Hospital

Neosho Memorial Regional Medical Center

Neosho Memorial Regional Medical Center in Chanute, KS publishes cash prices for 429 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Kansas median for 251 of 427 procedures and below it for 171. By typical cash price it ranks #54 of 81 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

629 S PLUMMER AVE, CHANUTE, KS 66720 Collected Sep 27, 2026 Source price file (620) 431-4000

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 1 of 5 CCN 171380 · CMS hospital register NPI 1073566949

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT CHEST/ABDOMEN W + W/O CONTRAST	$2,784.76	$3,713.01	$101.17–$3,527.36	99% above	25%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/ + W/O CONTRAST	$2,784.76	$3,713.01	$101.17–$3,527.36	99% above	25%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS PORTABLE	$210.60	$280.80	$59.96–$266.76	18% below	25%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$210.60	$280.80	$59.96–$266.76	18% below	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE RIGHT	$265.04	$353.38	$48.74–$335.71	14% above	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE LEFT	$265.04	$353.38	$48.74–$335.71	14% above	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$669.98	$893.30	$46.90–$848.64	13% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	106% above	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$763.64	$1,018.18	$101.17–$967.27	75% above	25%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY	$1,170.00	$1,560.00	$218.05–$1,482.00	9% above	25%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE.	$239.27	$319.02	$59.96–$303.07	24% below	25%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE.	$239.27	$319.02	$59.96–$303.07	24% below	25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED.	$191.10	$254.80	$48.74–$242.06	37% below	25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED.	$191.10	$254.80	$48.74–$242.06	37% below	25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT - REPORT BCE	$191.10	$254.80	$48.74–$242.06	37% below	25%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIOGRAPHY ABDOMEN/PELVIS	$4,138.30	$5,517.73	$206.69–$5,241.84	69% above	25%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD/NECK W/ CONTRAST	$2,794.79	$3,726.38	$101.17–$3,540.06	54% above	25%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$2,794.79	$3,726.38	$101.17–$3,540.06	54% above	25%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$2,794.79	$3,726.38	$101.17–$3,540.06	56% above	25%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK W/CONTRAST	$2,794.79	$3,726.38	$101.17–$3,540.06	56% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST	$2,418.78	$3,225.04	$101.17–$3,063.79	35% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PE CHEST W/ CONTRAST	$2,418.78	$3,225.04	$101.17–$3,063.79	35% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST AORTA	$2,418.78	$3,225.04	$101.17–$3,063.79	35% above	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,985.10	$2,646.80	$83.63–$4,530.95	48% above	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE	$3,095.82	$4,127.76	$83.63–$4,530.95	130% above	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT CHEST /ABDOMEN/PELVIS W/O CONTRAST	$3,577.07	$4,769.42	$83.63–$4,530.95	166% above	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT CHEST /ABDOMEN/PELVIS W/ CONTRAST	$3,494.40	$4,659.20	$181.08–$4,426.24	131% above	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST	$3,494.40	$4,659.20	$181.08–$4,426.24	131% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W + W/O CONTRAST	$4,820.40	$6,427.20	$204.32–$7,054.66	151% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT CHEST /ABDOMEN/PELVIS W + W/O CONTRAS	$5,569.47	$7,425.96	$204.32–$7,054.66	190% above	25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$2,426.07	$3,234.76	$101.17–$3,073.02	77% above	25%
CT scan of the abdomen with contrast CPT 74160 CT CHEST/ABDOMEN W/CONTRAST	$2,426.07	$3,234.76	$101.17–$3,073.02	77% above	25%
CT scan of the abdomen without contrast CPT 74150 CT CHEST/ABDOMEN W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	86% above	25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	86% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST	$1,860.30	$2,480.40	$59.96–$2,356.38	84% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$1,860.30	$2,480.40	$59.96–$2,356.38	84% above	25%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$1,669.20	$2,225.60	$59.96–$2,114.32	53% above	25%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/ CONTRAST	$2,426.07	$3,234.76	$101.17–$3,073.02	100% above	25%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/ + W/O CONTRAST	$2,784.76	$3,713.01	$101.17–$3,527.36	114% above	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	89% above	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$1,918.80	$2,558.40	$59.96–$2,430.48	81% above	25%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$2,426.07	$3,234.76	$101.17–$3,073.02	99% above	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER BILATERAL	$780.00	$1,040.00	$142.48–$1,359.33	—	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL	$1,073.15	$1,430.87	$142.48–$1,359.33	—	25%
Carotid artery ultrasound (duplex), both sides of the neck one side CPT 93880 US CAROTID DUPLEX LEFT	$1,073.15	$1,430.87	$142.48–$1,359.33	50% above	25%
Carotid artery ultrasound (duplex), both sides of the neck one side CPT 93880 US CAROTID DUPLEX RIGHT	$1,073.15	$1,430.87	$142.48–$1,359.33	50% above	25%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST	$2,784.76	$3,713.01	$101.17–$3,527.36	122% above	25%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/ AND W/O CONTRAST	$2,784.76	$3,713.01	$101.17–$3,527.36	122% above	25%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$263.64	$351.52	$48.74–$333.94	14% above	25%
Chest X-ray, 2 views CPT 71046 XR CHEST SPECIAL VIEWS	$263.64	$351.52	$48.74–$333.94	14% above	25%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$216.06	$288.08	$48.74–$273.68	11% above	25%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT	$373.01	$497.35	$48.74–$472.48	86% above	25%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT	$373.01	$497.35	$48.74–$472.48	86% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL	$390.00	$520.00	$59.96–$1,092.22	5% below	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMINAL AORTA	$390.00	$520.00	$59.96–$1,092.22	5% below	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL/OB SONO > 14 WEEKS	$862.28	$1,149.70	$59.96–$1,092.22	109% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL - BCE	$862.28	$1,149.70	$59.96–$1,092.22	109% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE READ	$862.28	$1,149.70	$59.96–$1,092.22	109% above	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA STUDY	$300.14	$400.19	$59.96–$380.18	5% below	25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGLE	$308.26	$411.01	$126.65–$390.46	27% below	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$1,788.29	$2,384.39	$59.96–$2,265.48	70% above	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLUTION W/O CONTRAST	$1,788.54	$2,384.72	$59.96–$2,265.48	70% above	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$1,788.54	$2,384.72	$59.96–$2,265.48	70% above	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LOW DOSE LUNG SCREENING	$1,788.54	$2,384.72	$59.96–$2,265.48	70% above	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$1,985.10	$2,646.80	$101.17–$2,609.90	71% above	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$2,060.45	$2,747.26	$101.17–$2,609.90	77% above	25%
Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO DIAGNOSTIC 3D BILATERAL.	$355.79	$474.39	$59.88–$450.67	—	25%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAGNOSTIC BIL W/CAD - REPORT BCE	$355.79	$474.39	$59.88–$450.67	52% above	25%
Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIAGNOSTIC 3D LEFT.	$283.76	$378.35	$48.20–$359.43	35% above	25%
Diagnostic mammogram, one breast one side CPT 77065 MA MAMMOGRAM DIAGNOSTIC RIGHT.	$283.76	$378.35	$48.20–$359.43	35% above	25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE ARTERIAL DUPLEX BILATERAL	$1,073.15	$1,430.87	$79.38–$1,359.33	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$795.60	$1,060.80	$79.38–$1,007.76	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE VENOUS DUPLEX BILATERAL	$795.60	$1,060.80	$79.38–$1,007.76	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS INSUFFICIENCY BILAT	$795.60	$1,060.80	$79.38–$1,007.76	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE	$1,809.60	$2,412.80	$127.30–$2,292.16	4% below	25%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RIGHT	$394.52	$526.03	$48.74–$500.22	100% above	25%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LEFT	$394.91	$526.55	$48.74–$500.22	100% above	25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW MIN 3 VIEWS RIGHT	$394.91	$526.55	$48.74–$500.22	63% above	25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW MIN 3 VIEWS LEFT	$394.91	$526.55	$48.74–$500.22	63% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA ETC. W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	99% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	99% above	25%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES MINIMUM 3 VIEWS	$480.79	$641.05	$59.96–$609.00	52% above	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$416.68	54% above	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT	$328.59	$438.12	$48.74–$416.68	54% above	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT - REPORT BCE	$328.96	$438.61	$48.74–$416.68	54% above	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA SCAN W/O CCK	$1,767.59	$2,356.78	$218.05–$2,238.94	41% above	25%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT	$328.59	$438.12	$59.96–$416.21	71% above	25%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT	$328.59	$438.12	$59.96–$416.21	71% above	25%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS MIN 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$416.68	65% above	25%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS MIN 2 VIEWS LEFT	$328.96	$438.61	$48.74–$416.68	65% above	25%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED	$892.25	$1,189.66	$38.63–$1,130.18	151% above	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY WITH TITRATION	$4,862.54	$6,483.38	$400.83–$6,159.21	73% above	25%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$293.71	$391.61	$48.74–$372.03	19% above	25%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$293.71	$391.61	$48.74–$372.03	19% above	25%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE RIGHT	$401.08	$534.77	$59.96–$508.03	19% above	25%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE LEFT	$401.08	$534.77	$59.96–$508.03	19% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIBIA/FIBULA W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIBIA/FIBULA W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CONTRAST RIGHT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CONTRAST LEFT	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$390.00	$520.00	$59.96–$494.00	12% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$390.00	$520.00	$59.96–$494.00	12% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$390.00	$520.00	$59.96–$494.00	12% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$390.00	$520.00	$59.96–$494.00	12% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$390.00	$520.00	$59.96–$494.00	12% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 LIMITED ABDOMINAL ULTRASOUND	$390.00	$520.00	$59.96–$494.00	12% above	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE LE LIMITED	$379.03	$505.37	$146.80–$645.77	19% above	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 ULTRASOUND EXTREMITY LIMITED	$379.03	$505.37	$146.80–$645.77	19% above	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE UE LIMITED	$509.82	$679.76	$146.80–$645.77	61% above	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING	$1,788.29	$2,384.39	$59.96–$2,265.17	174% above	25%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$416.21	45% above	25%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS LEFT	$328.59	$438.12	$48.74–$416.21	45% above	25%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$3,032.87	$4,043.83	$131.00–$3,841.64	109% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST LEFT	$2,659.80	$3,546.40	$131.00–$3,369.08	109% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST RIGHT	$2,659.80	$3,546.40	$131.00–$3,369.08	109% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST LEFT	$2,659.80	$3,546.40	$131.00–$3,369.08	109% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST RIGHT	$2,659.80	$3,546.40	$131.00–$3,369.08	109% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST LEFT	$2,659.80	$3,546.40	$131.00–$3,369.08	109% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST RIGHT	$2,659.80	$3,546.40	$131.00–$3,369.08	109% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/ + W/O CONTRAST RIGHT	$4,147.65	$5,530.20	$206.69–$5,253.69	134% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/ + W/O CONTRAST RIGHT	$4,147.65	$5,530.20	$206.69–$5,253.69	134% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/ + W/O CONTRAST LEFT	$4,147.65	$5,530.20	$206.69–$5,253.69	134% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/ + W/O CONTRAST RIGHT	$4,147.65	$5,530.20	$206.69–$5,253.69	134% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/ + W/O CONTRAST LEFT	$4,147.65	$5,530.20	$206.69–$5,253.69	134% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/ + W/O CONTRAST LEFT	$4,147.65	$5,530.20	$206.69–$5,253.69	134% above	25%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,032.87	$4,043.83	$131.00–$3,841.64	120% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ + W/O CONTRAST	$4,147.65	$5,530.20	$206.69–$5,253.69	145% above	25%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$2,675.40	$3,567.20	$131.00–$3,388.84	94% above	25%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ + W/O CONTRAST	$3,213.60	$4,284.80	$206.69–$4,070.56	70% above	25%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$2,628.60	$3,504.80	$131.00–$3,329.56	105% above	25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/ + W/O CONTRAST	$4,147.65	$5,530.20	$206.69–$5,253.69	132% above	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$2,702.70	$3,603.60	$131.00–$3,423.42	117% above	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/ + W/O CONTRAST	$4,147.65	$5,530.20	$206.69–$5,253.69	122% above	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONTRAST	$2,702.70	$3,603.60	$131.00–$3,423.42	118% above	25%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/ + W/O CONTRAST	$4,147.65	$5,530.20	$206.69–$5,253.69	130% above	25%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$3,032.87	$4,043.83	$131.00–$3,841.64	142% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST RIGHT	$2,659.80	$3,546.40	$131.00–$3,369.08	110% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST LEFT	$2,659.80	$3,546.40	$131.00–$3,369.08	110% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST LEFT	$2,659.80	$3,546.40	$131.00–$3,369.08	110% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST RIGHT	$2,659.80	$3,546.40	$131.00–$3,369.08	110% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST RIGHT	$2,659.80	$3,546.40	$131.00–$3,369.08	110% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST LEFT	$2,659.80	$3,546.40	$131.00–$3,369.08	110% above	25%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS	$585.62	$780.82	$59.96–$741.78	53% above	25%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/ CONTRAST	$2,426.07	$3,234.76	$101.17–$3,073.02	106% above	25%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	114% above	25%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$332.57	$443.42	$48.74–$421.25	60% above	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULTI REST/STRESS	$2,340.00	$3,120.00	$744.60–$2,964.00	5% below	25%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SKULL - MID THIGH W/ CT	$3,281.83	$4,375.77	$835.53–$4,156.98	14% below	25%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	95% above	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 POCUS ULTRASOUND PELVIC LIMITED	$411.49	$548.65	$59.96–$521.22	27% above	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$411.49	$548.65	$59.96–$521.22	27% above	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$390.00	$520.00	$59.96–$494.00	3% above	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WEEKS SINGLE	$265.20	$353.60	$59.96–$335.92	31% below	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB>14 WEEKS SINGLE	$267.70	$356.93	$59.96–$339.08	30% below	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS SINGLE	$265.20	$353.60	$59.96–$335.92	20% below	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$186.58	$248.77	$59.96–$236.33	35% below	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 POCUS 76815 US PREGNANCY LIMITED	$186.58	$248.77	$59.96–$236.33	35% below	25%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS LEFT	$292.04	$389.38	$48.74–$369.91	24% above	25%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS RIGHT	$292.04	$389.38	$48.74–$369.91	24% above	25%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS 3 VIEWS RIGHT	$316.37	$421.82	$59.96–$400.73	3% above	25%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS 3 VIEWS LEFT	$316.37	$421.82	$59.96–$400.73	3% above	25%
Screening mammogram, both breasts both sides CPT 77067 MA MAMMO SCREENING 3D BILATERAL.	$163.80	$218.40	$67.30–$207.48	—	25%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREENING IMPLANTS.	$163.80	$218.40	$67.30–$207.48	17% below	25%
Screening mammogram, both breasts one side CPT 77067 MA MAMMO SCREENING IMPLANTS RIGHT.	$163.80	$218.40	$67.30–$207.48	17% below	25%
Screening mammogram, both breasts one side CPT 77067 MA MAMMOGRAM ROUTINE SCREENING RIGHT.	$163.80	$218.40	$67.30–$207.48	17% below	25%
Screening mammogram, both breasts one side CPT 77067 MA MAMMO SCREENING 3D LEFT.	$163.80	$218.40	$67.30–$207.48	17% below	25%
Screening mammogram, both breasts one side CPT 77067 MA MAMMO SCREENING IMPLANTS LEFT.	$163.80	$218.40	$67.30–$207.48	17% below	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS RIGHT	$257.40	$343.20	$48.74–$326.04	13% above	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT	$257.40	$343.20	$48.74–$326.04	13% above	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT	$257.40	$343.20	$48.74–$326.04	13% above	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS LEFT	$257.40	$343.20	$48.74–$326.04	13% above	25%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE	$394.52	$526.03	$48.74–$499.73	27% above	25%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1 VIEW	$210.57	$280.76	$59.96–$473.92	15% below	25%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$374.15	$498.86	$59.96–$473.92	51% above	25%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY PSG ATTENDED DIAGNOSTIC	$4,167.93	$5,557.24	$383.02–$5,279.38	60% above	25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION W/ VIDEO	$763.64	$1,018.18	$101.17–$967.27	30% above	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LEFT	$328.59	$438.12	$48.74–$438.12	34% above	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$438.12	34% above	25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$2,149.13	$2,865.50	$59.96–$2,722.23	110% above	25%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES RIGHT	$328.59	$438.12	$48.74–$416.68	81% above	25%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES LEFT	$328.96	$438.61	$48.74–$416.68	81% above	25%
Transvaginal pelvic ultrasound CPT 76830 US PELVIS LIMITED W/ TRANSVAGINAL	$249.60	$332.80	$59.96–$316.16	23% below	25%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC NON OBSTETRIC	$249.60	$332.80	$59.96–$316.16	23% below	25%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$187.20	$249.60	$59.96–$237.12	50% below	25%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$390.00	$520.00	$59.96–$494.00	15% below	25%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN/PELVIS SONO	$390.00	$520.00	$59.96–$494.00	15% below	25%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS	$419.04	$558.72	$59.96–$530.78	8% above	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$590.07	$786.76	$59.96–$747.42	5% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK	$590.07	$786.76	$59.96–$747.42	5% below	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$763.64	$1,018.18	$101.17–$967.27	22% above	25%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS MINIMUM 2 VIEWS RIGHT	$327.14	$436.19	$48.74–$414.38	41% above	25%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS MIN 2 VIEWS LEFT	$327.14	$436.19	$48.74–$414.38	41% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 POCUS 93971ÿÿDUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY TECHFEE	$795.60	$1,060.80	$104.75–$1,007.76	18% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VENOUS DUPLEX LEFT DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$795.60	$1,060.80	$104.75–$1,007.76	18% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE VENOUS DUPLEX LEFT	$795.60	$1,060.80	$104.75–$1,007.76	18% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VENOUS DUPLEX RIGHT DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$795.60	$1,060.80	$104.75–$1,007.76	18% above	25%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$416.21	76% above	25%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT	$328.59	$438.12	$48.74–$416.21	76% above	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE LEFT	$241.80	$322.40	$48.74–$306.28	2% above	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE RIGHT	$241.80	$322.40	$48.74–$306.28	2% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W/PELVIS 2-3 VIEWS RIGHT	$327.14	$436.19	$48.74–$414.38	23% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W/PELVIS 2-3 VIEWS LEFT	$327.14	$436.19	$48.74–$414.38	23% above	25%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$179.40	$239.20	$48.74–$227.24	15% below	25%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN SINGLE VIEW KUB PORTABLE	$179.40	$239.20	$48.74–$227.24	15% below	25%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$416.21	73% above	25%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT	$328.59	$438.12	$48.74–$416.21	73% above	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 3RD DIGIT 2 VIEWS LEFT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 5TH DIGIT 2 VIEWS LEFT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER THUMB 2 VIEWS LEFT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2ND DIGIT 2 VIEWS LEFT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 3RD DIGIT 2 VIEWS RIGHT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 5TH DIGIT 2 VIEWS RIGHT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2ND DIGIT 2 VIEWS RIGHT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER THUMB 2 VIEWS RIGHT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 4TH DIGIT 2 VIEWS LEFT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 4TH DIGIT 2 VIEWS RIGHT	$162.24	$216.32	$48.74–$205.50	9% below	25%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT	$328.59	$438.12	$48.74–$453.31	69% above	25%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT	$357.88	$477.17	$48.74–$453.31	84% above	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE LEFT	$328.29	$437.72	$48.74–$415.83	42% above	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE RIGHT	$328.29	$437.72	$48.74–$415.83	42% above	25%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3 VIEWS LEFT	$253.50	$338.00	$48.74–$415.81	10% above	25%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3 VIEWS RIGHT	$253.50	$338.00	$48.74–$415.81	10% above	25%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE LEFT - REPORT BCE	$328.27	$437.69	$48.74–$415.81	43% above	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS RIGHT	$317.07	$422.76	$48.74–$401.62	60% above	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS LEFT	$317.07	$422.76	$48.74–$401.62	60% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$431.97	$575.96	$59.96–$547.16	56% above	25%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$446.43	$595.24	$59.96–$565.48	12% above	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$416.60	$555.47	$59.96–$527.70	80% above	25%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS	$394.91	$526.55	$48.74–$500.22	60% above	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$431.97	$575.96	$48.74–$547.16	67% above	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$317.21	$422.94	$59.96–$401.79	50% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MINIMUM 2 VIEWS	$327.14	$436.19	$48.74–$414.38	36% above	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE ACTH QST	$155.22	$206.96	$32.83–$196.61	14% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT BF	$33.52	$44.69	$5.30–$123.63	10% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$97.61	$130.14	$5.30–$123.63	163% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST BF	$33.52	$44.69	$5.18–$123.63	10% below	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$97.61	$130.14	$5.18–$123.63	163% above	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL REFL QST	$361.49	$481.98	$40.49–$457.88	71% above	25%
Albumin blood test CPT 82040 ALBUMIN LEVEL	$112.07	$149.42	$4.95–$141.95	246% above	25%
Aldosterone blood test CPT 82088 ALDOSTERONE QST	$244.00	$325.33	$34.64–$309.06	29% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS BF	$102.00	$136.00	$5.18–$133.92	176% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$105.73	$140.97	$5.18–$133.92	186% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM IGE QST	$24.38	$32.50	$5.22–$64.73	19% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PANEL REFL QST	$29.48	$39.30	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM T8 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH T15 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE/BOXELDER T1 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEINS E72 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE W11 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY T70 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 MT. CEDAR T6 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE W20 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK T7 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED W1 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD T14 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS G6 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERN ALT M6 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL W18 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS G2 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER E1 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPOR HERB M2 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH I6 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERG FUM M3 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO FAR D2 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO PTER D1 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER E5 IGE QST	$29.64	$39.52	$5.22–$64.73	2% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 BILL GALACTOSE ALPHA 13 GALACTOSE IGE	$51.11	$68.14	$5.22–$64.73	69% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 82105 TRIPLE TEST MATERNAL	$163.37	$217.83	$14.25–$215.21	63% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER QST	$169.91	$226.54	$14.25–$215.21	70% above	25%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$241.29	$321.72	$12.38–$305.63	178% above	25%
Amylase blood test CPT 82150 AMYLASE LEVEL 24 HOUR URINE	$117.48	$156.64	$6.48–$148.81	109% above	25%
Amylase blood test CPT 82150 ..URINE AMYLASE CLEARANCE	$117.48	$156.64	$6.48–$148.81	109% above	25%
Amylase blood test CPT 82150 URINE 2 HR AMYLASE LEVEL	$117.48	$156.64	$6.48–$148.81	109% above	25%
Amylase blood test CPT 82150 AMYLASE LEVEL URINE	$117.48	$156.64	$6.48–$148.81	109% above	25%
Amylase blood test CPT 82150 AMYLASE LEVEL BODY FLUID	$117.48	$156.64	$6.48–$148.81	109% above	25%
Amylase blood test CPT 82150 AMYLASE LEVEL	$117.48	$156.64	$6.48–$148.81	109% above	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB IGG QST	$167.18	$222.91	$12.95–$211.76	75% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX W/REFLEX 11 AB CASCADE QST	$27.20	$36.27	$11.18–$92.85	61% below	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PATTERN QST	$73.31	$97.74	$11.18–$92.85	5% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO-BNP	$236.78	$315.70	$33.37–$299.92	81% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASAL CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE.	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE	$155.54	$207.39	$7.35–$220.13	163% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE	$173.79	$231.72	$7.35–$220.13	194% above	25%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL STANDARD	$93.60	$124.80	$8.46–$118.56	15% above	25%
Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID	$20.13	$26.84	$5.02–$85.85	45% below	25%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$67.78	$90.37	$5.02–$85.85	86% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL IV/TC	$96.05	$128.07	$30.36–$128.07	56% below	25%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$179.01	$238.68	$9.45–$226.75	103% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CLINIC LAB DRAW	$15.75	$21.00	$6.47–$21.58	12% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 VENIPUNCTURE	$15.75	$21.00	$6.47–$21.58	12% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: VENOUS DRAW	$17.04	$22.72	$6.47–$21.58	5% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE CHARGE..	$17.04	$22.72	$6.47–$21.58	5% below	25%
Blood glucose (sugar) test CPT 82947 GLUCOSE MONITORING DEVICE POC	$19.46	$25.95	$3.93–$24.65	35% below	25%
Blood glucose (sugar) test CPT 82947 .GTT GLUCOSE FASTING	$19.46	$25.95	$3.93–$24.65	35% below	25%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$19.46	$25.95	$3.93–$24.65	35% below	25%
Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL	$19.46	$25.95	$3.93–$24.65	35% below	25%
Blood lead test CPT 83655 LEAD LEVEL QST	$106.64	$142.19	$11.70–$135.08	102% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 81025 -URINE PREGNANCY TEST POC [PMHO]	$69.53	$92.70	$7.52–$100.74	18% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY TEST	$79.53	$106.04	$7.52–$100.74	34% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD ABO RH	$71.39	$95.18	$2.99–$95.18	32% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORH	$71.39	$95.18	$2.99–$95.18	32% below	25%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN	$80.43	$107.24	$3.95–$101.88	159% above	25%
C-peptide blood test CPT 84681 C-PEPTIDE QST	$57.19	$76.25	$17.69–$73.58	45% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$122.90	$163.87	$5.18–$155.68	154% above	25%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE/EPI GENEXPERT	$136.20	$181.60	$34.26–$172.52	13% above	25%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN EIA SCREEN STANDARD	$136.20	$181.60	$34.26–$172.52	13% above	25%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QST	$192.50	$256.66	$20.81–$243.83	77% above	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QST	$184.35	$245.80	$20.81–$233.51	92% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 BY PCR	$153.32	$204.42	$43.61–$194.20	11% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 RNA ID NOW	$153.32	$204.42	$43.61–$194.20	11% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 PCR GENEXPERT	$153.32	$204.42	$43.61–$194.20	11% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 ID NOW POC NESO	$153.32	$204.42	$43.61–$194.20	11% above	25%
Calcium blood test, total CPT 82310 82310 CALCIUM	$33.06	$44.08	$5.16–$113.33	2% below	25%
Calcium blood test, total CPT 82310 CALCIUM LVL QST	$34.38	$45.84	$5.16–$113.33	2% above	25%
Calcium blood test, total CPT 82310 BF CALCIUM	$35.18	$46.90	$5.16–$113.33	4% above	25%
Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL	$89.47	$119.29	$5.16–$113.33	165% above	25%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN QST	$181.65	$242.20	$18.96–$230.09	64% above	25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM AB QST	$104.59	$139.45	$10.95–$164.83	12% above	25%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB QST	$130.13	$173.51	$10.95–$164.83	40% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$79.95	$106.60	$32.85–$222.06	31% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/N. GONORRHOEAE RNA TMA QST	$175.31	$233.75	$32.85–$222.06	52% above	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL STANDARD	$116.45	$155.26	$13.39–$147.50	27% above	25%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF STANDARD	$81.90	$109.20	$6.60–$103.74	93% above	25%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM STANDARD	$64.74	$86.32	$6.47–$82.00	42% above	25%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL STANDARD	$182.13	$242.84	$10.56–$230.70	74% above	25%
Cortisol blood test, total CPT 82533 CORTISOL AM QST	$177.13	$236.17	$16.30–$224.36	80% above	25%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL QST	$177.13	$236.17	$16.30–$224.36	80% above	25%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE	$83.14	$110.85	$6.51–$105.31	78% above	25%
Creatinine blood test CPT 82565 CREATININE	$112.07	$149.42	$5.12–$141.95	208% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS CMV IGG QST	$337.09	$449.45	$12.23–$426.98	209% above	25%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG IGM QST	$337.09	$449.45	$12.23–$426.98	209% above	25%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$122.38	$163.17	$10.18–$155.01	4% above	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE QST	$216.89	$289.18	$22.23–$274.72	69% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITOR PANEL 1 W/CONF W/DL URINE QST	$52.73	$70.30	$21.66–$115.68	68% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN STANDARD	$81.34	$108.45	$21.66–$115.68	50% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 5 MECONIUM QST	$86.76	$115.68	$21.66–$115.68	47% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PANEL 10-20 + ETHANOL NO CONFIRM QST	$86.76	$115.68	$21.66–$115.68	47% below	25%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL STANDARD	$159.05	$212.07	$6.00–$201.47	165% above	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS VCA AB IGG QST	$174.41	$232.55	$15.42–$220.92	69% above	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS VCA AB IGM QST	$174.41	$232.55	$15.42–$220.92	69% above	25%
Estradiol blood test CPT 82670 ESTRADIOL QST	$194.30	$259.06	$27.94–$246.11	14% above	25%
FSH (follicle-stimulating hormone) test CPT 83001 83001 FSH CHARGE	$106.34	$141.79	$18.58–$222.06	8% below	25%
FSH (follicle-stimulating hormone) test CPT 83001 FSH POC	$106.34	$141.79	$18.58–$222.06	8% below	25%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE QST	$175.31	$233.75	$18.58–$222.06	52% above	25%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN QST	$202.80	$270.40	$19.63–$256.88	7% below	25%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$98.70	$131.60	$13.63–$125.02	12% above	25%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$161.77	$215.69	$9.72–$204.91	177% above	25%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$290.09	$386.79	$14.70–$367.45	191% above	25%
Free T3 thyroid hormone test CPT 84481 FREE T3	$198.38	$264.50	$16.94–$251.28	54% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$131.03	$174.71	$9.02–$165.97	96% above	25%
Free testosterone test CPT 84402 TESTOSTERONE FREE QST	$47.76	$63.68	$19.62–$156.00	67% below	25%
Free testosterone test CPT 84402 TESTOSTER FREE QST	$123.16	$164.21	$19.62–$156.00	14% below	25%
Free testosterone test CPT 84402 TESTOSTERONE FREE AND TOTAL QST	$123.16	$164.21	$19.62–$156.00	14% below	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE	$186.17	$248.23	$7.20–$235.82	323% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT-1 HR	$46.80	$62.40	$4.75–$59.28	2% below	25%
Glucose tolerance test, 3 samples CPT 82951 .GTT-3 HR	$109.62	$146.16	$12.87–$138.85	19% above	25%
Glucose tolerance test, 3 samples CPT 82951 .GTT-2 HR	$109.62	$146.16	$12.87–$138.85	19% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 CHLAMYDIA/GC RNATMA PANEL	$104.65	$139.53	$35.09–$132.55	4% below	25%
H. pylori antibody blood test CPT 86677 H PYLORI	$168.99	$225.32	$14.32–$214.05	117% above	25%
H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL QST	$174.41	$232.55	$14.38–$220.92	57% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$96.70	$128.93	$9.71–$122.48	49% above	25%
Hemoglobin blood test CPT 85018 HEMOGLOBIN POC	$20.24	$26.99	$2.01–$32.80	6% below	25%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$23.49	$31.32	$2.01–$32.80	10% above	25%
Hemoglobin blood test CPT 85018 HGB QST	$25.90	$34.53	$2.01–$32.80	21% above	25%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL QST	$27.11	$36.15	$11.14–$36.15	60% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG QST	$133.76	$178.34	$10.33–$169.42	116% above	25%
Hepatitis C antibody blood test (screening) one side CPT 86803 HEPATITIS C AB W/REFLEX TO HCV RNA QNT RT-PCR QST	$168.99	$225.32	$14.27–$214.05	114% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA QUANTITATIVE REAL TIME PCR QST	$587.42	$783.22	$36.41–$744.06	113% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA PCR QST	$587.42	$783.22	$36.41–$744.06	113% above	25%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM QST	$59.90	$79.86	$11.21–$153.39	36% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG QST	$121.10	$161.46	$11.21–$153.39	29% above	25%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM QST	$59.90	$79.86	$19.35–$180.86	29% below	25%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG QST	$142.79	$190.38	$19.35–$180.86	68% above	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO C-REACTIVE PROTEIN QST	$146.40	$195.20	$11.01–$185.44	63% above	25%
Homocysteine blood test CPT 83090 HOMOCYSTEINE QST	$262.08	$349.44	$17.92–$331.97	16% above	25%
Insulin blood test CPT 83525 INSULIN QST	$47.00	$62.66	$11.43–$59.53	42% below	25%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$49.12	$65.49	$5.50–$152.25	11% above	25%
Iron blood test (serum iron) CPT 83540 IRON PROFILE	$49.12	$65.49	$5.50–$152.25	11% above	25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL	$43.84	$58.45	$8.74–$246.11	32% below	25%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$194.30	$259.06	$8.74–$246.11	201% above	25%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL STANDARD	$226.82	$302.43	$8.68–$287.31	208% above	25%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE QST	$177.13	$236.17	$18.52–$224.36	58% above	25%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$142.79	$190.38	$10.08–$180.86	79% above	25%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CEREBROSPINAL FLUID	$142.79	$190.38	$10.08–$180.86	79% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 BF LDH	$98.23	$130.97	$6.04–$128.20	141% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CEREBROSPINAL FLUID	$101.21	$134.95	$6.04–$128.20	148% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$101.21	$134.95	$6.04–$128.20	148% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLUID	$101.21	$134.95	$6.04–$128.20	148% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE	$112.97	$150.62	$6.89–$143.09	79% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$112.97	$150.62	$6.89–$143.09	79% above	25%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL STANDARD	$214.17	$285.56	$8.17–$271.28	160% above	25%
Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL W/REFL WB IGG IGM QST	$150.89	$201.18	$14.48–$191.12	24% above	25%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$85.85	$114.46	$6.70–$108.74	65% above	25%
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY IGM	$28.98	$38.64	$10.95–$145.44	72% below	25%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG AB QST	$114.82	$153.09	$10.95–$145.44	10% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT POC	$50.37	$67.16	$5.18–$162.55	12% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 RAPID MONO SCREEN STANDARD	$128.33	$171.10	$5.18–$162.55	185% above	25%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM QST	$120.43	$160.57	$11.09–$152.54	37% above	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL QST	$41.38	$55.17	$17.00–$55.17	55% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA TOTAL	$41.38	$55.17	$17.00–$190.02	61% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$150.02	$200.02	$17.00–$190.02	40% above	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/ CALCIUM QST	$192.14	$256.18	$35.09–$347.99	4% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH QST	$192.14	$256.18	$35.09–$347.99	4% below	25%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/O CALCIUM QST	$274.73	$366.31	$35.09–$347.99	37% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$107.54	$143.38	$5.25–$136.21	129% above	25%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL	$87.67	$116.89	$4.74–$111.05	128% above	25%
Potassium blood test CPT 84132 POTASSIUM LEVEL	$67.78	$90.37	$4.20–$85.85	104% above	25%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATALTM ADVANCED QST	$2,496.06	$3,328.08	$671.00–$3,161.68	at median	25%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL QST	$206.94	$275.92	$20.86–$262.12	83% above	25%
Prolactin blood test CPT 84146 PROLACTIN LEVEL QST	$195.21	$260.28	$19.38–$247.27	53% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$49.14	$65.52	$4.29–$62.24	49% above	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 5 PANEL POC	$23.63	$31.50	$9.71–$273.18	57% below	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN 7	$215.67	$287.56	$9.71–$273.18	296% above	25%
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY PRA QST	$207.86	$277.15	$21.99–$263.29	61% above	25%
Rh blood typing CPT 86901 RH TYPING	$52.13	$69.51	$2.99–$68.07	19% below	25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QST	$61.45	$81.93	$5.67–$77.83	25% above	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS QST	$141.89	$189.19	$12.23–$179.73	136% above	25%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS 2	$263.88	$351.84	$51.50–$334.25	37% above	25%
Sodium blood test CPT 84295 SODIUM LEVEL	$81.34	$108.45	$4.20–$103.03	166% above	25%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE CONCENTRATION AND IDENTIFICATION SEND OUT QST	$109.35	$145.80	$8.40–$138.51	80% above	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL FOR OCCULT BLOOD POC	$53.30	$71.06	$3.82–$72.68	96% above	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING STANDARD	$55.61	$74.15	$3.82–$72.68	105% above	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS QST	$75.92	$101.23	$13.24–$96.17	6% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR DX W/REFL TITER AND CONFIRM TESTING QST	$95.79	$127.72	$4.27–$121.33	156% above	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS 4 TUBES DRAW SITE INCUBATED QST	$210.56	$280.75	$61.98–$266.71	14% above	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD CLIENT INCUBATED QST	$210.56	$280.75	$61.98–$266.71	14% above	25%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE	$118.42	$157.89	$25.81–$247.27	15% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL QST	$123.16	$164.21	$25.81–$247.27	11% below	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL MS QST	$195.21	$260.28	$25.81–$247.27	41% above	25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL TOTAL M QST	$195.21	$260.28	$25.81–$247.27	41% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY IGG QST	$31.43	$41.91	$12.91–$41.91	60% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROX AB QST	$106.16	$141.54	$14.55–$178.57	34% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB QST	$140.98	$187.97	$14.55–$178.57	78% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$114.50	$152.67	$15.75–$145.04	27% above	25%
Total IgE blood test CPT 82785 IGE QST	$82.34	$109.79	$13.99–$154.54	7% below	25%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E QST	$122.00	$162.67	$13.99–$154.54	38% above	25%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$90.37	$120.49	$4.35–$114.47	145% above	25%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL QST	$81.34	$108.45	$6.87–$103.03	80% above	25%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 QST	$173.52	$231.36	$14.18–$219.79	117% above	25%
Transferrin blood test CPT 84466 TRANSFERRIN QST	$54.00	$72.00	$12.76–$118.85	49% below	25%
Transferrin blood test CPT 84466 TRANSFERRIN	$93.83	$125.11	$12.76–$118.85	11% below	25%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$86.76	$115.68	$5.74–$109.90	130% above	25%
Troponin test, quantitative CPT 84484 TROPONIN I	$187.97	$250.63	$12.47–$238.10	59% above	25%
Uric acid blood test CPT 84550 URIC ACID	$80.43	$107.24	$4.52–$101.88	115% above	25%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS STANDARD	$63.73	$84.97	$3.17–$80.72	93% above	25%
Urinalysis with microscope exam, manual CPT 81000 UA SPECIFIC GRAVITY 1	$84.04	$112.05	$4.02–$106.45	216% above	25%
Urinalysis without microscope exam, automated CPT 81003 UA PROTEIN	$66.91	$89.21	$1.91–$88.14	204% above	25%
Urinalysis without microscope exam, automated CPT 81003 URINE KETONES DIPSTICK	$69.59	$92.78	$1.91–$88.14	216% above	25%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK POC	$16.96	$22.61	$3.01–$21.48	9% below	25%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$86.70	$115.60	$8.07–$109.82	57% above	25%
Urine microalbumin (albumin) test CPT 82043 URINE MICRO ALBUMIN	$127.42	$169.89	$5.25–$161.40	177% above	25%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN LEVEL 24 HOUR URINE	$127.42	$169.89	$5.25–$161.40	177% above	25%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST POC	$54.75	$73.00	$7.43–$149.96	19% above	25%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$118.39	$157.85	$7.43–$149.96	156% above	25%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$105.61	$140.81	$15.08–$133.77	15% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY TOTAL IA QST	$262.08	$349.44	$25.16–$374.72	7% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY AND 125 DIHYDROXY QST	$295.83	$394.44	$25.16–$374.72	20% above	25%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 82652 VITAMIN D; 125 DIHYDROXY	$227.95	$303.93	$93.66–$399.49	51% above	25%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 DIHYDROXY QST	$315.39	$420.52	$93.66–$399.49	109% above	25%
Zinc blood test CPT 84630 ZINC LEVEL QST	$233.16	$310.88	$11.39–$295.34	294% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG SERUM QUANT	$272.85	$363.80	$12.79–$345.61	177% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$272.85	$363.80	$12.79–$345.61	177% above	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION	$19,578.00	$26,104.00	$909.63–$24,798.80	107% above	25%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 STEROTACTIC BX BREAST	$1,688.36	$2,251.15	$474.60–$2,236.69	23% below	25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE W/O MANIPULATION	$961.82	$1,282.43	$312.00–$1,282.43	82% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 PF FRACTURE CARE PRO ED CHARGE	$1,026.71	$1,368.95	$312.00–$1,368.95	94% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLSD TX DISTAL FIB LATERAL FX; W/O MANIP- PROF CHG	$2,296.43	$3,061.91	$312.00–$2,908.81	334% above	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TRTMT OF METATARSAL FX; W/O MANIPULATION EACH CHARGE	$701.37	$935.16	$288.17–$935.16	73% above	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 PF FRACTURE CARE PRO ED CHARGE	$746.74	$995.65	$242.88–$995.65	84% above	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLSD TX METATARSAL FX; W/O MANIP- PROF CHG	$2,296.43	$3,061.91	$312.00–$2,908.81	466% above	25%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS BUNION TECHNICAL CHARGE	$1,072.80	$1,430.40	$440.78–$1,430.40	70% below	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION - ELECTRICAL EXTERNAL ED CHARGE	$495.00	$660.00	$203.38–$627.00	21% below	25%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL CHARGE	$2,093.22	$2,790.96	$491.27–$2,651.41	21% above	25%
Cervical biopsy CPT 57500 57500 BIOPSY OF CERVIX.	$134.70	$179.60	$55.34–$179.60	57% below	25%
Cervical biopsy CPT 57500 57500 BIOPSY OF CERVIX TECHFEE	$270.75	$361.00	$111.24–$361.00	13% below	25%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX TECHNICAL CHARGE	$465.14	$620.19	$191.11–$620.19	50% above	25%
Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 C-SECTION CHARGE	$5,495.25	$7,327.00	$2,257.82–$6,960.65	37% above	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION	$479.16	$638.88	$196.87–$638.88	6% below	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION NEWBORN	$526.39	$701.85	$156.92–$701.85	3% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 PF FRACTURE CARE PRO ED CHARGE	$1,069.01	$1,425.35	$312.00–$1,354.08	111% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 TX DISTAL RADIAL FRAC ED CHARGE	$2,296.43	$3,061.91	$312.00–$2,908.81	354% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE EG COLLES OR SMITH TYPE	$100,854.75	$134,473.00	$312.00–$127,749.35	19832% above	25%
Colonoscopy with polyp removal CPT 45385 45385 COLON W/REMOVAL OF TUMORPOLYP OR OTHER LES BY SNARE	$530.51	$707.34	$217.97–$707.34	59% below	25%
Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY W BIOPSY	$418.88	$558.51	$172.11–$558.51	72% below	25%
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY DIAG	$384.86	$513.15	$158.13–$513.15	62% below	25%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 COLPOSCOPY CERVIX/UPPER VAG W/LOOP BX CHARGE	$787.49	$1,049.99	$323.56–$1,049.99	26% above	25%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 COLPOSCOPY VAGINOSCOPY WITH LOOP ELECTRODE EXCISION PROCEDURE OF	$3,021.00	$4,028.00	$315.54–$3,826.60	381% above	25%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 COLPOSCOPY W BX CERV	$434.00	$578.66	$170.24–$549.73	13% above	25%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 COLPOSCOPY CERVIX/UPPER VAG W/BX CERVIX AND ENDO CHARGE	$470.12	$626.82	$193.16–$595.48	23% above	25%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 PF CYSTOURETHROSCOPY PRO ED CHARGE	$698.30	$931.07	$220.82–$921.42	28% below	25%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 PROC CYSTOURETHROSCOPY ED CHARGE	$2,171.27	$2,895.03	$343.20–$2,750.28	123% above	25%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE NON-OB CHARGE	$918.28	$1,224.37	$304.84–$1,224.37	at median	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCTION BENIGN/PREMALIG LESION CHARGE	$163.40	$217.86	$64.86–$217.86	40% above	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT LESION 1ST	$163.40	$217.86	$64.86–$217.86	40% above	25%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT TECHFEE	$35.48	$47.30	$14.58–$47.30	59% below	25%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL	$58.19	$77.59	$23.91–$77.59	33% below	25%
Earwax removal with instruments, one ear CPT 69210 69210 REMOVAL CERUMEN EARS CLINIC CHARGE	$120.56	$160.74	$49.53–$160.74	21% above	25%
Earwax removal with instruments, one ear CPT 69210 69210 PF EAR WASH PRO ED CHARGE	$132.41	$176.54	$49.43–$176.54	32% above	25%
Earwax removal with instruments, one ear CPT 69210 69210 CERUMEN REMOVAL ED CHARGE	$216.35	$288.46	$88.89–$288.46	116% above	25%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL CHARGE	$363.29	$484.38	$149.26–$460.16	52% above	25%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 XR SPINE C-T EPIDURAL STEROID INJECTION	$928.01	$1,237.35	$377.15–$1,237.35	19% below	25%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ LUMBAR/SACRAL SNGL 64493	$877.39	$1,169.85	$260.80–$1,169.85	11% below	25%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA INITIAL W/MESH 3CM TO 10 CM REDUCIBLE	$1,146.78	$1,529.04	$471.18–$1,529.04	75% below	25%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$702.54	$936.72	$288.65–$936.72	78% below	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 FLEX SIGMOIDOSCOPY-DX-W OR W/O BRUSH/WASH SPECIMEN	$117.29	$156.39	$48.19–$218.94	87% below	25%
Gallbladder removal, laparoscopic CPT 47562 47562 LAP CHOLECYSTECTOMY	$1,361.12	$1,814.82	$559.24–$1,814.82	75% below	25%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 LAP CHOLE W CHOLANGI	$1,482.91	$1,977.21	$609.28–$1,977.21	74% below	25%
Hammertoe correction surgery CPT 28285 HAMMETOE OP ONE TOE TECHNICAL CHARGE	$681.60	$908.80	$280.05–$908.80	73% below	25%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABD. HYSTERECTOMY W/ OR W/O REMOVAL OF TUBES OR OVARYS CHARGE	$1,218.30	$1,624.40	$500.56–$1,624.40	47% below	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 NESO HYSTEROSALPINGOGRAM INJ	$170.40	$227.20	$70.01–$215.84	59% below	25%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY SURGICAL W/ ENDOMETRIAL ABLATION CHARGE	$1,425.60	$1,900.80	$585.73–$2,038.12	56% below	25%
Hysteroscopy with endometrial ablation CPT 58563 58563 HYSTEROCOPSY W/ ABLATION CLINIC CHARGE	$3,903.21	$5,204.28	$1,603.70–$5,204.28	22% above	25%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY SURGICAL W/ SAMPLING ENDOMETRIUM/POLYPECTOMY CHARGE	$836.40	$1,115.20	$343.65–$1,289.59	69% below	25%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROCOPY SURGICAL WITH BIOPSY CLINIC CHARGE	$1,316.58	$1,755.44	$540.94–$1,755.44	52% below	25%
IUD insertion (the device itself billed separately) CPT 58300 58300 INSERT INTRAUTERINE DEV	$96.60	$128.80	$39.69–$128.80	51% below	25%
IUD insertion (the device itself billed separately) CPT 58300 58300 INSERTION INTRAUTERINE DEVICE IUD	$255.84	$341.12	$105.12–$324.06	31% above	25%
IUD insertion (the device itself billed separately) CPT 58300 58300 IUD INSERT CHARGE	$285.15	$380.20	$117.16–$361.19	46% above	25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 IANDD ABSCESS SIMPLE	$139.20	$185.60	$57.19–$185.60	43% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I AND D ABSCESS	$223.52	$298.02	$91.84–$283.12	8% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 DRAIN SKIN ABSCESS SIMPLE/SINGLE CHARGE	$256.66	$342.21	$105.45–$325.10	5% above	25%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 PROC INCISION DRAIN ED CHARGES	$256.74	$342.32	$105.49–$325.20	5% above	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECT TENDON	$180.31	$240.41	$62.49–$228.39	2% above	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJS SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS EG PLANTERAR FASCIA CHARGE	$186.62	$248.83	$76.68–$236.39	5% above	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 PF INJ OF TRIGGER FINGER	$195.02	$260.03	$62.49–$247.03	10% above	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 PROC INJ OF TRIGGER ED CHARGE	$370.79	$494.38	$0.01–$469.66	109% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASP INJ MAJOR JOINT	$162.24	$216.32	$66.66–$216.32	48% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$202.80	$270.40	$83.32–$270.40	35% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR INJ/ARTH/ASPR MAJOR JOINT/BURSA	$202.80	$270.40	$83.32–$270.40	35% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 PROC ARTHROCENTESIS ED CHARGE	$202.80	$270.40	$83.32–$270.40	35% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 INJ/ASP LR JOINT/BUR	$242.47	$323.29	$99.62–$323.29	22% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 PF ARTHRO MAJOR JOINT PRO ED CHARGE	$253.50	$338.00	$70.48–$338.00	19% below	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION IMPLANON DRUG D	$126.83	$169.11	$52.11–$169.11	29% below	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERTION NON-BIODEGRADABLE DRUG DELIVERY IMPLANT.	$202.01	$269.34	$52.22–$255.87	14% above	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERTION DRUG DELIVERY IMPLANT - CONTRACEPT SYST	$202.01	$269.34	$52.22–$255.87	14% above	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERTION NON BIO DRUG DELIVERY IMPLANT	$290.03	$386.70	$52.22–$367.37	63% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASP INJ INT JOINT	$58.50	$78.00	$24.04–$78.00	79% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS INTERMED JOINT WRIST ELBOW ANKLE CHARGE	$181.88	$242.50	$59.00–$242.50	34% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 DRAIN/ INJECT JOINT /BURSA CLINIC CHARGE	$204.79	$273.05	$84.14–$273.05	25% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 PF ARTHRO INTERM JOINT PRO ED CHARGE	$214.46	$285.94	$59.00–$285.94	22% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHOCENTESIS INTERM JOINT ED CHARGE	$489.54	$652.72	$192.19–$620.08	78% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR ARTHRO ASP AND/OR INJ INTERM JOINT	$664.18	$885.57	$192.19–$841.29	142% above	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENT/ASPIR/INJ SMJT	$52.20	$69.60	$21.45–$69.60	76% below	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASPIRAND/INJ SMALL JT/BURSA W/O US TECHFEE	$80.99	$107.98	$33.27–$107.98	62% below	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 DRAIN/INJECT JOINT/BURSA	$198.00	$264.00	$81.35–$264.00	8% below	25%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE SURGICAL W/MENISCEC-MY MEDIAL OR LATERAL W/ANY MENISCAL	$110,828.25	$147,771.00	$525.80–$140,382.45	2799% above	25%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY KNEE SURGICAL WITH MENISCEC-MY MEDIAL AND LATERAL INCLUDING	$18,201.00	$24,268.00	$543.63–$23,054.60	374% above	25%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE SURGICAL DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE	$12,489.00	$16,652.00	$598.39–$15,819.40	221% above	25%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 APPENDECTOMY LAP	$1,244.72	$1,659.63	$511.42–$1,659.63	73% below	25%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280 LAPAROSCOPY SURGICAL ESOPHAGOGASTRIC FUNDOPLASTY	$2,160.00	$2,880.00	$887.47–$2,880.00	15% below	25%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 58570 LAPAROSCOPY SURGICAL WITH TOTAL HYSTERECTOMY FOR UTERUS 250 G OR LESS;	$1,006.80	$1,342.40	$413.66–$1,342.40	57% below	25%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPAROSCOPY SURGICAL WITH -TAL HYSTEREC-MY FOR UTERUS 250 G OR LESS WITH	$2,896.50	$3,862.00	$847.12–$3,862.00	13% below	25%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 LAPAROCOPY SURGICAL REPAIR RECURRENT INGUINAL HERNIA	$1,162.31	$1,549.74	$477.55–$1,549.74	42% below	25%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY SURGICAL W/ REMOVAL ADNEXAL STRUCTURES CHARGE	$3,039.24	$4,052.32	$601.38–$4,052.32	at median	25%
Laser treatment of clouding after cataract surgery (YAG) both sides CPT 66821 YAG LASER BILATERAL	$2,632.19	$3,509.58	$514.80–$3,334.10	—	25%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 YAG LASER LEFT	$1,316.09	$1,754.79	$514.80–$3,334.10	10% above	25%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 YAG LASER RIGHT	$1,316.09	$1,754.79	$514.80–$3,334.10	10% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 REPAIR INTERMEIDATE 2.5 CM OR LESS	$200.40	$267.20	$82.34–$267.20	47% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 RPR INT S/A/T/E 2.6 <CM PRO ED CHARGE	$489.28	$652.37	$201.03–$619.75	30% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 REPR INTM WOUND SC/NECK/TRNK/EXTR; <=2.5CM-PROF	$647.25	$863.00	$265.93–$819.85	72% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 LAYER CLOSURE OF WOUNDS OF SCALP AXILLAE TRUNK EXTREXCL HANDS AND FEET	$47,562.00	$63,416.00	$286.00–$60,245.20	12549% above	25%
Lower-back epidural injection, with imaging guidance CPT 62323 XR EPIDURAL W/FLUORO	$1,115.40	$1,487.20	$377.15–$1,412.84	3% below	25%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION TRANSFORAMINAL EPIDURAL CERVICAL OR THORACIC ; SINGLE LEVEL	$643.76	$858.35	$150.62–$815.43	20% below	25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR SPINE TRANS INJ LUMB OR SAC SNGL LVL	$1,022.51	$1,363.34	$295.27–$1,295.17	6% above	25%
Lumpectomy (partial mastectomy) CPT 19301 19301 MASTECTOMY PARTIAL.	$1,353.53	$1,804.71	$556.12–$1,804.71	4% below	25%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE	$1,279.50	$1,706.00	$525.71–$1,706.00	47% below	25%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT MISSED ABORTION SURGICAL; FIRST TRIMESTER CHARGE	$1,118.16	$1,490.88	$431.43–$1,490.88	43% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EX BEN LES TRNK ARM LEG	$91.67	$122.22	$37.66–$131.04	52% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION BENIGN LESION TRUNK PRO ED CHARGE	$97.06	$129.41	$39.88–$131.04	49% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION BENIGN LESION TRUNK ED CHARGE	$145.59	$194.12	$59.82–$194.12	24% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVE LESION TRUNK/ARM/LEG <.5 CM CHARGE	$254.13	$338.84	$104.41–$338.84	33% above	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 REMOVE LESION FACE/LID/EAR/NOSE/LIP <.5 CM CHARGE	$278.81	$371.74	$114.55–$371.74	29% above	25%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE SIMPLE; SINGLE- PROF CHG	$171.00	$228.00	$70.26–$228.00	15% above	25%
Nail removal (partial or complete), one nail CPT 11730 11730 PF AVULSION PRO ED CHARGE	$206.42	$275.22	$84.81–$274.30	39% above	25%
Nail removal (partial or complete), one nail CPT 11730 11730 PROC AVULSION ED CHARGE	$341.60	$455.47	$140.35–$432.70	130% above	25%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE EACH ADDL NAIL PLATE TECHN	$17,986.50	$23,982.00	$260.00–$22,782.90	12012% above	25%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANESTHETIC AGENT. GREATER OCCIPITAL NERVE	$324.75	$433.00	$133.43–$411.35	13% below	25%
Occipital nerve block (injection for headaches) CPT 64405 64405 INJECT ANESTHESIA GREATER OCCIPITAL ED CHARGE	$953.07	$1,270.76	$192.19–$1,207.22	155% above	25%
Paracentesis with imaging guidance CPT 49083 49083 ABD PARACENTESIS WITH IMAGING GUIDANCE	$210.00	$280.00	$86.28–$298.71	71% below	25%
Paracentesis with imaging guidance CPT 49083 49083 PARACENTESIS WITH IMAGING	$224.03	$298.71	$86.28–$298.71	69% below	25%
Paracentesis with imaging guidance CPT 49083 POCUS 49083 ABD PARACENTESIS	$730.22	$973.63	$260.47–$973.63	2% above	25%
Paracentesis with imaging guidance CPT 49083 US GUIDED ABD PARACENTESIS	$730.22	$973.63	$260.47–$973.63	2% above	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 TOENAIL MATRIX EXC PRM RMV	$342.74	$456.98	$140.82–$456.98	10% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX FORÿPERMANENT REMOVAL	$375.86	$501.14	$154.43–$501.14	2% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 PROC EXCISION PRO ED CHARGE	$426.55	$568.73	$163.06–$551.54	12% above	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 PROC EXCISION ED CHARGE	$1,400.30	$1,867.07	$286.00–$1,773.72	267% above	25%
Removal of a breast lump, open surgery CPT 19120 19120 EXCISE CYST/TMR/LESBREAST	$596.70	$795.60	$245.16–$795.60	54% below	25%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL FB SUB-Q SIMPLE	$149.70	$199.60	$61.51–$199.60	48% below	25%
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES; SIMPLE CHARGE	$319.01	$425.35	$131.07–$425.35	11% above	25%
Removal of a foreign object under the skin, simple CPT 10120 10120 FB REMOVAL SIMPLE PRO ED CHARGE	$723.17	$964.22	$161.46–$964.22	152% above	25%
Removal of a foreign object under the skin, simple CPT 10120 10120 PROC FB REMOVL ED CHARGES	$775.85	$1,034.47	$223.08–$1,034.47	170% above	25%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 COLON CA SCREEN NOT HI RISK IND	$385.25	$513.66	$158.28–$513.66	59% below	25%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLORECTAL CA SCREENING; COLONOSCOPY IND HI RISK	$384.86	$513.15	$158.13–$513.15	62% below	25%
Short arm cast (elbow to hand) CPT 29075 29075 APPLIC CAST; ELBOW TO FINGER SHORT ARM CHARGE	$282.77	$377.03	$116.18–$377.03	23% above	25%
Short arm cast (elbow to hand) CPT 29075 29075 PF CAST APPLIC SHORT ARM PRO ED CHARGE	$298.40	$397.87	$99.35–$397.87	30% above	25%
Short arm cast (elbow to hand) CPT 29075 29075 - APPL OF FOREARM CAST- ER	$683.12	$910.82	$0.01–$865.28	198% above	25%
Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION OF SHORT ARM SPLINT; STATIC	$199.64	$266.18	$82.02–$254.32	13% above	25%
Short arm splint (forearm and hand) CPT 29125 29125 SPLINT SHORT ARM STATIC	$210.65	$280.87	$86.55–$266.83	19% above	25%
Short arm splint (forearm and hand) CPT 29125 29125 PF SPLINT APPLICATION PRO ED CHARGE	$210.65	$280.87	$80.56–$266.83	19% above	25%
Short arm splint (forearm and hand) CPT 29125 29125 APPLY SHORT ARM SPLINT FOREARM TO HAND; STATIC- PROF CHG	$381.73	$508.97	$0.01–$483.52	116% above	25%
Short leg cast (below the knee) CPT 29405 29405 CAST LEG SHORT APPLY	$267.70	$356.93	$89.80–$339.08	11% above	25%
Short leg cast (below the knee) CPT 29405 29405 APPLIC OF SHORT LEG CAST BELOW KNEE TO TOES; CHARGE	$315.76	$421.01	$129.73–$399.96	31% above	25%
Short leg cast (below the knee) CPT 29405 29405 PF CAST APPLIC SHORT LEG PRO ED CHARGE	$333.28	$444.37	$89.80–$422.15	38% above	25%
Short leg cast (below the knee) CPT 29405 29405 APPLICATION SRT LEG CAST ED CHARGE	$439.12	$585.49	$0.01–$556.22	82% above	25%
Short leg splint (calf to foot) CPT 29515 29515 APPLICATION LOWER LEG SPLINT	$171.08	$228.10	$70.29–$228.10	at median	25%
Short leg splint (calf to foot) CPT 29515 29515 PF SPLINT APPLIC SHORT LEG PRO ED CHARGE	$180.48	$240.64	$74.15–$240.64	6% above	25%
Short leg splint (calf to foot) CPT 29515 29515 SPLINT APP SHORT LEG ED CHARGE	$364.28	$485.71	$0.01–$461.42	114% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 REPAIR SIMPLE 2.5 OR LESS	$140.63	$187.50	$57.78–$187.50	41% below	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 RPR SF SNGTE <2.6CM PRO ED CHARGE	$424.74	$566.32	$115.57–$538.00	78% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 PROC WOUND REPAIR 12001 ED CHARGE	$489.54	$652.72	$201.14–$620.08	105% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 REPAIR SIMPLE SCALP NECK AXILLAE EXT GENITAL TRUNK AND/OR EXTREM 25 CM >	$39,808.50	$53,078.00	$207.48–$50,424.10	16556% above	25%
Skin biopsy, punch, one lesion CPT 11104 11104 - PUNCH BIOPSY OF SKIN; SINGLE LESION	$243.75	$325.00	$100.15–$325.00	37% below	25%
Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BIOPSY OF SKIN SINGLE LESION	$459.54	$612.72	$129.17–$582.08	19% above	25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 UNLISTED PROCEDURE	$403.06	$537.41	$165.60–$537.41	56% above	25%
Skin tag removal, up to 15 tags CPT 11200 11200 SKIN TAG UP TO 15	$67.09	$89.45	$27.56–$95.01	54% below	25%
Skin tag removal, up to 15 tags CPT 11200 11200 PF REMOVE SKIN TAGS ED CHARGE	$193.22	$257.62	$79.39–$257.62	32% above	25%
Skin tag removal, up to 15 tags CPT 11200 11200 PROC REMOVE MULTIPLE SKIN TAGS ED CHARGE	$489.54	$652.72	$201.14–$620.08	233% above	25%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS MULT FIBROCUTANEOUS TAGS ANY AREA UP TO AND W/15	$18,643.50	$24,858.00	$240.43–$23,615.10	12600% above	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$536.09	$714.78	$220.26–$679.04	3% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE DIAG	$637.03	$849.37	$166.99–$806.90	16% above	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 NESO LUMBAR SPINAL PUNCTURE	$841.37	$1,121.82	$224.03–$1,065.73	53% above	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE	$953.07	$1,270.76	$0.01–$1,207.22	73% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 REPAIR SIMPLE 2.6 - 7.5	$121.43	$161.91	$49.89–$161.91	56% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 PROC WOUND REPAIR 12002 ED CHARGE	$489.54	$652.72	$201.14–$620.08	76% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 RPR SF SNGTE 2.6-7.5CM PRO ED CHARGE	$513.12	$684.16	$141.42–$649.95	84% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002REPAIR SIMPLE SCALP NECK AXILLAE EXT GENITAL TRUNK AND/OR EXTREM 26 CM	$43,176.00	$57,568.00	$260.00–$54,689.60	15418% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA	$49,542.75	$66,057.00	$260.00–$62,754.15	17706% above	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIM SPRFL FEENL	$183.60	$244.80	$68.64–$244.80	34% below	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 PROC WOUND REPAIR 12011 ED CHARGE	$489.54	$652.72	$68.64–$620.08	77% above	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 RPR SF FELNLM <2.6CM PRO ED CHARGE	$513.12	$684.16	$68.64–$649.95	86% above	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 REPAIR SIMPLE FACE EARS EYELIDS NOSE LIPS AND/OR MUCOUS MEMBRANES	$48,101.25	$64,135.00	$68.64–$60,928.25	17309% above	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGENTIAL BX OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE-CLINIC PRO	$438.70	$584.93	$126.16–$555.68	57% above	25%
Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS W/ IMAGING GUIDANCE	$223.38	$297.84	$91.78–$319.49	77% below	25%
Thoracentesis with imaging guidance CPT 32555 POCUS 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING TECHFEE	$833.50	$1,111.33	$0.01–$1,055.76	14% below	25%
Thoracentesis with imaging guidance CPT 32555 US GUIDED THORACENTESIS	$833.50	$1,111.33	$278.77–$1,055.76	14% below	25%
Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE	$83,349.75	$111,133.00	$278.77–$105,576.35	8500% above	25%
Total knee replacement CPT 27447 27447 ARTHROPLASTY KNEE TOTAL CLINIC CHARGE	$1,989.90	$2,653.20	$817.59–$2,653.20	76% below	25%
Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT -TAL SHOULDER GLENOID AND PROXIMAL HUMERAL	$19,698.00	$26,264.00	$1,328.78–$25,386.89	172% above	25%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION EG FOR TRIGGER FINGER	$871.80	$1,162.40	$358.19–$1,162.40	42% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 PF INJECTION TRIGGER POINT PRO ED CHARGE	$51.87	$69.16	$21.31–$69.16	75% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SGLE/MULTI TRIGGER PN	$79.98	$106.64	$32.86–$106.64	62% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION TRIGGER POINT ED CHARGE	$87.22	$116.29	$0.01–$116.29	58% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJS; SINGLE OR MULT TRIGGER POINTS ONE OR TWO MUSCLES CHARGE	$198.00	$264.00	$81.35–$264.00	5% below	25%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY SURGICAL W/ FULGURATION OVIDUCTS CHARGE	$2,012.56	$2,683.41	$342.59–$2,683.41	53% below	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19101 OPEN BREAST BIOPSY	$320.18	$426.90	$131.55–$487.32	84% below	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BIOPSY PERC NDL CORE RT	$2,442.74	$3,256.99	$474.60–$3,094.14	25% above	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BIOPSY PERC NDL CORE LT	$2,442.74	$3,256.99	$474.60–$3,094.14	25% above	25%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EGD W/BALLOON DILATION OF ESOPHAGUS < 30 MM DIA	$312.37	$416.49	$128.34–$1,199.97	83% below	25%
Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD WITH BIOPSY SINGLE OR MULTIPLE	$288.70	$384.93	$118.62–$428.40	78% below	25%
Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD	$255.69	$340.92	$105.05–$340.92	79% below	25%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 OBSTETRIC CARE W/ ANTEPARTUM CARE VAGINAL DELIVERY POSTPARTUM CARE	$5,495.25	$7,327.00	$1,379.97–$6,960.65	30% above	25%
Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 ROUTINE OB CARE ANTEPARTUM/VAGINAL DELIVERY/POSTPARTUM CHARGE	$5,495.25	$7,327.00	$2,217.28–$6,960.65	40% above	25%
Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION BENIGN LESION 1-14 CLINIC CHARGE	$166.91	$222.55	$68.58–$222.55	11% below	25%
Wart removal, up to 14 warts CPT 17110 17110 DESTRUCT B9 LES OTHER THAN SKIN TAGS OR CUT VASCULAR PROLIF LESIONS UP	$16,691.25	$22,255.00	$189.79–$21,142.25	8778% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SKIN SUB	$146.81	$195.75	$60.32–$195.75	54% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/SOFT TISSUE CHARGE	$262.71	$350.28	$107.94–$350.28	19% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 PROC SKIN DEBRIDEMENT ED CHARGE	$345.00	$460.00	$0.01–$437.00	7% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 WOUND DEBRIDE EXCISIONAL SUBQ <=20 CHARGE	$898.94	$1,198.59	$286.00–$1,138.66	179% above	25%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FRACTURE RAD EXTRA-ARTICUL	$939.90	$1,253.20	$386.17–$1,253.20	77% below	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430 BLOOD ADMINISTRATION 1 UNIT	$1,428.59	$1,904.78	$257.40–$3,346.66	138% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD 2 UNITS	$1,976.38	$2,635.17	$257.40–$3,346.66	230% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD 3 UNITS	$2,642.10	$3,522.80	$257.40–$3,346.66	341% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AIRWAY INHALATION TREATMENT	$44.65	$59.53	$18.34–$59.53	64% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL THERAPY CHARGE	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB SUBSEQUENT CHARGES	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AEROSOL INHALATION	$93.60	$124.80	$38.46–$124.80	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT CHARGE	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP INITIAL	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP INLINE INITIAL	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP INLINE SUBSEQUENT	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER MDI SUBSEQUENT	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP SUBSEQUENT	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER MDI INITIAL	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL CHARGE	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB SUBSEQUENT	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT SPUTUM INDUCTION SUBSEQUENT CHARGE	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION OR SPUTUM INDUCTION	$936.00	$1,248.00	$38.46–$1,185.60	646% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 SPUTUM INDUCTION - RT CHARGE	$93.60	$124.80	$38.46–$1,185.60	25% below	25%
Chemotherapy IV infusion, first hour CPT 96413 IV INFUSION CHEMO-THERAPY 1ST HR	$373.06	$497.41	$113.77–$472.54	5% below	25%
Critical care, first 30 to 74 minutes CPT 99291 99291 PF CRITICAL CARE 1ST PRO ED CHARGE	$930.83	$1,241.10	$122.27–$1,179.05	at median	25%
Critical care, first 30 to 74 minutes CPT 99291 99291- ED CRITICAL CARE-1ST HOUR	$2,288.30	$3,051.07	$122.27–$2,898.52	146% above	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAM	$873.22	$1,164.29	$101.68–$1,106.08	58% above	25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 PF EKG W/INTERP AND REPORT PRO ED CHARGE	$91.32	$121.76	$15.87–$115.67	12% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY CHARGE POC EKG	$86.80	$115.73	$20.86–$115.73	47% below	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG 12 LEADING TRACING	$86.80	$115.73	$20.86–$115.73	47% below	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT LEVEL 1 - 99281	$164.19	$218.92	$11.61–$236.27	9% below	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 PF BRIEF SERVICE PRO ED CHARGE	$186.53	$248.70	$11.61–$236.27	4% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281- ED VISIT LEVEL 1 ED FACILITY CHARGE TICKET	$265.06	$353.41	$105.00–$335.74	47% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EMER ROOM OB	$265.06	$353.41	$105.00–$335.74	47% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 - 99282	$220.81	$294.41	$42.61–$317.88	23% below	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 PF BRIEF LOW TO MODERATE PRO ED CHARGE	$250.96	$334.61	$42.61–$317.88	13% below	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282- ED VISIT LEVEL 2	$411.47	$548.62	$105.00–$521.19	43% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 EMER ROOM OB	$411.47	$548.62	$105.00–$521.19	43% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT LEVEL 3 - 99283	$332.11	$442.81	$73.09–$478.38	28% below	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 PF LIMITED SERVICE PRO ED CHARGE	$377.67	$503.56	$73.09–$478.38	18% below	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283- ED VISIT LEVEL 3 INTERMEDIATE	$666.76	$889.01	$105.00–$844.56	44% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 EMER ROOM OB	$666.76	$889.01	$105.00–$844.56	44% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 PF INTERMEDIATE SERVICE PRO ED CHARGE	$564.11	$752.15	$104.75–$752.15	27% below	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284- ED VISIT LEVEL 4 MODERATE	$1,050.58	$1,400.77	$105.00–$1,330.73	36% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 EMER ROOM OB	$1,050.58	$1,400.77	$105.00–$1,330.73	36% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 PF COMPREHENSIVE SERVICE PRO ED CHARGE	$841.45	$1,121.93	$105.00–$1,121.93	33% below	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 EMER ROOM OB	$1,650.74	$2,200.98	$105.00–$2,090.93	31% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285- ED VISIT LEVEL 5 HIGH DECISION MAKING	$1,650.74	$2,200.98	$105.00–$2,090.93	31% above	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 NESO CARDIOVASCULAR STRESS TEST	$347.10	$462.80	$101.68–$452.11	39% below	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$356.93	$475.90	$101.68–$452.11	37% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HOUR TECH CHG	$195.21	$260.28	$49.81–$260.28	25% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - HYDRATION FIRST HOUR- HOSP	$209.85	$279.80	$49.81–$279.80	20% below	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 ER HYDRATION IV 1ST HOUR ED CHARGE	$209.85	$279.80	$49.81–$279.80	20% below	25%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY PROPHYLAXIS /DX 1ST TO 1 HR - ED FACILITY CHARGE TICKET	$209.85	$279.80	$86.22–$279.80	23% below	25%
IV infusion of a medicine, first hour CPT 96365 96365 THER/PRO DIAG IV ED CHARGE	$209.85	$279.80	$86.22–$279.80	23% below	25%
IV push of a medicine, first drug CPT 96374 96374 - IV PUSH SINGLE OR INITIAL- HOSP	$98.95	$131.93	$24.42–$131.93	58% below	25%
IV push of a medicine, first drug CPT 96374 96374 ER DX INJ IV PUSH ED CHARGE	$98.95	$131.93	$24.42–$131.93	58% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SQ INJECTION	$68.22	$90.96	$16.83–$90.96	at median	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 ER THER PROPH/DX INJ ED CHARGE	$68.22	$90.96	$16.83–$90.96	at median	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION ADMIN SQ OR IM- HOSP	$68.22	$90.96	$16.83–$90.96	at median	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS	$5,259.75	$7,013.00	$16.83–$6,662.35	7610% above	25%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION CHARGES	$125.71	$167.61	$27.18–$159.23	61% above	25%
New patient office visit, about 30 minutes CPT 99203 99203 TELEMEDICINE VISIT NEW LEVEL 3	$124.18	$165.57	$51.02–$157.29	18% below	25%
New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT - INTERMEDIATE	$129.14	$172.19	$53.06–$170.11	15% below	25%
New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OP NEW VISIT LEVEL 3	$134.30	$179.06	$53.06–$170.11	11% below	25%
New patient office visit, about 45 minutes CPT 99204 99204 TELEMEDICINE VISIT NEW LEVEL 4	$177.37	$236.49	$72.87–$224.67	11% below	25%
New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OP NEW VISIT LEVEL 4 99204	$191.77	$255.69	$78.79–$242.91	4% below	25%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OP NEW VISIT LEVEL 4 99204.	$191.77	$255.69	$78.79–$242.91	4% below	25%
New patient office visit, about 60 minutes CPT 99205 99205 TELEMEDICINE VISIT NEW LEVEL 5	$143.43	$191.24	$58.93–$186.27	49% below	25%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OP NEW VISIT LEVEL 5 99205	$258.56	$344.74	$106.23–$327.50	9% below	25%
New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OP NEW VISIT LEVEL 5	$258.56	$344.74	$106.23–$327.50	9% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 TELEMEDICINE VISIT NEW LEVEL 2	$95.51	$127.34	$39.24–$120.97	16% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OP NEW VISIT LEVEL 2 99202	$103.30	$137.73	$42.44–$130.84	9% below	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITIONAL THERAPY INITIAL VISIT EA 15 MIN	$18.75	$25.00	$7.70–$23.75	39% below	25%
Occupational therapy evaluation, low complexity CPT 97165 OT LOW COMPLEX UNITS	$234.78	$313.04	$55.76–$297.39	42% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT HIGH COMPLEX UNITS	$364.56	$486.08	$57.45–$461.78	74% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LOW COMPLEX UNITS	$232.44	$309.92	$71.82–$294.42	39% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT MODERATE COMPLEX UNITS	$317.02	$422.69	$71.82–$401.56	66% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY CHARGE UNITS	$145.86	$194.48	$22.37–$184.76	92% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE CHARGES	$145.40	$193.86	$28.04–$184.17	85% above	25%
Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREVENTIVE MEDICINE 18-39 YEARS NEW	$110.27	$147.02	$45.30–$147.02	42% below	25%
Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREVENTIVE MEDICINE 40-64 YEARS NEW	$223.02	$297.36	$91.63–$282.49	7% above	25%
Preventive checkup, new patient aged 65 or older CPT 99387 99387 PREVENTIVE MEDICINE 65+ YEARS NEW	$239.29	$319.05	$98.32–$303.10	6% above	25%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE MEDICINE 18-39 YEARS ESTABLISHED	$167.51	$223.34	$68.82–$212.17	7% below	25%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 PREVENTIVE MEDICINE 40-64 YEARS ESTABLISHED	$181.86	$242.48	$74.72–$230.36	7% below	25%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PREVENTIVE MEDICINE 65+ YEARS ESTABLISHED	$191.41	$255.21	$78.64–$242.45	6% below	25%
Psychotherapy session, 30 minutes CPT 90832 90832 PSYCH/30MIN PT AND OR FAMILY	$123.23	$164.30	$50.63–$156.09	18% below	25%
Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY 30 MIN	$147.64	$196.85	$60.66–$187.01	2% below	25%
Psychotherapy session, 45 minutes CPT 90834 90834 PSYCHOTHERAPY 45 MIN	$168.73	$224.97	$69.32–$213.72	1% above	25%
Psychotherapy session, 45 minutes CPT 90834 90834 PSYCH/45MIN PT AND OR FAMILY	$170.19	$226.92	$69.93–$240.15	2% above	25%
Psychotherapy session, 45 minutes CPT 90834 90834 ? TELEHEALTH PSYCHOTHERAPY 45 MINUTE SESSION	$189.59	$252.79	$69.93–$240.15	14% above	25%
Psychotherapy session, 60 minutes CPT 90837 90837 K.V. COUNSELING-1 HR	$48.68	$64.90	$20.00–$293.77	77% below	25%
Psychotherapy session, 60 minutes CPT 90837 90837 EAP-COUNSELING-1 HR	$48.68	$64.90	$20.00–$293.77	77% below	25%
Psychotherapy session, 60 minutes CPT 90837 90837 PSYCH/1HR PT AND OR FAMILY	$231.92	$309.23	$20.00–$293.77	9% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 TELEMEDICINE VISIT ESTL 5	$179.67	$239.56	$73.82–$239.56	19% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OP ESTABLISHED VISIT LEVEL 5 99215	$179.67	$239.56	$73.82–$239.56	19% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTAB WOUND CARE VISIT LEVEL 5 CHARGE	$281.64	$375.52	$115.72–$356.74	28% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT LEVEL 3 ESTABLISHED - 99213	$56.04	$74.72	$23.03–$74.72	58% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 TELEMEDICINE VISIT ESTL 3	$77.75	$103.67	$31.95–$103.67	42% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OP EST VISIT LEVEL 3 HOSP PROF	$139.41	$185.88	$57.28–$176.59	3% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTAB WOUND CARE VISIT LEVEL 3 CHARGE	$139.41	$185.88	$57.28–$176.59	3% above	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OP EST VISIT LEVEL 4- HOSP	$80.97	$107.96	$33.27–$142.10	53% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 LEVEL 4 EST PT - EXTENSIVE	$81.90	$109.20	$33.65–$109.20	53% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 TELEMEDICINE VISIT ESTL 4	$112.30	$149.73	$46.14–$149.73	35% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OP ESTABLISHED VISIT LEVEL 4	$121.46	$161.95	$49.91–$161.95	30% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTAB WOUND CARE VISIT LEVEL 4 CHARGE	$208.82	$278.43	$85.80–$264.51	21% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 TELEMEDICINE VISIT ESTL 2	$60.65	$80.87	$24.92–$80.87	42% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OP ESTABLISHED VISIT LEVEL 2	$65.61	$87.48	$26.96–$87.48	37% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTB OUTPATIENT VISIT-LTD CHARGE	$72.70	$96.93	$29.87–$94.29	30% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 TREATMENT ROOM CHARGE	$152.67	$203.56	$62.73–$193.38	47% above	25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$200.35	$267.13	$82.32–$253.77	2% above	25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE/OUTPT CONSULTATION NEW/ESTAB PT LOW 30+ MIN	$334.20	$445.60	$118.78–$423.32	70% above	25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION LEVEL 4 - 99244	$261.99	$349.32	$107.64–$331.85	2% below	25%
Speech and language evaluation CPT 92523 SPEECH SOUND PROD W/ LANGUARGE CHARGE - SPEECH SOUND PROD W/ LANGUAGE CHARGE	$245.70	$327.60	$100.95–$311.22	4% above	25%
Speech therapy session, individual CPT 92507 TX OF SPEECH/LANG/VOICE/COMM/AUDITORY - TX OF SPEECH/LANG/VOIC	$10,508.25	$14,011.00	$76.68–$13,310.45	7789% above	25%
Spirometry (breathing test) CPT 94010 BEDSIDE SPIROMETRY	$312.00	$416.00	$50.60–$395.20	13% above	25%
Spirometry before and after a bronchodilator CPT 94060 PFS SPIROMETRY B/A	$312.00	$416.00	$101.68–$412.85	28% below	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES CHARGE	$153.72	$204.96	$28.44–$194.71	95% above	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES CHARGES	$153.72	$204.96	$28.44–$194.71	95% above	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUETIC PHLEBOTOMY 5	$186.79	$249.05	$76.21–$236.60	36% above	25%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE	$17,043.00	$22,724.00	$76.42–$21,587.80	6189% above	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 MEDICARE MODERNA	$193.74	$258.32	$79.60–$245.40	35% above	25%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 91322 MODENA COVID-19 VACCINEMRNA 12 YEARS AND OLDER PFS 50 MCG/0.5 ML	$193.74	$258.32	$79.60–$245.40	35% above	25%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 91322 MODENA COVID-19 VACCINEMRNA 12 YEARS AND OLDER PFS 50 MCG/0.5 ML	$193.74	$258.32	$79.60–$245.40	—	25%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 MEDICARE MODERNA	$193.74	$258.32	$79.60–$245.40	—	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 MEDICARE PFIZER	$179.54	$239.38	$73.77–$227.41	21% above	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 91320 SARSCOV2 VACC 30 MCG	$179.54	$239.38	$73.77–$227.41	21% above	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 91320 SARSCOV2 VACC 30 MCG	$179.54	$239.38	$73.77–$227.41	—	25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 MEDICARE PFIZER	$179.54	$239.38	$73.77–$227.41	—	25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE POC	$172.50	$230.00	$70.87–$230.00	21% below	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE POC	$172.50	$230.00	$70.87–$230.00	—	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 VFC DTAP DIPHTHERIA/PERTUSSIS ACELLULAR/TETANUS VACCINE DTAP UNDER 7 YRS	$51.14	$68.18	$21.01–$64.77	9% below	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 VFC DTAP DIPHTHERIA/PERTUSSIS ACELLULAR/TETANUS VACCINE DTAP UNDER 7 YRS	$51.14	$68.18	$21.01–$64.77	—	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 MEDICATION CHARGE	$107.09	$142.79	$44.00–$13,565.05	9% below	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 90723 VFC- PEDIARIX DTAP HEP B- DIPHTHERIA TETANUS TOXIDS ACELLULAR PERTUSSIS	$10,709.25	$14,279.00	$44.00–$13,565.05	9022% above	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 MEDICATION CHARGE	$107.09	$142.79	$44.00–$13,565.05	—	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 90723 VFC- PEDIARIX DTAP HEP B- DIPHTHERIA TETANUS TOXIDS ACELLULAR PERTUSSIS	$10,709.25	$14,279.00	$44.00–$13,565.05	—	25%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 90698 DIPHTHERIA TETANUS TOXOIDS VACCINE CHARGE	$133.38	$177.84	$0.01–$168.95	20% below	25%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 90698 DIPHTHERIA TETANUS TOXOIDS VACCINE CHARGE	$133.38	$177.84	$0.01–$168.95	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 - INFLUENZA VIRUS VACC TRIVALENT IIV3 SPLIT VIRUS PF IM	$33.53	$44.70	$13.77–$42.47	1% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVARIX TIV PF	$33.53	$44.70	$13.77–$42.47	1% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 90656 - INFLUENZA VIRUS VACC TRIVALENT IIV3 SPLIT VIRUS PF IM	$33.53	$44.70	$13.77–$42.47	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVARIX TIV PF	$33.53	$44.70	$13.77–$42.47	—	25%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT VACCINE POC	$32.14	$42.85	$13.20–$121.62	73% below	25%
Hepatitis A vaccine, adult dose CPT 90632 90632 HEP A VACCINE ADULT IM BCE	$96.02	$128.02	$13.20–$121.62	19% below	25%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A ADULT VACCINE POC	$32.14	$42.85	$13.20–$121.62	—	25%
Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 HEP A VACCINE ADULT IM BCE	$96.02	$128.02	$13.20–$121.62	—	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE	$96.02	$128.02	$39.45–$121.62	51% above	25%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE	$96.02	$128.02	$39.45–$121.62	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT	$96.02	$128.02	$39.45–$121.62	17% below	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT	$96.02	$128.02	$39.45–$121.62	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 MEDICATION CHARGE	$22.23	$29.64	$9.13–$38.00	56% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE PEDIATRIC/ADOLESCENT DOSAGE 3 DOSE SCHEDULE FOR	$30.00	$40.00	$9.13–$38.00	40% below	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 MEDICATION CHARGE	$22.23	$29.64	$9.13–$38.00	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE PEDIATRIC/ADOLESCENT DOSAGE 3 DOSE SCHEDULE FOR	$30.00	$40.00	$9.13–$38.00	—	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HEMOPHILUS INFLUENZA B VACCINE HIB HBOC CONJUGATE 4 DOSE IM POC	$80.57	$107.43	$33.10–$10,205.85	12% above	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 90647 HEMOPHILUS INFLUENZA B VACCINE HIB PRP-OMP CONJUGATE 3 DOSE	$8,057.25	$10,743.00	$33.10–$10,205.85	11112% above	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HEMOPHILUS INFLUENZA B VACCINE HIB HBOC CONJUGATE 4 DOSE IM POC	$80.57	$107.43	$33.10–$10,205.85	—	25%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 90647 HEMOPHILUS INFLUENZA B VACCINE HIB PRP-OMP CONJUGATE 3 DOSE	$8,057.25	$10,743.00	$33.10–$10,205.85	—	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 90645 HEMOPHILUS INFLUENZA B VACCINE HIB HBOC CONJUGATE 4 DOSE SCHEDULE	$3,416.25	$4,555.00	$17.69–$4,327.25	12840% above	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 90645 HEMOPHILUS INFLUENZA B VACCINE HIB HBOC CONJUGATE 4 DOSE SCHEDULE	$3,416.25	$4,555.00	$17.69–$4,327.25	—	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 MEDICARE FLUZONE HIGH DOSE IIV3 90662	$67.50	$90.00	$27.73–$90.00	25% below	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE IIV3 PREFILLED 65 YEARS AND OLDER 90662 INFL	$67.50	$90.00	$27.73–$90.00	25% below	25%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE IIV3 PREFILLED 65 YEARS AND OLDER 90662 INFL	$67.50	$90.00	$27.73–$90.00	—	25%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 MEDICARE FLUZONE HIGH DOSE IIV3 90662	$67.50	$90.00	$27.73–$90.00	—	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR MEASLES/MUMPS/RUBELLA VIRUS VACCINE POC	$85.66	$114.21	$35.19–$114.21	31% below	25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR MEASLES/MUMPS/RUBELLA VIRUS VACCINE POC	$85.66	$114.21	$35.19–$114.21	—	25%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES MUMPS RUBELLA AND VARICELLA VACCINE MMRV LIVE FOR SUBCUTANEOUS USE POC	$126.50	$168.66	$51.97–$168.66	62% below	25%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES MUMPS RUBELLA AND VARICELLA VACCINE MMRV LIVE FOR SUBCUTANEOUS USE POC	$126.50	$168.66	$51.97–$168.66	—	25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE SEROGROUPSC Y AND W-135 TETRA	$14,893.50	$19,858.00	$121.63–$18,865.10	5841% above	25%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE SEROGROUPSC Y AND W-135 TETRA	$14,893.50	$19,858.00	$121.63–$18,865.10	—	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL CONJUGATE VACCINE 13 VALENT FOR IM USE	$212.71	$283.61	$87.39–$283.61	30% below	25%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL CONJUGATE VACCINE 13 VALENT FOR IM USE	$212.71	$283.61	$87.39–$283.61	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE. 20 VALENT PCV20 FOR INTRAMUSCULAR USE.	$324.15	$432.20	$133.18–$410.78	18% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE	$324.30	$432.40	$133.18–$410.78	18% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 PNEUMOCOCCAL CONJUGATE VACCINE POLYVALENT FOR INTRAMUSCULAR USE	$324.30	$432.40	$133.18–$410.78	18% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE. 20 VALENT PCV20 FOR INTRAMUSCULAR USE.	$324.15	$432.20	$133.18–$410.78	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE	$324.30	$432.40	$133.18–$410.78	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 90677 PNEUMOCOCCAL CONJUGATE VACCINE POLYVALENT FOR INTRAMUSCULAR USE	$324.30	$432.40	$133.18–$410.78	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 PNEUMOCOCCAL 23 VACCINE	$100.85	$134.47	$41.44–$134.47	41% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 PNEUMOCOCCAL 23 VACCINE FOR MEDICARE	$100.85	$134.47	$41.44–$134.47	41% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 PNEUMOCOCCAL 23 VACCINE FOR MEDICARE	$100.85	$134.47	$41.44–$134.47	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 PNEUMOCOCCAL 23 VACCINE	$100.85	$134.47	$41.44–$134.47	—	25%
Polio vaccine, inactivated (IPV) CPT 90713 IPV INACTIVATED POLIOVIRUS VACCINE POC	$52.65	$70.20	$21.63–$66.69	18% below	25%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPV INACTIVATED POLIOVIRUS VACCINE POC	$52.65	$70.20	$21.63–$66.69	—	25%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 90381 BEYFORTUS NIRSEVIMAB 1 ML DOSE MED CHARGE	$761.52	$1,015.36	$312.88–$964.59	14% below	25%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 90381 BEYFORTUS NIRSEVIMAB 1 ML DOSE MED CHARGE	$761.52	$1,015.36	$312.88–$964.59	—	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 90380 BEYFORTUS NIRSEVIMAB 0.5 ML DOSE MED CHARGE	$761.52	$1,015.36	$312.88–$964.59	29% below	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 90380 BEYFORTUS NIRSEVIMAB 0.5 ML DOSE MED CHARGE	$761.52	$1,015.36	$312.88–$964.59	—	25%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 90678 ABRYSVO RSV VACCINE NESO	$396.47	$528.62	$162.89–$502.19	3% above	25%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 90678 ABRYSVO RSV VACCINE NESO	$396.47	$528.62	$162.89–$502.19	—	25%
Rabies vaccine, one dose CPT 90675 90675 RABIES VACCINE FOR INTRAMUSCULAR USE	$450.22	$600.29	$184.98–$570.28	26% below	25%
Rabies vaccine, one dose inpatient CPT 90675 90675 RABIES VACCINE FOR INTRAMUSCULAR USE	$450.22	$600.29	$184.98–$570.28	—	25%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE PENTAVALENT 3 DOSE SCHEDULE LIVE FOR ORAL USE POC	$213.78	$285.04	$87.84–$270.79	79% above	25%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE PENTAVALENT 3 DOSE SCHEDULE LIVE FOR ORAL USE POC	$213.78	$285.04	$87.84–$270.79	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 THS TETANUS-DIPHTHERIA T	$31.31	$41.75	$12.87–$3,966.25	54% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOXOIDS TD ADSORBED PRESERVATIVE FREE	$3,131.25	$4,175.00	$12.87–$3,966.25	4505% above	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 THS TETANUS-DIPHTHERIA T	$31.31	$41.75	$12.87–$3,966.25	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOXOIDS TD ADSORBED PRESERVATIVE FREE	$3,131.25	$4,175.00	$12.87–$3,966.25	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 BCE 90715	$161.46	$215.28	$39.69–$20,451.60	96% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TDAP VACCINE >7 IM BCE	$161.46	$215.28	$39.69–$20,451.60	96% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE TDAP 7	$16,146.00	$21,528.00	$39.69–$20,451.60	19523% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 BCE 90715	$161.46	$215.28	$39.69–$20,451.60	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 TDAP VACCINE >7 IM BCE	$161.46	$215.28	$39.69–$20,451.60	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE TDAP 7	$16,146.00	$21,528.00	$39.69–$20,451.60	—	25%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 90691 TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE VICPS FOR INTRAMUSCULAR USE	$105.69	$140.92	$43.42–$137.45	54% below	25%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 90691 TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE VICPS FOR INTRAMUSCULAR USE	$105.69	$140.92	$43.42–$137.45	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN SINGLE OR COMBINATION POC	$42.12	$56.16	$8.92–$131.50	8% above	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN 1ST	$47.72	$63.62	$8.92–$60.44	22% above	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 STYKU SCAN ONLY	$103.82	$138.42	$8.92–$131.50	166% above	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 EACH ADDITIONAL VACCINE	$23.72	$31.62	$8.92–$30.04	3% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMINISTRATION; EACH ADDITIONAL	$47.49	$63.32	$8.92–$60.15	93% above	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADD EA ED CHARGE	$47.72	$63.62	$8.93–$60.44	94% above	25%

Source file: https://nmrmc.com/Documents/486075784_neosho-memorial-regional-medical-center_standardcharges%20(4).csv