Corewell Helen Devos Childrens Hospital
Corewell Helen Devos Childrens Hospital in Grand Rapids, MI publishes cash prices for 252 common procedures listed here, from its own machine-readable price file updated May 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Michigan median for 173 of 249 procedures and below it for 56. By typical cash price it ranks #66 of 96 Michigan hospitals and #9 of 11 hospitals in the Grand Rapids, MI area, cheapest first. Select a procedure to compare it with other hospitals nearby.
100 Michigan St Ne, Grand Rapids, MI 49503 Collected Oct 26, 2026 Source price file Check a bill from this hospital
The price file shows no self-pay discount
For 618 of the 618 prices listed here, the cash price in Corewell Helen Devos Childrens Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WO & WITH CONTRAST | $1,879.00 | $1,879.00 | — | 20% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WO & WITH CONTRAST | $1,879.00 | $1,879.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC XRAY ABD FLAT AND ERECT OR DEC COMP | $306.00 | $306.00 | — | 47% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABD FLAT AND ERECT OR DEC COMP | $306.00 | $306.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XRAY ANKLE COMPLETE MIN 3 VIEWS | $351.00 | $351.00 | — | 65% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XRAY ANKLE COMPLETE MIN 3 VIEWS | $351.00 | $351.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $1,015.00 | $1,015.00 | — | at median | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY ESOPHAGUS | $269.00 | $269.00 | — | 3% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY ESOPHAGUS | $269.00 | $269.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN TOTAL BODY | $1,047.00 | $1,047.00 | — | 5% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN TOTAL BODY | $1,047.00 | $1,047.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD/PELVIS WO & WITH CONTRAST | $3,430.00 | $3,430.00 | — | 38% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD/PELVIS WO & WITH CONTRAST | $3,430.00 | $3,430.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD WO & WITH CONTRAST | $1,664.00 | $1,664.00 | — | 5% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD WO & WITH CONTRAST | $1,664.00 | $1,664.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK WO &WITH CONTRAST | $1,664.00 | $1,664.00 | — | 11% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK WO &WITH CONTRAST | $1,664.00 | $1,664.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST WO & WITH CONTRAST | $1,664.00 | $1,664.00 | — | 1% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST WO & WITH CONTRAST | $1,664.00 | $1,664.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT CCTA WO & WITH CONTRAST | $1,664.00 | $1,664.00 | — | 26% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT CCTA WO & WITH CONTRAST | $1,664.00 | $1,664.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD/PELVIS WO CONTRAST | $2,143.00 | $2,143.00 | — | 20% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD/PELVIS WO CONTRAST | $2,143.00 | $2,143.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD/PELVIS WITH CONTRAST | $3,323.00 | $3,323.00 | — | 14% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD/PELVIS WITH CONTRAST | $3,323.00 | $3,323.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PELVIS WO & WITH CONTRAST | $3,965.00 | $3,965.00 | — | 52% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PELVIS WO & WITH CONTRAST | $3,965.00 | $3,965.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN WITH CONTRAST | $1,573.00 | $1,573.00 | — | 7% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN WITH CONTRAST | $1,573.00 | $1,573.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $1,015.00 | $1,015.00 | — | 9% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST | $1,015.00 | $1,015.00 | — | at median | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WO CONSTRAST | $1,015.00 | $1,015.00 | — | 4% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WO CONSTRAST | $1,015.00 | $1,015.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HC CT HEAD OR BRAIN WITH CONTRAST | $1,573.00 | $1,573.00 | — | 28% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD OR BRAIN WITH CONTRAST | $1,573.00 | $1,573.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD OR BRAIN WO & WITH CONTRAST | $1,879.00 | $1,879.00 | — | 20% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD OR BRAIN WO & WITH CONTRAST | $1,879.00 | $1,879.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST | $1,015.00 | $1,015.00 | — | 7% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CONTRAST | $1,015.00 | $1,015.00 | — | 9% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH CONTRAST | $1,573.00 | $1,573.00 | — | 16% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS WITH CONTRAST | $1,573.00 | $1,573.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US CAROTID DOPPLER COMPLETE BILATERAL | $457.00 | $457.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US CAROTID DOPPLER COMPLETE BILATERAL | $457.00 | $457.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX WO & WITH CONTRAST | $1,978.00 | $1,978.00 | — | 13% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX WO & WITH CONTRAST | $1,978.00 | $1,978.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS | $375.00 | $375.00 | — | 111% above | — |
| Chest X-ray, 2 views CPT 71046 HC XRAY CHEST SPECIAL VIEWS | $375.00 | $375.00 | — | 111% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS | $375.00 | $375.00 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST SPECIAL VIEWS | $375.00 | $375.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HC XRAY CHEST SINGLE VIEW | $342.00 | $342.00 | — | 122% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST SINGLE VIEW | $342.00 | $342.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XRAY CLAVICLE COMPLETE | $218.00 | $218.00 | — | 17% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XRAY CLAVICLE COMPLETE | $218.00 | $218.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $992.00 | $992.00 | — | 64% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $992.00 | $992.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XRAY BONE DENSITY AXIAL | $351.00 | $351.00 | — | 7% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XRAY BONE DENSITY AXIAL | $351.00 | $351.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XRAY BONE DENSITY APPENDICULAR | $144.00 | $144.00 | — | 12% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XRAY BONE DENSITY APPENDICULAR | $144.00 | $144.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST | $1,015.00 | $1,015.00 | — | 3% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX WITH CONTRAST | $1,573.00 | $1,573.00 | — | 20% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX WITH CONTRAST | $1,573.00 | $1,573.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL | $1,165.00 | $1,165.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL | $1,165.00 | $1,165.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY DOPPLER COMPLETE BILATERAL | $1,395.00 | $1,395.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US EXTREMITY DOPPLER COMPLETE BILATERAL | $1,395.00 | $1,395.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMP WITH DOPPLER & COLOR FLOW | $1,292.00 | $1,292.00 | — | 12% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMP WITH DOPPLER & COLOR FLOW | $1,292.00 | $1,292.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 HC XRAY ELBOW 2 VIEWS | $218.00 | $218.00 | — | 63% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XRAY ELBOW 2 VIEWS | $218.00 | $218.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XRAY ELBOW COMPLETE MIN 3 VIEWS | $218.00 | $218.00 | — | 14% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XRAY ELBOW COMPLETE MIN 3 VIEWS | $218.00 | $218.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SEL,PIT,TEMP WO CONTRAST | $1,015.00 | $1,015.00 | — | at median | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SEL,PIT,TEMP WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XRAY FACIAL BONES COMPLETE MIN 3 VIEWS | $351.00 | $351.00 | — | 35% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XRAY FACIAL BONES COMPLETE MIN 3 VIEWS | $351.00 | $351.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XRAY FOREARM 2 VIEWS | $218.00 | $218.00 | — | 22% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XRAY FOREARM 2 VIEWS | $218.00 | $218.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SCAN | $737.00 | $737.00 | — | 21% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SCAN | $737.00 | $737.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 HC XRAY HAND 2 VIEWS | $289.00 | $289.00 | — | 98% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC XRAY HAND 2 VIEWS | $289.00 | $289.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XRAY CALCANEOUS MIN 2 VIEWS | $218.00 | $218.00 | — | 42% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XRAY CALCANEOUS MIN 2 VIEWS | $218.00 | $218.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6 YRS OR OLDER W/CPAP/BILVL VENT 4 ADDL PARAM ATTND | $6,258.00 | $6,258.00 | — | 80% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6 YRS OR OLDER W/CPAP/BILVL VENT 4 ADDL PARAM ATTND | $6,258.00 | $6,258.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC XRAY KNEE 3 VIEWS | $351.00 | $351.00 | — | 82% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC XRAY KNEE 3 VIEWS | $351.00 | $351.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC XRAY KNEE COMPLETE | $351.00 | $351.00 | — | 64% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XRAY KNEE COMPLETE | $351.00 | $351.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $2,031.00 | $2,031.00 | — | 84% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $2,031.00 | $2,031.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $942.00 | $942.00 | — | 103% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $942.00 | $942.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NONVASCULAR LIMITED | $677.00 | $677.00 | — | 87% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NONVASCULAR LIMITED | $677.00 | $677.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XRAY TIBIA & FIBULA 2 VIEWS | $218.00 | $218.00 | — | 18% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XRAY TIBIA & FIBULA 2 VIEWS | $218.00 | $218.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST | $1,830.00 | $1,830.00 | — | 18% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXT JOINT WO CONTRAST | $3,660.00 | $3,660.00 | — | 127% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXT JOINT WO CONTRAST | $3,660.00 | $3,660.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JOINT WO & WITH CONTRAST | $4,842.00 | $4,842.00 | — | 93% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT JOINT WO & WITH CONTRAST | $4,842.00 | $4,842.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST | $1,830.00 | $1,830.00 | — | 6% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | 10% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $1,830.00 | $1,830.00 | — | 10% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | 26% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $1,830.00 | $1,830.00 | — | 1% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | 26% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CONTRAST | $1,830.00 | $1,830.00 | — | 7% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | 25% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST | $1,830.00 | $1,830.00 | — | 3% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | 25% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & WITH CONTRAST | $3,387.00 | $3,387.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST | $1,830.00 | $1,830.00 | — | 8% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST | $1,830.00 | $1,830.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXT JOINT WO CONRAST | $3,660.00 | $3,660.00 | — | 94% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXT JOINT WO CONRAST | $3,660.00 | $3,660.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XRAY-SPINE CERVICAL COMPLETE | $351.00 | $351.00 | — | 23% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XRAY-SPINE CERVICAL COMPLETE | $351.00 | $351.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST | $1,573.00 | $1,573.00 | — | 19% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST | $1,573.00 | $1,573.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST | $1,015.00 | $1,015.00 | — | at median | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 HC XRAY NECK SOFT TISSUE | $219.00 | $219.00 | — | 24% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC XRAY NECK SOFT TISSUE | $219.00 | $219.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $1,015.00 | $1,015.00 | — | at median | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED/FOLLOW UP | $674.00 | $674.00 | — | 111% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED/FOLLOW UP | $674.00 | $674.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE | $992.00 | $992.00 | — | 78% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE | $992.00 | $992.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY COMPLETE | $992.00 | $992.00 | — | 77% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY COMPLETE | $992.00 | $992.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG UTER 1ST TRIM LESS THAN 14 WEEKS | $992.00 | $992.00 | — | 108% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG UTER 1ST TRIM LESS THAN 14 WEEKS | $992.00 | $992.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED | $992.00 | $992.00 | — | 210% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED | $992.00 | $992.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC XRAY RIBS UNILATERAL 2 VIEWS | $218.00 | $218.00 | — | 10% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XRAY RIBS UNILATERAL 2 VIEWS | $218.00 | $218.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC XRAY RIBS UNILAT WITH PA CHEST MIN 3 VIEWS | $351.00 | $351.00 | — | 49% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC XRAY RIBS UNILAT WITH PA CHEST MIN 3 VIEWS | $351.00 | $351.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XRAY SHOULDER COMPLETE MIN 2 VIEWS | $351.00 | $351.00 | — | 74% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XRAY SHOULDER COMPLETE MIN 2 VIEWS | $351.00 | $351.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XRAY SINUSES PARANASAL COMPLETE MIN 3 VIEWS | $351.00 | $351.00 | — | 53% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XRAY SINUSES PARANASAL COMPLETE MIN 3 VIEWS | $351.00 | $351.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC XRAY SKULL LESS THAN 4 VIEWS | $351.00 | $351.00 | — | 69% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XRAY SKULL LESS THAN 4 VIEWS | $351.00 | $351.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6 YRS OR OLDER 4 ADDL PARAM ATTND | $6,258.00 | $6,258.00 | — | 95% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6 YRS OR OLDER 4 ADDL PARAM ATTND | $6,258.00 | $6,258.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY SWALLOW FUNCTION WITH VIDEO | $463.00 | $463.00 | — | 23% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY SWALLOW FUNCTION WITH VIDEO | $463.00 | $463.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XRAY FEMUR MIN 2 VIEWS | $248.00 | $248.00 | — | 16% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XRAY FEMUR MIN 2 VIEWS | $248.00 | $248.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CONTRAST | $1,015.00 | $1,015.00 | — | 7% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE WO CONTRAST | $1,015.00 | $1,015.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC XRAY TOES MIN 2 VIEWS | $218.00 | $218.00 | — | 74% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC XRAY TOES MIN 2 VIEWS | $218.00 | $218.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC US PELVIS TRANSVAGINAL | $992.00 | $992.00 | — | 89% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US PELVIS TRANSVAGINAL | $992.00 | $992.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US TRANSVAGINAL PREG UTERUS | $992.00 | $992.00 | — | 128% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US TRANSVAGINAL PREG UTERUS | $992.00 | $992.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $1,488.00 | $1,488.00 | — | 124% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $1,488.00 | $1,488.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $992.00 | $992.00 | — | 89% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM | $992.00 | $992.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK | $992.00 | $992.00 | — | 113% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK | $992.00 | $992.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY UPPER GI WO KUB | $463.00 | $463.00 | — | 15% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY UPPER GI WO KUB | $463.00 | $463.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XRAY HUMERUS MIN 2 VIEWS | $218.00 | $218.00 | — | 19% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XRAY HUMERUS MIN 2 VIEWS | $218.00 | $218.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US VENOUS EXTREMITY LIMITED OR UNILATERAL | $1,165.00 | $1,165.00 | — | 119% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US VENOUS EXTREMITY LIMITED OR UNILATERAL | $1,165.00 | $1,165.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 HC XRAY WRIST 2 VIEWS | $110.00 | $110.00 | — | 24% below | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XRAY WRIST 2 VIEWS | $110.00 | $110.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XRAY WRIST COMPLETE MIN 3 VIEWS | $218.00 | $218.00 | — | 14% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XRAY WRIST COMPLETE MIN 3 VIEWS | $218.00 | $218.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XRAY HIP UNILATERAL 2 TO 3 VIEWS WITH PELVIS | $267.00 | $267.00 | — | 31% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XRAY HIP UNILATERAL 2 TO 3 VIEWS WITH PELVIS | $267.00 | $267.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN AP | $219.00 | $219.00 | — | 38% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN AP | $219.00 | $219.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC XRAY ANKLE 2 VIEWS | $351.00 | $351.00 | — | 100% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XRAY ANKLE 2 VIEWS | $351.00 | $351.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XRAY FINGER MIN 2 VIEWS | $218.00 | $218.00 | — | 65% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XRAY FINGER MIN 2 VIEWS | $218.00 | $218.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC XRAY FOOT 2 VIEWS | $218.00 | $218.00 | — | 37% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XRAY FOOT 2 VIEWS | $218.00 | $218.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XRAY FOOT COMPLETE MIN 3 VIEWS | $218.00 | $218.00 | — | 21% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XRAY FOOT COMPLETE MIN 3 VIEWS | $218.00 | $218.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC XRAY HAND MIN 3 VIEWS | $331.00 | $331.00 | — | 81% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XRAY HAND MIN 3 VIEWS | $331.00 | $331.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XRAY KNEE 1 OR 2 VIEWS | $218.00 | $218.00 | — | 40% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XRAY KNEE 1 OR 2 VIEWS | $218.00 | $218.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XRAY SPINE LUMBAR 2 OR 3 VIEWS | $351.00 | $351.00 | — | 64% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XRAY SPINE LUMBAR 2 OR 3 VIEWS | $351.00 | $351.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC XRAY L UMBAR SPINE MIN 4 VIEWS | $351.00 | $351.00 | — | 14% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XRAY L UMBAR SPINE MIN 4 VIEWS | $351.00 | $351.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XRAY THORACIC 2 VIEWS | $238.00 | $238.00 | — | 29% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XRAY THORACIC 2 VIEWS | $238.00 | $238.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XRAY NASAL BONES MIN 3 VIEWS | $218.00 | $218.00 | — | 27% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XRAY NASAL BONES MIN 3 VIEWS | $218.00 | $218.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XRAY CERVICAL PA & LAT 2 TO 3 VIEWS | $351.00 | $351.00 | — | 52% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XRAY CERVICAL PA & LAT 2 TO 3 VIEWS | $351.00 | $351.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XRAY PELVIS 1 OR 2 VIEWS | $351.00 | $351.00 | — | 113% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XRAY PELVIS 1 OR 2 VIEWS | $351.00 | $351.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XRAY SACRUM/COCCYX MIN 2 VIEWS | $218.00 | $218.00 | — | 27% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XRAY SACRUM/COCCYX MIN 2 VIEWS | $218.00 | $218.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $18.00 | $18.00 | — | 40% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $18.00 | $18.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE | $24.00 | $24.00 | — | at median | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANT BLOOD | $24.00 | $24.00 | — | at median | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANT BLOOD | $24.00 | $24.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE | $24.00 | $24.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC POC HCG QUAL URINE | $22.00 | $22.00 | — | 41% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC POC HCG QUAL URINE | $22.00 | $22.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $37.00 | $37.00 | — | 27% below | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $37.00 | $37.00 | — | — | — |
| Creatinine blood test CPT 82565 HC POC CREATININE | $30.00 | $30.00 | — | 24% above | — |
| Creatinine blood test inpatient CPT 82565 HC POC CREATININE | $30.00 | $30.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $22.00 | $22.00 | — | 31% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $22.00 | $22.00 | — | — | — |
| Hemoglobin blood test CPT 85018 HC SPLIT HEMOGLOBIN | $16.00 | $16.00 | — | at median | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $16.00 | $16.00 | — | at median | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $16.00 | $16.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC SPLIT HEMOGLOBIN | $16.00 | $16.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $32.00 | $32.00 | — | 30% below | — |
| Lactate (lactic acid) blood test CPT 83605 HC POC LACTATE | $32.00 | $32.00 | — | 30% below | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $32.00 | $32.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC POC LACTATE | $32.00 | $32.00 | — | — | — |
| Potassium blood test CPT 84132 HC POTASSIUM LEVEL | $19.00 | $19.00 | — | 21% below | — |
| Potassium blood test CPT 84132 HC POC POTASSIUM | $28.00 | $28.00 | — | 17% above | — |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM LEVEL | $19.00 | $19.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 HC POC POTASSIUM | $28.00 | $28.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC SPLIT PROTIME | $21.00 | $21.00 | — | 11% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC SPLIT PROTIME | $21.00 | $21.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA EIA A OR B | $48.00 | $48.00 | — | at median | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA EIA A OR B | $48.00 | $48.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP SCREEN | $59.00 | $59.00 | — | 14% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP SCREEN | $59.00 | $59.00 | — | — | — |
| Sodium blood test CPT 84295 HC POC SODIUM | $13.00 | $13.00 | — | 38% below | — |
| Sodium blood test CPT 84295 HC SODIUM | $13.00 | $13.00 | — | 38% below | — |
| Sodium blood test inpatient CPT 84295 HC POC SODIUM | $13.00 | $13.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $13.00 | $13.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN | $17.00 | $17.00 | — | 3% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN | $17.00 | $17.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC POC URINALYSIS AUTO W/O SCOPE | $11.00 | $11.00 | — | 15% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED WO MICROSCOPY | $11.00 | $11.00 | — | 15% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTOMATED WO MICROSCOPY | $11.00 | $11.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINALYSIS AUTO W/O SCOPE | $11.00 | $11.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC POC URINALYSIS NON AUTO WO MICROSCOPY | $25.00 | $25.00 | — | 64% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC POC URINALYSIS NON AUTO WO MICROSCOPY | $25.00 | $25.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $18.00 | $18.00 | — | 32% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $18.00 | $18.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $416.00 | $416.00 | — | 12% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $416.00 | $416.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC LEFT HEART CATH WITH CORONARY ANGIO | $10,595.00 | $10,595.00 | — | 7% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LEFT HEART CATH WITH CORONARY ANGIO | $10,595.00 | $10,595.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $909.00 | $909.00 | — | 8% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED CARDIOVERSION | $909.00 | $909.00 | — | 8% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $932.00 | $932.00 | — | 5% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ED CARDIOVERSION | $909.00 | $909.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION | $909.00 | $909.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $932.00 | $932.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $47,320.00 | $47,320.00 | — | 32% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $47,320.00 | $47,320.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN | $1,678.00 | $1,678.00 | — | at median | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN | $1,678.00 | $1,678.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $373.00 | $373.00 | — | 2% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $373.00 | $373.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $1,466.00 | $1,466.00 | — | 72% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY | $1,811.00 | $1,811.00 | — | 113% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $1,466.00 | $1,466.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY | $1,811.00 | $1,811.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT 1ST BENIGN LESION | $211.00 | $211.00 | — | 8% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT 1ST BENIGN LESION | $211.00 | $211.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACT CERUMEN IRRIGATE | $159.00 | $159.00 | — | 56% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACT CERUMEN IRRIGATE | $159.00 | $159.00 | — | 56% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACT CERUMEN IRRIGATE | $159.00 | $159.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACT CERUMEN IRRIGATE | $159.00 | $159.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 HC TX REMOVE IMPACT CERUMEN W INSTR | $113.00 | $113.00 | — | 15% above | — |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACT CERUMEN W INSTR | $113.00 | $113.00 | — | 15% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACT CERUMEN W INSTR | $113.00 | $113.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC TX REMOVE IMPACT CERUMEN W INSTR | $113.00 | $113.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC IR INJ EPI SUBAR EA CERV THORA | $831.00 | $831.00 | — | 14% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC IR INJ EPI SUBAR EA CERV THORA | $831.00 | $831.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET JT LUMB SACR SINGLE | $1,346.00 | $1,346.00 | — | 12% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FACET JT LUMB SACR SINGLE | $1,346.00 | $1,346.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION | $74.00 | $74.00 | — | 78% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION | $74.00 | $74.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE | $298.00 | $298.00 | — | 9% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE | $298.00 | $298.00 | — | 9% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAIN SKIN ABSCESS SIMPLE | $340.00 | $340.00 | — | 25% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE | $298.00 | $298.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE | $298.00 | $298.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAIN SKIN ABSCESS SIMPLE | $340.00 | $340.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US | $446.00 | $446.00 | — | 17% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US | $446.00 | $446.00 | — | 17% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $511.00 | $511.00 | — | 34% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US | $446.00 | $446.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US | $446.00 | $446.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $511.00 | $511.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US | $389.00 | $389.00 | — | 20% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC OTH INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US | $389.00 | $389.00 | — | 20% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $445.00 | $445.00 | — | 37% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC OTH INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US | $389.00 | $389.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US | $389.00 | $389.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $445.00 | $445.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC INJECTION ARTHROCENTESIS SMALL JT | $338.00 | $338.00 | — | 1% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $387.00 | $387.00 | — | 14% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC INJECTION ARTHROCENTESIS SMALL JT | $338.00 | $338.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $387.00 | $387.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS | $374.00 | $374.00 | — | at median | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $427.00 | $427.00 | — | 14% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS | $374.00 | $374.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $427.00 | $427.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH | $9,682.00 | $9,682.00 | — | 41% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH | $9,682.00 | $9,682.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC IR INJ EPI SUB EA LUMBARSACRAL | $1,288.00 | $1,288.00 | — | 24% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC IR INJ EPI SUB EA LUMBARSACRAL | $1,288.00 | $1,288.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFOR LUMB SACR SINGLE | $955.00 | $955.00 | — | 11% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFOR LUMB SACR SINGLE | $955.00 | $955.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC ED AVULSION OF NAIL PLATE SINGLE | $203.00 | $203.00 | — | 1% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED AVULSION OF NAIL PLATE SINGLE | $203.00 | $203.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE | $303.00 | $303.00 | — | 41% below | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE | $303.00 | $303.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC PACEMAKER INSERT A/V LEADS | $17,927.00 | $17,927.00 | — | 10% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC PACEMAKER INSERT A/V LEADS | $17,927.00 | $17,927.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $1,071.00 | $1,071.00 | — | 13% below | — |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS WITH IMAGING | $1,202.00 | $1,202.00 | — | 2% below | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $1,071.00 | $1,071.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS WITH IMAGING | $1,202.00 | $1,202.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED | $713.00 | $713.00 | — | 34% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED | $713.00 | $713.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SUBQ SIMPLE | $356.00 | $356.00 | — | 4% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SUBQ SIMPLE | $356.00 | $356.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC ED APPLICATION CAST ELBOW FINGER SHORT ARM | $246.00 | $246.00 | — | 1% below | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC ED APPLICATION CAST ELBOW FINGER SHORT ARM | $246.00 | $246.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC ED APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $219.00 | $219.00 | — | 15% above | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $225.00 | $225.00 | — | 18% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC ED APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $219.00 | $219.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $225.00 | $225.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 HC ED APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $246.00 | $246.00 | — | 10% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC ED APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $246.00 | $246.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC ED APPLICATION SHORT LEG SPLINT CALF FOOT | $143.00 | $143.00 | — | 14% below | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT | $147.00 | $147.00 | — | 11% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC ED APPLICATION SHORT LEG SPLINT CALF FOOT | $143.00 | $143.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT | $147.00 | $147.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS | $190.00 | $190.00 | — | 10% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM | $217.00 | $217.00 | — | 3% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS | $190.00 | $190.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM | $217.00 | $217.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $510.00 | $510.00 | — | 39% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $510.00 | $510.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC ED EXCISE SKIN TAGS 15 TAGS OR LESS | $183.00 | $183.00 | — | 5% above | — |
| Skin tag removal, up to 15 tags CPT 11200 HC EXCISE SKIN TAGS 15 TAGS OR LESS | $183.00 | $183.00 | — | 5% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED EXCISE SKIN TAGS 15 TAGS OR LESS | $183.00 | $183.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXCISE SKIN TAGS 15 TAGS OR LESS | $183.00 | $183.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED LUMBAR PUNCTURE DIAGNOSTIC | $1,718.00 | $1,718.00 | — | 101% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC TX LUMBAR PUNCTURE DIAGNOSTIC | $1,718.00 | $1,718.00 | — | 101% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $1,718.00 | $1,718.00 | — | 101% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,760.00 | $1,760.00 | — | 106% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED LUMBAR PUNCTURE DIAGNOSTIC | $1,718.00 | $1,718.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $1,718.00 | $1,718.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC TX LUMBAR PUNCTURE DIAGNOSTIC | $1,718.00 | $1,718.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,760.00 | $1,760.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM | $218.00 | $218.00 | — | 15% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 | $249.00 | $249.00 | — | 2% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM | $218.00 | $218.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 | $249.00 | $249.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $256.00 | $256.00 | — | 8% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5CM | $293.00 | $293.00 | — | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $256.00 | $256.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5CM | $293.00 | $293.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $290.00 | $290.00 | — | 1% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $290.00 | $290.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,053.00 | $1,053.00 | — | 7% below | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS WITH IMAGE GUIDANCE | $1,053.00 | $1,053.00 | — | 7% below | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,079.00 | $1,079.00 | — | 5% below | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,053.00 | $1,053.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS WITH IMAGE GUIDANCE | $1,053.00 | $1,053.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,079.00 | $1,079.00 | — | — | — |
| Trigger finger release surgery CPT 26055 HC INCISE FINGER TENDON SHEATH | $1,892.00 | $1,892.00 | — | 2% above | — |
| Trigger finger release surgery inpatient CPT 26055 HC INCISE FINGER TENDON SHEATH | $1,892.00 | $1,892.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $368.00 | $368.00 | — | 1% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $368.00 | $368.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1 TO 14 | $183.00 | $183.00 | — | 10% below | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1 TO 14 | $183.00 | $183.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEBRIDE SUBQ 20 SQ CM OR LESS | $421.00 | $421.00 | — | 25% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBQ 20 SQ CM OR LESS | $482.00 | $482.00 | — | 14% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEBRIDE SUBQ 20 SQ CM OR LESS | $421.00 | $421.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBQ 20 SQ CM OR LESS | $482.00 | $482.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BMT TRANSFUSION BLOOD OR BLOOD PRODUCT | $428.14 | $428.14 | — | 43% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR BLOOD PRODUCT | $983.00 | $983.00 | — | 31% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BMT TRANSFUSION BLOOD OR BLOOD PRODUCT | $428.14 | $428.14 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD PRODUCT | $983.00 | $983.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $367.00 | $367.00 | — | 116% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED AIRWAY INHALATION TREATMENT | $470.00 | $470.00 | — | 177% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $367.00 | $367.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED AIRWAY INHALATION TREATMENT | $470.00 | $470.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL DRUG 1 HOUR | $526.00 | $526.00 | — | at median | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL DRUG 1 HOUR | $526.00 | $526.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED VISIT CRITICAL CARE 30 TO 74 MIN | $7,059.00 | $7,059.00 | — | 258% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED VISIT CRITICAL CARE 30 TO 74 MIN | $7,059.00 | $7,059.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY | $831.00 | $831.00 | — | 9% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY | $831.00 | $831.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG COMPUTER | $199.00 | $199.00 | — | 52% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG COMPUTER | $199.00 | $199.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED VISIT CATEGORY 1 | $248.00 | $248.00 | — | 33% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED VISIT CATEGORY 1 | $248.00 | $248.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED VISIT CATEGORY 2 | $911.00 | $911.00 | — | 168% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED VISIT CATEGORY 2 | $911.00 | $911.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED VISIT CATEGORY 3 | $1,201.00 | $1,201.00 | — | 89% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED VISIT CATEGORY 3 | $1,201.00 | $1,201.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED VISIT CATEGORY 4 | $2,338.00 | $2,338.00 | — | 121% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED VISIT CATEGORY 4 | $2,338.00 | $2,338.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED VISIT CATEGORY 5 | $3,185.00 | $3,185.00 | — | 89% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED VISIT CATEGORY 5 | $3,185.00 | $3,185.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST MAXIMUM | $935.00 | $935.00 | — | 28% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST MAXIMUM | $935.00 | $935.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $297.00 | $297.00 | — | 125% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $297.00 | $297.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INFUSION INITIAL HOUR | $261.00 | $261.00 | — | at median | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION INITIAL HOUR | $261.00 | $261.00 | — | at median | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INFUSION INITIAL HOUR | $261.00 | $261.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION INITIAL HOUR | $261.00 | $261.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY UP TO 1 HR | $356.00 | $356.00 | — | 19% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY UP TO 1 HR | $404.00 | $404.00 | — | 35% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAPY UP TO 1 HR | $356.00 | $356.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY UP TO 1 HR | $404.00 | $404.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH SINGLE OR INITIAL SUBSTANCE | $266.00 | $266.00 | — | 44% above | — |
| IV push of a medicine, first drug CPT 96374 HC ED IV PUSH SINGLE OR INITIAL SUBSTANCE | $266.00 | $266.00 | — | 44% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH SINGLE OR INITIAL SUBSTANCE | $266.00 | $266.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC ED IV PUSH SINGLE OR INITIAL SUBSTANCE | $266.00 | $266.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED ADMIN OF INJECTION SUBQ OR IM | $191.00 | $191.00 | — | 110% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC OTH ADMIN OF INJECTION SUBQ OR IM | $191.00 | $191.00 | — | 110% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ADMIN OF INJECTION SUBQ OR IM | $191.00 | $191.00 | — | 110% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED ADMIN OF INJECTION SUBQ OR IM | $191.00 | $191.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC OTH ADMIN OF INJECTION SUBQ OR IM | $191.00 | $191.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ADMIN OF INJECTION SUBQ OR IM | $191.00 | $191.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $281.00 | $281.00 | — | 25% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $281.00 | $281.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-EDUCATION PER 15 MIN | $75.00 | $75.00 | — | 22% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-EDUCATION PER 15 MIN | $79.00 | $79.00 | — | 17% below | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-EDUCATION PER 15 MIN | $75.00 | $75.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-EDUCATION PER 15 MIN | $79.00 | $79.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL ASSMT EA 15 MINUTE | $57.00 | $57.00 | — | 24% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC VIRTUAL MNT INITIAL ASSMT EA 15 MINUTES | $63.00 | $63.00 | — | 37% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL ASSMT EA 15 MINUTE | $57.00 | $57.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC VIRTUAL MNT INITIAL ASSMT EA 15 MINUTES | $63.00 | $63.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT LOW COMPLEX EVALUATION | $226.00 | $226.00 | — | 9% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT LOW COMPLEX EVALUATION | $226.00 | $226.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT HIGH COMPLEX EVALUATION | $205.00 | $205.00 | — | 18% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT HIGH COMPLEX EVALUATION | $205.00 | $205.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT LOW COMPLEX EVALUATION | $192.00 | $192.00 | — | 3% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT LOW COMPLEX EVALUATION | $192.00 | $192.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT MOD COMPLEX EVALUATION | $201.00 | $201.00 | — | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT MOD COMPLEX EVALUATION | $201.00 | $201.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY PER 15 MIN | $75.00 | $75.00 | — | 23% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY PER 15 MIN | $79.00 | $79.00 | — | 18% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY PER 15 MIN | $75.00 | $75.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY PER 15 MIN | $79.00 | $79.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC PROC PER 15 MIN | $63.00 | $63.00 | — | 33% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC PROC PER 15 MIN | $64.00 | $64.00 | — | 32% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC PROC PER 15 MIN | $63.00 | $63.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC PROC PER 15 MIN | $64.00 | $64.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $311.00 | $311.00 | — | 133% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $311.00 | $311.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $311.00 | $311.00 | — | 75% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $311.00 | $311.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> | $311.00 | $311.00 | — | 46% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> | $311.00 | $311.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS | $271.00 | $271.00 | — | 87% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS | $271.00 | $271.00 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | $271.00 | $271.00 | — | 66% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | $271.00 | $271.00 | — | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER | $271.00 | $271.00 | — | 42% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER | $271.00 | $271.00 | — | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $432.00 | $432.00 | — | at median | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $432.00 | $432.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $281.00 | $281.00 | — | 46% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $281.00 | $281.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $281.00 | $281.00 | — | 32% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $281.00 | $281.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $294.00 | $294.00 | — | 28% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $294.00 | $294.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $41.00 | $41.00 | — | at median | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $41.00 | $41.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT OV HIGH COMPLEX | $308.00 | $308.00 | — | 87% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT OV HIGH COMPLEX | $308.00 | $308.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC TX EST PT OV LOW COMPLEX | $584.00 | $584.00 | — | 511% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC TX EST PT OV LOW COMPLEX | $584.00 | $584.00 | — | — | — |
| Speech and language evaluation CPT 92523 HC ST SPEECH COMP/EXPRESS EVAL | $299.00 | $299.00 | — | 21% below | — |
| Speech and language evaluation inpatient CPT 92523 HC ST SPEECH COMP/EXPRESS EVAL | $299.00 | $299.00 | — | — | — |
| Speech therapy session, individual CPT 92507 HC ST SPEECH/LANGUAGE/VOICE THERAPY | $213.00 | $213.00 | — | at median | — |
| Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/LANGUAGE/VOICE THERAPY | $213.00 | $213.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $170.00 | $170.00 | — | 19% below | — |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $170.00 | $170.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE & POST | $429.00 | $429.00 | — | 9% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE & POST | $429.00 | $429.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC FUNCTIONAL ACTIVITY | $73.00 | $73.00 | — | 10% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC FUNCTIONAL ACTIVITY | $77.00 | $77.00 | — | 5% below | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC FUNCTIONAL ACTIVITY | $73.00 | $73.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC FUNCTIONAL ACTIVITY | $77.00 | $77.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY | $295.00 | $295.00 | — | 28% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY | $295.00 | $295.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC VACCINE FLU ADJUVANT IM | $89.00 | $89.00 | — | at median | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC VACCINE FLU ADJUVANT IM | $89.00 | $89.00 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC MODERNA SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE | $292.00 | $292.00 | — | 5% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC MODERNA SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE | $292.00 | $292.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VACCINE VARICELLA CHICKEN POX | $216.73 | $216.73 | — | 7% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VACCINE VARICELLA CHICKEN POX | $216.73 | $216.73 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC VACCINE DTAP IPV KINRIX | $110.96 | $110.96 | — | 80% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC VACCINE DTAP IPV KINRIX | $110.96 | $110.96 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC VACCINE DTAP | $48.85 | $48.85 | — | 26% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC VACCINE DTAP | $48.85 | $48.85 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC VACCINE DTAP HEP B IPV IM | $156.18 | $156.18 | — | 16% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC VACCINE DTAP HEP B IPV IM | $156.18 | $156.18 | — | — | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE | $110.00 | $110.00 | — | at median | — |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE | $110.00 | $110.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC VACCINE FLU PRESERVATIVE FREE AGE 3 OR OLDER | $38.00 | $38.00 | — | 20% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC VACCINE FLU PRESERVATIVE FREE AGE 3 OR OLDER | $38.00 | $38.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC VACCINE HPV VIRUS 9 VAL IM | $334.42 | $334.42 | — | at median | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC VACCINE HPV VIRUS 9 VAL IM | $334.42 | $334.42 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $247.22 | $247.22 | — | 43% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $247.22 | $247.22 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC VACCINE HEP A ADULT IM | $170.53 | $170.53 | — | 45% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC VACCINE HEP A ADULT IM | $170.53 | $170.53 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC VACCINE HEP A PEDS IM | $80.27 | $80.27 | — | 5% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC VACCINE HEP A PEDS IM | $80.27 | $80.27 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC VACCINE HEP B ADULT 2 DOSE SCHEDULE | $82.20 | $82.20 | — | 41% below | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC VACCINE HEP B ADULT 2 DOSE SCHEDULE | $82.20 | $82.20 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEP B VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM | $32.41 | $32.41 | — | at median | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEP B VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM | $32.41 | $32.41 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC VACCINE HIB PRP-T IM | $26.81 | $26.81 | — | 36% below | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC VACCINE HIB PRP-T IM | $26.81 | $26.81 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC VACCINE FLU SPLIT VIRUS PRESERVATIVE FREE | $84.77 | $84.77 | — | 10% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC VACCINE FLU SPLIT VIRUS PRESERVATIVE FREE | $84.77 | $84.77 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC VACCINE MMR | $129.12 | $129.12 | — | 5% below | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC VACCINE MMR | $129.12 | $129.12 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ | $153.60 | $153.60 | — | 57% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ | $153.60 | $153.60 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC VACCINE MENINGOCOCCAL CONJ | $274.89 | $274.89 | — | 32% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC VACCINE MENINGOCOCCAL CONJ | $274.89 | $274.89 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC VACCINE MENB-4C VACC 2 DOSE IM | $166.80 | $166.80 | — | 50% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC VACCINE MENB-4C VACC 2 DOSE IM | $166.80 | $166.80 | — | — | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 HC VACCINE FLU NASAL | $65.51 | $65.51 | — | 141% above | — |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC VACCINE FLU NASAL | $65.51 | $65.51 | — | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC PCV15 VACCINE FOR INTRAMUSCULAR USE | $705.93 | $705.93 | — | 1% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 HC PCV15 VACCINE FOR INTRAMUSCULAR USE | $705.93 | $705.93 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC VACCINE PNEUMOVAX SUBQ OR IM | $158.27 | $158.27 | — | at median | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC VACCINE PNEUMOVAX SUBQ OR IM | $158.27 | $158.27 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 HC VACCINE POLIO SUBQ | $66.25 | $66.25 | — | 6% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC VACCINE POLIO SUBQ | $66.25 | $66.25 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE | $742.50 | $742.50 | — | at median | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE | $742.50 | $742.50 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $742.50 | $742.50 | — | at median | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $742.50 | $742.50 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $378.60 | $378.60 | — | 21% below | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $378.60 | $378.60 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC VACCINE RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $355.49 | $355.49 | — | 15% below | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC VACCINE RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $355.49 | $355.49 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC VACCINE ROTOVIRUS 3 DOSE | $251.34 | $251.34 | — | 205% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC VACCINE ROTOVIRUS 3 DOSE | $251.34 | $251.34 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $234.18 | $234.18 | — | 19% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $234.18 | $234.18 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC VACCINE TETANUS DIPTHERIA TOXOID | $70.91 | $70.91 | — | 31% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC VACCINE TETANUS DIPTHERIA TOXOID | $70.91 | $70.91 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC VACCINE TDAP AGE 7 OR OLDER | $90.05 | $90.05 | — | 24% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC VACCINE TDAP AGE 7 OR OLDER | $90.05 | $90.05 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM | $151.80 | $151.80 | — | at median | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM | $151.80 | $151.80 | — | — | — |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC TYPHOID VACCINE LIVE ORAL | $151.80 | $151.80 | — | 407% above | — |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 HC TYPHOID VACCINE LIVE ORAL | $151.80 | $151.80 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VFC ADMIN OF PNEUMO VACCINE | $23.03 | $23.03 | — | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VFC ADMIN OF FLU VACCINE | $23.03 | $23.03 | — | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VFC VACCINE ADMIN SINGLE | $23.03 | $23.03 | — | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEP B VACCINE | $66.00 | $66.00 | — | 187% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED PNEUMOCOCCAL VACCINE ADMIN | $70.00 | $70.00 | — | 204% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED INFLUENZA VACCINE ADMIN | $70.00 | $70.00 | — | 204% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VACCINE | $70.00 | $70.00 | — | 204% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PNEUMOCOCCAL VACCINE ADMIN | $70.00 | $70.00 | — | 204% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED HEP B VACCINE ADMIN | $74.00 | $74.00 | — | 221% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED VACCINE ADMIN SINGLE | $82.00 | $82.00 | — | 256% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE | $83.00 | $83.00 | — | 260% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VFC ADMIN OF PNEUMO VACCINE | $23.03 | $23.03 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VFC ADMIN OF FLU VACCINE | $23.03 | $23.03 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VFC VACCINE ADMIN SINGLE | $23.03 | $23.03 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEP B VACCINE | $66.00 | $66.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PNEUMOCOCCAL VACCINE ADMIN | $70.00 | $70.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VACCINE | $70.00 | $70.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED INFLUENZA VACCINE ADMIN | $70.00 | $70.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED PNEUMOCOCCAL VACCINE ADMIN | $70.00 | $70.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED HEP B VACCINE ADMIN | $74.00 | $74.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED VACCINE ADMIN SINGLE | $82.00 | $82.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE | $83.00 | $83.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EACH ADDTL | $18.00 | $18.00 | — | 9% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VFC VACCINE ADMIN EACH ADDTL | $23.03 | $23.03 | — | 16% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ED VACCINE ADMIN EACH ADDTL | $60.56 | $60.56 | — | 206% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EACH ADDTL | $18.00 | $18.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VFC VACCINE ADMIN EACH ADDTL | $23.03 | $23.03 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ED VACCINE ADMIN EACH ADDTL | $60.56 | $60.56 | — | — | — |
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.