Hospital Charlotte-Concord-Gastonia, NC-SC

Atrium Health Behavioral Health

Listed in its price file as “Carolinas Medical Center”.

Atrium Health Behavioral Health in Charlotte, NC publishes cash prices for 442 common procedures listed here, from its own machine-readable price file updated Dec 4, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 165 of 436 procedures and below it for 105. Click a procedure to compare it with other hospitals nearby.

501 Billingsley Rd, Charlotte, NC 28211 Collected Sep 23, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN COMBO	$2,143.33	$4,286.65	$814.46–$4,286.65	4% below	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN OF ABDOMEN COMBO	$2,143.33	$4,286.65	$1,328.86–$3,772.25	—	50%
Abdominal X-ray, 2 views CPT 74019 HC DX ABDOMEN 2 VIEWS	$235.68	$471.35	$89.56–$471.35	11% below	50%
Abdominal X-ray, 2 views inpatient CPT 74019 HC DX ABDOMEN 2 VIEWS	$235.68	$471.35	$146.12–$414.79	—	50%
Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE 3+ VW	$274.50	$549.00	$104.31–$549.00	at median	50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC DX ANKLE 3+ VW	$274.50	$549.00	$170.19–$483.12	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$506.68	$1,013.35	$192.54–$1,013.35	42% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$506.68	$1,013.35	$314.14–$891.75	—	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN UPPER EXTREMITY W/O CONTRAST	$1,607.53	$3,215.05	$610.86–$3,215.05	12% above	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN UPPER EXTREMITY W/O CONTRAST	$1,607.53	$3,215.05	$996.67–$2,829.24	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC DX ESOPHAGRAM	$425.03	$850.05	$161.51–$850.05	at median	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC DX ESOPHAGRAM	$425.03	$850.05	$263.52–$748.04	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY	$1,396.88	$2,793.75	$530.81–$2,793.75	at median	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING WHOLE BODY	$1,396.88	$2,793.75	$866.06–$2,458.50	—	50%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE	$519.75	$1,039.50	$197.51–$1,039.50	13% above	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE	$519.75	$1,039.50	$322.25–$914.76	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED	$346.53	$693.05	$131.68–$693.05	at median	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED	$346.53	$693.05	$214.85–$609.88	—	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES	$2,839.85	$5,679.70	$1,079.14–$5,679.70	at median	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES	$2,839.85	$5,679.70	$1,760.71–$4,998.14	—	50%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO BRAIN W/ CONTRAST	$2,094.23	$4,188.45	$795.81–$4,188.45	at median	50%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO BRAIN W/ CONTRAST	$2,094.23	$4,188.45	$1,298.42–$3,685.84	—	50%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W/ CONTRAST	$2,326.75	$4,653.50	$884.17–$4,653.50	at median	50%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W/ CONTRAST	$2,326.75	$4,653.50	$1,442.59–$4,095.08	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W/ CONTRAST	$2,094.23	$4,188.45	$795.81–$4,188.45	at median	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W/ CONTRAST	$2,094.23	$4,188.45	$1,298.42–$3,685.84	—	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$1,765.68	$3,531.35	$670.96–$3,531.35	at median	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$1,765.68	$3,531.35	$1,094.72–$3,107.59	—	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$99.58	$199.15	$37.84–$199.15	58% below	50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$99.58	$199.15	$61.74–$175.25	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST	$2,874.83	$5,749.65	$1,092.43–$5,749.65	at median	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST	$2,874.83	$5,749.65	$1,782.39–$5,059.69	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST	$3,217.18	$6,434.35	$1,222.53–$6,434.35	at median	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST	$3,217.18	$6,434.35	$1,994.65–$5,662.23	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST	$3,810.23	$7,620.45	$1,447.89–$7,620.45	at median	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST	$3,810.23	$7,620.45	$2,362.34–$6,706.00	—	50%
CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST	$1,608.98	$3,217.95	$611.41–$3,217.95	14% below	50%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST	$1,608.98	$3,217.95	$997.56–$2,831.80	—	50%
CT scan of the abdomen without contrast CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST	$1,363.35	$2,726.70	$518.07–$2,726.70	2% below	50%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST	$1,363.35	$2,726.70	$845.28–$2,399.50	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,145.38	$2,290.75	$435.24–$2,290.75	3% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,145.38	$2,290.75	$710.13–$2,015.86	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,268.90	$2,537.80	$482.18–$2,537.80	at median	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,268.90	$2,537.80	$786.72–$2,233.26	—	50%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST	$1,520.45	$3,040.90	$577.77–$3,040.90	2% below	50%
CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST	$1,520.45	$3,040.90	$942.68–$2,675.99	—	50%
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO	$1,942.40	$3,884.80	$738.11–$3,884.80	at median	50%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO	$1,942.40	$3,884.80	$1,204.29–$3,418.62	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL	$1,504.05	$3,008.10	$571.54–$3,008.10	at median	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL	$1,504.05	$3,008.10	$932.51–$2,647.13	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL	$1,513.95	$3,027.90	$575.30–$3,027.90	at median	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL	$1,513.95	$3,027.90	$938.65–$2,664.55	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST	$1,608.98	$3,217.95	$611.41–$3,217.95	1% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST	$1,608.98	$3,217.95	$997.56–$2,831.80	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT	$1,145.63	$2,291.25	$435.34–$2,291.25	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT	$1,145.63	$2,291.25	$710.29–$2,016.30	—	50%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W/ & W/O CONTRAST	$2,105.40	$4,210.80	$800.05–$4,210.80	at median	50%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W/ & W/O CONTRAST	$2,105.40	$4,210.80	$1,305.35–$3,705.50	—	50%
Chest X-ray, 2 views CPT 71046 HC DX EXAM CHEST 2 VIEWS	$232.30	$464.60	$88.27–$464.60	at median	50%
Chest X-ray, 2 views inpatient CPT 71046 HC DX EXAM CHEST 2 VIEWS	$232.30	$464.60	$144.03–$408.85	—	50%
Chest X-ray, single view CPT 71045 HC DX EXAM CHEST SINGLE VIEW	$186.83	$373.65	$70.99–$373.65	at median	50%
Chest X-ray, single view inpatient CPT 71045 HC DX EXAM CHEST SINGLE VIEW	$186.83	$373.65	$115.83–$328.81	—	50%
Collarbone (clavicle) X-ray, complete CPT 73000 HC DX CLAVICLE	$222.20	$444.40	$84.44–$444.40	4% below	50%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC DX CLAVICLE	$222.20	$444.40	$137.76–$391.07	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE	$552.83	$1,105.65	$210.07–$1,105.65	at median	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE	$552.83	$1,105.65	$342.75–$972.97	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA SCAN ONE OR MORE SITES	$413.48	$826.95	$157.12–$826.95	at median	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA SCAN ONE OR MORE SITES	$413.48	$826.95	$256.35–$727.72	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA SCAN APPENDICULAR SKELETON	$227.25	$454.50	$86.36–$454.50	2% above	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA SCAN APPENDICULAR SKELETON	$227.25	$454.50	$140.90–$399.96	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG UTER FET & MAT + DETL FET EXM	$553.05	$1,106.10	$210.16–$1,106.10	at median	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREG UTER FET & MAT + DETL FET EXM	$553.05	$1,106.10	$342.89–$973.37	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST	$1,350.03	$2,700.05	$513.01–$2,700.05	at median	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST	$1,350.03	$2,700.05	$837.02–$2,376.04	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/ CONTRAST	$1,608.98	$3,217.95	$611.41–$3,217.95	at median	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/ CONTRAST	$1,608.98	$3,217.95	$997.56–$2,831.80	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$442.60	$885.20	$168.19–$885.20	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$442.60	$885.20	$274.41–$778.98	—	50%
Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$221.33	$442.65	$84.10–$442.65	4% below	50%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$221.33	$442.65	$137.22–$389.53	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL	$732.03	$1,464.05	$278.17–$1,464.05	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL	$732.03	$1,464.05	$453.86–$1,288.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL	$1,155.88	$2,311.75	$439.23–$2,311.75	—	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL	$1,155.88	$2,311.75	$716.64–$2,034.34	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE	$1,780.05	$3,560.10	$676.42–$3,560.10	7% above	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE	$1,780.05	$3,560.10	$1,103.63–$3,132.89	—	50%
Elbow X-ray, 2 views CPT 73070 HC DX ELBOW 2 VW	$203.98	$407.95	$77.51–$407.95	at median	50%
Elbow X-ray, 2 views inpatient CPT 73070 HC DX ELBOW 2 VW	$203.98	$407.95	$126.46–$359.00	—	50%
Elbow X-ray, complete, 3 or more views CPT 73080 HC DX ELBOW 3+ VW	$251.55	$503.10	$95.59–$503.10	5% below	50%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC DX ELBOW 3+ VW	$251.55	$503.10	$155.96–$442.73	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS PF SELLA IAC W/O CONTRAST	$1,430.20	$2,860.40	$543.48–$2,860.40	2% above	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS PF SELLA IAC W/O CONTRAST	$1,430.20	$2,860.40	$886.72–$2,517.15	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC DX FACIAL BONES 3+ VW	$337.95	$675.90	$128.42–$675.90	at median	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC DX FACIAL BONES 3+ VW	$337.95	$675.90	$209.53–$594.79	—	50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC DX FOREARM 2 VW	$240.70	$481.40	$91.47–$481.40	at median	50%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC DX FOREARM 2 VW	$240.70	$481.40	$149.23–$423.63	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$1,438.58	$2,877.15	$546.66–$2,877.15	at median	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$1,438.58	$2,877.15	$891.92–$2,531.89	—	50%
Hand X-ray, 2 views CPT 73120 HC DX HAND 2 VW	$201.75	$403.50	$76.67–$403.50	at median	50%
Hand X-ray, 2 views inpatient CPT 73120 HC DX HAND 2 VW	$201.75	$403.50	$125.09–$355.08	—	50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC DX HEEL	$210.38	$420.75	$79.94–$420.75	2% below	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC DX HEEL	$210.38	$420.75	$130.43–$370.26	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED	$359.00	$718.00	$136.42–$718.00	2% below	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP STUDY UNATTENDED	$359.00	$718.00	$136.42–$718.00	2% below	50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP STUDY UNATTENDED	$359.00	$718.00	$222.58–$631.84	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED	$359.00	$718.00	$222.58–$631.84	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$3,751.48	$7,502.95	$1,425.56–$7,502.95	at median	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$3,751.48	$7,502.95	$2,325.91–$6,602.60	—	50%
Knee X-ray, 3 views CPT 73562 HC DX KNEE 3 VIEW	$227.45	$454.90	$86.43–$454.90	15% below	50%
Knee X-ray, 3 views inpatient CPT 73562 HC DX KNEE 3 VIEW	$227.45	$454.90	$141.02–$400.31	—	50%
Knee X-ray, complete, 4 or more views CPT 73564 HC DX KNEE 4+ VIEW	$334.25	$668.50	$127.02–$668.50	at median	50%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC DX KNEE 4+ VIEW	$334.25	$668.50	$207.24–$588.28	—	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT EXTREMITY LOWER W/O CONTRAST	$1,256.25	$2,512.50	$477.38–$2,512.50	at median	50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT EXTREMITY LOWER W/O CONTRAST	$1,256.25	$2,512.50	$778.88–$2,211.00	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$473.20	$946.40	$179.82–$946.40	6% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$473.20	$946.40	$293.38–$832.83	—	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG	$479.30	$958.60	$182.13–$958.60	21% above	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG	$479.30	$958.60	$297.17–$843.57	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LDCT LUNG SCREEN W/O CONT	$567.08	$1,134.15	$215.49–$1,134.15	46% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LDCT LUNG SCREEN W/O CONT	$567.08	$1,134.15	$351.59–$998.05	—	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC DX LOWER LEG 2 VIEWS	$211.48	$422.95	$80.36–$422.95	4% below	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC DX LOWER LEG 2 VIEWS	$211.48	$422.95	$131.11–$372.20	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$1,737.00	$3,474.00	$660.06–$3,474.00	at median	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$1,737.00	$3,474.00	$1,076.94–$3,057.12	—	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JT W/O CONTRAST	$1,922.30	$3,844.60	$730.47–$3,844.60	at median	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREM JT W/O CONTRAST	$1,922.30	$3,844.60	$1,191.83–$3,383.25	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT OF LEG COMBO	$2,495.38	$4,990.75	$948.24–$4,990.75	15% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI JOINT OF LEG COMBO	$2,495.38	$4,990.75	$1,547.13–$4,391.86	—	50%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,765.28	$3,530.55	$670.80–$3,530.55	3% below	50%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,765.28	$3,530.55	$1,094.47–$3,106.88	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN COMBO	$2,518.40	$5,036.80	$956.99–$5,036.80	3% below	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN COMBO	$2,518.40	$5,036.80	$1,561.41–$4,432.38	—	50%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,765.28	$3,530.55	$670.80–$3,530.55	3% below	50%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,765.28	$3,530.55	$1,094.47–$3,106.88	—	50%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & W/O CONTRAST	$2,659.03	$5,318.05	$1,010.43–$5,318.05	at median	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & W/O CONTRAST	$2,659.03	$5,318.05	$1,648.60–$4,679.88	—	50%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$2,013.08	$4,026.15	$764.97–$4,026.15	at median	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$2,013.08	$4,026.15	$1,248.11–$3,543.01	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE COMBO	$2,656.05	$5,312.10	$1,009.30–$5,312.10	2% below	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE COMBO	$2,656.05	$5,312.10	$1,646.75–$4,674.65	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$2,013.08	$4,026.15	$764.97–$4,026.15	at median	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$2,013.08	$4,026.15	$1,248.11–$3,543.01	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE COMBO	$2,529.55	$5,059.10	$961.23–$5,059.10	at median	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE COMBO	$2,529.55	$5,059.10	$1,568.32–$4,452.01	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$1,947.58	$3,895.15	$740.08–$3,895.15	at median	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$1,947.58	$3,895.15	$1,207.50–$3,427.73	—	50%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS COMBO	$2,648.58	$5,297.15	$1,006.46–$5,297.15	at median	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS COMBO	$2,648.58	$5,297.15	$1,642.12–$4,661.49	—	50%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,699.03	$3,398.05	$645.63–$3,398.05	at median	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,699.03	$3,398.05	$1,053.40–$2,990.28	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY COMBO WO CONTRAST	$1,938.28	$3,876.55	$736.54–$3,876.55	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY COMBO WO CONTRAST	$1,938.28	$3,876.55	$1,201.73–$3,411.36	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS	$370.68	$741.35	$140.86–$741.35	6% below	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS	$370.68	$741.35	$229.82–$652.39	—	50%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST	$1,667.00	$3,334.00	$633.46–$3,334.00	at median	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST	$1,667.00	$3,334.00	$1,033.54–$2,933.92	—	50%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST	$1,363.35	$2,726.70	$518.07–$2,726.70	at median	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST	$1,363.35	$2,726.70	$845.28–$2,399.50	—	50%
Neck soft tissue X-ray CPT 70360 HC DX NECK SOFT TISSUE	$237.43	$474.85	$90.22–$474.85	at median	50%
Neck soft tissue X-ray inpatient CPT 70360 HC DX NECK SOFT TISSUE	$237.43	$474.85	$147.20–$417.87	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$3,341.83	$6,683.65	$1,269.89–$6,683.65	at median	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$3,341.83	$6,683.65	$2,071.93–$5,881.61	—	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$3,975.50	$7,951.00	$1,510.69–$7,951.00	at median	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$3,975.50	$7,951.00	$2,464.81–$6,996.88	—	50%
Pelvic CT scan without contrast CPT 72192 HC CT SCAN PELVIS W/O CONTRAST	$1,389.68	$2,779.35	$528.08–$2,779.35	at median	50%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN PELVIS W/O CONTRAST	$1,389.68	$2,779.35	$861.60–$2,445.83	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SONO PELVIS LIMITED	$99.35	$198.70	$37.75–$198.70	68% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SONO PELVIS LIMITED	$99.35	$198.70	$61.60–$174.86	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NONOBSTETRIC)	$643.80	$1,287.60	$244.64–$1,287.60	at median	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC (NONOBSTETRIC)	$643.80	$1,287.60	$399.16–$1,133.09	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/= 14 WKS SNGL FETUS	$479.30	$958.60	$182.13–$958.60	6% below	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >/= 14 WKS SNGL FETUS	$479.30	$958.60	$297.17–$843.57	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 WKS SINGLE FETUS	$326.73	$653.45	$124.16–$653.45	19% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14 WKS SINGLE FETUS	$326.73	$653.45	$202.57–$575.04	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED 1/> FETUSES	$272.60	$545.20	$103.59–$545.20	5% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED 1/> FETUSES	$272.60	$545.20	$169.01–$479.78	—	50%
Rib X-ray, one side, 2 views one side CPT 71100 HC DX RIBS 2 VW UNILAT	$208.80	$417.60	$79.34–$417.60	12% below	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC DX RIBS 2 VW UNILAT	$208.80	$417.60	$129.46–$367.49	—	50%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC DX RIBS CHEST 3+ VW	$307.43	$614.85	$116.82–$614.85	at median	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC DX RIBS CHEST 3+ VW	$307.43	$614.85	$190.60–$541.07	—	50%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$319.93	$639.85	$121.57–$639.85	—	50%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$319.93	$639.85	$198.35–$563.07	—	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2+ VW	$279.28	$558.55	$106.12–$558.55	at median	50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC DX SHOULDER 2+ VW	$279.28	$558.55	$173.15–$491.52	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 HC DX SINUSES 3+ VW	$324.53	$649.05	$123.32–$649.05	at median	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC DX SINUSES 3+ VW	$324.53	$649.05	$201.21–$571.16	—	50%
Skull X-ray, fewer than 4 views CPT 70250 HC DX SKULL LESS THAN 4 VIEWS	$291.78	$583.55	$110.87–$583.55	at median	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC DX SKULL LESS THAN 4 VIEWS	$291.78	$583.55	$180.90–$513.52	—	50%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$3,182.88	$6,365.75	$1,209.49–$6,365.75	at median	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$3,182.88	$6,365.75	$1,973.38–$5,601.86	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FCN W/CINE &/OR VIDEO	$363.98	$727.95	$138.31–$727.95	at median	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FCN W/CINE &/OR VIDEO	$363.98	$727.95	$225.66–$640.60	—	50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS	$207.70	$415.40	$78.93–$415.40	1% below	50%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS	$207.70	$415.40	$128.77–$365.55	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL	$1,425.85	$2,851.70	$541.82–$2,851.70	at median	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL	$1,425.85	$2,851.70	$884.03–$2,509.50	—	50%
Toe X-ray, 2 or more views CPT 73660 HC DX TOE(S)	$180.73	$361.45	$68.68–$361.45	5% below	50%
Toe X-ray, 2 or more views inpatient CPT 73660 HC DX TOE(S)	$180.73	$361.45	$112.05–$318.08	—	50%
Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL ULTRASOUND	$491.58	$983.15	$186.80–$983.15	at median	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL ULTRASOUND	$491.58	$983.15	$304.78–$865.17	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL	$385.58	$771.15	$146.52–$771.15	6% below	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL	$385.58	$771.15	$239.06–$678.61	—	50%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE	$665.35	$1,330.70	$252.83–$1,330.70	at median	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE	$665.35	$1,330.70	$412.52–$1,171.02	—	50%
Ultrasound of the scrotum and testicles CPT 76870 HC US ECHO SCROTUM & CONTENTS	$478.30	$956.60	$181.75–$956.60	7% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US ECHO SCROTUM & CONTENTS	$478.30	$956.60	$296.55–$841.81	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUES REAL TIME	$544.80	$1,089.60	$207.02–$1,089.60	at median	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK TISSUES REAL TIME	$544.80	$1,089.60	$337.78–$958.85	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC DX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB	$497.93	$995.85	$189.21–$995.85	at median	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC DX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB	$497.93	$995.85	$308.71–$876.35	—	50%
Upper arm X-ray (humerus), 2 views CPT 73060 HC DX HUMERUS	$231.50	$463.00	$87.97–$463.00	at median	50%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC DX HUMERUS	$231.50	$463.00	$143.53–$407.44	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD	$872.75	$1,745.50	$331.65–$1,745.50	56% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD	$872.75	$1,745.50	$541.11–$1,536.04	—	50%
Wrist X-ray, 2 views CPT 73100 HC DX WRIST 2 VW	$169.03	$338.05	$64.23–$338.05	6% below	50%
Wrist X-ray, 2 views inpatient CPT 73100 HC DX WRIST 2 VW	$169.03	$338.05	$104.80–$297.48	—	50%
Wrist X-ray, complete, 3 or more views CPT 73110 HC DX WRIST 3+ VW	$229.33	$458.65	$87.14–$458.65	at median	50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC DX WRIST 3+ VW	$229.33	$458.65	$142.18–$403.61	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$229.70	$459.40	$87.29–$459.40	1% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$229.70	$459.40	$142.41–$404.27	—	50%
X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1 VIEW	$224.43	$448.85	$85.28–$448.85	at median	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC DX ABDOMEN 1 VIEW	$224.43	$448.85	$139.14–$394.99	—	50%
X-ray of the ankle, 2 views CPT 73600 HC DX ANKLE 2 VW	$219.60	$439.20	$83.45–$439.20	5% below	50%
X-ray of the ankle, 2 views inpatient CPT 73600 HC DX ANKLE 2 VW	$219.60	$439.20	$136.15–$386.50	—	50%
X-ray of the finger(s), 2 or more views CPT 73140 HC DX EXAM OF FINGER(S)	$187.60	$375.20	$71.29–$375.20	at median	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC DX EXAM OF FINGER(S)	$187.60	$375.20	$116.31–$330.18	—	50%
X-ray of the foot, 2 views CPT 73620 HC DX FOOT 2 VW	$193.18	$386.35	$73.41–$386.35	5% below	50%
X-ray of the foot, 2 views inpatient CPT 73620 HC DX FOOT 2 VW	$193.18	$386.35	$119.77–$339.99	—	50%
X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT 3+ VW	$262.03	$524.05	$99.57–$524.05	3% below	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC DX FOOT 3+ VW	$262.03	$524.05	$162.46–$461.16	—	50%
X-ray of the hand, 3 or more views CPT 73130 HC DX HAND 3+ VW	$266.50	$533.00	$101.27–$533.00	at median	50%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC DX HAND 3+ VW	$266.50	$533.00	$165.23–$469.04	—	50%
X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2 VIEW	$216.65	$433.30	$82.33–$433.30	3% below	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC DX KNEE 1 OR 2 VIEW	$216.65	$433.30	$134.32–$381.30	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS	$278.40	$556.80	$105.79–$556.80	2% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS	$278.40	$556.80	$172.61–$489.98	—	50%
X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS	$430.23	$860.45	$163.49–$860.45	5% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS	$430.23	$860.45	$266.74–$757.20	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DX THORACIC SPINE 2 VW	$269.53	$539.05	$102.42–$539.05	2% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC DX THORACIC SPINE 2 VW	$269.53	$539.05	$167.11–$474.36	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 HC DX NASAL BONES	$357.95	$715.90	$136.02–$715.90	7% above	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC DX NASAL BONES	$357.95	$715.90	$221.93–$629.99	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS	$299.28	$598.55	$113.72–$598.55	at median	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS	$299.28	$598.55	$185.55–$526.72	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1/2 VW	$200.95	$401.90	$76.36–$401.90	12% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC DX PELVIS 1/2 VW	$200.95	$401.90	$124.59–$353.67	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DX SACRUM/COCCYX 2+ VW	$231.50	$463.00	$87.97–$463.00	at median	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC DX SACRUM/COCCYX 2+ VW	$231.50	$463.00	$143.53–$407.44	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
ACTH blood test CPT 82024 HC ASSAY OF ACTH	$286.35	$572.70	$108.81–$572.70	136% above	50%
ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH	$286.35	$572.70	$177.54–$503.98	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT	$44.68	$89.35	$16.98–$89.35	at median	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT	$44.68	$89.35	$27.70–$78.63	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT	$43.40	$86.80	$16.49–$86.80	at median	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT	$43.40	$86.80	$26.91–$76.38	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE	$465.78	$931.55	$176.99–$931.55	48% above	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE	$465.78	$931.55	$288.78–$819.76	—	50%
Albumin blood test CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD	$64.75	$129.50	$24.61–$129.50	98% above	50%
Albumin blood test inpatient CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD	$64.75	$129.50	$40.15–$113.96	—	50%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE	$144.73	$289.45	$55.00–$289.45	52% above	50%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE	$144.73	$289.45	$89.73–$254.72	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE	$66.05	$132.10	$25.10–$132.10	110% above	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKALINE PHOSPHATASE	$66.05	$132.10	$40.95–$116.25	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TESTING SPEC IGE	$56.35	$112.70	$21.41–$112.70	197% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TESTING SPEC IGE	$56.35	$112.70	$34.94–$99.18	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM MARKER	$132.53	$265.05	$50.36–$265.05	86% above	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM MARKER	$132.53	$265.05	$82.17–$233.24	—	50%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA	$96.53	$193.05	$36.68–$193.05	31% above	50%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA	$96.53	$193.05	$59.85–$169.88	—	50%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE	$130.43	$260.85	$49.56–$260.85	65% above	50%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE	$130.43	$260.85	$80.86–$229.55	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY	$93.10	$186.20	$35.38–$186.20	22% above	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY	$93.10	$186.20	$57.72–$163.86	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA	$198.60	$397.20	$75.47–$397.20	208% above	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA	$198.60	$397.20	$123.13–$349.54	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP)	$133.30	$266.60	$50.65–$266.60	at median	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP)	$133.30	$266.60	$82.65–$234.61	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SOURCE	$170.65	$341.30	$64.85–$341.30	120% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHER SOURCE	$170.65	$341.30	$105.80–$300.34	—	50%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE	$177.03	$354.05	$67.27–$354.05	15% above	50%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE	$177.03	$354.05	$109.76–$311.56	—	50%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$50.65	$101.30	$19.25–$101.30	4% above	50%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$50.65	$101.30	$31.40–$89.14	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV	$346.30	$692.60	$131.59–$692.60	94% above	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV	$346.30	$692.60	$214.71–$609.49	—	50%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$150.05	$300.10	$57.02–$300.10	at median	50%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$150.05	$300.10	$93.03–$264.09	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD	$4.55	$9.09	$1.73–$9.09	46% below	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD	$4.55	$9.09	$2.82–$8.00	—	50%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE	$38.33	$76.65	$14.56–$76.65	at median	50%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE	$38.33	$76.65	$23.76–$67.45	—	50%
Blood lead test CPT 83655 HC ASSAY OF LEAD	$79.93	$159.85	$22.00–$143.87	119% above	50%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD	$79.93	$159.85	$49.55–$140.67	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE	$133.25	$266.50	$50.64–$266.50	5% above	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE	$133.25	$266.50	$82.62–$234.52	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$49.58	$99.15	$18.84–$99.15	at median	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$49.58	$99.15	$30.74–$87.25	—	50%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN	$46.23	$92.45	$17.57–$92.45	2% above	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN QUAN	$46.23	$92.45	$28.66–$81.36	—	50%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE	$167.45	$334.90	$63.63–$334.90	116% above	50%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE	$167.45	$334.90	$103.82–$294.71	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN CRP	$131.10	$262.20	$49.82–$262.20	106% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN CRP	$131.10	$262.20	$81.28–$230.74	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 HC AMP PROBE CLOSTRIDIUM	$375.70	$751.40	$142.77–$751.40	168% above	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC AMP PROBE CLOSTRIDIUM	$375.70	$751.40	$232.93–$661.23	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9	$187.85	$375.70	$71.38–$375.70	93% above	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9	$187.85	$375.70	$116.47–$330.62	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125	$183.35	$366.70	$69.67–$366.70	113% above	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125	$183.35	$366.70	$113.68–$322.70	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST	$85.03	$170.05	$32.31–$153.05	at median	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST	$85.03	$170.05	$52.72–$149.64	—	50%
Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL	$61.83	$123.65	$23.49–$123.65	45% above	50%
Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM TOTAL	$61.83	$123.65	$38.33–$108.81	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA	$193.08	$386.15	$73.37–$386.15	19% above	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA	$193.08	$386.15	$119.71–$339.81	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY	$97.05	$194.10	$23.42–$174.69	85% above	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY	$97.05	$194.10	$60.17–$170.81	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE	$119.10	$238.20	$44.57–$214.38	6% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE	$119.10	$238.20	$73.84–$209.62	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL BUNDLED CHARGE	$187.73	$375.45	$71.34–$375.45	102% above	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL BUNDLED CHARGE	$187.73	$375.45	$116.39–$330.40	—	50%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC	$135.48	$270.95	$51.48–$270.95	32% above	50%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC	$135.48	$270.95	$83.99–$238.44	—	50%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC	$66.43	$132.85	$25.24–$132.85	at median	50%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC	$66.43	$132.85	$41.18–$116.91	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE	$244.73	$489.45	$93.00–$489.45	51% above	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE	$244.73	$489.45	$151.73–$430.72	—	50%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL	$92.68	$185.35	$35.22–$185.35	at median	50%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL	$92.68	$185.35	$57.46–$163.11	—	50%
Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL	$78.15	$156.30	$29.70–$156.30	7% above	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL	$78.15	$156.30	$48.45–$137.54	—	50%
Creatinine blood test CPT 82565 HC ASSAY OF CREATININE	$53.25	$106.50	$20.24–$106.50	at median	50%
Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE	$53.25	$106.50	$33.02–$93.72	—	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY IGG	$127.00	$254.00	$48.26–$254.00	97% above	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY IGG	$127.00	$254.00	$78.74–$223.52	—	50%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE	$144.50	$289.00	$54.91–$289.00	at median	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE	$144.50	$289.00	$89.59–$254.32	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE	$191.45	$382.90	$72.75–$382.90	84% above	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE	$191.45	$382.90	$118.70–$336.95	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DS ALCOHOL ETHYL URINE QUANT RFX	$25.38	$50.75	$9.64–$50.75	47% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCRN W CONF	$46.60	$93.20	$17.71–$93.20	3% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN 5 DRUG	$74.48	$148.95	$28.30–$148.95	55% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 1 DRUG	$84.23	$168.45	$32.01–$168.45	75% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE WITH CONF	$84.43	$168.85	$32.08–$168.85	76% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$86.20	$172.40	$32.76–$172.40	80% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UDS PRESUMPTIVE DRUG TEST	$93.10	$186.20	$35.38–$186.20	94% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GHB SCREEN URINE W CONFIRM	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR METHADONE SCREEN, URINE	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR CANNABINOID SCREEN, URINE	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR COCAINE URINE QUAL	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINE QUAL URINE	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE URINE QUAL	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UDS SYNTH CANNABINOIDS	$109.45	$218.90	$41.59–$218.90	128% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR OXYCODONE SCREEN URINE	$112.70	$225.40	$42.83–$225.40	135% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRES DRUG SCREEN CLASS LST B	$112.78	$225.55	$42.85–$225.55	135% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DS PRESUMPTIVE DRUG TEST FLEX	$112.78	$225.55	$42.85–$225.55	135% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 6	$113.05	$226.10	$42.96–$226.10	136% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM 9 DRUG PANEL	$116.03	$232.05	$44.09–$232.05	142% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM 10 DRUG PANEL W CONFIRM	$133.30	$266.60	$50.65–$266.60	178% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 10	$133.30	$266.60	$50.65–$266.60	178% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLINIC	$144.20	$288.40	$54.80–$288.40	200% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG PROFILE URINE 9 DRUG CLASSES IA WITH MS CONFIRMATION	$161.03	$322.05	$61.19–$322.05	235% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMP DRUG SCR INSTRUMENT	$231.65	$463.30	$88.03–$463.30	383% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN SINGLE CLASS	$231.65	$463.30	$88.03–$463.30	383% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7	$238.70	$477.40	$90.71–$477.40	397% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COCAINE MECONIUM CONFIRMATION	$238.70	$477.40	$90.71–$477.40	397% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CORD TISSUE DRUG SCRN PROFILE	$330.53	$661.05	$125.60–$661.05	589% above	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DS ALCOHOL ETHYL URINE QUANT RFX	$25.38	$50.75	$15.73–$44.66	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE SCRN W CONF	$46.60	$93.20	$28.89–$82.02	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG SCREEN 5 DRUG	$74.48	$148.95	$46.17–$131.08	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 1 DRUG	$84.23	$168.45	$52.22–$148.24	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE WITH CONF	$84.43	$168.85	$52.34–$148.59	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-HYDROXYBUTYRIC ACID	$86.20	$172.40	$53.44–$151.71	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UDS PRESUMPTIVE DRUG TEST	$93.10	$186.20	$57.72–$163.86	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AMPHETAMINE QUAL URINE	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR CANNABINOID SCREEN, URINE	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR METHADONE SCREEN, URINE	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UDS SYNTH CANNABINOIDS	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BENZODIAZEPINE URINE QUAL	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GHB SCREEN URINE W CONFIRM	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR COCAINE URINE QUAL	$109.45	$218.90	$67.86–$192.63	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR OXYCODONE SCREEN URINE	$112.70	$225.40	$69.87–$198.35	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DS PRESUMPTIVE DRUG TEST FLEX	$112.78	$225.55	$69.92–$198.48	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRES DRUG SCREEN CLASS LST B	$112.78	$225.55	$69.92–$198.48	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 6	$113.05	$226.10	$70.09–$198.97	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM 9 DRUG PANEL	$116.03	$232.05	$71.94–$204.20	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM 10 DRUG PANEL W CONFIRM	$133.30	$266.60	$82.65–$234.61	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 10	$133.30	$266.60	$82.65–$234.61	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLINIC	$144.20	$288.40	$89.40–$253.79	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG PROFILE URINE 9 DRUG CLASSES IA WITH MS CONFIRMATION	$161.03	$322.05	$99.84–$283.40	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN SINGLE CLASS	$231.65	$463.30	$143.62–$407.70	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMP DRUG SCR INSTRUMENT	$231.65	$463.30	$143.62–$407.70	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COCAINE MECONIUM CONFIRMATION	$238.70	$477.40	$147.99–$420.11	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 7	$238.70	$477.40	$147.99–$420.11	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CORD TISSUE DRUG SCRN PROFILE	$330.53	$661.05	$204.93–$581.72	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE	$86.33	$172.65	$32.80–$172.65	at median	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE	$86.33	$172.65	$53.52–$151.93	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA ANTIBODY	$160.30	$320.60	$60.91–$320.60	137% above	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA ANTIBODY	$160.30	$320.60	$99.39–$282.13	—	50%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL	$238.30	$476.60	$90.55–$476.60	70% above	50%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL	$238.30	$476.60	$147.75–$419.41	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH	$208.78	$417.55	$79.33–$417.55	120% above	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH	$208.78	$417.55	$129.44–$367.44	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN	$323.65	$647.30	$122.99–$647.30	84% above	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN	$323.65	$647.30	$200.66–$569.62	—	50%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN	$156.70	$313.40	$59.55–$313.40	76% above	50%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN	$156.70	$313.40	$97.15–$275.79	—	50%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY	$82.38	$164.75	$31.30–$164.75	at median	50%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY	$82.38	$164.75	$51.07–$144.98	—	50%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM	$104.18	$208.35	$39.59–$208.35	14% above	50%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM	$104.18	$208.35	$64.59–$183.35	—	50%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE	$127.85	$255.70	$48.58–$255.70	50% above	50%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE	$127.85	$255.70	$79.27–$225.02	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE T4	$150.93	$301.85	$57.35–$301.85	110% above	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE T4	$150.93	$301.85	$93.57–$265.63	—	50%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE	$147.45	$294.90	$56.03–$294.90	105% above	50%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE	$147.45	$294.90	$91.42–$259.51	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT GGTP	$55.28	$110.55	$21.00–$110.55	at median	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT GGTP	$55.28	$110.55	$34.27–$97.28	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST	$37.10	$74.20	$14.10–$74.20	at median	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST	$37.10	$74.20	$23.00–$65.30	—	50%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 2 HOUR	$130.20	$260.40	$49.48–$260.40	24% above	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 2 HOUR	$130.20	$260.40	$80.72–$229.15	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$112.83	$225.65	$42.87–$203.09	at median	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$112.83	$225.65	$69.95–$198.57	—	50%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG IGA	$129.28	$258.55	$49.12–$258.55	at median	50%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG IGA	$129.28	$258.55	$80.15–$227.52	—	50%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL	$252.98	$505.95	$96.13–$505.95	127% above	50%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL	$252.98	$505.95	$156.84–$445.24	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR	$503.58	$1,007.15	$191.36–$1,007.15	116% above	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR	$503.58	$1,007.15	$312.22–$886.29	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY	$172.08	$344.15	$43.05–$309.74	104% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY	$172.08	$344.15	$106.69–$302.85	—	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HPV HIGH RISK POOLED RESULT	$182.58	$365.15	$69.38–$365.15	16% above	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HPV HIGH RISK POOLED RESULT	$182.58	$365.15	$113.20–$321.33	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C	$136.70	$273.40	$51.95–$273.40	81% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C	$136.70	$273.40	$84.75–$240.59	—	50%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$48.33	$96.65	$18.36–$96.65	74% above	50%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$48.33	$96.65	$29.96–$85.05	—	50%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL	$132.15	$264.30	$21.15–$237.87	48% above	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL	$132.15	$264.30	$81.93–$232.58	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$146.38	$292.75	$19.51–$263.48	80% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$146.38	$292.75	$90.75–$257.62	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN	$110.58	$221.15	$16.92–$199.04	30% above	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN	$110.58	$221.15	$68.56–$194.61	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY TEST	$174.58	$349.15	$25.94–$314.24	40% above	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY TEST	$174.58	$349.15	$108.24–$307.25	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION	$552.28	$1,104.55	$209.86–$1,104.55	218% above	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION	$552.28	$1,104.55	$342.41–$972.00	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY	$121.35	$242.70	$46.11–$242.70	111% above	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY	$121.35	$242.70	$75.24–$213.58	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY	$121.35	$242.70	$46.11–$242.70	73% above	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY	$121.35	$242.70	$75.24–$213.58	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY	$131.10	$262.20	$49.82–$262.20	67% above	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY	$131.10	$262.20	$81.28–$230.74	—	50%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE	$202.95	$405.90	$77.12–$405.90	97% above	50%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE	$202.95	$405.90	$125.83–$357.19	—	50%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL	$116.50	$233.00	$44.27–$233.00	103% above	50%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL	$116.50	$233.00	$72.23–$205.04	—	50%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON	$85.93	$171.85	$32.65–$171.85	30% above	50%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON	$85.93	$171.85	$53.27–$151.23	—	50%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST	$120.60	$241.20	$45.83–$241.20	93% above	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST	$120.60	$241.20	$74.77–$212.26	—	50%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE	$113.35	$226.70	$43.07–$226.70	at median	50%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE	$113.35	$226.70	$70.28–$199.50	—	50%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH	$206.20	$412.40	$78.36–$412.40	114% above	50%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH	$206.20	$412.40	$127.84–$362.91	—	50%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID	$96.53	$193.05	$36.68–$193.05	10% above	50%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID	$96.53	$193.05	$59.85–$169.88	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH	$50.55	$101.10	$19.21–$101.10	14% above	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE LDH	$50.55	$101.10	$31.34–$88.97	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE	$140.63	$281.25	$53.44–$281.25	28% above	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE	$140.63	$281.25	$87.19–$247.50	—	50%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE	$198.50	$397.00	$75.43–$397.00	26% above	50%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE	$198.50	$397.00	$123.07–$349.36	—	50%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY	$147.20	$294.40	$55.94–$294.40	71% above	50%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY	$147.20	$294.40	$91.26–$259.07	—	50%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM	$73.00	$146.00	$27.74–$146.00	49% above	50%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM	$73.00	$146.00	$45.26–$128.48	—	50%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY	$71.25	$142.50	$23.42–$128.25	34% above	50%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY	$71.25	$142.50	$44.18–$125.40	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS	$132.15	$264.30	$50.22–$264.30	38% above	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS	$132.15	$264.30	$81.93–$232.58	—	50%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY	$81.45	$162.90	$23.71–$146.61	41% above	50%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY	$81.45	$162.90	$50.50–$143.35	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE	$99.20	$198.40	$37.70–$198.40	42% above	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE	$99.20	$198.40	$61.50–$174.59	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL	$103.85	$207.70	$39.46–$207.70	2% above	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL	$103.85	$207.70	$64.39–$182.78	—	50%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH CV AUTO FLUID REDO CER VAG	$148.68	$297.35	$56.50–$297.35	39% above	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH CV AUTO FLUID REDO CER VAG	$148.68	$297.35	$92.18–$261.67	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH CERV VAG THIN LAYER	$131.33	$262.65	$49.90–$262.65	104% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH CERV VAG THIN LAYER	$131.33	$262.65	$81.42–$231.13	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT	$206.18	$412.35	$78.35–$412.35	47% above	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT	$206.18	$412.35	$127.83–$362.87	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL	$69.85	$139.70	$26.54–$139.70	19% above	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL	$69.85	$139.70	$43.31–$122.94	—	50%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS	$53.33	$106.65	$20.26–$106.65	6% above	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS	$53.33	$106.65	$33.06–$93.85	—	50%
Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM	$39.30	$78.60	$14.93–$78.60	at median	50%
Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM	$39.30	$78.60	$24.37–$69.17	—	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$692.75	$1,385.50	$263.25–$1,385.50	12% below	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY	$692.75	$1,385.50	$429.51–$1,219.24	—	50%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE	$193.03	$386.05	$73.35–$386.05	104% above	50%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE	$193.03	$386.05	$119.68–$339.72	—	50%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN	$230.58	$461.15	$87.62–$461.15	80% above	50%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN	$230.58	$461.15	$142.96–$405.81	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$67.70	$135.40	$25.73–$135.40	47% above	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$67.70	$135.40	$41.97–$119.15	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS	$96.53	$193.05	$36.68–$193.05	at median	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS	$96.53	$193.05	$59.85–$169.88	—	50%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN	$43.40	$86.80	$16.49–$86.80	3% below	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN	$43.40	$86.80	$26.91–$76.38	—	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC	$105.48	$210.95	$40.08–$210.95	82% above	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC	$105.48	$210.95	$65.39–$185.64	—	50%
Renin blood test CPT 84244 HC ASSAY OF RENIN	$96.60	$193.20	$36.71–$193.20	81% above	50%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN	$96.60	$193.20	$59.89–$170.02	—	50%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH	$52.73	$105.45	$20.04–$105.45	at median	50%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH	$52.73	$105.45	$32.69–$92.80	—	50%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$69.30	$138.60	$26.33–$138.60	49% above	50%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$69.30	$138.60	$42.97–$121.97	—	50%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM	$70.53	$141.05	$26.11–$126.95	50% above	50%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGM	$70.53	$141.05	$43.73–$124.12	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED	$89.38	$178.75	$33.96–$178.75	18% above	50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED	$89.38	$178.75	$55.41–$157.30	—	50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE	$133.63	$267.25	$50.78–$267.25	at median	50%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS COMPLETE	$133.63	$267.25	$82.85–$235.18	—	50%
Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM	$42.43	$84.85	$16.12–$84.85	at median	50%
Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM	$42.43	$84.85	$26.30–$74.67	—	50%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS	$100.05	$200.10	$16.17–$180.09	125% above	50%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS	$100.05	$200.10	$62.03–$176.09	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT BY PEROXID FECES	$46.08	$92.15	$17.51–$92.15	178% above	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT BY PEROXID FECES	$46.08	$92.15	$28.57–$81.09	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB 1 - 3 TEST	$55.90	$111.80	$21.24–$111.80	at median	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB 1 - 3 TEST	$55.90	$111.80	$34.66–$98.38	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM	$89.43	$178.85	$24.05–$160.97	56% above	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM	$89.43	$178.85	$55.44–$157.39	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL	$68.23	$136.45	$7.76–$122.81	16% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL	$68.23	$136.45	$42.30–$120.08	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON	$124.78	$249.55	$47.41–$249.55	6% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON	$124.78	$249.55	$77.36–$219.60	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE	$185.20	$370.40	$70.38–$370.40	108% above	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE	$185.20	$370.40	$114.82–$325.95	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY	$122.50	$245.00	$46.55–$245.00	136% above	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY	$122.50	$245.00	$75.95–$215.60	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMONE	$186.98	$373.95	$29.61–$336.56	128% above	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIMULATING HORMONE	$186.98	$373.95	$115.92–$329.08	—	50%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE	$117.58	$235.15	$44.68–$235.15	70% above	50%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE	$117.58	$235.15	$72.90–$206.93	—	50%
Total cholesterol blood test CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL	$46.15	$92.30	$17.54–$92.30	53% above	50%
Total cholesterol blood test inpatient CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL	$46.15	$92.30	$28.61–$81.22	—	50%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE T4	$115.68	$231.35	$43.96–$231.35	44% above	50%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE T4	$115.68	$231.35	$71.72–$203.59	—	50%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3	$99.78	$199.55	$37.91–$199.55	49% above	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3	$99.78	$199.55	$61.86–$175.60	—	50%
Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN	$88.88	$177.75	$33.77–$177.75	11% above	50%
Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN	$88.88	$177.75	$55.10–$156.42	—	50%
Trichomonas test (NAAT) CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE	$101.03	$202.05	$38.39–$202.05	68% above	50%
Trichomonas test (NAAT) inpatient CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE	$101.03	$202.05	$62.64–$177.80	—	50%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES	$75.48	$150.95	$28.68–$150.95	56% above	50%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES	$75.48	$150.95	$46.79–$132.84	—	50%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT	$204.18	$408.35	$77.59–$408.35	86% above	50%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT	$204.18	$408.35	$126.59–$359.35	—	50%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID	$60.85	$121.70	$23.12–$121.70	2% above	50%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID	$60.85	$121.70	$37.73–$107.10	—	50%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO	$40.35	$80.70	$15.33–$80.70	4% below	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO	$40.35	$80.70	$25.02–$71.02	—	50%
Urinalysis with microscope exam, manual CPT 81000 HC URINE SINGLE XZ	$40.35	$80.70	$15.33–$80.70	at median	50%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINE SINGLE XZ	$40.35	$80.70	$25.02–$71.02	—	50%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$52.38	$104.75	$19.90–$104.75	9% above	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$52.38	$104.75	$32.47–$92.18	—	50%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O MICRO	$37.18	$74.35	$14.13–$74.35	33% above	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O MICRO	$37.18	$74.35	$23.05–$65.43	—	50%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT	$119.23	$238.45	$45.31–$238.45	222% above	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE, COLONY COUNT	$119.23	$238.45	$73.92–$209.84	—	50%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE	$60.45	$120.90	$22.97–$120.90	30% above	50%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE	$60.45	$120.90	$37.48–$106.39	—	50%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$71.60	$143.20	$27.21–$143.20	at median	50%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$71.60	$143.20	$44.39–$126.02	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12	$158.85	$317.70	$60.36–$317.70	82% above	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12	$158.85	$317.70	$98.49–$279.58	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D 25	$224.53	$449.05	$85.32–$449.05	76% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VITAMIN D 25	$224.53	$449.05	$139.21–$395.16	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1	$241.35	$482.70	$91.71–$482.70	72% above	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1	$241.35	$482.70	$149.64–$424.78	—	50%
Zinc blood test CPT 84630 HC ASSAY OF ZINC	$92.88	$185.75	$35.29–$185.75	124% above	50%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC	$92.88	$185.75	$57.58–$163.46	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD	$152.65	$305.30	$58.01–$305.30	at median	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD	$152.65	$305.30	$94.64–$268.66	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Botox injections for chronic migraine both sides CPT 64615 HC CHEMO DENERVATION MUSCLE FACIAL NERV BILAT	$1,402.05	$2,804.10	$532.78–$2,804.10	—	50%
Botox injections for chronic migraine inpatient both sides CPT 64615 HC CHEMO DENERVATION MUSCLE FACIAL NERV BILAT	$1,402.05	$2,804.10	$869.27–$2,467.61	—	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$3,075.90	$6,151.80	$1,168.84–$6,151.80	at median	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$3,075.90	$6,151.80	$1,907.06–$5,413.58	—	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN	$377.18	$754.35	$141.06–$754.35	at median	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED TX DISTAL FIB FX W/O MANIP	$377.18	$754.35	$143.33–$754.35	at median	50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED TX DISTAL FIB FX W/O MANIP	$377.18	$754.35	$233.85–$663.83	—	50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN	$377.18	$754.35	$233.85–$663.83	—	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN	$344.13	$688.25	$128.70–$688.25	at median	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FX W/O MAN	$344.13	$688.25	$130.77–$688.25	at median	50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FX W/O MAN	$344.13	$688.25	$213.36–$605.66	—	50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN	$344.13	$688.25	$213.36–$605.66	—	50%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC LEFT HEART CATH WITH ANGIOGRAM	$14,653.28	$29,306.55	$5,568.24–$29,306.55	31% above	50%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LEFT HEART CATH WITH ANGIOGRAM	$14,653.28	$29,306.55	$9,085.03–$25,789.76	—	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL	$1,287.50	$2,575.00	$481.53–$2,575.00	24% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$1,287.50	$2,575.00	$489.25–$2,575.00	24% above	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$1,287.50	$2,575.00	$798.25–$2,266.00	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL	$1,287.50	$2,575.00	$798.25–$2,266.00	—	50%
Carpal tunnel release, open surgery CPT 64721 HC NEUROPLASTY MEDIAN NERVE CARPAL TUNNEL	$3,503.75	$7,007.50	$1,331.43–$7,007.50	at median	50%
Carpal tunnel release, open surgery inpatient CPT 64721 HC NEUROPLASTY MEDIAN NERVE CARPAL TUNNEL	$3,503.75	$7,007.50	$2,172.33–$6,166.60	—	50%
Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$60,522.10	$121,044.20	$22,998.40–$121,044.20	at median	50%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$60,522.10	$121,044.20	$37,523.70–$106,518.90	—	50%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX	$825.25	$1,650.50	$313.60–$1,650.50	at median	50%
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX	$825.25	$1,650.50	$511.66–$1,452.44	—	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP NEWBORN	$370.30	$740.60	$140.71–$740.60	at median	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/CLAMP NEWBORN	$370.30	$740.60	$140.71–$740.60	at median	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/CLAMP NEWBORN	$370.30	$740.60	$229.59–$651.73	—	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP NEWBORN	$370.30	$740.60	$229.59–$651.73	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX	$423.38	$846.75	$158.34–$846.75	at median	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$423.38	$846.75	$160.88–$846.75	at median	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX	$423.38	$846.75	$262.49–$745.14	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$423.38	$846.75	$262.49–$745.14	—	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY CERVIX VAGINA W/LOOP BIOPSY	$183.18	$366.35	$69.61–$366.35	at median	50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY CERVIX VAGINA W/LOOP BIOPSY	$183.18	$366.35	$113.57–$322.39	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/BIOPSY & CURETTAGE	$929.78	$1,859.55	$353.31–$1,859.55	14% above	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/BIOPSY & CURETTAGE	$929.78	$1,859.55	$576.46–$1,636.40	—	50%
Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$11,353.70	$22,707.40	$4,314.41–$22,707.40	at median	50%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$11,353.70	$22,707.40	$7,039.29–$19,982.51	—	50%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$4,555.88	$9,111.75	$1,731.23–$9,111.75	at median	50%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$4,555.88	$9,111.75	$2,824.64–$8,018.34	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$404.00	$808.00	$153.52–$808.00	2% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ER CYSTOURETHROSCOPY	$404.00	$808.00	$151.10–$808.00	2% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$404.00	$808.00	$250.48–$711.04	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ER CYSTOURETHROSCOPY	$404.00	$808.00	$250.48–$711.04	—	50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC ER D&C DIAG/THERAPEUTIC NON-OB	$2,215.45	$4,430.90	$828.58–$4,430.90	at median	50%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC ER D&C DIAG/THERAPEUTIC NON-OB	$2,215.45	$4,430.90	$1,373.58–$3,899.19	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC CRYO SKIN SINGLE	$241.00	$482.00	$91.58–$482.00	at median	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC CRYO SKIN SINGLE	$241.00	$482.00	$149.42–$424.16	—	50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC CREATE EARDRUM OPENING,GEN ANESTH	$3,006.50	$6,013.00	$1,142.47–$6,013.00	at median	50%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC CREATE EARDRUM OPENING,GEN ANESTH	$3,006.50	$6,013.00	$1,864.03–$5,291.44	—	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION	$171.43	$342.85	$64.11–$342.85	61% above	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC CERUMEN REMOVAL IRRIG/LAVAGE AMB	$171.43	$342.85	$65.14–$342.85	61% above	50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION	$171.43	$342.85	$106.28–$301.71	—	50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC CERUMEN REMOVAL IRRIG/LAVAGE AMB	$171.43	$342.85	$106.28–$301.71	—	50%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL CERUMEN IMPACTED	$185.98	$371.95	$70.67–$371.95	19% above	50%
Earwax removal with instruments, one ear CPT 69210 HC ER REMOVAL CERUMEN IMPACTED	$185.98	$371.95	$69.55–$371.95	19% above	50%
Earwax removal with instruments, one ear inpatient CPT 69210 HC ER REMOVAL CERUMEN IMPACTED	$185.98	$371.95	$115.30–$327.32	—	50%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL CERUMEN IMPACTED	$185.98	$371.95	$115.30–$327.32	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ER BIOPSY ENDOMETRIAL SAMPLING	$330.90	$661.80	$123.76–$661.80	at median	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY ENDOMETRIAL SAMPLING	$330.90	$661.80	$125.74–$661.80	at median	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY ENDOMETRIAL SAMPLING	$330.90	$661.80	$205.16–$582.38	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ER BIOPSY ENDOMETRIAL SAMPLING	$330.90	$661.80	$205.16–$582.38	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC ER NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,788.70	$5,577.40	$1,042.97–$5,577.40	85% above	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,788.70	$5,577.40	$1,059.71–$5,577.40	85% above	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,788.70	$5,577.40	$1,728.99–$4,908.11	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC ER NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,788.70	$5,577.40	$1,728.99–$4,908.11	—	50%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$1,326.58	$2,653.15	$504.10–$2,653.15	146% above	50%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ER INTRAVITREAL INJECTION	$1,326.58	$2,653.15	$496.14–$2,653.15	146% above	50%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ER INTRAVITREAL INJECTION	$1,326.58	$2,653.15	$822.48–$2,334.77	—	50%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$1,326.58	$2,653.15	$822.48–$2,334.77	—	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJECT FACET JOINT W/GUIDE LUMBAR/SAC 1ST LVL	$2,226.90	$4,453.80	$846.22–$4,453.80	70% above	50%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJECT FACET JOINT W/GUIDE LUMBAR/SAC 1ST LVL	$2,226.90	$4,453.80	$1,380.68–$3,919.34	—	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC ER RPR ABD HERNIA 3 - 10 CM REDUCIBLE	$4,500.75	$9,001.50	$1,683.28–$9,001.50	at median	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC ER RPR ABD HERNIA 3 - 10 CM REDUCIBLE	$4,500.75	$9,001.50	$2,790.47–$7,921.32	—	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC ER RPR ABD HERNIA > 10 CM REDUCIBLE	$4,500.75	$9,001.50	$1,683.28–$9,001.50	at median	50%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 HC ER RPR ABD HERNIA > 10 CM REDUCIBLE	$4,500.75	$9,001.50	$2,790.47–$7,921.32	—	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC ER RPR ABD HERNIA <3CM REDUCIBLE	$4,500.75	$9,001.50	$1,683.28–$9,001.50	at median	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC ER RPR ABD HERNIA <3CM REDUCIBLE	$4,500.75	$9,001.50	$2,790.47–$7,921.32	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG	$1,284.13	$2,568.25	$480.26–$2,568.25	5% above	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY-DIAG	$1,284.13	$2,568.25	$487.97–$2,568.25	5% above	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY-DIAG	$1,284.13	$2,568.25	$796.16–$2,260.06	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG	$1,284.13	$2,568.25	$796.16–$2,260.06	—	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC ER HEMORRHOIDECTOMY INTERNAL	$632.65	$1,265.30	$236.61–$1,265.30	at median	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY	$632.65	$1,265.30	$240.41–$1,265.30	at median	50%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY	$632.65	$1,265.30	$392.24–$1,113.46	—	50%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC ER HEMORRHOIDECTOMY INTERNAL	$632.65	$1,265.30	$392.24–$1,113.46	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJECTION UTERUS TUBE	$505.90	$1,011.80	$192.24–$1,011.80	129% above	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJECTION UTERUS TUBE	$505.90	$1,011.80	$313.66–$890.38	—	50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSC BX ENDOMETRIAL	$3,044.63	$6,089.25	$1,156.96–$6,089.25	at median	50%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSC BX ENDOMETRIAL	$3,044.63	$6,089.25	$1,887.67–$5,358.54	—	50%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION INTRAUTERINE DEVICE	$366.65	$733.30	$139.33–$733.30	18% above	50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION INTRAUTERINE DEVICE	$366.65	$733.30	$227.32–$645.30	—	50%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE	$437.53	$875.05	$166.26–$875.05	14% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE	$437.53	$875.05	$163.63–$875.05	14% above	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE	$437.53	$875.05	$271.27–$770.04	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE	$437.53	$875.05	$271.27–$770.04	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ER INJECT SINGLE TENDON SHEATH/LIGAMENT	$445.18	$890.35	$166.50–$890.35	15% above	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT SINGLE TENDON SHEATH/LIGAMENT	$445.18	$890.35	$169.17–$890.35	15% above	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT SINGLE TENDON SHEATH/LIGAMENT	$445.18	$890.35	$276.01–$783.51	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ER INJECT SINGLE TENDON SHEATH/LIGAMENT	$445.18	$890.35	$276.01–$783.51	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID	$619.80	$1,239.60	$231.81–$1,239.60	48% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID	$619.80	$1,239.60	$235.52–$1,239.60	48% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID	$619.80	$1,239.60	$384.28–$1,090.85	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID	$619.80	$1,239.60	$384.28–$1,090.85	—	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT NONBIODEGRADE DRUG IMPLANT	$285.80	$571.60	$108.60–$571.60	111% above	50%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT NONBIODEGRADE DRUG IMPLANT	$285.80	$571.60	$177.20–$503.01	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC SP ARTHRO ASPIR/INJ INTERM J	$557.25	$1,114.50	$211.76–$1,114.50	47% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INTERMED JOINT W/O US	$567.78	$1,135.55	$215.75–$1,135.55	50% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT	$567.78	$1,135.55	$212.35–$1,135.55	50% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC SP ARTHRO ASPIR/INJ INTERM J	$557.25	$1,114.50	$345.50–$980.76	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT	$567.78	$1,135.55	$352.02–$999.28	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS INTERMED JOINT W/O US	$567.78	$1,135.55	$352.02–$999.28	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS SMALL JOINT W/O US GUID	$451.48	$902.95	$171.56–$902.95	24% above	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ER ARTHROCENTESIS SMALL JOINT W/O US GUID	$451.48	$902.95	$168.85–$902.95	24% above	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS SMALL JOINT W/O US GUID	$451.48	$902.95	$279.91–$794.60	—	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ER ARTHROCENTESIS SMALL JOINT W/O US GUID	$451.48	$902.95	$279.91–$794.60	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$397.48	$794.95	$151.04–$794.95	at median	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$397.48	$794.95	$148.66–$794.95	at median	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$397.48	$794.95	$246.43–$699.56	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$397.48	$794.95	$246.43–$699.56	—	50%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$11,777.43	$23,554.85	$4,475.42–$23,554.85	at median	50%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$11,777.43	$23,554.85	$7,302.00–$20,728.27	—	50%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPI SUBAR LUM/SAC W/IMAGE	$2,207.98	$4,415.95	$839.03–$4,415.95	77% above	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPI SUBAR LUM/SAC W/IMAGE	$2,207.98	$4,415.95	$1,368.94–$3,886.04	—	50%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$1,177.23	$2,354.45	$447.35–$2,354.45	at median	50%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$1,177.23	$2,354.45	$729.88–$2,071.92	—	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL	$2,207.48	$4,414.95	$838.84–$4,414.95	34% above	50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL	$2,207.48	$4,414.95	$1,368.63–$3,885.16	—	50%
Lumpectomy (partial mastectomy) CPT 19301 HC PARTIAL MASTECTOMY	$5,890.50	$11,781.00	$2,238.39–$11,781.00	at median	50%
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PARTIAL MASTECTOMY	$5,890.50	$11,781.00	$3,652.11–$10,367.28	—	50%
Miscarriage treatment with D&C, first trimester CPT 59820 HC TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$755.15	$1,510.30	$286.96–$1,510.30	52% below	50%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$755.15	$1,510.30	$468.19–$1,329.06	—	50%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENTIAL	$1,223.03	$2,446.05	$464.75–$2,446.05	at median	50%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENTIAL	$1,223.03	$2,446.05	$758.28–$2,152.52	—	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ER EXCISION BEN LESION TRUNK/ARM/LEG <0.5CM	$453.03	$906.05	$169.43–$906.05	at median	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCISION BEN LESION TRUNK/ARM/LEG <0.5CM	$453.03	$906.05	$172.15–$906.05	at median	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ER EXCISION BEN LESION TRUNK/ARM/LEG <0.5CM	$453.03	$906.05	$280.88–$797.32	—	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXCISION BEN LESION TRUNK/ARM/LEG <0.5CM	$453.03	$906.05	$280.88–$797.32	—	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ER EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP< 0.5CM	$615.13	$1,230.25	$230.06–$1,230.25	at median	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP< 0.5CM	$615.13	$1,230.25	$233.75–$1,230.25	at median	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP< 0.5CM	$615.13	$1,230.25	$381.38–$1,082.62	—	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ER EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP< 0.5CM	$615.13	$1,230.25	$381.38–$1,082.62	—	50%
Nail removal (partial or complete), one nail CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE	$204.05	$408.10	$76.31–$408.10	at median	50%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SIMPLE SINGLE	$204.05	$408.10	$77.54–$408.10	at median	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SIMPLE SINGLE	$204.05	$408.10	$126.51–$359.13	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE	$204.05	$408.10	$126.51–$359.13	—	50%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERVE BLOCK GREATER OCCIPITAL	$718.48	$1,436.95	$273.02–$1,436.95	24% above	50%
Occipital nerve block (injection for headaches) CPT 64405 HC ER INJECT NERVE BLOCK GREATER OCCIPITAL	$718.48	$1,436.95	$268.71–$1,436.95	24% above	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERVE BLOCK GREATER OCCIPITAL	$718.48	$1,436.95	$445.45–$1,264.52	—	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ER INJECT NERVE BLOCK GREATER OCCIPITAL	$718.48	$1,436.95	$445.45–$1,264.52	—	50%
Pacemaker implant (dual chamber) CPT 33208 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR	$7,574.65	$15,149.30	$2,878.37–$15,149.30	at median	50%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR	$7,574.65	$15,149.30	$4,696.28–$13,331.38	—	50%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,960.95	$3,921.90	$745.16–$3,921.90	52% above	50%
Paracentesis with imaging guidance CPT 49083 HC ER ABD PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,960.95	$3,921.90	$733.40–$3,921.90	52% above	50%
Paracentesis with imaging guidance inpatient CPT 49083 HC ER ABD PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,960.95	$3,921.90	$1,215.79–$3,451.27	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,960.95	$3,921.90	$1,215.79–$3,451.27	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ER EXCISION NAIL & NAIL MATRIX	$728.25	$1,456.50	$272.37–$1,456.50	24% above	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL & NAIL MATRIX	$728.25	$1,456.50	$276.74–$1,456.50	24% above	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL & NAIL MATRIX	$728.25	$1,456.50	$451.52–$1,281.72	—	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ER EXCISION NAIL & NAIL MATRIX	$728.25	$1,456.50	$451.52–$1,281.72	—	50%
Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNCH	$897.95	$1,795.90	$341.22–$1,795.90	at median	50%
Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNCH	$897.95	$1,795.90	$556.73–$1,580.39	—	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUCTION PARAVERT NERVE LUM/SAC SING	$4,666.75	$9,333.50	$1,773.37–$9,333.50	20% above	50%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUCTION PARAVERT NERVE LUM/SAC SING	$4,666.75	$9,333.50	$2,893.39–$8,213.48	—	50%
Removal of a breast lump, open surgery CPT 19120 HC EXCISION CYST OR OTHER TUMOR BREAST TISSUE	$4,631.50	$9,263.00	$1,759.97–$9,263.00	at median	50%
Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISION CYST OR OTHER TUMOR BREAST TISSUE	$4,631.50	$9,263.00	$2,871.53–$8,151.44	—	50%
Removal of a foreign object under the skin, simple CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE	$429.45	$858.90	$160.61–$858.90	at median	50%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVAL FOREIGN BODY SIMPLE	$429.45	$858.90	$163.19–$858.90	at median	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVAL FOREIGN BODY SIMPLE	$429.45	$858.90	$266.26–$755.83	—	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE	$429.45	$858.90	$266.26–$755.83	—	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY INITIAL-GOV PAYORS	$2,535.35	$5,070.70	$963.43–$5,070.70	43% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY	$2,535.35	$5,070.70	$963.43–$5,070.70	43% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY	$2,535.35	$5,070.70	$1,571.92–$4,462.22	—	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY INITIAL-GOV PAYORS	$2,535.35	$5,070.70	$1,571.92–$4,462.22	—	50%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST	$394.03	$788.05	$149.73–$788.05	at median	50%
Short arm cast (elbow to hand) CPT 29075 HC ER APPLICATION SHORT ARM CAST	$425.55	$851.10	$159.16–$851.10	8% above	50%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION OF FOREARM CAST	$394.03	$788.05	$244.30–$693.48	—	50%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ER APPLICATION SHORT ARM CAST	$425.55	$851.10	$263.84–$748.97	—	50%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT	$187.83	$375.65	$71.37–$375.65	25% below	50%
Short arm splint (forearm and hand) CPT 29125 HC OT APPLICATION SHORT ARM SPLINT	$187.83	$375.65	$71.37–$375.65	25% below	50%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT STATIC	$224.95	$449.90	$85.48–$449.90	10% below	50%
Short arm splint (forearm and hand) CPT 29125 HC ER APPLICATION SHORT ARM SPLINT	$242.93	$485.85	$90.85–$485.85	2% below	50%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SHORT ARM SPLINT	$187.83	$375.65	$116.45–$330.57	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPLICATION SHORT ARM SPLINT	$187.83	$375.65	$116.45–$330.57	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT STATIC	$224.95	$449.90	$139.47–$395.91	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ER APPLICATION SHORT ARM SPLINT	$242.93	$485.85	$150.61–$427.55	—	50%
Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST	$364.78	$729.55	$138.61–$729.55	at median	50%
Short leg cast (below the knee) CPT 29405 HC ER APPLICATION SHORT LEG CAST	$393.98	$787.95	$147.35–$787.95	8% above	50%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION SHORT LEG CAST	$364.78	$729.55	$226.16–$642.00	—	50%
Short leg cast (below the knee) inpatient CPT 29405 HC ER APPLICATION SHORT LEG CAST	$393.98	$787.95	$244.26–$693.40	—	50%
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$211.38	$422.75	$80.32–$422.75	at median	50%
Short leg splint (calf to foot) CPT 29515 HC PT APPLICATION OF SHORT LEG SPLINT	$211.38	$422.75	$80.32–$422.75	at median	50%
Short leg splint (calf to foot) CPT 29515 HC ER APPLICATION SHORT LEG SPLINT	$228.33	$456.65	$85.39–$456.65	8% above	50%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT	$211.38	$422.75	$131.05–$372.02	—	50%
Short leg splint (calf to foot) inpatient CPT 29515 HC PT APPLICATION OF SHORT LEG SPLINT	$211.38	$422.75	$131.05–$372.02	—	50%
Short leg splint (calf to foot) inpatient CPT 29515 HC ER APPLICATION SHORT LEG SPLINT	$228.33	$456.65	$141.56–$401.85	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ER RESUPERF WND BODY <2.5CM	$374.23	$748.45	$139.96–$748.45	1% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$374.23	$748.45	$142.21–$748.45	1% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM	$374.23	$748.45	$232.02–$658.64	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ER RESUPERF WND BODY <2.5CM	$374.23	$748.45	$232.02–$658.64	—	50%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$206.55	$413.10	$78.49–$413.10	22% below	50%
Skin biopsy, punch, one lesion CPT 11104 HC ER PUNCH BIOPSY SKIN SINGLE LESION	$206.55	$413.10	$77.25–$413.10	22% below	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC ER PUNCH BIOPSY SKIN SINGLE LESION	$206.55	$413.10	$128.06–$363.53	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$206.55	$413.10	$128.06–$363.53	—	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISION MAL LESION TRUNK/ARM/LEG < 0.5CM	$597.35	$1,194.70	$226.99–$1,194.70	at median	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXCISION MAL LESION TRUNK/ARM/LEG < 0.5CM	$597.35	$1,194.70	$370.36–$1,051.34	—	50%
Skin tag removal, up to 15 tags CPT 11200 HC ER EXCISION SKIN TAGS <15 LESIONS	$313.53	$627.05	$117.26–$627.05	10% above	50%
Skin tag removal, up to 15 tags CPT 11200 HC EXCISION SKIN TAGS <15 LESIONS	$313.53	$627.05	$119.14–$627.05	10% above	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXCISION SKIN TAGS <15 LESIONS	$313.53	$627.05	$194.39–$551.80	—	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ER EXCISION SKIN TAGS <15 LESIONS	$313.53	$627.05	$194.39–$551.80	—	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$843.88	$1,687.75	$320.67–$1,687.75	at median	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ER SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$843.88	$1,687.75	$315.61–$1,687.75	at median	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ER SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$843.88	$1,687.75	$523.20–$1,485.22	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$843.88	$1,687.75	$523.20–$1,485.22	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ER RESUP NPTERF WND BODY 2.6-7.5 CM	$370.93	$741.85	$138.73–$741.85	at median	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$370.93	$741.85	$140.95–$741.85	at median	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ER RESUP NPTERF WND BODY 2.6-7.5 CM	$370.93	$741.85	$229.97–$652.83	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$370.93	$741.85	$229.97–$652.83	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ER RESUPERF WND FACE <2.5 CM	$356.18	$712.35	$133.21–$712.35	8% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM	$356.18	$712.35	$135.35–$712.35	8% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM	$356.18	$712.35	$220.83–$626.87	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ER RESUPERF WND FACE <2.5 CM	$356.18	$712.35	$220.83–$626.87	—	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC ER BX SKIN TANGNTL SINGLE LES	$206.55	$413.10	$77.25–$413.10	at median	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BX SKIN TANGNTL SINGLE LES	$206.55	$413.10	$78.49–$413.10	at median	50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC ER BX SKIN TANGNTL SINGLE LES	$206.55	$413.10	$128.06–$363.53	—	50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BX SKIN TANGNTL SINGLE LES	$206.55	$413.10	$128.06–$363.53	—	50%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,556.53	$5,113.05	$971.48–$5,113.05	145% above	50%
Thoracentesis with imaging guidance CPT 32555 HC ER THORACENTESIS W/IMAGING	$2,556.53	$5,113.05	$956.14–$5,113.05	145% above	50%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ER THORACENTESIS W/IMAGING	$2,556.53	$5,113.05	$1,585.05–$4,499.48	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,556.53	$5,113.05	$1,585.05–$4,499.48	—	50%
Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION/RELEASE	$3,689.78	$7,379.55	$1,402.11–$7,379.55	at median	50%
Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION/RELEASE	$3,689.78	$7,379.55	$2,287.66–$6,494.00	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES	$794.45	$1,588.90	$297.12–$1,588.90	73% above	50%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIG POINT(S) 1-2 MUSCLES	$794.45	$1,588.90	$301.89–$1,588.90	73% above	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIG POINT(S) 1-2 MUSCLES	$794.45	$1,588.90	$492.56–$1,398.23	—	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES	$794.45	$1,588.90	$492.56–$1,398.23	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION ULTRASOUND GUIDE	$1,944.10	$3,888.20	$738.76–$3,888.20	at median	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION ULTRASOUND GUIDE	$1,944.10	$3,888.20	$1,205.34–$3,421.62	—	50%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,487.75	$6,975.50	$1,325.35–$6,975.50	at median	50%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,487.75	$6,975.50	$2,162.41–$6,138.44	—	50%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESION <=14	$156.23	$312.45	$59.37–$312.45	at median	50%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESION <=14	$156.23	$312.45	$96.86–$274.96	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM	$416.18	$832.35	$158.15–$832.35	at median	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM	$416.18	$832.35	$155.65–$832.35	at median	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM	$416.18	$832.35	$258.03–$732.47	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM	$416.18	$832.35	$258.03–$732.47	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$737.90	$1,475.80	$280.40–$1,475.80	at median	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$737.90	$1,475.80	$457.50–$1,298.70	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ	$80.48	$160.95	$30.58–$160.95	10% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT	$80.48	$160.95	$30.58–$160.95	10% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ	$80.48	$160.95	$49.89–$141.64	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT	$80.48	$160.95	$49.89–$141.64	—	50%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1 HR	$819.65	$1,639.30	$311.47–$1,639.30	19% above	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION 1 HR	$819.65	$1,639.30	$508.18–$1,442.58	—	50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE HEARING TEST	$220.23	$440.45	$83.69–$440.45	at median	50%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE HEARING TEST	$220.23	$440.45	$136.54–$387.60	—	50%
Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES	$2,808.93	$5,617.85	$1,050.54–$5,617.85	19% above	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES	$2,808.93	$5,617.85	$1,741.53–$4,943.71	—	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY	$828.58	$1,657.15	$314.86–$1,657.15	at median	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY	$828.58	$1,657.15	$513.72–$1,458.29	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING	$290.78	$581.55	$110.49–$581.55	55% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING	$290.78	$581.55	$180.28–$511.76	—	50%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY 1 SEIZ	$1,732.30	$3,464.60	$647.88–$3,464.60	at median	50%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY 1 SEIZ	$1,732.30	$3,464.60	$972.00–$3,048.85	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB	$178.33	$356.65	$66.69–$356.65	at median	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB	$178.33	$356.65	$110.56–$313.85	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY	$328.58	$657.15	$122.89–$657.15	4% below	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY	$328.58	$657.15	$203.72–$578.29	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY	$1,519.05	$3,038.10	$568.12–$3,038.10	73% above	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY	$1,519.05	$3,038.10	$941.81–$2,673.53	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,590.63	$3,181.25	$594.89–$3,181.25	29% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,590.63	$3,181.25	$986.19–$2,799.50	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,682.03	$3,364.05	$629.08–$3,364.05	at median	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,682.03	$3,364.05	$1,042.86–$2,960.36	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY	$1,424.53	$2,849.05	$541.32–$2,849.05	39% above	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY	$1,424.53	$2,849.05	$883.21–$2,507.16	—	50%
Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W/PT 50 MIN	$27.68	$55.35	$10.52–$55.35	78% below	50%
Family therapy with the patient, 50 minutes CPT 90847 HC LIC PSYTX FAMILY W/PT FAC	$27.68	$55.35	$10.52–$55.35	78% below	50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W/PT 50 MIN	$27.68	$55.35	$17.16–$48.71	—	50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC LIC PSYTX FAMILY W/PT FAC	$27.68	$55.35	$17.16–$48.71	—	50%
Family therapy without the patient, 50 minutes CPT 90846 HC LIC PSYTX FAMILY W/O PT FAC 50 MIN	$27.68	$55.35	$10.52–$55.35	5% below	50%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN	$27.68	$55.35	$10.52–$55.35	5% below	50%
Family therapy without the patient, 50 minutes CPT 90846 HC FAC PSYTX CRISIS EA ADD 16-45 MIN	$56.90	$113.80	$21.62–$113.80	96% above	50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC LIC PSYTX FAMILY W/O PT FAC 50 MIN	$27.68	$55.35	$17.16–$48.71	—	50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN	$27.68	$55.35	$17.16–$48.71	—	50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAC PSYTX CRISIS EA ADD 16-45 MIN	$56.90	$113.80	$35.28–$100.14	—	50%
Group psychotherapy session CPT 90853 HC IOP PSYCH PER DIEM	$100.78	$201.55	$38.29–$394.00	at median	50%
Group psychotherapy session CPT 90853 HC LIC GRP PSYTX FAC-INT	$100.78	$201.55	$38.29–$201.55	at median	50%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$100.78	$201.55	$38.29–$201.55	at median	50%
Group psychotherapy session CPT 90853 HC IOP TX ISSUEGROUP45-50	$100.78	$201.55	$38.29–$394.00	at median	50%
Group psychotherapy session inpatient CPT 90853 HC IOP TX ISSUEGROUP45-50	$100.78	$201.55	$62.48–$177.36	—	50%
Group psychotherapy session inpatient CPT 90853 HC IOP PSYCH PER DIEM	$100.78	$201.55	$62.48–$177.36	—	50%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY	$100.78	$201.55	$62.48–$177.36	—	50%
Group psychotherapy session inpatient CPT 90853 HC LIC GRP PSYTX FAC-INT	$100.78	$201.55	$62.48–$177.36	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$140.15	$280.30	$53.26–$280.30	52% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$140.15	$280.30	$86.89–$246.66	—	50%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL 1ST HOUR	$140.15	$280.30	$53.26–$280.30	42% below	50%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL 1ST HOUR GENE THERAPY	$3,567.08	$7,134.15	$1,355.49–$7,134.15	1374% above	50%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL 1ST HOUR	$140.15	$280.30	$86.89–$246.66	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL 1ST HOUR GENE THERAPY	$3,567.08	$7,134.15	$2,211.59–$6,278.05	—	50%
IV push of a medicine, first drug CPT 96374 HC INJECTION IV PUSH INITIAL	$140.15	$280.30	$53.26–$280.30	29% below	50%
IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION IV PUSH INITIAL	$140.15	$280.30	$86.89–$246.66	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM OR SUBCUT	$41.45	$82.90	$15.75–$82.90	55% below	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM OR SUBCUT	$41.45	$82.90	$25.70–$72.95	—	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC FAC PSYCHIATRIC DIAGNOSTIC EVALUATION	$69.58	$139.15	$26.44–$139.15	51% below	50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC FAC PSYCHIATRIC DIAGNOSTIC EVALUATION	$69.58	$139.15	$43.14–$122.45	—	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8	$1,708.10	$3,416.20	$649.08–$3,416.20	96% above	50%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8	$1,708.10	$3,416.20	$1,059.02–$3,006.26	—	50%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN	$89.73	$179.45	$34.10–$179.45	2% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN	$89.73	$179.45	$34.10–$179.45	2% below	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN	$89.73	$179.45	$55.63–$157.92	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN	$89.73	$179.45	$55.63–$157.92	—	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRITION THER INDIV INIT EA 15 MIN	$44.40	$88.80	$16.87–$88.80	at median	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRITION THER INDIV INIT EA 15 MIN	$44.40	$88.80	$27.53–$78.14	—	50%
Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$180.38	$360.75	$68.54–$360.75	at median	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$180.38	$360.75	$111.83–$317.46	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$404.15	$808.30	$153.58–$808.30	38% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$404.15	$808.30	$250.57–$711.30	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$202.08	$404.15	$76.79–$404.15	at median	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$202.08	$404.15	$125.29–$355.65	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$303.15	$606.30	$115.20–$606.30	26% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$303.15	$606.30	$187.95–$533.54	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH 1+REGIONS EA 15 MIN	$122.25	$244.50	$46.46–$244.50	at median	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN	$122.25	$244.50	$46.46–$244.50	at median	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH 1+REGIONS EA 15 MIN	$122.25	$244.50	$75.80–$215.16	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN	$122.25	$244.50	$75.80–$215.16	—	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES	$93.88	$187.75	$35.67–$187.75	at median	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES	$93.88	$187.75	$35.67–$187.75	at median	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC RECREATION IND TIMED	$95.65	$191.30	$36.35–$191.30	2% above	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES	$93.88	$187.75	$58.20–$165.22	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES	$93.88	$187.75	$58.20–$165.22	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC RECREATION IND TIMED	$95.65	$191.30	$59.30–$168.34	—	50%
Preventive checkup, new patient aged 18–39 CPT 99385 HC CLINIC VISIT NEW HEALTHCHECK EXAM 18-39 YRS	$129.70	$259.40	$49.29–$259.40	at median	50%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PSYCH CLINIC NEW HEALTHCHECK EXAM 18-39 YRS	$143.25	$286.50	$54.44–$286.50	10% above	50%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC CLINIC VISIT NEW HEALTHCHECK EXAM 18-39 YRS	$129.70	$259.40	$80.41–$228.27	—	50%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PSYCH CLINIC NEW HEALTHCHECK EXAM 18-39 YRS	$143.25	$286.50	$88.82–$252.12	—	50%
Preventive checkup, new patient aged 40–64 CPT 99386 HC CLINIC VISIT NEW PREVT 40-64 YRS	$147.50	$295.00	$56.05–$295.00	at median	50%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PSYCH CLINIC VISIT NEW PREVT 40-64 YRS	$175.43	$350.85	$66.66–$350.85	19% above	50%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC CLINIC VISIT NEW PREVT 40-64 YRS	$147.50	$295.00	$91.45–$259.60	—	50%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PSYCH CLINIC VISIT NEW PREVT 40-64 YRS	$175.43	$350.85	$108.76–$308.75	—	50%
Preventive checkup, new patient aged 65 or older CPT 99387 HC CLINIC VISIT NEW PREVT 65 + YRS	$154.58	$309.15	$58.74–$309.15	at median	50%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC CLINIC VISIT NEW PREVT 65 + YRS	$154.58	$309.15	$95.84–$272.05	—	50%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC CLINIC VISIT EST HEALTHCHECK 18-39 YRS	$105.85	$211.70	$40.22–$211.70	at median	50%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC VISIT EST HEALTHCHECK 18-39 YRS	$114.75	$229.50	$43.61–$229.50	8% above	50%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC CLINIC VISIT EST HEALTHCHECK 18-39 YRS	$105.85	$211.70	$65.63–$186.30	—	50%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC VISIT EST HEALTHCHECK 18-39 YRS	$114.75	$229.50	$71.15–$201.96	—	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC CLINIC VISIT EST PREVT 40-64 YRS	$117.63	$235.25	$44.70–$235.25	at median	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PSYCH CLINIC VISIT EST PREVT 40-64 YRS	$139.88	$279.75	$53.15–$279.75	19% above	50%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC CLINIC VISIT EST PREVT 40-64 YRS	$117.63	$235.25	$72.93–$207.02	—	50%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PSYCH CLINIC VISIT EST PREVT 40-64 YRS	$139.88	$279.75	$86.72–$246.18	—	50%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC CLINIC VISIT EST PREVT 65 + YRS	$128.08	$256.15	$48.67–$256.15	at median	50%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC CLINIC VISIT EST PREVT 65 + YRS	$128.08	$256.15	$79.41–$225.41	—	50%
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$69.58	$139.15	$26.44–$139.15	25% below	50%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$69.58	$139.15	$43.14–$122.45	—	50%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST EVAL INTERP FIRST HOUR	$164.43	$328.85	$62.48–$328.85	at median	50%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST EVAL INTERP FIRST HOUR	$164.43	$328.85	$101.94–$289.39	—	50%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC FAC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MIN	$109.70	$219.40	$41.69–$219.40	at median	50%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC FAC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MIN	$109.70	$219.40	$68.01–$193.07	—	50%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$81.48	$162.95	$30.96–$162.95	3% below	50%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$81.48	$162.95	$30.96–$162.95	3% below	50%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$81.48	$162.95	$50.51–$143.40	—	50%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$81.48	$162.95	$50.51–$143.40	—	50%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$94.00	$188.00	$35.72–$188.00	4% below	50%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$94.00	$188.00	$58.28–$165.44	—	50%
Psychotherapy session, 60 minutes CPT 90837 HC FAC PSYCHOTHERAPY PT &/ FAMILY 60 MIN	$109.70	$219.40	$41.69–$219.40	19% below	50%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC FAC PSYCHOTHERAPY PT &/ FAMILY 60 MIN	$109.70	$219.40	$68.01–$193.07	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$20.78	$41.55	$7.89–$41.55	6% below	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$20.78	$41.55	$12.88–$36.56	—	50%
Speech and language evaluation CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$376.23	$752.45	$142.97–$752.45	7% above	50%
Speech and language evaluation inpatient CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$376.23	$752.45	$233.26–$662.16	—	50%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL	$176.53	$353.05	$67.08–$353.05	at median	50%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL	$176.53	$353.05	$109.45–$310.68	—	50%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST	$235.25	$470.50	$89.40–$470.50	at median	50%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST	$235.25	$470.50	$145.86–$414.04	—	50%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS	$549.83	$1,099.65	$208.93–$1,099.65	5% above	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS	$549.83	$1,099.65	$340.89–$967.69	—	50%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC TMS TREATMENT INITIAL	$331.75	$663.50	$126.07–$663.50	at median	50%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC TMS TREATMENT INITIAL	$331.75	$663.50	$205.69–$583.88	—	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$101.38	$202.75	$38.52–$202.75	at median	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$101.38	$202.75	$38.52–$202.75	at median	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC ST THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$101.38	$202.75	$38.52–$202.75	at median	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$101.38	$202.75	$62.85–$178.42	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC ST THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$101.38	$202.75	$62.85–$178.42	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$101.38	$202.75	$62.85–$178.42	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$225.05	$450.10	$85.52–$450.10	2% above	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$225.05	$450.10	$139.53–$396.09	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE	$98.00	$196.00	$37.24–$196.00	49% below	50%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE	$98.00	$196.00	$60.76–$172.48	—	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA VIRUS INJECTION	$126.20	$252.40	$47.96–$252.40	59% below	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$434.73	$869.45	$165.20–$869.45	43% above	50%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA VIRUS INJECTION	$126.20	$252.40	$78.24–$222.11	—	50%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$434.73	$869.45	$269.53–$765.12	—	50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DTAP/IPV VACCINE PEDS 0.5ML	$41.20	$82.40	$15.66–$82.40	1% below	50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$138.80	$277.60	$52.74–$277.60	234% above	50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC DTAP/IPV VACCINE PEDS 0.5ML	$41.20	$82.40	$25.54–$72.51	—	50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$138.80	$277.60	$86.06–$244.29	—	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC DIPHTHERIA/TETANUS/PERTUSSIS INJ	$28.60	$57.20	$10.87–$57.20	51% below	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$63.90	$127.80	$24.28–$127.80	11% above	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$81.65	$163.30	$31.03–$163.30	41% above	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC DIPHTHERIA/TETANUS/PERTUSSIS INJ	$28.60	$57.20	$17.73–$50.34	—	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$63.90	$127.80	$39.62–$112.46	—	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$81.65	$163.30	$50.62–$143.70	—	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC DIPHTH/HEPB/PER ACEL/POLIO/TET IN	$58.75	$117.50	$22.33–$117.50	59% below	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$157.75	$315.50	$59.95–$315.50	11% above	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC DIPHTH/HEPB/PER ACEL/POLIO/TET IN	$58.75	$117.50	$36.43–$103.40	—	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$157.75	$315.50	$97.81–$277.64	—	50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC DTAP/HIB/IPV VAC PEDS 0.5ML	$158.30	$316.60	$60.15–$316.60	8% below	50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT	$235.88	$471.75	$89.63–$471.75	37% above	50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT	$266.03	$532.05	$101.09–$532.05	54% above	50%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC DTAP/HIB/IPV VAC PEDS 0.5ML	$158.30	$316.60	$98.15–$278.61	—	50%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT	$235.88	$471.75	$146.24–$415.14	—	50%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT	$266.03	$532.05	$164.94–$468.20	—	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR	$158.30	$316.60	$60.15–$316.60	at median	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HC DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR	$158.30	$316.60	$98.15–$278.61	—	50%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC INFLUENZA(FLUBLOCK)HEMA TRI 0.5ML	$16.33	$32.65	$6.20–$32.65	at median	50%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC INFLUENZA(FLUBLOCK)HEMA TRI 0.5ML	$16.33	$32.65	$10.12–$28.73	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$20.00	$40.00	$7.60–$40.00	57% below	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC INFLUENZA VAC 36MONTHS & UP INJ	$49.60	$99.20	$18.85–$99.20	8% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$20.00	$40.00	$12.40–$35.20	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC INFLUENZA VAC 36MONTHS & UP INJ	$49.60	$99.20	$30.75–$87.30	—	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HUMAN PAPILLOMAVIRUS VACCINE 9	$201.10	$402.20	$76.42–$402.20	47% below	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION	$508.45	$1,016.90	$193.21–$1,016.90	33% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$711.10	$1,422.20	$270.22–$1,422.20	86% above	50%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HUMAN PAPILLOMAVIRUS VACCINE 9	$201.10	$402.20	$124.68–$353.94	—	50%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION	$508.45	$1,016.90	$315.24–$894.87	—	50%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$711.10	$1,422.20	$440.88–$1,251.54	—	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC HEP A-HEP B VACCINE PF INJ	$87.35	$174.70	$33.19–$174.70	55% below	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$239.20	$478.40	$90.90–$478.40	24% above	50%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC HEP A-HEP B VACCINE PF INJ	$87.35	$174.70	$54.16–$153.74	—	50%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$239.20	$478.40	$148.30–$420.99	—	50%
Hepatitis A vaccine, adult dose CPT 90632 HC HEPATITIS A VACCINE ADULT INJ	$59.68	$119.35	$22.68–$119.35	54% below	50%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$163.15	$326.30	$62.00–$326.30	26% above	50%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPATITIS A VACCINE ADULT INJ	$59.68	$119.35	$37.00–$105.03	—	50%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$163.15	$326.30	$101.15–$287.14	—	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEPATITIS A VIRUS VACCINE PEDS	$25.13	$50.25	$9.55–$50.25	61% below	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$80.45	$160.90	$30.57–$160.90	25% above	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE	$81.55	$163.10	$30.99–$163.10	27% above	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$84.38	$168.75	$32.06–$168.75	31% above	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEPATITIS A VIRUS VACCINE PEDS	$25.13	$50.25	$15.58–$44.22	—	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$80.45	$160.90	$49.88–$141.59	—	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE	$81.55	$163.10	$50.56–$143.53	—	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$84.38	$168.75	$52.31–$148.50	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE ADULT IM	$44.08	$88.15	$16.75–$88.15	62% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP	$106.08	$212.15	$40.31–$212.15	7% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$131.15	$262.30	$49.84–$262.30	14% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$131.15	$262.30	$49.84–$262.30	14% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE ADULT IM	$44.08	$88.15	$27.33–$77.57	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP	$106.08	$212.15	$65.77–$186.69	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$131.15	$262.30	$81.31–$230.82	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$131.15	$262.30	$81.31–$230.82	—	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE	$166.15	$332.30	$63.14–$332.30	23% below	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$318.68	$637.35	$121.10–$637.35	48% above	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE	$166.15	$332.30	$103.01–$292.42	—	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$318.68	$637.35	$197.58–$560.87	—	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPATITIS B VACCINE PEDS	$22.08	$44.15	$8.39–$44.15	75% below	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPATITIS B VACCINE PEDS	$22.08	$44.15	$13.69–$38.85	—	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE	$51.78	$103.55	$19.67–$103.55	1% below	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$85.00	$170.00	$32.30–$170.00	63% above	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE	$51.78	$103.55	$32.10–$91.12	—	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$85.00	$170.00	$52.70–$149.60	—	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$25.25	$50.50	$9.60–$50.50	42% below	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$33.75	$67.50	$12.83–$67.50	23% below	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$25.25	$50.50	$15.66–$44.44	—	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$33.75	$67.50	$20.93–$59.40	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M	$32.65	$65.30	$12.41–$65.30	63% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$37.50	$75.00	$14.25–$75.00	57% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M	$32.65	$65.30	$20.24–$57.46	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$37.50	$75.00	$23.25–$66.00	—	50%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC JAPANESE ENCEPHALITIS VIRUS VACCINE	$360.73	$721.45	$137.08–$721.45	at median	50%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC JAPANESE ENCEPHALITIS VIRUS VACCINE	$360.73	$721.45	$223.65–$634.88	—	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MEASLES-MUMPS-RUBELLA VACCINE INJ	$68.30	$136.60	$25.95–$136.60	61% below	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT	$194.90	$389.80	$74.06–$389.80	12% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$205.43	$410.85	$78.06–$410.85	18% above	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MEASLES-MUMPS-RUBELLA VACCINE INJ	$68.30	$136.60	$42.35–$120.21	—	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT	$194.90	$389.80	$120.84–$343.02	—	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$205.43	$410.85	$127.36–$361.55	—	50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MMR/VARICELLA VACCINE - INJ	$279.70	$559.40	$106.29–$559.40	26% below	50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT	$647.28	$1,294.55	$245.96–$1,294.55	72% above	50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC MMR/VARICELLA VACCINE - INJ	$279.70	$559.40	$173.41–$492.27	—	50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT	$647.28	$1,294.55	$401.31–$1,139.20	—	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL/DIPHTH INJECTION	$116.50	$233.00	$44.27–$233.00	45% below	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$262.48	$524.95	$99.74–$524.95	23% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$264.20	$528.40	$100.40–$528.40	24% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$264.20	$528.40	$100.40–$528.40	24% above	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL/DIPHTH INJECTION	$116.50	$233.00	$72.23–$205.04	—	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$262.48	$524.95	$162.73–$461.96	—	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$264.20	$528.40	$163.80–$464.99	—	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$264.20	$528.40	$163.80–$464.99	—	50%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC MENINGOCOCCAL VACCINE QUADRIVALENT TETANUS	$66.63	$133.25	$25.32–$133.25	69% below	50%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC MENINGOCOCCAL VACCINE QUADRIVALENT TETANUS	$66.63	$133.25	$41.31–$117.26	—	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENINGOCOCCAL B VACC 0.5ML	$290.35	$580.70	$110.33–$580.70	1% below	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$400.03	$800.05	$152.01–$800.05	37% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENINGOCOCCAL B VACC 0.5ML	$290.35	$580.70	$180.02–$511.02	—	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$400.03	$800.05	$248.02–$704.04	—	50%
Meningococcal B vaccine (Trumenba) CPT 90621 HC MENINGOCOCCAL B 120MCG/0.5ML	$264.20	$528.40	$100.40–$528.40	21% below	50%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$426.80	$853.60	$162.18–$853.60	27% above	50%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HC MENINGOCOCCAL B 120MCG/0.5ML	$264.20	$528.40	$163.80–$464.99	—	50%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$426.80	$853.60	$264.62–$751.17	—	50%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$654.75	$1,309.50	$248.81–$1,309.50	at median	50%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$654.75	$1,309.50	$405.95–$1,152.36	—	50%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOCOCCAL 13-VALENT VAC	$397.18	$794.35	$150.93–$794.35	at median	50%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOCOCCAL 13-VALENT VAC	$397.18	$794.35	$246.25–$699.03	—	50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC PNEUMOCOCCAL PCV15 VACCINE FOR IM USE	$262.88	$525.75	$99.89–$525.75	at median	50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 HC PNEUMOCOCCAL PCV15 VACCINE FOR IM USE	$262.88	$525.75	$162.98–$462.66	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$501.93	$1,003.85	$190.73–$1,003.85	25% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$530.40	$1,060.80	$201.55–$1,060.80	21% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$501.93	$1,003.85	$311.19–$883.39	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$547.00	$1,094.00	$339.14–$962.72	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL 23-VALENT VACCINE	$92.75	$185.50	$35.25–$185.50	60% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$270.60	$541.20	$102.83–$541.20	15% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$270.60	$541.20	$102.83–$541.20	15% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL 23-VALENT VACCINE	$92.75	$185.50	$57.51–$163.24	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$270.60	$541.20	$167.77–$476.26	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$270.60	$541.20	$167.77–$476.26	—	50%
Polio vaccine, inactivated (IPV) CPT 90713 HC POLIOVIRUS VACCINE 0.5ML INJ	$30.78	$61.55	$11.69–$61.55	53% below	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$983.15	$1,966.30	$373.60–$1,966.30	1403% above	50%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC POLIOVIRUS VACCINE 0.5ML INJ	$30.78	$61.55	$19.08–$54.16	—	50%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$983.15	$1,966.30	$609.55–$1,730.34	—	50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,177.25	$2,354.50	$447.36–$2,354.50	at median	50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE	$1,628.38	$3,256.75	$618.78–$3,256.75	38% above	50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,177.25	$2,354.50	$729.90–$2,071.96	—	50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE	$1,628.38	$3,256.75	$1,009.59–$2,865.94	—	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE	$1,046.83	$2,093.65	$397.79–$2,093.65	at median	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,177.25	$2,354.50	$447.36–$2,354.50	12% above	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE	$1,046.83	$2,093.65	$649.03–$1,842.41	—	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,177.25	$2,354.50	$729.90–$2,071.96	—	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$388.95	$777.90	$147.80–$777.90	58% below	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$624.00	$1,248.00	$237.12–$1,248.00	33% below	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$388.95	$777.90	$241.15–$684.55	—	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$624.00	$1,248.00	$386.88–$1,098.24	—	50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$307.63	$615.25	$116.90–$615.25	32% below	50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT	$572.98	$1,145.95	$217.73–$1,145.95	26% above	50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$307.63	$615.25	$190.73–$541.42	—	50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT	$572.98	$1,145.95	$355.24–$1,008.44	—	50%
Rabies vaccine, one dose CPT 90675 HC RABIES VAC INJ	$267.38	$534.75	$101.60–$534.75	63% below	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$825.60	$1,651.20	$313.73–$1,651.20	14% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$1,020.98	$2,041.95	$387.97–$2,041.95	41% above	50%
Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VAC INJ	$267.38	$534.75	$165.77–$470.58	—	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$752.73	$1,505.45	$466.69–$1,324.80	—	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$756.80	$1,513.60	$469.22–$1,331.97	—	50%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC ROTAVIRUS VACCINE 1ML SUSP	$200.70	$401.40	$76.27–$401.40	1% below	50%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 HC ROTAVIRUS VACCINE 1ML SUSP	$200.70	$401.40	$124.43–$353.23	—	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC ROTAVIRUS VAC PENTAVALENT INJ	$77.23	$154.45	$29.35–$154.45	57% below	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC ROTAVIRUS VAC PENTAVALENT INJ	$77.23	$154.45	$47.88–$135.92	—	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC VARICELLA-ZOSTER 50MCG/0.5ML	$208.43	$416.85	$79.20–$416.85	25% below	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$438.33	$876.65	$166.56–$876.65	57% above	50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC VARICELLA-ZOSTER 50MCG/0.5ML	$208.43	$416.85	$129.22–$366.83	—	50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$357.58	$715.15	$221.70–$629.33	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC DIPHTHERIA TOXOID-TETANUS ADULT	$29.20	$58.40	$11.10–$58.40	66% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$112.10	$224.20	$42.60–$224.20	29% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$112.10	$224.20	$42.60–$224.20	29% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC DIPHTHERIA TOXOID-TETANUS ADULT	$29.20	$58.40	$18.10–$51.39	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$112.10	$224.20	$69.50–$197.30	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$112.10	$224.20	$69.50–$197.30	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP (ADULT) 0.5ML ADULT INJ	$71.10	$142.20	$27.02–$142.20	20% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$106.20	$212.40	$40.36–$212.40	20% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP	$108.13	$216.25	$41.09–$216.25	22% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$136.80	$273.60	$51.98–$273.60	55% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$136.80	$273.60	$51.98–$273.60	55% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP (ADULT) 0.5ML ADULT INJ	$71.10	$142.20	$44.08–$125.14	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$106.20	$212.40	$65.84–$186.91	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP	$108.13	$216.25	$67.04–$190.30	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$136.80	$273.60	$84.82–$240.77	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$136.80	$273.60	$84.82–$240.77	—	50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE, IM	$239.78	$479.55	$91.11–$479.55	at median	50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$338.73	$677.45	$128.72–$677.45	41% above	50%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE, IM	$239.78	$479.55	$148.66–$422.00	—	50%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$338.73	$677.45	$210.01–$596.16	—	50%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE	$215.25	$430.50	$81.80–$430.50	at median	50%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE	$215.25	$430.50	$133.46–$378.84	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN SINGLE	$59.08	$118.15	$22.45–$118.15	16% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN SINGLE	$59.08	$118.15	$36.63–$103.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN EACH ADDL	$46.23	$92.45	$17.57–$92.45	20% below	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN EACH ADDL	$46.23	$92.45	$28.66–$81.36	—	50%
Yellow fever vaccine, live CPT 90717 HC YELLOW FEVER VACCINE LIVE SUBQ	$427.50	$855.00	$162.45–$855.00	at median	50%
Yellow fever vaccine, live inpatient CPT 90717 HC YELLOW FEVER VACCINE LIVE SUBQ	$427.50	$855.00	$265.05–$752.40	—	50%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11173/561398929-1053358945_carolinas-medical-center_standardcharges.csv