SelfPayRates
Hospital Youngstown-Warren, OH

Hmhp St Elizabeth Boardman Health Center

Listed in its price file as “Mercy Health Youngstown LLC”.

Hmhp St Elizabeth Boardman Health Center in Youngstown, OH publishes cash prices for 247 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 127 of 246 procedures and below it for 118. By typical cash price it ranks #71 of 131 Ohio hospitals and #4 of 5 hospitals in the Youngstown, OH area, cheapest first. Click a procedure to compare it with other hospitals nearby.

8401 Market St.,Youngstown,OH 44512 Collected Sep 23, 2026 Source price file (330) 729-2929

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 360276 · CMS hospital register NPI 1790868982

Scans and imaging

ProcedureCash price List priceInsurers payvs OhioOff list
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle Rout 3 Views $357.60 $596.00 — 3% above 40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle Rout 3 Views $476.40 $794.00 — — 40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Fluro Esophagram $311.40 $519.00 — 28% below 40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Fluro Esophagram $311.40 $519.00 — — 40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Scan Whole Body $1,372.80 $2,288.00 — 11% below 40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Bone Scan Whole Body $1,372.80 $2,288.00 — — 40%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Comp $69.00 $115.00 — 79% below 40%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Comp $69.00 $115.00 — — 40%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Ltd $57.00 $95.00 — 86% below 40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Ltd $418.20 $697.00 — — 40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W & W/O Cont $411.00 $685.00 — 71% below 40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest W & W/O Cont $1,294.80 $2,158.00 — — 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart W/WO Calcium $3,330.00 $5,550.00 — 108% above 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Heart W/WO Calcium $3,330.00 $5,550.00 — — 40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium $324.00 $324.00 — 14% above —
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium $324.00 $324.00 — — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd/Pelvis W/O Contrast $1,813.20 $3,022.00 — 15% above 40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd/Pelvis W/O Contrast $1,813.20 $3,022.00 — — 40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont $1,941.00 $3,235.00 — at median 40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont $1,752.00 $2,920.00 — — 40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd/Pelvis W W/O Contrast $2,097.60 $3,496.00 — 2% below 40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd/Pelvis W W/O Contrast $2,174.40 $3,624.00 — — 40%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/ Cont $1,208.40 $2,014.00 — 4% above 40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/ Cont $1,081.80 $1,803.00 — — 40%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Cont $1,016.40 $1,694.00 — 3% below 40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Cont $1,016.40 $1,694.00 — — 40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Facial Bones W/O Contrast $1,055.40 $1,759.00 — 21% above 40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Facial Bones W/O Contrast $1,055.40 $1,759.00 — — 40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast $854.40 $1,424.00 — 2% above 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast $854.40 $1,424.00 — — 40%
CT scan of the head with contrast CPT 70460 HC CT Brain W/ Contrast $1,214.40 $2,024.00 — 21% above 40%
CT scan of the head with contrast inpatient CPT 70460 HC CT Brain W/ Contrast $1,214.40 $2,024.00 — — 40%
CT scan of the head without and with contrast CPT 70470 HC CT Brain W/WO Contrast $1,397.40 $2,329.00 — 25% above 40%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Brain W/WO Contrast $1,397.40 $2,329.00 — — 40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-Spine W/O Contrast $822.60 $1,371.00 — 25% below 40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-Spine W/O Contrast $822.60 $1,371.00 — — 40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-Spine W/O Contrast $778.80 $1,298.00 — 27% below 40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-Spine W/O Contrast $778.80 $1,298.00 — — 40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast $1,168.80 $1,948.00 — at median 40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast $1,168.80 $1,948.00 — — 40%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views $123.60 $206.00 — 53% below 40%
Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views $446.40 $744.00 — — 40%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View $9,893.10 $16,488.50 $2,748.08–$2,803.05 4480% above 40%
Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View $196.80 $328.00 — — 40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete $510.60 $851.00 — 26% below 40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Complete $510.60 $851.00 — — 40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Axial Skeleton $221.40 $369.00 — 51% below 40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa Axial Skeleton $69.00 $115.00 — — 40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Appendicular Skeleton $252.60 $421.00 — 1% below 40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dexa Appendicular Skeleton $58.20 $97.00 — — 40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O Contrast $822.60 $1,371.00 — 10% below 40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest W/O Contrast $822.60 $1,371.00 — — 40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/ Contrast $1,074.00 $1,790.00 — 5% below 40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W/ Contrast $875.40 $1,459.00 — — 40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf $315.00 $525.00 — — 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf $315.00 $525.00 — — 40%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf $244.80 $408.00 — 28% below 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf $244.80 $408.00 — — 40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary Imaging WO Pharm $2,488.80 $4,148.00 — 64% above 40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Hepatobiliary Imaging WO Pharm $2,488.80 $4,148.00 — — 40%
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 Views $378.60 $631.00 — 6% above 40%
Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Knee 3 Views $502.20 $837.00 — — 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Limited $909.60 $1,516.00 — 65% above 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdominal Limited $909.60 $1,516.00 — — 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Chest Screening Low Dose Wout Cont $253.80 $423.00 — 4% below 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Chest Screening Low Dose Wout Cont $70.20 $117.00 — — 40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Sest. Rest Stress Mult $4,532.40 $7,554.00 — 19% above 40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Sest. Rest Stress Mult $4,532.40 $7,554.00 — — 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest $1,162.20 $1,937.00 — 122% above 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest $1,162.20 $1,937.00 — — 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Fetal Eval 1st Tri Sgl Gest $848.40 $1,414.00 — 65% above 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Fetal Eval 1st Tri Sgl Gest $848.40 $1,414.00 — — 40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Complete Min 2 Views $393.60 $656.00 — 12% above 40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Complete Min 2 Views $523.20 $872.00 — — 40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Dysphagia/Swallowing Study $289.80 $483.00 — 44% below 40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Dysphagia/Swallowing Study $289.80 $483.00 — — 40%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete $980.40 $1,634.00 — 70% above 40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete $980.40 $1,634.00 — — 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Soft Tissue Neck US $1,818.00 $3,030.00 — 230% above 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Soft Tissue Neck US $1,818.00 $3,030.00 — — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study $883.80 $1,473.00 — 49% above 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study $1,172.40 $1,954.00 — — 40%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Min 3 Views $354.60 $591.00 — 3% above 40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Min 3 Views $470.40 $784.00 — — 40%
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 $834.60 $1,391.00 — 138% above 40%
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 $1,109.40 $1,849.00 — — 40%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View $314.40 $524.00 — 24% above 40%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam Abdomen 1 View $417.00 $695.00 — — 40%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Views $219.60 $366.00 — 19% below 40%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Views $291.00 $485.00 — — 40%
X-ray of the finger(s), 2 or more views CPT 73140 HC Fingers Min 2 Views $210.60 $351.00 — 19% below 40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Fingers Min 2 Views $244.80 $408.00 — — 40%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Views $265.20 $442.00 — at median 40%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Views $352.20 $587.00 — — 40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot Min 3 Views Complete $264.60 $441.00 — 20% below 40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot Min 3 Views Complete $351.60 $586.00 — — 40%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Routine Min 3 Views $510.60 $851.00 — 47% above 40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Routine Min 3 Views $510.60 $851.00 — — 40%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1-2 Views $363.00 $605.00 — 29% above 40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1-2 Views $483.60 $806.00 — — 40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC L-Spine 2-3 Views $223.20 $372.00 — 29% below 40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC L-Spine 2-3 Views $223.20 $372.00 — — 40%
X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views $824.40 $1,374.00 — 78% above 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views $824.40 $1,374.00 — — 40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC T-Spine 2 Views $529.20 $882.00 — 80% above 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC T-Spine 2 Views $529.20 $882.00 — — 40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones Min 3 Views $292.80 $488.00 — 2% above 40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones Min 3 Views $57.00 $95.00 — — 40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-Spine 2-3 Views $816.00 $1,360.00 — 153% above 40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-Spine 2-3 Views $816.00 $1,360.00 — — 40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis Ap Only $401.40 $669.00 — 62% above 40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis Ap Only $533.40 $889.00 — — 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum and Coccyx Min 2 Views $461.40 $769.00 — 57% above 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum and Coccyx Min 2 Views $612.60 $1,021.00 — — 40%

Lab tests

ProcedureCash price List priceInsurers payvs OhioOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC So1 Sgpt (Alt) $21.60 $36.00 — 23% below 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC So Sgpt (Alt) $62.40 $104.00 — 123% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Sgpt (Alt) $76.80 $128.00 — 175% above 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC So1 Sgpt (Alt) $21.60 $36.00 — — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC So Sgpt (Alt) $62.40 $104.00 — — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Sgpt (Alt) $76.80 $128.00 — — 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC So Sgot (Ast) $21.60 $36.00 — 14% below 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC So1 Sgot (Ast) $25.20 $42.00 — at median 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot $71.40 $119.00 — 183% above 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC So Sgot (Ast) $21.60 $36.00 — — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC So1 Sgot (Ast) $25.20 $42.00 — — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino Ast Sgot $71.40 $119.00 — — 40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC So Hepatitis Panel Acute $75.00 $125.00 — 66% below 40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel $357.60 $596.00 — 64% above 40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC So Hepatitis Panel Acute $75.00 $125.00 — — 40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel $357.60 $596.00 — — 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC So Allergen Specific $8.40 $14.00 — 64% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each $14.40 $24.00 — 38% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC So1 Allergen Specific $33.60 $56.00 — 44% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC So2 Allergen Specific $52.80 $88.00 — 126% above 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC So Allergen Specific $8.40 $14.00 — — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each $14.40 $24.00 — — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC So1 Allergen Specific $33.60 $56.00 — — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC So2 Allergen Specific $52.80 $88.00 — — 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC So Cyclic Citrullinated Peptd,Ab $47.40 $79.00 — 18% below 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody $64.80 $108.00 — 12% above 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC So Cyclic Citrullinated Peptd,Ab $47.40 $79.00 — — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Peptide Antibody $64.80 $108.00 — — 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC So Anti Nuclear Antibody $33.60 $56.00 — 38% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana $133.80 $223.00 — 148% above 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC So Anti Nuclear Antibody $33.60 $56.00 — — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies Ana $133.80 $223.00 — — 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide $73.20 $122.00 — 50% below 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC So Natriuretic Peptide $115.80 $193.00 — 22% below 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide $73.20 $122.00 — — 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC So Natriuretic Peptide $115.80 $193.00 — — 40%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total $83.40 $139.00 — 30% above 40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total $83.40 $139.00 — — 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So Tissue Level IV $82.20 $137.00 — 55% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So1 Tissue Level IV $82.20 $137.00 — 55% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Level IV $91.80 $153.00 — 49% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Level IV $5,959.86 $9,933.10 $1,132.12–$1,154.76 3192% above 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So Tissue Level IV $82.20 $137.00 — — 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So1 Tissue Level IV $82.20 $137.00 — — 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Tissue Level IV $91.80 $153.00 — — 40%
Blood culture for bacteria CPT 87040 HC Culture Blood $55.80 $93.00 — 40% below 40%
Blood culture for bacteria inpatient CPT 87040 HC Culture Blood $55.80 $93.00 — — 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture $3.60 $6.00 — 76% below 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture $16.20 $27.00 — — 40%
Blood glucose (sugar) test CPT 82947 HC So1 Glucose $16.80 $28.00 — 25% below 40%
Blood glucose (sugar) test CPT 82947 HC So Glucose $45.00 $75.00 — 100% above 40%
Blood glucose (sugar) test CPT 82947 HC Glucose Quant, for Cmpk/Bmpk $49.80 $83.00 — 122% above 40%
Blood glucose (sugar) test CPT 82947 HC Glucose, Fasting $54.60 $91.00 — 143% above 40%
Blood glucose (sugar) test inpatient CPT 82947 HC So1 Glucose $16.80 $28.00 — — 40%
Blood glucose (sugar) test inpatient CPT 82947 HC So Glucose $45.00 $75.00 — — 40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Quant, for Cmpk/Bmpk $49.80 $83.00 — — 40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Fasting $54.60 $91.00 — — 40%
Blood lead test CPT 83655 HC So Lead $15.60 $26.00 — 65% below 40%
Blood lead test CPT 83655 HC Assay of Lead $19.20 $32.00 — 57% below 40%
Blood lead test inpatient CPT 83655 HC So Lead $15.60 $26.00 — — 40%
Blood lead test inpatient CPT 83655 HC Assay of Lead $19.20 $32.00 — — 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative $60.00 $100.00 — 10% above 40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative $60.00 $100.00 — — 40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing, Abo $91.80 $153.00 — 61% above 40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC So Blood Typing, Abo $108.00 $180.00 — 89% above 40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing, Abo $91.80 $153.00 — — 40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC So Blood Typing, Abo $108.00 $180.00 — — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC So Crp $67.20 $112.00 — 36% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein $75.00 $125.00 — 51% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC So Crp $67.20 $112.00 — — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein $75.00 $125.00 — — 40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe $109.80 $183.00 — 16% below 40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC So Clost Diff,Toxin Gene,Amp Prbe $132.60 $221.00 — 2% above 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe $109.80 $183.00 — — 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC So Clost Diff,Toxin Gene,Amp Prbe $132.60 $221.00 — — 40%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 $22.80 $38.00 — 66% below 40%
CA 19-9 blood test (tumor marker) CPT 86301 HC So Carbohydrate Antigen 19-9 $22.80 $38.00 — 66% below 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 $22.80 $38.00 — — 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC So Carbohydrate Antigen 19-9 $22.80 $38.00 — — 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC So1 Ca 125 $20.40 $34.00 — 78% below 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC So2 Ca 125 $105.60 $176.00 — 13% above 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC So Ca 125 $464.40 $774.00 — 396% above 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 $564.60 $941.00 — 503% above 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC So1 Ca 125 $20.40 $34.00 — — 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC So2 Ca 125 $105.60 $176.00 — — 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC So Ca 125 $464.40 $774.00 — — 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 $564.60 $941.00 — — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq $99.00 $165.00 — 30% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC So Iadna Sars-Cov-2-19 Amp Probe Tq $105.60 $176.00 — 25% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq $99.00 $165.00 — — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC So Iadna Sars-Cov-2-19 Amp Probe Tq $105.60 $176.00 — — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So1 Chylmd Trach Dna Amp Probe $37.80 $63.00 — 60% below 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So Chylmd Trach Dna Amp Probe $84.00 $140.00 — 10% below 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Amp Probe Tech, 1 $102.00 $170.00 — 9% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So2 Chylmd Trach Dna Amp Probe $167.40 $279.00 — 79% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So1 Chylmd Trach Dna Amp Probe $37.80 $63.00 — — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So Chylmd Trach Dna Amp Probe $84.00 $140.00 — — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Amp Probe Tech, 1 $102.00 $170.00 — — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So2 Chylmd Trach Dna Amp Probe $167.40 $279.00 — — 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Panel $68.40 $114.00 — 29% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel $76.80 $128.00 — 45% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So1 Lipid Panel $138.00 $230.00 — 161% above 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Panel $68.40 $114.00 — — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel $76.80 $128.00 — — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So1 Lipid Panel $138.00 $230.00 — — 40%
Complete blood count (CBC) with differential CPT 85025 HC Cbc $114.00 $190.00 — 225% above 40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc $114.00 $190.00 — — 40%
Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram) $66.60 $111.00 — 106% above 40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram) $66.60 $111.00 — — 40%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel $126.60 $211.00 — 102% above 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel $126.60 $211.00 — — 40%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative $69.60 $116.00 — 3% below 40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative $69.60 $116.00 — — 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate $39.60 $66.00 — 60% below 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC So Dhea Sulfate $39.60 $66.00 — 60% below 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC So Dhea Sulfate $39.60 $66.00 — — 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate $39.60 $66.00 — — 40%
Estradiol blood test CPT 82670 HC So1 Estradiol $49.80 $83.00 — 53% below 40%
Estradiol blood test CPT 82670 HC Assay of Total Estradiol $159.00 $265.00 — 51% above 40%
Estradiol blood test CPT 82670 HC So Estradiol $238.20 $397.00 — 126% above 40%
Estradiol blood test inpatient CPT 82670 HC So1 Estradiol $49.80 $83.00 — — 40%
Estradiol blood test inpatient CPT 82670 HC Assay of Total Estradiol $159.00 $265.00 — — 40%
Estradiol blood test inpatient CPT 82670 HC So Estradiol $238.20 $397.00 — — 40%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone $84.60 $141.00 — 1% below 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone $84.60 $141.00 — — 40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC So Calprotectin Fecal $87.00 $145.00 — 42% below 40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC So1 Calprotectin, Fecal $134.40 $224.00 — 10% below 40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC So Calprotectin Fecal $87.00 $145.00 — — 40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC So1 Calprotectin, Fecal $134.40 $224.00 — — 40%
Ferritin blood test (iron stores) CPT 82728 HC So Ferritin $90.00 $150.00 — 22% above 40%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin $109.80 $183.00 — 49% above 40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC So Ferritin $90.00 $150.00 — — 40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin $109.80 $183.00 — — 40%
Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum $64.80 $108.00 — 1% below 40%
Folate (folic acid) blood test inpatient CPT 82746 HC Assay of Folic Acid Serum $64.80 $108.00 — — 40%
Free T3 thyroid hormone test CPT 84481 HC So Triiodothyronine T-3, Free $33.60 $56.00 — 53% below 40%
Free T3 thyroid hormone test CPT 84481 HC Assay of Triiodothyronine T3 Free $37.20 $62.00 — 47% below 40%
Free T3 thyroid hormone test inpatient CPT 84481 HC So Triiodothyronine T-3, Free $33.60 $56.00 — — 40%
Free T3 thyroid hormone test inpatient CPT 84481 HC Assay of Triiodothyronine T3 Free $37.20 $62.00 — — 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC So T4 Free $27.60 $46.00 — 32% below 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine $65.40 $109.00 — 61% above 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC So T4 Free $27.60 $46.00 — — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine $65.40 $109.00 — — 40%
Free testosterone test CPT 84402 HC Assay of Testosterone Free $43.20 $72.00 — 54% below 40%
Free testosterone test CPT 84402 HC So Testosterone Free $43.20 $72.00 — 54% below 40%
Free testosterone test inpatient CPT 84402 HC Assay of Testosterone Free $43.20 $72.00 — — 40%
Free testosterone test inpatient CPT 84402 HC So Testosterone Free $43.20 $72.00 — — 40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel $54.60 $91.00 — 75% below 40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel $54.60 $91.00 — — 40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose $54.60 $91.00 — 87% above 40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Post Glucose Dose $54.60 $91.00 — — 40%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test $163.20 $272.00 — 169% above 40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test $163.20 $272.00 — — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So1 N.Gonorrhea, Dna, Amp Probe $37.80 $63.00 — 59% below 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So N Gonorrhoeae Dna Amp Prob $84.00 $140.00 — 10% below 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhea, Dna, Amp Probe $102.00 $170.00 — 10% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So1 N.Gonorrhea, Dna, Amp Probe $37.80 $63.00 — — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So N Gonorrhoeae Dna Amp Prob $84.00 $140.00 — — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhea, Dna, Amp Probe $102.00 $170.00 — — 40%
H. pylori antibody blood test CPT 86677 HC So H.Pylori. Serum $30.00 $50.00 — 57% below 40%
H. pylori antibody blood test CPT 86677 HC Antibody Helicobacter Pylori $37.20 $62.00 — 46% below 40%
H. pylori antibody blood test inpatient CPT 86677 HC So H.Pylori. Serum $30.00 $50.00 — — 40%
H. pylori antibody blood test inpatient CPT 86677 HC Antibody Helicobacter Pylori $37.20 $62.00 — — 40%
H. pylori stool antigen test CPT 87338 HC So H.Pylori Stool Antigen $74.40 $124.00 — 9% above 40%
H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool $74.40 $124.00 — 9% above 40%
H. pylori stool antigen test inpatient CPT 87338 HC So H.Pylori Stool Antigen $74.40 $124.00 — — 40%
H. pylori stool antigen test inpatient CPT 87338 HC Iaad Ia Hpylori Stool $74.40 $124.00 — — 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So2 Hiv-1 Quantification $122.40 $204.00 — 66% below 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So1 Hiv-1 Quantification $198.60 $331.00 — 45% below 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So Hiv-1, Quantification $325.80 $543.00 — 9% below 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription $396.00 $660.00 — 11% above 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So2 Hiv-1 Quantification $122.40 $204.00 — — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So1 Hiv-1 Quantification $198.60 $331.00 — — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So Hiv-1, Quantification $325.80 $543.00 — — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription $396.00 $660.00 — — 40%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result $100.20 $167.00 — 62% above 40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result $100.20 $167.00 — — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC So1 Hiv Combo Testing W/Reflx $33.60 $56.00 — 52% below 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC So Hiv-1 & Hiv-2 Ab $98.40 $164.00 — 39% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single $98.40 $164.00 — 39% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC So1 Hiv Combo Testing W/Reflx $33.60 $56.00 — — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC So Hiv-1 & Hiv-2 Ab $98.40 $164.00 — — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single $98.40 $164.00 — — 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So Hpv Dna Amp Probe $39.60 $66.00 — 65% below 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So1 Hpv, Dna, Amp Probe $89.40 $149.00 — 20% below 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus Hi-Rsk Typ Poold Rslt $109.20 $182.00 — 3% below 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So2 Hpv Dna Amp Probe $370.20 $617.00 — 229% above 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So Hpv Dna Amp Probe $39.60 $66.00 — — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So1 Hpv, Dna, Amp Probe $89.40 $149.00 — — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Human Papillomavirus Hi-Rsk Typ Poold Rslt $109.20 $182.00 — — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So2 Hpv Dna Amp Probe $370.20 $617.00 — — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC So Glycohemoglobin $20.40 $34.00 — 55% below 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c $69.60 $116.00 — 53% above 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC So Glycohemoglobin $20.40 $34.00 — — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c $69.60 $116.00 — — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC So1 Anti-Hbs $27.00 $45.00 — 44% below 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab $77.40 $129.00 — 61% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC So Anti-Hbs $148.20 $247.00 — 208% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC So1 Anti-Hbs $27.00 $45.00 — — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surf Antibody Hbsab $77.40 $129.00 — — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC So Anti-Hbs $148.20 $247.00 — — 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen $40.80 $68.00 — 12% below 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC So Hepatitis B Surface Ag $148.20 $247.00 — 221% above 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen $40.80 $68.00 — — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC So Hepatitis B Surface Ag $148.20 $247.00 — — 40%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody $100.20 $167.00 — 57% above 40%
Hepatitis C antibody blood test (screening) CPT 86803 HC So Hepatitis C Virus Antibody $148.20 $247.00 — 133% above 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody $100.20 $167.00 — — 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC So Hepatitis C Virus Antibody $148.20 $247.00 — — 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC So2 Hepatitis C Virus Quantitative $129.60 $216.00 — 33% below 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription $198.00 $330.00 — 3% above 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC So Hcv Ultraquant $198.00 $330.00 — 3% above 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC So1 Hcv Ultraquant $411.00 $685.00 — 114% above 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC So2 Hepatitis C Virus Quantitative $129.60 $216.00 — — 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription $198.00 $330.00 — — 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC So Hcv Ultraquant $198.00 $330.00 — — 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC So1 Hcv Ultraquant $411.00 $685.00 — — 40%
Herpes blood test, HSV-1 antibody CPT 86695 HC So Herpes Simplex, Type 1 $40.80 $68.00 — 31% below 40%
Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody Herpes Smplx Type 1 $40.80 $68.00 — 31% below 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC So Herpes Simplex, Type 1 $40.80 $68.00 — — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Antibody Herpes Smplx Type 1 $40.80 $68.00 — — 40%
Herpes blood test, HSV-2 antibody CPT 86696 HC So Herpes Simplex, Type 2 $40.80 $68.00 — 38% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody Herpes Smplx Type 2 $40.80 $68.00 — 38% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HC So1 Herpes Simplex, Type 2 $214.20 $357.00 — 223% above 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Antibody Herpes Smplx Type 2 $40.80 $68.00 — — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC So Herpes Simplex, Type 2 $40.80 $68.00 — — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC So1 Herpes Simplex, Type 2 $214.20 $357.00 — — 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity $55.20 $92.00 — 14% below 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity $55.20 $92.00 — — 40%
Homocysteine blood test CPT 83090 HC Assay of Homocysteine $45.00 $75.00 — 44% below 40%
Homocysteine blood test CPT 83090 HC So1 Homocystine $45.00 $75.00 — 44% below 40%
Homocysteine blood test CPT 83090 HC So Homocystine $330.60 $551.00 — 310% above 40%
Homocysteine blood test inpatient CPT 83090 HC So1 Homocystine $45.00 $75.00 — — 40%
Homocysteine blood test inpatient CPT 83090 HC Assay of Homocysteine $45.00 $75.00 — — 40%
Homocysteine blood test inpatient CPT 83090 HC So Homocystine $330.60 $551.00 — — 40%
Insulin blood test CPT 83525 HC So Insulin $15.00 $25.00 — 71% below 40%
Insulin blood test CPT 83525 HC Assay of Insulin Total $26.40 $44.00 — 49% below 40%
Insulin blood test CPT 83525 HC So1 Insulin $26.40 $44.00 — 49% below 40%
Insulin blood test inpatient CPT 83525 HC So Insulin $15.00 $25.00 — — 40%
Insulin blood test inpatient CPT 83525 HC So1 Insulin $26.40 $44.00 — — 40%
Insulin blood test inpatient CPT 83525 HC Assay of Insulin Total $26.40 $44.00 — — 40%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron $101.40 $169.00 — 181% above 40%
Iron blood test (serum iron) CPT 83540 HC So Iron $111.60 $186.00 — 209% above 40%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron $101.40 $169.00 — — 40%
Iron blood test (serum iron) inpatient CPT 83540 HC So Iron $111.60 $186.00 — — 40%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity $21.60 $36.00 — 45% below 40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity $21.60 $36.00 — — 40%
Kidney function blood test panel CPT 80069 HC Renal Function Panel $136.80 $228.00 — 100% above 40%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel $136.80 $228.00 — — 40%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone $100.20 $167.00 — 5% above 40%
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone $100.20 $167.00 — — 40%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase $69.60 $116.00 — 20% above 40%
Lipase blood test (pancreas enzyme) CPT 83690 HC So Lipase $74.40 $124.00 — 29% above 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase $69.60 $116.00 — — 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC So Lipase $74.40 $124.00 — — 40%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel $126.60 $211.00 — 113% above 40%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel $126.60 $211.00 — — 40%
Lyme disease antibody test CPT 86618 HC So Lyme Disease Total Anitbodies $29.40 $49.00 — 62% below 40%
Lyme disease antibody test CPT 86618 HC So1 Lyme Disease Total Anitbodies $89.40 $149.00 — 17% above 40%
Lyme disease antibody test CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease $339.60 $566.00 — 343% above 40%
Lyme disease antibody test inpatient CPT 86618 HC So Lyme Disease Total Anitbodies $29.40 $49.00 — — 40%
Lyme disease antibody test inpatient CPT 86618 HC So1 Lyme Disease Total Anitbodies $89.40 $149.00 — — 40%
Lyme disease antibody test inpatient CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease $339.60 $566.00 — — 40%
Magnesium blood test CPT 83735 HC So Magnesium $15.00 $25.00 — 55% below 40%
Magnesium blood test CPT 83735 HC So1 Magnesium $79.80 $133.00 — 140% above 40%
Magnesium blood test CPT 83735 HC Assay of Magnesium $100.20 $167.00 — 202% above 40%
Magnesium blood test inpatient CPT 83735 HC So Magnesium $15.00 $25.00 — — 40%
Magnesium blood test inpatient CPT 83735 HC So1 Magnesium $79.80 $133.00 — — 40%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium $100.20 $167.00 — — 40%
Measles (rubeola) antibody test CPT 86765 HC So Rubeola Igg / Igm $20.40 $34.00 — 61% below 40%
Measles (rubeola) antibody test CPT 86765 HC Antibody Rubeola $144.00 $240.00 — 173% above 40%
Measles (rubeola) antibody test inpatient CPT 86765 HC So Rubeola Igg / Igm $20.40 $34.00 — — 40%
Measles (rubeola) antibody test inpatient CPT 86765 HC Antibody Rubeola $144.00 $240.00 — — 40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC So Mono Antibody $20.40 $34.00 — 60% below 40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Spot Test,Agglutination $86.40 $144.00 — 67% above 40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC So Mono Antibody $20.40 $34.00 — — 40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Spot Test,Agglutination $86.40 $144.00 — — 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC So Prostate Specific Antigen/Free $24.00 $40.00 — 70% below 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free $24.00 $40.00 — 70% below 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC So Prostate Specific Antigen/Free $24.00 $40.00 — — 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free $24.00 $40.00 — — 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC So Assay of Psa Total $24.00 $40.00 — 69% below 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC So1 Assay of Psa Total $39.60 $66.00 — 48% below 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total $70.20 $117.00 — 8% below 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So Assay of Psa Total $24.00 $40.00 — — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So1 Assay of Psa Total $39.60 $66.00 — — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total $70.20 $117.00 — — 40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys $84.60 $141.00 — 12% below 40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys $84.60 $141.00 — — 40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen $84.60 $141.00 — 7% below 40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen $84.60 $141.00 — — 40%
Parathyroid hormone (PTH) blood test CPT 83970 HC So Parathyroid Hormone $49.80 $83.00 — 65% below 40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone $69.60 $116.00 — 51% below 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC So Parathyroid Hormone $49.80 $83.00 — — 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone $69.60 $116.00 — — 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC So1 Ptt $28.80 $48.00 — 21% below 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC So Ptt $40.80 $68.00 — 12% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt $50.40 $84.00 — 39% above 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So1 Ptt $28.80 $48.00 — — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So Ptt $40.80 $68.00 — — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt $50.40 $84.00 — — 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC So1 Fetal Chrmoml Aneuploidy $1,323.00 $2,205.00 — 9% below 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC So Fetal Chrmoml Aneuploidy $1,323.00 $2,205.00 — 9% below 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC So1 Fetal Chrmoml Aneuploidy $1,323.00 $2,205.00 — — 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC So Fetal Chrmoml Aneuploidy $1,323.00 $2,205.00 — — 40%
Progesterone blood test CPT 84144 HC So Progesterone $34.80 $58.00 — 52% below 40%
Progesterone blood test CPT 84144 HC Assay of Progesterone $42.00 $70.00 — 42% below 40%
Progesterone blood test inpatient CPT 84144 HC So Progesterone $34.80 $58.00 — — 40%
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone $42.00 $70.00 — — 40%
Prolactin blood test CPT 84146 HC Assay of Prolactin $54.60 $91.00 — 37% below 40%
Prolactin blood test CPT 84146 HC So Prolactin $66.00 $110.00 — 24% below 40%
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin $54.60 $91.00 — — 40%
Prolactin blood test inpatient CPT 84146 HC So Prolactin $66.00 $110.00 — — 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time $43.20 $72.00 — 80% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time $52.80 $88.00 — 120% above 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time $43.20 $72.00 — — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time $52.80 $88.00 — — 40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Read Direct Optical Obs PR Date $10.80 $18.00 — 81% below 40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Read Direct Optical Obs PR Date $10.80 $18.00 — — 40%
Rapid flu test (influenza antigen) CPT 87804 HC Iaadiadoo Influenza $36.00 $60.00 — 45% below 40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Iaadiadoo Influenza $29.40 $49.00 — — 40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Iaadiadoo Streptococcus Group A $48.00 $80.00 — 16% below 40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Iaadiadoo Streptococcus Group A $39.60 $66.00 — — 40%
Rheumatoid factor (RF) test CPT 86431 HC So Ra Titer, Quantitative $51.60 $86.00 — 59% above 40%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative $61.20 $102.00 — 88% above 40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC So Ra Titer, Quantitative $51.60 $86.00 — — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative $61.20 $102.00 — — 40%
Rubella antibody test (immunity check) CPT 86762 HC So Rubella Latex Test $26.40 $44.00 — 31% below 40%
Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella $144.00 $240.00 — 274% above 40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC So Rubella Latex Test $26.40 $44.00 — — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella $144.00 $240.00 — — 40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Complete $273.00 $455.00 — 105% above 40%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis Complete $273.00 $455.00 — — 40%
Stool ova and parasites exam CPT 87177 HC So Ova and Parasites $10.80 $18.00 — 73% below 40%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites $30.00 $50.00 — 24% below 40%
Stool ova and parasites exam CPT 87177 HC So1 Ova & Parasites $30.00 $50.00 — 24% below 40%
Stool ova and parasites exam inpatient CPT 87177 HC So Ova and Parasites $10.80 $18.00 — — 40%
Stool ova and parasites exam inpatient CPT 87177 HC So1 Ova & Parasites $30.00 $50.00 — — 40%
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites $30.00 $50.00 — — 40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter $36.00 $60.00 — 38% above 40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter $36.00 $60.00 — — 40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 $45.00 $75.00 — 13% below 40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 $45.00 $75.00 — — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC So Vdrl / Rpr $47.40 $79.00 — 113% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual $72.00 $120.00 — 223% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC So Vdrl / Rpr $47.40 $79.00 — — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual $72.00 $120.00 — — 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC So TB Test, Cell Immun Measure $181.80 $303.00 — 63% above 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC So TB Test, Cell Immun Measure $181.80 $303.00 — — 40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC So Testosterone Total $24.00 $40.00 — 72% below 40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Testosterone Total $52.80 $88.00 — 38% below 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC So Testosterone Total $24.00 $40.00 — — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Testosterone Total $52.80 $88.00 — — 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC So Microsomal Antibody $40.80 $68.00 — 37% below 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies Each $76.80 $128.00 — 18% above 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC So Microsomal Antibody $40.80 $68.00 — — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibodies Each $76.80 $128.00 — — 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation $42.00 $70.00 — 44% below 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone $94.80 $158.00 — 27% above 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation $42.00 $70.00 — — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone $94.80 $158.00 — — 40%
Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech $37.80 $63.00 — 56% below 40%
Trichomonas test (NAAT) CPT 87661 HC So Trichomonas Vaginalis Amplif $37.80 $63.00 — 56% below 40%
Trichomonas test (NAAT) CPT 87661 HC So1 Trichomonas Vaginalis Amplif $88.20 $147.00 — 3% above 40%
Trichomonas test (NAAT) inpatient CPT 87661 HC So Trichomonas Vaginalis Amplif $37.80 $63.00 — — 40%
Trichomonas test (NAAT) inpatient CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech $37.80 $63.00 — — 40%
Trichomonas test (NAAT) inpatient CPT 87661 HC So1 Trichomonas Vaginalis Amplif $88.20 $147.00 — — 40%
Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid $77.40 $129.00 — 120% above 40%
Uric acid blood test inpatient CPT 84550 HC Assay of Blood/Uric Acid $77.40 $129.00 — — 40%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy $42.60 $71.00 — 58% above 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy $42.60 $71.00 — — 40%
Urinalysis with microscope exam, manual CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $16.20 $27.00 — 11% below 40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $16.20 $27.00 — — 40%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope $34.20 $57.00 — 46% above 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope $34.20 $57.00 — — 40%
Urinalysis without microscope exam, manual CPT 81002 HC Non-Auto,Urine W/O Microscopy $15.60 $26.00 — at median 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Non-Auto,Urine W/O Microscopy $15.60 $26.00 — — 40%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Bacterial Quanttative Colony Count Urine $18.00 $30.00 — 68% below 40%
Urine culture for bacteria, with colony count CPT 87086 HC Urine Cult./Colony Count $89.40 $149.00 — 57% above 40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Bacterial Quanttative Colony Count Urine $18.00 $30.00 — — 40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Urine Cult./Colony Count $89.40 $149.00 — — 40%
Urine pregnancy test, read by color change CPT 81025 HC Hcg (Urine) Pregnancy Test $54.00 $90.00 — 19% above 40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Hcg (Urine) Pregnancy Test $10.80 $18.00 — — 40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC So Vitamin B-12 $17.40 $29.00 — 76% below 40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12 $64.80 $108.00 — 10% below 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC So Vitamin B-12 $17.40 $29.00 — — 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Cyanocobalamin Vitamin B-12 $64.80 $108.00 — — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC So Vitamin D Hydroxyvitamin D $31.80 $53.00 — 65% below 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 Hydroxy Includes Fractions if Performed $64.80 $108.00 — 29% below 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC So Vitamin D Hydroxyvitamin D $31.80 $53.00 — — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 Hydroxy Includes Fractions if Performed $64.80 $108.00 — — 40%
Zinc blood test CPT 84630 HC So Zinc, Serum $24.60 $41.00 — 48% below 40%
Zinc blood test CPT 84630 HC So1 Zinc, Serum $67.20 $112.00 — 43% above 40%
Zinc blood test inpatient CPT 84630 HC So Zinc, Serum $24.60 $41.00 — — 40%
Zinc blood test inpatient CPT 84630 HC So1 Zinc, Serum $67.20 $112.00 — — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC So Hcg Quantitative $19.20 $32.00 — 72% below 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative $127.20 $212.00 — 88% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC So Hcg Quantitative $19.20 $32.00 — — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative $127.20 $212.00 — — 40%

Surgery and procedures

ProcedureCash price List priceInsurers payvs OhioOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12 $11,964.86 $19,941.43 $3,136.68–$3,199.41 242% above 40%
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx $12,314.96 $20,524.93 $3,062.57–$3,123.82 574% above 40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circumcision Age>28 Days $7,687.50 $12,812.50 $1,977.66–$2,017.22 26% above 40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block $1,768.20 $2,947.00 — 13% below 40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block $1,768.20 $2,947.00 — — 40%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $5,978.02 $9,963.37 $1,132.12–$1,154.76 79% above 40%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple $5,936.34 $9,893.90 $1,132.12–$1,154.76 78% above 40%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $5,233.20 $8,722.00 $879.81–$897.41 92% above 40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix $12,240.42 $20,400.70 $3,062.57–$3,123.82 216% above 40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy W/Biopsy $9,679.74 $16,132.90 $288.30 964% above 40%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent $10,726.37 $17,877.28 $3,334.90–$3,401.60 72% above 40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy $7,713.36 $12,855.60 $659.70–$672.89 287% above 40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric $7,994.34 $13,323.90 $3,062.57–$3,123.82 11% above 40%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia $8,611.16 $14,351.93 $1,467.92–$1,497.28 124% above 40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Pbb Tympanostomy Local/Topical Anesthesia $598.20 $997.00 $510.25–$520.45 14% below 40%
Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Unilateral $126.00 $210.00 $55.81–$56.93 19% below 40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $1,146.60 $1,911.00 — 49% below 40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $2,753.88 $4,589.80 $667.82–$681.17 23% above 40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $1,146.60 $1,911.00 — — 40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC N Block Paravert Lumbar 1st $1,831.20 $3,052.00 — 12% below 40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC N Block Paravert Lumbar 1st $1,831.20 $3,052.00 — — 40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible $19,706.68 $32,844.47 $6,124.73–$6,247.23 38% below 40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible $12,028.45 $20,047.42 $3,387.33–$3,455.08 39% below 40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd $4,329.36 $7,215.60 $879.81–$897.41 69% above 40%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy $16,966.63 $28,277.72 $5,719.53–$5,833.93 3% below 40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography $19,823.24 $33,038.73 $5,719.53–$5,833.93 14% above 40%
Hammertoe correction surgery CPT 28285 Correction Hammertoe $25,096.12 $41,826.87 $3,095.56–$3,157.48 159% above 40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Ligation of Hemorrhoids $5,760.36 $9,600.60 $879.81 201% above 40%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft $118,060.13 $196,766.88 $12,146.38–$12,389.31 176% above 40%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary $27,091.10 $45,151.83 $946.35–$985.25 803% above 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Sal Cont Hyst $259.80 $433.00 — 32% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Intro Sal Cont Hyst $259.80 $433.00 — — 40%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation $13,552.70 $22,587.83 $4,732.70–$4,827.36 18% above 40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $11,053.74 $18,422.90 $3,062.57–$3,123.82 16% above 40%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device $12,240.42 $20,400.70 $3,062.57–$3,123.82 1988% above 40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage-Simple $883.20 $1,472.00 — 132% above 40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D Simple $3,142.02 $5,236.70 $189.82–$193.61 724% above 40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage-Simple $883.20 $1,472.00 — — 40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath Ligament $317.40 $529.00 — 6% below 40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inject Tendon Sheath Ligament $317.40 $529.00 — — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocent/Aspiration Maj Jnt $769.80 $1,283.00 — 11% above 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocent/Aspiration Maj Jnt $769.80 $1,283.00 — — 40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy $19,475.58 $32,459.30 $5,719.53–$5,833.93 12% above 40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary $26,805.35 $44,675.58 $10,056.64–$10,257.77 25% below 40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures $16,205.66 $27,009.43 $5,719.53–$5,833.93 26% below 40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $1,738.20 $2,897.00 — 15% below 40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $2,578.14 $4,296.90 $667.82–$681.17 27% above 40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $1,738.20 $2,897.00 — — 40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $1,738.20 $2,897.00 — — 40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn $1,738.20 $2,897.00 — 7% above 40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn $1,738.20 $2,897.00 — — 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj a/S Transforam Lumbar $2,546.70 $4,244.50 $836.78–$853.52 35% above 40%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete $16,851.78 $28,086.30 $6,282.11 47% below 40%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical $8,246.52 $13,744.20 $3,062.57–$3,123.82 16% above 40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Skin Benig <5mm Face Facial $11,555.07 $19,258.45 $669.95–$683.35 742% above 40%
Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W Guide $1,655.40 $2,759.00 — 4% below 40%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W Guide $1,655.40 $2,759.00 — — 40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision of Nail & Nail Matrix $946.20 $1,577.00 — 21% above 40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed $6,750.96 $11,251.60 $1,521.28–$1,551.71 766% above 40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision of Nail & Nail Matrix $946.20 $1,577.00 — — 40%
Prostate biopsy CPT 55700 HC Biopsy Prostate Needle or Punc $7,778.04 $12,963.40 $120.13–$124.53 327% above 40%
Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin $6,619.08 $11,031.80 $384.59–$392.29 919% above 40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy $21,948.18 $36,580.30 $5,719.53 3% below 40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind $4,377.42 $7,295.70 $879.81–$897.41 68% above 40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind $4,373.22 $7,288.70 $879.81–$897.41 68% above 40%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf $24,534.35 $40,890.58 $3,136.68 37% above 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm $633.00 $1,055.00 — 92% above 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rep Lac Smp Not Face <2.5cm $633.00 $1,055.00 — — 40%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion $267.60 $446.00 — 40% below 40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion $267.60 $446.00 — — 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic $1,320.60 $2,201.00 — 23% above 40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic $1,320.60 $2,201.00 — — 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Rpr Lac Smp Scalp 2.6-7.5 $633.00 $1,055.00 — 80% above 40%
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 Rpr Lac Smp Scalp 2.6-7.5 $633.00 $1,055.00 — — 40%
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete $18,882.32 $31,470.53 $5,072.67–$5,174.13 2% above 40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion $267.60 $446.00 — 11% below 40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion $267.60 $446.00 — — 40%
Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging $895.20 $1,492.00 — 49% below 40%
Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging $895.20 $1,492.00 — 49% below 40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging $895.20 $1,492.00 — — 40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging $895.20 $1,492.00 — — 40%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/> $12,396.79 $20,661.32 $3,136.68–$3,199.41 232% above 40%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 $11,377.70 $18,962.83 $5,600.62 74% above 40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/> $11,311.16 $18,851.93 $3,136.68–$3,199.41 at median 40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12 $10,469.17 $17,448.62 $5,600.62–$5,712.63 78% above 40%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder $54,645.66 $91,076.10 $16,588.34 1% below 40%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete $24,725.32 $41,208.87 $5,719.53 18% below 40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Pt 1-2 Musc Grps $1,311.00 $2,185.00 $290.40–$296.21 86% above 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US Img $2,591.40 $4,319.00 — 21% below 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast 1st Lesion US Img $2,591.40 $4,319.00 — — 40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam $5,512.12 $9,186.87 $1,815.43–$1,851.74 57% above 40%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple $5,881.80 $9,803.00 $858.08–$875.24 110% above 40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection $7,755.36 $12,925.60 $858.08–$875.24 177% above 40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech $8,912.70 $14,854.50 $1,815.43–$1,851.74 175% above 40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus $4,996.22 $8,327.03 $858.08–$875.24 78% above 40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash $4,339.44 $7,232.40 $858.08–$875.24 67% above 40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt $21,688.61 $36,147.68 $5,072.67–$5,174.13 43% above 40%
Wart removal, up to 14 warts CPT 17110 HC Destruct Benign Lesions $6,398.16 $10,663.60 $189.82 2049% above 40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm $2,227.20 $3,712.00 — 186% above 40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm $2,227.20 $3,712.00 $384.59–$392.29 186% above 40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Subq First 20 Sq Cm $2,227.20 $3,712.00 — — 40%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs OhioOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Administration $790.80 $1,318.00 — 32% below 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Administration $790.80 $1,318.00 — — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol, Hhn, Mdi, Ippb $16,035.72 $26,726.20 $2,446.45–$2,495.38 8577% above 40%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusion 1st Hour Chemo $1,050.00 $1,750.00 — 38% above 40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Infusion 1st Hour Chemo $1,235.40 $2,059.00 — — 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC >= 12 Lead Ekg $593.40 $989.00 $55.81–$56.93 220% above 40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Inf 1st Hour Hyd $647.40 $1,079.00 — 55% above 40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Inf 1st Hour Hyd $647.40 $1,079.00 — — 40%
IV infusion of a medicine, first hour CPT 96365 HC IV 1st Hour Init Drug $679.80 $1,133.00 — 57% above 40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV 1st Hour Init Drug $679.80 $1,133.00 — — 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im Sub Q $114.60 $191.00 — 19% below 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Im Sub Q $114.60 $191.00 — — 40%

Vaccines

ProcedureCash price List priceInsurers payvs OhioOff list
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP $839.22 $1,398.70 — 62% above 40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP $839.22 $1,398.70 — — 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR $249.90 $416.50 — 20% above 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR $249.90 $416.50 — — 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY $604.68 $1,007.80 — 9% above 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY $604.68 $1,007.80 — — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $700.26 $1,167.10 — 6% above 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $700.26 $1,167.10 — — 40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR $1,108.26 $1,847.10 — 16% above 40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR $1,108.26 $1,847.10 — — 40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR $549.60 $916.00 — 9% above 40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR $549.60 $916.00 — — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP $76.92 $128.20 — 14% below 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP $107.76 $179.60 — 20% above 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP $76.92 $128.20 — — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP $107.76 $179.60 — — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY $124.32 $207.20 — 13% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY $124.32 $207.20 — — 40%

Source file: https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/340505560-1790868982_mercy-health-youngstown-llc_standardcharges.ashx