Hospital Baltimore-Columbia-Towson, MD

Mt. Washington Pediatric Hospital

Mt. Washington Pediatric Hospital in Baltimore, MD publishes cash prices for 202 common procedures listed here, from its own machine-readable price file updated Nov 5, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Maryland median for 164 of 200 procedures and below it for 35. By typical cash price it ranks #15 of 17 Maryland hospitals and #7 of 8 hospitals in the Baltimore, MD area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1708 W Rogers Ave, Baltimore, MD 21209 Collected Sep 22, 2026 Source price file Check a bill from this hospital (410) 578-5050

Children's hospital Nonprofit hospital No emergency department CCN 213300 · CMS hospital register

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Mt. Washington Pediatric Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Maryland	Off list
Abdominal X-ray, 2 views CPT 74019 ABDOMEN AP & ERECT XRAY	$286.61	$292.46	$286.61–$292.46	31% above	2%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN XRAY DECUBITUS/ERECT	$286.61	$292.46	$286.61–$292.46	31% above	2%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN AP/ CROSS TABLE	$286.61	$292.46	$286.61–$292.46	31% above	2%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN AP & DECUB XRAY	$286.61	$292.46	$286.61–$292.46	31% above	2%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN XRAY DECUBITUS/ERECT	$286.61	$292.46	$286.61–$292.46	—	2%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN AP & DECUB XRAY	$286.61	$292.46	$286.61–$292.46	—	2%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN AP & ERECT XRAY	$286.61	$292.46	$286.61–$292.46	—	2%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN AP/ CROSS TABLE	$286.61	$292.46	$286.61–$292.46	—	2%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Bilateral Ankle 3 View	$245.67	$250.68	$245.67–$250.68	—	2%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Bilateral Ankle 3 View	$245.67	$250.68	$245.67–$250.68	—	2%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM FLUOROSCOPY	$737.00	$752.04	$737.00–$752.04	28% above	2%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM FLUOROSCOPY	$737.00	$752.04	$737.00–$752.04	—	2%
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	18% above	2%
Chest X-ray, 2 views inpatient CPT 71046 CHEST XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	—	2%
Chest X-ray, single view CPT 71045 CHEST XRAY SINGLE VIEW	$163.78	$167.12	$163.78–$167.12	50% above	2%
Chest X-ray, single view inpatient CPT 71045 CHEST XRAY SINGLE VIEW	$163.78	$167.12	$163.78–$167.12	—	2%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE XRAY	$204.72	$208.90	$204.72–$208.90	24% above	2%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE XRAY	$204.72	$208.90	$204.72–$208.90	—	2%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETRPERITONEAL SONOGRAM COMPLT	$900.78	$919.16	$900.78–$919.16	32% above	2%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETRPERITONEAL SONOGRAM COMPLT	$900.78	$919.16	$900.78–$919.16	—	2%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN	$368.50	$376.02	$368.50–$376.02	28% above	2%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA SCAN	$368.50	$376.02	$368.50–$376.02	—	2%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US Lower Extremities, Bilatera	$2,538.55	$2,590.36	$2,538.55–$2,590.36	28% above	2%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US Lower Extremities, Bilatera	$2,538.55	$2,590.36	$2,538.55–$2,590.36	—	2%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DUPLEX SONO BILATERAL	$1,883.44	$1,921.88	$1,883.44–$1,921.88	—	2%
Duplex ultrasound of the leg veins, both legs CPT 93970 CARTOID DUPLEX SONOGRAM	$1,883.44	$1,921.88	$1,883.44–$1,921.88	21% above	2%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DUPLEX SONO BILATERAL	$1,883.44	$1,921.88	$1,883.44–$1,921.88	—	2%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 CARTOID DUPLEX SONOGRAM	$1,883.44	$1,921.88	$1,883.44–$1,921.88	—	2%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TRANSTHORACIC ECHO W/COLOR DOP	$1,103.68	$1,126.20	$1,103.68–$1,126.20	301% above	2%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TRANSTHORACIC ECHO W/COLOR DOP	$1,103.68	$1,126.20	$1,103.68–$1,126.20	—	2%
Elbow X-ray, 2 views CPT 73070 ELBOW XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	28% above	2%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	—	2%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM XRAY	$204.72	$208.90	$204.72–$208.90	24% above	2%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM XRAY	$204.72	$208.90	$204.72–$208.90	—	2%
Hand X-ray, 2 views CPT 73120 HAND XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	24% above	2%
Hand X-ray, 2 views inpatient CPT 73120 HAND XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 Poly w End CO2 Bi/Cp PO > 6yrs	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 Polysom w Bi/Cpap >6yrs	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 POLY.W END CO2 BI/CPAP PH>6YRS	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 Poly w End CO2 Bi/Cpap >6yrs	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 Polysom w Bi/Cpap 6yrs & older	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom w Pos Air 6yrs & older	$1,476.51	$1,506.64	$1,476.51–$1,506.64	40% below	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 Poly w End CO2 Bi/Cp PO > 6yrs	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 Polysom w Bi/Cpap 6yrs & older	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 Polysom w Bi/Cpap >6yrs	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 POLY.W END CO2 BI/CPAP PH>6YRS	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 Poly w End CO2 Bi/Cpap >6yrs	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom w Pos Air 6yrs & older	$1,476.51	$1,506.64	$1,476.51–$1,506.64	—	2%
Knee X-ray, 3 views CPT 73562 KNEE XRAY 3 VIEWS	$286.61	$292.46	$286.61–$292.46	28% above	2%
Knee X-ray, 3 views inpatient CPT 73562 KNEE XRAY 3 VIEWS	$286.61	$292.46	$286.61–$292.46	—	2%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE XRAY 4 VIEWS	$327.56	$334.24	$327.56–$334.24	28% above	2%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE XRAY 4 VIEWS	$327.56	$334.24	$327.56–$334.24	—	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL SONOGRAM LIMITED	$737.00	$752.04	$737.00–$752.04	28% above	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMINAL SONOGRAM LIMITED	$737.00	$752.04	$737.00–$752.04	—	2%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NONVASC LTD	$122.83	$125.34	$122.83–$125.34	24% above	2%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NONVASC LTD	$122.83	$125.34	$122.83–$125.34	—	2%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA/FIBULA XRAY	$245.67	$250.68	$245.67–$250.68	28% above	2%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA/FIBULA XRAY	$245.67	$250.68	$245.67–$250.68	—	2%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$696.05	$710.26	$696.05–$710.26	27% above	2%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$696.05	$710.26	$696.05–$710.26	—	2%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE XRAY	$204.72	$208.90	$204.72–$208.90	28% above	2%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE XRAY	$204.72	$208.90	$204.72–$208.90	—	2%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Exam, Pelvic, Limited	$286.61	$292.46	$286.61–$292.46	28% above	2%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Exam, Pelvic, Limited	$286.61	$292.46	$286.61–$292.46	—	2%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Exam Pelvic, Complete	$859.83	$877.38	$859.83–$877.38	28% above	2%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Exam Pelvic, Complete	$859.83	$877.38	$859.83–$877.38	—	2%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	28% above	2%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	—	2%
Skull X-ray, fewer than 4 views CPT 70250 SKULL XRAY	$286.61	$292.46	$286.61–$292.46	28% above	2%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL XRAY	$286.61	$292.46	$286.61–$292.46	—	2%
Sleep study in a lab (polysomnography) CPT 95810 Polysom w PulseOx 6yrs & older	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 6yrs or older	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Poly w 4+Addl Par 6yrs & Older	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Polysom w End Tidal CO2 >6yrs	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6yrs or older ABORTED	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Polysom w End CO2 PulseOx>6yrs	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Poly w Plethysography 6yr & up	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM W END CO2 PH MON >6YRS	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) CPT 95810 Polysom w Ph Monitor 6yrs & up	$1,396.70	$1,425.20	$1,396.70–$1,425.20	40% below	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Poly w Plethysography 6yr & up	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 6yrs or older	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom w PulseOx 6yrs & older	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom w Ph Monitor 6yrs & up	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom w End Tidal CO2 >6yrs	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom w End CO2 PulseOx>6yrs	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM W END CO2 PH MON >6YRS	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6yrs or older ABORTED	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Poly w 4+Addl Par 6yrs & Older	$1,396.70	$1,425.20	$1,396.70–$1,425.20	—	2%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MBS/SWALLOWING FUNCTION W/CINE	$1,146.44	$1,169.84	$1,146.44–$1,169.84	28% above	2%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MBS/SWALLOWING FUNCTION W/CINE	$1,146.44	$1,169.84	$1,146.44–$1,169.84	—	2%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	24% above	2%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAM	$1,023.61	$1,044.50	$1,023.61–$1,044.50	28% above	2%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL SONOGRAM	$1,023.61	$1,044.50	$1,023.61–$1,044.50	—	2%
Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL SONOGRAM	$941.72	$960.94	$941.72–$960.94	28% above	2%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL SONOGRAM	$941.72	$960.94	$941.72–$960.94	—	2%
Ultrasound of the scrotum and testicles CPT 76870 US Exam TESTICULAR/SCROTUM	$409.44	$417.80	$409.44–$417.80	28% above	2%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Exam TESTICULAR/SCROTUM	$409.44	$417.80	$409.44–$417.80	—	2%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE/THYROID SONOGRAM	$1,023.61	$1,044.50	$1,023.61–$1,044.50	28% above	2%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE/THYROID SONOGRAM	$1,023.61	$1,044.50	$1,023.61–$1,044.50	—	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI w or w/o KUB Fluoroscopy	$900.78	$919.16	$900.78–$919.16	28% above	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Cap Reg MRI Brain w/o Contrast	$1,801.55	$1,838.32	$1,801.55–$1,838.32	157% above	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Cap Reg MRI Brain w/ Contrast	$2,661.39	$2,715.70	$2,661.39–$2,715.70	280% above	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Cap Reg MRI Brain w & w/o Cont	$3,029.89	$3,091.72	$3,029.89–$3,091.72	332% above	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI w or w/o KUB Fluoroscopy	$900.78	$919.16	$900.78–$919.16	—	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Cap Reg MRI Brain w/o Contrast	$1,801.55	$1,838.32	$1,801.55–$1,838.32	—	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Cap Reg MRI Brain w/ Contrast	$2,661.39	$2,715.70	$2,661.39–$2,715.70	—	2%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Cap Reg MRI Brain w & w/o Cont	$3,029.89	$3,091.72	$3,029.89–$3,091.72	—	2%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX SONO UNILATERAL	$1,146.44	$1,169.84	$1,146.44–$1,169.84	28% above	2%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX SONO UNILATERAL	$1,146.44	$1,169.84	$1,146.44–$1,169.84	—	2%
Wrist X-ray, 2 views CPT 73100 WRIST XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST XRAY 3 VIEWS	$286.61	$292.46	$286.61–$292.46	28% above	2%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST XRAY 3 VIEWS	$286.61	$292.46	$286.61–$292.46	—	2%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP XRAY 2 OR 3 VIEWS	$327.56	$334.24	$327.56–$334.24	28% above	2%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP XRAY 2 OR 3 VIEWS	$327.56	$334.24	$327.56–$334.24	—	2%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN XRAY 1 VIEW	$163.78	$167.12	$163.78–$167.12	2% above	2%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN XRAY 1 VIEW	$163.78	$167.12	$163.78–$167.12	—	2%
X-ray of the ankle, 2 views both sides CPT 73600 XR Bilateral Ankle 2 View	$491.33	$501.36	$491.33–$501.36	—	2%
X-ray of the ankle, 2 views CPT 73600 ANKLE XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Bilateral Ankle 2 View	$491.33	$501.36	$491.33–$501.36	—	2%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE XRAY 2 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the foot, 2 views both sides CPT 73620 XR Bilateral Foot 2 View	$409.44	$417.80	$409.44–$417.80	—	2%
X-ray of the foot, 2 views CPT 73620 FOOT XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	28% above	2%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Bilateral Foot 2 View	$409.44	$417.80	$409.44–$417.80	—	2%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	—	2%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Bilateral Foot 3 View	$491.33	$501.36	$491.33–$501.36	—	2%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Bilateral Foot 3 View	$491.33	$501.36	$491.33–$501.36	—	2%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the hand, 3 or more views CPT 73130 HAND XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND XRAY 3 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE XRAY	$245.67	$250.68	$245.67–$250.68	28% above	2%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE XRAY	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBER SPINE XRAY 2-3 Views	$286.61	$292.46	$286.61–$292.46	28% above	2%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBER SPINE XRAY 2-3 Views	$286.61	$292.46	$286.61–$292.46	—	2%
X-ray of the lower back, 4 or more views CPT 72110 Lumbar Spine X-ray Min 4 Views	$368.50	$376.02	$368.50–$376.02	28% above	2%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Spine X-ray Min 4 Views	$368.50	$376.02	$368.50–$376.02	—	2%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE XRAY 2VIEWS	$245.67	$250.68	$245.67–$250.68	24% above	2%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE XRAY 2VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE XRAY 2/3 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE XRAY 2/3 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS XRAY 1 OR 2 VIEWS	$245.67	$250.68	$245.67–$250.68	28% above	2%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS XRAY 1 OR 2 VIEWS	$245.67	$250.68	$245.67–$250.68	—	2%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	24% above	2%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX XRAY 2 VIEWS	$204.72	$208.90	$204.72–$208.90	—	2%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Maryland	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORM	$110.84	$113.10	$110.84–$113.10	29% above	2%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORM	$110.84	$113.10	$110.84–$113.10	—	2%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT-SGPT	$7.39	$7.54	$7.39–$7.54	29% above	2%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE ANINOTRANSF	$7.39	$7.54	$7.39–$7.54	29% above	2%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT-SGPT	$7.39	$7.54	$7.39–$7.54	—	2%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE ANINOTRANSF	$7.39	$7.54	$7.39–$7.54	—	2%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST-SGOT	$7.39	$7.54	$7.39–$7.54	29% above	2%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST-SGOT	$7.39	$7.54	$7.39–$7.54	—	2%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$332.51	$339.30	$332.51–$339.30	29% above	2%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$332.51	$339.30	$332.51–$339.30	—	2%
Albumin blood test CPT 82040 MYOGLOBIN	$7.39	$7.54	$7.39–$7.54	29% above	2%
Albumin blood test CPT 82040 ALBUMIN SERUM	$7.39	$7.54	$7.39–$7.54	29% above	2%
Albumin blood test CPT 82040 PRE ALBUIMIN	$7.39	$7.54	$7.39–$7.54	29% above	2%
Albumin blood test inpatient CPT 82040 MYOGLOBIN	$7.39	$7.54	$7.39–$7.54	—	2%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$7.39	$7.54	$7.39–$7.54	—	2%
Albumin blood test inpatient CPT 82040 PRE ALBUIMIN	$7.39	$7.54	$7.39–$7.54	—	2%
Aldosterone blood test CPT 82088 ALDOSTERONE PLASMA	$92.37	$94.25	$92.37–$94.25	29% above	2%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE PLASMA	$92.37	$94.25	$92.37–$94.25	—	2%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase, Total	$7.39	$7.54	$7.39–$7.54	29% above	2%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase, Total	$7.39	$7.54	$7.39–$7.54	—	2%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EA ALLRGN	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 E005-IGE-DOG DANDER	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IGE MILK	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IGE WHEAT	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 F013 - IGE PEANUT	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IGE SOYBEAN	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 F044 -IGE STRAWBERRY	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IGE EGG WHOLE	$55.42	$56.55	$55.42–$56.55	37% above	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IGE EGG WHOLE	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EA ALLRGN	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IGE-DOG DANDER	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IGE MILK	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IGE WHEAT	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013 - IGE PEANUT	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IGE SOYBEAN	$55.42	$56.55	$55.42–$56.55	—	2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F044 -IGE STRAWBERRY	$55.42	$56.55	$55.42–$56.55	—	2%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN	$55.42	$56.55	$55.42–$56.55	29% above	2%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN	$55.42	$56.55	$55.42–$56.55	—	2%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$73.89	$75.40	$73.89–$75.40	29% above	2%
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$73.89	$75.40	$73.89–$75.40	—	2%
Amylase blood test CPT 82150 R AMYLASE ISOENZYMES	$22.17	$22.62	$22.17–$22.62	29% above	2%
Amylase blood test CPT 82150 AMYLASE	$22.17	$22.62	$22.17–$22.62	29% above	2%
Amylase blood test inpatient CPT 82150 R AMYLASE ISOENZYMES	$22.17	$22.62	$22.17–$22.62	—	2%
Amylase blood test inpatient CPT 82150 AMYLASE	$22.17	$22.62	$22.17–$22.62	—	2%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY TITER	$55.42	$56.55	$55.42–$56.55	29% above	2%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB SCREEN	$55.42	$56.55	$55.42–$56.55	29% above	2%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY TITER	$55.42	$56.55	$55.42–$56.55	—	2%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB SCREEN	$55.42	$56.55	$55.42–$56.55	—	2%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE BNP	$110.84	$113.10	$110.84–$113.10	29% above	2%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE BNP	$110.84	$113.10	$110.84–$113.10	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PERTUSSIS CULTURE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIRATORY CULTURE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE	$147.78	$150.80	$147.78–$150.80	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PERTUSSIS CULTURE	$147.78	$150.80	$147.78–$150.80	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE	$147.78	$150.80	$147.78–$150.80	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$147.78	$150.80	$147.78–$150.80	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE	$147.78	$150.80	$147.78–$150.80	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BODY FLUID CULTURE	$147.78	$150.80	$147.78–$150.80	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 RESPIRATORY CULTURE	$147.78	$150.80	$147.78–$150.80	—	2%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL w TOT CA	$55.42	$56.55	$55.42–$56.55	75% above	2%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL w TOT CA	$55.42	$56.55	$55.42–$56.55	—	2%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$22.17	$22.62	$22.17–$22.62	28% above	2%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$22.17	$22.62	$22.17–$22.62	—	2%
Blood culture for bacteria CPT 87040 CULTURE ROUTINE	$147.78	$150.80	$147.78–$150.80	35% above	2%
Blood culture for bacteria CPT 87040 BLOOD CULTURE PRESUMPTIVE ID	$147.78	$150.80	$147.78–$150.80	35% above	2%
Blood culture for bacteria inpatient CPT 87040 CULTURE ROUTINE	$147.78	$150.80	$147.78–$150.80	—	2%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE PRESUMPTIVE ID	$147.78	$150.80	$147.78–$150.80	—	2%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Amb Phlebotomy Only Heel/Fing	$29.56	$30.16	$29.56–$30.16	27% above	2%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB-SPECI COLL-VENIPUNCT	$29.56	$30.16	$29.56–$30.16	27% above	2%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phlebotomy Only Venipuncture	$29.56	$30.16	$29.56–$30.16	27% above	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LAB-SPECI COLL-VENIPUNCT	$29.56	$30.16	$29.56–$30.16	—	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Phlebotomy Only Venipuncture	$29.56	$30.16	$29.56–$30.16	—	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Amb Phlebotomy Only Heel/Fing	$29.56	$30.16	$29.56–$30.16	—	2%
Blood lead test CPT 83655 Capillary Lead	$92.37	$94.25	$92.37–$94.25	29% above	2%
Blood lead test CPT 83655 LAB-LEAD-BLOOD	$92.37	$94.25	$92.37–$94.25	29% above	2%
Blood lead test inpatient CPT 83655 LAB-LEAD-BLOOD	$92.37	$94.25	$92.37–$94.25	—	2%
Blood lead test inpatient CPT 83655 Capillary Lead	$92.37	$94.25	$92.37–$94.25	—	2%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC Rapid Urine Pregnancy hCG	$36.95	$37.70	$36.95–$37.70	29% above	2%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC Rapid Urine Pregnancy hCG	$36.95	$37.70	$36.95–$37.70	—	2%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-BLOOD TYPE (ABO)	$14.78	$15.08	$14.78–$15.08	29% above	2%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-BLOOD TYPE (ABO)	$14.78	$15.08	$14.78–$15.08	—	2%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BUN	$7.39	$7.54	$7.39–$7.54	29% above	2%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BUN	$7.39	$7.54	$7.39–$7.54	—	2%
C-peptide blood test CPT 84681 C-PEPTIDE REACTIVITY	$55.42	$56.55	$55.42–$56.55	29% above	2%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE REACTIVITY	$55.42	$56.55	$55.42–$56.55	—	2%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LEVEL	$121.92	$124.41	$121.92–$124.41	29% above	2%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LEVEL	$121.92	$124.41	$121.92–$124.41	—	2%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Lab Covid 19 Outpt Test	$50.28	$51.31	$50.28–$51.31	80% below	2%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Lab Covid 19 Inpt/Surveil Test	$443.35	$452.40	$443.35–$452.40	73% above	2%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Lab Covid 19 Outpt Test	$50.28	$51.31	$50.28–$51.31	—	2%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Lab Covid 19 Inpt/Surveil Test	$443.35	$452.40	$443.35–$452.40	—	2%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$7.39	$7.54	$7.39–$7.54	29% above	2%
Calcium blood test, total CPT 82310 R CALCIUM	$7.39	$7.54	$7.39–$7.54	29% above	2%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$7.39	$7.54	$7.39–$7.54	—	2%
Calcium blood test, total inpatient CPT 82310 R CALCIUM	$7.39	$7.54	$7.39–$7.54	—	2%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIG	$92.37	$94.25	$92.37–$94.25	29% above	2%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIG	$92.37	$94.25	$92.37–$94.25	—	2%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DNA PROBE AMP CHLAMYDIA TRACH	$166.26	$169.65	$166.26–$169.65	29% above	2%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 DNA PROBE AMP CHLAMYDIA TRACH	$166.26	$169.65	$166.26–$169.65	—	2%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB-LIPID PANEL	$70.20	$71.63	$70.20–$71.63	29% above	2%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$70.20	$71.63	$70.20–$71.63	29% above	2%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$70.20	$71.63	$70.20–$71.63	—	2%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB-LIPID PANEL	$70.20	$71.63	$70.20–$71.63	—	2%
Complete blood count (CBC) with differential CPT 85025 DIFF AUTO	$36.95	$37.70	$36.95–$37.70	29% above	2%
Complete blood count (CBC) with differential CPT 85025 CBC & AUTO DIFF	$36.95	$37.70	$36.95–$37.70	29% above	2%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC & AUTO DIFF	$36.95	$37.70	$36.95–$37.70	—	2%
Complete blood count (CBC) with differential inpatient CPT 85025 DIFF AUTO	$36.95	$37.70	$36.95–$37.70	—	2%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$55.42	$56.55	$55.42–$56.55	29% above	2%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$55.42	$56.55	$55.42–$56.55	—	2%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA	$55.42	$56.55	$55.42–$56.55	31% above	2%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA 2X	$55.42	$56.55	$55.42–$56.55	31% above	2%
Cortisol blood test, total CPT 82533 LAB-CORTISOL SERUM - 10249	$137.30	$140.10	$137.30–$140.10	226% above	2%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA	$55.42	$56.55	$55.42–$56.55	—	2%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA 2X	$55.42	$56.55	$55.42–$56.55	—	2%
Cortisol blood test, total inpatient CPT 82533 LAB-CORTISOL SERUM - 10249	$137.30	$140.10	$137.30–$140.10	—	2%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE PHOSPHOKINASE	$22.17	$22.62	$22.17–$22.62	29% above	2%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE PHOSPHOKINASE	$22.17	$22.62	$22.17–$22.62	—	2%
Creatinine blood test CPT 82565 CREATININE	$7.39	$7.54	$7.39–$7.54	28% above	2%
Creatinine blood test inpatient CPT 82565 CREATININE	$7.39	$7.54	$7.39–$7.54	—	2%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS CVM ANTIBODY	$55.42	$56.55	$55.42–$56.55	29% above	2%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS CVM ANTIBODY	$55.42	$56.55	$55.42–$56.55	—	2%
D-dimer blood test (blood clot marker) CPT 85379 D - DIMER QUANTITATIVE	$55.42	$56.55	$55.42–$56.55	29% above	2%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D - DIMER QUANTITATIVE	$55.42	$56.55	$55.42–$56.55	—	2%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$55.42	$56.55	$55.42–$56.55	29% above	2%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE	$55.42	$56.55	$55.42–$56.55	—	2%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATES	$55.42	$56.55	$55.42–$56.55	54% below	2%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATES	$55.42	$56.55	$55.42–$56.55	—	2%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$29.56	$30.16	$29.56–$30.16	29% above	2%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$29.56	$30.16	$29.56–$30.16	—	2%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS AB	$173.65	$177.19	$173.65–$177.19	35% above	2%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS AB	$173.65	$177.19	$173.65–$177.19	—	2%
Estradiol blood test CPT 82670 ESTRIOL SERUM	$55.42	$56.55	$55.42–$56.55	29% above	2%
Estradiol blood test CPT 82670 ESTRADIOL	$55.42	$56.55	$55.42–$56.55	29% above	2%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$55.42	$56.55	$55.42–$56.55	—	2%
Estradiol blood test inpatient CPT 82670 ESTRIOL SERUM	$55.42	$56.55	$55.42–$56.55	—	2%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$55.42	$56.55	$55.42–$56.55	29% above	2%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$55.42	$56.55	$55.42–$56.55	—	2%
Ferritin blood test (iron stores) CPT 82728 LAB-1136-FERRITIN	$55.42	$56.55	$55.42–$56.55	29% above	2%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$55.42	$56.55	$55.42–$56.55	29% above	2%
Ferritin blood test (iron stores) inpatient CPT 82728 LAB-1136-FERRITIN	$55.42	$56.55	$55.42–$56.55	—	2%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$55.42	$56.55	$55.42–$56.55	—	2%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$33.25	$33.93	$33.25–$33.93	29% above	2%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$33.25	$33.93	$33.25–$33.93	—	2%
Folate (folic acid) blood test CPT 82746 Serum Folic Acid (Folate)	$55.42	$56.55	$55.42–$56.55	31% above	2%
Folate (folic acid) blood test inpatient CPT 82746 Serum Folic Acid (Folate)	$55.42	$56.55	$55.42–$56.55	—	2%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYR FREE DIAL	$55.42	$56.55	$55.42–$56.55	29% above	2%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$55.42	$56.55	$55.42–$56.55	29% above	2%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYR FREE DIAL	$55.42	$56.55	$55.42–$56.55	—	2%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$55.42	$56.55	$55.42–$56.55	—	2%
Free testosterone test CPT 84402 R FREE TESTOSTERONE	$55.42	$56.55	$55.42–$56.55	31% above	2%
Free testosterone test inpatient CPT 84402 R FREE TESTOSTERONE	$55.42	$56.55	$55.42–$56.55	—	2%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$7.39	$7.54	$7.39–$7.54	29% above	2%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT	$7.39	$7.54	$7.39–$7.54	—	2%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DNA PROBE AMP N.GONORRHEA	$166.26	$169.65	$166.26–$169.65	29% above	2%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 DNA PROBE AMP N.GONORRHEA	$166.26	$169.65	$166.26–$169.65	—	2%
H. pylori antibody blood test CPT 86677 ANTI-H. PYLORI IGG	$92.37	$94.25	$92.37–$94.25	29% above	2%
H. pylori antibody blood test CPT 86677 ANTI-H. PYLORI IGA	$92.37	$94.25	$92.37–$94.25	29% above	2%
H. pylori antibody blood test CPT 86677 LAB-H PYLORI IGM	$92.37	$94.25	$92.37–$94.25	29% above	2%
H. pylori antibody blood test inpatient CPT 86677 ANTI-H. PYLORI IGG	$92.37	$94.25	$92.37–$94.25	—	2%
H. pylori antibody blood test inpatient CPT 86677 ANTI-H. PYLORI IGA	$92.37	$94.25	$92.37–$94.25	—	2%
H. pylori antibody blood test inpatient CPT 86677 LAB-H PYLORI IGM	$92.37	$94.25	$92.37–$94.25	—	2%
H. pylori stool antigen test CPT 87338 LAB-H PYLORI AG STOOL	$110.84	$113.10	$110.84–$113.10	29% above	2%
H. pylori stool antigen test inpatient CPT 87338 LAB-H PYLORI AG STOOL	$110.84	$113.10	$110.84–$113.10	—	2%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND HIV 2	$92.37	$94.25	$92.37–$94.25	28% above	2%
HIV-1 and HIV-2 antibody test CPT 86703 HIV BLOOD(ATBY)	$92.37	$94.25	$92.37–$94.25	28% above	2%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV BLOOD(ATBY)	$92.37	$94.25	$92.37–$94.25	—	2%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND HIV 2	$92.37	$94.25	$92.37–$94.25	—	2%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POC A1C GLYCOSYLATED HEMOGLOB	$61.94	$63.20	$61.94–$63.20	8% above	2%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB-GLYCATED TOTAL	$73.89	$75.40	$73.89–$75.40	29% above	2%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB-1139-GLYCOHEMOGLOBIN	$73.89	$75.40	$73.89–$75.40	29% above	2%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 POC A1C GLYCOSYLATED HEMOGLOB	$61.94	$63.20	$61.94–$63.20	—	2%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB-1139-GLYCOHEMOGLOBIN	$73.89	$75.40	$73.89–$75.40	—	2%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB-GLYCATED TOTAL	$73.89	$75.40	$73.89–$75.40	—	2%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$14.78	$15.08	$14.78–$15.08	34% above	2%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$14.78	$15.08	$14.78–$15.08	—	2%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$73.89	$75.40	$73.89–$75.40	29% above	2%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$73.89	$75.40	$73.89–$75.40	—	2%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen EIA	$92.37	$94.25	$92.37–$94.25	28% above	2%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen EIA	$92.37	$94.25	$92.37–$94.25	—	2%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$92.37	$94.25	$92.37–$94.25	29% above	2%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$92.37	$94.25	$92.37–$94.25	—	2%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C RNA/DNA	$443.35	$452.40	$443.35–$452.40	at median	2%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA	$591.14	$603.20	$591.14–$603.20	33% above	2%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA ACCUQUANT BDNA	$591.14	$603.20	$591.14–$603.20	33% above	2%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C RNA/DNA	$443.35	$452.40	$443.35–$452.40	—	2%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA	$591.14	$603.20	$591.14–$603.20	—	2%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA ACCUQUANT BDNA	$591.14	$603.20	$591.14–$603.20	—	2%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN	$59.11	$60.32	$59.11–$60.32	29% above	2%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN	$59.11	$60.32	$59.11–$60.32	—	2%
Insulin blood test CPT 83525 INSULIN	$55.42	$56.55	$55.42–$56.55	29% above	2%
Insulin blood test inpatient CPT 83525 INSULIN	$55.42	$56.55	$55.42–$56.55	—	2%
Iron blood test (serum iron) CPT 83540 LAB - 1057 - IRON	$22.17	$22.62	$22.17–$22.62	29% above	2%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$22.17	$22.62	$22.17–$22.62	29% above	2%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$22.17	$22.62	$22.17–$22.62	—	2%
Iron blood test (serum iron) inpatient CPT 83540 LAB - 1057 - IRON	$22.17	$22.62	$22.17–$22.62	—	2%
Iron-binding capacity (TIBC) test CPT 83550 LAB-IRN & IRN BIND/CAPACI	$44.34	$45.24	$44.34–$45.24	29% above	2%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$44.34	$45.24	$44.34–$45.24	29% above	2%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$44.34	$45.24	$44.34–$45.24	—	2%
Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB-IRN & IRN BIND/CAPACI	$44.34	$45.24	$44.34–$45.24	—	2%
Kidney function blood test panel CPT 80069 RENAL PANEL	$44.34	$45.24	$44.34–$45.24	29% above	2%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$44.34	$45.24	$44.34–$45.24	—	2%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$92.37	$94.25	$92.37–$94.25	29% above	2%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$92.37	$94.25	$92.37–$94.25	—	2%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$14.78	$15.08	$14.78–$15.08	29% above	2%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC ACID	$14.78	$15.08	$14.78–$15.08	29% above	2%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC ACID	$14.78	$15.08	$14.78–$15.08	—	2%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$14.78	$15.08	$14.78–$15.08	—	2%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$29.56	$30.16	$29.56–$30.16	29% above	2%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM	$29.56	$30.16	$29.56–$30.16	—	2%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$40.64	$41.47	$40.64–$41.47	29% above	2%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$40.64	$41.47	$40.64–$41.47	—	2%
Magnesium blood test CPT 83735 MAGNESIUM	$22.17	$22.62	$22.17–$22.62	29% above	2%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$22.17	$22.62	$22.17–$22.62	—	2%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$73.89	$75.40	$73.89–$75.40	29% above	2%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$73.89	$75.40	$73.89–$75.40	—	2%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$29.56	$30.16	$29.56–$30.16	29% above	2%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN	$29.56	$30.16	$29.56–$30.16	—	2%
Mumps immunity blood test CPT 86735 MUMPS TITER	$73.89	$75.40	$73.89–$75.40	29% above	2%
Mumps immunity blood test inpatient CPT 86735 MUMPS TITER	$73.89	$75.40	$73.89–$75.40	—	2%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INT	$55.42	$56.55	$55.42–$56.55	29% above	2%
Parathyroid hormone (PTH) blood test CPT 83970 R PARATHYROID HORMONE	$55.42	$56.55	$55.42–$56.55	29% above	2%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 R PARATHYROID HORMONE	$55.42	$56.55	$55.42–$56.55	—	2%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INT	$55.42	$56.55	$55.42–$56.55	—	2%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME	$29.56	$30.16	$29.56–$30.16	29% above	2%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME	$29.56	$30.16	$29.56–$30.16	—	2%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC	$7.39	$7.54	$7.39–$7.54	29% above	2%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC	$7.39	$7.54	$7.39–$7.54	—	2%
Potassium blood test CPT 84132 POTASSIUM	$14.78	$15.08	$14.78–$15.08	29% above	2%
Potassium blood test inpatient CPT 84132 POTASSIUM	$14.78	$15.08	$14.78–$15.08	—	2%
Progesterone blood test CPT 84144 PROGESTERONE	$55.42	$56.55	$55.42–$56.55	29% above	2%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$55.42	$56.55	$55.42–$56.55	—	2%
Prolactin blood test CPT 84146 PROLACTIN SERUM	$73.89	$75.40	$73.89–$75.40	29% above	2%
Prolactin blood test inpatient CPT 84146 PROLACTIN SERUM	$73.89	$75.40	$73.89–$75.40	—	2%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$29.56	$30.16	$29.56–$30.16	29% above	2%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$29.56	$30.16	$29.56–$30.16	—	2%
Rapid flu test (influenza antigen) CPT 87804 POC Sofia Rapid Influenza A&B	$92.37	$94.25	$92.37–$94.25	32% above	2%
Rapid flu test (influenza antigen) inpatient CPT 87804 POC Sofia Rapid Influenza A&B	$92.37	$94.25	$92.37–$94.25	—	2%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC Strep GrpA w/Optical Obsv	$92.37	$94.25	$92.37–$94.25	28% above	2%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC Strep GrpA w/Optical Obsv	$92.37	$94.25	$92.37–$94.25	—	2%
Renin blood test CPT 84244 RENIN	$55.42	$56.55	$55.42–$56.55	29% above	2%
Renin blood test inpatient CPT 84244 RENIN	$55.42	$56.55	$55.42–$56.55	—	2%
Rh blood typing CPT 86901 LAB- RH TYPING	$14.78	$15.08	$14.78–$15.08	29% above	2%
Rh blood typing inpatient CPT 86901 LAB- RH TYPING	$14.78	$15.08	$14.78–$15.08	—	2%
Rubella antibody test (immunity check) CPT 86762 RUBELLA-IGG	$55.42	$56.55	$55.42–$56.55	29% above	2%
Rubella antibody test (immunity check) CPT 86762 RUBELLA-IGM	$55.42	$56.55	$55.42–$56.55	29% above	2%
Rubella antibody test (immunity check) CPT 86762 RUBELLA RUBEOLLA VARICE	$55.42	$56.55	$55.42–$56.55	29% above	2%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-IGG	$55.42	$56.55	$55.42–$56.55	—	2%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA RUBEOLLA VARICE	$55.42	$56.55	$55.42–$56.55	—	2%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-IGM	$55.42	$56.55	$55.42–$56.55	—	2%
Sodium blood test CPT 84295 SODIUM URINE RANDOM	$7.39	$7.54	$7.39–$7.54	29% above	2%
Sodium blood test CPT 84295 SODIUM	$7.39	$7.54	$7.39–$7.54	29% above	2%
Sodium blood test inpatient CPT 84295 SODIUM	$7.39	$7.54	$7.39–$7.54	—	2%
Sodium blood test inpatient CPT 84295 SODIUM URINE RANDOM	$7.39	$7.54	$7.39–$7.54	—	2%
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$147.78	$150.80	$147.78–$150.80	29% above	2%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES	$147.78	$150.80	$147.78–$150.80	—	2%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LAB-OCCULT BLOOD-STOOL	$18.47	$18.85	$18.47–$18.85	31% above	2%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$18.47	$18.85	$18.47–$18.85	31% above	2%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$18.47	$18.85	$18.47–$18.85	—	2%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LAB-OCCULT BLOOD-STOOL	$18.47	$18.85	$18.47–$18.85	—	2%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA	$62.81	$64.09	$62.81–$64.09	32% above	2%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA	$62.81	$64.09	$62.81–$64.09	—	2%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR CARD TEST	$29.56	$30.16	$29.56–$30.16	29% above	2%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$29.56	$30.16	$29.56–$30.16	29% above	2%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$29.56	$30.16	$29.56–$30.16	—	2%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR CARD TEST	$29.56	$30.16	$29.56–$30.16	—	2%
Testosterone blood test, total (not free testosterone) CPT 84403 R TESTOSTERONE LEVEL	$55.42	$56.55	$55.42–$56.55	29% above	2%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 R TESTOSTERONE LEVEL	$55.42	$56.55	$55.42–$56.55	—	2%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID ANTIBODY	$81.28	$82.94	$81.28–$82.94	35% above	2%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID ANTIBODY	$81.28	$82.94	$81.28–$82.94	—	2%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORM	$55.42	$56.55	$55.42–$56.55	28% above	2%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORM	$55.42	$56.55	$55.42–$56.55	—	2%
Total IgE blood test CPT 82785 IGE	$55.42	$56.55	$55.42–$56.55	29% above	2%
Total IgE blood test inpatient CPT 82785 IGE	$55.42	$56.55	$55.42–$56.55	—	2%
Total cholesterol blood test CPT 82465 LAB-1020-CHOLESTEROL	$14.78	$15.08	$14.78–$15.08	28% above	2%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$14.78	$15.08	$14.78–$15.08	28% above	2%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$14.78	$15.08	$14.78–$15.08	—	2%
Total cholesterol blood test inpatient CPT 82465 LAB-1020-CHOLESTEROL	$14.78	$15.08	$14.78–$15.08	—	2%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE	$55.42	$56.55	$55.42–$56.55	28% above	2%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE	$55.42	$56.55	$55.42–$56.55	—	2%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA TOTAL	$55.42	$56.55	$55.42–$56.55	31% above	2%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 RIA TOTAL	$55.42	$56.55	$55.42–$56.55	—	2%
Transferrin blood test CPT 84466 TRANSFERRIN LEVEL	$55.42	$56.55	$55.42–$56.55	29% above	2%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN LEVEL	$55.42	$56.55	$55.42–$56.55	—	2%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$7.39	$7.54	$7.39–$7.54	29% above	2%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$7.39	$7.54	$7.39–$7.54	—	2%
Troponin test, quantitative CPT 84484 TROPONIN	$92.37	$94.25	$92.37–$94.25	29% above	2%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$92.37	$94.25	$92.37–$94.25	—	2%
Uric acid blood test CPT 84550 URIC ACID	$7.39	$7.54	$7.39–$7.54	28% above	2%
Uric acid blood test inpatient CPT 84550 URIC ACID	$7.39	$7.54	$7.39–$7.54	—	2%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/REFLEX MICROSCOP	$33.25	$33.93	$33.25–$33.93	28% above	2%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/REFLEX MICROSCOP	$33.25	$33.93	$33.25–$33.93	—	2%
Urinalysis with microscope exam, manual CPT 81000 SPECIFIC GRAVITY URINE	$33.25	$33.93	$33.25–$33.93	35% above	2%
Urinalysis with microscope exam, manual CPT 81000 URINE MICROSCOPIC EXAM	$33.25	$33.93	$33.25–$33.93	35% above	2%
Urinalysis with microscope exam, manual inpatient CPT 81000 SPECIFIC GRAVITY URINE	$33.25	$33.93	$33.25–$33.93	—	2%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE MICROSCOPIC EXAM	$33.25	$33.93	$33.25–$33.93	—	2%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS ROUTINE	$14.78	$15.08	$14.78–$15.08	29% above	2%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE QUAL URINE	$14.78	$15.08	$14.78–$15.08	29% above	2%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis, auto w/out Mi	$14.78	$15.08	$14.78–$15.08	29% above	2%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis, auto w/out Mi	$14.78	$15.08	$14.78–$15.08	—	2%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS ROUTINE	$14.78	$15.08	$14.78–$15.08	—	2%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE QUAL URINE	$14.78	$15.08	$14.78–$15.08	—	2%
Urine microalbumin (albumin) test CPT 82043 R MICROALBUMIN QUANTITATIVE	$55.42	$56.55	$55.42–$56.55	29% above	2%
Urine microalbumin (albumin) test inpatient CPT 82043 R MICROALBUMIN QUANTITATIVE	$55.42	$56.55	$55.42–$56.55	—	2%
Urine pregnancy test, read by color change CPT 81025 LAB - URINE PREGNANCY TEST	$36.95	$37.70	$36.95–$37.70	28% above	2%
Urine pregnancy test, read by color change inpatient CPT 81025 LAB - URINE PREGNANCY TEST	$36.95	$37.70	$36.95–$37.70	—	2%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$55.42	$56.55	$55.42–$56.55	29% above	2%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$55.42	$56.55	$55.42–$56.55	—	2%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY	$55.42	$56.55	$55.42–$56.55	31% above	2%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY	$55.42	$56.55	$55.42–$56.55	—	2%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROX	$92.37	$94.25	$92.37–$94.25	29% above	2%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROX	$92.37	$94.25	$92.37–$94.25	—	2%
Zinc blood test CPT 84630 ZINC	$92.37	$94.25	$92.37–$94.25	29% above	2%
Zinc blood test inpatient CPT 84630 ZINC	$92.37	$94.25	$92.37–$94.25	—	2%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-BHCG QUANT NON-PREGNANCY	$88.67	$90.48	$88.67–$90.48	29% above	2%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-BHCG QUANT NON-PREGNANCY	$88.67	$90.48	$88.67–$90.48	—	2%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Maryland	Off list
Short arm splint (forearm and hand) CPT 29125 PT - FORARM 2 HAND SPLINT STAT	$239.90	$244.80	$239.90–$244.80	4% below	2%
Short arm splint (forearm and hand) CPT 29125 OT Forearm 2 Hand Splint Statc	$268.09	$273.56	$268.09–$273.56	7% above	2%
Short arm splint (forearm and hand) CPT 29125 PT Forearm 2 Hand Splint Stat	$335.87	$342.72	$335.87–$342.72	35% above	2%
Short arm splint (forearm and hand) inpatient CPT 29125 PT - FORARM 2 HAND SPLINT STAT	$239.90	$244.80	$239.90–$244.80	—	2%
Short arm splint (forearm and hand) inpatient CPT 29125 OT Forearm 2 Hand Splint Statc	$268.09	$273.56	$268.09–$273.56	—	2%
Short arm splint (forearm and hand) inpatient CPT 29125 PT Forearm 2 Hand Splint Stat	$335.87	$342.72	$335.87–$342.72	—	2%
Short leg splint (calf to foot) CPT 29515 PT - CALF TO FOOT SPLINT	$239.90	$244.80	$239.90–$244.80	9% below	2%
Short leg splint (calf to foot) CPT 29515 PT Calf to Foot Splint	$311.88	$318.24	$311.88–$318.24	18% above	2%
Short leg splint (calf to foot) inpatient CPT 29515 PT - CALF TO FOOT SPLINT	$239.90	$244.80	$239.90–$244.80	—	2%
Short leg splint (calf to foot) inpatient CPT 29515 PT Calf to Foot Splint	$311.88	$318.24	$311.88–$318.24	—	2%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Maryland	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AEROSOL THERAPY MDI SUBSEQ	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AEROSOL THERAPY HH subqt	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 COUGH ASSIST/IPPB SUBSQ	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AEROSOL THERAPY OUTPATIENT	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AEROSOL THERPY MDI INITIAL	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AEROSOL THERAPY HH initial	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 COUGH ASSIST/IPPB INITIAL	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CHEST PT (LIMITED) NEW	$366.13	$373.60	$366.13–$373.60	142% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AEROSOL THERAPY PER ADM	$4,393.54	$4,483.20	$4,393.54–$4,483.20	2806% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 COUGH ASSIST SUBSQ	$4,393.54	$4,483.20	$4,393.54–$4,483.20	2806% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INTUBATION/EXTUBATION ASST	$4,393.54	$4,483.20	$4,393.54–$4,483.20	2806% above	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AEROSOL THERAPY MDI SUBSEQ	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AEROSOL THERAPY HH subqt	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 COUGH ASSIST/IPPB INITIAL	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AEROSOL THERAPY OUTPATIENT	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CHEST PT (LIMITED) NEW	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AEROSOL THERPY MDI INITIAL	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 COUGH ASSIST/IPPB SUBSQ	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AEROSOL THERAPY HH initial	$366.13	$373.60	$366.13–$373.60	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 COUGH ASSIST SUBSQ	$4,393.54	$4,483.20	$4,393.54–$4,483.20	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INTUBATION/EXTUBATION ASST	$4,393.54	$4,483.20	$4,393.54–$4,483.20	—	2%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AEROSOL THERAPY PER ADM	$4,393.54	$4,483.20	$4,393.54–$4,483.20	—	2%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AIR BONE W/ SRT	$773.46	$789.24	$773.46–$789.24	—	2%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE AIR BONE W/ SRT	$773.46	$789.24	$773.46–$789.24	—	2%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$220.74	$225.24	$220.74–$225.24	301% above	2%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG/PROCEDURE	$220.74	$225.24	$220.74–$225.24	301% above	2%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$220.74	$225.24	$220.74–$225.24	—	2%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG/PROCEDURE	$220.74	$225.24	$220.74–$225.24	—	2%
Family therapy with the patient, 50 minutes CPT 90847 NPSY FAMILY THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 PM TPsy Fam Therapy w/Pt 15min	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 Audio Family Ther w Pat 15 min	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 Tele NPsy Fam Ther w/pt 15mins	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 PM NPSY FAM THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 TPsy Fam Ther w/ Pt, 15 min	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 PSY FAMILY THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes CPT 90847 PM PSY FAM THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	47% below	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY FAMILY THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Tele NPsy Fam Ther w/pt 15mins	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 TPsy Fam Ther w/ Pt, 15 min	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Audio Family Ther w Pat 15 min	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 NPSY FAMILY THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PM NPSY FAM THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PM PSY FAM THERAPY W/PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PM TPsy Fam Therapy w/Pt 15min	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes CPT 90846 PM NPSY FAM THRPY W/O PT 15MIN	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes CPT 90846 NPSY FAM THERPY W/O PT 15MIN	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes CPT 90846 Audio Family Ther wo Pat 15min	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes CPT 90846 PM TPsy Fam Ther w/o Pt 15min	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes CPT 90846 PM PSY FAM THRPY W/O PT 15MIN	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes CPT 90846 PSY FAMILY THERAPY W/O PT15MIN	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes CPT 90846 TPsy Fam Thpy w/o Pt 15 min	$80.12	$81.75	$80.12–$81.75	46% below	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 TPsy Fam Thpy w/o Pt 15 min	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Audio Family Ther wo Pat 15min	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 NPSY FAM THERPY W/O PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PM NPSY FAM THRPY W/O PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PM PSY FAM THRPY W/O PT 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PM TPsy Fam Ther w/o Pt 15min	$80.12	$81.75	$80.12–$81.75	—	2%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSY FAMILY THERAPY W/O PT15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Group psychotherapy session CPT 90853 PSY GROUP THERAPY 15MIN	$40.05	$40.87	$40.05–$40.87	52% below	2%
Group psychotherapy session CPT 90853 PM TPsy Group Therapy 15 min	$40.05	$40.87	$40.05–$40.87	52% below	2%
Group psychotherapy session CPT 90853 PM PSY GROUP THERAPY 15MIN	$40.05	$40.87	$40.05–$40.87	52% below	2%
Group psychotherapy session CPT 90853 TPsy Group Therapy 15 mins	$40.05	$40.87	$40.05–$40.87	52% below	2%
Group psychotherapy session CPT 90853 TPsy Grp Ther 15 min	$40.05	$40.87	$40.05–$40.87	52% below	2%
Group psychotherapy session inpatient CPT 90853 PM PSY GROUP THERAPY 15MIN	$40.05	$40.87	$40.05–$40.87	—	2%
Group psychotherapy session inpatient CPT 90853 PSY GROUP THERAPY 15MIN	$40.05	$40.87	$40.05–$40.87	—	2%
Group psychotherapy session inpatient CPT 90853 PM TPsy Group Therapy 15 min	$40.05	$40.87	$40.05–$40.87	—	2%
Group psychotherapy session inpatient CPT 90853 TPsy Group Therapy 15 mins	$40.05	$40.87	$40.05–$40.87	—	2%
Group psychotherapy session inpatient CPT 90853 TPsy Grp Ther 15 min	$40.05	$40.87	$40.05–$40.87	—	2%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf/Hydration;init 31-89min	$178.52	$182.16	$178.52–$182.16	53% below	2%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Inf/Hydration;init 31-89min	$178.52	$182.16	$178.52–$182.16	—	2%
IV infusion of a medicine, first hour CPT 96365 IV Med/Ther Infusion Init Hr	$401.66	$409.86	$401.66–$409.86	32% below	2%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Med/Ther Infusion Init Hr	$401.66	$409.86	$401.66–$409.86	—	2%
IV push of a medicine, first drug CPT 96374 IV Push Med; Init, Up to 15min	$223.15	$227.70	$223.15–$227.70	29% below	2%
IV push of a medicine, first drug inpatient CPT 96374 IV Push Med; Init, Up to 15min	$223.15	$227.70	$223.15–$227.70	—	2%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Inj Beyfortus	$44.63	$45.54	$44.63–$45.54	35% below	2%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Inj Beyfortus	$44.63	$45.54	$44.63–$45.54	—	2%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PM TPsy Diag Interview 15min	$80.12	$81.75	$80.12–$81.75	77% below	2%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 NPSY DIAGNOSTIC INTERVEW 15MIN	$80.12	$81.75	$80.12–$81.75	77% below	2%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 TPsy Consult 15 min	$80.12	$81.75	$80.12–$81.75	77% below	2%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PM NPSY DIAGNOSTC INTRVW 15MIN	$80.12	$81.75	$80.12–$81.75	77% below	2%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DIAGNOSTIC INTERVIEW 15MIN	$80.12	$81.75	$80.12–$81.75	77% below	2%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PM PSY DIAGNOSTC INTRVW 15MIN	$80.12	$81.75	$80.12–$81.75	77% below	2%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PM TPsy Diag Interview 15min	$80.12	$81.75	$80.12–$81.75	—	2%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TPsy Consult 15 min	$80.12	$81.75	$80.12–$81.75	—	2%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSY DIAGNOSTIC INTERVIEW 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PM PSY DIAGNOSTC INTRVW 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 NPSY DIAGNOSTIC INTERVEW 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PM NPSY DIAGNOSTC INTRVW 15MIN	$80.12	$81.75	$80.12–$81.75	—	2%
Neuromuscular re-education, 15 minutes CPT 97112 OT Tele Neuromusc ReEduc 15min	$95.75	$97.70	$95.75–$97.70	3% above	2%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromsc Re-Ed/Dev 15 mins	$95.75	$97.70	$95.75–$97.70	3% above	2%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromsc Re ED/DEV 15min	$119.95	$122.40	$119.95–$122.40	29% above	2%
Neuromuscular re-education, 15 minutes CPT 97112 Tele Neuromusc Re Educ 15min	$119.95	$122.40	$119.95–$122.40	29% above	2%
Neuromuscular re-education, 15 minutes CPT 97112 Tele Neuromusc Re-Educ 15 min	$143.94	$146.88	$143.94–$146.88	54% above	2%
Neuromuscular re-education, 15 minutes CPT 97112 PT - NEUROMSC RE-ED/DEV 15 MIN	$143.94	$146.88	$143.94–$146.88	54% above	2%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromsc Re-Ed/Dev 15 mins	$95.75	$97.70	$95.75–$97.70	—	2%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Tele Neuromusc ReEduc 15min	$95.75	$97.70	$95.75–$97.70	—	2%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromsc Re ED/DEV 15min	$119.95	$122.40	$119.95–$122.40	—	2%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Tele Neuromusc Re Educ 15min	$119.95	$122.40	$119.95–$122.40	—	2%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Tele Neuromusc Re-Educ 15 min	$143.94	$146.88	$143.94–$146.88	—	2%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT - NEUROMSC RE-ED/DEV 15 MIN	$143.94	$146.88	$143.94–$146.88	—	2%
New patient office visit, about 30 minutes CPT 99203 PSYCHIATRY NEW PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	53% below	2%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	53% below	2%
New patient office visit, about 30 minutes CPT 99203 EVAL NO TREATMENT NEEDED	$228.83	$233.50	$228.83–$233.50	20% above	2%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	—	2%
New patient office visit, about 30 minutes inpatient CPT 99203 PSYCHIATRY NEW PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	—	2%
New patient office visit, about 30 minutes inpatient CPT 99203 EVAL NO TREATMENT NEEDED	$228.83	$233.50	$228.83–$233.50	—	2%
New patient office visit, about 45 minutes CPT 99204 CLINIC NEW PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	56% below	2%
New patient office visit, about 45 minutes CPT 99204 PSYCHIATRY NEW PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	56% below	2%
New patient office visit, about 45 minutes inpatient CPT 99204 PSYCHIATRY NEW PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	—	2%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC NEW PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	—	2%
New patient office visit, about 60 minutes CPT 99205 REHAB DAY TREATMENT NEW PT	$133.89	$136.62	$133.89–$136.62	56% below	2%
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	56% below	2%
New patient office visit, about 60 minutes CPT 99205 PSYCHIATRY NEW PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	56% below	2%
New patient office visit, about 60 minutes CPT 99205 FDT CLINIC - INITIAL	$133.89	$136.62	$133.89–$136.62	56% below	2%
New patient office visit, about 60 minutes inpatient CPT 99205 PSYCHIATRY NEW PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	—	2%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	—	2%
New patient office visit, about 60 minutes inpatient CPT 99205 FDT CLINIC - INITIAL	$133.89	$136.62	$133.89–$136.62	—	2%
New patient office visit, about 60 minutes inpatient CPT 99205 REHAB DAY TREATMENT NEW PT	$133.89	$136.62	$133.89–$136.62	—	2%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 FDT INITIAL NSG ONLY	$66.94	$68.31	$66.94–$68.31	50% below	2%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PSYCHIATRY NEW PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	50% below	2%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	50% below	2%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FDT INITIAL NSG ONLY	$66.94	$68.31	$66.94–$68.31	—	2%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PSYCHIATRY NEW PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	—	2%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	—	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Tele Med Nutr Indiv Init 15min	$66.94	$68.31	$66.94–$68.31	61% below	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutrition Indiv Init 15min	$111.57	$113.85	$111.57–$113.85	35% below	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NS/Med Indiv Initial 15min	$111.57	$113.85	$111.57–$113.85	35% below	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Tele Med Nutr Indiv Init 15min	$66.94	$68.31	$66.94–$68.31	—	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Med Nutrition Indiv Init 15min	$111.57	$113.85	$111.57–$113.85	—	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NS/Med Indiv Initial 15min	$111.57	$113.85	$111.57–$113.85	—	2%
Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Brief	$153.19	$156.32	$153.19–$156.32	1% above	2%
Occupational therapy evaluation, low complexity CPT 97165 OT TeleReh Evaluation Brief	$153.19	$156.32	$153.19–$156.32	1% above	2%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT TeleReh Evaluation Brief	$153.19	$156.32	$153.19–$156.32	—	2%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Brief	$153.19	$156.32	$153.19–$156.32	—	2%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Intense	$191.92	$195.84	$191.92–$195.84	1% below	2%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Tele PT Eval Intense or Comp	$191.92	$195.84	$191.92–$195.84	1% below	2%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Intense	$191.92	$195.84	$191.92–$195.84	—	2%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Tele PT Eval Intense or Comp	$191.92	$195.84	$191.92–$195.84	—	2%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TeleReh PT Evaluation Brief	$191.92	$195.84	$191.92–$195.84	1% below	2%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Brief	$191.92	$195.84	$191.92–$195.84	1% below	2%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Brief	$191.92	$195.84	$191.92–$195.84	—	2%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TeleReh PT Evaluation Brief	$191.92	$195.84	$191.92–$195.84	—	2%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TeleReh PT Evaluation Moderate	$191.92	$195.84	$191.92–$195.84	1% below	2%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Moderate	$191.92	$195.84	$191.92–$195.84	1% below	2%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Moderate	$191.92	$195.84	$191.92–$195.84	—	2%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TeleReh PT Evaluation Moderate	$191.92	$195.84	$191.92–$195.84	—	2%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy 15 mins	$76.60	$78.16	$76.60–$78.16	6% below	2%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy 15 min	$95.96	$97.92	$95.96–$97.92	17% above	2%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT - MANUAL THERAPY 15 MIN	$143.94	$146.88	$143.94–$146.88	76% above	2%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy 15 mins	$76.60	$78.16	$76.60–$78.16	—	2%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy 15 min	$95.96	$97.92	$95.96–$97.92	—	2%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT - MANUAL THERAPY 15 MIN	$143.94	$146.88	$143.94–$146.88	—	2%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise 15mins	$76.60	$78.16	$76.60–$78.16	3% above	2%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Tele Therapeutic Exer 15min	$76.60	$78.16	$76.60–$78.16	3% above	2%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise 15 min	$95.96	$97.92	$95.96–$97.92	28% above	2%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT - THERAPEUTIC EXER 15 MIN	$143.94	$146.88	$143.94–$146.88	93% above	2%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TeleReh Therapeutic Exer 15min	$143.94	$146.88	$143.94–$146.88	93% above	2%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Tele Therapeutic Exer 15min	$76.60	$78.16	$76.60–$78.16	—	2%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise 15mins	$76.60	$78.16	$76.60–$78.16	—	2%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise 15 min	$95.96	$97.92	$95.96–$97.92	—	2%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT - THERAPEUTIC EXER 15 MIN	$143.94	$146.88	$143.94–$146.88	—	2%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TeleReh Therapeutic Exer 15min	$143.94	$146.88	$143.94–$146.88	—	2%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PM PSY INTERP 1ST HOUR 96130	$320.45	$326.99	$320.45–$326.99	—	2%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSY INTERP FIRST HR 96130	$320.45	$326.99	$320.45–$326.99	—	2%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PM PSY INTERP 1ST HOUR 96130	$320.45	$326.99	$320.45–$326.99	—	2%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSY INTERP FIRST HR 96130	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSY CRISIS THERAPY INIT 60MIN	$320.45	$326.99	$320.45–$326.99	15% above	2%
Psychotherapy for crisis, first 60 minutes CPT 90839 NPSY CRISIS THERAPY 60MINS	$320.45	$326.99	$320.45–$326.99	15% above	2%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSY CRISIS THERAPY INIT 60MIN	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 NPSY CRISIS THERAPY 60MINS	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 30 minutes CPT 90832 PSY INDIVID PSYCHOTHRPY 30MINS	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes CPT 90832 NPSY INDIV PSYCHOTHRPY 30MINS	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes CPT 90832 PM NPSY IND PSYCHOTHRPY 30MIN	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes CPT 90832 PM Tpsy Ind Psychothrpy 30 min	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes CPT 90832 PM PSY INDIV PSYCHOTHRPY 30MIN	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes CPT 90832 TPsy Audio Indiv Ther 30 min	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes CPT 90832 TPsy Indiv Therapy, 30min	$160.23	$163.50	$160.23–$163.50	1% below	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 TPsy Indiv Therapy, 30min	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 NPSY INDIV PSYCHOTHRPY 30MINS	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSY INDIVID PSYCHOTHRPY 30MINS	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 TPsy Audio Indiv Ther 30 min	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 PM PSY INDIV PSYCHOTHRPY 30MIN	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 PM Tpsy Ind Psychothrpy 30 min	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 30 minutes inpatient CPT 90832 PM NPSY IND PSYCHOTHRPY 30MIN	$160.23	$163.50	$160.23–$163.50	—	2%
Psychotherapy session, 45 minutes CPT 90834 TPsy Indiv Therapy,45mins	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes CPT 90834 TPsy Audio Indiv Ther 45 min	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes CPT 90834 PM NPSY IND PSYCHOTHRPY 45MIN	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes CPT 90834 PM PSY INDIV PSYCHOTHRPY 45MIN	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes CPT 90834 NPSY INDIV PSYCHOTHRPY 45MINS	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes CPT 90834 PSY INDIVID PSYCHOTHRPY 45MINS	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes CPT 90834 PM Tpsy Ind Psychothrpy 45min	$240.34	$245.24	$240.34–$245.24	4% above	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 PM PSY INDIV PSYCHOTHRPY 45MIN	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSY INDIVID PSYCHOTHRPY 45MINS	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 TPsy Audio Indiv Ther 45 min	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 PM Tpsy Ind Psychothrpy 45min	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 NPSY INDIV PSYCHOTHRPY 45MINS	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 TPsy Indiv Therapy,45mins	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 45 minutes inpatient CPT 90834 PM NPSY IND PSYCHOTHRPY 45MIN	$240.34	$245.24	$240.34–$245.24	—	2%
Psychotherapy session, 60 minutes CPT 90837 TPsy Audio Indiv Ther 60 min	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes CPT 90837 TPsy Indiv Therapy,60mins	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes CPT 90837 PM TPsy Ind Psychothrpy 60min	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes CPT 90837 NPSY INDIV PSYCHOTHRPY 60MINS	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes CPT 90837 PM PSY INDIV PSYCHOTHRPY 60MIN	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes CPT 90837 PM NPSY IND PSYCHOTHRPY 60MIN	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes CPT 90837 PSY INDIVID PSYCHOTHRPY 60MINS	$320.45	$326.99	$320.45–$326.99	1% below	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 PM PSY INDIV PSYCHOTHRPY 60MIN	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 PM NPSY IND PSYCHOTHRPY 60MIN	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSY INDIVID PSYCHOTHRPY 60MINS	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 TPsy Audio Indiv Ther 60 min	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 TPsy Indiv Therapy,60mins	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 NPSY INDIV PSYCHOTHRPY 60MINS	$320.45	$326.99	$320.45–$326.99	—	2%
Psychotherapy session, 60 minutes inpatient CPT 90837 PM TPsy Ind Psychothrpy 60min	$320.45	$326.99	$320.45–$326.99	—	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 REHAB DAY TREATMENT F/U PT	$133.89	$136.62	$133.89–$136.62	47% below	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 REHAB DAY F/U NSG ONLY	$133.89	$136.62	$133.89–$136.62	47% below	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FDT CLINIC - FOLLOW UP	$133.89	$136.62	$133.89–$136.62	47% below	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC EST PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	47% below	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PSYCHIATRY EST PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	47% below	2%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 REHAB DAY TREATMENT F/U PT	$133.89	$136.62	$133.89–$136.62	—	2%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC EST PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	—	2%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PSYCHIATRY EST PT LEVEL 5	$133.89	$136.62	$133.89–$136.62	—	2%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 REHAB DAY F/U NSG ONLY	$133.89	$136.62	$133.89–$136.62	—	2%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FDT CLINIC - FOLLOW UP	$133.89	$136.62	$133.89–$136.62	—	2%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PSYCHIATRY EST PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	47% below	2%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC EST PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	47% below	2%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PSYCHIATRY EST PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	—	2%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC EST PT LEVEL 3	$89.26	$91.08	$89.26–$91.08	—	2%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC EST PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	47% below	2%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PSYCHIATRY EST PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	47% below	2%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PSYCHIATRY EST PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	—	2%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC EST PT LEVEL 4	$111.57	$113.85	$111.57–$113.85	—	2%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC EST PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	47% below	2%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FDT FOLLOW-UP NSG ONLY	$66.94	$68.31	$66.94–$68.31	47% below	2%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PSYCHIATRY EST PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	47% below	2%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FDT FOLLOW-UP NSG ONLY	$66.94	$68.31	$66.94–$68.31	—	2%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC EST PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	—	2%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PSYCHIATRY EST PT LEVEL 2	$66.94	$68.31	$66.94–$68.31	—	2%
Speech and language evaluation CPT 92523 ST Tele Oral Motor Eval 15mins	$185.46	$189.24	$185.46–$189.24	70% below	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 15MINS	$185.46	$189.24	$185.46–$189.24	70% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 15MINS	$185.46	$189.24	$185.46–$189.24	70% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LANG EVAL 60 min	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LANG EVAL 30 min	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LANG EVAL 45 min	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LANG EVAL 90 min	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LNG RE-EVAL 15MIN	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LANG EVAL 75 min	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 SPT - SPEECH/LANG EVAL 15 MIN	$200.91	$205.01	$200.91–$205.01	68% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 30MINS	$370.91	$378.48	$370.91–$378.48	41% below	2%
Speech and language evaluation CPT 92523 ST Tele Oral Motor Eval 30min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 60min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 TeleR Eval Lang Comp&Exp 60min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 TeleR Eval Lang Comp&Exp 45min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 TeleR Eval Lang Comp&Exp 30min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 TeleR Eval Lang Comp&Exp 15min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST Tele Oral Motor Eval 60min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST Tele Oral Motor Eval 45min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 45min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 60 min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 45 min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 30 min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 15 min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 15min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 30min	$448.18	$457.33	$448.18–$457.33	28% below	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 45MINS	$556.37	$567.72	$556.37–$567.72	11% below	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 60MINS	$741.82	$756.96	$741.82–$756.96	19% above	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 60MINS	$741.82	$756.96	$741.82–$756.96	19% above	2%
Speech and language evaluation CPT 92523 ST EVAL COMP&EXPRESS 30MINS	$741.82	$756.96	$741.82–$756.96	19% above	2%
Speech and language evaluation CPT 92523 ST REEVAL COMP&EXPRESS 45MINS	$741.82	$756.96	$741.82–$756.96	19% above	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 15MINS	$185.46	$189.24	$185.46–$189.24	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 15MINS	$185.46	$189.24	$185.46–$189.24	—	2%
Speech and language evaluation inpatient CPT 92523 ST Tele Oral Motor Eval 15mins	$185.46	$189.24	$185.46–$189.24	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LANG EVAL 45 min	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LANG EVAL 60 min	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LANG EVAL 75 min	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LANG EVAL 90 min	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LNG RE-EVAL 15MIN	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LANG EVAL 15 MIN	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 SPT - SPEECH/LANG EVAL 30 min	$200.91	$205.01	$200.91–$205.01	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 30MINS	$370.91	$378.48	$370.91–$378.48	—	2%
Speech and language evaluation inpatient CPT 92523 TeleR Eval Lang Comp&Exp 15min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 15min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 30min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 45min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 60min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 15 min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 30 min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 45 min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 60 min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST Tele Oral Motor Eval 30min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST Tele Oral Motor Eval 45min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST Tele Oral Motor Eval 60min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 TeleR Eval Lang Comp&Exp 30min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 TeleR Eval Lang Comp&Exp 45min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 TeleR Eval Lang Comp&Exp 60min	$448.18	$457.33	$448.18–$457.33	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 45MINS	$556.37	$567.72	$556.37–$567.72	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 60MINS	$741.82	$756.96	$741.82–$756.96	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 45MINS	$741.82	$756.96	$741.82–$756.96	—	2%
Speech and language evaluation inpatient CPT 92523 ST REEVAL COMP&EXPRESS 60MINS	$741.82	$756.96	$741.82–$756.96	—	2%
Speech and language evaluation inpatient CPT 92523 ST EVAL COMP&EXPRESS 30MINS	$741.82	$756.96	$741.82–$756.96	—	2%
Speech therapy session, individual CPT 92507 SPT - SPEECH/LANG TX 15MIN	$92.73	$94.62	$92.73–$94.62	54% below	2%
Speech therapy session, individual CPT 92507 TeleReh Speech/Lang Tx 15 min	$92.73	$94.62	$92.73–$94.62	54% below	2%
Speech therapy session, individual CPT 92507 SPT- GRP SPEECH/LANG TX 30 MIN	$92.73	$94.62	$92.73–$94.62	54% below	2%
Speech therapy session, individual CPT 92507 TeleReh Speech/Lang Tx 30 min	$139.09	$141.93	$139.09–$141.93	32% below	2%
Speech therapy session, individual CPT 92507 SPT - SPEECH/LANG TX 45 min	$139.09	$141.93	$139.09–$141.93	32% below	2%
Speech therapy session, individual CPT 92507 TeleReh Speech/Lang Tx 60 min	$139.09	$141.93	$139.09–$141.93	32% below	2%
Speech therapy session, individual CPT 92507 TeleReh Speech/Lang Tx 45 min	$139.09	$141.93	$139.09–$141.93	32% below	2%
Speech therapy session, individual CPT 92507 SPT - SPEECH/LANG TX 60 min	$139.09	$141.93	$139.09–$141.93	32% below	2%
Speech therapy session, individual CPT 92507 SPT - SPEECH/LANG TX 30 min	$139.09	$141.93	$139.09–$141.93	32% below	2%
Speech therapy session, individual CPT 92507 SPT- GRP SPEECH/LANG TX 60 MIN	$185.46	$189.24	$185.46–$189.24	9% below	2%
Speech therapy session, individual CPT 92507 SPT- SPEECH/LANGUAGE TX 30 MIN	$185.46	$189.24	$185.46–$189.24	9% below	2%
Speech therapy session, individual CPT 92507 SPT- SPEECH/LANGUAGE TX 45 MIN	$278.18	$283.86	$278.18–$283.86	37% above	2%
Speech therapy session, individual CPT 92507 SPT- SPEECH/LANGUAGE TX 60 MIN	$370.91	$378.48	$370.91–$378.48	82% above	2%
Speech therapy session, individual inpatient CPT 92507 SPT- GRP SPEECH/LANG TX 30 MIN	$92.73	$94.62	$92.73–$94.62	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT - SPEECH/LANG TX 15MIN	$92.73	$94.62	$92.73–$94.62	—	2%
Speech therapy session, individual inpatient CPT 92507 TeleReh Speech/Lang Tx 15 min	$92.73	$94.62	$92.73–$94.62	—	2%
Speech therapy session, individual inpatient CPT 92507 TeleReh Speech/Lang Tx 30 min	$139.09	$141.93	$139.09–$141.93	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT - SPEECH/LANG TX 30 min	$139.09	$141.93	$139.09–$141.93	—	2%
Speech therapy session, individual inpatient CPT 92507 TeleReh Speech/Lang Tx 60 min	$139.09	$141.93	$139.09–$141.93	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT - SPEECH/LANG TX 45 min	$139.09	$141.93	$139.09–$141.93	—	2%
Speech therapy session, individual inpatient CPT 92507 TeleReh Speech/Lang Tx 45 min	$139.09	$141.93	$139.09–$141.93	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT - SPEECH/LANG TX 60 min	$139.09	$141.93	$139.09–$141.93	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT- SPEECH/LANGUAGE TX 30 MIN	$185.46	$189.24	$185.46–$189.24	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT- GRP SPEECH/LANG TX 60 MIN	$185.46	$189.24	$185.46–$189.24	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT- SPEECH/LANGUAGE TX 45 MIN	$278.18	$283.86	$278.18–$283.86	—	2%
Speech therapy session, individual inpatient CPT 92507 SPT- SPEECH/LANGUAGE TX 60 MIN	$370.91	$378.48	$370.91–$378.48	—	2%
Spirometry (breathing test) CPT 94010 Incentive Spirometry	$137.30	$140.10	$137.30–$140.10	44% below	2%
Spirometry (breathing test) CPT 94010 PFT-SPIROMETRY	$228.83	$233.50	$228.83–$233.50	7% below	2%
Spirometry (breathing test) CPT 94010 PFT-PRE-BRONCHODILATOR	$228.83	$233.50	$228.83–$233.50	7% below	2%
Spirometry (breathing test) CPT 94010 PFT-POST-BRONCHODILATOR	$228.83	$233.50	$228.83–$233.50	7% below	2%
Spirometry (breathing test) inpatient CPT 94010 Incentive Spirometry	$137.30	$140.10	$137.30–$140.10	—	2%
Spirometry (breathing test) inpatient CPT 94010 PFT-SPIROMETRY	$228.83	$233.50	$228.83–$233.50	—	2%
Spirometry (breathing test) inpatient CPT 94010 PFT-POST-BRONCHODILATOR	$228.83	$233.50	$228.83–$233.50	—	2%
Spirometry (breathing test) inpatient CPT 94010 PFT-PRE-BRONCHODILATOR	$228.83	$233.50	$228.83–$233.50	—	2%
Spirometry before and after a bronchodilator CPT 94060 PFT SPIROMETRY PRE/POST BRONCH	$338.67	$345.58	$338.67–$345.58	35% below	2%
Spirometry before and after a bronchodilator CPT 94060 OXYGEN THERAPY SUBSEQ DAY	$338.67	$345.58	$338.67–$345.58	35% below	2%
Spirometry before and after a bronchodilator inpatient CPT 94060 OXYGEN THERAPY SUBSEQ DAY	$338.67	$345.58	$338.67–$345.58	—	2%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT SPIROMETRY PRE/POST BRONCH	$338.67	$345.58	$338.67–$345.58	—	2%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT - ADL TRAINING 15 MIN	$134.04	$136.78	$134.04–$136.78	6% above	2%
Therapeutic activities (functional training), 15 minutes CPT 97530 TeleReh OT Adl Training 15 min	$134.04	$136.78	$134.04–$136.78	6% above	2%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT - FUNCTIONAL TRAING 15 MIN	$167.93	$171.36	$167.93–$171.36	32% above	2%
Therapeutic activities (functional training), 15 minutes CPT 97530 TeleReh PT ADL Training 15 min	$167.93	$171.36	$167.93–$171.36	32% above	2%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TeleReh OT Adl Training 15 min	$134.04	$136.78	$134.04–$136.78	—	2%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT - ADL TRAINING 15 MIN	$134.04	$136.78	$134.04–$136.78	—	2%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT - FUNCTIONAL TRAING 15 MIN	$167.93	$171.36	$167.93–$171.36	—	2%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TeleReh PT ADL Training 15 min	$167.93	$171.36	$167.93–$171.36	—	2%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Maryland	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM Injection Initial	$66.94	$68.31	$66.94–$68.31	7% below	2%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM Injection Initial	$66.94	$68.31	$66.94–$68.31	—	2%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM Injection - Additional	$44.63	$45.54	$44.63–$45.54	35% below	2%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM Injection - Additional	$44.63	$45.54	$44.63–$45.54	—	2%

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

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

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.mwph.org/standard-charges/520591483_Mt.-Washington-Pediatric-Hospital_standardcharges.csv