, CHEST | $1,265.85 | $6,662.39 | $84.70–$6,662.39 | — | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CCTA W/WO, STRXR | $1,029.11 | $5,416.36 | $118.34–$5,416.36 | at median | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CCTA W/WO, STRXR | $1,029.11 | $5,416.36 | $118.34–$5,416.36 | — | 81% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST | $96.69 | $4,603.98 | $14.10–$4,603.98 | 41% below | 98% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST | $96.69 | $4,603.98 | $14.10–$4,603.98 | — | 98% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PEL W/O CONT | $1,003.43 | $5,281.19 | $110.11–$25,798.00 | 7% below | 81% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PEL W/O CONT | $1,003.43 | $5,281.19 | $110.11–$25,798.00 | — | 81% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PEL W/CONT | $1,567.87 | $8,251.96 | $226.37–$10,984.00 | at median | 81% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PEL W/CONT | $1,567.87 | $8,251.96 | $226.37–$10,984.00 | — | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE | $1,771.71 | $9,324.81 | $226.37–$10,984.00 | at median | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE | $1,771.71 | $9,324.81 | $226.37–$10,984.00 | — | 81% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,160.19 | $6,106.25 | $118.34–$6,106.25 | 6% above | 81% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,160.19 | $6,106.25 | $118.34–$6,106.25 | — | 81% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O & W/CONTRAST | $752.50 | $3,960.55 | $66.00–$4,355.01 | 12% below | 81% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O & W/CONTRAST | $752.50 | $3,960.55 | $66.00–$4,355.01 | — | 81% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $775.51 | $4,081.63 | $66.00–$4,294.38 | at median | 81% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $775.51 | $4,081.63 | $66.00–$4,294.38 | — | 81% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O DYE | $626.51 | $3,297.40 | $66.00–$25,798.00 | 21% below | 81% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O DYE | $626.51 | $3,297.40 | $66.00–$25,798.00 | — | 81% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/DYE | $877.16 | $4,616.65 | $102.77–$5,189.87 | 5% below | 81% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/DYE | $877.16 | $4,616.65 | $102.77–$5,189.87 | — | 81% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/O & W/DYE | $1,033.66 | $5,440.29 | $118.34–$5,508.18 | 1% below | 81% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W/O & W/DYE | $1,033.66 | $5,440.29 | $118.34–$5,508.18 | — | 81% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O DYE | $757.32 | $3,985.88 | $66.00–$3,985.88 | 9% below | 81% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O DYE | $757.32 | $3,985.88 | $66.00–$3,985.88 | — | 81% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE W/O DYE | $735.12 | $3,869.03 | $66.00–$4,105.49 | 17% below | 81% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE W/O DYE | $735.12 | $3,869.03 | $66.00–$4,105.49 | — | 81% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/DYE | $1,028.84 | $5,414.96 | $118.34–$25,798.00 | 9% above | 81% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/DYE | $1,028.84 | $5,414.96 | $118.34–$25,798.00 | — | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUP-SCAN XTRC ART COMPL BI STD | $1,900.00 | $10,000.00 | $157.82–$23,708.00 | — | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUP-SCAN XTRC ART COMPL BI STD | $1,900.00 | $10,000.00 | $157.82–$23,708.00 | — | 81% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX DX C-/C+ | $1,807.03 | $9,510.66 | $118.34–$9,510.66 | 45% above | 81% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX DX C-/C+ | $1,807.03 | $9,510.66 | $118.34–$9,510.66 | — | 81% |
| Chest X-ray, 2 views CPT 71046 HC RADEX CHEST 2 VIEWS | $46.46 | $244.52 | $23.39–$496.00 | 77% below | 81% |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADEX CHEST 2 VIEWS | $46.46 | $244.52 | $23.39–$496.00 | — | 81% |
| Chest X-ray, single view CPT 71045 HC RADEX CHEST 1 VIEW | $37.51 | $197.43 | $13.00–$6,487.00 | 80% below | 81% |
| Chest X-ray, single view inpatient CPT 71045 HC RADEX CHEST 1 VIEW | $37.51 | $197.43 | $13.00–$6,487.00 | — | 81% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE | $62.18 | $327.24 | $23.99–$343.60 | 69% below | 81% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE | $62.18 | $327.24 | $23.99–$343.60 | — | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US EXAM ABDO BACK WALL, COMP | $359.88 | $1,894.09 | $66.00–$25,798.00 | 10% below | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US EXAM ABDO BACK WALL, COMP | $359.88 | $1,894.09 | $66.00–$25,798.00 | — | 81% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY, AXIAL | $106.45 | $560.28 | $31.64–$588.30 | 60% below | 81% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY, AXIAL | $106.45 | $560.28 | $31.64–$588.30 | — | 81% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $65.96 | $347.16 | $23.96–$6,487.00 | 54% below | 81% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $65.96 | $347.16 | $23.96–$6,487.00 | — | 81% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS | $171.43 | $902.26 | $93.19–$1,800.00 | 70% below | 81% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS | $171.43 | $902.26 | $93.19–$1,800.00 | — | 81% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DX C- | $803.06 | $4,226.65 | $66.00–$4,666.33 | 4% below | 81% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DX C- | $803.06 | $4,226.65 | $66.00–$4,666.33 | — | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DX C+ | $1,614.15 | $8,495.54 | $118.34–$25,798.00 | 42% above | 81% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DX C+ | $1,614.15 | $8,495.54 | $118.34–$25,798.00 | — | 81% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $326.62 | $1,719.05 | $117.44–$25,798.00 | — | 81% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI | $326.62 | $1,719.05 | $117.44–$25,798.00 | — | 81% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $271.10 | $1,426.83 | $92.30–$25,798.00 | 1% below | 81% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $271.10 | $1,426.83 | $92.30–$25,798.00 | — | 81% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STD | $446.10 | $2,347.87 | $209.74–$2,347.87 | — | 81% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STD | $446.10 | $2,347.87 | $209.74–$2,347.87 | — | 81% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPL BI STD | $503.55 | $2,650.26 | $160.27–$3,331.21 | — | 81% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPL BI STD | $503.55 | $2,650.26 | $160.27–$3,331.21 | — | 81% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER, COMPLETE | $628.89 | $3,309.95 | $133.02–$3,475.45 | 42% below | 81% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER, COMPLETE | $628.89 | $3,309.95 | $133.02–$3,475.45 | — | 81% |
| Elbow X-ray, 2 views CPT 73070 HC X-RAY EXAM OF ELBOW 2 VIEWS | $65.62 | $345.35 | $22.56–$362.61 | 67% below | 81% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY EXAM OF ELBOW 2 VIEWS | $65.62 | $345.35 | $22.56–$362.61 | — | 81% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY EXAM OF ELBOW 3+ VIEWS | $75.37 | $396.67 | $25.71–$445.20 | 63% below | 81% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY EXAM OF ELBOW 3+ VIEWS | $75.37 | $396.67 | $25.71–$445.20 | — | 81% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA W/O DYE | $737.79 | $3,883.11 | $66.00–$3,883.11 | at median | 81% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA W/O DYE | $737.79 | $3,883.11 | $66.00–$3,883.11 | — | 81% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY EXAM OF FACIAL BONES | $65.27 | $343.54 | $34.74–$410.15 | 75% below | 81% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY EXAM OF FACIAL BONES | $65.27 | $343.54 | $34.74–$410.15 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY EXAM OF FOREARM 2 VIEWS | $64.35 | $338.71 | $22.74–$423.15 | 68% below | 81% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY EXAM OF FOREARM 2 VIEWS | $64.35 | $338.71 | $22.74–$423.15 | — | 81% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $931.49 | $4,902.57 | $207.38–$5,147.69 | 8% below | 81% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $931.49 | $4,902.57 | $207.38–$5,147.69 | — | 81% |
| Hand X-ray, 2 views CPT 73120 HC RADEX HAND 2 VIEWS | $71.12 | $374.33 | $22.33–$393.04 | 62% below | 81% |
| Hand X-ray, 2 views inpatient CPT 73120 HC RADEX HAND 2 VIEWS | $71.12 | $374.33 | $22.33–$393.04 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY EXAM OF HEEL 2+ VIEWS | $52.08 | $274.11 | $21.87–$332.00 | 72% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY EXAM OF HEEL 2+ VIEWS | $52.08 | $274.11 | $21.87–$332.00 | — | 81% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATT&RESP EFFT | $1,553.04 | $8,173.87 | $55.96–$11,356.58 | 288% above | 81% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATT&RESP EFFT | $1,553.04 | $8,173.87 | $55.96–$11,356.58 | — | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS CPAP 4/> PARM | $1,021.35 | $5,375.54 | $565.06–$17,283.62 | 48% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS CPAP 4/> PARM | $1,021.35 | $5,375.54 | $565.06–$17,283.62 | — | 81% |
| Knee X-ray, 3 views CPT 73562 HC X-RAY EXAM OF KNEE 3 | $81.79 | $430.48 | $30.00–$678.00 | 59% below | 81% |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY EXAM OF KNEE 3 | $81.79 | $430.48 | $30.00–$678.00 | — | 81% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY EXAM KNEE 4 OR MORE | $94.87 | $499.30 | $32.00–$675.50 | 66% below | 81% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY EXAM KNEE 4 OR MORE | $94.87 | $499.30 | $32.00–$675.50 | — | 81% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTR | $646.30 | $3,401.59 | $66.00–$3,401.59 | 10% below | 81% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY W/O CONTR | $646.30 | $3,401.59 | $66.00–$3,401.59 | — | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ECHO EXAM OF ABDOMEN | $307.13 | $1,616.48 | $62.04–$25,798.00 | 6% below | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ECHO EXAM OF ABDOMEN | $307.13 | $1,616.48 | $62.04–$25,798.00 | — | 81% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/NONVASC XTR STRUX | $169.09 | $889.93 | $12.41–$1,161.60 | 31% below | 81% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/NONVASC XTR STRUX | $169.09 | $889.93 | $12.41–$1,161.60 | — | 81% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR C- | $111.80 | $588.44 | $93.69–$4,019.40 | 74% below | 81% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR C- | $111.80 | $588.44 | $93.69–$4,019.40 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY EXAM OF LOWER LEG | $87.99 | $463.08 | $21.92–$486.23 | 56% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY EXAM OF LOWER LEG | $87.99 | $463.08 | $21.92–$486.23 | — | 81% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIOGRAPHY HEAD W/O DYE | $1,262.40 | $6,644.21 | $135.26–$25,798.00 | 2% above | 81% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR ANGIOGRAPHY HEAD W/O DYE | $1,262.40 | $6,644.21 | $135.26–$25,798.00 | — | 81% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST, BI W/CONT | $1,596.00 | $8,400.00 | $250.40–$11,861.40 | — | 81% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST, BI W/O FOL W/CONT | $2,253.67 | $11,861.40 | $250.40–$11,861.40 | — | 81% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST, BI W/CONT | $1,596.00 | $8,400.00 | $250.40–$11,861.40 | — | 81% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST, BI W/O FOL W/CONT | $2,253.67 | $11,861.40 | $250.40–$11,861.40 | — | 81% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI - LE JNT WO CONTR | $1,201.85 | $6,325.51 | $135.26–$6,325.51 | 19% above | 81% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI - LE JNT WO CONTR | $1,201.85 | $6,325.51 | $135.26–$6,325.51 | — | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LE JNT W&WO CONTR | $2,031.13 | $10,690.14 | $226.37–$10,690.14 | 11% above | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LE JNT W&WO CONTR | $2,031.13 | $10,690.14 | $226.37–$10,690.14 | — | 81% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONT | $1,094.11 | $5,758.49 | $135.26–$8,157.76 | 6% above | 81% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONT | $1,094.11 | $5,758.49 | $135.26–$8,157.76 | — | 81% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O & W/CONT | $1,854.57 | $9,760.90 | $226.37–$11,263.56 | 12% above | 81% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/O & W/CONT | $1,854.57 | $9,760.90 | $226.37–$11,263.56 | — | 81% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE | $1,042.80 | $5,488.42 | $135.26–$25,798.00 | at median | 81% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE | $1,042.80 | $5,488.42 | $135.26–$25,798.00 | — | 81% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $1,767.26 | $9,301.39 | $226.37–$12,540.86 | 7% above | 81% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $1,767.26 | $9,301.39 | $226.37–$12,540.86 | — | 81% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,133.75 | $5,967.13 | $130.72–$7,272.66 | at median | 81% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,133.75 | $5,967.13 | $130.72–$7,272.66 | — | 81% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE | $1,916.10 | $10,084.72 | $226.37–$10,084.72 | 15% above | 81% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE | $1,916.10 | $10,084.72 | $226.37–$10,084.72 | — | 81% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI CHEST SPINE W/O DYE | $892.26 | $4,696.13 | $130.36–$7,651.08 | 12% below | 81% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI CHEST SPINE W/O DYE | $892.26 | $4,696.13 | $130.36–$7,651.08 | — | 81% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI NECK SPINE W/O & W/DYE | $1,619.40 | $8,523.18 | $226.37–$9,685.22 | at median | 81% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI NECK SPINE W/O & W/DYE | $1,619.40 | $8,523.18 | $226.37–$9,685.22 | — | 81% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI NECK SPINE W/O DYE | $958.17 | $5,043.00 | $130.02–$7,017.20 | 5% below | 81% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI NECK SPINE W/O DYE | $958.17 | $5,043.00 | $130.02–$7,017.20 | — | 81% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/O & W/DYE | $1,306.91 | $6,878.45 | $226.37–$8,252.00 | 16% below | 81% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/O & W/DYE | $1,306.91 | $6,878.45 | $226.37–$8,252.00 | — | 81% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O DYE | $771.15 | $4,058.71 | $135.26–$5,552.00 | 25% below | 81% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O DYE | $771.15 | $4,058.71 | $135.26–$5,552.00 | — | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI U EXTR; ANY JOINT WO CONTRAST | $1,201.85 | $6,325.51 | $135.26–$6,325.51 | at median | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI U EXTR; ANY JOINT WO CONTRAST | $1,201.85 | $6,325.51 | $135.26–$6,325.51 | — | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPI CRV MINIMUM 4 VIEWS | $117.81 | $620.05 | $38.05–$651.06 | 57% below | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPI CRV MINIMUM 4 VIEWS | $117.81 | $620.05 | $38.05–$651.06 | — | 81% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/DYE | $986.84 | $5,193.90 | $118.34–$5,193.90 | at median | 81% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/DYE | $986.84 | $5,193.90 | $118.34–$5,193.90 | — | 81% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O DYE | $809.22 | $4,259.04 | $66.00–$4,259.04 | 2% above | 81% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O DYE | $809.22 | $4,259.04 | $66.00–$4,259.04 | — | 81% |
| Neck soft tissue X-ray CPT 70360 HC X-RAY EXAM OF NECK | $51.74 | $272.29 | $22.00–$360.00 | 73% below | 81% |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY EXAM OF NECK | $51.74 | $272.29 | $22.00–$360.00 | — | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT | $1,157.86 | $6,094.01 | $365.11–$6,398.71 | 51% below | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT | $1,157.86 | $6,094.01 | $365.11–$6,398.71 | — | 81% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT | $39.07 | $205.62 | $15.58–$25,798.00 | 44% below | 81% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT | $39.07 | $205.62 | $15.58–$25,798.00 | — | 81% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH | $2,060.33 | $10,843.83 | $108.44–$25,798.00 | 47% below | 81% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH | $2,060.33 | $10,843.83 | $108.44–$25,798.00 | — | 81% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O DYE | $514.42 | $2,707.47 | $66.00–$4,314.20 | 37% below | 81% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O DYE | $514.42 | $2,707.47 | $66.00–$4,314.20 | — | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM, PELVIC, LIMITED | $271.55 | $1,429.20 | $27.08–$25,798.00 | at median | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM, PELVIC, LIMITED | $271.55 | $1,429.20 | $27.08–$25,798.00 | — | 81% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM, PELVIC, COMPLETE | $399.50 | $2,102.62 | $66.00–$25,798.00 | at median | 81% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US EXAM, PELVIC, COMPLETE | $399.50 | $2,102.62 | $66.00–$25,798.00 | — | 81% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS, SNGL FETUS | $631.43 | $3,323.29 | $66.00–$3,323.29 | 81% above | 81% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS, SNGL FETUS | $631.43 | $3,323.29 | $66.00–$3,323.29 | — | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS, SINGLE FETUS | $549.40 | $2,891.60 | $54.00–$2,891.60 | 76% above | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS, SINGLE FETUS | $549.40 | $2,891.60 | $54.00–$2,891.60 | — | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED 1+ FETUS(S) | $643.65 | $3,387.63 | $52.61–$3,387.63 | 122% above | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED 1+ FETUS(S) | $643.65 | $3,387.63 | $52.61–$3,387.63 | — | 81% |
| Rib X-ray, one side, 2 views CPT 71100 HC X-RAY EXAM OF RIBS | $52.19 | $274.71 | $25.22–$340.00 | 74% below | 81% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 HC X-RAY EXAM OF RIBS | $52.19 | $274.71 | $25.22–$340.00 | — | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY EXAM OF RIBS/CHEST | $62.06 | $326.63 | $30.95–$653.26 | 72% below | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY EXAM OF RIBS/CHEST | $62.06 | $326.63 | $30.95–$653.26 | — | 81% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $283.10 | $1,490.01 | $96.98–$25,798.00 | — | 81% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $283.10 | $1,490.01 | $96.98–$25,798.00 | — | 81% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY EXAM OF SHOULDER 2+ VIEWS | $131.92 | $694.31 | $24.41–$890.40 | 35% below | 81% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY EXAM OF SHOULDER 2+ VIEWS | $131.92 | $694.31 | $24.41–$890.40 | — | 81% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY EXAM OF SINUSES | $103.47 | $544.58 | $28.85–$753.90 | 49% below | 81% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY EXAM OF SINUSES | $103.47 | $544.58 | $28.85–$753.90 | — | 81% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY EXAM OF SKULL | $59.65 | $313.95 | $28.85–$329.65 | 72% below | 81% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY EXAM OF SKULL | $59.65 | $313.95 | $28.85–$329.65 | — | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/> YRS 4/> PARAM | $970.28 | $5,106.76 | $539.20–$17,283.62 | 48% below | 81% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/> YRS 4/> PARAM | $970.28 | $5,106.76 | $539.20–$17,283.62 | — | 81% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE COMPLETE | $509.24 | $2,680.22 | $156.64–$2,814.23 | 50% below | 81% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS TTE COMPLETE | $509.24 | $2,680.22 | $156.64–$2,814.23 | — | 81% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC X-RAY XM SWLNG FUNCJ C+ | $94.41 | $496.89 | $64.01–$1,164.92 | 72% below | 81% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC X-RAY XM SWLNG FUNCJ C+ | $94.41 | $496.89 | $64.01–$1,164.92 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2+ | $79.54 | $418.61 | $27.00–$6,487.00 | 57% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2+ | $79.54 | $418.61 | $27.00–$6,487.00 | — | 81% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE W/O DYE | $735.12 | $3,869.03 | $66.00–$3,869.03 | 15% below | 81% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE W/O DYE | $735.12 | $3,869.03 | $66.00–$3,869.03 | — | 81% |
| Toe X-ray, 2 or more views CPT 73660 HC X-RAY EXAM OF TOE(S) | $63.55 | $334.48 | $22.00–$351.21 | 64% below | 81% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY EXAM OF TOE(S) | $63.55 | $334.48 | $22.00–$351.21 | — | 81% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL US, NON-OB | $406.56 | $2,139.81 | $66.00–$2,139.81 | 9% above | 81% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL US, NON-OB | $406.56 | $2,139.81 | $66.00–$2,139.81 | — | 81% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL OB US | $743.21 | $3,911.62 | $59.25–$3,911.62 | 157% above | 81% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL OB US | $743.21 | $3,911.62 | $59.25–$3,911.62 | — | 81% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM, ABDOM, COMPLETE | $374.51 | $1,971.12 | $66.00–$25,798.00 | 16% below | 81% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM, ABDOM, COMPLETE | $374.51 | $1,971.12 | $66.00–$25,798.00 | — | 81% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS | $352.56 | $1,855.57 | $40.45–$1,855.57 | at median | 81% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS | $352.56 | $1,855.57 | $40.45–$1,855.57 | — | 81% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK | $374.51 | $1,971.12 | $73.00–$1,971.12 | 13% above | 81% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK | $374.51 | $1,971.12 | $73.00–$1,971.12 | — | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY XM UPR GI TRC 1CNTRST | $62.91 | $331.11 | $75.00–$2,434.00 | 85% below | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY XM UPR GI TRC 1CNTRST | $62.91 | $331.11 | $75.00–$2,434.00 | — | 81% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY EXAM OF HUMERUS 2+ VIEWS | $60.80 | $319.99 | $23.57–$360.68 | 68% below | 81% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY EXAM OF HUMERUS 2+ VIEWS | $60.80 | $319.99 | $23.57–$360.68 | — | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUP-SCAN XTR VEINS UNI/LMTD STD | $307.18 | $1,616.76 | $102.42–$2,270.52 | 16% below | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUP-SCAN XTR VEINS UNI/LMTD STD | $307.18 | $1,616.76 | $102.42–$2,270.52 | — | 81% |
| Wrist X-ray, 2 views CPT 73100 HC X-RAY EXAM OF WRIST 2 VIEWS | $61.37 | $323.01 | $26.00–$360.68 | 67% below | 81% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY EXAM OF WRIST 2 VIEWS | $61.37 | $323.01 | $26.00–$360.68 | — | 81% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY EXAM OF WRIST 3+ VIEWS | $73.88 | $388.82 | $28.00–$445.20 | 63% below | 81% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY EXAM OF WRIST 3+ VIEWS | $73.88 | $388.82 | $28.00–$445.20 | — | 81% |
| 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 | $50.88 | $267.81 | $35.00–$433.48 | 75% below | 81% |
| 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 | $50.88 | $267.81 | $35.00–$433.48 | — | 81% |
| X-ray of the abdomen, 1 view CPT 74018 HC XRAY EX OF AB 1 VIEW | $50.47 | $265.65 | $22.00–$450.00 | 75% below | 81% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY EX OF AB 1 VIEW | $50.47 | $265.65 | $22.00–$450.00 | — | 81% |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE WT BEAR ONLY | $64.70 | $340.52 | $23.57–$406.00 | 66% below | 81% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE WT BEAR ONLY | $64.70 | $340.52 | $23.57–$406.00 | — | 81% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) 2+ VIEWS | $95.90 | $504.74 | $22.00–$721.35 | 45% below | 81% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) 2+ VIEWS | $95.90 | $504.74 | $22.00–$721.35 | — | 81% |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY EXAM OF FOOT; 2 VIEWS | $66.07 | $347.76 | $22.21–$406.00 | 64% below | 81% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY EXAM OF FOOT; 2 VIEWS | $66.07 | $347.76 | $22.21–$406.00 | — | 81% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY EXAM OF FOOT; 3+ VIEWS | $74.22 | $390.63 | $26.88–$453.08 | 62% below | 81% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY EXAM OF FOOT; 3+ VIEWS | $74.22 | $390.63 | $26.88–$453.08 | — | 81% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY EXAM OF HAND 3+ VIEWS | $164.96 | $868.19 | $28.00–$911.60 | 18% below | 81% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY EXAM OF HAND 3+ VIEWS | $164.96 | $868.19 | $28.00–$911.60 | — | 81% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY EXAM OF KNEE, 1 OR 2 | $69.52 | $365.88 | $24.81–$410.55 | 66% below | 81% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY EXAM OF KNEE, 1 OR 2 | $69.52 | $365.88 | $24.81–$410.55 | — | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC RADEX SPI LUMBOSAC 2/3 VIEWS | $64.35 | $338.71 | $28.12–$6,487.00 | 77% below | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC RADEX SPI LUMBOSAC 2/3 VIEWS | $64.35 | $338.71 | $28.12–$6,487.00 | — | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADEX SPI LUMBOSAC MINIMUM 4 VIEWS | $89.36 | $470.32 | $38.87–$676.00 | 70% below | 81% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RADEX SPI LUMBOSAC MINIMUM 4 VIEWS | $89.36 | $470.32 | $38.87–$676.00 | — | 81% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RADEX SPI THOR 2 VIEWS | $54.37 | $286.18 | $24.66–$431.03 | 76% below | 81% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC RADEX SPI THOR 2 VIEWS | $54.37 | $286.18 | $24.66–$431.03 | — | 81% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY EXAM OF NASAL BONES | $44.51 | $234.26 | $27.00–$360.00 | 75% below | 81% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY EXAM OF NASAL BONES | $44.51 | $234.26 | $27.00–$360.00 | — | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPI CRV 2/3 VIEWS | $87.18 | $458.85 | $28.12–$481.80 | 57% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPI CRV 2/3 VIEWS | $87.18 | $458.85 | $28.12–$481.80 | — | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC RADEX PELVIS 1/2 VIEWS | $55.18 | $290.41 | $20.82–$441.53 | 75% below | 81% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC RADEX PELVIS 1/2 VIEWS | $55.18 | $290.41 | $20.82–$441.53 | — | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY EXAM OF TAILBONE | $47.61 | $250.56 | $23.57–$340.00 | 74% below | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY EXAM OF TAILBONE | $47.61 | $250.56 | $23.57–$340.00 | — | 81% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $46.34 | $297.96 | $34.76–$397.43 | 67% below | 84% |
| ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH | $46.34 | $297.96 | $34.76–$397.43 | — | 84% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINO (ALT) (SGPT) | $6.36 | $48.18 | $4.77–$160.44 | 72% below | 87% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALANINE AMINO (ALT) (SGPT) | $6.36 | $48.18 | $4.77–$160.44 | — | 87% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE (AST) (SGOT) | $6.22 | $48.82 | $4.66–$160.44 | 72% below | 87% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE (AST) (SGOT) | $6.22 | $48.82 | $4.66–$160.44 | — | 87% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $57.16 | $334.00 | $40.83–$485.35 | 67% below | 83% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $57.16 | $334.00 | $40.83–$485.35 | — | 83% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN | $5.94 | $41.93 | $4.46–$160.44 | 67% below | 86% |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN | $5.94 | $41.93 | $4.46–$160.44 | — | 86% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $48.90 | $372.76 | $36.68–$562.80 | 64% below | 87% |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE | $48.90 | $372.76 | $36.68–$562.80 | — | 87% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE | $6.22 | $76.55 | $4.66–$160.44 | 68% below | 92% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE | $6.22 | $76.55 | $4.66–$160.44 | — | 92% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE | $6.26 | $74.17 | $3.69–$211.00 | 57% below | 92% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE | $6.26 | $74.17 | $3.69–$211.00 | — | 92% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM | $20.12 | $165.46 | $6.57–$189.00 | 68% below | 88% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, SERUM | $20.12 | $165.46 | $6.57–$189.00 | — | 88% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $17.48 | $106.50 | $13.11–$169.69 | 67% below | 84% |
| Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA | $17.48 | $106.50 | $13.11–$169.69 | — | 84% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $7.78 | $75.44 | $5.08–$160.44 | 74% below | 90% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE | $7.78 | $75.44 | $5.08–$160.44 | — | 90% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY | $15.54 | $178.14 | $11.65–$178.14 | 67% below | 91% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY | $15.54 | $178.14 | $11.65–$178.14 | — | 91% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA | $14.51 | $158.49 | $5.25–$209.48 | 67% below | 91% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA | $14.51 | $158.49 | $5.25–$209.48 | — | 91% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $47.11 | $247.87 | $26.00–$400.06 | 62% below | 81% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $47.11 | $247.87 | $26.00–$400.06 | — | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BACTERIA, OTHER | $10.34 | $177.93 | $7.76–$25,798.00 | 74% below | 94% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BACTERIA, OTHER | $10.34 | $177.93 | $7.76–$25,798.00 | — | 94% |
| Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA | $10.15 | $178.89 | $7.32–$515.00 | 83% below | 94% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC METABOLIC PANEL TOTAL CA | $10.15 | $178.89 | $7.32–$515.00 | — | 94% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL | $6.02 | $75.22 | $3.00–$160.44 | 71% below | 92% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL | $6.02 | $75.22 | $3.00–$160.44 | — | 92% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LVL IV-SURG PATH GROSS&MCRSCP XM | $312.05 | $1,642.38 | $16.42–$25,798.00 | 115% above | 81% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LVL IV-SURG PATH GROSS&MCRSCP XM | $312.05 | $1,642.38 | $16.42–$25,798.00 | — | 81% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE | $10.91 | $45.93 | $2.00–$12,574.00 | 26% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE | $10.91 | $45.93 | $2.00–$12,574.00 | — | 76% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY, GLUCOSE, BLOOD QUANT | $4.72 | $32.97 | $3.54–$160.44 | 74% below | 86% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY, GLUCOSE, BLOOD QUANT | $4.72 | $32.97 | $3.54–$160.44 | — | 86% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $14.53 | $114.49 | $10.29–$123.40 | 66% below | 87% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD | $14.53 | $114.49 | $10.29–$123.40 | — | 87% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN ASSAY | $9.02 | $234.31 | $2.02–$234.31 | 72% below | 96% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN ASSAY | $9.02 | $234.31 | $2.02–$234.31 | — | 96% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN; QUAN | $4.74 | $36.14 | $3.56–$160.44 | 78% below | 87% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN; QUAN - 91 | $13.73 | $72.27 | $3.56–$160.44 | 37% below | 81% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN; QUAN | $4.74 | $36.14 | $3.56–$160.44 | — | 87% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN; QUAN - 91 | $13.73 | $72.27 | $3.56–$160.44 | — | 81% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $24.97 | $235.64 | $18.73–$235.64 | 68% below | 89% |
| C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE | $24.97 | $235.64 | $18.73–$235.64 | — | 89% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $6.22 | $125.52 | $4.14–$169.02 | 76% below | 95% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $6.22 | $125.52 | $4.14–$169.02 | — | 95% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE | $44.72 | $154.05 | $33.54–$25,798.00 | 63% below | 71% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMPLIFIED PROBE | $44.72 | $154.05 | $33.54–$25,798.00 | — | 71% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR, CA 19-9 | $24.97 | $151.51 | $18.73–$212.05 | 67% below | 84% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR, CA 19-9 | $24.97 | $151.51 | $18.73–$212.05 | — | 84% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR, CA 125 | $24.97 | $236.46 | $18.73–$236.46 | 68% below | 89% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR, CA 125 | $24.97 | $236.46 | $18.73–$236.46 | — | 89% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $61.57 | $102.70 | $30.79–$6,487.00 | 32% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $61.57 | $102.70 | $30.79–$6,487.00 | — | 40% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOT | $6.19 | $38.61 | $4.64–$160.44 | 68% below | 84% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOT | $6.19 | $38.61 | $4.64–$160.44 | — | 84% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $22.75 | $164.83 | $17.06–$25,798.00 | 68% below | 86% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $22.75 | $164.83 | $17.06–$25,798.00 | — | 86% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY | $15.46 | $134.40 | $8.11–$169.02 | 63% below | 88% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY | $15.46 | $134.40 | $8.11–$169.02 | — | 88% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE | $42.11 | $308.04 | $21.64–$357.57 | 50% below | 86% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE | $42.11 | $308.04 | $21.64–$357.57 | — | 86% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $16.07 | $148.35 | $6.10–$203.94 | 76% below | 89% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $16.07 | $148.35 | $6.10–$203.94 | — | 89% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIFF WBC | $9.32 | $138.61 | $3.20–$25,798.00 | 76% below | 93% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO DIFF WBC | $9.32 | $138.61 | $3.20–$25,798.00 | — | 93% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC, AUTOMATED | $7.76 | $67.68 | $3.20–$25,798.00 | 73% below | 89% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC, AUTOMATED | $7.76 | $67.68 | $3.20–$25,798.00 | — | 89% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $12.67 | $325.51 | $9.50–$25,798.00 | 84% below | 96% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $12.67 | $325.51 | $9.50–$25,798.00 | — | 96% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $19.56 | $131.86 | $14.67–$202.60 | 61% below | 85% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL | $19.56 | $131.86 | $14.67–$202.60 | — | 85% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) | $7.81 | $56.48 | $5.08–$160.44 | 70% below | 86% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) | $7.81 | $56.48 | $5.08–$160.44 | — | 86% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $6.14 | $72.27 | $4.61–$25,798.00 | 74% below | 92% |
| Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE | $6.14 | $72.27 | $4.61–$25,798.00 | — | 92% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $17.27 | $122.99 | $12.95–$169.02 | 65% below | 86% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY | $17.27 | $122.99 | $12.95–$169.02 | — | 86% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADE, SEMIQUANT | $12.22 | $65.90 | $9.16–$175.48 | 67% below | 81% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADE, SEMIQUANT | $12.22 | $65.90 | $9.16–$175.48 | — | 81% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $26.68 | $206.03 | $20.01–$382.20 | 67% below | 87% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $26.68 | $206.03 | $20.01–$382.20 | — | 87% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $74.57 | $126.79 | $7.58–$633.21 | 39% below | 41% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $74.57 | $126.79 | $7.58–$633.21 | — | 41% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $8.41 | $61.50 | $6.10–$25,798.00 | 77% below | 86% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $8.41 | $61.50 | $6.10–$25,798.00 | — | 86% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTB EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $21.77 | $154.68 | $16.33–$184.85 | 51% below | 86% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTB EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $21.77 | $154.68 | $16.33–$184.85 | — | 86% |
| Estradiol blood test CPT 82670 HC ASSAY OF TOTAL ESTRADIOL | $33.53 | $246.43 | $25.15–$284.71 | 65% below | 86% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF TOTAL ESTRADIOL | $33.53 | $246.43 | $25.15–$284.71 | — | 86% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) | $22.30 | $194.62 | $16.72–$202.60 | 67% below | 89% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) | $22.30 | $194.62 | $16.72–$202.60 | — | 89% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $23.56 | $214.28 | $11.39–$388.50 | 74% below | 89% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $23.56 | $214.28 | $11.39–$388.50 | — | 89% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $16.36 | $142.64 | $12.27–$238.35 | 71% below | 89% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN | $16.36 | $142.64 | $12.27–$238.35 | — | 89% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN | $11.66 | $117.28 | $6.97–$175.48 | 69% below | 90% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN | $11.66 | $117.28 | $6.97–$175.48 | — | 90% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $17.64 | $131.23 | $12.62–$213.15 | 67% below | 87% |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM | $17.64 | $131.23 | $12.62–$213.15 | — | 87% |
| Free T3 thyroid hormone test CPT 84481 HC FREE ASSAY (FT-3) | $20.33 | $246.61 | $9.09–$323.40 | 73% below | 92% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC FREE ASSAY (FT-3) | $20.33 | $246.61 | $9.09–$323.40 | — | 92% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $10.82 | $148.90 | $8.12–$202.60 | 78% below | 93% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE | $10.82 | $148.90 | $8.12–$202.60 | — | 93% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE | $30.56 | $243.43 | $22.92–$978.60 | 67% below | 87% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE | $30.56 | $243.43 | $22.92–$978.60 | — | 87% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT | $8.64 | $93.86 | $5.08–$160.44 | 67% below | 91% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT | $8.64 | $93.86 | $5.08–$160.44 | — | 91% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $64.38 | $338.84 | $3.39–$338.84 | 48% below | 81% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $64.38 | $338.84 | $3.39–$338.84 | — | 81% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST | $5.70 | $77.34 | $4.28–$160.44 | 68% below | 93% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST | $5.70 | $77.34 | $4.28–$160.44 | — | 93% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $15.44 | $238.36 | $6.91–$238.36 | 70% below | 94% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $15.44 | $238.36 | $6.91–$238.36 | — | 94% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB | $42.11 | $308.04 | $21.64–$357.57 | 54% below | 86% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB | $42.11 | $308.04 | $21.64–$357.57 | — | 86% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI | $20.22 | $60.00 | $8.11–$171.70 | 61% below | 66% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI | $20.22 | $60.00 | $8.11–$171.70 | — | 66% |
| H. pylori stool antigen test CPT 87338 HC HPYLORI, STOOL, EIA | $17.26 | $114.11 | $8.11–$167.24 | 68% below | 85% |
| H. pylori stool antigen test inpatient CPT 87338 HC HPYLORI, STOOL, EIA | $17.26 | $114.11 | $8.11–$167.24 | — | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1, DNA, QUANT | $102.12 | $654.86 | $69.00–$867.17 | 55% below | 84% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1, DNA, QUANT | $102.12 | $654.86 | $69.00–$867.17 | — | 84% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY | $16.45 | $151.10 | $11.65–$151.10 | 67% below | 89% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY | $16.45 | $151.10 | $11.65–$151.10 | — | 89% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $28.90 | $213.06 | $18.67–$245.38 | 65% below | 86% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $28.90 | $213.06 | $18.67–$245.38 | — | 86% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH-RISK TYPES POOLED RSLT | $42.11 | $308.04 | $28.13–$357.57 | 45% below | 86% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH-RISK TYPES POOLED RSLT | $42.11 | $308.04 | $28.13–$357.57 | — | 86% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $11.65 | $99.85 | $8.74–$25,798.00 | 68% below | 88% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $11.65 | $99.85 | $8.74–$25,798.00 | — | 88% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $2.84 | $20.92 | $2.02–$170.39 | 80% below | 86% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $2.84 | $20.92 | $2.02–$170.39 | — | 86% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY, TOTAL | $14.46 | $104.00 | $10.20–$169.02 | 67% below | 86% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBODY, TOTAL | $14.46 | $104.00 | $10.20–$169.02 | — | 86% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE ANTIBODY | $12.89 | $107.77 | $9.67–$169.02 | 67% below | 88% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE ANTIBODY | $12.89 | $107.77 | $9.67–$169.02 | — | 88% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, EIA | $12.40 | $115.83 | $9.30–$167.24 | 67% below | 89% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, EIA | $12.40 | $115.83 | $9.30–$167.24 | — | 89% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST | $17.12 | $162.93 | $10.10–$169.02 | 68% below | 89% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST | $17.12 | $162.93 | $10.10–$169.02 | — | 89% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C, RNA, QUANT | $51.41 | $461.51 | $38.56–$461.51 | 60% below | 89% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C, RNA, QUANT | $51.41 | $461.51 | $38.56–$461.51 | — | 89% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTB HERPES SMPLX TYP 1 | $15.83 | $126.15 | $11.87–$169.02 | 55% below | 87% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTB HERPES SMPLX TYP 1 | $15.83 | $126.15 | $11.87–$169.02 | — | 87% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 | $23.22 | $169.42 | $14.64–$197.18 | 58% below | 86% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 | $23.22 | $169.42 | $14.64–$197.18 | — | 86% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HS | $15.54 | $137.57 | $10.35–$169.02 | 67% below | 89% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HS | $15.54 | $137.57 | $10.35–$169.02 | — | 89% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE | $21.50 | $226.32 | $11.00–$308.00 | 68% below | 91% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE | $21.50 | $226.32 | $11.00–$308.00 | — | 91% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN | $13.72 | $126.15 | $10.29–$202.60 | 67% below | 89% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN | $13.72 | $126.15 | $10.29–$202.60 | — | 89% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $7.76 | $60.86 | $5.08–$160.44 | 70% below | 87% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON | $7.76 | $60.86 | $5.08–$160.44 | — | 87% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $10.49 | $105.56 | $5.08–$189.00 | 72% below | 90% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST | $10.49 | $105.56 | $5.08–$189.00 | — | 90% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) | $22.22 | $186.38 | $16.67–$202.60 | 67% below | 88% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) | $22.22 | $186.38 | $16.67–$202.60 | — | 88% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $13.88 | $121.72 | $9.39–$169.69 | 65% below | 89% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID | $13.88 | $121.72 | $9.39–$169.69 | — | 89% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME | $7.25 | $132.23 | $5.08–$160.44 | 67% below | 95% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME | $7.25 | $132.23 | $5.08–$160.44 | — | 95% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $8.27 | $128.06 | $5.81–$160.44 | 71% below | 94% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE | $8.27 | $128.06 | $5.81–$160.44 | — | 94% |
| Lyme disease antibody test CPT 86618 HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $228.22 | $15.33–$285.50 | 55% below | 91% |
| Lyme disease antibody test inpatient CPT 86618 HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $228.22 | $15.33–$285.50 | — | 91% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $8.04 | $62.00 | $5.08–$160.44 | 67% below | 87% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM | $8.04 | $62.00 | $5.08–$160.44 | — | 87% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $15.46 | $126.15 | $11.59–$189.00 | 65% below | 88% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY | $15.46 | $126.15 | $11.59–$189.00 | — | 88% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HTROPHL ANTIBODIES SCR | $6.22 | $97.85 | $4.66–$169.02 | 81% below | 94% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HTROPHL ANTIBODIES SCR | $6.22 | $97.85 | $4.66–$169.02 | — | 94% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY | $15.66 | $138.46 | $8.11–$192.15 | 63% below | 89% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY | $15.66 | $138.46 | $8.11–$192.15 | — | 89% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PSA, FREE | $22.07 | $161.72 | $16.55–$187.39 | 63% below | 86% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PSA, FREE | $22.07 | $161.72 | $16.55–$187.39 | — | 86% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PSA, TOTAL | $22.07 | $190.82 | $16.55–$207.38 | 66% below | 88% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PSA, TOTAL | $22.07 | $190.82 | $16.55–$207.38 | — | 88% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO | $31.93 | $233.59 | $23.95–$271.16 | 50% below | 86% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO | $31.93 | $233.59 | $23.95–$271.16 | — | 86% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH, C/V, THIN LAYER | $24.31 | $141.37 | $18.23–$210.98 | 65% below | 83% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH, C/V, THIN LAYER | $24.31 | $141.37 | $18.23–$210.98 | — | 83% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $49.54 | $310.00 | $37.15–$420.64 | 62% below | 84% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE | $49.54 | $310.00 | $37.15–$420.64 | — | 84% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TM PRTL PLSM/WHL BLD | $7.21 | $62.23 | $5.41–$175.48 | 68% below | 88% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TM PRTL PLSM/WHL BLD | $7.21 | $62.23 | $5.41–$175.48 | — | 88% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS | $5.69 | $42.48 | $4.27–$160.44 | 72% below | 87% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF PHOSPHORUS | $5.69 | $42.48 | $4.27–$160.44 | — | 87% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $5.71 | $32.33 | $4.28–$25,798.00 | 75% below | 82% |
| Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM | $5.71 | $32.33 | $4.28–$25,798.00 | — | 82% |
| Progesterone blood test CPT 84144 HC PROGST | $25.03 | $178.78 | $18.77–$212.56 | 71% below | 86% |
| Progesterone blood test inpatient CPT 84144 HC PROGST | $25.03 | $178.78 | $18.77–$212.56 | — | 86% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $23.26 | $215.54 | $17.44–$238.35 | 67% below | 89% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN | $23.26 | $215.54 | $17.44–$238.35 | — | 89% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $5.15 | $172.43 | $3.86–$172.43 | 68% below | 97% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $5.15 | $172.43 | $3.86–$172.43 | — | 97% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $15.12 | $94.46 | $5.05–$181.13 | 57% below | 84% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $15.12 | $94.46 | $5.05–$181.13 | — | 84% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ASSAY W/OPTIC | $19.86 | $27.26 | $13.63–$168.64 | 51% below | 27% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ASSAY W/OPTIC | $19.86 | $27.26 | $13.63–$168.64 | — | 27% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $19.84 | $118.08 | $3.79–$168.44 | 50% below | 83% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC | $19.84 | $118.08 | $3.79–$168.44 | — | 83% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $26.39 | $176.24 | $19.79–$238.35 | 67% below | 85% |
| Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN | $26.39 | $176.24 | $19.79–$238.35 | — | 85% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT | $6.80 | $71.00 | $5.10–$169.02 | 68% below | 90% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT | $6.80 | $71.00 | $5.10–$169.02 | — | 90% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $17.27 | $100.80 | $12.95–$169.02 | 60% below | 83% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY | $17.27 | $100.80 | $12.95–$169.02 | — | 83% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANAL VOL/COUNT/MOT | $14.77 | $139.47 | $11.08–$229.77 | 61% below | 89% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANAL VOL/COUNT/MOT | $14.77 | $139.47 | $11.08–$229.77 | — | 89% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $5.77 | $34.24 | $4.33–$160.44 | 69% below | 83% |
| Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM | $5.77 | $34.24 | $4.33–$160.44 | — | 83% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $10.68 | $113.82 | $8.01–$167.24 | 67% below | 91% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS | $10.68 | $113.82 | $8.01–$167.24 | — | 91% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD, FECES | $5.26 | $69.10 | $3.43–$160.44 | 60% below | 92% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD, FECES | $5.26 | $69.10 | $3.43–$160.44 | — | 92% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLD FHG QUAL 1-3 | $19.10 | $83.61 | $3.43–$169.69 | 58% below | 77% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLD FHG QUAL 1-3 | $19.10 | $83.61 | $3.43–$169.69 | — | 77% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM, CONFIRM | $15.89 | $115.51 | $11.92–$169.02 | 62% below | 86% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM, CONFIRM | $15.89 | $115.51 | $11.92–$169.02 | — | 86% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC BLOOD SEROLOGY, QUALITATIVE | $5.12 | $58.96 | $3.30–$169.02 | 68% below | 91% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC BLOOD SEROLOGY, QUALITATIVE | $5.12 | $58.96 | $3.30–$169.02 | — | 91% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TUBERCULOSIS TST CELL MEDIATED IMMUNITY | $74.38 | $546.76 | $50.50–$631.58 | 50% below | 86% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TUBERCULOSIS TST CELL MEDIATED IMMUNITY | $74.38 | $546.76 | $50.50–$631.58 | — | 86% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $30.97 | $271.96 | $23.23–$306.60 | 64% below | 89% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $30.97 | $271.96 | $23.23–$306.60 | — | 89% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $17.46 | $219.98 | $13.10–$219.98 | 67% below | 92% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY | $17.46 | $219.98 | $13.10–$219.98 | — | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $20.16 | $161.03 | $9.09–$226.28 | 72% below | 87% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE | $20.16 | $161.03 | $9.09–$226.28 | — | 87% |
| Total IgE blood test CPT 82785 HC GG IGE | $19.75 | $165.46 | $12.62–$169.69 | 67% below | 88% |
| Total IgE blood test inpatient CPT 82785 HC GG IGE | $19.75 | $165.46 | $12.62–$169.69 | — | 88% |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL | $5.22 | $41.21 | $3.91–$160.44 | 74% below | 87% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL | $5.22 | $41.21 | $3.91–$160.44 | — | 87% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE | $8.24 | $98.26 | $5.76–$202.60 | 71% below | 92% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE | $8.24 | $98.26 | $5.76–$202.60 | — | 92% |
| Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY, TRIIODOTHYRONINE (T3) | $17.02 | $134.40 | $5.76–$202.60 | 70% below | 87% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY, TRIIODOTHYRONINE (T3) | $17.02 | $134.40 | $5.76–$202.60 | — | 87% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $15.31 | $171.17 | $11.48–$171.17 | 67% below | 91% |
| Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN | $15.31 | $171.17 | $11.48–$171.17 | — | 91% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $42.11 | $308.04 | $21.64–$357.57 | 40% below | 86% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $42.11 | $308.04 | $21.64–$357.57 | — | 86% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $6.89 | $49.45 | $5.08–$160.44 | 73% below | 86% |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES | $6.89 | $49.45 | $5.08–$160.44 | — | 86% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT | $14.96 | $131.12 | $8.13–$169.69 | 63% below | 89% |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN, QUANT | $14.96 | $131.12 | $8.13–$169.69 | — | 89% |
| Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID | $5.42 | $55.79 | $4.07–$160.44 | 77% below | 90% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID | $5.42 | $55.79 | $4.07–$160.44 | — | 90% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NONAUTO W/SCOPE | $4.82 | $17.76 | $3.62–$169.21 | 59% below | 73% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NONAUTO W/SCOPE | $4.82 | $17.76 | $3.62–$169.21 | — | 73% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $2.70 | $104.51 | $2.02–$25,798.00 | 79% below | 97% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $2.70 | $104.51 | $2.02–$25,798.00 | — | 97% |
| Urinalysis without microscope exam, manual CPT 81002 HC N-AUTOM URINALYS WO MICRO | $4.18 | $21.30 | $2.02–$169.21 | 60% below | 80% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC N-AUTOM URINALYS WO MICRO | $4.18 | $21.30 | $2.02–$169.21 | — | 80% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT | $9.68 | $130.56 | $7.26–$167.24 | 75% below | 93% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT | $9.68 | $130.56 | $7.26–$167.24 | — | 93% |
| Urine microalbumin (albumin) test CPT 82043 HC URINE ALBUMIN, QUANTITATIVE | $6.94 | $81.15 | $5.08–$169.21 | 76% below | 91% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE ALBUMIN, QUANTITATIVE | $6.94 | $81.15 | $5.08–$169.21 | — | 91% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS | $10.33 | $45.93 | $2.02–$87.74 | 61% below | 78% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS | $10.33 | $45.93 | $2.02–$87.74 | — | 78% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $18.10 | $133.48 | $12.62–$213.15 | 67% below | 86% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $18.10 | $133.48 | $12.62–$213.15 | — | 86% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D | $35.52 | $261.83 | $26.64–$301.62 | 60% below | 86% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VITAMIN D | $35.52 | $261.83 | $26.64–$301.62 | — | 86% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY OF DIHYDROXYVITAMIN D | $46.20 | $355.64 | $34.65–$392.32 | 53% below | 87% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY OF DIHYDROXYVITAMIN D | $46.20 | $355.64 | $34.65–$392.32 | — | 87% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $13.67 | $99.85 | $7.98–$188.23 | 60% below | 86% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC | $13.67 | $99.85 | $7.98–$188.23 | — | 86% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN TEST | $18.06 | $176.24 | $12.49–$202.60 | 68% below | 90% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN TEST | $18.06 | $176.24 | $12.49–$202.60 | — | 90% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE | $1,205.81 | $6,346.39 | $74.27–$25,798.00 | 201% above | 81% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE | $1,205.81 | $6,346.39 | $74.27–$25,798.00 | — | 81% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $2,900.13 | $15,263.85 | $623.12–$30,527.70 | at median | 81% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $2,900.13 | $15,263.85 | $623.12–$30,527.70 | — | 81% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DSTL FIB FX WO MANIP | $477.46 | $2,512.93 | $132.04–$25,798.00 | 9% below | 81% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DSTL FIB FX WO MANIP | $477.46 | $2,512.93 | $132.04–$25,798.00 | — | 81% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $379.73 | $1,998.56 | $132.04–$25,798.00 | 17% below | 81% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $379.73 | $1,998.56 | $132.04–$25,798.00 | — | 81% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC CATH/EP L HRT ART/VENTRCLE ANGIO | $4,960.60 | $26,108.42 | $741.29–$43,390.00 | 26% below | 81% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CATH/EP L HRT ART/VENTRCLE ANGIO | $4,960.60 | $26,108.42 | $741.29–$43,390.00 | — | 81% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CATH/EP CARDIOVERSION ELECTRIC, EXT | $1,388.62 | $7,308.51 | $107.59–$25,798.00 | 73% above | 81% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CATH/EP CARDIOVERSION ELECTRIC, EXT | $1,388.62 | $7,308.51 | $107.59–$25,798.00 | — | 81% |
| Catheter ablation for atrial fibrillation CPT 93656 HC EP EVAL ABLTJ ATR FIB COMPRE | $18,259.96 | $96,105.04 | $980.42–$192,210.08 | 37% below | 81% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EVAL ABLTJ ATR FIB COMPRE | $18,259.96 | $96,105.04 | $980.42–$192,210.08 | — | 81% |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX | $1,274.82 | $6,709.59 | $100.54–$25,798.00 | 13% below | 81% |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX | $1,274.82 | $6,709.59 | $100.54–$25,798.00 | — | 81% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK | $514.18 | $2,706.23 | $894.73–$25,798.00 | 79% below | 81% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK | $514.18 | $2,706.23 | $894.73–$25,798.00 | — | 81% |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEONATE <=28 DAYS | $1,284.04 | $6,758.13 | $303.36–$25,798.00 | at median | 81% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION NEONATE <=28 DAYS | $1,284.04 | $6,758.13 | $303.36–$25,798.00 | — | 81% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP | $584.90 | $3,078.40 | $132.04–$25,798.00 | 5% above | 81% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP | $584.90 | $3,078.40 | $132.04–$25,798.00 | — | 81% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $498.80 | $2,625.26 | $574.79–$13,453.00 | 64% below | 81% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $498.80 | $2,625.26 | $574.79–$13,453.00 | — | 81% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY | $419.16 | $2,206.10 | $574.79–$13,453.00 | 70% below | 81% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY AND BIOPSY | $419.16 | $2,206.10 | $574.79–$13,453.00 | — | 81% |
| Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $351.71 | $1,851.10 | $436.98–$13,453.00 | 78% below | 81% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $351.71 | $1,851.10 | $436.98–$13,453.00 | — | 81% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY W/LEEP OF CERVIX | $1,456.70 | $7,666.84 | $183.87–$15,333.68 | 61% below | 81% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY W/LEEP OF CERVIX | $1,456.70 | $7,666.84 | $183.87–$15,333.68 | — | 81% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE | $678.64 | $3,571.79 | $75.92–$13,453.00 | 2% above | 81% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE | $678.64 | $3,571.79 | $75.92–$13,453.00 | — | 81% |
| Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $4,243.92 | $22,336.40 | $608.86–$64,677.00 | 70% below | 81% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $4,243.92 | $22,336.40 | $608.86–$64,677.00 | — | 81% |
| Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOSCOPY AND TREATMENT | $930.82 | $4,899.07 | $1,558.76–$13,586.00 | 77% below | 81% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOSCOPY AND TREATMENT | $930.82 | $4,899.07 | $1,558.76–$13,586.00 | — | 81% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $447.10 | $2,353.18 | $303.36–$13,453.00 | 69% below | 81% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $447.10 | $2,353.18 | $303.36–$13,453.00 | — | 81% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C DIAGNOSTIC OR THERAP NOT OB | $1,595.85 | $8,399.20 | $1,317.81–$25,798.00 | 58% below | 81% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C DIAGNOSTIC OR THERAP NOT OB | $1,595.85 | $8,399.20 | $1,317.81–$25,798.00 | — | 81% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT PREMALG LESION | $1,205.81 | $6,346.39 | $49.12–$25,798.00 | 362% above | 81% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT PREMALG LESION | $1,205.81 | $6,346.39 | $49.12–$25,798.00 | — | 81% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC TYMPANOSTOMY GEN ANESTHESIA | $1,378.22 | $7,253.78 | $631.23–$48,669.00 | 21% below | 81% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC TYMPANOSTOMY GEN ANESTHESIA | $1,378.22 | $7,253.78 | $631.23–$48,669.00 | — | 81% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $27.82 | $146.44 | $16.62–$25,798.00 | 77% below | 81% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $27.82 | $146.44 | $16.62–$25,798.00 | — | 81% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE IMPACTED EAR WAX RT | $140.68 | $740.44 | $29.77–$25,798.00 | 8% above | 81% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE IMPACTED EAR WAX RT | $140.68 | $740.44 | $29.77–$25,798.00 | — | 81% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $799.31 | $4,206.91 | $52.53–$25,798.00 | 73% above | 81% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING | $799.31 | $4,206.91 | $52.53–$25,798.00 | — | 81% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC | $1,692.67 | $8,908.80 | $351.29–$43,411.00 | 58% above | 81% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX INTERLAMINAR CRV/THRC | $1,692.67 | $8,908.80 | $351.29–$43,411.00 | — | 81% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJECTION OF DRUG | $202.14 | $1,063.88 | $54.99–$25,798.00 | 72% below | 81% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJECTION OF DRUG | $202.14 | $1,063.88 | $54.99–$25,798.00 | — | 81% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERTEBRAL L/S | $5,292.02 | $27,852.73 | $448.69–$55,705.46 | 164% above | 81% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERTEBRAL L/S | $5,292.02 | $27,852.73 | $448.69–$55,705.46 | — | 81% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY | $580.30 | $3,054.21 | $160.87–$13,453.00 | 57% below | 81% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY | $580.30 | $3,054.21 | $160.87–$13,453.00 | — | 81% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY | $1,970.92 | $10,373.24 | $2,425.14–$52,237.72 | 67% below | 81% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY | $1,970.92 | $10,373.24 | $2,425.14–$52,237.72 | — | 81% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION OF HEMORRHOID(S) | $377.00 | $1,984.23 | $207.24–$25,798.00 | 65% below | 81% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION OF HEMORRHOID(S) | $377.00 | $1,984.23 | $207.24–$25,798.00 | — | 81% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROGR/SIS CONTR/SALINE INJ | $94.19 | $495.74 | $60.78–$25,798.00 | 69% below | 81% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROGR/SIS CONTR/SALINE INJ | $94.19 | $495.74 | $60.78–$25,798.00 | — | 81% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD PROCEDURE | $408.91 | $2,152.15 | $210.08–$25,798.00 | 48% above | 81% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD PROCEDURE | $408.91 | $2,152.15 | $210.08–$25,798.00 | — | 81% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $1,205.81 | $6,346.39 | $82.89–$25,798.00 | 203% above | 81% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $1,205.81 | $6,346.39 | $82.89–$25,798.00 | — | 81% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $592.60 | $3,118.97 | $27.49–$25,798.00 | 22% above | 81% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $592.60 | $3,118.97 | $27.49–$25,798.00 | — | 81% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJ JOINT/BURSA W/O US | $1,277.26 | $6,722.42 | $32.83–$25,798.00 | 176% above | 81% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJ JOINT/BURSA W/O US | $1,277.26 | $6,722.42 | $32.83–$25,798.00 | — | 81% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DLVR IMPLANT | $114.11 | $600.56 | $62.66–$25,798.00 | 58% below | 81% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DLVR IMPLANT | $114.11 | $600.56 | $62.66–$25,798.00 | — | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ JOINT/BURSA W/O US | $1,029.09 | $5,416.25 | $27.90–$25,798.00 | 156% above | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJ JOINT/BURSA W/O US | $1,029.09 | $5,416.25 | $27.90–$25,798.00 | — | 81% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ JOINT/BURSA W/O US | $981.37 | $5,165.11 | $26.26–$25,798.00 | 134% above | 81% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ JOINT/BURSA W/O US | $981.37 | $5,165.11 | $26.26–$25,798.00 | — | 81% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY; APPENDECTOMY | $3,028.72 | $15,940.62 | $649.62–$48,347.74 | 56% below | 81% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY; APPENDECTOMY | $3,028.72 | $15,940.62 | $649.62–$48,347.74 | — | 81% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC TLH W/T/O 250 G OR LESS | $5,848.12 | $30,779.58 | $2,709.86–$61,559.16 | 30% below | 81% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 HC TLH W/T/O 250 G OR LESS | $5,848.12 | $30,779.58 | $2,709.86–$61,559.16 | — | 81% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAPAROSCOPY REMOVE ADNEXA | $2,884.49 | $15,181.54 | $2,295.18–$30,363.08 | 54% below | 81% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAPAROSCOPY REMOVE ADNEXA | $2,884.49 | $15,181.54 | $2,295.18–$30,363.08 | — | 81% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC AFTER CATARACT LASER SURGERY 1+ STGS | $652.11 | $3,432.14 | $291.08–$25,798.00 | 39% below | 81% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC AFTER CATARACT LASER SURGERY 1+ STGS | $652.11 | $3,432.14 | $291.08–$25,798.00 | — | 81% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $535.03 | $2,815.95 | $184.26–$25,798.00 | 9% below | 81% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $535.03 | $2,815.95 | $184.26–$25,798.00 | — | 81% |
| Left heart catheterization, diagnostic CPT 93452 HC CATH/EP L HRT CATH W/VENTGRPHY | $5,456.71 | $28,719.52 | $656.54–$43,390.00 | 19% below | 81% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC CATH/EP L HRT CATH W/VENTGRPHY | $5,456.71 | $28,719.52 | $656.54–$43,390.00 | — | 81% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMG GDN | $1,697.55 | $8,934.47 | $351.29–$43,411.00 | 14% above | 81% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMG GDN | $1,697.55 | $8,934.47 | $351.29–$43,411.00 | — | 81% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR/SAC W/O IMG GDN | $1,455.10 | $7,658.41 | $351.29–$43,411.00 | at median | 81% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX INTERLAMINAR LMBR/SAC W/O IMG GDN | $1,455.10 | $7,658.41 | $351.29–$43,411.00 | — | 81% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX AA&/STRD TFRM EPI L/S 1 | $1,205.81 | $6,346.39 | $448.69–$25,798.00 | 17% below | 81% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC NJX AA&/STRD TFRM EPI L/S 1 | $1,205.81 | $6,346.39 | $448.69–$25,798.00 | — | 81% |
| Lumpectomy (partial mastectomy) CPT 19301 HC PARTICAL MASTECTOMY | $1,051.51 | $5,534.28 | $1,204.21–$27,119.00 | 75% below | 81% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PARTICAL MASTECTOMY | $1,051.51 | $5,534.28 | $1,204.21–$27,119.00 | — | 81% |
| Mastectomy (total removal of the breast) CPT 19303 HC MAST SIMPLE COMPLETE | $1,627.49 | $8,565.76 | $2,384.72–$27,119.00 | 76% below | 81% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 HC MAST SIMPLE COMPLETE | $1,627.49 | $8,565.76 | $2,384.72–$27,119.00 | — | 81% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC CARE OF MISCARRIAGE | $794.96 | $4,183.99 | $1,075.58–$25,798.00 | 80% below | 81% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC CARE OF MISCARRIAGE | $794.96 | $4,183.99 | $1,075.58–$25,798.00 | — | 81% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5 < CM | $288.83 | $1,520.18 | $102.59–$25,798.00 | 73% below | 81% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5 < CM | $288.83 | $1,520.18 | $102.59–$25,798.00 | — | 81% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5 < CM | $542.26 | $2,853.98 | $112.04–$25,798.00 | 46% below | 81% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5 < CM | $542.26 | $2,853.98 | $112.04–$25,798.00 | — | 81% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $294.86 | $1,551.88 | $66.87–$25,798.00 | 9% below | 81% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $294.86 | $1,551.88 | $66.87–$25,798.00 | — | 81% |
| Occipital nerve block (injection for headaches) CPT 64405 HC NJX AA&/STRD GR OCPL NRV | $218.01 | $1,147.43 | $50.47–$25,798.00 | 48% below | 81% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NJX AA&/STRD GR OCPL NRV | $218.01 | $1,147.43 | $50.47–$25,798.00 | — | 81% |
| Pacemaker implant (dual chamber) CPT 33208 HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTR | $7,965.03 | $41,921.23 | $4,362.00–$102,512.00 | 36% below | 81% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTR | $7,965.03 | $41,921.23 | $4,362.00–$102,512.00 | — | 81% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING | $1,413.10 | $7,437.36 | $446.75–$25,798.00 | at median | 81% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING | $1,413.10 | $7,437.36 | $446.75–$25,798.00 | — | 81% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $280.16 | $1,474.54 | $111.22–$25,798.00 | 61% below | 81% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $280.16 | $1,474.54 | $111.22–$25,798.00 | — | 81% |
| Prostate biopsy CPT 55700 HC PROSTATE NEEDLE PUNCH BX | $428.39 | $2,254.67 | $894.73–$44,034.00 | 82% below | 81% |
| Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE PUNCH BX | $428.39 | $2,254.67 | $894.73–$44,034.00 | — | 81% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT | $1,205.81 | $6,346.39 | $818.28–$64,992.14 | 64% below | 81% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMB/SAC FACET JNT | $1,205.81 | $6,346.39 | $818.28–$64,992.14 | — | 81% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESIONS | $1,472.60 | $7,750.52 | $1,204.21–$27,119.00 | 66% below | 81% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESIONS | $1,472.60 | $7,750.52 | $1,204.21–$27,119.00 | — | 81% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $900.71 | $4,740.58 | $121.48–$25,798.00 | 40% above | 81% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $900.71 | $4,740.58 | $121.48–$25,798.00 | — | 81% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC SCRN COLONOSCOPY PT NOT HI RISK | $1,543.69 | $8,124.66 | $188.08–$16,249.32 | 3% above | 81% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC SCRN COLONOSCOPY PT NOT HI RISK | $1,543.69 | $8,124.66 | $188.08–$16,249.32 | — | 81% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC SCRN COLONOSCOPY ON HI RISK PT | $351.71 | $1,851.10 | $187.52–$13,453.00 | 67% below | 81% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC SCRN COLONOSCOPY ON HI RISK PT | $351.71 | $1,851.10 | $187.52–$13,453.00 | — | 81% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE | $2,516.51 | $13,244.79 | $1,558.76–$26,489.58 | 48% below | 81% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE | $2,516.51 | $13,244.79 | $1,558.76–$26,489.58 | — | 81% |
| Short arm cast (elbow to hand) CPT 29075 HC OT APPLICATION OF FOREARM CAST GO | $71.33 | $375.42 | $64.02–$4,923.38 | 83% below | 81% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLY SHORT ARM CAST | $71.33 | $375.42 | $64.02–$4,923.38 | 83% below | 81% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC OT APPLICATION OF FOREARM CAST GO | $71.33 | $375.42 | $64.02–$4,923.38 | — | 81% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY SHORT ARM CAST | $71.33 | $375.42 | $64.02–$4,923.38 | — | 81% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT; STATIC | $67.93 | $357.55 | $44.00–$13,453.00 | 67% below | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT; STATIC | $67.93 | $357.55 | $44.00–$13,453.00 | — | 81% |
| Short leg cast (below the knee) CPT 29405 HC APPLY SH LEG CAST | $119.49 | $628.87 | $56.63–$4,923.38 | 72% below | 81% |
| Short leg cast (below the knee) CPT 29405 HC PT APPLICATION SHORT LEG CAST BELOW KNEE-TOE GP | $119.49 | $628.87 | $56.63–$4,923.38 | 72% below | 81% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SH LEG CAST | $119.49 | $628.87 | $56.63–$4,923.38 | — | 81% |
| Short leg cast (below the knee) inpatient CPT 29405 HC PT APPLICATION SHORT LEG CAST BELOW KNEE-TOE GP | $119.49 | $628.87 | $56.63–$4,923.38 | — | 81% |
| Short leg splint (calf to foot) CPT 29515 HC OT APPLICATION LOWER LEG SPLINT GO | $74.73 | $393.30 | $49.65–$13,453.00 | 69% below | 81% |
| Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT | $74.73 | $393.30 | $49.65–$13,453.00 | 69% below | 81% |
| Short leg splint (calf to foot) CPT 29515 HC PT APPLICATION LOWER LEG SPLINT GP | $74.73 | $393.30 | $49.65–$13,453.00 | 69% below | 81% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC PT APPLICATION LOWER LEG SPLINT GP | $74.73 | $393.30 | $49.65–$13,453.00 | — | 81% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC OT APPLICATION LOWER LEG SPLINT GO | $74.73 | $393.30 | $49.65–$13,453.00 | — | 81% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SHORT LEG SPLINT | $74.73 | $393.30 | $49.65–$13,453.00 | — | 81% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $1,205.81 | $6,346.39 | $53.40–$25,798.00 | 219% above | 81% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $1,205.81 | $6,346.39 | $53.40–$25,798.00 | — | 81% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $1,205.81 | $6,346.39 | $103.52–$25,798.00 | 76% above | 81% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $1,205.81 | $6,346.39 | $103.52–$25,798.00 | — | 81% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC TR-EXT MLG+MARG 0.5 < CM | $859.28 | $4,522.51 | $150.20–$25,798.00 | at median | 81% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC TR-EXT MLG+MARG 0.5 < CM | $859.28 | $4,522.51 | $150.20–$25,798.00 | — | 81% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $120.45 | $633.94 | $53.40–$25,798.00 | 65% below | 81% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $120.45 | $633.94 | $53.40–$25,798.00 | — | 81% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPI PNXR LMBR DX | $1,194.47 | $6,286.68 | $351.29–$43,411.00 | 6% above | 81% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPI PNXR LMBR DX | $1,194.47 | $6,286.68 | $351.29–$43,411.00 | — | 81% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $397.00 | $2,089.46 | $53.40–$25,798.00 | 1% above | 81% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $397.00 | $2,089.46 | $53.40–$25,798.00 | — | 81% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $2,572.22 | $13,538.00 | $53.40–$27,076.00 | 580% above | 81% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $2,572.22 | $13,538.00 | $53.40–$27,076.00 | — | 81% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $1,205.81 | $6,346.39 | $84.12–$25,798.00 | 160% above | 81% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $1,205.81 | $6,346.39 | $84.12–$25,798.00 | — | 81% |
| Thoracentesis with imaging guidance CPT 32555 HC ASPIRATE PLEURA W/ IMAGING | $1,205.81 | $6,346.39 | $363.72–$25,798.00 | 4% below | 81% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ASPIRATE PLEURA W/ IMAGING | $1,205.81 | $6,346.39 | $363.72–$25,798.00 | — | 81% |
| Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION | $982.66 | $5,171.89 | $802.93–$25,798.00 | 56% below | 81% |
| Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION | $982.66 | $5,171.89 | $802.93–$25,798.00 | — | 81% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT, 1/2 MUSCL | $698.37 | $3,675.64 | $34.47–$25,798.00 | 67% above | 81% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT, 1/2 MUSCL | $698.37 | $3,675.64 | $34.47–$25,798.00 | — | 81% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $2,900.13 | $15,263.85 | $623.12–$30,527.70 | at median | 81% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $2,900.13 | $15,263.85 | $623.12–$30,527.70 | — | 81% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC UGI BALLOON DIL ESOPH - < 30 MM DIA | $309.47 | $1,628.77 | $651.51–$13,453.00 | 86% below | 81% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC UGI BALLOON DIL ESOPH - < 30 MM DIA | $309.47 | $1,628.77 | $651.51–$13,453.00 | — | 81% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI W BX. SGL/MULTIPLE | $278.23 | $1,464.39 | $446.75–$13,453.00 | 82% below | 81% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI W BX. SGL/MULTIPLE | $278.23 | $1,464.39 | $446.75–$13,453.00 | — | 81% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC UGI W SUBMUCOS INJ | $283.78 | $1,493.56 | $446.75–$13,453.00 | 74% below | 81% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC UGI W SUBMUCOS INJ | $283.78 | $1,493.56 | $446.75–$13,453.00 | — | 81% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC UGI WITH REM T/P/LES BY SNARE | $353.15 | $1,858.71 | $731.94–$42,546.00 | 84% below | 81% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC UGI WITH REM T/P/LES BY SNARE | $353.15 | $1,858.71 | $731.94–$42,546.00 | — | 81% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC UGI W GUIDE WIRE AND DILATION | $304.25 | $1,601.32 | $446.75–$13,453.00 | 73% below | 81% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC UGI W GUIDE WIRE AND DILATION | $304.25 | $1,601.32 | $446.75–$13,453.00 | — | 81% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI DIAGNOSTIC | $635.38 | $3,344.09 | $446.75–$13,453.00 | 43% below | 81% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI DIAGNOSTIC | $635.38 | $3,344.09 | $446.75–$13,453.00 | — | 81% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTOURETERO W/LITHOTRIPSY | $1,153.66 | $6,071.92 | $1,940.96–$16,383.10 | 81% below | 81% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTOURETERO W/LITHOTRIPSY | $1,153.66 | $6,071.92 | $1,940.96–$16,383.10 | — | 81% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE | $1,748.67 | $9,203.50 | $1,487.38–$25,798.00 | 53% below | 81% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE | $1,748.67 | $9,203.50 | $1,487.38–$25,798.00 | — | 81% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT B9 LESION, 1-14 | $637.92 | $3,357.47 | $53.40–$25,798.00 | 97% above | 81% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT B9 LESION, 1-14 | $637.92 | $3,357.47 | $53.40–$25,798.00 | — | 81% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/TISSUE 1ST 20SQCM/< | $1,492.83 | $7,857.02 | $184.26–$25,798.00 | 79% above | 81% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN/TISSUE 1ST 20SQCM/< | $1,492.83 | $7,857.02 | $184.26–$25,798.00 | — | 81% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLD/BLD COMPNT | $666.80 | $3,509.46 | $39.80–$25,798.00 | 11% below | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLD/BLD COMPNT | $666.80 | $3,509.46 | $39.80–$25,798.00 | — | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT ONLY AIRWAY INHALATION TREATMENT | $75.71 | $398.48 | $8.60–$476.53 | 60% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT ONLY AIRWAY INHALATION TREATMENT | $75.71 | $398.48 | $8.60–$476.53 | — | 81% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION, 1ST HOUR | $654.14 | $3,442.82 | $74.88–$25,798.00 | 7% above | 81% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION, 1ST HOUR | $654.14 | $3,442.82 | $74.88–$25,798.00 | — | 81% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC EYE EXAM NEW PATIENT 1+ VISITS | $63.09 | $332.06 | $90.09–$1,290.13 | 65% below | 81% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC EYE EXAM NEW PATIENT 1+ VISITS | $63.09 | $332.06 | $90.09–$1,290.13 | — | 81% |
| Comprehensive eye exam, returning patient CPT 92014 HC EYE EXAM EST PATIENT & EVAL 1+ VISITS | $50.47 | $265.65 | $73.15–$25,798.00 | 74% below | 81% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HC EYE EXAM EST PATIENT & EVAL 1+ VISITS | $50.47 | $265.65 | $73.15–$25,798.00 | — | 81% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE HEARING TEST | $58.05 | $305.50 | $31.24–$366.58 | 70% below | 81% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE HEARING TEST | $58.05 | $305.50 | $31.24–$366.58 | — | 81% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 1ST HOUR | $2,035.47 | $10,713.00 | $165.00–$16,499.00 | 25% above | 81% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 1ST HOUR | $2,035.47 | $10,713.00 | $165.00–$16,499.00 | — | 81% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY | $688.57 | $3,624.05 | $154.00–$3,968.70 | 3% above | 81% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY | $688.57 | $3,624.05 | $154.00–$3,968.70 | — | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING 76 | $98.00 | $515.81 | $6.84–$25,798.00 | 29% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $98.00 | $515.81 | $6.84–$25,798.00 | 29% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $98.00 | $515.81 | $6.84–$25,798.00 | — | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING 76 | $98.00 | $515.81 | $6.84–$25,798.00 | — | 81% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY | $391.05 | $2,058.15 | $101.24–$13,453.00 | 48% below | 81% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY | $391.05 | $2,058.15 | $101.24–$13,453.00 | — | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERG DEPT F/U VISIT LVL 1 | $249.31 | $1,312.15 | $4.31–$3,624.00 | at median | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT VISIT LVL 1 | $644.26 | $3,390.83 | $4.31–$3,624.00 | 158% above | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERG DEPT F/U VISIT LVL 1 | $249.31 | $1,312.15 | $4.31–$3,624.00 | — | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPT VISIT LVL 1 | $644.26 | $3,390.83 | $4.31–$3,624.00 | — | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERG DEPT F/U VISIT LVL 2 | $286.67 | $1,508.80 | $165.00–$3,896.94 | 22% below | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT LVL 2 | $740.42 | $3,896.94 | $165.00–$3,896.94 | 102% above | 81% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERG DEPT F/U VISIT LVL 2 | $286.67 | $1,508.80 | $165.00–$3,896.94 | — | 81% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPT VISIT LVL 2 | $740.42 | $3,896.94 | $165.00–$3,896.94 | — | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERG DEPT F/U VISIT LVL 3 | $454.21 | $2,390.59 | $165.00–$13,453.00 | 14% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT LVL 3 | $1,058.57 | $5,571.43 | $165.00–$13,453.00 | 99% above | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERG DEPT F/U VISIT LVL 3 | $454.21 | $2,390.59 | $165.00–$13,453.00 | — | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPT VISIT LVL 3 | $1,058.57 | $5,571.43 | $165.00–$13,453.00 | — | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERG DEPT F/U VISIT LVL 4 | $473.60 | $2,492.63 | $165.00–$13,453.00 | 43% below | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT LVL 4 | $947.20 | $4,985.25 | $165.00–$13,453.00 | 14% above | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERG DEPT F/U VISIT LVL 4 | $473.60 | $2,492.63 | $165.00–$13,453.00 | — | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPT VISIT LVL 4 | $947.20 | $4,985.25 | $165.00–$13,453.00 | — | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERG DEPT F/U VISIT LVL 5 | $560.89 | $2,952.05 | $165.00–$13,453.00 | 52% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPT VISIT LVL 5 | $1,121.78 | $5,904.10 | $165.00–$13,453.00 | 3% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERG DEPT F/U VISIT LVL 5 | $560.89 | $2,952.05 | $165.00–$13,453.00 | — | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPT VISIT LVL 5 | $1,121.78 | $5,904.10 | $165.00–$13,453.00 | — | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARD REHAB STRESS TEST | $326.60 | $1,718.97 | $40.59–$1,804.91 | 40% below | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST | $326.60 | $1,718.97 | $40.59–$1,804.91 | 40% below | 81% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARD REHAB STRESS TEST | $326.60 | $1,718.97 | $40.59–$1,804.91 | — | 81% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST | $326.60 | $1,718.97 | $40.59–$1,804.91 | — | 81% |
| Eye exam, returning patient, intermediate CPT 92012 HC INTERM EYE EXAM EST PT | $50.47 | $265.65 | $48.71–$1,210.00 | 78% below | 81% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HC INTERM EYE EXAM EST PT | $50.47 | $265.65 | $48.71–$1,210.00 | — | 81% |
| Family therapy with the patient, 50 minutes CPT 90847 HC SBHC/LCM AUDIO ONLY FAMILY PSYTX W/PT 50 MIN | $186.45 | $981.34 | $45.00–$1,160.00 | 31% below | 81% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PT 50 MIN | $186.52 | $981.71 | $45.00–$1,160.00 | 31% below | 81% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC SBHC/LCM AUDIO ONLY FAMILY PSYTX W/PT 50 MIN | $186.45 | $981.34 | $45.00–$1,160.00 | — | 81% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PT 50 MIN | $186.52 | $981.71 | $45.00–$1,160.00 | — | 81% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50 MIN | $166.25 | $874.99 | $45.00–$1,160.00 | 36% below | 81% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50 MIN | $166.25 | $874.99 | $45.00–$1,160.00 | — | 81% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $22.80 | $274.16 | $21.47–$1,160.00 | 81% below | 92% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $22.80 | $274.16 | $21.47–$1,160.00 | — | 92% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION, 1ST HOUR | $568.25 | $2,990.79 | $31.20–$25,798.00 | 62% above | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION, 1ST HOUR | $568.25 | $2,990.79 | $31.20–$25,798.00 | — | 81% |
| IV infusion of a medicine, first hour CPT 96365 HC NON CHEMO INFUSION, 1ST HOUR | $568.25 | $2,990.79 | $31.20–$25,798.00 | 33% above | 81% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC NON CHEMO INFUSION, 1ST HOUR | $568.25 | $2,990.79 | $31.20–$25,798.00 | — | 81% |
| IV push of a medicine, first drug CPT 96374 HC NON CHEMO IV PUSH 0-15 MINUTES, INITIAL | $255.21 | $1,343.23 | $31.20–$25,798.00 | at median | 81% |
| IV push of a medicine, first drug inpatient CPT 96374 HC NON CHEMO IV PUSH 0-15 MINUTES, INITIAL | $255.21 | $1,343.23 | $31.20–$25,798.00 | — | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION - SC/IM | $260.53 | $1,371.22 | $13.36–$25,798.00 | 160% above | 81% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION - SC/IM | $260.53 | $1,371.22 | $13.36–$25,798.00 | — | 81% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $45.61 | $720.35 | $45.00–$1,160.00 | 81% below | 94% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $45.61 | $720.35 | $45.00–$1,160.00 | — | 94% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR&SENS 7-8 NRV CNDJ TEST | $173.74 | $914.41 | $73.57–$1,501.72 | 54% below | 81% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR&SENS 7-8 NRV CNDJ TEST | $173.74 | $914.41 | $73.57–$1,501.72 | — | 81% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR REEDUCATION GP | $81.91 | $431.08 | $32.82–$596.00 | at median | 81% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR REEDUCATION GO | $81.91 | $431.08 | $32.82–$596.00 | at median | 81% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR REEDUCATION GP | $81.91 | $431.08 | $32.82–$596.00 | — | 81% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR REEDUCATION GO | $81.91 | $431.08 | $32.82–$596.00 | — | 81% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE O/P NEW LOW 30 MIN | $144.13 | $758.58 | $82.61–$3,624.00 | 30% below | 81% |
| New patient office visit, about 30 minutes CPT 99203 HC URGENT CARE NEW LVL 3 | $298.25 | $1,569.75 | $82.61–$3,624.00 | 45% above | 81% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE O/P NEW LOW 30 MIN | $144.13 | $758.58 | $82.61–$3,624.00 | — | 81% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC URGENT CARE NEW LVL 3 | $298.25 | $1,569.75 | $82.61–$3,624.00 | — | 81% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE O/P NEW MOD 45 MIN | $146.93 | $773.30 | $134.14–$3,624.00 | 51% below | 81% |
| New patient office visit, about 45 minutes CPT 99204 HC URGENT CARE NEW LVL 4 | $298.25 | $1,569.75 | $134.14–$3,624.00 | at median | 81% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE O/P NEW MOD 45 MIN | $146.93 | $773.30 | $134.14–$3,624.00 | — | 81% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC URGENT CARE NEW LVL 4 | $298.25 | $1,569.75 | $134.14–$3,624.00 | — | 81% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE O/P NEW HI 60 MIN | $246.68 | $1,298.32 | $182.98–$3,624.00 | 24% below | 81% |
| New patient office visit, about 60 minutes CPT 99205 HC URGENT CARE NEW LVL 5 | $298.25 | $1,569.75 | $182.98–$3,624.00 | 9% below | 81% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE O/P NEW HI 60 MIN | $246.68 | $1,298.32 | $182.98–$3,624.00 | — | 81% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC URGENT CARE NEW LVL 5 | $298.25 | $1,569.75 | $182.98–$3,624.00 | — | 81% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE O/P NEW SF 15 MIN | $113.61 | $597.93 | $46.70–$3,624.00 | 29% below | 81% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC URGENT CARE NEW 15-29 MIN 25 | $298.25 | $1,569.75 | $46.70–$3,624.00 | 85% above | 81% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE O/P NEW SF 15 MIN | $113.61 | $597.93 | $46.70–$3,624.00 | — | 81% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC URGENT CARE NEW 15-29 MIN 25 | $298.25 | $1,569.75 | $46.70–$3,624.00 | — | 81% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRITION THERAPY INIT, EA 15 MIN | $45.61 | $53.00 | $21.20–$321.34 | 16% below | 14% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRITION THERAPY INIT, EA 15 MIN | $45.61 | $53.00 | $21.20–$321.34 | — | 14% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX GO | $171.15 | $900.80 | $103.42–$900.80 | at median | 81% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX GO | $171.15 | $900.80 | $103.42–$900.80 | — | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX GP | $359.80 | $1,893.66 | $93.00–$1,893.66 | 31% above | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX GP | $359.80 | $1,893.66 | $93.00–$1,893.66 | — | 81% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX GP | $159.91 | $841.63 | $93.00–$841.63 | 11% below | 81% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX GP | $159.91 | $841.63 | $93.00–$841.63 | — | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX GP | $239.87 | $1,262.45 | $93.00–$1,262.45 | at median | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX GP | $239.87 | $1,262.45 | $93.00–$1,262.45 | — | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY EA 15 MINS - GP | $69.52 | $365.87 | $27.86–$596.00 | 16% below | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY EA 15 MINS - GO | $69.52 | $365.87 | $27.86–$596.00 | 16% below | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY EA 15 MINS - GP | $69.52 | $365.87 | $27.86–$596.00 | — | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY EA 15 MINS - GO | $69.52 | $365.87 | $27.86–$596.00 | — | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES GO | $75.48 | $397.27 | $29.53–$596.00 | at median | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES GP | $75.48 | $397.27 | $29.53–$596.00 | at median | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES GO | $75.48 | $397.27 | $29.53–$596.00 | — | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES GP | $75.48 | $397.27 | $29.53–$596.00 | — | 81% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC INIT PM E/M NEW PT 18-39 YR | $117.09 | $616.27 | $134.00–$1,210.00 | 42% below | 81% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INIT PM E/M NEW PT 18-39 YR | $117.09 | $616.27 | $134.00–$1,210.00 | — | 81% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC INIT PM E/M NEW PT 40-64 YR | $117.09 | $616.27 | $157.00–$1,210.00 | 50% below | 81% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INIT PM E/M NEW PT 40-64 YR | $117.09 | $616.27 | $157.00–$1,210.00 | — | 81% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INIT PM E/M NEW PT 65+ YRS | $117.09 | $616.27 | $109.76–$1,210.00 | 54% below | 81% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INIT PM E/M NEW PT 65+ YRS | $117.09 | $616.27 | $109.76–$1,210.00 | — | 81% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV VISIT, EST, AGE 18-39 | $124.54 | $655.49 | $109.00–$25,798.00 | 43% below | 81% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREV VISIT, EST, AGE 18-39 | $124.54 | $655.49 | $109.00–$25,798.00 | — | 81% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV VISIT, EST, AGE 40-64 | $124.54 | $655.49 | $120.00–$1,396.70 | 50% below | 81% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREV VISIT, EST, AGE 40-64 | $124.54 | $655.49 | $120.00–$1,396.70 | — | 81% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PM REEVAL EST PAT 65+ YR | $124.54 | $655.49 | $132.00–$1,210.00 | 40% below | 81% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PER PM REEVAL EST PAT 65+ YR | $124.54 | $655.49 | $132.00–$1,210.00 | — | 81% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS | $151.68 | $798.30 | $45.00–$1,160.00 | 47% below | 81% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS | $151.68 | $798.30 | $45.00–$1,160.00 | — | 81% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCL TST EVAL PHYS/QHP 1ST | $96.20 | $506.31 | $107.22–$1,160.00 | 72% below | 81% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCL TST EVAL PHYS/QHP 1ST | $96.20 | $506.31 | $107.22–$1,160.00 | — | 81% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC FQHC PSYCH THRPY FOR CRISIS 1ST 60 MIN | $109.13 | $574.35 | $45.00–$1,364.91 | 54% below | 81% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC FQHC PSYCH THRPY FOR CRISIS 1ST 60 MIN | $109.13 | $574.35 | $45.00–$1,364.91 | — | 81% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MINUTES | $22.80 | $1,047.00 | $45.00–$1,160.00 | 88% below | 98% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MINUTES | $22.80 | $1,047.00 | $45.00–$1,160.00 | — | 98% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MINUTES | $45.61 | $1,446.08 | $45.00–$1,446.08 | 82% below | 97% |
| Psychotherapy session, 45 minutes CPT 90834 HC SBHC/LCM AUDIO ONLY PSYTX W PT 45 MINUTES | $261.67 | $1,377.22 | $45.00–$1,446.08 | 3% above | 81% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MINUTES | $45.61 | $1,446.08 | $45.00–$1,446.08 | — | 97% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC SBHC/LCM AUDIO ONLY PSYTX W PT 45 MINUTES | $261.67 | $1,377.22 | $45.00–$1,446.08 | — | 81% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MINUTES | $389.83 | $2,051.75 | $45.00–$2,051.75 | 31% above | 81% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MINUTES | $389.83 | $2,051.75 | $45.00–$2,051.75 | — | 81% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $18.30 | $96.30 | $11.70–$282.22 | 59% below | 81% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $18.30 | $96.30 | $11.70–$282.22 | — | 81% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE O/P EST HI 40 MIN | $211.85 | $1,115.00 | $143.21–$3,624.00 | 15% below | 81% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE O/P EST HI 40 MIN 25 | $222.53 | $1,171.19 | $143.21–$3,624.00 | 10% below | 81% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC URGENT CARE EST LVL 5 | $298.25 | $1,569.75 | $143.21–$3,624.00 | 20% above | 81% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE O/P EST HI 40 MIN | $211.85 | $1,115.00 | $143.21–$3,624.00 | — | 81% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE O/P EST HI 40 MIN 25 | $222.53 | $1,171.19 | $143.21–$3,624.00 | — | 81% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC URGENT CARE EST LVL 5 | $298.25 | $1,569.75 | $143.21–$3,624.00 | — | 81% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | 72% below | 81% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | 45% below | 81% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | 63% above | 81% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC FQHC OFFSITE BILLING | $50.47 | $265.65 | $65.78–$13,453.00 | — | 81% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE O/P EST LOW 20 MIN | $100.35 | $528.15 | $65.78–$13,453.00 | — | 81% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC URGENT CARE EST LVL 3 | $298.25 | $1,569.75 | $65.78–$13,453.00 | — | 81% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE O/P EST MOD 30 MIN | $156.56 | $824.00 | $96.87–$12,574.00 | 22% below | 81% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC URGENT CARE EST LVL 4 | $298.25 | $1,569.75 | $96.87–$12,574.00 | 48% above | 81% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE O/P EST MOD 30 MIN | $156.56 | $824.00 | $96.87–$12,574.00 | — | 81% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC URGENT CARE EST LVL 4 | $298.25 | $1,569.75 | $96.87–$12,574.00 | — | 81% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE O/P EST SF 10 MIN | $102.82 | $541.14 | $34.97–$13,453.00 | 20% below | 81% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC URGENT CARE EST LVL 2 | $298.25 | $1,569.75 | $34.97–$13,453.00 | 131% above | 81% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE O/P EST SF 10 MIN | $102.82 | $541.14 | $34.97–$13,453.00 | — | 81% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC URGENT CARE EST LVL 2 | $298.25 | $1,569.75 | $34.97–$13,453.00 | — | 81% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULTATION 30 MIN | $95.55 | $502.87 | $130.94–$1,210.00 | 68% below | 81% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC OFFICE CONSULTATION 30 MIN | $95.55 | $502.87 | $130.94–$1,210.00 | — | 81% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULTATION 40 MIN | $139.39 | $733.64 | $198.19–$1,298.43 | 53% below | 81% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC OFFICE CONSULTATION 40 MIN | $139.39 | $733.64 | $198.19–$1,298.43 | — | 81% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $316.61 | $1,666.35 | $199.41–$1,951.40 | 19% below | 81% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $316.61 | $1,666.35 | $199.41–$1,951.40 | — | 81% |
| Speech therapy session, individual CPT 92507 HC TX SP LANG COMUNICAJ PCX DISORDER INDIV | $117.01 | $615.83 | $73.00–$692.86 | 30% below | 81% |
| Speech therapy session, individual inpatient CPT 92507 HC TX SP LANG COMUNICAJ PCX DISORDER INDIV | $117.01 | $615.83 | $73.00–$692.86 | — | 81% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $136.51 | $718.46 | $20.47–$25,798.00 | 38% below | 81% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST | $136.51 | $718.46 | $20.47–$25,798.00 | — | 81% |
| Spirometry before and after a bronchodilator CPT 94060 HC BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $267.51 | $1,407.95 | $30.60–$1,407.95 | 29% below | 81% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $267.51 | $1,407.95 | $30.60–$1,407.95 | — | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES GP EA 15 MINS | $69.06 | $363.46 | $35.86–$596.00 | 20% below | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES GO EA 15 MINS | $69.06 | $363.46 | $35.86–$596.00 | 20% below | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC SPECIAL GROUP/1HR | $69.06 | $363.46 | $35.86–$596.00 | 20% below | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MINS | $69.06 | $363.46 | $35.86–$596.00 | 20% below | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES GO EA 15 MINS | $69.06 | $363.46 | $35.86–$596.00 | — | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MINS | $69.06 | $363.46 | $35.86–$596.00 | — | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC SPECIAL GROUP/1HR | $69.06 | $363.46 | $35.86–$596.00 | — | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES GP EA 15 MINS | $69.06 | $363.46 | $35.86–$596.00 | — | 81% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY | $212.55 | $1,118.68 | $22.66–$50,347.74 | at median | 81% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY | $212.55 | $1,118.68 | $22.66–$50,347.74 | — | 81% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC CARDIOVASCULAR STRESS TEST XERS&/OR RX CONT ECG W/SI&R | $342.93 | $1,804.91 | $74.39–$1,804.91 | at median | 81% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC CARDIOVASCULAR STRESS TEST XERS&/OR RX CONT ECG W/SI&R | $342.93 | $1,804.91 | $74.39–$1,804.91 | — | 81% |
| Visual field test, extended both sides CPT 92083 HC EXTENDED VISUAL FIELD XM UNI/BI I&R | $33.73 | $177.50 | $38.64–$1,210.00 | — | 81% |
| Visual field test, extended inpatient both sides CPT 92083 HC EXTENDED VISUAL FIELD XM UNI/BI I&R | $33.73 | $177.50 | $38.64–$1,210.00 | — | 81% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $141.00 | $742.09 | $7.42–$1,484.18 | 33% above | 81% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 IIV ADJUVANT VACCINE IM | $281.99 | $1,484.18 | $7.42–$1,484.18 | — | 81% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $434.26 | $2,285.60 | $22.86–$2,285.60 | 112% above | 81% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $434.26 | $2,285.60 | $22.86–$2,285.60 | — | 81% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $400.37 | $2,107.20 | $21.07–$2,107.20 | 84% above | 81% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $400.37 | $2,107.20 | $21.07–$2,107.20 | — | 81% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $416.29 | $2,191.00 | $21.91–$2,191.00 | 57% above | 81% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ | $416.29 | $2,191.00 | $21.91–$2,191.00 | — | 81% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $116.97 | $615.63 | $6.16–$615.63 | 26% above | 81% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $116.97 | $615.63 | $6.16–$615.63 | — | 81% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $56.65 | $298.16 | $2.98–$298.16 | 10% above | 81% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE < 7 YRS IM | $56.65 | $298.16 | $2.98–$298.16 | — | 81% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM | $148.01 | $778.98 | $7.79–$778.98 | 7% above | 81% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEP B-IPV VACCINE IM | $148.01 | $778.98 | $7.79–$778.98 | — | 81% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $185.30 | $975.28 | $9.75–$975.28 | 27% above | 81% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV/HIB VACCINE IM | $185.30 | $975.28 | $9.75–$975.28 | — | 81% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $309.44 | $1,628.63 | $16.29–$1,628.63 | 35% above | 81% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $309.44 | $1,628.63 | $16.29–$1,628.63 | — | 81% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM | $118.71 | $624.80 | $6.25–$1,249.61 | 12% above | 81% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 RIV3 VACCINE NO PRESERV IM | $237.43 | $1,249.61 | $6.25–$1,249.61 | — | 81% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $31.08 | $163.58 | $1.64–$327.15 | 8% above | 81% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $62.16 | $327.15 | $1.64–$327.15 | — | 81% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $659.79 | $3,472.56 | $34.73–$3,472.56 | 29% above | 81% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $659.79 | $3,472.56 | $34.73–$3,472.56 | — | 81% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $227.07 | $1,195.12 | $11.95–$1,195.12 | at median | 81% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACC ADULT IM | $227.07 | $1,195.12 | $11.95–$1,195.12 | — | 81% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $102.86 | $541.36 | $5.41–$1,082.71 | at median | 81% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM | $205.72 | $1,082.71 | $5.41–$1,082.71 | — | 81% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $67.37 | $354.57 | $3.55–$354.57 | 12% above | 81% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $67.37 | $354.57 | $3.55–$354.57 | — | 81% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $101.09 | $532.04 | $5.32–$1,064.09 | 13% above | 81% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $202.18 | $1,064.09 | $5.32–$1,064.09 | — | 81% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $241.74 | $1,272.33 | $12.72–$2,544.67 | at median | 81% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $483.49 | $2,544.67 | $12.72–$2,544.67 | — | 81% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $44.20 | $232.62 | $2.33–$465.24 | 3% below | 81% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $88.40 | $465.24 | $2.33–$465.24 | — | 81% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM | $62.56 | $329.26 | $3.29–$329.26 | at median | 81% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HIB PRP-OMP VACC 3 DOSE IM | $62.56 | $329.26 | $3.29–$329.26 | — | 81% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM | $137.74 | $724.97 | $7.25–$724.97 | 330% above | 81% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T VACCINE 4 DOSE IM | $137.74 | $724.97 | $7.25–$724.97 | — | 81% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $112.07 | $589.86 | $5.90–$1,179.73 | 1% above | 81% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASED AG IM | $224.15 | $1,179.73 | $5.90–$1,179.73 | — | 81% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $194.74 | $1,024.92 | $10.25–$1,024.92 | 44% above | 81% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SC | $194.74 | $1,024.92 | $10.25–$1,024.92 | — | 81% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC | $619.81 | $3,262.15 | $28.98–$3,262.15 | 42% above | 81% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE SC | $619.81 | $3,262.15 | $28.98–$3,262.15 | — | 81% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $203.88 | $1,073.06 | $10.73–$1,073.06 | at median | 81% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM VACC IM | $203.88 | $1,073.06 | $10.73–$1,073.06 | — | 81% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM | $343.30 | $1,806.87 | $18.07–$1,806.87 | 23% above | 81% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT VACCINE IM | $343.30 | $1,806.87 | $18.07–$1,806.87 | — | 81% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $382.07 | $2,010.88 | $20.11–$2,010.88 | 13% above | 81% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACCINE IM | $382.07 | $2,010.88 | $20.11–$2,010.88 | — | 81% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $347.30 | $1,827.88 | $18.28–$1,827.88 | at median | 81% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $347.30 | $1,827.88 | $18.28–$1,827.88 | — | 81% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL | $56.30 | $296.33 | $2.96–$405.46 | 18% above | 81% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 LAIV3 VACCINE INTRANASAL | $77.04 | $405.46 | $2.96–$405.46 | — | 81% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $370.58 | $1,950.40 | $19.50–$3,900.79 | 13% above | 81% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCV13 VACCINE IM | $741.15 | $3,900.79 | $19.50–$3,900.79 | — | 81% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $428.10 | $2,253.15 | $22.53–$4,506.30 | at median | 81% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM | $856.20 | $4,506.30 | $22.53–$4,506.30 | — | 81% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $191.72 | $1,009.05 | $10.09–$2,018.10 | 26% above | 81% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $383.44 | $2,018.10 | $10.09–$2,018.10 | — | 81% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM | $91.27 | $480.36 | $4.80–$480.36 | 4% above | 81% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS IPV SC/IM | $91.27 | $480.36 | $4.80–$480.36 | — | 81% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM | $1,092.21 | $5,748.50 | $57.48–$5,748.50 | 6% above | 81% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RSV MONOC ANTB SEASN 1 ML IM | $1,092.21 | $5,748.50 | $57.48–$5,748.50 | — | 81% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $1,092.21 | $5,748.50 | $57.48–$5,748.50 | 6% above | 81% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $1,092.21 | $5,748.50 | $57.48–$5,748.50 | — | 81% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $578.94 | $3,047.06 | $28.98–$3,047.06 | 37% above | 81% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC PREF BIVALENT IM | $578.94 | $3,047.06 | $28.98–$3,047.06 | — | 81% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $470.82 | $2,477.99 | $24.78–$4,955.97 | at median | 81% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM | $941.63 | $4,955.97 | $24.78–$4,955.97 | — | 81% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL | $238.27 | $1,254.05 | $12.54–$1,254.05 | 11% above | 81% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 RV1 VACC 2 DOSE LIVE ORAL | $238.27 | $1,254.05 | $12.54–$1,254.05 | — | 81% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $188.95 | $994.49 | $9.94–$994.49 | 38% above | 81% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $188.95 | $994.49 | $9.94–$994.49 | — | 81% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $462.12 | $2,432.19 | $24.32–$2,432.19 | 17% above | 81% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM | $462.12 | $2,432.19 | $24.32–$2,432.19 | — | 81% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $48.09 | $253.13 | $2.53–$506.26 | 9% below | 81% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $96.19 | $506.26 | $2.53–$506.26 | — | 81% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $55.49 | $292.03 | $2.92–$584.06 | at median | 81% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM | $110.97 | $584.06 | $2.92–$584.06 | — | 81% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $314.28 | $1,654.13 | $16.54–$1,654.13 | 35% above | 81% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE IM | $314.28 | $1,654.13 | $16.54–$1,654.13 | — | 81% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN | $122.08 | $642.50 | $10.00–$642.50 | 45% above | 81% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN | $122.08 | $642.50 | $10.00–$642.50 | — | 81% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN EACH ADDL VACCINE/COMPONENT | $109.87 | $578.25 | $8.00–$578.25 | 144% above | 81% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN EACH ADDL VACCINE/COMPONENT | $109.87 | $578.25 | $8.00–$578.25 | — | 81% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ | $245.17 | $1,290.37 | $12.90–$1,290.37 | at median | 81% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE SUBQ | $245.17 | $1,290.37 | $12.90–$1,290.37 | — | 81% |