Nemours Childrens Hospital, Florida
Listed in its price file as “Nemours Children's Hospital”.
Nemours Childrens Hospital, Florida in Orlando, FL publishes cash prices for 340 common procedures listed here, from its own machine-readable price file updated Mar 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Florida median for 235 of 337 procedures and below it for 100. By typical cash price it ranks #98 of 171 Florida hospitals and #7 of 13 hospitals in the Orlando, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
6535 Nemours Parkway Collected Sep 22, 2026 Source price file Check a bill from this hospital (407) 567-4000
Children's hospital Nonprofit hospital Emergency department CCN 103304 · CMS hospital register NPI 1245520386
The price file shows no self-pay discount
For 2128 of the 2128 prices listed here, the cash price in Nemours Childrens Hospital, Florida's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Nemours Childrens Hospital, Florida is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Nemours Childrens Hospital, Florida in Orlando, FL:
- Apr 29, 2026 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&W/O Contrast | $4,572.00 | $4,572.00 | — | 15% above | — |
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&W/O Contrast | $4,572.00 | $4,572.00 | — | 15% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W&W/O Contrast | $4,572.00 | $4,572.00 | — | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W&W/O Contrast | $4,572.00 | $4,572.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 Radiological Examination Abdomen 2 Views | $726.00 | $726.00 | — | 13% above | — |
| Abdominal X-ray, 2 views CPT 74019 Radiological Examination Abdomen 2 Views | $726.00 | $726.00 | — | 13% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Radiological Examination Abdomen 2 Views | $726.00 | $726.00 | — | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Radiological Examination Abdomen 2 Views | $726.00 | $726.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Minimum 3 Views | $605.00 | $605.00 | — | 3% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Minimum 3 Views | $605.00 | $605.00 | — | 3% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Minimum 3 Views | $605.00 | $605.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Minimum 3 Views | $605.00 | $605.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upper/Lower Extremity Arteries 1 -2 Levels | $503.00 | $503.00 | — | 18% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upper/Lower Extremity Arteries 1 -2 Levels | $503.00 | $503.00 | — | 18% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upper/Lower Extremity Arteries 1 -2 Levels | $503.00 | $503.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upper/Lower Extremity Arteries 1 -2 Levels | $503.00 | $503.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Ext W/O Cont | $2,834.00 | $2,834.00 | — | 20% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Ext W/O Cont | $2,834.00 | $2,834.00 | — | 20% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Ext W/O Cont | $2,834.00 | $2,834.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Ext W/O Cont | $2,834.00 | $2,834.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic Examination Esophagus | $981.00 | $981.00 | — | 17% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic Examination Esophagus | $981.00 | $981.00 | — | 17% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Radiologic Examination Esophagus | $981.00 | $981.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Radiologic Examination Esophagus | $981.00 | $981.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone/Joint Whole Body | $2,826.00 | $2,826.00 | — | 11% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone/Joint Whole Body | $2,826.00 | $2,826.00 | — | 11% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone/Joint Whole Body | $2,826.00 | $2,826.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone/Joint Whole Body | $2,826.00 | $2,826.00 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Unilateral Real Time With Image Doc Incl Axilla | $555.00 | $555.00 | — | 4% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Unilateral Real Time With Image Doc Incl Axilla | $555.00 | $555.00 | — | 4% below | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Unilateral Real Time With Image Doc Incl Axilla | $555.00 | $555.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Unilateral Real Time With Image Doc Incl Axilla | $555.00 | $555.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Unilateral Real Time With Image Doc Limited | $555.00 | $555.00 | — | 7% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Unilateral Real Time With Image Doc Limited | $555.00 | $555.00 | — | 7% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Ultrasound Breast Unilateral Real Time With Image Doc Limited | $555.00 | $555.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Ultrasound Breast Unilateral Real Time With Image Doc Limited | $555.00 | $555.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abdomen and Pelvis With Contrast | $3,886.00 | $3,886.00 | — | 34% below | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abdomen and Pelvis With Contrast | $3,886.00 | $3,886.00 | — | 34% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abdomen and Pelvis With Contrast | $3,886.00 | $3,886.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abdomen and Pelvis With Contrast | $3,886.00 | $3,886.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 Cta Head W/ and W/O Cont | $6,187.00 | $6,187.00 | — | 75% above | — |
| CT angiography (CTA) of the head CPT 70496 Cta Head W/ and W/O Cont | $6,187.00 | $6,187.00 | — | 75% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/ and W/O Cont | $6,187.00 | $6,187.00 | — | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/ and W/O Cont | $6,187.00 | $6,187.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck W/ and W/O Cont | $7,484.00 | $7,484.00 | — | 79% above | — |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck W/ and W/O Cont | $7,484.00 | $7,484.00 | — | 79% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W/ and W/O Cont | $7,484.00 | $7,484.00 | — | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W/ and W/O Cont | $7,484.00 | $7,484.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Noncoronary | $4,474.00 | $4,474.00 | — | 1% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Noncoronary | $4,474.00 | $4,474.00 | — | 1% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Noncoronary | $4,474.00 | $4,474.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Noncoronary | $4,474.00 | $4,474.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart W/Cont Incl 3d | $5,614.00 | $5,614.00 | — | 188% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart W/Cont Incl 3d | $5,614.00 | $5,614.00 | — | 188% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Heart W/Cont Incl 3d | $5,614.00 | $5,614.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Heart W/Cont Incl 3d | $5,614.00 | $5,614.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Without Contrast | $1,597.00 | $1,597.00 | — | 195% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Without Contrast | $1,597.00 | $1,597.00 | — | 195% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Without Contrast | $1,597.00 | $1,597.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Without Contrast | $1,597.00 | $1,597.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Ab & Pelvis Without Contrast | $3,053.00 | $3,053.00 | — | 45% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Ab & Pelvis Without Contrast | $3,053.00 | $3,053.00 | — | 45% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Ab & Pelvis Without Contrast | $3,053.00 | $3,053.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Ab & Pelvis Without Contrast | $3,053.00 | $3,053.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Ab & Pelvis With Contrast | $3,357.00 | $3,357.00 | — | 44% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Ab & Pelvis With Contrast | $3,357.00 | $3,357.00 | — | 44% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Ab & Pelvis With Contrast | $3,357.00 | $3,357.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Ab & Pelvis With Contrast | $3,357.00 | $3,357.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Ab & Pelvis W/&W/O Cont | $3,968.00 | $3,968.00 | — | 43% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Ab & Pelvis W/&W/O Cont | $3,968.00 | $3,968.00 | — | 43% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Ab & Pelvis W/&W/O Cont | $3,968.00 | $3,968.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Ab & Pelvis W/&W/O Cont | $3,968.00 | $3,968.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/ Contrast | $3,870.00 | $3,870.00 | — | 13% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/ Contrast | $3,870.00 | $3,870.00 | — | 13% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/ Contrast | $3,870.00 | $3,870.00 | — | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/ Contrast | $3,870.00 | $3,870.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast | $3,518.00 | $3,518.00 | — | 10% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast | $3,518.00 | $3,518.00 | — | 10% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast | $3,518.00 | $3,518.00 | — | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast | $3,518.00 | $3,518.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillo W/O Cont | $3,825.00 | $3,825.00 | — | 34% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillo W/O Cont | $3,825.00 | $3,825.00 | — | 34% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillo W/O Cont | $3,825.00 | $3,825.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillo W/O Cont | $3,825.00 | $3,825.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Cont | $3,710.00 | $3,710.00 | — | 21% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Cont | $3,710.00 | $3,710.00 | — | 21% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Cont | $3,710.00 | $3,710.00 | — | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Cont | $3,710.00 | $3,710.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 CT Head/Brain W/ Cont | $4,081.00 | $4,081.00 | — | 9% above | — |
| CT scan of the head with contrast CPT 70460 CT Head/Brain W/ Cont | $4,081.00 | $4,081.00 | — | 9% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/ Cont | $4,081.00 | $4,081.00 | — | — | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/ Cont | $4,081.00 | $4,081.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/&W/O Cont | $4,823.00 | $4,823.00 | — | 9% above | — |
| CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/&W/O Cont | $4,823.00 | $4,823.00 | — | 9% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/&W/O Cont | $4,823.00 | $4,823.00 | — | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/&W/O Cont | $4,823.00 | $4,823.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar W/O Cont | $4,475.00 | $4,475.00 | — | 36% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar W/O Cont | $4,475.00 | $4,475.00 | — | 36% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar W/O Cont | $4,475.00 | $4,475.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar W/O Cont | $4,475.00 | $4,475.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical W/O Cont | $4,754.00 | $4,754.00 | — | 40% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical W/O Cont | $4,754.00 | $4,754.00 | — | 40% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical W/O Cont | $4,754.00 | $4,754.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical W/O Cont | $4,754.00 | $4,754.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Cont | $4,024.00 | $4,024.00 | — | 6% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Cont | $4,024.00 | $4,024.00 | — | 6% below | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/ Cont | $4,024.00 | $4,024.00 | — | — | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/ Cont | $4,024.00 | $4,024.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex US Cartoid/Extracranial Art Bilat | $1,868.00 | $1,868.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex US Cartoid/Extracranial Art Bilat | $1,868.00 | $1,868.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex US Cartoid/Extracranial Art Bilat | $1,868.00 | $1,868.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex US Cartoid/Extracranial Art Bilat | $1,868.00 | $1,868.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 CT Thorax W/ and W/O | $3,928.00 | $3,928.00 | — | 1% below | — |
| Chest CT scan without and with contrast CPT 71270 CT Thorax W/ and W/O | $3,928.00 | $3,928.00 | — | 1% below | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax W/ and W/O | $3,928.00 | $3,928.00 | — | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax W/ and W/O | $3,928.00 | $3,928.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 Radiological Examination Chest 2 Views | $797.00 | $797.00 | — | 60% above | — |
| Chest X-ray, 2 views CPT 71046 Radiological Examination Chest 2 Views | $797.00 | $797.00 | — | 60% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Radiological Examination Chest 2 Views | $797.00 | $797.00 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 Radiological Examination Chest 2 Views | $797.00 | $797.00 | — | — | — |
| Chest X-ray, single view CPT 71045 Radiological Examination Chest Single View | $623.00 | $623.00 | — | 49% above | — |
| Chest X-ray, single view CPT 71045 Radiological Examination Chest Single View | $623.00 | $623.00 | — | 49% above | — |
| Chest X-ray, single view inpatient CPT 71045 Radiological Examination Chest Single View | $623.00 | $623.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 Radiological Examination Chest Single View | $623.00 | $623.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle Complete | $379.00 | $379.00 | — | 31% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle Complete | $379.00 | $379.00 | — | 31% below | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle Complete | $379.00 | $379.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle Complete | $379.00 | $379.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Uls Retroperitoneal | $1,997.00 | $1,997.00 | — | 57% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Uls Retroperitoneal | $1,997.00 | $1,997.00 | — | 57% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Uls Retroperitoneal | $1,997.00 | $1,997.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Uls Retroperitoneal | $1,997.00 | $1,997.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density | $915.00 | $915.00 | — | 50% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density | $915.00 | $915.00 | — | 50% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density | $915.00 | $915.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density | $915.00 | $915.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Without Cont | $3,021.00 | $3,021.00 | — | 4% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Without Cont | $3,021.00 | $3,021.00 | — | 4% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax Without Cont | $3,021.00 | $3,021.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax Without Cont | $3,021.00 | $3,021.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Throrax W/ Cont | $3,323.00 | $3,323.00 | — | 13% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Throrax W/ Cont | $3,323.00 | $3,323.00 | — | 13% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Throrax W/ Cont | $3,323.00 | $3,323.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Throrax W/ Cont | $3,323.00 | $3,323.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex US Lower Extrem Art Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex US Lower Extrem Art Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplex US Lower Extrem Art Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplex US Lower Extrem Art Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex US Vasc Extrem Veins Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex US Vasc Extrem Veins Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex US Vasc Extrem Veins Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex US Vasc Extrem Veins Bilat | $1,866.00 | $1,866.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthor W/Spectral & Color Dopplr | $5,433.00 | $5,433.00 | — | 62% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthor W/Spectral & Color Dopplr | $5,433.00 | $5,433.00 | — | 62% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthor W/Spectral & Color Dopplr | $5,433.00 | $5,433.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthor W/Spectral & Color Dopplr | $5,433.00 | $5,433.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 Elbow 2 Views | $485.00 | $485.00 | — | 4% below | — |
| Elbow X-ray, 2 views CPT 73070 Elbow 2 Views | $485.00 | $485.00 | — | 4% below | — |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views | $485.00 | $485.00 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views | $485.00 | $485.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Minimum 3 Views | $672.00 | $672.00 | — | 12% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Minimum 3 Views | $672.00 | $672.00 | — | 12% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Minimum 3 Views | $672.00 | $672.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Minimum 3 Views | $672.00 | $672.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit/Sella W/O Contrast | $4,353.00 | $4,353.00 | — | 66% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit/Sella W/O Contrast | $4,353.00 | $4,353.00 | — | 66% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit/Sella W/O Contrast | $4,353.00 | $4,353.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit/Sella W/O Contrast | $4,353.00 | $4,353.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Min 3 | $512.00 | $512.00 | — | 32% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Min 3 | $512.00 | $512.00 | — | 32% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Min 3 | $512.00 | $512.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Min 3 | $512.00 | $512.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views | $485.00 | $485.00 | — | 15% below | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views | $485.00 | $485.00 | — | 15% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views | $485.00 | $485.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views | $485.00 | $485.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Imaging | $1,623.00 | $1,623.00 | — | 20% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Imaging | $1,623.00 | $1,623.00 | — | 20% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Imaging | $1,623.00 | $1,623.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Imaging | $1,623.00 | $1,623.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 Hand 2 Views | $586.00 | $586.00 | — | 13% above | — |
| Hand X-ray, 2 views CPT 73120 Hand 2 Views | $586.00 | $586.00 | — | 13% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 2 Views | $586.00 | $586.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 2 Views | $586.00 | $586.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus Minimum 2 Views | $485.00 | $485.00 | — | 2% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus Minimum 2 Views | $485.00 | $485.00 | — | 2% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneus Minimum 2 Views | $485.00 | $485.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneus Minimum 2 Views | $485.00 | $485.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom > 6 Y/O With Sleep Stage /8+Param/Bilevel Initiate Study/Score | $8,772.00 | $8,772.00 | — | 71% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom > 6 Y/O With Sleep Stage /8+Param/Bilevel Initiate Study/Score | $8,772.00 | $8,772.00 | — | 71% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom > 6 Y/O With Sleep Stage /8+Param/Bilevel Initiate Study/Score | $8,772.00 | $8,772.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom > 6 Y/O With Sleep Stage /8+Param/Bilevel Initiate Study/Score | $8,772.00 | $8,772.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views | $586.00 | $586.00 | — | 14% below | — |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views | $586.00 | $586.00 | — | 14% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views | $586.00 | $586.00 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views | $586.00 | $586.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee 4 or More Views | $586.00 | $586.00 | — | 24% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee 4 or More Views | $586.00 | $586.00 | — | 24% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee 4 or More Views | $586.00 | $586.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee 4 or More Views | $586.00 | $586.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extrem W/O Cont | $2,900.00 | $2,900.00 | — | 10% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extrem W/O Cont | $2,900.00 | $2,900.00 | — | 10% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower Extrem W/O Cont | $2,900.00 | $2,900.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower Extrem W/O Cont | $2,900.00 | $2,900.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Uls Abdominal Limited | $832.00 | $832.00 | — | 26% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Uls Abdominal Limited | $832.00 | $832.00 | — | 26% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Uls Abdominal Limited | $832.00 | $832.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Uls Abdominal Limited | $832.00 | $832.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound Limited Joint or Focal Eval Other Nonvascular Extrem | $1,223.00 | $1,223.00 | — | 92% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound Limited Joint or Focal Eval Other Nonvascular Extrem | $1,223.00 | $1,223.00 | — | 92% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound Limited Joint or Focal Eval Other Nonvascular Extrem | $1,223.00 | $1,223.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound Limited Joint or Focal Eval Other Nonvascular Extrem | $1,223.00 | $1,223.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia/Fibula 2 Views | $485.00 | $485.00 | — | 23% below | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia/Fibula 2 Views | $485.00 | $485.00 | — | 23% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia/Fibula 2 Views | $485.00 | $485.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia/Fibula 2 Views | $485.00 | $485.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $3,789.00 | $3,789.00 | — | 29% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $3,789.00 | $3,789.00 | — | 29% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $3,789.00 | $3,789.00 | — | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $3,789.00 | $3,789.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Lower Ext Joint W/O Cont | $3,928.00 | $3,928.00 | — | 12% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Lower Ext Joint W/O Cont | $3,928.00 | $3,928.00 | — | 12% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Lower Ext Joint W/O Cont | $3,928.00 | $3,928.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Lower Ext Joint W/O Cont | $3,928.00 | $3,928.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Ext Join W/&W/O | $5,106.00 | $5,106.00 | — | 5% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Ext Join W/&W/O | $5,106.00 | $5,106.00 | — | 5% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lower Ext Join W/&W/O | $5,106.00 | $5,106.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lower Ext Join W/&W/O | $5,106.00 | $5,106.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast | $3,796.00 | $3,796.00 | — | 8% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast | $3,796.00 | $3,796.00 | — | 8% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast | $3,796.00 | $3,796.00 | — | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast | $3,796.00 | $3,796.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/&W/O Cont | $5,270.00 | $5,270.00 | — | 23% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/&W/O Cont | $5,270.00 | $5,270.00 | — | 23% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/&W/O Cont | $5,270.00 | $5,270.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/&W/O Cont | $5,270.00 | $5,270.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $4,817.00 | $4,817.00 | — | 39% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $4,817.00 | $4,817.00 | — | 39% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast | $4,817.00 | $4,817.00 | — | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast | $4,817.00 | $4,817.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/ W/O Cont | $6,261.00 | $6,261.00 | — | 27% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/ W/O Cont | $6,261.00 | $6,261.00 | — | 27% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/ W/O Cont | $6,261.00 | $6,261.00 | — | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/ W/O Cont | $6,261.00 | $6,261.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar W/O Cont | $5,260.00 | $5,260.00 | — | 42% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar W/O Cont | $5,260.00 | $5,260.00 | — | 42% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar W/O Cont | $5,260.00 | $5,260.00 | — | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar W/O Cont | $5,260.00 | $5,260.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lumbar W/&W/O Cont | $5,870.00 | $5,870.00 | — | 18% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lumbar W/&W/O Cont | $5,870.00 | $5,870.00 | — | 18% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar W/&W/O Cont | $5,870.00 | $5,870.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar W/&W/O Cont | $5,870.00 | $5,870.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic W/O Cont | $4,191.00 | $4,191.00 | — | 11% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic W/O Cont | $4,191.00 | $4,191.00 | — | 11% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic W/O Cont | $4,191.00 | $4,191.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic W/O Cont | $4,191.00 | $4,191.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Cervical W/&W/O Cont | $5,732.00 | $5,732.00 | — | 20% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Cervical W/&W/O Cont | $5,732.00 | $5,732.00 | — | 20% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Cervical W/&W/O Cont | $5,732.00 | $5,732.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Cervical W/&W/O Cont | $5,732.00 | $5,732.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical W/O Cont | $4,408.00 | $4,408.00 | — | 17% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical W/O Cont | $4,408.00 | $4,408.00 | — | 17% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical W/O Cont | $4,408.00 | $4,408.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical W/O Cont | $4,408.00 | $4,408.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/&W/O Cont | $5,788.00 | $5,788.00 | — | 56% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/&W/O Cont | $5,788.00 | $5,788.00 | — | 56% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/&W/O Cont | $5,788.00 | $5,788.00 | — | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/&W/O Cont | $5,788.00 | $5,788.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Cont | $4,297.00 | $4,297.00 | — | 32% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Cont | $4,297.00 | $4,297.00 | — | 32% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Cont | $4,297.00 | $4,297.00 | — | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Cont | $4,297.00 | $4,297.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upper Ext Joint W/O | $3,880.00 | $3,880.00 | — | 17% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upper Ext Joint W/O | $3,880.00 | $3,880.00 | — | 17% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Upper Ext Joint W/O | $3,880.00 | $3,880.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Upper Ext Joint W/O | $3,880.00 | $3,880.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4 or 5 Vw | $645.00 | $645.00 | — | 27% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4 or 5 Vw | $645.00 | $645.00 | — | 27% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Spine Cervical 4 or 5 Vw | $645.00 | $645.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Spine Cervical 4 or 5 Vw | $645.00 | $645.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck W/ Contrast | $3,880.00 | $3,880.00 | — | 17% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck W/ Contrast | $3,880.00 | $3,880.00 | — | 17% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck W/ Contrast | $3,880.00 | $3,880.00 | — | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck W/ Contrast | $3,880.00 | $3,880.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck W/O Contrast | $3,529.00 | $3,529.00 | — | 18% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck W/O Contrast | $3,529.00 | $3,529.00 | — | 18% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck W/O Contrast | $3,529.00 | $3,529.00 | — | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck W/O Contrast | $3,529.00 | $3,529.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $445.00 | $445.00 | — | 20% below | — |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $445.00 | $445.00 | — | 20% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $445.00 | $445.00 | — | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $445.00 | $445.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Img Multi | $6,504.00 | $6,504.00 | — | 18% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Img Multi | $6,504.00 | $6,504.00 | — | 18% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Img Multi | $6,504.00 | $6,504.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Img Multi | $6,504.00 | $6,504.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet With Conc CT Scan for Attenuation/Localize Skull Base to Mid Thigh | $7,324.00 | $7,324.00 | — | 27% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet With Conc CT Scan for Attenuation/Localize Skull Base to Mid Thigh | $7,324.00 | $7,324.00 | — | 27% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet With Conc CT Scan for Attenuation/Localize Skull Base to Mid Thigh | $7,324.00 | $7,324.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet With Conc CT Scan for Attenuation/Localize Skull Base to Mid Thigh | $7,324.00 | $7,324.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Cont | $3,658.00 | $3,658.00 | — | 20% above | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Cont | $3,658.00 | $3,658.00 | — | 20% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Cont | $3,658.00 | $3,658.00 | — | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Cont | $3,658.00 | $3,658.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Uls Pelvic Limited/Follow Up | $1,391.00 | $1,391.00 | — | 58% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Uls Pelvic Limited/Follow Up | $1,391.00 | $1,391.00 | — | 58% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Uls Pelvic Limited/Follow Up | $1,391.00 | $1,391.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Uls Pelvic Limited/Follow Up | $1,391.00 | $1,391.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic | $1,531.00 | $1,531.00 | — | 15% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic | $1,531.00 | $1,531.00 | — | 15% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvic | $1,531.00 | $1,531.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvic | $1,531.00 | $1,531.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound Pregnant Uterus Real Time W/Image Doc Limited | $1,041.00 | $1,041.00 | — | 61% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound Pregnant Uterus Real Time W/Image Doc Limited | $1,041.00 | $1,041.00 | — | 61% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound Pregnant Uterus Real Time W/Image Doc Limited | $1,041.00 | $1,041.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound Pregnant Uterus Real Time W/Image Doc Limited | $1,041.00 | $1,041.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs Unilateral 2 Views | $485.00 | $485.00 | — | 17% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs Unilateral 2 Views | $485.00 | $485.00 | — | 17% below | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Unilateral 2 Views | $485.00 | $485.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Unilateral 2 Views | $485.00 | $485.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilateral Min 3 Views | $536.00 | $536.00 | — | 22% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilateral Min 3 Views | $536.00 | $536.00 | — | 22% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Unilateral Min 3 Views | $536.00 | $536.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Unilateral Min 3 Views | $536.00 | $536.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Minimum 2 Views | $485.00 | $485.00 | — | 33% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Minimum 2 Views | $485.00 | $485.00 | — | 33% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Minimum 2 Views | $485.00 | $485.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Minimum 2 Views | $485.00 | $485.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Minimum 3 Vw | $570.00 | $570.00 | — | 33% below | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Minimum 3 Vw | $570.00 | $570.00 | — | 33% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Minimum 3 Vw | $570.00 | $570.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Minimum 3 Vw | $570.00 | $570.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 Views | $504.00 | $504.00 | — | 21% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 Views | $504.00 | $504.00 | — | 21% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less Than 4 Views | $504.00 | $504.00 | — | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less Than 4 Views | $504.00 | $504.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score | $7,974.00 | $7,974.00 | — | 50% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score | $7,974.00 | $7,974.00 | — | 50% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score | $7,974.00 | $7,974.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score | $7,974.00 | $7,974.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Transthoracic During Rest & Cardiovasc Stress Test W/ Contin Ecg | $2,880.00 | $2,880.00 | — | 8% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Transthoracic During Rest & Cardiovasc Stress Test W/ Contin Ecg | $2,880.00 | $2,880.00 | — | 8% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Transthoracic During Rest & Cardiovasc Stress Test W/ Contin Ecg | $2,880.00 | $2,880.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Transthoracic During Rest & Cardiovasc Stress Test W/ Contin Ecg | $2,880.00 | $2,880.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function | $1,039.00 | $1,039.00 | — | 7% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function | $1,039.00 | $1,039.00 | — | 7% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Function | $1,039.00 | $1,039.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Function | $1,039.00 | $1,039.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur Minimum 2 Views | $290.00 | $290.00 | — | 45% below | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur Minimum 2 Views | $290.00 | $290.00 | — | 45% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur Minimum 2 Views | $290.00 | $290.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur Minimum 2 Views | $290.00 | $290.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic W/O Cont | $4,367.00 | $4,367.00 | — | 45% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic W/O Cont | $4,367.00 | $4,367.00 | — | 45% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic W/O Cont | $4,367.00 | $4,367.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic W/O Cont | $4,367.00 | $4,367.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 Toes Minimum 2 Views | $500.00 | $500.00 | — | 2% above | — |
| Toe X-ray, 2 or more views CPT 73660 Toes Minimum 2 Views | $500.00 | $500.00 | — | 2% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toes Minimum 2 Views | $500.00 | $500.00 | — | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toes Minimum 2 Views | $500.00 | $500.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Uls Transvaginal | $1,160.00 | $1,160.00 | — | 15% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Uls Transvaginal | $1,160.00 | $1,160.00 | — | 15% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Uls Transvaginal | $1,160.00 | $1,160.00 | — | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Uls Transvaginal | $1,160.00 | $1,160.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Uls Abdominal Complete | $1,082.00 | $1,082.00 | — | 30% below | — |
| Ultrasound of the abdomen, complete CPT 76700 Uls Abdominal Complete | $1,082.00 | $1,082.00 | — | 30% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Uls Abdominal Complete | $1,082.00 | $1,082.00 | — | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Uls Abdominal Complete | $1,082.00 | $1,082.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum | $1,653.00 | $1,653.00 | — | 53% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum | $1,653.00 | $1,653.00 | — | 53% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scrotum | $1,653.00 | $1,653.00 | — | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scrotum | $1,653.00 | $1,653.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Uls Soft Tissue Head/Neck | $1,160.00 | $1,160.00 | — | 1% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Uls Soft Tissue Head/Neck | $1,160.00 | $1,160.00 | — | 1% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Uls Soft Tissue Head/Neck | $1,160.00 | $1,160.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Uls Soft Tissue Head/Neck | $1,160.00 | $1,160.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper GI Tract Incl Scout | $529.00 | $529.00 | — | 53% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper GI Tract Incl Scout | $529.00 | $529.00 | — | 53% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper GI Tract Incl Scout | $529.00 | $529.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper GI Tract Incl Scout | $529.00 | $529.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Minimum 2 Views | $462.00 | $462.00 | — | 21% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Minimum 2 Views | $462.00 | $462.00 | — | 21% below | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Minimum 2 Views | $462.00 | $462.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Minimum 2 Views | $462.00 | $462.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex US Vasc Extrem Veins Unilat or Lmt | $936.00 | $936.00 | — | 9% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex US Vasc Extrem Veins Unilat or Lmt | $936.00 | $936.00 | — | 9% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex US Vasc Extrem Veins Unilat or Lmt | $936.00 | $936.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex US Vasc Extrem Veins Unilat or Lmt | $936.00 | $936.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 Wrist 2 Views | $485.00 | $485.00 | — | 21% below | — |
| Wrist X-ray, 2 views CPT 73100 Wrist 2 Views | $485.00 | $485.00 | — | 21% below | — |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 Views | $485.00 | $485.00 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 Views | $485.00 | $485.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Complete 3 Views | $733.00 | $733.00 | — | 3% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Complete 3 Views | $733.00 | $733.00 | — | 3% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Complete 3 Views | $733.00 | $733.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Complete 3 Views | $733.00 | $733.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilateral W/Pelvis When Performed 2-3 Views | $290.00 | $290.00 | — | 50% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilateral W/Pelvis When Performed 2-3 Views | $290.00 | $290.00 | — | 50% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip Unilateral W/Pelvis When Performed 2-3 Views | $290.00 | $290.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip Unilateral W/Pelvis When Performed 2-3 Views | $290.00 | $290.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiological Examination Abdomen 1 View | $623.00 | $623.00 | — | 26% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiological Examination Abdomen 1 View | $623.00 | $623.00 | — | 26% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Radiological Examination Abdomen 1 View | $623.00 | $623.00 | — | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Radiological Examination Abdomen 1 View | $623.00 | $623.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views | $500.00 | $500.00 | — | 2% above | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views | $500.00 | $500.00 | — | 2% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2 Views | $500.00 | $500.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2 Views | $500.00 | $500.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger Minimum 2 Views | $485.00 | $485.00 | — | 3% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger Minimum 2 Views | $485.00 | $485.00 | — | 3% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger Minimum 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger Minimum 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views | $500.00 | $500.00 | — | 2% above | — |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views | $500.00 | $500.00 | — | 2% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views | $500.00 | $500.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views | $500.00 | $500.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot Minimum 3 Views | $605.00 | $605.00 | — | 1% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot Minimum 3 Views | $605.00 | $605.00 | — | 1% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Minimum 3 Views | $605.00 | $605.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Minimum 3 Views | $605.00 | $605.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 Hand Minimum 3 Views | $672.00 | $672.00 | — | 6% above | — |
| X-ray of the hand, 3 or more views CPT 73130 Hand Minimum 3 Views | $672.00 | $672.00 | — | 6% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Minimum 3 Views | $672.00 | $672.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Minimum 3 Views | $672.00 | $672.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 or 2 Views | $485.00 | $485.00 | — | 20% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 or 2 Views | $485.00 | $485.00 | — | 20% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 1 or 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 1 or 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral 2 or 3 Vw | $485.00 | $485.00 | — | 30% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral 2 or 3 Vw | $485.00 | $485.00 | — | 30% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbosacral 2 or 3 Vw | $485.00 | $485.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbosacral 2 or 3 Vw | $485.00 | $485.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4 Vw | $645.00 | $645.00 | — | 42% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4 Vw | $645.00 | $645.00 | — | 42% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4 Vw | $645.00 | $645.00 | — | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4 Vw | $645.00 | $645.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views | $485.00 | $485.00 | — | 22% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views | $485.00 | $485.00 | — | 22% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3 Views | $472.00 | $472.00 | — | 27% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3 Views | $472.00 | $472.00 | — | 27% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3 Views | $472.00 | $472.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3 Views | $472.00 | $472.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2 or 3 Vw | $586.00 | $586.00 | — | 15% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2 or 3 Vw | $586.00 | $586.00 | — | 15% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 2 or 3 Vw | $586.00 | $586.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 2 or 3 Vw | $586.00 | $586.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 or 2 Views | $485.00 | $485.00 | — | 22% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 or 2 Views | $485.00 | $485.00 | — | 22% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 or 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 or 2 Views | $485.00 | $485.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx 2 Views | $462.00 | $462.00 | — | 29% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx 2 Views | $462.00 | $462.00 | — | 29% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum and Coccyx 2 Views | $462.00 | $462.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum and Coccyx 2 Views | $462.00 | $462.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Acth Referred | $68.00 | $68.00 | — | 49% above | — |
| ACTH blood test CPT 82024 Acth Referred | $68.00 | $68.00 | — | 49% above | — |
| ACTH blood test inpatient CPT 82024 Acth Referred | $68.00 | $68.00 | — | — | — |
| ACTH blood test inpatient CPT 82024 Acth Referred | $68.00 | $68.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) | $171.00 | $171.00 | — | 334% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) | $171.00 | $171.00 | — | 334% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt) | $171.00 | $171.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt) | $171.00 | $171.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) | $171.00 | $171.00 | — | 213% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) | $171.00 | $171.00 | — | 213% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Sgot) | $171.00 | $171.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Sgot) | $171.00 | $171.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatits Profile Referred | $72.00 | $72.00 | — | 56% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatits Profile Referred | $72.00 | $72.00 | — | 56% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatits Profile Referred | $72.00 | $72.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatits Profile Referred | $72.00 | $72.00 | — | — | — |
| Albumin blood test CPT 82040 Albumin Serum Referred | $17.00 | $17.00 | — | 1% above | — |
| Albumin blood test CPT 82040 Albumin Serum Referred | $17.00 | $17.00 | — | 1% above | — |
| Albumin blood test CPT 82040 Albumin; Serum, Plasma, Whole Blood (Mayo) | $47.00 | $47.00 | — | 178% above | — |
| Albumin blood test CPT 82040 Albumin; Serum, Plasma, Whole Blood (Mayo) | $47.00 | $47.00 | — | 178% above | — |
| Albumin blood test CPT 82040 Albumin - Chem | $127.00 | $127.00 | — | 651% above | — |
| Albumin blood test CPT 82040 Albumin - Chem | $127.00 | $127.00 | — | 651% above | — |
| Albumin blood test inpatient CPT 82040 Albumin Serum Referred | $17.00 | $17.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin Serum Referred | $17.00 | $17.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin; Serum, Plasma, Whole Blood (Mayo) | $47.00 | $47.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin; Serum, Plasma, Whole Blood (Mayo) | $47.00 | $47.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin - Chem | $127.00 | $127.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin - Chem | $127.00 | $127.00 | — | — | — |
| Aldosterone blood test CPT 82088 Aldosterone Serum Referred | $108.00 | $108.00 | — | 286% above | — |
| Aldosterone blood test CPT 82088 Aldosterone Serum Referred | $108.00 | $108.00 | — | 286% above | — |
| Aldosterone blood test CPT 82088 Aldosterone Urine | $1,075.00 | $1,075.00 | — | 3746% above | — |
| Aldosterone blood test CPT 82088 Aldosterone Urine | $1,075.00 | $1,075.00 | — | 3746% above | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Serum Referred | $108.00 | $108.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Serum Referred | $108.00 | $108.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Urine | $1,075.00 | $1,075.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Urine | $1,075.00 | $1,075.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline P/Tase Iso Component 2 Referred | $96.00 | $96.00 | — | 119% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline P/Tase Iso Component 2 Referred | $96.00 | $96.00 | — | 119% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $171.00 | $171.00 | — | 291% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $171.00 | $171.00 | — | 291% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline P/Tase Iso Component 2 Referred | $96.00 | $96.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline P/Tase Iso Component 2 Referred | $96.00 | $96.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $171.00 | $171.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $171.00 | $171.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rast Component Referred | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rast Component Referred | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast - 1 Allergen | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast - 1 Allergen | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Profile Component 2 | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Profile Component 2 | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Black Pepper Ige Mayo | $38.00 | $38.00 | — | 387% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Black Pepper Ige Mayo | $38.00 | $38.00 | — | 387% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen #2 Referred | $67.00 | $67.00 | — | 759% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen #2 Referred | $67.00 | $67.00 | — | 759% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergic Bronchopulmonary Aspergillosis Mayo Comp 3 | $78.00 | $78.00 | — | 900% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergic Bronchopulmonary Aspergillosis Mayo Comp 3 | $78.00 | $78.00 | — | 900% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Galactose Alpha 1/3 Galactose Ige Mayo | $198.00 | $198.00 | — | 2438% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Galactose Alpha 1/3 Galactose Ige Mayo | $198.00 | $198.00 | — | 2438% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut-Food Components Ige Serum Child 1 | $311.00 | $311.00 | — | 3887% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut-Food Components Ige Serum Child 1 | $311.00 | $311.00 | — | 3887% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rast Component Referred | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - 1 Allergen | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rast Component Referred | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast - 1 Allergen | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Profile Component 2 | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Profile Component 2 | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Black Pepper Ige Mayo | $38.00 | $38.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Black Pepper Ige Mayo | $38.00 | $38.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen #2 Referred | $67.00 | $67.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen #2 Referred | $67.00 | $67.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergic Bronchopulmonary Aspergillosis Mayo Comp 3 | $78.00 | $78.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergic Bronchopulmonary Aspergillosis Mayo Comp 3 | $78.00 | $78.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Galactose Alpha 1/3 Galactose Ige Mayo | $198.00 | $198.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Galactose Alpha 1/3 Galactose Ige Mayo | $198.00 | $198.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut-Food Components Ige Serum Child 1 | $311.00 | $311.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut-Food Components Ige Serum Child 1 | $311.00 | $311.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein | $37.00 | $37.00 | — | 10% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein | $37.00 | $37.00 | — | 10% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Referred | $116.00 | $116.00 | — | 244% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Referred | $116.00 | $116.00 | — | 244% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein | $37.00 | $37.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein | $37.00 | $37.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Referred | $116.00 | $116.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Referred | $116.00 | $116.00 | — | — | — |
| Ammonia blood test CPT 82140 Supersaturation Profile 24 Hour Urine Component 14 | $39.00 | $39.00 | — | 66% below | — |
| Ammonia blood test CPT 82140 Supersaturation Profile 24 Hour Urine Component 14 | $39.00 | $39.00 | — | 66% below | — |
| Ammonia blood test CPT 82140 Ammonia | $216.00 | $216.00 | — | 89% above | — |
| Ammonia blood test CPT 82140 Ammonia | $216.00 | $216.00 | — | 89% above | — |
| Ammonia blood test inpatient CPT 82140 Supersaturation Profile 24 Hour Urine Component 14 | $39.00 | $39.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 Supersaturation Profile 24 Hour Urine Component 14 | $39.00 | $39.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia | $216.00 | $216.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia | $216.00 | $216.00 | — | — | — |
| Amylase blood test CPT 82150 Amylase Referred | $12.00 | $12.00 | — | 62% below | — |
| Amylase blood test CPT 82150 Amylase Referred | $12.00 | $12.00 | — | 62% below | — |
| Amylase blood test CPT 82150 Amylase Misc Reffered | $17.00 | $17.00 | — | 46% below | — |
| Amylase blood test CPT 82150 Amylase Misc Reffered | $17.00 | $17.00 | — | 46% below | — |
| Amylase blood test CPT 82150 Amylase Urine 24 Hr Referred | $50.00 | $50.00 | — | 59% above | — |
| Amylase blood test CPT 82150 Amylase Urine 24 Hr Referred | $50.00 | $50.00 | — | 59% above | — |
| Amylase blood test CPT 82150 Amylase Isoenzymes Referred | $57.00 | $57.00 | — | 82% above | — |
| Amylase blood test CPT 82150 Amylase Isoenzymes Referred | $57.00 | $57.00 | — | 82% above | — |
| Amylase blood test CPT 82150 Amylase | $199.00 | $199.00 | — | 535% above | — |
| Amylase blood test CPT 82150 Amylase | $199.00 | $199.00 | — | 535% above | — |
| Amylase blood test CPT 82150 Macroamylase Mayo | $431.00 | $431.00 | — | 1275% above | — |
| Amylase blood test CPT 82150 Macroamylase Mayo | $431.00 | $431.00 | — | 1275% above | — |
| Amylase blood test inpatient CPT 82150 Amylase Referred | $12.00 | $12.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Referred | $12.00 | $12.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Misc Reffered | $17.00 | $17.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Misc Reffered | $17.00 | $17.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Urine 24 Hr Referred | $50.00 | $50.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Urine 24 Hr Referred | $50.00 | $50.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Isoenzymes Referred | $57.00 | $57.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Isoenzymes Referred | $57.00 | $57.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase | $199.00 | $199.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase | $199.00 | $199.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Macroamylase Mayo | $431.00 | $431.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Macroamylase Mayo | $431.00 | $431.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ana Profile Component 2 Mayo | $52.00 | $52.00 | — | 90% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ana Profile Component 2 Mayo | $52.00 | $52.00 | — | 90% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab Referred | $70.00 | $70.00 | — | 156% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab Referred | $70.00 | $70.00 | — | 156% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ana Profile Component 2 Mayo | $52.00 | $52.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ana Profile Component 2 Mayo | $52.00 | $52.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab Referred | $70.00 | $70.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab Referred | $70.00 | $70.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile Component 1 Mayo | $88.00 | $88.00 | — | 204% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile Component 1 Mayo | $88.00 | $88.00 | — | 204% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Ab by Ifa Referred | $264.00 | $264.00 | — | 812% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Ab by Ifa Referred | $264.00 | $264.00 | — | 812% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies (Ana) Hep-2 Subtrate Serum Referred | $338.00 | $338.00 | — | 1067% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies (Ana) Hep-2 Subtrate Serum Referred | $338.00 | $338.00 | — | 1067% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Profile Component 1 Mayo | $88.00 | $88.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Profile Component 1 Mayo | $88.00 | $88.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Ab by Ifa Referred | $264.00 | $264.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Ab by Ifa Referred | $264.00 | $264.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies (Ana) Hep-2 Subtrate Serum Referred | $338.00 | $338.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies (Ana) Hep-2 Subtrate Serum Referred | $338.00 | $338.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide (Bnp) - Ref Tests | $283.00 | $283.00 | — | 70% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide (Bnp) - Ref Tests | $283.00 | $283.00 | — | 70% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptinde Bnp Nemours | $388.00 | $388.00 | — | 133% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptinde Bnp Nemours | $388.00 | $388.00 | — | 133% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt Pro Bnp | $637.00 | $637.00 | — | 283% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt Pro Bnp | $637.00 | $637.00 | — | 283% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptide (Bnp) - Ref Tests | $283.00 | $283.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptide (Bnp) - Ref Tests | $283.00 | $283.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptinde Bnp Nemours | $388.00 | $388.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptinde Bnp Nemours | $388.00 | $388.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt Pro Bnp | $637.00 | $637.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt Pro Bnp | $637.00 | $637.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacteria Culture Referred | $40.00 | $40.00 | — | 46% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacteria Culture Referred | $40.00 | $40.00 | — | 46% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bacterial | $311.00 | $311.00 | — | 317% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bacterial | $311.00 | $311.00 | — | 317% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacteria Culture Referred | $40.00 | $40.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacteria Culture Referred | $40.00 | $40.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bacterial | $311.00 | $311.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bacterial | $311.00 | $311.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $407.00 | $407.00 | — | 23% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $407.00 | $407.00 | — | 23% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $407.00 | $407.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $407.00 | $407.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid Referred | $87.00 | $87.00 | — | 268% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid Referred | $87.00 | $87.00 | — | 268% above | — |
| Bilirubin blood test, total CPT 82247 Total Bilirubin Neonatal Component 1 | $93.00 | $93.00 | — | 293% above | — |
| Bilirubin blood test, total CPT 82247 Total Bilirubin Neonatal Component 1 | $93.00 | $93.00 | — | 293% above | — |
| Bilirubin blood test, total CPT 82247 Total Bilirubin | $146.00 | $146.00 | — | 518% above | — |
| Bilirubin blood test, total CPT 82247 Total Bilirubin | $146.00 | $146.00 | — | 518% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid Referred | $87.00 | $87.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid Referred | $87.00 | $87.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin Neonatal Component 1 | $93.00 | $93.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin Neonatal Component 1 | $93.00 | $93.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin | $146.00 | $146.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin | $146.00 | $146.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surgical Pathology Gross and Micro Exam Hematologics | $128.00 | $128.00 | — | 10% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surgical Pathology Gross and Micro Exam Hematologics | $128.00 | $128.00 | — | 10% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Muscle Level IV (Para) | $307.00 | $307.00 | — | 164% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Muscle Level IV (Para) | $307.00 | $307.00 | — | 164% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam by Pathologist Component Arkana | $651.00 | $651.00 | — | 460% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam by Pathologist Component Arkana | $651.00 | $651.00 | — | 460% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV (Gross & Microscopic) | $721.00 | $721.00 | — | 520% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV (Gross & Microscopic) | $721.00 | $721.00 | — | 520% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Surgical Pathology Gross and Micro Exam Hematologics | $128.00 | $128.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Surgical Pathology Gross and Micro Exam Hematologics | $128.00 | $128.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Muscle Level IV (Para) | $307.00 | $307.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Muscle Level IV (Para) | $307.00 | $307.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Exam by Pathologist Component Arkana | $651.00 | $651.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Exam by Pathologist Component Arkana | $651.00 | $651.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV (Gross & Microscopic) | $721.00 | $721.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV (Gross & Microscopic) | $721.00 | $721.00 | — | — | — |
| Blood culture for bacteria CPT 87040 Culture,Bact., Bld, Air/Ana | $412.00 | $412.00 | — | 21% above | — |
| Blood culture for bacteria CPT 87040 Culture,Bact., Bld, Air/Ana | $412.00 | $412.00 | — | 21% above | — |
| Blood culture for bacteria CPT 87040 Culture Bacterial,Blood or Bm | $412.00 | $412.00 | — | 21% above | — |
| Blood culture for bacteria CPT 87040 Culture Bacterial,Blood or Bm | $412.00 | $412.00 | — | 21% above | — |
| Blood culture for bacteria inpatient CPT 87040 Culture,Bact., Bld, Air/Ana | $412.00 | $412.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Culture Bacterial,Blood or Bm | $412.00 | $412.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Culture,Bact., Bld, Air/Ana | $412.00 | $412.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Culture Bacterial,Blood or Bm | $412.00 | $412.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $88.00 | $88.00 | — | 365% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $88.00 | $88.00 | — | 365% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $88.00 | $88.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $88.00 | $88.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose Whole Blood | $68.00 | $68.00 | — | 52% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Whole Blood | $68.00 | $68.00 | — | 52% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Pp | $171.00 | $171.00 | — | 282% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose | $171.00 | $171.00 | — | 282% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose | $171.00 | $171.00 | — | 282% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Pp | $171.00 | $171.00 | — | 282% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Whole Blood | $68.00 | $68.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Whole Blood | $68.00 | $68.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose | $171.00 | $171.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Pp | $171.00 | $171.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Pp | $171.00 | $171.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose | $171.00 | $171.00 | — | — | — |
| Blood lead test CPT 83655 Lead Urine Referred | $37.00 | $37.00 | — | 240% above | — |
| Blood lead test CPT 83655 Lead Referred | $37.00 | $37.00 | — | 240% above | — |
| Blood lead test CPT 83655 Lead Urine Referred | $37.00 | $37.00 | — | 240% above | — |
| Blood lead test CPT 83655 Lead Referred | $37.00 | $37.00 | — | 240% above | — |
| Blood lead test CPT 83655 Lead Creatinine Ratio Random Urine Component 1 Mayo | $214.00 | $214.00 | — | 1867% above | — |
| Blood lead test CPT 83655 Lead Creatinine Ratio Random Urine Component 1 Mayo | $214.00 | $214.00 | — | 1867% above | — |
| Blood lead test inpatient CPT 83655 Lead Referred | $37.00 | $37.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Lead Urine Referred | $37.00 | $37.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Lead Referred | $37.00 | $37.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Lead Urine Referred | $37.00 | $37.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Lead Creatinine Ratio Random Urine Component 1 Mayo | $214.00 | $214.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Lead Creatinine Ratio Random Urine Component 1 Mayo | $214.00 | $214.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Qualitative | $142.00 | $142.00 | — | 13% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Qualitative | $142.00 | $142.00 | — | 13% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg, Qualitative | $142.00 | $142.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg, Qualitative | $142.00 | $142.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo | $153.00 | $153.00 | — | 222% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo | $153.00 | $153.00 | — | 222% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Abo | $177.00 | $177.00 | — | 273% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Abo | $177.00 | $177.00 | — | 273% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo | $153.00 | $153.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo | $153.00 | $153.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group Abo | $177.00 | $177.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group Abo | $177.00 | $177.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant Referred | $12.00 | $12.00 | — | 73% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant Referred | $12.00 | $12.00 | — | 73% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $127.00 | $127.00 | — | 181% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $127.00 | $127.00 | — | 181% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant Referred | $12.00 | $12.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant Referred | $12.00 | $12.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $127.00 | $127.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $127.00 | $127.00 | — | — | — |
| C-peptide blood test CPT 84681 C-Peptide | $51.00 | $51.00 | — | 39% above | — |
| C-peptide blood test CPT 84681 C-Peptide | $51.00 | $51.00 | — | 39% above | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $51.00 | $51.00 | — | — | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $51.00 | $51.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd Sgi Diagnostic Comp 4 Referred | $127.00 | $127.00 | — | 75% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd Sgi Diagnostic Comp 4 Referred | $127.00 | $127.00 | — | 75% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $154.00 | $154.00 | — | 112% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $154.00 | $154.00 | — | 112% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Ibd Sgi Diagnostic Comp 4 Referred | $127.00 | $127.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Ibd Sgi Diagnostic Comp 4 Referred | $127.00 | $127.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $154.00 | $154.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $154.00 | $154.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Pcr | $383.00 | $383.00 | — | 237% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Pcr | $383.00 | $383.00 | — | 237% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile Pcr | $383.00 | $383.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile Pcr | $383.00 | $383.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9 Serum Referred | $56.00 | $56.00 | — | 2% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9 Serum Referred | $56.00 | $56.00 | — | 2% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9 Serum Referred | $56.00 | $56.00 | — | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9 Serum Referred | $56.00 | $56.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 Serum (Ca 125) Referred | $50.00 | $50.00 | — | 40% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 Serum (Ca 125) Referred | $50.00 | $50.00 | — | 40% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 Serum (Ca 125) Referred | $50.00 | $50.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 Serum (Ca 125) Referred | $50.00 | $50.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious Agent Detection by Nucleic Adic Coronavirus 2 (Covid-19) | $315.00 | $315.00 | — | 259% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious Agent Detection by Nucleic Adic Coronavirus 2 (Covid-19) | $315.00 | $315.00 | — | 259% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Infectious Agent Detection by Nucleic Adic Coronavirus 2 (Covid-19) | $315.00 | $315.00 | — | — | — |
| Calcium blood test, total CPT 82310 CSF Igg Synthesis Index Quest Comp 2 | $5.00 | $5.00 | — | 90% below | — |
| Calcium blood test, total CPT 82310 CSF Igg Synthesis Index Quest Comp 2 | $5.00 | $5.00 | — | 90% below | — |
| Calcium blood test, total CPT 82310 Calcium | $127.00 | $127.00 | — | 157% above | — |
| Calcium blood test, total CPT 82310 Calcium | $127.00 | $127.00 | — | 157% above | — |
| Calcium blood test, total inpatient CPT 82310 CSF Igg Synthesis Index Quest Comp 2 | $5.00 | $5.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 CSF Igg Synthesis Index Quest Comp 2 | $5.00 | $5.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $127.00 | $127.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $127.00 | $127.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Serum Referred | $26.00 | $26.00 | — | 78% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Serum Referred | $26.00 | $26.00 | — | 78% below | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Serum Referred | $26.00 | $26.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Serum Referred | $26.00 | $26.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Referred | $62.00 | $62.00 | — | 241% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Referred | $62.00 | $62.00 | — | 241% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igm Referred | $65.00 | $65.00 | — | 257% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igm Referred | $65.00 | $65.00 | — | 257% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Mmrv Immune Status Profile Serum Component 4 | $93.00 | $93.00 | — | 411% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Mmrv Immune Status Profile Serum Component 4 | $93.00 | $93.00 | — | 411% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Encephalitis CSF Comp 4 Referred | $100.00 | $100.00 | — | 449% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Encephalitis CSF Comp 4 Referred | $100.00 | $100.00 | — | 449% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Encephalitis Antibody CSF Component 4 | $131.00 | $131.00 | — | 620% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Encephalitis Antibody CSF Component 4 | $131.00 | $131.00 | — | 620% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab Referred | $62.00 | $62.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab Referred | $62.00 | $62.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Igm Referred | $65.00 | $65.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Igm Referred | $65.00 | $65.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Mmrv Immune Status Profile Serum Component 4 | $93.00 | $93.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Mmrv Immune Status Profile Serum Component 4 | $93.00 | $93.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Encephalitis CSF Comp 4 Referred | $100.00 | $100.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Encephalitis CSF Comp 4 Referred | $100.00 | $100.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Encephalitis Antibody CSF Component 4 | $131.00 | $131.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Encephalitis Antibody CSF Component 4 | $131.00 | $131.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 1 Referred | $41.00 | $41.00 | — | 2% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 1 Referred | $41.00 | $41.00 | — | 2% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Nucleic Acid Amplification Gen-Probe Referred | $73.00 | $73.00 | — | 74% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Nucleic Acid Amplification Gen-Probe Referred | $73.00 | $73.00 | — | 74% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Misc Site Nucleic Acid Amplification Gen-Probe | $247.00 | $247.00 | — | 488% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Misc Site Nucleic Acid Amplification Gen-Probe | $247.00 | $247.00 | — | 488% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 1 Referred | $41.00 | $41.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 1 Referred | $41.00 | $41.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Nucleic Acid Amplification Gen-Probe Referred | $73.00 | $73.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Nucleic Acid Amplification Gen-Probe Referred | $73.00 | $73.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Misc Site Nucleic Acid Amplification Gen-Probe | $247.00 | $247.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Misc Site Nucleic Acid Amplification Gen-Probe | $247.00 | $247.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Fractionation | $290.00 | $290.00 | — | 186% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Fractionation | $290.00 | $290.00 | — | 186% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Fractionation | $290.00 | $290.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Fractionation | $290.00 | $290.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Differential | $255.00 | $255.00 | — | 276% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Differential | $255.00 | $255.00 | — | 276% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Differential | $255.00 | $255.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Differential | $255.00 | $255.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Complete | $186.00 | $186.00 | — | 89% above | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Complete | $186.00 | $186.00 | — | 89% above | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Complete (D-Hemogram) | $190.00 | $190.00 | — | 93% above | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Complete (D-Hemogram) | $190.00 | $190.00 | — | 93% above | — |
| Complete blood count (CBC), no differential CPT 85027 Hemoglobinopathy Cbc Component Referred | $345.00 | $345.00 | — | 250% above | — |
| Complete blood count (CBC), no differential CPT 85027 Hemoglobinopathy Cbc Component Referred | $345.00 | $345.00 | — | 250% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete | $186.00 | $186.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete | $186.00 | $186.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete (D-Hemogram) | $190.00 | $190.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete (D-Hemogram) | $190.00 | $190.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hemoglobinopathy Cbc Component Referred | $345.00 | $345.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hemoglobinopathy Cbc Component Referred | $345.00 | $345.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $571.00 | $571.00 | — | 24% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $571.00 | $571.00 | — | 24% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $571.00 | $571.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $571.00 | $571.00 | — | — | — |
| Cortisol blood test, total CPT 82533 Cortisol Saliva Serum Referred | $152.00 | $152.00 | — | 136% above | — |
| Cortisol blood test, total CPT 82533 Cortisol Saliva Serum Referred | $152.00 | $152.00 | — | 136% above | — |
| Cortisol blood test, total CPT 82533 Cortisol | $311.00 | $311.00 | — | 383% above | — |
| Cortisol blood test, total CPT 82533 Cortisol | $311.00 | $311.00 | — | 383% above | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Saliva Serum Referred | $152.00 | $152.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Saliva Serum Referred | $152.00 | $152.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol | $311.00 | $311.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol | $311.00 | $311.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK Total Referred | $11.00 | $11.00 | — | 85% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK Total Referred | $11.00 | $11.00 | — | 85% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Isoenzyme Electrophoresis CK | $48.00 | $48.00 | — | 35% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Isoenzyme Electrophoresis CK | $48.00 | $48.00 | — | 35% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (CK) | $171.00 | $171.00 | — | 130% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (CK) | $171.00 | $171.00 | — | 130% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Iso Mayo | $272.00 | $272.00 | — | 266% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Iso Mayo | $272.00 | $272.00 | — | 266% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK Total Referred | $11.00 | $11.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK Total Referred | $11.00 | $11.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Isoenzyme Electrophoresis CK | $48.00 | $48.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Isoenzyme Electrophoresis CK | $48.00 | $48.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (CK) | $171.00 | $171.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (CK) | $171.00 | $171.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Iso Mayo | $272.00 | $272.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Iso Mayo | $272.00 | $272.00 | — | — | — |
| Creatinine blood test CPT 82565 Creatinine Serum Mayo | $167.00 | $167.00 | — | 206% above | — |
| Creatinine blood test CPT 82565 Creatinine Serum Mayo | $167.00 | $167.00 | — | 206% above | — |
| Creatinine blood test CPT 82565 Creatinine | $171.00 | $171.00 | — | 213% above | — |
| Creatinine blood test CPT 82565 Creatinine | $171.00 | $171.00 | — | 213% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine Serum Mayo | $167.00 | $167.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine Serum Mayo | $167.00 | $167.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $171.00 | $171.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $171.00 | $171.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibodies Igg Serum Cmv Referred | $21.00 | $21.00 | — | 25% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibodies Igg Serum Cmv Referred | $21.00 | $21.00 | — | 25% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Igg Referred | $23.00 | $23.00 | — | 18% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Igg Referred | $23.00 | $23.00 | — | 18% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv-Arc | $328.00 | $328.00 | — | 1071% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv-Arc | $328.00 | $328.00 | — | 1071% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv-Negative Unit | $328.00 | $328.00 | — | 1071% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv-Negative Unit | $328.00 | $328.00 | — | 1071% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Avidity Test Component Referred | $413.00 | $413.00 | — | 1375% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Avidity Test Component Referred | $413.00 | $413.00 | — | 1375% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibodies Igg Serum Cmv Referred | $21.00 | $21.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibodies Igg Serum Cmv Referred | $21.00 | $21.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Igg Referred | $23.00 | $23.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Igg Referred | $23.00 | $23.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv-Arc | $328.00 | $328.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv-Arc | $328.00 | $328.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv-Negative Unit | $328.00 | $328.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv-Negative Unit | $328.00 | $328.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg Avidity Test Component Referred | $413.00 | $413.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg Avidity Test Component Referred | $413.00 | $413.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant Reffered | $72.00 | $72.00 | — | 64% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant Reffered | $72.00 | $72.00 | — | 64% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quantitative | $449.00 | $449.00 | — | 127% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quantitative | $449.00 | $449.00 | — | 127% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quant Reffered | $72.00 | $72.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quant Reffered | $72.00 | $72.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quantitative | $449.00 | $449.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quantitative | $449.00 | $449.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea - Sulfate | $65.00 | $65.00 | — | 44% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea - Sulfate | $65.00 | $65.00 | — | 44% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea - Sulfate | $65.00 | $65.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea - Sulfate | $65.00 | $65.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs of Abuse Screen Meconium 5 | $240.00 | $240.00 | — | 277% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs of Abuse Screen Meconium 5 | $240.00 | $240.00 | — | 277% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Screen With Reflex Random, Urine | $339.00 | $339.00 | — | 432% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Screen With Reflex Random, Urine | $339.00 | $339.00 | — | 432% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs of Abuse Screen Meconium 5 | $240.00 | $240.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs of Abuse Screen Meconium 5 | $240.00 | $240.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Screen With Reflex Random, Urine | $339.00 | $339.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Screen With Reflex Random, Urine | $339.00 | $339.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel | $383.00 | $383.00 | — | 75% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel | $383.00 | $383.00 | — | 75% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel | $383.00 | $383.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel | $383.00 | $383.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Virus Igg Antibody | $32.00 | $32.00 | — | 11% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Virus Igg Antibody | $32.00 | $32.00 | — | 11% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Virus Vca Igm Antibody | $319.00 | $319.00 | — | 1008% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Virus Vca Igm Antibody | $319.00 | $319.00 | — | 1008% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Virus Igg Antibody | $32.00 | $32.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Virus Igg Antibody | $32.00 | $32.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Virus Vca Igm Antibody | $319.00 | $319.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Virus Vca Igm Antibody | $319.00 | $319.00 | — | — | — |
| Estradiol blood test CPT 82670 Estrogens Estrone (E1) and Estradiol (E2) Fractionated Serum Comp | $28.00 | $28.00 | — | 14% below | — |
| Estradiol blood test CPT 82670 Estrogens Estrone (E1) and Estradiol (E2) Fractionated Serum Comp | $28.00 | $28.00 | — | 14% below | — |
| Estradiol blood test CPT 82670 Estradiol Referred | $82.00 | $82.00 | — | 153% above | — |
| Estradiol blood test CPT 82670 Estradiol Referred | $82.00 | $82.00 | — | 153% above | — |
| Estradiol blood test CPT 82670 Estradiol Ultrasen Pediatric Referred | $91.00 | $91.00 | — | 180% above | — |
| Estradiol blood test CPT 82670 Estradiol Ultrasen Pediatric Referred | $91.00 | $91.00 | — | 180% above | — |
| Estradiol blood test CPT 82670 Estradiol Total Referred | $114.00 | $114.00 | — | 251% above | — |
| Estradiol blood test CPT 82670 Estradiol Total Referred | $114.00 | $114.00 | — | 251% above | — |
| Estradiol blood test CPT 82670 Estradiol, Free | $188.00 | $188.00 | — | 479% above | — |
| Estradiol blood test CPT 82670 Estradiol, Free | $188.00 | $188.00 | — | 479% above | — |
| Estradiol blood test inpatient CPT 82670 Estrogens Estrone (E1) and Estradiol (E2) Fractionated Serum Comp | $28.00 | $28.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estrogens Estrone (E1) and Estradiol (E2) Fractionated Serum Comp | $28.00 | $28.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Referred | $82.00 | $82.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Referred | $82.00 | $82.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Ultrasen Pediatric Referred | $91.00 | $91.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Ultrasen Pediatric Referred | $91.00 | $91.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Total Referred | $114.00 | $114.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Total Referred | $114.00 | $114.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol, Free | $188.00 | $188.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol, Free | $188.00 | $188.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Referred | $31.00 | $31.00 | — | 51% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Referred | $31.00 | $31.00 | — | 51% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Ultrasen Pediatric Fsh Referred | $79.00 | $79.00 | — | 25% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Ultrasen Pediatric Fsh Referred | $79.00 | $79.00 | — | 25% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh Referred | $31.00 | $31.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh Referred | $31.00 | $31.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Ultrasen Pediatric Fsh Referred | $79.00 | $79.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Ultrasen Pediatric Fsh Referred | $79.00 | $79.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin Referred | $343.00 | $343.00 | — | 188% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin Referred | $343.00 | $343.00 | — | 188% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin Nemours Biochemical Lab | $523.00 | $523.00 | — | 339% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin Nemours Biochemical Lab | $523.00 | $523.00 | — | 339% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Fecal Calprotectin Referred | $343.00 | $343.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Fecal Calprotectin Referred | $343.00 | $343.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Fecal Calprotectin Nemours Biochemical Lab | $523.00 | $523.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Fecal Calprotectin Nemours Biochemical Lab | $523.00 | $523.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $332.00 | $332.00 | — | 168% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $332.00 | $332.00 | — | 168% above | — |
| Ferritin blood test (iron stores) CPT 82728 Hemoglobinopathy Ferritin Component Referred | $345.00 | $345.00 | — | 178% above | — |
| Ferritin blood test (iron stores) CPT 82728 Hemoglobinopathy Ferritin Component Referred | $345.00 | $345.00 | — | 178% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $332.00 | $332.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $332.00 | $332.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hemoglobinopathy Ferritin Component Referred | $345.00 | $345.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hemoglobinopathy Ferritin Component Referred | $345.00 | $345.00 | — | — | — |
| Fibrinogen blood test CPT 85384 Rotem Clot Formation Time (Cft) | $64.00 | $64.00 | — | 19% below | — |
| Fibrinogen blood test CPT 85384 Rotem Alpha Angle (Angle) | $64.00 | $64.00 | — | 19% below | — |
| Fibrinogen blood test CPT 85384 Rotem Clot Formation Time (Cft) | $64.00 | $64.00 | — | 19% below | — |
| Fibrinogen blood test CPT 85384 Rotem Alpha Angle (Angle) | $64.00 | $64.00 | — | 19% below | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Plasma Referred | $78.00 | $78.00 | — | 1% below | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Plasma Referred | $78.00 | $78.00 | — | 1% below | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $220.00 | $220.00 | — | 180% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $220.00 | $220.00 | — | 180% above | — |
| Fibrinogen blood test CPT 85384 Teg A | $233.00 | $233.00 | — | 196% above | — |
| Fibrinogen blood test CPT 85384 Teg K | $233.00 | $233.00 | — | 196% above | — |
| Fibrinogen blood test CPT 85384 Teg A | $233.00 | $233.00 | — | 196% above | — |
| Fibrinogen blood test CPT 85384 Teg K | $233.00 | $233.00 | — | 196% above | — |
| Fibrinogen blood test inpatient CPT 85384 Rotem Alpha Angle (Angle) | $64.00 | $64.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Rotem Clot Formation Time (Cft) | $64.00 | $64.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Rotem Alpha Angle (Angle) | $64.00 | $64.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Rotem Clot Formation Time (Cft) | $64.00 | $64.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Plasma Referred | $78.00 | $78.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Plasma Referred | $78.00 | $78.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity | $220.00 | $220.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity | $220.00 | $220.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Teg A | $233.00 | $233.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Teg K | $233.00 | $233.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Teg A | $233.00 | $233.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Teg K | $233.00 | $233.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid Referred | $32.00 | $32.00 | — | 75% below | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid Referred | $32.00 | $32.00 | — | 75% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Referred | $32.00 | $32.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Referred | $32.00 | $32.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Free Triiodothyronine (Ft3) Referred | $45.00 | $45.00 | — | 28% below | — |
| Free T3 thyroid hormone test CPT 84481 Free Triiodothyronine (Ft3) Referred | $45.00 | $45.00 | — | 28% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free Triiodothyronine (Ft3) Referred | $45.00 | $45.00 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free Triiodothyronine (Ft3) Referred | $45.00 | $45.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4, Dialysis Method | $98.00 | $98.00 | — | 17% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4, Dialysis Method | $98.00 | $98.00 | — | 17% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free (Inc T4 Total) | $326.00 | $326.00 | — | 288% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free (Inc T4 Total) | $326.00 | $326.00 | — | 288% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4, Dialysis Method | $98.00 | $98.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4, Dialysis Method | $98.00 | $98.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free (Inc T4 Total) | $326.00 | $326.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free (Inc T4 Total) | $326.00 | $326.00 | — | — | — |
| Free testosterone test CPT 84402 Testosterone Free and Total Component 2 Referred | $46.00 | $46.00 | — | 65% above | — |
| Free testosterone test CPT 84402 Testosterone Free and Total Component 2 Referred | $46.00 | $46.00 | — | 65% above | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free and Total Component 2 Referred | $46.00 | $46.00 | — | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free and Total Component 2 Referred | $46.00 | $46.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Gt (Ggt) | $198.00 | $198.00 | — | 328% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Gt (Ggt) | $198.00 | $198.00 | — | 328% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Gt (Ggt) | $198.00 | $198.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Gt (Ggt) | $198.00 | $198.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $1,042.00 | $1,042.00 | — | 601% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $1,042.00 | $1,042.00 | — | 601% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $1,042.00 | $1,042.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $1,042.00 | $1,042.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2h W/ Insulin | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 5h | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2h | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 5h | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2h | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3h | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2h W/ Insulin | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3h | $339.00 | $339.00 | — | 170% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3h | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 5h | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2h | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2h W/ Insulin | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3h | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 5h | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2h | $339.00 | $339.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2h W/ Insulin | $339.00 | $339.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe Referred | $41.00 | $41.00 | — | 1% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 2 Referred | $41.00 | $41.00 | — | 1% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 2 Referred | $41.00 | $41.00 | — | 1% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe Referred | $41.00 | $41.00 | — | 1% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gon Dna Ampl Probe | $65.00 | $65.00 | — | 57% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gon Dna Ampl Probe | $65.00 | $65.00 | — | 57% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe | $455.00 | $455.00 | — | 996% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe | $455.00 | $455.00 | — | 996% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Misc Site Nucleic Acid Amplification Gen-Probe | $478.00 | $478.00 | — | 1052% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Misc Site Nucleic Acid Amplification Gen-Probe | $478.00 | $478.00 | — | 1052% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe Referred | $41.00 | $41.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 2 Referred | $41.00 | $41.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe Referred | $41.00 | $41.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna/Tma Component 2 Referred | $41.00 | $41.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gon Dna Ampl Probe | $65.00 | $65.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gon Dna Ampl Probe | $65.00 | $65.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe | $455.00 | $455.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Nucleic Acid Amplification Gen-Probe | $455.00 | $455.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Misc Site Nucleic Acid Amplification Gen-Probe | $478.00 | $478.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Misc Site Nucleic Acid Amplification Gen-Probe | $478.00 | $478.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag Detection,Eia,Stool | $87.00 | $87.00 | — | 84% above | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag Detection,Eia,Stool | $87.00 | $87.00 | — | 84% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Ag Detection,Eia,Stool | $87.00 | $87.00 | — | — | — |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Ag Detection,Eia,Stool | $87.00 | $87.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Quant Rna Pcr Reflex Referred | $211.00 | $211.00 | — | 91% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Quant Rna Pcr Reflex Referred | $211.00 | $211.00 | — | 91% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Rna Detect/Quant Mayo | $282.00 | $282.00 | — | 155% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Rna Detect/Quant Mayo | $282.00 | $282.00 | — | 155% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Genotype Referred | $993.00 | $993.00 | — | 797% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Genotype Referred | $993.00 | $993.00 | — | 797% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Quant Rna Pcr Reflex Referred | $211.00 | $211.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Quant Rna Pcr Reflex Referred | $211.00 | $211.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv 1 Rna Detect/Quant Mayo | $282.00 | $282.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv 1 Rna Detect/Quant Mayo | $282.00 | $282.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Genotype Referred | $993.00 | $993.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Genotype Referred | $993.00 | $993.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1&2 Antibody, Single Result | $292.00 | $292.00 | — | 488% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1&2 Antibody, Single Result | $292.00 | $292.00 | — | 488% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1&2 Antibody, Single Result | $292.00 | $292.00 | — | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1&2 Antibody, Single Result | $292.00 | $292.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv -1/-2 Ag and Ab Screen Referred | $22.00 | $22.00 | — | 72% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv -1/-2 Ag and Ab Screen Referred | $22.00 | $22.00 | — | 72% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv -1/-2 Ag and Ab Screen S | $266.00 | $266.00 | — | 241% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv -1/-2 Ag and Ab Screen S | $266.00 | $266.00 | — | 241% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv -1/-2 Ag and Ab Screen Referred | $22.00 | $22.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv -1/-2 Ag and Ab Screen Referred | $22.00 | $22.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv -1/-2 Ag and Ab Screen S | $266.00 | $266.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv -1/-2 Ag and Ab Screen S | $266.00 | $266.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus Detection Hi Referred | $110.00 | $110.00 | — | 202% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus Detection Hi Referred | $110.00 | $110.00 | — | 202% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papillomavirus Detection Hi Referred | $110.00 | $110.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papillomavirus Detection Hi Referred | $110.00 | $110.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin | $184.00 | $184.00 | — | 165% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin | $184.00 | $184.00 | — | 165% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin | $184.00 | $184.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin | $184.00 | $184.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $58.00 | $58.00 | — | 6% above | — |
| Hemoglobin blood test CPT 85018 POC Hemoglobin | $58.00 | $58.00 | — | 6% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $58.00 | $58.00 | — | 6% above | — |
| Hemoglobin blood test CPT 85018 POC Hemoglobin | $58.00 | $58.00 | — | 6% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $58.00 | $58.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $58.00 | $58.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 POC Hemoglobin | $58.00 | $58.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 POC Hemoglobin | $58.00 | $58.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Quest | $29.00 | $29.00 | — | 19% below | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Quest | $29.00 | $29.00 | — | 19% below | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Referred | $48.00 | $48.00 | — | 35% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Referred | $48.00 | $48.00 | — | 35% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Quest | $29.00 | $29.00 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Quest | $29.00 | $29.00 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody Referred | $48.00 | $48.00 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody Referred | $48.00 | $48.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Quest | $44.00 | $44.00 | — | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Quest | $44.00 | $44.00 | — | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Quest | $44.00 | $44.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Quest | $44.00 | $44.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen (Hbsag) Referred | $10.00 | $10.00 | — | 72% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen (Hbsag) Referred | $10.00 | $10.00 | — | 72% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Quest | $46.00 | $46.00 | — | 28% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Quest | $46.00 | $46.00 | — | 28% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface | $71.00 | $71.00 | — | 98% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface | $71.00 | $71.00 | — | 98% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen (Hbsag) Referred | $10.00 | $10.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen (Hbsag) Referred | $10.00 | $10.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Quest | $46.00 | $46.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Quest | $46.00 | $46.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface | $71.00 | $71.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface | $71.00 | $71.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab With Reflex Quest | $29.00 | $29.00 | — | 38% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab With Reflex Quest | $29.00 | $29.00 | — | 38% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Ab With Reflex Pcr | $82.00 | $82.00 | — | 76% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Ab With Reflex Pcr | $82.00 | $82.00 | — | 76% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab With Reflex Quest | $29.00 | $29.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab With Reflex Quest | $29.00 | $29.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Ab With Reflex Pcr | $82.00 | $82.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Ab With Reflex Pcr | $82.00 | $82.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Viral Rna Quant Referred | $330.00 | $330.00 | — | 192% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Viral Rna Quant Referred | $330.00 | $330.00 | — | 192% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-Pcr Quant Reflex Referred | $358.00 | $358.00 | — | 216% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-Pcr Quant Reflex Referred | $358.00 | $358.00 | — | 216% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Viral Rna Quant Referred | $330.00 | $330.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Viral Rna Quant Referred | $330.00 | $330.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hcv Rt-Pcr Quant Reflex Referred | $358.00 | $358.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hcv Rt-Pcr Quant Reflex Referred | $358.00 | $358.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 and 2 Specific Ab Igg Component 1 Referred | $33.00 | $33.00 | — | 41% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 and 2 Specific Ab Igg Component 1 Referred | $33.00 | $33.00 | — | 41% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab | $39.00 | $39.00 | — | 67% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab | $39.00 | $39.00 | — | 67% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 and Type 2 Component 2 | $92.00 | $92.00 | — | 293% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 and Type 2 Component 2 | $92.00 | $92.00 | — | 293% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Encephalitis Antibody CSF Component 5 | $131.00 | $131.00 | — | 460% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Encephalitis Antibody CSF Component 5 | $131.00 | $131.00 | — | 460% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Igm Titer | $135.00 | $135.00 | — | 477% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Igm Titer | $135.00 | $135.00 | — | 477% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 and 2 Specific Ab Igg Component 1 Referred | $33.00 | $33.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 and 2 Specific Ab Igg Component 1 Referred | $33.00 | $33.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Ab | $39.00 | $39.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Ab | $39.00 | $39.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 and Type 2 Component 2 | $92.00 | $92.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 and Type 2 Component 2 | $92.00 | $92.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Encephalitis Antibody CSF Component 5 | $131.00 | $131.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Encephalitis Antibody CSF Component 5 | $131.00 | $131.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 Igm Titer | $135.00 | $135.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 Igm Titer | $135.00 | $135.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 1 and 2 Specific Ab Igg Component 2 Referred | $33.00 | $33.00 | — | at median | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 1 and 2 Specific Ab Igg Component 2 Referred | $33.00 | $33.00 | — | at median | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 1 and Type 2 Component 3 | $50.00 | $50.00 | — | 52% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 1 and Type 2 Component 3 | $50.00 | $50.00 | — | 52% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab | $55.00 | $55.00 | — | 67% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab | $55.00 | $55.00 | — | 67% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Encephalitis Antibody CSF Component 6 | $131.00 | $131.00 | — | 297% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Encephalitis Antibody CSF Component 6 | $131.00 | $131.00 | — | 297% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igm Titer | $135.00 | $135.00 | — | 309% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igm Titer | $135.00 | $135.00 | — | 309% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 1 and 2 Specific Ab Igg Component 2 Referred | $33.00 | $33.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 1 and 2 Specific Ab Igg Component 2 Referred | $33.00 | $33.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 1 and Type 2 Component 3 | $50.00 | $50.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 1 and Type 2 Component 3 | $50.00 | $50.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Ab | $55.00 | $55.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Ab | $55.00 | $55.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Encephalitis Antibody CSF Component 6 | $131.00 | $131.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Encephalitis Antibody CSF Component 6 | $131.00 | $131.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igm Titer | $135.00 | $135.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igm Titer | $135.00 | $135.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp High Sensitivity Referred | $22.00 | $22.00 | — | 48% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp High Sensitivity Referred | $22.00 | $22.00 | — | 48% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp High Sensitivity Referred | $22.00 | $22.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp High Sensitivity Referred | $22.00 | $22.00 | — | — | — |
| Homocysteine blood test CPT 83090 Homocysteine Referred | $48.00 | $48.00 | — | 11% below | — |
| Homocysteine blood test CPT 83090 Homocysteine Referred | $48.00 | $48.00 | — | 11% below | — |
| Homocysteine blood test CPT 83090 Homocystine (Quantitative) | $403.00 | $403.00 | — | 651% above | — |
| Homocysteine blood test CPT 83090 Homocystine (Quantitative) | $403.00 | $403.00 | — | 651% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Referred | $48.00 | $48.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Referred | $48.00 | $48.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocystine (Quantitative) | $403.00 | $403.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocystine (Quantitative) | $403.00 | $403.00 | — | — | — |
| Insulin blood test CPT 83525 Insulin Referred | $45.00 | $45.00 | — | 78% above | — |
| Insulin blood test CPT 83525 Insulin Referred | $45.00 | $45.00 | — | 78% above | — |
| Insulin blood test CPT 83525 Insulin | $240.00 | $240.00 | — | 851% above | — |
| Insulin blood test CPT 83525 Insulin | $240.00 | $240.00 | — | 851% above | — |
| Insulin blood test inpatient CPT 83525 Insulin Referred | $45.00 | $45.00 | — | — | — |
| Insulin blood test inpatient CPT 83525 Insulin Referred | $45.00 | $45.00 | — | — | — |
| Insulin blood test inpatient CPT 83525 Insulin | $240.00 | $240.00 | — | — | — |
| Insulin blood test inpatient CPT 83525 Insulin | $240.00 | $240.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue | $202.00 | $202.00 | — | 270% above | — |
| Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue | $202.00 | $202.00 | — | 270% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $204.00 | $204.00 | — | 274% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $204.00 | $204.00 | — | 274% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron, Liver Tissue | $202.00 | $202.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron, Liver Tissue | $202.00 | $202.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $204.00 | $204.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $204.00 | $204.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity (Tibc) | $255.00 | $255.00 | — | 183% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity (Tibc) | $255.00 | $255.00 | — | 183% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity (Tibc) | $255.00 | $255.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity (Tibc) | $255.00 | $255.00 | — | — | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $466.00 | $466.00 | — | 15% above | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $466.00 | $466.00 | — | 15% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $466.00 | $466.00 | — | — | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $466.00 | $466.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Serum Referred | $55.00 | $55.00 | — | 13% below | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Serum Referred | $55.00 | $55.00 | — | 13% below | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Ultrasen Pediatric Lh Referred | $177.00 | $177.00 | — | 180% above | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Ultrasen Pediatric Lh Referred | $177.00 | $177.00 | — | 180% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Serum Referred | $55.00 | $55.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Serum Referred | $55.00 | $55.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Ultrasen Pediatric Lh Referred | $177.00 | $177.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Ultrasen Pediatric Lh Referred | $177.00 | $177.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF Mayo | $49.00 | $49.00 | — | 34% below | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF Mayo | $49.00 | $49.00 | — | 34% below | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Whole Blood | $68.00 | $68.00 | — | 9% below | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Whole Blood | $68.00 | $68.00 | — | 9% below | — |
| Lactate (lactic acid) blood test CPT 83605 D Lactate Referred | $198.00 | $198.00 | — | 166% above | — |
| Lactate (lactic acid) blood test CPT 83605 D Lactate Referred | $198.00 | $198.00 | — | 166% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $255.00 | $255.00 | — | 243% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $255.00 | $255.00 | — | 243% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid CSF Mayo | $49.00 | $49.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid CSF Mayo | $49.00 | $49.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Whole Blood | $68.00 | $68.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Whole Blood | $68.00 | $68.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 D Lactate Referred | $198.00 | $198.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 D Lactate Referred | $198.00 | $198.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $255.00 | $255.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $255.00 | $255.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Isoenzymes Component Referred | $6.00 | $6.00 | — | 89% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Isoenzymes Component Referred | $6.00 | $6.00 | — | 89% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Miscellaneous Referred | $12.00 | $12.00 | — | 78% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Miscellaneous Referred | $12.00 | $12.00 | — | 78% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactic Dehydrogenase | $198.00 | $198.00 | — | 269% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactic Dehydrogenase | $198.00 | $198.00 | — | 269% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Isoenzymes Component Referred | $6.00 | $6.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Isoenzymes Component Referred | $6.00 | $6.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Miscellaneous Referred | $12.00 | $12.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Miscellaneous Referred | $12.00 | $12.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactic Dehydrogenase | $198.00 | $198.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactic Dehydrogenase | $198.00 | $198.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid Mayo | $84.00 | $84.00 | — | 44% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid Mayo | $84.00 | $84.00 | — | 44% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $219.00 | $219.00 | — | 276% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $219.00 | $219.00 | — | 276% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid Mayo | $84.00 | $84.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid Mayo | $84.00 | $84.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $219.00 | $219.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $219.00 | $219.00 | — | — | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $296.00 | $296.00 | — | 28% above | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $296.00 | $296.00 | — | 28% above | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $296.00 | $296.00 | — | — | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $296.00 | $296.00 | — | — | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology Spinal Fluid | $127.00 | $127.00 | — | 388% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology Spinal Fluid | $127.00 | $127.00 | — | 388% above | — |
| Lyme disease antibody test CPT 86618 Lyme C6 Antibody | $213.00 | $213.00 | — | 718% above | — |
| Lyme disease antibody test CPT 86618 Lyme C6 Antibody | $213.00 | $213.00 | — | 718% above | — |
| Lyme disease antibody test CPT 86618 Tick-Borne Disease Antibodies Serum Component 1 | $285.00 | $285.00 | — | 994% above | — |
| Lyme disease antibody test CPT 86618 Tick-Borne Disease Antibodies Serum Component 1 | $285.00 | $285.00 | — | 994% above | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology Spinal Fluid | $127.00 | $127.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology Spinal Fluid | $127.00 | $127.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme C6 Antibody | $213.00 | $213.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme C6 Antibody | $213.00 | $213.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Tick-Borne Disease Antibodies Serum Component 1 | $285.00 | $285.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Tick-Borne Disease Antibodies Serum Component 1 | $285.00 | $285.00 | — | — | — |
| Magnesium blood test CPT 83735 Magnesium Urine Referred | $12.00 | $12.00 | — | 9% below | — |
| Magnesium blood test CPT 83735 Magnesium Urine Referred | $12.00 | $12.00 | — | 9% below | — |
| Magnesium blood test CPT 83735 Supersaturation Profile 24 Hour Urine Component 4 | $39.00 | $39.00 | — | 194% above | — |
| Magnesium blood test CPT 83735 Supersaturation Profile 24 Hour Urine Component 4 | $39.00 | $39.00 | — | 194% above | — |
| Magnesium blood test CPT 83735 Supersaturation Pediatric Profile Urine VI | $86.00 | $86.00 | — | 549% above | — |
| Magnesium blood test CPT 83735 Supersaturation Pediatric Profile Urine VI | $86.00 | $86.00 | — | 549% above | — |
| Magnesium blood test CPT 83735 Electrolyte & Osmolality Feces Component 5 | $106.00 | $106.00 | — | 700% above | — |
| Magnesium blood test CPT 83735 Electrolyte & Osmolality Feces Component 5 | $106.00 | $106.00 | — | 700% above | — |
| Magnesium blood test CPT 83735 Magnesium (24 Hour Urine) | $188.00 | $188.00 | — | 1319% above | — |
| Magnesium blood test CPT 83735 Magnesium (24 Hour Urine) | $188.00 | $188.00 | — | 1319% above | — |
| Magnesium blood test CPT 83735 Magnesium | $224.00 | $224.00 | — | 1591% above | — |
| Magnesium blood test CPT 83735 Magnesium | $224.00 | $224.00 | — | 1591% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine Referred | $12.00 | $12.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine Referred | $12.00 | $12.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Supersaturation Profile 24 Hour Urine Component 4 | $39.00 | $39.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Supersaturation Profile 24 Hour Urine Component 4 | $39.00 | $39.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Supersaturation Pediatric Profile Urine VI | $86.00 | $86.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Supersaturation Pediatric Profile Urine VI | $86.00 | $86.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Electrolyte & Osmolality Feces Component 5 | $106.00 | $106.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Electrolyte & Osmolality Feces Component 5 | $106.00 | $106.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium (24 Hour Urine) | $188.00 | $188.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium (24 Hour Urine) | $188.00 | $188.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $224.00 | $224.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $224.00 | $224.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Measles Ab Immunoglobulin Referred | $12.00 | $12.00 | — | 55% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Ab Immunoglobulin Referred | $12.00 | $12.00 | — | 55% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Mumps Rebella Immunity Component 3 Referred | $21.00 | $21.00 | — | 21% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Mumps Rebella Immunity Component 3 Referred | $21.00 | $21.00 | — | 21% below | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Antibody Igm Referred | $23.00 | $23.00 | — | 13% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Virus Referred | $23.00 | $23.00 | — | 13% below | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Antibody Igg Referred | $23.00 | $23.00 | — | 13% below | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Antibody Igm Referred | $23.00 | $23.00 | — | 13% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Virus Referred | $23.00 | $23.00 | — | 13% below | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Antibody Igg Referred | $23.00 | $23.00 | — | 13% below | — |
| Measles (rubeola) antibody test CPT 86765 Mmrv Immune Status Profile Serum Component 1 | $93.00 | $93.00 | — | 252% above | — |
| Measles (rubeola) antibody test CPT 86765 Mmrv Immune Status Profile Serum Component 1 | $93.00 | $93.00 | — | 252% above | — |
| Measles (rubeola) antibody test CPT 86765 Encephalitis CSF Comp 3 Referred | $100.00 | $100.00 | — | 278% above | — |
| Measles (rubeola) antibody test CPT 86765 Encephalitis CSF Comp 3 Referred | $100.00 | $100.00 | — | 278% above | — |
| Measles (rubeola) antibody test CPT 86765 Encephalitis Antibody CSF Component 2 | $131.00 | $131.00 | — | 395% above | — |
| Measles (rubeola) antibody test CPT 86765 Encephalitis Antibody CSF Component 2 | $131.00 | $131.00 | — | 395% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab Immunoglobulin Referred | $12.00 | $12.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab Immunoglobulin Referred | $12.00 | $12.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Mumps Rebella Immunity Component 3 Referred | $21.00 | $21.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Mumps Rebella Immunity Component 3 Referred | $21.00 | $21.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Antibody Igm Referred | $23.00 | $23.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Antibody Igg Referred | $23.00 | $23.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Virus Referred | $23.00 | $23.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Antibody Igm Referred | $23.00 | $23.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Antibody Igg Referred | $23.00 | $23.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Virus Referred | $23.00 | $23.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Mmrv Immune Status Profile Serum Component 1 | $93.00 | $93.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Mmrv Immune Status Profile Serum Component 1 | $93.00 | $93.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Encephalitis CSF Comp 3 Referred | $100.00 | $100.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Encephalitis CSF Comp 3 Referred | $100.00 | $100.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Encephalitis Antibody CSF Component 2 | $131.00 | $131.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Encephalitis Antibody CSF Component 2 | $131.00 | $131.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono-Spot | $225.00 | $225.00 | — | 32% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono-Spot | $225.00 | $225.00 | — | 32% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono-Spot | $225.00 | $225.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono-Spot | $225.00 | $225.00 | — | — | — |
| Mumps immunity blood test CPT 86735 Measles Mumps Rebella Immunity Component 1 Referred | $21.00 | $21.00 | — | 29% above | — |
| Mumps immunity blood test CPT 86735 Measles Mumps Rebella Immunity Component 1 Referred | $21.00 | $21.00 | — | 29% above | — |
| Mumps immunity blood test CPT 86735 Mumps - Acute Antibodies | $32.00 | $32.00 | — | 97% above | — |
| Mumps immunity blood test CPT 86735 Mumps - Acute Antibodies | $32.00 | $32.00 | — | 97% above | — |
| Mumps immunity blood test CPT 86735 Mumps - Convalescent Antibodies | $61.00 | $61.00 | — | 275% above | — |
| Mumps immunity blood test CPT 86735 Mumps - Convalescent Antibodies | $61.00 | $61.00 | — | 275% above | — |
| Mumps immunity blood test CPT 86735 Mmrv Immune Status Profile Serum Component 2 | $93.00 | $93.00 | — | 472% above | — |
| Mumps immunity blood test CPT 86735 Mmrv Immune Status Profile Serum Component 2 | $93.00 | $93.00 | — | 472% above | — |
| Mumps immunity blood test CPT 86735 Encephalitis CSF Comp 2 Referred | $100.00 | $100.00 | — | 515% above | — |
| Mumps immunity blood test CPT 86735 Encephalitis CSF Comp 2 Referred | $100.00 | $100.00 | — | 515% above | — |
| Mumps immunity blood test CPT 86735 Encephalitis Antibody CSF Component 3 | $131.00 | $131.00 | — | 706% above | — |
| Mumps immunity blood test CPT 86735 Encephalitis Antibody CSF Component 3 | $131.00 | $131.00 | — | 706% above | — |
| Mumps immunity blood test inpatient CPT 86735 Measles Mumps Rebella Immunity Component 1 Referred | $21.00 | $21.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Measles Mumps Rebella Immunity Component 1 Referred | $21.00 | $21.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps - Acute Antibodies | $32.00 | $32.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps - Acute Antibodies | $32.00 | $32.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps - Convalescent Antibodies | $61.00 | $61.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps - Convalescent Antibodies | $61.00 | $61.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mmrv Immune Status Profile Serum Component 2 | $93.00 | $93.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mmrv Immune Status Profile Serum Component 2 | $93.00 | $93.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Encephalitis CSF Comp 2 Referred | $100.00 | $100.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Encephalitis CSF Comp 2 Referred | $100.00 | $100.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Encephalitis Antibody CSF Component 3 | $131.00 | $131.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Encephalitis Antibody CSF Component 3 | $131.00 | $131.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Referred | $14.00 | $14.00 | — | 75% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Referred | $14.00 | $14.00 | — | 75% below | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Referred | $14.00 | $14.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Referred | $14.00 | $14.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Screen Without Interp Referred | $66.00 | $66.00 | — | 28% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Screen Without Interp Referred | $66.00 | $66.00 | — | 28% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Screen Without Interp Referred | $66.00 | $66.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Screen Without Interp Referred | $66.00 | $66.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact Irma | $582.00 | $582.00 | — | 490% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact Irma | $582.00 | $582.00 | — | 490% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact Irma | $582.00 | $582.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact Irma | $582.00 | $582.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin Time Referred | $13.00 | $13.00 | — | 66% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin Time Referred | $13.00 | $13.00 | — | 66% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred | $17.00 | $17.00 | — | 56% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred | $17.00 | $17.00 | — | 56% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Profile Component 3 | $42.00 | $42.00 | — | 9% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Profile Component 3 | $42.00 | $42.00 | — | 9% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred | $48.00 | $48.00 | — | 25% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred | $48.00 | $48.00 | — | 25% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thrombo Time, Partial (Ptt) | $86.00 | $86.00 | — | 124% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thrombo Time, Partial (Ptt) | $86.00 | $86.00 | — | 124% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Extracted Ptt | $194.00 | $194.00 | — | 405% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Extracted Ptt | $194.00 | $194.00 | — | 405% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin | $198.00 | $198.00 | — | 416% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin | $198.00 | $198.00 | — | 416% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin Time Referred | $13.00 | $13.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin Time Referred | $13.00 | $13.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred | $17.00 | $17.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred | $17.00 | $17.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Profile Component 3 | $42.00 | $42.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Profile Component 3 | $42.00 | $42.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred | $48.00 | $48.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred | $48.00 | $48.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thrombo Time, Partial (Ptt) | $86.00 | $86.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thrombo Time, Partial (Ptt) | $86.00 | $86.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Extracted Ptt | $194.00 | $194.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Extracted Ptt | $194.00 | $194.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin | $198.00 | $198.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin | $198.00 | $198.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Electrolyte & Osmolality Feces Component 1 | $106.00 | $106.00 | — | 74% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Electrolyte & Osmolality Feces Component 1 | $106.00 | $106.00 | — | 74% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $174.00 | $174.00 | — | 185% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $174.00 | $174.00 | — | 185% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Electrolyte & Osmolality Feces Component 1 | $106.00 | $106.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Electrolyte & Osmolality Feces Component 1 | $106.00 | $106.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $174.00 | $174.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $174.00 | $174.00 | — | — | — |
| Potassium blood test CPT 84132 Potassium Whole Blood | $68.00 | $68.00 | — | 2% above | — |
| Potassium blood test CPT 84132 Potassium Whole Blood | $68.00 | $68.00 | — | 2% above | — |
| Potassium blood test CPT 84132 Potassium | $171.00 | $171.00 | — | 158% above | — |
| Potassium blood test CPT 84132 Potassium | $171.00 | $171.00 | — | 158% above | — |
| Potassium blood test inpatient CPT 84132 Potassium Whole Blood | $68.00 | $68.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Potassium Whole Blood | $68.00 | $68.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Potassium | $171.00 | $171.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Potassium | $171.00 | $171.00 | — | — | — |
| Progesterone blood test CPT 84144 Progesterone Referred | $29.00 | $29.00 | — | 38% below | — |
| Progesterone blood test CPT 84144 Progesterone Referred | $29.00 | $29.00 | — | 38% below | — |
| Progesterone blood test inpatient CPT 84144 Progesterone Referred | $29.00 | $29.00 | — | — | — |
| Progesterone blood test inpatient CPT 84144 Progesterone Referred | $29.00 | $29.00 | — | — | — |
| Prolactin blood test CPT 84146 Prolactin Referred | $52.00 | $52.00 | — | 20% below | — |
| Prolactin blood test CPT 84146 Prolactin Referred | $52.00 | $52.00 | — | 20% below | — |
| Prolactin blood test CPT 84146 Macroprolactin Serum Component | $93.00 | $93.00 | — | 43% above | — |
| Prolactin blood test CPT 84146 Macroprolactin Serum Component | $93.00 | $93.00 | — | 43% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Referred | $52.00 | $52.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Referred | $52.00 | $52.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Macroprolactin Serum Component | $93.00 | $93.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Macroprolactin Serum Component | $93.00 | $93.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Component 1 Referred | $13.00 | $13.00 | — | 64% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Component 1 Referred | $13.00 | $13.00 | — | 64% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred | $24.00 | $24.00 | — | 34% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred | $24.00 | $24.00 | — | 34% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoagulant Profile Component 1 | $42.00 | $42.00 | — | 15% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoagulant Profile Component 1 | $42.00 | $42.00 | — | 15% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $198.00 | $198.00 | — | 444% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $198.00 | $198.00 | — | 444% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Component 1 Referred | $13.00 | $13.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Component 1 Referred | $13.00 | $13.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred | $24.00 | $24.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred | $24.00 | $24.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoagulant Profile Component 1 | $42.00 | $42.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoagulant Profile Component 1 | $42.00 | $42.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $198.00 | $198.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $198.00 | $198.00 | — | — | — |
| Renin blood test CPT 84244 Renin Referred | $47.00 | $47.00 | — | 135% above | — |
| Renin blood test CPT 84244 Renin Referred | $47.00 | $47.00 | — | 135% above | — |
| Renin blood test inpatient CPT 84244 Renin Referred | $47.00 | $47.00 | — | — | — |
| Renin blood test inpatient CPT 84244 Renin Referred | $47.00 | $47.00 | — | — | — |
| Rh blood typing CPT 86901 Rh (D) | $153.00 | $153.00 | — | 265% above | — |
| Rh blood typing CPT 86901 Rh (D) | $153.00 | $153.00 | — | 265% above | — |
| Rh blood typing inpatient CPT 86901 Rh (D) | $153.00 | $153.00 | — | — | — |
| Rh blood typing inpatient CPT 86901 Rh (D) | $153.00 | $153.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Referred | $43.00 | $43.00 | — | 77% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Referred | $43.00 | $43.00 | — | 77% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Referred | $43.00 | $43.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Referred | $43.00 | $43.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Measles Mumps Rebella Immunity Component 2 Referred | $21.00 | $21.00 | — | 11% above | — |
| Rubella antibody test (immunity check) CPT 86762 Measles Mumps Rebella Immunity Component 2 Referred | $21.00 | $21.00 | — | 11% above | — |
| Rubella antibody test (immunity check) CPT 86762 Torch Profile Igm Serum Component 3 Referred | $40.00 | $40.00 | — | 112% above | — |
| Rubella antibody test (immunity check) CPT 86762 Torch Profile Igm Serum Component 3 Referred | $40.00 | $40.00 | — | 112% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella, Antibody | $61.00 | $61.00 | — | 224% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella, Antibody | $61.00 | $61.00 | — | 224% above | — |
| Rubella antibody test (immunity check) CPT 86762 Mmrv Immune Status Profile Serum Component 3 | $101.00 | $101.00 | — | 436% above | — |
| Rubella antibody test (immunity check) CPT 86762 Mmrv Immune Status Profile Serum Component 3 | $101.00 | $101.00 | — | 436% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Measles Mumps Rebella Immunity Component 2 Referred | $21.00 | $21.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Measles Mumps Rebella Immunity Component 2 Referred | $21.00 | $21.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Torch Profile Igm Serum Component 3 Referred | $40.00 | $40.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Torch Profile Igm Serum Component 3 Referred | $40.00 | $40.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella, Antibody | $61.00 | $61.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella, Antibody | $61.00 | $61.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Mmrv Immune Status Profile Serum Component 3 | $101.00 | $101.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Mmrv Immune Status Profile Serum Component 3 | $101.00 | $101.00 | — | — | — |
| Sodium blood test CPT 84295 Sodium Whole Blood | $68.00 | $68.00 | — | 1% above | — |
| Sodium blood test CPT 84295 Sodium Whole Blood | $68.00 | $68.00 | — | 1% above | — |
| Sodium blood test CPT 84295 Sodium Serum | $127.00 | $127.00 | — | 89% above | — |
| Sodium blood test CPT 84295 Sodium Serum | $127.00 | $127.00 | — | 89% above | — |
| Sodium blood test inpatient CPT 84295 Sodium Whole Blood | $68.00 | $68.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Sodium Whole Blood | $68.00 | $68.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Sodium Serum | $127.00 | $127.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Sodium Serum | $127.00 | $127.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasite Component 1 Referred | $25.00 | $25.00 | — | 40% below | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasite Component 1 Referred | $25.00 | $25.00 | — | 40% below | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasites | $171.00 | $171.00 | — | 310% above | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasites | $171.00 | $171.00 | — | 310% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Component 1 Referred | $25.00 | $25.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Component 1 Referred | $25.00 | $25.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites | $171.00 | $171.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites | $171.00 | $171.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Point of Care Occult Blood Test | $84.00 | $84.00 | — | 58% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult | $84.00 | $84.00 | — | 58% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Point of Care Occult Blood Test | $84.00 | $84.00 | — | 58% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult | $84.00 | $84.00 | — | 58% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Point of Care Occult Blood Test | $84.00 | $84.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult | $84.00 | $84.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Point of Care Occult Blood Test | $84.00 | $84.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult | $84.00 | $84.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Igg Ab W/ Reflex S Referred | $39.00 | $39.00 | — | 167% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Igg Ab W/ Reflex S Referred | $39.00 | $39.00 | — | 167% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponemal Ab Referred | $116.00 | $116.00 | — | 695% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponemal Ab Referred | $116.00 | $116.00 | — | 695% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody Tp-Pa S | $195.00 | $195.00 | — | 1236% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody Tp-Pa S | $195.00 | $195.00 | — | 1236% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Abs | $327.00 | $327.00 | — | 2140% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Abs | $327.00 | $327.00 | — | 2140% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Igg Ab W/ Reflex S Referred | $39.00 | $39.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Igg Ab W/ Reflex S Referred | $39.00 | $39.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponemal Ab Referred | $116.00 | $116.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponemal Ab Referred | $116.00 | $116.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody Tp-Pa S | $195.00 | $195.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody Tp-Pa S | $195.00 | $195.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta-Abs | $327.00 | $327.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta-Abs | $327.00 | $327.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF Mayo Referred | $14.00 | $14.00 | — | 29% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF Mayo Referred | $14.00 | $14.00 | — | 29% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin W/ Relfex S Mayo | $124.00 | $124.00 | — | 526% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin W/ Relfex S Mayo | $124.00 | $124.00 | — | 526% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl CSF Mayo Referred | $14.00 | $14.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl CSF Mayo Referred | $14.00 | $14.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin W/ Relfex S Mayo | $124.00 | $124.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin W/ Relfex S Mayo | $124.00 | $124.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M Tuberculosis by Quantiferon B Referred | $452.00 | $452.00 | — | 634% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M Tuberculosis by Quantiferon B Referred | $452.00 | $452.00 | — | 634% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M Tuberculosis by Quantiferon B Referred | $452.00 | $452.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M Tuberculosis by Quantiferon B Referred | $452.00 | $452.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Ultrasen Pediatric Referred | $45.00 | $45.00 | — | 50% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Ultrasen Pediatric Referred | $45.00 | $45.00 | — | 50% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Free and Total Component 1 Referred | $46.00 | $46.00 | — | 53% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Free and Total Component 1 Referred | $46.00 | $46.00 | — | 53% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone/Total | $362.00 | $362.00 | — | 1107% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone/Total | $362.00 | $362.00 | — | 1107% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Ultrasen Pediatric Referred | $45.00 | $45.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Ultrasen Pediatric Referred | $45.00 | $45.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Free and Total Component 1 Referred | $46.00 | $46.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Free and Total Component 1 Referred | $46.00 | $46.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone/Total | $362.00 | $362.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone/Total | $362.00 | $362.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Thyroid Peroxidase | $64.00 | $64.00 | — | 371% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Thyroid Peroxidase | $64.00 | $64.00 | — | 371% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/Kidney Microsoma Referred | $71.00 | $71.00 | — | 422% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/Kidney Microsoma Referred | $71.00 | $71.00 | — | 422% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Thyroid Peroxidase | $64.00 | $64.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Thyroid Peroxidase | $64.00 | $64.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver/Kidney Microsoma Referred | $71.00 | $71.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver/Kidney Microsoma Referred | $71.00 | $71.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum | $74.00 | $74.00 | — | 41% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum | $74.00 | $74.00 | — | 41% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $367.00 | $367.00 | — | 194% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $367.00 | $367.00 | — | 194% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum | $74.00 | $74.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum | $74.00 | $74.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $367.00 | $367.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $367.00 | $367.00 | — | — | — |
| Total IgE blood test CPT 82785 IGE | $23.00 | $23.00 | — | 3% below | — |
| Total IgE blood test CPT 82785 IGE | $23.00 | $23.00 | — | 3% below | — |
| Total IgE blood test CPT 82785 Respiratory Profile Component 1 | $31.00 | $31.00 | — | 31% above | — |
| Total IgE blood test CPT 82785 Respiratory Profile Component 1 | $31.00 | $31.00 | — | 31% above | — |
| Total IgE blood test CPT 82785 Allergic Bronchopulmonary Aspergillosis Mayo Comp 4 | $118.00 | $118.00 | — | 398% above | — |
| Total IgE blood test CPT 82785 Allergic Bronchopulmonary Aspergillosis Mayo Comp 4 | $118.00 | $118.00 | — | 398% above | — |
| Total IgE blood test inpatient CPT 82785 IGE | $23.00 | $23.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 IGE | $23.00 | $23.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Respiratory Profile Component 1 | $31.00 | $31.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Respiratory Profile Component 1 | $31.00 | $31.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Allergic Bronchopulmonary Aspergillosis Mayo Comp 4 | $118.00 | $118.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Allergic Bronchopulmonary Aspergillosis Mayo Comp 4 | $118.00 | $118.00 | — | — | — |
| Total cholesterol blood test CPT 82465 Cholesterol | $127.00 | $127.00 | — | 339% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol | $127.00 | $127.00 | — | 339% above | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $127.00 | $127.00 | — | — | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $127.00 | $127.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 Free Thyroxine Index Serum Child | $56.00 | $56.00 | — | 39% below | — |
| Total thyroxine (T4) blood test CPT 84436 Free Thyroxine Index Serum Child | $56.00 | $56.00 | — | 39% below | — |
| Total thyroxine (T4) blood test CPT 84436 T4 Total Chemistry | $171.00 | $171.00 | — | 88% above | — |
| Total thyroxine (T4) blood test CPT 84436 T4 Total Chemistry | $171.00 | $171.00 | — | 88% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Free Thyroxine Index Serum Child | $56.00 | $56.00 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Free Thyroxine Index Serum Child | $56.00 | $56.00 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Total Chemistry | $171.00 | $171.00 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Total Chemistry | $171.00 | $171.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $39.00 | $39.00 | — | 50% below | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $39.00 | $39.00 | — | 50% below | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total | $39.00 | $39.00 | — | — | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total | $39.00 | $39.00 | — | — | — |
| Transferrin blood test CPT 84466 Transferrin Referred | $50.00 | $50.00 | — | 35% below | — |
| Transferrin blood test CPT 84466 Transferrin Referred | $50.00 | $50.00 | — | 35% below | — |
| Transferrin blood test inpatient CPT 84466 Transferrin Referred | $50.00 | $50.00 | — | — | — |
| Transferrin blood test inpatient CPT 84466 Transferrin Referred | $50.00 | $50.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplified Rna Referred | $178.00 | $178.00 | — | 263% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Miscellaneous Sit | $178.00 | $178.00 | — | 263% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplified Rna Referred | $178.00 | $178.00 | — | 263% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Miscellaneous Sit | $178.00 | $178.00 | — | 263% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplified Rna Referred | $178.00 | $178.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplified Rna Referred | $178.00 | $178.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Miscellaneous Sit | $178.00 | $178.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Miscellaneous Sit | $178.00 | $178.00 | — | — | — |
| Triglycerides blood test CPT 84478 Triglycerides | $171.00 | $171.00 | — | 441% above | — |
| Triglycerides blood test CPT 84478 Triglycerides | $171.00 | $171.00 | — | 441% above | — |
| Triglycerides blood test CPT 84478 Triglycerides Misc Body Fluid Referred | $502.00 | $502.00 | — | 1489% above | — |
| Triglycerides blood test CPT 84478 Triglycerides Misc Body Fluid Referred | $502.00 | $502.00 | — | 1489% above | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $171.00 | $171.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $171.00 | $171.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Misc Body Fluid Referred | $502.00 | $502.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Misc Body Fluid Referred | $502.00 | $502.00 | — | — | — |
| Troponin test, quantitative CPT 84484 Troponin T Referred | $87.00 | $87.00 | — | 42% below | — |
| Troponin test, quantitative CPT 84484 Troponin T Referred | $87.00 | $87.00 | — | 42% below | — |
| Troponin test, quantitative CPT 84484 Point of Care, Troponin | $143.00 | $143.00 | — | 4% below | — |
| Troponin test, quantitative CPT 84484 Point of Care, Troponin | $143.00 | $143.00 | — | 4% below | — |
| Troponin test, quantitative CPT 84484 Troponin I | $342.00 | $342.00 | — | 129% above | — |
| Troponin test, quantitative CPT 84484 Troponin I | $342.00 | $342.00 | — | 129% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Referred | $87.00 | $87.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Referred | $87.00 | $87.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Point of Care, Troponin | $143.00 | $143.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Point of Care, Troponin | $143.00 | $143.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin I | $342.00 | $342.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin I | $342.00 | $342.00 | — | — | — |
| Uric acid blood test CPT 84550 Uric Acid | $184.00 | $184.00 | — | 122% above | — |
| Uric acid blood test CPT 84550 Uric Acid | $184.00 | $184.00 | — | 122% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $184.00 | $184.00 | — | — | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $184.00 | $184.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Automated W/ Micro | $181.00 | $181.00 | — | 11% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Automated W/ Micro | $181.00 | $181.00 | — | 11% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Automated W/ Micro | $181.00 | $181.00 | — | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Automated W/ Micro | $181.00 | $181.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Point of Care, Urinalysis | $29.00 | $29.00 | — | 65% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Point of Care, Urinalysis | $29.00 | $29.00 | — | 65% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Glucose - Urine | $84.00 | $84.00 | — | at median | — |
| Urinalysis without microscope exam, automated CPT 81003 Glucose - Urine | $84.00 | $84.00 | — | at median | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $166.00 | $166.00 | — | 99% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $166.00 | $166.00 | — | 99% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Point of Care, Urinalysis | $29.00 | $29.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Point of Care, Urinalysis | $29.00 | $29.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose - Urine | $84.00 | $84.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose - Urine | $84.00 | $84.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $166.00 | $166.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $166.00 | $166.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Bacterial Quant Urine | $303.00 | $303.00 | — | 79% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Bacterial Quant Urine | $303.00 | $303.00 | — | 79% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Bacterial Quant Urine | $303.00 | $303.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Bacterial Quant Urine | $303.00 | $303.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Urine | $17.00 | $17.00 | — | 40% below | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Urine | $17.00 | $17.00 | — | 40% below | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin Random Urine Mayo Comp 1 | $34.00 | $34.00 | — | 20% above | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin Random Urine Mayo Comp 1 | $34.00 | $34.00 | — | 20% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Urine | $17.00 | $17.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Urine | $17.00 | $17.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin Random Urine Mayo Comp 1 | $34.00 | $34.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin Random Urine Mayo Comp 1 | $34.00 | $34.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy (Qual) Urine | $150.00 | $150.00 | — | 20% above | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy (Qual) Urine | $150.00 | $150.00 | — | 20% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy (Qual) Urine | $150.00 | $150.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy (Qual) Urine | $150.00 | $150.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Referred | $28.00 | $28.00 | — | 77% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Referred | $28.00 | $28.00 | — | 77% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Reflex Referred | $75.00 | $75.00 | — | 39% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Reflex Referred | $75.00 | $75.00 | — | 39% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Referred | $28.00 | $28.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Referred | $28.00 | $28.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Reflex Referred | $75.00 | $75.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Reflex Referred | $75.00 | $75.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 | $52.00 | $52.00 | — | 13% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 | $52.00 | $52.00 | — | 13% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Referred | $55.00 | $55.00 | — | 20% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Referred | $55.00 | $55.00 | — | 20% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Total | $205.00 | $205.00 | — | 346% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Total | $205.00 | $205.00 | — | 346% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25 | $52.00 | $52.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25 | $52.00 | $52.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Referred | $55.00 | $55.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Referred | $55.00 | $55.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Total | $205.00 | $205.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Total | $205.00 | $205.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D,1,25 | $93.00 | $93.00 | — | 142% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D,1,25 | $93.00 | $93.00 | — | 142% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D,1,25 | $93.00 | $93.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D,1,25 | $93.00 | $93.00 | — | — | — |
| Zinc blood test CPT 84630 Zinc Referred | $54.00 | $54.00 | — | 261% above | — |
| Zinc blood test CPT 84630 Zinc Referred | $54.00 | $54.00 | — | 261% above | — |
| Zinc blood test inpatient CPT 84630 Zinc Referred | $54.00 | $54.00 | — | — | — |
| Zinc blood test inpatient CPT 84630 Zinc Referred | $54.00 | $54.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotrp Referred | $57.00 | $57.00 | — | 3% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotrp Referred | $57.00 | $57.00 | — | 3% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker Referred | $76.00 | $76.00 | — | 29% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker Referred | $76.00 | $76.00 | — | 29% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant Referred | $129.00 | $129.00 | — | 119% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant Referred | $129.00 | $129.00 | — | 119% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotrp Referred | $57.00 | $57.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotrp Referred | $57.00 | $57.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Tumor Marker Referred | $76.00 | $76.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Tumor Marker Referred | $76.00 | $76.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant Referred | $129.00 | $129.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant Referred | $129.00 | $129.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Artery/Ventricle Angio | $23,592.00 | $23,592.00 | — | 91% above | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Artery/Ventricle Angio | $23,592.00 | $23,592.00 | — | 91% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L Hrt Artery/Ventricle Angio | $23,592.00 | $23,592.00 | — | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L Hrt Artery/Ventricle Angio | $23,592.00 | $23,592.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion of Arrhythmia External | $2,942.00 | $2,942.00 | — | 40% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion of Arrhythmia External | $2,942.00 | $2,942.00 | — | 40% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion of Arrhythmia External | $2,942.00 | $2,942.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion of Arrhythmia External | $2,942.00 | $2,942.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comp Ep Eval W/ Treatment Atrial Fib Pulm Vein Isolation | $75,388.00 | $75,388.00 | — | 52% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comp Ep Eval W/ Treatment Atrial Fib Pulm Vein Isolation | $75,388.00 | $75,388.00 | — | 52% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Comp Ep Eval W/ Treatment Atrial Fib Pulm Vein Isolation | $75,388.00 | $75,388.00 | — | — | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Comp Ep Eval W/ Treatment Atrial Fib Pulm Vein Isolation | $75,388.00 | $75,388.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Using Clamp/Dvc W/Regional Dorsal/Penile Block | $806.00 | $806.00 | — | 34% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Using Clamp/Dvc W/Regional Dorsal/Penile Block | $806.00 | $806.00 | — | 34% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Using Clamp/Dvc W/Regional Dorsal/Penile Block | $806.00 | $806.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Using Clamp/Dvc W/Regional Dorsal/Penile Block | $806.00 | $806.00 | — | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Surgical Exiscision Other Than Clamp Neonate | $806.00 | $806.00 | — | 12% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Surgical Exiscision Other Than Clamp Neonate | $806.00 | $806.00 | — | 12% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Surgical Exiscision Other Than Clamp Neonate | $806.00 | $806.00 | — | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Surgical Exiscision Other Than Clamp Neonate | $806.00 | $806.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 Perc Transcath Plcmt Intracor Stnt W/Cor Angio Sgle Maj Cor Art/Branch 1 Lesion 1/More Coronary Seg | $51,870.00 | $51,870.00 | — | 121% above | — |
| Coronary stent placement, one artery CPT 92928 Perc Transcath Plcmt Intracor Stnt W/Cor Angio Sgle Maj Cor Art/Branch 1 Lesion 1/More Coronary Seg | $51,870.00 | $51,870.00 | — | 121% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 Perc Transcath Plcmt Intracor Stnt W/Cor Angio Sgle Maj Cor Art/Branch 1 Lesion 1/More Coronary Seg | $51,870.00 | $51,870.00 | — | — | — |
| Coronary stent placement, one artery inpatient CPT 92928 Perc Transcath Plcmt Intracor Stnt W/Cor Angio Sgle Maj Cor Art/Branch 1 Lesion 1/More Coronary Seg | $51,870.00 | $51,870.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy (Separate Procedure) | $3,218.00 | $3,218.00 | — | 67% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy (Separate Procedure) | $3,218.00 | $3,218.00 | — | 67% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy (Separate Procedure) | $3,218.00 | $3,218.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy (Separate Procedure) | $3,218.00 | $3,218.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest/Co2-1st Lesion | $433.00 | $433.00 | — | 52% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest/Co2-1st Lesion | $433.00 | $433.00 | — | 52% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Dest/Co2-1st Lesion | $433.00 | $433.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Dest/Co2-1st Lesion | $433.00 | $433.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Using Irrigation/Lavage Unilateral | $367.00 | $367.00 | — | 95% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Using Irrigation/Lavage Unilateral | $367.00 | $367.00 | — | 95% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Using Irrigation/Lavage Unilateral | $367.00 | $367.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Using Irrigation/Lavage Unilateral | $367.00 | $367.00 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation Unilateral | $451.00 | $451.00 | — | 123% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation Unilateral | $451.00 | $451.00 | — | 123% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation Unilateral | $451.00 | $451.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation Unilateral | $451.00 | $451.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Cerv/Thor W/Image | $2,696.00 | $2,696.00 | — | 22% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Cerv/Thor W/Image | $2,696.00 | $2,696.00 | — | 22% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Cerv/Thor W/Image | $2,696.00 | $2,696.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Cerv/Thor W/Image | $2,696.00 | $2,696.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection Facet Joint Lumbar/ Sacral Single Level | $4,409.00 | $4,409.00 | — | 97% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection Facet Joint Lumbar/ Sacral Single Level | $4,409.00 | $4,409.00 | — | 97% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection Facet Joint Lumbar/ Sacral Single Level | $4,409.00 | $4,409.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection Facet Joint Lumbar/ Sacral Single Level | $4,409.00 | $4,409.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of Intrauterine Device (Iud) | $5,302.00 | $5,302.00 | — | 506% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of Intrauterine Device (Iud) | $5,302.00 | $5,302.00 | — | 506% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of Intrauterine Device (Iud) | $5,302.00 | $5,302.00 | — | — | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of Intrauterine Device (Iud) | $5,302.00 | $5,302.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Abscess Drainage | $1,206.00 | $1,206.00 | — | 101% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Abscess Drainage | $1,206.00 | $1,206.00 | — | 101% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Abscess Drainage | $1,206.00 | $1,206.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Abscess Drainage | $1,206.00 | $1,206.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection; Single Tendon Sheath or Ligament | $1,376.00 | $1,376.00 | — | 147% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection; Single Tendon Sheath or Ligament | $1,376.00 | $1,376.00 | — | 147% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection; Single Tendon Sheath or Ligament | $1,376.00 | $1,376.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection; Single Tendon Sheath or Ligament | $1,376.00 | $1,376.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Injection/Aspiration Large Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | 149% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Injection/Aspiration Large Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | 149% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Injection/Aspiration Large Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Injection/Aspiration Large Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Non Biodegradable Drug Delivery Implant | $516.00 | $516.00 | — | 64% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Non Biodegradable Drug Delivery Implant | $516.00 | $516.00 | — | 64% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Non Biodegradable Drug Delivery Implant | $516.00 | $516.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Non Biodegradable Drug Delivery Implant | $516.00 | $516.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Injection/Aspiration Intermediate Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | 192% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Injection/Aspiration Intermediate Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | 192% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Injection/Aspiration Intermediate Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Injection/Aspiration Intermediate Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection/Aspiration Small Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | 203% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection/Aspiration Small Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | 203% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Injection/Aspiration Small Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Injection/Aspiration Small Joint/Bursa W/Out Uls Guidance | $1,667.00 | $1,667.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate Scalp/Axillae/Trunk/Extrem 2.5 or < | $1,230.00 | $1,230.00 | — | 27% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate Scalp/Axillae/Trunk/Extrem 2.5 or < | $1,230.00 | $1,230.00 | — | 27% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate Scalp/Axillae/Trunk/Extrem 2.5 or < | $1,230.00 | $1,230.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate Scalp/Axillae/Trunk/Extrem 2.5 or < | $1,230.00 | $1,230.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclogrphy | $19,823.00 | $19,823.00 | — | 76% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclogrphy | $19,823.00 | $19,823.00 | — | 76% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclogrphy | $19,823.00 | $19,823.00 | — | — | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclogrphy | $19,823.00 | $19,823.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image | $2,696.00 | $2,696.00 | — | 15% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image | $2,696.00 | $2,696.00 | — | 15% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image | $2,696.00 | $2,696.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image | $2,696.00 | $2,696.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image | $2,696.00 | $2,696.00 | — | 23% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image | $2,696.00 | $2,696.00 | — | 23% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image | $2,696.00 | $2,696.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image | $2,696.00 | $2,696.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Benign Lsn Incl Marg Excpt Skin Tag Trnk/Arm/Leg .5 or Less | $2,607.00 | $2,607.00 | — | 44% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Benign Lsn Incl Marg Excpt Skin Tag Trnk/Arm/Leg .5 or Less | $2,607.00 | $2,607.00 | — | 44% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision Benign Lsn Incl Marg Excpt Skin Tag Trnk/Arm/Leg .5 or Less | $2,607.00 | $2,607.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision Benign Lsn Incl Marg Excpt Skin Tag Trnk/Arm/Leg .5 or Less | $2,607.00 | $2,607.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Single | $2,712.00 | $2,712.00 | — | 446% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Single | $2,712.00 | $2,712.00 | — | 446% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Single | $2,712.00 | $2,712.00 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Single | $2,712.00 | $2,712.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Injection Great Occipital | $1,116.00 | $1,116.00 | — | 23% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Injection Great Occipital | $1,116.00 | $1,116.00 | — | 23% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection Great Occipital | $1,116.00 | $1,116.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection Great Occipital | $1,116.00 | $1,116.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Insert/Replace Perm Pcmkr Elecr W/Transven Electrodes Atrial&Ventricul | $64,470.00 | $64,470.00 | — | 226% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insert/Replace Perm Pcmkr Elecr W/Transven Electrodes Atrial&Ventricul | $64,470.00 | $64,470.00 | — | 226% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insert/Replace Perm Pcmkr Elecr W/Transven Electrodes Atrial&Ventricul | $64,470.00 | $64,470.00 | — | — | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insert/Replace Perm Pcmkr Elecr W/Transven Electrodes Atrial&Ventricul | $64,470.00 | $64,470.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/ Img Guidance | $3,135.00 | $3,135.00 | — | 102% above | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/ Img Guidance | $3,135.00 | $3,135.00 | — | 102% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/ Img Guidance | $3,135.00 | $3,135.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/ Img Guidance | $3,135.00 | $3,135.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Nail Bed | $1,582.00 | $1,582.00 | — | 35% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Nail Bed | $1,582.00 | $1,582.00 | — | 35% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail & Nail Bed | $1,582.00 | $1,582.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail & Nail Bed | $1,582.00 | $1,582.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolytic Agnt Paravert Fct W/Image Guid Lumb/Sacr Sngl Fct Jt | $5,289.00 | $5,289.00 | — | 56% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolytic Agnt Paravert Fct W/Image Guid Lumb/Sacr Sngl Fct Jt | $5,289.00 | $5,289.00 | — | 56% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Neurolytic Agnt Paravert Fct W/Image Guid Lumb/Sacr Sngl Fct Jt | $5,289.00 | $5,289.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Neurolytic Agnt Paravert Fct W/Image Guid Lumb/Sacr Sngl Fct Jt | $5,289.00 | $5,289.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and Removal FB | $4,776.00 | $4,776.00 | — | 386% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and Removal FB | $4,776.00 | $4,776.00 | — | 386% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision and Removal FB | $4,776.00 | $4,776.00 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision and Removal FB | $4,776.00 | $4,776.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 Application of Short Arm Splint Static | $2,712.00 | $2,712.00 | — | 607% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application of Short Arm Splint Static | $2,712.00 | $2,712.00 | — | 607% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application of Short Arm Splint Static | $2,712.00 | $2,712.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application of Short Arm Splint Static | $2,712.00 | $2,712.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 Application of Short Leg Cast | $1,172.00 | $1,172.00 | — | 98% above | — |
| Short leg cast (below the knee) CPT 29405 Application of Short Leg Cast | $1,172.00 | $1,172.00 | — | 98% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 Application of Short Leg Cast | $1,172.00 | $1,172.00 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Application of Short Leg Cast | $1,172.00 | $1,172.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 Pt Splint Appl Short Leg | $737.00 | $737.00 | — | 79% above | — |
| Short leg splint (calf to foot) CPT 29515 Pt Splint Appl Short Leg | $737.00 | $737.00 | — | 79% above | — |
| Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint | $2,712.00 | $2,712.00 | — | 558% above | — |
| Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint | $2,712.00 | $2,712.00 | — | 558% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Pt Splint Appl Short Leg | $737.00 | $737.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Pt Splint Appl Short Leg | $737.00 | $737.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Application of Short Leg Splint | $2,712.00 | $2,712.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Application of Short Leg Splint | $2,712.00 | $2,712.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Superficial Scalp/Neck/Genital/Trunk/Extrem 2.5 or < | $2,712.00 | $2,712.00 | — | 439% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Superficial Scalp/Neck/Genital/Trunk/Extrem 2.5 or < | $2,712.00 | $2,712.00 | — | 439% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Superficial Scalp/Neck/Genital/Trunk/Extrem 2.5 or < | $2,712.00 | $2,712.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Superficial Scalp/Neck/Genital/Trunk/Extrem 2.5 or < | $2,712.00 | $2,712.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin Single Lesion | $529.00 | $529.00 | — | 35% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin Single Lesion | $529.00 | $529.00 | — | 35% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy of Skin Single Lesion | $529.00 | $529.00 | — | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy of Skin Single Lesion | $529.00 | $529.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal of Skin Tags Any Area Up to 15 | $928.00 | $928.00 | — | 122% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal of Skin Tags Any Area Up to 15 | $928.00 | $928.00 | — | 122% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Ligation Extra Digit | $1,124.00 | $1,124.00 | — | 169% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Ligation Extra Digit | $1,124.00 | $1,124.00 | — | 169% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags Any Area Up to 15 | $928.00 | $928.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags Any Area Up to 15 | $928.00 | $928.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Ligation Extra Digit | $1,124.00 | $1,124.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Ligation Extra Digit | $1,124.00 | $1,124.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $1,695.00 | $1,695.00 | — | 36% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $1,695.00 | $1,695.00 | — | 36% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $1,695.00 | $1,695.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $1,695.00 | $1,695.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair Superfi Scalp/Neck/Genital/Trunk/Extrem 2.6 to 7.5 Cm | $2,712.00 | $2,712.00 | — | 371% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair Superfi Scalp/Neck/Genital/Trunk/Extrem 2.6 to 7.5 Cm | $2,712.00 | $2,712.00 | — | 371% 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 Simple Repair Superfi Scalp/Neck/Genital/Trunk/Extrem 2.6 to 7.5 Cm | $2,712.00 | $2,712.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair Superfi Scalp/Neck/Genital/Trunk/Extrem 2.6 to 7.5 Cm | $2,712.00 | $2,712.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Superfi Face/Ears/Eyelids/Lips/Mucous Membr 2.5 or < | $2,712.00 | $2,712.00 | — | 460% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Superfi Face/Ears/Eyelids/Lips/Mucous Membr 2.5 or < | $2,712.00 | $2,712.00 | — | 460% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair Superfi Face/Ears/Eyelids/Lips/Mucous Membr 2.5 or < | $2,712.00 | $2,712.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair Superfi Face/Ears/Eyelids/Lips/Mucous Membr 2.5 or < | $2,712.00 | $2,712.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin Single Lesion | $928.00 | $928.00 | — | 50% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin Single Lesion | $928.00 | $928.00 | — | 50% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy of Skin Single Lesion | $928.00 | $928.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy of Skin Single Lesion | $928.00 | $928.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis, Aspiration Pleural Space With Img | $2,670.00 | $2,670.00 | — | 42% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis, Aspiration Pleural Space With Img | $2,670.00 | $2,670.00 | — | 42% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis, Aspiration Pleural Space With Img | $2,670.00 | $2,670.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis, Aspiration Pleural Space With Img | $2,670.00 | $2,670.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point 1 or 2 Muscles | $1,221.00 | $1,221.00 | — | 98% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point 1 or 2 Muscles | $1,221.00 | $1,221.00 | — | 98% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point 1 or 2 Muscles | $1,221.00 | $1,221.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point 1 or 2 Muscles | $1,221.00 | $1,221.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of Breast W/Placement of Loc Dvc Perc First Lsn Incl US Guide | $5,263.00 | $5,263.00 | — | 50% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of Breast W/Placement of Loc Dvc Perc First Lsn Incl US Guide | $5,263.00 | $5,263.00 | — | 50% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of Breast W/Placement of Loc Dvc Perc First Lsn Incl US Guide | $5,263.00 | $5,263.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of Breast W/Placement of Loc Dvc Perc First Lsn Incl US Guide | $5,263.00 | $5,263.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple | $4,166.00 | $4,166.00 | — | 34% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple | $4,166.00 | $4,166.00 | — | 34% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple | $4,166.00 | $4,166.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple | $4,166.00 | $4,166.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion per Day | $2,396.00 | $2,396.00 | — | 118% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion per Day | $2,396.00 | $2,396.00 | — | 118% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion per Day | $2,396.00 | $2,396.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion per Day | $2,396.00 | $2,396.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ipv Tx | $405.00 | $405.00 | — | 56% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ipv Tx | $405.00 | $405.00 | — | 56% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ezpap Tx | $760.00 | $760.00 | — | 192% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ezpap Tx | $760.00 | $760.00 | — | 192% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Tx | $812.00 | $812.00 | — | 212% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Tx | $812.00 | $812.00 | — | 212% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Tx | $812.00 | $812.00 | — | 212% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Tx | $812.00 | $812.00 | — | 212% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol/Mdi Txn | $1,006.00 | $1,006.00 | — | 287% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol/Mdi Txn | $1,006.00 | $1,006.00 | — | 287% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ipv Tx | $405.00 | $405.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ipv Tx | $405.00 | $405.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ezpap Tx | $760.00 | $760.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ezpap Tx | $760.00 | $760.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Tx | $812.00 | $812.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Tx | $812.00 | $812.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Tx | $812.00 | $812.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Tx | $812.00 | $812.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol/Mdi Txn | $1,006.00 | $1,006.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol/Mdi Txn | $1,006.00 | $1,006.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion 1st Hour | $1,727.00 | $1,727.00 | — | 78% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion 1st Hour | $1,727.00 | $1,727.00 | — | 78% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1st Hour | $1,727.00 | $1,727.00 | — | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1st Hour | $1,727.00 | $1,727.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audiometry Comprehensive W/Speech Recognition | $683.00 | $683.00 | — | 139% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audiometry Comprehensive W/Speech Recognition | $683.00 | $683.00 | — | 139% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Audiometry Comprehensive W/Speech Recognition | $683.00 | $683.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Audiometry Comprehensive W/Speech Recognition | $683.00 | $683.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 ED Visit 6-Critical Care | $5,861.00 | $5,861.00 | — | 20% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 ED Visit 6-Critical Care | $5,861.00 | $5,861.00 | — | 20% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Visit 6-Critical Care | $5,861.00 | $5,861.00 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Visit 6-Critical Care | $5,861.00 | $5,861.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy | $1,930.00 | $1,930.00 | — | 28% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy | $1,930.00 | $1,930.00 | — | 28% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy | $1,930.00 | $1,930.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy | $1,930.00 | $1,930.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $600.00 | $600.00 | — | 64% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $600.00 | $600.00 | — | 64% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $600.00 | $600.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $600.00 | $600.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit 1 Minor | $578.00 | $578.00 | — | 17% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit 1 Minor | $578.00 | $578.00 | — | 17% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit 1 Minor | $578.00 | $578.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit 1 Minor | $578.00 | $578.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit 2 Straightforward | $1,109.00 | $1,109.00 | — | 22% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit 2 Straightforward | $1,109.00 | $1,109.00 | — | 22% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit 2 Straightforward | $1,109.00 | $1,109.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit 2 Straightforward | $1,109.00 | $1,109.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit 3 Low | $1,894.00 | $1,894.00 | — | 16% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit 3 Low | $1,894.00 | $1,894.00 | — | 16% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit 3 Low | $1,894.00 | $1,894.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit 3 Low | $1,894.00 | $1,894.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit 4 Moderate | $3,060.00 | $3,060.00 | — | 23% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit 4 Moderate | $3,060.00 | $3,060.00 | — | 23% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit 4 Moderate | $3,060.00 | $3,060.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit 4 Moderate | $3,060.00 | $3,060.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit 5 High/Significant | $4,702.00 | $4,702.00 | — | 38% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit 5 High/Significant | $4,702.00 | $4,702.00 | — | 38% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit 5 High/Significant | $4,702.00 | $4,702.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit 5 High/Significant | $4,702.00 | $4,702.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test Max/Subam Treadmill/Bike Tracing Only | $3,544.00 | $3,544.00 | — | 136% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test Max/Subam Treadmill/Bike Tracing Only | $3,544.00 | $3,544.00 | — | 136% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test Max/Subam Treadmill/Bike Tracing Only | $3,544.00 | $3,544.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test Max/Subam Treadmill/Bike Tracing Only | $3,544.00 | $3,544.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration 1st Hour | $1,131.00 | $1,131.00 | — | 101% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration 1st Hour | $1,131.00 | $1,131.00 | — | 101% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration 1st Hour | $1,131.00 | $1,131.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration 1st Hour | $1,131.00 | $1,131.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 IV Therapy Prophylaxis or Dx 1st Hour | $1,131.00 | $1,131.00 | — | 72% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV Therapy Prophylaxis or Dx 1st Hour | $1,131.00 | $1,131.00 | — | 72% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy Prophylaxis or Dx 1st Hour | $1,131.00 | $1,131.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy Prophylaxis or Dx 1st Hour | $1,131.00 | $1,131.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Inj Tx/Prophylactic/Dx IV Push | $620.00 | $620.00 | — | 95% above | — |
| IV push of a medicine, first drug CPT 96374 Inj Tx/Prophylactic/Dx IV Push | $620.00 | $620.00 | — | 95% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Inj Tx/Prophylactic/Dx IV Push | $620.00 | $620.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 Inj Tx/Prophylactic/Dx IV Push | $620.00 | $620.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Prophylactic/Dx Subq / Im | $371.00 | $371.00 | — | 105% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Prophylactic/Dx Subq / Im | $371.00 | $371.00 | — | 105% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Tx/Prophylactic/Dx Subq / Im | $371.00 | $371.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Tx/Prophylactic/Dx Subq / Im | $371.00 | $371.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies | $934.00 | $934.00 | — | 13% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies | $934.00 | $934.00 | — | 13% below | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies 7-8 Studies | $934.00 | $934.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies 7-8 Studies | $934.00 | $934.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuro Re-ED 15 Min | $350.00 | $350.00 | — | 137% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuro Re-Education | $350.00 | $350.00 | — | 137% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuro Re-ED 15 Min | $350.00 | $350.00 | — | 137% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuro Re-Education | $350.00 | $350.00 | — | 137% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuro Re-Education | $350.00 | $350.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuro Re-Education | $350.00 | $350.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuro Re-ED 15 Min | $350.00 | $350.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuro Re-ED 15 Min | $350.00 | $350.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity OP | $480.00 | $480.00 | — | 1% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity OP | $480.00 | $480.00 | — | 1% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity IP | $779.00 | $779.00 | — | 64% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity IP | $779.00 | $779.00 | — | 64% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity OP | $480.00 | $480.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity OP | $480.00 | $480.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity IP | $779.00 | $779.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity IP | $779.00 | $779.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity OP | $678.00 | $678.00 | — | 29% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity OP | $678.00 | $678.00 | — | 29% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity IP | $1,886.00 | $1,886.00 | — | 259% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity IP | $1,886.00 | $1,886.00 | — | 259% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity OP | $678.00 | $678.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity OP | $678.00 | $678.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity IP | $1,886.00 | $1,886.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity IP | $1,886.00 | $1,886.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Return to Play Eval | $464.00 | $464.00 | — | 3% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Return to Play Eval | $464.00 | $464.00 | — | 3% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity OP | $491.00 | $491.00 | — | 9% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity OP | $491.00 | $491.00 | — | 9% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity IP | $779.00 | $779.00 | — | 73% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity IP | $779.00 | $779.00 | — | 73% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Return to Play Eval | $464.00 | $464.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Return to Play Eval | $464.00 | $464.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity OP | $491.00 | $491.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity OP | $491.00 | $491.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity IP | $779.00 | $779.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity IP | $779.00 | $779.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity OP | $538.00 | $538.00 | — | 20% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity OP | $538.00 | $538.00 | — | 20% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Pelvic Flr Eval | $914.00 | $914.00 | — | 104% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Pelvic Flr Eval | $914.00 | $914.00 | — | 104% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Pain Prog Re-Eval | $1,275.00 | $1,275.00 | — | 184% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Pain Prog Re-Eval | $1,275.00 | $1,275.00 | — | 184% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Pain Prog Eval | $1,275.00 | $1,275.00 | — | 184% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Pain Prog Eval | $1,275.00 | $1,275.00 | — | 184% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity IP | $1,338.00 | $1,338.00 | — | 198% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity IP | $1,338.00 | $1,338.00 | — | 198% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complexity OP | $538.00 | $538.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complexity OP | $538.00 | $538.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Pelvic Flr Eval | $914.00 | $914.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Pelvic Flr Eval | $914.00 | $914.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Pain Prog Eval | $1,275.00 | $1,275.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Pain Prog Re-Eval | $1,275.00 | $1,275.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Pain Prog Eval | $1,275.00 | $1,275.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Pain Prog Re-Eval | $1,275.00 | $1,275.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complexity IP | $1,338.00 | $1,338.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complexity IP | $1,338.00 | $1,338.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy | $435.00 | $435.00 | — | 236% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy | $435.00 | $435.00 | — | 236% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Therapy | $435.00 | $435.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Therapy | $435.00 | $435.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exercise | $318.00 | $318.00 | — | 120% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exercise | $318.00 | $318.00 | — | 120% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exercise | $318.00 | $318.00 | — | 120% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exercise | $318.00 | $318.00 | — | 120% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Exercise | $318.00 | $318.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Ther Exercise | $318.00 | $318.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Ther Exercise | $318.00 | $318.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Exercise | $318.00 | $318.00 | — | — | — |
| Speech and language evaluation CPT 92523 Evaluation of Speech Sound Production W/Eval of Language OP | $707.00 | $707.00 | — | 20% above | — |
| Speech and language evaluation CPT 92523 Evaluation of Speech Sound Production W/Eval of Language OP | $707.00 | $707.00 | — | 20% above | — |
| Speech and language evaluation CPT 92523 Re-Eval of Speech Sound Production W/Eval of Language OP | $870.00 | $870.00 | — | 48% above | — |
| Speech and language evaluation CPT 92523 Re-Eval of Speech Sound Production W/Eval of Language OP | $870.00 | $870.00 | — | 48% above | — |
| Speech and language evaluation CPT 92523 Evaluation of Speech Sound Production W/Eval of Language IP | $1,088.00 | $1,088.00 | — | 85% above | — |
| Speech and language evaluation CPT 92523 Evaluation of Speech Sound Production W/Eval of Language IP | $1,088.00 | $1,088.00 | — | 85% above | — |
| Speech and language evaluation inpatient CPT 92523 Evaluation of Speech Sound Production W/Eval of Language OP | $707.00 | $707.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Evaluation of Speech Sound Production W/Eval of Language OP | $707.00 | $707.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Re-Eval of Speech Sound Production W/Eval of Language OP | $870.00 | $870.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Re-Eval of Speech Sound Production W/Eval of Language OP | $870.00 | $870.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Evaluation of Speech Sound Production W/Eval of Language IP | $1,088.00 | $1,088.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Evaluation of Speech Sound Production W/Eval of Language IP | $1,088.00 | $1,088.00 | — | — | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 15 Minutes | $438.00 | $438.00 | — | 22% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 15 Minutes | $438.00 | $438.00 | — | 22% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 30 Min | $471.00 | $471.00 | — | 31% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 30 Min | $471.00 | $471.00 | — | 31% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 45 Min | $496.00 | $496.00 | — | 38% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 45 Min | $496.00 | $496.00 | — | 38% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 60 Min | $521.00 | $521.00 | — | 45% above | — |
| Speech therapy session, individual CPT 92507 Speech Therapy 60 Min | $521.00 | $521.00 | — | 45% above | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 15 Minutes | $438.00 | $438.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 15 Minutes | $438.00 | $438.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 30 Min | $471.00 | $471.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 30 Min | $471.00 | $471.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 45 Min | $496.00 | $496.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 45 Min | $496.00 | $496.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 60 Min | $521.00 | $521.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech Therapy 60 Min | $521.00 | $521.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 Peak Flow Meter | $929.00 | $929.00 | — | 208% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry | $929.00 | $929.00 | — | 208% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry | $929.00 | $929.00 | — | 208% above | — |
| Spirometry (breathing test) CPT 94010 Peak Flow Meter | $929.00 | $929.00 | — | 208% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry | $929.00 | $929.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Peak Flow Meter | $929.00 | $929.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Peak Flow Meter | $929.00 | $929.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry | $929.00 | $929.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation Spirometry | $1,531.00 | $1,531.00 | — | 70% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation Spirometry | $1,531.00 | $1,531.00 | — | 70% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Peak Flow Meter Pre/Post | $1,531.00 | $1,531.00 | — | 70% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Peak Flow Meter Pre/Post | $1,531.00 | $1,531.00 | — | 70% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre & Post Bronchodilator | $1,540.00 | $1,540.00 | — | 71% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre & Post Bronchodilator | $1,540.00 | $1,540.00 | — | 71% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Evaluation Spirometry | $1,531.00 | $1,531.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Peak Flow Meter Pre/Post | $1,531.00 | $1,531.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Evaluation Spirometry | $1,531.00 | $1,531.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Peak Flow Meter Pre/Post | $1,531.00 | $1,531.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Pre & Post Bronchodilator | $1,540.00 | $1,540.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Pre & Post Bronchodilator | $1,540.00 | $1,540.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Functional Activities | $318.00 | $318.00 | — | 112% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Functional Activities | $318.00 | $318.00 | — | 112% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Functional Activities | $318.00 | $318.00 | — | 112% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Functional Activities | $318.00 | $318.00 | — | 112% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Functional Activities | $318.00 | $318.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Functional Activities | $318.00 | $318.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Functional Activities | $318.00 | $318.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Functional Activities | $318.00 | $318.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $188.00 | $188.00 | — | 91% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $188.00 | $188.00 | — | 91% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $188.00 | $188.00 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $188.00 | $188.00 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSP | $193.00 | $193.00 | — | 43% below | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSP | $193.00 | $193.00 | — | 43% below | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $582.00 | $582.00 | — | 73% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $582.00 | $582.00 | — | 73% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSP | $193.00 | $193.00 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSP | $193.00 | $193.00 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $582.00 | $582.00 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $582.00 | $582.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $57.00 | $57.00 | — | 23% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $57.00 | $57.00 | — | 23% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $57.00 | $57.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $57.00 | $57.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $123.00 | $123.00 | — | 25% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $123.00 | $123.00 | — | 25% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $123.00 | $123.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $123.00 | $123.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSP | $227.00 | $227.00 | — | 10% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSP | $227.00 | $227.00 | — | 10% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSP | $227.00 | $227.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSP | $227.00 | $227.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSY | $95.00 | $95.00 | — | 6% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSY | $95.00 | $95.00 | — | 6% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSP | $95.00 | $95.00 | — | 6% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSP | $95.00 | $95.00 | — | 6% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSP | $95.00 | $95.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSY | $95.00 | $95.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSP | $95.00 | $95.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSY | $95.00 | $95.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM RECON SOLN | $108.00 | $108.00 | — | 72% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM RECON SOLN | $108.00 | $108.00 | — | 72% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM RECON SOLN | $108.00 | $108.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM RECON SOLN | $108.00 | $108.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJ RECON SOLN | $294.00 | $294.00 | — | 54% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJ RECON SOLN | $294.00 | $294.00 | — | 54% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJ RECON SOLN | $294.00 | $294.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJ RECON SOLN | $294.00 | $294.00 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $305.00 | $305.00 | — | 49% below | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $305.00 | $305.00 | — | 49% below | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $305.00 | $305.00 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $305.00 | $305.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,029.00 | $1,029.00 | — | 8% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,029.00 | $1,029.00 | — | 8% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,029.00 | $1,029.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOSY | $444.00 | $444.00 | — | 12% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOSY | $444.00 | $444.00 | — | 12% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOSY | $444.00 | $444.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOSY | $444.00 | $444.00 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJ SUSP | $1,241.00 | $1,241.00 | — | 1159% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJ SUSP | $1,241.00 | $1,241.00 | — | 1159% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJ SUSP | $1,241.00 | $1,241.00 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJ SUSP | $1,241.00 | $1,241.00 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $1,663.00 | $1,663.00 | — | 30% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $1,663.00 | $1,663.00 | — | 30% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $1,663.00 | $1,663.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $2,168.00 | $2,168.00 | — | 36% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $2,168.00 | $2,168.00 | — | 36% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $2,168.00 | $2,168.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSP | $861.00 | $861.00 | — | 189% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSP | $861.00 | $861.00 | — | 189% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSP | $861.00 | $861.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSP | $861.00 | $861.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN | $401.00 | $401.00 | — | 40% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN | $401.00 | $401.00 | — | 40% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN | $401.00 | $401.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN | $401.00 | $401.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM INJ (WRAPPED) | $135.00 | $135.00 | — | 34% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM INJ (WRAPPED) | $135.00 | $135.00 | — | 34% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $287.00 | $287.00 | — | 41% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $287.00 | $287.00 | — | 41% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM INJ (WRAPPED) | $135.00 | $135.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM INJ (WRAPPED) | $135.00 | $135.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $287.00 | $287.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $287.00 | $287.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration Sq / Im One Vaccine | $105.00 | $105.00 | — | 13% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration Sq / Im One Vaccine | $105.00 | $105.00 | — | 13% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration Sq / Im One Vaccine | $105.00 | $105.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration Sq / Im One Vaccine | $105.00 | $105.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Administration Sq / Im Each Add'l Vaccine | $105.00 | $105.00 | — | 3% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Administration Sq / Im Each Add'l Vaccine | $105.00 | $105.00 | — | 3% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Administration Sq / Im Each Add'l Vaccine | $105.00 | $105.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Administration Sq / Im Each Add'l Vaccine | $105.00 | $105.00 | — | — | — |
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.