Hospital Dallas-Fort Worth-Arlington, TX

Parkland Health

Parkland Health in Dallas, TX publishes cash prices for 520 common procedures listed here, from its own machine-readable price file updated May 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 269 of 519 procedures and above it for 249. By typical cash price it ranks #118 of 296 Texas hospitals and #20 of 82 hospitals in the Dallas, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

5200-5201 Harry Hines Blvd Dallas TX 75235 Collected Oct 10, 2026 Source price file Check a bill from this hospital (214) 590-8000

Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 450015 · CMS hospital register NPI 1932123247

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Parkland Health is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT scan of abdomen before and after contrast	$1,322.80	$3,307.00	$175.06–$2,381.04	54% below	60%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT scan of abdomen before and after contrast	$1,322.80	$3,307.00	$175.06–$2,381.04	—	60%
Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen 2 views	$519.60	$1,299.00	$171.48–$1,050.00	37% above	60%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray of abdomen 2 views	$519.60	$1,299.00	$171.48–$1,050.00	—	60%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle minimum of 3 views	$255.60	$639.00	$36.75–$460.08	28% below	60%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray of ankle minimum of 3 views	$255.60	$639.00	$36.75–$460.08	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries	$492.40	$1,231.00	$68.69–$886.32	19% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound study of arm and leg arteries	$492.40	$1,231.00	$68.69–$886.32	—	60%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm without contrast	$1,631.20	$4,078.00	$104.75–$2,936.16	1% below	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT scan of arm without contrast	$1,631.20	$4,078.00	$104.75–$2,936.16	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus	$398.00	$995.00	$97.56–$716.40	21% below	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Single contrast X-ray of esophagus	$398.00	$995.00	$97.56–$716.40	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body	$765.60	$1,914.00	$275.66–$1,473.68	51% below	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nuclear medicine study of bone and/or joint whole body	$765.60	$1,914.00	$275.66–$1,473.68	—	60%
Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast	$509.20	$1,273.00	$171.48–$1,028.98	15% above	60%
Breast ultrasound, complete, one breast one side CPT 76641 Complete ultrasound scan of 1 breast\|LEFT SIDE	$509.20	$1,273.00	$171.48–$1,028.98	15% above	60%
Breast ultrasound, complete, one breast inpatient CPT 76641 Complete ultrasound scan of 1 breast	$509.20	$1,273.00	$171.48–$1,028.98	—	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Complete ultrasound scan of 1 breast\|LEFT SIDE	$509.20	$1,273.00	$171.48–$1,028.98	—	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast	$255.20	$638.00	$96.47–$515.70	26% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Limited ultrasound scan of 1 breast\|LEFT SIDE	$255.20	$638.00	$96.47–$515.70	26% below	60%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Limited ultrasound scan of 1 breast	$255.20	$638.00	$96.47–$515.70	—	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Limited ultrasound scan of 1 breast\|LEFT SIDE	$255.20	$638.00	$96.47–$515.70	—	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast	$1,922.40	$4,806.00	$366.42–$3,460.32	53% below	60%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast	$1,922.40	$4,806.00	$366.42–$3,460.32	—	60%
CT angiography (CTA) of the head CPT 70496 CT scan of blood vessels of head with contrast	$1,288.00	$3,220.00	$175.06–$2,318.40	46% below	60%
CT angiography (CTA) of the head inpatient CPT 70496 CT scan of blood vessels of head with contrast	$1,288.00	$3,220.00	$175.06–$2,318.40	—	60%
CT angiography (CTA) of the neck CPT 70498 CT scan of blood vessels of neck with contrast	$1,295.60	$3,239.00	$175.06–$2,332.08	46% below	60%
CT angiography (CTA) of the neck inpatient CPT 70498 CT scan of blood vessels of neck with contrast	$1,295.60	$3,239.00	$175.06–$2,332.08	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast	$1,360.80	$3,402.00	$175.06–$2,449.44	47% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT scan of blood vessels of chest with contrast	$1,360.80	$3,402.00	$175.06–$2,449.44	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of blood vessels and grafts of heart with contrast	$1,098.80	$2,747.00	$175.06–$1,977.84	34% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT scan of blood vessels and grafts of heart with contrast	$1,098.80	$2,747.00	$175.06–$1,977.84	—	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium	$146.40	$366.00	$55.34–$462.86	23% below	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT scan of heart with evaluation of blood vessel calcium	$146.40	$366.00	$55.34–$462.86	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast	$1,521.60	$3,804.00	$188.11–$2,738.88	46% below	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis without contrast	$1,521.60	$3,804.00	$188.11–$2,738.88	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$1,899.20	$4,748.00	$312.08–$3,418.56	50% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast	$1,899.20	$4,748.00	$312.08–$3,418.56	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast	$2,150.80	$5,377.00	$350.18–$3,871.44	45% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after contrast	$2,150.80	$5,377.00	$350.18–$3,871.44	—	60%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast	$1,153.60	$2,884.00	$175.06–$2,076.48	56% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 CT scan of abdomen with contrast	$1,153.60	$2,884.00	$175.06–$2,076.48	—	60%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast	$907.20	$2,268.00	$104.75–$1,632.96	55% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 CT scan of abdomen without contrast	$907.20	$2,268.00	$104.75–$1,632.96	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast	$1,774.00	$4,435.00	$104.75–$3,193.20	6% above	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face without contrast	$1,774.00	$4,435.00	$104.75–$3,193.20	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast	$861.60	$2,154.00	$104.75–$1,550.88	50% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain without contrast	$861.60	$2,154.00	$104.75–$1,550.88	—	60%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast	$1,002.00	$2,505.00	$152.36–$1,803.60	40% below	60%
CT scan of the head with contrast inpatient CPT 70460 CT scan head or brain with contrast	$1,002.00	$2,505.00	$152.36–$1,803.60	—	60%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast	$1,180.80	$2,952.00	$175.06–$2,125.44	42% below	60%
CT scan of the head without and with contrast inpatient CPT 70470 CT scan of head or brain before and after contrast	$1,180.80	$2,952.00	$175.06–$2,125.44	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast	$2,356.40	$5,891.00	$104.75–$4,241.52	33% above	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine without contrast	$2,356.40	$5,891.00	$104.75–$4,241.52	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast	$2,199.20	$5,498.00	$104.75–$3,958.56	8% above	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine without contrast	$2,199.20	$5,498.00	$104.75–$3,958.56	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$2,293.20	$5,733.00	$175.06–$4,127.76	5% above	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan of pelvis with contrast	$2,293.20	$5,733.00	$175.06–$4,127.76	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow	$933.20	$2,333.00	$103.53–$1,679.76	17% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of both sides of head and neck blood flow	$933.20	$2,333.00	$103.53–$1,679.76	—	60%
Chest CT scan without and with contrast CPT 71270 CT scan of chest before and after contrast	$2,437.60	$6,094.00	$175.06–$4,387.68	9% below	60%
Chest CT scan without and with contrast inpatient CPT 71270 CT scan of chest before and after contrast	$2,437.60	$6,094.00	$175.06–$4,387.68	—	60%
Chest X-ray, 2 views CPT 71046 X-ray of chest 2 views	$271.60	$679.00	$33.75–$488.88	30% below	60%
Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest 2 views	$271.60	$679.00	$33.75–$488.88	—	60%
Chest X-ray, single view CPT 71045 X-ray of chest 1 view	$271.60	$679.00	$25.73–$488.88	16% below	60%
Chest X-ray, single view inpatient CPT 71045 X-ray of chest 1 view	$271.60	$679.00	$25.73–$488.88	—	60%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray of collar bone	$497.60	$1,244.00	$32.75–$895.68	54% above	60%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray of collar bone	$497.60	$1,244.00	$32.75–$895.68	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity	$559.60	$1,399.00	$104.75–$1,007.28	19% below	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Complete ultrasound scan behind abdominal cavity	$559.60	$1,399.00	$104.75–$1,007.28	—	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip pelvis spine	$425.60	$1,064.00	$39.09–$766.08	7% above	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA bone density measurement of hip pelvis spine	$425.60	$1,064.00	$39.09–$766.08	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm finger hand or foot	$425.60	$1,064.00	$31.74–$766.08	93% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA bone density measurement of forearm finger hand or foot	$425.60	$1,064.00	$31.74–$766.08	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound scan of pregnant uterus with detailed fetal anatomic examination single or first fetus	$636.40	$1,591.00	$129.58–$1,145.52	8% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ultrasound scan of pregnant uterus with detailed fetal anatomic examination single or first fetus	$636.40	$1,591.00	$129.58–$1,145.52	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast	$1,630.00	$4,075.00	$104.75–$2,934.00	1% above	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan of chest without contrast	$1,630.00	$4,075.00	$104.75–$2,934.00	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast	$1,971.20	$4,928.00	$171.74–$3,548.16	2% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan of chest with contrast	$1,971.20	$4,928.00	$171.74–$3,548.16	—	60%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts	$352.40	$881.00	$133.21–$712.13	4% below	60%
Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic mammography of both breasts	$352.40	$881.00	$133.21–$712.13	—	60%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast	$242.80	$607.00	$91.78–$490.65	11% below	60%
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic mammography of 1 breast	$242.80	$607.00	$91.78–$490.65	—	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts	$989.20	$2,473.00	$139.18–$1,780.56	31% below	60%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound of leg arteries or artery grafts	$989.20	$2,473.00	$139.18–$1,780.56	—	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers	$973.20	$2,433.00	$103.08–$1,751.76	38% below	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers	$973.20	$2,433.00	$103.08–$1,751.76	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow rate direction and valve function	$1,047.60	$2,619.00	$85.37–$2,116.98	47% below	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound of heart with color-depicted blood flow rate direction and valve function	$1,047.60	$2,619.00	$85.37–$2,116.98	—	60%
Elbow X-ray, 2 views CPT 73070 X-ray of elbow 2 views	$232.00	$580.00	$29.40–$417.60	27% below	60%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray of elbow 2 views	$232.00	$580.00	$29.40–$417.60	—	60%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray of elbow minimum of 3 views	$308.40	$771.00	$33.08–$555.12	19% below	60%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray of elbow minimum of 3 views	$308.40	$771.00	$33.08–$555.12	—	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity without contrast	$1,860.80	$4,652.00	$104.75–$3,349.44	21% above	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT scan of cranial cavity without contrast	$1,860.80	$4,652.00	$104.75–$3,349.44	—	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of face bones minimum of 3 views	$292.40	$731.00	$47.45–$526.32	25% below	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray of face bones minimum of 3 views	$292.40	$731.00	$47.45–$526.32	—	60%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray of forearm 2 views	$262.80	$657.00	$29.40–$473.04	30% below	60%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray of forearm 2 views	$262.80	$657.00	$29.40–$473.04	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system	$836.80	$2,092.00	$316.31–$1,690.99	48% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nuclear medicine study of liver and bile duct system	$836.80	$2,092.00	$316.31–$1,690.99	—	60%
Hand X-ray, 2 views CPT 73120 X-ray of hand 2 views	$247.60	$619.00	$31.74–$445.68	22% below	60%
Hand X-ray, 2 views inpatient CPT 73120 X-ray of hand 2 views	$247.60	$619.00	$31.74–$445.68	—	60%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray of heel minimum of 2 views	$204.40	$511.00	$28.74–$367.92	29% below	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray of heel minimum of 2 views	$204.40	$511.00	$28.74–$367.92	—	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate breathing airflow and effort	$511.60	$1,279.00	$56.54–$1,033.83	30% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep study including heart rate breathing airflow and effort	$511.60	$1,279.00	$56.54–$1,033.83	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	$1,354.00	$3,385.00	$331.71–$2,736.15	68% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	$1,354.00	$3,385.00	$331.71–$2,736.15	—	60%
Knee X-ray, 3 views CPT 73562 X-ray of knee 3 views	$282.00	$705.00	$41.10–$507.60	30% below	60%
Knee X-ray, 3 views inpatient CPT 73562 X-ray of knee 3 views	$282.00	$705.00	$41.10–$507.60	—	60%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray of knee 4 or more views	$329.60	$824.00	$47.45–$593.28	23% below	60%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray of knee 4 or more views	$329.60	$824.00	$47.45–$593.28	—	60%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan of leg without contrast	$1,616.80	$4,042.00	$104.75–$2,910.24	6% below	60%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT scan of leg without contrast	$1,616.80	$4,042.00	$104.75–$2,910.24	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen	$588.80	$1,472.00	$87.21–$1,059.84	3% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited ultrasound scan of abdomen	$588.80	$1,472.00	$87.21–$1,059.84	—	60%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	$203.60	$509.00	$30.35–$366.48	50% below	60%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels\|LEFT SIDE	$203.60	$509.00	$30.35–$366.48	50% below	60%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	$203.60	$509.00	$30.35–$366.48	—	60%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels\|LEFT SIDE	$203.60	$509.00	$30.35–$366.48	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening	$292.40	$731.00	$110.53–$590.88	22% above	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screening	$292.40	$731.00	$110.53–$590.88	—	60%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray of lower leg 2 views	$244.40	$611.00	$31.74–$439.92	29% below	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray of lower leg 2 views	$244.40	$611.00	$31.74–$439.92	—	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRI scan of blood vessels of head without contrast	$1,328.00	$3,320.00	$222.20–$2,390.40	27% below	60%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI scan of blood vessels of head without contrast	$1,328.00	$3,320.00	$222.20–$2,390.40	—	60%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI scan of both breasts	$2,082.80	$5,207.00	$584.23–$4,208.90	53% above	60%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI scan of both breasts	$2,082.80	$5,207.00	$584.23–$4,208.90	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast	$2,426.80	$6,067.00	$208.84–$4,368.24	10% above	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI scan of leg joint without contrast	$2,426.80	$6,067.00	$208.84–$4,368.24	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast	$3,202.40	$8,006.00	$366.42–$5,764.32	6% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI scan of leg joint before and after contrast	$3,202.40	$8,006.00	$366.42–$5,764.32	—	60%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast	$1,844.80	$4,612.00	$201.81–$3,320.64	16% below	60%
MRI of the abdomen without contrast inpatient CPT 74181 MRI scan of abdomen without contrast	$1,844.80	$4,612.00	$201.81–$3,320.64	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast	$4,096.80	$10,242.00	$348.50–$7,374.24	34% above	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI scan of abdomen before and after contrast	$4,096.80	$10,242.00	$348.50–$7,374.24	—	60%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast	$1,362.00	$3,405.00	$202.15–$2,451.60	29% below	60%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI scan of brain without contrast	$1,362.00	$3,405.00	$202.15–$2,451.60	—	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast	$1,944.40	$4,861.00	$328.11–$3,499.92	31% below	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI scan of brain before and after contrast	$1,944.40	$4,861.00	$328.11–$3,499.92	—	60%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast	$2,750.00	$6,875.00	$197.14–$4,950.00	26% above	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI scan of lower spinal canal without contrast	$2,750.00	$6,875.00	$197.14–$4,950.00	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast	$4,124.40	$10,311.00	$329.13–$7,423.92	29% above	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI scan of lower spinal canal before and after contrast	$4,124.40	$10,311.00	$329.13–$7,423.92	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast	$2,658.80	$6,647.00	$196.14–$4,785.84	31% above	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI scan of middle spinal canal without contrast	$2,658.80	$6,647.00	$196.14–$4,785.84	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast	$4,184.80	$10,462.00	$329.79–$7,532.64	28% above	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI scan of upper spinal canal before and after contrast	$4,184.80	$10,462.00	$329.79–$7,532.64	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast	$2,805.20	$7,013.00	$196.48–$5,049.36	24% above	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI scan of upper spinal canal without contrast	$2,805.20	$7,013.00	$196.48–$5,049.36	—	60%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast	$3,031.20	$7,578.00	$347.16–$5,456.16	7% below	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI scan of pelvis before and after contrast	$3,031.20	$7,578.00	$347.16–$5,456.16	—	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast	$2,555.60	$6,389.00	$233.47–$4,600.08	4% above	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI scan of pelvis without contrast	$2,555.60	$6,389.00	$233.47–$4,600.08	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast	$2,573.60	$6,434.00	$209.16–$4,632.48	44% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI scan of arm joint without contrast	$2,573.60	$6,434.00	$209.16–$4,632.48	—	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray of upper spine 4-5 views	$440.00	$1,100.00	$53.80–$792.00	19% below	60%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray of upper spine 4-5 views	$440.00	$1,100.00	$53.80–$792.00	—	60%
Neck soft tissue CT scan with contrast CPT 70491 CT scan of soft tissue of neck with contrast	$2,069.60	$5,174.00	$175.06–$3,725.28	4% above	60%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT scan of soft tissue of neck with contrast	$2,069.60	$5,174.00	$175.06–$3,725.28	—	60%
Neck soft tissue CT scan without contrast CPT 70490 CT scan of soft tissue of neck without contrast	$1,708.80	$4,272.00	$104.75–$3,075.84	11% above	60%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT scan of soft tissue of neck without contrast	$1,708.80	$4,272.00	$104.75–$3,075.84	—	60%
Neck soft tissue X-ray CPT 70360 X-ray of soft tissue of neck	$258.00	$645.00	$31.41–$464.40	9% above	60%
Neck soft tissue X-ray inpatient CPT 70360 X-ray of soft tissue of neck	$258.00	$645.00	$31.41–$464.40	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT	$2,526.00	$6,315.00	$438.05–$4,546.80	39% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT	$2,526.00	$6,315.00	$438.05–$4,546.80	—	60%
OCT scan of the retina (optical coherence tomography) CPT 92134 Imaging of retina	$136.00	$340.00	$34.66–$274.83	18% below	60%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Imaging of retina	$136.00	$340.00	$34.66–$274.83	—	60%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear medicine study from skull base to mid-thigh with CT scan	$5,580.40	$13,951.00	$1,489.35–$10,044.72	19% above	60%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear medicine study from skull base to mid-thigh with CT scan	$5,580.40	$13,951.00	$1,489.35–$10,044.72	—	60%
Pelvic CT scan without contrast CPT 72192 CT scan of pelvis without contrast	$1,809.60	$4,524.00	$104.75–$3,257.28	11% above	60%
Pelvic CT scan without contrast inpatient CPT 72192 CT scan of pelvis without contrast	$1,809.60	$4,524.00	$104.75–$3,257.28	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis	$536.40	$1,341.00	$50.79–$965.52	11% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited ultrasound scan of pelvis	$536.40	$1,341.00	$50.79–$965.52	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis	$658.80	$1,647.00	$96.28–$1,185.84	13% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Complete ultrasound scan of pelvis	$658.80	$1,647.00	$96.28–$1,185.84	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more) single or first fetus	$472.00	$1,180.00	$104.75–$849.60	22% below	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more) single or first fetus	$472.00	$1,180.00	$104.75–$849.60	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks) single or first fetus	$302.40	$756.00	$104.75–$559.99	51% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks) single or first fetus	$302.40	$756.00	$104.75–$559.99	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus	$304.80	$762.00	$81.20–$548.64	34% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited ultrasound of pregnant uterus	$304.80	$762.00	$81.20–$548.64	—	60%
Rib X-ray, one side, 2 views CPT 71100 X-ray of ribs on side of body 2 views	$343.60	$859.00	$36.75–$618.48	10% above	60%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray of ribs on side of body 2 views	$343.60	$859.00	$36.75–$618.48	—	60%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray of ribs on side of body minimum of 3 views	$266.00	$665.00	$42.44–$478.80	33% below	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray of ribs on side of body minimum of 3 views	$266.00	$665.00	$42.44–$478.80	—	60%
Screening mammogram, both breasts CPT 77067 Screening mammography	$228.80	$572.00	$86.49–$462.36	23% below	60%
Screening mammogram, both breasts inpatient CPT 77067 Screening mammography	$228.80	$572.00	$86.49–$462.36	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder minimum of 2 views	$261.60	$654.00	$35.09–$470.88	23% below	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray of shoulder minimum of 2 views	$261.60	$654.00	$35.09–$470.88	—	60%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus minimum of 3 views	$370.00	$925.00	$37.76–$666.00	9% below	60%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray of paranasal sinus minimum of 3 views	$370.00	$925.00	$37.76–$666.00	—	60%
Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull 1-3 views	$278.00	$695.00	$36.09–$500.40	17% below	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray of skull 1-3 views	$278.00	$695.00	$36.09–$500.40	—	60%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older)	$1,226.80	$3,067.00	$315.59–$2,479.10	70% below	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study in sleep lab (6 years or older)	$1,226.80	$3,067.00	$315.59–$2,479.10	—	60%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound of heart with continuous electrocardiogram (ECG) during rest exercise and/or drug induced stress with review and report	$867.60	$2,169.00	$94.22–$1,753.24	68% below	60%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound of heart with continuous electrocardiogram (ECG) during rest exercise and/or drug induced stress with review and report	$867.60	$2,169.00	$94.22–$1,753.24	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function	$422.40	$1,056.00	$124.96–$760.32	30% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function	$422.40	$1,056.00	$124.96–$760.32	—	60%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of thigh bone minimum 2 views	$170.80	$427.00	$64.56–$345.15	49% below	60%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray of thigh bone minimum 2 views	$170.80	$427.00	$64.56–$345.15	—	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine without contrast	$2,416.40	$6,041.00	$104.75–$4,349.52	28% above	60%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT scan of middle spine without contrast	$2,416.40	$6,041.00	$104.75–$4,349.52	—	60%
Toe X-ray, 2 or more views CPT 73660 X-ray of toe minimum of 2 views	$216.80	$542.00	$29.40–$390.24	23% below	60%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray of toe minimum of 2 views	$216.80	$542.00	$29.40–$390.24	—	60%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus ovaries tubes cervix and pelvic area through vagina	$513.20	$1,283.00	$104.75–$923.76	15% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound scan of uterus ovaries tubes cervix and pelvic area through vagina	$513.20	$1,283.00	$104.75–$923.76	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus	$300.40	$751.00	$92.89–$540.72	41% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Vaginal ultrasound of pregnant uterus	$300.40	$751.00	$92.89–$540.72	—	60%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen	$767.20	$1,918.00	$104.75–$1,380.96	2% below	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 Complete ultrasound scan of abdomen	$767.20	$1,918.00	$104.75–$1,380.96	—	60%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum	$502.80	$1,257.00	$100.24–$905.04	18% below	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound scan of scrotum	$502.80	$1,257.00	$100.24–$905.04	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue	$558.40	$1,396.00	$104.75–$1,005.12	11% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound scan of head and neck soft tissue	$558.40	$1,396.00	$104.75–$1,005.12	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract	$648.40	$1,621.00	$122.96–$1,167.12	12% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Single contrast X-ray of upper digestive tract	$648.40	$1,621.00	$122.96–$1,167.12	—	60%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray of upper arm minimum of 2 views	$190.80	$477.00	$32.08–$343.44	46% below	60%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray of upper arm minimum of 2 views	$190.80	$477.00	$32.08–$343.44	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers	$638.40	$1,596.00	$63.12–$1,149.12	20% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers	$638.40	$1,596.00	$63.12–$1,149.12	—	60%
Wrist X-ray, 2 views CPT 73100 X-ray of wrist 2 views	$262.00	$655.00	$34.09–$471.60	13% below	60%
Wrist X-ray, 2 views inpatient CPT 73100 X-ray of wrist 2 views	$262.00	$655.00	$34.09–$471.60	—	60%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist minimum of 3 views	$321.60	$804.00	$41.44–$578.88	15% below	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray of wrist minimum of 3 views	$321.60	$804.00	$41.44–$578.88	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip 2-3 views	$170.80	$427.00	$64.56–$345.15	54% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip 2-3 views	$170.80	$427.00	$64.56–$345.15	—	60%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen 1 view	$271.60	$679.00	$102.66–$548.85	20% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen 1 view	$271.60	$679.00	$102.66–$548.85	—	60%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle 2 views	$219.20	$548.00	$32.41–$394.56	27% below	60%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray of ankle 2 views	$219.20	$548.00	$32.41–$394.56	—	60%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger minimum of 2 views	$207.20	$518.00	$38.43–$372.96	14% below	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray of finger minimum of 2 views	$207.20	$518.00	$38.43–$372.96	—	60%
X-ray of the foot, 2 views CPT 73620 X-ray of foot 2 views	$234.80	$587.00	$28.74–$422.64	29% below	60%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray of foot 2 views	$234.80	$587.00	$28.74–$422.64	—	60%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot minimum of 3 views	$278.00	$695.00	$34.41–$500.40	25% below	60%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray of foot minimum of 3 views	$278.00	$695.00	$34.41–$500.40	—	60%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand minimum of 3 views	$285.20	$713.00	$37.43–$513.36	26% below	60%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray of hand minimum of 3 views	$285.20	$713.00	$37.43–$513.36	—	60%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee 1-2 views	$226.40	$566.00	$34.41–$407.52	23% below	60%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray of knee 1-2 views	$226.40	$566.00	$34.41–$407.52	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine 2-3 views	$360.40	$901.00	$40.10–$648.72	19% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray of lower and sacral spine 2-3 views	$360.40	$901.00	$40.10–$648.72	—	60%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine minimum of 4 views	$510.40	$1,276.00	$52.13–$918.72	19% below	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray of lower and sacral spine minimum of 4 views	$510.40	$1,276.00	$52.13–$918.72	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine 2 views	$336.00	$840.00	$33.08–$604.80	17% below	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray of middle spine 2 views	$336.00	$840.00	$33.08–$604.80	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones minimum of 3 views	$264.00	$660.00	$37.76–$475.20	4% below	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray of nose bones minimum of 3 views	$264.00	$660.00	$37.76–$475.20	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine 2-3 views	$313.60	$784.00	$39.76–$564.48	14% below	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of upper spine 2-3 views	$313.60	$784.00	$39.76–$564.48	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis 1-2 views	$253.20	$633.00	$28.06–$455.76	21% below	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray of pelvis 1-2 views	$253.20	$633.00	$28.06–$455.76	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone minimum of 2 views	$252.40	$631.00	$32.75–$454.32	18% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray of sacrum and tailbone minimum of 2 views	$252.40	$631.00	$32.75–$454.32	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level	$20.00	$50.00	$10.45–$165.54	91% below	60%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic hormone (ACTH) level	$20.00	$50.00	$10.45–$165.54	—	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT) level	$64.40	$161.00	$4.45–$115.92	22% above	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT) level	$64.40	$161.00	$4.45–$115.92	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT) level	$63.60	$159.00	$4.35–$114.48	23% above	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT) level	$63.60	$159.00	$4.35–$114.48	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$393.20	$983.00	$40.01–$707.76	2% above	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$393.20	$983.00	$40.01–$707.76	—	60%
Albumin blood test CPT 82040 Albumin (protein) level	$57.20	$143.00	$4.16–$102.96	54% above	60%
Albumin blood test inpatient CPT 82040 Albumin (protein) level	$57.20	$143.00	$4.16–$102.96	—	60%
Aldosterone blood test CPT 82088 Aldosterone hormone level	$224.00	$560.00	$34.23–$403.20	71% above	60%
Aldosterone blood test inpatient CPT 82088 Aldosterone hormone level	$224.00	$560.00	$34.23–$403.20	—	60%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level alkaline	$62.00	$155.00	$4.35–$111.60	23% above	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (enzyme) level alkaline	$62.00	$155.00	$4.35–$111.60	—	60%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance crude allergen extract each	$19.60	$49.00	$4.38–$35.28	20% below	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance crude allergen extract each	$19.60	$49.00	$4.38–$35.28	—	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level serum	$150.40	$376.00	$14.09–$270.72	26% above	60%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein (AFP) level serum	$150.40	$376.00	$14.09–$270.72	—	60%
Ammonia blood test CPT 82140 Ammonia level	$154.40	$386.00	$12.24–$277.92	9% above	60%
Ammonia blood test inpatient CPT 82140 Ammonia level	$154.40	$386.00	$12.24–$277.92	—	60%
Amylase blood test CPT 82150 Amylase (enzyme) level	$114.00	$285.00	$5.44–$205.20	50% above	60%
Amylase blood test inpatient CPT 82150 Amylase (enzyme) level	$114.00	$285.00	$5.44–$205.20	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$68.80	$172.00	$10.88–$123.84	30% above	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$68.80	$172.00	$10.88–$123.84	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder	$7.60	$19.00	$3.97–$51.85	90% below	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder	$7.60	$19.00	$3.97–$51.85	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$246.40	$616.00	$32.98–$443.52	59% above	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$246.40	$616.00	$32.98–$443.52	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture any other source except urine blood or stool aerobic	$154.80	$387.00	$7.24–$278.64	131% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture any other source except urine blood or stool aerobic	$154.80	$387.00	$7.24–$278.64	—	60%
Basic metabolic panel (blood test) CPT 80048 Blood test basic group of blood chemicals (Calcium total)	$165.20	$413.00	$7.11–$297.36	23% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood test basic group of blood chemicals (Calcium total)	$165.20	$413.00	$7.11–$297.36	—	60%
Bilirubin blood test, total CPT 82247 Bilirubin level total	$65.60	$164.00	$4.22–$118.08	7% above	60%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin level total	$65.60	$164.00	$4.22–$118.08	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope intermediate complexity	$309.60	$774.00	$97.46–$625.64	4% above	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope intermediate complexity	$309.60	$774.00	$97.46–$625.64	—	60%
Blood culture for bacteria CPT 87040 Bacterial blood culture	$196.80	$492.00	$8.67–$354.24	4% below	60%
Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture	$196.80	$492.00	$8.67–$354.24	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture	$2,326.70	$5,816.75	$4.20–$4,701.77	12762% above	60%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level	$54.00	$135.00	$3.30–$97.20	29% above	60%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level	$54.00	$135.00	$3.30–$97.20	—	60%
Blood lead test CPT 83655 Lead level	$87.20	$218.00	$10.17–$156.96	87% above	60%
Blood lead test inpatient CPT 83655 Lead level	$87.20	$218.00	$10.17–$156.96	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis	$134.40	$336.00	$6.32–$241.92	2% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) one side CPT 84703 Gonadotropin (reproductive hormone) analysis\|RIGHT SIDE	$134.40	$336.00	$6.32–$241.92	2% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis	$134.40	$336.00	$6.32–$241.92	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient one side CPT 84703 Gonadotropin (reproductive hormone) analysis\|RIGHT SIDE	$134.40	$336.00	$6.32–$241.92	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$80.00	$200.00	$2.51–$214.79	9% below	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO)	$80.00	$200.00	$2.51–$214.79	—	60%
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function quantitative	$56.80	$142.00	$3.32–$102.24	at median	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea nitrogen level to assess kidney function quantitative	$56.80	$142.00	$3.32–$102.24	—	60%
C-peptide blood test CPT 84681 C-peptide (protein) level	$89.60	$224.00	$17.48–$161.28	23% above	60%
C-peptide blood test inpatient CPT 84681 C-peptide (protein) level	$89.60	$224.00	$17.48–$161.28	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation	$88.80	$222.00	$4.35–$159.84	74% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-reactive protein for detection of infection or inflammation	$88.80	$222.00	$4.35–$159.84	—	60%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile amplified probe technique	$200.40	$501.00	$31.31–$360.72	14% above	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection test by nucleic acid for clostridium difficile amplified probe technique	$200.40	$501.00	$31.31–$360.72	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen quantitative; CA 19-9	$78.00	$195.00	$17.48–$140.40	41% below	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic analysis for detection of tumor antigen quantitative; CA 19-9	$78.00	$195.00	$17.48–$140.40	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen quantitative; CA 125	$176.00	$440.00	$17.48–$316.80	10% above	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis for detection of tumor antigen quantitative; CA 125	$176.00	$440.00	$17.48–$316.80	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen	$49.60	$124.00	$25.92–$219.94	44% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen	$49.60	$124.00	$25.92–$219.94	—	60%
Calcium blood test, total CPT 82310 Calcium level total	$59.20	$148.00	$4.33–$106.56	1% above	60%
Calcium blood test, total inpatient CPT 82310 Calcium level total	$59.20	$148.00	$4.33–$106.56	—	60%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level	$180.40	$451.00	$15.93–$324.72	34% above	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen (CEA) protein level	$180.40	$451.00	$15.93–$324.72	—	60%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$95.60	$239.00	$10.82–$172.08	52% above	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$95.60	$239.00	$10.82–$172.08	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis amplified probe technique	$47.20	$118.00	$19.63–$150.44	62% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection test by nucleic acid for chlamydia trachomatis amplified probe technique	$47.20	$118.00	$19.63–$150.44	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test lipids (cholesterol and triglycerides)	$106.40	$266.00	$11.25–$191.52	29% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test lipids (cholesterol and triglycerides)	$106.40	$266.00	$11.25–$191.52	—	60%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells white blood cell platelets) automated test and automated differential white blood cell count	$104.80	$262.00	$6.53–$188.64	15% above	60%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete blood cell count (red cells white blood cell platelets) automated test and automated differential white blood cell count	$104.80	$262.00	$6.53–$188.64	—	60%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells white blood cell platelets) automated test	$89.20	$223.00	$5.43–$160.56	7% below	60%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count (red cells white blood cell platelets) automated test	$89.20	$223.00	$5.43–$160.56	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test comprehensive group of blood chemicals	$236.80	$592.00	$8.87–$426.24	6% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test comprehensive group of blood chemicals	$236.80	$592.00	$8.87–$426.24	—	60%
Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement total	$158.40	$396.00	$13.69–$285.12	90% above	60%
Cortisol blood test, total inpatient CPT 82533 Cortisol (hormone) measurement total	$158.40	$396.00	$13.69–$285.12	—	60%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level total	$96.80	$242.00	$5.47–$174.24	54% above	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level total	$96.80	$242.00	$5.47–$174.24	—	60%
Creatinine blood test CPT 82565 Blood creatinine level	$61.20	$153.00	$4.30–$110.16	14% above	60%
Creatinine blood test inpatient CPT 82565 Blood creatinine level	$61.20	$153.00	$4.30–$110.16	—	60%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$80.00	$200.00	$12.09–$144.00	6% above	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$80.00	$200.00	$12.09–$144.00	—	60%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement D-dimer; quantitative	$168.80	$422.00	$8.55–$303.84	1% below	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement D-dimer; quantitative	$168.80	$422.00	$8.55–$303.84	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$56.00	$140.00	$18.67–$100.80	63% below	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$56.00	$140.00	$18.67–$100.80	—	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug by chemistry analyzers	$338.00	$845.00	$52.20–$608.40	444% above	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug by chemistry analyzers	$338.00	$845.00	$52.20–$608.40	—	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium chloride carbon dioxide)	$114.80	$287.00	$5.89–$206.64	35% below	60%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood test panel for electrolytes (sodium potassium chloride carbon dioxide)	$114.80	$287.00	$5.89–$206.64	—	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus) viral capsid	$95.60	$239.00	$15.24–$172.08	10% above	60%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus) viral capsid	$95.60	$239.00	$15.24–$172.08	—	60%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone)	$31.20	$78.00	$16.30–$119.77	75% below	60%
Estradiol blood test inpatient CPT 82670 Measurement of total estradiol (hormone)	$31.20	$78.00	$16.30–$119.77	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin follicle stimulating (reproductive hormone) level	$164.00	$410.00	$15.61–$295.20	2% above	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin follicle stimulating (reproductive hormone) level	$164.00	$410.00	$15.61–$295.20	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level	$161.60	$404.00	$16.49–$290.88	24% below	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level	$161.60	$404.00	$16.49–$290.88	—	60%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$135.20	$338.00	$11.45–$243.36	32% above	60%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$135.20	$338.00	$11.45–$243.36	—	60%
Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement	$130.40	$326.00	$8.16–$234.72	51% above	60%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (factor 1) activity measurement	$130.40	$326.00	$8.16–$234.72	—	60%
Folate (folic acid) blood test CPT 82746 Folic acid level serum	$132.80	$332.00	$12.35–$239.04	64% above	60%
Folate (folic acid) blood test inpatient CPT 82746 Folic acid level serum	$132.80	$332.00	$12.35–$239.04	—	60%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone T3 measurement free	$165.20	$413.00	$14.23–$297.36	18% above	60%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone T3 measurement free	$165.20	$413.00	$14.23–$297.36	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical) free	$123.60	$309.00	$7.58–$222.48	61% above	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical) free	$123.60	$309.00	$7.58–$222.48	—	60%
Free testosterone test CPT 84402 Testosterone (hormone) level free	$12.80	$32.00	$6.69–$109.15	88% below	60%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level free	$12.80	$32.00	$6.69–$109.15	—	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level	$82.00	$205.00	$6.05–$147.60	39% above	60%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (liver enzyme) level	$82.00	$205.00	$6.05–$147.60	—	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel	$495.20	$1,238.00	$69.58–$1,000.69	11% above	60%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General health panel	$495.20	$1,238.00	$69.58–$1,000.69	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose	$62.00	$155.00	$3.99–$111.60	31% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood glucose (sugar) level after receiving dose of glucose	$62.00	$155.00	$3.99–$111.60	—	60%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test 3 specimens	$144.00	$360.00	$10.81–$259.20	5% below	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test 3 specimens	$144.00	$360.00	$10.81–$259.20	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria) amplified probe technique	$166.00	$415.00	$29.48–$298.80	26% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria) amplified probe technique	$166.00	$415.00	$29.48–$298.80	—	60%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)	$142.40	$356.00	$14.15–$256.32	13% above	60%
H. pylori antibody blood test inpatient CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)	$142.40	$356.00	$14.15–$256.32	—	60%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$87.60	$219.00	$12.08–$157.68	1% above	60%
H. pylori stool antigen test inpatient CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$87.60	$219.00	$12.08–$157.68	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus quantification	$260.40	$651.00	$71.48–$468.72	14% below	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection test by nucleic acid for HIV-1 virus quantification	$260.40	$651.00	$71.48–$468.72	—	60%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$129.60	$324.00	$11.52–$233.28	60% above	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$129.60	$324.00	$11.52–$233.28	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$133.20	$333.00	$20.23–$239.76	5% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$133.20	$333.00	$20.23–$239.76	—	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv) high-risk types	$168.80	$422.00	$29.48–$303.84	138% above	60%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv) high-risk types	$168.80	$422.00	$29.48–$303.84	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$66.00	$165.00	$8.16–$118.80	24% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$66.00	$165.00	$8.16–$118.80	—	60%
Hemoglobin blood test CPT 85018 Blood count hemoglobin	$42.00	$105.00	$1.99–$75.60	4% below	60%
Hemoglobin blood test inpatient CPT 85018 Blood count hemoglobin	$42.00	$105.00	$1.99–$75.60	—	60%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement	$111.20	$278.00	$10.12–$200.16	47% above	60%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B core antibody measurement	$111.20	$278.00	$10.12–$200.16	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement	$15.60	$39.00	$8.15–$46.03	76% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement	$15.60	$39.00	$8.15–$46.03	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$108.40	$271.00	$8.68–$195.12	54% above	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$108.40	$271.00	$8.68–$195.12	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$35.20	$88.00	$11.99–$63.36	59% below	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$35.20	$88.00	$11.99–$63.36	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus quantification	$229.60	$574.00	$35.99–$413.28	4% below	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test by nucleic acid for Hepatitis C virus quantification	$229.60	$574.00	$35.99–$413.28	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus type 1	$98.00	$245.00	$11.08–$176.40	35% above	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis for antibody to Herpes simplex virus type 1	$98.00	$245.00	$11.08–$176.40	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus type 2	$77.60	$194.00	$16.25–$139.68	11% below	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis for antibody to Herpes simplex virus type 2	$77.60	$194.00	$16.25–$139.68	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation high sensitivity	$114.00	$285.00	$10.88–$205.20	45% above	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measurement C-reactive protein for detection of infection or inflammation high sensitivity	$114.00	$285.00	$10.88–$205.20	—	60%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level	$186.00	$465.00	$15.05–$334.80	24% above	60%
Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level	$186.00	$465.00	$15.05–$334.80	—	60%
Insulin blood test CPT 83525 Insulin measurement total	$82.80	$207.00	$9.60–$149.04	12% above	60%
Insulin blood test inpatient CPT 83525 Insulin measurement total	$82.80	$207.00	$9.60–$149.04	—	60%
Iron blood test (serum iron) CPT 83540 Iron level	$77.60	$194.00	$5.43–$139.68	10% above	60%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$77.60	$194.00	$5.43–$139.68	—	60%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity	$86.80	$217.00	$7.34–$156.24	7% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding capacity	$86.80	$217.00	$7.34–$156.24	—	60%
Kidney function blood test panel CPT 80069 Kidney function blood test panel	$171.60	$429.00	$7.29–$308.88	3% below	60%
Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel	$171.60	$429.00	$7.29–$308.88	—	60%
LH (luteinizing hormone) test CPT 83002 Gonadotropin luteinizing (reproductive hormone) level	$167.60	$419.00	$15.56–$301.68	17% above	60%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin luteinizing (reproductive hormone) level	$167.60	$419.00	$15.56–$301.68	—	60%
Lactate (lactic acid) blood test CPT 83605 Lactic acid level	$132.80	$332.00	$9.72–$239.04	36% above	60%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level	$132.80	$332.00	$9.72–$239.04	—	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level	$74.80	$187.00	$5.07–$134.64	75% above	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level	$74.80	$187.00	$5.07–$134.64	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level	$124.00	$310.00	$5.79–$223.20	85% above	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level	$124.00	$310.00	$5.79–$223.20	—	60%
Liver function blood test panel CPT 80076 Liver function blood test panel	$170.40	$426.00	$6.86–$306.72	12% below	60%
Liver function blood test panel inpatient CPT 80076 Liver function blood test panel	$170.40	$426.00	$6.86–$306.72	—	60%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$30.80	$77.00	$14.31–$73.02	63% below	60%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$30.80	$77.00	$14.31–$73.02	—	60%
Magnesium blood test CPT 83735 Magnesium level	$90.80	$227.00	$5.63–$163.44	102% above	60%
Magnesium blood test inpatient CPT 83735 Magnesium level	$90.80	$227.00	$5.63–$163.44	—	60%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus)	$58.00	$145.00	$10.82–$104.40	101% above	60%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus)	$58.00	$145.00	$10.82–$104.40	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$95.20	$238.00	$4.35–$171.36	12% above	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$95.20	$238.00	$4.35–$171.36	—	60%
Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus	$38.00	$95.00	$10.96–$68.40	38% below	60%
Mumps immunity blood test inpatient CPT 86735 Analysis for antibody to mumps virus	$38.00	$95.00	$10.96–$68.40	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement free	$19.60	$49.00	$10.24–$78.84	83% below	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement free	$19.60	$49.00	$10.24–$78.84	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement total	$150.00	$375.00	$15.45–$270.00	79% above	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement total	$150.00	$375.00	$15.45–$270.00	—	60%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test automated thin layer preparation; automated system and manual rescreening	$130.40	$326.00	$22.35–$234.72	77% above	60%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test automated thin layer preparation; automated system and manual rescreening	$130.40	$326.00	$22.35–$234.72	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap test manual screening	$112.00	$280.00	$17.02–$201.60	29% above	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap test manual screening	$112.00	$280.00	$17.02–$201.60	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$268.40	$671.00	$34.68–$483.12	31% above	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$268.40	$671.00	$34.68–$483.12	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test plasma or whole blood	$96.00	$240.00	$5.05–$172.80	94% above	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test plasma or whole blood	$96.00	$240.00	$5.05–$172.80	—	60%
Phosphorus (phosphate) blood test CPT 84100 Phosphate level	$62.40	$156.00	$3.98–$112.32	at median	60%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate level	$62.40	$156.00	$3.98–$112.32	—	60%
Potassium blood test CPT 84132 Blood potassium level	$58.80	$147.00	$4.00–$105.84	7% below	60%
Potassium blood test inpatient CPT 84132 Blood potassium level	$58.80	$147.00	$4.00–$105.84	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated with fetal disease aneuploidy genomic sequence analysis panel	$1,530.00	$3,825.00	$578.34–$3,253.67	76% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Test for detecting genes associated with fetal disease aneuploidy genomic sequence analysis panel	$1,530.00	$3,825.00	$578.34–$3,253.67	—	60%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level	$154.80	$387.00	$17.52–$278.64	47% above	60%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level	$154.80	$387.00	$17.52–$278.64	—	60%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level	$182.80	$457.00	$16.28–$329.04	66% above	60%
Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level	$182.80	$457.00	$16.28–$329.04	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test clotting time	$69.20	$173.00	$3.60–$124.56	51% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test clotting time	$69.20	$173.00	$3.60–$124.56	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug read by direct observation	$150.00	$375.00	$10.58–$270.00	41% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Testing for presence of drug read by direct observation	$150.00	$375.00	$10.58–$270.00	—	60%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus	$106.00	$265.00	$13.90–$190.80	14% above	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus	$106.00	$265.00	$13.90–$190.80	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus group A (strep)	$89.20	$223.00	$13.89–$160.56	10% below	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus group A (strep)	$89.20	$223.00	$13.89–$160.56	—	60%
Renin blood test CPT 84244 Renin (kidney enzyme) level	$15.20	$38.00	$7.94–$94.25	85% below	60%
Renin blood test inpatient CPT 84244 Renin (kidney enzyme) level	$15.20	$38.00	$7.94–$94.25	—	60%
Rh blood typing CPT 86901 Blood typing for Rh (D) antigen	$73.20	$183.00	$2.51–$131.76	14% above	60%
Rh blood typing inpatient CPT 86901 Blood typing for Rh (D) antigen	$73.20	$183.00	$2.51–$131.76	—	60%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level	$74.80	$187.00	$4.76–$134.64	60% above	60%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level	$74.80	$187.00	$4.76–$134.64	—	60%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus)	$9.20	$23.00	$4.81–$61.70	80% below	60%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles virus)	$9.20	$23.00	$4.81–$61.70	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate to detect inflammation automated	$64.00	$160.00	$2.27–$115.20	5% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red blood cell sedimentation rate to detect inflammation automated	$64.00	$160.00	$2.27–$115.20	—	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume sperm count motility and analysis	$255.20	$638.00	$24.25–$515.70	98% above	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen evaluation volume sperm count motility and analysis	$255.20	$638.00	$24.25–$515.70	—	60%
Sodium blood test CPT 84295 Blood sodium level	$57.20	$143.00	$4.04–$102.96	8% below	60%
Sodium blood test inpatient CPT 84295 Blood sodium level	$57.20	$143.00	$4.04–$102.96	—	60%
Stool ova and parasites exam CPT 87177 Smear for parasites	$7.60	$19.00	$3.97–$38.17	89% below	60%
Stool ova and parasites exam inpatient CPT 87177 Smear for parasites	$7.60	$19.00	$3.97–$38.17	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors	$46.40	$116.00	$3.68–$83.52	21% above	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumors	$46.40	$116.00	$3.68–$83.52	—	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood by fecal hemoglobin determination by immunoassay	$80.00	$200.00	$13.37–$144.00	19% above	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Stool analysis for blood by fecal hemoglobin determination by immunoassay	$80.00	$200.00	$13.37–$144.00	—	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody Treponema pallidum	$14.40	$36.00	$5.99–$56.75	67% below	60%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody Treponema pallidum	$14.40	$36.00	$5.99–$56.75	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test	$3.20	$8.00	$1.33–$18.32	92% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test	$3.20	$8.00	$1.33–$18.32	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level total	$180.80	$452.00	$21.68–$325.44	84% above	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level total	$180.80	$452.00	$21.68–$325.44	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement	$59.20	$148.00	$12.22–$106.56	29% below	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement	$59.20	$148.00	$12.22–$106.56	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test thyroid stimulating hormone (TSH)	$153.60	$384.00	$14.11–$276.48	39% above	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test thyroid stimulating hormone (TSH)	$153.60	$384.00	$14.11–$276.48	—	60%
Total IgE blood test CPT 82785 IgE (immune system protein) level	$10.00	$25.00	$5.23–$70.57	88% below	60%
Total IgE blood test inpatient CPT 82785 IgE (immune system protein) level	$10.00	$25.00	$5.23–$70.57	—	60%
Total cholesterol blood test CPT 82465 Cholesterol level	$58.80	$147.00	$3.65–$105.84	3% above	60%
Total cholesterol blood test inpatient CPT 82465 Cholesterol level	$58.80	$147.00	$3.65–$105.84	—	60%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical) total	$78.80	$197.00	$5.77–$141.84	2% below	60%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (thyroid chemical) total	$78.80	$197.00	$5.77–$141.84	—	60%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone T3 measurement total	$136.00	$340.00	$11.91–$244.80	9% above	60%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid hormone T3 measurement total	$136.00	$340.00	$11.91–$244.80	—	60%
Transferrin blood test CPT 84466 Transferrin (iron binding protein) level	$113.60	$284.00	$10.72–$204.48	5% below	60%
Transferrin blood test inpatient CPT 84466 Transferrin (iron binding protein) level	$113.60	$284.00	$10.72–$204.48	—	60%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite) amplified probe technique	$71.20	$178.00	$26.91–$150.44	19% below	60%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite) amplified probe technique	$71.20	$178.00	$26.91–$150.44	—	60%
Triglycerides blood test CPT 84478 Triglycerides level	$74.80	$187.00	$4.82–$134.64	2% above	60%
Triglycerides blood test inpatient CPT 84478 Triglycerides level	$74.80	$187.00	$4.82–$134.64	—	60%
Troponin test, quantitative CPT 84484 Troponin (protein) analysis quantitative	$182.00	$455.00	$10.47–$327.60	50% above	60%
Troponin test, quantitative inpatient CPT 84484 Troponin (protein) analysis quantitative	$182.00	$455.00	$10.47–$327.60	—	60%
Uric acid blood test CPT 84550 Uric acid level blood	$66.40	$166.00	$3.80–$119.52	15% below	60%
Uric acid blood test inpatient CPT 84550 Uric acid level blood	$66.40	$166.00	$3.80–$119.52	—	60%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope automated	$79.20	$198.00	$2.66–$142.56	25% below	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test with examination using microscope automated	$79.20	$198.00	$2.66–$142.56	—	60%
Urinalysis with microscope exam, manual CPT 81000 Manual urinalysis test with examination using microscope non-automated	$45.20	$113.00	$3.38–$81.36	15% above	60%
Urinalysis with microscope exam, manual inpatient CPT 81000 Manual urinalysis test with examination using microscope non-automated	$45.20	$113.00	$3.38–$81.36	—	60%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test	$52.80	$132.00	$1.89–$95.04	5% above	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 Automated urinalysis test	$52.80	$132.00	$1.89–$95.04	—	60%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis manual test	$30.00	$75.00	$2.92–$54.00	4% below	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis manual test	$30.00	$75.00	$2.92–$54.00	—	60%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count urine	$114.00	$285.00	$6.78–$205.20	12% below	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count urine	$114.00	$285.00	$6.78–$205.20	—	60%
Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level	$84.80	$212.00	$4.86–$152.64	66% above	60%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine microalbumin (protein) level	$84.80	$212.00	$4.86–$152.64	—	60%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$74.80	$187.00	$7.23–$134.64	9% below	60%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$74.80	$187.00	$7.23–$134.64	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level	$136.00	$340.00	$12.67–$244.80	50% above	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (vitamin B-12) level	$136.00	$340.00	$12.67–$244.80	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$202.40	$506.00	$24.86–$364.32	68% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$202.40	$506.00	$24.86–$364.32	—	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D 1 25 level	$31.60	$79.00	$16.51–$165.03	80% below	60%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxyvitamin D 1 25 level	$31.60	$79.00	$16.51–$165.03	—	60%
Zinc blood test CPT 84630 Zinc level	$98.40	$246.00	$9.57–$177.12	44% above	60%
Zinc blood test inpatient CPT 84630 Zinc level	$98.40	$246.00	$9.57–$177.12	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin chorionic (reproductive hormone) level	$202.00	$505.00	$12.64–$363.60	80% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin chorionic (reproductive hormone) level	$202.00	$505.00	$12.64–$363.60	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve 1 disc	$28,210.56	$70,526.39	$7,344.31–$52,894.79	302% above	60%
Appendectomy, open surgery CPT 44950 Appendectomy	$26,212.90	$65,532.25	$1,209.12–$49,149.19	353% above	60%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Repair of anterior cruciate ligament of knee using an endoscope	$18,153.74	$45,384.35	$3,465.05–$34,038.26	150% above	60%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Repair of anterior cruciate ligament of knee using an endoscope\|RIGHT SIDE	$16,694.62	$41,736.56	$3,465.05–$34,038.26	130% above	60%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Repair of anterior cruciate ligament of knee using an endoscope\|LEFT SIDE	$16,887.42	$42,218.55	$3,465.05–$34,038.26	133% above	60%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope	$4,204.80	$10,512.00	$1,589.41–$8,497.01	14% below	60%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope	$14,319.94	$35,799.85	$2,518.45–$27,674.30	192% above	60%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Repair of shoulder rotator cuff using an endoscope\|LEFT SIDE	$13,903.52	$34,758.79	$2,518.45–$27,674.30	184% above	60%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Repair of shoulder rotator cuff using an endoscope\|RIGHT SIDE	$14,759.62	$36,899.06	$2,518.45–$27,674.30	201% above	60%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Repair of shoulder rotator cuff using an endoscope	$4,204.80	$10,512.00	$1,589.41–$8,497.01	—	60%
Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	$675.20	$1,688.00	$65.45–$1,364.44	21% above	60%
Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	$3,557.01	$8,892.52	$65.45–$8,381.03	539% above	60%
Botox injections for chronic migraine one side CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face\|RIGHT SIDE	$1,734.32	$4,335.79	$65.45–$8,381.03	211% above	60%
Botox injections for chronic migraine inpatient CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	$675.20	$1,688.00	$65.45–$1,364.44	—	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle first growth	$3,156.80	$7,892.00	$510.77–$5,682.24	10% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle first growth	$4,054.54	$10,136.34	$112.19–$8,165.51	16% above	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle first growth\|RIGHT SIDE	$4,354.94	$10,887.34	$112.19–$8,165.51	25% above	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle first growth\|LEFT SIDE	$4,354.94	$10,887.34	$112.19–$8,165.51	25% above	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle first growth	$3,156.80	$7,892.00	$510.77–$5,682.24	—	60%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle	$270.80	$677.00	$94.24–$547.23	42% below	60%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle	$10,332.48	$25,831.20	$327.77–$36,594.12	2117% above	60%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed treatment of broken outside lower leg bone at ankle	$270.80	$677.00	$94.24–$547.23	—	60%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot	$255.60	$639.00	$94.24–$516.51	9% below	60%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot	$11,938.64	$29,846.60	$165.62–$36,594.12	4165% above	60%
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 Closed treatment of broken bone in forefoot or midfoot\|LEFT SIDE	$10,169.96	$25,424.89	$165.62–$36,594.12	3533% above	60%
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 Closed treatment of broken bone in forefoot or midfoot\|RIGHT SIDE	$12,031.39	$30,078.47	$165.62–$36,594.12	4198% above	60%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed treatment of broken bone in forefoot or midfoot	$255.60	$639.00	$94.24–$516.51	—	60%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$16,739.71	$41,849.28	$1,142.68–$31,386.96	307% above	60%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot\|LEFT SIDE	$8,943.62	$22,359.06	$1,142.68–$31,386.96	117% above	60%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$6,199.80	$15,499.50	$1,142.68–$47,297.60	50% above	60%
Bunion correction with removal of part of the big toe joint one side CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base\|LEFT SIDE	$8,877.07	$22,192.68	$1,142.68–$47,297.60	115% above	60%
Bunion correction with removal of part of the big toe joint one side CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base\|RIGHT SIDE	$16,096.06	$40,240.15	$1,142.68–$47,297.60	290% above	60%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	$13,185.20	$32,963.00	$4,331.92–$26,644.49	18% above	60%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	$13,185.20	$32,963.00	$4,331.92–$26,644.49	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat	$1,126.40	$2,816.00	$425.78–$2,276.22	15% below	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat	$1,126.40	$2,816.00	$425.78–$2,276.22	—	60%
Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of hand nerve	$10,116.97	$25,292.42	$692.94–$18,969.32	251% above	60%
Carpal tunnel release, open surgery one side CPT 64721 Release and/or relocation of hand nerve\|LEFT SIDE	$5,498.23	$13,745.57	$692.94–$18,969.32	91% above	60%
Carpal tunnel release, open surgery one side CPT 64721 Release and/or relocation of hand nerve\|RIGHT SIDE	$5,700.00	$14,249.99	$692.94–$18,969.32	98% above	60%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens	$4,054.00	$10,135.00	$892.44–$7,297.20	at median	60%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens	$15,440.01	$38,600.02	$892.44–$28,950.02	281% above	60%
Cataract surgery with lens implant one side CPT 66984 Removal of cataract with insertion of prosthetic lens\|RIGHT SIDE	$12,998.76	$32,496.90	$892.44–$28,950.02	221% above	60%
Cataract surgery with lens implant one side CPT 66984 Removal of cataract with insertion of prosthetic lens\|LEFT SIDE	$13,054.58	$32,636.46	$892.44–$28,950.02	222% above	60%
Cataract surgery with lens implant inpatient CPT 66984 Removal of cataract with insertion of prosthetic lens	$4,054.00	$10,135.00	$892.44–$7,297.20	—	60%
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation	$37,749.20	$94,373.00	$14,269.20–$76,283.11	5% above	60%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation	$37,749.20	$94,373.00	$14,269.20–$76,283.11	—	60%
Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth	$455.20	$1,138.00	$100.92–$919.86	61% below	60%
Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth	$1,354.00	$3,385.00	$97.46–$2,736.15	17% above	60%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix or removal of growth	$455.20	$1,138.00	$100.92–$919.86	—	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days)	$6,270.29	$15,675.72	$685.44–$11,756.79	85% above	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days)	$6,337.20	$15,843.00	$721.08–$12,806.13	87% above	60%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Removal of foreskin (older than 28 days)	$6,337.20	$15,843.00	$721.08–$12,806.13	—	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device	$1,232.40	$3,081.00	$643.93–$3,489.87	at median	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device	$6,077.12	$15,192.79	$685.44–$11,394.59	394% above	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of foreskin using clamp or device	$1,232.40	$3,081.00	$643.93–$3,489.87	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation	$422.40	$1,056.00	$94.24–$853.58	6% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation	$422.40	$1,056.00	$94.24–$853.58	—	60%
Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound exam of large bowel using a flexible endoscope	$2,088.80	$5,222.00	$474.16–$4,221.02	144% above	60%
Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound exam of large bowel using a flexible endoscope	$18,393.10	$45,982.76	$892.44–$34,487.07	2046% above	60%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Ultrasound exam of large bowel using a flexible endoscope	$2,088.80	$5,222.00	$474.16–$4,221.02	—	60%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$2,158.00	$5,395.00	$474.16–$4,360.86	80% above	60%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$5,038.21	$12,595.52	$474.16–$10,181.15	321% above	60%
Colonoscopy with polyp removal inpatient CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$2,158.00	$5,395.00	$474.16–$4,360.86	—	60%
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope	$1,818.80	$4,547.00	$474.16–$3,675.41	52% above	60%
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope	$4,702.33	$11,755.83	$450.72–$24,626.81	293% above	60%
Colonoscopy with tissue sample one side CPT 45380 Biopsy of large bowel using a flexible endoscope\|LEFT SIDE	$13,134.30	$32,835.75	$450.72–$24,626.81	998% above	60%
Colonoscopy with tissue sample inpatient CPT 45380 Biopsy of large bowel using a flexible endoscope	$1,818.80	$4,547.00	$474.16–$3,675.41	—	60%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$1,507.60	$3,769.00	$344.93–$2,713.68	2% below	60%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$2,183.56	$5,458.89	$362.86–$4,412.50	42% above	60%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$1,507.60	$3,769.00	$344.93–$2,713.68	—	60%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix using an endoscope with loop electrode	$1,338.80	$3,347.00	$192.66–$2,705.43	62% below	60%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix using an endoscope with loop electrode	$2,442.22	$6,105.54	$192.66–$4,935.20	31% below	60%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Biopsy of cervix using an endoscope with loop electrode	$1,338.80	$3,347.00	$192.66–$2,705.43	—	60%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope	$319.20	$798.00	$71.87–$645.04	9% above	60%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope	$1,273.20	$3,183.00	$71.87–$2,572.87	336% above	60%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Biopsy and scraping of cervix using an endoscope	$319.20	$798.00	$71.87–$645.04	—	60%
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$20,872.34	$52,180.84	$892.44–$39,135.63	374% above	60%
Complex cataract surgery with lens implant one side CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp\|LEFT SIDE	$13,867.11	$34,667.78	$892.44–$39,135.63	215% above	60%
Complex cataract surgery with lens implant one side CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp\|RIGHT SIDE	$13,896.43	$34,741.08	$892.44–$39,135.63	216% above	60%
Coronary stent placement, one artery CPT 92928 Insertion of stents for 1 lesion with balloon dilation of coronary artery or branch single artery and/or its branch(es)	$22,595.60	$56,489.00	$8,541.14–$45,660.91	93% above	60%
Coronary stent placement, one artery inpatient CPT 92928 Insertion of stents for 1 lesion with balloon dilation of coronary artery or branch single artery and/or its branch(es)	$22,595.60	$56,489.00	$8,541.14–$45,660.91	—	60%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in ureter using an endoscope	$3,598.80	$8,997.00	$1,262.45–$7,272.41	17% below	60%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in ureter using an endoscope	$17,795.47	$44,488.67	$1,200.05–$40,539.48	310% above	60%
Cystoscopy with ureteral stent placement one side CPT 52332 Insertion of stent in ureter using an endoscope\|RIGHT SIDE	$9,559.71	$23,899.28	$1,200.05–$40,539.48	120% above	60%
Cystoscopy with ureteral stent placement one side CPT 52332 Insertion of stent in ureter using an endoscope\|LEFT SIDE	$10,243.51	$25,608.78	$1,200.05–$40,539.48	136% above	60%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Insertion of stent in ureter using an endoscope	$3,598.80	$8,997.00	$1,262.45–$7,272.41	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope	$2,196.40	$5,491.00	$250.06–$3,953.52	98% above	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope	$2,611.76	$6,529.39	$1.89–$5,277.80	135% above	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Diagnostic exam of bladder and urethra using an endoscope	$2,196.40	$5,491.00	$250.06–$3,953.52	—	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus	$2,653.60	$6,634.00	$1,003.06–$5,362.36	35% below	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$8,481.40	$21,203.50	$1,116.70–$15,902.63	109% above	60%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and scraping of uterus	$2,653.60	$6,634.00	$1,003.06–$5,362.36	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth 1 growth	$301.20	$753.00	$113.85–$608.66	51% above	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth 1 growth	$652.00	$1,630.00	$246.46–$1,317.55	227% above	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of precancer skin growth 1 growth	$301.20	$753.00	$113.85–$608.66	—	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$11,782.48	$29,456.19	$441.67–$22,092.14	246% above	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy General Anesthesia\|LEFT SIDE	$11,687.08	$29,217.71	$441.67–$22,092.14	244% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	$861.20	$2,153.00	$129.97–$1,740.30	10% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	$1,674.56	$4,186.40	$24.65–$4,617.44	115% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia\|RIGHT SIDE	$998.94	$2,497.35	$24.65–$4,617.44	28% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia\|LEFT SIDE	$1,620.94	$4,052.35	$24.65–$4,617.44	108% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	$861.20	$2,153.00	$129.97–$1,740.30	—	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing	$312.00	$780.00	$117.94–$2,345.73	180% above	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing	$315.20	$788.00	$119.15–$636.95	183% above	60%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal of impacted ear wax by washing\|LEFT SIDE	$358.00	$895.00	$117.94–$2,345.73	222% above	60%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal of impacted ear wax by washing\|RIGHT SIDE	$460.03	$1,150.08	$117.94–$2,345.73	313% above	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing	$315.20	$788.00	$119.15–$636.95	—	60%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax	$105.20	$263.00	$39.77–$212.59	15% below	60%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax	$557.20	$1,393.00	$75.75–$1,125.98	349% above	60%
Earwax removal with instruments, one ear one side CPT 69210 Removal of impacted ear wax\|LEFT SIDE	$305.60	$764.00	$75.75–$1,125.98	146% above	60%
Earwax removal with instruments, one ear one side CPT 69210 Removal of impacted ear wax\|RIGHT SIDE	$305.60	$764.00	$75.75–$1,125.98	146% above	60%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax	$105.20	$263.00	$39.77–$212.59	—	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus	$206.00	$515.00	$50.77–$416.28	44% below	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus	$1,145.60	$2,864.00	$6.32–$2,315.01	211% above	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of lining of uterus	$206.00	$515.00	$50.77–$416.28	—	60%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$16,758.16	$41,895.40	$1,711.63–$31,421.55	228% above	60%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy\|LEFT SIDE	$12,229.54	$30,573.84	$1,711.63–$31,421.55	139% above	60%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy\|RIGHT SIDE	$14,804.30	$37,010.76	$1,711.63–$31,421.55	190% above	60%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$18,401.23	$46,003.08	$1,711.63–$39,633.61	260% above	60%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus\|RIGHT SIDE	$17,467.02	$43,667.55	$1,711.63–$39,633.61	242% above	60%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus\|LEFT SIDE	$21,137.92	$52,844.81	$1,711.63–$39,633.61	314% above	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Incision of nasal sinus using an endoscope	$294.58	$736.44	$111.35–$30,898.35	91% below	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Incision of nasal sinus using an endoscope	$5,834.40	$14,586.00	$1,115.35–$10,501.92	70% above	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Incision of nasal sinus using an endoscope\|LEFT SIDE	$5,834.40	$14,586.00	$1,115.35–$10,501.92	70% above	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Incision of nasal sinus using an endoscope\|RIGHT SIDE	$12,429.08	$31,072.69	$111.35–$30,898.35	262% above	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Incision of nasal sinus using an endoscope\|LEFT SIDE	$13,293.74	$33,234.34	$111.35–$30,898.35	288% above	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Incision of nasal sinus using an endoscope	$5,834.40	$14,586.00	$1,115.35–$10,501.92	—	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient one side CPT 31256 Incision of nasal sinus using an endoscope\|LEFT SIDE	$5,834.40	$14,586.00	$1,115.35–$10,501.92	—	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Removal of nasal sinus tissue using an endoscope	$10,954.40	$27,386.00	$1,711.63–$19,717.92	124% above	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Removal of nasal sinus tissue using an endoscope	$17,208.06	$43,020.16	$1,711.63–$34,726.95	252% above	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Removal of nasal sinus tissue using an endoscope\|RIGHT SIDE	$13,959.35	$34,898.37	$1,711.63–$34,726.95	186% above	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Removal of nasal sinus tissue using an endoscope\|LEFT SIDE	$15,884.79	$39,711.97	$1,711.63–$34,726.95	225% above	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Removal of nasal sinus tissue using an endoscope	$10,954.40	$27,386.00	$1,711.63–$19,717.92	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance	$1,858.80	$4,647.00	$276.00–$3,345.84	31% above	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance	$1,998.94	$4,997.36	$6.53–$4,039.44	41% above	60%
Epidural steroid injection, neck or mid back, with imaging guidance one side CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance\|LEFT SIDE	$1,169.98	$2,924.95	$6.53–$4,039.44	17% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance one side CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance\|RIGHT SIDE	$2,094.37	$5,235.93	$6.53–$4,039.44	48% above	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance	$1,858.80	$4,647.00	$276.00–$3,345.84	—	60%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of drug into eye	$299.20	$748.00	$53.52–$604.62	43% below	60%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of drug into eye	$1,710.72	$4,276.80	$53.52–$3,505.23	223% above	60%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Injection of drug into eye	$299.20	$748.00	$53.52–$604.62	—	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance single level	$1,581.60	$3,954.00	$357.81–$2,846.88	9% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance single level	$2,998.97	$7,497.42	$6.32–$6,060.28	73% above	60%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance single level\|LEFT SIDE	$2,826.05	$7,065.13	$6.32–$6,060.28	63% above	60%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance single level\|RIGHT SIDE	$2,835.46	$7,088.66	$6.32–$6,060.28	63% above	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance single level	$1,581.60	$3,954.00	$357.81–$2,846.88	—	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen 3-10 cm in length	$6,082.00	$15,205.00	$1,271.99–$12,290.43	10% below	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen 3-10 cm in length	$10,147.54	$25,368.84	$1,209.12–$37,241.09	50% above	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm one side CPT 49593 Initial repair of sliding hernia of abdomen 3-10 cm in length\|LEFT SIDE	$17,107.10	$42,767.76	$1,209.12–$37,241.09	152% above	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm one side CPT 49593 Initial repair of sliding hernia of abdomen 3-10 cm in length\|RIGHT SIDE	$19,861.92	$49,654.79	$1,209.12–$37,241.09	193% above	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Initial repair of sliding hernia of abdomen 3-10 cm in length	$6,082.00	$15,205.00	$1,271.99–$12,290.43	—	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Initial repair of sliding hernia of abdomen more than 10 cm in length	$6,082.00	$15,205.00	$1,271.99–$12,290.43	33% below	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Initial repair of sliding hernia of abdomen more than 10 cm in length	$17,469.94	$43,674.86	$1,209.12–$32,756.15	93% above	60%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Initial repair of sliding hernia of abdomen more than 10 cm in length	$6,082.00	$15,205.00	$1,271.99–$12,290.43	—	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen less than 3 cm in length	$6,082.00	$15,205.00	$1,271.99–$12,290.43	7% above	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen less than 3 cm in length	$6,910.52	$17,276.30	$1,209.12–$23,092.70	22% above	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm one side CPT 49591 Initial repair of sliding hernia of abdomen less than 3 cm in length\|LEFT SIDE	$12,316.11	$30,790.27	$1,209.12–$23,092.70	117% above	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Initial repair of sliding hernia of abdomen less than 3 cm in length	$6,082.00	$15,205.00	$1,271.99–$12,290.43	—	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$1,105.60	$2,764.00	$144.34–$2,234.18	43% above	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$2,120.83	$5,302.07	$144.34–$4,285.74	175% above	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$1,105.60	$2,764.00	$144.34–$2,234.18	—	60%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$9,965.16	$24,912.90	$1,983.29–$34,261.83	22% above	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of gallbladder with X-ray study of bile ducts using an endoscope	$14,505.68	$36,264.21	$1,983.29–$27,198.16	75% above	60%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$18,973.44	$47,433.59	$1,696.52–$38,341.28	491% above	60%
Hammertoe correction surgery CPT 28285 Correction of toe joint deformity	$14,959.08	$37,397.71	$1,142.68–$28,048.28	328% above	60%
Hammertoe correction surgery one side CPT 28285 Correction of toe joint deformity\|RIGHT SIDE	$5,669.82	$14,174.55	$1,142.68–$28,048.28	62% above	60%
Hammertoe correction surgery one side CPT 28285 Correction of toe joint deformity\|LEFT SIDE	$8,231.97	$20,579.93	$1,142.68–$28,048.28	135% above	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding	$743.20	$1,858.00	$180.73–$1,501.85	17% below	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding	$8,663.13	$21,657.82	$171.80–$16,243.37	872% above	60%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Removal of external hemorrhoids by rubber banding	$743.20	$1,858.00	$180.73–$1,501.85	—	60%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$8,438.98	$21,097.44	$986.93–$15,823.08	132% above	60%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$31,154.06	$77,885.15	$41.85–$82,548.73	767% above	60%
Hip replacement after an earlier hip surgery (conversion to total hip) one side CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft\|RIGHT SIDE	$40,849.78	$102,124.46	$41.85–$82,548.73	1037% above	60%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$24,870.02	$62,175.04	$1,209.12–$46,631.28	494% above	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$233.60	$584.00	$88.30–$472.06	38% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$827.66	$2,069.16	$312.86–$1,672.53	120% above	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$233.60	$584.00	$88.30–$472.06	—	60%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$11,670.28	$29,175.71	$1,603.34–$21,881.78	97% above	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope	$3,197.60	$7,994.00	$1,174.76–$6,461.67	33% below	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope	$8,646.36	$21,615.90	$7.11–$16,211.93	82% above	60%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope	$3,197.60	$7,994.00	$1,174.76–$6,461.67	—	60%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention	$307.20	$768.00	$116.12–$620.79	19% below	60%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of IUD for pregnancy prevention	$307.20	$768.00	$116.12–$620.79	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$378.80	$947.00	$71.87–$765.47	10% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$687.88	$1,719.71	$7.95–$13,201.02	64% above	60%
Incision and drainage of a simple or single skin abscess one side CPT 10060 Simple or single drainage of skin abscess\|RIGHT SIDE	$1,313.81	$3,284.53	$7.95–$13,201.02	213% above	60%
Incision and drainage of a simple or single skin abscess one side CPT 10060 Simple or single drainage of skin abscess\|LEFT SIDE	$7,040.54	$17,601.36	$7.95–$13,201.02	1580% above	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess	$378.80	$947.00	$71.87–$765.47	—	60%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older)	$9,728.24	$24,320.61	$1,209.12–$23,572.07	57% above	60%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Repair of groin hernia (5 years or older)\|LEFT SIDE	$8,352.70	$20,881.75	$1,209.12–$23,572.07	34% above	60%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Repair of groin hernia (5 years or older)\|RIGHT SIDE	$8,677.50	$21,693.74	$1,209.12–$23,572.07	40% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$255.60	$639.00	$26.00–$516.51	36% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$654.21	$1,635.53	$26.00–$1,322.02	63% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 Injection into tendon or ligament\|RIGHT SIDE	$485.77	$1,214.43	$26.00–$1,322.02	21% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 Injection into tendon or ligament\|LEFT SIDE	$631.31	$1,578.27	$26.00–$1,322.02	58% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament	$255.60	$639.00	$26.00–$516.51	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint	$319.60	$799.00	$29.36–$575.28	46% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint	$1,112.98	$2,782.45	$29.36–$2,249.10	88% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Aspiration and/or injection of fluid from large joint\|RIGHT SIDE	$795.01	$1,987.52	$29.36–$2,249.10	34% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Aspiration and/or injection of fluid from large joint\|LEFT SIDE	$795.90	$1,989.76	$29.36–$2,249.10	34% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint	$319.60	$799.00	$29.36–$575.28	—	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue	$305.20	$763.00	$51.23–$616.74	27% above	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue	$3,364.36	$8,410.91	$51.23–$6,798.66	1302% above	60%
Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 Insertion of drug delivery implant into tissue\|LEFT SIDE	$1,669.49	$4,173.73	$51.23–$6,798.66	596% above	60%
Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 Insertion of drug delivery implant into tissue\|RIGHT SIDE	$3,029.30	$7,573.26	$51.23–$6,798.66	1162% above	60%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion of drug delivery implant into tissue	$305.20	$763.00	$51.23–$616.74	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint	$264.80	$662.00	$24.72–$476.64	55% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint	$741.10	$1,852.76	$24.72–$1,951.31	26% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Aspiration and/or injection of fluid from medium joint\|RIGHT SIDE	$758.17	$1,895.43	$24.72–$1,951.31	29% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Aspiration and/or injection of fluid from medium joint\|LEFT SIDE	$782.82	$1,957.06	$24.72–$1,951.31	33% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint	$264.80	$662.00	$24.72–$476.64	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint	$259.20	$648.00	$25.07–$523.79	38% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint	$1,141.32	$2,853.31	$25.07–$2,306.37	171% above	60%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Aspiration and/or injection of fluid from small joint\|LEFT SIDE	$756.53	$1,891.33	$25.07–$2,306.37	80% above	60%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Aspiration and/or injection of fluid from small joint\|RIGHT SIDE	$921.69	$2,304.23	$25.07–$2,306.37	119% above	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint	$259.20	$648.00	$25.07–$523.79	—	60%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral	$21,966.81	$54,917.02	$3,465.05–$41,187.77	283% above	60%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral\|LEFT SIDE	$16,344.38	$40,860.94	$3,465.05–$41,187.77	185% above	60%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral\|RIGHT SIDE	$19,836.66	$49,591.66	$3,465.05–$41,187.77	245% above	60%
Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope	$9,973.06	$24,932.65	$1,142.68–$26,903.15	69% above	60%
Knee arthroscopy with meniscus trim one side CPT 29881 Removal of knee cartilage using an endoscope\|LEFT SIDE	$8,269.14	$20,672.84	$1,142.68–$26,903.15	40% above	60%
Knee arthroscopy with meniscus trim one side CPT 29881 Removal of knee cartilage using an endoscope\|RIGHT SIDE	$14,348.34	$35,870.86	$1,142.68–$26,903.15	143% above	60%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving	$7,647.12	$19,117.81	$1,142.68–$29,939.91	34% above	60%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving\|RIGHT SIDE	$7,432.89	$18,582.23	$1,142.68–$29,939.91	30% above	60%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving\|LEFT SIDE	$15,967.95	$39,919.88	$1,142.68–$29,939.91	180% above	60%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg	$9,513.54	$23,783.84	$1,142.68–$17,837.88	102% above	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope	$8,627.60	$21,569.00	$3,261.23–$17,434.55	22% above	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope	$12,825.26	$32,063.16	$4,847.95–$25,917.13	81% above	60%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Removal of appendix using an endoscope	$8,627.60	$21,569.00	$3,261.23–$17,434.55	—	60%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$23,548.84	$58,872.11	$8,901.46–$47,587.21	110% above	60%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$20,317.78	$50,794.46	$3,265.51–$38,095.85	148% above	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Removal of uterus tubes and/or ovaries through abdomen using an endoscope 250.0 g or less	$20,254.32	$50,635.81	$3,265.51–$48,961.28	88% above	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries one side CPT 58571 Removal of uterus tubes and/or ovaries through abdomen using an endoscope 250.0 g or less\|LEFT SIDE	$18,783.88	$46,959.69	$3,265.51–$48,961.28	75% above	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries one side CPT 58571 Removal of uterus tubes and/or ovaries through abdomen using an endoscope 250.0 g or less\|RIGHT SIDE	$25,176.34	$62,940.86	$3,265.51–$48,961.28	134% above	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$17,107.10	$42,767.76	$1,983.29–$32,122.67	38% above	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|RIGHT SIDE	$15,692.15	$39,230.37	$1,983.29–$32,122.67	26% above	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$15,645.63	$39,114.08	$1,983.29–$32,848.76	91% above	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia\|LEFT SIDE	$14,325.04	$35,812.59	$1,983.29–$32,848.76	75% above	60%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laps Gastric Restrictive Px Remove Device & Port	$23,353.11	$58,382.78	$593.22–$43,787.09	506% above	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope	$8,627.60	$21,569.00	$1,983.29–$15,529.68	at median	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope	$11,849.04	$29,622.59	$1,983.29–$27,985.20	38% above	60%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Removal of ovaries and/or tubes using an endoscope\|LEFT SIDE	$14,273.46	$35,683.66	$1,983.29–$27,985.20	66% above	60%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Removal of ovaries and/or tubes using an endoscope\|RIGHT SIDE	$14,925.44	$37,313.60	$1,983.29–$27,985.20	73% above	60%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Removal of ovaries and/or tubes using an endoscope	$8,627.60	$21,569.00	$1,983.29–$15,529.68	—	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser	$958.80	$2,397.00	$230.12–$1,937.53	28% below	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser	$1,159.20	$2,898.00	$230.12–$2,342.50	13% below	60%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Removal of recurring cataract in lens capsule using a laser	$958.80	$2,397.00	$230.12–$1,937.53	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp underarms trunk arms or legs 2.5 cm or less	$249.60	$624.00	$130.42–$764.91	53% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp underarms trunk arms or legs 2.5 cm or less	$1,611.82	$4,029.55	$97.46–$10,543.70	205% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 Intermediate repair of wound of scalp underarms trunk arms or legs 2.5 cm or less\|RIGHT SIDE	$1,488.28	$3,720.71	$97.46–$10,543.70	182% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 Intermediate repair of wound of scalp underarms trunk arms or legs 2.5 cm or less\|LEFT SIDE	$5,623.30	$14,058.26	$97.46–$10,543.70	964% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp underarms trunk arms or legs 2.5 cm or less	$249.60	$624.00	$130.42–$764.91	—	60%
Left heart catheterization, diagnostic one side CPT 93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	$7,007.60	$17,519.00	$2,648.87–$14,160.87	25% below	60%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	$7,007.60	$17,519.00	$2,648.87–$14,160.87	—	60%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance	$1,858.80	$4,647.00	$276.00–$3,345.84	11% above	60%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance	$2,032.80	$5,082.00	$5.43–$16,668.08	21% above	60%
Lower-back epidural injection, with imaging guidance one side CPT 62323 Injection of substance into lower spine canal using imaging guidance\|LEFT SIDE	$2,088.85	$5,222.13	$5.43–$16,668.08	25% above	60%
Lower-back epidural injection, with imaging guidance one side CPT 62323 Injection of substance into lower spine canal using imaging guidance\|RIGHT SIDE	$2,143.27	$5,358.17	$5.43–$16,668.08	28% above	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of substance into lower spine canal using imaging guidance	$1,858.80	$4,647.00	$276.00–$3,345.84	—	60%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal	$1,858.80	$4,647.00	$290.36–$3,756.24	51% above	60%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal	$1,982.52	$4,956.30	$58.36–$16,668.08	61% above	60%
Lower-back epidural injection, without imaging guidance one side CPT 62322 Injection of substance into lower spine canal\|LEFT SIDE	$154.40	$386.00	$58.36–$16,668.08	87% below	60%
Lower-back epidural injection, without imaging guidance one side CPT 62322 Injection of substance into lower spine canal\|RIGHT SIDE	$958.57	$2,396.43	$58.36–$16,668.08	22% below	60%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of substance into lower spine canal	$1,858.80	$4,647.00	$290.36–$3,756.24	—	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance single level	$1,066.40	$2,666.00	$357.81–$1,919.52	28% below	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance single level	$1,190.38	$2,975.95	$38.10–$16,504.14	19% below	60%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance single level\|LEFT SIDE	$1,873.77	$4,684.42	$38.10–$16,504.14	27% above	60%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance single level\|RIGHT SIDE	$1,893.96	$4,734.89	$38.10–$16,504.14	29% above	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance single level	$1,066.40	$2,666.00	$357.81–$1,919.52	—	60%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc	$13,815.62	$34,539.05	$2,518.45–$27,401.04	57% above	60%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc\|RIGHT SIDE	$12,866.36	$32,165.89	$2,518.45–$27,401.04	46% above	60%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc\|LEFT SIDE	$13,410.11	$33,525.28	$2,518.45–$27,401.04	53% above	60%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar	$45,227.69	$113,069.22	$2,518.45–$84,801.92	120% above	60%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis Posterior Interbody 1 Ntrspc Lumbar	$41,239.68	$103,099.20	$3,847.13–$83,336.63	409% above	60%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Partial removal of spine bone with release of lower spinal cord and/or nerves 1 segment	$24,756.84	$61,892.11	$2,518.45–$46,419.08	179% above	60%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 Partial removal of spine bone with release of lower spinal cord and/or nerves 1 segment\|RIGHT SIDE	$16,087.38	$40,218.46	$2,518.45–$46,419.08	82% above	60%
Lumbar spinal fusion (posterior), one level CPT 22612 Fusion of spine in lower back	$47,245.84	$118,114.60	$7,403.82–$88,585.95	344% above	60%
Lumpectomy (partial mastectomy) CPT 19301 Partial removal of breast	$13,513.10	$33,782.74	$1,011.84–$28,369.77	214% above	60%
Lumpectomy (partial mastectomy) one side CPT 19301 Partial removal of breast\|RIGHT SIDE	$12,865.23	$32,163.07	$1,011.84–$28,369.77	199% above	60%
Lumpectomy (partial mastectomy) one side CPT 19301 Partial removal of breast\|LEFT SIDE	$15,130.54	$37,826.36	$1,011.84–$28,369.77	251% above	60%
Mastectomy (total removal of the breast) CPT 19303 Simple complete removal of breast	$25,158.36	$62,895.89	$1,937.47–$85,360.58	316% above	60%
Mastectomy (total removal of the breast) one side CPT 19303 Simple complete removal of breast\|LEFT SIDE	$21,856.49	$54,641.23	$1,937.47–$85,360.58	261% above	60%
Mastectomy (total removal of the breast) one side CPT 19303 Simple complete removal of breast\|RIGHT SIDE	$23,952.25	$59,880.62	$1,937.47–$85,360.58	296% above	60%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of miscarriage during first trimester	$2,102.80	$5,257.00	$794.86–$4,249.31	42% below	60%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of miscarriage during first trimester	$6,882.27	$17,205.68	$97.46–$12,904.26	89% above	60%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Treatment of miscarriage during first trimester	$2,102.80	$5,257.00	$794.86–$4,249.31	—	60%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Removal and microscopic exam of growth of head neck hands feet or genitals 1-5 tissue blocks	$755.60	$1,889.00	$239.48–$1,526.91	40% below	60%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$8,743.52	$21,858.80	$227.64–$16,394.10	597% above	60%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Removal and microscopic exam of growth of head neck hands feet or genitals 1-5 tissue blocks	$755.60	$1,889.00	$239.48–$1,526.91	—	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body arms or legs 0.5 cm or less	$511.20	$1,278.00	$85.93–$1,033.03	37% below	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body arms or legs 0.5 cm or less	$921.29	$2,303.23	$81.68–$23,255.32	14% above	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 Removal of noncancer skin growth of body arms or legs 0.5 cm or less\|LEFT SIDE	$12,402.84	$31,007.09	$81.68–$23,255.32	1439% above	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal of noncancer skin growth of body arms or legs 0.5 cm or less	$511.20	$1,278.00	$85.93–$1,033.03	—	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face ears eyelids nose lips or mouth 0.5 cm or less	$646.00	$1,615.00	$95.42–$1,305.43	25% below	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face ears eyelids nose lips or mouth 0.5 cm or less	$1,392.52	$3,481.29	$90.70–$13,334.66	62% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 Removal of noncancer skin growth of face ears eyelids nose lips or mouth 0.5 cm or less\|LEFT SIDE	$7,111.82	$17,779.54	$90.70–$13,334.66	727% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal of noncancer skin growth of face ears eyelids nose lips or mouth 0.5 cm or less	$646.00	$1,615.00	$95.42–$1,305.43	—	60%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed first nail	$229.60	$574.00	$86.79–$463.97	17% below	60%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed first nail	$613.41	$1,533.52	$38.10–$1,239.57	123% above	60%
Nail removal (partial or complete), one nail one side CPT 11730 Simple separation of fingernail or toenail from nail bed first nail\|LEFT SIDE	$338.18	$845.45	$38.10–$1,239.57	23% above	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed first nail	$229.60	$574.00	$86.79–$463.97	—	60%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve	$1,059.60	$2,649.00	$33.34–$2,141.23	148% above	60%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve	$2,407.61	$6,019.02	$38.10–$4,865.26	464% above	60%
Occipital nerve block (injection for headaches) one side CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve\|RIGHT SIDE	$2,135.17	$5,337.92	$38.10–$4,865.26	400% above	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve	$1,059.60	$2,649.00	$33.34–$2,141.23	—	60%
Pacemaker implant (dual chamber) CPT 33208 Insertion of pacemaker and upper and lower heart chamber electrode	$14,130.80	$35,327.00	$6,773.45–$34,486.51	26% below	60%
Pacemaker implant (dual chamber) CPT 33208 Insertion of pacemaker and upper and lower heart chamber electrode	$22,343.62	$55,859.05	$5.89–$41,894.29	18% above	60%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insertion of pacemaker and upper and lower heart chamber electrode	$14,130.80	$35,327.00	$6,773.45–$34,486.51	—	60%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$1,414.40	$3,536.00	$351.70–$2,545.92	3% below	60%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$2,212.86	$5,532.15	$4.70–$4,149.11	52% above	60%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$1,414.40	$3,536.00	$351.70–$2,545.92	—	60%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$16,563.55	$41,408.87	$6,590.52–$37,816.27	29% above	60%
Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt\|RIGHT SIDE	$17,435.24	$43,588.09	$6,590.52–$37,816.27	36% above	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$572.40	$1,431.00	$93.57–$1,156.70	20% above	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$907.82	$2,269.54	$38.10–$3,292.63	90% above	60%
Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Permanent removal fingernail or toenail\|LEFT SIDE	$920.31	$2,300.78	$38.10–$3,292.63	93% above	60%
Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Permanent removal fingernail or toenail\|RIGHT SIDE	$1,629.38	$4,073.45	$38.10–$3,292.63	241% above	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail	$572.40	$1,431.00	$93.57–$1,156.70	—	60%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	$26,981.64	$67,454.10	$3,265.51–$50,590.58	148% above	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance single facet joint	$3,288.00	$8,220.00	$728.97–$6,644.35	17% above	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance single facet joint	$5,383.89	$13,459.72	$38.10–$10,961.03	91% above	60%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance single facet joint\|RIGHT SIDE	$5,353.88	$13,384.71	$38.10–$10,961.03	90% above	60%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance single facet joint\|LEFT SIDE	$5,354.48	$13,386.21	$38.10–$10,961.03	90% above	60%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance single facet joint	$3,288.00	$8,220.00	$728.97–$6,644.35	—	60%
Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast duct or nipple	$2,881.60	$7,204.00	$1,064.46–$5,823.10	41% below	60%
Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast duct or nipple	$7,781.93	$19,454.83	$1,011.84–$15,468.56	58% above	60%
Removal of a breast lump, open surgery one side CPT 19120 Removal of growth and tissue of breast duct or nipple\|RIGHT SIDE	$6,906.25	$17,265.63	$1,011.84–$15,468.56	40% above	60%
Removal of a breast lump, open surgery one side CPT 19120 Removal of growth and tissue of breast duct or nipple\|LEFT SIDE	$8,249.90	$20,624.74	$1,011.84–$15,468.56	68% above	60%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of growth and tissue of breast duct or nipple	$2,881.60	$7,204.00	$1,064.46–$5,823.10	—	60%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue accessed beneath the skin simple	$2,180.80	$5,452.00	$95.42–$4,406.93	316% above	60%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue accessed beneath the skin simple	$3,300.00	$8,250.00	$32.98–$6,668.60	529% above	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue accessed beneath the skin simple	$2,180.80	$5,452.00	$95.42–$4,406.93	—	60%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$16,573.70	$41,434.25	$1,983.29–$31,075.69	113% above	60%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy\|RIGHT SIDE	$12,724.42	$31,811.04	$1,983.29–$31,075.69	64% above	60%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy\|LEFT SIDE	$13,028.92	$32,572.30	$1,983.29–$31,075.69	68% above	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$1,507.60	$3,769.00	$362.86–$3,046.54	93% above	60%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$1,507.60	$3,769.00	$362.86–$3,046.54	—	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk	$1,513.20	$3,783.00	$362.86–$3,057.86	30% above	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk	$1,513.20	$3,783.00	$362.86–$3,057.86	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Shock wave crushing of kidney stones	$5,730.90	$14,327.25	$1,200.05–$10,745.44	18% below	60%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast	$203.60	$509.00	$49.85–$411.43	27% below	60%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast	$765.06	$1,912.65	$49.85–$2,872.99	175% above	60%
Short arm cast (elbow to hand) one side CPT 29075 Application of elbow to finger cast\|LEFT SIDE	$725.60	$1,814.00	$49.85–$2,872.99	161% above	60%
Short arm cast (elbow to hand) one side CPT 29075 Application of elbow to finger cast\|RIGHT SIDE	$725.60	$1,814.00	$49.85–$2,872.99	161% above	60%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of elbow to finger cast	$203.60	$509.00	$49.85–$411.43	—	60%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint	$224.80	$562.00	$84.97–$454.27	at median	60%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint	$770.40	$1,926.00	$122.11–$1,556.81	242% above	60%
Short arm splint (forearm and hand) one side CPT 29125 Application of nonmoveable forearm to hand splint\|LEFT SIDE	$717.86	$1,794.65	$122.11–$1,556.81	219% above	60%
Short arm splint (forearm and hand) one side CPT 29125 Application of nonmoveable forearm to hand splint\|RIGHT SIDE	$749.86	$1,874.65	$122.11–$1,556.81	233% above	60%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint	$224.80	$562.00	$84.97–$454.27	—	60%
Short leg cast (below the knee) CPT 29405 Application of short leg cast	$195.20	$488.00	$43.11–$394.46	42% below	60%
Short leg cast (below the knee) CPT 29405 Application of short leg cast	$651.20	$1,628.00	$8.16–$2,505.60	92% above	60%
Short leg cast (below the knee) one side CPT 29405 Application of short leg cast\|RIGHT SIDE	$638.53	$1,596.33	$8.16–$2,505.60	88% above	60%
Short leg cast (below the knee) one side CPT 29405 Application of short leg cast\|LEFT SIDE	$638.53	$1,596.33	$8.16–$2,505.60	88% above	60%
Short leg cast (below the knee) inpatient CPT 29405 Application of short leg cast	$195.20	$488.00	$43.11–$394.46	—	60%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot	$234.80	$587.00	$37.92–$474.48	7% below	60%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot	$784.53	$1,961.33	$36.05–$2,243.07	211% above	60%
Short leg splint (calf to foot) one side CPT 29515 Application of short leg splint from calf to foot\|RIGHT SIDE	$784.53	$1,961.33	$36.05–$2,243.07	211% above	60%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot	$234.80	$587.00	$37.92–$474.48	—	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$13,798.51	$34,496.27	$2,518.45–$26,188.96	225% above	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|LEFT SIDE	$11,968.51	$29,921.27	$2,518.45–$26,188.96	182% above	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|RIGHT SIDE	$13,967.44	$34,918.61	$2,518.45–$26,188.96	229% above	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	$2,046.00	$5,115.00	$773.39–$4,134.53	61% below	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	$14,050.20	$35,125.49	$2,518.45–$27,674.30	168% above	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope\|LEFT SIDE	$13,798.51	$34,496.27	$2,518.45–$27,674.30	163% above	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope\|RIGHT SIDE	$14,759.62	$36,899.06	$2,518.45–$27,674.30	181% above	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	$2,046.00	$5,115.00	$773.39–$4,134.53	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp neck underarms trunk arms or legs 2.5 cm or less	$276.00	$690.00	$104.33–$557.74	24% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp neck underarms trunk arms or legs 2.5 cm or less	$2,461.82	$6,154.55	$106.73–$4,974.82	580% above	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp neck underarms trunk arms or legs 2.5 cm or less	$276.00	$690.00	$104.33–$557.74	—	60%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy first skin growth	$682.00	$1,705.00	$83.43–$1,227.60	63% above	60%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy first skin growth	$1,390.82	$3,477.04	$4.16–$5,632.86	233% above	60%
Skin biopsy, punch, one lesion one side CPT 11104 Punch biopsy first skin growth\|LEFT SIDE	$2,787.46	$6,968.65	$4.16–$5,632.86	567% above	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy first skin growth	$682.00	$1,705.00	$83.43–$1,227.60	—	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body arms or legs 0.5 cm or less	$1,628.80	$4,072.00	$124.47–$3,291.46	34% above	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body arms or legs 0.5 cm or less	$2,155.62	$5,389.05	$97.46–$4,356.05	78% above	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Removal of cancer skin growth of body arms or legs 0.5 cm or less	$1,628.80	$4,072.00	$124.47–$3,291.46	—	60%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag 1-15 skin tags	$112.00	$280.00	$42.34–$226.33	63% below	60%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag 1-15 skin tags	$425.62	$1,064.06	$160.89–$17,183.18	40% above	60%
Skin tag removal, up to 15 tags one side CPT 11200 Removal of skin tag 1-15 skin tags\|RIGHT SIDE	$9,164.36	$22,910.91	$160.89–$17,183.18	2916% above	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag 1-15 skin tags	$112.00	$280.00	$42.34–$226.33	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$540.00	$1,350.00	$276.00–$1,405.25	48% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$2,669.70	$6,674.25	$65.86–$5,394.90	155% above	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$540.00	$1,350.00	$276.00–$1,405.25	—	60%
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 surface wound of scalp neck underarms trunk arms or legs 2.6-7.5 cm	$304.21	$760.53	$38.10–$614.75	33% below	60%
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 surface wound of scalp neck underarms trunk arms or legs 2.6-7.5 cm	$305.20	$763.00	$115.37–$616.74	33% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp neck underarms trunk arms or legs 2.6-7.5 cm	$305.20	$763.00	$115.37–$616.74	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face ears eyelids nose lips or mouth 2.5 cm or less	$268.40	$671.00	$101.46–$542.38	31% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face ears eyelids nose lips or mouth 2.5 cm or less	$530.82	$1,327.04	$200.65–$22,454.13	37% above	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 Simple repair of surface wound of face ears eyelids nose lips or mouth 2.5 cm or less\|LEFT SIDE	$11,111.58	$27,778.94	$200.65–$22,454.13	2762% above	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face ears eyelids nose lips or mouth 2.5 cm or less	$268.40	$671.00	$101.46–$542.38	—	60%
TURP (transurethral resection of the prostate) CPT 52601 Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope	$11,287.36	$28,218.41	$1,773.90–$21,163.81	61% above	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth first growth	$682.00	$1,705.00	$67.44–$1,227.60	89% above	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth first growth	$1,342.65	$3,356.62	$70.95–$3,017.04	273% above	60%
Tangential (shave-style) skin biopsy, one lesion one side CPT 11102 Biopsy of related skin growth first growth\|LEFT SIDE	$1,304.35	$3,260.88	$70.95–$3,017.04	262% above	60%
Tangential (shave-style) skin biopsy, one lesion one side CPT 11102 Biopsy of related skin growth first growth\|RIGHT SIDE	$1,493.00	$3,732.50	$70.95–$3,017.04	314% above	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy of related skin growth first growth	$682.00	$1,705.00	$67.44–$1,227.60	—	60%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance	$1,525.20	$3,813.00	$234.94–$2,745.36	8% above	60%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance	$2,020.40	$5,051.00	$5.07–$4,754.25	43% above	60%
Thoracentesis with imaging guidance one side CPT 32555 Aspiration of fluid from chest cavity using imaging guidance\|RIGHT SIDE	$1,796.80	$4,492.00	$5.07–$4,754.25	27% above	60%
Thoracentesis with imaging guidance one side CPT 32555 Aspiration of fluid from chest cavity using imaging guidance\|LEFT SIDE	$2,535.60	$6,339.00	$5.07–$4,754.25	80% above	60%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity using imaging guidance	$1,525.20	$3,813.00	$234.94–$2,745.36	—	60%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$11,651.82	$29,129.56	$930.95–$27,811.07	208% above	60%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils (12 years or older)	$8,635.68	$21,589.20	$930.95–$16,191.90	95% above	60%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils (12 years or older)	$9,682.00	$24,205.00	$979.36–$19,565.26	119% above	60%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils (12 years or older)	$9,682.00	$24,205.00	$979.36–$19,565.26	—	60%
Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis	$25,490.44	$63,726.10	$41.85–$149,334.87	99% above	60%
Total hip replacement one side CPT 27130 Replacement of thigh bone and hip joint with prosthesis\|LEFT SIDE	$23,761.29	$59,403.22	$41.85–$149,334.87	85% above	60%
Total hip replacement one side CPT 27130 Replacement of thigh bone and hip joint with prosthesis\|RIGHT SIDE	$24,491.04	$61,227.61	$41.85–$149,334.87	91% above	60%
Total knee replacement CPT 27447 Replacement of knee joint both sides of knee	$25,627.48	$64,068.71	$41.28–$64,825.81	100% above	60%
Total knee replacement one side CPT 27447 Replacement of knee joint both sides of knee\|LEFT SIDE	$20,613.35	$51,533.38	$41.28–$64,825.81	61% above	60%
Total knee replacement one side CPT 27447 Replacement of knee joint both sides of knee\|RIGHT SIDE	$20,966.68	$52,416.69	$41.28–$64,825.81	63% above	60%
Total shoulder replacement CPT 23472 Prosthetic repair of shoulder joint total shoulder	$26,624.78	$66,561.95	$41.28–$53,803.02	52% above	60%
Total shoulder replacement one side CPT 23472 Prosthetic repair of shoulder joint total shoulder\|LEFT SIDE	$24,830.71	$62,076.78	$41.28–$53,803.02	42% above	60%
Total shoulder replacement one side CPT 23472 Prosthetic repair of shoulder joint total shoulder\|RIGHT SIDE	$25,342.69	$63,356.72	$41.28–$53,803.02	45% above	60%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid	$16,210.12	$40,525.29	$1,983.29–$56,106.72	71% above	60%
Total thyroid removal (thyroidectomy) one side CPT 60240 Removal of thyroid\|LEFT SIDE	$29,923.58	$74,808.96	$1,983.29–$56,106.72	215% above	60%
Trigger finger release surgery CPT 26055 Incision of tendon covering of finger	$2,374.80	$5,937.00	$622.69–$4,274.64	1% below	60%
Trigger finger release surgery CPT 26055 Incision of tendon covering of finger	$5,594.71	$13,986.78	$622.69–$10,490.09	134% above	60%
Trigger finger release surgery one side CPT 26055 Incision of tendon covering of finger\|RIGHT SIDE	$5,107.76	$12,769.39	$622.69–$10,490.09	113% above	60%
Trigger finger release surgery inpatient CPT 26055 Incision of tendon covering of finger	$2,374.80	$5,937.00	$622.69–$4,274.64	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points 1-2 muscles	$300.40	$751.00	$24.42–$540.72	32% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points 1-2 muscles	$515.26	$1,288.15	$25.69–$1,041.23	17% above	60%
Trigger point injections, 1 or 2 muscles one side CPT 20552 Injection of trigger points 1-2 muscles\|LEFT SIDE	$485.77	$1,214.43	$25.69–$1,041.23	10% above	60%
Trigger point injections, 1 or 2 muscles one side CPT 20552 Injection of trigger points 1-2 muscles\|RIGHT SIDE	$510.21	$1,275.53	$25.69–$1,041.23	16% above	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points 1-2 muscles	$300.40	$751.00	$24.42–$540.72	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth	$3,156.80	$7,892.00	$510.77–$5,682.24	15% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth	$5,104.80	$12,762.00	$510.77–$22,214.27	85% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth\|LEFT SIDE	$3,156.80	$7,892.00	$510.77–$5,682.24	15% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth\|LEFT SIDE	$4,567.74	$11,419.34	$510.77–$22,214.27	66% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth\|RIGHT SIDE	$4,597.74	$11,494.34	$510.77–$22,214.27	67% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth	$3,156.80	$7,892.00	$510.77–$5,682.24	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Biopsy of breast and placement of locating device using ultrasound first growth\|LEFT SIDE	$3,156.80	$7,892.00	$510.77–$5,682.24	—	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus stomach and/or upper small bowel using a flexible endoscope less than 3.0 cm	$1,563.20	$3,908.00	$590.89–$3,158.90	6% above	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus stomach and/or upper small bowel using a flexible endoscope less than 3.0 cm	$4,582.22	$11,455.56	$624.07–$9,259.70	212% above	60%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Balloon dilation of esophagus stomach and/or upper small bowel using a flexible endoscope less than 3.0 cm	$1,563.20	$3,908.00	$590.89–$3,158.90	—	60%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,535.20	$3,838.00	$369.99–$3,102.31	48% above	60%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus stomach and/or upper small bowel using a flexible endoscope	$3,547.22	$8,868.05	$369.99–$7,168.18	241% above	60%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Biopsy of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,535.20	$3,838.00	$369.99–$3,102.31	—	60%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,576.40	$3,941.00	$369.99–$3,185.57	115% above	60%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection of esophagus stomach and/or upper small bowel using a flexible endoscope	$6,266.22	$15,665.54	$624.07–$12,662.69	756% above	60%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Injection of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,576.40	$3,941.00	$369.99–$3,185.57	—	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus stomach and/or upper small bowel using an endoscope with mechanical snare	$1,949.60	$4,874.00	$624.07–$3,939.73	71% above	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus stomach and/or upper small bowel using an endoscope with mechanical snare	$6,440.66	$16,101.66	$624.07–$13,015.21	466% above	60%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Removal of polyps or growths of esophagus stomach and/or upper small bowel using an endoscope with mechanical snare	$1,949.60	$4,874.00	$624.07–$3,939.73	—	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$1,698.80	$4,247.00	$369.99–$3,432.91	132% above	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$2,614.51	$6,536.28	$369.99–$5,283.37	257% above	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$1,698.80	$4,247.00	$369.99–$3,432.91	—	60%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,300.00	$3,250.00	$369.99–$2,627.02	10% above	60%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,915.75	$4,789.37	$369.99–$3,912.25	62% above	60%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic exam of esophagus stomach and/or upper small bowel using a flexible endoscope	$1,300.00	$3,250.00	$369.99–$2,627.02	—	60%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage of fluid collection of esophagus stomach and/or upper small bowel using a flexible endoscope	$3,569.20	$8,923.00	$1,349.16–$7,212.59	168% above	60%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage of fluid collection of esophagus stomach and/or upper small bowel using a flexible endoscope	$12,956.04	$32,390.10	$3,109.25–$26,181.40	872% above	60%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Drainage of fluid collection of esophagus stomach and/or upper small bowel using a flexible endoscope	$3,569.20	$8,923.00	$1,349.16–$7,212.59	—	60%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$21,287.13	$53,217.83	$1,773.90–$39,913.37	186% above	60%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy\|RIGHT SIDE	$8,380.27	$20,950.68	$1,773.90–$39,913.37	13% above	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope	$9,817.59	$24,543.98	$1,773.90–$23,546.96	83% above	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope	$14,852.80	$37,132.00	$1,773.90–$26,735.04	177% above	60%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope\|LEFT SIDE	$10,000.40	$25,001.00	$1,773.90–$23,546.96	87% above	60%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope\|RIGHT SIDE	$10,194.15	$25,485.37	$1,773.90–$23,546.96	90% above	60%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope	$14,852.80	$37,132.00	$1,773.90–$26,735.04	—	60%
Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum	$592.59	$1,481.48	$97.46–$1,197.50	78% below	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct	$595.94	$1,489.86	$90.58–$1,204.28	87% below	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct	$5,374.00	$13,435.00	$721.08–$10,859.71	18% above	60%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct	$5,374.00	$13,435.00	$721.08–$10,859.71	—	60%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance	$4,540.00	$11,350.00	$1,174.13–$8,172.00	9% above	60%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance	$27,051.81	$67,629.53	$6.32–$50,722.15	550% above	60%
Vein ablation, radiofrequency, first vein one side CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance\|RIGHT SIDE	$7,742.87	$19,357.18	$6.32–$50,722.15	86% above	60%
Vein ablation, radiofrequency, first vein one side CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance\|LEFT SIDE	$8,049.27	$20,123.18	$6.32–$50,722.15	93% above	60%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance	$4,540.00	$11,350.00	$1,174.13–$8,172.00	—	60%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth 1-14 growths	$448.40	$1,121.00	$169.50–$906.12	124% above	60%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth 1-14 growths	$602.80	$1,507.00	$75.75–$1,218.13	201% above	60%
Wart removal, up to 14 warts one side CPT 17110 Destruction of skin growth 1-14 growths\|LEFT SIDE	$200.40	$501.00	$75.75–$1,218.13	at median	60%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction of skin growth 1-14 growths	$448.40	$1,121.00	$169.50–$906.12	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue 20.0 sq cm or less	$434.80	$1,087.00	$164.35–$916.89	57% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue 20.0 sq cm or less	$682.87	$1,707.17	$19.13–$1,884.18	33% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 Removal of skin and tissue 20.0 sq cm or less\|RIGHT SIDE	$434.80	$1,087.00	$164.35–$916.89	57% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 Removal of skin and tissue 20.0 sq cm or less\|LEFT SIDE	$662.77	$1,656.92	$19.13–$1,884.18	34% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 Removal of skin and tissue 20.0 sq cm or less\|RIGHT SIDE	$932.40	$2,331.00	$19.13–$1,884.18	8% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue 20.0 sq cm or less	$434.80	$1,087.00	$164.35–$916.89	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient one side CPT 11042 Removal of skin and tissue 20.0 sq cm or less\|RIGHT SIDE	$434.80	$1,087.00	$164.35–$916.89	—	60%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treatment of broken forearm bone on thumb side of wrist above wrist with placement of stabilizing device	$13,712.19	$34,280.47	$3,616.36–$25,710.35	73% above	60%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Treatment of broken forearm bone on thumb side of wrist above wrist with placement of stabilizing device\|LEFT SIDE	$13,280.91	$33,202.27	$3,616.36–$25,710.35	67% above	60%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Treatment of broken forearm bone on thumb side of wrist above wrist with placement of stabilizing device\|RIGHT SIDE	$13,632.31	$34,080.77	$3,616.36–$25,710.35	72% above	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products	$665.60	$1,664.00	$33.94–$1,198.08	15% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products	$2,782.56	$6,956.41	$10.81–$10,098.07	257% above	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products	$665.60	$1,664.00	$33.94–$1,198.08	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production	$95.20	$238.00	$35.99–$192.38	53% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production	$95.20	$238.00	$35.99–$192.38	—	60%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein 1 hour or less	$377.60	$944.00	$90.14–$763.05	30% below	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Administration of chemotherapy into vein 1 hour or less	$377.60	$944.00	$90.14–$763.05	—	60%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 New patient complete exam of visual system	$308.40	$771.00	$116.58–$623.21	28% above	60%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 New patient complete exam of visual system	$308.40	$771.00	$116.58–$623.21	—	60%
Comprehensive eye exam, returning patient CPT 92014 Established patient complete exam of visual system	$143.20	$358.00	$54.13–$289.38	37% below	60%
Comprehensive eye exam, returning patient inpatient CPT 92014 Established patient complete exam of visual system	$143.20	$358.00	$54.13–$289.38	—	60%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive hearing and speech recognition test	$215.20	$538.00	$81.35–$434.87	28% below	60%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive hearing and speech recognition test	$215.20	$538.00	$81.35–$434.87	—	60%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first 30-74 minutes	$1,716.00	$4,290.00	$648.65–$3,467.67	32% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first 30-74 minutes	$1,716.00	$4,290.00	$648.65–$3,467.67	—	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of brain wave activity (EEG) awake and drowsy	$538.00	$1,345.00	$195.72–$1,087.18	45% below	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement of brain wave activity (EEG) awake and drowsy	$538.00	$1,345.00	$195.72–$1,087.18	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing	$180.80	$452.00	$34.66–$365.36	34% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing	$180.80	$452.00	$34.66–$365.36	—	60%
Electroconvulsive therapy (ECT), one session CPT 90870 Therapy using electrical currents	$424.80	$1,062.00	$70.84–$858.43	60% below	60%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Therapy using electrical currents	$424.80	$1,062.00	$70.84–$858.43	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional	$216.40	$541.00	$51.36–$389.52	8% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional	$216.40	$541.00	$51.36–$389.52	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making	$269.20	$673.00	$51.36–$484.56	40% below	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making	$269.20	$673.00	$51.36–$484.56	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making	$590.00	$1,475.00	$51.36–$1,062.00	24% below	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making	$590.00	$1,475.00	$51.36–$1,062.00	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making	$923.20	$2,308.00	$348.97–$1,865.59	30% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making	$923.20	$2,308.00	$348.97–$1,865.59	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making	$1,331.60	$3,329.00	$503.34–$2,690.88	26% below	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making	$1,331.60	$3,329.00	$503.34–$2,690.88	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG)	$863.20	$2,158.00	$159.45–$1,744.34	31% below	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG)	$863.20	$2,158.00	$159.45–$1,744.34	—	60%
Eye exam, returning patient, intermediate CPT 92012 Established patient problem focused exam of visual system	$94.40	$236.00	$35.68–$190.76	52% below	60%
Eye exam, returning patient, intermediate inpatient CPT 92012 Established patient problem focused exam of visual system	$94.40	$236.00	$35.68–$190.76	—	60%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient 50 minutes	$276.00	$690.00	$104.33–$557.74	2% below	60%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psychotherapy with patient 50 minutes	$276.00	$690.00	$104.33–$557.74	—	60%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient 50 minutes	$282.80	$707.00	$106.90–$571.48	9% above	60%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family psychotherapy without patient 50 minutes	$282.80	$707.00	$106.90–$571.48	—	60%
Group psychotherapy session CPT 90853 Group psychotherapy	$167.20	$418.00	$63.20–$337.88	1% above	60%
Group psychotherapy session inpatient CPT 90853 Group psychotherapy	$167.20	$418.00	$63.20–$337.88	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration 31-60 minutes	$319.60	$799.00	$24.29–$645.84	28% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration 31-60 minutes	$319.60	$799.00	$24.29–$645.84	—	60%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy prevention or diagnosis 1 hour or less	$356.00	$890.00	$45.86–$719.40	23% below	60%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy prevention or diagnosis 1 hour or less	$356.00	$890.00	$45.86–$719.40	—	60%
IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein	$232.00	$580.00	$24.97–$468.82	1% above	60%
IV push of a medicine, first drug inpatient CPT 96374 Injection of drug or substance into vein	$232.00	$580.00	$24.97–$468.82	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle	$94.40	$236.00	$38.10–$169.92	36% below	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle	$94.40	$236.00	$38.10–$169.92	—	60%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation	$408.40	$1,021.00	$154.38–$825.29	6% above	60%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diagnostic evaluation	$408.40	$1,021.00	$154.38–$825.29	—	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction 7-8 studies	$158.80	$397.00	$55.40–$320.90	79% below	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve conduction 7-8 studies	$158.80	$397.00	$55.40–$320.90	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function each 15 minutes	$95.20	$238.00	$22.48–$192.38	16% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function each 15 minutes	$95.20	$238.00	$22.48–$192.38	—	60%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making if using time 30 minutes or more	$252.40	$631.00	$95.41–$510.05	19% above	60%
New patient office visit, about 30 minutes inpatient CPT 99203 New patient office or other outpatient visit with low level of medical decision making if using time 30 minutes or more	$252.40	$631.00	$95.41–$510.05	—	60%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making if using time 45 minutes or more	$272.80	$682.00	$103.12–$551.27	7% below	60%
New patient office visit, about 45 minutes inpatient CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making if using time 45 minutes or more	$272.80	$682.00	$103.12–$551.27	—	60%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making if using time 60 minutes or more	$294.80	$737.00	$111.43–$595.73	1% above	60%
New patient office visit, about 60 minutes inpatient CPT 99205 New patient office or other outpatient visit with a high level of medical decision making if using time 60 minutes or more	$294.80	$737.00	$111.43–$595.73	—	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making if using time 15 minutes or more	$208.00	$520.00	$78.62–$420.32	28% above	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New patient office or other outpatient visit with straightforward medical decision making if using time 15 minutes or more	$208.00	$520.00	$78.62–$420.32	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management each 15 minutes	$43.60	$109.00	$16.48–$88.11	13% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure for nutrition management each 15 minutes	$43.60	$109.00	$16.48–$88.11	—	60%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy typically 30 minutes	$182.00	$455.00	$58.58–$367.78	25% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for occupational therapy typically 30 minutes	$182.00	$455.00	$58.58–$367.78	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy typically 45 minutes	$278.40	$696.00	$54.49–$562.59	4% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy typically 45 minutes	$278.40	$696.00	$54.49–$562.59	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy typically 20 minutes	$157.20	$393.00	$54.49–$317.67	23% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy typically 20 minutes	$157.20	$393.00	$54.49–$317.67	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy typically 30 minutes	$209.20	$523.00	$54.49–$422.75	14% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for physical therapy typically 30 minutes	$209.20	$523.00	$54.49–$422.75	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique each 15 minutes	$88.80	$222.00	$17.94–$179.45	20% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy procedure using manual technique each 15 minutes	$88.80	$222.00	$17.94–$179.45	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength endurance range of motion and flexibility each 15 minutes	$94.40	$236.00	$19.75–$190.76	16% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapy procedure using exercise to develop strength endurance range of motion and flexibility each 15 minutes	$94.40	$236.00	$19.75–$190.76	—	60%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial New Patient Preventive Medicine Evaluation (18-39 Years)	$71.20	$178.00	$26.91–$143.88	48% below	60%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial New Patient Preventive Medicine Evaluation (18-39 Years)	$71.20	$178.00	$26.91–$143.88	—	60%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial New Patient Preventive Medicine Evaluation (40-64 Years)	$87.20	$218.00	$32.96–$176.21	38% below	60%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial New Patient Preventive Medicine Evaluation (40-64 Years)	$87.20	$218.00	$32.96–$176.21	—	60%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial New Patient Preventive Medicine Evaluation (65 Years or Older)	$94.80	$237.00	$35.83–$191.57	39% below	60%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Initial New Patient Preventive Medicine Evaluation (65 Years or Older)	$94.80	$237.00	$35.83–$191.57	—	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established Patient Periodic Preventive Medicine Examination (18-39 Years)	$72.80	$182.00	$27.52–$147.11	32% below	60%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Established Patient Periodic Preventive Medicine Examination (18-39 Years)	$72.80	$182.00	$27.52–$147.11	—	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years)	$81.60	$204.00	$30.84–$164.90	47% below	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established Patient Periodic Preventive Medicine Examination (40-64 Years)	$81.60	$204.00	$30.84–$164.90	47% below	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Established Patient Periodic Preventive Medicine Examination (40-64 Years)	$81.60	$204.00	$30.84–$164.90	—	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Established patient periodic preventive medicine examination (40-64 years)	$81.60	$204.00	$30.84–$164.90	—	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 Established Patient Periodic Preventive Medicine Examination (65 Year Old or Older)	$90.80	$227.00	$34.32–$183.49	45% below	60%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Established Patient Periodic Preventive Medicine Examination (65 Year Old or Older)	$90.80	$227.00	$34.32–$183.49	—	60%
Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services	$408.40	$1,021.00	$154.38–$825.29	24% above	60%
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric diagnostic evaluation with medical services	$408.40	$1,021.00	$154.38–$825.29	—	60%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Evaluation of psychological test first hour	$526.00	$1,315.00	$87.16–$1,062.93	71% above	60%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Evaluation of psychological test first hour	$526.00	$1,315.00	$87.16–$1,062.93	—	60%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis first hour	$408.40	$1,021.00	$154.38–$825.29	25% above	60%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for crisis first hour	$408.40	$1,021.00	$154.38–$825.29	—	60%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 minutes	$306.80	$767.00	$115.97–$619.98	62% above	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 minutes	$306.80	$767.00	$115.97–$619.98	—	60%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 minutes	$408.40	$1,021.00	$154.38–$825.29	49% above	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45 minutes	$408.40	$1,021.00	$154.38–$825.29	—	60%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 1 hour	$408.40	$1,021.00	$154.38–$825.29	48% above	60%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 1 hour	$408.40	$1,021.00	$154.38–$825.29	—	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling 3-10 minutes	$24.80	$62.00	$7.94–$50.12	42% below	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and tobacco use intermediate counseling 3-10 minutes	$24.80	$62.00	$7.94–$50.12	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making if using time 40 minutes or more	$252.40	$631.00	$95.41–$510.05	11% below	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established patient office or other outpatient visit with high level of medical decision making if using time 40 minutes or more	$252.40	$631.00	$95.41–$510.05	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making if using time 20 minutes or more	$200.40	$501.00	$75.75–$404.97	24% above	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established patient office or other outpatient visit with low level of decision making if using time 20 minutes or more	$200.40	$501.00	$75.75–$404.97	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making if using time 30 minutes or more	$231.20	$578.00	$87.39–$467.21	20% above	60%
Returning patient office visit, moderate complexity or 30+ minutes one side CPT 99214 Established patient office or other outpatient visit with moderate level of decision making if using time 30 minutes or more\|LEFT SIDE	$231.20	$578.00	$87.39–$467.21	20% above	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established patient office or other outpatient visit with moderate level of decision making if using time 30 minutes or more	$231.20	$578.00	$87.39–$467.21	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient one side CPT 99214 Established patient office or other outpatient visit with moderate level of decision making if using time 30 minutes or more\|LEFT SIDE	$231.20	$578.00	$87.39–$467.21	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making if using time 10 minutes or more	$154.40	$386.00	$58.36–$312.01	22% above	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making if using time 10 minutes or more	$154.40	$386.00	$58.36–$312.01	—	60%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression	$678.80	$1,697.00	$125.79–$1,371.71	86% above	60%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression	$678.80	$1,697.00	$125.79–$1,371.71	—	60%
Speech therapy session, individual CPT 92507 Treatment of speech language voice communication and/or hearing processing disorder	$194.00	$485.00	$50.63–$392.03	10% below	60%
Speech therapy session, individual inpatient CPT 92507 Treatment of speech language voice communication and/or hearing processing disorder	$194.00	$485.00	$50.63–$392.03	—	60%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume	$252.80	$632.00	$87.16–$510.86	29% below	60%
Spirometry (breathing test) inpatient CPT 94010 Test to measure expiratory airflow and volume	$252.80	$632.00	$87.16–$510.86	—	60%
Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration	$402.00	$1,005.00	$29.74–$812.36	32% below	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration	$402.00	$1,005.00	$29.74–$812.36	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities	$88.80	$222.00	$25.65–$179.45	21% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy procedure using functional activities	$88.80	$222.00	$25.65–$179.45	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem	$119.60	$299.00	$45.21–$241.69	43% below	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Drawing of blood for a medical problem	$119.60	$299.00	$45.21–$241.69	—	60%
Visual field test, extended CPT 92083 Exam of visual field with extended testing	$188.80	$472.00	$68.69–$381.52	23% below	60%
Visual field test, extended inpatient CPT 92083 Exam of visual field with extended testing	$188.80	$472.00	$68.69–$381.52	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 VACCINE 2025-26 (AGES 12 YR+) (SPIKEVAX) 50 MCG/0.5 ML UD SYRINGE	$339.64	$849.10	$128.38–$686.34	177% above	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 VACCINE 2025-26 (AGES 12 YR+) (SPIKEVAX) 50 MCG/0.5 ML UD SYRINGE	$339.64	$849.10	$128.38–$686.34	—	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine mRNA-LNP spike protein 30 mcg/0.3 mL dosage tris-sucrose formulation for intramuscular use	$343.77	$859.42	$129.94–$694.68	199% above	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE 2025-26 (AGES 12 YR+)(COMIRNATY) 30 MCG/0.3 ML UD SYRINGE	$353.75	$884.37	$133.72–$714.85	208% above	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine mRNA-LNP spike protein 30 mcg/0.3 mL dosage tris-sucrose formulation for intramuscular use	$343.77	$859.42	$129.94–$694.68	—	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE 2025-26 (AGES 12 YR+)(COMIRNATY) 30 MCG/0.3 ML UD SYRINGE	$353.75	$884.37	$133.72–$714.85	—	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1 350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$309.70	$774.24	$117.07–$625.83	38% below	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine	$460.15	$1,150.38	$173.94–$929.87	7% below	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1 350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$309.70	$774.24	$117.07–$625.83	—	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella vaccine	$460.15	$1,150.38	$173.94–$929.87	—	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTH PERTUS(ACELL) TET POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$149.27	$373.18	$56.42–$301.65	120% above	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Diphtheria tetanus acellular pertussis and polio vaccine	$156.20	$390.50	$59.04–$315.65	130% above	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTH PERTUS(ACELL) TET POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$149.27	$373.18	$56.42–$301.65	—	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Diphtheria tetanus acellular pertussis and polio vaccine	$156.20	$390.50	$59.04–$315.65	—	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria tetanus and acellular pertussis vaccine (younger than 7 years)	$52.06	$130.14	$19.68–$105.19	42% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH PERTUS(ACEL) TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$69.98	$174.95	$26.45–$141.41	22% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Diphtheria tetanus and acellular pertussis vaccine (younger than 7 years)	$52.06	$130.14	$19.68–$105.19	—	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH PERTUS(ACEL) TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$69.98	$174.95	$26.45–$141.41	—	60%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEPATITIS B-DT(A)P-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$246.70	$616.74	$93.25–$498.52	33% above	60%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Diphtheria tetanus acellular pertussis hepatitis B and polio vaccine	$248.38	$620.94	$93.89–$501.92	34% above	60%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEPATITIS B-DT(A)P-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$246.70	$616.74	$93.25–$498.52	—	60%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Diphtheria tetanus acellular pertussis hepatitis B and polio vaccine	$248.38	$620.94	$93.89–$501.92	—	60%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Influenza vaccine trivalent derived from recombinant DNA	$180.41	$451.03	$68.20–$364.57	42% below	60%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VACCINE TRIVALENT 2025-26 (AGES 18 YR+)(FLUBLOK) 0.5 ML UD SYRINGE	$206.24	$515.60	$77.96–$416.77	33% below	60%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 Influenza vaccine trivalent derived from recombinant DNA	$180.41	$451.03	$68.20–$364.57	—	60%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VACCINE TRIVALENT 2025-26 (AGES 18 YR+)(FLUBLOK) 0.5 ML UD SYRINGE	$206.24	$515.60	$77.96–$416.77	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE TRIVALENT 2025-26 (AGES 6 MOS+) 0.5 ML UD SYRINGE	$49.71	$124.28	$18.79–$100.46	17% above	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine trivalent split virus preservative-free 0.5 mL dosage	$51.43	$128.57	$19.44–$103.93	21% above	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE TRIVALENT 2025-26 (AGES 6 MOS+) 0.5 ML UD SYRINGE	$49.71	$124.28	$18.79–$100.46	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza vaccine trivalent split virus preservative-free 0.5 mL dosage	$51.43	$128.57	$19.44–$103.93	—	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$787.94	$1,969.85	$297.84–$1,592.26	38% above	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6 11 16 18 31 33 45 52 58 nonavalent	$788.24	$1,970.59	$297.95–$1,592.86	38% above	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$787.94	$1,969.85	$297.84–$1,592.26	—	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Human Papillomavirus vaccine types 6 11 16 18 31 33 45 52 58 nonavalent	$788.24	$1,970.59	$297.95–$1,592.86	—	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$85.34	$213.34	$32.26–$172.45	54% below	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1 440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$206.05	$515.13	$77.89–$416.39	11% above	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage	$207.34	$518.34	$78.37–$418.98	12% above	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$85.34	$213.34	$32.26–$172.45	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1 440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$206.05	$515.13	$77.89–$416.39	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A vaccine adult dosage	$207.34	$518.34	$78.37–$418.98	—	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE	$93.42	$233.55	$35.31–$188.78	1% below	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A vaccine pediatric or adolescent dosage	$93.76	$234.39	$35.44–$189.46	at median	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE	$93.42	$233.55	$35.31–$188.78	—	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis A vaccine pediatric or adolescent dosage	$93.76	$234.39	$35.44–$189.46	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine adult dosage (3 dose schedule)	$89.83	$224.58	$33.96–$281.52	47% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$172.73	$431.83	$65.29–$349.05	1% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B vaccine adult dosage (3 dose schedule)	$89.83	$224.58	$33.96–$281.52	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$172.73	$431.83	$65.29–$349.05	—	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B vaccine (HepB) CpG-adjuvanted adult dosage 2 dose or 4 dose schedule for intramuscular use	$228.57	$571.42	$86.40–$710.24	43% below	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$373.06	$932.64	$141.02–$753.87	7% below	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepatitis B vaccine (HepB) CpG-adjuvanted adult dosage 2 dose or 4 dose schedule for intramuscular use	$228.57	$571.42	$86.40–$710.24	—	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$373.06	$932.64	$141.02–$753.87	—	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine pediatric or adolescent dosage (3 dose schedule)	$63.42	$158.55	$23.97–$128.16	25% below	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$69.77	$174.42	$26.37–$140.99	17% below	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B vaccine pediatric or adolescent dosage (3 dose schedule)	$63.42	$158.55	$23.97–$128.16	—	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$69.77	$174.42	$26.37–$140.99	—	60%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$75.09	$187.72	$28.38–$151.74	3% above	60%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus influenzae type b vaccine PRP-OMP conjugate	$75.38	$188.46	$28.50–$152.34	3% above	60%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$75.09	$187.72	$28.38–$151.74	—	60%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Haemophilus influenzae type b vaccine PRP-OMP conjugate	$75.38	$188.46	$28.50–$152.34	—	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$31.82	$79.54	$12.03–$64.29	32% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus influenzae type b vaccine PRP-T conjugate	$32.15	$80.37	$12.15–$64.96	32% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$31.82	$79.54	$12.03–$64.29	—	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemophilus influenzae type b vaccine PRP-T conjugate	$32.15	$80.37	$12.15–$64.96	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus preservative free	$194.72	$486.79	$73.60–$393.48	31% above	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE TRIVALENT 2025-26 (AGES 65 YR+)(FLUZONE HD) 0.5 ML UD SYRINGE	$206.24	$515.60	$77.96–$416.77	38% above	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza vaccine split virus preservative free	$194.72	$486.79	$73.60–$393.48	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE TRIVALENT 2025-26 (AGES 65 YR+)(FLUZONE HD) 0.5 ML UD SYRINGE	$206.24	$515.60	$77.96–$416.77	—	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VACCINE LIVE(PF)1 000-12 500TCID50/0.5 ML SUBCUT	$233.81	$584.52	$88.38–$472.48	5% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles mumps and rubella vaccine	$234.70	$586.76	$88.72–$474.29	5% below	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS RUBELLA VACCINE LIVE(PF)1 000-12 500TCID50/0.5 ML SUBCUT	$233.81	$584.52	$88.38–$472.48	—	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles mumps and rubella vaccine	$234.70	$586.76	$88.72–$474.29	—	60%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles mumps rubella and varicella vaccine	$692.62	$1,731.54	$261.81–$1,399.63	183% above	60%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Measles mumps rubella and varicella vaccine	$692.62	$1,731.54	$261.81–$1,399.63	—	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A C Y W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$399.10	$997.74	$150.86–$806.49	13% above	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine serogroups A C W Y diphtheria toxoid carrier vaccine	$399.43	$998.57	$150.98–$807.16	13% above	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A C Y W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$399.10	$997.74	$150.86–$806.49	—	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal vaccine serogroups A C W Y diphtheria toxoid carrier vaccine	$399.43	$998.57	$150.98–$807.16	—	60%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A C Y W-135 CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$411.61	$1,029.02	$155.59–$831.77	39% below	60%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal conjugate vaccine serogroups A C W Y quadrivalent tetanus toxoid carrier	$411.94	$1,029.86	$155.71–$832.45	39% below	60%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A C Y W-135 CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$411.61	$1,029.02	$155.59–$831.77	—	60%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Meningococcal conjugate vaccine serogroups A C W Y quadrivalent tetanus toxoid carrier	$411.94	$1,029.86	$155.71–$832.45	—	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC 4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$567.67	$1,419.17	$214.58–$1,147.14	6% below	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine serogroup B	$568.00	$1,420.00	$214.70–$1,147.81	6% below	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC 4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$567.67	$1,419.17	$214.58–$1,147.14	—	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine serogroup B	$568.00	$1,420.00	$214.70–$1,147.81	—	60%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$496.27	$1,240.68	$187.59–$1,002.86	36% below	60%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$496.27	$1,240.68	$187.59–$1,002.86	—	60%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$646.70	$1,616.76	$0.04–$1,306.85	—	60%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$646.70	$1,616.76	$0.04–$1,306.85	—	60%
Nasal spray flu vaccine, live (FluMist) CPT 90660 INFLUENZA VACCINE TRIVALENT LIVE 2025-26 (AGES 2-49 YR)(FLUMIST) NASAL SPRAY	$163.42	$408.54	$61.77–$330.23	1778% above	60%
Nasal spray flu vaccine, live (FluMist) CPT 90660 Influenza vaccine trivalent for nasal administration	$168.05	$420.13	$63.52–$339.60	1832% above	60%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INFLUENZA VACCINE TRIVALENT LIVE 2025-26 (AGES 2-49 YR)(FLUMIST) NASAL SPRAY	$163.42	$408.54	$61.77–$330.23	—	60%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 Influenza vaccine trivalent for nasal administration	$168.05	$420.13	$63.52–$339.60	—	60%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal vaccine 13-valent	$364.06	$910.15	$137.61–$1,031.96	25% below	60%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal vaccine 13-valent	$364.06	$910.15	$137.61–$1,031.96	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine 20 valent (PCV20) for intramuscular use	$658.78	$1,646.96	$249.02–$1,432.82	17% above	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$678.04	$1,695.11	$256.30–$1,432.82	20% above	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal conjugate vaccine 20 valent (PCV20) for intramuscular use	$658.78	$1,646.96	$249.02–$1,432.82	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$678.04	$1,695.11	$256.30–$1,432.82	—	60%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$106.84	$267.11	$40.39–$215.91	68% below	60%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine	$107.18	$267.94	$40.51–$216.58	68% below	60%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$106.84	$267.11	$40.39–$215.91	—	60%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus vaccine	$107.18	$267.94	$40.51–$216.58	—	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Respiratory syncytial virus antibody 1.0 mL dosage for injection into muscle	$1,332.05	$3,330.12	$503.51–$2,691.79	36% above	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,332.05	$3,330.12	$503.51–$2,691.79	36% above	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,332.05	$3,330.12	$503.51–$2,691.79	—	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Respiratory syncytial virus antibody 1.0 mL dosage for injection into muscle	$1,332.05	$3,330.12	$503.51–$2,691.79	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,332.05	$3,330.12	$503.51–$2,691.79	36% above	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus antibody 0.5 mL dosage for injection into muscle	$1,332.05	$3,330.12	$503.51–$2,691.79	36% above	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Respiratory syncytial virus antibody 0.5 mL dosage for injection into muscle	$1,332.05	$3,330.12	$503.51–$2,691.79	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,332.05	$3,330.12	$503.51–$2,691.79	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$734.85	$1,837.12	$277.77–$1,484.97	15% above	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine preF subunit bivalent for intramuscular use	$734.85	$1,837.12	$277.77–$1,484.97	15% above	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Respiratory syncytial virus vaccine preF subunit bivalent for intramuscular use	$734.85	$1,837.12	$277.77–$1,484.97	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$734.85	$1,837.12	$277.77–$1,484.97	—	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$1,040.98	$2,602.44	$393.49–$2,103.59	1% above	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$1,080.62	$2,701.54	$408.47–$2,183.70	5% above	60%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$1,040.98	$2,602.44	$393.49–$2,103.59	—	60%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$1,080.62	$2,701.54	$408.47–$2,183.70	—	60%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP	$351.84	$879.61	$133.00–$711.00	166% above	60%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotavirus vaccine human attenuated	$352.18	$880.45	$133.12–$711.68	166% above	60%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP	$351.84	$879.61	$133.00–$711.00	—	60%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotavirus vaccine human attenuated	$352.18	$880.45	$133.12–$711.68	—	60%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus vaccine pentavalent	$246.08	$615.21	$93.02–$497.28	139% above	60%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotavirus vaccine pentavalent	$246.08	$615.21	$93.02–$497.28	—	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles vaccine for injection into muscle	$516.18	$1,290.46	$195.12–$1,043.10	124% above	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$516.19	$1,290.47	$195.12–$1,043.11	124% above	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE	$581.24	$1,453.09	$219.71–$1,174.55	152% above	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingles vaccine for injection into muscle	$516.18	$1,290.46	$195.12–$1,043.10	—	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$516.19	$1,290.47	$195.12–$1,043.11	—	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE	$581.24	$1,453.09	$219.71–$1,174.55	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older)	$62.83	$157.08	$23.75–$126.97	46% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$100.59	$251.48	$38.02–$203.28	14% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheria and tetanus vaccine (7 years or older)	$62.83	$157.08	$23.75–$126.97	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$100.59	$251.48	$38.02–$203.28	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria tetanus and acellular pertussis vaccine (7 years or older)	$111.74	$279.36	$42.24–$225.81	11% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$115.86	$289.65	$43.80–$234.13	8% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$116.95	$292.37	$44.21–$236.33	7% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphtheria tetanus and acellular pertussis vaccine (7 years or older)	$111.74	$279.36	$42.24–$225.81	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$115.86	$289.65	$43.80–$234.13	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$116.95	$292.37	$44.21–$236.33	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine	$52.80	$132.00	$19.96–$106.70	29% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine	$52.80	$132.00	$19.96–$106.70	—	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine each additional vaccine	$24.80	$62.00	$8.17–$50.12	48% below	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine each additional vaccine	$24.80	$62.00	$8.17–$50.12	—	60%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

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List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.parklandhealth.org/Uploads/Public/Documents/PDFs/Reports-Discolures/2026/price%20transparency/756004221_parkland-health_standardcharges_052926.zip