Hospital Boston-Cambridge-Newton, MA-NH

Lawrence General Hospital

Lawrence General Hospital in Lawrence, MA publishes cash prices for 432 common procedures listed here, from its own machine-readable price file updated Aug 1, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Massachusetts median for 253 of 420 procedures and above it for 161. By typical cash price it ranks #14 of 34 Massachusetts hospitals and #9 of 27 hospitals in the Boston, MA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1 General St, Lawrence, MA 01841 Collected Oct 20, 2026 Source price file Check a bill from this hospital

The price file shows no self-pay discount

For 1772 of the 1772 prices listed here, the cash price in Lawrence General Hospital'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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W&WO CONTRAST	$2,020.00	$2,020.00	$206.30–$1,963.44	12% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W&WO CONTRAST	$2,020.00	$2,020.00	$206.30–$1,963.44	—	—
Abdominal X-ray, 2 views CPT 74019 KUB & DECUBITUS/UPRIGHT	$273.00	$273.00	$62.12–$1,793.00	26% below	—
Abdominal X-ray, 2 views inpatient CPT 74019 KUB & DECUBITUS/UPRIGHT	$273.00	$273.00	$62.12–$1,793.00	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT 3 VIEW	$227.00	$227.00	$67.71–$1,793.00	12% below	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT 3 VIEW	$227.00	$227.00	$67.71–$1,793.00	12% below	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT 3 VIEW	$227.00	$227.00	$67.71–$1,793.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT 3 VIEW	$227.00	$227.00	$67.71–$1,793.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL DOPPLER W/ABI BILATER	$257.00	$257.00	$48.68–$1,598.00	26% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL DOPPLER W/ABI BILATER	$257.00	$257.00	$48.68–$1,598.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 EXT UPPER RIGHT W/O CONTR	$1,392.00	$1,392.00	$123.44–$1,353.02	33% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 EXT UPPER LT W/O CONTRAST	$1,392.00	$1,392.00	$123.44–$1,353.02	33% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 EXT UPPER LT W/O CONTRAST	$1,392.00	$1,392.00	$123.44–$1,353.02	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 EXT UPPER RIGHT W/O CONTR	$1,392.00	$1,392.00	$123.44–$1,353.02	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPH/BARIUM SWALLOW	$483.00	$483.00	$148.44–$1,793.00	10% below	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPH/BARIUM SWALLOW	$483.00	$483.00	$148.44–$1,793.00	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING;WB	$1,580.00	$1,580.00	$394.65–$2,324.00	20% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING;WB	$1,580.00	$1,580.00	$394.65–$2,324.00	—	—
Breast ultrasound, complete, one breast CPT 76641 ASA ULTRASOUND BRST COMPLETE	$660.00	$660.00	$71.13–$641.52	60% above	—
Breast ultrasound, complete, one breast one side CPT 76641 BREAST RT ULTRASOUND COMPLETE	$407.00	$407.00	$123.44–$1,214.00	1% below	—
Breast ultrasound, complete, one breast one side CPT 76641 BREAST LT ULTRASOUND COMPLETE	$407.00	$407.00	$123.44–$1,214.00	1% below	—
Breast ultrasound, complete, one breast inpatient CPT 76641 ASA ULTRASOUND BRST COMPLETE	$660.00	$660.00	$71.13–$641.52	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST LT ULTRASOUND COMPLETE	$407.00	$407.00	$123.44–$1,214.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST RT ULTRASOUND COMPLETE	$407.00	$407.00	$123.44–$1,214.00	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US EXAM BREAST(S) (ECBS)	$368.00	$368.00	$98.34–$1,214.00	16% below	—
Breast ultrasound, limited (one breast or one area) CPT 76642 ASA ULTRASOUND BRST LIMITED	$462.00	$462.00	$55.15–$449.06	6% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT UNILATERAL LTD	$264.00	$264.00	$98.34–$1,214.00	40% below	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT UNILATERAL LTD	$264.00	$264.00	$98.34–$1,214.00	40% below	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US EXAM BREAST(S) (ECBS)	$368.00	$368.00	$98.34–$1,214.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ASA ULTRASOUND BRST LIMITED	$462.00	$462.00	$55.15–$449.06	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT UNILATERAL LTD	$264.00	$264.00	$98.34–$1,214.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT UNILATERAL LTD	$264.00	$264.00	$98.34–$1,214.00	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN & PELVIS	$1,397.00	$1,397.00	$431.80–$1,357.88	37% below	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN & PELVIS	$1,397.00	$1,397.00	$431.80–$1,357.88	—	—
CT angiography (CTA) of the head CPT 70496 CTA BRAIN	$1,503.00	$1,503.00	$206.30–$1,460.92	7% below	—
CT angiography (CTA) of the head inpatient CPT 70496 CTA BRAIN	$1,503.00	$1,503.00	$206.30–$1,460.92	—	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$1,503.00	$1,503.00	$206.30–$1,460.92	7% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK	$1,503.00	$1,503.00	$206.30–$1,460.92	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (PULM)	$1,164.00	$1,164.00	$206.30–$1,131.41	26% below	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (PULM)	$1,164.00	$1,164.00	$206.30–$1,131.41	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDMN & PELVIS WO CONTRST	$3,623.00	$3,623.00	$254.50–$3,521.56	134% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDMN & PELVIS WO CONTRST	$3,623.00	$3,623.00	$254.50–$3,521.56	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDMN & PELVIS W/CONTRAST	$3,999.00	$3,999.00	$431.80–$3,887.03	64% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDMN & PELVIS W/CONTRAST	$3,999.00	$3,999.00	$431.80–$3,887.03	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDMN & PLVS W & WO CONTR	$4,123.00	$4,123.00	$431.80–$4,007.56	57% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDMN & PLVS W & WO CONTR	$4,123.00	$4,123.00	$431.80–$4,007.56	—	—
CT scan of the abdomen with contrast CPT 74160 ABDOMEN WITH CONTRAST	$1,962.00	$1,962.00	$206.30–$1,907.06	27% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN WITH CONTRAST	$1,962.00	$1,962.00	$206.30–$1,907.06	—	—
CT scan of the abdomen without contrast CPT 74150 ABDOMEN W/O CONTRAST	$1,405.00	$1,405.00	$123.44–$1,365.66	33% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN W/O CONTRAST	$1,405.00	$1,405.00	$123.44–$1,365.66	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 MAXIOFACIAL AREA W/O CONT	$1,370.00	$1,370.00	$123.44–$1,331.64	34% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAXIOFACIAL AREA W/O CONT	$1,370.00	$1,370.00	$123.44–$1,331.64	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST	$1,526.00	$1,526.00	$123.44–$1,483.27	46% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD W/O CONTRAST	$1,526.00	$1,526.00	$123.44–$1,483.27	—	—
CT scan of the head with contrast CPT 70460 HEAD W/CONTRAST	$1,570.00	$1,570.00	$206.30–$1,526.04	23% above	—
CT scan of the head with contrast inpatient CPT 70460 HEAD W/CONTRAST	$1,570.00	$1,570.00	$206.30–$1,526.04	—	—
CT scan of the head without and with contrast CPT 70470 HEAD W & W/O CONTRAST	$1,933.00	$1,933.00	$206.30–$1,878.88	22% above	—
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W & W/O CONTRAST	$1,933.00	$1,933.00	$206.30–$1,878.88	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O CONTRAST	$1,447.00	$1,447.00	$123.44–$1,406.48	41% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O CONTRAST	$1,447.00	$1,447.00	$123.44–$1,406.48	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O CONTRAST	$1,903.00	$1,903.00	$123.44–$1,849.72	38% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O CONTRAST	$1,903.00	$1,903.00	$123.44–$1,849.72	—	—
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONTRAST	$2,155.00	$2,155.00	$206.30–$2,094.66	30% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONTRAST	$2,155.00	$2,155.00	$206.30–$2,094.66	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX CAROTID	$1,063.00	$1,063.00	$93.39–$1,598.00	12% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX CAROTID	$1,063.00	$1,063.00	$93.39–$1,598.00	—	—
Chest CT scan without and with contrast CPT 71270 CHEST W & W/O CONTRAST	$2,481.00	$2,481.00	$206.30–$2,411.53	34% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CHEST W & W/O CONTRAST	$2,481.00	$2,481.00	$206.30–$2,411.53	—	—
Chest X-ray, 2 views CPT 71046 CHEST SPECIAL VIEWS IE DE	$149.00	$149.00	$55.73–$1,793.00	41% below	—
Chest X-ray, 2 views CPT 71046 OCC XRAY CHEST 2 VIEWS	$286.00	$286.00	$55.73–$1,793.00	14% above	—
Chest X-ray, 2 views CPT 71046 CHEST PA/LAT	$405.00	$405.00	$55.73–$1,793.00	61% above	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST SPECIAL VIEWS IE DE	$149.00	$149.00	$55.73–$1,793.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 OCC XRAY CHEST 2 VIEWS	$286.00	$286.00	$55.73–$1,793.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA/LAT	$405.00	$405.00	$55.73–$1,793.00	—	—
Chest X-ray, single view CPT 71045 CHEST ONE VIEW	$282.00	$282.00	$41.35–$1,793.00	5% above	—
Chest X-ray, single view inpatient CPT 71045 CHEST ONE VIEW	$282.00	$282.00	$41.35–$1,793.00	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 2 OR > VIEWS	$293.00	$293.00	$58.93–$1,793.00	10% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 2 OR > VIEWS	$293.00	$293.00	$58.93–$1,793.00	10% above	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 2 OR > VIEWS	$293.00	$293.00	$58.93–$1,793.00	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 2 OR > VIEWS	$293.00	$293.00	$58.93–$1,793.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABDOMINAL ADRENAL	$587.00	$587.00	$123.44–$1,214.00	4% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABDOMINAL AORTA	$587.00	$587.00	$123.44–$1,214.00	4% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE	$798.00	$798.00	$123.44–$1,214.00	31% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ABDOMINAL AORTA	$587.00	$587.00	$123.44–$1,214.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ABDOMINAL ADRENAL	$587.00	$587.00	$123.44–$1,214.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL COMPLETE	$798.00	$798.00	$123.44–$1,214.00	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY PERIPHERAL	$249.00	$249.00	$53.34–$1,793.00	1% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY PERIPHERAL	$249.00	$249.00	$53.34–$1,793.00	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OBGYN US DETAILED SINGLE FETUS	$301.00	$301.00	$91.80–$361.49	62% below	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 DETAILED SINGLE FETUS	$988.00	$988.00	$211.14–$1,214.00	24% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OBGYN US DETAILED SINGLE FETUS	$301.00	$301.00	$91.80–$361.49	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 DETAILED SINGLE FETUS	$988.00	$988.00	$211.14–$1,214.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST W/O CONTRAST	$1,752.00	$1,752.00	$123.44–$1,702.94	39% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST W/O CONTRAST	$1,752.00	$1,752.00	$123.44–$1,702.94	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST WITH CONTRAST	$2,160.00	$2,160.00	$206.30–$2,099.52	40% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST WITH CONTRAST	$2,160.00	$2,160.00	$206.30–$2,099.52	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMMO DIGITAL BILAT	$695.00	$695.00	$114.75–$675.54	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMMO DIGITAL BILAT	$695.00	$695.00	$114.75–$675.54	—	—
Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMMO DIGITAL UNI LT	$461.00	$461.00	$92.17–$659.00	15% above	—
Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMMO DIGITAL UNI RT	$461.00	$461.00	$92.17–$659.00	15% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMMO DIGITAL UNI LT	$461.00	$461.00	$92.17–$659.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMMO DIGITAL UNI RT	$461.00	$461.00	$92.17–$659.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LOWER EXTREM BILAT	$888.00	$888.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LOWER EXTREM BILAT	$888.00	$888.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS ARM BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS MAP ARMS BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS MAP LEGS BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS LEG BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS ARM BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS MAP LEGS BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS MAP ARMS BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS LEG BILAT	$1,070.00	$1,070.00	$93.39–$1,598.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TRANSTHORACIC ECHO COMPL W/ DO	$2,529.00	$2,529.00	$210.25–$2,757.00	42% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TRANSTHORACIC ECHO DOPPW/CONTR	$2,529.00	$2,529.00	$210.25–$2,757.00	42% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TRANSTHORACIC ECHO DOPPW/CONTR	$2,529.00	$2,529.00	$210.25–$2,757.00	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TRANSTHORACIC ECHO COMPL W/ DO	$2,529.00	$2,529.00	$210.25–$2,757.00	—	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT 2 VIEWS	$196.00	$196.00	$50.95–$1,793.00	17% below	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT 2 VIEWS	$196.00	$196.00	$50.95–$1,793.00	17% below	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LEFT 2 VIEWS	$196.00	$196.00	$50.95–$1,793.00	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RIGHT 2 VIEWS	$196.00	$196.00	$50.95–$1,793.00	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LEFT 3 VIEWS	$383.00	$383.00	$58.93–$1,793.00	36% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RIGHT 3 VIEWS	$383.00	$383.00	$58.93–$1,793.00	36% above	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LEFT 3 VIEWS	$383.00	$383.00	$58.93–$1,793.00	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RIGHT 3 VIEWS	$383.00	$383.00	$58.93–$1,793.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 ORBITS W/O CONTRAST	$1,108.00	$1,108.00	$123.44–$1,113.00	15% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 TEMPORAL BONES W/O CONTR	$1,108.00	$1,108.00	$123.44–$1,113.00	15% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 SELLA W/O CONTRAST	$1,108.00	$1,108.00	$123.44–$1,113.00	15% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 INT AUD CANAL W/O CONT	$1,108.00	$1,108.00	$123.44–$1,113.00	15% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBITS W/O CONTRAST	$1,108.00	$1,108.00	$123.44–$1,113.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 INT AUD CANAL W/O CONT	$1,108.00	$1,108.00	$123.44–$1,113.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 SELLA W/O CONTRAST	$1,108.00	$1,108.00	$123.44–$1,113.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 TEMPORAL BONES W/O CONTR	$1,108.00	$1,108.00	$123.44–$1,113.00	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 ZYGOMATIC ARCH MIN 3 VIEWS	$368.00	$368.00	$72.29–$1,793.00	5% below	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS	$368.00	$368.00	$72.29–$1,793.00	5% below	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 ZYGOMATIC ARCH MIN 3 VIEWS	$368.00	$368.00	$72.29–$1,793.00	—	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3 VIEWS	$368.00	$368.00	$72.29–$1,793.00	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT 2 VIEWS	$257.00	$257.00	$51.75–$1,793.00	4% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT 2 VIEWS	$257.00	$257.00	$51.75–$1,793.00	4% below	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RIGHT 2 VIEWS	$257.00	$257.00	$51.75–$1,793.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LEFT 2 VIEWS	$257.00	$257.00	$51.75–$1,793.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEP-BIL IMAG INCLUD GB IF PRE	$1,135.00	$1,135.00	$430.80–$2,324.00	13% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEP-BIL IMAG INCLUD GB IF PRE	$1,135.00	$1,135.00	$430.80–$2,324.00	—	—
Hand X-ray, 2 views one side CPT 73120 HAND RIGHT 2 VIEWS	$336.00	$336.00	$56.53–$1,793.00	21% above	—
Hand X-ray, 2 views one side CPT 73120 HAND LEFT 2 VIEWS	$336.00	$336.00	$56.53–$1,793.00	21% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RIGHT 2 VIEWS	$336.00	$336.00	$56.53–$1,793.00	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LEFT 2 VIEWS	$336.00	$336.00	$56.53–$1,793.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL RIGHT MIN 2-3 VIEWS	$231.00	$231.00	$50.14–$1,793.00	11% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LEFT MIN 2 VIEWS	$231.00	$231.00	$50.14–$1,793.00	11% below	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LEFT MIN 2 VIEWS	$231.00	$231.00	$50.14–$1,793.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL RIGHT MIN 2-3 VIEWS	$231.00	$231.00	$50.14–$1,793.00	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 UNATTENDED SLEEP STUDY	$1,078.00	$1,078.00	$59.53–$4,350.00	42% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 UNATTENDED SLEEP STUDY	$1,078.00	$1,078.00	$59.53–$4,350.00	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 ATTENDED SLEEP STUDY/CPAP	$3,223.00	$3,223.00	$398.47–$4,350.00	11% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 ATTENDED SLEEP STUDY/CPAP	$3,223.00	$3,223.00	$398.47–$4,350.00	—	—
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3 VIEWS	$277.00	$277.00	$72.29–$1,793.00	10% below	—
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 VIEWS	$277.00	$277.00	$72.29–$1,793.00	10% below	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RIGHT 3 VIEWS	$277.00	$277.00	$72.29–$1,793.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LEFT 3 VIEWS	$277.00	$277.00	$72.29–$1,793.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE TUNNEL VIEWS	$405.00	$405.00	$72.29–$1,793.00	13% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT WITH OBLIQUES 4+ VI	$405.00	$405.00	$72.29–$1,793.00	13% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT WITH OBLIQUES 4+ VIE	$405.00	$405.00	$72.29–$1,793.00	13% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE TUNNEL VIEWS	$405.00	$405.00	$72.29–$1,793.00	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RIGHT WITH OBLIQUES 4+ VI	$405.00	$405.00	$72.29–$1,793.00	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LEFT WITH OBLIQUES 4+ VIE	$405.00	$405.00	$72.29–$1,793.00	—	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER LEFT W/O CONT	$811.00	$811.00	$123.44–$1,113.00	23% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER RIGHT W/O CONT	$811.00	$811.00	$123.44–$1,113.00	23% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 EXT LOWER RIGHT W/O CONTR	$1,788.00	$1,788.00	$123.44–$1,737.94	71% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 EXT LOWER LEFT W/O CONTR	$1,788.00	$1,788.00	$123.44–$1,737.94	71% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER RIGHT W/O CONT	$811.00	$811.00	$123.44–$1,113.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER LEFT W/O CONT	$811.00	$811.00	$123.44–$1,113.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 EXT LOWER LEFT W/O CONTR	$1,788.00	$1,788.00	$123.44–$1,737.94	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 EXT LOWER RIGHT W/O CONTR	$1,788.00	$1,788.00	$123.44–$1,737.94	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 APPENDIX-LIMITED ABD	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BILIARY DUCTS	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALLBLADDER	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER	$698.00	$698.00	$123.44–$1,214.00	28% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM ABDOMEN (ECBS)	$717.00	$717.00	$123.44–$1,214.00	32% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL;LIM	$717.00	$717.00	$123.44–$1,214.00	32% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PANCREAS	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 BILIARY DUCTS	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 APPENDIX-LIMITED ABD	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 GALLBLADDER	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SPLEEN	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LIVER	$698.00	$698.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM ABDOMEN (ECBS)	$717.00	$717.00	$123.44–$1,214.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMINAL;LIM	$717.00	$717.00	$123.44–$1,214.00	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD (ECBS)	$223.00	$223.00	$74.11–$1,214.00	32% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EC US XTR NON-VASC LMTD	$385.00	$385.00	$32.22–$374.22	17% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ASA US XTR NON-VASC LMTD	$385.00	$385.00	$32.22–$374.22	17% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NONVASC LIMITED	$659.00	$659.00	$74.11–$1,214.00	100% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXT NON-VASC LIMITED LT	$314.00	$314.00	$74.11–$1,214.00	5% below	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXT NON-VASC LIMITED RT	$314.00	$314.00	$74.11–$1,214.00	5% below	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD (ECBS)	$223.00	$223.00	$74.11–$1,214.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ASA US XTR NON-VASC LMTD	$385.00	$385.00	$32.22–$374.22	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EC US XTR NON-VASC LMTD	$385.00	$385.00	$32.22–$374.22	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NONVASC LIMITED	$659.00	$659.00	$74.11–$1,214.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXT NON-VASC LIMITED RT	$314.00	$314.00	$74.11–$1,214.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXT NON-VASC LIMITED LT	$314.00	$314.00	$74.11–$1,214.00	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG SCAN	$330.00	$330.00	$123.44–$1,113.00	26% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT LUNG SCAN	$330.00	$330.00	$123.44–$1,113.00	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG LEFT 2 VIEWS	$267.00	$267.00	$57.34–$1,793.00	1% below	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG RIGHT 2 VIEWS	$267.00	$267.00	$57.34–$1,793.00	1% below	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG LEFT 2 VIEWS	$267.00	$267.00	$57.34–$1,793.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG RIGHT 2 VIEWS	$267.00	$267.00	$57.34–$1,793.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	64% below	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LOWER EXT JOINT WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	65% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LOWER EXT JOINT WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 JOINT/LOWER EXT W & WO CONTRAS	$1,203.00	$1,203.00	$431.80–$1,670.00	59% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 JOINT/LOWER EXT W & WO CONTRAS	$1,203.00	$1,203.00	$431.80–$1,670.00	—	—
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	56% below	—
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	54% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	—	—
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	68% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY/IAC	$1,269.00	$1,269.00	$431.80–$1,670.00	58% below	—
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	58% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY/IAC	$1,269.00	$1,269.00	$431.80–$1,670.00	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	—	—
MRI of the lower back, no contrast dye CPT 72148 LUMBAR WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	65% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	53% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	65% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	55% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL W & WO CONTRAST	$1,269.00	$1,269.00	$431.80–$1,670.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	64% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of the pelvis without and with contrast CPT 72197 PELVIS W & WO CONTRAST	$1,203.00	$1,203.00	$431.80–$1,670.00	56% below	—
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W & WO CONTRAST	$1,203.00	$1,203.00	$431.80–$1,670.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	64% below	—
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONTRAST MRI	$1,100.00	$1,100.00	$275.13–$1,670.00	38% below	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONTRAST	$638.00	$638.00	$269.43–$1,670.00	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONTRAST MRI	$1,100.00	$1,100.00	$275.13–$1,670.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 UPPER EXTRIMETY JOINT WO CONTR	$638.00	$638.00	$269.43–$1,670.00	64% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 UPPER EXTRIMETY JOINT WO CONTR	$638.00	$638.00	$269.43–$1,670.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS	$679.00	$679.00	$98.10–$1,793.00	50% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS	$679.00	$679.00	$98.10–$1,793.00	—	—
Neck soft tissue CT scan with contrast CPT 70491 NECK W/CONTRAST	$1,804.00	$1,804.00	$206.30–$1,753.49	20% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 NECK W/CONTRAST	$1,804.00	$1,804.00	$206.30–$1,753.49	—	—
Neck soft tissue CT scan without contrast CPT 70490 NECK W/O CONTRAST	$1,624.00	$1,624.00	$123.44–$1,578.53	35% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 NECK W/O CONTRAST	$1,624.00	$1,624.00	$123.44–$1,578.53	—	—
Neck soft tissue X-ray CPT 70360 SOFT TISS NECK/C S PIN	$275.00	$275.00	$54.14–$1,793.00	5% below	—
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISS NECK/C S PIN	$275.00	$275.00	$54.14–$1,793.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CAR HT MUSCLE IMAGE SPECT MULT	$490.00	$490.00	$206.93–$2,094.84	88% below	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYO PERF;SPECT MULT	$3,475.00	$3,475.00	$858.98–$3,377.70	16% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CAR HT MUSCLE IMAGE SPECT MULT	$490.00	$490.00	$206.93–$2,094.84	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYO PERF;SPECT MULT	$3,475.00	$3,475.00	$858.98–$3,377.70	—	—
Pelvic CT scan without contrast CPT 72192 PELVIS W/O CONTRAST	$1,677.00	$1,677.00	$123.44–$1,630.04	56% above	—
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS W/O CONTRAST	$1,677.00	$1,677.00	$123.44–$1,630.04	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LMTD (ECBS)	$223.00	$223.00	$62.93–$1,214.00	38% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 IMAGING OF BLADDER (ECBS)	$223.00	$223.00	$62.93–$1,214.00	38% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ASA US EXAM/PELVIC/LIMITED	$275.00	$275.00	$27.36–$267.30	24% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 URINARY BLADDER	$314.00	$314.00	$62.93–$1,214.00	13% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED PELVIS	$314.00	$314.00	$62.93–$1,214.00	13% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 OBGYN US EXAM PELVIC LIMITED	$330.00	$330.00	$27.36–$320.76	9% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LMTD (ECBS)	$223.00	$223.00	$62.93–$1,214.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 IMAGING OF BLADDER (ECBS)	$223.00	$223.00	$62.93–$1,214.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ASA US EXAM/PELVIC/LIMITED	$275.00	$275.00	$27.36–$267.30	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 LIMITED PELVIS	$314.00	$314.00	$62.93–$1,214.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 URINARY BLADDER	$314.00	$314.00	$62.93–$1,214.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 OBGYN US EXAM PELVIC LIMITED	$330.00	$330.00	$27.36–$320.76	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE	$839.00	$839.00	$123.44–$1,214.00	26% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC COMPLETE	$839.00	$839.00	$123.44–$1,214.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBGYN US EXAM PREG UTERUS 2D	$291.00	$291.00	$92.59–$282.85	45% below	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PREG COMPLETE >/= 14 WKS	$867.00	$867.00	$123.44–$1,214.00	63% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBGYN US EXAM PREG UTERUS 2D	$291.00	$291.00	$92.59–$282.85	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PREG COMPLETE >/= 14 WKS	$867.00	$867.00	$123.44–$1,214.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANT UTERUS < 14WKS	$469.00	$469.00	$123.44–$1,214.00	at median	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREGNANT UTERUS < 14WKS	$469.00	$469.00	$123.44–$1,214.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBGYN US LIMITED FETUS (S)	$198.00	$198.00	$52.72–$192.46	51% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) (ECBS)	$332.00	$332.00	$98.34–$1,214.00	18% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANT UTERUS LIMITED	$677.00	$677.00	$98.34–$1,214.00	67% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREG LIM 1/MORE FETUSES	$677.00	$677.00	$98.34–$1,214.00	67% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OBGYN US LIMITED FETUS (S)	$198.00	$198.00	$52.72–$192.46	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S) (ECBS)	$332.00	$332.00	$98.34–$1,214.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREG LIM 1/MORE FETUSES	$677.00	$677.00	$98.34–$1,214.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANT UTERUS LIMITED	$677.00	$677.00	$98.34–$1,214.00	—	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT 3 VIEWS	$214.00	$214.00	$62.93–$1,793.00	29% below	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LEFT 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	29% below	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LEFT 3 VIEWS	$214.00	$214.00	$62.93–$1,793.00	29% below	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	29% below	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LEFT 3 VIEWS	$214.00	$214.00	$62.93–$1,793.00	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RIGHT 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LEFT 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RIGHT 3 VIEWS	$214.00	$214.00	$62.93–$1,793.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIGHT RIBS W/PA CHEST	$319.00	$319.00	$70.91–$1,793.00	14% below	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 LEFT RIBS W/PA CHEST	$319.00	$319.00	$70.91–$1,793.00	14% below	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIGHT RIBS W/PA CHEST	$319.00	$319.00	$70.91–$1,793.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 LEFT RIBS W/PA CHEST	$319.00	$319.00	$70.91–$1,793.00	—	—
Screening mammogram, both breasts both sides CPT 77067 SCRN MAMMO DIGITAL BILAT	$686.00	$686.00	$107.96–$666.79	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAMMO DIGITAL BILAT	$686.00	$686.00	$107.96–$666.79	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2/MORE VIEWS	$362.00	$362.00	$62.12–$1,793.00	20% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 2 OR > VIEWS	$317.00	$317.00	$62.12–$1,793.00	5% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT 2 OR > VIEW	$317.00	$317.00	$62.12–$1,793.00	5% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2/MORE VIEWS	$362.00	$362.00	$62.12–$1,793.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LEFT 2 OR > VIEW	$317.00	$317.00	$62.12–$1,793.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT 2 OR > VIEWS	$317.00	$317.00	$62.12–$1,793.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SINUSES MIN 3 VIEWS	$417.00	$417.00	$65.32–$1,793.00	14% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 PARANASAL SINUSES MIN 3 VIEWS	$417.00	$417.00	$65.32–$1,793.00	—	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS	$215.00	$215.00	$66.13–$1,793.00	31% below	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS	$215.00	$215.00	$66.13–$1,793.00	—	—
Sleep study in a lab (polysomnography) CPT 95810 ATTENDED SLEEP STUDY	$3,417.00	$3,417.00	$398.47–$4,350.00	1% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 ATTENDED SLEEP STUDY	$3,417.00	$3,417.00	$398.47–$4,350.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BA SWALLOW	$366.00	$366.00	$148.44–$1,793.00	32% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BA SWALLOW	$366.00	$366.00	$148.44–$1,793.00	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT 2 VIEWS	$255.00	$255.00	$64.52–$1,793.00	9% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT 2 VIEWS	$255.00	$255.00	$64.52–$1,793.00	9% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LEFT 2 VIEWS	$255.00	$255.00	$64.52–$1,793.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RIGHT 2 VIEWS	$255.00	$255.00	$64.52–$1,793.00	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T SPINE W/O CONTRAST	$1,327.00	$1,327.00	$123.44–$1,289.84	3% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T SPINE W/O CONTRAST	$1,327.00	$1,327.00	$123.44–$1,289.84	—	—
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL	$684.00	$684.00	$123.44–$1,214.00	32% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL	$684.00	$684.00	$123.44–$1,214.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 OBGYN TRANSVAGINAL US OB	$215.00	$215.00	$59.67–$208.98	63% below	—
Transvaginal ultrasound during pregnancy CPT 76817 OB US TRANSVAGINAL (ECBS)	$363.00	$363.00	$123.44–$1,214.00	38% below	—
Transvaginal ultrasound during pregnancy CPT 76817 PREGNANT UTERUS TRANSVAG	$874.00	$874.00	$123.44–$1,214.00	49% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OBGYN TRANSVAGINAL US OB	$215.00	$215.00	$59.67–$208.98	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB US TRANSVAGINAL (ECBS)	$363.00	$363.00	$123.44–$1,214.00	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PREGNANT UTERUS TRANSVAG	$874.00	$874.00	$123.44–$1,214.00	—	—
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE	$1,352.00	$1,352.00	$123.44–$1,314.14	89% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE	$1,352.00	$1,352.00	$123.44–$1,314.14	—	—
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR	$777.00	$777.00	$123.44–$1,214.00	35% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR	$777.00	$777.00	$123.44–$1,214.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM HEAD & NECK (ECBS)	$332.00	$332.00	$123.44–$1,214.00	29% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID	$709.00	$709.00	$123.44–$1,214.00	51% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE OF HEAD AND NECK	$709.00	$709.00	$123.44–$1,214.00	51% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM HEAD & NECK (ECBS)	$332.00	$332.00	$123.44–$1,214.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID	$709.00	$709.00	$123.44–$1,214.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE OF HEAD AND NECK	$709.00	$709.00	$123.44–$1,214.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SINGLE CONTRAST	$638.00	$638.00	$148.44–$1,793.00	1% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SINGLE CONTRAST	$638.00	$638.00	$148.44–$1,793.00	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT 2 VIEWS	$255.00	$255.00	$58.12–$1,793.00	at median	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT 2 VIEWS	$255.00	$255.00	$58.12–$1,793.00	at median	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LEFT 2 VIEWS	$255.00	$255.00	$58.12–$1,793.00	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RIGHT 2 VIEWS	$255.00	$255.00	$58.12–$1,793.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 U/SLT JUGULAR & SUB	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXTREMITY STDY UNILAT LMTD (EC	$332.00	$332.00	$41.90–$1,214.00	39% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS ARM LEFT	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS MAP LEFT ARM	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS LEG LEFT	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS ARM RIGHT	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS MAP LEFT LEG	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S RT JUGULAR & SUBCLAVI	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS MAP RIGHT LEG	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS MAP RIGHT ARM	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS LEG RIGHT	$678.00	$678.00	$41.90–$1,598.00	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 U/SLT JUGULAR & SUB	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXTREMITY STDY UNILAT LMTD (EC	$332.00	$332.00	$41.90–$1,214.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S RT JUGULAR & SUBCLAVI	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS ARM LEFT	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS LEG LEFT	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS MAP RIGHT ARM	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS MAP RIGHT LEG	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS LEG RIGHT	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS MAP LEFT LEG	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS ARM RIGHT	$678.00	$678.00	$41.90–$1,598.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS MAP LEFT ARM	$678.00	$678.00	$41.90–$1,598.00	—	—
Wrist X-ray, 2 views one side CPT 73100 WRIST LEFT 2 VIEWS	$157.00	$157.00	$62.12–$1,793.00	37% below	—
Wrist X-ray, 2 views one side CPT 73100 WRIST RIGHT 2 VIEWS	$176.00	$176.00	$62.12–$1,793.00	30% below	—
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LEFT 2 VIEWS	$157.00	$157.00	$62.12–$1,793.00	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RIGHT 2 VIEWS	$176.00	$176.00	$62.12–$1,793.00	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT 3 VIEWS	$282.00	$282.00	$72.29–$1,793.00	1% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT 3 VIEWS	$282.00	$282.00	$72.29–$1,793.00	1% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LEFT 3 VIEWS	$282.00	$282.00	$72.29–$1,793.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RIGHT 3 VIEWS	$282.00	$282.00	$72.29–$1,793.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RIGHT 2-3 VIEWS	$185.00	$185.00	$72.29–$1,793.00	31% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT2-3 VIEWS	$185.00	$185.00	$72.29–$1,793.00	31% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RIGHT 2-3 VIEWS	$185.00	$185.00	$72.29–$1,793.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LEFT2-3 VIEWS	$185.00	$185.00	$72.29–$1,793.00	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN AP	$248.00	$248.00	$51.75–$1,793.00	11% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN AP	$248.00	$248.00	$51.75–$1,793.00	—	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT 2 VIEW	$145.00	$145.00	$58.93–$1,793.00	41% below	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT 2 VIEW	$145.00	$145.00	$58.93–$1,793.00	41% below	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LEFT 2 VIEW	$145.00	$145.00	$58.93–$1,793.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RIGHT 2 VIEW	$145.00	$145.00	$58.93–$1,793.00	—	—
X-ray of the foot, 2 views one side CPT 73620 RIGHT FOOT 2 VIEWS	$206.00	$206.00	$50.95–$1,793.00	13% below	—
X-ray of the foot, 2 views one side CPT 73620 LEFT FOOT 2 VIEWS	$206.00	$206.00	$50.95–$1,793.00	13% below	—
X-ray of the foot, 2 views inpatient one side CPT 73620 RIGHT FOOT 2 VIEWS	$206.00	$206.00	$50.95–$1,793.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 LEFT FOOT 2 VIEWS	$206.00	$206.00	$50.95–$1,793.00	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT 3 VIEWS	$400.00	$400.00	$62.93–$1,793.00	50% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT 3 VIEWS	$400.00	$400.00	$62.93–$1,793.00	50% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RIGHT 3 VIEWS	$400.00	$400.00	$62.93–$1,793.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LEFT 3 VIEWS	$400.00	$400.00	$62.93–$1,793.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT 3 VIEW	$317.00	$317.00	$69.32–$1,793.00	4% above	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT 3 VIEWS	$317.00	$317.00	$69.32–$1,793.00	4% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RIGHT 3 VIEW	$317.00	$317.00	$69.32–$1,793.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LEFT 3 VIEWS	$317.00	$317.00	$69.32–$1,793.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT 1 OR 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	29% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT 1 OR 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	29% below	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LEFT 1 OR 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RIGHT 1 OR 2 VIEWS	$214.00	$214.00	$62.93–$1,793.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$462.00	$462.00	$70.13–$1,793.00	25% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$462.00	$462.00	$70.13–$1,793.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4+ VIEWS	$692.00	$692.00	$94.90–$1,793.00	38% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 4+ VIEWS	$692.00	$692.00	$94.90–$1,793.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$336.00	$336.00	$55.73–$1,793.00	7% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$336.00	$336.00	$55.73–$1,793.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VIEWS	$341.00	$341.00	$70.91–$1,793.00	7% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VIEWS	$341.00	$341.00	$70.91–$1,793.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS	$533.00	$533.00	$69.32–$1,793.00	70% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS	$533.00	$533.00	$69.32–$1,793.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$336.00	$336.00	$46.94–$1,793.00	14% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$336.00	$336.00	$46.94–$1,793.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRO COCCYGEAL AP/L	$311.00	$311.00	$58.12–$1,793.00	2% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRO COCCYGEAL AP/L	$311.00	$311.00	$58.12–$1,793.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
ACTH blood test CPT 82024 ACTH	$110.00	$110.00	$34.06–$132.76	40% below	—
ACTH blood test inpatient CPT 82024 ACTH	$110.00	$110.00	$34.06–$132.76	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$42.00	$42.00	$4.67–$54.00	at median	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$42.00	$42.00	$4.67–$54.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$42.00	$42.00	$4.57–$54.00	9% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$42.00	$42.00	$4.57–$54.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PROFILE	$291.00	$291.00	$42.01–$235.71	59% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PROFILE	$291.00	$291.00	$42.01–$235.71	—	—
Albumin blood test CPT 82040 ALBUMIN	$40.00	$40.00	$4.37–$54.00	36% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN	$40.00	$40.00	$4.37–$54.00	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE	$194.00	$194.00	$35.94–$157.14	10% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$194.00	$194.00	$35.94–$157.14	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$38.00	$38.00	$4.57–$54.00	3% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$38.00	$38.00	$4.57–$54.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH	$20.00	$20.00	$4.60–$54.00	41% below	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH	$20.00	$20.00	$4.60–$54.00	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM	$72.00	$72.00	$14.79–$58.32	8% below	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM	$72.00	$72.00	$14.79–$58.32	—	—
Ammonia blood test CPT 82140 AMMONIA	$106.00	$106.00	$12.85–$85.86	15% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$106.00	$106.00	$12.85–$85.86	—	—
Amylase blood test CPT 82150 AMYLASE	$46.00	$46.00	$5.72–$54.00	1% above	—
Amylase blood test inpatient CPT 82150 AMYLASE	$46.00	$46.00	$5.72–$54.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE A	$40.00	$40.00	$11.42–$54.00	19% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE A	$40.00	$40.00	$11.42–$54.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$50.00	$50.00	$10.66–$54.00	at median	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$50.00	$50.00	$10.66–$54.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$241.00	$241.00	$31.93–$195.21	29% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$241.00	$241.00	$31.93–$195.21	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NON UR BLD STOOL-AEROBIC	$101.00	$101.00	$7.60–$81.81	147% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT NON UR BLD STOOL-AEROBIC	$101.00	$101.00	$7.60–$81.81	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$62.00	$62.00	$7.46–$54.00	18% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$62.00	$62.00	$7.46–$54.00	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$37.00	$37.00	$4.43–$54.00	16% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$37.00	$37.00	$4.43–$54.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH IV	$369.00	$369.00	$35.03–$298.89	110% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH IV	$369.00	$369.00	$35.03–$298.89	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$88.00	$88.00	$9.10–$71.28	7% above	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$88.00	$88.00	$9.10–$71.28	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$16.00	$16.00	$2.65–$54.00	7% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$16.00	$16.00	$2.65–$54.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD	$30.00	$30.00	$3.47–$54.00	2% below	—
Blood glucose (sugar) test CPT 82947 PCP GLUCOSE FINGERSTICK OFFICE	$60.00	$60.00	$3.47–$52.20	97% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD	$30.00	$30.00	$3.47–$54.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 PCP GLUCOSE FINGERSTICK OFFICE	$60.00	$60.00	$3.47–$52.20	—	—
Blood lead test CPT 83655 LEAD	$55.00	$55.00	$10.68–$54.00	24% below	—
Blood lead test inpatient CPT 83655 LEAD	$55.00	$55.00	$10.68–$54.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL	$79.00	$79.00	$6.63–$63.99	55% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL	$79.00	$79.00	$6.63–$63.99	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO	$246.00	$246.00	$2.64–$199.26	25% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; ABO	$246.00	$246.00	$2.64–$199.26	—	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANT	$38.00	$38.00	$3.48–$54.00	32% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANT	$38.00	$38.00	$3.48–$54.00	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$65.00	$65.00	$18.35–$71.54	45% below	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$65.00	$65.00	$18.35–$71.54	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$76.00	$76.00	$4.57–$61.56	94% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$76.00	$76.00	$4.57–$61.56	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFFICILE AMPLIFIED PROBE	$173.00	$173.00	$24.51–$140.13	1% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFFICILE AMPLIFIED PROBE	$173.00	$173.00	$24.51–$140.13	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$60.00	$60.00	$18.35–$71.54	29% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$60.00	$60.00	$18.35–$71.54	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$65.00	$65.00	$18.35–$71.54	40% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$65.00	$65.00	$18.35–$71.54	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RNA QL NAAT	$154.00	$154.00	$51.31–$176.38	5% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RNA QL NAAT	$154.00	$154.00	$51.31–$176.38	—	—
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$37.00	$37.00	$4.55–$54.00	4% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$37.00	$37.00	$4.55–$54.00	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$125.00	$125.00	$16.72–$101.25	28% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$125.00	$125.00	$16.72–$101.25	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB	$42.00	$42.00	$11.36–$54.00	29% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS	$42.00	$42.00	$11.36–$54.00	29% below	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIRUS	$42.00	$42.00	$11.36–$54.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB	$42.00	$42.00	$11.36–$54.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACH AMP PROBE - INHOUSE	$76.00	$76.00	$24.51–$120.63	52% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACHOMATIS AMPLIFIED PROBE	$200.00	$200.00	$24.51–$162.00	25% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.TRACH AMP PROBE - INHOUSE	$76.00	$76.00	$24.51–$120.63	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.TRACHOMATIS AMPLIFIED PROBE	$200.00	$200.00	$24.51–$162.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$88.00	$88.00	$11.81–$71.28	11% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$88.00	$88.00	$11.81–$71.28	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AND AUTOMATED DIFF	$62.00	$62.00	$6.85–$54.00	14% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AND AUTOMATED DIFF	$62.00	$62.00	$6.85–$54.00	—	—
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$36.00	$36.00	$5.71–$54.00	9% below	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED	$36.00	$36.00	$5.71–$54.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$95.00	$95.00	$9.31–$76.95	7% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$95.00	$95.00	$9.31–$76.95	—	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$106.00	$106.00	$14.38–$85.86	17% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$106.00	$106.00	$14.38–$85.86	—	—
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$47.00	$47.00	$5.74–$54.00	7% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$47.00	$47.00	$5.74–$54.00	—	—
Creatinine blood test CPT 82565 CREATININE BLOOD	$39.00	$39.00	$4.52–$54.00	20% above	—
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$39.00	$39.00	$4.52–$54.00	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB	$41.00	$41.00	$12.69–$54.00	39% below	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB	$41.00	$41.00	$12.69–$54.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 FDP QUANT	$74.00	$74.00	$8.98–$59.94	23% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP QUANT	$74.00	$74.00	$8.98–$59.94	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$91.00	$91.00	$19.61–$76.41	24% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$91.00	$91.00	$19.61–$76.41	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST BY INSTRUMENT ANALYZ	$451.00	$451.00	$47.55–$365.31	173% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST BY INSTRUMENT ANALYZ	$451.00	$451.00	$47.55–$365.31	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$76.00	$76.00	$6.18–$61.56	45% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$76.00	$76.00	$6.18–$61.56	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EVB VCA AB	$46.00	$46.00	$13.44–$62.36	48% below	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EVB VCA AB	$46.00	$46.00	$13.44–$62.36	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$176.00	$176.00	$24.64–$142.56	at median	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$176.00	$176.00	$24.64–$142.56	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$117.00	$117.00	$16.39–$94.77	3% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$117.00	$117.00	$16.39–$94.77	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$447.00	$447.00	$17.31–$362.07	251% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$447.00	$447.00	$17.31–$362.07	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$99.00	$99.00	$12.02–$80.19	15% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$99.00	$99.00	$12.02–$80.19	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$91.00	$91.00	$7.99–$73.71	60% above	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$91.00	$91.00	$7.99–$73.71	—	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$98.00	$98.00	$12.97–$79.38	17% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$98.00	$98.00	$12.97–$79.38	—	—
Free T3 thyroid hormone test CPT 84481 T3 FREE	$95.00	$95.00	$14.94–$76.95	4% below	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$95.00	$95.00	$14.94–$76.95	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$101.00	$101.00	$7.96–$81.81	43% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$101.00	$101.00	$7.96–$81.81	—	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$71.00	$71.00	$22.46–$87.55	42% below	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$71.00	$71.00	$22.46–$87.55	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANFERASE GAMMA	$54.00	$54.00	$6.35–$54.00	6% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANFERASE GAMMA	$54.00	$54.00	$6.35–$54.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 PCP GLUCOSE TEST	$18.00	$18.00	$4.19–$54.00	23% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$38.00	$38.00	$4.19–$54.00	62% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 PCP GLUCOSE TEST	$18.00	$18.00	$4.19–$54.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$38.00	$38.00	$4.19–$54.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS	$96.00	$96.00	$11.35–$77.76	73% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS	$96.00	$96.00	$11.35–$77.76	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONOR AMP PROBE - INHOUSE	$76.00	$76.00	$24.51–$120.63	52% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE AMPLIFIED PROBE	$200.00	$200.00	$24.51–$162.00	25% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONOR AMP PROBE - INHOUSE	$76.00	$76.00	$24.51–$120.63	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE AMPLIFIED PROBE	$200.00	$200.00	$24.51–$162.00	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$74.00	$74.00	$13.66–$59.94	13% below	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB	$74.00	$74.00	$13.66–$59.94	—	—
H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN	$115.00	$115.00	$10.80–$93.15	11% above	—
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN	$115.00	$115.00	$10.80–$93.15	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT	$481.00	$481.00	$52.87–$389.61	26% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT	$481.00	$481.00	$52.87–$389.61	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB 1/2 AND P24 AG	$102.00	$102.00	$21.24–$82.78	5% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB 1/2 AND P24 AG	$102.00	$102.00	$21.24–$82.78	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK	$405.00	$405.00	$23.29–$328.05	195% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK	$405.00	$405.00	$23.29–$328.05	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 PCP GLYCATED HEMOGLOBIN TEST	$29.00	$29.00	$8.56–$54.00	41% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED A1C	$71.00	$71.00	$8.56–$57.51	43% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 PCP GLYCATED HEMOGLOBIN TEST	$29.00	$29.00	$8.56–$54.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED A1C	$71.00	$71.00	$8.56–$57.51	—	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$39.00	$39.00	$2.09–$54.00	129% above	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$39.00	$39.00	$2.09–$54.00	—	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB	$69.00	$69.00	$10.63–$55.89	10% below	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB	$69.00	$69.00	$10.63–$55.89	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$62.00	$62.00	$9.47–$54.00	5% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$62.00	$62.00	$9.47–$54.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B S ANTIGEN	$60.00	$60.00	$9.11–$54.00	30% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B S ANTIGEN	$60.00	$60.00	$9.11–$54.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$82.00	$82.00	$12.52–$66.42	16% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$82.00	$82.00	$12.52–$66.42	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT	$242.00	$242.00	$37.78–$196.02	17% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT	$242.00	$242.00	$37.78–$196.02	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB	$61.00	$61.00	$11.63–$54.00	at median	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 AB	$61.00	$61.00	$11.63–$54.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB	$90.00	$90.00	$17.07–$72.90	38% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 AB	$90.00	$90.00	$17.07–$72.90	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY	$72.00	$72.00	$11.42–$58.32	17% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVITY	$72.00	$72.00	$11.42–$58.32	—	—
Homocysteine blood test CPT 83090 HOMOCYSTINE	$49.00	$49.00	$12.95–$61.60	57% below	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$49.00	$49.00	$12.95–$61.60	—	—
Insulin blood test CPT 83525 INSULIN TOTAL	$37.00	$37.00	$10.08–$54.00	38% below	—
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$37.00	$37.00	$10.08–$54.00	—	—
Iron blood test (serum iron) CPT 83540 IRON	$61.00	$61.00	$5.71–$54.00	87% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$61.00	$61.00	$5.71–$54.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$63.00	$63.00	$7.71–$54.00	67% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$63.00	$63.00	$7.71–$54.00	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$57.00	$57.00	$7.66–$54.00	27% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$57.00	$57.00	$7.66–$54.00	—	—
LH (luteinizing hormone) test CPT 83002 LH	$116.00	$116.00	$16.33–$93.96	7% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$116.00	$116.00	$16.33–$93.96	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$52.00	$52.00	$10.04–$54.00	16% below	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$52.00	$52.00	$10.04–$54.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$42.00	$42.00	$5.33–$54.00	15% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$42.00	$42.00	$5.33–$54.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$53.00	$53.00	$6.08–$54.00	22% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$53.00	$53.00	$6.08–$54.00	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$71.00	$71.00	$7.21–$57.51	21% below	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$71.00	$71.00	$7.21–$57.51	—	—
Lyme disease antibody test CPT 86618 LYME (B BURGDORFERI) AB	$53.00	$53.00	$13.44–$58.54	29% below	—
Lyme disease antibody test inpatient CPT 86618 LYME (B BURGDORFERI) AB	$53.00	$53.00	$13.44–$58.54	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$55.00	$55.00	$5.91–$54.00	44% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$55.00	$55.00	$5.91–$54.00	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$86.00	$86.00	$11.36–$69.66	9% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$86.00	$86.00	$11.36–$69.66	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ABS SCREENING	$53.00	$53.00	$4.57–$54.00	12% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ABS SCREENING	$53.00	$53.00	$4.57–$54.00	—	—
Mumps immunity blood test CPT 86735 MUMPS AB	$84.00	$84.00	$11.51–$68.04	15% above	—
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$84.00	$84.00	$11.51–$68.04	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$106.00	$106.00	$13.17–$85.86	6% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$106.00	$106.00	$13.17–$85.86	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$108.00	$108.00	$13.66–$87.48	21% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$108.00	$108.00	$13.66–$87.48	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$224.00	$224.00	$36.41–$181.44	18% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$224.00	$224.00	$36.41–$181.44	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$55.00	$55.00	$5.30–$54.00	86% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$55.00	$55.00	$5.30–$54.00	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS	$36.00	$36.00	$4.18–$54.00	24% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS	$36.00	$36.00	$4.18–$54.00	—	—
Potassium blood test CPT 84132 POTASSIUM	$35.00	$35.00	$4.20–$54.00	6% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM	$35.00	$35.00	$4.20–$54.00	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$1,505.00	$1,505.00	$54.00–$2,609.24	37% below	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$1,505.00	$1,505.00	$54.00–$2,609.24	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$145.00	$145.00	$18.40–$117.45	4% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$145.00	$145.00	$18.40–$117.45	—	—
Prolactin blood test CPT 84146 PROLACTIN	$124.00	$124.00	$17.09–$100.44	29% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$124.00	$124.00	$17.09–$100.44	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PCP PROTHROMBIN TIME INR	$18.00	$18.00	$3.69–$54.00	3% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$44.00	$44.00	$3.69–$54.00	138% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PCP PROTHROMBIN TIME INR	$18.00	$18.00	$3.69–$54.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$44.00	$44.00	$3.69–$54.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PCP Drug Test PRSMV Dir Opt	$63.00	$63.00	$8.92–$54.00	24% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMPTIVE DIRECT	$99.00	$99.00	$8.92–$80.19	95% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PCP Drug Test PRSMV Dir Opt	$63.00	$63.00	$8.92–$54.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRESUMPTIVE DIRECT	$99.00	$99.00	$8.92–$80.19	—	—
Rapid flu test (influenza antigen) CPT 87804 PCP INFLUENZA ASSAY W/OPTIC	$29.00	$29.00	$10.78–$56.89	38% below	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA AG BY IMMUNOASSAY	$64.00	$64.00	$10.78–$56.89	36% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 PCP INFLUENZA ASSAY W/OPTIC	$29.00	$29.00	$10.78–$56.89	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA AG BY IMMUNOASSAY	$64.00	$64.00	$10.78–$56.89	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 PCP STREP SCREEN	$29.00	$29.00	$10.78–$56.83	53% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 PCP STREP SCREEN Rapid	$29.00	$29.00	$10.78–$56.83	53% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP QUICKVUE	$84.00	$84.00	$10.78–$68.04	36% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 PCP STREP SCREEN	$29.00	$29.00	$10.78–$56.83	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 PCP STREP SCREEN Rapid	$29.00	$29.00	$10.78–$56.83	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP QUICKVUE	$84.00	$84.00	$10.78–$68.04	—	—
Renin blood test CPT 84244 RENIN	$65.00	$65.00	$19.40–$75.59	40% below	—
Renin blood test inpatient CPT 84244 RENIN	$65.00	$65.00	$19.40–$75.59	—	—
Rh blood typing CPT 86901 BLOOD TYPING; RH	$110.00	$110.00	$2.64–$89.10	20% above	—
Rh blood typing inpatient CPT 86901 BLOOD TYPING; RH	$110.00	$110.00	$2.64–$89.10	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$30.00	$30.00	$5.00–$54.00	at median	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$30.00	$30.00	$5.00–$54.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$62.00	$62.00	$12.69–$54.00	17% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$62.00	$62.00	$12.69–$54.00	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$37.00	$37.00	$2.38–$54.00	146% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$37.00	$37.00	$2.38–$54.00	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN VOLUME COUNT MOTILITY DI	$174.00	$174.00	$10.86–$140.94	97% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN VOLUME COUNT MOTILITY DI	$174.00	$174.00	$10.86–$140.94	—	—
Sodium blood test CPT 84295 SODIUM BLOOD	$31.00	$31.00	$4.24–$54.00	6% above	—
Sodium blood test inpatient CPT 84295 SODIUM BLOOD	$31.00	$31.00	$4.24–$54.00	—	—
Stool ova and parasites exam CPT 87177 OVA & PARASITES EXAM	$27.00	$27.00	$7.85–$54.00	35% below	—
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES EXAM	$27.00	$27.00	$7.85–$54.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 PCP BLOOD OCCULT FECES SCREEN	$13.00	$13.00	$3.04–$54.00	30% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OBGYN BLOOD OCCULT FECES SCRN	$13.00	$13.00	$3.04–$54.00	30% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FIT SCREENING TEST FOR COLON C	$26.00	$26.00	$3.04–$54.00	40% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 PCP BLOOD OCCULT FECES SCREEN	$13.00	$13.00	$3.04–$54.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OBGYN BLOOD OCCULT FECES SCRN	$13.00	$13.00	$3.04–$54.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FIT SCREENING TEST FOR COLON C	$26.00	$26.00	$3.04–$54.00	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL HEMO BY IMM	$66.00	$66.00	$13.12–$54.73	1% below	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL HEMO BY IMM	$66.00	$66.00	$13.12–$54.73	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 T.PALLIDUM AB	$58.00	$58.00	$11.68–$54.00	2% below	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T.PALLIDUM AB	$58.00	$58.00	$11.68–$54.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL	$44.00	$44.00	$3.77–$54.00	80% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL	$44.00	$44.00	$3.77–$54.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST	$286.00	$286.00	$54.00–$231.66	38% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST	$286.00	$286.00	$54.00–$231.66	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$153.00	$153.00	$22.76–$123.93	6% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$153.00	$153.00	$22.76–$123.93	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$42.00	$42.00	$12.83–$54.00	39% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$42.00	$42.00	$12.83–$54.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$120.00	$120.00	$14.82–$97.20	58% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$120.00	$120.00	$14.82–$97.20	—	—
Total IgE blood test CPT 82785 IGE	$48.00	$48.00	$14.52–$56.59	39% below	—
Total IgE blood test inpatient CPT 82785 IGE	$48.00	$48.00	$14.52–$56.59	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL	$33.00	$33.00	$3.84–$54.00	6% above	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$33.00	$33.00	$3.84–$54.00	—	—
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$61.00	$61.00	$5.43–$54.00	58% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$61.00	$61.00	$5.43–$54.00	—	—
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$65.00	$65.00	$12.51–$54.00	21% below	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$65.00	$65.00	$12.51–$54.00	—	—
Transferrin blood test CPT 84466 TRANSFERRIN	$84.00	$84.00	$11.25–$68.04	16% above	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$84.00	$84.00	$11.25–$68.04	—	—
Trichomonas test (NAAT) CPT 87661 T.VAGINAL AMP PROBE - INHOUSE	$76.00	$76.00	$30.95–$120.63	25% below	—
Trichomonas test (NAAT) CPT 87661 T.VAGINALIS AMPLIFIED PROBE	$98.00	$98.00	$30.95–$120.63	3% below	—
Trichomonas test (NAAT) inpatient CPT 87661 T.VAGINAL AMP PROBE - INHOUSE	$76.00	$76.00	$30.95–$120.63	—	—
Trichomonas test (NAAT) inpatient CPT 87661 T.VAGINALIS AMPLIFIED PROBE	$98.00	$98.00	$30.95–$120.63	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$38.00	$38.00	$5.06–$54.00	25% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$38.00	$38.00	$5.06–$54.00	—	—
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$95.00	$95.00	$9.26–$76.95	29% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANT	$95.00	$95.00	$9.26–$76.95	—	—
Uric acid blood test CPT 84550 URIC ACID BLOOD	$36.00	$36.00	$3.99–$54.00	13% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$36.00	$36.00	$3.99–$54.00	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED W/ MICRO	$31.00	$31.00	$2.80–$54.00	9% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTOMATED W/ MICRO	$31.00	$31.00	$2.80–$54.00	—	—
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTOMATED W/ MI	$17.00	$17.00	$2.98–$54.00	13% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTOMATED W/ MI	$17.00	$17.00	$2.98–$54.00	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO	$28.00	$28.00	$1.68–$54.00	31% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO	$28.00	$28.00	$1.68–$54.00	—	—
Urinalysis without microscope exam, manual CPT 81002 OBGYN Urinalysis	$17.00	$17.00	$2.41–$14.79	15% below	—
Urinalysis without microscope exam, manual CPT 81002 PCP Urine Dip	$18.00	$18.00	$2.41–$54.00	10% below	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTOMATED W/O M	$24.00	$24.00	$2.41–$54.00	20% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 OBGYN Urinalysis	$17.00	$17.00	$2.41–$14.79	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 PCP Urine Dip	$18.00	$18.00	$2.41–$54.00	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTOMATED W/O M	$24.00	$24.00	$2.41–$54.00	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE & COLONY CT	$74.00	$74.00	$6.04–$59.94	76% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE & COLONY CT	$74.00	$74.00	$6.04–$59.94	—	—
Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE QUANT	$39.00	$39.00	$5.09–$54.00	7% below	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$39.00	$39.00	$5.09–$54.00	7% below	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN	$39.00	$39.00	$5.09–$54.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE QUANT	$39.00	$39.00	$5.09–$54.00	—	—
Urine pregnancy test, read by color change CPT 81025 PCP PREGNANCY TEST URINE	$35.00	$35.00	$5.95–$30.45	18% above	—
Urine pregnancy test, read by color change CPT 81025 OBGYN PREGNANCY URINE TEST	$38.00	$38.00	$5.95–$33.06	28% above	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL	$38.00	$38.00	$5.95–$54.00	28% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PCP PREGNANCY TEST URINE	$35.00	$35.00	$5.95–$30.45	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 OBGYN PREGNANCY URINE TEST	$38.00	$38.00	$5.95–$33.06	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL	$38.00	$38.00	$5.95–$54.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$107.00	$107.00	$11.29–$86.67	27% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$107.00	$107.00	$11.29–$86.67	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$142.00	$142.00	$26.11–$115.02	4% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$142.00	$142.00	$26.11–$115.02	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25DIHYDRXY INCLUDNG FRAC	$184.00	$184.00	$33.96–$149.04	1% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1 25DIHYDRXY INCLUDNG FRAC	$184.00	$184.00	$33.96–$149.04	—	—
Zinc blood test CPT 84630 ZINC	$36.00	$36.00	$10.05–$54.00	47% below	—
Zinc blood test inpatient CPT 84630 ZINC	$36.00	$36.00	$10.05–$54.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$138.00	$138.00	$13.27–$111.78	37% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$138.00	$138.00	$13.27–$111.78	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 ASA APPENDECTOMY FOR PERF	$1,986.00	$1,986.00	$595.80–$1,930.39	—	—
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 ASA APPENDECTOMY FOR PERF	$1,986.00	$1,986.00	$595.80–$1,930.39	—	—
Appendectomy, open surgery CPT 44950 ASA APPENDECTOMY	$1,463.00	$1,463.00	$617.82–$11,161.32	87% below	—
Appendectomy, open surgery inpatient CPT 44950 ASA APPENDECTOMY	$1,463.00	$1,463.00	$617.82–$11,161.32	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 ASA BX BRST 1ST LESION STRTCTC	$1,073.00	$1,073.00	$158.81–$2,391.85	54% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREOTACTIC BREAST BX	$2,860.00	$2,860.00	$1,207.78–$2,850.00	21% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOT BIOP LEFT BREAST	$1,989.00	$1,989.00	$839.95–$2,850.00	16% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOTACT BIOP RT BREAST	$1,989.00	$1,989.00	$839.95–$2,850.00	16% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 ASA BX BRST 1ST LESION STRTCTC	$1,073.00	$1,073.00	$158.81–$2,391.85	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREOTACTIC BREAST BX	$2,860.00	$2,860.00	$1,207.78–$2,850.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 STEREOTACT BIOP RT BREAST	$1,989.00	$1,989.00	$839.95–$2,850.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 STEREOT BIOP LEFT BREAST	$1,989.00	$1,989.00	$839.95–$2,850.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HOSP CLTX DSTL FIBULA FX	$614.00	$614.00	$259.29–$596.81	35% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ORTH CLTX DSTL FIB FX	$622.00	$622.00	$262.67–$604.58	34% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX DISTAL FIBULAR W/O MAN	$1,591.00	$1,591.00	$264.78–$1,546.45	68% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HOSP CLTX DSTL FIBULA FX	$614.00	$614.00	$259.29–$596.81	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ORTH CLTX DSTL FIB FX	$622.00	$622.00	$262.67–$604.58	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX DISTAL FIBULAR W/O MAN	$1,591.00	$1,591.00	$264.78–$1,546.45	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HOSP CLTX METATARSAL FX	$442.00	$442.00	$186.66–$429.62	37% below	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ORTH CLOSED RX METATARSAL FX	$450.00	$450.00	$190.04–$437.40	36% below	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL CLSD W/O	$768.00	$768.00	$264.78–$746.50	9% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HOSP CLTX METATARSAL FX	$442.00	$442.00	$186.66–$429.62	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ORTH CLOSED RX METATARSAL FX	$450.00	$450.00	$190.04–$437.40	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX METATARSAL CLSD W/O	$768.00	$768.00	$264.78–$746.50	—	—
Cardiac catheterization with coronary angiogram CPT 93458 CAR Lft Hrt Art/Ventricle Ang	$1,623.00	$1,623.00	$685.39–$4,807.28	78% below	—
Cardiac catheterization with coronary angiogram one side CPT 93458 CORONARY W/ LT CATH	$9,316.00	$9,316.00	$1,241.89–$7,545.96	24% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CAR Lft Hrt Art/Ventricle Ang	$1,623.00	$1,623.00	$685.39–$4,807.28	—	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CORONARY W/ LT CATH	$9,316.00	$9,316.00	$1,241.89–$7,545.96	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 INTV CARDIOVERSION	$369.00	$369.00	$106.30–$960.14	69% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,947.00	$1,947.00	$248.04–$1,577.07	64% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 INTV CARDIOVERSION	$369.00	$369.00	$106.30–$960.14	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,947.00	$1,947.00	$248.04–$1,577.07	—	—
Carpal tunnel release, open surgery CPT 64721 ORTH RELEASE MEDIAN/CARPAL TUN	$952.00	$952.00	$402.03–$2,848.43	78% below	—
Carpal tunnel release, open surgery inpatient CPT 64721 ORTH RELEASE MEDIAN/CARPAL TUN	$952.00	$952.00	$402.03–$2,848.43	—	—
Cervical biopsy CPT 57500 OBGYN Biopsy of cervix single	$302.00	$302.00	$75.05–$1,186.00	75% below	—
Cervical biopsy CPT 57500 OBGYN Bx of cervix sngl/multi	$302.00	$302.00	$75.05–$1,186.00	75% below	—
Cervical biopsy inpatient CPT 57500 OBGYN Biopsy of cervix single	$302.00	$302.00	$75.05–$1,186.00	—	—
Cervical biopsy inpatient CPT 57500 OBGYN Bx of cervix sngl/multi	$302.00	$302.00	$75.05–$1,186.00	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 OBGYN C/SECT ANTE &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 PCP C/SECT ANTE &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OBGYN C/SECT ANTE &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PCP C/SECT ANTE &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 OBGYN CIRCUMCISION CLAMP	$345.00	$345.00	$94.19–$3,004.86	82% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PCP CIRCUMCISION CLAMP	$345.00	$345.00	$94.19–$3,004.86	82% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCSN W/DEV;EXC NEWBN	$3,962.00	$3,962.00	$1,673.15–$3,851.06	102% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUM USING CLAMP/OTHR DEV; R	$4,768.00	$4,768.00	$2,013.53–$4,700.00	143% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 OBGYN CIRCUMCISION CLAMP	$345.00	$345.00	$94.19–$3,004.86	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PCP CIRCUMCISION CLAMP	$345.00	$345.00	$94.19–$3,004.86	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCSN W/DEV;EXC NEWBN	$3,962.00	$3,962.00	$1,673.15–$3,851.06	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUM USING CLAMP/OTHR DEV; R	$4,768.00	$4,768.00	$2,013.53–$4,700.00	—	—
Circumcision, surgical, older than a newborn CPT 54160 PCP CIRCUMCISION SURGICAL	$495.00	$495.00	$145.14–$1,007.77	72% below	—
Circumcision, surgical, older than a newborn CPT 54160 OBGYN CIRCUMCISION SURGICAL	$495.00	$495.00	$145.14–$1,007.77	72% below	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 OBGYN CIRCUMCISION SURGICAL	$495.00	$495.00	$145.14–$1,007.77	—	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 PCP CIRCUMCISION SURGICAL	$495.00	$495.00	$145.14–$1,007.77	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX RAD DIS CLSD W/O MANIP	$655.00	$655.00	$264.78–$636.66	5% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ORTH CLOSED RX WRIST FX	$676.00	$676.00	$264.78–$657.07	8% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HOSP CLTX DSTL RADIAL FX	$709.00	$709.00	$264.78–$689.15	13% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX RAD DIS CLSD W/O MANIP	$655.00	$655.00	$264.78–$636.66	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ORTH CLOSED RX WRIST FX	$676.00	$676.00	$264.78–$657.07	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HOSP CLTX DSTL RADIAL FX	$709.00	$709.00	$264.78–$689.15	—	—
Colonoscopy with polyp removal CPT 45385 ASA LESION RMVL COLONOSCOPY	$880.00	$880.00	$248.77–$1,740.93	67% below	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY BIOPSY/SNARE	$2,603.00	$2,603.00	$1,099.25–$2,530.12	4% below	—
Colonoscopy with polyp removal inpatient CPT 45385 ASA LESION RMVL COLONOSCOPY	$880.00	$880.00	$248.77–$1,740.93	—	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY BIOPSY/SNARE	$2,603.00	$2,603.00	$1,099.25–$2,530.12	—	—
Colonoscopy with tissue sample CPT 45380 ASA COLONOSCOPY AND BX	$990.00	$990.00	$196.72–$1,740.93	57% below	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY FLEXI	$2,764.00	$2,764.00	$1,127.14–$2,686.61	19% above	—
Colonoscopy with tissue sample inpatient CPT 45380 ASA COLONOSCOPY AND BX	$990.00	$990.00	$196.72–$1,740.93	—	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY FLEXI	$2,764.00	$2,764.00	$1,127.14–$2,686.61	—	—
Colonoscopy, diagnostic CPT 45378 ASA DIAGNOSTIC COLONOSCOPY	$843.00	$843.00	$356.00–$1,348.35	61% below	—
Colonoscopy, diagnostic CPT 45378 SCRN-COLONOSCOPY	$2,764.00	$2,764.00	$884.19–$2,686.61	29% above	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC FLEXI	$2,764.00	$2,764.00	$884.19–$2,686.61	29% above	—
Colonoscopy, diagnostic inpatient CPT 45378 ASA DIAGNOSTIC COLONOSCOPY	$843.00	$843.00	$356.00–$1,348.35	—	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC FLEXI	$2,764.00	$2,764.00	$884.19–$2,686.61	—	—
Colonoscopy, diagnostic inpatient CPT 45378 SCRN-COLONOSCOPY	$2,764.00	$2,764.00	$884.19–$2,686.61	—	—
Coronary stent placement, one artery CPT 92928 CAR PRQ Card Stnt w/Angio 1vsl	$2,525.00	$2,525.00	$559.90–$16,229.76	86% below	—
Coronary stent placement, one artery CPT 92928 BMS STENT SINGLE MAJOR ARTERY/	$14,364.00	$14,364.00	$4,192.72–$16,229.76	19% below	—
Coronary stent placement, one artery CPT 92928 DES STENT SINGLE MAJOR ARTERY/	$19,067.00	$19,067.00	$4,192.72–$18,533.12	7% above	—
Coronary stent placement, one artery inpatient CPT 92928 CAR PRQ Card Stnt w/Angio 1vsl	$2,525.00	$2,525.00	$559.90–$16,229.76	—	—
Coronary stent placement, one artery inpatient CPT 92928 BMS STENT SINGLE MAJOR ARTERY/	$14,364.00	$14,364.00	$4,192.72–$16,229.76	—	—
Coronary stent placement, one artery inpatient CPT 92928 DES STENT SINGLE MAJOR ARTERY/	$19,067.00	$19,067.00	$4,192.72–$18,533.12	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT 1ST LESION	$201.00	$201.00	$84.88–$295.35	26% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT 1ST LESION	$201.00	$201.00	$84.88–$295.35	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMP CERUMEN IRR/LAVAGE	$138.00	$138.00	$58.28–$134.14	34% below	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 PCP RMVL IMP CERUMEN UNILAT	$40.00	$40.00	$16.59–$90.23	81% below	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMP CERUMEN IRR/LAVAGE	$138.00	$138.00	$58.28–$134.14	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 PCP RMVL IMP CERUMEN UNILAT	$40.00	$40.00	$16.59–$90.23	—	—
Earwax removal with instruments, one ear CPT 69210 PCP EAR IRRIGATION	$86.00	$86.00	$32.13–$90.23	68% below	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMP CERUMEN (SEP)	$787.00	$787.00	$68.68–$764.96	193% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 PCP EAR IRRIGATION	$86.00	$86.00	$32.13–$90.23	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMP CERUMEN (SEP)	$787.00	$787.00	$68.68–$764.96	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PCP Bx Uterine Lining	$369.00	$369.00	$62.18–$358.67	31% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ASA BX OF UTERUS LINING	$825.00	$825.00	$62.18–$801.90	55% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PCP Bx Uterine Lining	$369.00	$369.00	$62.18–$358.67	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ASA BX OF UTERUS LINING	$825.00	$825.00	$62.18–$801.90	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL STERIOD INJ CERVICAL/	$2,002.00	$2,002.00	$684.61–$1,950.00	16% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL STERIOD INJ CERVICAL/	$2,002.00	$2,002.00	$684.61–$1,950.00	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR/SACRAL FACET INJ	$3,240.00	$3,240.00	$462.49–$3,149.28	29% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMBAR/SACRAL FACET INJ	$3,240.00	$3,240.00	$462.49–$3,149.28	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 ASA RPR ANT ABD HER 3-10cm RED	$637.00	$637.00	$269.01–$5,103.96	90% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 ASA RPR ANT ABD HER 3-10cm RED	$637.00	$637.00	$269.01–$5,103.96	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 ASA RPR ANT ABD HER>10cm REDUC	$856.00	$856.00	$361.49–$5,103.96	79% below	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 ASA RPR ANT ABD HER>10cm REDUC	$856.00	$856.00	$361.49–$5,103.96	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 ASA RPR ANT ABD HER <3cm REDUC	$415.00	$415.00	$175.25–$5,103.96	94% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 ASA RPR ANT ABD HER <3cm REDUC	$415.00	$415.00	$175.25–$5,103.96	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 ASA DIAGNOSTIC SIGMOIDOSCOPY	$319.00	$319.00	$56.46–$1,348.35	82% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$1,205.00	$1,205.00	$483.33–$1,348.35	34% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 ASA DIAGNOSTIC SIGMOIDOSCOPY	$319.00	$319.00	$56.46–$1,348.35	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$1,205.00	$1,205.00	$483.33–$1,348.35	—	—
Gallbladder removal, laparoscopic CPT 47562 ASA LAPAROSCOPIC CHOLECYSTECT	$2,750.00	$2,750.00	$654.06–$8,512.32	74% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 ASA LAPAROSCOPIC CHOLECYSTECT	$2,750.00	$2,750.00	$654.06–$8,512.32	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 ASA LAPARO CHOLECYSTECT/GRAPH	$2,805.00	$2,805.00	$710.55–$8,512.32	77% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 ASA LAPARO CHOLECYSTECT/GRAPH	$2,805.00	$2,805.00	$710.55–$8,512.32	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 ASA SURG ASST CHOLECYSTECTOMY	$545.00	$545.00	$163.50–$1,055.14	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 ASA CHOLECYSTECTOMY	$3,025.00	$3,025.00	$907.50–$2,940.30	—	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 ASA SURG ASST CHOLECYSTECTOMY	$545.00	$545.00	$163.50–$1,055.14	—	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 ASA CHOLECYSTECTOMY	$3,025.00	$3,025.00	$907.50–$2,940.30	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 ASA LIGATION OF HEMORRHOID(S)	$770.00	$770.00	$195.06–$1,348.35	60% below	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 ASA LIGATION OF HEMORRHOID(S)	$770.00	$770.00	$195.06–$1,348.35	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 ASA EXC HEMO INT/EXT SNG CO/GR	$1,045.00	$1,045.00	$357.21–$4,142.28	88% below	—
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMOROIDECTOMY INT & EXT	$4,094.00	$4,094.00	$1,728.90–$4,142.28	52% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 ASA EXC HEMO INT/EXT SNG CO/GR	$1,045.00	$1,045.00	$357.21–$4,142.28	—	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMOROIDECTOMY INT & EXT	$4,094.00	$4,094.00	$1,728.90–$4,142.28	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 ORTH CNV PREV HIP TO THA	$3,581.00	$3,581.00	$1,074.30–$3,480.73	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 ORTH CNV PREV HIP TO THA	$3,581.00	$3,581.00	$1,074.30–$3,480.73	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 ASA TOTAL HYSTERECTOMY	$715.00	$715.00	$214.50–$1,013.60	90% below	—
Hysterectomy through an abdominal incision (total) CPT 58150 OBGYN TOTAL ABDM HYSTERECTOMY	$1,430.00	$1,430.00	$429.00–$1,389.96	80% below	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 ASA TOTAL HYSTERECTOMY	$715.00	$715.00	$214.50–$1,013.60	—	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 OBGYN TOTAL ABDM HYSTERECTOMY	$1,430.00	$1,430.00	$429.00–$1,389.96	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH FOR HYSTEROGRAPHY	$736.00	$736.00	$220.80–$715.39	78% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH FOR HYSTEROGRAPHY	$736.00	$736.00	$220.80–$715.39	—	—
Hysteroscopy with endometrial ablation CPT 58563 OBGYN HYSTEROSCOPY ENDOMABLA	$5,247.00	$5,247.00	$242.40–$7,337.90	4% below	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 OBGYN HYSTEROSCOPY ENDOMABLA	$5,247.00	$5,247.00	$242.40–$7,337.90	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 OBGYN HYSTEROSCOPY BX ENDO	$3,470.00	$3,470.00	$228.24–$4,612.26	45% below	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 OBGYN HYSTEROSCOPY BX ENDO	$3,470.00	$3,470.00	$228.24–$4,612.26	—	—
IUD insertion (the device itself billed separately) CPT 58300 PCP Insertion of IUD Only	$297.00	$297.00	$89.10–$288.68	50% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 PCP Insertion of IUD Only	$297.00	$297.00	$89.10–$288.68	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 PCP I&D ABSCESS SINGLE/SIMPLE	$174.00	$174.00	$73.48–$295.35	65% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 PCP I&D Single/Simple	$185.00	$185.00	$78.13–$295.35	63% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 HOSP I&D ABCESS SIMPLE/SINGLE	$222.00	$222.00	$93.75–$295.35	55% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 OBGYN I&D ABSCES SINGLE/SIMPLE	$267.00	$267.00	$108.98–$295.35	46% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 ORTH I&D ABCESS SIMPLE/SINGLE	$267.00	$267.00	$108.98–$295.35	46% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 INTV I&D ABSCESS SIMPLE/SINGLE	$267.00	$267.00	$108.98–$295.35	46% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 ASA I&D SINGL/SIMPL	$325.00	$325.00	$108.98–$315.90	34% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I/D OF ABSCS-SIMP OR SING	$346.00	$346.00	$146.12–$1,950.00	30% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMP INC CYST	$774.00	$774.00	$224.79–$752.33	56% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PCP I&D ABSCESS SINGLE/SIMPLE	$174.00	$174.00	$73.48–$295.35	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PCP I&D Single/Simple	$185.00	$185.00	$78.13–$295.35	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HOSP I&D ABCESS SIMPLE/SINGLE	$222.00	$222.00	$93.75–$295.35	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INTV I&D ABSCESS SIMPLE/SINGLE	$267.00	$267.00	$108.98–$295.35	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OBGYN I&D ABSCES SINGLE/SIMPLE	$267.00	$267.00	$108.98–$295.35	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ORTH I&D ABCESS SIMPLE/SINGLE	$267.00	$267.00	$108.98–$295.35	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ASA I&D SINGL/SIMPL	$325.00	$325.00	$108.98–$315.90	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I/D OF ABSCS-SIMP OR SING	$346.00	$346.00	$146.12–$1,950.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMP INC CYST	$774.00	$774.00	$224.79–$752.33	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 ASA PRP I/HERN INIT REDUC>5 YR	$1,458.00	$1,458.00	$520.70–$5,103.96	81% below	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 ASA PRP I/HERN INIT REDUC>5 YR	$1,458.00	$1,458.00	$520.70–$5,103.96	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PCP TRIGGER FINGER INJECTION	$79.00	$79.00	$33.36–$436.95	83% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HOSP INJ TENDON SHEATH/LIGAMNT	$91.00	$91.00	$38.35–$436.95	80% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH OR LIG	$535.00	$535.00	$150.97–$1,950.00	17% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION LIGAMENT	$607.00	$607.00	$256.34–$590.00	33% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PCP TRIGGER FINGER INJECTION	$79.00	$79.00	$33.36–$436.95	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HOSP INJ TENDON SHEATH/LIGAMNT	$91.00	$91.00	$38.35–$436.95	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON SHEATH OR LIG	$535.00	$535.00	$150.97–$1,950.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION LIGAMENT	$607.00	$607.00	$256.34–$590.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HOSP DRAIN/INJ LARGE JT/BURSA	$99.00	$99.00	$41.81–$436.95	82% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INTV ARTHROCENTESIS ASPIR&/INJ	$108.00	$108.00	$44.98–$436.95	80% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ORTH DRAIN/INJ LARGE JT/BURSA	$134.00	$134.00	$56.59–$436.95	76% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PCP ARTHOCENTESIS MAJOR JOINT	$134.00	$134.00	$44.98–$436.95	76% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PCP JOINT INJECTION	$158.00	$158.00	$44.98–$436.95	71% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJ JOINT ASPIR BX INJEC	$658.00	$658.00	$170.07–$1,950.00	19% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTISIS JT LG	$697.00	$697.00	$294.34–$677.48	26% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HOSP DRAIN/INJ LARGE JT/BURSA	$99.00	$99.00	$41.81–$436.95	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INTV ARTHROCENTESIS ASPIR&/INJ	$108.00	$108.00	$44.98–$436.95	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PCP ARTHOCENTESIS MAJOR JOINT	$134.00	$134.00	$44.98–$436.95	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ORTH DRAIN/INJ LARGE JT/BURSA	$134.00	$134.00	$56.59–$436.95	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PCP JOINT INJECTION	$158.00	$158.00	$44.98–$436.95	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJ JOINT ASPIR BX INJEC	$658.00	$658.00	$170.07–$1,950.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTISIS JT LG	$697.00	$697.00	$294.34–$677.48	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PCP INSR DRUG DEL IMP	$319.00	$319.00	$61.50–$310.07	41% below	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PCP INSR DRUG DEL IMP	$319.00	$319.00	$61.50–$310.07	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HOSP DRAIN/INJ INTERM JT/BURS	$81.00	$81.00	$34.21–$436.95	85% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTV ARTHROCENTESIS ASPIR&/INJ	$108.00	$108.00	$36.46–$436.95	80% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ORTH DRAIN/INJ INTERM JT/BURS	$112.00	$112.00	$47.30–$436.95	79% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MEDIUM JOINT ASP/INJ	$671.00	$671.00	$144.03–$1,950.00	25% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTISIS JT MED	$697.00	$697.00	$294.34–$677.48	29% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HOSP DRAIN/INJ INTERM JT/BURS	$81.00	$81.00	$34.21–$436.95	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTV ARTHROCENTESIS ASPIR&/INJ	$108.00	$108.00	$36.46–$436.95	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ORTH DRAIN/INJ INTERM JT/BURS	$112.00	$112.00	$47.30–$436.95	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MEDIUM JOINT ASP/INJ	$671.00	$671.00	$144.03–$1,950.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTISIS JT MED	$697.00	$697.00	$294.34–$677.48	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HOSP DRAIN/INJ SM JOINT/BURSA	$82.00	$82.00	$34.63–$436.95	85% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ORTH DRAIN/INJ SM JOINT/BURSA	$106.00	$106.00	$44.76–$436.95	80% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT ASP/INJ	$671.00	$671.00	$140.56–$1,950.00	25% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTISIS JT SM	$698.00	$698.00	$294.77–$678.46	30% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HOSP DRAIN/INJ SM JOINT/BURSA	$82.00	$82.00	$34.63–$436.95	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ORTH DRAIN/INJ SM JOINT/BURSA	$106.00	$106.00	$44.76–$436.95	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT ASP/INJ	$671.00	$671.00	$140.56–$1,950.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTISIS JT SM	$698.00	$698.00	$294.77–$678.46	—	—
Knee arthroscopy with meniscus trim CPT 29881 ORTH ARTHRS KN SURG W/MENISC	$1,170.00	$1,170.00	$494.09–$4,775.24	88% below	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 ORTH ARTHRS KN SURG W/MENISC	$1,170.00	$1,170.00	$494.09–$4,775.24	—	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 ASA LAP GASTRIC BYPSS/ROUXENY	$5,225.00	$5,225.00	$1,567.50–$5,078.70	—	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 ASA LAP GASTRIC BYPSS/ROUXENY	$5,225.00	$5,225.00	$1,567.50–$5,078.70	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 ASA LAPRSC/APPENDECTOMY	$1,815.00	$1,815.00	$597.68–$8,512.32	79% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 ASA LAPRSC/APPENDECTOMY	$1,815.00	$1,815.00	$597.68–$8,512.32	—	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 OBGYN TLH UTERUS 250g OR LESS	$1,819.00	$1,819.00	$768.16–$15,186.09	—	—
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 OBGYN TLH UTERUS 250g OR LESS	$1,819.00	$1,819.00	$768.16–$15,186.09	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 OBGYN TLH W/TUB/OV 250g OR LES	$2,049.00	$2,049.00	$865.29–$15,186.09	84% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 OBGYN TLH W/TUB/OV 250g OR LES	$2,049.00	$2,049.00	$865.29–$15,186.09	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 ASA LAPARO HERNIA RPR INIT	$1,870.00	$1,870.00	$432.68–$8,512.32	79% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 ASA LAPARO HERNIA RPR INIT	$1,870.00	$1,870.00	$432.68–$8,512.32	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 ASA LAPARO HERNIA RPR RECUR	$1,925.00	$1,925.00	$564.22–$8,512.32	80% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 ASA LAPARO HERNIA RPR RECUR	$1,925.00	$1,925.00	$564.22–$8,512.32	—	—
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 ASA LAP REM ADJ GAST BAND/PORT	$3,300.00	$3,300.00	$946.44–$5,649.95	10% below	—
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 ASA LAP REM ADJ GAST BAND/PORT	$3,300.00	$3,300.00	$946.44–$5,649.95	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 ASA LAPAROSCOPY/REM ADNEXA	$1,100.00	$1,100.00	$464.53–$8,512.32	86% below	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 ASA LAPAROSCOPY/REM ADNEXA	$1,100.00	$1,100.00	$464.53–$8,512.32	—	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 ASA LAP SLEEVE GASTRECTOMY	$4,400.00	$4,400.00	$1,073.03–$4,276.80	—	—
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 ASA LAP SLEEVE GASTRECTOMY	$4,400.00	$4,400.00	$1,073.03–$4,276.80	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ORTH INT RPR S/A/T/EXT 2.5CM<	$345.00	$345.00	$145.69–$588.26	54% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAYER SCALP/EXT TO2.5	$697.00	$697.00	$294.34–$677.48	7% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ASA LAYER CLOS WND <=2.5CM	$825.00	$825.00	$152.68–$801.90	10% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ORTH INT RPR S/A/T/EXT 2.5CM<	$345.00	$345.00	$145.69–$588.26	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAYER SCALP/EXT TO2.5	$697.00	$697.00	$294.34–$677.48	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ASA LAYER CLOS WND <=2.5CM	$825.00	$825.00	$152.68–$801.90	—	—
Left heart catheterization, diagnostic CPT 93452 CAR Lft Hrt Cath w/Ventrclgphy	$1,100.00	$1,100.00	$464.53–$4,807.28	86% below	—
Left heart catheterization, diagnostic inpatient CPT 93452 CAR Lft Hrt Cath w/Ventrclgphy	$1,100.00	$1,100.00	$464.53–$4,807.28	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 SPINAL INJ W/IMAGING GUIDANCE	$1,896.00	$1,896.00	$673.34–$1,950.00	7% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SPINAL INJ W/IMAGING GUIDANCE	$1,896.00	$1,896.00	$673.34–$1,950.00	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/THX SUB INTRLMNR WO IMG	$1,416.00	$1,416.00	$597.98–$1,376.35	at median	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/THX SUB INTRLMNR WO IMG	$1,416.00	$1,416.00	$597.98–$1,376.35	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPIDURAL INJ L	$1,678.00	$1,678.00	$642.09–$1,950.00	6% below	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL EPIDURAL INJ L	$1,678.00	$1,678.00	$642.09–$1,950.00	—	—
Lumpectomy (partial mastectomy) CPT 19301 ASA PARTIAL MASTECTOMY	$1,925.00	$1,925.00	$655.59–$5,623.37	84% below	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 ASA PARTIAL MASTECTOMY	$1,925.00	$1,925.00	$655.59–$5,623.37	—	—
Mastectomy (total removal of the breast) CPT 19303 ASA MAST/SIMPL/COMPLETE	$2,365.00	$2,365.00	$949.01–$9,620.41	75% below	—
Mastectomy (total removal of the breast) inpatient CPT 19303 ASA MAST/SIMPL/COMPLETE	$2,365.00	$2,365.00	$949.01–$9,620.41	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 OBGYN CARE OF MISCARRIAGE	$572.00	$572.00	$241.56–$4,612.26	88% below	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 OBGYN CARE OF MISCARRIAGE	$572.00	$572.00	$241.56–$4,612.26	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PCP EXC TR-EXT B9 MARG 0.5 <CM	$130.00	$130.00	$54.90–$1,037.97	85% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ASA EXC B TR-EXT B9 MG 0.5<CM	$358.00	$358.00	$86.25–$1,037.97	60% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCIS BENIGN LES TR ARM	$726.00	$726.00	$306.59–$1,037.97	19% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PCP EXC TR-EXT B9 MARG 0.5 <CM	$130.00	$130.00	$54.90–$1,037.97	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ASA EXC B TR-EXT B9 MG 0.5<CM	$358.00	$358.00	$86.25–$1,037.97	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCIS BENIGN LES TR ARM	$726.00	$726.00	$306.59–$1,037.97	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ASA EXC FACE-MM B9 MAR 0.5<CM	$310.00	$310.00	$110.10–$1,037.97	65% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE BEN LESION FACE .5	$693.00	$693.00	$292.65–$1,037.97	22% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 ASA EXC FACE-MM B9 MAR 0.5<CM	$310.00	$310.00	$110.10–$1,037.97	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISE BEN LESION FACE .5	$693.00	$693.00	$292.65–$1,037.97	—	—
Nail removal (partial or complete), one nail CPT 11730 PCP Rem of Nail Plat	$198.00	$198.00	$53.29–$295.35	47% below	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$787.00	$787.00	$224.79–$764.96	111% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 PCP Rem of Nail Plat	$198.00	$198.00	$53.29–$295.35	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$787.00	$787.00	$224.79–$764.96	—	—
Occipital nerve block (injection for headaches) CPT 64405 INJ.ANESTH.AGENT;GREATER OCCIP	$1,001.00	$1,001.00	$196.97–$1,950.00	12% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ.ANESTH.AGENT;GREATER OCCIP	$1,001.00	$1,001.00	$196.97–$1,950.00	—	—
Pacemaker implant (dual chamber) CPT 33208 INSRT/REPL DUAL A&V/TV	$25,977.00	$25,977.00	$4,496.80–$25,249.64	64% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT/REPL DUAL A&V/TV	$25,977.00	$25,977.00	$4,496.80–$25,249.64	—	—
Paracentesis with imaging guidance CPT 49083 INTV ABD PARACENTESIS W/IMG	$237.00	$237.00	$100.09–$1,337.32	86% below	—
Paracentesis with imaging guidance CPT 49083 PARACENTESIS DIAG OR THERAP	$1,188.00	$1,188.00	$501.69–$2,850.00	32% below	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/ IMAGING	$1,188.00	$1,188.00	$501.69–$1,337.32	32% below	—
Paracentesis with imaging guidance inpatient CPT 49083 INTV ABD PARACENTESIS W/IMG	$237.00	$237.00	$100.09–$1,337.32	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS DIAG OR THERAP	$1,188.00	$1,188.00	$501.69–$2,850.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/ IMAGING	$1,188.00	$1,188.00	$501.69–$1,337.32	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$697.00	$697.00	$294.34–$677.48	26% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$697.00	$697.00	$294.34–$677.48	—	—
Prostate biopsy CPT 55700 PROSTATE	$2,879.00	$2,879.00	$627.35–$3,004.86	1% below	—
Prostate biopsy CPT 55700 U/S BX PROSTATE	$2,879.00	$2,879.00	$627.35–$3,004.86	1% below	—
Prostate biopsy CPT 55700 MRI FUSION PROSTATE	$3,300.00	$3,300.00	$627.35–$3,207.60	14% above	—
Prostate biopsy inpatient CPT 55700 U/S BX PROSTATE	$2,879.00	$2,879.00	$627.35–$3,004.86	—	—
Prostate biopsy inpatient CPT 55700 PROSTATE	$2,879.00	$2,879.00	$627.35–$3,004.86	—	—
Prostate biopsy inpatient CPT 55700 MRI FUSION PROSTATE	$3,300.00	$3,300.00	$627.35–$3,207.60	—	—
Removal of a breast lump, open surgery CPT 19120 ASA RMVL OF BRST LESION	$1,293.00	$1,293.00	$418.54–$5,623.37	80% below	—
Removal of a breast lump, open surgery CPT 19120 EXCYST FIBR TUM BRST TIS1+MORE	$7,523.00	$7,523.00	$3,176.96–$7,312.36	16% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 ASA RMVL OF BRST LESION	$1,293.00	$1,293.00	$418.54–$5,623.37	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 EXCYST FIBR TUM BRST TIS1+MORE	$7,523.00	$7,523.00	$3,176.96–$7,312.36	—	—
Removal of a foreign object under the skin, simple CPT 10120 PCP REMOVE FOREIGN BODY	$228.00	$228.00	$96.28–$588.26	58% below	—
Removal of a foreign object under the skin, simple CPT 10120 ASA REMOVE FB	$495.00	$495.00	$107.77–$588.26	9% below	—
Removal of a foreign object under the skin, simple CPT 10120 INC&REMOVE FB SUBCUT SIMP	$697.00	$697.00	$294.34–$677.48	28% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 PCP REMOVE FOREIGN BODY	$228.00	$228.00	$96.28–$588.26	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 ASA REMOVE FB	$495.00	$495.00	$107.77–$588.26	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&REMOVE FB SUBCUT SIMP	$697.00	$697.00	$294.34–$677.48	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 ASA PARTIAL RMVL OF THYROID	$1,650.00	$1,650.00	$696.80–$8,512.32	72% below	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 ASA PARTIAL RMVL OF THYROID	$1,650.00	$1,650.00	$696.80–$8,512.32	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 ASA ColrecCaScr;ColnscNoHiRisk	$825.00	$825.00	$247.50–$1,667.14	58% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN-COLONOSCOPY (NON HR)	$2,764.00	$2,764.00	$348.32–$2,686.61	41% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 ASA ColrecCaScr;ColnscNoHiRisk	$825.00	$825.00	$247.50–$1,667.14	—	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCRN-COLONOSCOPY (NON HR)	$2,764.00	$2,764.00	$348.32–$2,686.61	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN-COLONOSCOPY (HR)	$2,764.00	$2,764.00	$348.32–$2,686.61	36% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCRN-COLONOSCOPY (HR)	$2,764.00	$2,764.00	$348.32–$2,686.61	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY-SINGLE	$9,437.00	$9,437.00	$3,914.28–$9,172.76	9% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY-SINGLE	$9,437.00	$9,437.00	$3,914.28–$9,172.76	—	—
Short arm cast (elbow to hand) CPT 29075 ORTH SHORT ARM CAST	$136.00	$136.00	$57.43–$396.20	76% below	—
Short arm cast (elbow to hand) CPT 29075 HOSP SHORT ARM CAST	$194.00	$194.00	$63.25–$396.20	66% below	—
Short arm cast (elbow to hand) CPT 29075 CAST APPL. ELBOW TO FINGE	$605.00	$605.00	$255.49–$588.06	6% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 ORTH SHORT ARM CAST	$136.00	$136.00	$57.43–$396.20	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 HOSP SHORT ARM CAST	$194.00	$194.00	$63.25–$396.20	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 CAST APPL. ELBOW TO FINGE	$605.00	$605.00	$255.49–$588.06	—	—
Short arm splint (forearm and hand) CPT 29125 ORTH SHORT ARM SPLINT	$86.00	$86.00	$36.32–$188.45	74% below	—
Short arm splint (forearm and hand) CPT 29125 HOSP SHORT ARM SPLINT	$138.00	$138.00	$40.88–$188.45	58% below	—
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT SHORT ARM	$685.00	$685.00	$143.43–$665.82	109% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 ORTH SHORT ARM SPLINT	$86.00	$86.00	$36.32–$188.45	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 HOSP SHORT ARM SPLINT	$138.00	$138.00	$40.88–$188.45	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT SHORT ARM	$685.00	$685.00	$143.43–$665.82	—	—
Short leg cast (below the knee) CPT 29405 ORTH SHORT LEG CAST	$131.00	$131.00	$55.32–$396.20	79% below	—
Short leg cast (below the knee) CPT 29405 HOSP SHORT LEG CAST	$183.00	$183.00	$59.21–$396.20	71% below	—
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$602.00	$602.00	$254.22–$585.14	3% below	—
Short leg cast (below the knee) inpatient CPT 29405 ORTH SHORT LEG CAST	$131.00	$131.00	$55.32–$396.20	—	—
Short leg cast (below the knee) inpatient CPT 29405 HOSP SHORT LEG CAST	$183.00	$183.00	$59.21–$396.20	—	—
Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST	$602.00	$602.00	$254.22–$585.14	—	—
Short leg splint (calf to foot) CPT 29515 ORTH SHORT LEG SPLINT	$108.00	$108.00	$45.61–$232.46	69% below	—
Short leg splint (calf to foot) CPT 29515 HOSP SHORT LEG SPLINT	$156.00	$156.00	$50.11–$232.46	55% below	—
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$685.00	$685.00	$176.92–$665.82	98% above	—
Short leg splint (calf to foot) inpatient CPT 29515 ORTH SHORT LEG SPLINT	$108.00	$108.00	$45.61–$232.46	—	—
Short leg splint (calf to foot) inpatient CPT 29515 HOSP SHORT LEG SPLINT	$156.00	$156.00	$50.11–$232.46	—	—
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG	$685.00	$685.00	$176.92–$665.82	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HOSP RPR S/N/A/G/TR2.5CM/<	$101.00	$101.00	$42.65–$295.35	78% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ORTH RPR S/N/A/G/TR 2.5CM/<	$101.00	$101.00	$42.65–$295.35	78% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PCP LACERATION >2CM	$109.00	$109.00	$43.96–$295.35	76% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ASA RPR SUPRF WND(S) <=2.5CM	$550.00	$550.00	$43.96–$534.60	19% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMP H&N EXT GEN	$1,269.00	$1,269.00	$224.79–$1,233.47	175% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HOSP RPR S/N/A/G/TR2.5CM/<	$101.00	$101.00	$42.65–$295.35	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ORTH RPR S/N/A/G/TR 2.5CM/<	$101.00	$101.00	$42.65–$295.35	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PCP LACERATION >2CM	$109.00	$109.00	$43.96–$295.35	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ASA RPR SUPRF WND(S) <=2.5CM	$550.00	$550.00	$43.96–$534.60	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMP H&N EXT GEN	$1,269.00	$1,269.00	$224.79–$1,233.47	—	—
Skin biopsy, punch, one lesion CPT 11104 PCP PUNCH BIOPSY SKIN 1 LESIO	$282.00	$282.00	$46.23–$588.26	48% below	—
Skin biopsy, punch, one lesion CPT 11104 OBGYN PUNCH BIOPSYSKIN 1LESION	$282.00	$282.00	$46.23–$588.26	48% below	—
Skin biopsy, punch, one lesion CPT 11104 ASA PUNCH BX SKIN SINGL LESION	$385.00	$385.00	$46.23–$588.26	29% below	—
Skin biopsy, punch, one lesion inpatient CPT 11104 OBGYN PUNCH BIOPSYSKIN 1LESION	$282.00	$282.00	$46.23–$588.26	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PCP PUNCH BIOPSY SKIN 1 LESIO	$282.00	$282.00	$46.23–$588.26	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 ASA PUNCH BX SKIN SINGL LESION	$385.00	$385.00	$46.23–$588.26	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 ASA EXC M LES TRK EXT <=.5CM	$468.00	$468.00	$123.59–$1,037.97	49% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 ASA EXC M LES TRK EXT <=.5CM	$468.00	$468.00	$123.59–$1,037.97	—	—
Skin tag removal, up to 15 tags CPT 11200 PCP REMOV SKIN TAGS- UP TO 15	$163.00	$163.00	$68.83–$295.35	51% below	—
Skin tag removal, up to 15 tags CPT 11200 ASA RMVL OF SKIN TAGS >=15 LES	$201.00	$201.00	$78.29–$295.35	39% below	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS TO 15 LESN	$337.00	$337.00	$142.32–$327.56	2% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 PCP REMOV SKIN TAGS- UP TO 15	$163.00	$163.00	$68.83–$295.35	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 ASA RMVL OF SKIN TAGS >=15 LES	$201.00	$201.00	$78.29–$295.35	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS TO 15 LESN	$337.00	$337.00	$142.32–$327.56	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 INTV LUMBAR PUNCTURE	$241.00	$241.00	$61.91–$1,020.22	83% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HOSP LUMBAR PUNCTURE	$251.00	$251.00	$61.91–$1,020.22	82% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC. LUMBAR DIAG	$1,829.00	$1,829.00	$772.39–$1,777.79	32% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 INTV LUMBAR PUNCTURE	$241.00	$241.00	$61.91–$1,020.22	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HOSP LUMBAR PUNCTURE	$251.00	$251.00	$61.91–$1,020.22	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC. LUMBAR DIAG	$1,829.00	$1,829.00	$772.39–$1,777.79	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ASA RPR SUPRF WND(S) 2.6-7.5CM	$267.00	$267.00	$57.59–$295.35	43% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SIMP H&N 2.6-7.5CM	$389.00	$389.00	$164.27–$378.11	18% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMP H&N 2.6-7.5C	$697.00	$697.00	$224.79–$677.48	48% 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 ASA RPR SUPRF WND(S) 2.6-7.5CM	$267.00	$267.00	$57.59–$295.35	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SIMP H&N 2.6-7.5CM	$389.00	$389.00	$164.27–$378.11	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SIMP H&N 2.6-7.5C	$697.00	$697.00	$224.79–$677.48	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PCP SPERF WNDF/E/N/E 2.5CM or<	$272.00	$272.00	$54.31–$295.35	68% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ORTHO RPR SUP WND FACE <=2.5CM	$316.00	$316.00	$54.31–$307.15	63% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ASA RPR SUPRF WND FACE <=2.5CM	$385.00	$385.00	$54.31–$374.22	55% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SIMP FACE /MM TO2.5CM	$553.00	$553.00	$224.79–$537.52	36% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PCP SPERF WNDF/E/N/E 2.5CM or<	$272.00	$272.00	$54.31–$295.35	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ORTHO RPR SUP WND FACE <=2.5CM	$316.00	$316.00	$54.31–$307.15	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ASA RPR SUPRF WND FACE <=2.5CM	$385.00	$385.00	$54.31–$374.22	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR SIMP FACE /MM TO2.5CM	$553.00	$553.00	$224.79–$537.52	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PCP Tangntl Bx Skin Sng Lesion	$220.00	$220.00	$37.35–$295.35	44% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ASA TANGNTL BX SKIN SINGL LES	$275.00	$275.00	$37.35–$295.35	30% below	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PCP Tangntl Bx Skin Sng Lesion	$220.00	$220.00	$37.35–$295.35	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 ASA TANGNTL BX SKIN SINGL LES	$275.00	$275.00	$37.35–$295.35	—	—
Thoracentesis with imaging guidance CPT 32555 INTV THORACENTESIS NEEDLE/CATH	$711.00	$711.00	$105.99–$926.78	60% below	—
Thoracentesis with imaging guidance CPT 32555 THORACENT NEEDLE OR CATH ASPIR	$1,188.00	$1,188.00	$501.69–$1,214.00	34% below	—
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS ASPIR OF PLE	$1,188.00	$1,188.00	$501.69–$1,950.00	34% below	—
Thoracentesis with imaging guidance CPT 32555 THORACENT ASP PLEURAL SPACE;	$1,320.00	$1,320.00	$557.44–$1,283.04	26% below	—
Thoracentesis with imaging guidance inpatient CPT 32555 INTV THORACENTESIS NEEDLE/CATH	$711.00	$711.00	$105.99–$926.78	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS ASPIR OF PLE	$1,188.00	$1,188.00	$501.69–$1,950.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENT NEEDLE OR CATH ASPIR	$1,188.00	$1,188.00	$501.69–$1,214.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENT ASP PLEURAL SPACE;	$1,320.00	$1,320.00	$557.44–$1,283.04	—	—
Total hip replacement CPT 27130 ORTHO TOTAL HIP ARTHROPLASTY	$1,430.00	$1,430.00	$603.89–$19,416.33	96% below	—
Total hip replacement inpatient CPT 27130 ORTHO TOTAL HIP ARTHROPLASTY	$1,430.00	$1,430.00	$603.89–$19,416.33	—	—
Total knee replacement CPT 27447 ORTH TOTAL KNEE REPLACEMENT	$2,900.00	$2,900.00	$1,224.67–$19,416.33	83% below	—
Total knee replacement inpatient CPT 27447 ORTH TOTAL KNEE REPLACEMENT	$2,900.00	$2,900.00	$1,224.67–$19,416.33	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION 1 OR	$535.00	$535.00	$137.09–$1,950.00	1% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER PT;1/2 MUS	$619.00	$619.00	$261.40–$601.67	17% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION 1 OR	$535.00	$535.00	$137.09–$1,950.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER PT;1/2 MUS	$619.00	$619.00	$261.40–$601.67	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 ASA BX BRST 1ST LESION US IMG	$1,980.00	$1,980.00	$150.05–$2,391.85	8% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED LT BREAST BIOPSY	$2,171.00	$2,171.00	$916.81–$2,850.00	1% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED RT BREAST BIOPSY	$2,452.00	$2,452.00	$1,035.48–$2,850.00	14% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 ASA BX BRST 1ST LESION US IMG	$1,980.00	$1,980.00	$150.05–$2,391.85	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US GUIDED LT BREAST BIOPSY	$2,171.00	$2,171.00	$916.81–$2,850.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US GUIDED RT BREAST BIOPSY	$2,452.00	$2,452.00	$1,035.48–$2,850.00	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ENDOSCOPY DIL ESOPHAGUS	$1,460.00	$1,460.00	$616.56–$2,807.19	49% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ENDOSCOPY DIL ESOPHAGUS	$1,460.00	$1,460.00	$616.56–$2,807.19	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 ASA UPR GI ENDOSCOPY/BX	$770.00	$770.00	$136.39–$1,337.32	59% below	—
Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY WITH BIOPSY FLEXI	$2,446.00	$2,446.00	$978.76–$2,377.51	32% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ASA UPR GI ENDOSCOPY/BX	$770.00	$770.00	$136.39–$1,337.32	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 GASTROSCOPY WITH BIOPSY FLEXI	$2,446.00	$2,446.00	$978.76–$2,377.51	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPR GI SCOPE SUBMUC INJ	$1,511.00	$1,511.00	$638.10–$1,468.69	34% below	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPR GI SCOPE SUBMUC INJ	$1,511.00	$1,511.00	$638.10–$1,468.69	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 GASTROSCOPY W/POLYP REM ANY M	$1,702.00	$1,702.00	$718.75–$2,807.19	62% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 GASTROSCOPY W/POLYP REM ANY M	$1,702.00	$1,702.00	$718.75–$2,807.19	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ESOPHAGL STRICTUROPLASTY	$1,549.00	$1,549.00	$654.14–$1,505.63	46% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ESOPH.DILAT & GD WIRE FLEXIBL	$1,558.00	$1,558.00	$657.94–$1,514.38	46% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 ESOPHAGL STRICTUROPLASTY	$1,549.00	$1,549.00	$654.14–$1,505.63	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 ESOPH.DILAT & GD WIRE FLEXIBL	$1,558.00	$1,558.00	$657.94–$1,514.38	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 INTV EGD DIAG BRUSH WASH	$167.00	$167.00	$70.52–$1,337.32	91% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 ASA UPPR GI ENDOSCOPY/DX	$825.00	$825.00	$120.84–$1,337.32	54% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY W/ BRUSHINGS FLEX	$1,768.00	$1,768.00	$746.63–$1,718.50	1% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY DIAGNOSTIC FLEXI	$1,858.00	$1,858.00	$748.82–$1,805.98	4% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 ERCP FB/STNT REM BIL/PANCR DCT	$5,873.00	$5,873.00	$748.82–$5,708.56	229% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 INTV EGD DIAG BRUSH WASH	$167.00	$167.00	$70.52–$1,337.32	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ASA UPPR GI ENDOSCOPY/DX	$825.00	$825.00	$120.84–$1,337.32	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 GASTROSCOPY W/ BRUSHINGS FLEX	$1,768.00	$1,768.00	$746.63–$1,718.50	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 GASTROSCOPY DIAGNOSTIC FLEXI	$1,858.00	$1,858.00	$748.82–$1,805.98	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ERCP FB/STNT REM BIL/PANCR DCT	$5,873.00	$5,873.00	$748.82–$5,708.56	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 OBGYN C/SECTION W/PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PCP C/SECTION W/PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 OBGYN C/SECTION W/PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PCP C/SECTION W/PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 PCP VAG DEL ANTEP &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	23% below	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 OBGYN VAG DEL ANTEP &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	23% below	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBGYN VAG DEL ANTEP &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PCP VAG DEL ANTEP &PP	$5,084.00	$5,084.00	$1,525.20–$4,941.65	—	—
Wart removal, up to 14 warts CPT 17110 PCP Wart/Lesion Destruct 1-14	$185.00	$185.00	$70.30–$295.35	47% below	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS	$224.00	$224.00	$94.60–$295.35	35% below	—
Wart removal, up to 14 warts inpatient CPT 17110 PCP Wart/Lesion Destruct 1-14	$185.00	$185.00	$70.30–$295.35	—	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS	$224.00	$224.00	$94.60–$295.35	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ORTH DEB SUBQ TISSUE 20 SQ CM<	$140.00	$140.00	$59.12–$588.26	84% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ASA DEBR SKIN/TIS	$248.00	$248.00	$60.30–$588.26	72% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBCUT TISSU	$2,451.00	$2,451.00	$447.71–$2,382.37	172% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ORTH DEB SUBQ TISSUE 20 SQ CM<	$140.00	$140.00	$59.12–$588.26	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ASA DEBR SKIN/TIS	$248.00	$248.00	$60.30–$588.26	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBCUT TISSU	$2,451.00	$2,451.00	$447.71–$2,382.37	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 ORTH ORIF WRIST EXTRA ARTIC	$1,579.00	$1,579.00	$666.81–$10,554.23	83% below	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 ORTH ORIF WRIST EXTRA ARTIC	$1,579.00	$1,579.00	$666.81–$10,554.23	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION CHARGE	$1,526.00	$1,526.00	$110.20–$1,483.27	65% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION CHARGE	$1,526.00	$1,526.00	$110.20–$1,483.27	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PCP Nebulizer Treatment	$59.00	$59.00	$8.25–$314.67	80% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT HELIOX (STATISTICAL)	$205.00	$205.00	$20.82–$342.00	29% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND NEB RX SUBSEQ	$205.00	$205.00	$20.82–$342.00	29% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION 1ST RX	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION RX SUBSEQUENT	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI-RX SUBSEQUENT	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CT AEROSOL SUB DAY	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND NEB 1ST RX	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI FIRST RX	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CT AEROSOL FIRST DAY	$472.00	$472.00	$20.82–$382.32	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PCP Nebulizer Treatment	$59.00	$59.00	$8.25–$314.67	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONT HELIOX (STATISTICAL)	$205.00	$205.00	$20.82–$342.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND NEB RX SUBSEQ	$205.00	$205.00	$20.82–$342.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND NEB 1ST RX	$472.00	$472.00	$20.82–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CT AEROSOL SUB DAY	$472.00	$472.00	$20.82–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI FIRST RX	$472.00	$472.00	$20.82–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION 1ST RX	$472.00	$472.00	$20.82–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CT AEROSOL FIRST DAY	$472.00	$472.00	$20.82–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION RX SUBSEQUENT	$472.00	$472.00	$20.82–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI-RX SUBSEQUENT	$472.00	$472.00	$20.82–$382.32	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INF 1ST HR	$898.00	$898.00	$129.07–$727.38	2% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INF 1ST HR	$898.00	$898.00	$129.07–$727.38	—	—
Comprehensive eye exam, returning patient CPT 92014 PCP EYE EXAM	$139.00	$139.00	$50.38–$195.02	28% below	—
Comprehensive eye exam, returning patient inpatient CPT 92014 PCP EYE EXAM	$139.00	$139.00	$50.38–$195.02	—	—
Critical care, first 30 to 74 minutes CPT 99291 PAL Critical CareSvcs 30-74min	$807.00	$807.00	$209.09–$1,309.12	69% below	—
Critical care, first 30 to 74 minutes CPT 99291 HOSP CRITICALCARESVCS30-74 MIN	$807.00	$807.00	$209.09–$1,309.12	69% below	—
Critical care, first 30 to 74 minutes CPT 99291 INTV CRITICALCARE FIRST 30-74M	$807.00	$807.00	$209.09–$1,309.12	69% below	—
Critical care, first 30 to 74 minutes CPT 99291 ORTH CRITICALCARE FIRST 30-74M	$807.00	$807.00	$209.09–$1,309.12	69% below	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HR (H)	$2,392.00	$2,392.00	$338.19–$2,947.00	8% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HOSP CRITICALCARESVCS30-74 MIN	$807.00	$807.00	$209.09–$1,309.12	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 PAL Critical CareSvcs 30-74min	$807.00	$807.00	$209.09–$1,309.12	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 INTV CRITICALCARE FIRST 30-74M	$807.00	$807.00	$209.09–$1,309.12	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ORTH CRITICALCARE FIRST 30-74M	$807.00	$807.00	$209.09–$1,309.12	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HR (H)	$2,392.00	$2,392.00	$338.19–$2,947.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$1,083.00	$1,083.00	$119.62–$877.23	19% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$1,083.00	$1,083.00	$119.62–$877.23	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PCP EKG COMPLETE	$59.00	$59.00	$14.52–$51.33	63% below	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 12 LEAD EKG; GLOBAL	$145.00	$145.00	$29.34–$4,939.00	9% below	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PCP EKG COMPLETE	$59.00	$59.00	$14.52–$51.33	—	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 12 LEAD EKG; GLOBAL	$145.00	$145.00	$29.34–$4,939.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PCP ELECTROCARDIOGRAMTRACING	$30.00	$30.00	$6.51–$90.23	83% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HVC EKG	$171.00	$171.00	$23.31–$501.00	6% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM-PAT	$190.00	$190.00	$23.31–$501.00	5% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM	$212.00	$212.00	$23.31–$501.00	17% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PCP ELECTROCARDIOGRAMTRACING	$30.00	$30.00	$6.51–$90.23	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HVC EKG	$171.00	$171.00	$23.31–$501.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM-PAT	$190.00	$190.00	$23.31–$501.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM	$212.00	$212.00	$23.31–$501.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER BRIEF	$916.00	$916.00	$33.84–$969.00	106% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER BRIEF	$916.00	$916.00	$33.84–$969.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LIMITED	$908.00	$908.00	$62.33–$1,228.00	53% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 (25) ER LIMITED	$908.00	$908.00	$62.33–$1,228.00	53% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 (25) ER LIMITED	$908.00	$908.00	$62.33–$1,228.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LIMITED	$908.00	$908.00	$62.33–$1,228.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PSY ER Level 3	$311.00	$311.00	$69.52–$420.93	61% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ORTHO ER LEVEL 3	$311.00	$311.00	$69.52–$420.93	61% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ASA ER Level 3	$311.00	$311.00	$69.52–$420.93	61% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CHOD ER LEVEL 3	$311.00	$311.00	$69.52–$420.93	61% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CAR ER Level 3	$311.00	$311.00	$69.52–$420.93	61% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER INTERMEDIATE	$1,015.00	$1,015.00	$108.74–$1,908.00	27% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 (25) ER INTERMEDIATE	$1,015.00	$1,015.00	$108.74–$1,908.00	27% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PSY ER Level 3	$311.00	$311.00	$69.52–$420.93	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ORTHO ER LEVEL 3	$311.00	$311.00	$69.52–$420.93	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CHOD ER LEVEL 3	$311.00	$311.00	$69.52–$420.93	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CAR ER Level 3	$311.00	$311.00	$69.52–$420.93	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ASA ER Level 3	$311.00	$311.00	$69.52–$420.93	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER INTERMEDIATE	$1,015.00	$1,015.00	$108.74–$1,908.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 (25) ER INTERMEDIATE	$1,015.00	$1,015.00	$108.74–$1,908.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PSY ER Level 4	$466.00	$466.00	$118.26–$653.42	63% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ASA ER Level 4	$466.00	$466.00	$118.26–$653.42	63% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CHOD ER LEVEL 4	$466.00	$466.00	$118.26–$653.42	63% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CAR ER Level 4	$466.00	$466.00	$118.26–$653.42	63% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ORTHO ER LEVEL 4	$466.00	$466.00	$118.26–$653.42	63% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER EXTENDED	$1,126.00	$1,126.00	$168.80–$2,294.00	11% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ASA ER Level 4	$466.00	$466.00	$118.26–$653.42	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CAR ER Level 4	$466.00	$466.00	$118.26–$653.42	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ORTHO ER LEVEL 4	$466.00	$466.00	$118.26–$653.42	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PSY ER Level 4	$466.00	$466.00	$118.26–$653.42	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CHOD ER LEVEL 4	$466.00	$466.00	$118.26–$653.42	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER EXTENDED	$1,126.00	$1,126.00	$168.80–$2,294.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CAR ER Level 5	$724.00	$724.00	$171.25–$947.59	56% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CHOD ER LEVEL 5	$724.00	$724.00	$171.25–$947.59	56% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PSY ER Level 5	$724.00	$724.00	$171.25–$947.59	56% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ORTHO ER LEVEL 5	$724.00	$724.00	$171.25–$947.59	56% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ASA ER Level 5	$724.00	$724.00	$171.25–$947.59	56% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER COMPREHENSIVE VISIT	$1,345.00	$1,345.00	$244.80–$2,727.00	18% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CHOD ER LEVEL 5	$724.00	$724.00	$171.25–$947.59	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ASA ER Level 5	$724.00	$724.00	$171.25–$947.59	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PSY ER Level 5	$724.00	$724.00	$171.25–$947.59	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ORTHO ER LEVEL 5	$724.00	$724.00	$171.25–$947.59	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CAR ER Level 5	$724.00	$724.00	$171.25–$947.59	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER COMPREHENSIVE VISIT	$1,345.00	$1,345.00	$244.80–$2,727.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TOLERANCE TEST	$946.00	$946.00	$119.62–$2,757.00	2% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TOLERANCE TEST	$946.00	$946.00	$119.62–$2,757.00	—	—
Eye exam, returning patient, intermediate CPT 92012 PCP EYE EXAM ESTAB PATIENT	$93.00	$93.00	$39.27–$195.02	40% below	—
Eye exam, returning patient, intermediate inpatient CPT 92012 PCP EYE EXAM ESTAB PATIENT	$93.00	$93.00	$39.27–$195.02	—	—
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 CAR ECG MON/REP TO 48HRS COMP	$113.00	$113.00	$33.90–$156.75	76% below	—
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 CAR ECG MON/REP TO 48HRS COMP	$113.00	$113.00	$33.90–$156.75	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF INTL HYD 31M-1HR	$455.00	$455.00	$81.69–$368.55	9% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYRDAT IV INFUS 1 HR (59)	$505.00	$505.00	$81.69–$409.05	1% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS 1ST HR	$505.00	$505.00	$81.69–$409.05	1% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION 1 HR.	$519.00	$519.00	$81.69–$420.39	4% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION;1ST HR	$519.00	$519.00	$81.69–$420.39	4% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATION 1ST HR	$586.00	$586.00	$81.69–$474.66	17% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF INTL HYD 31M-1HR	$455.00	$455.00	$81.69–$368.55	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUS 1ST HR	$505.00	$505.00	$81.69–$409.05	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYRDAT IV INFUS 1 HR (59)	$505.00	$505.00	$81.69–$409.05	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION 1 HR.	$519.00	$519.00	$81.69–$420.39	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION;1ST HR	$519.00	$519.00	$81.69–$420.39	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS HYDRATION 1ST HR	$586.00	$586.00	$81.69–$474.66	—	—
IV infusion of a medicine, first hour CPT 96365 IV INF T/P/D 1ST HR	$432.00	$432.00	$81.69–$349.92	25% below	—
IV infusion of a medicine, first hour CPT 96365 IVF INF THER/PROPH/DIAG 1ST HR	$519.00	$519.00	$81.69–$420.39	9% below	—
IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG 1ST HR	$519.00	$519.00	$81.69–$420.39	9% below	—
IV infusion of a medicine, first hour CPT 96365 THER/DIAG IV INF 1 HR(59)	$542.00	$542.00	$81.69–$439.02	5% below	—
IV infusion of a medicine, first hour CPT 96365 THER/DIAG IV INF 1ST HR	$542.00	$542.00	$81.69–$439.02	5% below	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF T/P/D 1ST HR	$432.00	$432.00	$81.69–$349.92	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IVF INF THER/PROPH/DIAG 1ST HR	$519.00	$519.00	$81.69–$420.39	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG 1ST HR	$519.00	$519.00	$81.69–$420.39	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/DIAG IV INF 1ST HR	$542.00	$542.00	$81.69–$439.02	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/DIAG IV INF 1 HR(59)	$542.00	$542.00	$81.69–$439.02	—	—
IV push of a medicine, first drug CPT 96374 INITIAL INJ - INTRAVENOUS	$372.00	$372.00	$65.72–$690.00	1% above	—
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE/INITIAL	$413.00	$413.00	$65.72–$334.53	12% above	—
IV push of a medicine, first drug CPT 96374 INJECTION - INTRAVENOUS	$413.00	$413.00	$65.72–$334.53	12% above	—
IV push of a medicine, first drug CPT 96374 INJ - INTRAVENOUS	$413.00	$413.00	$65.72–$334.53	12% above	—
IV push of a medicine, first drug CPT 96374 INTRAVENOUS THER/DIAG IN	$471.00	$471.00	$65.72–$381.51	28% above	—
IV push of a medicine, first drug CPT 96374 INTRAVNS THER/DIAG IN(59)	$471.00	$471.00	$65.72–$381.51	28% above	—
IV push of a medicine, first drug inpatient CPT 96374 INITIAL INJ - INTRAVENOUS	$372.00	$372.00	$65.72–$690.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 INJECTION - INTRAVENOUS	$413.00	$413.00	$65.72–$334.53	—	—
IV push of a medicine, first drug inpatient CPT 96374 INJ - INTRAVENOUS	$413.00	$413.00	$65.72–$334.53	—	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE/INITIAL	$413.00	$413.00	$65.72–$334.53	—	—
IV push of a medicine, first drug inpatient CPT 96374 INTRAVNS THER/DIAG IN(59)	$471.00	$471.00	$65.72–$381.51	—	—
IV push of a medicine, first drug inpatient CPT 96374 INTRAVENOUS THER/DIAG IN	$471.00	$471.00	$65.72–$381.51	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBGYN INJECTION FEE	$46.00	$46.00	$14.61–$103.92	75% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PCP DX/THERA INJECTION	$46.00	$46.00	$19.43–$690.00	75% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PCP INJECTION FEE	$46.00	$46.00	$14.61–$103.92	75% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUT/INTRMUS	$150.00	$150.00	$26.85–$690.00	17% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION STEROID IM	$150.00	$150.00	$26.85–$690.00	17% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION RHOGAM IM	$150.00	$150.00	$26.85–$690.00	17% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ/IM INJECTION	$163.00	$163.00	$26.85–$690.00	10% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR INJECTION	$163.00	$163.00	$26.85–$690.00	10% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBCUT/INTRAMUSC	$200.00	$200.00	$26.85–$162.00	11% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBCUT/INTRAMUSC (59)	$200.00	$200.00	$26.85–$162.00	11% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC/IM	$267.00	$267.00	$26.85–$690.00	48% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 T/P/D INJ SC/IM	$303.00	$303.00	$26.85–$690.00	68% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OBGYN INJECTION FEE	$46.00	$46.00	$14.61–$103.92	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PCP INJECTION FEE	$46.00	$46.00	$14.61–$103.92	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PCP DX/THERA INJECTION	$46.00	$46.00	$19.43–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION RHOGAM IM	$150.00	$150.00	$26.85–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION STEROID IM	$150.00	$150.00	$26.85–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUT/INTRMUS	$150.00	$150.00	$26.85–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ/IM INJECTION	$163.00	$163.00	$26.85–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INTRAMUSCULAR INJECTION	$163.00	$163.00	$26.85–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBCUT/INTRAMUSC (59)	$200.00	$200.00	$26.85–$162.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBCUT/INTRAMUSC	$200.00	$200.00	$26.85–$162.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC/IM	$267.00	$267.00	$26.85–$690.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 T/P/D INJ SC/IM	$303.00	$303.00	$26.85–$690.00	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$193.00	$193.00	$60.76–$235.22	32% below	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUAT	$306.00	$306.00	$60.76–$247.86	7% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$193.00	$193.00	$60.76–$235.22	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUAT	$306.00	$306.00	$60.76–$247.86	—	—
New patient office visit, about 30 minutes CPT 99203 PAT Visit New Pt Level 3	$209.00	$209.00	$62.70–$181.83	at median	—
New patient office visit, about 30 minutes CPT 99203 CHOD VISIT NEW PT LEVEL 3	$209.00	$209.00	$62.70–$181.83	at median	—
New patient office visit, about 30 minutes CPT 99203 GI INTERMED; INITIAL	$230.00	$230.00	$69.00–$235.00	10% above	—
New patient office visit, about 30 minutes CPT 99203 BARIATRIC CLINIC - INTERMEDIAT	$233.00	$233.00	$69.90–$235.00	11% above	—
New patient office visit, about 30 minutes CPT 99203 HVC INTERMED; INITIAL	$242.00	$242.00	$72.60–$235.00	16% above	—
New patient office visit, about 30 minutes CPT 99203 PAT VISIT NEW PT LEVEL 3	$273.00	$273.00	$81.90–$235.00	31% above	—
New patient office visit, about 30 minutes CPT 99203 SLEEP CTR INTERMED; NEW	$273.00	$273.00	$81.90–$235.00	31% above	—
New patient office visit, about 30 minutes CPT 99203 HOSP OUTPT NEW LVL3	$346.00	$346.00	$81.08–$301.02	66% above	—
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT INTERMED; NEW	$346.00	$346.00	$84.43–$280.26	66% above	—
New patient office visit, about 30 minutes CPT 99203 OB INTERMEDIATE; NEW	$346.00	$346.00	$84.43–$280.26	66% above	—
New patient office visit, about 30 minutes CPT 99203 ORTH VISIT NEW EXP/LOW	$346.00	$346.00	$84.43–$280.26	66% above	—
New patient office visit, about 30 minutes CPT 99203 REMV PICC LINE>16MIN NEW	$381.00	$381.00	$84.43–$308.61	82% above	—
New patient office visit, about 30 minutes CPT 99203 INTERMED VISIT; NEW PT	$381.00	$381.00	$84.43–$308.61	82% above	—
New patient office visit, about 30 minutes CPT 99203 INTERMEDIATE VISIT NEW PT	$381.00	$381.00	$84.43–$308.61	82% above	—
New patient office visit, about 30 minutes CPT 99203 INTERMEDIATE VISIT; NEW	$381.00	$381.00	$84.43–$308.61	82% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 CHOD VISIT NEW PT LEVEL 3	$209.00	$209.00	$62.70–$181.83	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 PAT Visit New Pt Level 3	$209.00	$209.00	$62.70–$181.83	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 GI INTERMED; INITIAL	$230.00	$230.00	$69.00–$235.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 BARIATRIC CLINIC - INTERMEDIAT	$233.00	$233.00	$69.90–$235.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HVC INTERMED; INITIAL	$242.00	$242.00	$72.60–$235.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 PAT VISIT NEW PT LEVEL 3	$273.00	$273.00	$81.90–$235.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 SLEEP CTR INTERMED; NEW	$273.00	$273.00	$81.90–$235.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 ORTH VISIT NEW EXP/LOW	$346.00	$346.00	$84.43–$280.26	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC VISIT INTERMED; NEW	$346.00	$346.00	$84.43–$280.26	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HOSP OUTPT NEW LVL3	$346.00	$346.00	$81.08–$301.02	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OB INTERMEDIATE; NEW	$346.00	$346.00	$84.43–$280.26	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 REMV PICC LINE>16MIN NEW	$381.00	$381.00	$84.43–$308.61	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 INTERMEDIATE VISIT; NEW	$381.00	$381.00	$84.43–$308.61	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 INTERMED VISIT; NEW PT	$381.00	$381.00	$84.43–$308.61	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 INTERMEDIATE VISIT NEW PT	$381.00	$381.00	$84.43–$308.61	—	—
New patient office visit, about 45 minutes CPT 99204 HOSP OUTPT NEW LVL4	$204.00	$204.00	$61.20–$213.02	42% below	—
New patient office visit, about 45 minutes CPT 99204 ORTH VISIT NEW DETAILED/MD	$204.00	$204.00	$61.20–$213.02	42% below	—
New patient office visit, about 45 minutes CPT 99204 CHOD VISIT NEW PT LEVEL 4	$286.00	$286.00	$85.80–$248.82	19% below	—
New patient office visit, about 45 minutes CPT 99204 GI EXTENDED; INITIAL	$286.00	$286.00	$85.80–$235.00	19% below	—
New patient office visit, about 45 minutes CPT 99204 PAT Visit New Pt Level 4	$286.00	$286.00	$85.80–$248.82	19% below	—
New patient office visit, about 45 minutes CPT 99204 BARIATRIC CLINIC - EXTENDED (N	$289.00	$289.00	$86.70–$235.00	18% below	—
New patient office visit, about 45 minutes CPT 99204 HVC EXTENDED; INITIAL	$301.00	$301.00	$90.30–$243.81	14% below	—
New patient office visit, about 45 minutes CPT 99204 PAT VISIT NEW PT LEVEL 4	$356.00	$356.00	$106.80–$288.36	1% above	—
New patient office visit, about 45 minutes CPT 99204 SLEEP CTR EXTENDED; NEW	$356.00	$356.00	$106.80–$288.36	1% above	—
New patient office visit, about 45 minutes CPT 99204 EXTENSIVE VISIT; NEW PT	$393.00	$393.00	$117.90–$318.33	12% above	—
New patient office visit, about 45 minutes CPT 99204 OB EXTENDED; NEW	$401.00	$401.00	$119.83–$324.81	14% above	—
New patient office visit, about 45 minutes CPT 99204 ORTH VISIT NEW DETAIL /MOD	$418.00	$418.00	$119.83–$338.58	19% above	—
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT EXTENDED; NEW	$418.00	$418.00	$119.83–$338.58	19% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 HOSP OUTPT NEW LVL4	$204.00	$204.00	$61.20–$213.02	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 ORTH VISIT NEW DETAILED/MD	$204.00	$204.00	$61.20–$213.02	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 PAT Visit New Pt Level 4	$286.00	$286.00	$85.80–$248.82	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 GI EXTENDED; INITIAL	$286.00	$286.00	$85.80–$235.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 CHOD VISIT NEW PT LEVEL 4	$286.00	$286.00	$85.80–$248.82	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 BARIATRIC CLINIC - EXTENDED (N	$289.00	$289.00	$86.70–$235.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 HVC EXTENDED; INITIAL	$301.00	$301.00	$90.30–$243.81	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 PAT VISIT NEW PT LEVEL 4	$356.00	$356.00	$106.80–$288.36	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 SLEEP CTR EXTENDED; NEW	$356.00	$356.00	$106.80–$288.36	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 EXTENSIVE VISIT; NEW PT	$393.00	$393.00	$117.90–$318.33	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OB EXTENDED; NEW	$401.00	$401.00	$119.83–$324.81	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 ORTH VISIT NEW DETAIL /MOD	$418.00	$418.00	$119.83–$338.58	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT EXTENDED; NEW	$418.00	$418.00	$119.83–$338.58	—	—
New patient office visit, about 60 minutes CPT 99205 HOSP OUTPT NEW LVL5	$260.00	$260.00	$78.00–$278.02	26% below	—
New patient office visit, about 60 minutes CPT 99205 PAT Visit New Pt Level 5	$359.00	$359.00	$107.70–$312.33	3% above	—
New patient office visit, about 60 minutes CPT 99205 HVC COMPREHENSIVE; INITIAL	$396.00	$396.00	$118.80–$320.76	13% above	—
New patient office visit, about 60 minutes CPT 99205 BARIATRIC CLINIC - COMPREHENSI	$396.00	$396.00	$118.80–$320.76	13% above	—
New patient office visit, about 60 minutes CPT 99205 PAT VISIT NEW PT LEVEL 5	$468.00	$468.00	$119.83–$379.08	34% above	—
New patient office visit, about 60 minutes CPT 99205 SLEEP CTR COMPREHEN; NEW	$468.00	$468.00	$119.83–$379.08	34% above	—
New patient office visit, about 60 minutes CPT 99205 COMPREHENSIVE VISIT; NEW	$516.00	$516.00	$119.83–$417.96	47% above	—
New patient office visit, about 60 minutes CPT 99205 COMPREHENSIVE VISIT NEW P	$516.00	$516.00	$119.83–$417.96	47% above	—
New patient office visit, about 60 minutes CPT 99205 ORTH VISIT NEW COMPR/HIGH	$526.00	$526.00	$119.83–$426.06	50% above	—
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT COMPREHEN; NEW	$526.00	$526.00	$119.83–$426.06	50% above	—
New patient office visit, about 60 minutes CPT 99205 OB COMPREHENSIVE; NEW	$526.00	$526.00	$119.83–$426.06	50% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 HOSP OUTPT NEW LVL5	$260.00	$260.00	$78.00–$278.02	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 PAT Visit New Pt Level 5	$359.00	$359.00	$107.70–$312.33	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 BARIATRIC CLINIC - COMPREHENSI	$396.00	$396.00	$118.80–$320.76	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 HVC COMPREHENSIVE; INITIAL	$396.00	$396.00	$118.80–$320.76	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 SLEEP CTR COMPREHEN; NEW	$468.00	$468.00	$119.83–$379.08	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 PAT VISIT NEW PT LEVEL 5	$468.00	$468.00	$119.83–$379.08	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 COMPREHENSIVE VISIT NEW P	$516.00	$516.00	$119.83–$417.96	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 COMPREHENSIVE VISIT; NEW	$516.00	$516.00	$119.83–$417.96	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OB COMPREHENSIVE; NEW	$526.00	$526.00	$119.83–$426.06	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 ORTH VISIT NEW COMPR/HIGH	$526.00	$526.00	$119.83–$426.06	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT COMPREHEN; NEW	$526.00	$526.00	$119.83–$426.06	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HOSP OUTPT NEW LVL2	$79.00	$79.00	$23.70–$83.90	52% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CHOD VISIT NEW PT LEVEL 2	$143.00	$143.00	$42.90–$124.41	13% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAT Visit New Pt Level 2	$143.00	$143.00	$42.90–$124.41	13% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GI LIMITED; INITIAL	$173.00	$173.00	$51.90–$235.00	5% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HVC LIMITED; INITIAL	$174.00	$174.00	$52.20–$235.00	6% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LIMITED EVAL - NEW PATIENT	$174.00	$174.00	$52.20–$235.00	6% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BARIATRIC CLINIC - LIMITED (NE	$174.00	$174.00	$52.20–$235.00	6% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAT VISIT NEW PT LEVEL 2	$205.00	$205.00	$61.50–$235.00	25% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 SLEEP CTR LIMITED; NEW	$205.00	$205.00	$61.50–$235.00	25% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ORTH VISIT NEW PF/STRAIGHT	$219.00	$219.00	$65.70–$235.00	34% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT LIMITED; NEW	$219.00	$219.00	$65.70–$235.00	34% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LIMITED VISIT; NEW PT	$219.00	$219.00	$65.70–$235.00	34% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PICC LINE DSG CHNG - NEW	$219.00	$219.00	$65.70–$235.00	34% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 REMV PICC LINE< 16MIN;NEW	$219.00	$219.00	$65.70–$235.00	34% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB LIMITED; NEW	$229.00	$229.00	$68.70–$235.00	40% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HOSP OUTPT NEW LVL2	$79.00	$79.00	$23.70–$83.90	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PAT Visit New Pt Level 2	$143.00	$143.00	$42.90–$124.41	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CHOD VISIT NEW PT LEVEL 2	$143.00	$143.00	$42.90–$124.41	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 GI LIMITED; INITIAL	$173.00	$173.00	$51.90–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HVC LIMITED; INITIAL	$174.00	$174.00	$52.20–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BARIATRIC CLINIC - LIMITED (NE	$174.00	$174.00	$52.20–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LIMITED EVAL - NEW PATIENT	$174.00	$174.00	$52.20–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PAT VISIT NEW PT LEVEL 2	$205.00	$205.00	$61.50–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SLEEP CTR LIMITED; NEW	$205.00	$205.00	$61.50–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PICC LINE DSG CHNG - NEW	$219.00	$219.00	$65.70–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LIMITED VISIT; NEW PT	$219.00	$219.00	$65.70–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT LIMITED; NEW	$219.00	$219.00	$65.70–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 REMV PICC LINE< 16MIN;NEW	$219.00	$219.00	$65.70–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ORTH VISIT NEW PF/STRAIGHT	$219.00	$219.00	$65.70–$235.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB LIMITED; NEW	$229.00	$229.00	$68.70–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARI MNT INITIAL 15MIN	$110.00	$110.00	$33.00–$235.00	9% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 15MIN	$110.00	$110.00	$33.00–$235.00	9% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INDIV INIT. EA 15MIN	$110.00	$110.00	$33.00–$235.00	9% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELHELTH MNT INDV INTL EA15MIN	$123.00	$123.00	$36.90–$99.63	22% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELHELTH BAR MNT INDV INTL 15M	$123.00	$123.00	$36.90–$99.63	22% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT BARI IND INIT EA 15M	$123.00	$123.00	$36.90–$235.00	22% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INDIV INITIAL EA 15 MIN	$123.00	$123.00	$36.90–$235.00	22% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARI MNT INITIAL 30MIN	$220.00	$220.00	$57.29–$235.00	118% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 30MIN	$220.00	$220.00	$57.29–$235.00	118% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARI MNT INITIAL 45MIN	$330.00	$330.00	$57.29–$267.30	227% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 45MIN	$330.00	$330.00	$57.29–$267.30	227% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARI MNT INITIAL 60MIN	$440.00	$440.00	$57.29–$356.40	336% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 60MIN	$440.00	$440.00	$57.29–$356.40	336% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 BARI MNT INITIAL 15MIN	$110.00	$110.00	$33.00–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 15MIN	$110.00	$110.00	$33.00–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INDIV INIT. EA 15MIN	$110.00	$110.00	$33.00–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT BARI IND INIT EA 15M	$123.00	$123.00	$36.90–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELHELTH BAR MNT INDV INTL 15M	$123.00	$123.00	$36.90–$99.63	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELHELTH MNT INDV INTL EA15MIN	$123.00	$123.00	$36.90–$99.63	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INDIV INITIAL EA 15 MIN	$123.00	$123.00	$36.90–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 BARI MNT INITIAL 30MIN	$220.00	$220.00	$57.29–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 30MIN	$220.00	$220.00	$57.29–$235.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 45MIN	$330.00	$330.00	$57.29–$267.30	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 BARI MNT INITIAL 45MIN	$330.00	$330.00	$57.29–$267.30	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 60MIN	$440.00	$440.00	$57.29–$356.40	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 BARI MNT INITIAL 60MIN	$440.00	$440.00	$57.29–$356.40	—	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAGN EVAL W/MED SVCS	$236.00	$236.00	$60.76–$235.22	31% below	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAGN EVAL W/MED SVCS	$236.00	$236.00	$60.76–$235.22	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN W/PT & OR	$174.00	$174.00	$60.76–$235.22	30% below	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN W/PT & OR	$174.00	$174.00	$60.76–$235.22	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN W/PT & OR	$229.00	$229.00	$60.76–$235.22	9% below	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN W/PT & OR	$229.00	$229.00	$60.76–$235.22	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN W/PT & OR	$277.00	$277.00	$60.76–$235.22	2% below	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN W/PT & OR	$277.00	$277.00	$60.76–$235.22	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PCP SMOKE/TOB COUNS 3-10 MINS	$28.00	$28.00	$10.94–$42.34	75% below	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HOSP SMOKING CESSATION (10 MIN	$48.00	$48.00	$10.94–$42.34	57% below	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION SYMPTOMATIC	$68.00	$68.00	$10.94–$235.00	39% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PCP SMOKE/TOB COUNS 3-10 MINS	$28.00	$28.00	$10.94–$42.34	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HOSP SMOKING CESSATION (10 MIN	$48.00	$48.00	$10.94–$42.34	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION SYMPTOMATIC	$68.00	$68.00	$10.94–$235.00	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HOSP OUTPT (ED) ESTAB LEV 5	$170.00	$170.00	$51.00–$183.21	43% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAL Visit OP Estab Pt Level 5	$272.00	$272.00	$81.60–$236.64	9% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PY Visit OP Estab Pt Level 5	$272.00	$272.00	$81.60–$236.64	9% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAT Visit Estab Pt Level 5	$275.00	$275.00	$82.50–$239.25	8% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CHOD VISIT ESTAB PT LEVEL 5	$275.00	$275.00	$82.50–$239.25	8% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 COMPREHENS VISIT; ESTAB	$333.00	$333.00	$99.90–$269.73	11% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 COMPPREHEN VISIT; ESTAB P	$333.00	$333.00	$99.90–$269.73	11% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 COMPREHEN VISIT; ESTAB PT	$333.00	$333.00	$99.90–$690.00	11% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HVC COMPREHENSIVE; ESTAB	$357.00	$357.00	$107.10–$289.17	19% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 BARIATRIC CLINIC - COMPREHENSI	$396.00	$396.00	$118.80–$320.76	33% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB COMPREHENSIVE; ESTAB.	$400.00	$400.00	$119.83–$324.00	34% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ORTH VISIT ESTAB COMPR/HIGH	$400.00	$400.00	$119.83–$348.00	34% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ORTH OUTPT CONSLT (ED) LEV 5	$400.00	$400.00	$119.83–$348.00	34% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT COMPREHEN;ESTAB	$417.00	$417.00	$119.83–$337.77	40% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT COMPREHEN; EST PT	$423.00	$423.00	$119.83–$342.63	42% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAT VISIT ESTAB PT LEVEL 5	$435.00	$435.00	$119.83–$352.35	46% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 SLEEP CTR COMPREH; ESTAB	$435.00	$435.00	$119.83–$352.35	46% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HOSP OUTPT (ED) ESTAB LEV 5	$170.00	$170.00	$51.00–$183.21	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAL Visit OP Estab Pt Level 5	$272.00	$272.00	$81.60–$236.64	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PY Visit OP Estab Pt Level 5	$272.00	$272.00	$81.60–$236.64	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CHOD VISIT ESTAB PT LEVEL 5	$275.00	$275.00	$82.50–$239.25	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAT Visit Estab Pt Level 5	$275.00	$275.00	$82.50–$239.25	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMPPREHEN VISIT; ESTAB P	$333.00	$333.00	$99.90–$269.73	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMPREHENS VISIT; ESTAB	$333.00	$333.00	$99.90–$269.73	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMPREHEN VISIT; ESTAB PT	$333.00	$333.00	$99.90–$690.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HVC COMPREHENSIVE; ESTAB	$357.00	$357.00	$107.10–$289.17	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BARIATRIC CLINIC - COMPREHENSI	$396.00	$396.00	$118.80–$320.76	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ORTH OUTPT CONSLT (ED) LEV 5	$400.00	$400.00	$119.83–$348.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ORTH VISIT ESTAB COMPR/HIGH	$400.00	$400.00	$119.83–$348.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB COMPREHENSIVE; ESTAB.	$400.00	$400.00	$119.83–$324.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT COMPREHEN;ESTAB	$417.00	$417.00	$119.83–$337.77	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT COMPREHEN; EST PT	$423.00	$423.00	$119.83–$342.63	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 SLEEP CTR COMPREH; ESTAB	$435.00	$435.00	$119.83–$352.35	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAT VISIT ESTAB PT LEVEL 5	$435.00	$435.00	$119.83–$352.35	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HOSP OUTPT (ED) ESTAB LEV 3	$94.00	$94.00	$28.20–$84.43	50% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAL Visit OP Estab Pt Level 3	$196.00	$196.00	$58.80–$170.52	5% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PY Visit OP Estab Pt Level 3	$196.00	$196.00	$58.80–$170.52	5% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CHOD VISIT ESTAB PT LEVEL 3	$198.00	$198.00	$59.40–$172.26	6% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAT Visit Estab Pt Level 3	$198.00	$198.00	$59.40–$172.26	6% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 GI INTERMED; ESTAB	$207.00	$207.00	$62.10–$235.00	11% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HVC INTERMEDIATE; ESTAB	$217.00	$217.00	$65.10–$235.00	16% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 INTERMED VISIT;ESTAB PT	$218.00	$218.00	$65.40–$690.00	16% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 INTERMED VISIT; ESTAB PT	$228.00	$228.00	$68.40–$235.00	22% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 BARIATRIC CLINIC - INTERMEDIAT	$233.00	$233.00	$69.90–$235.00	24% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAT VISIT ESTAB PT LEVEL 3	$255.00	$255.00	$76.50–$235.00	36% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SLEEP CTR INTERMED; ESTAB	$255.00	$255.00	$76.50–$235.00	36% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ORTH OUTPT CONSLT (ED) LEV 3	$275.00	$275.00	$65.35–$239.25	47% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT INTERMED; ESTAB	$275.00	$275.00	$82.50–$235.00	47% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ORTH VISIT ESTAB EXP/LOW	$275.00	$275.00	$82.50–$235.00	47% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB INTERMEDIATE; ESTAB.	$303.00	$303.00	$84.29–$245.43	62% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 REMV PICC LINE> 16MIN EST	$310.00	$310.00	$84.29–$251.10	65% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT INTERMED; EST PT	$310.00	$310.00	$84.29–$251.10	65% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HOSP OUTPT (ED) ESTAB LEV 3	$94.00	$94.00	$28.20–$84.43	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PY Visit OP Estab Pt Level 3	$196.00	$196.00	$58.80–$170.52	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAL Visit OP Estab Pt Level 3	$196.00	$196.00	$58.80–$170.52	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CHOD VISIT ESTAB PT LEVEL 3	$198.00	$198.00	$59.40–$172.26	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAT Visit Estab Pt Level 3	$198.00	$198.00	$59.40–$172.26	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 GI INTERMED; ESTAB	$207.00	$207.00	$62.10–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HVC INTERMEDIATE; ESTAB	$217.00	$217.00	$65.10–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INTERMED VISIT;ESTAB PT	$218.00	$218.00	$65.40–$690.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INTERMED VISIT; ESTAB PT	$228.00	$228.00	$68.40–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BARIATRIC CLINIC - INTERMEDIAT	$233.00	$233.00	$69.90–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SLEEP CTR INTERMED; ESTAB	$255.00	$255.00	$76.50–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAT VISIT ESTAB PT LEVEL 3	$255.00	$255.00	$76.50–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT INTERMED; ESTAB	$275.00	$275.00	$82.50–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ORTH OUTPT CONSLT (ED) LEV 3	$275.00	$275.00	$65.35–$239.25	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ORTH VISIT ESTAB EXP/LOW	$275.00	$275.00	$82.50–$235.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB INTERMEDIATE; ESTAB.	$303.00	$303.00	$84.29–$245.43	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT INTERMED; EST PT	$310.00	$310.00	$84.29–$251.10	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 REMV PICC LINE> 16MIN EST	$310.00	$310.00	$84.29–$251.10	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HOSP OUTPT (ED) ESTAB LEV 4	$119.00	$119.00	$35.70–$129.96	46% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PY Visit OP Estab Pt Level 4	$234.00	$234.00	$70.20–$203.58	6% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAL Visit OP Estab Pt Level 4	$234.00	$234.00	$70.20–$203.58	6% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CHOD VISIT ESTAB PT LEVEL 4	$237.00	$237.00	$71.10–$206.19	8% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAT Visit Estab Pt Level 4	$237.00	$237.00	$71.10–$206.19	8% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GI EXTENDED; ESTAB	$258.00	$258.00	$77.40–$235.00	17% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HVC EXTENDED; ESTAB	$260.00	$260.00	$78.00–$235.00	18% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EXTENDED VISIT; ESTAB PT	$267.00	$267.00	$80.10–$235.00	21% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EXTENDED; EST PT	$267.00	$267.00	$80.10–$235.00	21% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EXTENSIVE VISIT; ESTAB PT	$267.00	$267.00	$80.10–$235.00	21% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BARIATRIC CLINIC - EXTENDED (E	$289.00	$289.00	$86.70–$235.00	31% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ORTH VISIT ESTAB DETAILED/MD	$303.00	$303.00	$90.90–$263.61	38% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ORTH VISIT ESTAB DETAIL/MOD	$303.00	$303.00	$90.90–$245.43	38% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ORTH OUTPT CONSLT (ED) LEV 4	$303.00	$303.00	$90.90–$263.61	38% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EXTEND; ESTAB	$303.00	$303.00	$90.90–$245.43	38% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SLEEP CTR EXTENDED; ESTAB	$317.00	$317.00	$95.10–$256.77	44% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAT VISIT ESTAB PT LEVEL 4	$317.00	$317.00	$95.10–$256.77	44% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB EXTENDED; ESTABLISHED	$351.00	$351.00	$105.30–$284.31	60% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HOSP OUTPT (ED) ESTAB LEV 4	$119.00	$119.00	$35.70–$129.96	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAL Visit OP Estab Pt Level 4	$234.00	$234.00	$70.20–$203.58	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PY Visit OP Estab Pt Level 4	$234.00	$234.00	$70.20–$203.58	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CHOD VISIT ESTAB PT LEVEL 4	$237.00	$237.00	$71.10–$206.19	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAT Visit Estab Pt Level 4	$237.00	$237.00	$71.10–$206.19	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 GI EXTENDED; ESTAB	$258.00	$258.00	$77.40–$235.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HVC EXTENDED; ESTAB	$260.00	$260.00	$78.00–$235.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EXTENDED; EST PT	$267.00	$267.00	$80.10–$235.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EXTENSIVE VISIT; ESTAB PT	$267.00	$267.00	$80.10–$235.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EXTENDED VISIT; ESTAB PT	$267.00	$267.00	$80.10–$235.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BARIATRIC CLINIC - EXTENDED (E	$289.00	$289.00	$86.70–$235.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ORTH OUTPT CONSLT (ED) LEV 4	$303.00	$303.00	$90.90–$263.61	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ORTH VISIT ESTAB DETAILED/MD	$303.00	$303.00	$90.90–$263.61	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ORTH VISIT ESTAB DETAIL/MOD	$303.00	$303.00	$90.90–$245.43	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EXTEND; ESTAB	$303.00	$303.00	$90.90–$245.43	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAT VISIT ESTAB PT LEVEL 4	$317.00	$317.00	$95.10–$256.77	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SLEEP CTR EXTENDED; ESTAB	$317.00	$317.00	$95.10–$256.77	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB EXTENDED; ESTABLISHED	$351.00	$351.00	$105.30–$284.31	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HOSP OUTPT (ED) ESTAB LEV 2	$68.00	$68.00	$20.40–$77.44	45% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INTV OFFICE VISIT LEVEL 2	$96.00	$96.00	$28.80–$83.52	22% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAL Visit OP Estab Pt Level 2	$126.00	$126.00	$34.95–$109.62	2% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PY Visit OP Estab Pt Level 2	$126.00	$126.00	$34.95–$109.62	2% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CHOD VISIT ESTAB PT LEVEL 2	$127.00	$127.00	$34.95–$110.49	3% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAT Visit Estab Pt Level 2	$127.00	$127.00	$34.95–$110.49	3% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HVC LIMITED; ESTAB	$157.00	$157.00	$42.15–$235.00	27% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GI LIMITED; ESTAB	$165.00	$165.00	$42.15–$235.00	34% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BARIATRIC CLINIC - LIMITED (ES	$174.00	$174.00	$42.15–$235.00	41% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LIMITED EVAL - ESTABLISHED PAT	$174.00	$174.00	$42.15–$235.00	41% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAT VISIT ESTAB PT LEVEL 2	$192.00	$192.00	$42.15–$235.00	55% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SLEEP CTR LIMITED; ESTAB	$192.00	$192.00	$42.15–$235.00	55% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB LIMITED; ESTABLISHED	$261.00	$261.00	$42.15–$235.00	111% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT LIMITED; ESTAB	$261.00	$261.00	$42.15–$235.00	111% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LIMITED VISIT; ESTAB PT	$286.00	$286.00	$42.15–$235.00	132% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ORTH OUTPT CONSLT (ED) LEV 2	$286.00	$286.00	$34.95–$248.82	132% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ORTH VISIT ESTAB PF/STRAIGHT	$324.00	$324.00	$42.15–$262.44	162% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 REMV PICC LINE< 16MIN;EST	$362.00	$362.00	$42.15–$293.22	193% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT LIMITED; EST PT	$362.00	$362.00	$42.15–$293.22	193% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HOSP OUTPT (ED) ESTAB LEV 2	$68.00	$68.00	$20.40–$77.44	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INTV OFFICE VISIT LEVEL 2	$96.00	$96.00	$28.80–$83.52	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PY Visit OP Estab Pt Level 2	$126.00	$126.00	$34.95–$109.62	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAL Visit OP Estab Pt Level 2	$126.00	$126.00	$34.95–$109.62	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CHOD VISIT ESTAB PT LEVEL 2	$127.00	$127.00	$34.95–$110.49	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAT Visit Estab Pt Level 2	$127.00	$127.00	$34.95–$110.49	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HVC LIMITED; ESTAB	$157.00	$157.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 GI LIMITED; ESTAB	$165.00	$165.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BARIATRIC CLINIC - LIMITED (ES	$174.00	$174.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LIMITED EVAL - ESTABLISHED PAT	$174.00	$174.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SLEEP CTR LIMITED; ESTAB	$192.00	$192.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAT VISIT ESTAB PT LEVEL 2	$192.00	$192.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT LIMITED; ESTAB	$261.00	$261.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB LIMITED; ESTABLISHED	$261.00	$261.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ORTH OUTPT CONSLT (ED) LEV 2	$286.00	$286.00	$34.95–$248.82	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LIMITED VISIT; ESTAB PT	$286.00	$286.00	$42.15–$235.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ORTH VISIT ESTAB PF/STRAIGHT	$324.00	$324.00	$42.15–$262.44	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 REMV PICC LINE< 16MIN;EST	$362.00	$362.00	$42.15–$293.22	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT LIMITED; EST PT	$362.00	$362.00	$42.15–$293.22	—	—
Spirometry (breathing test) CPT 94010 PCP SPIROMETRY	$68.00	$68.00	$20.06–$230.44	83% below	—
Spirometry (breathing test) CPT 94010 PFT SCREEN STUDY	$347.00	$347.00	$59.53–$1,174.00	13% below	—
Spirometry (breathing test) inpatient CPT 94010 PCP SPIROMETRY	$68.00	$68.00	$20.06–$230.44	—	—
Spirometry (breathing test) inpatient CPT 94010 PFT SCREEN STUDY	$347.00	$347.00	$59.53–$1,174.00	—	—
Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST OILATOR	$748.00	$748.00	$117.36–$1,174.00	5% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE/POST OILATOR	$748.00	$748.00	$117.36–$1,174.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$164.00	$164.00	$48.68–$690.00	42% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$164.00	$164.00	$48.68–$690.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACCINE 50mcg/0.5mL	$310.80	$310.80	$93.24–$251.75	30% above	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACCINE 50mcg/0.5mL	$310.80	$310.80	$93.24–$251.75	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PCP Varivax (Varicella) Vacc	$115.00	$115.00	$34.50–$344.92	70% below	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PCP VARICELLA	$115.00	$115.00	$34.50–$344.92	70% below	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PCP Varivax (Varicella) Vacc	$115.00	$115.00	$34.50–$344.92	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PCP VARICELLA	$115.00	$115.00	$34.50–$344.92	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 PCP Kinix/Quad Dtap-IPV 4-6y	$99.00	$99.00	$29.70–$243.72	71% below	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 PCP Kinix/Quad Dtap-IPV 4-6y	$99.00	$99.00	$29.70–$243.72	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 PCP DTAP VACCINE IM	$59.00	$59.00	$17.70–$56.96	2% below	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH / TET / ACP 25-58-10/0.5	$72.16	$72.16	$21.65–$58.45	20% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH-PERTUS (ACEL)-TET PED (PF	$75.77	$75.77	$22.73–$61.37	26% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 PCP DTAP VACCINE IM	$59.00	$59.00	$17.70–$56.96	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH / TET / ACP 25-58-10/0.5	$72.16	$72.16	$21.65–$58.45	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH-PERTUS (ACEL)-TET PED (PF	$75.77	$75.77	$22.73–$61.37	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PCP DTAP HEPB IPV VACCINE IM	$76.00	$76.00	$22.80–$187.79	59% below	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PCP DTAP HEPB IPV VACCINE IM	$76.00	$76.00	$22.80–$187.79	—	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PCP PENTACELDtapHibIPV	$151.00	$151.00	$45.30–$217.26	41% below	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PCP DTAP HIB IP VACCINE IM	$151.00	$151.00	$45.30–$217.26	41% below	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PCP PENTACELDtapHibIPV	$151.00	$151.00	$45.30–$217.26	—	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PCP DTAP HIB IP VACCINE IM	$151.00	$151.00	$45.30–$217.26	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PCP HPV GARDASIL 9	$424.00	$424.00	$127.20–$569.07	32% below	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PCP HPV GARDASIL 9	$424.00	$424.00	$127.20–$569.07	—	—
Hepatitis A vaccine, adult dose CPT 90632 PCP Havrix (Hep A) Vaccine	$68.00	$68.00	$20.40–$115.93	59% below	—
Hepatitis A vaccine, adult dose CPT 90632 PCP VAQTA (HEP A) VACCINE	$68.00	$68.00	$20.40–$115.93	59% below	—
Hepatitis A vaccine, adult dose CPT 90632 PCP Vaqta (Hep A) adult vacc	$68.00	$68.00	$20.40–$115.93	59% below	—
Hepatitis A vaccine, adult dose CPT 90632 Hep A Vacc 25units/0.5mL INJ	$103.57	$103.57	$31.07–$115.93	38% below	—
Hepatitis A vaccine, adult dose CPT 90632 VAQTA 1ML INJ	$219.02	$219.02	$65.70–$177.40	31% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 PCP Vaqta (Hep A) adult vacc	$68.00	$68.00	$20.40–$115.93	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 PCP VAQTA (HEP A) VACCINE	$68.00	$68.00	$20.40–$115.93	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 PCP Havrix (Hep A) Vaccine	$68.00	$68.00	$20.40–$115.93	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Vacc 25units/0.5mL INJ	$103.57	$103.57	$31.07–$115.93	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA 1ML INJ	$219.02	$219.02	$65.70–$177.40	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 PCP HEPA VACPED/ADOL 2DOSES	$59.00	$59.00	$17.70–$68.72	19% below	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 PCP HEPA VACPED/ADOL 2DOSES	$59.00	$59.00	$17.70–$68.72	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PCP HEP B VACCINE ADULT IM	$116.00	$116.00	$34.80–$116.13	10% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PCP Energix/Recom HEP B IM	$116.00	$116.00	$34.80–$116.13	10% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG VIAL	$185.08	$185.08	$55.52–$149.91	43% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HP 10MCG/ML 1M	$205.27	$205.27	$61.58–$166.27	59% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PCP Energix/Recom HEP B IM	$116.00	$116.00	$34.80–$116.13	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PCP HEP B VACCINE ADULT IM	$116.00	$116.00	$34.80–$116.13	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG VIAL	$185.08	$185.08	$55.52–$149.91	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 RECOMBIVAX HP 10MCG/ML 1M	$205.27	$205.27	$61.58–$166.27	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 PCP RECOMBIVAX HEP B	$116.00	$116.00	$33.85–$93.96	87% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 PCP Ener/Recom3d HEP B (priv)	$116.00	$116.00	$33.85–$93.96	87% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 PCP Ener/Recom3d HEP B (priv)	$116.00	$116.00	$33.85–$93.96	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 PCP RECOMBIVAX HEP B	$116.00	$116.00	$33.85–$93.96	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PCP ActHIB/Hiberix Hibcon4d	$33.00	$33.00	$9.90–$58.58	69% below	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PCP ActHIB/Hiberix Hibcon4d	$33.00	$33.00	$9.90–$58.58	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJ-TET TOX VAC	$34.08	$34.08	$10.22–$27.60	19% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 PCP S ACTHIB (HIB)	$38.00	$38.00	$11.40–$30.78	33% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 PCP HIB VACCINE PRP-T IM	$38.00	$38.00	$11.40–$33.06	33% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJ-TET TOX VAC	$34.08	$34.08	$10.22–$27.60	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 PCP HIB VACCINE PRP-T IM	$38.00	$38.00	$11.40–$33.06	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 PCP S ACTHIB (HIB)	$38.00	$38.00	$11.40–$30.78	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PCP Fluzone Hi Dose Quad	$94.00	$94.00	$28.20–$121.11	45% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PCP FLUZONE HD 65YRS+	$94.00	$94.00	$28.20–$121.11	45% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PCP FLUZONE HD 65YRS+	$94.00	$94.00	$28.20–$121.11	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PCP Fluzone Hi Dose Quad	$94.00	$94.00	$28.20–$121.11	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 PCP MMR	$38.00	$38.00	$11.40–$182.39	79% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 PCP MMRII MMR Vacc	$143.00	$143.00	$42.90–$182.39	23% below	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PCP MMR	$38.00	$38.00	$11.40–$182.39	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PCP MMRII MMR Vacc	$143.00	$143.00	$42.90–$182.39	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PCP ProQuad MMRV live sq	$396.00	$396.00	$53.08–$320.76	24% above	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 PCP ProQuad MMRV live sq	$396.00	$396.00	$53.08–$320.76	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PCP MENACTRA VACCINE	$231.00	$231.00	$69.30–$299.95	15% below	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PCP Menactra Vacc	$231.00	$231.00	$69.30–$299.95	15% below	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PCP MENACTRA VACCINE	$231.00	$231.00	$69.30–$299.95	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PCP Menactra Vacc	$231.00	$231.00	$69.30–$299.95	—	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI 10mcg VIAL	$398.95	$398.95	$119.69–$330.38	3% below	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 PCP MENQUAD MENACWY-TT 18+	$410.00	$410.00	$123.00–$332.10	at median	—
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENQUADFI 10mcg VIAL	$398.95	$398.95	$119.69–$330.38	—	—
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 PCP MENQUAD MENACWY-TT 18+	$410.00	$410.00	$123.00–$332.10	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PCP Bexsero MinB-4C IM	$329.00	$329.00	$98.70–$411.10	28% below	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PCP Bexsero MinB-4C IM	$329.00	$329.00	$98.70–$411.10	—	—
Meningococcal B vaccine (Trumenba) CPT 90621 PCP Trumenba MenRecom2d IM	$270.00	$270.00	$81.00–$376.46	25% below	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 PCP Trumenba MenRecom2d IM	$270.00	$270.00	$81.00–$376.46	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCP PNEUMOCOCCAL VAC 13 VAL IM	$157.00	$157.00	$47.10–$425.68	71% below	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCP Prevnar 13 Vacc IM	$157.00	$157.00	$47.10–$425.68	71% below	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL CONJ-DIP CR (PF	$541.63	$541.63	$162.49–$438.72	1% below	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCP PNEUMOCOCCAL VAC 13 VAL IM	$157.00	$157.00	$47.10–$425.68	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCP Prevnar 13 Vacc IM	$157.00	$157.00	$47.10–$425.68	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 13-VAL CONJ-DIP CR (PF	$541.63	$541.63	$162.49–$438.72	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 INJ 0.5ML	$625.94	$625.94	$187.78–$507.01	11% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 INJ 0.5ML	$625.94	$625.94	$187.78–$507.01	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PCP PNEUMOVAX/Pneumococcal	$59.00	$59.00	$17.70–$220.23	78% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PCP Pneumovax 23 Vaccine	$59.00	$59.00	$17.70–$220.23	78% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PCP Pneumovax 23 Vaccine	$59.00	$59.00	$17.70–$220.23	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PCP PNEUMOVAX/Pneumococcal	$59.00	$59.00	$17.70–$220.23	—	—
Polio vaccine, inactivated (IPV) CPT 90713 PCP IPOL(IPV)	$65.00	$65.00	$19.50–$84.18	26% below	—
Polio vaccine, inactivated (IPV) CPT 90713 PCP IPOL (IPV) Sq/IM	$65.00	$65.00	$19.50–$84.18	26% below	—
Polio vaccine, inactivated (IPV) CPT 90713 IPOL VACCINE 0.5ML	$117.29	$117.29	$35.19–$95.01	34% above	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 PCP IPOL (IPV) Sq/IM	$65.00	$65.00	$19.50–$84.18	—	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 PCP IPOL(IPV)	$65.00	$65.00	$19.50–$84.18	—	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL VACCINE 0.5ML	$117.29	$117.29	$35.19–$95.01	—	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE/2.5	$909.70	$909.70	$129.11–$736.85	1% above	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACCINE/2.5	$909.70	$909.70	$129.11–$736.85	—	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 PCP Rotarix (Rotavirus)	$87.00	$87.00	$26.10–$182.97	51% below	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 PCP Rotarix (Rotavirus)	$87.00	$87.00	$26.10–$182.97	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 PCP RotaTeq (ROTAVIRUS)	$87.00	$87.00	$26.10–$189.75	16% below	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 PCP ROTAVIRUS	$87.00	$87.00	$26.10–$189.75	16% below	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 PCP ROTAVIRUS	$87.00	$87.00	$26.10–$189.75	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 PCP RotaTeq (ROTAVIRUS)	$87.00	$87.00	$26.10–$189.75	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PCP TDVAX/Tenivac Td	$59.00	$59.00	$17.70–$50.06	32% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PCP TD(adult)	$59.00	$59.00	$17.70–$50.06	32% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHTHERIA/0.5ML/	$99.68	$99.68	$29.90–$80.74	16% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PCP TDVAX/Tenivac Td	$59.00	$59.00	$17.70–$50.06	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PCP TD(adult)	$59.00	$59.00	$17.70–$50.06	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPHTHERIA/0.5ML/	$99.68	$99.68	$29.90–$80.74	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PCP Adacel/Boostrix TDAP	$59.00	$59.00	$17.70–$63.21	38% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PCP TDAP (ADULT)	$59.00	$59.00	$17.70–$63.21	38% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH-PERTUSS(ACEL)-TET VAC (PF	$122.72	$122.72	$36.82–$99.41	29% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VACCINE 0.5ML	$127.62	$127.62	$38.29–$103.38	34% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PCP TDAP (ADULT)	$59.00	$59.00	$17.70–$63.21	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PCP Adacel/Boostrix TDAP	$59.00	$59.00	$17.70–$63.21	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH-PERTUSS(ACEL)-TET VAC (PF	$122.72	$122.72	$36.82–$99.41	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL VACCINE 0.5ML	$127.62	$127.62	$38.29–$103.38	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PCP Immunization Admin 1st	$28.00	$28.00	$11.82–$103.92	74% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN- INFLUENZA VACCINE	$161.00	$161.00	$67.99–$130.41	49% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN - ONE VACCINE	$161.00	$161.00	$67.99–$130.41	49% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN - PNEUMOCCAL VACC	$161.00	$161.00	$67.99–$130.41	49% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACC (59)	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN - INFLUENZA VACCINE	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN HEP B	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN PN	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SNGL	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN - HEP B VACCINE	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SNGL (59)	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCCAL VAC (59)	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN FLU	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN - PNEUMOCCAL VACCIN	$179.00	$179.00	$72.39–$144.99	66% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PCP Immunization Admin 1st	$28.00	$28.00	$11.82–$103.92	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN- INFLUENZA VACCINE	$161.00	$161.00	$67.99–$130.41	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN - ONE VACCINE	$161.00	$161.00	$67.99–$130.41	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN - PNEUMOCCAL VACC	$161.00	$161.00	$67.99–$130.41	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCCAL VAC (59)	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN HEP B	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN PN	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN FLU	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACC (59)	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SNGL	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SNGL (59)	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN - HEP B VACCINE	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN - PNEUMOCCAL VACCIN	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN - INFLUENZA VACCINE	$179.00	$179.00	$72.39–$144.99	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PCP Immun Admin each addtl	$24.00	$24.00	$7.20–$25.17	49% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN. ADMIN EA ADD'L	$61.00	$61.00	$18.30–$49.41	30% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN - EA ADD'L VACCINE	$88.00	$88.00	$25.17–$71.28	87% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PCP Immun Admin each addtl	$24.00	$24.00	$7.20–$25.17	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN. ADMIN EA ADD'L	$61.00	$61.00	$18.30–$49.41	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN - EA ADD'L VACCINE	$88.00	$88.00	$25.17–$71.28	—	—

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

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

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

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

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

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

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

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

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

Source file: https://www.lawrencegeneral.org/LawrenceGeneral/media/PDF-Docs/042103586_LawerenceGeneralHospital_standardcharges.csv