Hospital Little Rock-North Little Rock-Conway, AR

UAMS Health Benton-Bryant

UAMS Health Benton-Bryant in Bryant, AR publishes cash prices for 488 common procedures listed here, from its own machine-readable price file updated Oct 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 259 of 485 procedures and above it for 170. By typical cash price it ranks #24 of 57 Arkansas hospitals and #7 of 12 hospitals in the Little Rock, AR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1901 Encore Way, Bryant, AR 72019 Collected Oct 28, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$994.80	$1,658.00	$159.07–$887.00	at median	40%
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$1,084.20	$1,807.00	$159.07–$887.00	9% above	40%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$103.20	$172.00	$24.26–$887.00	32% below	40%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$141.60	$236.00	$24.26–$887.00	7% below	40%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$147.60	$246.00	$18.00–$887.00	12% above	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$132.00	$220.00	$78.93–$887.00	at median	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$132.00	$220.00	$78.93–$887.00	at median	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$102.60	$171.00	$27.30–$887.00	40% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$111.60	$186.00	$27.30–$887.00	35% below	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$842.40	$1,404.00	$94.82–$887.00	30% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$752.40	$1,254.00	$94.82–$887.00	16% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$752.40	$1,254.00	$94.82–$887.00	16% above	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$185.40	$309.00	$36.00–$887.00	22% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$202.20	$337.00	$36.00–$887.00	15% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$955.80	$1,593.00	$59.00–$887.00	47% above	40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$1,041.60	$1,736.00	$59.00–$887.00	60% above	40%
Breast ultrasound, complete, one breast CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$145.80	$243.00	$63.40–$887.00	16% below	40%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$218.40	$364.00	$63.40–$887.00	26% above	40%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$65.10	$108.50	$94.82–$887.00	62% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$145.80	$243.00	$94.82–$887.00	16% below	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$97.20	$162.00	$48.50–$887.00	37% below	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$162.60	$271.00	$48.50–$887.00	5% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$97.20	$162.00	$78.93–$887.00	37% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$97.20	$162.00	$78.93–$887.00	37% below	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$1,242.00	$2,070.00	$316.39–$887.00	at median	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$1,287.60	$2,146.00	$316.39–$887.00	4% above	40%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$1,137.00	$1,895.00	$159.07–$887.00	12% above	40%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$1,239.60	$2,066.00	$159.07–$887.00	22% above	40%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$1,139.40	$1,899.00	$159.07–$887.00	33% above	40%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$1,165.20	$1,942.00	$159.07–$887.00	36% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$687.42	$1,145.70	$159.07–$887.00	2% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$738.00	$1,230.00	$159.07–$887.00	5% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$634.80	$1,058.00	$274.66–$887.00	at median	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$748.80	$1,248.00	$274.66–$887.00	18% above	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM	$93.60	$156.00	$54.87–$887.00	39% above	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$102.00	$170.00	$54.87–$887.00	52% above	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$761.40	$1,269.00	$108.30–$887.00	25% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$829.80	$1,383.00	$108.30–$887.00	18% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$1,102.92	$1,838.20	$206.27–$887.00	24% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$1,197.60	$1,996.00	$206.27–$887.00	17% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$1,298.40	$2,164.00	$272.95–$887.00	19% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$1,415.40	$2,359.00	$272.95–$887.00	12% below	40%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$947.40	$1,579.00	$159.07–$887.00	at median	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,032.60	$1,721.00	$159.07–$887.00	9% above	40%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$428.40	$714.00	$94.82–$887.00	29% below	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$929.40	$1,549.00	$94.82–$887.00	53% above	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$603.00	$1,005.00	$94.82–$887.00	18% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$657.00	$1,095.00	$94.82–$887.00	11% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$595.80	$993.00	$94.82–$887.00	10% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,093.20	$1,822.00	$94.82–$887.00	65% above	40%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$574.20	$957.00	$159.07–$887.00	34% below	40%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$625.80	$1,043.00	$159.07–$887.00	28% below	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$724.80	$1,208.00	$159.07–$887.00	25% below	40%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$839.94	$1,399.90	$159.07–$887.00	13% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$885.60	$1,476.00	$94.82–$887.00	14% above	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$965.40	$1,609.00	$94.82–$887.00	24% above	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$579.00	$965.00	$94.82–$887.00	19% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$631.20	$1,052.00	$94.82–$887.00	12% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$714.00	$1,190.00	$159.07–$887.00	17% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$778.20	$1,297.00	$159.07–$887.00	9% below	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$255.00	$425.00	$70.00–$887.00	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$234.00	$390.00	$70.00–$887.00	37% below	40%
Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST	$643.20	$1,072.00	$159.07–$887.00	30% below	40%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$700.80	$1,168.00	$159.07–$887.00	24% below	40%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$74.40	$124.00	$21.87–$887.00	48% below	40%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$81.00	$135.00	$21.87–$887.00	43% below	40%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$74.40	$124.00	$11.86–$887.00	34% below	40%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$81.00	$135.00	$11.86–$887.00	28% below	40%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY OF COLLAR BONE	$126.00	$210.00	$15.00–$887.00	15% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$115.80	$193.00	$78.93–$887.00	6% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$115.80	$193.00	$78.93–$887.00	6% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$172.20	$287.00	$44.00–$887.00	54% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$187.80	$313.00	$44.00–$887.00	50% below	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$193.80	$323.00	$94.82–$887.00	2% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$219.60	$366.00	$94.82–$887.00	16% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT	$88.80	$148.00	$37.94–$887.00	8% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$104.40	$174.00	$37.94–$887.00	8% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$231.00	$385.00	$145.14–$887.00	43% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$580.20	$967.00	$94.82–$887.00	9% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$632.40	$1,054.00	$94.82–$887.00	1% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$610.80	$1,018.00	$159.07–$887.00	26% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$666.00	$1,110.00	$159.07–$887.00	19% below	40%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$339.60	$566.00	$42.50–$887.00	—	40%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$311.40	$519.00	$42.50–$887.00	28% above	40%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$243.00	$405.00	$34.50–$887.00	51% above	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$217.20	$362.00	$34.50–$887.00	35% above	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$217.20	$362.00	$34.50–$887.00	35% above	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$267.00	$445.00	$73.00–$887.00	44% below	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$222.00	$370.00	$42.00–$887.00	57% below	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$241.80	$403.00	$42.00–$887.00	53% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$1,120.80	$1,868.00	$257.51–$970.67	2% above	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,209.00	$2,015.00	$257.51–$970.67	10% above	40%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$81.00	$135.00	$18.00–$887.00	10% below	40%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	17% below	40%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	17% below	40%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$136.80	$228.00	$19.00–$887.00	28% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$125.40	$209.00	$78.93–$887.00	17% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$125.40	$209.00	$78.93–$887.00	17% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$732.60	$1,221.00	$94.82–$887.00	at median	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$798.60	$1,331.00	$94.82–$887.00	9% above	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$103.20	$172.00	$18.00–$887.00	26% below	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$112.20	$187.00	$18.00–$887.00	20% below	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$81.00	$135.00	$19.00–$887.00	24% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	31% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	31% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM	$476.40	$794.00	$312.39–$887.00	31% below	40%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$112.20	$187.00	$17.00–$887.00	8% above	40%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$51.60	$86.00	$94.82–$887.00	50% below	40%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$103.20	$172.00	$94.82–$887.00	at median	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$112.20	$187.00	$13.00–$887.00	8% above	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$100.20	$167.00	$78.93–$887.00	3% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$100.20	$167.00	$78.93–$887.00	3% below	40%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$96.00	$160.00	$35.00–$887.00	24% below	40%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$88.20	$147.00	$78.93–$887.00	30% below	40%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$88.20	$147.00	$78.93–$887.00	30% below	40%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$145.20	$242.00	$37.00–$887.00	at median	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$129.60	$216.00	$94.82–$887.00	10% below	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$129.60	$216.00	$94.82–$887.00	10% below	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$222.60	$371.00	$94.82–$887.00	64% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$138.00	$230.00	$94.82–$887.00	77% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$138.00	$230.00	$94.82–$887.00	77% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$132.60	$221.00	$20.00–$887.00	45% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$144.60	$241.00	$20.00–$887.00	40% below	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$154.80	$258.00	$11.99–$887.00	6% below	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$168.60	$281.00	$11.99–$887.00	2% above	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$154.80	$258.00	$94.82–$887.00	6% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$154.80	$258.00	$94.82–$887.00	6% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$94.20	$157.00	$94.39–$887.00	66% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$102.60	$171.00	$94.39–$887.00	63% below	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$81.00	$135.00	$25.00–$887.00	27% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	33% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	33% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST	$1,082.40	$1,804.00	$216.40–$887.00	20% above	40%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$1,353.60	$2,256.00	$216.40–$887.00	50% above	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$1,856.92	$3,094.86	$97.01–$887.00	—	40%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS	$1,513.20	$2,522.00	$97.01–$887.00	at median	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$649.20	$1,082.00	$216.40–$887.00	26% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$579.60	$966.00	$216.40–$887.00	34% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$579.60	$966.00	$216.40–$887.00	34% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$861.60	$1,436.00	$316.39–$952.95	19% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$769.20	$1,282.00	$316.39–$887.00	28% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$769.20	$1,282.00	$316.39–$887.00	28% below	40%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$1,044.60	$1,741.00	$216.40–$887.00	13% above	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,138.80	$1,898.00	$216.40–$887.00	23% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$1,267.20	$2,112.00	$316.39–$955.20	4% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$1,381.20	$2,302.00	$316.39–$955.20	13% above	40%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$1,303.80	$2,173.00	$216.40–$887.00	39% above	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$1,421.40	$2,369.00	$216.40–$887.00	51% above	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$1,520.40	$2,534.00	$316.39–$887.00	1% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$1,657.20	$2,762.00	$316.39–$887.00	8% above	40%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$582.00	$970.00	$216.40–$887.00	35% below	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$634.20	$1,057.00	$216.40–$887.00	29% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$859.20	$1,432.00	$316.39–$887.00	36% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$936.60	$1,561.00	$316.39–$887.00	30% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$958.20	$1,597.00	$216.40–$887.00	6% above	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$1,044.60	$1,741.00	$216.40–$887.00	16% above	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$1,099.80	$1,833.00	$316.39–$887.00	20% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$1,198.80	$1,998.00	$316.39–$887.00	13% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$958.20	$1,597.00	$216.40–$887.00	3% above	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$1,044.60	$1,741.00	$216.40–$887.00	12% above	40%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$956.40	$1,594.00	$316.39–$955.20	16% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$1,042.20	$1,737.00	$316.39–$955.20	9% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$862.20	$1,437.00	$216.40–$887.00	1% above	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$939.60	$1,566.00	$216.40–$887.00	10% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,719.00	$2,865.00	$216.40–$887.00	92% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$2,578.80	$4,298.00	$216.40–$887.00	188% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$1,146.00	$1,910.00	$216.40–$887.00	28% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$1,146.00	$1,910.00	$216.40–$887.00	28% above	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$118.80	$198.00	$32.00–$887.00	33% below	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$129.60	$216.00	$32.00–$887.00	26% below	40%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$832.20	$1,387.00	$159.07–$887.00	1% above	40%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$178.80	$298.00	$94.82–$887.00	70% below	40%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$732.60	$1,221.00	$94.82–$887.00	21% above	40%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$85.20	$142.00	$10.00–$887.00	20% below	40%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$93.00	$155.00	$10.00–$887.00	13% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$1,969.20	$3,282.00	$266.71–$2,467.86	4% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$2,062.20	$3,437.00	$266.71–$2,467.86	9% above	40%
OCT scan of the retina (optical coherence tomography) CPT 92134 IMAGING OF RETINA	$111.00	$185.00	$18.02–$887.00	at median	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN	$1,642.20	$2,737.00	$887.00–$2,737.00	1% below	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$1,789.80	$2,983.00	$887.00–$2,769.22	8% above	40%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$535.20	$892.00	$94.82–$887.00	18% below	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$583.20	$972.00	$94.82–$887.00	10% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$103.20	$172.00	$24.00–$887.00	34% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$112.20	$187.00	$24.00–$887.00	28% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$140.40	$234.00	$40.00–$887.00	51% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$153.00	$255.00	$40.00–$887.00	47% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$147.00	$245.00	$56.00–$887.00	43% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$160.20	$267.00	$56.00–$887.00	38% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$139.80	$233.00	$42.75–$887.00	39% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$152.40	$254.00	$42.75–$887.00	34% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$103.20	$172.00	$26.00–$887.00	37% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$112.20	$187.00	$26.00–$887.00	32% below	40%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$81.00	$135.00	$17.00–$887.00	31% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	36% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$74.40	$124.00	$78.93–$887.00	36% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$103.20	$172.00	$94.82–$887.00	23% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$103.20	$172.00	$94.82–$887.00	23% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$112.20	$187.00	$17.00–$887.00	16% below	40%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$126.00	$210.00	$32.16–$887.00	—	40%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$115.80	$193.00	$32.16–$887.00	17% below	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$87.60	$146.00	$20.00–$887.00	23% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$80.40	$134.00	$78.93–$887.00	29% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$80.40	$134.00	$78.93–$887.00	29% below	40%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS	$74.40	$124.00	$30.00–$887.00	52% below	40%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$81.00	$135.00	$30.00–$887.00	48% below	40%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$103.20	$172.00	$22.00–$887.00	16% below	40%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$112.20	$187.00	$22.00–$887.00	9% below	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT	$442.20	$737.00	$218.53–$970.67	19% below	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$481.80	$803.00	$218.53–$970.67	12% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$163.80	$273.00	$29.00–$887.00	23% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$178.80	$298.00	$29.00–$887.00	16% below	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$89.40	$149.00	$21.18–$887.00	20% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$74.40	$124.00	$78.93–$887.00	34% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$74.40	$124.00	$78.93–$887.00	34% below	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$652.80	$1,088.00	$94.82–$887.00	7% below	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$711.60	$1,186.00	$94.82–$887.00	2% above	40%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$131.40	$219.00	$13.00–$887.00	15% above	40%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$131.40	$219.00	$78.93–$887.00	15% above	40%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$139.20	$232.00	$68.00–$887.00	47% below	40%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$151.80	$253.00	$68.00–$887.00	42% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$184.80	$308.00	$58.50–$887.00	7% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$201.60	$336.00	$58.50–$887.00	1% above	40%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$260.40	$434.00	$56.00–$887.00	31% below	40%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$283.80	$473.00	$56.00–$887.00	25% below	40%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$249.60	$416.00	$31.00–$887.00	at median	40%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$271.80	$453.00	$31.00–$887.00	9% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$365.40	$609.00	$54.00–$887.00	37% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$398.40	$664.00	$54.00–$887.00	50% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$185.40	$309.00	$30.00–$887.00	28% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$202.20	$337.00	$30.00–$887.00	21% below	40%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$81.00	$135.00	$22.00–$887.00	30% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$74.40	$124.00	$78.93–$887.00	35% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$74.40	$124.00	$78.93–$887.00	35% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$135.00	$225.00	$73.00–$887.00	46% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$147.00	$245.00	$73.00–$887.00	41% below	40%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$136.20	$227.00	$19.00–$887.00	27% above	40%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$124.80	$208.00	$78.93–$887.00	16% above	40%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$124.80	$208.00	$78.93–$887.00	16% above	40%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$144.00	$240.00	$23.00–$887.00	9% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$132.00	$220.00	$78.93–$887.00	at median	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$264.00	$440.00	$78.93–$887.00	100% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$98.40	$164.00	$27.84–$887.00	16% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$74.40	$124.00	$78.93–$887.00	37% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$74.40	$124.00	$78.93–$887.00	37% below	40%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$118.80	$198.00	$20.26–$887.00	at median	40%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$129.60	$216.00	$20.26–$887.00	9% above	40%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$112.20	$187.00	$30.00–$887.00	5% above	40%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$103.20	$172.00	$78.93–$887.00	4% below	40%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$103.20	$172.00	$78.93–$887.00	4% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$81.00	$135.00	$16.00–$887.00	19% below	40%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$85.80	$143.00	$23.00–$887.00	6% below	40%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$78.60	$131.00	$78.93–$887.00	14% below	40%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$78.60	$131.00	$78.93–$887.00	14% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$142.20	$237.00	$28.00–$887.00	9% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$130.20	$217.00	$78.93–$887.00	at median	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$130.20	$217.00	$78.93–$887.00	at median	40%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$81.00	$135.00	$25.00–$887.00	34% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$74.40	$124.00	$78.93–$887.00	39% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$74.40	$124.00	$78.93–$887.00	39% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$81.00	$135.00	$25.00–$887.00	31% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$74.40	$124.00	$78.93–$887.00	36% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$74.40	$124.00	$78.93–$887.00	36% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$103.20	$172.00	$28.00–$887.00	26% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$112.20	$187.00	$28.00–$887.00	19% below	40%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$119.40	$199.00	$40.00–$887.00	36% below	40%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$130.20	$217.00	$40.00–$887.00	30% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$103.20	$172.00	$24.00–$887.00	32% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$112.20	$187.00	$24.00–$887.00	26% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$81.00	$135.00	$23.00–$887.00	24% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$81.00	$135.00	$28.00–$887.00	34% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$148.80	$248.00	$28.00–$887.00	22% above	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$103.20	$172.00	$21.00–$887.00	24% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$112.20	$187.00	$21.00–$887.00	18% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$74.40	$124.00	$17.00–$887.00	44% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$81.00	$135.00	$17.00–$887.00	39% below	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$39.52	$65.87	$23.66–$887.00	60% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$61.20	$102.00	$5.14–$887.00	189% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$61.20	$102.00	$5.02–$887.00	194% above	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$97.20	$162.00	$46.20–$887.00	49% below	40%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$25.22	$42.04	$4.80–$887.00	6% above	40%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL	$43.80	$73.00	$4.80–$887.00	85% above	40%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL	$34.23	$57.05	$39.53–$887.00	66% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$25.01	$41.69	$5.02–$887.00	19% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$52.20	$87.00	$5.02–$887.00	148% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$24.29	$40.49	$5.06–$887.00	62% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$874.58	$1,457.64	$5.06–$887.00	5731% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$28.94	$48.23	$16.27–$887.00	67% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$96.60	$161.00	$16.27–$887.00	11% above	40%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$34.80	$58.00	$12.49–$887.00	36% below	40%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$37.80	$63.00	$12.49–$887.00	30% below	40%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$26.38	$43.96	$6.29–$887.00	11% below	40%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$37.80	$63.00	$6.29–$887.00	27% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$37.20	$62.00	$12.56–$887.00	24% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$75.60	$126.00	$12.56–$887.00	55% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$49.80	$83.00	$11.73–$887.00	5% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$54.00	$90.00	$11.73–$887.00	14% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$55.20	$92.00	$38.08–$887.00	14% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$69.00	$115.00	$38.08–$887.00	8% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$110.40	$184.00	$8.36–$887.00	187% above	40%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$64.20	$107.00	$8.21–$887.00	34% below	40%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$127.20	$212.00	$8.21–$887.00	30% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$57.00	$95.00	$4.87–$887.00	45% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$114.00	$190.00	$28.00–$887.00	47% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$211.20	$352.00	$28.00–$887.00	173% above	40%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$49.80	$83.00	$10.01–$887.00	1% above	40%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$91.20	$152.00	$10.01–$887.00	85% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$34.20	$57.00	$9.06–$887.00	281% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$68.40	$114.00	$9.06–$887.00	662% above	40%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$27.60	$46.00	$3.81–$887.00	47% above	40%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$30.00	$50.00	$3.81–$887.00	60% above	40%
Blood lead test CPT 83655 LEAD LEVEL	$25.80	$43.00	$11.75–$887.00	13% below	40%
Blood lead test CPT 83655 ASSAY OF LEAD	$64.20	$107.00	$11.75–$887.00	116% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$19.20	$32.00	$7.29–$887.00	49% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$21.00	$35.00	$7.29–$887.00	44% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$76.13	$126.88	$4.26–$887.00	33% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$102.60	$171.00	$4.26–$887.00	79% above	40%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$26.40	$44.00	$3.83–$887.00	at median	40%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$28.80	$48.00	$3.83–$887.00	9% above	40%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$64.20	$107.00	$20.19–$887.00	3% above	40%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$70.20	$117.00	$20.19–$887.00	13% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$45.00	$75.00	$5.02–$887.00	44% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$53.40	$89.00	$5.02–$887.00	71% above	40%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$39.60	$66.00	$36.15–$887.00	55% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$77.40	$129.00	$36.15–$887.00	13% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$82.80	$138.00	$20.19–$887.00	7% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$31.25	$52.09	$20.19–$887.00	55% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$56.40	$94.00	$20.19–$887.00	19% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$94.20	$157.00	$49.77–$887.00	5% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN	$105.00	$175.00	$49.77–$887.00	6% above	40%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$52.80	$88.00	$5.01–$887.00	167% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$30.00	$50.00	$18.39–$887.00	51% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$136.20	$227.00	$18.39–$887.00	122% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$12.70	$21.16	$12.49–$887.00	63% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$30.34	$50.56	$12.49–$887.00	12% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$39.43	$65.72	$34.04–$887.00	37% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$72.60	$121.00	$34.04–$887.00	15% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$46.80	$78.00	$12.99–$887.00	35% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$51.00	$85.00	$12.99–$887.00	29% below	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$51.60	$86.00	$7.54–$887.00	68% above	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$56.40	$94.00	$7.54–$887.00	84% above	40%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$43.80	$73.00	$6.28–$887.00	83% above	40%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$48.00	$80.00	$6.28–$887.00	101% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$138.60	$231.00	$10.24–$887.00	at median	40%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$202.80	$338.00	$10.24–$887.00	46% above	40%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$48.11	$80.18	$15.81–$887.00	17% below	40%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$52.80	$88.00	$15.81–$887.00	9% below	40%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$19.80	$33.00	$6.31–$887.00	44% below	40%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$21.60	$36.00	$6.31–$887.00	39% below	40%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$31.80	$53.00	$4.97–$887.00	31% above	40%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$63.60	$106.00	$4.97–$887.00	162% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$11.40	$19.00	$13.96–$887.00	79% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$27.72	$46.20	$13.96–$887.00	50% below	40%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$70.80	$118.00	$9.87–$887.00	41% above	40%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$77.40	$129.00	$9.87–$887.00	54% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$28.68	$47.80	$21.56–$887.00	57% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$86.40	$144.00	$60.28–$887.00	48% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$94.80	$158.00	$60.28–$887.00	63% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE)	$27.00	$45.00	$6.80–$887.00	58% below	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$29.40	$49.00	$6.80–$887.00	54% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$8.86	$14.77	$14.77–$887.00	81% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID	$17.72	$29.54	$17.60–$887.00	63% below	40%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$110.40	$184.00	$27.10–$887.00	26% above	40%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$73.80	$123.00	$18.02–$887.00	11% above	40%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$80.40	$134.00	$18.02–$887.00	21% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$128.40	$214.00	$19.04–$887.00	33% above	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$100.80	$168.00	$13.22–$887.00	93% above	40%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$102.60	$171.00	$13.22–$887.00	96% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$29.42	$49.03	$9.43–$887.00	at median	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$40.80	$68.00	$9.43–$887.00	39% above	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$63.00	$105.00	$14.26–$887.00	18% above	40%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$68.40	$114.00	$14.26–$887.00	28% above	40%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$64.80	$108.00	$16.43–$887.00	7% above	40%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$92.04	$153.40	$16.43–$887.00	52% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$40.20	$67.00	$8.75–$887.00	at median	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$82.80	$138.00	$8.75–$887.00	106% above	40%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$32.24	$53.74	$24.71–$887.00	57% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$31.20	$52.00	$6.98–$887.00	18% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$34.20	$57.00	$6.98–$887.00	10% below	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$72.60	$121.00	$23.56–$887.00	50% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE	$16.20	$27.00	$4.61–$887.00	45% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$17.40	$29.00	$4.61–$887.00	41% below	40%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS	$50.40	$84.00	$12.48–$887.00	at median	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$55.20	$92.00	$12.48–$887.00	10% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$37.80	$63.00	$34.04–$887.00	45% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$39.43	$65.72	$34.04–$887.00	43% below	40%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$55.16	$91.94	$16.34–$887.00	26% below	40%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$54.60	$91.00	$6.12–$887.00	at median	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$69.60	$116.00	$82.55–$887.00	59% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$238.20	$397.00	$82.55–$887.00	41% above	40%
HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS	$10.80	$18.00	$13.30–$887.00	83% below	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$12.76	$21.26	$13.30–$887.00	80% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$25.80	$43.00	$23.36–$887.00	47% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$49.80	$83.00	$23.36–$887.00	2% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES	$36.00	$60.00	$34.04–$887.00	42% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$72.60	$121.00	$34.04–$887.00	18% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$26.57	$44.28	$9.42–$887.00	23% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$53.40	$89.00	$9.42–$887.00	55% above	40%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$9.60	$16.00	$2.30–$887.00	22% below	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$10.20	$17.00	$2.30–$887.00	17% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$26.95	$44.92	$11.69–$887.00	20% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT	$48.00	$80.00	$11.69–$887.00	43% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$42.60	$71.00	$10.42–$887.00	13% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$46.20	$77.00	$10.42–$887.00	6% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$8.40	$14.00	$10.02–$887.00	77% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$67.80	$113.00	$10.02–$887.00	83% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$17.95	$29.92	$13.84–$887.00	66% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$106.20	$177.00	$13.84–$887.00	102% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$70.20	$117.00	$41.55–$887.00	47% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$243.60	$406.00	$41.55–$887.00	86% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$12.00	$20.00	$12.79–$887.00	72% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$27.60	$46.00	$12.79–$887.00	35% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2	$13.80	$23.00	$18.77–$887.00	74% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$40.20	$67.00	$18.77–$887.00	25% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$51.60	$86.00	$12.56–$887.00	18% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$56.40	$94.00	$12.56–$887.00	29% above	40%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$28.80	$48.00	$17.38–$887.00	54% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$49.80	$83.00	$17.38–$887.00	21% below	40%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$35.40	$59.00	$11.09–$887.00	10% below	40%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$38.40	$64.00	$11.09–$887.00	3% below	40%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$23.40	$39.00	$6.28–$887.00	6% below	40%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$83.40	$139.00	$6.28–$887.00	235% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$76.80	$128.00	$8.42–$887.00	at median	40%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$79.20	$132.00	$8.42–$887.00	3% above	40%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$73.80	$123.00	$17.96–$887.00	12% above	40%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$80.40	$134.00	$17.96–$887.00	22% above	40%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$66.77	$111.29	$11.22–$887.00	53% above	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$69.00	$115.00	$11.22–$887.00	59% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$54.60	$91.00	$5.86–$887.00	163% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$25.80	$43.00	$6.68–$887.00	5% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$26.40	$44.00	$6.68–$887.00	2% below	40%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$63.00	$105.00	$7.92–$887.00	29% below	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$68.40	$114.00	$7.92–$887.00	23% below	40%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$27.21	$45.35	$16.52–$887.00	55% below	40%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$54.08	$90.13	$16.52–$887.00	11% below	40%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$32.40	$54.00	$6.50–$887.00	18% above	40%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$53.26	$88.77	$6.50–$887.00	94% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$27.60	$46.00	$12.49–$887.00	21% below	40%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$27.62	$46.03	$12.49–$887.00	21% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$10.80	$18.00	$5.02–$887.00	47% below	40%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$26.95	$44.92	$12.66–$887.00	30% below	40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$27.00	$45.00	$12.66–$887.00	30% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$73.20	$122.00	$17.84–$887.00	33% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$79.80	$133.00	$17.84–$887.00	45% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$77.40	$129.00	$17.84–$887.00	32% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$79.80	$133.00	$17.84–$887.00	36% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING	$30.00	$50.00	$19.00–$887.00	38% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$49.80	$83.00	$19.00–$887.00	3% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$34.43	$57.38	$40.04–$887.00	69% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$149.40	$249.00	$40.04–$887.00	35% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$38.40	$64.00	$5.83–$887.00	44% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$42.00	$70.00	$5.83–$887.00	58% above	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$26.40	$44.00	$4.60–$887.00	7% below	40%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$28.80	$48.00	$4.60–$887.00	2% above	40%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$23.40	$39.00	$4.62–$887.00	12% above	40%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$25.80	$43.00	$4.62–$887.00	23% above	40%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$82.80	$138.00	$20.23–$887.00	48% above	40%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$90.00	$150.00	$20.23–$887.00	61% above	40%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$47.88	$79.80	$18.80–$887.00	18% below	40%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$74.40	$124.00	$18.80–$887.00	28% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$19.80	$33.00	$4.16–$887.00	12% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$21.60	$36.00	$4.16–$887.00	4% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$25.80	$43.00	$12.22–$887.00	5% below	40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$48.00	$80.00	$12.45–$887.00	at median	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP)	$23.40	$39.00	$12.87–$887.00	12% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$34.20	$57.00	$12.87–$887.00	28% above	40%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL	$80.52	$134.20	$21.33–$887.00	3% above	40%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$31.20	$52.00	$4.46–$887.00	4% above	40%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$86.00	$143.33	$4.46–$887.00	187% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$5.40	$9.00	$5.50–$887.00	81% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$51.03	$85.05	$5.50–$887.00	77% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$26.76	$44.60	$13.96–$887.00	28% below	40%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$57.00	$95.00	$13.96–$887.00	54% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$10.80	$18.00	$2.62–$887.00	54% below	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$12.00	$20.00	$2.62–$887.00	49% below	40%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$16.20	$27.00	$4.67–$887.00	31% below	40%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$17.40	$29.00	$4.67–$887.00	25% below	40%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$22.80	$38.00	$8.63–$887.00	28% below	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$39.30	$65.50	$8.63–$887.00	23% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$9.00	$15.00	$4.25–$887.00	57% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY	$61.20	$102.00	$15.44–$887.00	74% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$40.17	$66.95	$12.84–$887.00	58% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM	$48.00	$80.00	$12.84–$887.00	89% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$12.53	$20.88	$4.14–$887.00	28% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$37.20	$62.00	$4.14–$887.00	112% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$53.55	$89.25	$60.12–$887.00	34% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$61.80	$103.00	$60.12–$887.00	24% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$27.62	$46.03	$25.04–$887.00	64% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$109.20	$182.00	$25.04–$887.00	40% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$30.92	$51.54	$14.11–$887.00	21% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$57.60	$96.00	$14.11–$887.00	47% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$75.87	$126.45	$16.30–$887.00	59% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$155.40	$259.00	$16.30–$887.00	226% above	40%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$26.29	$43.82	$15.97–$887.00	39% below	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL	$17.40	$29.00	$4.22–$887.00	38% below	40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$19.20	$32.00	$4.22–$887.00	31% below	40%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$75.00	$125.00	$6.66–$887.00	183% above	40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$109.20	$182.00	$6.66–$887.00	313% above	40%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$61.80	$103.00	$13.75–$887.00	36% above	40%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$87.00	$145.00	$13.75–$887.00	91% above	40%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$50.40	$84.00	$12.38–$887.00	41% above	40%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$55.20	$92.00	$12.38–$887.00	54% above	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$61.32	$102.20	$34.04–$887.00	23% above	40%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$135.00	$225.00	$34.04–$887.00	172% above	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$24.00	$40.00	$5.57–$887.00	2% above	40%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$25.42	$42.36	$5.57–$887.00	8% above	40%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$61.80	$103.00	$12.10–$887.00	at median	40%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$67.20	$112.00	$12.10–$887.00	9% above	40%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$50.40	$84.00	$4.38–$887.00	68% above	40%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$29.40	$49.00	$3.07–$887.00	37% above	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$30.60	$51.00	$3.07–$887.00	42% above	40%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$8.40	$14.00	$3.90–$887.00	63% below	40%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$9.00	$15.00	$2.18–$887.00	36% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$9.60	$16.00	$2.18–$887.00	32% below	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$19.80	$33.00	$3.38–$887.00	69% above	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST	$123.00	$205.00	$3.38–$887.00	951% above	40%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$27.00	$45.00	$7.83–$887.00	6% below	40%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$29.40	$49.00	$7.83–$887.00	3% above	40%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$39.60	$66.00	$5.61–$887.00	90% above	40%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$43.20	$72.00	$5.61–$887.00	108% above	40%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$20.40	$34.00	$8.35–$887.00	36% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$63.00	$105.00	$14.63–$887.00	16% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$68.40	$114.00	$14.63–$887.00	26% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$64.80	$108.00	$28.71–$887.00	12% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$70.80	$118.00	$28.71–$887.00	4% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL	$40.20	$67.00	$37.34–$887.00	60% below	40%
Zinc blood test CPT 84630 ASSAY OF ZINC	$27.72	$46.20	$11.05–$887.00	27% below	40%
Zinc blood test CPT 84630 ZINC LEVEL	$64.20	$107.00	$11.05–$887.00	70% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$28.61	$47.68	$11.54–$887.00	28% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$118.80	$198.00	$11.54–$887.00	199% above	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$4,230.30	$7,050.50	$363.00–$22,807.32	112% above	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$1,392.90	$2,321.50	$887.00–$12,890.32	51% below	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$1,421.40	$2,369.00	$887.00–$12,890.32	50% below	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$1,421.40	$2,369.00	$887.00–$12,890.32	43% below	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$1,947.30	$3,245.50	$887.00–$12,890.32	22% below	40%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS	$5,654.40	$9,424.00	$320.00–$12,537.25	201% above	40%
Balloon dilation of the maxillary sinus opening, one side one side CPT 31295 DILATION OF NASAL SINUS USING AN ENDOSCOPE	$1,270.50	$2,117.50	$887.00–$12,537.25	32% below	40%
Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE	$468.00	$780.00	$205.00–$887.00	8% below	40%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$496.20	$827.00	$205.00–$887.00	2% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$1,462.20	$2,437.00	$250.00–$2,934.00	at median	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,549.80	$2,583.00	$250.00–$2,934.00	6% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$1,549.80	$2,583.00	$887.00–$2,934.00	6% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$1,549.80	$2,583.00	$887.00–$2,934.00	6% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE	$496.20	$827.00	$223.70–$1,306.00	33% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE	$1,175.00	$1,958.33	$223.70–$1,306.00	216% above	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$496.20	$827.00	$205.00–$887.00	15% above	40%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$3,744.00	$6,240.00	$887.00–$5,812.56	2% above	40%
Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION	$1,947.30	$3,245.50	$887.00–$5,812.56	11% above	40%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$4,949.40	$8,249.00	$165.64–$7,802.00	9% above	40%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$4,540.80	$7,568.00	$165.64–$7,802.00	at median	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$514.80	$858.00	$76.00–$1,174.14	32% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$561.00	$935.00	$76.00–$1,174.14	26% below	40%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$2,749.20	$4,582.00	$320.00–$3,468.93	11% above	40%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$2,914.20	$4,857.00	$320.00–$3,468.92	17% above	40%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$2,749.20	$4,582.00	$887.00–$3,468.93	11% above	40%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$2,749.20	$4,582.00	$887.00–$3,468.93	11% above	40%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$1,755.60	$2,926.00	$887.00–$4,099.73	26% below	40%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,494.80	$4,158.00	$887.00–$4,099.73	5% above	40%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION	$19,665.60	$32,776.00	$530.95–$46,432.68	50% above	40%
Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB	$21,435.60	$35,726.00	$530.95–$46,432.68	64% above	40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$795.00	$1,325.00	$250.00–$1,636.20	58% below	40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH	$1,208.10	$2,013.50	$250.00–$1,636.20	36% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$1,066.05	$1,776.75	$250.00–$3,713.47	71% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$2,914.20	$4,857.00	$250.00–$3,713.47	20% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$2,256.00	$3,760.00	$250.00–$3,713.47	132% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$2,914.20	$4,857.00	$250.00–$3,713.47	199% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$468.00	$780.00	$223.70–$887.00	88% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$496.20	$827.00	$205.00–$887.00	99% above	40%
Colonoscopy with endoscopic ultrasound CPT 45391 ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$466.50	$777.50	$297.00–$2,125.78	at median	40%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,479.00	$2,465.00	$250.00–$2,125.78	94% above	40%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$400.20	$667.00	$250.00–$2,125.78	48% below	40%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,958.00	$4,930.00	$250.00–$1,751.00	150% above	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$2,914.20	$4,857.00	$250.00–$5,750.62	6% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$496.20	$827.00	$250.00–$1,306.00	3% below	40%
Complex cataract surgery with lens implant CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$3,234.00	$5,390.00	$363.00–$4,099.73	45% above	40%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,125.20	$3,542.00	$887.00–$4,099.73	5% below	40%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,494.80	$4,158.00	$887.00–$4,099.73	12% above	40%
Coronary stent placement, one artery CPT 92928 INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH	$9,201.60	$15,336.00	$320.00–$20,507.71	7% above	40%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$1,743.60	$2,906.00	$363.00–$6,261.96	17% below	40%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$2,988.00	$4,980.00	$363.00–$6,261.96	43% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$2,667.00	$4,445.00	$887.00–$6,261.96	28% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$2,667.00	$4,445.00	$887.00–$6,261.96	28% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$750.00	$1,250.00	$250.00–$1,306.00	60% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$795.00	$1,325.00	$250.00–$1,306.00	58% below	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$12,530.23	$20,883.71	$320.00–$5,750.62	328% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH	$468.00	$780.00	$181.96–$887.00	217% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$496.20	$827.00	$181.96–$887.00	236% above	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,470.00	$2,450.00	$887.00–$2,756.33	26% below	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,863.00	$3,105.00	$887.00–$2,756.33	6% below	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$496.20	$827.00	$250.00–$1,306.00	6% above	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA	$468.00	$780.00	$489.13–$1,306.00	at median	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA	$468.00	$780.00	$489.13–$1,306.00	at median	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$54.00	$90.00	$53.51–$887.00	5% below	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$931.50	$1,552.50	$53.51–$887.00	1543% above	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$1,386.00	$2,310.00	$53.51–$887.00	2344% above	40%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$54.00	$90.00	$53.51–$887.00	43% below	40%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$81.00	$135.00	$53.51–$887.00	14% below	40%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$25.50	$42.50	$53.51–$887.00	73% below	40%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$51.00	$85.00	$53.51–$887.00	46% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS	$468.00	$780.00	$183.36–$887.00	at median	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$496.20	$827.00	$183.36–$887.00	6% above	40%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF NASAL SINUS USING AN ENDOSCOPE	$1,379.00	$2,298.34	$320.00–$12,537.25	45% below	40%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$681.45	$1,135.75	$887.00–$12,537.24	75% below	40%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$868.56	$1,447.60	$887.00–$12,537.24	68% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$765.60	$1,276.00	$887.00–$6,623.23	53% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$1,016.40	$1,694.00	$887.00–$6,623.23	38% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$1,201.20	$2,002.00	$297.00–$12,537.25	53% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$794.64	$1,324.40	$887.00–$12,537.24	69% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$1,016.40	$1,694.00	$887.00–$12,537.24	61% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$750.00	$1,250.00	$250.00–$1,306.00	at median	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$795.00	$1,325.00	$250.00–$1,306.00	6% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance one side CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$795.00	$1,325.00	$640.18–$1,306.00	6% above	40%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$496.20	$827.00	$299.57–$1,306.00	6% above	40%
Eye injection into the vitreous (intravitreal injection) one side CPT 67028 INJECTION OF DRUG INTO EYE	$468.00	$780.00	$299.57–$1,306.00	at median	40%
Eye injection into the vitreous (intravitreal injection) one side CPT 67028 INJECTION OF DRUG INTO EYE	$468.00	$780.00	$299.57–$1,306.00	at median	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$798.60	$1,331.00	$250.00–$1,571.22	17% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,198.20	$1,997.00	$250.00–$1,571.22	25% above	40%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$753.60	$1,256.00	$802.15–$1,571.22	22% below	40%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$753.60	$1,256.00	$802.15–$1,571.22	22% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$3,617.00	$6,028.34	$363.00–$11,500.43	20% below	40%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE	$3,744.00	$6,240.00	$363.00–$11,500.43	31% below	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$3,029.60	$5,049.34	$363.00–$6,360.42	24% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$750.00	$1,250.00	$250.00–$1,652.03	2% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$795.00	$1,325.00	$250.00–$1,652.03	8% above	40%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$9,428.78	$15,714.64	$363.00–$10,739.60	76% above	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$6,804.60	$11,341.00	$363.00–$10,739.60	at median	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER	$5,709.00	$9,515.00	$871.23–$3,148.60	13% above	40%
Hammertoe correction surgery one side CPT 28285 CORRECTION OF TOE JOINT DEFORMITY	$1,086.00	$1,810.00	$887.00–$5,812.56	35% below	40%
Hammertoe correction surgery one side CPT 28285 CORRECTION OF TOE JOINT DEFORMITY	$1,641.00	$2,735.00	$887.00–$5,812.56	2% below	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING	$750.00	$1,250.00	$250.00–$1,652.03	10% below	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$795.00	$1,325.00	$250.00–$1,652.03	5% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$2,416.20	$4,027.00	$297.00–$4,930.82	26% below	40%
Hip replacement after an earlier hip surgery (conversion to total hip) one side CPT 27132 TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY	$19,058.54	$31,764.24	$887.00–$22,807.32	36% above	40%
Hip replacement after an earlier hip surgery (conversion to total hip) one side CPT 27132 TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY	$33,694.55	$56,157.58	$887.00–$22,807.32	141% above	40%
Hysterectomy through an abdominal incision (total) CPT 58150 REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN	$7,702.52	$12,837.53	$816.70–$3,148.60	2% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES	$234.00	$390.00	$45.78–$2,759.00	2% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$247.80	$413.00	$45.78–$2,759.00	8% above	40%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$1,479.00	$2,465.00	$363.00–$8,886.62	47% below	40%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$4,282.20	$7,137.00	$363.00–$8,886.62	52% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$2,864.40	$4,774.00	$363.00–$5,750.62	5% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$2,914.20	$4,857.00	$363.00–$5,750.62	7% above	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$247.80	$413.00	$40.48–$887.00	84% below	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$1,392.90	$2,321.50	$40.48–$887.00	9% below	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$1,272.00	$2,120.00	$2,000.00	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$468.00	$780.00	$181.96–$887.00	89% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$496.20	$827.00	$181.96–$887.00	101% above	40%
Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$496.20	$827.00	$181.96–$887.00	101% above	40%
Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$2,565.00	$4,275.00	$181.96–$887.00	937% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$5,373.00	$8,955.00	$887.00–$6,360.42	16% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$7,252.39	$12,087.31	$887.00–$6,360.42	56% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$468.00	$780.00	$250.00–$1,306.00	13% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$744.00	$1,240.00	$250.00–$1,306.00	79% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$1,208.10	$2,013.50	$278.39–$1,306.00	191% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$468.00	$780.00	$250.00–$1,306.00	14% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$744.00	$1,240.00	$250.00–$1,306.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$468.00	$780.00	$278.39–$1,306.00	14% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$468.00	$780.00	$278.39–$1,306.00	14% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$496.20	$827.00	$120.67–$887.00	55% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE	$883.01	$1,471.68	$120.67–$887.00	177% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$468.00	$780.00	$250.00–$1,306.00	29% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$744.00	$1,240.00	$250.00–$1,306.00	104% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$468.00	$780.00	$278.39–$1,306.00	29% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$593.00	$988.33	$278.39–$1,306.00	63% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$468.00	$780.00	$250.00–$1,306.00	46% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$496.20	$827.00	$250.00–$1,306.00	54% above	40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$511.65	$852.75	$278.39–$1,306.00	59% above	40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$1,329.00	$2,215.00	$278.39–$1,306.00	313% above	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$1,392.90	$2,321.50	$887.00–$5,812.56	55% below	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$1,421.40	$2,369.00	$887.00–$5,812.56	54% below	40%
Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$2,172.00	$3,620.00	$297.00–$5,812.56	41% below	40%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$2,046.60	$3,411.00	$887.00–$5,812.56	44% below	40%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$2,046.60	$3,411.00	$887.00–$5,812.56	44% below	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$2,046.60	$3,411.00	$887.00–$5,812.56	45% below	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$2,416.20	$4,027.00	$887.00–$5,812.56	35% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$2,046.60	$3,411.00	$887.00–$5,812.56	44% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$2,046.60	$3,411.00	$887.00–$5,812.56	44% below	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$3,525.00	$5,875.00	$363.00–$10,739.60	36% below	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$10,286.87	$17,144.78	$363.00–$18,883.40	at median	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$5,425.50	$9,042.50	$363.00–$18,883.40	42% below	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries one side CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$1,296.50	$2,160.83	$887.00–$18,883.40	86% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$7,155.00	$11,925.00	$363.00–$10,739.60	47% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$2,356.20	$3,927.00	$887.00–$10,739.60	52% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$2,412.75	$4,021.25	$887.00–$10,739.60	51% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$12,391.78	$20,652.96	$363.00–$10,739.60	89% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$3,029.60	$5,049.33	$887.00–$10,739.60	54% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$1,392.90	$2,321.50	$363.00–$10,739.60	66% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$1,247.40	$2,079.00	$887.00–$10,739.60	70% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$3,525.00	$5,875.00	$887.00–$10,739.60	15% below	40%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE	$8,403.00	$14,005.00	$865.40–$12,298.86	42% below	40%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$795.00	$1,325.00	$250.00–$1,751.00	6% above	40%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER	$750.00	$1,250.00	$498.81–$1,751.00	at median	40%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER	$750.00	$1,250.00	$498.81–$1,751.00	at median	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$496.20	$827.00	$205.00–$887.00	15% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$496.20	$827.00	$368.68–$887.00	15% above	40%
Left heart catheterization, diagnostic one side CPT 93452 INSERTION OF TUBE IN LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$4,540.80	$7,568.00	$134.65–$7,802.00	at median	40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$4,949.40	$8,249.00	$134.65–$7,802.00	9% above	40%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$750.00	$1,250.00	$250.00–$1,306.00	1% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$795.00	$1,325.00	$250.00–$1,306.00	4% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$795.00	$1,325.00	$297.00–$1,571.22	28% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$753.60	$1,256.00	$250.00–$1,571.22	16% below	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$798.60	$1,331.00	$250.00–$1,571.22	11% below	40%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$753.60	$1,256.00	$802.15–$1,571.22	16% below	40%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$753.60	$1,256.00	$802.15–$1,571.22	16% below	40%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$6,984.60	$11,641.00	$297.00–$12,890.32	26% above	40%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$3,406.20	$5,677.00	$887.00–$12,890.32	39% below	40%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$3,406.20	$5,677.00	$887.00–$12,890.32	39% below	40%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$4,680.90	$7,801.50	$297.00–$12,890.32	3% below	40%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$3,624.60	$6,041.00	$887.00–$12,890.32	25% below	40%
Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK	$1,856.85	$3,094.75	$887.00–$31,148.01	at median	40%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST	$2,893.20	$4,822.00	$320.00–$6,955.58	49% above	40%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$3,066.60	$5,111.00	$320.00–$6,955.58	58% above	40%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$1,940.40	$3,234.00	$887.00–$6,955.58	at median	40%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$3,603.60	$6,006.00	$887.00–$6,955.58	86% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$1,070.30	$1,783.83	$887.00–$11,795.94	66% below	40%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$2,530.20	$4,217.00	$887.00–$11,795.94	20% below	40%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$1,755.60	$2,926.00	$320.00–$5,750.62	18% below	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$2,409.35	$4,015.59	$2,000.00	—	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; 1-5 TISSUE BLOCKS	$480.00	$800.00	$250.00–$1,312.94	at median	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G	$508.80	$848.00	$250.00–$1,312.94	6% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$795.00	$1,325.00	$250.00–$1,306.00	51% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$750.00	$1,250.00	$320.00–$1,306.00	8% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$795.00	$1,325.00	$320.00–$1,306.00	15% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$795.00	$1,325.00	$642.23–$1,306.00	15% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$900.00	$1,500.00	$642.23–$1,306.00	30% above	40%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$175.20	$292.00	$181.96–$887.00	23% below	40%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$496.20	$827.00	$250.00–$887.00	12% above	40%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$744.00	$1,240.00	$250.00–$1,306.00	67% above	40%
Occipital nerve block (injection for headaches) one side CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$468.00	$780.00	$278.39–$1,306.00	5% above	40%
Occipital nerve block (injection for headaches) one side CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$496.20	$827.00	$278.39–$887.00	12% above	40%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$10,170.00	$16,950.00	$297.00–$18,567.48	19% above	40%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$1,462.20	$2,437.00	$250.00–$1,611.20	105% above	40%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,549.80	$2,583.00	$250.00–$1,611.20	117% above	40%
Paracentesis with imaging guidance one side CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$1,549.80	$2,583.00	$822.56–$1,611.20	117% above	40%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$3,894.60	$6,491.00	$887.00–$22,807.32	34% below	40%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$4,137.00	$6,895.00	$887.00–$22,807.31	30% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$496.20	$827.00	$250.00–$1,306.00	16% below	40%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$1,642.80	$2,738.00	$250.00–$1,751.00	35% below	40%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$12,613.20	$21,022.00	$363.00–$18,883.40	at median	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$2,749.20	$4,582.00	$297.00–$3,468.93	35% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$4,371.00	$7,285.00	$297.00–$3,468.92	115% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$2,749.20	$4,582.00	$887.00–$3,468.93	35% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$2,749.20	$4,582.00	$887.00–$3,468.93	35% above	40%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$3,066.60	$5,111.00	$320.00–$6,955.58	at median	40%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$3,525.00	$5,875.00	$887.00–$6,955.58	15% above	40%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$5,024.33	$8,373.88	$887.00–$6,955.58	64% above	40%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$468.00	$780.00	$205.00–$887.00	15% above	40%
Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$496.20	$827.00	$368.68–$887.00	22% above	40%
Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$1,779.00	$2,965.00	$205.00–$887.00	336% above	40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$3,525.00	$5,875.00	$363.00–$10,739.60	45% below	40%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$3,234.00	$5,390.00	$887.00–$10,739.60	50% below	40%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$3,973.20	$6,622.00	$887.00–$10,739.60	38% below	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$880.20	$1,467.00	$843.41–$1,751.00	33% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$1,510.00	$2,516.66	$843.41–$1,751.00	134% above	40%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$2,725.80	$4,543.00	$363.00–$5,889.77	7% above	40%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$240.60	$401.00	$250.00–$887.00	101% above	40%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$102.60	$171.00	$120.67–$887.00	29% below	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$102.60	$171.00	$120.67–$887.00	29% below	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$102.60	$171.00	$120.67–$887.00	29% below	40%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$247.20	$412.00	$250.00–$887.00	64% above	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$103.20	$172.00	$147.37–$887.00	29% below	40%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$103.20	$172.00	$147.37–$887.00	29% below	40%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$103.20	$172.00	$147.37–$887.00	29% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$705.00	$1,175.00	$887.00–$5,812.56	76% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$881.25	$1,468.75	$887.00–$5,812.56	69% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$705.00	$1,175.00	$129.93–$2,001.00	64% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$1,947.30	$3,245.50	$129.93–$2,001.00	1% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$468.00	$780.00	$181.96–$887.00	125% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$496.20	$827.00	$181.96–$887.00	139% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$496.20	$827.00	$181.96–$887.00	139% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$496.20	$827.00	$181.96–$887.00	139% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$496.20	$827.00	$205.00–$887.00	87% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$1,479.00	$2,465.00	$205.00–$887.00	456% above	40%
Skin biopsy, punch, one lesion one side CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$496.20	$827.00	$205.00–$887.00	87% above	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$795.00	$1,325.00	$250.00–$1,306.00	8% below	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$468.00	$780.00	$181.96–$887.00	104% above	40%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$496.20	$827.00	$181.96–$887.00	117% above	40%
Skin tag removal, up to 15 tags one side CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$496.20	$827.00	$181.96–$887.00	117% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$750.00	$1,250.00	$250.00–$1,253.96	8% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$795.00	$1,325.00	$250.00–$1,306.00	14% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$468.00	$780.00	$181.96–$887.00	105% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$468.00	$780.00	$181.96–$887.00	105% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$496.20	$827.00	$181.96–$887.00	118% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$468.00	$780.00	$181.96–$887.00	131% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$496.20	$827.00	$181.96–$887.00	145% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$496.20	$827.00	$181.96–$887.00	145% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$496.20	$827.00	$181.96–$887.00	145% above	40%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$4,633.80	$7,723.00	$363.00–$9,524.97	44% above	40%
TURP (transurethral resection of the prostate) one side CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$1,762.50	$2,937.50	$887.00–$9,524.97	45% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH	$468.00	$780.00	$205.00–$887.00	89% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$496.20	$827.00	$205.00–$887.00	101% above	40%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$750.00	$1,250.00	$250.00–$1,306.00	22% below	40%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,192.20	$1,987.00	$250.00–$1,306.00	24% above	40%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$880.20	$1,467.00	$568.91–$1,306.00	8% below	40%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$880.20	$1,467.00	$568.91–$1,306.00	8% below	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$1,432.20	$2,387.00	$363.00–$5,889.77	47% below	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$2,416.20	$4,027.00	$363.00–$5,889.77	10% below	40%
Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$4,137.00	$6,895.00	$320.00–$22,807.31	49% below	40%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$3,894.60	$6,491.00	$887.00–$22,807.32	52% below	40%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$4,264.20	$7,107.00	$887.00–$22,807.31	48% below	40%
Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$13,775.12	$22,958.53	$320.00–$22,807.32	143% above	40%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$3,155.40	$5,259.00	$887.00–$22,807.32	44% below	40%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$3,155.40	$5,259.00	$887.00–$22,807.32	44% below	40%
Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$2,686.50	$4,477.50	$363.00–$31,148.01	41% below	40%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$4,264.20	$7,107.00	$887.00–$31,148.01	7% below	40%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$5,003.40	$8,339.00	$887.00–$31,148.01	10% above	40%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$10,988.73	$18,314.55	$320.00–$10,739.60	11% above	40%
Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER	$1,462.20	$2,437.00	$250.00–$2,856.54	7% below	40%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$1,549.80	$2,583.00	$250.00–$2,856.54	1% below	40%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$1,086.00	$1,810.00	$887.00–$2,856.54	31% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$468.00	$780.00	$250.00–$1,306.00	16% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$496.20	$827.00	$250.00–$1,306.00	23% above	40%
Trigger point injections, 1 or 2 muscles one side CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$496.20	$827.00	$278.39–$1,306.00	23% above	40%
Trigger point injections, 1 or 2 muscles one side CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$496.20	$827.00	$278.39–$1,306.00	23% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$1,462.20	$2,437.00	$250.00–$2,934.00	2% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,549.80	$2,583.00	$250.00–$2,934.00	8% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$1,549.80	$2,583.00	$887.00–$2,934.00	8% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$2,256.00	$3,760.00	$887.00–$2,934.00	57% above	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$2,785.80	$4,643.00	$363.00–$3,408.87	179% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$973.65	$1,622.75	$297.00–$1,751.00	17% below	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,565.00	$4,275.00	$250.00–$1,751.00	35% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,479.00	$2,465.00	$250.00–$3,408.87	86% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$466.50	$777.50	$250.00–$1,751.00	26% below	40%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,386.00	$2,310.00	$250.00–$1,611.20	8% below	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,104.60	$1,841.00	$250.00–$10,784.67	at median	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$2,136.60	$3,561.00	$363.00–$9,524.97	38% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$1,132.50	$1,887.50	$887.00–$9,524.97	67% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$1,762.50	$2,937.50	$887.00–$9,524.97	49% below	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$6,066.60	$10,111.00	$363.00–$9,524.97	74% above	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$3,484.80	$5,808.00	$887.00–$9,524.97	at median	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$4,515.00	$7,525.00	$887.00–$9,524.97	30% above	40%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$1,755.60	$2,926.00	$114.84–$3,713.47	at median	40%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$2,914.20	$4,857.00	$114.84–$3,713.47	66% above	40%
Vein ablation, radiofrequency, first vein CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$3,654.00	$6,090.00	$297.00–$5,609.10	21% above	40%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$3,873.00	$6,455.00	$297.00–$5,609.10	28% above	40%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$1,577.70	$2,629.50	$887.00–$5,609.10	48% below	40%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$1,872.00	$3,120.00	$887.00–$5,609.10	38% below	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$468.00	$780.00	$181.96–$887.00	147% above	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$496.20	$827.00	$181.96–$887.00	162% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$496.20	$827.00	$250.00–$887.00	19% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$2,958.00	$4,930.00	$368.68–$1,751.00	382% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$2,958.00	$4,930.00	$368.68–$1,751.00	382% above	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$3,425.70	$5,709.50	$887.00–$12,890.32	at median	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$3,894.60	$6,491.00	$887.00–$12,890.32	14% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$468.00	$780.00	$250.00–$1,135.00	at median	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$510.00	$850.00	$250.00–$1,135.00	8% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$172.20	$287.00	$2,000.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$187.80	$313.00	$2,000.00	—	40%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$285.00	$475.00	$299.57–$887.00	10% below	40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$310.80	$518.00	$299.57–$887.00	2% below	40%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/>	$108.60	$181.00	$114.72–$887.00	at median	40%
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/>	$108.60	$181.00	$114.72–$887.00	at median	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$299.40	$499.00	$12.00–$887.00	267% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$300.60	$501.00	$12.00–$887.00	268% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears one side CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$299.40	$499.00	$116.70–$887.00	267% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears one side CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$299.40	$499.00	$116.70–$887.00	267% above	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$1,337.40	$2,229.00	$481.85–$2,232.00	13% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$370.80	$618.00	$25.00–$887.00	7% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$404.40	$674.00	$25.00–$887.00	17% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$66.00	$110.00	$17.00–$887.00	13% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$72.00	$120.00	$17.00–$887.00	5% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$117.00	$195.00	$76.47–$703.00	35% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$127.80	$213.00	$76.47–$703.00	29% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$153.00	$255.00	$139.25–$767.00	50% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$166.80	$278.00	$139.25–$767.00	45% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$246.00	$410.00	$247.56–$972.00	50% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$268.20	$447.00	$247.56–$972.00	45% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$441.00	$735.00	$319.98–$1,218.00	36% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$480.60	$801.00	$319.98–$1,218.00	30% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$690.00	$1,150.00	$413.11–$3,437.00	34% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$1,434.00	$2,390.00	$413.11–$3,437.00	36% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$439.20	$732.00	$61.00–$887.00	10% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$478.20	$797.00	$61.00–$887.00	20% above	40%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT	$108.60	$181.00	$114.72–$887.00	at median	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$203.40	$339.00	$192.90–$377.85	39% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$280.20	$467.00	$192.90–$377.85	91% above	40%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$203.40	$339.00	$90.58–$377.85	16% above	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$337.80	$563.00	$90.58–$377.85	93% above	40%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$186.60	$311.00	$192.90–$377.85	54% above	40%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$203.40	$339.00	$192.90–$377.85	68% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$135.00	$225.00	$64.04–$203.00	179% above	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES	$242.40	$404.00	$71.51–$887.00	54% below	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$264.00	$440.00	$71.51–$887.00	49% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$87.00	$145.00	$29.45–$887.00	68% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES	$261.00	$435.00	$29.45–$887.00	404% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$26.40	$44.00	$24.30–$887.00	31% below	40%
Occupational therapy evaluation, low complexity CPT 97165 EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES	$261.60	$436.00	$90.70–$887.00	148% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$374.40	$624.00	$88.46–$887.00	163% above	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$261.60	$436.00	$88.46–$887.00	148% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$315.00	$525.00	$88.46–$887.00	149% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES	$57.00	$95.00	$24.96–$887.00	36% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$96.00	$160.00	$21.76–$887.00	48% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$264.60	$441.00	$21.76–$887.00	307% above	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES	$24.00	$40.00	$28.17–$887.00	28% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$26.40	$44.00	$28.17–$887.00	20% below	40%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$264.00	$440.00	$157.00–$887.00	51% above	40%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$154.20	$257.00	$21.76–$887.00	25% above	40%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER	$463.80	$773.00	$21.76–$887.00	275% above	40%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$153.00	$255.00	$24.00–$887.00	2% below	40%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$166.80	$278.00	$24.00–$887.00	7% above	40%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$253.20	$422.00	$39.00–$887.00	at median	40%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$276.00	$460.00	$39.00–$887.00	9% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$76.20	$127.00	$21.76–$887.00	20% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES	$140.40	$234.00	$21.76–$887.00	122% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$109.80	$183.00	$110.22–$887.00	4% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$119.40	$199.00	$110.22–$887.00	13% above	40%
Visual field test, extended CPT 92083 EXAM OF VISUAL FIELD WITH EXTENDED TESTING	$169.80	$283.00	$110.22–$887.00	11% below	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty PFS 2024-2025 Age 12 and older	$315.07	$525.12	$131.10–$887.00	18% above	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty 2025-2026 Age Over 65 / High Risk 12-64	$340.28	$567.13	$131.10–$887.00	28% above	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty	$340.28	$567.13	$131.10–$887.00	28% above	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM	$340.28	$567.13	$131.10–$887.00	28% above	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$258.50	$430.83	$132.86–$887.00	6% above	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$419.91	$699.85	$132.86–$887.00	73% above	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix	$124.92	$208.20	$65.21–$887.00	62% above	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix PFS	$133.81	$223.02	$65.21–$887.00	73% above	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix PFS	$61.16	$101.93	$21.47–$887.00	25% below	40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix PFS	$158.95	$264.92	$111.21–$887.00	5% below	40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; HEPATITIS B; AND POLIO VACCINE	$158.95	$264.92	$111.21–$887.00	5% below	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel-ActHIB Component	$195.05	$325.09	$130.53–$887.00	13% below	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; POLIO; AND HAEMOPHILUS INFLUENZAE TYPE B VACCINE	$195.05	$325.09	$130.53–$887.00	13% below	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel	$334.81	$558.02	$130.53–$887.00	50% above	40%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis PFS	$337.19	$561.98	$167.36–$887.00	61% above	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM	$126.00	$210.00	$37.19–$887.00	—	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Flublok 2024-2025 Formula	$167.30	$278.83	$37.19–$887.00	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$36.00	$60.00	$13.12–$887.00	8% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024-2025 Formula	$36.00	$60.00	$13.12–$887.00	8% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS	$72.00	$120.00	$13.12–$887.00	116% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE	$93.00	$155.00	$13.12–$887.00	179% above	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 PFS	$444.42	$740.70	$215.02–$887.00	38% above	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$444.42	$740.70	$215.02–$887.00	38% above	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$1,003.06	$1,671.77	$215.02–$887.00	212% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix PFS	$215.96	$359.93	$91.28–$887.00	27% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM	$215.96	$359.93	$91.28–$887.00	27% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND HEPATITIS B VACCINE	$272.96	$454.93	$91.28–$887.00	61% above	40%
Hepatitis A vaccine, adult dose CPT 90632 Vaqta Pediatric PFS	$87.77	$146.28	$61.05–$887.00	at median	40%
Hepatitis A vaccine, adult dose CPT 90632 Vaqta Pediatric	$87.77	$146.28	$61.05–$887.00	at median	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM	$152.42	$254.04	$61.05–$887.00	74% above	40%
Hepatitis A vaccine, adult dose CPT 90632 Havrix PFS	$152.42	$254.04	$61.05–$887.00	74% above	40%
Hepatitis A vaccine, adult dose CPT 90632 Vaqta PFS	$185.63	$309.38	$61.05–$887.00	111% above	40%
Hepatitis A vaccine, adult dose CPT 90632 Vaqta	$185.63	$309.38	$61.05–$887.00	111% above	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE	$246.02	$410.04	$61.05–$887.00	180% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B Adult PFS	$134.44	$224.07	$56.70–$887.00	23% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE; ADULT DOSAGE (3 DOSE SCHEDULE)	$134.44	$224.07	$56.70–$887.00	23% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax HB	$150.43	$250.71	$56.70–$887.00	38% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$156.81	$261.35	$56.70–$887.00	44% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B	$158.38	$263.96	$56.70–$887.00	45% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B PFS	$307.36	$512.26	$160.28–$887.00	at median	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE; ADULT DOSAGE	$307.36	$512.26	$160.28–$887.00	at median	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B	$307.36	$512.26	$160.28–$887.00	at median	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax HB Pediatric-Adolescent PFS	$62.57	$104.28	$25.80–$887.00	8% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax HB Pediatric-Adolescent	$62.57	$104.28	$25.80–$887.00	8% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B Pediatric-Adolescent PFS	$63.76	$106.26	$25.80–$887.00	10% above	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM	$56.49	$94.15	$25.09–$887.00	at median	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Pedvaxhib	$68.72	$114.54	$25.09–$887.00	22% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM	$34.56	$57.60	$13.54–$887.00	23% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ActHIB	$34.56	$57.60	$13.54–$887.00	23% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-T CONJUGATE	$151.56	$252.60	$13.54–$887.00	239% above	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula	$126.00	$210.00	$13.80–$887.00	4% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE	$126.00	$210.00	$13.80–$887.00	4% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula	$126.00	$210.00	$13.80–$887.00	4% below	40%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INACTIVATED JE VACC IM	$560.90	$934.83	$224.19–$887.00	—	40%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Ixiaro	$812.46	$1,354.10	$224.19–$887.00	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$149.27	$248.78	$34.64–$887.00	20% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$214.16	$356.93	$34.64–$887.00	14% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra	$340.99	$568.32	$65.60–$887.00	62% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM	$368.64	$614.40	$65.60–$887.00	76% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$368.64	$614.40	$65.60–$887.00	76% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE; SEROGROUPS A; C; W; Y; DIPHTHERIA TOXOID CARRIER VACCINE	$449.04	$748.40	$65.60–$887.00	114% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero PFS	$380.16	$633.60	$183.11–$887.00	at median	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE; SEROGROUP B	$380.16	$633.60	$183.11–$887.00	at median	40%
Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM	$306.13	$510.22	$131.81–$887.00	at median	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM	$387.91	$646.51	$257.99–$887.00	at median	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$572.40	$954.00	$283.71–$887.00	9% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 PFS	$572.40	$954.00	$283.71–$887.00	9% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 PFS	$199.79	$332.98	$133.47–$887.00	10% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE; 23-VALENT	$199.79	$332.98	$133.47–$887.00	10% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$269.75	$449.59	$133.47–$887.00	48% above	40%
Polio vaccine, inactivated (IPV) CPT 90713 Ipol	$96.51	$160.85	$19.43–$887.00	64% above	40%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM	$156.29	$260.48	$19.43–$887.00	165% above	40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM	$1,140.48	$1,900.80	$595.06–$887.00	at median	40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus PFS	$1,197.50	$1,995.84	$595.06–$887.00	5% above	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$1,140.48	$1,900.80	$595.06–$887.00	at median	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus PFS	$1,197.50	$1,995.84	$595.06–$887.00	5% above	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo	$679.68	$1,132.80	$319.07–$887.00	at median	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE; PREF; SUBUNIT; BIVALENT; FOR INTRAMUSCULAR USE	$679.68	$1,132.80	$319.07–$887.00	at median	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM	$645.12	$1,075.20	$306.35–$887.00	at median	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$742.59	$1,237.65	$262.98–$887.00	20% below	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE	$953.65	$1,589.42	$262.98–$887.00	3% above	40%
Rabies vaccine, one dose CPT 90675 RabAvert	$953.65	$1,589.42	$262.98–$887.00	3% above	40%
Rabies vaccine, one dose CPT 90675 Imovax Rabies	$999.50	$1,665.83	$262.98–$887.00	8% above	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL	$251.14	$418.56	$155.80–$887.00	28% above	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix	$451.06	$751.77	$155.80–$887.00	129% above	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL	$185.56	$309.26	$102.74–$887.00	at median	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RotaTeq	$320.57	$534.28	$102.74–$887.00	73% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGLES VACCINE FOR INJECTION INTO MUSCLE	$116.89	$194.82	$112.00–$887.00	67% below	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix	$455.96	$759.94	$112.00–$887.00	30% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$70.91	$118.19	$14.00–$887.00	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac PFS	$82.02	$136.70	$14.00–$887.00	16% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$82.03	$136.71	$14.00–$887.00	16% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER)	$94.87	$158.12	$28.80–$887.00	9% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel	$94.87	$158.12	$28.80–$887.00	9% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$98.03	$163.39	$28.80–$887.00	13% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$104.01	$173.35	$28.80–$887.00	19% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS	$104.01	$173.35	$28.80–$887.00	19% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM	$213.76	$356.27	$42.10–$887.00	at median	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim Vi PFS	$321.62	$536.03	$42.10–$887.00	50% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim Vi	$321.62	$536.03	$42.10–$887.00	50% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$57.00	$95.00	$13.14–$887.00	115% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$62.40	$104.00	$13.14–$887.00	135% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$23.40	$39.00	$13.14–$887.00	2% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$25.80	$43.00	$13.14–$887.00	8% above	40%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ	$162.05	$270.08	$256.33–$887.00	at median	40%

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://apim.services.craneware.com/api-pricing-transparency/api/public/f92677cc288ba08524ea6c28aefb71a2/charges/mrf