Hospital

Norton Audubon Hospital

Listed in its price file as “Norton Hospitals INC”.

Norton Audubon Hospital in Louisville, KY publishes cash prices for 282 common procedures listed here, from its own machine-readable price file updated Feb 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 250 of 279 procedures and above it for 13. By typical cash price it ranks #5 of 74 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

One Audubon Plaza Drive, Louisville, KY 70217-1318 Collected Sep 23, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 HB ANKLE MIN 3 VWS LT	$123.20	$616.00	$82.54–$515.10	60% below	80%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HB ANKLE MIN 3 VWS RT	$123.20	$616.00	$82.54–$515.10	60% below	80%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HB ANKLE MIN 3 VWS LT	$123.20	$616.00	$101.64–$567.95	—	80%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HB ANKLE MIN 3 VWS RT	$123.20	$616.00	$101.64–$567.95	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB DEGRT PRESSURES/TOES	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB ULTRASONIC DOPPLER	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB THORACIC OUTLET	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB ANKLE BRACHIAL INDEX	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB NI UPPER/LOWER EXT ARTERIAL	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB ALLEN'S TESTING	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB IR QUANTAFLO VOL PLETHYS LTD	$296.40	$1,482.00	$120.83–$1,366.40	17% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB THORACIC OUTLET	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB IR QUANTAFLO VOL PLETHYS LTD	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB ALLEN'S TESTING	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB NI UPPER/LOWER EXT ARTERIAL	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB DEGRT PRESSURES/TOES	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB ULTRASONIC DOPPLER	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB ANKLE BRACHIAL INDEX	$296.40	$1,482.00	$244.53–$1,366.40	—	80%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGUS	$209.60	$1,048.00	$166.88–$876.34	46% below	80%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGUS	$209.60	$1,048.00	$172.92–$966.26	—	80%
Bone scan, whole body (nuclear medicine) CPT 78306 HB NM BONE SCAN WHOLE BODY	$519.00	$2,595.00	$194.93–$2,392.59	61% below	80%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB NM BONE SCAN WHOLE BODY	$519.00	$2,595.00	$428.18–$2,392.59	—	80%
Breast ultrasound, complete, one breast one side CPT 76641 HB ULTRASOUND BREASTCOMPLETE RT	$139.40	$697.00	$99.69–$642.63	63% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 HB ULTRASOUND BREASTCOMPLETE LT	$139.40	$697.00	$99.69–$642.63	63% below	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HB ULTRASOUND BREASTCOMPLETE LT	$139.40	$697.00	$115.01–$642.63	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HB ULTRASOUND BREASTCOMPLETE RT	$139.40	$697.00	$115.01–$642.63	—	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB US SFT TISSUE BREAST - POCUS	$110.20	$551.00	$82.54–$1,648.00	64% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB ULTRASOUND BREAST LIMITED BIL	$110.20	$551.00	$82.54–$508.02	64% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB ULTRASOUND BREAST LIMITED LT	$110.20	$551.00	$82.54–$508.02	64% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB ULTRASOUND BREAST LIMITED RT	$110.20	$551.00	$82.54–$508.02	64% below	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB US SFT TISSUE BREAST - POCUS	$110.20	$551.00	$90.92–$508.02	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB ULTRASOUND BREAST LIMITED BIL	$110.20	$551.00	$90.92–$508.02	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB ULTRASOUND BREAST LIMITED LT	$110.20	$551.00	$90.92–$508.02	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB ULTRASOUND BREAST LIMITED RT	$110.20	$551.00	$90.92–$508.02	—	80%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIO CHEST W& W/O CONTR	$908.40	$4,542.00	$90.44–$3,769.86	32% below	80%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CT ANGIO CHEST W& W/O CONTR	$908.40	$4,542.00	$749.43–$4,187.72	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT ANGIO HRT W/3D IMAGE	$778.00	$3,890.00	$90.44–$3,228.70	35% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score one side CPT 75574 HB CT ANGIO LEFT ATRIAL APPENDAGE	$583.40	$2,917.00	$90.44–$2,421.11	51% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT ANGIO HRT W/3D IMAGE	$778.00	$3,890.00	$641.85–$3,586.58	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient one side CPT 75574 HB CT ANGIO LEFT ATRIAL APPENDAGE	$583.40	$2,917.00	$481.31–$2,689.47	—	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT CARDIAC SCORING	$20.00	$100.00	$16.50–$1,044.38	71% below	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HRT W/O DYE W/CA TEST	$650.20	$3,251.00	$82.54–$2,698.33	850% above	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT CARDIAC SCORING	$20.00	$100.00	$16.50–$92.20	—	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HRT W/O DYE W/CA TEST	$650.20	$3,251.00	$536.42–$2,997.42	—	80%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABD & PELVIS W/O CONTRAST	$885.40	$4,427.00	$104.13–$3,674.41	48% below	80%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABD & PELVIS W/O CONTRAST	$885.40	$4,427.00	$730.46–$4,081.69	—	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST	$1,128.20	$5,641.00	$184.77–$4,682.03	45% below	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST	$1,128.20	$5,641.00	$930.77–$5,201.00	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD & PELV 1+ SECTION/REGNS	$1,465.40	$7,327.00	$184.77–$6,081.41	42% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABD & PELV 1+ SECTION/REGNS	$1,465.40	$7,327.00	$1,208.96–$6,755.49	—	80%
CT scan of the abdomen with contrast CPT 74160 HB CT ABD W CONT	$859.40	$4,297.00	$90.44–$3,566.51	30% below	80%
CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABD W CONT	$859.40	$4,297.00	$709.01–$3,961.83	—	80%
CT scan of the abdomen without contrast CPT 74150 HB CT ABD W/O CONT	$690.60	$3,453.00	$53.60–$2,865.99	39% below	80%
CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABD W/O CONT	$690.60	$3,453.00	$569.75–$3,183.67	—	80%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL AREA W/O CONT	$681.60	$3,408.00	$53.60–$2,828.64	34% below	80%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT MAXILLOFACIAL AREA W/O CONT	$681.60	$3,408.00	$562.32–$3,142.18	—	80%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD W/O CONTRAST	$652.80	$3,264.00	$53.60–$2,709.12	38% below	80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD W/O CONTRAST	$652.80	$3,264.00	$538.56–$3,009.41	—	80%
CT scan of the head with contrast CPT 70460 HB BRAIN LAB CT HEAD W CONTRAST	$677.80	$3,389.00	$90.44–$2,812.87	40% below	80%
CT scan of the head with contrast CPT 70460 HB CT HEAD WITH CONTRAST	$677.80	$3,389.00	$90.44–$2,812.87	40% below	80%
CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD WITH CONTRAST	$677.80	$3,389.00	$559.19–$3,124.66	—	80%
CT scan of the head with contrast inpatient CPT 70460 HB BRAIN LAB CT HEAD W CONTRAST	$677.80	$3,389.00	$559.19–$3,124.66	—	80%
CT scan of the head without and with contrast CPT 70470 HB BRAIN LAB CT HEAD W/WO CONTRAS	$895.40	$4,477.00	$90.44–$3,715.91	37% below	80%
CT scan of the head without and with contrast inpatient CPT 70470 HB BRAIN LAB CT HEAD W/WO CONTRAS	$895.40	$4,477.00	$738.71–$4,127.79	—	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMB SPINE W/O CONTR	$895.20	$4,476.00	$53.60–$3,715.08	30% below	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMB SPINE W/O CONTR	$895.20	$4,476.00	$738.54–$4,126.87	—	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT C SPINE W/O CONT POST MYELO	$833.40	$4,167.00	$53.60–$3,458.61	34% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERV SPINE W/O CONTR	$833.40	$4,167.00	$53.60–$3,458.61	34% below	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERV SPINE W/O CONTR	$833.40	$4,167.00	$687.56–$3,841.97	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT C SPINE W/O CONT POST MYELO	$833.40	$4,167.00	$687.56–$3,841.97	—	80%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTR	$833.40	$4,167.00	$90.44–$3,458.61	32% below	80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTR	$833.40	$4,167.00	$687.56–$3,841.97	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX EXTRACRANIAL BILATERAL	$338.20	$1,691.00	$226.59–$1,559.10	—	80%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HB CAROTID DUPLEX	$338.20	$1,691.00	$226.59–$1,559.10	59% below	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB DUPLEX EXTRACRANIAL BILATERAL	$338.20	$1,691.00	$279.02–$1,559.10	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HB CAROTID DUPLEX	$338.20	$1,691.00	$279.02–$1,559.10	—	80%
Chest X-ray, 2 views CPT 71046 HB CHEST XR 2 VIEWS	$121.60	$608.00	$22.52–$508.41	46% below	80%
Chest X-ray, 2 views inpatient CPT 71046 HB CHEST XR 2 VIEWS	$121.60	$608.00	$100.32–$560.58	—	80%
Chest X-ray, single view CPT 71045 HB CHEST XR SINGLE VIEW	$90.60	$453.00	$16.65–$378.80	51% below	80%
Chest X-ray, single view inpatient CPT 71045 HB CHEST XR SINGLE VIEW	$90.60	$453.00	$74.75–$417.67	—	80%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 HB US RENAL BILATERAL	$331.80	$1,659.00	$53.60–$1,529.60	—	80%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 HB US RENAL BILATERAL	$331.80	$1,659.00	$273.74–$1,529.60	—	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB BC BONE DENS MLT SITES AX SKEL	$119.60	$598.00	$27.74–$500.05	60% below	80%
DEXA bone density scan of the hip, pelvis or spine one side CPT 77080 HB BONE DENS HIP LT	$119.60	$598.00	$27.74–$500.05	60% below	80%
DEXA bone density scan of the hip, pelvis or spine one side CPT 77080 HB BONE DENS HIP RT	$119.60	$598.00	$27.74–$500.05	60% below	80%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB BC BONE DENS MLT SITES AX SKEL	$119.60	$598.00	$98.67–$551.36	—	80%
DEXA bone density scan of the hip, pelvis or spine inpatient one side CPT 77080 HB BONE DENS HIP RT	$119.60	$598.00	$98.67–$551.36	—	80%
DEXA bone density scan of the hip, pelvis or spine inpatient one side CPT 77080 HB BONE DENS HIP LT	$119.60	$598.00	$98.67–$551.36	—	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB BC BONE DENS PERIPHERAL	$105.20	$526.00	$20.89–$439.84	50% below	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB BC BONE DENS PERIPHERAL	$105.20	$526.00	$86.79–$484.97	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US PREG UTRS REAL TIME 1ST GES	$159.00	$795.00	$83.24–$732.99	63% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US PREG UTRS REAL TIME 1ST GES	$159.00	$795.00	$131.18–$732.99	—	80%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST W/O CONTR	$582.40	$2,912.00	$53.60–$2,416.96	44% below	80%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST W/O CONTR	$582.40	$2,912.00	$480.48–$2,684.86	—	80%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST W CONTR	$758.00	$3,790.00	$90.44–$3,145.70	38% below	80%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST W CONTR	$758.00	$3,790.00	$625.35–$3,494.38	—	80%
Diagnostic mammogram, both breasts CPT 77066 HB MAMMO DIAG BIL	$181.20	$906.00	$138.80–$835.33	25% below	80%
Diagnostic mammogram, both breasts inpatient CPT 77066 HB MAMMO DIAG BIL	$181.20	$906.00	$149.49–$835.33	—	80%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG RT	$106.60	$533.00	$87.95–$491.43	51% below	80%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG LT	$106.60	$533.00	$87.95–$491.43	51% below	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG LT	$106.60	$533.00	$87.95–$491.43	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG RT	$106.60	$533.00	$87.95–$491.43	—	80%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX LOW EXT ART BILAT	$409.00	$2,045.00	$226.59–$1,885.49	—	80%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX LOW EXT ART BILAT	$409.00	$2,045.00	$337.43–$1,885.49	—	80%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB DUPLEX EXTREMITIES COMPLETE	$371.20	$1,856.00	$226.59–$1,711.23	60% below	80%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HB DUPLEX EXTREMITIES COMPLETE	$371.20	$1,856.00	$306.24–$1,711.23	—	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO MMODE 2D SPECTCOLOR 93306	$1,002.80	$5,014.00	$513.99–$5,633.00	30% below	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO MMODE 2D SPECTCOLOR 93306	$1,002.80	$5,014.00	$827.31–$4,622.91	—	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING	$522.20	$2,611.00	$194.93–$2,407.34	50% below	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING	$522.20	$2,611.00	$430.82–$2,407.34	—	80%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY UNATTENDED	$170.20	$851.00	$140.42–$784.62	60% below	80%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STUDY UNATTENDED	$170.20	$851.00	$140.42–$784.62	—	80%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOM 4/OVER W/CPAP	$831.80	$4,159.00	$686.24–$3,834.60	73% below	80%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOM 4/OVER W/CPAP	$831.80	$4,159.00	$686.24–$3,834.60	—	80%
Knee X-ray, 3 views one side CPT 73562 HB KNEE 3 VWS RT	$136.20	$681.00	$82.54–$569.45	57% below	80%
Knee X-ray, 3 views one side CPT 73562 HB KNEE 3 VWS LT	$136.20	$681.00	$82.54–$569.45	57% below	80%
Knee X-ray, 3 views inpatient one side CPT 73562 HB KNEE 3 VWS RT	$136.20	$681.00	$112.37–$627.88	—	80%
Knee X-ray, 3 views inpatient one side CPT 73562 HB KNEE 3 VWS LT	$136.20	$681.00	$112.37–$627.88	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB EUS ABDOMEN LIMITED	$156.00	$780.00	$53.60–$1,648.00	71% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US SFT TISS ABD/LWR BCK POCUS	$258.80	$1,294.00	$53.60–$1,648.00	52% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMINAL LIMITED	$258.80	$1,294.00	$53.60–$1,193.07	52% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB EUS ABDOMEN LIMITED	$156.00	$780.00	$128.70–$719.16	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US SFT TISS ABD/LWR BCK POCUS	$258.80	$1,294.00	$213.51–$1,193.07	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US ABDOMINAL LIMITED	$258.80	$1,294.00	$213.51–$1,193.07	—	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT LOW DOSE LUNG CANCER SCRN	$49.60	$248.00	$40.92–$1,044.38	91% below	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB CT LOW DOSE LUNG CANCER SCRN	$49.60	$248.00	$40.92–$228.66	—	80%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT	$808.60	$4,043.00	$117.12–$3,355.69	46% below	80%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT	$808.60	$4,043.00	$117.12–$3,355.69	46% below	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT	$808.60	$4,043.00	$667.10–$3,727.65	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT	$808.60	$4,043.00	$667.10–$3,727.65	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT	$1,046.60	$5,233.00	$184.77–$4,343.39	50% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT	$1,046.60	$5,233.00	$184.77–$4,343.39	50% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT	$1,046.60	$5,233.00	$863.45–$4,824.83	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT	$1,046.60	$5,233.00	$863.45–$4,824.83	—	80%
MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O CONTRAST	$990.40	$4,952.00	$117.12–$4,110.16	36% below	80%
MRI of the abdomen without contrast CPT 74181 HB MRI FETAL ABDOMEN WO CONTRAST	$990.40	$4,952.00	$117.12–$4,110.16	36% below	80%
MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W/O CONTRAST	$990.40	$4,952.00	$817.08–$4,565.74	—	80%
MRI of the abdomen without contrast inpatient CPT 74181 HB MRI FETAL ABDOMEN WO CONTRAST	$990.40	$4,952.00	$817.08–$4,565.74	—	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN WO & W CONT	$1,219.80	$6,099.00	$184.77–$5,062.17	38% below	80%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN WO & W CONT	$1,219.80	$6,099.00	$1,006.34–$5,623.28	—	80%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN WO CONTR SHUNT	$724.60	$3,623.00	$117.12–$3,007.09	49% below	80%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST	$1,094.40	$5,472.00	$117.12–$4,541.76	23% below	80%
MRI of the brain, no contrast dye CPT 70551 HB MRI FETAL BRAIN WO CONTRAST	$1,094.40	$5,472.00	$117.12–$4,541.76	23% below	80%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN WO CONTR SHUNT	$724.60	$3,623.00	$597.80–$3,340.41	—	80%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI FETAL BRAIN WO CONTRAST	$1,094.40	$5,472.00	$902.88–$5,045.18	—	80%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST	$1,094.40	$5,472.00	$902.88–$5,045.18	—	80%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN WO & W CONT	$1,260.80	$6,304.00	$184.77–$5,232.32	36% below	80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN WO & W CONT	$1,260.80	$6,304.00	$1,040.16–$5,812.29	—	80%
MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONTR	$1,189.60	$5,948.00	$117.12–$4,936.84	20% below	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONTR	$1,189.60	$5,948.00	$981.42–$5,484.06	—	80%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W&W/O CONT	$1,262.80	$6,314.00	$184.77–$5,240.62	43% below	80%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE W&W/O CONT	$1,262.80	$6,314.00	$1,041.81–$5,821.51	—	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE W/O CONT	$1,174.40	$5,872.00	$117.12–$4,873.76	27% below	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE W/O CONT	$1,174.40	$5,872.00	$968.88–$5,413.98	—	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERV SPINE WO & W CONT	$1,262.80	$6,314.00	$184.77–$5,240.62	42% below	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI CERV SPINE WO & W CONT	$1,262.80	$6,314.00	$1,041.81–$5,821.51	—	80%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERV SPINE W/O CONTR	$1,205.00	$6,025.00	$117.12–$5,000.75	19% below	80%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERV SPINE W/O CONTR	$1,205.00	$6,025.00	$994.13–$5,555.05	—	80%
MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS WO & W CONT	$1,198.20	$5,991.00	$184.77–$4,972.53	41% below	80%
MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS WO & W CONT	$1,198.20	$5,991.00	$988.52–$5,523.70	—	80%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST	$851.20	$4,256.00	$117.12–$3,532.48	44% below	80%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O CONTRAST	$851.20	$4,256.00	$702.24–$3,924.03	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT RT	$818.60	$4,093.00	$117.12–$3,397.19	46% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT LT	$818.60	$4,093.00	$117.12–$3,397.19	46% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT RT	$818.60	$4,093.00	$675.35–$3,773.75	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HB MRI JOINT UPPER EXT W/O CONT LT	$818.60	$4,093.00	$675.35–$3,773.75	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB HT MUSCLE IMAGE SPEC MULT	$1,406.00	$7,030.00	$665.66–$6,481.66	54% below	80%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB HT MUSCLE IMAGE SPEC MULT	$1,406.00	$7,030.00	$1,159.95–$6,481.66	—	80%
OCT scan of the retina (optical coherence tomography) CPT 92134 HB SCANNING COMP OPHTH DX IMAGING	$43.40	$217.00	$35.81–$200.07	at median	80%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HB SCANNING COMP OPHTH DX IMAGING	$43.40	$217.00	$35.81–$200.07	—	80%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET W/CT TUMOR SKULL MID-THIGH	$2,129.00	$10,645.00	$746.94–$9,814.69	29% below	80%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB ILLUCIX PET/CT WB	$2,129.00	$10,645.00	$746.94–$9,814.69	29% below	80%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB AXUMIN PET/CT WB	$2,129.00	$10,645.00	$746.94–$9,814.69	29% below	80%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET W/CT TUMOR SKULL MID-THIGH	$2,129.00	$10,645.00	$1,756.43–$9,814.69	—	80%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB AXUMIN PET/CT WB	$2,129.00	$10,645.00	$1,756.43–$9,814.69	—	80%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB ILLUCIX PET/CT WB	$2,129.00	$10,645.00	$1,756.43–$9,814.69	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US SFT TISS PELVIS NONOB POCUS	$145.00	$725.00	$24.49–$1,648.00	59% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US GYN LTD	$145.00	$725.00	$24.49–$668.45	59% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US SFT TISS PELVIS - POCUS	$145.00	$725.00	$24.49–$1,648.00	59% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC NON OB LTD	$145.00	$725.00	$24.49–$668.45	59% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIC NON OB LTD	$145.00	$725.00	$119.63–$668.45	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US GYN LTD	$145.00	$725.00	$119.63–$668.45	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US SFT TISS PELVIS - POCUS	$145.00	$725.00	$119.63–$668.45	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US SFT TISS PELVIS NONOB POCUS	$145.00	$725.00	$119.63–$668.45	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIC NON OB COMP	$257.80	$1,289.00	$53.60–$1,188.46	56% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US PELVIC NON OB COMP	$257.80	$1,289.00	$212.69–$1,188.46	—	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST FETUS	$257.00	$1,285.00	$53.60–$1,184.77	40% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PREG COMP SINGLE	$257.00	$1,285.00	$53.60–$1,184.77	40% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST	$257.00	$1,285.00	$53.60–$1,184.77	40% below	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PREG COMP SINGLE	$257.00	$1,285.00	$212.03–$1,184.77	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST	$257.00	$1,285.00	$212.03–$1,184.77	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST FETUS	$257.00	$1,285.00	$212.03–$1,184.77	—	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US PELVIC OB	$204.20	$1,021.00	$53.60–$941.36	52% below	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US PREG UTRS 1ST TRIM 1ST GEST	$204.20	$1,021.00	$53.60–$941.36	52% below	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US PELVIC OB	$204.20	$1,021.00	$168.47–$941.36	—	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US PREG UTRS 1ST TRIM 1ST GEST	$204.20	$1,021.00	$168.47–$941.36	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB EUS FETAL LIMITED	$111.60	$558.00	$92.07–$1,648.00	69% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US MULT LTD	$262.00	$1,310.00	$99.69–$1,207.82	27% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US PREG LTD SGL	$262.00	$1,310.00	$99.69–$1,207.82	27% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US OB/GYN LIMITED	$262.00	$1,310.00	$99.69–$1,207.82	27% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US FETAL LIMITED-PERI	$262.00	$1,310.00	$99.69–$1,207.82	27% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB EUS FETAL LIMITED	$111.60	$558.00	$92.07–$514.48	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US PREG LTD SGL	$262.00	$1,310.00	$216.15–$1,207.82	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US MULT LTD	$262.00	$1,310.00	$216.15–$1,207.82	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US OB/GYN LIMITED	$262.00	$1,310.00	$216.15–$1,207.82	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US FETAL LIMITED-PERI	$262.00	$1,310.00	$216.15–$1,207.82	—	80%
Screening mammogram, both breasts CPT 77067 HB MAMMO SCREEN BIL	$95.20	$476.00	$78.54–$438.87	35% below	80%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN RT	$92.40	$462.00	$76.23–$425.96	37% below	80%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN LT	$92.40	$462.00	$76.23–$425.96	37% below	80%
Screening mammogram, both breasts inpatient CPT 77067 HB MAMMO SCREEN BIL	$95.20	$476.00	$78.54–$438.87	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN LT	$92.40	$462.00	$76.23–$425.96	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN RT	$92.40	$462.00	$76.23–$425.96	—	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HB SHOULDER COMP MIN 2 VW RT	$153.80	$769.00	$82.54–$643.04	49% below	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HB SHOULDER COMP MIN 2 VW LT	$153.80	$769.00	$82.54–$643.04	49% below	80%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HB SHOULDER COMP MIN 2 VW LT	$153.80	$769.00	$126.89–$709.02	—	80%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HB SHOULDER COMP MIN 2 VW RT	$153.80	$769.00	$126.89–$709.02	—	80%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT	$387.80	$1,939.00	$319.94–$1,787.76	85% below	80%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVR PMTR	$774.00	$3,870.00	$638.55–$3,568.14	71% below	80%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT	$387.80	$1,939.00	$319.94–$1,787.76	—	80%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVR PMTR	$774.00	$3,870.00	$638.55–$3,568.14	—	80%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB STRESS ECHO COMP W CONT EKG	$833.80	$4,169.00	$513.99–$3,843.82	23% below	80%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB EXER STRESS ECHO W CONT EKG	$928.60	$4,643.00	$513.99–$4,280.85	14% below	80%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB STRESS ECHO COMP W CONT EKG	$833.80	$4,169.00	$687.89–$3,843.82	—	80%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB EXER STRESS ECHO W CONT EKG	$928.60	$4,643.00	$766.10–$4,280.85	—	80%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB MODIFIED BARIUM SWALLOW	$241.40	$1,207.00	$90.44–$1,009.29	44% below	80%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB MODIFIED BARIUM SWALLOW	$241.40	$1,207.00	$199.16–$1,112.85	—	80%
Transvaginal pelvic ultrasound CPT 76830 HB INTRAUTERINE TRANS W US GUIDE	$255.00	$1,275.00	$53.60–$1,175.55	51% below	80%
Transvaginal pelvic ultrasound CPT 76830 HB US TRANSVAGINAL	$259.20	$1,296.00	$53.60–$1,194.91	50% below	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 HB INTRAUTERINE TRANS W US GUIDE	$255.00	$1,275.00	$210.38–$1,175.55	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 HB US TRANSVAGINAL	$259.20	$1,296.00	$213.84–$1,194.91	—	80%
Transvaginal ultrasound during pregnancy CPT 76817 HB US TRANSVAG PREG COMPL	$259.20	$1,296.00	$99.69–$1,194.91	38% below	80%
Transvaginal ultrasound during pregnancy CPT 76817 HB US PREG UTRS REALTIME TRANSVAG	$259.20	$1,296.00	$99.69–$1,194.91	38% below	80%
Transvaginal ultrasound during pregnancy CPT 76817 HB US TRANSVAG PREG LTD	$259.20	$1,296.00	$99.69–$1,194.91	38% below	80%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US PREG UTRS REALTIME TRANSVAG	$259.20	$1,296.00	$213.84–$1,194.91	—	80%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US TRANSVAG PREG COMPL	$259.20	$1,296.00	$213.84–$1,194.91	—	80%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US TRANSVAG PREG LTD	$259.20	$1,296.00	$213.84–$1,194.91	—	80%
Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMP	$388.40	$1,942.00	$53.60–$1,790.52	44% below	80%
Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMP	$388.40	$1,942.00	$320.43–$1,790.52	—	80%
Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM/TESTICULAR	$273.20	$1,366.00	$99.69–$1,259.45	49% below	80%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US SCROTUM/TESTICULAR	$273.20	$1,366.00	$225.39–$1,259.45	—	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US SOFT TISSUE HEAD AND NECK	$233.40	$1,167.00	$99.69–$1,075.97	55% below	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US SFT TISSUE N/F/H - POCUS	$233.40	$1,167.00	$99.69–$1,648.00	55% below	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US SFT TISSUE N/F/H - POCUS	$233.40	$1,167.00	$192.56–$1,075.97	—	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US SOFT TISSUE HEAD AND NECK	$233.40	$1,167.00	$192.56–$1,075.97	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB UPPER GI W/O KUB	$219.40	$1,097.00	$84.55–$917.31	49% below	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB UPPER GI W/O KUB	$219.40	$1,097.00	$181.01–$1,011.43	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DOPPLER U/S EXT UNILATERAL	$294.60	$1,473.00	$99.69–$1,358.11	43% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT LOW LT	$294.60	$1,473.00	$99.69–$1,358.11	43% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT UP LT	$294.60	$1,473.00	$99.69–$1,358.11	43% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT LOW RT	$294.60	$1,473.00	$99.69–$1,358.11	43% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB US DUP VENOUS EXT UP RT	$294.60	$1,473.00	$99.69–$1,358.11	43% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT UP RT	$294.60	$1,473.00	$243.05–$1,358.11	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT LOW LT	$294.60	$1,473.00	$243.05–$1,358.11	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT UP LT	$294.60	$1,473.00	$243.05–$1,358.11	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB US DUP VENOUS EXT LOW RT	$294.60	$1,473.00	$243.05–$1,358.11	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DOPPLER U/S EXT UNILATERAL	$294.60	$1,473.00	$243.05–$1,358.11	—	80%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HB WRIST COMP MIN 3 VW LT	$116.80	$584.00	$82.54–$488.34	59% below	80%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HB WRIST COMP MIN 3 VW RT	$116.80	$584.00	$82.54–$488.34	59% below	80%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HB WRIST COMP MIN 3 VW LT	$116.80	$584.00	$96.36–$538.45	—	80%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HB WRIST COMP MIN 3 VW RT	$116.80	$584.00	$96.36–$538.45	—	80%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS	$127.20	$636.00	$82.54–$531.82	38% below	80%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HB X-RAY EXAM HIP UNI 2-3 VIEWS	$127.20	$636.00	$104.94–$586.39	—	80%
X-ray of the abdomen, 1 view CPT 74018 HB ABDOMEN XR SINGLE VIEW	$163.20	$816.00	$82.54–$682.34	26% below	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 HB ABDOMEN XR SINGLE VIEW	$163.20	$816.00	$134.64–$752.35	—	80%
X-ray of the ankle, 2 views CPT 73600 HB ANKLE 1 VW	$108.00	$540.00	$82.54–$451.55	54% below	80%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE AP & LAT RT	$108.00	$540.00	$82.54–$451.55	54% below	80%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE AP & LAT LT	$108.00	$540.00	$82.54–$451.55	54% below	80%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE 1 VW LT	$108.00	$540.00	$82.54–$451.55	54% below	80%
X-ray of the ankle, 2 views one side CPT 73600 HB ANKLE 1 VW RT	$108.00	$540.00	$82.54–$451.55	54% below	80%
X-ray of the ankle, 2 views inpatient CPT 73600 HB ANKLE 1 VW	$108.00	$540.00	$89.10–$497.88	—	80%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE 1 VW RT	$108.00	$540.00	$89.10–$497.88	—	80%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE 1 VW LT	$108.00	$540.00	$89.10–$497.88	—	80%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE AP & LAT LT	$108.00	$540.00	$89.10–$497.88	—	80%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HB ANKLE AP & LAT RT	$108.00	$540.00	$89.10–$497.88	—	80%
X-ray of the finger(s), 2 or more views CPT 73140 HB FINGER 1 VIEW	$57.60	$288.00	$47.52–$240.83	72% below	80%
X-ray of the finger(s), 2 or more views one side CPT 73140 HB FINGERS MIN 2 VWS RT	$91.80	$459.00	$75.74–$383.82	55% below	80%
X-ray of the finger(s), 2 or more views one side CPT 73140 HB FINGERS MIN 2 VWS LT	$91.80	$459.00	$75.74–$383.82	55% below	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB FINGER 1 VIEW	$57.60	$288.00	$47.52–$265.54	—	80%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HB FINGERS MIN 2 VWS LT	$91.80	$459.00	$75.74–$423.20	—	80%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HB FINGERS MIN 2 VWS RT	$91.80	$459.00	$75.74–$423.20	—	80%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT 2 VW LT	$59.80	$299.00	$49.34–$250.02	76% below	80%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT 1V RT	$59.80	$299.00	$49.34–$250.02	76% below	80%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT AP & LAT LT	$112.40	$562.00	$82.54–$469.94	55% below	80%
X-ray of the foot, 2 views one side CPT 73620 HB FOOT AP & LAT RT	$112.40	$562.00	$82.54–$469.94	55% below	80%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT 1V RT	$59.80	$299.00	$49.34–$275.68	—	80%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT 2 VW LT	$59.80	$299.00	$49.34–$275.68	—	80%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT AP & LAT RT	$112.40	$562.00	$92.73–$518.16	—	80%
X-ray of the foot, 2 views inpatient one side CPT 73620 HB FOOT AP & LAT LT	$112.40	$562.00	$92.73–$518.16	—	80%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HB FOOT COMP MIN 3 VWS LT	$146.00	$730.00	$82.54–$610.43	52% below	80%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HB FOOT COMP MIN 3 VWS RT	$146.00	$730.00	$82.54–$610.43	52% below	80%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HB FOOT COMP MIN 3 VWS RT	$146.00	$730.00	$120.45–$673.06	—	80%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HB FOOT COMP MIN 3 VWS LT	$146.00	$730.00	$120.45–$673.06	—	80%
X-ray of the hand, 3 or more views one side CPT 73130 HB HAND MIN 3 VWS RT	$114.40	$572.00	$82.54–$478.31	62% below	80%
X-ray of the hand, 3 or more views one side CPT 73130 HB HAND MIN 3 VWS LT	$114.40	$572.00	$82.54–$478.31	62% below	80%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HB HAND MIN 3 VWS LT	$114.40	$572.00	$94.38–$527.38	—	80%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HB HAND MIN 3 VWS RT	$114.40	$572.00	$94.38–$527.38	—	80%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 1-2 VIEWS LT	$128.00	$640.00	$82.54–$535.17	47% below	80%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 2 VWS LT	$128.00	$640.00	$82.54–$535.17	47% below	80%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 2 VWS RT	$128.00	$640.00	$82.54–$535.17	47% below	80%
X-ray of the knee, 1 or 2 views one side CPT 73560 HB KNEE 1-2 VIEWS RT	$128.00	$640.00	$82.54–$535.17	47% below	80%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 2 VWS LT	$128.00	$640.00	$105.60–$590.08	—	80%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 1-2 VIEWS LT	$128.00	$640.00	$105.60–$590.08	—	80%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 1-2 VIEWS RT	$128.00	$640.00	$105.60–$590.08	—	80%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HB KNEE 2 VWS RT	$128.00	$640.00	$105.60–$590.08	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB L SPINE AP & LATERAL	$151.40	$757.00	$99.69–$633.00	54% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB L SPINE AP & LATERAL	$151.40	$757.00	$124.91–$697.95	—	80%
X-ray of the lower back, 4 or more views CPT 72110 HB L SPINE COMP W OBLIQUES	$186.60	$933.00	$99.69–$780.17	57% below	80%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HB L SPINE COMP W OBLIQUES	$186.60	$933.00	$153.95–$860.23	—	80%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB T SPINE AP & LATERAL	$147.80	$739.00	$99.69–$617.95	49% below	80%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB T SPINE AP & LATERAL	$147.80	$739.00	$121.94–$681.36	—	80%
X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES MIN 3 VWS	$113.20	$566.00	$82.54–$473.29	59% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES AP & LAT ONLY	$113.20	$566.00	$82.54–$473.29	59% below	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES MIN 3 VWS	$113.20	$566.00	$93.39–$521.85	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES AP & LAT ONLY	$113.20	$566.00	$93.39–$521.85	—	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB C SPINE AP & LAT 2/3 VIEWS	$159.40	$797.00	$82.54–$666.45	49% below	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB C SPINE AP & LAT 2/3 VIEWS	$159.40	$797.00	$131.51–$734.83	—	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS 1 OR 2 VIEWS	$108.80	$544.00	$89.76–$454.89	49% below	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS 1 OR 2 VIEWS	$108.80	$544.00	$89.76–$501.57	—	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM & COCCYX MIN 2 VWS	$102.20	$511.00	$82.54–$427.30	58% below	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM & COCCYX MIN 2 VWS	$102.20	$511.00	$84.32–$471.14	—	80%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB FIBROSURE-SGPT (S/O)	$15.40	$77.00	$5.30–$63.91	76% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB SGPT/ALT	$41.20	$206.00	$5.30–$170.98	35% below	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB FIBROSURE-SGPT (S/O)	$15.40	$77.00	$12.71–$70.99	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB SGPT/ALT	$41.20	$206.00	$33.99–$189.93	—	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB FIBROSURE-SGOT (S/O)	$15.40	$77.00	$5.18–$63.91	76% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB SGOT/AST	$32.60	$163.00	$5.18–$135.29	48% below	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB FIBROSURE-SGOT (S/O)	$15.40	$77.00	$12.71–$70.99	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB SGOT/AST	$32.60	$163.00	$26.90–$150.29	—	80%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL	$174.40	$872.00	$47.63–$723.76	31% below	80%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL	$174.40	$872.00	$143.88–$803.98	—	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN IGE (INHSE)	$12.20	$61.00	$5.22–$50.63	at median	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN IGE (S/O)	$12.20	$61.00	$5.22–$50.63	at median	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN IGE (S/O)	$12.20	$61.00	$10.07–$56.24	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN IGE (INHSE)	$12.20	$61.00	$10.07–$56.24	—	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED AB	$43.20	$216.00	$12.95–$179.28	46% below	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED AB	$43.20	$216.00	$35.64–$199.15	—	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB MSO-ANA	$47.40	$237.00	$12.09–$196.71	39% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANA SCREEN	$136.60	$683.00	$12.09–$566.89	77% above	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB MSO-ANA	$47.40	$237.00	$39.11–$218.51	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANA SCREEN	$136.60	$683.00	$112.70–$629.73	—	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB BNP-POCT	$141.80	$709.00	$39.26–$588.47	22% below	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB BNP	$141.80	$709.00	$39.26–$588.47	22% below	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB BNP-POCT	$141.80	$709.00	$116.99–$653.70	—	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB BNP	$141.80	$709.00	$116.99–$653.70	—	80%
Basic metabolic panel (blood test) CPT 80048 HB BMP W TOTAL CALCIUM	$61.20	$306.00	$8.46–$253.98	35% below	80%
Basic metabolic panel (blood test) inpatient CPT 80048 HB BMP W TOTAL CALCIUM	$61.20	$306.00	$50.49–$282.13	—	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB PATH LVL IV/88305	$119.60	$598.00	$50.09–$496.34	25% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB MSO-LEVEL IV GROSS/MICRO	$119.60	$598.00	$50.09–$496.34	25% below	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB PATH LVL IV/88305	$119.60	$598.00	$98.67–$551.36	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB MSO-LEVEL IV GROSS/MICRO	$119.60	$598.00	$98.67–$551.36	—	80%
Blood culture for bacteria CPT 87040 HB CULTURE BLD AEROB ONLY	$90.60	$453.00	$10.32–$375.99	28% below	80%
Blood culture for bacteria CPT 87040 HB PLATELET CULTURE	$90.60	$453.00	$10.32–$375.99	28% below	80%
Blood culture for bacteria CPT 87040 HB CULTURE TRANSF RXN	$90.60	$453.00	$10.32–$375.99	28% below	80%
Blood culture for bacteria CPT 87040 HB CULTURE BLOOD	$90.60	$453.00	$10.32–$375.99	28% below	80%
Blood culture for bacteria inpatient CPT 87040 HB CULTURE TRANSF RXN	$90.60	$453.00	$74.75–$417.67	—	80%
Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLOOD	$90.60	$453.00	$74.75–$417.67	—	80%
Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLD AEROB ONLY	$90.60	$453.00	$74.75–$417.67	—	80%
Blood culture for bacteria inpatient CPT 87040 HB PLATELET CULTURE	$90.60	$453.00	$74.75–$417.67	—	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB SPECIMEN COLLECTION VENIPUNCT	$10.00	$50.00	$8.25–$41.50	40% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PEDIATRIC VENIPUNCTURE	$10.00	$50.00	$8.25–$41.50	40% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB NCH OP LAB VENIPUNCTURE	$10.00	$50.00	$8.25–$41.50	40% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE	$10.00	$50.00	$8.25–$41.50	40% below	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB SPECIMEN COLLECTION VENIPUNCT	$10.00	$50.00	$8.25–$46.10	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB NCH OP LAB VENIPUNCTURE	$10.00	$50.00	$8.25–$46.10	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB PEDIATRIC VENIPUNCTURE	$10.00	$50.00	$8.25–$46.10	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB VENIPUNCTURE	$10.00	$50.00	$8.25–$46.10	—	80%
Blood glucose (sugar) test CPT 82947 HB GM - GLUCOSE QUANT BLOOD	$9.60	$48.00	$3.93–$39.84	77% below	80%
Blood glucose (sugar) test CPT 82947 HB FIBROSURE-GLUCOSE (S/O)	$15.40	$77.00	$3.93–$63.91	63% below	80%
Blood glucose (sugar) test CPT 82947 HB GLUCOSE BLD QUANT	$45.00	$225.00	$3.93–$186.75	7% above	80%
Blood glucose (sugar) test inpatient CPT 82947 HB GM - GLUCOSE QUANT BLOOD	$9.60	$48.00	$7.92–$44.26	—	80%
Blood glucose (sugar) test inpatient CPT 82947 HB FIBROSURE-GLUCOSE (S/O)	$15.40	$77.00	$12.71–$70.99	—	80%
Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE BLD QUANT	$45.00	$225.00	$37.13–$207.45	—	80%
Blood lead test CPT 83655 HB LEAD	$52.00	$260.00	$12.11–$215.80	24% below	80%
Blood lead test inpatient CPT 83655 HB LEAD	$52.00	$260.00	$42.90–$239.72	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HCG SERUM QUAL	$31.00	$155.00	$7.52–$128.65	65% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB POC AUTO UPREG	$45.00	$225.00	$7.52–$186.75	50% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB HCG SERUM QUAL	$31.00	$155.00	$25.58–$142.91	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB POC AUTO UPREG	$45.00	$225.00	$37.13–$207.45	—	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB REF I, I AG - BLOOD TYPING ABO	$39.40	$197.00	$2.99–$163.51	28% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB PUBS BLOOD TYPING ABO	$41.20	$206.00	$2.99–$170.98	25% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB REF ABO TYPE	$41.20	$206.00	$2.99–$170.98	25% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO AUTOMATED	$41.20	$206.00	$2.99–$170.98	25% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO - CHEMO S/O	$41.20	$206.00	$2.99–$170.98	25% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB BLOOD TYPING ABO	$41.20	$206.00	$2.99–$170.98	25% below	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB REF I, I AG - BLOOD TYPING ABO	$39.40	$197.00	$32.51–$181.63	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB REF ABO TYPE	$41.20	$206.00	$33.99–$189.93	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO - CHEMO S/O	$41.20	$206.00	$33.99–$189.93	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB PUBS BLOOD TYPING ABO	$41.20	$206.00	$33.99–$189.93	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO AUTOMATED	$41.20	$206.00	$33.99–$189.93	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB BLOOD TYPING ABO	$41.20	$206.00	$33.99–$189.93	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB CRP (S/O)	$19.20	$96.00	$5.18–$79.68	65% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN	$19.20	$96.00	$5.18–$79.68	65% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN	$19.20	$96.00	$15.84–$88.51	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB CRP (S/O)	$19.20	$96.00	$15.84–$88.51	—	80%
C. difficile toxin gene test (stool PCR) CPT 87493 HB CLO DIFFICILE AMP PROBE	$99.80	$499.00	$37.27–$414.17	at median	80%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB CLO DIFFICILE AMP PROBE	$99.80	$499.00	$82.34–$460.08	—	80%
CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19 9	$121.60	$608.00	$20.81–$504.64	5% below	80%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19 9	$121.60	$608.00	$100.32–$560.58	—	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA 125	$123.60	$618.00	$20.81–$512.94	6% below	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CA 125	$123.60	$618.00	$101.97–$569.80	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 (S/O)	$53.60	$268.00	$44.22–$222.44	36% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 NON CDC	$69.80	$349.00	$51.31–$289.67	17% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB COVID-19 (S/O)	$53.60	$268.00	$44.13–$247.10	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB COVID-19 NON CDC	$69.80	$349.00	$44.13–$321.78	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYD TRACH AMP PROBE	$65.60	$328.00	$35.09–$272.24	41% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA AMP PROBE S/O	$65.60	$328.00	$35.09–$272.24	41% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA AMP PROBE S/O	$65.60	$328.00	$54.12–$302.42	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYD TRACH AMP PROBE	$65.60	$328.00	$54.12–$302.42	—	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL-INHSE	$105.80	$529.00	$13.39–$439.07	10% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL (SO)	$105.80	$529.00	$13.39–$439.07	10% below	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL (SO)	$105.80	$529.00	$87.29–$487.74	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL-INHSE	$105.80	$529.00	$87.29–$487.74	—	80%
Complete blood count (CBC) with differential CPT 85025 HB CBC/PLT/AUTO DIFF	$51.40	$257.00	$7.77–$213.31	14% below	80%
Complete blood count (CBC) with differential CPT 85025 HB HEMOGRAM WITH PLATELET	$51.40	$257.00	$7.77–$213.31	14% below	80%
Complete blood count (CBC) with differential inpatient CPT 85025 HB HEMOGRAM WITH PLATELET	$51.40	$257.00	$42.41–$236.95	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC/PLT/AUTO DIFF	$51.40	$257.00	$42.41–$236.95	—	80%
Complete blood count (CBC), no differential CPT 85027 HB H&H PLATELET CT	$34.00	$170.00	$6.47–$141.10	41% below	80%
Complete blood count (CBC), no differential CPT 85027 HB CBC/PLT/NO DIFF	$34.00	$170.00	$6.47–$141.10	41% below	80%
Complete blood count (CBC), no differential CPT 85027 HB CBC W/O DIFF	$34.00	$170.00	$6.47–$141.10	41% below	80%
Complete blood count (CBC), no differential inpatient CPT 85027 HB H&H PLATELET CT	$34.00	$170.00	$28.05–$156.74	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC W/O DIFF	$34.00	$170.00	$28.05–$156.74	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC/PLT/NO DIFF	$34.00	$170.00	$28.05–$156.74	—	80%
Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL	$77.00	$385.00	$10.56–$319.55	41% below	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL	$77.00	$385.00	$63.53–$354.97	—	80%
D-dimer blood test (blood clot marker) CPT 85379 HB D DIMER QUANT	$56.80	$284.00	$10.18–$235.72	37% below	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HB D DIMER QUANT	$56.80	$284.00	$46.86–$261.85	—	80%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA SULFATE	$69.80	$349.00	$22.23–$289.67	46% below	80%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA SULFATE	$69.80	$349.00	$57.59–$321.78	—	80%
Estradiol blood test CPT 82670 HB ESTRADIOL	$80.20	$401.00	$27.94–$332.83	44% below	80%
Estradiol blood test inpatient CPT 82670 HB ESTRADIOL	$80.20	$401.00	$66.17–$369.72	—	80%
FSH (follicle-stimulating hormone) test CPT 83001 HB FSH (S/O)	$67.60	$338.00	$18.58–$280.54	58% below	80%
FSH (follicle-stimulating hormone) test CPT 83001 HB FSH (INH)	$77.40	$387.00	$18.58–$321.21	52% below	80%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH (S/O)	$67.60	$338.00	$55.77–$311.64	—	80%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH (INH)	$77.40	$387.00	$63.86–$356.81	—	80%
Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN	$202.00	$1,010.00	$19.63–$838.30	at median	80%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN	$202.00	$1,010.00	$166.65–$931.22	—	80%
Ferritin blood test (iron stores) CPT 82728 HB FERRITIN	$83.40	$417.00	$13.63–$346.11	24% below	80%
Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN	$83.40	$417.00	$68.81–$384.47	—	80%
Folate (folic acid) blood test CPT 82746 HB GM -FOLIC ACID SERUM	$9.60	$48.00	$7.92–$39.84	91% below	80%
Folate (folic acid) blood test CPT 82746 HB FOLIC ACID SERUM	$64.20	$321.00	$14.70–$266.43	41% below	80%
Folate (folic acid) blood test inpatient CPT 82746 HB GM -FOLIC ACID SERUM	$9.60	$48.00	$7.92–$44.26	—	80%
Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID SERUM	$64.20	$321.00	$52.97–$295.96	—	80%
Free T3 thyroid hormone test CPT 84481 HB T3 FREE	$88.60	$443.00	$16.94–$367.69	40% below	80%
Free T3 thyroid hormone test inpatient CPT 84481 HB T3 FREE	$88.60	$443.00	$73.10–$408.45	—	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4 FREE	$70.80	$354.00	$9.02–$293.82	10% below	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB T4 FREE	$70.80	$354.00	$58.41–$326.39	—	80%
Free testosterone test CPT 84402 HB TESTOSTERONE FREE	$184.00	$920.00	$25.47–$763.60	130% above	80%
Free testosterone test inpatient CPT 84402 HB TESTOSTERONE FREE	$184.00	$920.00	$151.80–$848.24	—	80%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB GENERAL HEALTH PANEL	$81.20	$406.00	$66.99–$336.98	71% below	80%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB GENERAL HEALTH PANEL	$81.20	$406.00	$66.99–$374.33	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE POST DOSE	$56.40	$282.00	$4.75–$234.06	6% above	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE POST DOSE	$56.40	$282.00	$46.53–$260.00	—	80%
Glucose tolerance test, 3 samples CPT 82951 HB GLUC TOL UP TO 3 SPEC	$184.00	$920.00	$12.87–$763.60	22% above	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUC TOL UP TO 3 SPEC	$184.00	$920.00	$151.80–$848.24	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GONORRHEA AMP PROBE S/O	$93.00	$465.00	$35.09–$385.95	13% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GC AMP PROBE	$93.00	$465.00	$35.09–$385.95	13% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB GC AMP PROBE	$93.00	$465.00	$76.73–$428.73	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB GONORRHEA AMP PROBE S/O	$93.00	$465.00	$76.73–$428.73	—	80%
H. pylori antibody blood test CPT 86677 HB H. PYLORI EA (INHSE)	$71.60	$358.00	$16.85–$297.14	25% below	80%
H. pylori antibody blood test CPT 86677 HB H. PYLORI AB EA (S/O)	$71.60	$358.00	$16.85–$297.14	25% below	80%
H. pylori antibody blood test inpatient CPT 86677 HB H. PYLORI EA (INHSE)	$71.60	$358.00	$59.07–$330.08	—	80%
H. pylori antibody blood test inpatient CPT 86677 HB H. PYLORI AB EA (S/O)	$71.60	$358.00	$59.07–$330.08	—	80%
H. pylori stool antigen test CPT 87338 HB H.PYLORI AG-STOOL	$143.80	$719.00	$14.38–$596.77	8% below	80%
H. pylori stool antigen test inpatient CPT 87338 HB H.PYLORI AG-STOOL	$143.80	$719.00	$118.64–$662.92	—	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB H 1 RNA PCR QUANTITATIVE	$46.40	$232.00	$38.28–$192.56	82% below	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB H-1 REVERSE TRANSCRIPT & QUANT	$130.40	$652.00	$85.10–$541.16	49% below	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB H VIRAL LOAD	$130.40	$652.00	$85.10–$541.16	49% below	80%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB H 1 RNA PCR QUANTITATIVE	$46.40	$232.00	$38.28–$213.90	—	80%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB H VIRAL LOAD	$130.40	$652.00	$107.58–$601.14	—	80%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB H-1 REVERSE TRANSCRIPT & QUANT	$130.40	$652.00	$107.58–$601.14	—	80%
HIV-1 and HIV-2 antibody test CPT 86703 HB MULTISPOT H1H2 DIFFERENTIATION	$61.00	$305.00	$13.71–$253.15	5% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 HB H1/2 ABS	$61.00	$305.00	$13.71–$253.15	5% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 HB H1/H2 ABS	$61.00	$305.00	$13.71–$253.15	5% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 HB HIV 1/2 PLUS O AB S/O	$61.00	$305.00	$13.71–$253.15	5% below	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB H1/H2 ABS	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB MULTISPOT H1H2 DIFFERENTIATION	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV 1/2 PLUS O AB S/O	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB H1/2 ABS	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB H1AG+H1/H2ABS	$61.00	$305.00	$24.08–$253.15	24% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV-1 AG W/HIV-1 & HIV-2 AB	$61.00	$305.00	$24.08–$253.15	24% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV RAPID	$61.00	$305.00	$24.08–$253.15	24% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB H1 AG+H1/H2 ABS 1 RESULT	$61.00	$305.00	$24.08–$253.15	24% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV-1 AG W/HIV-1 & HIV-2 AB	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV RAPID	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB H1AG+H1/H2ABS	$61.00	$305.00	$50.33–$281.21	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB H1 AG+H1/H2 ABS 1 RESULT	$61.00	$305.00	$50.33–$281.21	—	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH-RISK TYPES	$33.20	$166.00	$27.39–$137.78	60% below	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV HIGH-RISK TYPES	$33.20	$166.00	$27.39–$153.05	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HGB/A1C/GLYCOSYLATED	$60.20	$301.00	$9.71–$249.83	15% below	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HGB A1C	$60.20	$301.00	$9.71–$249.83	15% below	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HGB A1C	$60.20	$301.00	$49.67–$277.52	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HGB/A1C/GLYCOSYLATED	$60.20	$301.00	$49.67–$277.52	—	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE AB	$57.60	$288.00	$10.74–$239.04	39% below	80%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE AB	$57.60	$288.00	$47.52–$265.54	—	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB PFS DONOR SCREEN PANEL 87340	$7.00	$35.00	$5.78–$29.05	91% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HBSAG	$51.60	$258.00	$10.33–$214.14	32% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HBSAG S/O	$51.60	$258.00	$10.33–$214.14	32% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEP B SURF AG	$51.60	$258.00	$10.33–$214.14	32% below	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB PFS DONOR SCREEN PANEL 87340	$7.00	$35.00	$5.78–$32.27	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HBSAG S/O	$51.60	$258.00	$42.57–$237.88	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HBSAG	$51.60	$258.00	$42.57–$237.88	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEP B SURF AG	$51.60	$258.00	$42.57–$237.88	—	80%
Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB	$67.60	$338.00	$14.27–$280.54	36% below	80%
Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C AB	$67.60	$338.00	$14.27–$280.54	36% below	80%
Hepatitis C antibody blood test (screening) CPT 86803 HB HCV AB S/O	$67.60	$338.00	$14.27–$280.54	36% below	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HCV AB S/O	$67.60	$338.00	$55.77–$311.64	—	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C AB	$67.60	$338.00	$55.77–$311.64	—	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB	$67.60	$338.00	$55.77–$311.64	—	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C QUANT	$327.00	$1,635.00	$42.84–$1,357.05	13% above	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C QUANT	$327.00	$1,635.00	$269.78–$1,507.47	—	80%
Herpes blood test, HSV-1 antibody CPT 86695 HB MEM-HSV1 AB	$63.80	$319.00	$13.19–$264.77	at median	80%
Herpes blood test, HSV-1 antibody CPT 86695 HB HSV AB TYPE 1 EA	$63.80	$319.00	$13.19–$264.77	at median	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV AB TYPE 1 EA	$63.80	$319.00	$52.64–$294.12	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB MEM-HSV1 AB	$63.80	$319.00	$52.64–$294.12	—	80%
Herpes blood test, HSV-2 antibody CPT 86696 HB MEM-HSV2 AB	$45.20	$226.00	$19.35–$187.58	35% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 HB HSV AB TYPE 2 EA	$45.20	$226.00	$19.35–$187.58	35% below	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV AB TYPE 2 EA	$45.20	$226.00	$37.29–$208.37	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB MEM-HSV2 AB	$45.20	$226.00	$37.29–$208.37	—	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB HIGH SENSITIVITY CRP	$58.60	$293.00	$12.95–$243.19	30% below	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB HSCRP	$58.60	$293.00	$12.95–$243.19	30% below	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB CRP-HIGH SENSITIVITY	$58.60	$293.00	$12.95–$243.19	30% below	80%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB CRP-HIGH SENSITIVITY	$58.60	$293.00	$48.35–$270.15	—	80%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HIGH SENSITIVITY CRP	$58.60	$293.00	$48.35–$270.15	—	80%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HSCRP	$58.60	$293.00	$48.35–$270.15	—	80%
Homocysteine blood test CPT 83090 HB HOMOCYSTINE QUANT	$126.20	$631.00	$17.92–$523.73	12% below	80%
Homocysteine blood test CPT 83090 HB HOMOCYSTEINE	$126.20	$631.00	$17.92–$523.73	12% below	80%
Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTINE QUANT	$126.20	$631.00	$104.12–$581.78	—	80%
Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE	$126.20	$631.00	$104.12–$581.78	—	80%
Insulin blood test CPT 83525 HB INSULIN TOTAL	$67.40	$337.00	$11.43–$279.71	21% below	80%
Insulin blood test inpatient CPT 83525 HB INSULIN TOTAL	$67.40	$337.00	$55.61–$310.71	—	80%
Iron blood test (serum iron) CPT 83540 HB URINE IRON (SO)	$84.20	$421.00	$6.47–$349.43	17% above	80%
Iron blood test (serum iron) CPT 83540 HB IRON (SO)	$84.20	$421.00	$6.47–$349.43	17% above	80%
Iron blood test (serum iron) CPT 83540 HB SERUM IRON (SO)	$84.20	$421.00	$6.47–$349.43	17% above	80%
Iron blood test (serum iron) CPT 83540 HB IRON (INH)	$84.20	$421.00	$6.47–$349.43	17% above	80%
Iron blood test (serum iron) inpatient CPT 83540 HB IRON (SO)	$84.20	$421.00	$69.47–$388.16	—	80%
Iron blood test (serum iron) inpatient CPT 83540 HB URINE IRON (SO)	$84.20	$421.00	$69.47–$388.16	—	80%
Iron blood test (serum iron) inpatient CPT 83540 HB IRON (INH)	$84.20	$421.00	$69.47–$388.16	—	80%
Iron blood test (serum iron) inpatient CPT 83540 HB SERUM IRON (SO)	$84.20	$421.00	$69.47–$388.16	—	80%
Iron-binding capacity (TIBC) test CPT 83550 HB IRON BINDING CAPACITY	$77.80	$389.00	$8.74–$322.87	9% below	80%
Iron-binding capacity (TIBC) test CPT 83550 HB UIBC	$77.80	$389.00	$8.74–$322.87	9% below	80%
Iron-binding capacity (TIBC) test CPT 83550 HB TIBC	$77.80	$389.00	$8.74–$322.87	9% below	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB TIBC	$77.80	$389.00	$64.19–$358.66	—	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB UIBC	$77.80	$389.00	$64.19–$358.66	—	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB IRON BINDING CAPACITY	$77.80	$389.00	$64.19–$358.66	—	80%
Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL	$57.40	$287.00	$8.68–$238.21	38% below	80%
Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL	$57.40	$287.00	$47.36–$264.61	—	80%
LH (luteinizing hormone) test CPT 83002 HB LH (S/O)	$67.40	$337.00	$18.52–$279.71	54% below	80%
LH (luteinizing hormone) test CPT 83002 HB LH (INH)	$138.20	$691.00	$18.52–$573.53	5% below	80%
LH (luteinizing hormone) test inpatient CPT 83002 HB LH (S/O)	$67.40	$337.00	$55.61–$310.71	—	80%
LH (luteinizing hormone) test inpatient CPT 83002 HB LH (INH)	$138.20	$691.00	$114.02–$637.10	—	80%
Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE	$58.40	$292.00	$6.89–$242.36	21% below	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE	$58.40	$292.00	$48.18–$269.22	—	80%
Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL	$63.60	$318.00	$8.17–$263.94	37% below	80%
Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL	$63.60	$318.00	$52.47–$293.20	—	80%
Lyme disease antibody test CPT 86618 HB LYME DISEASE AB	$39.00	$195.00	$17.03–$161.85	32% below	80%
Lyme disease antibody test CPT 86618 HB LYME TOTAL ANTIBODY MTTT	$41.80	$209.00	$17.03–$173.47	27% below	80%
Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB	$39.00	$195.00	$32.18–$179.79	—	80%
Lyme disease antibody test inpatient CPT 86618 HB LYME TOTAL ANTIBODY MTTT	$41.80	$209.00	$34.49–$192.70	—	80%
Magnesium blood test CPT 83735 HB MAGNESIUM	$56.40	$282.00	$6.70–$234.06	3% above	80%
Magnesium blood test inpatient CPT 83735 HB MAGNESIUM	$56.40	$282.00	$46.53–$260.00	—	80%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA AB EA (SO)	$84.40	$422.00	$12.88–$350.26	48% above	80%
Measles (rubeola) antibody test CPT 86765 HB MEM-MEASLES AB	$84.40	$422.00	$12.88–$350.26	48% above	80%
Measles (rubeola) antibody test CPT 86765 HB RUBEOLA AB EA (INHSE)	$84.40	$422.00	$12.88–$350.26	48% above	80%
Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA AB EA (SO)	$84.40	$422.00	$69.63–$389.08	—	80%
Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA AB EA (INHSE)	$84.40	$422.00	$69.63–$389.08	—	80%
Measles (rubeola) antibody test inpatient CPT 86765 HB MEM-MEASLES AB	$84.40	$422.00	$69.63–$389.08	—	80%
Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE AB OR MONO TEST	$37.20	$186.00	$5.18–$154.38	33% below	80%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE AB OR MONO TEST	$37.20	$186.00	$30.69–$171.49	—	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE	$67.80	$339.00	$18.39–$281.37	19% below	80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE	$67.80	$339.00	$55.94–$312.56	—	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL	$67.80	$339.00	$18.39–$281.37	47% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA (SO)	$67.80	$339.00	$18.39–$281.37	47% below	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA (SO)	$67.80	$339.00	$55.94–$312.56	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL	$67.80	$339.00	$55.94–$312.56	—	80%
Pap test (liquid-based, automated screening with review) CPT 88175 HB CYTOPATH CER/VAG W/RESCR MAN	$37.40	$187.00	$26.61–$155.21	4% below	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HB CYTOPATH CER/VAG W/RESCR MAN	$37.40	$187.00	$30.86–$172.41	—	80%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB GYN THIN PREP	$17.80	$89.00	$14.69–$73.87	68% below	80%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB GYN THIN PREP	$17.80	$89.00	$14.69–$82.06	—	80%
Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHORMONE	$142.20	$711.00	$41.28–$590.13	33% below	80%
Parathyroid hormone (PTH) blood test CPT 83970 HB PTH RAPID	$142.20	$711.00	$41.28–$590.13	33% below	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHORMONE	$142.20	$711.00	$117.32–$655.54	—	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH RAPID	$142.20	$711.00	$117.32–$655.54	—	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB POCT APTT	$95.40	$477.00	$6.01–$395.91	7% above	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT LA	$95.40	$477.00	$6.01–$395.91	7% above	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT (PRISMA CIRCUIT)	$95.40	$477.00	$6.01–$395.91	7% above	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT ACTIVATED	$95.40	$477.00	$6.01–$395.91	7% above	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB HEPARIN NEUTRALIZATION PTT	$95.40	$477.00	$6.01–$395.91	7% above	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT LA	$95.40	$477.00	$78.71–$439.79	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB HEPARIN NEUTRALIZATION PTT	$95.40	$477.00	$78.71–$439.79	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT ACTIVATED	$95.40	$477.00	$78.71–$439.79	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT (PRISMA CIRCUIT)	$95.40	$477.00	$78.71–$439.79	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB POCT APTT	$95.40	$477.00	$78.71–$439.79	—	80%
Progesterone blood test CPT 84144 HB PROGESTERONE	$77.80	$389.00	$20.86–$322.87	41% below	80%
Progesterone blood test inpatient CPT 84144 HB PROGESTERONE	$77.80	$389.00	$64.19–$358.66	—	80%
Prolactin blood test CPT 84146 HB PROLACTIN	$92.40	$462.00	$19.38–$383.46	34% below	80%
Prolactin blood test inpatient CPT 84146 HB PROLACTIN	$92.40	$462.00	$76.23–$425.96	—	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PRO TIME INR	$40.40	$202.00	$4.29–$167.66	9% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HB POCT PT	$40.40	$202.00	$4.29–$167.66	9% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME	$40.40	$202.00	$4.29–$167.66	9% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HB MSO-PT	$40.40	$202.00	$4.29–$167.66	9% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PT CAPILLARY	$40.40	$202.00	$4.29–$167.66	9% below	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PT CAPILLARY	$40.40	$202.00	$33.33–$186.24	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME	$40.40	$202.00	$33.33–$186.24	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB POCT PT	$40.40	$202.00	$33.33–$186.24	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB MSO-PT	$40.40	$202.00	$33.33–$186.24	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PRO TIME INR	$40.40	$202.00	$33.33–$186.24	—	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG SCREEN-VISUAL READ (SO)	$41.00	$205.00	$12.60–$170.15	at median	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB DRUG SCREEN-VISUAL READ (IH)	$41.00	$205.00	$12.60–$170.15	at median	80%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUG SCREEN-VISUAL READ (SO)	$41.00	$205.00	$33.83–$189.01	—	80%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB DRUG SCREEN-VISUAL READ (IH)	$41.00	$205.00	$33.83–$189.01	—	80%
Rapid flu test (influenza antigen) CPT 87804 HB POCT RAPID FLU A/B	$20.00	$100.00	$16.50–$83.00	56% below	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 HB POCT RAPID FLU A/B	$20.00	$100.00	$16.50–$92.20	—	80%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB STREP SCREEN BETA DIRECT	$44.40	$222.00	$16.53–$184.26	25% below	80%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB STREP SCREEN BETA DIRECT	$44.40	$222.00	$36.63–$204.68	—	80%
Rheumatoid factor (RF) test CPT 86431 HB ANA-RF	$31.80	$159.00	$5.67–$131.97	34% below	80%
Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACT QUANT	$31.80	$159.00	$5.67–$131.97	34% below	80%
Rheumatoid factor (RF) test inpatient CPT 86431 HB ANA-RF	$31.80	$159.00	$26.24–$146.60	—	80%
Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACT QUANT	$31.80	$159.00	$26.24–$146.60	—	80%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB EA (INHSE)	$139.20	$696.00	$14.39–$577.68	39% above	80%
Rubella antibody test (immunity check) CPT 86762 HB RUBELLA AB EA (SO)	$139.20	$696.00	$14.39–$577.68	39% above	80%
Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB EA (SO)	$139.20	$696.00	$114.84–$641.71	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA AB EA (INHSE)	$139.20	$696.00	$114.84–$641.71	—	80%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SED RATE AUTOMATED	$18.00	$90.00	$2.70–$74.70	54% below	80%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SED RATE AUTOMATED	$18.00	$90.00	$14.85–$82.98	—	80%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN ANALYSIS CMPLT	$90.80	$454.00	$12.31–$376.82	20% below	80%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN ANALYSIS CMPLT	$90.80	$454.00	$74.91–$418.59	—	80%
Stool ova and parasites exam CPT 87177 HB OVA & PARASITE	$57.40	$287.00	$8.90–$238.21	30% below	80%
Stool ova and parasites exam inpatient CPT 87177 HB OVA & PARASITE	$57.40	$287.00	$47.36–$264.61	—	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB OCCULT BLOOD FECES	$18.00	$90.00	$4.38–$74.70	25% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB HEMOCCULT 1-3 CARDS	$18.00	$90.00	$4.38–$74.70	25% below	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB HEMOCCULT 1-3 CARDS	$18.00	$90.00	$14.85–$82.98	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB OCCULT BLOOD FECES	$18.00	$90.00	$14.85–$82.98	—	80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB OCCULT BLOOD IMMUNOASSAY	$6.80	$34.00	$5.61–$28.22	83% below	80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB OCCULT BLOOD IMMUNOCHEMICAL	$50.40	$252.00	$15.92–$209.16	26% above	80%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB OCCULT BLOOD IMMUNOASSAY	$6.80	$34.00	$5.61–$31.35	—	80%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB OCCULT BLOOD IMMUNOCHEMICAL	$50.40	$252.00	$41.58–$232.34	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS QUAL (SO)	$41.20	$206.00	$4.27–$170.98	at median	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TEST QUALITATIVE	$41.20	$206.00	$4.27–$170.98	at median	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR QUAL	$41.20	$206.00	$4.27–$170.98	at median	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR QUAL	$41.20	$206.00	$33.99–$189.93	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS QUAL (SO)	$41.20	$206.00	$33.99–$189.93	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TEST QUALITATIVE	$41.20	$206.00	$33.99–$189.93	—	80%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB QUANTIFERON=TB GOLD TEST	$83.40	$417.00	$61.98–$346.11	42% below	80%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB-CMIOF G-INTERFERON AG RESP	$83.40	$417.00	$61.98–$346.11	42% below	80%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB QUANTIFERON=TB GOLD TEST	$83.40	$417.00	$68.81–$384.47	—	80%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB TB-CMIOF G-INTERFERON AG RESP	$83.40	$417.00	$68.81–$384.47	—	80%
Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE TOTAL	$130.60	$653.00	$25.81–$541.99	13% above	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE TOTAL	$130.60	$653.00	$107.75–$602.07	—	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB MICROSOME AB EA	$109.20	$546.00	$14.55–$453.18	18% above	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB TPO ANTIBODY	$109.20	$546.00	$14.55–$453.18	18% above	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB ANA-TPO	$109.20	$546.00	$14.55–$453.18	18% above	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB ANA-TPO	$109.20	$546.00	$90.09–$503.41	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB MICROSOME AB EA	$109.20	$546.00	$90.09–$503.41	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB TPO ANTIBODY	$109.20	$546.00	$90.09–$503.41	—	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH	$84.00	$420.00	$16.80–$348.60	13% below	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH	$84.00	$420.00	$69.30–$387.24	—	80%
Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS DNA AMP PROBE	$33.20	$166.00	$27.39–$137.78	54% below	80%
Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS DIRECT P	$33.20	$166.00	$27.39–$137.78	54% below	80%
Trichomonas test (NAAT) CPT 87661 HB TVGPCR - TRICHOMONAS PCR	$54.20	$271.00	$35.09–$224.93	25% below	80%
Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS DNA AMP PROBE	$33.20	$166.00	$27.39–$153.05	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS DIRECT P	$33.20	$166.00	$27.39–$153.05	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 HB TVGPCR - TRICHOMONAS PCR	$54.20	$271.00	$44.72–$249.86	—	80%
Uric acid blood test CPT 84550 HB GM - URIC ACID BLOOD	$9.60	$48.00	$4.52–$39.84	83% below	80%
Uric acid blood test CPT 84550 HB URIC ACID BLOOD	$40.20	$201.00	$4.52–$166.83	28% below	80%
Uric acid blood test inpatient CPT 84550 HB GM - URIC ACID BLOOD	$9.60	$48.00	$7.92–$44.26	—	80%
Uric acid blood test inpatient CPT 84550 HB URIC ACID BLOOD	$40.20	$201.00	$33.17–$185.32	—	80%
Urinalysis with microscope exam, automated CPT 81001 HB UA AUTO W/MICRO	$36.80	$184.00	$3.17–$152.72	28% below	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 HB UA AUTO W/MICRO	$36.80	$184.00	$30.36–$169.65	—	80%
Urinalysis with microscope exam, manual CPT 81000 HB GM - UA NON AUTO W/ MICRO	$9.60	$48.00	$4.02–$39.84	54% below	80%
Urinalysis with microscope exam, manual CPT 81000 HB UA NON AUTO W/MICRO	$33.40	$167.00	$4.02–$138.61	59% above	80%
Urinalysis with microscope exam, manual inpatient CPT 81000 HB GM - UA NON AUTO W/ MICRO	$9.60	$48.00	$7.92–$44.26	—	80%
Urinalysis with microscope exam, manual inpatient CPT 81000 HB UA NON AUTO W/MICRO	$33.40	$167.00	$27.56–$153.97	—	80%
Urinalysis without microscope exam, automated CPT 81003 HB UR KETONE DIPSTICK	$13.20	$66.00	$2.25–$54.78	51% below	80%
Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O MICRO	$13.20	$66.00	$2.25–$54.78	51% below	80%
Urinalysis without microscope exam, automated CPT 81003 HB US AUTO W/O MICRO	$13.20	$66.00	$2.25–$54.78	51% below	80%
Urinalysis without microscope exam, automated CPT 81003 HB HEMASTIX	$13.20	$66.00	$2.25–$54.78	51% below	80%
Urinalysis without microscope exam, automated CPT 81003 HB POC AUTO UA	$13.20	$66.00	$2.25–$54.78	51% below	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB US AUTO W/O MICRO	$13.20	$66.00	$10.89–$60.85	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB UR KETONE DIPSTICK	$13.20	$66.00	$10.89–$60.85	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB POC AUTO UA	$13.20	$66.00	$10.89–$60.85	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS AUTO W/O MICRO	$13.20	$66.00	$10.89–$60.85	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB HEMASTIX	$13.20	$66.00	$10.89–$60.85	—	80%
Urinalysis without microscope exam, manual CPT 81002 HB PH PAPER POCT	$31.60	$158.00	$3.48–$131.14	79% above	80%
Urinalysis without microscope exam, manual CPT 81002 HB URINE ACETONE	$31.60	$158.00	$3.48–$131.14	79% above	80%
Urinalysis without microscope exam, manual CPT 81002 HB URINE DIPSTICK POCT	$31.60	$158.00	$3.48–$131.14	79% above	80%
Urinalysis without microscope exam, manual CPT 81002 HB PH UR	$33.40	$167.00	$3.48–$138.61	89% above	80%
Urinalysis without microscope exam, manual CPT 81002 HB TOTAL PROTEIN URINE NCI	$46.60	$233.00	$3.48–$193.39	164% above	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB PH PAPER POCT	$31.60	$158.00	$26.07–$145.68	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE DIPSTICK POCT	$31.60	$158.00	$26.07–$145.68	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE ACETONE	$31.60	$158.00	$26.07–$145.68	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB PH UR	$33.40	$167.00	$27.56–$153.97	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB TOTAL PROTEIN URINE NCI	$46.60	$233.00	$38.45–$214.83	—	80%
Urine culture for bacteria, with colony count CPT 87086 HB CULTURE URINE COLONY COUNT	$67.40	$337.00	$8.07–$279.71	25% below	80%
Urine culture for bacteria, with colony count inpatient CPT 87086 HB CULTURE URINE COLONY COUNT	$67.40	$337.00	$55.61–$310.71	—	80%
Urine pregnancy test, read by color change CPT 81025 HB HCG URINE QUAL	$21.60	$108.00	$8.61–$89.64	58% below	80%
Urine pregnancy test, read by color change inpatient CPT 81025 HB HCG URINE QUAL	$21.60	$108.00	$17.82–$99.58	—	80%
Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B 12	$84.00	$420.00	$15.08–$348.60	5% below	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B 12	$84.00	$420.00	$69.30–$387.24	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-OH VITAMIN D	$73.00	$365.00	$29.60–$302.95	38% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VIT D3/25 HYDROXY	$74.80	$374.00	$29.60–$310.42	36% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25-OH VITAMIN D-3	$81.80	$409.00	$29.60–$339.47	30% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25-OH VITAMIN D	$73.00	$365.00	$60.23–$336.53	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VIT D3/25 HYDROXY	$74.80	$374.00	$61.71–$344.83	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB 25-OH VITAMIN D-3	$81.80	$409.00	$67.49–$377.10	—	80%
Zinc blood test CPT 84630 HB ZINC	$116.80	$584.00	$11.39–$484.72	at median	80%
Zinc blood test inpatient CPT 84630 HB ZINC	$116.80	$584.00	$96.36–$538.45	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG SERUM QUANT	$102.20	$511.00	$15.05–$424.13	34% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QUANT (SO)	$102.20	$511.00	$15.05–$424.13	34% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG QUANT (SO)	$102.20	$511.00	$84.32–$471.14	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG SERUM QUANT	$102.20	$511.00	$84.32–$471.14	—	80%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Cardiac catheterization with coronary angiogram CPT 93458 HB LHRT ARTERY/VENTRCLE ANGIO	$5,417.60	$27,088.00	$1,433.78–$22,650.99	41% below	80%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB LHRT ARTERY/VENTRCLE ANGIO	$5,417.60	$27,088.00	$4,469.52–$24,975.14	—	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB DEFIBRILATION	$562.80	$2,814.00	$464.31–$2,535.41	40% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION	$562.80	$2,814.00	$464.31–$2,594.51	40% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB PFS CARDIOVERSION	$562.80	$2,814.00	$464.31–$2,594.51	40% below	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB PFS CARDIOVERSION	$562.80	$2,814.00	$464.31–$2,594.51	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION	$562.80	$2,814.00	$464.31–$2,594.51	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB DEFIBRILATION	$562.80	$2,814.00	$464.31–$2,594.51	—	80%
Catheter ablation for atrial fibrillation CPT 93656 HB TX ATRIAL FIB PULM VEIN ISOL	$10,221.60	$51,108.00	$3,643.82–$42,736.51	48% below	80%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HB TX ATRIAL FIB PULM VEIN ISOL	$10,221.60	$51,108.00	$8,432.82–$47,121.58	—	80%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB CLOSED TX DISTAL RADIAL FX W/O MANIP	$120.40	$602.00	$99.33–$1,648.00	57% below	80%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB CLOSED TX DISTAL RADIAL FX W/O MANIP	$120.40	$602.00	$99.33–$555.04	—	80%
Colonoscopy with endoscopic ultrasound CPT 45391 HB COLONOSCOPY W/ EUS	$952.80	$4,764.00	$543.10–$3,983.66	at median	80%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HB COLONOSCOPY W/ EUS	$952.80	$4,764.00	$786.06–$4,392.41	—	80%
Coronary stent placement, one artery CPT 92928 HB PRQ CARD STENT W/ANGIO 1 VSL	$5,724.20	$28,621.00	$4,722.47–$23,932.88	43% below	80%
Coronary stent placement, one artery inpatient CPT 92928 HB PRQ CARD STENT W/ANGIO 1 VSL	$5,724.20	$28,621.00	$4,722.47–$26,388.56	—	80%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB TYMPANOSTOMY	$323.80	$1,619.00	$141.02–$2,495.00	at median	80%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HB TYMPANOSTOMY	$323.80	$1,619.00	$267.14–$1,492.72	—	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB IRRIGATE IMPACT CERUMEN	$96.40	$482.00	$55.68–$1,648.00	at median	80%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB IRRIGATE IMPACT CERUMEN	$96.40	$482.00	$79.53–$444.40	—	80%
Earwax removal with instruments, one ear CPT 69210 HB REM CERUMEN IMPACTION	$43.20	$216.00	$35.64–$1,716.00	59% below	80%
Earwax removal with instruments, one ear inpatient CPT 69210 HB REM CERUMEN IMPACTION	$43.20	$216.00	$35.64–$199.15	—	80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJ EPIDURAL C/T WITH IMG	$745.20	$3,726.00	$323.15–$3,115.68	18% below	80%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB INJ EPIDURAL C/T WITH IMG	$745.20	$3,726.00	$614.79–$3,435.37	—	80%
IUD insertion (the device itself billed separately) CPT 58300 HB INSERTION IUD 58300	$426.20	$2,131.00	$96.33–$1,781.94	29% below	80%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HB INSERTION IUD 58300	$426.20	$2,131.00	$351.62–$1,964.78	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB DRAIN/INJ JNT/BURSA MAJ - OR	$168.00	$840.00	$33.29–$1,716.00	59% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB DRAIN/INJ JNT/BURSA MAJ - OR	$168.00	$840.00	$138.60–$774.48	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB DRAIN/INJ JNT/BURSA INTER - OR	$134.80	$674.00	$28.40–$1,716.00	55% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB DRAIN/INJ JNT/BURSA INTER - OR	$134.80	$674.00	$111.21–$621.43	—	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB DRAIN/INJ JNT/BURSA SM - OR	$123.20	$616.00	$27.43–$1,716.00	59% below	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB DRAIN/INJ JNT/BURSA SM - OR	$123.20	$616.00	$101.64–$567.95	—	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB LAC REPAIR INTERMEDIATE S/A/T/E SM	$201.40	$1,007.00	$166.16–$1,648.00	29% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB LAC REPAIR INTERMEDIATE S/A/T/E SM	$201.40	$1,007.00	$166.16–$928.45	—	80%
Left heart catheterization, diagnostic CPT 93452 HB LHRT CATH W/WO VENTRCLGRPHY	$4,181.20	$20,906.00	$1,433.78–$17,481.60	28% below	80%
Left heart catheterization, diagnostic inpatient CPT 93452 HB LHRT CATH W/WO VENTRCLGRPHY	$4,181.20	$20,906.00	$3,449.49–$19,275.33	—	80%
Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ EPIDURAL L/S WITH IMG	$745.20	$3,726.00	$323.15–$3,115.68	22% below	80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJ EPIDURAL L/S WITH IMG	$745.20	$3,726.00	$614.79–$3,435.37	—	80%
Lower-back epidural injection, without imaging guidance CPT 62322 HB INJ EPIDURAL L/S W/O IMG	$411.20	$2,056.00	$339.24–$1,719.23	49% below	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB INJ EPIDURAL L/S W/O IMG	$411.20	$2,056.00	$339.24–$1,895.63	—	80%
Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE 11730	$39.80	$199.00	$32.84–$1,648.00	84% below	80%
Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE SIMPLE SINGLE	$100.40	$502.00	$82.83–$1,648.00	59% below	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION NAIL PLATE 11730	$39.80	$199.00	$32.84–$183.48	—	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION NAIL PLATE SIMPLE SINGLE	$100.40	$502.00	$82.83–$462.84	—	80%
Occipital nerve block (injection for headaches) CPT 64405 HB BLOCK, GREATER OCCIPITAL NERVE	$327.20	$1,636.00	$35.26–$1,716.00	21% below	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HB BLOCK, GREATER OCCIPITAL NERVE	$327.20	$1,636.00	$269.94–$1,508.39	—	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB EXCISION NAIL AND MATRIX PERM REMOVAL	$100.40	$502.00	$82.83–$1,648.00	78% below	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB EXCISION NAIL AND MATRIX PERM REMOVAL	$100.40	$502.00	$82.83–$462.84	—	80%
Removal of a foreign object under the skin, simple CPT 10120 HB INCISION REMOVAL FOREIGN BODY SUBQ TISSUE SIMPLE	$87.20	$436.00	$71.94–$1,648.00	71% below	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HB INCISION REMOVAL FOREIGN BODY SUBQ TISSUE SIMPLE	$87.20	$436.00	$71.94–$401.99	—	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 HB LITH RENAL ESWL BI	$2,859.00	$14,295.00	$1,441.47–$13,711.00	—	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB LITHO RENAL ESWL BIL	$4,076.80	$20,384.00	$1,441.47–$17,045.10	36% below	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HB LITHO RENAL ESWL RT	$4,076.80	$20,384.00	$1,441.47–$17,045.10	36% below	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HB LITHO RENAL ESWL LT	$4,076.80	$20,384.00	$1,441.47–$17,045.10	36% below	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 HB LITH RENAL ESWL BI	$2,859.00	$14,295.00	$2,358.68–$13,179.99	—	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB LITHO RENAL ESWL BIL	$4,076.80	$20,384.00	$3,363.36–$18,794.05	—	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HB LITHO RENAL ESWL LT	$4,076.80	$20,384.00	$3,363.36–$18,794.05	—	80%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HB LITHO RENAL ESWL RT	$4,076.80	$20,384.00	$3,363.36–$18,794.05	—	80%
Short arm cast (elbow to hand) CPT 29075 HB CAST SHORT ARM	$104.80	$524.00	$55.82–$1,648.00	34% below	80%
Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST SHORT ARM	$104.80	$524.00	$86.46–$483.13	—	80%
Short arm splint (forearm and hand) CPT 29125 HB SPLINT SHORT ARM STATIC	$78.20	$391.00	$64.52–$1,648.00	55% below	80%
Short arm splint (forearm and hand) inpatient CPT 29125 HB SPLINT SHORT ARM STATIC	$78.20	$391.00	$64.52–$360.50	—	80%
Short leg splint (calf to foot) CPT 29515 HB SPLINT SHORT LEG	$93.20	$466.00	$42.76–$1,648.00	50% below	80%
Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT SHORT LEG	$93.20	$466.00	$76.89–$429.65	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB LAC REPAIR SIMPLE SUPERFICIAL SM	$102.20	$511.00	$84.32–$1,648.00	62% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB SMPL RPR S/N/A/GN/TRNK <=2.5CM	$113.20	$566.00	$93.39–$1,716.00	58% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB LAC REPAIR SIMPLE SUPERFICIAL SM	$102.20	$511.00	$84.32–$471.14	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB SMPL RPR S/N/A/GN/TRNK <=2.5CM	$113.20	$566.00	$93.39–$521.85	—	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LUMBAR PUNCTURE, DIAGNOSTIC	$282.60	$1,413.00	$233.15–$1,648.00	62% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LUMBAR PUNCTURE - OR	$282.60	$1,413.00	$233.15–$1,716.00	62% below	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB LUMBAR PUNCTURE - OR	$282.60	$1,413.00	$233.15–$1,302.79	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB LUMBAR PUNCTURE, DIAGNOSTIC	$282.60	$1,413.00	$233.15–$1,302.79	—	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB LAC REPAIR SIMPLE SUPERFICIAL MED	$183.20	$916.00	$151.14–$1,648.00	36% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB LAC REPAIR SIMPLE SUPERFICIAL MED	$183.20	$916.00	$151.14–$844.55	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB LAC REPAIR SIMPLE FACE SM	$102.20	$511.00	$84.32–$1,648.00	63% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB LAC REPAIR SIMPLE FACE SM	$102.20	$511.00	$84.32–$471.14	—	80%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 0.5-1.0 HR	$145.00	$725.00	$37.54–$1,487.00	75% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 0.5-1.0 HR	$145.00	$725.00	$37.54–$1,487.00	75% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 1.0-1.5 HRS	$175.60	$878.00	$37.54–$1,487.00	70% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 1.0-1.5 HRS	$175.60	$878.00	$37.54–$1,487.00	70% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 1.5-2.0 HRS	$205.20	$1,026.00	$37.54–$1,487.00	65% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 1.5-2.0 HRS	$205.20	$1,026.00	$37.54–$1,487.00	65% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 2.0-2.5 HRS	$236.20	$1,181.00	$37.54–$1,487.00	60% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 2.0-2.5 HRS	$236.20	$1,181.00	$37.54–$1,487.00	60% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD TRANSFUSION ADMIN - NCI	$264.80	$1,324.00	$37.54–$1,487.00	55% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION ADMIN	$264.80	$1,324.00	$37.54–$1,487.00	55% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 2.5-3.0 HRS	$266.60	$1,333.00	$37.54–$1,487.00	55% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 2.5-3.0 HRS	$266.60	$1,333.00	$37.54–$1,487.00	55% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 3.0-3.5 HRS	$297.80	$1,489.00	$37.54–$1,487.00	50% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 3.0-3.5 HRS	$297.80	$1,489.00	$37.54–$1,487.00	50% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 3.5-4.0 HRS	$328.80	$1,644.00	$37.54–$1,515.77	44% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 3.5-4.0 HRS	$328.80	$1,644.00	$37.54–$1,515.77	44% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 4.0-4.5 HRS	$359.80	$1,799.00	$37.54–$1,658.68	39% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 4.0-4.5 HRS	$359.80	$1,799.00	$37.54–$1,658.68	39% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 4.5-5.0 HRS	$389.40	$1,947.00	$37.54–$1,795.13	34% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 4.5-5.0 HRS	$389.40	$1,947.00	$37.54–$1,795.13	34% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 5.0-5.5 HRS	$420.20	$2,101.00	$37.54–$1,937.12	29% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 5.0-5.5 HRS	$420.20	$2,101.00	$37.54–$1,937.12	29% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 5.5-6.0 HRS	$481.00	$2,405.00	$37.54–$2,217.41	19% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 5.5-6.0 HRS	$481.00	$2,405.00	$37.54–$2,217.41	19% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 6.0-6.5 HRS	$517.20	$2,586.00	$37.54–$2,384.29	13% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 6.0-6.5 HRS	$517.20	$2,586.00	$37.54–$2,384.29	13% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 6.5-7.0 HRS	$531.60	$2,658.00	$37.54–$2,450.68	10% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 6.5-7.0 HRS	$531.60	$2,658.00	$37.54–$2,450.68	10% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 7.0-7.5 HRS	$571.00	$2,855.00	$37.54–$2,632.31	3% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 7.0-7.5 HRS	$571.00	$2,855.00	$37.54–$2,632.31	3% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD/BLD COMP TRANS 7.5-8.0 HRS	$609.60	$3,048.00	$37.54–$2,810.26	3% above	80%
Blood transfusion (giving blood or blood components) CPT 36430 HB BLD COMP TRANS 7.5-8.0 HRS	$609.60	$3,048.00	$37.54–$2,810.26	3% above	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 0.5-1.0 HR	$145.00	$725.00	$119.63–$668.45	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 0.5-1.0 HR	$145.00	$725.00	$119.63–$668.45	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 1.0-1.5 HRS	$175.60	$878.00	$144.87–$809.52	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 1.0-1.5 HRS	$175.60	$878.00	$144.87–$809.52	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 1.5-2.0 HRS	$205.20	$1,026.00	$169.29–$945.97	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 1.5-2.0 HRS	$205.20	$1,026.00	$169.29–$945.97	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 2.0-2.5 HRS	$236.20	$1,181.00	$194.87–$1,088.88	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 2.0-2.5 HRS	$236.20	$1,181.00	$194.87–$1,088.88	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD TRANSFUSION ADMIN - NCI	$264.80	$1,324.00	$218.46–$1,220.73	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION ADMIN	$264.80	$1,324.00	$218.46–$1,220.73	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 2.5-3.0 HRS	$266.60	$1,333.00	$219.95–$1,229.03	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 2.5-3.0 HRS	$266.60	$1,333.00	$219.95–$1,229.03	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 3.0-3.5 HRS	$297.80	$1,489.00	$245.69–$1,372.86	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 3.0-3.5 HRS	$297.80	$1,489.00	$245.69–$1,372.86	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 3.5-4.0 HRS	$328.80	$1,644.00	$271.26–$1,515.77	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 3.5-4.0 HRS	$328.80	$1,644.00	$271.26–$1,515.77	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 4.0-4.5 HRS	$359.80	$1,799.00	$296.84–$1,658.68	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 4.0-4.5 HRS	$359.80	$1,799.00	$296.84–$1,658.68	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 4.5-5.0 HRS	$389.40	$1,947.00	$321.26–$1,795.13	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 4.5-5.0 HRS	$389.40	$1,947.00	$321.26–$1,795.13	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 5.0-5.5 HRS	$420.20	$2,101.00	$346.67–$1,937.12	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 5.0-5.5 HRS	$420.20	$2,101.00	$346.67–$1,937.12	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 5.5-6.0 HRS	$481.00	$2,405.00	$396.83–$2,217.41	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 5.5-6.0 HRS	$481.00	$2,405.00	$396.83–$2,217.41	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 6.0-6.5 HRS	$517.20	$2,586.00	$426.69–$2,384.29	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 6.0-6.5 HRS	$517.20	$2,586.00	$426.69–$2,384.29	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 6.5-7.0 HRS	$531.60	$2,658.00	$438.57–$2,450.68	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 6.5-7.0 HRS	$531.60	$2,658.00	$438.57–$2,450.68	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 7.0-7.5 HRS	$571.00	$2,855.00	$471.08–$2,632.31	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 7.0-7.5 HRS	$571.00	$2,855.00	$471.08–$2,632.31	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD COMP TRANS 7.5-8.0 HRS	$609.60	$3,048.00	$502.92–$2,810.26	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLD/BLD COMP TRANS 7.5-8.0 HRS	$609.60	$3,048.00	$502.92–$2,810.26	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI/MININEB INITIAL	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB SUBSEQ	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB INITIAL	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB INITIAL- AMBULANCE SERVICE	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI SUBS	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL SUBSEQ	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MINI NEB SUBSEQUENT	$46.40	$232.00	$38.28–$213.90	68% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB METANEB THERAPY - SUBSEQUENT	$55.20	$276.00	$45.54–$254.47	61% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB METANEB THERAPY - INITIAL	$55.20	$276.00	$45.54–$254.47	61% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB INITIAL- AMBULANCE SERVICE	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI/MININEB INITIAL	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB SUBSEQ	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB INITIAL	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI SUBS	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MINI NEB SUBSEQUENT	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL SUBSEQ	$46.40	$232.00	$38.28–$213.90	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB METANEB THERAPY - SUBSEQUENT	$55.20	$276.00	$45.54–$254.47	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB METANEB THERAPY - INITIAL	$55.20	$276.00	$45.54–$254.47	—	80%
Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV UP TO 1 HOUR	$153.40	$767.00	$126.56–$707.17	68% below	80%
Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV INF INITIAL HR	$153.40	$767.00	$126.56–$707.17	68% below	80%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV INF INITIAL HR	$153.40	$767.00	$126.56–$707.17	—	80%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV UP TO 1 HOUR	$153.40	$767.00	$126.56–$707.17	—	80%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB BASIC COMPREHENSION EVALUATION	$73.60	$368.00	$60.72–$339.30	at median	80%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HB BASIC COMPREHENSION EVALUATION	$73.60	$368.00	$60.72–$339.30	—	80%
Critical care, first 30 to 74 minutes CPT 99291 HB ER LEVEL CRITICAL CARE	$811.20	$4,056.00	$669.24–$3,654.46	53% below	80%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HB ER LEVEL CRITICAL CARE	$811.20	$4,056.00	$669.24–$3,739.63	—	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB ROUTINE EEG AWAKE AND DROWSY	$309.80	$1,549.00	$255.59–$1,428.18	49% below	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG 6 HR SLEEP DEPRVD WO VIDEO	$325.40	$1,627.00	$268.46–$1,500.09	47% below	80%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB ROUTINE EEG AWAKE AND DROWSY	$309.80	$1,549.00	$255.59–$1,428.18	—	80%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG 6 HR SLEEP DEPRVD WO VIDEO	$325.40	$1,627.00	$268.46–$1,500.09	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG	$74.00	$370.00	$55.68–$341.14	57% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB EKG	$74.00	$370.00	$61.05–$341.14	—	80%
Electroconvulsive therapy (ECT), one session CPT 90870 HB ECT	$226.60	$1,133.00	$186.95–$947.41	75% below	80%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HB ECT	$226.60	$1,133.00	$186.95–$1,044.63	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER LEVEL 1	$260.00	$1,300.00	$82.54–$1,648.00	78% above	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB EXPRESS ER LEVEL 1	$260.00	$1,300.00	$82.54–$1,648.00	78% above	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ED LEVEL I DIRECT ADMIT	$260.00	$1,300.00	$82.54–$1,648.00	78% above	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB KIDS EXPRESS LEVEL 1	$301.60	$1,508.00	$82.54–$1,648.00	107% above	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB EXPRESS ER LEVEL 1	$260.00	$1,300.00	$214.50–$1,198.60	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ED LEVEL I DIRECT ADMIT	$260.00	$1,300.00	$214.50–$1,198.60	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER LEVEL 1	$260.00	$1,300.00	$214.50–$1,198.60	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB KIDS EXPRESS LEVEL 1	$301.60	$1,508.00	$248.82–$1,390.38	—	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER LEVEL 2	$280.00	$1,400.00	$148.45–$1,648.00	at median	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB EXPRESS ER LEVEL 2	$280.00	$1,400.00	$148.45–$1,648.00	at median	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB KID'S EXPRESS LEVEL 2	$324.80	$1,624.00	$148.45–$1,648.00	16% above	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB EXPRESS ER LEVEL 2	$280.00	$1,400.00	$231.00–$1,290.80	—	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB KID'S EXPRESS LEVEL 2	$324.80	$1,624.00	$267.96–$1,497.33	—	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER LEVEL 2	$324.80	$1,624.00	$267.96–$1,497.33	—	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB EXPRESS ER LEVEL 3	$300.00	$1,500.00	$247.50–$1,648.00	24% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER LEVEL 3	$348.00	$1,740.00	$259.56–$1,648.00	12% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB KID'S EXPRESS LEVEL 3	$348.00	$1,740.00	$259.56–$1,648.00	12% below	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB EXPRESS ER LEVEL 3	$300.00	$1,500.00	$247.50–$1,383.00	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER LEVEL 3	$348.00	$1,740.00	$287.10–$1,604.28	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB KID'S EXPRESS LEVEL 3	$348.00	$1,740.00	$287.10–$1,604.28	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB EXPRESS ER LEVEL 4	$320.00	$1,600.00	$264.00–$1,648.00	65% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER LEVEL 4	$371.20	$1,856.00	$306.24–$1,672.26	59% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB KID'S EXPRESS LEVEL 4	$371.20	$1,856.00	$306.24–$1,672.26	59% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB EXPRESS ER LEVEL 4	$320.00	$1,600.00	$264.00–$1,475.20	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB KID'S EXPRESS LEVEL 4	$371.20	$1,856.00	$306.24–$1,711.23	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER LEVEL 4	$371.20	$1,856.00	$306.24–$1,711.23	—	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB EXPRESS ER LEVEL 5	$340.00	$1,700.00	$280.50–$1,648.00	71% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER LEVEL - COMPREHENSIVE TREAT	$340.00	$1,700.00	$280.50–$1,648.00	71% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB KID'S EXPRESS LEVEL 5	$394.40	$1,972.00	$325.38–$1,776.77	66% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER LEVEL 5	$394.40	$1,972.00	$325.38–$1,776.77	66% below	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB EXPRESS ER LEVEL 5	$340.00	$1,700.00	$280.50–$1,567.40	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER LEVEL - COMPREHENSIVE TREAT	$340.00	$1,700.00	$280.50–$1,567.40	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER LEVEL 5	$394.40	$1,972.00	$325.38–$1,818.18	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB KID'S EXPRESS LEVEL 5	$394.40	$1,972.00	$325.38–$1,818.18	—	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACEUTICAL STRESS TEST	$609.60	$3,048.00	$291.91–$2,810.26	21% below	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB STRESS MONITORING	$609.60	$3,048.00	$291.91–$2,810.26	21% below	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB EXERCISE STRESS TEST	$609.60	$3,048.00	$291.91–$2,810.26	21% below	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB PET PHARMACEUTICAL STRESS TEST	$609.60	$3,048.00	$291.91–$2,810.26	21% below	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PET PHARMACEUTICAL STRESS TEST	$609.60	$3,048.00	$502.92–$2,810.26	—	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB EXERCISE STRESS TEST	$609.60	$3,048.00	$502.92–$2,810.26	—	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB STRESS MONITORING	$609.60	$3,048.00	$502.92–$2,810.26	—	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACEUTICAL STRESS TEST	$609.60	$3,048.00	$502.92–$2,810.26	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB OP IV INFUSION HYDRATN INT HR	$144.40	$722.00	$119.13–$665.68	49% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION INITIAL	$144.40	$722.00	$119.13–$665.68	49% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION HYDRATION INIT HR	$144.40	$722.00	$119.13–$665.68	49% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION HYDRATION INIT HR	$144.40	$722.00	$119.13–$665.68	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION INITIAL	$144.40	$722.00	$119.13–$665.68	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB OP IV INFUSION HYDRATN INT HR	$144.40	$722.00	$119.13–$665.68	—	80%
IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION TX, DX INITIAL HR	$144.40	$722.00	$119.13–$665.68	55% below	80%
IV infusion of a medicine, first hour CPT 96365 HB TPA	$144.40	$722.00	$119.13–$665.68	55% below	80%
IV infusion of a medicine, first hour CPT 96365 HB OP IV INFUSION TX,DX INITL HR	$144.40	$722.00	$119.13–$665.68	55% below	80%
IV infusion of a medicine, first hour inpatient CPT 96365 HB TPA	$144.40	$722.00	$119.13–$665.68	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION TX, DX INITIAL HR	$144.40	$722.00	$119.13–$665.68	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 HB OP IV INFUSION TX,DX INITL HR	$144.40	$722.00	$119.13–$665.68	—	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB PED AMB OP INJECTION IM/SQ	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM INITIAL	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION INITIAL	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB OP IM/SQ MEDICATION INITIAL	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB OP IM/SQ MEDICATION SUBSEQ	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION INTIAL	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ INJECTON INITIAL	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM ANTIBIOTIC EACH SUBSEQUENT	$88.60	$443.00	$66.72–$1,648.00	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ INJ SUBSEQUENT	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB IM/SQ MEDICATION SUBSEQ	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB US OP INJ IM/SQ	$88.60	$443.00	$66.72–$408.45	at median	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ INJ SUBSEQUENT	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB PED AMB OP INJECTION IM/SQ	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ INJECTON INITIAL	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB OP IM/SQ MEDICATION INITIAL	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION INTIAL	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB OP IM/SQ MEDICATION SUBSEQ	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION SUBSEQ	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB US OP INJ IM/SQ	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM ANTIBIOTIC EACH SUBSEQUENT	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM/SQ MEDICATION INITIAL	$88.60	$443.00	$73.10–$408.45	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB IM INITIAL	$88.60	$443.00	$73.10–$408.45	—	80%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCH DIAG EVALUATION	$96.40	$482.00	$79.53–$403.05	59% below	80%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCH DIAG EVALUATION	$96.40	$482.00	$79.53–$444.40	—	80%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB MOTOR&/SENS 7-8 NRV CNDJ TST	$255.60	$1,278.00	$210.87–$1,178.32	52% below	80%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB MOTOR&/SENS 7-8 NRV CNDJ TST	$255.60	$1,278.00	$210.87–$1,178.32	—	80%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEURO RE-ED EACH 15 MIN PT	$46.80	$234.00	$30.09–$215.75	44% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEURO RE-ED EACH 15 MIN OT	$46.80	$234.00	$30.09–$215.75	44% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED SP 15 MIN SLP	$46.80	$234.00	$30.09–$215.75	44% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED PT 15 MIN PT	$46.80	$234.00	$30.09–$215.75	44% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSC RE ED OT 15 MIN	$46.80	$234.00	$30.09–$215.75	44% below	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED PT 15 MIN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEURO RE-ED EACH 15 MIN OT	$46.80	$234.00	$38.61–$215.75	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEURO RE-ED EACH 15 MIN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED OT 15 MIN	$46.80	$234.00	$38.61–$215.75	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSC RE ED SP 15 MIN SLP	$46.80	$234.00	$38.61–$215.75	—	80%
New patient office visit, about 30 minutes CPT 99203 HB OP VISIT NEW PT LEVEL III	$99.80	$499.00	$82.34–$417.26	20% below	80%
New patient office visit, about 30 minutes CPT 99203 HB E&M NEW PATIENT LEVEL 3	$99.80	$499.00	$82.34–$417.26	20% below	80%
New patient office visit, about 30 minutes inpatient CPT 99203 HB E&M NEW PATIENT LEVEL 3	$99.80	$499.00	$82.34–$460.08	—	80%
New patient office visit, about 30 minutes inpatient CPT 99203 HB OP VISIT NEW PT LEVEL III	$99.80	$499.00	$82.34–$460.08	—	80%
New patient office visit, about 45 minutes CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN	$103.00	$515.00	$84.98–$430.64	45% below	80%
New patient office visit, about 45 minutes CPT 99204 HB OP VISIT NEW PT LEVEL IV	$112.60	$563.00	$92.90–$470.78	39% below	80%
New patient office visit, about 45 minutes CPT 99204 HB E&M NEW PATIENT LEVEL 4	$112.60	$563.00	$92.90–$470.78	39% below	80%
New patient office visit, about 45 minutes inpatient CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN	$103.00	$515.00	$84.98–$474.83	—	80%
New patient office visit, about 45 minutes inpatient CPT 99204 HB OP VISIT NEW PT LEVEL IV	$112.60	$563.00	$92.90–$519.09	—	80%
New patient office visit, about 45 minutes inpatient CPT 99204 HB E&M NEW PATIENT LEVEL 4	$112.60	$563.00	$92.90–$519.09	—	80%
New patient office visit, about 60 minutes CPT 99205 HB NEW OP VISIT W/RD 61-75 MIN	$137.20	$686.00	$113.19–$573.63	42% below	80%
New patient office visit, about 60 minutes CPT 99205 HB OP VISIT NEW PT LEVEL V	$149.80	$749.00	$123.59–$626.31	36% below	80%
New patient office visit, about 60 minutes CPT 99205 HB E&M NEW PATIENT LEVEL 5	$149.80	$749.00	$123.59–$626.31	36% below	80%
New patient office visit, about 60 minutes inpatient CPT 99205 HB NEW OP VISIT W/RD 61-75 MIN	$137.20	$686.00	$113.19–$632.49	—	80%
New patient office visit, about 60 minutes inpatient CPT 99205 HB OP VISIT NEW PT LEVEL V	$149.80	$749.00	$123.59–$690.58	—	80%
New patient office visit, about 60 minutes inpatient CPT 99205 HB E&M NEW PATIENT LEVEL 5	$149.80	$749.00	$123.59–$690.58	—	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB OP VISIT NEW PT LEVEL II	$72.00	$360.00	$59.40–$301.03	21% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB LEVEL 2 OUTPT NEW	$72.00	$360.00	$59.40–$301.03	21% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB E&M NEW PATIENT LEVEL 2	$72.00	$360.00	$59.40–$301.03	21% below	80%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB LEVEL 2 OUTPT NEW	$72.00	$360.00	$59.40–$331.92	—	80%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB OP VISIT NEW PT LEVEL II	$72.00	$360.00	$59.40–$331.92	—	80%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB E&M NEW PATIENT LEVEL 2	$72.00	$360.00	$59.40–$331.92	—	80%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NURTITIONAL W/RD INITIAL 15MIN	$25.00	$125.00	$20.63–$115.25	12% below	80%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB NURTITIONAL W/RD INITIAL 15MIN	$25.00	$125.00	$20.63–$115.25	—	80%
Occupational therapy evaluation, low complexity CPT 97165 HB PEDS OT EVAL LOW - IP	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB PEDS WHLCHAIR/SEAT EVAL LO OT	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB OP OT EVAL LOW	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB WHEELCHAIR/SEAT EVAL LOW OT	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB PEDS OT EVAL LOW	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB PEDS OT EVAL LOW - OP	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB OCC MED EVAL LOW OT	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB OP WHEELCHAIR/SEAT EVAL LOW OT	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW	$106.20	$531.00	$87.62–$489.58	40% below	80%
Occupational therapy evaluation, low complexity CPT 97165 HB OP WHEELCHAIR/SEAT EVAL HIGH OT	$124.80	$624.00	$94.40–$575.33	29% below	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB PEDS OT EVAL LOW - IP	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OT EVAL LOW	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB PEDS OT EVAL LOW - OP	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB PEDS OT EVAL LOW	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB WHEELCHAIR/SEAT EVAL LOW OT	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB PEDS WHLCHAIR/SEAT EVAL LO OT	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OP WHEELCHAIR/SEAT EVAL LOW OT	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OP OT EVAL LOW	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OCC MED EVAL LOW OT	$106.20	$531.00	$87.62–$489.58	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OP WHEELCHAIR/SEAT EVAL HIGH OT	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PEDS PT EVAL HIGH - OP	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB WHEELCHAIR/SEAT EVAL HIGH PT	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PEDS PT EVAL HIGH	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PEDS WHLCHAIR/SEAT EVAL HI PT	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB NEURO WHEELCHAIR/SEAT EVAL HIGH PT	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PEDS PT EVAL HIGH - IP	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB NEURO PT EVAL HIGH	$124.80	$624.00	$92.13–$575.33	39% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PEDS WHLCHAIR/SEAT EVAL HI PT	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PEDS PT EVAL HIGH	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB WHEELCHAIR/SEAT EVAL HIGH PT	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PEDS PT EVAL HIGH - IP	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB NEURO WHEELCHAIR/SEAT EVAL HIGH PT	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL HIGH	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PEDS PT EVAL HIGH - OP	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB NEURO PT EVAL HIGH	$124.80	$624.00	$102.96–$575.33	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB WHEELCHAIR/SEAT EVAL LOW PT	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PEDS PT EVAL LOW - OP	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB NEURO PT EVAL LOW	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PEDS PT EVAL LOW	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PEDS WHLCHAIR/SEAT EVAL LO PT	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB NEURO WHEELCHAIR/SEAT EVAL LOW PT	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PEDS PT EVAL LOW - IP	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW	$106.20	$531.00	$87.62–$489.58	39% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL LOW	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PEDS WHLCHAIR/SEAT EVAL LO PT	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PEDS PT EVAL LOW	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB NEURO WHEELCHAIR/SEAT EVAL LOW PT	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PEDS PT EVAL LOW - IP	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PEDS PT EVAL LOW - OP	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB WHEELCHAIR/SEAT EVAL LOW PT	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB NEURO PT EVAL LOW	$106.20	$531.00	$87.62–$489.58	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PEDS PT EVAL MOD - IP	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PEDS PT EVAL MOD	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB NEURO WHEELCHAIR/SEAT EVAL MOD PT	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB NEURO PT EVAL MOD	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MOD	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PEDS PT EVAL MOD - OP	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB WHEELCHAIR/SEAT EVAL MOD PT	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PEDS WHLCHAIR/SEAT EVAL MOD PT	$115.80	$579.00	$92.13–$533.84	40% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PEDS PT EVAL MOD - OP	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL MOD	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PEDS PT EVAL MOD	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB NEURO WHEELCHAIR/SEAT EVAL MOD PT	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PEDS WHLCHAIR/SEAT EVAL MOD PT	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PEDS PT EVAL MOD - IP	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB NEURO PT EVAL MOD	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB WHEELCHAIR/SEAT EVAL MOD PT	$115.80	$579.00	$95.54–$533.84	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN PT	$46.80	$234.00	$25.55–$215.75	39% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL TX TECH EA 15 MIN OT	$46.80	$234.00	$25.55–$215.75	39% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL TX TECH EA 15 MIN PT	$46.80	$234.00	$25.55–$215.75	39% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY 15 MIN	$46.80	$234.00	$25.55–$215.75	39% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL TX TECH EA 15 MIN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY 15 MIN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL TX TECH EA 15 MIN OT	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT	$46.80	$234.00	$27.05–$215.75	48% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT	$46.80	$234.00	$27.05–$215.75	48% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN	$46.80	$234.00	$27.05–$215.75	48% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THER EX EACH 15 MIN OT	$46.80	$234.00	$27.05–$215.75	48% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN SLP	$46.80	$234.00	$27.05–$215.75	48% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT	$46.80	$234.00	$27.05–$215.75	48% below	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THER EX EACH 15 MIN OT	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN SLP	$46.80	$234.00	$38.61–$215.75	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT	$46.80	$234.00	$38.61–$215.75	—	80%
Psychotherapy session, 60 minutes CPT 90837 HB INDIV PSY-THERAPY 60MIN	$96.40	$482.00	$79.53–$403.05	62% below	80%
Psychotherapy session, 60 minutes inpatient CPT 90837 HB INDIV PSY-THERAPY 60MIN	$96.40	$482.00	$79.53–$444.40	—	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOK CESS COUN INTER > 3 MIN	$13.20	$66.00	$10.89–$55.19	59% below	80%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOK CESS COUN INTER > 3 MIN	$13.20	$66.00	$10.89–$60.85	—	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB E&M EST PATIENT LEVEL 5	$39.40	$197.00	$32.51–$165.42	76% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB BHONC CLINIC VISIT V	$39.40	$197.00	$32.51–$165.42	76% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OP VISIT ESTB PT LEVEL V	$39.40	$197.00	$32.51–$165.42	76% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB CLINIC VISIT V	$39.40	$197.00	$32.51–$165.42	76% below	80%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB CLINIC VISIT V	$39.40	$197.00	$32.51–$181.63	—	80%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB E&M EST PATIENT LEVEL 5	$39.40	$197.00	$32.51–$181.63	—	80%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB BHONC CLINIC VISIT V	$39.40	$197.00	$32.51–$181.63	—	80%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB OP VISIT ESTB PT LEVEL V	$39.40	$197.00	$32.51–$181.63	—	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB F/U OP VISIT W/RD 31-45 MIN	$30.00	$150.00	$24.75–$125.43	66% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OP VISIT ESTB PT LEVEL III	$34.20	$171.00	$28.22–$142.99	61% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB BHONC CLINIC VISIT III	$34.80	$174.00	$28.71–$145.50	60% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB CLINIC VISIT III	$34.80	$174.00	$28.71–$145.50	60% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB E&M EST PATIENT LEVEL 3	$34.80	$174.00	$28.71–$145.50	60% below	80%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB F/U OP VISIT W/RD 31-45 MIN	$30.00	$150.00	$24.75–$138.30	—	80%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB OP VISIT ESTB PT LEVEL III	$34.20	$171.00	$28.22–$157.66	—	80%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB CLINIC VISIT III	$34.80	$174.00	$28.71–$160.43	—	80%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB BHONC CLINIC VISIT III	$34.80	$174.00	$28.71–$160.43	—	80%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB E&M EST PATIENT LEVEL 3	$34.80	$174.00	$28.71–$160.43	—	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB E&M EST PATIENT LEVEL 4	$37.20	$186.00	$30.69–$155.53	69% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB BHONC CLINIC VISIT IV	$37.20	$186.00	$30.69–$155.53	69% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB CLINIC VISIT IV	$37.20	$186.00	$30.69–$155.53	69% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OP VISIT ESTB PT LEVEL IV	$37.20	$186.00	$30.69–$155.53	69% below	80%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB CLINIC VISIT IV	$37.20	$186.00	$30.69–$171.49	—	80%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB BHONC CLINIC VISIT IV	$37.20	$186.00	$30.69–$171.49	—	80%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB E&M EST PATIENT LEVEL 4	$37.20	$186.00	$30.69–$171.49	—	80%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB OP VISIT ESTB PT LEVEL IV	$37.20	$186.00	$30.69–$171.49	—	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB LEVEL 2 OUTPT ESTABLISHED	$28.00	$140.00	$23.10–$117.07	53% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB CLINIC VISIT II	$32.40	$162.00	$26.73–$135.46	45% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OP VISIT ESTB PT LEVEL II	$32.40	$162.00	$26.73–$135.46	45% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB BHONC CLINIC VISIT II	$32.40	$162.00	$26.73–$135.46	45% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB E&M EST PATIENT LEVEL 2	$38.40	$192.00	$31.68–$160.55	35% below	80%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB LEVEL 2 OUTPT ESTABLISHED	$28.00	$140.00	$23.10–$129.08	—	80%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB OP VISIT ESTB PT LEVEL II	$32.40	$162.00	$26.73–$149.36	—	80%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB CLINIC VISIT II	$32.40	$162.00	$26.73–$149.36	—	80%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB BHONC CLINIC VISIT II	$32.40	$162.00	$26.73–$149.36	—	80%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB E&M EST PATIENT LEVEL 2	$38.40	$192.00	$31.68–$177.02	—	80%
Speech and language evaluation CPT 92523 HB SPEECH SOUND LANG COMPREHEN	$126.40	$632.00	$104.28–$582.70	60% below	80%
Speech and language evaluation CPT 92523 HB SPCH SOUND LANG CMPREHEN - IP	$126.40	$632.00	$104.28–$582.70	60% below	80%
Speech and language evaluation CPT 92523 HB SPCH SOUND LANG CMPREHEN - OP	$126.40	$632.00	$104.28–$582.70	60% below	80%
Speech and language evaluation CPT 92523 HB PEDS SPCH SND LANG CMPREHN -IP	$126.40	$632.00	$104.28–$582.70	60% below	80%
Speech and language evaluation CPT 92523 HB PEDS SPCH SND LANG CMPREHN -OP	$126.40	$632.00	$104.28–$582.70	60% below	80%
Speech and language evaluation inpatient CPT 92523 HB SPCH SOUND LANG CMPREHEN - OP	$126.40	$632.00	$104.28–$582.70	—	80%
Speech and language evaluation inpatient CPT 92523 HB SPCH SOUND LANG CMPREHEN - IP	$126.40	$632.00	$104.28–$582.70	—	80%
Speech and language evaluation inpatient CPT 92523 HB SPEECH SOUND LANG COMPREHEN	$126.40	$632.00	$104.28–$582.70	—	80%
Speech and language evaluation inpatient CPT 92523 HB PEDS SPCH SND LANG CMPREHN -IP	$126.40	$632.00	$104.28–$582.70	—	80%
Speech and language evaluation inpatient CPT 92523 HB PEDS SPCH SND LANG CMPREHN -OP	$126.40	$632.00	$104.28–$582.70	—	80%
Speech therapy session, individual CPT 92507 HB SPEECH/LANG TREATMENT SLP - OP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB SPEECH/LANGUAGE TREATMENT SLP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB TX SPEECH/LANG SLP - IP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB SPEECH/LANG TREATMENT SLP - IP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB PEDS SPCH/LANG TRTMNT SLP - IP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB TX SPEECH/LANG SLP - OP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB PAT/FAM TRAINING SLP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB TX SPEECH/LANG SLP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual CPT 92507 HB PED SPCH/LANG TRTMNT SLP - OP	$93.00	$465.00	$71.02–$428.73	46% below	80%
Speech therapy session, individual inpatient CPT 92507 HB SPEECH/LANG TREATMENT SLP - OP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB SPEECH/LANG TREATMENT SLP - IP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB TX SPEECH/LANG SLP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB SPEECH/LANGUAGE TREATMENT SLP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB PEDS SPCH/LANG TRTMNT SLP - IP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB TX SPEECH/LANG SLP - OP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB PAT/FAM TRAINING SLP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB TX SPEECH/LANG SLP - IP	$93.00	$465.00	$76.73–$428.73	—	80%
Speech therapy session, individual inpatient CPT 92507 HB PED SPCH/LANG TRTMNT SLP - OP	$93.00	$465.00	$76.73–$428.73	—	80%
Spirometry (breathing test) CPT 94010 HB INCENTIVE SPIROMETRY INIT PFT	$46.40	$232.00	$38.28–$213.90	81% below	80%
Spirometry (breathing test) CPT 94010 HB BEDSIDE SPIROMETRY	$155.40	$777.00	$128.21–$716.39	37% below	80%
Spirometry (breathing test) CPT 94010 HB SPIROMETRY	$155.40	$777.00	$128.21–$716.39	37% below	80%
Spirometry (breathing test) inpatient CPT 94010 HB INCENTIVE SPIROMETRY INIT PFT	$46.40	$232.00	$38.28–$213.90	—	80%
Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY	$155.40	$777.00	$128.21–$716.39	—	80%
Spirometry (breathing test) inpatient CPT 94010 HB BEDSIDE SPIROMETRY	$155.40	$777.00	$128.21–$716.39	—	80%
Spirometry before and after a bronchodilator CPT 94060 HB PRE/POST FLOW VOL LOOP	$186.00	$930.00	$153.45–$857.46	57% below	80%
Spirometry before and after a bronchodilator inpatient CPT 94060 HB PRE/POST FLOW VOL LOOP	$186.00	$930.00	$153.45–$857.46	—	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT PT 15 MIN PT	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB INDIV THERAPY-EA ADDL 15MIN	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT EA 15 MIN PT	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB PAT/FAMLY TRAIN OT 15 MIN	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT OT 15 MIN OT	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB PAT/FAM TRAINING FS SLP	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT PT 15 MIN	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT OT 15 MIN	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB TILT TABLE 15 MIN PT	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB FUNC THERA ACT SP 15 MIN SLP	$41.80	$209.00	$32.12–$192.70	45% below	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB PAT/FAMLY TRAIN OT 15 MIN	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT OT 15 MIN	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT PT 15 MIN	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT EA 15 MIN PT	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB INDIV THERAPY-EA ADDL 15MIN	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT PT 15 MIN PT	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT SP 15 MIN SLP	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FUNC THERA ACT OT 15 MIN OT	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB TILT TABLE 15 MIN PT	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB PAT/FAM TRAINING FS SLP	$41.80	$209.00	$34.49–$192.70	—	80%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY	$67.60	$338.00	$55.77–$282.64	57% below	80%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY	$67.60	$338.00	$55.77–$311.64	—	80%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC 12&OLDER PFIZER 30 MCG/0.3ML IM SUSP	$28.80	$144.00	$23.76–$208.66	91% below	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP PRESYRG	$137.85	$689.22	$113.72–$576.33	59% below	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC 12&OLDER PFIZER 30 MCG/0.3ML IM SUSP	$27.60	$138.00	$22.77–$127.24	—	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP PRESYRG	$137.85	$689.22	$113.72–$635.46	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB OPC TRIVALENT PF FLU	$18.00	$90.00	$14.85–$75.26	46% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSP PRESYRG	$20.72	$103.59	$17.09–$86.62	38% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HB OPC TRIVALENT PF FLU	$18.00	$90.00	$14.85–$82.98	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSP PRESYRG	$20.72	$103.59	$17.09–$95.51	—	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP PRESYRG	$309.95	$1,549.73	$255.70–$1,295.88	30% below	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP PRESYRG	$55.39	$276.92	$45.69–$255.32	—	80%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG	$20.71	$103.55	$17.09–$220.27	53% below	80%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG	$133.24	$666.19	$109.92–$614.23	—	80%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP	$14.66	$73.26	$12.09–$143.29	79% below	80%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP	$86.72	$433.57	$71.54–$362.55	24% above	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP	$39.03	$195.15	$32.20–$179.93	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP	$74.22	$371.08	$61.23–$342.13	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP	$81.85	$409.21	$67.52–$377.29	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSP PRESYRG	$73.83	$369.12	$60.91–$308.66	44% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSP PRESYRG	$73.83	$369.12	$60.91–$340.33	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$95.59	$477.92	$78.86–$440.65	—	80%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN	$149.82	$749.06	$123.60–$626.37	26% below	80%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN	$149.82	$749.06	$123.60–$690.64	—	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSP PRESYRG	$285.35	$1,426.74	$235.41–$1,193.04	64% below	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSP PRESYRG	$276.68	$1,383.36	$228.25–$1,275.46	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOL PRESYRG	$767.47	$3,837.31	$633.16–$3,208.76	50% below	80%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HB OPC RSV VACCINE PRE F	$297.20	$1,486.00	$245.19–$1,242.59	at median	80%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HB OPC RSV VACCINE PRE F	$297.20	$1,486.00	$245.19–$1,370.09	—	80%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$438.09	$2,190.43	$313.68–$1,831.63	39% below	80%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$454.77	$2,273.84	$375.18–$2,096.48	—	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$38.43	$192.12	$31.70–$332.78	89% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$217.24	$1,086.16	$179.22–$908.25	39% below	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$38.43	$192.12	$31.70–$177.13	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$217.24	$1,086.16	$179.22–$1,001.44	—	80%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML IM SUSP	$66.37	$331.83	$50.79–$277.48	at median	80%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML IM SUSP	$11.39	$56.93	$9.39–$52.49	—	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$29.45	$147.25	$24.30–$123.13	70% below	80%
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 SUSP PRESYRG	$48.76	$243.79	$40.23–$203.86	50% below	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$49.22	$246.08	$40.60–$226.88	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PFS INFLUENZA IMMUNIZ ADM >18	$9.60	$48.00	$7.92–$66.72	86% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PFS PNEUMOVAC IMMUNIZ ADM >18	$9.60	$48.00	$7.92–$66.72	86% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUNIZATION ADMIN >19 YRS	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB OPC HEP B VACCINE ADMIN	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB OPC FLU VACCINE ADMIN	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INFLUENZA IMMUNIZATION ADM >18	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB OPC VACCINE ADMIN ADULT	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB OPC PNEUMONIA VACCINE ADMIN	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB PNEUMOVAC IMMUNIZATION ADM >18	$10.60	$53.00	$8.75–$66.72	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PFS PNEUMOVAC IMMUNIZ ADM >18	$9.60	$48.00	$7.92–$44.26	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PFS INFLUENZA IMMUNIZ ADM >18	$9.60	$48.00	$7.92–$44.26	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUNIZATION ADMIN >19 YRS	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB OPC PNEUMONIA VACCINE ADMIN	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB OPC VACCINE ADMIN ADULT	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB OPC FLU VACCINE ADMIN	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB PNEUMOVAC IMMUNIZATION ADM >18	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB OPC HEP B VACCINE ADMIN	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INFLUENZA IMMUNIZATION ADM >18	$10.60	$53.00	$8.75–$48.87	—	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUNIZATION ADMIN ADD >19 YRS	$10.60	$53.00	$8.75–$48.87	74% below	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB IMMUNIZATION ADMIN ADD >19 YRS	$10.60	$53.00	$8.75–$48.87	—	80%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11466/610703799-1952307027_norton-hospitals-inc_standardcharges.csv