Hospital Detroit-Warren-Dearborn, MI

Corewell Health Farmington Hills Hospital

Corewell Health Farmington Hills Hospital in Farmington Hills, MI publishes cash prices for 419 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 331 of 413 procedures and below it for 50. By typical cash price it ranks #88 of 96 Michigan hospitals and #24 of 31 hospitals in the Detroit, MI area, cheapest first. Select a procedure to compare it with other hospitals nearby.

28050 Grand River Avenue, Farmington Hills, MI 48336 Collected Oct 26, 2026 Source price file Check a bill from this hospital

The price file shows no self-pay discount

For 1186 of the 1186 prices listed here, the cash price in Corewell Health Farmington Hills 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.

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 Corewell Health Farmington Hills Hospital in Farmington Hills, MI:

Apr 25, 2025 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 Michigan	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WO & WITH CONTRAST	$3,239.00	$3,239.00	—	107% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WO & WITH CONTRAST	$3,239.00	$3,239.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 HC XRAY ABD FLAT AND ERECT OR DEC COMP	$398.00	$398.00	—	91% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABD FLAT AND ERECT OR DEC COMP	$398.00	$398.00	—	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 HC XRAY ANKLE COMPLETE MIN 3 VIEWS	$371.00	$371.00	—	74% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XRAY ANKLE COMPLETE MIN 3 VIEWS	$371.00	$371.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC US ART PHYSIO EXAM LIMITED	$744.00	$744.00	—	132% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC US ART PHYSIO EXAM LIMITED	$744.00	$744.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$2,207.00	$2,207.00	—	117% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$2,207.00	$2,207.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY ESOPHAGUS	$629.00	$629.00	—	127% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY ESOPHAGUS	$629.00	$629.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN TOTAL BODY	$2,082.00	$2,082.00	—	110% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN TOTAL BODY	$2,082.00	$2,082.00	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD/PELVIS WO & WITH CONTRAST	$2,483.00	$2,483.00	—	at median	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD/PELVIS WO & WITH CONTRAST	$2,483.00	$2,483.00	—	—	—
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD WO & WITH CONTRAST	$3,780.00	$3,780.00	—	138% above	—
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD WO & WITH CONTRAST	$3,780.00	$3,780.00	—	—	—
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK WO &WITH CONTRAST	$3,471.00	$3,471.00	—	131% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK WO &WITH CONTRAST	$3,471.00	$3,471.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST WO & WITH CONTRAST	$3,942.00	$3,942.00	—	135% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST WO & WITH CONTRAST	$3,942.00	$3,942.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT CCTA WO & WITH CONTRAST	$2,869.00	$2,869.00	—	117% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT CCTA WO & WITH CONTRAST	$2,869.00	$2,869.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CALCIUM SCORING CHE OHS	$118.00	$118.00	—	21% below	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CALCIUM SCORING	$150.00	$150.00	—	at median	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CALCIUM SCORING CHE OHS	$118.00	$118.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CALCIUM SCORING	$150.00	$150.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD/PELVIS WO CONTRAST	$3,803.00	$3,803.00	—	113% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD/PELVIS WO CONTRAST	$3,803.00	$3,803.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD/PELVIS WITH CONTRAST	$5,181.00	$5,181.00	—	77% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD/PELVIS WITH CONTRAST	$5,181.00	$5,181.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PELVIS WO & WITH CONTRAST	$5,496.00	$5,496.00	—	110% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PELVIS WO & WITH CONTRAST	$5,496.00	$5,496.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN WITH CONTRAST	$3,046.00	$3,046.00	—	107% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN WITH CONTRAST	$3,046.00	$3,046.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$2,205.00	$2,205.00	—	136% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$2,205.00	$2,205.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$2,342.00	$2,342.00	—	130% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$2,342.00	$2,342.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WO CONSTRAST	$2,244.00	$2,244.00	—	131% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WO CONSTRAST	$2,244.00	$2,244.00	—	—	—
CT scan of the head with contrast CPT 70460 HC CT HEAD OR BRAIN WITH CONTRAST	$2,930.00	$2,930.00	—	139% above	—
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD OR BRAIN WITH CONTRAST	$2,930.00	$2,930.00	—	—	—
CT scan of the head without and with contrast CPT 70470 HC CT HEAD OR BRAIN WO & WITH CONTRAST	$3,161.00	$3,161.00	—	102% above	—
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD OR BRAIN WO & WITH CONTRAST	$3,161.00	$3,161.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$2,401.00	$2,401.00	—	119% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$2,401.00	$2,401.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CONTRAST	$2,342.00	$2,342.00	—	110% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CONTRAST	$2,342.00	$2,342.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH CONTRAST	$2,737.00	$2,737.00	—	102% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS WITH CONTRAST	$2,737.00	$2,737.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US CAROTID DOPPLER COMPLETE BILATERAL	$1,487.00	$1,487.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US CAROTID DOPPLER COMPLETE BILATERAL	$1,487.00	$1,487.00	—	—	—
Chest CT scan without and with contrast CPT 71270 HC CT THORAX WO & WITH CONTRAST	$2,976.00	$2,976.00	—	70% above	—
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX WO & WITH CONTRAST	$2,976.00	$2,976.00	—	—	—
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS	$384.00	$384.00	—	116% above	—
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST SPECIAL VIEWS	$384.00	$384.00	—	116% above	—
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS	$384.00	$384.00	—	—	—
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST SPECIAL VIEWS	$384.00	$384.00	—	—	—
Chest X-ray, single view CPT 71045 HC XRAY CHEST SINGLE VIEW	$306.00	$306.00	—	99% above	—
Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST SINGLE VIEW	$306.00	$306.00	—	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 HC XRAY CLAVICLE COMPLETE	$359.00	$359.00	—	93% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XRAY CLAVICLE COMPLETE	$359.00	$359.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$1,114.00	$1,114.00	—	84% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$1,114.00	$1,114.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XRAY BONE DENSITY AXIAL	$628.00	$628.00	—	92% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XRAY BONE DENSITY AXIAL	$628.00	$628.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XRAY BONE DENSITY APPENDICULAR	$456.00	$456.00	—	256% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XRAY BONE DENSITY APPENDICULAR	$456.00	$456.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANT DETAILED SINGLE	$1,276.00	$1,276.00	—	86% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANT DETAILED SINGLE	$1,276.00	$1,276.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$2,304.00	$2,304.00	—	135% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$2,304.00	$2,304.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX WITH CONTRAST	$2,934.00	$2,934.00	—	124% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX WITH CONTRAST	$2,934.00	$2,934.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIGITAL DIAG MAMMOGRAM BILATERAL	$857.00	$857.00	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIGITAL DIAG MAMMOGRAM BILATERAL	$857.00	$857.00	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 HC DIGITAL DIAG MAMMOGRAM UNILATERAL	$645.00	$645.00	—	108% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIGITAL DIAG MAMMOGRAM UNILATERAL	$645.00	$645.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL	$1,875.00	$1,875.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL	$1,875.00	$1,875.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY DOPPLER COMPLETE BILATERAL	$1,461.00	$1,461.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US EXTREMITY DOPPLER COMPLETE BILATERAL	$1,461.00	$1,461.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMP WITH DOPPLER & COLOR FLOW	$2,260.00	$2,260.00	—	54% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMP WITH DOPPLER & COLOR FLOW	$2,260.00	$2,260.00	—	—	—
Elbow X-ray, 2 views CPT 73070 HC XRAY ELBOW 2 VIEWS	$359.00	$359.00	—	168% above	—
Elbow X-ray, 2 views inpatient CPT 73070 HC XRAY ELBOW 2 VIEWS	$359.00	$359.00	—	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 HC XRAY ELBOW COMPLETE MIN 3 VIEWS	$389.00	$389.00	—	104% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XRAY ELBOW COMPLETE MIN 3 VIEWS	$389.00	$389.00	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT,SEL,PIT,TEMP WO CONTRAST	$2,342.00	$2,342.00	—	131% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT,SEL,PIT,TEMP WO CONTRAST	$2,342.00	$2,342.00	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XRAY FACIAL BONES COMPLETE MIN 3 VIEWS	$461.00	$461.00	—	78% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XRAY FACIAL BONES COMPLETE MIN 3 VIEWS	$461.00	$461.00	—	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XRAY FOREARM 2 VIEWS	$359.00	$359.00	—	101% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XRAY FOREARM 2 VIEWS	$359.00	$359.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SCAN	$1,557.00	$1,557.00	—	66% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SCAN	$1,557.00	$1,557.00	—	—	—
Hand X-ray, 2 views CPT 73120 HC XRAY HAND 2 VIEWS	$393.00	$393.00	—	169% above	—
Hand X-ray, 2 views inpatient CPT 73120 HC XRAY HAND 2 VIEWS	$393.00	$393.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XRAY CALCANEOUS MIN 2 VIEWS	$308.00	$308.00	—	100% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XRAY CALCANEOUS MIN 2 VIEWS	$308.00	$308.00	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC PORTABLE HOME SLEEP TESTING	$1,393.00	$1,393.00	—	160% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC PORTABLE HOME SLEEP TESTING	$1,393.00	$1,393.00	—	—	—
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	$6,130.00	$6,130.00	—	77% 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	$6,130.00	$6,130.00	—	—	—
Knee X-ray, 3 views CPT 73562 HC XRAY KNEE 3 VIEWS	$359.00	$359.00	—	86% above	—
Knee X-ray, 3 views inpatient CPT 73562 HC XRAY KNEE 3 VIEWS	$359.00	$359.00	—	—	—
Knee X-ray, complete, 4 or more views CPT 73564 HC XRAY KNEE COMPLETE	$445.00	$445.00	—	108% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XRAY KNEE COMPLETE	$445.00	$445.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$2,207.00	$2,207.00	—	99% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$2,207.00	$2,207.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US BEDSIDE ABDOMINAL LIMITED	$930.00	$930.00	—	100% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$930.00	$930.00	—	100% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$930.00	$930.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US BEDSIDE ABDOMINAL LIMITED	$930.00	$930.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NONVASCULAR LIMITED	$455.00	$455.00	—	25% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NONVASCULAR LIMITED	$455.00	$455.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C	$273.00	$273.00	—	22% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C	$273.00	$273.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XRAY TIBIA & FIBULA 2 VIEWS	$378.00	$378.00	—	105% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XRAY TIBIA & FIBULA 2 VIEWS	$378.00	$378.00	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$3,936.00	$3,936.00	—	153% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$3,936.00	$3,936.00	—	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC HB MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL	$5,759.00	$5,759.00	—	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC HB MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL	$5,759.00	$5,759.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXT JOINT WO CONTRAST	$3,636.00	$3,636.00	—	125% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXT JOINT WO CONTRAST	$3,636.00	$3,636.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JOINT WO & WITH CONTRAST	$5,536.00	$5,536.00	—	121% 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	$5,536.00	$5,536.00	—	—	—
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$3,636.00	$3,636.00	—	111% above	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$3,636.00	$3,636.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & WITH CONTRAST	$5,536.00	$5,536.00	—	80% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & WITH CONTRAST	$5,536.00	$5,536.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST	$3,936.00	$3,936.00	—	136% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST	$3,936.00	$3,936.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO & WITH CONTRAST	$6,234.00	$6,234.00	—	132% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO & WITH CONTRAST	$6,234.00	$6,234.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST	$3,780.00	$3,780.00	—	109% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST	$3,780.00	$3,780.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE WO & WITH CONTRAST	$5,869.00	$5,869.00	—	118% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE WO & WITH CONTRAST	$5,869.00	$5,869.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CONTRAST	$3,522.00	$3,522.00	—	107% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO CONTRAST	$3,522.00	$3,522.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE WO & WITH CONTRAST	$6,234.00	$6,234.00	—	129% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE WO & WITH CONTRAST	$6,234.00	$6,234.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST	$3,936.00	$3,936.00	—	122% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST	$3,936.00	$3,936.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & WITH CONTRAST	$5,536.00	$5,536.00	—	104% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & WITH CONTRAST	$5,536.00	$5,536.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$1,702.00	$1,702.00	—	at median	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$1,702.00	$1,702.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXT JOINT WO CONRAST	$3,636.00	$3,636.00	—	93% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXT JOINT WO CONRAST	$3,636.00	$3,636.00	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XRAY-SPINE CERVICAL COMPLETE	$615.00	$615.00	—	116% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XRAY-SPINE CERVICAL COMPLETE	$615.00	$615.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST	$2,930.00	$2,930.00	—	122% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST	$2,930.00	$2,930.00	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$2,342.00	$2,342.00	—	131% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$2,342.00	$2,342.00	—	—	—
Neck soft tissue X-ray CPT 70360 HC XRAY NECK SOFT TISSUE	$301.00	$301.00	—	71% above	—
Neck soft tissue X-ray inpatient CPT 70360 HC XRAY NECK SOFT TISSUE	$301.00	$301.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL PERFUSION STRESS & REST	$5,253.00	$5,253.00	—	82% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL PERFUSION STRESS & REST	$5,253.00	$5,253.00	—	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 HC COMPUTERIZED OPTH DIAG IMAGE RETINA	$210.00	$210.00	—	at median	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC COMPUTERIZED OPTH DIAG IMAGE RETINA	$210.00	$210.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT TUMOR IMAGE SKULL TO MID THIGH	$7,656.00	$7,656.00	—	44% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT TUMOR IMAGE SKULL TO MID THIGH	$7,656.00	$7,656.00	—	—	—
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$2,401.00	$2,401.00	—	137% above	—
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$2,401.00	$2,401.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED/FOLLOW UP	$729.00	$729.00	—	128% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED/FOLLOW UP	$729.00	$729.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE	$1,114.00	$1,114.00	—	100% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE	$1,114.00	$1,114.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY COMPLETE	$1,024.00	$1,024.00	—	83% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY COMPLETE	$1,024.00	$1,024.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG UTER 1ST TRIM LESS THAN 14 WEEKS	$930.00	$930.00	—	95% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG UTER 1ST TRIM LESS THAN 14 WEEKS	$930.00	$930.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED	$662.00	$662.00	—	107% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC BEDSIDE ULTRASOUND PREG LTD	$662.00	$662.00	—	107% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED	$662.00	$662.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC BEDSIDE ULTRASOUND PREG LTD	$662.00	$662.00	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 HC XRAY RIBS UNILATERAL 2 VIEWS	$389.00	$389.00	—	96% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XRAY RIBS UNILATERAL 2 VIEWS	$389.00	$389.00	—	—	—
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	$444.00	$444.00	—	89% 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	$444.00	$444.00	—	—	—
Screening mammogram, both breasts CPT 77067 HC DIGITAL SCREENING MAMMOGRAM	$609.00	$609.00	—	113% above	—
Screening mammogram, both breasts inpatient CPT 77067 HC DIGITAL SCREENING MAMMOGRAM	$609.00	$609.00	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XRAY SHOULDER COMPLETE MIN 2 VIEWS	$390.00	$390.00	—	93% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XRAY SHOULDER COMPLETE MIN 2 VIEWS	$390.00	$390.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 HC XRAY SINUSES PARANASAL COMPLETE MIN 3 VIEWS	$444.00	$444.00	—	94% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XRAY SINUSES PARANASAL COMPLETE MIN 3 VIEWS	$444.00	$444.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 HC XRAY SKULL LESS THAN 4 VIEWS	$393.00	$393.00	—	89% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XRAY SKULL LESS THAN 4 VIEWS	$393.00	$393.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6 YRS OR OLDER 4 ADDL PARAM ATTND	$4,804.00	$4,804.00	—	49% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6 YRS OR OLDER 4 ADDL PARAM ATTND	$4,804.00	$4,804.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG	$3,019.00	$3,019.00	—	155% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG	$3,019.00	$3,019.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY SWALLOW FUNCTION WITH VIDEO	$629.00	$629.00	—	67% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY SWALLOW FUNCTION WITH VIDEO	$629.00	$629.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XRAY FEMUR MIN 2 VIEWS	$279.00	$279.00	—	30% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XRAY FEMUR MIN 2 VIEWS	$279.00	$279.00	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CONTRAST	$2,304.00	$2,304.00	—	111% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE WO CONTRAST	$2,304.00	$2,304.00	—	—	—
Toe X-ray, 2 or more views CPT 73660 HC XRAY TOES MIN 2 VIEWS	$279.00	$279.00	—	122% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 HC XRAY TOES MIN 2 VIEWS	$279.00	$279.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 HC US PELVIS TRANSVAGINAL	$1,024.00	$1,024.00	—	95% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US PELVIS TRANSVAGINAL	$1,024.00	$1,024.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 HC US TRANSVAGINAL PREG UTERUS	$729.00	$729.00	—	68% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US TRANSVAGINAL PREG UTERUS	$729.00	$729.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$1,207.00	$1,207.00	—	82% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$1,207.00	$1,207.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$1,024.00	$1,024.00	—	95% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$1,024.00	$1,024.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$873.00	$873.00	—	88% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$873.00	$873.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY UPPER GI WO KUB	$629.00	$629.00	—	56% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY UPPER GI WO KUB	$629.00	$629.00	—	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 HC XRAY HUMERUS MIN 2 VIEWS	$378.00	$378.00	—	106% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XRAY HUMERUS MIN 2 VIEWS	$378.00	$378.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US VENOUS EXTREMITY LIMITED OR UNILATERAL	$1,070.00	$1,070.00	—	102% 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	$1,070.00	$1,070.00	—	—	—
Wrist X-ray, 2 views CPT 73100 HC XRAY WRIST 2 VIEWS	$359.00	$359.00	—	147% above	—
Wrist X-ray, 2 views inpatient CPT 73100 HC XRAY WRIST 2 VIEWS	$359.00	$359.00	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 HC XRAY WRIST COMPLETE MIN 3 VIEWS	$378.00	$378.00	—	97% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XRAY WRIST COMPLETE MIN 3 VIEWS	$378.00	$378.00	—	—	—
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	$279.00	$279.00	—	36% 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	$279.00	$279.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN AP	$320.00	$320.00	—	102% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN AP	$320.00	$320.00	—	—	—
X-ray of the ankle, 2 views CPT 73600 HC XRAY ANKLE 2 VIEWS	$359.00	$359.00	—	104% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 HC XRAY ANKLE 2 VIEWS	$359.00	$359.00	—	—	—
X-ray of the finger(s), 2 or more views CPT 73140 HC XRAY FINGER MIN 2 VIEWS	$279.00	$279.00	—	111% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XRAY FINGER MIN 2 VIEWS	$279.00	$279.00	—	—	—
X-ray of the foot, 2 views CPT 73620 HC XRAY FOOT 2 VIEWS	$359.00	$359.00	—	126% above	—
X-ray of the foot, 2 views inpatient CPT 73620 HC XRAY FOOT 2 VIEWS	$359.00	$359.00	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 HC XRAY FOOT COMPLETE MIN 3 VIEWS	$372.00	$372.00	—	107% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XRAY FOOT COMPLETE MIN 3 VIEWS	$372.00	$372.00	—	—	—
X-ray of the hand, 3 or more views CPT 73130 HC XRAY HAND MIN 3 VIEWS	$453.00	$453.00	—	147% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XRAY HAND MIN 3 VIEWS	$453.00	$453.00	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 HC XRAY KNEE 1 OR 2 VIEWS	$341.00	$341.00	—	120% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XRAY KNEE 1 OR 2 VIEWS	$341.00	$341.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XRAY SPINE LUMBAR 2 OR 3 VIEWS	$423.00	$423.00	—	98% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XRAY SPINE LUMBAR 2 OR 3 VIEWS	$423.00	$423.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 HC XRAY L UMBAR SPINE MIN 4 VIEWS	$610.00	$610.00	—	98% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XRAY L UMBAR SPINE MIN 4 VIEWS	$610.00	$610.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XRAY THORACIC 2 VIEWS	$393.00	$393.00	—	114% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XRAY THORACIC 2 VIEWS	$393.00	$393.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 HC XRAY NASAL BONES MIN 3 VIEWS	$371.00	$371.00	—	115% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XRAY NASAL BONES MIN 3 VIEWS	$371.00	$371.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XRAY CERVICAL PA & LAT 2 TO 3 VIEWS	$423.00	$423.00	—	83% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XRAY CERVICAL PA & LAT 2 TO 3 VIEWS	$423.00	$423.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XRAY PELVIS 1 OR 2 VIEWS	$393.00	$393.00	—	139% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XRAY PELVIS 1 OR 2 VIEWS	$393.00	$393.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XRAY SACRUM/COCCYX MIN 2 VIEWS	$391.00	$391.00	—	127% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XRAY SACRUM/COCCYX MIN 2 VIEWS	$391.00	$391.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE	$102.00	$102.00	—	7% above	—
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE	$102.00	$102.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT	$24.00	$24.00	—	at median	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT	$24.00	$24.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST	$22.00	$22.00	—	at median	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST	$22.00	$22.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$170.00	$170.00	—	at median	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$170.00	$170.00	—	—	—
Albumin blood test CPT 82040 HC 0080440 OLIGOCLONAL BAND PROFILE ALBUMIN SERUM PLASMA/WHOLE BLOOD ARUP	$8.00	$8.00	—	60% below	—
Albumin blood test CPT 82040 HC ALBUMIN LEVEL	$22.00	$22.00	—	10% above	—
Albumin blood test inpatient CPT 82040 HC 0080440 OLIGOCLONAL BAND PROFILE ALBUMIN SERUM PLASMA/WHOLE BLOOD ARUP	$8.00	$8.00	—	—	—
Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL	$22.00	$22.00	—	—	—
Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE 24HR MAYO	$55.00	$55.00	—	at median	—
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE	$104.00	$104.00	—	89% above	—
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE 24HR MAYO	$55.00	$55.00	—	—	—
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE	$104.00	$104.00	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATASE	$21.00	$21.00	—	at median	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATASE	$21.00	$21.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC 2004243 ALLERGEN A. FUMIGATUS IGE APA ARUP	$2.74	$2.74	—	56% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC QUINOA IGE QSTVAL	$5.14	$5.14	—	17% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC EGGPLANT IGE QSTVAL	$5.14	$5.14	—	17% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC PUMPKIN SEED ALLERGEN QSTVAL	$5.14	$5.14	—	17% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC BEAN PINTO IGE VIRACOR	$10.20	$10.20	—	66% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEROE PERCH OCEAN IGE VIRACOR	$10.20	$10.20	—	66% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC BASS BLACK IGE VIRACOR	$10.20	$10.20	—	66% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEPPER CAYENNE IGE VIRACOR	$10.20	$10.20	—	66% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC GELATIN BOVINE IGE VIRACOR	$10.20	$10.20	—	66% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC RDMAE MAPLE RED IGE VIRACOR	$10.20	$10.20	—	66% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC CARDY CARMINE DYE/RED DYE IGE VIRACOR	$17.54	$17.54	—	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC TURMERIC IGE VIRACOR	$17.54	$17.54	—	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC BEAN BLACK IGE VIRACOR	$17.54	$17.54	—	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC	$37.00	$37.00	—	501% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC 2004243 ALLERGEN A. FUMIGATUS IGE APA ARUP	$2.74	$2.74	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EGGPLANT IGE QSTVAL	$5.14	$5.14	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC QUINOA IGE QSTVAL	$5.14	$5.14	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PUMPKIN SEED ALLERGEN QSTVAL	$5.14	$5.14	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEPPER CAYENNE IGE VIRACOR	$10.20	$10.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEROE PERCH OCEAN IGE VIRACOR	$10.20	$10.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RDMAE MAPLE RED IGE VIRACOR	$10.20	$10.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GELATIN BOVINE IGE VIRACOR	$10.20	$10.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEAN PINTO IGE VIRACOR	$10.20	$10.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BASS BLACK IGE VIRACOR	$10.20	$10.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEAN BLACK IGE VIRACOR	$17.54	$17.54	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CARDY CARMINE DYE/RED DYE IGE VIRACOR	$17.54	$17.54	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TURMERIC IGE VIRACOR	$17.54	$17.54	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC	$37.00	$37.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER	$74.00	$74.00	—	45% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER	$74.00	$74.00	—	—	—
Ammonia blood test CPT 82140 HC AMMONIA LEVEL	$65.00	$65.00	—	at median	—
Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL	$65.00	$65.00	—	—	—
Amylase blood test CPT 82150 HC AMYLASE PANCREATIC MAYO	$25.00	$25.00	—	16% above	—
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID	$29.00	$29.00	—	35% above	—
Amylase blood test CPT 82150 HC AMYLASE URINE 24 HR	$29.00	$29.00	—	35% above	—
Amylase blood test CPT 82150 HC AMYLASE URINE	$29.00	$29.00	—	35% above	—
Amylase blood test CPT 82150 HC AMYLASE SERUM	$29.00	$29.00	—	35% above	—
Amylase blood test inpatient CPT 82150 HC AMYLASE PANCREATIC MAYO	$25.00	$25.00	—	—	—
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE 24 HR	$29.00	$29.00	—	—	—
Amylase blood test inpatient CPT 82150 HC AMYLASE SERUM	$29.00	$29.00	—	—	—
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID	$29.00	$29.00	—	—	—
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE	$29.00	$29.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE AB	$82.00	$82.00	—	51% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE AB	$82.00	$82.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN	$113.00	$113.00	—	102% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN	$113.00	$113.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE BNP	$102.00	$102.00	—	30% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE BNP	$102.00	$102.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC STERILITY CHECK	$67.00	$67.00	—	26% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF	$67.00	$67.00	—	26% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE	$67.00	$67.00	—	26% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE AEROBIC	$156.00	$156.00	—	194% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TISSUE	$67.00	$67.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC STERILITY CHECK	$67.00	$67.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF	$67.00	$67.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE AEROBIC	$156.00	$156.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$45.00	$45.00	—	17% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$45.00	$45.00	—	—	—
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL FLUID	$24.00	$24.00	—	5% above	—
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$24.00	$24.00	—	5% above	—
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL FLUID	$24.00	$24.00	—	—	—
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$24.00	$24.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV	$208.00	$208.00	—	97% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV	$208.00	$208.00	—	—	—
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$79.00	$79.00	—	23% above	—
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$79.00	$79.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$19.00	$19.00	—	48% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$19.00	$19.00	—	—	—
Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE	$35.00	$35.00	—	46% above	—
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANT BLOOD	$35.00	$35.00	—	46% above	—
Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE	$35.00	$35.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANT BLOOD	$35.00	$35.00	—	—	—
Blood lead test CPT 83655 HC HMBD HEAVY METAL SCR LEAD BLD MAYO	$5.56	$5.56	—	27% below	—
Blood lead test CPT 83655 HC LEAD BLOOD	$46.00	$46.00	—	501% above	—
Blood lead test inpatient CPT 83655 HC HMBD HEAVY METAL SCR LEAD BLD MAYO	$5.56	$5.56	—	—	—
Blood lead test inpatient CPT 83655 HC LEAD BLOOD	$46.00	$46.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB PREG TEST SERUM QUAL	$37.00	$37.00	—	at median	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB PREG TEST SERUM QUAL	$37.00	$37.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO VERSITI	$17.00	$17.00	—	18% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO	$144.00	$144.00	—	599% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO VERSITI	$17.00	$17.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO	$144.00	$144.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 HC POC BUN	$19.00	$19.00	—	6% above	—
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$19.00	$19.00	—	6% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC POC BUN	$19.00	$19.00	—	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$19.00	$19.00	—	—	—
C-peptide blood test CPT 84681 HC C PEPTIDE	$83.00	$83.00	—	18% above	—
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$83.00	$83.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN	$39.00	$39.00	—	15% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN	$39.00	$39.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE TECH	$206.00	$206.00	—	78% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMPLIFIED PROBE TECH	$206.00	$206.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN 19 9	$202.00	$202.00	—	117% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN 19 9	$202.00	$202.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER ANTIGEN 125	$222.00	$222.00	—	128% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER ANTIGEN 125	$222.00	$222.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC NOVEL COVID-19 DETECT AGENT DNA QUANT	$226.00	$226.00	—	116% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC NOVEL COVID-19 DETECT AGENT DNA QUANT	$226.00	$226.00	—	—	—
Calcium blood test, total CPT 82310 HC CALCIUM LEVEL	$53.00	$53.00	—	161% above	—
Calcium blood test, total CPT 82310 HC CALCIUM UR RANDOM LEVEL	$53.00	$53.00	—	161% above	—
Calcium blood test, total inpatient CPT 82310 HC CALCIUM UR RANDOM LEVEL	$53.00	$53.00	—	—	—
Calcium blood test, total inpatient CPT 82310 HC CALCIUM LEVEL	$53.00	$53.00	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA ANTIGEN ASSAY	$83.00	$83.00	—	at median	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA ANTIGEN ASSAY	$83.00	$83.00	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY IGM	$124.00	$124.00	—	208% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOS IGG	$124.00	$124.00	—	208% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY IGM	$124.00	$124.00	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOS IGG	$124.00	$124.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA PCR RNA	$74.00	$74.00	—	at median	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA PCR RNA	$74.00	$74.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC 2013716 LIPID PANEL NMR LIPOPROFILE ARUP	$9.57	$9.57	—	81% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$63.00	$63.00	—	24% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC 2013716 LIPID PANEL NMR LIPOPROFILE ARUP	$9.57	$9.57	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$63.00	$63.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO COMPLETE DIFFERENTIAL	$37.00	$37.00	—	7% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO COMPLETE DIFFERENTIAL	$37.00	$37.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 HC CBC PLATELET NO DIFFERENTIAL	$29.00	$29.00	—	at median	—
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC PLATELET NO DIFFERENTIAL	$29.00	$29.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$59.00	$59.00	—	21% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$59.00	$59.00	—	—	—
Cortisol blood test, total CPT 82533 HC CORTISOL; TOTAL, SALIVA MAYO	$20.00	$20.00	—	41% below	—
Cortisol blood test, total CPT 82533 HC CORTISOL SERUM MAYO	$38.00	$38.00	—	12% above	—
Cortisol blood test, total CPT 82533 HC CORTISOL LEVEL	$128.00	$128.00	—	276% above	—
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL; TOTAL, SALIVA MAYO	$20.00	$20.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SERUM MAYO	$38.00	$38.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL LEVEL	$128.00	$128.00	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CPK TOTAL	$30.00	$30.00	—	at median	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CPK TOTAL	$30.00	$30.00	—	—	—
Creatinine blood test CPT 82565 HC CREATININE SERUM	$50.00	$50.00	—	106% above	—
Creatinine blood test CPT 82565 HC POC CREATININE	$50.00	$50.00	—	106% above	—
Creatinine blood test inpatient CPT 82565 HC CREATININE SERUM	$50.00	$50.00	—	—	—
Creatinine blood test inpatient CPT 82565 HC POC CREATININE	$50.00	$50.00	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREEN	$133.00	$133.00	—	205% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AVIDITY MAYO	$145.21	$145.21	—	233% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREEN	$133.00	$133.00	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AVIDITY MAYO	$145.21	$145.21	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANT	$43.00	$43.00	—	at median	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANT	$43.00	$43.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC HIRSUTISM DEHYDROEPIANDROSTERONE SULFATE MAYO	$13.00	$13.00	—	80% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC 2001763 HIRSUTISM DEHYDROEPIANDROSTERONE SULFATE ARUP	$22.11	$22.11	—	66% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$93.00	$93.00	—	45% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC HIRSUTISM DEHYDROEPIANDROSTERONE SULFATE MAYO	$13.00	$13.00	—	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC 2001763 HIRSUTISM DEHYDROEPIANDROSTERONE SULFATE ARUP	$22.11	$22.11	—	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$93.00	$93.00	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 0092420 PRETRANSPLANT DRUG SCREEN ARUP	$58.23	$58.23	—	at median	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG PANEL ARUP	$60.12	$60.12	—	3% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR ACID GC	$70.00	$70.00	—	20% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TESTS PRESUMPTIVE BY ANALYZER P/DAY	$70.00	$70.00	—	20% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CLASS A	$70.00	$70.00	—	20% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC NICOTINE METABOLITE WARDE	$70.00	$70.00	—	20% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CANNABIN SCR UR	$70.00	$70.00	—	20% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC 0092420 PRETRANSPLANT DRUG SCREEN ARUP	$58.23	$58.23	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG PANEL ARUP	$60.12	$60.12	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCR ACID GC	$70.00	$70.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TESTS PRESUMPTIVE BY ANALYZER P/DAY	$70.00	$70.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CANNABIN SCR UR	$70.00	$70.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC NICOTINE METABOLITE WARDE	$70.00	$70.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CLASS A	$70.00	$70.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$32.00	$32.00	—	at median	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$32.00	$32.00	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB IGG OR IGM EA	$166.00	$166.00	—	160% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV AB IGG OR IGM EA	$166.00	$166.00	—	—	—
Estradiol blood test CPT 82670 HC ESTRADIOL LEVEL	$240.00	$240.00	—	214% above	—
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL LEVEL	$240.00	$240.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH SERUM	$146.00	$146.00	—	83% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH SERUM	$146.00	$146.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL	$67.00	$67.00	—	2% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL	$67.00	$67.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$60.00	$60.00	—	at median	—
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$60.00	$60.00	—	—	—
Fibrinogen blood test CPT 85384 HC FIBRINOGEN LEVEL	$36.00	$36.00	—	20% above	—
Fibrinogen blood test CPT 85384 HC TEG FIBRINOGEN LEVEL	$36.00	$36.00	—	20% above	—
Fibrinogen blood test CPT 85384 HC POC TEG FIBRINOGEN ACTIVITY	$36.00	$36.00	—	20% above	—
Fibrinogen blood test inpatient CPT 85384 HC POC TEG FIBRINOGEN ACTIVITY	$36.00	$36.00	—	—	—
Fibrinogen blood test inpatient CPT 85384 HC TEG FIBRINOGEN LEVEL	$36.00	$36.00	—	—	—
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN LEVEL	$36.00	$36.00	—	—	—
Folate (folic acid) blood test CPT 82746 HC FOLATE LEVEL	$126.00	$126.00	—	60% above	—
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE LEVEL	$126.00	$126.00	—	—	—
Free T3 thyroid hormone test CPT 84481 HC FREE T3	$76.00	$76.00	—	15% above	—
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3	$76.00	$76.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 BY DIALYSIS MAYO	$26.00	$26.00	—	16% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$40.00	$40.00	—	29% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 BY DIALYSIS MAYO	$26.00	$26.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$40.00	$40.00	—	—	—
Free testosterone test CPT 84402 HC TESTOSTERONE (TOTAL FREE SHBG) MALE FREE ARUP	$8.08	$8.08	—	78% below	—
Free testosterone test CPT 84402 HC FREE TESTOSTERONE	$81.00	$81.00	—	121% above	—
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE (TOTAL FREE SHBG) MALE FREE ARUP	$8.08	$8.08	—	—	—
Free testosterone test inpatient CPT 84402 HC FREE TESTOSTERONE	$81.00	$81.00	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT	$31.00	$31.00	—	1% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT	$31.00	$31.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1 HOUR TOTAL	$21.00	$21.00	—	4% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 1 HOUR TOTAL	$21.00	$21.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE	$57.00	$57.00	—	1% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE	$57.00	$57.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GONOCOCCUS PCR-ALINITY	$74.00	$74.00	—	22% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GONOCOCCUS PCR RNA	$74.00	$74.00	—	22% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GONOCOCCUS PCR-ALINITY	$74.00	$74.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GONOCOCCUS PCR RNA	$74.00	$74.00	—	—	—
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG EIA STOOL QSTVAL	$10.00	$10.00	—	84% below	—
H. pylori stool antigen test CPT 87338 HC IAAD EIA HPYLORI STOOL	$37.00	$37.00	—	40% below	—
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG EIA STOOL QSTVAL	$10.00	$10.00	—	—	—
H. pylori stool antigen test inpatient CPT 87338 HC IAAD EIA HPYLORI STOOL	$37.00	$37.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 QUANT RNA PCR	$564.00	$564.00	—	176% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 QUANT RNA PCR	$564.00	$564.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV QUICK TEST	$35.00	$35.00	—	26% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV QUICK TEST	$35.00	$35.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB SCREEN	$62.00	$62.00	—	28% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB DIAGNOSTIC	$258.00	$258.00	—	431% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB SCREEN	$62.00	$62.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB DIAGNOSTIC	$258.00	$258.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK SCREEN	$74.00	$74.00	—	at median	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK SCREEN	$74.00	$74.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN	$42.00	$42.00	—	4% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN	$42.00	$42.00	—	—	—
Hemoglobin blood test CPT 85018 HC SPLIT HEMOGLOBIN	$24.00	$24.00	—	50% above	—
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$24.00	$24.00	—	50% above	—
Hemoglobin blood test inpatient CPT 85018 HC SPLIT HEMOGLOBIN	$24.00	$24.00	—	—	—
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$24.00	$24.00	—	—	—
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY	$105.00	$105.00	—	138% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBODY	$105.00	$105.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB	$93.00	$93.00	—	117% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB	$93.00	$93.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEP B SURF ANTIGEN	$110.00	$110.00	—	140% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEP B SURF ANTIGEN	$110.00	$110.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB SCR	$122.00	$122.00	—	154% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB DX	$122.00	$122.00	—	154% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB SCR	$122.00	$122.00	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB DX	$122.00	$122.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANT PCR	$390.00	$390.00	—	240% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANT PCR	$390.00	$390.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES IGG TP1	$122.00	$122.00	—	193% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES IGG TP1	$122.00	$122.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES IGG TP2	$115.00	$115.00	—	124% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES IGG TP2	$115.00	$115.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN ULTRASENSITIVE	$134.00	$134.00	—	133% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN ULTRASENSITIVE	$134.00	$134.00	—	—	—
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE TOTAL	$94.00	$94.00	—	23% above	—
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE TOTAL	$94.00	$94.00	—	—	—
Insulin blood test CPT 83525 HC LAB INSULIN TOTAL MAYO	$17.61	$17.61	—	54% below	—
Insulin blood test CPT 83525 HC INSULIN LEVEL	$51.00	$51.00	—	34% above	—
Insulin blood test inpatient CPT 83525 HC LAB INSULIN TOTAL MAYO	$17.61	$17.61	—	—	—
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL	$51.00	$51.00	—	—	—
Iron blood test (serum iron) CPT 83540 HC IRON	$29.00	$29.00	—	1% below	—
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$29.00	$29.00	—	—	—
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$57.00	$57.00	—	8% below	—
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$57.00	$57.00	—	—	—
LH (luteinizing hormone) test CPT 83002 HC LUTENIZING HORMONE	$160.00	$160.00	—	105% above	—
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTENIZING HORMONE	$160.00	$160.00	—	—	—
Lactate (lactic acid) blood test CPT 83605 HC LAB LACTIC ACID CSF	$47.00	$47.00	—	4% above	—
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$47.00	$47.00	—	4% above	—
Lactate (lactic acid) blood test CPT 83605 HC LACTATE PLASMA MAYO	$64.08	$64.08	—	41% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$47.00	$47.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC LAB LACTIC ACID CSF	$47.00	$47.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE PLASMA MAYO	$64.08	$64.08	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH	$53.00	$53.00	—	121% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH	$53.00	$53.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$31.00	$31.00	—	at median	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$31.00	$31.00	—	—	—
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$30.00	$30.00	—	37% below	—
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$30.00	$30.00	—	—	—
Lyme disease antibody test CPT 86618 HC 3016760 LYME DISEASE ANTIBODY CSF ARUP	$10.58	$10.58	—	59% below	—
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY	$157.00	$157.00	—	504% above	—
Lyme disease antibody test inpatient CPT 86618 HC 3016760 LYME DISEASE ANTIBODY CSF ARUP	$10.58	$10.58	—	—	—
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY	$157.00	$157.00	—	—	—
Magnesium blood test CPT 83735 HC MGRBC MAGNESIUM RBC QSTVAL	$8.83	$8.83	—	56% below	—
Magnesium blood test CPT 83735 HC 0020699 ASSAY OF MAGNESIUM FECAL ARUP	$11.37	$11.37	—	43% below	—
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM	$57.00	$57.00	—	185% above	—
Magnesium blood test inpatient CPT 83735 HC MGRBC MAGNESIUM RBC QSTVAL	$8.83	$8.83	—	—	—
Magnesium blood test inpatient CPT 83735 HC 0020699 ASSAY OF MAGNESIUM FECAL ARUP	$11.37	$11.37	—	—	—
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM	$57.00	$57.00	—	—	—
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM AB MAYO	$15.90	$15.90	—	35% below	—
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$133.00	$133.00	—	440% above	—
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM AB MAYO	$15.90	$15.90	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$133.00	$133.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONONUCLEOSIS SCREEN	$57.00	$57.00	—	41% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONONUCLEOSIS SCREEN	$57.00	$57.00	—	—	—
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY IGM MAYO	$11.60	$11.60	—	54% below	—
Mumps immunity blood test CPT 86735 HC MUMPS IGG AB	$119.00	$119.00	—	376% above	—
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY IGM MAYO	$11.60	$11.60	—	—	—
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG AB	$119.00	$119.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$78.00	$78.00	—	36% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$78.00	$78.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL	$55.00	$55.00	—	7% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING	$55.00	$55.00	—	7% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING	$55.00	$55.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL	$55.00	$55.00	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SCREEN AUTO	$56.00	$56.00	—	22% below	—
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP DIAGNOSTIC AUTO	$56.00	$56.00	—	22% below	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP DIAGNOSTIC AUTO	$56.00	$56.00	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SCREEN AUTO	$56.00	$56.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THIN PREP SCREEN WO INTERP	$165.00	$165.00	—	113% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THIN PREP DIAGNOSTIC WO INTERP	$165.00	$165.00	—	113% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC THIN PREP SCREEN WO INTERP	$165.00	$165.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC THIN PREP DIAGNOSTIC WO INTERP	$165.00	$165.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH	$183.00	$183.00	—	36% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH	$183.00	$183.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$31.00	$31.00	—	at median	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT	$31.00	$31.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHOROUS LEVEL	$21.00	$21.00	—	at median	—
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHOROUS LEVEL	$21.00	$21.00	—	—	—
Potassium blood test CPT 84132 HC POTASSIUM LEVEL	$29.00	$29.00	—	21% above	—
Potassium blood test inpatient CPT 84132 HC POTASSIUM LEVEL	$29.00	$29.00	—	—	—
Progesterone blood test CPT 84144 HC PROGESTERONE MAYO	$14.00	$14.00	—	78% below	—
Progesterone blood test CPT 84144 HC PROGESTERONE LEVEL	$93.00	$93.00	—	46% above	—
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE MAYO	$14.00	$14.00	—	—	—
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE LEVEL	$93.00	$93.00	—	—	—
Prolactin blood test CPT 84146 HC PROLACTIN LEVEL	$86.00	$86.00	—	16% above	—
Prolactin blood test inpatient CPT 84146 HC PROLACTIN LEVEL	$86.00	$86.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME	$31.00	$31.00	—	63% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR POC I-STAT	$31.00	$31.00	—	63% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC POC COAGUCHEK INR	$31.00	$31.00	—	63% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC SPLIT PROTIME	$31.00	$31.00	—	63% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR POC I-STAT	$31.00	$31.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC SPLIT PROTIME	$31.00	$31.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME	$31.00	$31.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC COAGUCHEK INR	$31.00	$31.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB DRUG SCREEN CLASS A	$39.00	$39.00	—	4% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB DRUG SCREEN CLASS A	$39.00	$39.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA EIA A OR B	$56.00	$56.00	—	17% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA EIA A OR B	$56.00	$56.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP SCREEN	$76.00	$76.00	—	47% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP SCREEN	$76.00	$76.00	—	—	—
Renin blood test CPT 84244 HC ASSAY OF RENIN	$56.00	$56.00	—	30% above	—
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN	$56.00	$56.00	—	—	—
Rh blood typing CPT 86901 HC RH TYPING VERSITI	$17.00	$17.00	—	18% below	—
Rh blood typing CPT 86901 HC BLOOD TYPING RH(D)	$33.00	$33.00	—	59% above	—
Rh blood typing inpatient CPT 86901 HC RH TYPING VERSITI	$17.00	$17.00	—	—	—
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D)	$33.00	$33.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$57.00	$57.00	—	66% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$57.00	$57.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG	$114.00	$114.00	—	124% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG	$114.00	$114.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC AUTO SED RATE	$24.00	$24.00	—	at median	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC AUTO SED RATE	$24.00	$24.00	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC LAB SEMEN ANALYSIS	$149.00	$149.00	—	62% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC LAB SEMEN ANALYSIS	$149.00	$149.00	—	—	—
Sodium blood test CPT 84295 HC SODIUM	$20.00	$20.00	—	4% below	—
Sodium blood test inpatient CPT 84295 HC SODIUM	$20.00	$20.00	—	—	—
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES	$69.00	$69.00	—	64% above	—
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES	$69.00	$69.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$25.00	$25.00	—	42% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$25.00	$25.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD IMMUNOASSAY DX	$55.00	$55.00	—	17% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD SCREEN IMMUNOASSAY	$55.00	$55.00	—	17% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD IMMUNOASSAY DX	$55.00	$55.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD SCREEN IMMUNOASSAY	$55.00	$55.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS IGG AB	$107.00	$107.00	—	130% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS IGG AB	$107.00	$107.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR	$43.00	$43.00	—	150% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL/RPR QUALITATIVE CSF	$43.00	$43.00	—	150% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR	$43.00	$43.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL/RPR QUALITATIVE CSF	$43.00	$43.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC LAB TB TEST QUANTIFERON GOLD	$233.00	$233.00	—	84% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC LAB TB TEST QUANTIFERON GOLD	$233.00	$233.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL MAYO	$10.00	$10.00	—	84% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC 2001763 HIRSUTISM TESTOSTERONE TOTAL ARUP	$22.11	$22.11	—	65% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$222.00	$222.00	—	247% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL MAYO	$10.00	$10.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC 2001763 HIRSUTISM TESTOSTERONE TOTAL ARUP	$22.11	$22.11	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE	$222.00	$222.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVKID MICRO AB	$63.00	$63.00	—	39% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVKID MICRO AB MAYO	$99.99	$99.99	—	121% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI THYROID	$135.00	$135.00	—	199% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVKID MICRO AB	$63.00	$63.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVKID MICRO AB MAYO	$99.99	$99.99	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI THYROID	$135.00	$135.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$84.00	$84.00	—	31% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$84.00	$84.00	—	—	—
Total IgE blood test CPT 82785 HC 2004243 IMMUNOGLOBULIN E APA ARUP	$8.62	$8.62	—	80% below	—
Total IgE blood test CPT 82785 HC IGE EA	$73.00	$73.00	—	67% above	—
Total IgE blood test inpatient CPT 82785 HC 2004243 IMMUNOGLOBULIN E APA ARUP	$8.62	$8.62	—	—	—
Total IgE blood test inpatient CPT 82785 HC IGE EA	$73.00	$73.00	—	—	—
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$20.00	$20.00	—	at median	—
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$20.00	$20.00	—	—	—
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL	$17.00	$17.00	—	51% below	—
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL	$17.00	$17.00	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 HC TOTAL T3	$36.00	$36.00	—	22% below	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TOTAL T3	$36.00	$36.00	—	—	—
Transferrin blood test CPT 84466 HC TRANSFERRIN	$101.00	$101.00	—	77% above	—
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$101.00	$101.00	—	—	—
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS PCR	$226.00	$226.00	—	207% above	—
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS PCR	$226.00	$226.00	—	—	—
Triglycerides blood test CPT 84478 HC TRIGLYCERIDE	$26.00	$26.00	—	27% above	—
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE	$26.00	$26.00	—	—	—
Troponin test, quantitative CPT 84484 HC TROPONIN	$45.00	$45.00	—	6% above	—
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN	$45.00	$45.00	—	—	—
Uric acid blood test CPT 84550 HC URIC ACID	$20.00	$20.00	—	11% below	—
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$20.00	$20.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTOMATED W MICROSCOPY	$20.00	$20.00	—	at median	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTOMATED W MICROSCOPY	$20.00	$20.00	—	—	—
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS DIP WITH MICROSCOPY	$15.00	$15.00	—	at median	—
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS DIP WITH MICROSCOPY	$15.00	$15.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE RANDOM	$13.00	$13.00	—	at median	—
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE	$13.00	$13.00	—	at median	—
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED WO MICROSCOPY	$13.00	$13.00	—	at median	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE	$13.00	$13.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY URINE RANDOM	$13.00	$13.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTOMATED WO MICROSCOPY	$13.00	$13.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 HC POC URINALYSIS NON AUTO WO MICROSCOPY	$29.00	$29.00	—	90% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HC POC URINALYSIS NON AUTO WO MICROSCOPY	$29.00	$29.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$63.00	$63.00	—	15% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$63.00	$63.00	—	—	—
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE	$26.00	$26.00	—	at median	—
Urine microalbumin (albumin) test CPT 82043 HC POC URINE ALBUMIN QUANTITATIVE	$26.00	$26.00	—	at median	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE	$26.00	$26.00	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC POC URINE ALBUMIN QUANTITATIVE	$26.00	$26.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$21.00	$21.00	—	21% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$21.00	$21.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 LEVEL	$131.00	$131.00	—	116% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 LEVEL	$131.00	$131.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VIT D 25 HYDROXY LEVEL	$127.00	$127.00	—	44% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VIT D 25 HYDROXY LEVEL	$127.00	$127.00	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1,25 DIHYDROXY	$80.00	$80.00	—	1% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1,25 DIHYDROXY	$80.00	$80.00	—	—	—
Zinc blood test CPT 84630 HC L ZINC RBC QSTVAL	$49.80	$49.80	—	110% above	—
Zinc blood test CPT 84630 HC ZINC LEVEL	$51.00	$51.00	—	115% above	—
Zinc blood test inpatient CPT 84630 HC L ZINC RBC QSTVAL	$49.80	$49.80	—	—	—
Zinc blood test inpatient CPT 84630 HC ZINC LEVEL	$51.00	$51.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT	$67.00	$67.00	—	37% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT	$67.00	$67.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$1,084.00	$1,084.00	—	91% above	—
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$1,084.00	$1,084.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC CORE BX 1ST LESION WITH STEREOTACTIC GUIDE	$4,855.00	$4,855.00	—	116% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC CORE BX 1ST LESION WITH STEREOTACTIC GUIDE	$4,855.00	$4,855.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$893.00	$893.00	—	141% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$893.00	$893.00	—	141% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$893.00	$893.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$893.00	$893.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TX CLOSED TX METATARSAL WITHOUT MAN	$869.00	$869.00	—	129% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TX CLOSED TX METATARSAL WITHOUT MAN	$869.00	$869.00	—	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 HC LEFT HEART CATH WITH CORONARY ANGIO	$15,085.00	$15,085.00	—	52% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LEFT HEART CATH WITH CORONARY ANGIO	$15,085.00	$15,085.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN	$2,219.00	$2,219.00	—	125% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$2,219.00	$2,219.00	—	125% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED CARDIOVERSION	$2,219.00	$2,219.00	—	125% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$2,219.00	$2,219.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN	$2,219.00	$2,219.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ED CARDIOVERSION	$2,219.00	$2,219.00	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$72,263.00	$72,263.00	—	101% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$72,263.00	$72,263.00	—	—	—
Cervical biopsy CPT 57500 HC CERVIX BIOPSY SINGLE/MULTIPLE	$2,641.00	$2,641.00	—	198% above	—
Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$2,641.00	$2,641.00	—	198% above	—
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$2,641.00	$2,641.00	—	—	—
Cervical biopsy inpatient CPT 57500 HC CERVIX BIOPSY SINGLE/MULTIPLE	$2,641.00	$2,641.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION	$3,882.00	$3,882.00	—	131% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN	$3,882.00	$3,882.00	—	131% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN	$3,882.00	$3,882.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION	$3,882.00	$3,882.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	$893.00	$893.00	—	136% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	$893.00	$893.00	—	136% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	$893.00	$893.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	$893.00	$893.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLP CERV UP VAG WITH BX	$4,185.00	$4,185.00	—	1% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLP CERV UP VAG WITH BX	$4,185.00	$4,185.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLP CERVIX WITH BX CUT	$1,193.00	$1,193.00	—	215% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLP CERVIX WITH BX CUT	$1,193.00	$1,193.00	—	—	—
Coronary stent placement, one artery CPT 92928 HC BM PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$35,038.00	$35,038.00	—	164% above	—
Coronary stent placement, one artery CPT 92928 HC DE PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$35,038.00	$35,038.00	—	164% above	—
Coronary stent placement, one artery inpatient CPT 92928 HC BM PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$35,038.00	$35,038.00	—	—	—
Coronary stent placement, one artery inpatient CPT 92928 HC DE PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$35,038.00	$35,038.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY	$1,627.00	$1,627.00	—	91% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHORSCOPY	$1,627.00	$1,627.00	—	91% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$1,627.00	$1,627.00	—	91% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHORSCOPY	$1,627.00	$1,627.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$1,627.00	$1,627.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY	$1,627.00	$1,627.00	—	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$6,359.00	$6,359.00	—	43% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$6,359.00	$6,359.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT 1ST BENIGN LESION	$724.00	$724.00	—	270% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT 1ST BENIGN LESION	$724.00	$724.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACT CERUMEN IRRIGATE	$309.00	$309.00	—	203% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACT CERUMEN IRRIGATE	$309.00	$309.00	—	203% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACT CERUMEN IRRIGATE	$309.00	$309.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACT CERUMEN IRRIGATE	$309.00	$309.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 HC TX REMOVE IMPACT CERUMEN W INSTR	$229.00	$229.00	—	133% above	—
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACT CERUMEN W INSTR	$229.00	$229.00	—	133% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACT CERUMEN W INSTR	$229.00	$229.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 HC TX REMOVE IMPACT CERUMEN W INSTR	$229.00	$229.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY	$644.00	$644.00	—	172% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$688.00	$688.00	—	190% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BIOPSY	$644.00	$644.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$688.00	$688.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC IR INJ EPI SUBAR EA CERV THORA	$2,585.00	$2,585.00	—	166% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,585.00	$2,585.00	—	166% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,585.00	$2,585.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC IR INJ EPI SUBAR EA CERV THORA	$2,585.00	$2,585.00	—	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$1,479.00	$1,479.00	—	138% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$1,479.00	$1,479.00	—	138% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$1,479.00	$1,479.00	—	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$1,479.00	$1,479.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET JT LUMB SACR SINGLE	$3,359.00	$3,359.00	—	179% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC TX INJ FACET JT LUMB SACR SINGLE	$3,359.00	$3,359.00	—	179% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC TX INJ FACET JT LUMB SACR SINGLE	$3,359.00	$3,359.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FACET JT LUMB SACR SINGLE	$3,359.00	$3,359.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC TX SIGMOIDOSCOPY FLEXIBLE	$2,666.00	$2,666.00	—	11% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC TX SIGMOIDOSCOPY FLEXIBLE	$2,666.00	$2,666.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HC TX HEMORRHOID BANDING	$2,847.00	$2,847.00	—	99% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC TX HEMORRHOID BANDING	$2,847.00	$2,847.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH & INTRO CONTRAST FOR SYS/HYSTERO	$2,456.00	$2,456.00	—	398% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJECTION SALPINOGRAPHY	$2,456.00	$2,456.00	—	398% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJECTION SALPINOGRAPHY	$2,456.00	$2,456.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH & INTRO CONTRAST FOR SYS/HYSTERO	$2,456.00	$2,456.00	—	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY BIOPSY	$6,747.00	$6,747.00	—	52% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY BIOPSY	$6,747.00	$6,747.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION	$434.00	$434.00	—	29% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION	$434.00	$434.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAIN SKIN ABSCESS SIMPLE	$698.00	$698.00	—	156% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE	$724.00	$724.00	—	165% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE	$1,348.00	$1,348.00	—	394% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAIN SKIN ABSCESS SIMPLE	$698.00	$698.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE	$724.00	$724.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE	$1,348.00	$1,348.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION TENDON LIGAMENT	$1,056.00	$1,056.00	—	168% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SGL TENDON SHEATH/LIGMNT	$1,084.00	$1,084.00	—	175% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION TENDON LIGAMENT	$1,056.00	$1,056.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SGL TENDON SHEATH/LIGMNT	$1,084.00	$1,084.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC TX INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US	$1,028.00	$1,028.00	—	170% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US	$1,066.00	$1,066.00	—	180% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US	$1,066.00	$1,066.00	—	180% 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	$1,066.00	$1,066.00	—	180% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC TX INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US	$1,028.00	$1,028.00	—	—	—
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	$1,066.00	$1,066.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US	$1,066.00	$1,066.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US	$1,066.00	$1,066.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG IMPLANT DEVICE	$451.00	$451.00	—	158% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT DRUG IMPLANT DEVICE	$451.00	$451.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US	$1,020.00	$1,020.00	—	214% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US	$1,020.00	$1,020.00	—	214% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,020.00	$1,020.00	—	214% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC OTH INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US	$1,020.00	$1,020.00	—	214% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC OTH INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US	$1,020.00	$1,020.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US	$1,020.00	$1,020.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US	$1,020.00	$1,020.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,020.00	$1,020.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED INJECTION ARTHROCENTESIS SMALL JT	$868.00	$868.00	—	155% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC INJECTION ARTHROCENTESIS SMALL JT	$927.00	$927.00	—	172% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC TX INJECTION ARTHROCENTESIS SMALL JT	$927.00	$927.00	—	172% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$927.00	$927.00	—	172% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED INJECTION ARTHROCENTESIS SMALL JT	$868.00	$868.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC INJECTION ARTHROCENTESIS SMALL JT	$927.00	$927.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$927.00	$927.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC TX INJECTION ARTHROCENTESIS SMALL JT	$927.00	$927.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC LASER CAPSULOTOMY	$1,910.00	$1,910.00	—	26% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC LASER CAPSULOTOMY	$1,910.00	$1,910.00	—	—	—
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	$1,322.00	$1,322.00	—	253% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS	$1,322.00	$1,322.00	—	253% 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	$1,322.00	$1,322.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS	$1,322.00	$1,322.00	—	—	—
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH	$12,192.00	$12,192.00	—	77% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH	$12,192.00	$12,192.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,585.00	$2,585.00	—	149% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 HC IR INJ EPI SUB EA LUMBARSACRAL	$2,585.00	$2,585.00	—	149% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC IR INJ EPI SUB EA LUMBARSACRAL	$2,585.00	$2,585.00	—	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,585.00	$2,585.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ LUMBAR WO/IMG	$2,183.00	$2,183.00	—	94% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ LUMBAR WO/IMG	$2,183.00	$2,183.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFOR LUMB SACR SINGLE	$3,564.00	$3,564.00	—	233% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$3,564.00	$3,564.00	—	233% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,564.00	$3,564.00	—	233% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,564.00	$3,564.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$3,564.00	$3,564.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFOR LUMB SACR SINGLE	$3,564.00	$3,564.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCISE BENIGN LESION TRUNK 0.5 CM OR LESS	$2,459.00	$2,459.00	—	264% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXCISE BENIGN LESION TRUNK 0.5 CM OR LESS	$2,459.00	$2,459.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXCISE BENIGN LESION FACE 0.5 CM OR LESS	$1,373.00	$1,373.00	—	86% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXCISE BENIGN LESION FACE 0.5 CM OR LESS	$1,373.00	$1,373.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF NAIL PLATE SINGLE	$724.00	$724.00	—	253% above	—
Nail removal (partial or complete), one nail CPT 11730 HC ED AVULSION OF NAIL PLATE SINGLE	$724.00	$724.00	—	253% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED AVULSION OF NAIL PLATE SINGLE	$724.00	$724.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF NAIL PLATE SINGLE	$724.00	$724.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE	$1,084.00	$1,084.00	—	110% above	—
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE	$1,084.00	$1,084.00	—	110% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE	$1,084.00	$1,084.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE	$1,084.00	$1,084.00	—	—	—
Pacemaker implant (dual chamber) CPT 33208 HC INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT	$36,253.00	$36,253.00	—	122% above	—
Pacemaker implant (dual chamber) CPT 33208 HC PACEMAKER INSERT A/V LEADS	$36,253.00	$36,253.00	—	122% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT	$36,253.00	$36,253.00	—	—	—
Pacemaker implant (dual chamber) inpatient CPT 33208 HC PACEMAKER INSERT A/V LEADS	$36,253.00	$36,253.00	—	—	—
Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS WITH IMAGING	$2,672.00	$2,672.00	—	118% above	—
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$2,672.00	$2,672.00	—	118% above	—
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS WITH IMAGING	$2,672.00	$2,672.00	—	118% above	—
Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS WITH IMAGING	$2,672.00	$2,672.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$2,672.00	$2,672.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS WITH IMAGING	$2,672.00	$2,672.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED	$1,322.00	$1,322.00	—	148% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$1,322.00	$1,322.00	—	148% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED	$1,322.00	$1,322.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$1,322.00	$1,322.00	—	—	—
Prostate biopsy CPT 55700 HC MRI PROSTATE BIOPSY NEEDLE	$6,861.00	$6,861.00	—	349% above	—
Prostate biopsy inpatient CPT 55700 HC MRI PROSTATE BIOPSY NEEDLE	$6,861.00	$6,861.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTIC AGNT PARVERTEB FCT SINGL LMBR/SACRAL	$3,375.00	$3,375.00	—	41% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUCTION LUM/SAC FACET SNGL	$3,375.00	$3,375.00	—	41% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTIC AGNT PARVERTEB FCT SINGL LMBR/SACRAL	$3,375.00	$3,375.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUCTION LUM/SAC FACET SNGL	$3,375.00	$3,375.00	—	—	—
Removal of a breast lump, open surgery CPT 19120 HC EXCISION OF CYST BREAST	$12,531.00	$12,531.00	—	133% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISION OF CYST BREAST	$12,531.00	$12,531.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SUBQ SIMPLE	$1,322.00	$1,322.00	—	258% above	—
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVE FOREIGN BODY SIMPLE	$1,322.00	$1,322.00	—	258% above	—
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SUBQ SIMPLE	$1,322.00	$1,322.00	—	258% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SUBQ SIMPLE	$1,322.00	$1,322.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SUBQ SIMPLE	$1,322.00	$1,322.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION & REMOVE FOREIGN BODY SIMPLE	$1,322.00	$1,322.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 HC ED APPLICATION CAST ELBOW FINGER SHORT ARM	$969.00	$969.00	—	291% above	—
Short arm cast (elbow to hand) CPT 29075 HC TX APPLY SHORT ARM CAST	$969.00	$969.00	—	291% above	—
Short arm cast (elbow to hand) CPT 29075 HC OT TX APPLY SHORT ARM CAST	$969.00	$969.00	—	291% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 HC OT TX APPLY SHORT ARM CAST	$969.00	$969.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED APPLICATION CAST ELBOW FINGER SHORT ARM	$969.00	$969.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 HC TX APPLY SHORT ARM CAST	$969.00	$969.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 HC ED APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$451.00	$451.00	—	136% above	—
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$451.00	$451.00	—	136% above	—
Short arm splint (forearm and hand) CPT 29125 HC TX APPLY SHORT ARM SPLINT	$451.00	$451.00	—	136% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$451.00	$451.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC TX APPLY SHORT ARM SPLINT	$451.00	$451.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$451.00	$451.00	—	—	—
Short leg cast (below the knee) CPT 29405 HC PT TX APPLY SHORT LEG CAST	$927.00	$927.00	—	240% above	—
Short leg cast (below the knee) CPT 29405 HC ED APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$927.00	$927.00	—	240% above	—
Short leg cast (below the knee) CPT 29405 HC TX APPLY SHORT LEG CAST	$951.00	$951.00	—	248% above	—
Short leg cast (below the knee) inpatient CPT 29405 HC PT TX APPLY SHORT LEG CAST	$927.00	$927.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 HC ED APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$927.00	$927.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 HC TX APPLY SHORT LEG CAST	$951.00	$951.00	—	—	—
Short leg splint (calf to foot) CPT 29515 HC TX APPLY SHORT LEG SPLINT	$535.00	$535.00	—	223% above	—
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$535.00	$535.00	—	223% above	—
Short leg splint (calf to foot) CPT 29515 HC ED APPLICATION SHORT LEG SPLINT CALF FOOT	$554.00	$554.00	—	234% above	—
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT	$535.00	$535.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 HC TX APPLY SHORT LEG SPLINT	$535.00	$535.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 HC ED APPLICATION SHORT LEG SPLINT CALF FOOT	$554.00	$554.00	—	—	—
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	$724.00	$724.00	—	242% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$724.00	$724.00	—	242% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS	$724.00	$724.00	—	242% above	—
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	$724.00	$724.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS	$724.00	$724.00	—	—	—
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	$724.00	$724.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$764.00	$764.00	—	109% above	—
Skin biopsy, punch, one lesion CPT 11104 HC BIOPSY OF FLOOR OF MOUTH	$764.00	$764.00	—	109% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$764.00	$764.00	—	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 HC BIOPSY OF FLOOR OF MOUTH	$764.00	$764.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISE MALIGNANT LESION TRUNK 0.5 CM OR LESS	$191.00	$191.00	—	43% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXCISE MALIGNANT LESION TRUNK 0.5 CM OR LESS	$191.00	$191.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 HC ED EXCISE SKIN TAGS 15 TAGS OR LESS	$724.00	$724.00	—	314% above	—
Skin tag removal, up to 15 tags CPT 11200 HC EXCISE SKIN TAGS 15 TAGS OR LESS	$724.00	$724.00	—	314% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED EXCISE SKIN TAGS 15 TAGS OR LESS	$724.00	$724.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXCISE SKIN TAGS 15 TAGS OR LESS	$724.00	$724.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC TX LUMBAR PUNCTURE DIAGNOSTIC	$2,585.00	$2,585.00	—	202% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$2,585.00	$2,585.00	—	202% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$2,585.00	$2,585.00	—	202% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED LUMBAR PUNCTURE DIAGNOSTIC	$2,585.00	$2,585.00	—	202% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED LUMBAR PUNCTURE DIAGNOSTIC	$2,585.00	$2,585.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$2,585.00	$2,585.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$2,585.00	$2,585.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC TX LUMBAR PUNCTURE DIAGNOSTIC	$2,585.00	$2,585.00	—	—	—
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	$833.00	$833.00	—	227% above	—
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	$833.00	$833.00	—	227% 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 HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM	$833.00	$833.00	—	—	—
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	$833.00	$833.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5CM	$554.00	$554.00	—	135% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SIMPLE WOUND FACE 2.5 CM OR LESS	$636.00	$636.00	—	169% above	—
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/<	$872.00	$872.00	—	269% above	—
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	$554.00	$554.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SIMPLE WOUND FACE 2.5 CM OR LESS	$636.00	$636.00	—	—	—
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/<	$872.00	$872.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$803.00	$803.00	—	180% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$803.00	$803.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$3,159.00	$3,159.00	—	178% above	—
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$3,159.00	$3,159.00	—	178% above	—
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS WITH IMAGE GUIDANCE	$3,159.00	$3,159.00	—	178% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS WITH IMAGE GUIDANCE	$3,159.00	$3,159.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$3,159.00	$3,159.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$3,159.00	$3,159.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$1,084.00	$1,084.00	—	198% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$1,084.00	$1,084.00	—	198% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$1,084.00	$1,084.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$1,084.00	$1,084.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION WITH US GUIDANCE	$4,855.00	$4,855.00	—	162% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION WITH US GUIDANCE	$4,855.00	$4,855.00	—	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO/URETERO W/LITHOTRIP &INDW STENT INSERT	$15,966.00	$15,966.00	—	61% above	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO/URETERO W/LITHOTRIP &INDW STENT INSERT	$15,966.00	$15,966.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY	$8,014.00	$8,014.00	—	136% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY	$8,014.00	$8,014.00	—	—	—
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLATION RF FIRST VEIN	$10,291.00	$10,291.00	—	174% above	—
Vein ablation, radiofrequency, first vein CPT 36475 HC VENOUS ABLATION RF FIRST VEIN	$10,291.00	$10,291.00	—	174% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVEN ABLATION RF FIRST VEIN	$10,291.00	$10,291.00	—	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC VENOUS ABLATION RF FIRST VEIN	$10,291.00	$10,291.00	—	—	—
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1 TO 14	$705.00	$705.00	—	247% above	—
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1 TO 14	$705.00	$705.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRID SUBQ TISSUE TO 20SQCM	$1,322.00	$1,322.00	—	137% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEBRIDE SUBQ 20 SQ CM OR LESS	$1,322.00	$1,322.00	—	137% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBQ 20 SQ CM OR LESS	$1,322.00	$1,322.00	—	137% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEBRIDE SUBQ 20 SQ CM OR LESS	$1,322.00	$1,322.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRID SUBQ TISSUE TO 20SQCM	$1,322.00	$1,322.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBQ 20 SQ CM OR LESS	$1,322.00	$1,322.00	—	—	—

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 TRANSFUSION BLOOD OR BLOOD PRODUCT	$2,401.00	$2,401.00	—	220% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD PRODUCT	$2,401.00	$2,401.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED AIRWAY INHALATION TREATMENT	$394.00	$394.00	—	132% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT	$394.00	$394.00	—	132% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED AIRWAY INHALATION TREATMENT	$394.00	$394.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT	$394.00	$394.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL DRUG 1 HOUR	$1,199.00	$1,199.00	—	128% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL DRUG 1 HOUR	$1,199.00	$1,199.00	—	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOGRAM	$435.00	$435.00	—	104% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOGRAM	$435.00	$435.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 HC ED VISIT CRITICAL CARE 30 TO 74 MIN	$4,708.00	$4,708.00	—	139% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED VISIT CRITICAL CARE 30 TO 74 MIN	$4,708.00	$4,708.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY	$2,517.00	$2,517.00	—	231% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY	$2,517.00	$2,517.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG COMPUTER	$200.00	$200.00	—	53% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG COMPUTER	$200.00	$200.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED VISIT CATEGORY 1	$270.00	$270.00	—	45% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED VISIT CATEGORY 1	$270.00	$270.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED VISIT CATEGORY 2	$742.00	$742.00	—	118% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED VISIT CATEGORY 2	$742.00	$742.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED VISIT CATEGORY 3	$1,316.00	$1,316.00	—	107% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED VISIT CATEGORY 3	$1,316.00	$1,316.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED VISIT CATEGORY 4	$2,235.00	$2,235.00	—	112% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED VISIT CATEGORY 4	$2,235.00	$2,235.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED VISIT CATEGORY 5	$2,998.00	$2,998.00	—	78% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED VISIT CATEGORY 5	$2,998.00	$2,998.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST MAXIMUM	$1,412.00	$1,412.00	—	93% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST MAXIMUM	$1,412.00	$1,412.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INFUSION INITIAL HOUR	$685.00	$685.00	—	162% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION INITIAL HOUR	$685.00	$685.00	—	162% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INFUSION INITIAL HOUR	$685.00	$685.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION INITIAL HOUR	$685.00	$685.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY UP TO 1 HR	$685.00	$685.00	—	129% above	—
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY UP TO 1 HR	$685.00	$685.00	—	129% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAPY UP TO 1 HR	$685.00	$685.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY UP TO 1 HR	$685.00	$685.00	—	—	—
IV push of a medicine, first drug CPT 96374 HC ED IV PUSH SINGLE OR INITIAL SUBSTANCE	$619.00	$619.00	—	235% above	—
IV push of a medicine, first drug CPT 96374 HC IV PUSH SINGLE OR INITIAL SUBSTANCE	$619.00	$619.00	—	235% above	—
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH SINGLE OR INITIAL SUBSTANCE	$619.00	$619.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 HC ED IV PUSH SINGLE OR INITIAL SUBSTANCE	$619.00	$619.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ADMIN OF INJECTION SUBQ OR IM	$204.00	$204.00	—	124% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED ADMIN OF INJECTION SUBQ OR IM	$204.00	$204.00	—	124% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC OTH ADMIN OF INJECTION SUBQ OR IM	$204.00	$204.00	—	124% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED ADMIN OF INJECTION SUBQ OR IM	$204.00	$204.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC OTH ADMIN OF INJECTION SUBQ OR IM	$204.00	$204.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ADMIN OF INJECTION SUBQ OR IM	$204.00	$204.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$512.00	$512.00	—	129% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$512.00	$512.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$953.00	$953.00	—	28% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$953.00	$953.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-EDUCATION PER 15 MIN	$164.00	$164.00	—	72% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-EDUCATION PER 15 MIN	$164.00	$164.00	—	72% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-EDUCATION PER 15 MIN	$164.00	$164.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-EDUCATION PER 15 MIN	$164.00	$164.00	—	—	—
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 CPT 97802 HC MNT INITIAL ASSMT EA 15 MINUTE	$65.00	$65.00	—	41% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC VIRTUAL MNT INITIAL ASSMT EA 15 MINUTES	$63.00	$63.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL ASSMT EA 15 MINUTE	$65.00	$65.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 HC OT LOW COMPLEX EVALUATION	$198.00	$198.00	—	4% below	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT LOW COMPLEX EVALUATION	$198.00	$198.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT HIGH COMPLEX EVALUATION	$395.00	$395.00	—	58% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT HIGH COMPLEX EVALUATION	$395.00	$395.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT LOW COMPLEX EVALUATION	$198.00	$198.00	—	at median	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT LOW COMPLEX EVALUATION	$198.00	$198.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT MOD COMPLEX EVALUATION	$297.00	$297.00	—	32% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT MOD COMPLEX EVALUATION	$297.00	$297.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY PER 15 MIN	$193.00	$193.00	—	99% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY PER 15 MIN	$193.00	$193.00	—	99% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY PER 15 MIN	$193.00	$193.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY PER 15 MIN	$193.00	$193.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC PROC PER 15 MIN	$181.00	$181.00	—	93% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC PROC PER 15 MIN	$181.00	$181.00	—	93% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC PROC PER 15 MIN	$181.00	$181.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC PROC PER 15 MIN	$181.00	$181.00	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$218.00	$218.00	—	63% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$218.00	$218.00	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$218.00	$218.00	—	23% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$218.00	$218.00	—	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	$218.00	$218.00	—	3% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	$218.00	$218.00	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	$191.00	$191.00	—	32% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	$191.00	$191.00	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	$191.00	$191.00	—	17% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	$191.00	$191.00	—	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	$191.00	$191.00	—	at median	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	$191.00	$191.00	—	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$645.00	$645.00	—	49% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$645.00	$645.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$301.00	$301.00	—	57% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$301.00	$301.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 HC PSYOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$348.00	$348.00	—	63% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$348.00	$348.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$339.00	$339.00	—	48% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$339.00	$339.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC ED TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$68.00	$68.00	—	66% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$71.00	$71.00	—	73% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC ED TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$68.00	$68.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$71.00	$71.00	—	—	—
Speech and language evaluation CPT 92523 HC ST SPEECH COMP/EXPRESS EVAL	$949.00	$949.00	—	152% above	—
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH COMP/EXPRESS EVAL	$949.00	$949.00	—	—	—
Speech therapy session, individual CPT 92507 HC ST SPEECH/LANGUAGE/VOICE THERAPY	$249.00	$249.00	—	17% above	—
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/LANGUAGE/VOICE THERAPY	$249.00	$249.00	—	—	—
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$527.00	$527.00	—	152% above	—
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$527.00	$527.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE & POST	$964.00	$964.00	—	145% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE & POST	$964.00	$964.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC FUNCTIONAL ACTIVITY	$184.00	$184.00	—	128% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC FUNCTIONAL ACTIVITY	$184.00	$184.00	—	128% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC FUNCTIONAL ACTIVITY	$184.00	$184.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC FUNCTIONAL ACTIVITY	$184.00	$184.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED THERAPUTIC PHLEBOTOMY	$438.00	$438.00	—	90% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$450.00	$450.00	—	96% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED THERAPUTIC PHLEBOTOMY	$438.00	$438.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$450.00	$450.00	—	—	—
Visual field test, extended both sides CPT 92083 HC VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM	$282.00	$282.00	—	—	—
Visual field test, extended inpatient both sides CPT 92083 HC VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM	$282.00	$282.00	—	—	—

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	$270.00	$270.00	—	3% below	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC MODERNA SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE	$270.00	$270.00	—	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VACCINE VARICELLA CHICKEN POX	$303.00	$303.00	—	50% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VACCINE VARICELLA CHICKEN POX	$303.00	$303.00	—	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC VACCINE DTAP IPV KINRIX	$111.00	$111.00	—	80% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC VACCINE DTAP IPV KINRIX	$111.00	$111.00	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC VACCINE DTAP	$65.00	$65.00	—	68% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC VACCINE DTAP	$65.00	$65.00	—	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC VACCINE DTAP HEP B IPV IM	$213.00	$213.00	—	58% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC VACCINE DTAP HEP B IPV IM	$213.00	$213.00	—	—	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC VACCINE PENTACEL	$160.00	$160.00	—	2% above	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC VACCINE PENTACEL	$160.00	$160.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC VACCINE FLU PRESERVATIVE FREE AGE 3 OR OLDER	$66.00	$66.00	—	108% 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	$66.00	$66.00	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC VACCINE HPV VIRUS 9 VAL IM	$446.00	$446.00	—	33% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC VACCINE HPV VIRUS 9 VAL IM	$446.00	$446.00	—	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$250.00	$250.00	—	45% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$250.00	$250.00	—	—	—
Hepatitis A vaccine, adult dose CPT 90632 HC VACCINE HEP A ADULT IM	$170.00	$170.00	—	44% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC VACCINE HEP A ADULT IM	$170.00	$170.00	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC VACCINE HEP A PEDS IM	$88.00	$88.00	—	15% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC VACCINE HEP A PEDS IM	$88.00	$88.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC VACCINE HEPATITIS B ADULT DOSE	$182.00	$182.00	—	117% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC VACCINE HEPATITIS B ADULT DOSE	$182.00	$182.00	—	—	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC VACCINE HEP B ADULT 2 DOSE SCHEDULE	$128.00	$128.00	—	7% below	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC VACCINE HEP B ADULT 2 DOSE SCHEDULE	$128.00	$128.00	—	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC VACCINE HIB PRP OMP	$72.00	$72.00	—	46% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC VACCINE HIB PRP OMP	$72.00	$72.00	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC VACCINE HIB PRP-T IM	$62.00	$62.00	—	48% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC VACCINE HIB PRP-T IM	$62.00	$62.00	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC VACCINE FLU SPLIT VIRUS PRESERVATIVE FREE	$100.00	$100.00	—	29% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC VACCINE FLU SPLIT VIRUS PRESERVATIVE FREE	$100.00	$100.00	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC VACCINE MMR	$160.00	$160.00	—	18% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC VACCINE MMR	$160.00	$160.00	—	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ	$471.00	$471.00	—	33% above	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ	$471.00	$471.00	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC VACCINE MENINGOCOCCAL CONJ	$287.00	$287.00	—	38% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC VACCINE MENINGOCOCCAL CONJ	$287.00	$287.00	—	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC VACCINE MENB-4C VACC 2 DOSE IM	$460.00	$460.00	—	37% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC VACCINE MENB-4C VACC 2 DOSE IM	$460.00	$460.00	—	—	—
Meningococcal B vaccine (Trumenba) CPT 90621 HC MENB RECOMBINANT LIPOPROTEIN VACCINE IM	$99.99	$99.99	—	50% below	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HC MENB RECOMBINANT LIPOPROTEIN VACCINE IM	$99.99	$99.99	—	—	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC PCV15 VACCINE FOR INTRAMUSCULAR USE	$975.00	$975.00	—	39% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 HC PCV15 VACCINE FOR INTRAMUSCULAR USE	$975.00	$975.00	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$385.00	$385.00	—	1% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$385.00	$385.00	—	—	—
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC VACCINE PCV21 FOR INTRAMUSCULAR USE	$430.00	$430.00	—	4% below	—
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC VACCINE PCV21 FOR INTRAMUSCULAR USE	$430.00	$430.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC VACCINE PNEUMOVAX SUBQ OR IM	$221.00	$221.00	—	40% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC VACCINE PNEUMOVAX SUBQ OR IM	$221.00	$221.00	—	—	—
Polio vaccine, inactivated (IPV) CPT 90713 HC VACCINE POLIO SUBQ	$65.00	$65.00	—	4% above	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC VACCINE POLIO SUBQ	$65.00	$65.00	—	—	—
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	$640.00	$640.00	—	14% below	—
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	$640.00	$640.00	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE	$640.00	$640.00	—	14% below	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE	$640.00	$640.00	—	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$381.00	$381.00	—	20% 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	$381.00	$381.00	—	—	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC VACCINE RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$362.00	$362.00	—	14% below	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC VACCINE RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$362.00	$362.00	—	—	—
Rabies vaccine, one dose CPT 90675 HC VACCINE RABIES	$309.00	$309.00	—	40% below	—
Rabies vaccine, one dose inpatient CPT 90675 HC VACCINE RABIES	$309.00	$309.00	—	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC VACCINE ROTOVIRUS 3 DOSE	$233.00	$233.00	—	183% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC VACCINE ROTOVIRUS 3 DOSE	$233.00	$233.00	—	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$174.00	$174.00	—	12% below	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$174.00	$174.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC VACCINE TETANUS DIPTHERIA TOXOID	$85.00	$85.00	—	57% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC VACCINE TETANUS DIPTHERIA TOXOID	$85.00	$85.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC VACCINE TDAP AGE 7 OR OLDER	$87.00	$87.00	—	20% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC VACCINE TDAP AGE 7 OR OLDER	$87.00	$87.00	—	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$99.99	$99.99	—	34% below	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$99.99	$99.99	—	—	—
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 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 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 FLU VACCINE	$23.03	$23.03	—	at median	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VFC ADMIN HEP B VACCINE	$23.03	$23.03	—	at median	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VACCINE	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED INFLUENZA VACCINE ADMIN	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PNEUMOCOCCAL VACCINE ADMIN	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED VACCINE ADMIN SINGLE	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED PNEUMOCOCCAL VACCINE ADMIN	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEP B VACCINE	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED HEP B VACCINE ADMIN	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE	$131.00	$131.00	—	469% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VFC ADMIN FLU VACCINE	$23.03	$23.03	—	—	—
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 VACCINE ADMIN SINGLE	$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 ADMIN HEP B VACCINE	$23.03	$23.03	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEP B VACCINE	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VACCINE	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED HEP B VACCINE ADMIN	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED INFLUENZA VACCINE ADMIN	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED PNEUMOCOCCAL VACCINE ADMIN	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED VACCINE ADMIN SINGLE	$131.00	$131.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PNEUMOCOCCAL VACCINE ADMIN	$131.00	$131.00	—	—	—
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	$127.00	$127.00	—	542% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EACH ADDTL	$127.00	$127.00	—	542% above	—
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	$127.00	$127.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EACH ADDTL	$127.00	$127.00	—	—	—

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.

Source file: https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt95089f2bfa0249d3/381426919_corewell-health-farmington-hills-hospital_standardcharges.csv