Cerner - Medical Center Odessa
Cerner - Medical Center Odessa in Odessa, TX publishes cash prices for 385 common procedures listed here, from its own machine-readable price file updated May 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 305 of 385 procedures and below it for 77. By typical cash price it ranks #209 of 299 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
500 W. 4th Street, Odessa, TX 79761 Collected Oct 20, 2026 Source price file Check a bill from this hospital (432) 640-4000
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 450132 · CMS hospital register NPI 1740273994
The price file shows no self-pay discount
For 2950 of the 2950 prices listed here, the cash price in Cerner - Medical Center Odessa's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Cerner - Medical Center Odessa is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Report - CT Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $424.57–$4,051.00 | 41% above | — |
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $166.31–$2,673.66 | 41% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Report - CT Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $477.00 | $477.00 | $34.91–$333.90 | 34% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left - Report | $477.00 | $477.00 | $102.95–$477.00 | 34% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $477.00 | $477.00 | $34.91–$333.90 | 34% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Report - XR Ankle Complete 3+ Views Right | $477.00 | $477.00 | $102.95–$477.00 | 34% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right - Report | $477.00 | $477.00 | $102.95–$477.00 | 34% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Report - XR Ankle Complete 3+ Views Left | $477.00 | $477.00 | $102.95–$477.00 | 34% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Report - XR Ankle Complete 3+ Views Left | $477.00 | $477.00 | $166.95–$314.82 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Report - XR Ankle Complete 3+ Views Right | $477.00 | $477.00 | $166.95–$314.82 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left - Report | $477.00 | $477.00 | $166.95–$314.82 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right - Report | $477.00 | $477.00 | $166.95–$314.82 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $477.00 | $477.00 | $166.95–$314.82 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $477.00 | $477.00 | $166.95–$314.82 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Vascular Acquisition | $480.00 | $480.00 | $62.38–$336.00 | 21% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Vascular Acquisition | $480.00 | $480.00 | $168.00–$316.80 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Report | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right - Report | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left - Report | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Wrist w/o Contrast Right | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Wrist w/o Contrast Left | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Upper Extremity w/o Contrast Right | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Upper Extremity w/o Contrast Left | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Shoulder w/o Contrast Right | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Shoulder w/o Contrast Left | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Report - CT Elbow w/o Contrast Left | $2,262.00 | $2,262.00 | $261.15–$2,262.00 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Right | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Left | $2,262.00 | $2,262.00 | $99.51–$1,492.92 | 37% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Report | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Shoulder w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Upper Extremity w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Elbow w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Right - Report | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Left - Report | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Wrist w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Wrist w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Upper Extremity w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Report - CT Shoulder w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Right | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Left | $2,262.00 | $2,262.00 | $791.70–$1,492.92 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Report - RF Barium Swallow | $559.00 | $559.00 | $195.65–$559.00 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Barium Swallow ED | $559.00 | $559.00 | $92.68–$391.77 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Report - RF Barium Swallow ED | $559.00 | $559.00 | $195.65–$559.00 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Dysphagiagram w/ Barium Swallow | $559.00 | $559.00 | $92.68–$391.77 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Swallow Study Ominipaque - RF Swallow Study Om | $559.00 | $559.00 | $92.68–$391.77 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Report - RF Swallow Study Omnipaque | $559.00 | $559.00 | $195.65–$559.00 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Gastrografin Swallow | $559.00 | $559.00 | $92.68–$391.77 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Report - RF Gastrografin Swallow | $559.00 | $559.00 | $195.65–$559.00 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Barium Swallow | $559.00 | $559.00 | $92.68–$391.77 | 12% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Report - RF Barium Swallow ED | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Report - RF Gastrografin Swallow | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Barium Swallow ED | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Swallow Study Ominipaque - RF Swallow Study Om | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Barium Swallow | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Report - RF Swallow Study Omnipaque | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Dysphagiagram w/ Barium Swallow | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Report - RF Barium Swallow | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Gastrografin Swallow | $559.00 | $559.00 | $195.65–$368.94 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body | $2,027.00 | $2,027.00 | $251.41–$1,418.90 | 29% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Report - NM Bone Imaging Whole Body | $2,027.00 | $2,027.00 | $349.14–$2,027.00 | 29% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body | $2,027.00 | $2,027.00 | $709.45–$1,337.82 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Report - NM Bone Imaging Whole Body | $2,027.00 | $2,027.00 | $709.45–$1,337.82 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 MG US Breast Screening Complete | $364.00 | $364.00 | $97.76–$254.80 | 18% below | — |
| Breast ultrasound, complete, one breast CPT 76641 Report - MG US Breast Screening Complete | $364.00 | $364.00 | $127.40–$364.00 | 18% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Report - MG US Breast Complete Right | $364.00 | $364.00 | $127.40–$364.00 | 18% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 MG US Breast Complete Left | $364.00 | $364.00 | $97.76–$254.80 | 18% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Report - MG US Breast Complete Left | $364.00 | $364.00 | $127.40–$364.00 | 18% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 MG US Breast Complete Right | $364.00 | $364.00 | $97.76–$254.80 | 18% below | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 MG US Breast Screening Complete | $364.00 | $364.00 | $127.40–$240.24 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Report - MG US Breast Screening Complete | $364.00 | $364.00 | $127.40–$240.24 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Report - MG US Breast Complete Left | $364.00 | $364.00 | $127.40–$240.24 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MG US Breast Complete Right | $364.00 | $364.00 | $127.40–$240.24 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Report - MG US Breast Complete Right | $364.00 | $364.00 | $127.40–$240.24 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MG US Breast Complete Left | $364.00 | $364.00 | $127.40–$240.24 | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MG US Breast Limited Bilateral | $338.00 | $338.00 | $80.94–$236.60 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Limited | $338.00 | $338.00 | $80.94–$236.60 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 76642 - MG US Breast Limited BL | $338.00 | $338.00 | $80.94–$236.60 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Breast Limited Left | $338.00 | $338.00 | $80.94–$236.60 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 76642 - MG US Breast Limited Right | $338.00 | $338.00 | $80.94–$236.60 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Report - MG US Breast Limited Left | $338.00 | $338.00 | $102.95–$338.00 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Breast Limited Right | $338.00 | $338.00 | $80.94–$236.60 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Report - MG US Breast Limited Right | $338.00 | $338.00 | $102.95–$338.00 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 76642 - MG US Breast Limited Left | $338.00 | $338.00 | $80.94–$236.60 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 MG US Breast Limited Bilateral | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Limited | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 - MG US Breast Limited BL | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Report - MG US Breast Limited Left | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 76642 - MG US Breast Limited Right | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 76642 - MG US Breast Limited Left | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Report - MG US Breast Limited Right | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Breast Limited Left | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Breast Limited Right | $338.00 | $338.00 | $118.30–$223.08 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 74174 - CT Angio Abdomen and Pelvis | $6,325.00 | $6,325.00 | $348.10–$4,174.50 | 57% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis - CTA Abdomen and Pelv | $6,325.00 | $6,325.00 | $348.10–$4,174.50 | 57% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Report - CTA Abdomen and Pelvis | $6,325.00 | $6,325.00 | $676.82–$6,325.00 | 57% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis - CTA Abdomen and Pelv | $6,325.00 | $6,325.00 | $2,213.75–$4,174.50 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Report - CTA Abdomen and Pelvis | $6,325.00 | $6,325.00 | $2,213.75–$4,174.50 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 74174 - CT Angio Abdomen and Pelvis | $6,325.00 | $6,325.00 | $2,213.75–$4,174.50 | — | — |
| CT angiography (CTA) of the head CPT 70496 CTA Brain/Head STROKE | $2,759.00 | $2,759.00 | $166.31–$1,820.94 | 16% above | — |
| CT angiography (CTA) of the head CPT 70496 Report - CTA Brain/Head | $2,759.00 | $2,759.00 | $424.57–$2,759.00 | 16% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain and Neck | $2,759.00 | $2,759.00 | $166.31–$1,820.94 | 16% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head - CTA Brain/Head | $2,759.00 | $2,759.00 | $166.31–$1,820.94 | 16% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head - Report | $2,759.00 | $2,759.00 | $424.57–$2,759.00 | 16% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain and Neck | $2,759.00 | $2,759.00 | $965.65–$1,820.94 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head - Report | $2,759.00 | $2,759.00 | $965.65–$1,820.94 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Brain/Head STROKE | $2,759.00 | $2,759.00 | $965.65–$1,820.94 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head - CTA Brain/Head | $2,759.00 | $2,759.00 | $965.65–$1,820.94 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Report - CTA Brain/Head | $2,759.00 | $2,759.00 | $965.65–$1,820.94 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck - Report | $2,760.00 | $2,760.00 | $424.57–$2,760.00 | 16% above | — |
| CT angiography (CTA) of the neck CPT 70498 CTA Neck | $2,760.00 | $2,760.00 | $166.31–$1,821.60 | 16% above | — |
| CT angiography (CTA) of the neck CPT 70498 70498 - CTA Neck | $2,760.00 | $2,760.00 | $166.31–$1,821.60 | 16% above | — |
| CT angiography (CTA) of the neck CPT 70498 Report - CTA Neck | $2,760.00 | $2,760.00 | $424.57–$2,760.00 | 16% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 70498 - CTA Neck | $2,760.00 | $2,760.00 | $966.00–$1,821.60 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Report - CTA Neck | $2,760.00 | $2,760.00 | $966.00–$1,821.60 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck - Report | $2,760.00 | $2,760.00 | $966.00–$1,821.60 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck | $2,760.00 | $2,760.00 | $966.00–$1,821.60 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT TAVR w/Contrast | $2,086.00 | $2,086.00 | $166.31–$1,376.76 | 19% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 - CT Angio Chest | $2,842.00 | $2,842.00 | $166.31–$1,875.72 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest - Report | $2,847.00 | $2,847.00 | $424.57–$2,847.00 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest - CTA Chest | $2,847.00 | $2,847.00 | $166.31–$1,879.02 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Report - CT PE Protocol | $2,847.00 | $2,847.00 | $424.57–$2,847.00 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PE Protocol | $2,847.00 | $2,847.00 | $166.31–$1,879.02 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Report - CTA Chest | $2,847.00 | $2,847.00 | $424.57–$2,847.00 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT TAVR w/Contrast | $2,086.00 | $2,086.00 | $730.10–$1,376.76 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 - CT Angio Chest | $2,842.00 | $2,842.00 | $994.70–$1,875.72 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest - Report | $2,847.00 | $2,847.00 | $996.45–$1,879.02 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest - CTA Chest | $2,847.00 | $2,847.00 | $996.45–$1,879.02 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Report - CTA Chest | $2,847.00 | $2,847.00 | $996.45–$1,879.02 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT PE Protocol | $2,847.00 | $2,847.00 | $996.45–$1,879.02 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Report - CT PE Protocol | $2,847.00 | $2,847.00 | $996.45–$1,879.02 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Report - CTA Coronary Artery STR/MPH/FNT CNT | $1,986.00 | $1,986.00 | $260.35–$1,986.00 | 20% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt - CTA Cor | $1,986.00 | $1,986.00 | $166.31–$1,310.76 | 20% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Report - CTA Coronary Artery STR/MPH/FNT CNT | $1,986.00 | $1,986.00 | $695.10–$1,310.76 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt - CTA Cor | $1,986.00 | $1,986.00 | $695.10–$1,310.76 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Healthy Heart-CS | $75.00 | $75.00 | $26.25–$247.56 | 60% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast mater | $175.00 | $175.00 | $61.25–$175.00 | 8% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Calcium Score 1st-Responder | $175.00 | $175.00 | $61.25–$1,082.00 | 8% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $175.00 | $175.00 | $61.25–$1,082.00 | 8% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Healthy Heart-CS | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Computed tomography, heart, without contrast mater | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Calcium Score 1st-Responder | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast - Report | $4,164.00 | $4,164.00 | $542.98–$4,164.00 | 47% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/out Contrast - 74176 | $4,164.00 | $4,164.00 | $178.70–$2,748.24 | 47% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $4,164.00 | $4,164.00 | $178.70–$2,748.24 | 47% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Report - CT Abdomen and Pelvis w/o Contrast | $4,164.00 | $4,164.00 | $542.98–$4,164.00 | 47% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen/Pelvis Oral/Rectal | $4,164.00 | $4,164.00 | $178.70–$2,748.24 | 47% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Report - CT Abdomen/Pelvis Oral/Rectal | $4,164.00 | $4,164.00 | $542.98–$4,164.00 | 47% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen/Pelvis Oral/Rectal | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/out Contrast - 74176 | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast - Report | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Report - CT Abdomen and Pelvis w/o Contrast | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Report - CT Abdomen/Pelvis Oral/Rectal | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Report - CT Abdomen and Pelvis w/ Contrast | $4,862.00 | $4,862.00 | $889.71–$4,862.00 | 28% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $4,862.00 | $4,862.00 | $296.48–$3,208.92 | 28% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast - 74177 | $4,862.00 | $4,862.00 | $296.48–$3,208.92 | 28% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast - Report | $4,862.00 | $4,862.00 | $889.71–$4,862.00 | 28% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Venogram | $4,862.00 | $4,862.00 | $296.48–$3,208.92 | 28% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Report - CT Abdomen and Pelvis w/ Contrast | $4,862.00 | $4,862.00 | $1,701.70–$3,208.92 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast - Report | $4,862.00 | $4,862.00 | $1,701.70–$3,208.92 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Venogram | $4,862.00 | $4,862.00 | $1,701.70–$3,208.92 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $4,862.00 | $4,862.00 | $1,701.70–$3,208.92 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast - 74177 | $4,862.00 | $4,862.00 | $1,701.70–$3,208.92 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast 74178 | $4,164.00 | $4,164.00 | $332.67–$2,748.24 | 10% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast - Report | $5,468.00 | $5,468.00 | $889.71–$5,468.00 | 44% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Report - CT Enterography | $5,468.00 | $5,468.00 | $889.71–$5,468.00 | 44% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $5,468.00 | $5,468.00 | $332.67–$3,608.88 | 44% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Report - CT Abdomen and Pelvis w/ + w/o Contrast | $5,468.00 | $5,468.00 | $889.71–$5,468.00 | 44% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Enterography | $5,498.00 | $5,498.00 | $332.67–$3,628.68 | 45% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast 74178 | $4,164.00 | $4,164.00 | $1,457.40–$2,748.24 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Report - CT Enterography | $5,468.00 | $5,468.00 | $1,913.80–$3,608.88 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast - Report | $5,468.00 | $5,468.00 | $1,913.80–$3,608.88 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $5,468.00 | $5,468.00 | $1,913.80–$3,608.88 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Report - CT Abdomen and Pelvis w/ + w/o Contrast | $5,468.00 | $5,468.00 | $1,913.80–$3,608.88 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Enterography | $5,498.00 | $5,498.00 | $1,924.30–$3,628.68 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast - Report | $2,968.00 | $2,968.00 | $424.57–$2,968.00 | 18% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $2,968.00 | $2,968.00 | $166.31–$1,958.88 | 18% above | — |
| CT scan of the abdomen with contrast CPT 74160 Report - CT Abdomen w/ Contrast | $2,968.00 | $2,968.00 | $424.57–$2,968.00 | 18% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $2,968.00 | $2,968.00 | $1,038.80–$1,958.88 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast - Report | $2,968.00 | $2,968.00 | $1,038.80–$1,958.88 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Report - CT Abdomen w/ Contrast | $2,968.00 | $2,968.00 | $1,038.80–$1,958.88 | — | — |
| CT scan of the abdomen without contrast CPT 74150 Report - CT Abdomen w/o Contrast | $2,703.00 | $2,703.00 | $261.15–$2,703.00 | 34% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast - Report | $2,703.00 | $2,703.00 | $261.15–$2,703.00 | 34% above | — |
| CT scan of the abdomen without contrast CPT 74150 Report - CT Abdomen Oral/Rectal | $2,703.00 | $2,703.00 | $261.15–$2,703.00 | 34% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT Adbdomen Oral/Rectal - CT Abdomen Oral/Rectal | $2,703.00 | $2,703.00 | $99.51–$1,783.98 | 34% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $2,703.00 | $2,703.00 | $99.51–$1,783.98 | 34% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Report - CT Abdomen w/o Contrast | $2,703.00 | $2,703.00 | $946.05–$1,783.98 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Report - CT Abdomen Oral/Rectal | $2,703.00 | $2,703.00 | $946.05–$1,783.98 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $2,703.00 | $2,703.00 | $946.05–$1,783.98 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast - Report | $2,703.00 | $2,703.00 | $946.05–$1,783.98 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Adbdomen Oral/Rectal - CT Abdomen Oral/Rectal | $2,703.00 | $2,703.00 | $946.05–$1,783.98 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Report - CT Maxillofacial w/o Contrast | $2,068.00 | $2,068.00 | $261.15–$2,068.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Report - CT Sinus w/ Contrast | $2,068.00 | $2,068.00 | $261.15–$2,068.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/ Contrast | $2,068.00 | $2,068.00 | $99.51–$1,364.88 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $2,068.00 | $2,068.00 | $99.51–$1,364.88 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Report - CT Sinus w/o Contrast (Stryker) | $2,068.00 | $2,068.00 | $261.15–$2,068.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast (Stryker) | $2,068.00 | $2,068.00 | $99.51–$1,364.88 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Report - CT Sinus w/o Contrast | $2,068.00 | $2,068.00 | $261.15–$2,068.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast - Report | $2,068.00 | $2,068.00 | $261.15–$2,068.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 ENT- CT, maxillofacial area; w/out contrast - 7048 | $2,068.00 | $2,068.00 | $261.15–$2,068.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast | $2,068.00 | $2,068.00 | $99.51–$1,364.88 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Report - CT Sinus w/ Contrast | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/ Contrast | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Report - CT Maxillofacial w/o Contrast | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Report - CT Sinus w/o Contrast (Stryker) | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast - Report | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 ENT- CT, maxillofacial area; w/out contrast - 7048 | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Report - CT Sinus w/o Contrast | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast (Stryker) | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $2,316.00 | $2,316.00 | $99.51–$1,528.56 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head (Thrombolytic Candidate Stroke) | $2,316.00 | $2,316.00 | $99.51–$1,528.56 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Stealth Brain w/o Contrast | $2,316.00 | $2,316.00 | $99.51–$1,528.56 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head (Thrombectomy Candidate) | $2,316.00 | $2,316.00 | $99.51–$1,528.56 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Report | $2,316.00 | $2,316.00 | $261.15–$2,316.00 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast - Report | $2,316.00 | $2,316.00 | $261.15–$2,316.00 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Report - CT Head (Thrombolytic Candidate Stroke) | $2,316.00 | $2,316.00 | $261.15–$2,316.00 | 39% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Report - CT Brain/Head w/o Contrast | $2,316.00 | $2,316.00 | $261.15–$2,316.00 | 39% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Report - CT Head (Thrombolytic Candidate Stroke) | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Report - CT Brain/Head w/o Contrast | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head (Thrombolytic Candidate Stroke) | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head (Thrombectomy Candidate) | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast - Report | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Stealth Brain w/o Contrast | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Report | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $2,316.00 | $2,316.00 | $810.60–$1,528.56 | — | — |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $2,443.00 | $2,443.00 | $144.74–$1,612.38 | 45% above | — |
| CT scan of the head with contrast CPT 70460 CT Stealth Brain w/ Contrast | $2,443.00 | $2,443.00 | $144.74–$1,612.38 | 45% above | — |
| CT scan of the head with contrast CPT 70460 Report - CT Brain/Head w/ Contrast | $2,443.00 | $2,443.00 | $424.57–$2,443.00 | 45% above | — |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast - Report | $2,443.00 | $2,443.00 | $424.57–$2,443.00 | 45% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Stealth Brain w/ Contrast | $2,443.00 | $2,443.00 | $855.05–$1,612.38 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast | $2,443.00 | $2,443.00 | $855.05–$1,612.38 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 Report - CT Brain/Head w/ Contrast | $2,443.00 | $2,443.00 | $855.05–$1,612.38 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast - Report | $2,443.00 | $2,443.00 | $855.05–$1,612.38 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $3,376.00 | $3,376.00 | $166.31–$2,228.16 | 65% above | — |
| CT scan of the head without and with contrast CPT 70470 CT Stealth Brain w/ + w/o Contrast | $3,376.00 | $3,376.00 | $166.31–$2,228.16 | 65% above | — |
| CT scan of the head without and with contrast CPT 70470 Report - CT Brain/Head w/ + w/o Contrast | $3,376.00 | $3,376.00 | $424.57–$3,376.00 | 65% above | — |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast - Report | $3,376.00 | $3,376.00 | $424.57–$3,376.00 | 65% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $3,376.00 | $3,376.00 | $1,181.60–$2,228.16 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Report - CT Brain/Head w/ + w/o Contrast | $3,376.00 | $3,376.00 | $1,181.60–$2,228.16 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Stealth Brain w/ + w/o Contrast | $3,376.00 | $3,376.00 | $1,181.60–$2,228.16 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast - Report | $3,376.00 | $3,376.00 | $1,181.60–$2,228.16 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $2,158.00 | $2,158.00 | $99.51–$1,424.28 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast - Report | $2,158.00 | $2,158.00 | $261.15–$2,158.00 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Report - CT Spine Lumbar w/o Contrast | $2,158.00 | $2,158.00 | $261.15–$2,158.00 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast - Report | $2,158.00 | $2,158.00 | $755.30–$1,424.28 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Report - CT Spine Lumbar w/o Contrast | $2,158.00 | $2,158.00 | $755.30–$1,424.28 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $2,158.00 | $2,158.00 | $755.30–$1,424.28 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $99.51–$1,960.86 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Report - CT Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $261.15–$2,971.00 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast - Report | $2,971.00 | $2,971.00 | $261.15–$2,971.00 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast - Report | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Report - CT Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Report - CT Pelvis w/ Contrast | $2,884.00 | $2,884.00 | $424.57–$2,884.00 | 32% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $2,884.00 | $2,884.00 | $166.31–$1,903.44 | 32% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $2,884.00 | $2,884.00 | $1,009.40–$1,903.44 | — | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Report - CT Pelvis w/ Contrast | $2,884.00 | $2,884.00 | $1,009.40–$1,903.44 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Vascular Acquisition | $968.00 | $968.00 | $178.40–$677.60 | 9% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Vascular Acquisition | $968.00 | $968.00 | $338.80–$638.88 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT Chest/Abdomen/Pelvis w/ + w/o Con | $3,295.00 | $3,295.00 | $166.31–$2,174.70 | 29% above | — |
| Chest CT scan without and with contrast CPT 71270 Report - CT Chest w/ + w/o Contrast w/ 59 Mod | $3,650.00 | $3,650.00 | $424.57–$3,650.00 | 43% above | — |
| Chest CT scan without and with contrast CPT 71270 CT Thorax w/ + w/o Contrast - Report | $3,650.00 | $3,650.00 | $424.57–$3,650.00 | 43% above | — |
| Chest CT scan without and with contrast CPT 71270 CT Thorax w/ + w/o Contrast | $3,650.00 | $3,650.00 | $166.31–$2,409.00 | 43% above | — |
| Chest CT scan without and with contrast CPT 71270 Report - CT Thorax w/ + w/o Contrast | $3,650.00 | $3,650.00 | $424.57–$3,650.00 | 43% above | — |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast w/ 59 Mod | $3,650.00 | $3,650.00 | $166.31–$2,409.00 | 43% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest/Abdomen/Pelvis w/ + w/o Con | $3,295.00 | $3,295.00 | $1,153.25–$2,174.70 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Report - CT Thorax w/ + w/o Contrast | $3,650.00 | $3,650.00 | $1,277.50–$2,409.00 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Report - CT Chest w/ + w/o Contrast w/ 59 Mod | $3,650.00 | $3,650.00 | $1,277.50–$2,409.00 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Contrast w/ 59 Mod | $3,650.00 | $3,650.00 | $1,277.50–$2,409.00 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax w/ + w/o Contrast - Report | $3,650.00 | $3,650.00 | $1,277.50–$2,409.00 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax w/ + w/o Contrast | $3,650.00 | $3,650.00 | $1,277.50–$2,409.00 | — | — |
| Chest X-ray, 2 views CPT 71046 XR Chest Decubitus | $466.00 | $466.00 | $32.06–$326.20 | 20% above | — |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views - Report | $466.00 | $466.00 | $70.46–$466.00 | 20% above | — |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views Initital Line Placement | $466.00 | $466.00 | $32.06–$326.20 | 20% above | — |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $466.00 | $466.00 | $32.06–$326.20 | 20% above | — |
| Chest X-ray, 2 views CPT 71046 Report - XR Chest 2 Views | $466.00 | $466.00 | $70.46–$466.00 | 20% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views - Report | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views Initital Line Placement | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest Decubitus | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 Report - XR Chest 2 Views | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Initial Line Placement | $277.00 | $277.00 | $24.44–$193.90 | 14% below | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Initial Line/ Tube | $277.00 | $277.00 | $24.44–$193.90 | 14% below | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal - Report | $366.00 | $366.00 | $55.34–$366.00 | 13% above | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Portable | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 Report - XR Chest 1 View Portable | $366.00 | $366.00 | $55.34–$366.00 | 13% above | — |
| Chest X-ray, single view CPT 71045 Report | $366.00 | $366.00 | $55.34–$366.00 | 13% above | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Stroke | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 XR Portable Chest and Abdomen Baby | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 Report - XR Portable Chest and Abdomen Baby | $366.00 | $366.00 | $55.34–$366.00 | 13% above | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Sub Line Placement | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 XR Portable Chest/Abd Baby int Line/Tube | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 71045 - XR Chest 1 View | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view CPT 71045 IR Chest 1 View | $366.00 | $366.00 | $24.44–$256.20 | 13% above | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Initial Line Placement | $277.00 | $277.00 | $96.95–$182.82 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Initial Line/ Tube | $277.00 | $277.00 | $96.95–$182.82 | — | — |
| Chest X-ray, single view inpatient CPT 71045 Report | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 IR Chest 1 View | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Portable | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 Report - XR Chest 1 View Portable | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Stroke | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Portable Chest and Abdomen Baby | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 Report - XR Portable Chest and Abdomen Baby | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Sub Line Placement | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Portable Chest/Abd Baby int Line/Tube | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal - Report | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 71045 - XR Chest 1 View | $366.00 | $366.00 | $128.10–$241.56 | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR Clavicle Bilateral | $660.00 | $660.00 | $31.11–$462.00 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $449.00 | $449.00 | $31.11–$314.30 | 50% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right - Report | $449.00 | $449.00 | $102.95–$449.00 | 50% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Report - XR Clavicle Right | $449.00 | $449.00 | $102.95–$449.00 | 50% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left | $449.00 | $449.00 | $31.11–$314.30 | 50% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Report - XR Clavicle Left | $449.00 | $449.00 | $102.95–$449.00 | 50% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left - Report | $449.00 | $449.00 | $102.95–$449.00 | 50% above | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR Clavicle Bilateral | $660.00 | $660.00 | $231.00–$435.60 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Report - XR Clavicle Left | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right - Report | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left - Report | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Report - XR Clavicle Right | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete - Report | $780.00 | $780.00 | $144.58–$780.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nod | $780.00 | $780.00 | $144.58–$780.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Aorta IVC Iliac Duplex Complete | $780.00 | $780.00 | $99.51–$546.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $780.00 | $780.00 | $99.51–$546.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Report - US Aorta IVC Iliac Duplex Complete | $780.00 | $780.00 | $144.58–$780.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Report - US Retroperitoneal Complete | $780.00 | $780.00 | $144.58–$780.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Pediatric | $780.00 | $780.00 | $99.51–$546.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Report - US Renal Pediatric | $780.00 | $780.00 | $144.58–$780.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Vascular Acquisition | $780.00 | $780.00 | $99.51–$546.00 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Aorta IVC Iliac Duplex Complete | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete - Report | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nod | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Vascular Acquisition | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Report - US Renal Pediatric | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal Pediatric | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Report - US Retroperitoneal Complete | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Report - US Aorta IVC Iliac Duplex Complete | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MG Bone Density DEXA Axial Skeleton - Report | $399.00 | $399.00 | $39.51–$399.00 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Study, Sites Axial Skel 77080 | $399.00 | $399.00 | $39.51–$399.00 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MG Bone Density DEXA Axial Skeleton | $399.00 | $399.00 | $37.14–$279.30 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Report - MG Bone Density DEXA Axial Skeleton | $399.00 | $399.00 | $39.51–$399.00 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Study, Sites Axial Skel 77080 | $399.00 | $399.00 | $139.65–$263.34 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MG Bone Density DEXA Axial Skeleton - Report | $399.00 | $399.00 | $139.65–$263.34 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MG Bone Density DEXA Axial Skeleton | $399.00 | $399.00 | $139.65–$263.34 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Report - MG Bone Density DEXA Axial Skeleton | $399.00 | $399.00 | $139.65–$263.34 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Transabd/Transvag <= 14 weeks | $760.00 | $760.00 | $109.25–$532.00 | 11% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Transabd/Transvag <= 14 weeks | $760.00 | $760.00 | $266.00–$501.60 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Limited w/o Contrast | $1,854.00 | $1,854.00 | $99.51–$1,223.64 | 22% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast - Report | $2,489.00 | $2,489.00 | $261.15–$2,489.00 | 64% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Report - CT Thorax w/o Contrast | $2,489.00 | $2,489.00 | $261.15–$2,489.00 | 64% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast | $2,489.00 | $2,489.00 | $99.51–$1,642.74 | 64% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen/Pelvis w/o Contrast | $2,489.00 | $2,489.00 | $99.51–$1,642.74 | 64% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Limited w/o Contrast | $1,854.00 | $1,854.00 | $648.90–$1,223.64 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast | $2,489.00 | $2,489.00 | $871.15–$1,642.74 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest/Abdomen/Pelvis w/o Contrast | $2,489.00 | $2,489.00 | $871.15–$1,642.74 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast - Report | $2,489.00 | $2,489.00 | $871.15–$1,642.74 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Report - CT Thorax w/o Contrast | $2,489.00 | $2,489.00 | $871.15–$1,642.74 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast - Report | $3,295.00 | $3,295.00 | $424.57–$3,295.00 | 64% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast | $3,295.00 | $3,295.00 | $163.15–$2,174.70 | 64% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Report - CT Thorax w/ Contrast | $3,295.00 | $3,295.00 | $424.57–$3,295.00 | 64% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abdomen/Pelvis w/ Contrast | $3,295.00 | $3,295.00 | $163.15–$2,174.70 | 64% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Report - CT Thorax w/ Contrast | $3,295.00 | $3,295.00 | $1,153.25–$2,174.70 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast | $3,295.00 | $3,295.00 | $1,153.25–$2,174.70 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Abdomen/Pelvis w/ Contrast | $3,295.00 | $3,295.00 | $1,153.25–$2,174.70 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast - Report | $3,295.00 | $3,295.00 | $1,153.25–$2,174.70 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Digital Screening Bilateral Including CAD- R | $342.00 | $342.00 | $51.71–$342.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Report - MG Mammo Digital Diagnostic Bilateral | $342.00 | $342.00 | $51.71–$342.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo 3D Diag Bilateral | $342.00 | $342.00 | $44.45–$258.80 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat - MG Mammo Digit | $342.00 | $342.00 | $44.45–$258.80 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 77066 - Diagnostic mammography, including computer | $342.00 | $342.00 | $44.45–$258.80 | 7% below | — |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography, producing direct 2-D digit | $342.00 | $342.00 | $51.71–$342.00 | 7% below | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Report - MG Mammo Digital Diagnostic Bilateral | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat - MG Mammo Digit | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo 3D Diag Bilateral | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo Digital Screening Bilateral Including CAD- R | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic mammography, producing direct 2-D digit | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 77066 - Diagnostic mammography, including computer | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Diagnostic mammogram, one breast CPT 77065 Report | $262.00 | $262.00 | $39.61–$262.00 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo 3D Diag Left | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnositic Mammo incl CAD Unilateral - Left | $262.00 | $262.00 | $39.61–$262.00 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo 3D Diag Right | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammo Diag Post Biopsy Left - Report | $262.00 | $262.00 | $39.61–$262.00 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnositic Mammo incl CAD Unilateral - Right | $262.00 | $262.00 | $39.61–$262.00 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Post Biopsy Left | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 77065 - MG Mammo Digital Diagnostic Right | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Post Biopsy Right | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right | $262.00 | $262.00 | $34.05–$202.23 | 4% below | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Report | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo 3D Diag Right | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo 3D Diag Left | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 - MG Mammo Digital Diagnostic Right | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo Diag Post Biopsy Left - Report | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnositic Mammo incl CAD Unilateral - Right | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnositic Mammo incl CAD Unilateral - Left | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Post Biopsy Right | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Post Biopsy Left | $262.00 | $262.00 | $91.70–$172.92 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Vascular Acquisition | $921.00 | $921.00 | $224.73–$644.70 | 34% below | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Vascular Acquisition | $921.00 | $921.00 | $322.35–$607.86 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $1,482.00 | $1,482.00 | $175.54–$1,037.40 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study - 9397 | $1,482.00 | $1,482.00 | $243.79–$1,482.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $1,482.00 | $1,482.00 | $175.54–$1,037.40 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Vascular Acquisition | $1,482.00 | $1,482.00 | $175.54–$1,037.40 | 5% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $1,482.00 | $1,482.00 | $518.70–$978.12 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $1,482.00 | $1,482.00 | $518.70–$978.12 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study - 9397 | $1,482.00 | $1,482.00 | $518.70–$978.12 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Vascular Acquisition | $1,482.00 | $1,482.00 | $518.70–$978.12 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Report | $2,687.00 | $2,687.00 | $201.91–$2,687.00 | 41% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE with doppler complete | $2,687.00 | $2,687.00 | $201.91–$2,687.00 | 41% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Acquisition | $2,687.00 | $2,687.00 | $201.91–$1,880.90 | 41% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Report | $2,687.00 | $2,687.00 | $940.45–$1,773.42 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE with doppler complete | $2,687.00 | $2,687.00 | $940.45–$1,773.42 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Acquisition | $2,687.00 | $2,687.00 | $940.45–$1,773.42 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right - Report | $406.00 | $406.00 | $102.95–$406.00 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left - Report | $406.00 | $406.00 | $102.95–$406.00 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow Post Reduction Right | $406.00 | $406.00 | $27.93–$284.20 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 Report - XR Elbow Post Reduction Left | $406.00 | $406.00 | $102.95–$406.00 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow Post Reduction Left | $406.00 | $406.00 | $27.93–$284.20 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 Report - XR Elbow 2 Views Left | $406.00 | $406.00 | $102.95–$406.00 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 Report - XR Elbow 2 Views Right | $406.00 | $406.00 | $102.95–$406.00 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $406.00 | $406.00 | $27.93–$284.20 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 Report - XR Elbow Post Reduction Right | $406.00 | $406.00 | $102.95–$406.00 | 29% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $406.00 | $406.00 | $27.93–$284.20 | 29% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Report - XR Elbow Post Reduction Left | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left - Report | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right - Report | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Report - XR Elbow Post Reduction Right | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow Post Reduction Right | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow Post Reduction Left | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Report - XR Elbow 2 Views Left | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Report - XR Elbow 2 Views Right | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $406.00 | $406.00 | $142.10–$267.96 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right | $452.00 | $452.00 | $31.43–$316.40 | 18% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left | $452.00 | $452.00 | $31.43–$316.40 | 18% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Report - XR Elbow Complete 3+ Views Left | $452.00 | $452.00 | $102.95–$452.00 | 18% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Report - XR Elbow Complete 3+ Views Right | $452.00 | $452.00 | $102.95–$452.00 | 18% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right - Report | $452.00 | $452.00 | $102.95–$452.00 | 18% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left - Report | $452.00 | $452.00 | $102.95–$452.00 | 18% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Report - XR Elbow Complete 3+ Views Right | $452.00 | $452.00 | $158.20–$298.32 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Report - XR Elbow Complete 3+ Views Left | $452.00 | $452.00 | $158.20–$298.32 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left - Report | $452.00 | $452.00 | $158.20–$298.32 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right - Report | $452.00 | $452.00 | $158.20–$298.32 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left | $452.00 | $452.00 | $158.20–$298.32 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right | $452.00 | $452.00 | $158.20–$298.32 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Report - CT Orbits Ax/Cor w/o Contrast | $2,297.00 | $2,297.00 | $261.15–$2,297.00 | 55% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 ENT- CT, orbit, sella, or posterior fossa or outer | $2,297.00 | $2,297.00 | $261.15–$2,297.00 | 55% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial Activity - Report | $2,297.00 | $2,297.00 | $261.15–$2,297.00 | 55% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC w/o Contrast | $2,297.00 | $2,297.00 | $99.51–$1,516.02 | 55% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Report - CT IAC w/o Contrast | $2,297.00 | $2,297.00 | $261.15–$2,297.00 | 55% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Ax/Cor w/o Contrast | $2,297.00 | $2,297.00 | $99.51–$1,516.02 | 55% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Ax/Cor w/o Contrast | $2,297.00 | $2,297.00 | $803.95–$1,516.02 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC w/o Contrast | $2,297.00 | $2,297.00 | $803.95–$1,516.02 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Report - CT IAC w/o Contrast | $2,297.00 | $2,297.00 | $803.95–$1,516.02 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT scan of cranial Activity - Report | $2,297.00 | $2,297.00 | $803.95–$1,516.02 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ENT- CT, orbit, sella, or posterior fossa or outer | $2,297.00 | $2,297.00 | $803.95–$1,516.02 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Report - CT Orbits Ax/Cor w/o Contrast | $2,297.00 | $2,297.00 | $803.95–$1,516.02 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Report - XR Facial Bones 3+ Views | $466.00 | $466.00 | $144.58–$466.00 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arches | $466.00 | $466.00 | $45.08–$326.20 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views | $466.00 | $466.00 | $45.08–$326.20 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views - Report | $466.00 | $466.00 | $144.58–$466.00 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arches | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Report - XR Facial Bones 3+ Views | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views - Report | $466.00 | $466.00 | $163.10–$307.56 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left - Report | $446.00 | $446.00 | $102.95–$446.00 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $446.00 | $446.00 | $27.93–$312.20 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $446.00 | $446.00 | $27.93–$312.20 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Report - XR Forearm 2 Views Right | $446.00 | $446.00 | $102.95–$446.00 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Report - XR Forearm 2 Views Left | $446.00 | $446.00 | $102.95–$446.00 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right - Report | $446.00 | $446.00 | $102.95–$446.00 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm Post Reduction Right | $446.00 | $446.00 | $27.93–$312.20 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Report - XR Forearm Post Reduction Left | $446.00 | $446.00 | $102.95–$446.00 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm Post Reduction Left | $446.00 | $446.00 | $27.93–$312.20 | 20% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm Post Reduction Right | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right - Report | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left - Report | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Report - XR Forearm 2 Views Right | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Report - XR Forearm 2 Views Left | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Report - XR Forearm Post Reduction Left | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm Post Reduction Left | $446.00 | $446.00 | $156.10–$294.36 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Report - NM Hepatobiliary Imaging w/ Fatty Meal | $2,068.00 | $2,068.00 | $394.24–$2,068.00 | 29% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging w/ Fatty Meal | $2,068.00 | $2,068.00 | $276.16–$1,447.60 | 29% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Report - NM Hepatobiliary Imaging | $2,068.00 | $2,068.00 | $394.24–$2,068.00 | 29% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging | $2,068.00 | $2,068.00 | $276.16–$1,447.60 | 29% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Report - NM Hepatobiliary Imaging w/ Fatty Meal | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging w/ Fatty Meal | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Report - NM Hepatobiliary Imaging | $2,068.00 | $2,068.00 | $723.80–$1,364.88 | — | — |
| Hand X-ray, 2 views both sides CPT 73120 XR Hand 1 View Bilateral | $337.00 | $337.00 | $30.15–$240.97 | — | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand Post Reduction Right | $386.00 | $386.00 | $30.15–$270.20 | 21% above | — |
| Hand X-ray, 2 views one side CPT 73120 Report - XR Hand Post Reduction Left | $386.00 | $386.00 | $135.10–$386.00 | 21% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand Post Reduction Left | $386.00 | $386.00 | $30.15–$270.20 | 21% above | — |
| Hand X-ray, 2 views inpatient both sides CPT 73120 XR Hand 1 View Bilateral | $337.00 | $337.00 | $117.95–$222.42 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand Post Reduction Right | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand Post Reduction Left | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 Report - XR Hand Post Reduction Left | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Report - XR Calcaneous Left | $355.00 | $355.00 | $102.95–$355.00 | 24% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Left - Report | $355.00 | $355.00 | $102.95–$355.00 | 24% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Report - XR Calcaneous Right | $355.00 | $355.00 | $102.95–$355.00 | 24% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Right | $355.00 | $355.00 | $27.30–$248.50 | 24% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Left | $355.00 | $355.00 | $27.30–$248.50 | 24% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Report - XR Calcaneous Right | $355.00 | $355.00 | $124.25–$234.30 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Right | $355.00 | $355.00 | $124.25–$234.30 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Report - XR Calcaneous Left | $355.00 | $355.00 | $124.25–$234.30 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Left - Report | $355.00 | $355.00 | $124.25–$234.30 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Left | $355.00 | $355.00 | $124.25–$234.30 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 *Sleep Study Charges - 95811 Polysomnography 4+ pa | $4,699.25 | $4,699.25 | $610.72–$3,289.47 | 12% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 *Sleep Study Charges Modifier 52 - 95811 Polysomno | $4,699.25 | $4,699.25 | $610.72–$3,289.47 | 12% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 *Sleep Study Charges - 95811 Polysomnography 4+ pa | $4,699.25 | $4,699.25 | $1,644.74–$3,101.51 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 *Sleep Study Charges Modifier 52 - 95811 Polysomno | $4,699.25 | $4,699.25 | $1,644.74–$3,101.51 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $501.00 | $501.00 | $39.05–$350.70 | 35% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left - Report | $501.00 | $501.00 | $102.95–$501.00 | 35% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right - Report | $501.00 | $501.00 | $102.95–$501.00 | 35% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $501.00 | $501.00 | $39.05–$350.70 | 35% above | — |
| Knee X-ray, 3 views one side CPT 73562 Report - XR Knee 3 Views Left | $501.00 | $501.00 | $102.95–$501.00 | 35% above | — |
| Knee X-ray, 3 views one side CPT 73562 Report - XR Knee 3 Views Right | $501.00 | $501.00 | $102.95–$501.00 | 35% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Report - XR Knee 3 Views Left | $501.00 | $501.00 | $175.35–$330.66 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $501.00 | $501.00 | $175.35–$330.66 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right - Report | $501.00 | $501.00 | $175.35–$330.66 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $501.00 | $501.00 | $175.35–$330.66 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left - Report | $501.00 | $501.00 | $175.35–$330.66 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Report - XR Knee 3 Views Right | $501.00 | $501.00 | $175.35–$330.66 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Report - XR Knee Complete 4+ Views Left | $638.00 | $638.00 | $144.58–$638.00 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right - Report | $638.00 | $638.00 | $144.58–$638.00 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left - Report | $638.00 | $638.00 | $144.58–$638.00 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Report - XR Knee Complete 4+ Views Right | $638.00 | $638.00 | $144.58–$638.00 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right | $638.00 | $638.00 | $45.08–$446.60 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left | $638.00 | $638.00 | $45.08–$446.60 | 50% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left | $638.00 | $638.00 | $223.30–$421.08 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right | $638.00 | $638.00 | $223.30–$421.08 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Report - XR Knee Complete 4+ Views Right | $638.00 | $638.00 | $223.30–$421.08 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left - Report | $638.00 | $638.00 | $223.30–$421.08 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Report - XR Knee Complete 4+ Views Left | $638.00 | $638.00 | $223.30–$421.08 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right - Report | $638.00 | $638.00 | $223.30–$421.08 | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Femur w/o Contrast Left | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right - Report | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Tibia/Fibula w/o Contrast Left | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Foot w/o Contrast Right | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Hip w/o Contrast Left | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left - Report | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Hip w/o Contrast Right | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Knee w/o Contrast Left | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Knee w/o Contrast Right | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Report - CT Ankle w/o Contrast Right | $1,824.00 | $1,824.00 | $261.15–$1,824.00 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Left | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Right | $1,824.00 | $1,824.00 | $99.51–$1,203.84 | 11% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Left - Report | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Tibia/Fibula w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Knee w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Right - Report | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Knee w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Hip w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Hip w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Foot w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Femur w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Report - CT Ankle w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Right | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Left | $1,824.00 | $1,824.00 | $638.40–$1,203.84 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder both sides CPT 76705 US Groin Bilateral | $677.00 | $677.00 | $82.85–$473.90 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - IR US Abdomen Limited | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - US Abdomen Limited | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - US Gallbladder | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US Abdomen Limited | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam of Abdomen - 76705 | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen and Pelvis Superficial | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - US Abdomen and Pelvis Superficial | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver w/IMG Limited w/Elastography | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Ascites Check | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus Pediatric | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix (Vermiform) | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver w/ Doppler | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - US Liver w/ Doppler | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen and Pelvis Limited - Report | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - US Spleen | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report - US Renal w/ Doppler | $780.00 | $780.00 | $144.58–$780.00 | 29% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Renal w/ Doppler | $780.00 | $780.00 | $82.85–$546.00 | 29% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 Report - US Groin Right | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US Groin Left | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US Groin Right | $677.00 | $677.00 | $82.85–$473.90 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 Report - US Groin Left | $677.00 | $677.00 | $144.58–$677.00 | 12% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient both sides CPT 76705 US Groin Bilateral | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - US Abdomen Limited | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - US Gallbladder | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver w/ Doppler | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR US Abdomen Limited | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - IR US Abdomen Limited | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - US Liver w/ Doppler | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen and Pelvis Superficial | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam of Abdomen - 76705 | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - US Abdomen and Pelvis Superficial | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver w/IMG Limited w/Elastography | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Ascites Check | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - US Spleen | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus Pediatric | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen and Pelvis Limited - Report | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix (Vermiform) | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Renal w/ Doppler | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report - US Renal w/ Doppler | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US Groin Right | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 Report - US Groin Right | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 Report - US Groin Left | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US Groin Left | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Report | $334.00 | $334.00 | $116.90–$334.00 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Report - US Arm Limited Left | $334.00 | $334.00 | $116.90–$334.00 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Arm Limited Right | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Leg Limited Left | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Arm Limited Left | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Report - US Leg Limited Left | $334.00 | $334.00 | $116.90–$334.00 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 IR US Leg Limited Right | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Leg Limited Right | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Limited Non-Vascular Left - Report | $334.00 | $334.00 | $116.90–$334.00 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 IR US Leg Limited Left | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Right | $334.00 | $334.00 | $28.83–$240.97 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 76882 - MG US Axilla Left/Right | $354.04 | $354.04 | $28.83–$247.83 | 9% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MG US Axilla Right | $354.04 | $354.04 | $28.83–$247.83 | 9% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MG US Axilla Left/Right | $354.04 | $354.04 | $28.83–$247.83 | 9% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MG US Axilla Left | $354.04 | $354.04 | $28.83–$247.83 | 9% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Limited Non-Vascular Right - Report | $363.00 | $363.00 | $127.05–$363.00 | 7% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Report - US Arm Limited Right | $363.00 | $363.00 | $127.05–$363.00 | 7% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Report - US Leg Limited Right | $363.00 | $363.00 | $127.05–$363.00 | 7% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Report | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Arm Limited Left | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Leg Limited Left | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Leg Limited Right | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Report - US Arm Limited Left | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 IR US Leg Limited Right | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Right | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Report - US Leg Limited Left | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Limited Non-Vascular Left - Report | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Arm Limited Right | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 IR US Leg Limited Left | $334.00 | $334.00 | $116.90–$220.44 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MG US Axilla Right | $354.04 | $354.04 | $123.91–$233.67 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 76882 - MG US Axilla Left/Right | $354.04 | $354.04 | $123.91–$233.67 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MG US Axilla Left/Right | $354.04 | $354.04 | $123.91–$233.67 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MG US Axilla Left | $354.04 | $354.04 | $123.91–$233.67 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Limited Non-Vascular Right - Report | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Report - US Leg Limited Right | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Report - US Arm Limited Right | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening | $2,489.00 | $2,489.00 | $99.51–$1,642.74 | 936% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Cancer Screening | $2,489.00 | $2,489.00 | $871.15–$1,642.74 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right | $386.00 | $386.00 | $30.15–$270.20 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Report - XR Tibia/Fibula Right | $386.00 | $386.00 | $102.95–$386.00 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Report - XR Tibia/Fibula Left | $386.00 | $386.00 | $102.95–$386.00 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Post Reduction Left | $386.00 | $386.00 | $30.15–$270.20 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Post Reduction Right | $386.00 | $386.00 | $30.15–$270.20 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Report - XR Tibia/Fibula Post Reduction Right | $386.00 | $386.00 | $102.95–$386.00 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right - Report | $386.00 | $386.00 | $102.95–$386.00 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left - Report | $386.00 | $386.00 | $102.95–$386.00 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left | $386.00 | $386.00 | $30.15–$270.20 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Report - XR Tibia/Fibula Left | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Post Reduction Left | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Post Reduction Right | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Report - XR Tibia/Fibula Post Reduction Right | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right - Report | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left - Report | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Report - XR Tibia/Fibula Right | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right | $386.00 | $386.00 | $135.10–$254.76 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast | $2,544.00 | $2,544.00 | $211.09–$1,679.04 | 42% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Report - MRA Brain/Head w/o Contrast | $2,544.00 | $2,544.00 | $542.98–$2,544.00 | 42% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV Head w/o Contrast | $2,544.00 | $2,544.00 | $211.09–$1,679.04 | 42% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV Head w/o Contrast - Report | $2,544.00 | $2,544.00 | $542.98–$2,544.00 | 42% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Head w/o Contrast | $2,544.00 | $2,544.00 | $890.40–$1,679.04 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast | $2,544.00 | $2,544.00 | $890.40–$1,679.04 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Report - MRA Brain/Head w/o Contrast | $2,544.00 | $2,544.00 | $890.40–$1,679.04 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Head w/o Contrast - Report | $2,544.00 | $2,544.00 | $890.40–$1,679.04 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $2,583.00 | $2,583.00 | $198.40–$1,704.78 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Report - MRI Hip w/o Contrast Right | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $2,583.00 | $2,583.00 | $198.40–$1,704.78 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $2,583.00 | $2,583.00 | $198.40–$1,704.78 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Report - MRI Knee w/o Contrast Left | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $2,583.00 | $2,583.00 | $198.40–$1,704.78 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Report - MRI Knee w/o Contrast Right | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $2,583.00 | $2,583.00 | $198.40–$1,704.78 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Left - Repo | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Report - MRI Ankle w/o Contrast Left | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Right - Rep | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Report - MRI Hip w/o Contrast Left | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $2,583.00 | $2,583.00 | $198.40–$1,704.78 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Report - MRI Ankle w/o Contrast Right | $2,583.00 | $2,583.00 | $542.98–$2,583.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Report - MRI Ankle w/o Contrast Left | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Report - MRI Ankle w/o Contrast Right | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Report - MRI Hip w/o Contrast Left | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Report - MRI Hip w/o Contrast Right | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Report - MRI Knee w/o Contrast Left | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Report - MRI Knee w/o Contrast Right | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Left - Repo | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Right - Rep | $2,583.00 | $2,583.00 | $904.05–$1,704.78 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $348.10–$2,554.20 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Joint w/ + w/o Contrast Left - | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Joint w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Report - MRI Knee w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $348.10–$2,554.20 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $348.10–$2,554.20 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $348.10–$2,554.20 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Report - MRI Hip w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Report - MRI Ankle w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Report - MRI Knee w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Report - MRI Hip w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Report - MRI Ankle w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $889.71–$3,870.00 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $348.10–$2,554.20 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $348.10–$2,554.20 | 29% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Report - MRI Hip w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Joint w/ + w/o Contrast Left - | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Joint w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Report - MRI Hip w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Report - MRI Ankle w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Report - MRI Knee w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Report - MRI Knee w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Report - MRI Ankle w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $3,870.00 | $3,870.00 | $1,354.50–$2,554.20 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast - Report | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 45% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $2,971.00 | $2,971.00 | $191.72–$1,960.86 | 45% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP Protocol | $2,971.00 | $2,971.00 | $191.72–$1,960.86 | 45% above | — |
| MRI of the abdomen without contrast CPT 74181 Report - MRI MRCP Protocol | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 45% above | — |
| MRI of the abdomen without contrast CPT 74181 Report - MRI Abdomen w/o Contrast | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 45% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Report - MRI Abdomen w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Report - MRI MRCP Protocol | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast - Report | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP Protocol | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Report - MRI Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 32% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $331.08–$2,673.66 | 32% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRA Thor Aorta w/ + w/o Contrast | $4,051.00 | $4,051.00 | $331.08–$2,673.66 | 32% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast - Report | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 32% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Report - MRI Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRA Thor Aorta w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast - Report | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $3,077.00 | $3,077.00 | $192.04–$2,030.82 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast - Report | $3,077.00 | $3,077.00 | $542.98–$3,077.00 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 Report - MRI Diffusion Tensor Image | $3,077.00 | $3,077.00 | $542.98–$3,077.00 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Pituitary w/o Contrast | $3,077.00 | $3,077.00 | $192.04–$2,030.82 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Diffusion Tensor Image | $3,077.00 | $3,077.00 | $192.04–$2,030.82 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 Report - MRI Brain w/o Contrast | $3,077.00 | $3,077.00 | $542.98–$3,077.00 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain IAC w/o Contrast | $3,077.00 | $3,077.00 | $192.04–$2,030.82 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 Report - MRI Brain IAC w/o Contrast | $3,077.00 | $3,077.00 | $542.98–$3,077.00 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Neuro/Stealth s/o Contrast - MRI Neuro/Stealth | $3,082.00 | $3,082.00 | $192.04–$2,034.12 | 67% above | — |
| MRI of the brain, no contrast dye CPT 70551 Report - MRI Neuro/Stealth w/o Contrast | $3,082.00 | $3,082.00 | $542.98–$3,082.00 | 67% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Report - MRI Brain IAC w/o Contrast | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Report - MRI Diffusion Tensor Image | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Diffusion Tensor Image | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Report - MRI Brain w/o Contrast | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Pituitary w/o Contrast | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain IAC w/o Contrast | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast - Report | $3,077.00 | $3,077.00 | $1,076.95–$2,030.82 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Report - MRI Neuro/Stealth w/o Contrast | $3,082.00 | $3,082.00 | $1,078.70–$2,034.12 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Neuro/Stealth s/o Contrast - MRI Neuro/Stealth | $3,082.00 | $3,082.00 | $1,078.70–$2,034.12 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast - Report | $3,841.00 | $3,841.00 | $889.71–$3,841.00 | 36% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary w/ + w/o Contrast | $3,841.00 | $3,841.00 | $311.70–$2,535.06 | 36% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Report - MRI Brain IAC w + w/o Contrast | $3,841.00 | $3,841.00 | $889.71–$3,841.00 | 36% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain IAC w/wo Contrast - MRI Brain IAC w + w/ | $3,841.00 | $3,841.00 | $311.70–$2,535.06 | 36% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Report - MRI Brain w/ + w/o Contrast | $3,841.00 | $3,841.00 | $889.71–$3,841.00 | 36% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $3,841.00 | $3,841.00 | $311.70–$2,535.06 | 36% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Report - MRI Pituitary w/ + w/o Contrast | $3,841.00 | $3,841.00 | $889.71–$3,841.00 | 36% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Pituitary w/ + w/o Contrast | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast - Report | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Report - MRI Pituitary w/ + w/o Contrast | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Report - MRI Brain w/ + w/o Contrast | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain IAC w/wo Contrast - MRI Brain IAC w + w/ | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Report - MRI Brain IAC w + w/o Contrast | $3,841.00 | $3,841.00 | $1,344.35–$2,535.06 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Report - MRI Spine Lumbar Limited w/o Contrast | $2,769.00 | $2,769.00 | $542.98–$2,769.00 | 26% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar lmtd w/o Contrast - MRI Spine Lum | $2,769.00 | $2,769.00 | $187.28–$1,827.54 | 26% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Report - MRI Spine Lumbar w/o Contrast | $2,769.00 | $2,769.00 | $542.98–$2,769.00 | 26% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast - Report | $2,769.00 | $2,769.00 | $542.98–$2,769.00 | 26% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $2,769.00 | $2,769.00 | $187.28–$1,827.54 | 26% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar lmtd w/o Contrast - MRI Spine Lum | $2,769.00 | $2,769.00 | $969.15–$1,827.54 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Report - MRI Spine Lumbar w/o Contrast | $2,769.00 | $2,769.00 | $969.15–$1,827.54 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Report - MRI Spine Lumbar Limited w/o Contrast | $2,769.00 | $2,769.00 | $969.15–$1,827.54 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast - Report | $2,769.00 | $2,769.00 | $969.15–$1,827.54 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $2,769.00 | $2,769.00 | $969.15–$1,827.54 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar lmtd w/ + w/o Contrast - MRI Spin | $3,866.00 | $3,866.00 | $312.67–$2,551.56 | 21% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Report - MRI Spine Lumbar w/ + w/o Contrast | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 27% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast - Report | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 27% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $4,051.00 | $4,051.00 | $312.67–$2,673.66 | 27% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Report - MRI Spine Lumbar Limited w/ + w/o Con | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 27% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar lmtd w/ + w/o Contrast - MRI Spin | $3,866.00 | $3,866.00 | $1,353.10–$2,551.56 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Report - MRI Spine Lumbar w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast - Report | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Report - MRI Spine Lumbar Limited w/ + w/o Con | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic lmtd w/o Contrast - MRI Spine T | $2,971.00 | $2,971.00 | $186.33–$1,960.86 | 46% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $2,971.00 | $2,971.00 | $186.33–$1,960.86 | 46% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Report - MRI Spine Thoracic w/o Contrast | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 46% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast - Report | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 46% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Report - MRI Spine Thoracic w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic lmtd w/o Contrast - MRI Spine T | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast - Report | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Report - MRI Spine Cervical w/ + w/o Contrast | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 24% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast - Report | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 24% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Report - MRI Spine Cervical Limited w/ + w/o Con | $4,051.00 | $4,051.00 | $889.71–$4,051.00 | 24% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical lmtd w/ + w/o Con - MRI Spine C | $4,051.00 | $4,051.00 | $313.30–$2,673.66 | 24% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $4,051.00 | $4,051.00 | $313.30–$2,673.66 | 24% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Report - MRI Spine Cervical Limited w/ + w/o Con | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical lmtd w/ + w/o Con - MRI Spine C | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Report - MRI Spine Cervical w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast - Report | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical lmtd w/o Contrast - MRI Spine C | $2,860.00 | $2,860.00 | $186.66–$1,887.60 | 26% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $186.66–$1,960.86 | 31% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast - Report | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 31% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Report - MRI Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 31% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Report - MRI Spine Cervical Limited w/o Contrast | $2,971.00 | $2,971.00 | $542.98–$2,971.00 | 31% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical lmtd w/o Contrast - MRI Spine C | $2,860.00 | $2,860.00 | $1,001.00–$1,887.60 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Report - MRI Spine Cervical Limited w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast - Report | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Report - MRI Spine Cervical w/o Contrast | $2,971.00 | $2,971.00 | $1,039.85–$1,960.86 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $3,773.00 | $3,773.00 | $329.80–$2,490.18 | 21% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast - Report | $3,773.00 | $3,773.00 | $889.71–$3,773.00 | 21% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Report - MRI Pelvis w/ + w/o Contrast | $3,773.00 | $3,773.00 | $889.71–$3,773.00 | 21% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Report - MRI Pelvis w/ + w/o Contrast | $3,773.00 | $3,773.00 | $1,320.55–$2,490.18 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast - Report | $3,773.00 | $3,773.00 | $1,320.55–$2,490.18 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $3,773.00 | $3,773.00 | $1,320.55–$2,490.18 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Report - MRI Pelvis w/o Contrast | $2,757.00 | $2,757.00 | $542.98–$2,757.00 | 17% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $2,757.00 | $2,757.00 | $221.80–$1,819.62 | 17% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast - Report | $2,757.00 | $2,757.00 | $542.98–$2,757.00 | 17% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Report - MRI Pelvis w/o Contrast | $2,757.00 | $2,757.00 | $964.95–$1,819.62 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast - Report | $2,757.00 | $2,757.00 | $964.95–$1,819.62 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $2,757.00 | $2,757.00 | $964.95–$1,819.62 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Report - MRI Shoulder w/o Contrast Left | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Joint w/o Contrast Left - Report | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Report - MRI Wrist w/o Contrast Right | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Report - MRI Wrist w/o Contrast Left | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Report - MRI Shoulder w/o Contrast Right | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Report - MRI Elbow w/o Contrast Right | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Report - MRI Elbow w/o Contrast Left | $4,051.00 | $4,051.00 | $542.98–$4,051.00 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $4,051.00 | $4,051.00 | $198.70–$2,673.66 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $4,051.00 | $4,051.00 | $198.70–$2,673.66 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $4,051.00 | $4,051.00 | $198.70–$2,673.66 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $4,051.00 | $4,051.00 | $198.70–$2,673.66 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $4,051.00 | $4,051.00 | $198.70–$2,673.66 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $4,051.00 | $4,051.00 | $198.70–$2,673.66 | 126% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Report - MRI Elbow w/o Contrast Right | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Report - MRI Shoulder w/o Contrast Left | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Report - MRI Elbow w/o Contrast Left | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Joint w/o Contrast Left - Report | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Report - MRI Wrist w/o Contrast Right | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Report - MRI Wrist w/o Contrast Left | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Report - MRI Shoulder w/o Contrast Right | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $4,051.00 | $4,051.00 | $1,417.85–$2,673.66 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Report - XR Spine Cervical 4 or 5 Views | $677.00 | $677.00 | $144.58–$677.00 | 24% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views | $677.00 | $677.00 | $51.11–$473.90 | 24% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views - Report | $677.00 | $677.00 | $144.58–$677.00 | 24% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Report - XR Spine Cervical 4 or 5 Views | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views - Report | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views | $677.00 | $677.00 | $236.95–$446.82 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast | $2,746.00 | $2,746.00 | $166.31–$1,812.36 | 38% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Report - CT Neck Soft Tissue w/ Contrast | $2,746.00 | $2,746.00 | $424.57–$2,746.00 | 38% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast - Report | $2,746.00 | $2,746.00 | $424.57–$2,746.00 | 38% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast - Report | $2,746.00 | $2,746.00 | $961.10–$1,812.36 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Report - CT Neck Soft Tissue w/ Contrast | $2,746.00 | $2,746.00 | $961.10–$1,812.36 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast | $2,746.00 | $2,746.00 | $961.10–$1,812.36 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast - Report | $1,842.00 | $1,842.00 | $261.15–$1,842.00 | 20% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 Report - CT Neck Soft Tissue w/o Contrast | $1,842.00 | $1,842.00 | $261.15–$1,842.00 | 20% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,842.00 | $1,842.00 | $99.51–$1,215.72 | 20% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,842.00 | $1,842.00 | $644.70–$1,215.72 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Report - CT Neck Soft Tissue w/o Contrast | $1,842.00 | $1,842.00 | $644.70–$1,215.72 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast - Report | $1,842.00 | $1,842.00 | $644.70–$1,215.72 | — | — |
| Neck soft tissue X-ray CPT 70360 Report - XR Neck Soft Tissue | $302.00 | $302.00 | $102.95–$302.00 | 27% above | — |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $302.00 | $302.00 | $29.84–$211.40 | 27% above | — |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue - Report | $302.00 | $302.00 | $102.95–$302.00 | 27% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue | $302.00 | $302.00 | $105.70–$199.32 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 Report - XR Neck Soft Tissue | $302.00 | $302.00 | $105.70–$199.32 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue - Report | $302.00 | $302.00 | $105.70–$199.32 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Multiple Studies- Report | $4,025.00 | $4,025.00 | $528.13–$4,025.00 | 3% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Interpetation | $4,025.00 | $4,025.00 | $528.13–$4,025.00 | 3% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Acquisition | $4,025.00 | $4,025.00 | $401.22–$2,817.50 | 3% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Spect Rest and Stress | $4,025.00 | $4,025.00 | $401.22–$2,817.50 | 3% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 - NM Myocardial Spect Rest and Stress | $4,025.00 | $4,025.00 | $401.22–$2,817.50 | 3% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Acquisition | $4,025.00 | $4,025.00 | $1,408.75–$2,656.50 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Spect Rest and Stress | $4,025.00 | $4,025.00 | $1,408.75–$2,656.50 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 - NM Myocardial Spect Rest and Stress | $4,025.00 | $4,025.00 | $1,408.75–$2,656.50 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Interpetation | $4,025.00 | $4,025.00 | $1,408.75–$2,656.50 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Multiple Studies- Report | $4,025.00 | $4,025.00 | $1,408.75–$2,656.50 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Subsequent | $6,079.00 | $6,079.00 | $1,385.66–$5,424.90 | 41% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh | $6,079.00 | $6,079.00 | $1,385.66–$5,424.90 | 41% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Pylarify PSMA | $7,016.00 | $7,016.00 | $1,385.66–$5,424.90 | 63% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh | $6,079.00 | $6,079.00 | $2,127.65–$4,012.14 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Subsequent | $6,079.00 | $6,079.00 | $2,127.65–$4,012.14 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Pylarify PSMA | $7,016.00 | $7,016.00 | $2,455.60–$4,630.56 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis Limited w/o Contrast | $2,057.00 | $2,057.00 | $99.51–$1,357.62 | 27% above | — |
| Pelvic CT scan without contrast CPT 72192 Report - CT Pelvis w/o Contrast | $2,506.00 | $2,506.00 | $261.15–$2,506.00 | 54% above | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $2,506.00 | $2,506.00 | $99.51–$1,653.96 | 54% above | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast - Report | $2,506.00 | $2,506.00 | $261.15–$2,506.00 | 54% above | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis Oral/Rectal | $2,506.00 | $2,506.00 | $99.51–$1,653.96 | 54% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis Limited w/o Contrast | $2,057.00 | $2,057.00 | $719.95–$1,357.62 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast - Report | $2,506.00 | $2,506.00 | $877.10–$1,653.96 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis Oral/Rectal | $2,506.00 | $2,506.00 | $877.10–$1,653.96 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $2,506.00 | $2,506.00 | $877.10–$1,653.96 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Report - CT Pelvis w/o Contrast | $2,506.00 | $2,506.00 | $877.10–$1,653.96 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Male | $918.00 | $918.00 | $91.47–$642.60 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Exam Pelvic Complete - 76856 | $918.00 | $918.00 | $144.58–$918.00 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Report - US Pelvis Female Transabdominal | $918.00 | $918.00 | $144.58–$918.00 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Report - US Pelvis Male | $918.00 | $918.00 | $144.58–$918.00 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Transabdominal - Report | $918.00 | $918.00 | $144.58–$918.00 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Report - US Pelvis Transabdominal and Transvaginal | $918.00 | $918.00 | $144.58–$918.00 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Transabdominal and Transvagina - US Pelv | $918.00 | $918.00 | $91.47–$642.60 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam,Pelvic,Complete 76856 | $918.00 | $918.00 | $144.58–$918.00 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Female Transabdominal | $918.00 | $918.00 | $91.47–$642.60 | 21% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Report - US Pelvis Transabdominal and Transvaginal | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Female Transabdominal | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Exam,Pelvic,Complete 76856 | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Transabdominal - Report | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Exam Pelvic Complete - 76856 | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Male | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Report - US Pelvis Male | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Transabdominal and Transvagina - US Pelv | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Report - US Pelvis Female Transabdominal | $918.00 | $918.00 | $321.30–$605.88 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $746.00 | $746.00 | $99.51–$522.20 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Multiple >=14 weeks - 76805 Add On | $746.00 | $746.00 | $99.51–$522.20 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks - Report | $746.00 | $746.00 | $118.09–$746.00 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US > or = 14 Weeks, Single Fetus - 76805 | $746.00 | $746.00 | $118.09–$746.00 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 - Routine Ultrasound - Charge - Yes | $746.00 | $746.00 | $99.51–$522.20 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Report - US OB Greater Than 14 Weeks | $746.00 | $746.00 | $118.09–$746.00 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US > or = 14 Weeks, Single Fetus - 76805 | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Report - US OB Greater Than 14 Weeks | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 - Routine Ultrasound - Charge - Yes | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Multiple >=14 weeks - 76805 Add On | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks - Report | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Transabdominal <=14 weeks - Report | $760.00 | $760.00 | $94.84–$760.00 | 30% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Transabdominal <=14 weeks- 76801 Add On | $760.00 | $760.00 | $94.84–$532.00 | 30% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Report - US OB Transabdominal <=14 weeks | $760.00 | $760.00 | $94.84–$760.00 | 30% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Transabdominal <=14 weeks | $760.00 | $760.00 | $94.84–$532.00 | 30% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Report - US OB Transabdominal <=14 weeks | $760.00 | $760.00 | $266.00–$501.60 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Transabdominal <=14 weeks - Report | $760.00 | $760.00 | $266.00–$501.60 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Transabdominal <=14 weeks- 76801 Add On | $760.00 | $760.00 | $266.00–$501.60 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Transabdominal <=14 weeks | $760.00 | $760.00 | $266.00–$501.60 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us, Limited Fetus(S) 76815 | $478.00 | $478.00 | $144.58–$478.00 | 4% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited - Report | $478.00 | $478.00 | $144.58–$478.00 | 4% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US Limited Fetus - 76815 | $478.00 | $478.00 | $144.58–$478.00 | 4% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Report - US OB Limited | $478.00 | $478.00 | $144.58–$478.00 | 4% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $478.00 | $478.00 | $77.14–$334.60 | 4% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Report - US OB Limited | $478.00 | $478.00 | $167.30–$315.48 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $478.00 | $478.00 | $167.30–$315.48 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Us, Limited Fetus(S) 76815 | $478.00 | $478.00 | $167.30–$315.48 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited - Report | $478.00 | $478.00 | $167.30–$315.48 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US Limited Fetus - 76815 | $478.00 | $478.00 | $167.30–$315.48 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs 3 Views w/ PA Chest Unilateral - Report | $395.00 | $395.00 | $138.25–$395.00 | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs 3 Views w/ PA Chest Unilateral | $395.00 | $395.00 | $40.32–$276.50 | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Report - XR Ribs 3 Views w/ PA Chest Unilateral | $395.00 | $395.00 | $138.25–$395.00 | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs 3 Views w/ PA Chest Unilateral | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs 3 Views w/ PA Chest Unilateral - Report | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Report - XR Ribs 3 Views w/ PA Chest Unilateral | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral | $275.00 | $275.00 | $35.74–$213.86 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Report - MG Mammo 3D Screening Bilateral | $275.00 | $275.00 | $41.58–$275.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo 3D Screening Bilateral | $275.00 | $275.00 | $35.74–$213.86 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Report - MG Mammo Digital Screening Bilateral | $275.00 | $275.00 | $41.58–$275.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 77067 - MG Mammo 3D Screen Bilat | $275.00 | $275.00 | $35.74–$213.86 | — | — |
| Screening mammogram, both breasts CPT 77067 Screening mammography, producing direct digital im | $275.00 | $275.00 | $41.58–$275.00 | 8% below | — |
| Screening mammogram, both breasts CPT 77067 Diagnositic Mammo incl CAD Bialteral | $275.00 | $275.00 | $41.58–$275.00 | 8% below | — |
| Screening mammogram, both breasts CPT 77067 77067 - MG Mammo 3D Screening BL | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts CPT 77067 77067 - MG Mammo 3D Screening Special BL | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 77067 - MG Mammo 3D Screening Special Left | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 Report - MG Mammo Digital Screening Right | $275.00 | $275.00 | $41.58–$275.00 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Right | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 77067 - MG Mammo 3D Screening Special Right | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo 3D Screening Right | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 77067 - MG Mammo 3D Screening Left | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 77067 - MG Mammo 3D Screening Right | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo 3D Screening Left | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 77067 - MG Mammo 3D Screen Right | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts one side CPT 77067 77067 - MG Mammo 3D Screen Left | $275.00 | $275.00 | $35.74–$213.86 | 8% below | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 - MG Mammo 3D Screen Bilat | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Report - MG Mammo 3D Screening Bilateral | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo 3D Screening Bilateral | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Report - MG Mammo Digital Screening Bilateral | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Diagnositic Mammo incl CAD Bialteral | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Screening mammography, producing direct digital im | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 77067 - MG Mammo 3D Screening Special BL | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 77067 - MG Mammo 3D Screening BL | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo 3D Screening Right | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 - MG Mammo 3D Screening Right | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 - MG Mammo 3D Screening Left | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 - MG Mammo 3D Screen Left | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 - MG Mammo 3D Screen Right | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Right | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 Report - MG Mammo Digital Screening Right | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 - MG Mammo 3D Screening Special Right | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 - MG Mammo 3D Screening Special Left | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo 3D Screening Left | $275.00 | $275.00 | $96.25–$181.50 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Report - XR Shoulder Post Reduction Left | $461.00 | $461.00 | $102.95–$461.00 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Post Reduction Left | $461.00 | $461.00 | $33.34–$322.70 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Report - XR Shoulder Complete 2+ Views Left | $461.00 | $461.00 | $102.95–$461.00 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Report - XR Shoulder Complete 2+ Views Right | $461.00 | $461.00 | $102.95–$461.00 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $461.00 | $461.00 | $33.34–$322.70 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $461.00 | $461.00 | $33.34–$322.70 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left - Report | $461.00 | $461.00 | $102.95–$461.00 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right - Report | $461.00 | $461.00 | $102.95–$461.00 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Report - XR Shoulder Post Reduction Right | $461.00 | $461.00 | $102.95–$461.00 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Post Reduction Right | $461.00 | $461.00 | $33.34–$322.70 | 45% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Post Reduction Left | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Report - XR Shoulder Complete 2+ Views Right | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Report - XR Shoulder Complete 2+ Views Left | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Post Reduction Right | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left - Report | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Report - XR Shoulder Post Reduction Right | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Report - XR Shoulder Post Reduction Left | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right - Report | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete - Report | $591.00 | $591.00 | $102.95–$591.00 | 46% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete | $591.00 | $591.00 | $35.87–$413.70 | 46% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Report - XR Sinuses Paranasal Complete | $591.00 | $591.00 | $102.95–$591.00 | 46% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete - Report | $591.00 | $591.00 | $206.85–$390.06 | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete | $591.00 | $591.00 | $206.85–$390.06 | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Report - XR Sinuses Paranasal Complete | $591.00 | $591.00 | $206.85–$390.06 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $321.00 | $321.00 | $34.29–$240.97 | at median | — |
| Skull X-ray, fewer than 4 views CPT 70250 Report - XR Skull < 4 Views | $321.00 | $321.00 | $34.29–$240.97 | at median | — |
| Skull X-ray, fewer than 4 views CPT 70250 70250 - XR Skull less than 4 Views | $321.00 | $321.00 | $34.29–$240.97 | at median | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Report - XR Skull < 4 Views | $321.00 | $321.00 | $112.35–$211.86 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $321.00 | $321.00 | $112.35–$211.86 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 70250 - XR Skull less than 4 Views | $321.00 | $321.00 | $112.35–$211.86 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges Modifier 52 - 95810 Polysomno | $4,325.00 | $4,325.00 | $562.08–$3,027.50 | 5% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges - 95810 Polysomnography 4+ pa | $4,325.00 | $4,325.00 | $562.08–$3,027.50 | 5% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges - 95810 Polysomnography 4+ pa | $4,325.00 | $4,325.00 | $1,513.75–$2,854.50 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges Modifier 52 - 95810 Polysomno | $4,325.00 | $4,325.00 | $1,513.75–$2,854.50 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CVNet - ECHO TTHRC R-T 2D | $2,187.00 | $2,187.00 | $222.84–$4,672.00 | 18% below | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CVNet - ECHO TTHRC R-T 2D | $2,187.00 | $2,187.00 | $765.45–$1,443.42 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Swallowing Function w/ Speech - Report | $627.00 | $627.00 | $219.45–$627.00 | 4% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Swallowing Function w/ Speech | $627.00 | $627.00 | $118.71–$438.90 | 4% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Report - RF Swallowing Function w/ Speech | $627.00 | $627.00 | $219.45–$627.00 | 4% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Swallowing Function w/ Speech - Report | $627.00 | $627.00 | $219.45–$413.82 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Report - RF Swallowing Function w/ Speech | $627.00 | $627.00 | $219.45–$413.82 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Swallowing Function w/ Speech | $627.00 | $627.00 | $219.45–$413.82 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Right | $436.00 | $436.00 | $33.96–$305.20 | 34% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Report - XR Femur Left | $436.00 | $436.00 | $102.95–$436.00 | 34% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Left - Report | $436.00 | $436.00 | $102.95–$436.00 | 34% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Left | $436.00 | $436.00 | $33.96–$305.20 | 34% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Left - Report | $436.00 | $436.00 | $152.60–$287.76 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Right | $436.00 | $436.00 | $152.60–$287.76 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Report - XR Femur Left | $436.00 | $436.00 | $152.60–$287.76 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Left | $436.00 | $436.00 | $152.60–$287.76 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic Limited w/o Contrast | $2,153.00 | $2,153.00 | $99.51–$1,420.98 | 14% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $2,713.00 | $2,713.00 | $99.51–$1,790.58 | 44% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Report - CT Spine Thoracic w/o Contrast | $2,713.00 | $2,713.00 | $261.15–$2,713.00 | 44% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast - Report | $2,713.00 | $2,713.00 | $261.15–$2,713.00 | 44% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic Limited w/o Contrast | $2,153.00 | $2,153.00 | $753.55–$1,420.98 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast - Report | $2,713.00 | $2,713.00 | $949.55–$1,790.58 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $2,713.00 | $2,713.00 | $949.55–$1,790.58 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Report - CT Spine Thoracic w/o Contrast | $2,713.00 | $2,713.00 | $949.55–$1,790.58 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Right - Report | $356.00 | $356.00 | $102.95–$356.00 | 31% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Left | $356.00 | $356.00 | $27.93–$249.20 | 31% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Right | $356.00 | $356.00 | $27.93–$249.20 | 31% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 Report - XR Toe(s) 2+ Views Right | $356.00 | $356.00 | $102.95–$356.00 | 31% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 Report - XR Toe(s) 2+ Views Left | $356.00 | $356.00 | $102.95–$356.00 | 31% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Left - Report | $356.00 | $356.00 | $102.95–$356.00 | 31% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Right | $356.00 | $356.00 | $124.60–$234.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Left - Report | $356.00 | $356.00 | $124.60–$234.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Report - XR Toe(s) 2+ Views Right | $356.00 | $356.00 | $124.60–$234.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Right - Report | $356.00 | $356.00 | $124.60–$234.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Left | $356.00 | $356.00 | $124.60–$234.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Report - XR Toe(s) 2+ Views Left | $356.00 | $356.00 | $124.60–$234.96 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 76830 - Repeat Ultrasound - Yes | $726.00 | $726.00 | $99.51–$508.20 | 20% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB | $726.00 | $726.00 | $99.51–$508.20 | 20% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal 76830 | $726.00 | $726.00 | $113.91–$726.00 | 20% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non-OB - 76830 | $726.00 | $726.00 | $113.91–$726.00 | 20% above | — |
| Transvaginal pelvic ultrasound CPT 76830 76830 - Ultrasound, transvaginal | $726.00 | $726.00 | $99.51–$508.20 | 20% above | — |
| Transvaginal pelvic ultrasound CPT 76830 76830 - Transvaginal Sono - Yes | $726.00 | $726.00 | $99.51–$508.20 | 20% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $807.00 | $807.00 | $99.51–$564.90 | 33% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Report | $807.00 | $807.00 | $113.91–$807.00 | 33% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 - Transvaginal Sono - Yes | $726.00 | $726.00 | $254.10–$479.16 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB | $726.00 | $726.00 | $254.10–$479.16 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound, transvaginal 76830 | $726.00 | $726.00 | $254.10–$479.16 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 - Ultrasound, transvaginal | $726.00 | $726.00 | $254.10–$479.16 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal US Non-OB - 76830 | $726.00 | $726.00 | $254.10–$479.16 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 - Repeat Ultrasound - Yes | $726.00 | $726.00 | $254.10–$479.16 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Report | $807.00 | $807.00 | $282.45–$532.62 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $807.00 | $807.00 | $282.45–$532.62 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal - 76817 Add On | $518.00 | $518.00 | $88.25–$362.60 | 2% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image | $518.00 | $518.00 | $144.58–$518.00 | 2% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $518.00 | $518.00 | $88.25–$362.60 | 2% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Report - US OB Transvaginal | $518.00 | $518.00 | $144.58–$518.00 | 2% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal - 76817 Add On | $518.00 | $518.00 | $181.30–$341.88 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound, pregnant uterus, real time with image | $518.00 | $518.00 | $181.30–$341.88 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $518.00 | $518.00 | $181.30–$341.88 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Report - US OB Transvaginal | $518.00 | $518.00 | $181.30–$341.88 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete w/ Doppler | $780.00 | $780.00 | $99.51–$546.00 | 1% below | — |
| Ultrasound of the abdomen, complete CPT 76700 Report - US Abdomen Complete w/ Doppler | $780.00 | $780.00 | $144.58–$780.00 | 1% below | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete - Report | $943.00 | $943.00 | $144.58–$943.00 | 20% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $943.00 | $943.00 | $99.51–$660.10 | 20% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Report - US Abdomen Complete | $943.00 | $943.00 | $144.58–$943.00 | 20% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal w/Image w/ Elastography | $947.00 | $947.00 | $99.51–$662.90 | 21% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Report - US Abdomen Complete w/ Doppler | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete w/ Doppler | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete - Report | $943.00 | $943.00 | $330.05–$622.38 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $943.00 | $943.00 | $330.05–$622.38 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Report - US Abdomen Complete | $943.00 | $943.00 | $330.05–$622.38 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal w/Image w/ Elastography | $947.00 | $947.00 | $331.45–$625.02 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Report - US Scrotum (Contents) w/ Doppler if ind | $661.00 | $661.00 | $144.58–$661.00 | 8% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind - Report | $661.00 | $661.00 | $144.58–$661.00 | 8% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $661.00 | $661.00 | $95.23–$462.70 | 8% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind - Report | $661.00 | $661.00 | $231.35–$436.26 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Report - US Scrotum (Contents) w/ Doppler if ind | $661.00 | $661.00 | $231.35–$436.26 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $661.00 | $661.00 | $231.35–$436.26 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Face and Neck Limited | $746.00 | $746.00 | $99.51–$522.20 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Report - US Head Superficial | $746.00 | $746.00 | $144.58–$746.00 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 IR US Neck Superficial | $746.00 | $746.00 | $99.51–$522.20 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Superficial | $746.00 | $746.00 | $99.51–$522.20 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $746.00 | $746.00 | $99.51–$522.20 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid | $746.00 | $746.00 | $99.51–$522.20 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $746.00 | $746.00 | $99.51–$522.20 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Report - US Head/Neck Soft Tissue | $746.00 | $746.00 | $144.58–$746.00 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Report - US Thyroid | $746.00 | $746.00 | $144.58–$746.00 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Report - US Parathyroid | $746.00 | $746.00 | $144.58–$746.00 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue - Report | $746.00 | $746.00 | $144.58–$746.00 | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound of the Head and Neck - 76536 | $808.00 | $808.00 | $99.51–$565.60 | 28% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Report - US Parathyroid | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Report - US Thyroid | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Face and Neck Limited | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Report - US Head/Neck Soft Tissue | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue - Report | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 IR US Neck Superficial | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Report - US Head Superficial | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Superficial | $746.00 | $746.00 | $261.10–$492.36 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound of the Head and Neck - 76536 | $808.00 | $808.00 | $282.80–$533.28 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w/ Small Bowel Omnipaque | $649.00 | $649.00 | $116.81–$454.30 | 9% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Report - RF Upper GI w/ Small Bowel Gastrografin | $649.00 | $649.00 | $227.15–$649.00 | 9% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w/ Small Bowel Gastrografi - RF Upper | $649.00 | $649.00 | $116.81–$454.30 | 9% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Report - RF Upper GI Omnipaque | $857.00 | $857.00 | $235.06–$857.00 | 20% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI Omnipaque | $857.00 | $857.00 | $116.81–$599.90 | 20% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w/ Gastrografin | $857.00 | $857.00 | $116.81–$599.90 | 20% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Report - RF Upper GI + KUB | $926.00 | $926.00 | $235.06–$926.00 | 29% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Lap Band Adjustment | $926.00 | $926.00 | $116.81–$648.20 | 29% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Bariatric Evaluation | $926.00 | $926.00 | $116.81–$648.20 | 29% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI + KUB | $926.00 | $926.00 | $116.81–$648.20 | 29% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Report - RF Bariatric Evaluation | $926.00 | $926.00 | $235.06–$926.00 | 29% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w/ Small Bowel | $1,020.00 | $1,020.00 | $116.81–$714.00 | 42% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Report - RF Upper GI w/ Small Bowel | $1,020.00 | $1,020.00 | $235.06–$1,020.00 | 42% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w/ Small Bowel Omnipaque | $649.00 | $649.00 | $227.15–$428.34 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Report - RF Upper GI w/ Small Bowel Gastrografin | $649.00 | $649.00 | $227.15–$428.34 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w/ Small Bowel Gastrografi - RF Upper | $649.00 | $649.00 | $227.15–$428.34 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w/ Gastrografin | $857.00 | $857.00 | $299.95–$565.62 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI Omnipaque | $857.00 | $857.00 | $299.95–$565.62 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Report - RF Upper GI Omnipaque | $857.00 | $857.00 | $299.95–$565.62 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI + KUB | $926.00 | $926.00 | $324.10–$611.16 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Report - RF Upper GI + KUB | $926.00 | $926.00 | $324.10–$611.16 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Bariatric Evaluation | $926.00 | $926.00 | $324.10–$611.16 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Report - RF Bariatric Evaluation | $926.00 | $926.00 | $324.10–$611.16 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Lap Band Adjustment | $926.00 | $926.00 | $324.10–$611.16 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Report - RF Upper GI w/ Small Bowel | $1,020.00 | $1,020.00 | $357.00–$673.20 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w/ Small Bowel | $1,020.00 | $1,020.00 | $357.00–$673.20 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right | $431.00 | $431.00 | $30.48–$301.70 | 23% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left - Report | $431.00 | $431.00 | $102.95–$431.00 | 23% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right - Report | $431.00 | $431.00 | $102.95–$431.00 | 23% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Report - XR Humerus Left | $431.00 | $431.00 | $102.95–$431.00 | 23% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Report - XR Humerus Right | $431.00 | $431.00 | $102.95–$431.00 | 23% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left | $431.00 | $431.00 | $30.48–$301.70 | 23% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right | $431.00 | $431.00 | $150.85–$284.46 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Report - XR Humerus Right | $431.00 | $431.00 | $150.85–$284.46 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Report - XR Humerus Left | $431.00 | $431.00 | $150.85–$284.46 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right - Report | $431.00 | $431.00 | $150.85–$284.46 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left - Report | $431.00 | $431.00 | $150.85–$284.46 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left | $431.00 | $431.00 | $150.85–$284.46 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Vascular Acquisition | $888.00 | $888.00 | $101.02–$621.60 | 14% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $888.00 | $888.00 | $101.02–$621.60 | 14% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $888.00 | $888.00 | $101.02–$621.60 | 14% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Report - US Lower Ext Venous Duplex Left | $888.00 | $888.00 | $149.28–$888.00 | 14% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $888.00 | $888.00 | $101.02–$621.60 | 14% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $888.00 | $888.00 | $101.02–$621.60 | 14% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Vascular Acquisition | $888.00 | $888.00 | $310.80–$586.08 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $888.00 | $888.00 | $310.80–$586.08 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $888.00 | $888.00 | $310.80–$586.08 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Report - US Lower Ext Venous Duplex Left | $888.00 | $888.00 | $310.80–$586.08 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $888.00 | $888.00 | $310.80–$586.08 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $888.00 | $888.00 | $310.80–$586.08 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $363.00 | $363.00 | $32.39–$254.10 | 22% above | — |
| Wrist X-ray, 2 views one side CPT 73100 Report - XR Wrist 2 Views Left | $363.00 | $363.00 | $102.95–$363.00 | 22% above | — |
| Wrist X-ray, 2 views one side CPT 73100 Report - XR Wrist 2 Views Right | $363.00 | $363.00 | $102.95–$363.00 | 22% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left - Report | $363.00 | $363.00 | $102.95–$363.00 | 22% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right - Report | $363.00 | $363.00 | $102.95–$363.00 | 22% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left | $363.00 | $363.00 | $32.39–$254.10 | 22% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Report - XR Wrist 2 Views Left | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right - Report | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left - Report | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Report - XR Wrist 2 Views Right | $363.00 | $363.00 | $127.05–$239.58 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Report - XR Wrist Post Reduction Left | $485.00 | $485.00 | $102.95–$485.00 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Report - XR Wrist Complete 3+ Views Left | $485.00 | $485.00 | $102.95–$485.00 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $485.00 | $485.00 | $39.37–$339.50 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left - Report | $485.00 | $485.00 | $102.95–$485.00 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Post Reduction Right | $485.00 | $485.00 | $39.37–$339.50 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right - Report | $485.00 | $485.00 | $102.95–$485.00 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Report - XR Wrist Complete 3+ Views Right | $485.00 | $485.00 | $102.95–$485.00 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Report - XR Wrist Post Reduction Right | $485.00 | $485.00 | $102.95–$485.00 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $485.00 | $485.00 | $39.37–$339.50 | 32% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Post Reduction Left | $485.00 | $485.00 | $39.37–$339.50 | 32% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Report - XR Wrist Complete 3+ Views Left | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Report - XR Wrist Post Reduction Right | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Post Reduction Right | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Report - XR Wrist Complete 3+ Views Right | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left - Report | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right - Report | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Post Reduction Left | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Report - XR Wrist Post Reduction Left | $485.00 | $485.00 | $169.75–$320.10 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Report - XR Hip 1 View Left | $503.00 | $503.00 | $102.95–$503.00 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Report - XR Hip Complete 2+ Views Right | $503.00 | $503.00 | $102.95–$503.00 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Report - XR Hip 1 View Right | $503.00 | $503.00 | $102.95–$503.00 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Report - XR Hip Complete 2+ Views Left | $503.00 | $503.00 | $102.95–$503.00 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Complete 2+ Views Left | $503.00 | $503.00 | $45.39–$352.10 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Complete 2+ Views Right | $503.00 | $503.00 | $45.39–$352.10 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 or 3 Views Right - Report | $503.00 | $503.00 | $102.95–$503.00 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 or 3 Views Left - Report | $503.00 | $503.00 | $102.95–$503.00 | 37% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Report - XR Hip Complete 2+ Views Right | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Complete 2+ Views Left | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Complete 2+ Views Right | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Report - XR Hip Complete 2+ Views Left | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Report - XR Hip 1 View Right | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2 or 3 Views Left - Report | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2 or 3 Views Right - Report | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Report - XR Hip 1 View Left | $503.00 | $503.00 | $176.05–$331.98 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Report | $421.00 | $421.00 | $63.66–$421.00 | 24% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Shunt Series | $421.00 | $421.00 | $28.88–$294.70 | 24% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $421.00 | $421.00 | $28.88–$294.70 | 24% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Exam Of Abdomen - 74018 | $421.00 | $421.00 | $63.66–$421.00 | 24% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; single anteropost | $421.00 | $421.00 | $28.88–$294.70 | 24% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen Sitz Marker Study | $421.00 | $421.00 | $28.88–$294.70 | 24% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View - Report | $421.00 | $421.00 | $28.88–$294.70 | 24% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Shunt Series | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Report | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen Sitz Marker Study | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Radiologic examination, abdomen; single anteropost | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Exam Of Abdomen - 74018 | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View - Report | $421.00 | $421.00 | $147.35–$277.86 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right - Report | $395.00 | $395.00 | $102.95–$395.00 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Report - XR Ankle Post Reduction Right | $395.00 | $395.00 | $102.95–$395.00 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $395.00 | $395.00 | $30.79–$276.50 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Report - XR Ankle 2 Views Right | $395.00 | $395.00 | $102.95–$395.00 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $395.00 | $395.00 | $30.79–$276.50 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle Post Reduction Right | $395.00 | $395.00 | $30.79–$276.50 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left - Report | $395.00 | $395.00 | $102.95–$395.00 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Report - XR Ankle Post Reduction Left | $395.00 | $395.00 | $102.95–$395.00 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Report - XR Ankle 2 Views Left | $395.00 | $395.00 | $102.95–$395.00 | 32% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle Post Reduction Left | $395.00 | $395.00 | $30.79–$276.50 | 32% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Report - XR Ankle Post Reduction Right | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Report - XR Ankle 2 Views Left | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right - Report | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left - Report | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Report - XR Ankle 2 Views Right | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle Post Reduction Left | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Report - XR Ankle Post Reduction Left | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle Post Reduction Right | $395.00 | $395.00 | $138.25–$260.70 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right - Report | $370.00 | $370.00 | $102.95–$370.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $370.00 | $370.00 | $36.51–$259.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left - Report | $370.00 | $370.00 | $102.95–$370.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Report - XR Finger(s) 2+ Views Left | $370.00 | $370.00 | $102.95–$370.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Report - XR Finger(s) 2+ Views Right | $370.00 | $370.00 | $102.95–$370.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $370.00 | $370.00 | $36.51–$259.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Report - XR Finger(s) 2+ Views Left | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right - Report | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left - Report | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Report - XR Finger(s) 2+ Views Right | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Left | $268.00 | $268.00 | $27.30–$187.60 | 20% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Right | $271.00 | $271.00 | $27.30–$189.70 | 19% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Report - XR Foot 1 View Right | $271.00 | $271.00 | $94.85–$271.00 | 19% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Report - XR Foot 2 Views Left | $382.00 | $382.00 | $102.95–$382.00 | 15% above | — |
| X-ray of the foot, 2 views one side CPT 73620 Report - XR Foot 2 Views Right | $382.00 | $382.00 | $102.95–$382.00 | 15% above | — |
| X-ray of the foot, 2 views one side CPT 73620 Report - XR Foot 1 View Left | $382.00 | $382.00 | $102.95–$382.00 | 15% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $382.00 | $382.00 | $27.30–$267.40 | 15% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left - Report | $382.00 | $382.00 | $102.95–$382.00 | 15% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right - Report | $382.00 | $382.00 | $102.95–$382.00 | 15% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $382.00 | $382.00 | $27.30–$267.40 | 15% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Left | $268.00 | $268.00 | $93.80–$176.88 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Report - XR Foot 1 View Right | $271.00 | $271.00 | $94.85–$178.86 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Right | $271.00 | $271.00 | $94.85–$178.86 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Report - XR Foot 2 Views Left | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Report - XR Foot 1 View Left | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Report - XR Foot 2 Views Right | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left - Report | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right - Report | $382.00 | $382.00 | $133.70–$252.12 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left - Report | $461.00 | $461.00 | $102.95–$461.00 | 24% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Report - XR Foot Complete 3+ Views Right | $461.00 | $461.00 | $102.95–$461.00 | 24% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $461.00 | $461.00 | $32.69–$322.70 | 24% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $461.00 | $461.00 | $32.69–$322.70 | 24% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Report - XR Foot Complete 3+ Views Left | $461.00 | $461.00 | $102.95–$461.00 | 24% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right - Report | $461.00 | $461.00 | $102.95–$461.00 | 24% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Report - XR Foot Complete 3+ Views Right | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left - Report | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right - Report | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Report - XR Foot Complete 3+ Views Left | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right - Report | $462.00 | $462.00 | $102.95–$462.00 | 21% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Report - XR Hand Complete 3+ Views Left | $462.00 | $462.00 | $102.95–$462.00 | 21% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Report - XR Hand Complete 3+ Views Right | $462.00 | $462.00 | $102.95–$462.00 | 21% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left - Report | $462.00 | $462.00 | $102.95–$462.00 | 21% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $462.00 | $462.00 | $35.56–$323.40 | 21% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $462.00 | $462.00 | $35.56–$323.40 | 21% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $462.00 | $462.00 | $161.70–$304.92 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left - Report | $462.00 | $462.00 | $161.70–$304.92 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Report - XR Hand Complete 3+ Views Left | $462.00 | $462.00 | $161.70–$304.92 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Report - XR Hand Complete 3+ Views Right | $462.00 | $462.00 | $161.70–$304.92 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right - Report | $462.00 | $462.00 | $161.70–$304.92 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $462.00 | $462.00 | $161.70–$304.92 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Report - XR Knee 1 or 2 Views Left | $475.00 | $475.00 | $102.95–$475.00 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 2 Views Standing AP/Lateral Right - XR Kne | $475.00 | $475.00 | $32.69–$332.50 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Report - XR Knee 1 or 2 Views Right | $475.00 | $475.00 | $102.95–$475.00 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right - Report | $475.00 | $475.00 | $102.95–$475.00 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left - Report | $475.00 | $475.00 | $102.95–$475.00 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 2 Views Standing AP/Lateral Left | $475.00 | $475.00 | $32.69–$332.50 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $475.00 | $475.00 | $32.69–$332.50 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Report - XR Knee 2 Views Standing AP/Lateral RT | $475.00 | $475.00 | $102.95–$475.00 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $475.00 | $475.00 | $32.69–$332.50 | 61% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Report - XR Knee 2 Views Standing AP/Lateral Left | $475.00 | $475.00 | $102.95–$475.00 | 61% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Report - XR Knee 2 Views Standing AP/Lateral Left | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left - Report | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right - Report | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Report - XR Knee 2 Views Standing AP/Lateral RT | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 2 Views Standing AP/Lateral Right - XR Kne | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 2 Views Standing AP/Lateral Left | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Report - XR Knee 1 or 2 Views Left | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Report - XR Knee 1 or 2 Views Right | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $475.00 | $475.00 | $166.25–$313.50 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $549.00 | $549.00 | $38.10–$384.30 | 24% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Report - XR Spine Lumbosacral 2 or 3 Views | $549.00 | $549.00 | $144.58–$549.00 | 24% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Report - XR Spine Lumbosacral 2 or 3 Views | $549.00 | $549.00 | $192.15–$362.34 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $549.00 | $549.00 | $192.15–$362.34 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Report - XR Spine Lumbosacral 4+ Views | $761.00 | $761.00 | $144.58–$761.00 | 35% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $761.00 | $761.00 | $49.52–$532.70 | 35% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views - Report | $761.00 | $761.00 | $144.58–$761.00 | 35% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views - Report | $761.00 | $761.00 | $266.35–$502.26 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Report - XR Spine Lumbosacral 4+ Views | $761.00 | $761.00 | $266.35–$502.26 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $761.00 | $761.00 | $266.35–$502.26 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $435.00 | $435.00 | $31.43–$304.50 | 8% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $435.00 | $435.00 | $152.25–$287.10 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $341.00 | $341.00 | $35.87–$238.70 | 24% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views - Report | $341.00 | $341.00 | $102.95–$341.00 | 24% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Report - XR Nasal Bones 3+ Views | $341.00 | $341.00 | $102.95–$341.00 | 24% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $341.00 | $341.00 | $119.35–$225.06 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Report - XR Nasal Bones 3+ Views | $341.00 | $341.00 | $119.35–$225.06 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views - Report | $341.00 | $341.00 | $119.35–$225.06 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views - Report | $454.00 | $454.00 | $102.95–$454.00 | 24% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Report - XR Spine Cervical 2 or 3 Views | $454.00 | $454.00 | $102.95–$454.00 | 24% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $454.00 | $454.00 | $37.77–$317.80 | 24% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $454.00 | $454.00 | $158.90–$299.64 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Report - XR Spine Cervical 2 or 3 Views | $454.00 | $454.00 | $158.90–$299.64 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views - Report | $454.00 | $454.00 | $158.90–$299.64 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 view w/ US | $461.00 | $461.00 | $26.66–$322.70 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 - Radiologic examination, pelvis; 1 or 2 vie | $461.00 | $461.00 | $26.66–$322.70 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Report - XR Pelvis 1 view w/ US | $461.00 | $461.00 | $144.58–$461.00 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Report - XR Pelvis 1 or 2 Views | $461.00 | $461.00 | $144.58–$461.00 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis Inlet and Outlet Views | $461.00 | $461.00 | $26.66–$322.70 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $461.00 | $461.00 | $26.66–$322.70 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Report - XR Pelvis Inlet and Outlet Views | $461.00 | $461.00 | $144.58–$461.00 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views - Report | $461.00 | $461.00 | $144.58–$461.00 | 47% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Report - XR Pelvis 1 or 2 Views | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 view w/ US | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Report - XR Pelvis 1 view w/ US | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis Inlet and Outlet Views | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Report - XR Pelvis Inlet and Outlet Views | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views - Report | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 - Radiologic examination, pelvis; 1 or 2 vie | $461.00 | $461.00 | $161.35–$304.26 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Report - XR Sacrum/Coccyx 2+ Views | $381.00 | $381.00 | $102.95–$381.00 | 24% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $381.00 | $381.00 | $31.11–$266.70 | 24% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views - Report | $381.00 | $381.00 | $102.95–$381.00 | 24% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Report - XR Sacrum/Coccyx 2+ Views | $381.00 | $381.00 | $133.35–$251.46 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views - Report | $381.00 | $381.00 | $133.35–$251.46 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $381.00 | $381.00 | $133.35–$251.46 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone-ARUP | $333.00 | $333.00 | $30.82–$233.10 | 56% above | — |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone-ARUP | $333.00 | $333.00 | $116.55–$219.78 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $95.00 | $95.00 | $4.23–$66.50 | 90% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 - Transferase, alanine amino | $95.00 | $95.00 | $4.23–$66.50 | 90% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 - Transferase, alanine amino | $95.00 | $95.00 | $33.25–$62.70 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $95.00 | $95.00 | $33.25–$62.70 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $94.00 | $94.00 | $4.13–$65.80 | 82% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 - Transferase, aspartate amino | $94.00 | $94.00 | $4.13–$65.80 | 82% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 - Transferase, aspartate amino | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $518.00 | $518.00 | $7.68–$362.60 | 35% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $518.00 | $518.00 | $181.30–$341.88 | — | — |
| Albumin blood test CPT 82040 Oligoclonal Band Profile-ARUP | $81.00 | $81.00 | $3.95–$56.70 | 118% above | — |
| Albumin blood test CPT 82040 Alb Lvl | $81.00 | $81.00 | $3.95–$56.70 | 118% above | — |
| Albumin blood test CPT 82040 82040 - Oligoclonal Band Profile-ARUP | $81.00 | $81.00 | $3.95–$56.70 | 118% above | — |
| Albumin blood test inpatient CPT 82040 82040 - Oligoclonal Band Profile-ARUP | $81.00 | $81.00 | $28.35–$53.46 | — | — |
| Albumin blood test inpatient CPT 82040 Alb Lvl | $81.00 | $81.00 | $28.35–$53.46 | — | — |
| Albumin blood test inpatient CPT 82040 Oligoclonal Band Profile-ARUP | $81.00 | $81.00 | $28.35–$53.46 | — | — |
| Aldosterone blood test CPT 82088 Aldosterone Renin ACT Ratio-ARUP | $120.00 | $120.00 | $32.52–$208.72 | 10% below | — |
| Aldosterone blood test CPT 82088 Aldosterone-ARUP | $372.00 | $372.00 | $32.52–$260.40 | 179% above | — |
| Aldosterone blood test CPT 82088 Aldosterone Urine-ARUP | $372.00 | $372.00 | $32.52–$260.40 | 179% above | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Renin ACT Ratio-ARUP | $120.00 | $120.00 | $42.00–$79.20 | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone-ARUP | $372.00 | $372.00 | $130.20–$245.52 | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Urine-ARUP | $372.00 | $372.00 | $130.20–$245.52 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase Isoenzymes-ARUP | $90.00 | $90.00 | $4.13–$63.00 | 88% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $90.00 | $90.00 | $4.13–$63.00 | 88% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase Isoenzymes-ARUP | $90.00 | $90.00 | $31.50–$59.40 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $90.00 | $90.00 | $31.50–$59.40 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clam-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mixed Nuts-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, House Dust Stier-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mulberry Red IgE-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bermuda Grass-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Hormodendrum-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Panel 9-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Dog/Cat Epi Panel-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Milk (Cow's)-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Reg 9A Upper Resp Disease Pan-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gluten-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Whole-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Allergen specific IgE, quantitative or sem | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Common Adult Panel-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mold Panel-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Inhalant/Food, Western Panel-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crab-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, C. albicans -ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insects and Venom, Cockroach, German -AR | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insects and Venom, Cockroach, American - | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Parasite, Ascaris-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Corn-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. fumigatus-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Pediatric Food Panel 1-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Shrimp-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Dust/Mite Panel-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pistachio-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mountain Cedar Tree-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Pigweed-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Russian Thistle-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Kochia/Firebush-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Inhalants, Western Env IgE-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mesquite Tree-ARUP | $58.00 | $58.00 | $4.16–$40.60 | 142% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Reg 10 Upper Resp Disease Pan-ARUP | $360.00 | $360.00 | $4.16–$252.00 | 1400% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crab-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, House Dust Stier-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bermuda Grass-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Hormodendrum-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Panel 9-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Milk (Cow's)-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gluten-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Whole-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. fumigatus-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Shrimp-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pistachio-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Pigweed-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Kochia/Firebush-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mesquite Tree-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Reg 9A Upper Resp Disease Pan-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Pediatric Food Panel 1-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Parasite, Ascaris-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mold Panel-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Inhalant/Food, Western Panel-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mixed Nuts-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, C. albicans -ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insects and Venom, Cockroach, German -AR | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insects and Venom, Cockroach, American - | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Corn-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Common Adult Panel-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clam-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Dust/Mite Panel-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 - Allergen specific IgE, quantitative or sem | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Inhalants, Western Env IgE-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Russian Thistle-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mountain Cedar Tree-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Dog/Cat Epi Panel-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mulberry Red IgE-ARUP | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Reg 10 Upper Resp Disease Pan-ARUP | $360.00 | $360.00 | $126.00–$237.60 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha FetoproteinTumor Marker | $120.00 | $120.00 | $13.39–$85.92 | 13% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 - Alpha Fetoprotein Tumor Marker-ARUP | $193.00 | $193.00 | $13.39–$135.10 | 81% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Maternal AFP-ARUP | $193.99 | $193.99 | $13.39–$135.79 | 82% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha FetoproteinTumor Marker | $120.00 | $120.00 | $42.00–$79.20 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 - Alpha Fetoprotein Tumor Marker-ARUP | $193.00 | $193.00 | $67.55–$127.38 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Maternal AFP-ARUP | $193.99 | $193.99 | $67.90–$128.03 | — | — |
| Ammonia blood test CPT 82140 Ammonia Level | $195.00 | $195.00 | $11.63–$136.50 | 38% above | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $195.00 | $195.00 | $68.25–$128.70 | — | — |
| Amylase blood test CPT 82150 U24 Amyl | $176.00 | $176.00 | $5.17–$123.20 | 126% above | — |
| Amylase blood test CPT 82150 Amylase Level, Urine | $176.00 | $176.00 | $5.17–$123.20 | 126% above | — |
| Amylase blood test CPT 82150 Amylase Level Body Fluid | $176.00 | $176.00 | $5.17–$123.20 | 126% above | — |
| Amylase blood test CPT 82150 Amylase Level | $176.00 | $176.00 | $5.17–$123.20 | 126% above | — |
| Amylase blood test CPT 82150 Amy 2 Hr Ur | $176.00 | $176.00 | $5.17–$123.20 | 126% above | — |
| Amylase blood test inpatient CPT 82150 Amylase Level | $176.00 | $176.00 | $61.60–$116.16 | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Level Body Fluid | $176.00 | $176.00 | $61.60–$116.16 | — | — |
| Amylase blood test inpatient CPT 82150 U24 Amyl | $176.00 | $176.00 | $61.60–$116.16 | — | — |
| Amylase blood test inpatient CPT 82150 Amy 2 Hr Ur | $176.00 | $176.00 | $61.60–$116.16 | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Level, Urine | $176.00 | $176.00 | $61.60–$116.16 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-CCP | $100.00 | $100.00 | $10.34–$70.00 | 80% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Anti-CCP | $100.00 | $100.00 | $35.00–$66.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 - Lupus Comprehensive Reflexive Panel-ARUP | $187.00 | $187.00 | $9.65–$130.90 | 143% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus Comprehensive Reflexive Panel-ARUP | $187.00 | $187.00 | $9.65–$130.90 | 143% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, IgG ELISA w/ Reflex to ANA, IgG IFA-ARUP | $187.00 | $187.00 | $9.65–$130.90 | 143% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lupus Comprehensive Reflexive Panel-ARUP | $187.00 | $187.00 | $65.45–$123.42 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 - Lupus Comprehensive Reflexive Panel-ARUP | $187.00 | $187.00 | $65.45–$123.42 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, IgG ELISA w/ Reflex to ANA, IgG IFA-ARUP | $187.00 | $187.00 | $65.45–$123.42 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ProBNP | $185.00 | $185.00 | $31.33–$173.86 | 18% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ProBNP | $185.00 | $185.00 | $64.75–$122.10 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Ear with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Eye with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Genital with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Endometrial with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Body Fluid with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Sinus with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Lower Respiratory | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Medical Device | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, CSF with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Tissue with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Upper Respiratory | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Wound with Gram Stain | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Catheter Tip | $261.00 | $261.00 | $6.88–$182.70 | 290% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Catheter Tip | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Upper Respiratory | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Lower Respiratory | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Endometrial with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Sinus with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Wound with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Tissue with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Medical Device | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Genital with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Eye with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Ear with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Body Fluid with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, CSF with Gram Stain | $261.00 | $261.00 | $91.35–$172.26 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $247.00 | $247.00 | $8.29–$172.90 | 18% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $247.00 | $247.00 | $86.45–$163.02 | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Fractionation | $125.00 | $125.00 | $4.01–$87.50 | 119% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $125.00 | $125.00 | $4.01–$87.50 | 119% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid-ARUP | $125.00 | $125.00 | $4.01–$87.50 | 119% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid-ARUP | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Fractionation | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy | $430.00 | $430.00 | $52.35–$301.00 | 45% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $430.00 | $430.00 | $52.35–$301.00 | 45% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $430.00 | $430.00 | $150.50–$283.80 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy | $430.00 | $430.00 | $150.50–$283.80 | — | — |
| Blood culture for bacteria CPT 87040 Culture, Blood | $273.00 | $273.00 | $8.24–$191.10 | 34% above | — |
| Blood culture for bacteria inpatient CPT 87040 Culture, Blood | $273.00 | $273.00 | $95.55–$180.18 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Natera Blood Draw | $8.57 | $8.57 | $1.30–$11.28 | 53% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Progenity Blood Draw | $15.00 | $15.00 | $2.27–$15.00 | 17% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED Sane Lab Fees - Venipuncture | $15.00 | $15.00 | $2.27–$425.00 | 17% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 NxGen Blood Draw | $25.00 | $25.00 | $3.00–$19.61 | 39% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Billion to One Blood Draw | $30.00 | $30.00 | $3.00–$21.00 | 66% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INF Venipuncture 36415 | $30.00 | $30.00 | $3.00–$21.00 | 66% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 - Venipuncture | $30.00 | $30.00 | $3.00–$21.00 | 66% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SANE Facility and Supply Fee Description - Venipun | $30.00 | $30.00 | $3.00–$21.00 | 66% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $30.00 | $30.00 | $3.00–$21.00 | 66% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Stat Draw Fee | $45.00 | $45.00 | $3.00–$31.50 | 149% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Natera Blood Draw | $8.57 | $8.57 | $3.00–$5.66 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED Sane Lab Fees - Venipuncture | $15.00 | $15.00 | $5.25–$9.90 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Progenity Blood Draw | $15.00 | $15.00 | $5.25–$9.90 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NxGen Blood Draw | $25.00 | $25.00 | $8.75–$16.50 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INF Venipuncture 36415 | $30.00 | $30.00 | $10.50–$19.80 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SANE Facility and Supply Fee Description - Venipun | $30.00 | $30.00 | $10.50–$19.80 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 - Venipuncture | $30.00 | $30.00 | $10.50–$19.80 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $30.00 | $30.00 | $10.50–$19.80 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Billion to One Blood Draw | $30.00 | $30.00 | $10.50–$19.80 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Stat Draw Fee | $45.00 | $45.00 | $15.75–$29.70 | — | — |
| Blood glucose (sugar) test CPT 82947 82947 - iSTAT Chem (POCT) | $80.00 | $80.00 | $3.73–$56.00 | 92% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $80.00 | $80.00 | $3.73–$56.00 | 92% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Post Prandial | $80.00 | $80.00 | $3.73–$56.00 | 92% above | — |
| Blood glucose (sugar) test CPT 82947 iSTAT Glucose Level (POCT) | $80.00 | $80.00 | $3.73–$56.00 | 92% above | — |
| Blood glucose (sugar) test CPT 82947 .Fasting Glucose | $80.00 | $80.00 | $3.73–$56.00 | 92% above | — |
| Blood glucose (sugar) test CPT 82947 82947 - iSTAT CG8+ (POCT) | $80.00 | $80.00 | $3.73–$56.00 | 92% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Post Prandial | $80.00 | $80.00 | $28.00–$52.80 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 .Fasting Glucose | $80.00 | $80.00 | $28.00–$52.80 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $80.00 | $80.00 | $28.00–$52.80 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 iSTAT Glucose Level (POCT) | $80.00 | $80.00 | $28.00–$52.80 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 82947 - iSTAT CG8+ (POCT) | $80.00 | $80.00 | $28.00–$52.80 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 82947 - iSTAT Chem (POCT) | $80.00 | $80.00 | $28.00–$52.80 | — | — |
| Blood lead test CPT 83655 Lead, Blood Capillary-ARUP | $135.00 | $135.00 | $9.66–$94.50 | 190% above | — |
| Blood lead test CPT 83655 83655 - Assay of Lead | $135.00 | $135.00 | $9.66–$94.50 | 190% above | — |
| Blood lead test CPT 83655 Lead, Whole Blood Venous-ARUP | $135.00 | $135.00 | $9.66–$94.50 | 190% above | — |
| Blood lead test inpatient CPT 83655 Lead, Blood Capillary-ARUP | $135.00 | $135.00 | $47.25–$89.10 | — | — |
| Blood lead test inpatient CPT 83655 83655 - Assay of Lead | $135.00 | $135.00 | $47.25–$89.10 | — | — |
| Blood lead test inpatient CPT 83655 Lead, Whole Blood Venous-ARUP | $135.00 | $135.00 | $47.25–$89.10 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, Urine (POCT) | $190.00 | $190.00 | $6.00–$133.00 | 39% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, Beta Qual, Serum | $190.00 | $190.00 | $6.00–$133.00 | 39% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, Urine (POCT) | $190.00 | $190.00 | $66.50–$125.40 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, Beta Qual, Serum | $190.00 | $190.00 | $66.50–$125.40 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BO Transfer ABO/Rh | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Automated | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord Blood ABO/Rh | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BO ABO Discrepancy | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BO ABO/Rh Grouping | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BO ABO Grouping | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Manual | $108.00 | $108.00 | $2.38–$108.00 | 22% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord Blood ABO/Rh | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BO ABO Discrepancy | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BO ABO Grouping | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BO Transfer ABO/Rh | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Manual | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Automated | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Only | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BO ABO/Rh Grouping | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 84520 - iSTAT Chem (POCT) | $85.00 | $85.00 | $3.15–$59.50 | 61% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 84520 - Urea nitrogen, quantitative | $85.00 | $85.00 | $3.15–$59.50 | 61% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 84520 - iSTAT 6+ (POCT) | $85.00 | $85.00 | $3.15–$59.50 | 61% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $85.00 | $85.00 | $3.15–$59.50 | 61% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 iStat Renal (POCT) | $85.00 | $85.00 | $3.15–$59.50 | 61% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 84520 - Urea nitrogen, quantitative | $85.00 | $85.00 | $29.75–$56.10 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $85.00 | $85.00 | $29.75–$56.10 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 84520 - iSTAT Chem (POCT) | $85.00 | $85.00 | $29.75–$56.10 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 84520 - iSTAT 6+ (POCT) | $85.00 | $85.00 | $29.75–$56.10 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 iStat Renal (POCT) | $85.00 | $85.00 | $29.75–$56.10 | — | — |
| C-peptide blood test CPT 84681 C-Peptide | $185.00 | $185.00 | $16.61–$129.50 | 154% above | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $185.00 | $185.00 | $64.75–$122.10 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $118.00 | $118.00 | $4.13–$82.60 | 127% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff PCR | $293.00 | $293.00 | $29.74–$205.10 | 67% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff PCR | $293.00 | $293.00 | $102.55–$193.38 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $150.00 | $150.00 | $16.61–$106.60 | 13% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen-GI (CA 19-9)-ARUP | $222.00 | $222.00 | $16.61–$155.40 | 67% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen-GI (CA 19-9)-ARUP | $222.00 | $222.00 | $77.70–$146.52 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $150.00 | $150.00 | $16.61–$106.60 | 1% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125-ARUP | $259.00 | $259.00 | $16.61–$181.30 | 71% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125-ARUP | $259.00 | $259.00 | $90.65–$170.94 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus CoV-2(COVID-19) | $106.00 | $106.00 | $16.03–$106.00 | 15% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2(COVID-19)-ARUP | $106.00 | $106.00 | $16.03–$106.00 | 15% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2(COVID-19)-ARUP | $106.00 | $106.00 | $37.10–$69.96 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus CoV-2(COVID-19) | $106.00 | $106.00 | $37.10–$69.96 | — | — |
| Calcium blood test, total CPT 82310 82310 - Parathyroid Hormone, Intact with Calcium ( | $115.00 | $115.00 | $4.11–$80.50 | 99% above | — |
| Calcium blood test, total CPT 82310 Calcium Level, Random Urine | $115.00 | $115.00 | $4.11–$80.50 | 99% above | — |
| Calcium blood test, total CPT 82310 Calcium Level Total | $115.00 | $115.00 | $4.11–$80.50 | 99% above | — |
| Calcium blood test, total inpatient CPT 82310 82310 - Parathyroid Hormone, Intact with Calcium ( | $115.00 | $115.00 | $40.25–$75.90 | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium Level, Random Urine | $115.00 | $115.00 | $40.25–$75.90 | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $115.00 | $115.00 | $40.25–$75.90 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $150.00 | $150.00 | $15.13–$105.00 | 12% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 86787 - Antibody, varicella-zoster | $154.00 | $154.00 | $10.28–$107.80 | 151% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus IgG Ab-ARUP | $154.00 | $154.00 | $10.28–$107.80 | 151% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus IgM Ab-ARUP | $154.00 | $154.00 | $10.28–$107.80 | 151% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 86787 - Antibody, varicella-zoster | $154.00 | $154.00 | $53.90–$101.64 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus IgG Ab-ARUP | $154.00 | $154.00 | $53.90–$101.64 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus IgM Ab-ARUP | $154.00 | $154.00 | $53.90–$101.64 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT/GC PCR | $212.00 | $212.00 | $28.01–$179.73 | 71% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis & N. gonorrhoeae by TMA-ARUP | $212.00 | $212.00 | $28.01–$179.73 | 71% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis and Neisseria gonorrhoeae by | $212.00 | $212.00 | $28.01–$179.73 | 71% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 - Infectious agent detection by nucleic acid | $212.00 | $212.00 | $28.01–$179.73 | 71% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis & N. gonorrhoeae by TMA-ARUP | $212.00 | $212.00 | $74.20–$139.92 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis and Neisseria gonorrhoeae by | $212.00 | $212.00 | $74.20–$139.92 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 - Infectious agent detection by nucleic acid | $212.00 | $212.00 | $74.20–$139.92 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT/GC PCR | $212.00 | $212.00 | $74.20–$139.92 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 .Lipid Panel, Extended-ARUP | $271.00 | $271.00 | $7.28–$189.70 | 83% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 .Lipid Panel-ARUP | $271.00 | $271.00 | $7.28–$189.70 | 83% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel (Chol, Trig, HDL, LDL) | $271.00 | $271.00 | $7.28–$189.70 | 83% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel (Chol, Trig, HDL, LDL) | $271.00 | $271.00 | $94.85–$178.86 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 .Lipid Panel-ARUP | $271.00 | $271.00 | $94.85–$178.86 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 .Lipid Panel, Extended-ARUP | $271.00 | $271.00 | $94.85–$178.86 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Df | $150.00 | $150.00 | $6.20–$105.00 | 64% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Df | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC w/o Df | $128.00 | $128.00 | $5.16–$89.60 | 37% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o Df | $128.00 | $128.00 | $44.80–$84.48 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $398.00 | $398.00 | $10.35–$278.60 | 60% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $398.00 | $398.00 | $139.30–$262.68 | — | — |
| Cortisol blood test, total CPT 82533 Cortisol, AM | $222.00 | $222.00 | $13.01–$155.40 | 171% above | — |
| Cortisol blood test, total CPT 82533 Cortisol by LC-MS/MS Salivary -ARUP | $222.00 | $222.00 | $13.01–$155.40 | 171% above | — |
| Cortisol blood test, total CPT 82533 Cortisol, PM | $222.00 | $222.00 | $13.01–$155.40 | 171% above | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol by LC-MS/MS Salivary -ARUP | $222.00 | $222.00 | $77.70–$146.52 | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, PM | $222.00 | $222.00 | $77.70–$146.52 | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, AM | $222.00 | $222.00 | $77.70–$146.52 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $142.00 | $142.00 | $5.20–$99.40 | 122% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK, CKMB and %MB Panel | $142.00 | $142.00 | $5.20–$99.40 | 122% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK, CKMB and %MB Panel | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Creatinine blood test CPT 82565 Creatinine | $89.00 | $89.00 | $4.09–$62.30 | 66% above | — |
| Creatinine blood test CPT 82565 82565 - iStat Renal (IH) | $189.00 | $189.00 | $4.09–$132.30 | 253% above | — |
| Creatinine blood test CPT 82565 iSTAT Creatinine (POCT) | $189.00 | $189.00 | $4.09–$132.30 | 253% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $89.00 | $89.00 | $31.15–$58.74 | — | — |
| Creatinine blood test inpatient CPT 82565 82565 - iStat Renal (IH) | $189.00 | $189.00 | $66.15–$124.74 | — | — |
| Creatinine blood test inpatient CPT 82565 iSTAT Creatinine (POCT) | $189.00 | $189.00 | $66.15–$124.74 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus IgG Antibody-ARUP | $178.00 | $178.00 | $11.49–$124.60 | 151% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus IgG, IgM Ab-ARUP | $178.00 | $178.00 | $11.49–$124.60 | 151% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 TORCH IgG Antibodies-ARUP | $178.00 | $178.00 | $11.49–$124.60 | 151% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 86644 - Antibody, cytomegalovirus (CMV) | $178.00 | $178.00 | $11.49–$124.60 | 151% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 BO CMV Negative Fee | $178.00 | $178.00 | $11.49–$124.60 | 151% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 BO CMV Negative Fee | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TORCH IgG Antibodies-ARUP | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus IgG, IgM Ab-ARUP | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus IgG Antibody-ARUP | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 - Antibody, cytomegalovirus (CMV) | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 85379 - Fibrin degradation products, D-dimer; quan | $177.00 | $177.00 | $8.12–$123.90 | 4% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 DDimer, Quantitative | $219.00 | $219.00 | $8.12–$153.30 | 29% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 85379 - Fibrin degradation products, D-dimer; quan | $177.00 | $177.00 | $61.95–$116.82 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 DDimer, Quantitative | $219.00 | $219.00 | $76.65–$144.54 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone | $104.00 | $104.00 | $17.74–$113.89 | 31% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone | $104.00 | $104.00 | $36.40–$68.64 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Cocaine Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Opiate Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Benzodiazepine Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine PCP Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Barbiturate Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Amphetamine Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Cannabinoid Screen | $50.00 | $50.00 | $17.50–$52.50 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 80356 - Heroin Metabolite | $184.00 | $184.00 | $49.59–$184.00 | 196% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Fentanyl, Urine | $300.00 | $300.00 | $49.59–$236.13 | 383% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Cocaine Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine PCP Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Opiate Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Cannabinoid Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Benzodiazepine Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Barbiturate Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Amphetamine Screen | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80356 - Heroin Metabolite | $184.00 | $184.00 | $64.40–$121.44 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Fentanyl, Urine | $300.00 | $300.00 | $105.00–$198.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $212.00 | $212.00 | $6.87–$148.40 | 33% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $212.00 | $212.00 | $74.20–$139.92 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab to Viral Capsid Ag, IgM-ARUP | $180.00 | $180.00 | $14.48–$126.00 | 109% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Virus Antibody Panel 3-ARUP | $180.00 | $180.00 | $14.48–$126.00 | 109% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 - Antibody, Epstein-Barr (EB) virus, viral c | $180.00 | $180.00 | $14.48–$126.00 | 109% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab to Viral Capsid Ag, IgG-ARUP | $180.00 | $180.00 | $14.48–$126.00 | 109% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 - Antibody, Epstein-Barr (EB) virus, viral c | $180.00 | $180.00 | $63.00–$118.80 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Virus Antibody Panel 3-ARUP | $180.00 | $180.00 | $63.00–$118.80 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab to Viral Capsid Ag, IgM-ARUP | $180.00 | $180.00 | $63.00–$118.80 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab to Viral Capsid Ag, IgG-ARUP | $180.00 | $180.00 | $63.00–$118.80 | — | — |
| Estradiol blood test CPT 82670 Estradiol Level | $150.00 | $150.00 | $22.30–$143.11 | 21% above | — |
| Estradiol blood test CPT 82670 Estradiol, Adult Premenopausal Female-ARUP | $295.00 | $295.00 | $22.30–$206.50 | 137% above | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol, Adult Premenopausal Female-ARUP | $295.00 | $295.00 | $103.25–$194.70 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH Lvl | $150.00 | $150.00 | $14.83–$105.00 | 4% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH Lvl | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal by Immunoassay-ARUP | $175.00 | $175.00 | $15.67–$122.50 | 18% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool-ARUP | $333.00 | $333.00 | $15.67–$233.10 | 57% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal by Immunoassay-ARUP | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool-ARUP | $333.00 | $333.00 | $116.55–$219.78 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $120.00 | $120.00 | $10.88–$84.00 | 44% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $120.00 | $120.00 | $42.00–$79.20 | — | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $113.00 | $113.00 | $7.75–$79.10 | 31% above | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $113.00 | $113.00 | $39.55–$74.58 | — | — |
| Folate (folic acid) blood test CPT 82746 Folate Level | $190.00 | $190.00 | $11.73–$133.00 | 138% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $190.00 | $190.00 | $66.50–$125.40 | — | — |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $194.00 | $194.00 | $13.52–$135.80 | 39% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine, Reverse by TMS-ARUP | $265.00 | $265.00 | $13.52–$185.50 | 90% above | — |
| Free T3 thyroid hormone test CPT 84481 zzT3 Free-ARUP | $265.00 | $265.00 | $13.52–$185.50 | 90% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free T3 | $194.00 | $194.00 | $67.90–$128.04 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine, Reverse by TMS-ARUP | $265.00 | $265.00 | $92.75–$174.90 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 zzT3 Free-ARUP | $265.00 | $265.00 | $92.75–$174.90 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $172.00 | $172.00 | $7.20–$120.40 | 131% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Equil Dialysis-TMS-ARUP | $172.00 | $172.00 | $7.20–$120.40 | 131% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Equil Dialysis-TMS-ARUP | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Free testosterone test CPT 84402 Percent Free Testosterone | $135.00 | $135.00 | $20.32–$130.43 | 27% above | — |
| Free testosterone test CPT 84402 Free Testosterone | $135.00 | $135.00 | $20.32–$130.43 | 27% above | — |
| Free testosterone test CPT 84402 84402 Testosterone Free/Total, Female/Child-ARUP | $153.00 | $153.00 | $20.32–$130.43 | 44% above | — |
| Free testosterone test CPT 84402 84402 Testosterone Free And Total, Adult Male-ARUP | $153.00 | $153.00 | $20.32–$130.43 | 44% above | — |
| Free testosterone test CPT 84402 Testosterone F and T, ED/LC-MS/MS, Male-ARUP | $239.00 | $239.00 | $20.32–$167.30 | 125% above | — |
| Free testosterone test inpatient CPT 84402 Percent Free Testosterone | $135.00 | $135.00 | $47.25–$89.10 | — | — |
| Free testosterone test inpatient CPT 84402 Free Testosterone | $135.00 | $135.00 | $47.25–$89.10 | — | — |
| Free testosterone test inpatient CPT 84402 84402 Testosterone Free/Total, Female/Child-ARUP | $153.00 | $153.00 | $53.55–$100.98 | — | — |
| Free testosterone test inpatient CPT 84402 84402 Testosterone Free And Total, Adult Male-ARUP | $153.00 | $153.00 | $53.55–$100.98 | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone F and T, ED/LC-MS/MS, Male-ARUP | $239.00 | $239.00 | $83.65–$157.74 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT(Gamma Glutamyl Transferase) | $122.00 | $122.00 | $5.75–$85.40 | 107% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 - Glutamyltransferase, gamma (GGT) | $122.00 | $122.00 | $5.75–$85.40 | 107% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT(Gamma Glutamyl Transferase) | $122.00 | $122.00 | $42.70–$80.52 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 - Glutamyltransferase, gamma (GGT) | $122.00 | $122.00 | $42.70–$80.52 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 CBE GENERAL HEALTH PANEL | $780.00 | $780.00 | $46.12–$546.00 | 81% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 CBE GENERAL HEALTH PANEL | $780.00 | $780.00 | $273.00–$514.80 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .Glucose 1 Hr | $96.00 | $96.00 | $3.79–$67.20 | 24% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .Glucose 1 Hr | $96.00 | $96.00 | $33.60–$63.36 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 .Glucose 2 Hr | $204.00 | $204.00 | $10.27–$142.80 | 34% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .Glucose 2 Hr | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - Chlamydia/GC PCR (IH) | $155.00 | $155.00 | $28.01–$179.73 | 18% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - Infectious agent detection by nucleic acid | $155.00 | $155.00 | $28.01–$179.73 | 18% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 - Infectious agent detection by nucleic acid | $155.00 | $155.00 | $54.25–$102.30 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 - Chlamydia/GC PCR (IH) | $155.00 | $155.00 | $54.25–$102.30 | — | — |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag, Stool by EIA-ARUP | $199.00 | $199.00 | $11.48–$139.30 | 144% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag, Stool by EIA-ARUP | $199.00 | $199.00 | $69.65–$131.34 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 Qnt NAAT Pls-ARUP | $399.00 | $399.00 | $67.91–$435.86 | 31% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Qnt NAAT Pls-ARUP | $399.00 | $399.00 | $139.65–$263.34 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab Combo 1/2 Screen | $204.00 | $204.00 | $19.22–$142.80 | 50% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab Combo 1/2 Screen | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV High Risk PCR SurePath-ARUP | $148.00 | $148.00 | $28.01–$179.73 | 109% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV High-Risk w Rfx to Genotype- ARUP | $149.00 | $149.00 | $28.01–$179.73 | 110% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, HR TMA, Rflx to GenoTP -ARUP | $205.00 | $205.00 | $28.01–$179.73 | 189% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV w 16&18 PCR SP -ARUP | $205.00 | $205.00 | $28.01–$179.73 | 189% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV High Risk PCR SurePath-ARUP | $148.00 | $148.00 | $51.80–$97.68 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV High-Risk w Rfx to Genotype- ARUP | $149.00 | $149.00 | $52.15–$98.34 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV w 16&18 PCR SP -ARUP | $205.00 | $205.00 | $71.75–$135.30 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV, HR TMA, Rflx to GenoTP -ARUP | $205.00 | $205.00 | $71.75–$135.30 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Glycosylated) | $149.00 | $149.00 | $7.75–$104.30 | 78% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POC Form | $149.00 | $149.00 | $9.52–$149.00 | 78% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 - Hemoglobin; glycosylated (A1C) | $149.00 | $149.00 | $9.52–$149.00 | 78% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C-ARUP | $149.00 | $149.00 | $7.75–$104.30 | 78% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 - Hemoglobin A1C POC | $149.00 | $149.00 | $9.52–$149.00 | 78% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C-ARUP | $149.00 | $149.00 | $52.15–$98.34 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c POC Form | $149.00 | $149.00 | $52.15–$98.34 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (Glycosylated) | $149.00 | $149.00 | $52.15–$98.34 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 - Hemoglobin; glycosylated (A1C) | $149.00 | $149.00 | $52.15–$98.34 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 - Hemoglobin A1C POC | $149.00 | $149.00 | $52.15–$98.34 | — | — |
| Hemoglobin blood test CPT 85018 85018 - HGB Link (IH) | $58.00 | $58.00 | $1.89–$40.60 | 34% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $58.00 | $58.00 | $1.89–$40.60 | 34% above | — |
| Hemoglobin blood test inpatient CPT 85018 85018 - HGB Link (IH) | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $58.00 | $58.00 | $20.30–$38.28 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody, Total (IgM and IgG) | $145.00 | $145.00 | $9.61–$101.50 | 100% above | — |
| Hepatitis B core antibody test (total) CPT 86704 .Hepatitis B Virus Core Antibodies, Total-ARUP | $145.00 | $145.00 | $9.61–$101.50 | 100% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 .Hepatitis B Virus Core Antibodies, Total-ARUP | $145.00 | $145.00 | $50.75–$95.70 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody, Total (IgM and IgG) | $145.00 | $145.00 | $50.75–$95.70 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $158.00 | $158.00 | $8.57–$110.60 | 147% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $158.00 | $158.00 | $55.30–$104.28 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $158.00 | $158.00 | $8.25–$110.60 | 126% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/ Reflex to Conf-ARUP | $158.00 | $158.00 | $8.25–$110.60 | 126% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/ Reflex to Conf-ARUP | $158.00 | $158.00 | $55.30–$104.28 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $158.00 | $158.00 | $55.30–$104.28 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $218.00 | $218.00 | $11.39–$152.60 | 156% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $218.00 | $218.00 | $76.30–$143.88 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Qnt w rfx to HCV Genotype-ARUP | $347.00 | $347.00 | $34.19–$242.90 | 47% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV by Qnt NAAT-ARUP | $347.00 | $347.00 | $34.19–$242.90 | 47% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Qnt w rfx to HCV Genotype-ARUP | $347.00 | $347.00 | $121.45–$229.02 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV by Qnt NAAT-ARUP | $347.00 | $347.00 | $121.45–$229.02 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1,2 Glyco G-Specific, IgG-ARUP | $137.00 | $137.00 | $10.53–$95.90 | 90% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1,2 Glyco G-Specific, IgG-ARUP | $137.00 | $137.00 | $47.95–$90.42 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 - Antibody; herpes simplex, type 2 | $93.00 | $93.00 | $15.44–$99.15 | 10% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 - Antibody; herpes simplex, type 2 | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, High Sensitivity-ARUP | $118.00 | $118.00 | $10.34–$82.60 | 56% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP, High Sensitivity-ARUP | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| Homocysteine blood test CPT 83090 83090 - Homocysteine | $265.00 | $265.00 | $14.30–$185.50 | 77% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Total-ARUP | $265.00 | $265.00 | $14.30–$185.50 | 77% above | — |
| Homocysteine blood test inpatient CPT 83090 83090 - Homocysteine | $265.00 | $265.00 | $92.75–$174.90 | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Total-ARUP | $265.00 | $265.00 | $92.75–$174.90 | — | — |
| Insulin blood test CPT 83525 83525 - Insulin | $139.00 | $139.00 | $9.12–$97.30 | 103% above | — |
| Insulin blood test CPT 83525 Insulin, Fasting-ARUP | $139.00 | $139.00 | $9.12–$97.30 | 103% above | — |
| Insulin blood test CPT 83525 Insulin, Free And Total-ARUP | $139.00 | $139.00 | $9.12–$97.30 | 103% above | — |
| Insulin blood test inpatient CPT 83525 83525 - Insulin | $139.00 | $139.00 | $48.65–$91.74 | — | — |
| Insulin blood test inpatient CPT 83525 Insulin, Free And Total-ARUP | $139.00 | $139.00 | $48.65–$91.74 | — | — |
| Insulin blood test inpatient CPT 83525 Insulin, Fasting-ARUP | $139.00 | $139.00 | $48.65–$91.74 | — | — |
| Iron blood test (serum iron) CPT 83540 83540 AP Bill Iron Liver Tissue | $124.00 | $124.00 | $5.16–$86.80 | 75% above | — |
| Iron blood test (serum iron) CPT 83540 Iron Level | $124.00 | $124.00 | $5.16–$86.80 | 75% above | — |
| Iron blood test (serum iron) CPT 83540 UIBC | $124.00 | $124.00 | $5.16–$86.80 | 75% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 UIBC | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 83540 AP Bill Iron Liver Tissue | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 83550 - Iron binding capacity | $124.00 | $124.00 | $6.97–$86.80 | 38% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Transferrin Saturation-ARUP | $124.00 | $124.00 | $6.97–$86.80 | 38% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $124.00 | $124.00 | $6.97–$86.80 | 38% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 - Iron binding capacity | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Transferrin Saturation-ARUP | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Kidney function blood test panel CPT 80069 Renal Pnl | $237.00 | $237.00 | $8.51–$165.90 | 34% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $237.00 | $237.00 | $82.95–$156.42 | — | — |
| LH (luteinizing hormone) test CPT 83002 LH Pediatric-ARUP | $145.00 | $145.00 | $14.78–$101.50 | 4% above | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH) Level | $150.00 | $150.00 | $14.78–$105.00 | 7% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH Pediatric-ARUP | $145.00 | $145.00 | $50.75–$95.70 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (LH) Level | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid, Plasma (Venous) | $195.00 | $195.00 | $9.23–$136.50 | 104% above | — |
| Lactate (lactic acid) blood test CPT 83605 iSTAT Lactic Acid (POCT) | $195.00 | $195.00 | $9.23–$136.50 | 104% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid, Plasma (Venous) | $195.00 | $195.00 | $68.25–$128.70 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 iSTAT Lactic Acid (POCT) | $195.00 | $195.00 | $68.25–$128.70 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 - Lactate dehydrogenase (LD), (LDH) | $142.00 | $142.00 | $4.82–$99.40 | 246% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $142.00 | $142.00 | $4.82–$99.40 | 246% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH Body Fluid | $142.00 | $142.00 | $4.82–$99.40 | 246% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH Body Fluid | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 - Lactate dehydrogenase (LD), (LDH) | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $182.00 | $182.00 | $5.50–$127.40 | 169% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid-ARUP | $182.00 | $182.00 | $5.50–$127.40 | 169% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid-ARUP | $182.00 | $182.00 | $63.70–$120.12 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $182.00 | $182.00 | $63.70–$120.12 | — | — |
| Liver function blood test panel CPT 80076 Hepatic Pnl | $303.00 | $303.00 | $8.01–$212.10 | 57% above | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Pnl | $303.00 | $303.00 | $106.05–$199.98 | — | — |
| Lyme disease antibody test CPT 86618 B. burgdorferi VlsE1 CSF-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 86618- Lyme Standard 2-Tier, CSF, 2nd Tier-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 Lyme Standard 2-Tier, CSF, 2nd Tier-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 Borrelia burgdorferi Abs, Total by ELISA-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 zzLyme Chron-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Pnl VIsE1/pepC10 Abs Rfx-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 zzLyme Acute-ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test CPT 86618 Lyme Mod Tier 2 -ARUP | $183.00 | $183.00 | $13.59–$128.10 | 121% above | — |
| Lyme disease antibody test inpatient CPT 86618 B. burgdorferi VlsE1 CSF-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 zzLyme Acute-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Borrelia burgdorferi Abs, Total by ELISA-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Pnl VIsE1/pepC10 Abs Rfx-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Mod Tier 2 -ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Standard 2-Tier, CSF, 2nd Tier-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 86618- Lyme Standard 2-Tier, CSF, 2nd Tier-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Lyme disease antibody test inpatient CPT 86618 zzLyme Chron-ARUP | $183.00 | $183.00 | $64.05–$120.78 | — | — |
| Magnesium blood test CPT 83735 Magnesium Level | $121.00 | $121.00 | $5.35–$84.70 | 163% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $121.00 | $121.00 | $42.35–$79.86 | — | — |
| Measles (rubeola) antibody test CPT 86765 Measles, Rubeola IgG, IgM Abs-ARUP | $82.00 | $82.00 | $10.28–$65.99 | 124% above | — |
| Measles (rubeola) antibody test CPT 86765 Occupation Ab Assessment (MMR/VZV)-ARUP | $82.00 | $82.00 | $10.28–$65.99 | 124% above | — |
| Measles (rubeola) antibody test CPT 86765 86765 - Antibody, rubeola | $82.00 | $82.00 | $10.28–$65.99 | 124% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 - Antibody, rubeola | $82.00 | $82.00 | $28.70–$54.12 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Occupation Ab Assessment (MMR/VZV)-ARUP | $82.00 | $82.00 | $28.70–$54.12 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles, Rubeola IgG, IgM Abs-ARUP | $82.00 | $82.00 | $28.70–$54.12 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 - Monospot Whole Blood POC | $142.00 | $142.00 | $5.08–$142.00 | 67% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot: Whole Blood POC | $142.00 | $142.00 | $5.08–$142.00 | 67% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot | $142.00 | $142.00 | $4.13–$99.40 | 67% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot: Whole Blood POC | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 86308 - Monospot Whole Blood POC | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot | $142.00 | $142.00 | $49.70–$93.72 | — | — |
| Mumps immunity blood test CPT 86735 86735 - Antibody, mumps | $93.00 | $93.00 | $10.41–$66.82 | 58% above | — |
| Mumps immunity blood test CPT 86735 Mumps Virus IgG Antibody-ARUP | $93.00 | $93.00 | $10.41–$66.82 | 58% above | — |
| Mumps immunity blood test CPT 86735 Mumps Virus IgM Antibody-ARUP | $93.00 | $93.00 | $10.41–$66.82 | 58% above | — |
| Mumps immunity blood test inpatient CPT 86735 86735 - Antibody, mumps | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Virus IgG Antibody-ARUP | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Virus IgM Antibody-ARUP | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free | $175.00 | $175.00 | $18.02–$122.50 | 55% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, Free | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Diag | $139.00 | $139.00 | $18.02–$97.30 | 63% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA % Free | $175.00 | $175.00 | $18.02–$122.50 | 105% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Diag | $139.00 | $139.00 | $48.65–$91.74 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA % Free | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Test Digital Imaging CPT - ARUP | $26.61 | $26.61 | $9.31–$135.70 | 65% below | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap Test Digital Imaging CPT - ARUP | $26.61 | $26.61 | $9.31–$17.56 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Test Manual Review CPT - ARUP | $35.00 | $35.00 | $12.25–$103.78 | 61% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep PAP test w/ Co-test HPV - ARUP | $75.00 | $75.00 | $16.17–$103.78 | 17% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep PAP Test (Standalone) - ARUP | $75.00 | $75.00 | $16.17–$103.78 | 17% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep PAP w/Rfx to HPV, ASCUS - ARUP | $75.00 | $75.00 | $16.17–$103.78 | 17% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 zzCytology ThinPrep Pap Test-ARUP | $105.00 | $105.00 | $16.17–$103.78 | 16% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 zzPap, Thin Prep Rfx HPV -ARUP | $105.00 | $105.00 | $16.17–$103.78 | 16% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 zzPap, Thin Prep and HPV -ARUP | $156.00 | $156.00 | $16.17–$109.20 | 72% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Test Manual Review CPT - ARUP | $35.00 | $35.00 | $12.25–$23.10 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep PAP Test (Standalone) - ARUP | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep PAP test w/ Co-test HPV - ARUP | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep PAP w/Rfx to HPV, ASCUS - ARUP | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 zzPap, Thin Prep Rfx HPV -ARUP | $105.00 | $105.00 | $36.75–$69.30 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 zzCytology ThinPrep Pap Test-ARUP | $105.00 | $105.00 | $36.75–$69.30 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 zzPap, Thin Prep and HPV -ARUP | $156.00 | $156.00 | $54.60–$102.96 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 - Parathyroid Hormone Intact, | $360.00 | $360.00 | $32.95–$252.00 | 78% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact with Calcium | $360.00 | $360.00 | $32.95–$252.00 | 78% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone, Intact with Calcium | $360.00 | $360.00 | $126.00–$237.60 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 - Parathyroid Hormone Intact, | $360.00 | $360.00 | $126.00–$237.60 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .BILL_PTT T-ARUP | $129.00 | $129.00 | $4.80–$90.30 | 158% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - Partial Thromboplastin Time | $129.00 | $129.00 | $4.80–$90.30 | 158% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .PTT-D Heparin Reflex Bill - ARUP | $129.00 | $129.00 | $4.80–$90.30 | 158% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $129.00 | $129.00 | $4.80–$90.30 | 158% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $129.00 | $129.00 | $45.15–$85.14 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .BILL_PTT T-ARUP | $129.00 | $129.00 | $45.15–$85.14 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 - Partial Thromboplastin Time | $129.00 | $129.00 | $45.15–$85.14 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .PTT-D Heparin Reflex Bill - ARUP | $129.00 | $129.00 | $45.15–$85.14 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $85.00 | $85.00 | $3.78–$59.50 | 36% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $85.00 | $85.00 | $29.75–$56.10 | — | — |
| Potassium blood test CPT 84132 84132 - iSTAT E3+ (POCT) (IH) | $91.00 | $91.00 | $3.80–$63.70 | 52% above | — |
| Potassium blood test CPT 84132 84132 - iSTAT EG7 Critical Panel (POCT) | $91.00 | $91.00 | $3.80–$63.70 | 52% above | — |
| Potassium blood test CPT 84132 Potassium Level | $91.00 | $91.00 | $3.80–$63.70 | 52% above | — |
| Potassium blood test CPT 84132 84132 - iSTAT CG8+ (POCT) | $91.00 | $91.00 | $3.80–$63.70 | 52% above | — |
| Potassium blood test CPT 84132 84132 - iSTAT 6+ (POCT) | $91.00 | $91.00 | $3.80–$63.70 | 52% above | — |
| Potassium blood test CPT 84132 84132 - iSTAT Chem (POCT) | $91.00 | $91.00 | $3.80–$63.70 | 52% above | — |
| Potassium blood test inpatient CPT 84132 Potassium Level | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Potassium blood test inpatient CPT 84132 84132 - iSTAT EG7 Critical Panel (POCT) | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Potassium blood test inpatient CPT 84132 84132 - iSTAT CG8+ (POCT) | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Potassium blood test inpatient CPT 84132 84132 - iSTAT Chem (POCT) | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Potassium blood test inpatient CPT 84132 84132 - iSTAT 6+ (POCT) | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Potassium blood test inpatient CPT 84132 84132 - iSTAT E3+ (POCT) (IH) | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Progesterone blood test CPT 84144 Progesterone Level | $228.00 | $228.00 | $16.64–$159.60 | 126% above | — |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $228.00 | $228.00 | $79.80–$150.48 | — | — |
| Prolactin blood test CPT 84146 Prolactin Lvl | $150.00 | $150.00 | $15.47–$105.00 | 36% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Lvl | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 - Mixing Study (PT) (IH) | $118.00 | $118.00 | $3.42–$82.60 | 160% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $118.00 | $118.00 | $3.42–$82.60 | 160% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC | $118.00 | $118.00 | $4.20–$118.00 | 160% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Thrombotic Risk Aquired-ARUP | $118.00 | $118.00 | $3.42–$82.60 | 160% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 - INR POC | $118.00 | $118.00 | $4.20–$118.00 | 160% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Thrombotic Risk Aquired-ARUP | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 - INR POC | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 - Mixing Study (PT) (IH) | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $118.00 | $118.00 | $41.30–$77.88 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Presumptive Drug Test Using Method Read by Direct | $35.00 | $35.00 | $12.25–$35.00 | 67% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Panel 9, Scrn w/Rflx to Conf-ARUP | $264.00 | $264.00 | $10.05–$184.80 | 148% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drugs Of Abuse, Rapid Screen, Urine toxicology | $264.00 | $264.00 | $10.05–$184.80 | 148% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Presumptive Drug Test Using Method Read by Direct | $35.00 | $35.00 | $12.25–$23.10 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Panel 9, Scrn w/Rflx to Conf-ARUP | $264.00 | $264.00 | $92.40–$174.24 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drugs Of Abuse, Rapid Screen, Urine toxicology | $264.00 | $264.00 | $92.40–$174.24 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 87804 - Influenza POC Form | $94.00 | $94.00 | $16.22–$94.00 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza POC Form | $94.00 | $94.00 | $16.22–$94.00 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influ A&B Ag EIA | $94.00 | $94.00 | $13.21–$65.80 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 InfluAB Ag rfx PCR | $94.00 | $94.00 | $13.21–$65.80 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 87804 - Influenza 59 Modifier | $94.00 | $94.00 | $13.21–$65.80 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Ag (POCT) | $94.00 | $94.00 | $13.21–$65.80 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Ag (POCT) | $94.00 | $94.00 | $13.21–$65.80 | 1% above | — |
| Rapid flu test (influenza antigen) CPT 87804 87804 - Influenza POC | $153.00 | $153.00 | $16.22–$153.00 | 64% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 - Influenza 59 Modifier | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza POC Form | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Ag (POCT) | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Ag (POCT) | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influ A&B Ag EIA | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 - Influenza POC Form | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 InfluAB Ag rfx PCR | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 - Influenza POC | $153.00 | $153.00 | $53.55–$100.98 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Ag (POCT) | $75.00 | $75.00 | $13.20–$62.81 | 23% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Quick Strep Group A | $75.00 | $75.00 | $13.20–$62.81 | 23% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 - Rapid Strep POC | $178.00 | $178.00 | $16.20–$178.00 | 82% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep | $178.00 | $178.00 | $16.20–$178.00 | 82% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Ag (POCT) | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Quick Strep Group A | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 - Rapid Strep POC | $178.00 | $178.00 | $62.30–$117.48 | — | — |
| Renin blood test CPT 84244 84244 - Renin Activity-ARUP | $243.00 | $243.00 | $17.55–$170.10 | 139% above | — |
| Renin blood test CPT 84244 Renin Activity-ARUP | $243.00 | $243.00 | $17.55–$170.10 | 139% above | — |
| Renin blood test inpatient CPT 84244 Renin Activity-ARUP | $243.00 | $243.00 | $85.05–$160.38 | — | — |
| Renin blood test inpatient CPT 84244 84244 - Renin Activity-ARUP | $243.00 | $243.00 | $85.05–$160.38 | — | — |
| Rh blood typing CPT 86901 BO Rh Type | $93.00 | $93.00 | $2.38–$93.00 | 45% above | — |
| Rh blood typing CPT 86901 BO Rh Discrepancy | $93.00 | $93.00 | $2.38–$93.00 | 45% above | — |
| Rh blood typing CPT 86901 86901 - RH | $93.00 | $93.00 | $2.38–$93.00 | 45% above | — |
| Rh blood typing CPT 86901 Weak D | $93.00 | $93.00 | $2.38–$93.00 | 45% above | — |
| Rh blood typing inpatient CPT 86901 Weak D | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Rh blood typing inpatient CPT 86901 BO Rh Discrepancy | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Rh blood typing inpatient CPT 86901 BO Rh Type | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Rh blood typing inpatient CPT 86901 86901 - RH | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factors | $114.00 | $114.00 | $4.52–$79.80 | 150% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Body Fluid-ARUP | $157.00 | $157.00 | $4.52–$109.90 | 244% above | — |
| Rheumatoid factor (RF) test CPT 86431 86431 - Rheumatoid Factor Body Fluid-ARUP | $157.00 | $157.00 | $4.52–$109.90 | 244% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factors | $114.00 | $114.00 | $39.90–$75.24 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Body Fluid-ARUP | $157.00 | $157.00 | $54.95–$103.62 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 - Rheumatoid Factor Body Fluid-ARUP | $157.00 | $157.00 | $54.95–$103.62 | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Abs IgG | $111.00 | $111.00 | $11.49–$77.70 | 119% above | — |
| Rubella antibody test (immunity check) CPT 86762 86762 - Antibody, rubella | $136.00 | $136.00 | $11.49–$95.20 | 168% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Abs IgG | $111.00 | $111.00 | $38.85–$73.26 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 - Antibody, rubella | $136.00 | $136.00 | $47.60–$89.76 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR, Westergren | $86.00 | $86.00 | $2.16–$60.20 | 41% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR, Westergren | $86.00 | $86.00 | $30.10–$56.76 | — | — |
| Sodium blood test CPT 84295 84295 - iSTAT CG8+ (POCT) (IH) | $84.00 | $84.00 | $3.84–$58.80 | 35% above | — |
| Sodium blood test CPT 84295 84295 - iSTAT 6+ (POCT) (IH) | $84.00 | $84.00 | $3.84–$58.80 | 35% above | — |
| Sodium blood test CPT 84295 iSTAT E3+ (POCT) | $84.00 | $84.00 | $3.84–$58.80 | 35% above | — |
| Sodium blood test CPT 84295 Sodium Level | $84.00 | $84.00 | $3.84–$58.80 | 35% above | — |
| Sodium blood test CPT 84295 84295 - iSTAT EG7 Critical Panel (POCT) (IH) | $84.00 | $84.00 | $3.84–$58.80 | 35% above | — |
| Sodium blood test inpatient CPT 84295 84295 - iSTAT 6+ (POCT) (IH) | $84.00 | $84.00 | $29.40–$55.44 | — | — |
| Sodium blood test inpatient CPT 84295 84295 - iSTAT EG7 Critical Panel (POCT) (IH) | $84.00 | $84.00 | $29.40–$55.44 | — | — |
| Sodium blood test inpatient CPT 84295 iSTAT E3+ (POCT) | $84.00 | $84.00 | $29.40–$55.44 | — | — |
| Sodium blood test inpatient CPT 84295 Sodium Level | $84.00 | $84.00 | $29.40–$55.44 | — | — |
| Sodium blood test inpatient CPT 84295 84295 - iSTAT CG8+ (POCT) (IH) | $84.00 | $84.00 | $29.40–$55.44 | — | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasite Exam Stool-ARUP | $141.00 | $141.00 | $7.11–$98.70 | 110% above | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasite Exam Fecal -ARUP | $141.00 | $141.00 | $7.11–$98.70 | 110% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam Fecal -ARUP | $141.00 | $141.00 | $49.35–$93.06 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam Stool-ARUP | $141.00 | $141.00 | $49.35–$93.06 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Neo | $50.00 | $50.00 | $3.50–$35.00 | 33% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 WH Hemocult POC - 82270 | $50.00 | $50.00 | $4.29–$50.00 | 33% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 - Fecal Occult Blood POC | $50.00 | $50.00 | $4.29–$50.00 | 33% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Neo | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 - Fecal Occult Blood POC | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 WH Hemocult POC - 82270 | $50.00 | $50.00 | $17.50–$33.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood POC Form | $70.00 | $70.00 | $15.60–$81.48 | 4% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Stool NonNeo | $70.00 | $70.00 | $12.70–$81.48 | 4% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Stool NonNeo | $70.00 | $70.00 | $24.50–$46.20 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood POC Form | $70.00 | $70.00 | $24.50–$46.20 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody | $90.00 | $90.00 | $10.56–$63.00 | 104% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T. pallidum IgG (FTA-ABS) Antibody-ARUP | $137.00 | $137.00 | $10.56–$95.90 | 210% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum IgG CSF by IFA-ARUP | $137.00 | $137.00 | $10.56–$95.90 | 210% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum IgG Antibody by ELISA-ARUP | $137.00 | $137.00 | $10.56–$95.90 | 210% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody | $90.00 | $90.00 | $31.50–$59.40 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum IgG Antibody by ELISA-ARUP | $137.00 | $137.00 | $47.95–$90.42 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum IgG CSF by IFA-ARUP | $137.00 | $137.00 | $47.95–$90.42 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. pallidum IgG (FTA-ABS) Antibody-ARUP | $137.00 | $137.00 | $47.95–$90.42 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL with Reflex to Titer, Serum-ARUP | $93.00 | $93.00 | $3.41–$65.10 | 118% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL with Reflex to Titer CSF-ARUP | $93.00 | $93.00 | $3.41–$65.10 | 118% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Cord Blood RPR | $93.00 | $93.00 | $3.41–$65.10 | 118% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $93.00 | $93.00 | $3.41–$65.10 | 118% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Cord Blood RPR | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL with Reflex to Titer CSF-ARUP | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL with Reflex to Titer, Serum-ARUP | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB-Gold Plus, 4-Tube-ARUP | $227.00 | $227.00 | $49.46–$317.46 | 11% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 zzQuantiFERON-TB Gold Plus 4-Tube-ARUP | $227.00 | $227.00 | $49.46–$317.46 | 11% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 zzQuantiFERON-TB Gold Plus 4-Tube-ARUP | $227.00 | $227.00 | $79.45–$149.82 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB-Gold Plus, 4-Tube-ARUP | $227.00 | $227.00 | $79.45–$149.82 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $135.00 | $135.00 | $20.60–$132.24 | 35% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCT Lvl | $160.00 | $160.00 | $20.60–$132.24 | 60% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 - Testosterone, Adult Male-ARUP | $254.00 | $254.00 | $20.60–$177.80 | 154% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $135.00 | $135.00 | $47.25–$89.10 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCT Lvl | $160.00 | $160.00 | $56.00–$105.60 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 - Testosterone, Adult Male-ARUP | $254.00 | $254.00 | $88.90–$167.64 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Abs | $140.00 | $140.00 | $11.61–$98.00 | 68% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome IgG Abs-ARUP | $172.00 | $172.00 | $11.61–$120.40 | 107% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome-1 IgG Antibody-ARUP | $172.00 | $172.00 | $11.61–$120.40 | 107% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Antibody-ARUP | $172.00 | $172.00 | $11.61–$120.40 | 107% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 - Thyroid Peroxidase (TPO) Antibody-ARUP | $172.00 | $172.00 | $11.61–$120.40 | 107% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies-ARUP | $172.00 | $172.00 | $11.61–$120.40 | 107% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Abs | $140.00 | $140.00 | $49.00–$92.40 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibodies-ARUP | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 - Thyroid Peroxidase (TPO) Antibody-ARUP | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome IgG Abs-ARUP | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome-1 IgG Antibody-ARUP | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Antibody-ARUP | $172.00 | $172.00 | $60.20–$113.52 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $232.00 | $232.00 | $13.40–$162.40 | 121% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $232.00 | $232.00 | $81.20–$153.12 | — | — |
| Total IgE blood test CPT 82785 82785 - Gammaglobulin (immunoglobulin); IgE | $148.00 | $148.00 | $13.14–$103.60 | 86% above | — |
| Total IgE blood test CPT 82785 Immunoglobulin E-ARUP | $188.00 | $188.00 | $13.14–$131.60 | 137% above | — |
| Total IgE blood test inpatient CPT 82785 82785 - Gammaglobulin (immunoglobulin); IgE | $148.00 | $148.00 | $51.80–$97.68 | — | — |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E-ARUP | $188.00 | $188.00 | $65.80–$124.08 | — | — |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $91.00 | $91.00 | $3.47–$63.70 | 64% above | — |
| Total cholesterol blood test CPT 82465 BF Cholesterol | $91.00 | $91.00 | $3.47–$63.70 | 64% above | — |
| Total cholesterol blood test inpatient CPT 82465 BF Cholesterol | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $91.00 | $91.00 | $31.85–$60.06 | — | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine, Total T4-ARUP | $129.00 | $129.00 | $5.48–$90.30 | 61% above | — |
| Total thyroxine (T4) blood test CPT 84436 Total T4 Level | $153.00 | $153.00 | $5.48–$107.10 | 91% above | — |
| Total thyroxine (T4) blood test CPT 84436 84436 - T7 (T3U plus T4) (IH) | $153.00 | $153.00 | $5.48–$107.10 | 91% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine, Total T4-ARUP | $129.00 | $129.00 | $45.15–$85.14 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Total T4 Level | $153.00 | $153.00 | $53.55–$100.98 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 84436 - T7 (T3U plus T4) (IH) | $153.00 | $153.00 | $53.55–$100.98 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Total T3 | $175.00 | $175.00 | $11.31–$122.50 | 40% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Total T3 | $175.00 | $175.00 | $61.25–$115.50 | — | — |
| Transferrin blood test CPT 84466 Transferrin Level | $160.00 | $160.00 | $10.18–$112.00 | 34% above | — |
| Transferrin blood test inpatient CPT 84466 Transferrin Level | $160.00 | $160.00 | $56.00–$105.60 | — | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis PCR | $75.00 | $75.00 | $26.25–$179.73 | 14% below | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis PCR | $75.00 | $75.00 | $26.25–$49.50 | — | — |
| Triglycerides blood test CPT 84478 Triglycerides | $127.00 | $127.00 | $4.58–$88.90 | 87% above | — |
| Triglycerides blood test CPT 84478 Triglyceride Body Fluid | $127.00 | $127.00 | $4.58–$88.90 | 87% above | — |
| Triglycerides blood test CPT 84478 VLDL | $127.00 | $127.00 | $4.58–$88.90 | 87% above | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $127.00 | $127.00 | $44.45–$83.82 | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglyceride Body Fluid | $127.00 | $127.00 | $44.45–$83.82 | — | — |
| Triglycerides blood test inpatient CPT 84478 VLDL | $127.00 | $127.00 | $44.45–$83.82 | — | — |
| Troponin test, quantitative CPT 84484 Troponin-T HS | $150.00 | $150.00 | $9.95–$105.00 | 32% above | — |
| Troponin test, quantitative CPT 84484 Troponin-T | $150.00 | $150.00 | $9.95–$105.00 | 32% above | — |
| Troponin test, quantitative CPT 84484 zzTroponin-I (cardiac marker) | $221.00 | $221.00 | $9.95–$154.70 | 94% above | — |
| Troponin test, quantitative CPT 84484 iSTAT Troponin I (POCT) | $221.00 | $221.00 | $9.95–$154.70 | 94% above | — |
| Troponin test, quantitative CPT 84484 iSTAT Troponin I HS (POCT) | $221.00 | $221.00 | $9.95–$154.70 | 94% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-T | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-T HS | $150.00 | $150.00 | $52.50–$99.00 | — | — |
| Troponin test, quantitative inpatient CPT 84484 iSTAT Troponin I HS (POCT) | $221.00 | $221.00 | $77.35–$145.86 | — | — |
| Troponin test, quantitative inpatient CPT 84484 iSTAT Troponin I (POCT) | $221.00 | $221.00 | $77.35–$145.86 | — | — |
| Troponin test, quantitative inpatient CPT 84484 zzTroponin-I (cardiac marker) | $221.00 | $221.00 | $77.35–$145.86 | — | — |
| Uric acid blood test CPT 84550 Uric Acid | $94.00 | $94.00 | $3.61–$65.80 | 20% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $94.00 | $94.00 | $32.90–$62.04 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $108.00 | $108.00 | $2.53–$75.60 | 16% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic | $108.00 | $108.00 | $37.80–$71.28 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick POC | $87.00 | $87.00 | $2.20–$87.00 | 81% above | — |
| Urinalysis without microscope exam, automated CPT 81003 81003 - Urinalysis Dipstick POC | $87.00 | $87.00 | $2.20–$87.00 | 81% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Clinitek Status Point of Care Testing | $87.00 | $87.00 | $1.80–$60.90 | 81% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 - Urinalysis Dipstick POC | $87.00 | $87.00 | $30.45–$57.42 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Clinitek Status Point of Care Testing | $87.00 | $87.00 | $30.45–$57.42 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick POC | $87.00 | $87.00 | $30.45–$57.42 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 .Glucose 4 Hr Ur | $25.00 | $25.00 | $2.77–$17.50 | 15% below | — |
| Urinalysis without microscope exam, manual CPT 81002 .Glucose 6 Hr Ur | $25.00 | $25.00 | $2.77–$17.50 | 15% below | — |
| Urinalysis without microscope exam, manual CPT 81002 .Glucose 5 Hr Ur | $25.00 | $25.00 | $2.77–$17.50 | 15% below | — |
| Urinalysis without microscope exam, manual CPT 81002 .Fasting Glucose Ur | $36.00 | $36.00 | $2.77–$25.20 | 22% above | — |
| Urinalysis without microscope exam, manual CPT 81002 .Glucose 3 Hr Ur | $36.00 | $36.00 | $2.77–$25.20 | 22% above | — |
| Urinalysis without microscope exam, manual CPT 81002 .Glucose 1 Hr Ur | $36.00 | $36.00 | $2.77–$25.20 | 22% above | — |
| Urinalysis without microscope exam, manual CPT 81002 .Glucose 2 Hr Ur | $36.00 | $36.00 | $2.77–$25.20 | 22% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Glucose 4 Hr Ur | $25.00 | $25.00 | $8.75–$16.50 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Glucose 6 Hr Ur | $25.00 | $25.00 | $8.75–$16.50 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Glucose 5 Hr Ur | $25.00 | $25.00 | $8.75–$16.50 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Glucose 1 Hr Ur | $36.00 | $36.00 | $12.60–$23.76 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Glucose 3 Hr Ur | $36.00 | $36.00 | $12.60–$23.76 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Fasting Glucose Ur | $36.00 | $36.00 | $12.60–$23.76 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Glucose 2 Hr Ur | $36.00 | $36.00 | $12.60–$23.76 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine | $171.00 | $171.00 | $6.44–$119.70 | 32% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture, Urine | $171.00 | $171.00 | $59.85–$112.86 | — | — |
| Urine microalbumin (albumin) test CPT 82043 Microalb/Creat, Urine | $136.00 | $136.00 | $4.62–$95.20 | 167% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalb/Creat, Urine | $136.00 | $136.00 | $47.60–$89.76 | — | — |
| Urine pregnancy test, read by color change CPT 81025 HCG Qualitative Urine | $131.00 | $131.00 | $6.87–$91.70 | 54% above | — |
| Urine pregnancy test, read by color change CPT 81025 HCG, Urine POC | $131.00 | $131.00 | $8.44–$131.00 | 54% above | — |
| Urine pregnancy test, read by color change CPT 81025 81025 - HCG, Urine POC | $131.00 | $131.00 | $8.44–$131.00 | 54% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG, Urine POC | $131.00 | $131.00 | $45.85–$86.46 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 - HCG, Urine POC | $131.00 | $131.00 | $45.85–$86.46 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG Qualitative Urine | $131.00 | $131.00 | $45.85–$86.46 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $193.00 | $193.00 | $12.04–$135.10 | 113% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $193.00 | $193.00 | $67.55–$127.38 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D2 and D3 Level-ARUP | $313.00 | $313.00 | $23.62–$219.10 | 162% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $313.00 | $313.00 | $23.62–$219.10 | 162% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D2 and D3 Level-ARUP | $313.00 | $313.00 | $109.55–$206.58 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level | $313.00 | $313.00 | $109.55–$206.58 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D, 1,25-Dihydroxy-ARUP | $392.00 | $392.00 | $30.72–$274.40 | 149% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D, 1,25-Dihydroxy-ARUP | $392.00 | $392.00 | $137.20–$258.72 | — | — |
| Zinc blood test CPT 84630 Zinc Level-ARUP | $140.00 | $140.00 | $9.09–$98.00 | 105% above | — |
| Zinc blood test inpatient CPT 84630 Zinc Level-ARUP | $140.00 | $140.00 | $49.00–$92.40 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 - HCG, Beta Quant, Serum | $291.00 | $291.00 | $12.01–$203.70 | 159% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, Beta Quant, Serum | $291.00 | $291.00 | $12.01–$203.70 | 159% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 iSTAT B-hCG (POCT) | $291.00 | $291.00 | $12.01–$203.70 | 159% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 iSTAT B-hCG (POCT) | $291.00 | $291.00 | $101.85–$192.06 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, Beta Quant, Serum | $291.00 | $291.00 | $101.85–$192.06 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 - HCG, Beta Quant, Serum | $291.00 | $291.00 | $101.85–$192.06 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 19081 MG Mammo Biopsy Stereotactic Right | $3,905.00 | $3,905.00 | $272.70–$2,733.50 | 12% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Mammo Biopsy Stereotactic Right | $3,905.00 | $3,905.00 | $272.70–$2,733.50 | 12% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 19081 MG Mammo Biopsy Stereotactic Left | $3,905.00 | $3,905.00 | $272.70–$2,733.50 | 12% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Mammo Biopsy Stereotactic Left | $3,905.00 | $3,905.00 | $272.70–$2,733.50 | 12% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Mammo Biopsy Stereotactic Right | $3,905.00 | $3,905.00 | $1,366.75–$2,577.30 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Mammo Biopsy Stereotactic Left | $3,905.00 | $3,905.00 | $1,366.75–$2,577.30 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 19081 MG Mammo Biopsy Stereotactic Left | $3,905.00 | $3,905.00 | $1,366.75–$2,577.30 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 19081 MG Mammo Biopsy Stereotactic Right | $3,905.00 | $3,905.00 | $1,366.75–$2,577.30 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Fracture Manipulation Site - Fibula, Distal (later | $498.00 | $498.00 | $64.72–$425.00 | 7% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 - Fibula, Distal (lateral malleolous) w/o ma | $523.00 | $523.00 | $67.97–$425.00 | 12% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Fracture Manipulation Site - Fibula, Distal (later | $498.00 | $498.00 | $174.30–$328.68 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 - Fibula, Distal (lateral malleolous) w/o ma | $523.00 | $523.00 | $183.05–$345.18 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fracture Manipulation Site - Metatarsal, Closed w/ | $370.00 | $370.00 | $48.09–$425.00 | 32% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 - Metatarsal, Closed w/o manipulation, each | $389.00 | $389.00 | $50.56–$425.00 | 39% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Fracture Manipulation Site - Metatarsal, Closed w/ | $370.00 | $370.00 | $129.50–$244.20 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 - Metatarsal, Closed w/o manipulation, each | $389.00 | $389.00 | $136.15–$256.74 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Cath place in coronary artery, intraop injection, | $13,505.00 | $13,505.00 | $2,041.96–$13,505.00 | 29% above | — |
| Cardiac catheterization with coronary angiogram CPT 93458 93458 - LHC W/LV | $13,505.00 | $13,505.00 | $2,041.96–$13,505.00 | 29% above | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CVNet - 93458 - LHC W/LV | $13,505.00 | $13,505.00 | $1,755.11–$8,913.30 | 29% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 93458 - LHC W/LV | $13,505.00 | $13,505.00 | $4,726.75–$8,913.30 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath place in coronary artery, intraop injection, | $13,505.00 | $13,505.00 | $4,726.75–$8,913.30 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CVNet - 93458 - LHC W/LV | $13,505.00 | $13,505.00 | $4,726.75–$8,913.30 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Procedure Performed - Cardioversion | $1,460.00 | $1,460.00 | $189.74–$1,022.00 | 10% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - Cardioversion | $1,460.00 | $1,460.00 | $189.74–$1,022.00 | 10% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CVNet - 92960 - CARDIOVERSION-SIMPL | $1,460.00 | $1,460.00 | $189.74–$4,672.00 | 10% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Bedside Cardioversion 92960 | $1,460.00 | $1,460.00 | $189.74–$1,022.00 | 10% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Bedside Cardioversion 92960 | $1,460.00 | $1,460.00 | $511.00–$963.60 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - Cardioversion | $1,460.00 | $1,460.00 | $511.00–$963.60 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CVNet - 92960 - CARDIOVERSION-SIMPL | $1,460.00 | $1,460.00 | $511.00–$963.60 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Procedure Performed - Cardioversion | $1,460.00 | $1,460.00 | $511.00–$963.60 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 CVNet - 93656 - TX ATRIAL FIB PULM VEIN | $35,823.00 | $35,823.00 | $4,655.56–$35,966.08 | 18% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 CVNet - 93656 - TX ATRIAL FIB PULM | $35,823.00 | $35,823.00 | $4,655.56–$35,966.08 | 18% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 CVNet - 93656 - TX ATRIAL FIB PULM | $35,823.00 | $35,823.00 | $12,538.05–$23,643.18 | — | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 CVNet - 93656 - TX ATRIAL FIB PULM VEIN | $35,823.00 | $35,823.00 | $12,538.05–$23,643.18 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 - Circumcision - Charge - Yes | $684.00 | $684.00 | $88.89–$684.00 | 44% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Bedside Circumcision Newborn/NICU 54150 | $684.00 | $684.00 | $239.40–$4,203.00 | 44% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Bedside Circumcision Newborn/NICU 54150 | $684.00 | $684.00 | $239.40–$451.44 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 - Circumcision - Charge - Yes | $684.00 | $684.00 | $239.40–$451.44 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Fracture Manipulation Site - Radius/Unla fx, dista | $427.00 | $427.00 | $55.49–$425.00 | 6% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 - Radius/Unla fx, distal, w/o manipulation | $449.00 | $449.00 | $58.35–$425.00 | 1% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Fracture Manipulation Site - Radius/Unla fx, dista | $427.00 | $427.00 | $149.45–$281.82 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 - Radius/Unla fx, distal, w/o manipulation | $449.00 | $449.00 | $157.15–$296.34 | — | — |
| Colonoscopy with polyp removal CPT 45385 ENDO - Colonoscopy w/ Polypectomy | $1,738.00 | $1,738.00 | $365.14–$1,767.43 | 23% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 ENDO - Colonoscopy w/ Polypectomy | $1,738.00 | $1,738.00 | $608.30–$1,147.08 | — | — |
| Colonoscopy with tissue sample CPT 45380 ENDO - Colonoscopy w/ Biopsy | $2,076.00 | $2,076.00 | $365.14–$1,767.43 | 43% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 ENDO - Colonoscopy w/ Biopsy | $2,076.00 | $2,076.00 | $726.60–$1,370.16 | — | — |
| Colonoscopy, diagnostic CPT 45378 ENDO - Colonoscopy | $2,405.00 | $2,405.00 | $328.30–$1,742.00 | 56% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 ENDO - Colonoscopy | $2,405.00 | $2,405.00 | $841.75–$1,587.30 | — | — |
| Coronary stent placement, one artery CPT 92928 CVNet - 92928 - CARD STNT W/ANGIO | $19,347.00 | $19,347.00 | $2,514.34–$17,438.92 | 65% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 CVNet - 92928 - CARD STNT W/ANGIO | $19,347.00 | $19,347.00 | $6,771.45–$12,769.02 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 - REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UN | $193.00 | $193.00 | $25.08–$425.00 | 73% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 - REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UN | $193.00 | $193.00 | $67.55–$127.38 | — | — |
| Earwax removal with instruments, one ear CPT 69210 69210 - Cerumen impacted, single | $106.00 | $106.00 | $13.77–$425.00 | 15% below | — |
| Earwax removal with instruments, one ear CPT 69210 Foreign Body Removal Site - Cerumen, impacted, sin | $106.00 | $106.00 | $13.77–$425.00 | 15% below | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Foreign Body Removal Site - Cerumen, impacted, sin | $106.00 | $106.00 | $37.10–$69.96 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 - Cerumen impacted, single | $106.00 | $106.00 | $37.10–$69.96 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 endometrial bx w/o dilation 58100 | $385.00 | $385.00 | $45.93–$2,720.00 | 5% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Emb W/Wo Endocervical Biopsy W/O Cervical Dilation | $385.00 | $385.00 | $50.04–$425.00 | 5% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Emb W/Wo Endocervical Biopsy W/O Cervical Dilation | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 endometrial bx w/o dilation 58100 | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $9,032.00 | $9,032.00 | $1,150.85–$6,503.32 | at median | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC | $9,032.00 | $9,032.00 | $3,161.20–$5,961.12 | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $9,032.00 | $9,032.00 | $1,150.85–$6,503.32 | at median | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST > 10 RDC | $9,032.00 | $9,032.00 | $3,161.20–$5,961.12 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $9,032.00 | $9,032.00 | $1,150.85–$6,322.40 | 40% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $9,032.00 | $9,032.00 | $3,161.20–$5,961.12 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 ENDO - Flex Sig w/ Wo Wash | $1,471.00 | $1,471.00 | $130.59–$2,644.02 | 82% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 ENDO - Flex Sig w/ Wo Wash | $1,471.00 | $1,471.00 | $514.85–$970.86 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 ENDO - Banding Of Hemorrhoids | $1,516.00 | $1,516.00 | $163.52–$2,644.02 | 70% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 ENDO - Banding Of Hemorrhoids | $1,516.00 | $1,516.00 | $530.60–$1,000.56 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath Portion HSG | $491.00 | $491.00 | $63.81–$2,720.00 | 31% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath Portion HSG | $491.00 | $491.00 | $171.85–$324.06 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 - Bedside DRAINAGE OF SKIN ABSCESS | $567.00 | $567.00 | $65.02–$2,720.00 | 31% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I And D Abscess Complex Or Single - 10060 | $586.00 | $586.00 | $88.60–$586.00 | 36% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 - I&D Abscess/Cyst/Hematoma Single | $586.00 | $586.00 | $76.15–$425.00 | 36% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 ID Body Site - I&D Abscess/Cyst/Hematoma Single | $586.00 | $586.00 | $76.15–$425.00 | 36% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 IR I&D ABS Subcutaneous | $586.00 | $586.00 | $65.02–$2,720.00 | 36% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Simple | $586.00 | $586.00 | $76.15–$410.20 | 36% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 - Bedside DRAINAGE OF SKIN ABSCESS | $567.00 | $567.00 | $198.45–$374.22 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 - I&D Abscess/Cyst/Hematoma Single | $586.00 | $586.00 | $205.10–$386.76 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 IR I&D ABS Subcutaneous | $586.00 | $586.00 | $205.10–$386.76 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Simple | $586.00 | $586.00 | $205.10–$386.76 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I And D Abscess Complex Or Single - 10060 | $586.00 | $586.00 | $205.10–$386.76 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ID Body Site - I&D Abscess/Cyst/Hematoma Single | $586.00 | $586.00 | $205.10–$386.76 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Report - IR ASP/Steroid Inj Major Joint w/ FL | $632.00 | $632.00 | $95.56–$632.00 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - Arthrocentesis, aspiration, major joint | $632.00 | $632.00 | $27.94–$2,644.02 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 AMB Inj-Jt Med Admin Charge - Major Joint Inj 2061 | $632.00 | $632.00 | $82.14–$442.40 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - Arthro, major joint or bursa (w/o US) | $632.00 | $632.00 | $82.14–$442.40 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration and/or injection, major | $632.00 | $632.00 | $95.56–$632.00 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis/Aspiration/Inject, Major Joint/Burs | $632.00 | $632.00 | $95.56–$632.00 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Procedure - Arthro, major joint or | $632.00 | $632.00 | $82.14–$442.40 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - IR Arthro Major Joint w/o US | $632.00 | $632.00 | $27.94–$2,644.02 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR ASP/Steroid Inj Major Joint w/ FL | $979.89 | $979.89 | $27.94–$2,644.02 | 65% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 AMB Inj-Jt Med Admin Charge - Major Joint Inj 2061 | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Report - IR ASP/Steroid Inj Major Joint w/ FL | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Procedure - Arthro, major joint or | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis/Aspiration/Inject, Major Joint/Burs | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis, aspiration and/or injection, major | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - Arthro, major joint or bursa (w/o US) | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - Arthrocentesis, aspiration, major joint | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - IR Arthro Major Joint w/o US | $632.00 | $632.00 | $221.20–$417.12 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IR ASP/Steroid Inj Major Joint w/ FL | $979.89 | $979.89 | $342.96–$646.73 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981- Application of Biosponge | $527.00 | $527.00 | $68.49–$368.90 | 120% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981- Application of Biosponge | $527.00 | $527.00 | $184.45–$347.82 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Procedure - Arthro, intermediate jo | $581.00 | $581.00 | $75.51–$425.00 | 1% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 AMB Inj-Jt Med Admin Charge - Med Joint Inj 20605 | $581.00 | $581.00 | $75.51–$406.70 | 1% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 - Arthro, intermediate joint or bursa (w/o U | $581.00 | $581.00 | $75.51–$425.00 | 1% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR ASP/Steroid Inj Intermediate JT w/ FL | $634.00 | $634.00 | $23.52–$2,644.02 | 8% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Procedure - Arthro, intermediate jo | $581.00 | $581.00 | $203.35–$383.46 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 - Arthro, intermediate joint or bursa (w/o U | $581.00 | $581.00 | $203.35–$383.46 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 AMB Inj-Jt Med Admin Charge - Med Joint Inj 20605 | $581.00 | $581.00 | $203.35–$383.46 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IR ASP/Steroid Inj Intermediate JT w/ FL | $634.00 | $634.00 | $221.90–$418.44 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 - Arthro, small joint or bursa (w/o US) | $564.00 | $564.00 | $73.30–$425.00 | 31% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Procedure - Arthro, small joint or | $564.00 | $564.00 | $73.30–$425.00 | 31% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 IR ASP/Steroid Inj Small Joint w/ FL | $640.31 | $640.31 | $22.69–$2,644.02 | 49% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 - Arthro, small joint or bursa (w/o US) | $564.00 | $564.00 | $197.40–$372.24 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Procedure - Arthro, small joint or | $564.00 | $564.00 | $197.40–$372.24 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 IR ASP/Steroid Inj Small Joint w/ FL | $640.31 | $640.31 | $224.11–$422.60 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - Scalp/Axillae/Trunk/Extr, 2.5cm or < | $569.00 | $569.00 | $73.95–$425.00 | 7% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Laceration Wound/Intermediate - Scalp/Axillae/Trun | $569.00 | $569.00 | $73.95–$425.00 | 7% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Laceration Wound/Intermediate - Scalp/Axillae/Trun | $569.00 | $569.00 | $199.15–$375.54 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 - Scalp/Axillae/Trunk/Extr, 2.5cm or < | $569.00 | $569.00 | $199.15–$375.54 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR Radionuclide Inj | $2,183.00 | $2,183.00 | $262.70–$2,644.02 | 30% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of diagnostic; with imaging guidance - 6 | $2,183.00 | $2,183.00 | $330.07–$2,183.00 | 30% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Radionuclide Inj | $2,183.00 | $2,183.00 | $764.05–$1,440.78 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of diagnostic; with imaging guidance - 6 | $2,183.00 | $2,183.00 | $764.05–$1,440.78 | — | — |
| Mastectomy (total removal of the breast) CPT 19303 Mast simple complete | $8,700.33 | $8,700.33 | $515.81–$9,217.63 | 44% above | — |
| Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete | $8,700.33 | $8,700.33 | $3,045.12–$5,742.22 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 - Nail plate avulsion, single | $375.00 | $375.00 | $48.73–$425.00 | 33% above | — |
| Nail removal (partial or complete), one nail CPT 11730 ED Nail Procedure - Nail plate avulsion, single | $375.00 | $375.00 | $48.73–$425.00 | 33% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ED Nail Procedure - Nail plate avulsion, single | $375.00 | $375.00 | $131.25–$247.50 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 - Nail plate avulsion, single | $375.00 | $375.00 | $131.25–$247.50 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 CVNet - 33208 - INSERT PACEMKR DUAL | $20,871.00 | $20,871.00 | $588.85–$18,250.00 | 10% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CVNet - 33208 - INSERT PACEMKR DUAL | $20,871.00 | $20,871.00 | $7,304.85–$13,774.86 | — | — |
| Paracentesis with imaging guidance CPT 49083 IR Paracentesis-Transcend | $610.00 | $610.00 | $79.28–$610.00 | 58% below | — |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis W/ Imaging Guidance - 49083 | $1,650.00 | $1,650.00 | $249.48–$1,650.00 | 13% above | — |
| Paracentesis with imaging guidance CPT 49083 IR Paracentesis | $1,650.00 | $1,650.00 | $272.70–$2,644.02 | 13% above | — |
| Paracentesis with imaging guidance CPT 49083 49083 - Paracentesis, Abdomen w/imaging | $1,650.00 | $1,650.00 | $214.43–$1,155.00 | 13% above | — |
| Paracentesis with imaging guidance CPT 49083 Report - IR Paracentesis | $1,650.00 | $1,650.00 | $249.48–$1,650.00 | 13% above | — |
| Paracentesis with imaging guidance CPT 49083 ED Procedure Performed - Paracentesis, Abdomen w/i | $1,650.00 | $1,650.00 | $214.43–$1,155.00 | 13% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 IR Paracentesis-Transcend | $610.00 | $610.00 | $213.50–$402.60 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 IR Paracentesis | $1,650.00 | $1,650.00 | $577.50–$1,089.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ED Procedure Performed - Paracentesis, Abdomen w/i | $1,650.00 | $1,650.00 | $577.50–$1,089.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis W/ Imaging Guidance - 49083 | $1,650.00 | $1,650.00 | $577.50–$1,089.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 - Paracentesis, Abdomen w/imaging | $1,650.00 | $1,650.00 | $577.50–$1,089.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Report - IR Paracentesis | $1,650.00 | $1,650.00 | $577.50–$1,089.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED Nail Procedure - Excision of nail-Ingrown Perma | $1,108.00 | $1,108.00 | $143.99–$775.60 | 117% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 - Excision of nail-Ingrown Permanent | $1,108.00 | $1,108.00 | $143.99–$775.60 | 117% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED Nail Procedure - Excision of nail-Ingrown Perma | $1,108.00 | $1,108.00 | $387.80–$731.28 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 - Excision of nail-Ingrown Permanent | $1,108.00 | $1,108.00 | $387.80–$731.28 | — | — |
| Prostate biopsy CPT 55700 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH | $312.00 | $312.00 | $47.17–$312.00 | 88% below | — |
| Prostate biopsy inpatient CPT 55700 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH | $312.00 | $312.00 | $109.20–$205.92 | — | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING | $2,887.00 | $2,887.00 | $436.51–$2,887.00 | 73% below | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING | $2,887.00 | $2,887.00 | $1,010.45–$1,905.42 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision And Removal Fb, Subq, Simple - 10120 | $743.00 | $743.00 | $112.34–$743.00 | 42% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body SUBQ Tiss Simple | $743.00 | $743.00 | $96.56–$520.10 | 42% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Body Removal Site - Skin, Subcutaneous Sim | $743.00 | $743.00 | $96.56–$520.10 | 42% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 - Skin, Subcuaneous Simple FB | $743.00 | $743.00 | $96.56–$520.10 | 42% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 - Skin, Subcuaneous Simple FB | $743.00 | $743.00 | $260.05–$490.38 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal Foreign Body SUBQ Tiss Simple | $743.00 | $743.00 | $260.05–$490.38 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision And Removal Fb, Subq, Simple - 10120 | $743.00 | $743.00 | $260.05–$490.38 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Foreign Body Removal Site - Skin, Subcutaneous Sim | $743.00 | $743.00 | $260.05–$490.38 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 ENDO - Colorectal Screen No Risk | $2,405.00 | $2,405.00 | $272.70–$1,742.00 | 208% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 ENDO - Colorectal Screen No Risk | $2,405.00 | $2,405.00 | $841.75–$1,587.30 | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 ENDO - Colorectal Screen High Risk | $2,405.00 | $2,405.00 | $328.30–$1,742.00 | 101% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 ENDO - Colorectal Screen High Risk | $2,405.00 | $2,405.00 | $841.75–$1,587.30 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 50590 - LITHOTRIPSY XTRCORP SHOCK WAVE | $1,388.00 | $1,388.00 | $209.87–$1,388.00 | 80% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590 - LITHOTRIPSY XTRCORP SHOCK WAVE | $1,388.00 | $1,388.00 | $485.80–$916.08 | — | — |
| Short arm cast (elbow to hand) CPT 29075 OT Short Arm Cast Units | $323.00 | $323.00 | $41.98–$313.62 | 16% above | — |
| Short arm cast (elbow to hand) CPT 29075 29075 - OT Short Arm Cast Units | $323.00 | $323.00 | $41.98–$313.62 | 16% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 OT Short Arm Cast Units | $323.00 | $323.00 | $113.05–$213.18 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 - OT Short Arm Cast Units | $323.00 | $323.00 | $113.05–$213.18 | — | — |
| Short arm splint (forearm and hand) CPT 29125 29125 - Short Arm Splinting | $195.00 | $195.00 | $25.35–$425.00 | 14% below | — |
| Short arm splint (forearm and hand) CPT 29125 Splinting of Fracture Site - Short Arm Splinting | $195.00 | $195.00 | $25.35–$425.00 | 14% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splinting of Fracture Site - Short Arm Splinting | $195.00 | $195.00 | $68.25–$128.70 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 - Short Arm Splinting | $195.00 | $195.00 | $68.25–$128.70 | — | — |
| Short leg cast (below the knee) CPT 29405 Splinting of Fracture Site - Cast, Short Leg | $385.00 | $385.00 | $50.04–$425.00 | 14% above | — |
| Short leg cast (below the knee) CPT 29405 PT Short Leg Cast App Units | $385.00 | $385.00 | $50.04–$296.85 | 14% above | — |
| Short leg cast (below the knee) CPT 29405 29405 - Cast, Short Leg | $385.00 | $385.00 | $50.04–$425.00 | 14% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 PT Short Leg Cast App Units | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 - Cast, Short Leg | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Splinting of Fracture Site - Cast, Short Leg | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| Short leg splint (calf to foot) CPT 29515 29515 - Short Leg Splinting | $244.00 | $244.00 | $31.71–$425.00 | 7% below | — |
| Short leg splint (calf to foot) CPT 29515 Splinting of Fracture Site - Short Leg Splinting | $244.00 | $244.00 | $31.71–$425.00 | 7% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 - Short Leg Splinting | $244.00 | $244.00 | $85.40–$161.04 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Splinting of Fracture Site - Short Leg Splinting | $244.00 | $244.00 | $85.40–$161.04 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - Scalp/Neck/Trunk/Gen/Extr, 2.5cm or < | $396.00 | $396.00 | $59.88–$425.00 | 18% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Wound/Simple - Scalp/Neck/Trunk/Gen/Ext | $396.00 | $396.00 | $59.88–$425.00 | 18% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 - Scalp/Neck/Trunk/Gen/Extr, 2.5cm or < | $396.00 | $396.00 | $138.60–$261.36 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Laceration Wound/Simple - Scalp/Neck/Trunk/Gen/Ext | $396.00 | $396.00 | $138.60–$261.36 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin, Single - 11104 | $423.00 | $423.00 | $63.96–$2,720.00 | at median | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Single Les | $423.00 | $423.00 | $54.98–$408.37 | at median | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Single Les | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin, Single - 11104 | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 - Lumbar Puncture | $1,191.00 | $1,191.00 | $154.78–$833.70 | 14% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 RF Lumbar Puncture | $1,191.00 | $1,191.00 | $262.70–$1,387.00 | 14% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Bedside Lumbar Puncture 62270 | $1,191.00 | $1,191.00 | $262.70–$1,387.00 | 14% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED Procedure Performed - Lumbar Puncture | $1,191.00 | $1,191.00 | $154.78–$833.70 | 14% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture - 62270 | $1,191.00 | $1,191.00 | $180.08–$1,191.00 | 14% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 RF Lumbar Puncture | $1,191.00 | $1,191.00 | $416.85–$786.06 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 - Lumbar Puncture | $1,191.00 | $1,191.00 | $416.85–$786.06 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture - 62270 | $1,191.00 | $1,191.00 | $416.85–$786.06 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Bedside Lumbar Puncture 62270 | $1,191.00 | $1,191.00 | $416.85–$786.06 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED Procedure Performed - Lumbar Puncture | $1,191.00 | $1,191.00 | $416.85–$786.06 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Laceration Wound/Simple - Scalp/Neck/Trunk/Gen/Ext | $423.00 | $423.00 | $63.96–$425.00 | 8% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - Scalp/Neck/Trunk/Gen/Extr, 2.6-7.5cm | $423.00 | $423.00 | $63.96–$425.00 | 8% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 - Scalp/Neck/Trunk/Gen/Extr, 2.6-7.5cm | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Laceration Wound/Simple - Scalp/Neck/Trunk/Gen/Ext | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Laceration Wound/Simple - Face/Ears/Eyelids/Nose/L | $396.00 | $396.00 | $59.88–$425.00 | 1% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - Face/Ears/Eyelids/Nose/Lips, 2.5cm or < | $396.00 | $396.00 | $59.88–$425.00 | 1% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Laceration Wound/Simple - Face/Ears/Eyelids/Nose/L | $396.00 | $396.00 | $138.60–$261.36 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 - Face/Ears/Eyelids/Nose/Lips, 2.5cm or < | $396.00 | $396.00 | $138.60–$261.36 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Bx of Skin, single | $423.00 | $423.00 | $63.96–$2,720.00 | 17% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Skin Biopsy Single Les - Tangential/Shave/Scoop | $423.00 | $423.00 | $54.98–$408.37 | 17% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Bx of Skin, single - 11102 | $423.00 | $423.00 | $63.96–$2,720.00 | 17% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Bx of Skin, single - 11102 | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Bx of Skin, single | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Skin Biopsy Single Les - Tangential/Shave/Scoop | $423.00 | $423.00 | $148.05–$279.18 | — | — |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis-Transcend | $789.00 | $789.00 | $102.54–$630.16 | 44% below | — |
| Thoracentesis with imaging guidance CPT 32555 Report - IR Thoracic Puncture | $1,626.00 | $1,626.00 | $245.85–$1,626.00 | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging - 32555 | $1,626.00 | $1,626.00 | $245.85–$1,626.00 | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 Bedside Aspirate Pleura W/ Imaging - 32555 | $1,626.00 | $1,626.00 | $223.61–$2,644.02 | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracic Puncture | $1,626.00 | $1,626.00 | $223.61–$2,644.02 | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracic Puncture - Report | $1,626.00 | $1,626.00 | $245.85–$1,626.00 | 15% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 IR Thoracic Puncture Left | $2,108.00 | $2,108.00 | $223.61–$2,644.02 | 49% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 IR Thoracic Puncture Right | $2,108.00 | $2,108.00 | $223.61–$2,644.02 | 49% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis-Transcend | $789.00 | $789.00 | $276.15–$520.74 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging - 32555 | $1,626.00 | $1,626.00 | $569.10–$1,073.16 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Bedside Aspirate Pleura W/ Imaging - 32555 | $1,626.00 | $1,626.00 | $569.10–$1,073.16 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracic Puncture - Report | $1,626.00 | $1,626.00 | $569.10–$1,073.16 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Report - IR Thoracic Puncture | $1,626.00 | $1,626.00 | $569.10–$1,073.16 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracic Puncture | $1,626.00 | $1,626.00 | $569.10–$1,073.16 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 IR Thoracic Puncture Right | $2,108.00 | $2,108.00 | $737.80–$1,391.28 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 IR Thoracic Puncture Left | $2,108.00 | $2,108.00 | $737.80–$1,391.28 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 IR Piriformis Injection | $670.00 | $670.00 | $87.08–$469.00 | 52% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR Piriformis Injection | $670.00 | $670.00 | $234.50–$442.20 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 19083 - MG US Breast Biopsy w/US Guide Left | $3,512.00 | $3,512.00 | $272.70–$2,644.02 | 27% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 19083 - MG US Breast Biopsy w/US Guide RIght | $3,512.00 | $3,512.00 | $272.70–$2,644.02 | 27% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MG US Breast Biopsy w/ US Guide Left | $3,512.00 | $3,512.00 | $456.42–$2,458.40 | 27% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MG US Breast Biopsy w/ US Guide Right | $3,512.00 | $3,512.00 | $272.70–$2,644.02 | 27% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR US Breast Biopsy w/ US Guide Right | $3,512.00 | $3,512.00 | $272.70–$2,644.02 | 27% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR US Breast Biopsy w/ US Guide Left | $3,512.00 | $3,512.00 | $272.70–$2,644.02 | 27% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 MG US Breast Biopsy w/ US Guide Right | $3,512.00 | $3,512.00 | $1,229.20–$2,317.92 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 19083 - MG US Breast Biopsy w/US Guide RIght | $3,512.00 | $3,512.00 | $1,229.20–$2,317.92 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 19083 - MG US Breast Biopsy w/US Guide Left | $3,512.00 | $3,512.00 | $1,229.20–$2,317.92 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR US Breast Biopsy w/ US Guide Left | $3,512.00 | $3,512.00 | $1,229.20–$2,317.92 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR US Breast Biopsy w/ US Guide Right | $3,512.00 | $3,512.00 | $1,229.20–$2,317.92 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 MG US Breast Biopsy w/ US Guide Left | $3,512.00 | $3,512.00 | $1,229.20–$2,317.92 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ENDO - EGD w/ Balloon Dilation | $1,759.00 | $1,759.00 | $365.14–$2,741.02 | 20% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ENDO - EGD w/ Balloon Dilation | $1,759.00 | $1,759.00 | $615.65–$1,160.94 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 ENDO - EGD With Biopsy | $1,811.00 | $1,811.00 | $334.75–$1,742.00 | 30% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ENDO - EGD With Biopsy | $1,811.00 | $1,811.00 | $633.85–$1,195.26 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 ENDO - EGD w/ Injection Any Substance | $1,227.00 | $1,227.00 | $272.70–$1,742.00 | 68% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Egd, Flexible Transoral, W/ Directed Submucosal In | $2,210.00 | $2,210.00 | $334.15–$2,210.00 | 202% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 ENDO - EGD w/ Injection Any Substance | $1,227.00 | $1,227.00 | $429.45–$809.82 | — | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Egd, Flexible Transoral, W/ Directed Submucosal In | $2,210.00 | $2,210.00 | $773.50–$1,458.60 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 ENDO - EGD w/ Polyp Removal Snare | $1,143.00 | $1,143.00 | $365.14–$2,741.02 | at median | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 ENDO - EGD w/ Polyp Removal Snare | $1,143.00 | $1,143.00 | $400.05–$754.38 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ENDO - EGD w/ Insert Guidewire | $2,076.00 | $2,076.00 | $334.75–$1,742.00 | 184% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 ENDO - EGD w/ Insert Guidewire | $2,076.00 | $2,076.00 | $726.60–$1,370.16 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 ENDO - EGD | $2,311.00 | $2,311.00 | $272.70–$1,525.26 | 59% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ENDO - EGD | $2,311.00 | $2,311.00 | $808.85–$1,525.26 | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 ENDO - EGD w/ Drain Pseudocyst | $3,560.00 | $3,560.00 | $365.14–$5,278.38 | 167% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 ENDO - EGD w/ Drain Pseudocyst | $3,560.00 | $3,560.00 | $1,246.00–$2,349.60 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 20 SQ CM/< | $1,128.00 | $1,128.00 | $146.59–$789.60 | 11% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED Debridement - To subcutaneous tissue, < 20 sq c | $1,128.00 | $1,128.00 | $146.59–$789.60 | 11% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 - To subcutaneous tissue, < 20 sq cm | $1,128.00 | $1,128.00 | $146.59–$789.60 | 11% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED Debridement - To subcutaneous tissue, < 20 sq c | $1,128.00 | $1,128.00 | $394.80–$744.48 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 - To subcutaneous tissue, < 20 sq cm | $1,128.00 | $1,128.00 | $394.80–$744.48 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subcutaneous Tissue 20 SQ CM/< | $1,128.00 | $1,128.00 | $394.80–$744.48 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 - Transfusion, blood or blood components | $1,187.00 | $1,187.00 | $179.47–$830.90 | 55% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 CVNet - 36430 - BLOOD TRANSFUSION | $1,187.00 | $1,187.00 | $179.47–$830.90 | 55% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Charge - Initial | $1,187.00 | $1,187.00 | $179.47–$830.90 | 55% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 - Transfusion, blood or blood components | $1,187.00 | $1,187.00 | $415.45–$783.42 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Charge - Initial | $1,187.00 | $1,187.00 | $415.45–$783.42 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CVNet - 36430 - BLOOD TRANSFUSION | $1,187.00 | $1,187.00 | $415.45–$783.42 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AMB Nebulizer Admin Charge - Airway Inh Tx (1/enct | $165.00 | $165.00 | $24.95–$165.00 | 19% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AMB Nebulizer Admin Charge | $165.00 | $165.00 | $24.95–$165.00 | 19% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Specialty Gas - Nitrogen | $165.00 | $165.00 | $21.44–$218.00 | 19% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE IPPB - Subsequent | $246.68 | $246.68 | $32.06–$246.68 | 21% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI - Subsequent | $246.68 | $246.68 | $32.06–$246.68 | 21% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy - Subsequent | $246.68 | $246.68 | $32.06–$246.68 | 21% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy - Initial | $246.68 | $246.68 | $32.06–$246.68 | 21% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE CPEP/PEP - Subsequent | $246.68 | $246.68 | $32.06–$246.68 | 21% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Sputum Induction - Sputum induction for | $246.68 | $246.68 | $32.06–$246.68 | 21% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AMB Nebulizer Admin Charge - Airway Inh Tx (1/enct | $165.00 | $165.00 | $57.75–$108.90 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Specialty Gas - Nitrogen | $165.00 | $165.00 | $57.75–$108.90 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AMB Nebulizer Admin Charge | $165.00 | $165.00 | $57.75–$108.90 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE CPEP/PEP - Subsequent | $246.68 | $246.68 | $86.34–$162.81 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy - Subsequent | $246.68 | $246.68 | $86.34–$162.81 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy - Initial | $246.68 | $246.68 | $86.34–$162.81 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Sputum Induction - Sputum induction for | $246.68 | $246.68 | $86.34–$162.81 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI - Subsequent | $246.68 | $246.68 | $86.34–$162.81 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE IPPB - Subsequent | $246.68 | $246.68 | $86.34–$162.81 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion 1 Hr | $866.00 | $866.00 | $112.55–$606.20 | 60% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 INF/C IV Infusion initial/single | $866.00 | $866.00 | $112.55–$606.20 | 60% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion 1 Hr | $866.00 | $866.00 | $303.10–$571.56 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 INF/C IV Infusion initial/single | $866.00 | $866.00 | $303.10–$571.56 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care, First Hour - 99291 | $3,246.00 | $3,246.00 | $490.80–$3,246.00 | 28% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291- Critical care first hour | $3,246.00 | $3,246.00 | $421.85–$2,272.20 | 28% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care, First Hour - 99291 | $3,246.00 | $3,246.00 | $1,136.10–$2,142.36 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291- Critical care first hour | $3,246.00 | $3,246.00 | $1,136.10–$2,142.36 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12-Lead Acquisition | $330.00 | $330.00 | $42.88–$231.00 | 21% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram, routine ECG with at least 12 le | $330.00 | $330.00 | $49.90–$330.00 | 21% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12-Lead Acquisition - CBE | $330.00 | $330.00 | $42.88–$231.00 | 21% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12-Lead Acquisition - CBE | $330.00 | $330.00 | $115.50–$217.80 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram, routine ECG with at least 12 le | $330.00 | $330.00 | $115.50–$217.80 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12-Lead Acquisition | $330.00 | $330.00 | $115.50–$217.80 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 L&D LEVEL 1 | $173.00 | $173.00 | $48.79–$425.00 | 26% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Triage Level - Charge - Level 1 | $173.00 | $173.00 | $48.79–$425.00 | 26% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $342.00 | $342.00 | $48.79–$425.00 | 46% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit Limited/Minor Prob - 99 | $342.00 | $342.00 | $51.71–$342.00 | 46% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 L&D LEVEL 1 | $173.00 | $173.00 | $60.55–$114.18 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Triage Level - Charge - Level 1 | $173.00 | $173.00 | $60.55–$114.18 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Department Visit Limited/Minor Prob - 99 | $342.00 | $342.00 | $119.70–$225.72 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Triage Level - Charge - Level 2 | $204.00 | $204.00 | $48.79–$425.00 | 53% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 L&D LEVEL 2 | $204.00 | $204.00 | $48.79–$425.00 | 53% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $562.00 | $562.00 | $48.79–$425.00 | 29% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit Low/Moder Severity - 99 | $562.00 | $562.00 | $84.97–$562.00 | 29% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 L&D LEVEL 2 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Triage Level - Charge - Level 2 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Department Visit Low/Moder Severity - 99 | $562.00 | $562.00 | $196.70–$370.92 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $562.00 | $562.00 | $196.70–$370.92 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit Moderate Severity - 992 | $976.00 | $976.00 | $147.57–$976.00 | 27% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $976.00 | $976.00 | $48.79–$860.00 | 27% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $976.00 | $976.00 | $341.60–$644.16 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Department Visit Moderate Severity - 992 | $976.00 | $976.00 | $341.60–$644.16 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $1,503.00 | $1,503.00 | $195.33–$1,285.00 | 16% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit High/Urgent Severity - | $1,503.00 | $1,503.00 | $227.25–$1,503.00 | 16% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit High/Urgent Severity - | $1,503.00 | $1,503.00 | $526.05–$991.98 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $1,503.00 | $1,503.00 | $526.05–$991.98 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit High Severity+Threat Funcj - | $2,272.00 | $2,272.00 | $343.53–$2,272.00 | 28% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $2,272.00 | $2,272.00 | $295.27–$1,590.40 | 28% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 SANE Fee Description - Sexual Assault Exam without | $2,272.00 | $2,272.00 | $295.27–$1,590.40 | 28% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 SANE Fee Description - Sexual Assault Exam without | $2,272.00 | $2,272.00 | $795.20–$1,499.52 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Dept Visit High Severity+Threat Funcj - | $2,272.00 | $2,272.00 | $795.20–$1,499.52 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $2,272.00 | $2,272.00 | $795.20–$1,499.52 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $1,366.00 | $1,366.00 | $177.53–$956.20 | 9% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM Acquisition | $1,366.00 | $1,366.00 | $177.53–$956.20 | 9% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 - NM Stress Test Trace | $1,366.00 | $1,366.00 | $177.53–$956.20 | 9% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $1,366.00 | $1,366.00 | $478.10–$901.56 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Acquisition | $1,366.00 | $1,366.00 | $478.10–$901.56 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 - NM Stress Test Trace | $1,366.00 | $1,366.00 | $478.10–$901.56 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf for hydration ini 31min to 1 hour | $408.00 | $408.00 | $53.02–$285.60 | 6% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360- Hydration iv infusion init | $514.00 | $514.00 | $57.45–$359.80 | 18% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF/H IV Inf Initial 31 - 60 min | $532.00 | $532.00 | $57.45–$372.40 | 22% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Inf for hydration ini 31min to 1 hour | $408.00 | $408.00 | $142.80–$269.28 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360- Hydration iv infusion init | $514.00 | $514.00 | $179.90–$339.24 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF/H IV Inf Initial 31 - 60 min | $532.00 | $532.00 | $186.20–$351.12 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IV Inf Ther/Diag/Prophyl axis up to 1hr | $473.00 | $473.00 | $61.47–$331.10 | 5% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365 -Ther/proph/diag iv inf init | $562.00 | $562.00 | $73.04–$425.00 | 25% above | — |
| IV infusion of a medicine, first hour CPT 96365 INF/NC IV Infusion Ther Initial | $571.00 | $571.00 | $74.20–$399.70 | 27% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Inf Ther/Diag/Prophyl axis up to 1hr | $473.00 | $473.00 | $165.55–$312.18 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 -Ther/proph/diag iv inf init | $562.00 | $562.00 | $196.70–$370.92 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF/NC IV Infusion Ther Initial | $571.00 | $571.00 | $199.85–$376.86 | — | — |
| IV push of a medicine, first drug CPT 96374 CVNet - 96374 - BUBBLE STUDY | $279.00 | $279.00 | $36.26–$310.00 | 22% above | — |
| IV push of a medicine, first drug CPT 96374 CBE INF/INC IV Push Single/Initial Drug | $279.00 | $279.00 | $36.26–$310.00 | 22% above | — |
| IV push of a medicine, first drug CPT 96374 96374 -DRUG INJECT IV PUSH INIT | $279.00 | $279.00 | $36.26–$425.00 | 22% above | — |
| IV push of a medicine, first drug CPT 96374 INF/NC IV Push Single/Initial Drug | $279.00 | $279.00 | $36.26–$310.00 | 22% above | — |
| IV push of a medicine, first drug CPT 96374 NM Parathyroid Inj | $279.00 | $279.00 | $36.26–$310.00 | 22% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 CVNet - 96374 - BUBBLE STUDY | $279.00 | $279.00 | $97.65–$184.14 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 CBE INF/INC IV Push Single/Initial Drug | $279.00 | $279.00 | $97.65–$184.14 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 NM Parathyroid Inj | $279.00 | $279.00 | $97.65–$184.14 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 INF/NC IV Push Single/Initial Drug | $279.00 | $279.00 | $97.65–$184.14 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 -DRUG INJECT IV PUSH INIT | $279.00 | $279.00 | $97.65–$184.14 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/NC SQ/IM injection | $174.00 | $174.00 | $22.61–$310.00 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj SubQ/IM - 96372 | $174.00 | $174.00 | $22.61–$310.00 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ/IM Injection WC | $174.00 | $174.00 | $22.61–$148.76 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin Injection Charge - Inj Admin Charge 96372 | $174.00 | $174.00 | $22.61–$310.00 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB Inj Med Admin Charge - Inj SubQ/IM 96372 | $174.00 | $174.00 | $60.90–$148.76 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 -Ther/proph/diag inj sc/im 521 | $174.00 | $174.00 | $22.61–$425.00 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 -Ther/proph/diag inj sc/im | $174.00 | $174.00 | $22.61–$425.00 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB Inj-Jt Med Admin Charge - Inj SubQ/IM 96372 | $174.00 | $174.00 | $60.90–$148.76 | 18% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj SubQ/IM - 96372 | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SQ/IM Injection WC | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF/NC SQ/IM injection | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin Injection Charge - Inj Admin Charge 96372 | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 -Ther/proph/diag inj sc/im | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 -Ther/proph/diag inj sc/im 521 | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AMB Inj Med Admin Charge - Inj SubQ/IM 96372 | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AMB Inj-Jt Med Admin Charge - Inj SubQ/IM 96372 | $174.00 | $174.00 | $60.90–$114.84 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $124.00 | $124.00 | $16.11–$218.00 | 10% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 - PT Neuromuscular Reeducation Units | $124.00 | $124.00 | $16.11–$218.00 | 10% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 - OT Neuromuscular Reeducation Units | $124.00 | $124.00 | $16.11–$218.00 | 10% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $124.00 | $124.00 | $16.11–$218.00 | 10% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 - OT Neuromuscular Reeducation Units | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 - PT Neuromuscular Reeducation Units | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $124.00 | $124.00 | $43.40–$81.84 | — | — |
| New patient office visit, about 30 minutes CPT 99203 Diabetes Office Visit Level 3 New - 99203 | $229.00 | $229.00 | $29.76–$160.30 | 1% above | — |
| New patient office visit, about 30 minutes CPT 99203 FHC Office Visit Level 3 New - 99203 | $249.00 | $249.00 | $37.65–$249.00 | 10% above | — |
| New patient office visit, about 30 minutes CPT 99203 Office Visit Level 3 New - 99203 | $299.00 | $299.00 | $45.21–$299.00 | 32% above | — |
| New patient office visit, about 30 minutes CPT 99203 Office Visit Level 3 New - 99203 (Tech Only) | $299.00 | $299.00 | $45.21–$299.00 | 32% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Diabetes Office Visit Level 3 New - 99203 | $229.00 | $229.00 | $80.15–$151.14 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 FHC Office Visit Level 3 New - 99203 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit Level 3 New - 99203 | $299.00 | $299.00 | $104.65–$197.34 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit Level 3 New - 99203 (Tech Only) | $299.00 | $299.00 | $104.65–$197.34 | — | — |
| New patient office visit, about 45 minutes CPT 99204 FHC Office Visit Level 4 New - 99204 | $385.00 | $385.00 | $58.21–$385.00 | 32% above | — |
| New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New - 99204 (Tech Only) | $385.00 | $385.00 | $58.21–$385.00 | 32% above | — |
| New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New - 99204 | $385.00 | $385.00 | $58.21–$385.00 | 32% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit Level 4 New - 99204 | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit Level 4 New - 99204 (Tech Only) | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 FHC Office Visit Level 4 New - 99204 | $385.00 | $385.00 | $134.75–$254.10 | — | — |
| New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New - 99205 | $491.00 | $491.00 | $74.24–$491.00 | 68% above | — |
| New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New - 99205 (Tech Only) | $491.00 | $491.00 | $74.24–$491.00 | 68% above | — |
| New patient office visit, about 60 minutes CPT 99205 FHC Office Visit Level 5 New - 99205 | $491.00 | $491.00 | $74.24–$491.00 | 68% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 FHC Office Visit Level 5 New - 99205 | $491.00 | $491.00 | $171.85–$324.06 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit Level 5 New - 99205 | $491.00 | $491.00 | $171.85–$324.06 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit Level 5 New - 99205 (Tech Only) | $491.00 | $491.00 | $171.85–$324.06 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Diabetes Office Visit Level 2 New - 99202 | $224.00 | $224.00 | $33.87–$224.00 | 50% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FHC Office Visit Level 2 New - 99202 | $224.00 | $224.00 | $33.87–$224.00 | 50% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit Level 2 New - 99202 (Tech Only) | $224.00 | $224.00 | $33.87–$224.00 | 50% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit Level 2 New - 99202 | $224.00 | $224.00 | $33.87–$224.00 | 50% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit Level 2 New - 99202 | $224.00 | $224.00 | $78.40–$147.84 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit Level 2 New - 99202 (Tech Only) | $224.00 | $224.00 | $78.40–$147.84 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FHC Office Visit Level 2 New - 99202 | $224.00 | $224.00 | $78.40–$147.84 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Diabetes Office Visit Level 2 New - 99202 | $224.00 | $224.00 | $78.40–$147.84 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt Indiv Each 15 Min 97802 | $61.00 | $61.00 | $9.22–$61.00 | 21% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 RDN Initial Visit, Indiv Ea 15min 97802 | $61.00 | $61.00 | $9.22–$61.00 | 21% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 RDN Initial Visit, Indiv Ea 15min 97802 | $61.00 | $61.00 | $21.35–$40.26 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt Indiv Each 15 Min 97802 | $61.00 | $61.00 | $21.35–$40.26 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $228.00 | $228.00 | $29.63–$228.00 | 6% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 97165 - OT Evaluation Units, Low Complexity | $228.00 | $228.00 | $29.63–$228.00 | 6% below | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 - OT Evaluation Units, Low Complexity | $228.00 | $228.00 | $79.80–$150.48 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity | $228.00 | $228.00 | $79.80–$150.48 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity | $380.00 | $380.00 | $49.38–$250.80 | 32% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 - PT Evaluation Units, High Complexity | $380.00 | $380.00 | $49.38–$250.80 | 32% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 97163 - PT Evaluation Units, High Complexity | $380.00 | $380.00 | $133.00–$250.80 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity | $380.00 | $380.00 | $133.00–$250.80 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 - PT Evaluation Units, Low Complexity | $227.00 | $227.00 | $29.50–$218.00 | 11% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $227.00 | $227.00 | $29.50–$218.00 | 11% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 97161 - PT Evaluation Units, Low Complexity | $227.00 | $227.00 | $79.45–$149.82 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity | $227.00 | $227.00 | $79.45–$149.82 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $301.00 | $301.00 | $39.12–$218.00 | 21% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 - PT Evaluation Units, Moderate Complexity | $301.00 | $301.00 | $39.12–$218.00 | 21% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162 - PT Evaluation Units, Moderate Complexity | $301.00 | $301.00 | $105.35–$198.66 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity | $301.00 | $301.00 | $105.35–$198.66 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 - OT Manual Therapy Units | $125.00 | $125.00 | $16.25–$218.00 | 13% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 - SLP Manual Therapy Units | $125.00 | $125.00 | $16.25–$218.00 | 13% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SLP Manual Therapy Units | $125.00 | $125.00 | $16.25–$218.00 | 13% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $125.00 | $125.00 | $16.25–$218.00 | 13% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $125.00 | $125.00 | $16.25–$218.00 | 13% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 - PT Manual Therapy Units | $125.00 | $125.00 | $16.25–$218.00 | 13% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 - OT Manual Therapy Units | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SLP Manual Therapy Units | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 - SLP Manual Therapy Units | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 - PT Manual Therapy Units | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 - PT Therapeutic Exercise Units | $157.00 | $157.00 | $20.41–$218.00 | 40% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $157.00 | $157.00 | $20.41–$218.00 | 40% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $157.00 | $157.00 | $20.41–$218.00 | 40% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 - OT Therapeutic Exercise Units | $157.00 | $157.00 | $20.41–$218.00 | 40% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $157.00 | $157.00 | $54.95–$103.62 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 - OT Therapeutic Exercise Units | $157.00 | $157.00 | $54.95–$103.62 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 - PT Therapeutic Exercise Units | $157.00 | $157.00 | $54.95–$103.62 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $157.00 | $157.00 | $54.95–$103.62 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes - | $51.00 | $51.00 | $7.71–$51.00 | 19% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBAC COUNSEL 3-10M (99406) | $51.00 | $51.00 | $6.63–$37.64 | 19% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT CHARGE - Smoking/Tobacco Counsel - Smoke/Tobac | $55.00 | $55.00 | $7.14–$38.50 | 28% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBAC COUNSEL 3-10M (99406) | $51.00 | $51.00 | $17.85–$33.66 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes - | $51.00 | $51.00 | $17.85–$33.66 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT CHARGE - Smoking/Tobacco Counsel - Smoke/Tobac | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Est - 99215 (Tech Only) | $414.00 | $414.00 | $62.60–$414.00 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Est - 99215 | $414.00 | $414.00 | $62.60–$414.00 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB Visit Established Level 5 | $414.00 | $414.00 | $62.60–$414.00 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FHC Office Visit Level 5 Est - 99215 | $414.00 | $414.00 | $62.60–$414.00 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 *Wound Visit Levels - EST PT Wound Visit Level 5 4 | $414.00 | $414.00 | $53.81–$289.80 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215-E/M Level 5 | $414.00 | $414.00 | $53.81–$289.80 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 5 | $414.00 | $414.00 | $53.81–$289.80 | 45% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit Level 5 Est - 99215 (Tech Only) | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215-E/M Level 5 | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB Visit Established Level 5 | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 *Wound Visit Levels - EST PT Wound Visit Level 5 4 | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FHC Office Visit Level 5 Est - 99215 | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit Level 5 Est - 99215 | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 5 | $414.00 | $414.00 | $144.90–$273.24 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Diabetes Office Visit Level 3 Est - 99213 | $193.00 | $193.00 | $25.08–$135.10 | 10% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 3 | $249.00 | $249.00 | $32.36–$174.30 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 *Wound Visit Levels - EST PT Wound Visit Level 3 1 | $249.00 | $249.00 | $32.36–$174.30 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Est - 99213 | $249.00 | $249.00 | $37.65–$249.00 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB Visit Established Level 3 | $249.00 | $249.00 | $37.65–$249.00 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Est - 99213 (Tech Only) | $249.00 | $249.00 | $37.65–$249.00 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FHC Office Visit Level 3 Est - 99213 | $249.00 | $249.00 | $37.65–$249.00 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213-E/M Level 3 | $249.00 | $249.00 | $32.36–$174.30 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CGM Office Visit Level Est 99213 | $249.00 | $249.00 | $37.65–$249.00 | 42% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Diabetes Office Visit Level 3 Est - 99213 | $193.00 | $193.00 | $67.55–$127.38 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB Visit Established Level 3 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CGM Office Visit Level Est 99213 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit Level 3 Est - 99213 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 3 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 *Wound Visit Levels - EST PT Wound Visit Level 3 1 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213-E/M Level 3 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FHC Office Visit Level 3 Est - 99213 | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit Level 3 Est - 99213 (Tech Only) | $249.00 | $249.00 | $87.15–$164.34 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Diabetes Office Visit Level 4 Est - 99214 | $199.00 | $199.00 | $25.86–$139.30 | 3% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 *Wound Visit Levels - EST PT Wound Visit Level 4 2 | $309.00 | $309.00 | $40.16–$216.30 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214-E/M Level 4 | $309.00 | $309.00 | $40.16–$216.30 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 4 | $309.00 | $309.00 | $40.16–$216.30 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FHC Office Visit Level 4 Est - 99214 | $309.00 | $309.00 | $46.72–$309.00 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 Est - 99214 (Tech Only) | $309.00 | $309.00 | $46.72–$309.00 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB Visit Established Level 4 | $309.00 | $309.00 | $46.72–$309.00 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 Est - 99214 | $309.00 | $309.00 | $108.15–$216.30 | 60% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Diabetes Office Visit Level 4 Est - 99214 | $199.00 | $199.00 | $69.65–$131.34 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FHC Office Visit Level 4 Est - 99214 | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 *Wound Visit Levels - EST PT Wound Visit Level 4 2 | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit Level 4 Est - 99214 (Tech Only) | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB Visit Established Level 4 | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 4 | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214-E/M Level 4 | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit Level 4 Est - 99214 | $309.00 | $309.00 | $108.15–$203.94 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Diabetes Office Visit Level 2 Est - 99212 | $125.00 | $125.00 | $16.25–$87.50 | at median | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CGM office visit Level Est 99212 | $204.00 | $204.00 | $30.84–$204.00 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Est - 99212 | $204.00 | $204.00 | $30.84–$204.00 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 2 | $204.00 | $204.00 | $26.51–$142.80 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 *Wound Visit Levels - EST PT Wound Visit Level 2 1 | $204.00 | $204.00 | $26.51–$142.80 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212-E/M Level 2 | $204.00 | $204.00 | $26.51–$142.80 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FHC Office Visit Level 2 Est - 99212 | $204.00 | $204.00 | $30.84–$204.00 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Est - 99212 (Tech Only) | $204.00 | $204.00 | $30.84–$204.00 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB Visit Established Level 2 | $204.00 | $204.00 | $30.84–$204.00 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Diabetes Office Visit Level 2 Est - 99212 | $125.00 | $125.00 | $43.75–$82.50 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212-E/M Level 2 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CGM office visit Level Est 99212 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FHC Office Visit Level 2 Est - 99212 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 *Wound Visit Levels - EST PT Wound Visit Level 2 1 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit Level 2 Est - 99212 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB Visit Established Level 2 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit Level 2 Est - 99212 (Tech Only) | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 2 | $204.00 | $204.00 | $71.40–$134.64 | — | — |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $438.00 | $438.00 | $56.92–$708.08 | 13% above | — |
| Speech and language evaluation CPT 92523 92523 - SLP Eval Lang Comprehension,Express Unit | $438.00 | $438.00 | $56.92–$708.08 | 13% above | — |
| Speech and language evaluation inpatient CPT 92523 92523 - SLP Eval Lang Comprehension,Express Unit | $438.00 | $438.00 | $153.30–$289.08 | — | — |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit | $438.00 | $438.00 | $153.30–$289.08 | — | — |
| Speech therapy session, individual CPT 92507 SLP Communication Tx Units | $278.00 | $278.00 | $36.13–$289.52 | 28% above | — |
| Speech therapy session, individual CPT 92507 92507 - SLP Communication Tx Units | $278.00 | $278.00 | $36.13–$289.52 | 28% above | — |
| Speech therapy session, individual inpatient CPT 92507 92507 - SLP Communication Tx Units | $278.00 | $278.00 | $97.30–$183.48 | — | — |
| Speech therapy session, individual inpatient CPT 92507 SLP Communication Tx Units | $278.00 | $278.00 | $97.30–$183.48 | — | — |
| Spirometry (breathing test) CPT 94010 Spirometry POC | $303.00 | $303.00 | $45.81–$303.00 | 15% below | — |
| Spirometry (breathing test) CPT 94010 94010 - Spirometry POC | $303.00 | $303.00 | $45.81–$303.00 | 15% below | — |
| Spirometry (breathing test) CPT 94010 RT CHARGE PFT - 94010 Spirometry | $349.00 | $349.00 | $45.35–$340.34 | 2% below | — |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry POC | $303.00 | $303.00 | $106.05–$199.98 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 94010 - Spirometry POC | $303.00 | $303.00 | $106.05–$199.98 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 RT CHARGE PFT - 94010 Spirometry | $349.00 | $349.00 | $122.15–$230.34 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT - 94060 Spirometry Pre and Post Bron | $643.00 | $643.00 | $70.34–$450.10 | 8% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE PFT - 94060 Spirometry Pre and Post Bron | $643.00 | $643.00 | $225.05–$424.38 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $123.00 | $123.00 | $15.99–$218.00 | 9% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $123.00 | $123.00 | $15.99–$218.00 | 9% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 - OT Therapeutic Activities Units | $123.00 | $123.00 | $15.99–$218.00 | 9% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 - PT Therapeutic Activity Units | $123.00 | $123.00 | $15.99–$218.00 | 9% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 - PT Therapeutic Activity Units | $123.00 | $123.00 | $43.05–$81.18 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $123.00 | $123.00 | $43.05–$81.18 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $123.00 | $123.00 | $43.05–$81.18 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 - OT Therapeutic Activities Units | $123.00 | $123.00 | $43.05–$81.18 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 IR Theraputic Phlebotomy | $203.00 | $203.00 | $30.69–$203.00 | 11% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF Therapeutic Phlebotomy | $224.00 | $224.00 | $33.87–$224.00 | 2% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 IR Theraputic Phlebotomy | $203.00 | $203.00 | $71.05–$133.98 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 INF Therapeutic Phlebotomy | $224.00 | $224.00 | $78.40–$147.84 | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 NM Stress Test Trace | $1,366.00 | $1,366.00 | $107.94–$956.20 | 41% above | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 NM Stress Test Trace | $1,366.00 | $1,366.00 | $478.10–$901.56 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 AMB varicella unit Charge - 0.5 mL Subcutaneous On | $155.00 | $155.00 | $20.14–$155.00 | 61% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 AMB varicella unit Charge - 0.5 mL Subcutaneous On | $155.00 | $155.00 | $54.25–$108.50 | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 AMB diphth/tetanus/pertussis, acel/polio - 0.5 mL | $65.00 | $65.00 | $8.45–$60.98 | 12% below | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 AMB diphth/tetanus/pertussis, acel/polio - 0.5 mL | $65.00 | $65.00 | $22.75–$45.50 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 AMB diphtheria/tetanus/pertussis (DTaP) ped - 0.5 | $85.00 | $85.00 | $12.85–$56.10 | 6% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 AMB Diphtheria/Pertussis/Tetanus Charge - 0.5 mL D | $85.00 | $85.00 | $12.85–$56.10 | 6% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 AMB Diphtheria/Pertussis/Tetanus Charge - 0.5 mL D | $85.00 | $85.00 | $29.75–$59.50 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 AMB diphtheria/tetanus/pertussis (DTaP) ped - 0.5 | $85.00 | $85.00 | $29.75–$59.50 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 AMB DTaP-IPV and Hib unit charge - 0.5mL IM Once, | $120.00 | $120.00 | $18.14–$112.48 | 57% below | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 AMB Dipht/tetanus/pertussis,acel/hepB/polio charge | $145.00 | $145.00 | $21.92–$112.48 | 48% below | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 AMB DTaP-IPV and Hib unit charge - 0.5mL IM Once, | $120.00 | $120.00 | $42.00–$84.00 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 AMB Dipht/tetanus/pertussis,acel/hepB/polio charge | $145.00 | $145.00 | $50.75–$101.50 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AMB influenza virus vaccine inactivated charge - F | $25.00 | $25.00 | $3.25–$23.22 | 33% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AMB influenza virus vaccine inactivated charge - A | $59.00 | $59.00 | $7.67–$38.94 | 57% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AMB influenza virus vaccine inactivated charge - F | $25.00 | $25.00 | $8.75–$17.50 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AMB influenza virus vaccine inactivated charge - A | $59.00 | $59.00 | $20.65–$41.30 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 AMB HPV Charge - HPV9 (Gardasil 9) 90651 | $231.00 | $231.00 | $30.02–$231.00 | 58% below | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 AMB HPV Charge - HPV9 (Gardasil 9) 90651 | $231.00 | $231.00 | $80.85–$161.70 | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 AMB Hep A/B Charge - 1 mL IM Susp Once | $85.00 | $85.00 | $11.05–$85.00 | 87% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 AMB Hep A/B Charge - 1 mL IM Susp Once | $85.00 | $85.00 | $29.75–$59.50 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 AMB hepatitis A adult charge - 1 mL IM Susp Once | $65.00 | $65.00 | $8.45–$65.00 | 64% below | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 AMB hepatitis A adult charge - 1 mL IM Susp Once | $65.00 | $65.00 | $22.75–$45.50 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 AMB hepatitis A Pediatric Charge - 0.5 mL IM Once, | $67.00 | $67.00 | $8.71–$44.22 | 29% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 AMB hepatitis A Pediatric Charge - 0.5 mL IM Once, | $67.00 | $67.00 | $23.45–$46.90 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 AMB hepatitis B vaccine Charge - 1 mL IM Once, for | $80.00 | $80.00 | $10.39–$75.15 | 51% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 AMB hepatitis B adult charge - 1 mL IM Susp Once | $80.00 | $80.00 | $10.39–$75.15 | 51% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 AMB hepatitis B vaccine Charge - 1 mL IM Once, for | $80.00 | $80.00 | $28.00–$56.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 AMB hepatitis B adult charge - 1 mL IM Susp Once | $80.00 | $80.00 | $28.00–$56.00 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 AMB hepatitis B Pediatric/Adolescent Charge - 0.5 | $35.00 | $35.00 | $4.55–$33.20 | 57% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 AMB hepatitis B Pediatric/Adolescent Charge - 0.5 | $35.00 | $35.00 | $12.25–$24.50 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 AMB haemophilus b conj charge - 0.5 mL IM Once, fo | $46.00 | $46.00 | $5.98–$30.36 | 2% below | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 AMB haemophilus b conj charge - 0.5 mL IM Once, fo | $46.00 | $46.00 | $16.10–$32.20 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 AMB influenza virus vaccine inactivated charge - F | $80.00 | $80.00 | $10.39–$80.00 | 46% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Vaccine Charge | $209.00 | $209.00 | $27.16–$137.94 | 40% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 AMB influenza virus vaccine inactivated charge - F | $80.00 | $80.00 | $28.00–$56.00 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Vaccine Charge | $209.00 | $209.00 | $73.15–$146.30 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 AMB measles-mumps-rubella vaccine Charge - 0.5 mL | $154.00 | $154.00 | $20.02–$101.64 | 23% below | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 AMB measles-mumps-rubella vaccine Charge - 0.5 mL | $154.00 | $154.00 | $53.90–$107.80 | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 AMB measles-mumps-rubella-varicella vaccine Charge | $84.00 | $84.00 | $10.92–$84.00 | 69% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 AMB measles-mumps-rubella-varicella vaccine Charge | $84.00 | $84.00 | $29.40–$58.80 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 AMB meningococcal unit charge - 0.5 mL IM Soln Onc | $140.00 | $140.00 | $18.19–$140.00 | 61% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 AMB meningococcal conjugate Charge - 0.5 mL IM Sol | $150.00 | $150.00 | $19.49–$150.00 | 58% below | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 AMB meningococcal unit charge - 0.5 mL IM Soln Onc | $140.00 | $140.00 | $49.00–$98.00 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 AMB meningococcal conjugate Charge - 0.5 mL IM Sol | $150.00 | $150.00 | $52.50–$105.00 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 AMB pneumococcal 13-valent conjugate vac Charge - | $195.00 | $195.00 | $25.35–$195.00 | 60% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 AMB pneumococcal 13-valent unit charge - 0.5 mL IM | $195.00 | $195.00 | $25.35–$195.00 | 60% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 AMB pneumococcal 13-valent unit charge - 0.5 mL IM | $195.00 | $195.00 | $68.25–$136.50 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 AMB pneumococcal 13-valent conjugate vac Charge - | $195.00 | $195.00 | $68.25–$136.50 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 AMB pneumococcal 15-valent vaccine Charge - vaccin | $201.00 | $201.00 | $30.39–$211.05 | 81% below | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 AMB pneumococcal 15-valent vaccine Charge - vaccin | $201.00 | $201.00 | $70.35–$140.70 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 AMB pneumococcal 20-valent vaccine Charge - vaccin | $350.00 | $350.00 | $52.92–$350.00 | 38% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 AMB pneumococcal 20-valent vaccine Charge - vaccin | $350.00 | $350.00 | $122.50–$231.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 AMB pneumonococcal 23 valent unit charge - 0.5 mL | $75.00 | $75.00 | $9.75–$75.00 | 70% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumo 23-polyvalent vaccine - manual | $75.00 | $75.00 | $9.75–$75.00 | 70% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumo 23-polyvalent vaccine - manual | $75.00 | $75.00 | $26.25–$52.50 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 AMB pneumonococcal 23 valent unit charge - 0.5 mL | $75.00 | $75.00 | $26.25–$52.50 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 AMB poliovirus vaccine Charge - 0.5ml poliovirus v | $30.00 | $30.00 | $3.89–$30.00 | 91% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 AMB IPV polio unit charge - 0.5mL IM Once, form: S | $30.00 | $30.00 | $3.89–$30.00 | 91% below | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 AMB IPV polio unit charge - 0.5mL IM Once, form: S | $30.00 | $30.00 | $10.50–$21.00 | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 AMB poliovirus vaccine Charge - 0.5ml poliovirus v | $30.00 | $30.00 | $10.50–$21.00 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 AMB nirsevimab vaccine 307 - Vaccine nirsevimab 30 | $620.00 | $620.00 | $93.74–$620.00 | 37% below | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 AMB nirsevimab vaccine 307 - Vaccine nirsevimab 30 | $620.00 | $620.00 | $217.00–$434.00 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 AMB nirsevimab vaccine - Vaccine nirsevimab 306 | $620.00 | $620.00 | $93.74–$620.00 | 37% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 AMB nirsevimab vaccine - Vaccine nirsevimab 306 | $620.00 | $620.00 | $217.00–$434.00 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 AMB rotavirus oral vaccine Charge - 1 mL Oral Once | $64.00 | $64.00 | $8.32–$64.00 | 52% below | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 AMB rotavirus oral vaccine Charge - 1.5 mL Oral On | $64.00 | $64.00 | $8.32–$64.00 | 52% below | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 AMB rotavirus oral vaccine Charge - 2 mL Oral Once | $126.00 | $126.00 | $16.38–$120.95 | 5% below | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 AMB rotavirus oral vaccine Charge - 1.5 mL Oral On | $64.00 | $64.00 | $22.40–$44.80 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 AMB rotavirus oral vaccine Charge - 1 mL Oral Once | $64.00 | $64.00 | $22.40–$44.80 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 AMB rotavirus oral vaccine Charge - 2 mL Oral Once | $126.00 | $126.00 | $44.10–$88.20 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 AMB tetanus/diphtheria/apertussis unit charge - 0. | $64.00 | $64.00 | $8.32–$42.24 | 45% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 AMB tetanus diphtheria unit charge - 0.5 mL IM Onc | $64.00 | $64.00 | $8.32–$42.24 | 45% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus and diphtheria toxoids (Td) administered t | $93.00 | $93.00 | $14.06–$93.00 | 21% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 - AMB tetanus diphtheria 0.5 mL IM Once, for | $93.00 | $93.00 | $12.08–$61.38 | 21% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 - Tetanus, diphtheria toxoids and acellular | $151.00 | $151.00 | $19.63–$99.66 | 29% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 AMB tetanus/diphtheria/apertussis unit charge - 0. | $64.00 | $64.00 | $22.40–$44.80 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 AMB tetanus diphtheria unit charge - 0.5 mL IM Onc | $64.00 | $64.00 | $22.40–$44.80 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 - AMB tetanus diphtheria 0.5 mL IM Once, for | $93.00 | $93.00 | $32.55–$65.10 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus and diphtheria toxoids (Td) administered t | $93.00 | $93.00 | $32.55–$61.38 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 - Tetanus, diphtheria toxoids and acellular | $151.00 | $151.00 | $52.85–$105.70 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of influenza virus vaccine - G0008 | $15.00 | $15.00 | $1.95–$16.00 | 80% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Admin Charge - Admin Vac 1st - 9 | $51.00 | $51.00 | $6.63–$51.00 | 31% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of pneumococcal vaccine - G0009 | $87.00 | $87.00 | $11.31–$87.00 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Charge - Admin Vac 1st - 90471 | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge 4 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 - Immunization Admin for Vaccines/Toxoids | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Nurse Admin Charge - Initial | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge 5 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Vac 1st - 90471 | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge 3 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge 2 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Vaccine Tdap - vaccine Tdap (Adacel) | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Nurse Admin Charge - Admin Vac 1st - | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0009 - Administration of pneumococcal vaccine | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INF Immunization Administration | $88.00 | $88.00 | $11.44–$88.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of influenza virus vaccine - G0008 | $15.00 | $15.00 | $5.25–$9.90 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Vaccine Admin Charge - Admin Vac 1st - 9 | $51.00 | $51.00 | $17.85–$33.66 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of pneumococcal vaccine - G0009 | $87.00 | $87.00 | $30.45–$57.42 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 - Immunization Admin for Vaccines/Toxoids | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge 4 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Nurse Admin Charge - Admin Vac 1st - | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Vaccine Tdap - vaccine Tdap (Adacel) | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Nurse Admin Charge - Initial | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INF Immunization Administration | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge 3 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 G0009 - Administration of pneumococcal vaccine | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Charge - Admin Vac 1st - 90471 | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Vac 1st - 90471 | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge 5 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge 2 - Admin Vac 1st - 90471 | $88.00 | $88.00 | $30.80–$58.08 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Influenza Vaccine Admin Charge - Admin Vac ea addl | $32.00 | $32.00 | $4.16–$31.91 | 32% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Vac ea addl - 90472 | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Charge - Admin Vac ea addl - 90472 | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Nurse Admin Charge - Admin Vac ea add | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Vaccine Tdap - Admin Vac ea addl - 90472 | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Vaccine Admin Charge 2 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Vaccine Admin Charge 5 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $8.32–$55.00 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Vaccine Admin Charge 4 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Vaccine Admin Charge 3 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Nurse Admin Charge - Subsequent | $55.00 | $55.00 | $7.14–$38.50 | 17% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Influenza Vaccine Admin Charge - Admin Vac ea addl | $32.00 | $32.00 | $11.20–$21.12 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Vaccine Tdap - Admin Vac ea addl - 90472 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Vaccine Admin Charge 4 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Vaccine Admin Charge 5 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Vac ea addl - 90472 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Nurse Admin Charge - Admin Vac ea add | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Vaccine Admin Charge 3 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Vaccine Admin Charge 2 - Admin Vac ea addl - 9 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin Charge - Admin Vac ea addl - 90472 | $55.00 | $55.00 | $19.25–$36.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Nurse Admin Charge - Subsequent | $55.00 | $55.00 | $19.25–$36.30 | — | — |