Vanderbilt Wilson County Hospital
Listed in its price file as “Vanderbilt University Medical Center”.
Vanderbilt Wilson County Hospital in Lebanon, TN publishes cash prices for 464 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 above the Tennessee median for 227 of 458 procedures and below it for 187. By typical cash price it ranks #44 of 88 Tennessee hospitals and #2 of 21 hospitals in the Nashville, TN area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1411 W Baddour Pkwy, Lebanon, TN 37087-2513 Collected Oct 29, 2026 Source price file Check a bill from this hospital (615) 444-2250
Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 440193 · CMS hospital register NPI 1306889597
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Vanderbilt Wilson County Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&W/O CONTRAST | $1,260.05 | $4,345.00 | — | 12% above | 71% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&W/O CONTRAST | $1,260.05 | $4,345.00 | — | — | 71% |
| Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $173.71 | $599.00 | — | at median | 71% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $173.71 | $599.00 | — | — | 71% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE 3+V | $145.87 | $503.00 | — | 3% above | 71% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE 3+V | $145.87 | $503.00 | — | — | 71% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC DOPPLER ARTERIAL EXT LTD BIL | $303.34 | $1,046.00 | — | 17% above | 71% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC DOPPLER ARTERIAL EXT LTD BIL | $303.34 | $1,046.00 | — | — | 71% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPR EXT W/O CONTRAST | $780.39 | $2,691.00 | — | 13% above | 71% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPR EXT W/O CONTRAST | $780.39 | $2,691.00 | — | — | 71% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS | $226.49 | $781.00 | — | 3% above | 71% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS | $226.49 | $781.00 | — | — | 71% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE WB | $680.92 | $2,348.00 | — | 1% above | 71% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE WB | $680.92 | $2,348.00 | — | — | 71% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST UNILAT COMPLETE | $87.00 | $300.00 | — | 50% below | 71% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST UNILAT COMPLETE | $87.00 | $300.00 | — | — | 71% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LTD W/DOC | $89.61 | $309.00 | — | 46% below | 71% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LTD W/DOC | $89.61 | $309.00 | — | — | 71% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W/WO CONTRAST POST | $1,474.65 | $5,085.00 | — | 14% below | 71% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W/WO CONTRAST POST | $1,474.65 | $5,085.00 | — | — | 71% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W&W/O CONTRAST | $1,148.40 | $3,960.00 | — | 5% above | 71% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W&W/O CONTRAST | $1,148.40 | $3,960.00 | — | — | 71% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W&W/O CONTRAST | $1,137.38 | $3,922.00 | — | 9% above | 71% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W&W/O CONTRAST | $1,137.38 | $3,922.00 | — | — | 71% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W&W/O CONTRAST | $1,215.10 | $4,190.00 | — | 7% above | 71% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W&W/O CONTRAST | $1,215.10 | $4,190.00 | — | — | 71% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE | $1,109.25 | $3,825.00 | — | 19% above | 71% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE | $1,109.25 | $3,825.00 | — | — | 71% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O CON EVAL COR CAL | $257.52 | $888.00 | — | 155% above | 71% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O CON EVAL COR CAL | $257.52 | $888.00 | — | — | 71% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O | $1,610.95 | $5,555.00 | — | 11% above | 71% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O | $1,610.95 | $5,555.00 | — | — | 71% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELVIS WITH CONTRAST | $2,007.96 | $6,924.00 | — | 7% above | 71% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELVIS WITH CONTRAST | $2,007.96 | $6,924.00 | — | — | 71% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV W&W/O CONT 1+ | $2,159.63 | $7,447.00 | — | at median | 71% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV W&W/O CONT 1+ | $2,159.63 | $7,447.00 | — | — | 71% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,067.49 | $3,681.00 | — | 10% above | 71% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,067.49 | $3,681.00 | — | — | 71% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $848.83 | $2,927.00 | — | 9% above | 71% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $848.83 | $2,927.00 | — | — | 71% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAX/FACIAL W/O CONTRAST | $818.09 | $2,821.00 | — | 18% above | 71% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAX/FACIAL W/O CONTRAST | $818.09 | $2,821.00 | — | — | 71% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $713.40 | $2,460.00 | — | at median | 71% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $713.40 | $2,460.00 | — | — | 71% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST | $818.09 | $2,821.00 | — | 8% below | 71% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST | $818.09 | $2,821.00 | — | — | 71% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST | $970.63 | $3,347.00 | — | 11% below | 71% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST | $970.63 | $3,347.00 | — | — | 71% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-SPINE W/O CONTRAST | $885.95 | $3,055.00 | — | 12% above | 71% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-SPINE W/O CONTRAST | $885.95 | $3,055.00 | — | — | 71% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-SPINE W/O CONTRAST | $885.95 | $3,055.00 | — | at median | 71% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-SPINE W/O CONTRAST | $885.95 | $3,055.00 | — | — | 71% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $925.68 | $3,192.00 | — | 5% above | 71% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $925.68 | $3,192.00 | — | — | 71% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANIAL BILAT | $657.14 | $2,266.00 | — | — | 71% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANIAL BILAT | $657.14 | $2,266.00 | — | — | 71% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W&W/O CONTRAST | $1,059.66 | $3,654.00 | — | 11% above | 71% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W&W/O CONTRAST | $1,059.66 | $3,654.00 | — | — | 71% |
| Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $138.33 | $477.00 | — | 14% above | 71% |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $138.33 | $477.00 | — | — | 71% |
| Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $131.08 | $452.00 | — | 17% above | 71% |
| Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $131.08 | $452.00 | — | — | 71% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE CMPL | $120.64 | $416.00 | — | at median | 71% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE CMPL | $120.64 | $416.00 | — | — | 71% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL | $391.21 | $1,349.00 | — | 43% above | 71% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL | $391.21 | $1,349.00 | — | — | 71% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY AXIAL | $231.42 | $798.00 | — | 32% above | 71% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY AXIAL | $231.42 | $798.00 | — | — | 71% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR BONE DENSITY APPENDICULAR | $83.23 | $287.00 | — | 2% below | 71% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR BONE DENSITY APPENDICULAR | $83.23 | $287.00 | — | — | 71% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANCY DETAILED SGL | $301.60 | $1,040.00 | — | 17% below | 71% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANCY DETAILED SGL | $301.60 | $1,040.00 | — | — | 71% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O CONTRAST | $741.24 | $2,556.00 | — | 1% above | 71% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O CONTRAST | $741.24 | $2,556.00 | — | — | 71% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/CONTRAST | $1,080.83 | $3,727.00 | — | 14% above | 71% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/CONTRAST | $1,080.83 | $3,727.00 | — | — | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO BILAT DIG IMAGE | $195.75 | $675.00 | — | — | 71% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO BILAT DIG IMAGE | $195.75 | $675.00 | — | — | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO UNILAT DIG IMAGE | $156.02 | $538.00 | — | at median | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO UNILAT DIG IMAGE | $156.02 | $538.00 | — | — | 71% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LWR EXT BILAT | $562.02 | $1,938.00 | — | — | 71% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LWR EXT BILAT | $562.02 | $1,938.00 | — | — | 71% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXT BILAT | $426.01 | $1,469.00 | — | — | 71% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXT BILAT | $426.01 | $1,469.00 | — | — | 71% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D W/SPEC/COLOR COMPL | $1,434.05 | $4,945.00 | — | 22% above | 71% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D W/SPEC/COLOR COMPL | $1,434.05 | $4,945.00 | — | — | 71% |
| Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2V | $121.51 | $419.00 | — | at median | 71% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2V | $121.51 | $419.00 | — | — | 71% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW CMPL 3+V | $145.29 | $501.00 | — | at median | 71% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW CMPL 3+V | $145.29 | $501.00 | — | — | 71% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT FOS/SEL/EAR W/O CONTRAST | $891.46 | $3,074.00 | — | 40% above | 71% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT FOS/SEL/EAR W/O CONTRAST | $891.46 | $3,074.00 | — | — | 71% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES 3+V | $172.26 | $594.00 | — | 8% above | 71% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES 3+V | $172.26 | $594.00 | — | — | 71% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2V | $157.76 | $544.00 | — | 27% above | 71% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2V | $157.76 | $544.00 | — | — | 71% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMG | $684.69 | $2,361.00 | — | 6% above | 71% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMG | $684.69 | $2,361.00 | — | — | 71% |
| Hand X-ray, 2 views CPT 73120 HC XR HAND LTD 2V | $137.75 | $475.00 | — | 4% above | 71% |
| Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND LTD 2V | $137.75 | $475.00 | — | — | 71% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS 2+V | $113.68 | $392.00 | — | 10% below | 71% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS 2+V | $113.68 | $392.00 | — | — | 71% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $727.32 | $2,508.00 | — | 179% above | 71% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $727.32 | $2,508.00 | — | — | 71% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC PSG 6/> YRS 4+ PARAM W/ CPAP | $2,798.79 | $9,651.00 | — | 65% above | 71% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC PSG 6/> YRS 4+ PARAM W/ CPAP | $2,798.79 | $9,651.00 | — | — | 71% |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3V | $144.13 | $497.00 | — | 1% above | 71% |
| Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3V | $144.13 | $497.00 | — | — | 71% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE CMPL 4+V | $185.31 | $639.00 | — | 21% above | 71% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE CMPL 4+V | $185.31 | $639.00 | — | — | 71% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LWR EXT W/O CONTRAST | $780.39 | $2,691.00 | — | 11% above | 71% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LWR EXT W/O CONTRAST | $780.39 | $2,691.00 | — | — | 71% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LTD | $225.33 | $777.00 | — | 16% below | 71% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LTD | $225.33 | $777.00 | — | — | 71% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR LTD | $238.96 | $824.00 | — | 15% above | 71% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASCULAR LTD | $238.96 | $824.00 | — | — | 71% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR | $270.57 | $933.00 | — | 42% above | 71% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR | $270.57 | $933.00 | — | — | 71% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA/FIBULA 2V | $125.28 | $432.00 | — | at median | 71% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA/FIBULA 2V | $125.28 | $432.00 | — | — | 71% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CON | $1,272.23 | $4,387.00 | — | 34% above | 71% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CON | $1,272.23 | $4,387.00 | — | — | 71% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LWR EXT JNT W/O CON | $1,356.33 | $4,677.00 | — | 41% above | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LWR EXT JNT W/O CON | $1,356.33 | $4,677.00 | — | — | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LWR EXT JNT W&W/O CON | $1,786.11 | $6,159.00 | — | 42% above | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LWR EXT JNT W&W/O CON | $1,786.11 | $6,159.00 | — | — | 71% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CON | $1,356.62 | $4,678.00 | — | 44% above | 71% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CON | $1,356.62 | $4,678.00 | — | — | 71% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CON | $1,864.99 | $6,431.00 | — | 47% above | 71% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CON | $1,864.99 | $6,431.00 | — | — | 71% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CON | $1,374.31 | $4,739.00 | — | 20% above | 71% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CON | $1,374.31 | $4,739.00 | — | — | 71% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CON | $1,945.32 | $6,708.00 | — | 31% above | 71% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CON | $1,945.32 | $6,708.00 | — | — | 71% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI L-SPINE W/O CON | $1,419.84 | $4,896.00 | — | 44% above | 71% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI L-SPINE W/O CON | $1,419.84 | $4,896.00 | — | — | 71% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE W&W/O CON | $1,989.40 | $6,860.00 | — | 40% above | 71% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE W&W/O CON | $1,989.40 | $6,860.00 | — | — | 71% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI T-SPINE W/O CON | $1,405.34 | $4,846.00 | — | 44% above | 71% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI T-SPINE W/O CON | $1,405.34 | $4,846.00 | — | — | 71% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE W&W/O CON | $2,003.32 | $6,908.00 | — | 37% above | 71% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE W&W/O CON | $2,003.32 | $6,908.00 | — | — | 71% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C-SPINE W/O CON | $1,422.16 | $4,904.00 | — | 44% above | 71% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI C-SPINE W/O CON | $1,422.16 | $4,904.00 | — | — | 71% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CON | $1,838.02 | $6,338.00 | — | 38% above | 71% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CON | $1,838.02 | $6,338.00 | — | — | 71% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CON | $1,320.08 | $4,552.00 | — | 50% above | 71% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CON | $1,320.08 | $4,552.00 | — | — | 71% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPR EXT JNT W/O CON | $1,322.69 | $4,561.00 | — | 40% above | 71% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPR EXT JNT W/O CON | $1,322.69 | $4,561.00 | — | — | 71% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR C-SPINE 4 OR 5 VIEWS | $209.09 | $721.00 | — | 1% below | 71% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR C-SPINE 4 OR 5 VIEWS | $209.09 | $721.00 | — | — | 71% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W/CONTRAST | $836.65 | $2,885.00 | — | at median | 71% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK W/CONTRAST | $836.65 | $2,885.00 | — | — | 71% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK W/O CONTRAST | $746.17 | $2,573.00 | — | 4% above | 71% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK W/O CONTRAST | $746.17 | $2,573.00 | — | — | 71% |
| Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE | $137.75 | $475.00 | — | 13% above | 71% |
| Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE | $137.75 | $475.00 | — | — | 71% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARD PERF MULTI SPECT | $1,992.01 | $6,869.00 | — | 3% above | 71% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARD PERF MULTI SPECT | $1,992.01 | $6,869.00 | — | — | 71% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 HC OPHTHALMIC SCAN RETINA UNI/BI | $184.44 | $636.00 | — | — | 71% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 HC OPHTHALMIC SCAN RETINA UNI/BI | $184.44 | $636.00 | — | — | 71% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W/CT TUMR SKULL MID-THIGH | $1,999.84 | $6,896.00 | — | at median | 71% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W/CT TUMR SKULL MID-THIGH | $1,999.84 | $6,896.00 | — | — | 71% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST | $763.86 | $2,634.00 | — | 8% above | 71% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST | $763.86 | $2,634.00 | — | — | 71% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON-OB LTD | $208.22 | $718.00 | — | 9% above | 71% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON-OB LTD | $208.22 | $718.00 | — | — | 71% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB | $366.85 | $1,265.00 | — | 27% above | 71% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB | $366.85 | $1,265.00 | — | — | 71% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >14 WEEKS SGL | $300.73 | $1,037.00 | — | 4% above | 71% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >14 WEEKS SGL | $300.73 | $1,037.00 | — | — | 71% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY | $298.41 | $1,029.00 | — | 21% above | 71% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY | $298.41 | $1,029.00 | — | — | 71% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LTD | $181.54 | $626.00 | — | 11% above | 71% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LTD | $181.54 | $626.00 | — | — | 71% |
| Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS 2V UNI | $145.29 | $501.00 | — | 3% above | 71% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS 2V UNI | $145.29 | $501.00 | — | — | 71% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS W/CXR 3+V UNI | $167.91 | $579.00 | — | 10% above | 71% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS W/CXR 3+V UNI | $167.91 | $579.00 | — | — | 71% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN BILAT DIG IMAGE | $175.16 | $604.00 | — | — | 71% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN BILAT DIG IMAGE | $175.16 | $604.00 | — | — | 71% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER CMPL 2+V | $137.75 | $475.00 | — | 4% above | 71% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER CMPL 2+V | $137.75 | $475.00 | — | — | 71% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES 3+V | $226.78 | $782.00 | — | 34% above | 71% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES 3+V | $226.78 | $782.00 | — | — | 71% |
| Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL LTD | $147.32 | $508.00 | — | 22% above | 71% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL LTD | $147.32 | $508.00 | — | — | 71% |
| Sleep study in a lab (polysomnography) CPT 95810 HC PSG 6 YRS OR OLDER 4+ PARAM | $2,525.90 | $8,710.00 | — | 76% above | 71% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC PSG 6 YRS OR OLDER 4+ PARAM | $2,525.90 | $8,710.00 | — | — | 71% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO REST & STRESS W/PF | $1,311.67 | $4,523.00 | — | 176% above | 71% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO REST & STRESS W/PF | $1,311.67 | $4,523.00 | — | — | 71% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOW CINE/VIDEO | $245.92 | $848.00 | — | 15% above | 71% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOW CINE/VIDEO | $245.92 | $848.00 | — | — | 71% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEW | $81.49 | $281.00 | — | 21% below | 71% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEW | $81.49 | $281.00 | — | — | 71% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T-SPINE W/O CONTRAST | $885.95 | $3,055.00 | — | 20% above | 71% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T-SPINE W/O CONTRAST | $885.95 | $3,055.00 | — | — | 71% |
| Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2+V | $118.90 | $410.00 | — | 1% below | 71% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2+V | $118.90 | $410.00 | — | — | 71% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $258.97 | $893.00 | — | 7% below | 71% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $258.97 | $893.00 | — | — | 71% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL | $225.33 | $777.00 | — | at median | 71% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL | $225.33 | $777.00 | — | — | 71% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN CMPL | $300.44 | $1,036.00 | — | 18% below | 71% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN CMPL | $300.44 | $1,036.00 | — | — | 71% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $288.55 | $995.00 | — | 8% above | 71% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM | $288.55 | $995.00 | — | — | 71% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK | $269.70 | $930.00 | — | 9% above | 71% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK | $269.70 | $930.00 | — | — | 71% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR UGI W/O KUB | $316.68 | $1,092.00 | — | 22% above | 71% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR UGI W/O KUB | $316.68 | $1,092.00 | — | — | 71% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2+V | $124.41 | $429.00 | — | 9% above | 71% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2+V | $124.41 | $429.00 | — | — | 71% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXT UNILAT/LMTD | $410.06 | $1,414.00 | — | 14% above | 71% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXT UNILAT/LMTD | $410.06 | $1,414.00 | — | — | 71% |
| Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2V | $117.16 | $404.00 | — | at median | 71% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2V | $117.16 | $404.00 | — | — | 71% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST CMPL 3+V | $136.59 | $471.00 | — | at median | 71% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST CMPL 3+V | $136.59 | $471.00 | — | — | 71% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $93.09 | $321.00 | — | 32% below | 71% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $93.09 | $321.00 | — | — | 71% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $150.22 | $518.00 | — | 9% above | 71% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $150.22 | $518.00 | — | — | 71% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2V | $127.89 | $441.00 | — | 1% above | 71% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2V | $127.89 | $441.00 | — | — | 71% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2+V | $119.77 | $413.00 | — | 1% below | 71% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2+V | $119.77 | $413.00 | — | — | 71% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2V | $126.44 | $436.00 | — | at median | 71% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2V | $126.44 | $436.00 | — | — | 71% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT CMPL 3+V | $136.01 | $469.00 | — | 3% below | 71% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT CMPL 3+V | $136.01 | $469.00 | — | — | 71% |
| X-ray of the hand, 3 or more views CPT 73130 HC XR HAND CMPL 3+V | $148.19 | $511.00 | — | 5% above | 71% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND CMPL 3+V | $148.19 | $511.00 | — | — | 71% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2V | $117.16 | $404.00 | — | 9% below | 71% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2V | $117.16 | $404.00 | — | — | 71% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR L-SPINE 2-3V | $163.27 | $563.00 | — | 6% below | 71% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR L-SPINE 2-3V | $163.27 | $563.00 | — | — | 71% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR L-SPINE 4+V | $205.90 | $710.00 | — | 8% below | 71% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR L-SPINE 4+V | $205.90 | $710.00 | — | — | 71% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR T-SPINE 2V | $145.29 | $501.00 | — | 11% above | 71% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR T-SPINE 2V | $145.29 | $501.00 | — | — | 71% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL CMPL 3+V | $180.67 | $623.00 | — | 49% above | 71% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL CMPL 3+V | $180.67 | $623.00 | — | — | 71% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR C-SPINE 2 OR 3V | $163.27 | $563.00 | — | 19% above | 71% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR C-SPINE 2 OR 3V | $163.27 | $563.00 | — | — | 71% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2V | $127.02 | $438.00 | — | 1% below | 71% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2V | $127.02 | $438.00 | — | — | 71% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+V | $141.52 | $488.00 | — | at median | 71% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+V | $141.52 | $488.00 | — | — | 71% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC (ACTH) | $111.36 | $384.00 | — | at median | 71% |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC (ACTH) | $111.36 | $384.00 | — | — | 71% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT/SGPT | $21.75 | $75.00 | — | 21% below | 71% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT/SGPT | $21.75 | $75.00 | — | — | 71% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST/SGOT | $19.72 | $68.00 | — | 26% below | 71% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST/SGOT | $19.72 | $68.00 | — | — | 71% |
| Albumin blood test CPT 82040 HC CSF IGG INDEX ASSAY OF SERUM ALBUMIN-ARUP | $12.18 | $42.00 | — | 31% below | 71% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM | $20.01 | $69.00 | — | 14% above | 71% |
| Albumin blood test CPT 82040 HC CSF IGG INDEX ASSAY OF SERUM ALBUMIN | $21.17 | $73.00 | — | 21% above | 71% |
| Albumin blood test inpatient CPT 82040 HC CSF IGG INDEX ASSAY OF SERUM ALBUMIN-ARUP | $12.18 | $42.00 | — | — | 71% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM | $20.01 | $69.00 | — | — | 71% |
| Albumin blood test inpatient CPT 82040 HC CSF IGG INDEX ASSAY OF SERUM ALBUMIN | $21.17 | $73.00 | — | — | 71% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE-CORTISOL, INTRAOP ASSAY OF ALDOSTERONE | $63.51 | $219.00 | — | 17% below | 71% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $63.51 | $219.00 | — | 17% below | 71% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE BLOOD | $64.67 | $223.00 | — | 16% below | 71% |
| Aldosterone blood test CPT 82088 HC UR 24HR ALDOSTERONE-ARUP | $73.37 | $253.00 | — | 4% below | 71% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE-CORTISOL, INTRAOP ASSAY OF ALDOSTERONE | $63.51 | $219.00 | — | — | 71% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $63.51 | $219.00 | — | — | 71% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLOOD | $64.67 | $223.00 | — | — | 71% |
| Aldosterone blood test inpatient CPT 82088 HC UR 24HR ALDOSTERONE-ARUP | $73.37 | $253.00 | — | — | 71% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE | $23.78 | $82.00 | — | 6% below | 71% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE | $23.78 | $82.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENS, INHALANTS, SOUTHEAST COASTAL COMPREHENSIVE, CHG ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH-ARUP | $4.64 | $16.00 | — | 58% below | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, LENTIL-ARUP | $10.44 | $36.00 | — | 6% below | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, ALPHA GAL (GALACTOSE-ALHPA-1, 3-GALATOSE) PANEL ALLG SPEC IGE CRUDE XTRC EA-ARUP | $10.73 | $37.00 | — | 3% below | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, ALDER TREE-ARUP | $12.76 | $44.00 | — | 15% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALPHA GAL PNL ALLG SPEC IGE CRUDE XTRC EA-VRCR | $12.76 | $44.00 | — | 15% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENS, FOOD, EGG, CMPNTS IGE ALLG SPEC IGE CRUDE XTRC EA-ARUP | $12.76 | $44.00 | — | 15% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE, EA | $14.21 | $49.00 | — | 28% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ENVIRONMENTAL, SOUTHEAST PNL GE-ARUP | $15.66 | $54.00 | — | 41% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ATOPIC DERMATITIS MICRO PNL ALLG SPEC IGE CRUDE XTRC EA-VRCR | $27.55 | $95.00 | — | 148% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH-ARUP | $56.26 | $194.00 | — | 407% above | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENS, INHALANTS, SOUTHEAST COASTAL COMPREHENSIVE, CHG ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH-ARUP | $4.64 | $16.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, LENTIL-ARUP | $10.44 | $36.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, ALPHA GAL (GALACTOSE-ALHPA-1, 3-GALATOSE) PANEL ALLG SPEC IGE CRUDE XTRC EA-ARUP | $10.73 | $37.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALPHA GAL PNL ALLG SPEC IGE CRUDE XTRC EA-VRCR | $12.76 | $44.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, ALDER TREE-ARUP | $12.76 | $44.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENS, FOOD, EGG, CMPNTS IGE ALLG SPEC IGE CRUDE XTRC EA-ARUP | $12.76 | $44.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE, EA | $14.21 | $49.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ENVIRONMENTAL, SOUTHEAST PNL GE-ARUP | $15.66 | $54.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ATOPIC DERMATITIS MICRO PNL ALLG SPEC IGE CRUDE XTRC EA-VRCR | $27.55 | $95.00 | — | — | 71% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH-ARUP | $56.26 | $194.00 | — | — | 71% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM | $46.11 | $159.00 | — | 10% below | 71% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN SERUM | $46.11 | $159.00 | — | — | 71% |
| Ammonia blood test CPT 82140 HC UR 24HR KIDNEY STONE PNL AMMONIA - (LTH) | $20.30 | $70.00 | — | 58% below | 71% |
| Ammonia blood test CPT 82140 HC AMMONIA BLOOD | $43.50 | $150.00 | — | 11% below | 71% |
| Ammonia blood test inpatient CPT 82140 HC UR 24HR KIDNEY STONE PNL AMMONIA - (LTH) | $20.30 | $70.00 | — | — | 71% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA BLOOD | $43.50 | $150.00 | — | — | 71% |
| Amylase blood test CPT 82150 HC BF AMYLASE LVL | $32.48 | $112.00 | — | 2% below | 71% |
| Amylase blood test CPT 82150 HC AMYLASE BLOOD | $33.35 | $115.00 | — | at median | 71% |
| Amylase blood test CPT 82150 HC BF AMYLASE LVL-CENT | $40.89 | $141.00 | — | 23% above | 71% |
| Amylase blood test inpatient CPT 82150 HC BF AMYLASE LVL | $32.48 | $112.00 | — | — | 71% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE BLOOD | $33.35 | $115.00 | — | — | 71% |
| Amylase blood test inpatient CPT 82150 HC BF AMYLASE LVL-CENT | $40.89 | $141.00 | — | — | 71% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY | $39.44 | $136.00 | — | at median | 71% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY | $39.44 | $136.00 | — | — | 71% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODY SCREEN | $41.47 | $143.00 | — | 12% above | 71% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODY SCREEN | $41.47 | $143.00 | — | — | 71% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT PRO BNP | $62.93 | $217.00 | — | 29% below | 71% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BNP | $62.93 | $217.00 | — | 29% below | 71% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BNP | $62.93 | $217.00 | — | — | 71% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT PRO BNP | $62.93 | $217.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT TISSUE-SURGICAL | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT BODY FLUID | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT JOINT | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT WOUND SUPER | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT ABSCESS | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT WOUND DEEP | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT BACT RESP CF | $37.99 | $131.00 | — | at median | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SOURCE | $38.86 | $134.00 | — | 2% above | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT WOUND DEEP | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT WOUND SUPER | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT TISSUE-SURGICAL | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT BODY FLUID | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT ABSCESS | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT BACT RESP CF | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT JOINT | $37.99 | $131.00 | — | — | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHER SOURCE | $38.86 | $134.00 | — | — | 71% |
| Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA | $54.23 | $187.00 | — | 27% below | 71% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC METABOLIC PANEL TOTAL CA | $54.23 | $187.00 | — | — | 71% |
| Bilirubin blood test, total CPT 82247 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) BILIRUBIN TOTAL MISC REF-BAYGEN | $14.50 | $50.00 | — | 47% below | 71% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $19.43 | $67.00 | — | 30% below | 71% |
| Bilirubin blood test, total CPT 82247 HC BF TOTAL BILIRUBIN | $49.59 | $171.00 | — | 80% above | 71% |
| Bilirubin blood test, total inpatient CPT 82247 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) BILIRUBIN TOTAL MISC REF-BAYGEN | $14.50 | $50.00 | — | — | 71% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $19.43 | $67.00 | — | — | 71% |
| Bilirubin blood test, total inpatient CPT 82247 HC BF TOTAL BILIRUBIN | $49.59 | $171.00 | — | — | 71% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC G&M PROSTATE BIOPSY | $156.31 | $539.00 | — | 107% above | 71% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICRO LEVEL IV | $156.31 | $539.00 | — | 107% above | 71% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS & MICRO LEVEL IV | $156.31 | $539.00 | — | — | 71% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC G&M PROSTATE BIOPSY | $156.31 | $539.00 | — | — | 71% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $54.23 | $187.00 | — | at median | 71% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $54.23 | $187.00 | — | — | 71% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $8.12 | $28.00 | — | 10% below | 71% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $8.12 | $28.00 | — | — | 71% |
| Blood glucose (sugar) test CPT 82947 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY QUANTITATIVE, BLOOD GLUCOSE MISC REF-BAYGEN | $11.31 | $39.00 | — | 50% below | 71% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD | $22.62 | $78.00 | — | at median | 71% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY QUANTITATIVE, BLOOD GLUCOSE MISC REF-BAYGEN | $11.31 | $39.00 | — | — | 71% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD | $22.62 | $78.00 | — | — | 71% |
| Blood lead test CPT 83655 HC LEAD BLOOD | $25.52 | $88.00 | — | 31% below | 71% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD | $25.52 | $88.00 | — | — | 71% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE | $46.69 | $161.00 | — | 13% below | 71% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE | $46.69 | $161.00 | — | — | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC SOLID ORGAN DONOR PRELIMINARY FLOW TITERS BLOOD TYPING SEROLOGIC ABO-DCI | $51.62 | $178.00 | — | 31% below | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC SOLID ORGAN RECIPIENT PRELIMINARY FLOW TITERS BLOOD TYPING SEROLOGIC ABO-DCI | $51.62 | $178.00 | — | 31% below | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC SOLID ORGAN RECIPIENT ALLO XMATCH BLOOD TYPING SEROLOGIC ABO OPT3-DCI | $51.62 | $178.00 | — | 31% below | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $52.49 | $181.00 | — | 30% below | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC DONOR ABO FOR RECIPIENT-KASHI | $58.00 | $200.00 | — | 23% below | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC SOLID ORGAN RECIPIENT ALLO XMATCH BLOOD TYPING SEROLOGIC ABO OPT3-DCI | $51.62 | $178.00 | — | — | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC SOLID ORGAN RECIPIENT PRELIMINARY FLOW TITERS BLOOD TYPING SEROLOGIC ABO-DCI | $51.62 | $178.00 | — | — | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC SOLID ORGAN DONOR PRELIMINARY FLOW TITERS BLOOD TYPING SEROLOGIC ABO-DCI | $51.62 | $178.00 | — | — | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $52.49 | $181.00 | — | — | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC DONOR ABO FOR RECIPIENT-KASHI | $58.00 | $200.00 | — | — | 71% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUANTITATIVE | $19.14 | $66.00 | — | 20% below | 71% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUANTITATIVE | $19.14 | $66.00 | — | — | 71% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $44.37 | $153.00 | — | 30% below | 71% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $44.37 | $153.00 | — | — | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI C-REACTIVE PROTEIN-PROM | $7.25 | $25.00 | — | 66% below | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $26.68 | $92.00 | — | 25% above | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI C-REACTIVE PROTEIN-PROM | $7.25 | $25.00 | — | — | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $26.68 | $92.00 | — | — | 71% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC AMP PROBE CLOSTRIDIUM | $71.05 | $245.00 | — | 19% below | 71% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC AMP PROBE CLOSTRIDIUM | $71.05 | $245.00 | — | — | 71% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $45.82 | $158.00 | — | 34% below | 71% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN GI (CA 19-9), BODY FLUID-ARUP | $51.04 | $176.00 | — | 27% below | 71% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNO TUMR AG CA 19-9 | $56.84 | $196.00 | — | 19% below | 71% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $45.82 | $158.00 | — | — | 71% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN GI (CA 19-9), BODY FLUID-ARUP | $51.04 | $176.00 | — | — | 71% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNO TUMR AG CA 19-9 | $56.84 | $196.00 | — | — | 71% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNO TUMR AG CA 125 | $63.80 | $220.00 | — | 8% below | 71% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNO TUMR AG CA 125 | $63.80 | $220.00 | — | — | 71% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC PCR SARS-COV2 (LOCAL) | $43.21 | $149.00 | — | 22% below | 71% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 PCR | $43.21 | $149.00 | — | 22% below | 71% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC PCR SARS-COV2 (LOCAL) | $43.21 | $149.00 | — | — | 71% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 PCR | $43.21 | $149.00 | — | — | 71% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL BLOOD | $18.27 | $63.00 | — | 33% below | 71% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL BLOOD | $18.27 | $63.00 | — | — | 71% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, FLUID-ARUP | $49.59 | $171.00 | — | 22% below | 71% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC AG (CEA) | $59.16 | $204.00 | — | 7% below | 71% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, FLUID-ARUP | $49.59 | $171.00 | — | — | 71% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC AG (CEA) | $59.16 | $204.00 | — | — | 71% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY IGG | $44.08 | $152.00 | — | 12% above | 71% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY IGG | $44.08 | $152.00 | — | — | 71% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROBE | $56.55 | $195.00 | — | 6% below | 71% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA (TMA) CHLMYD TRACH DNA AMP PROBE - ARUP | $56.55 | $195.00 | — | 6% below | 71% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA (TMA) CHLMYD TRACH DNA AMP PROBE - ARUP | $56.55 | $195.00 | — | — | 71% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROBE | $56.55 | $195.00 | — | — | 71% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $46.69 | $161.00 | — | 2% above | 71% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $46.69 | $161.00 | — | — | 71% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W/AUTO DIF | $44.66 | $154.00 | — | 4% above | 71% |
| Complete blood count (CBC) with differential CPT 85025 HC POC WIC CBC W AUTO DIFF | $44.66 | $154.00 | — | 4% above | 71% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WDIFF PHPD | $44.66 | $154.00 | — | 4% above | 71% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO W/AUTO DIF | $44.66 | $154.00 | — | — | 71% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WDIFF PHPD | $44.66 | $154.00 | — | — | 71% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC POC WIC CBC W AUTO DIFF | $44.66 | $154.00 | — | — | 71% |
| Complete blood count (CBC), no differential CPT 85027 HC POC WIC CBC | $33.64 | $116.00 | — | 29% above | 71% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO W/O DIFF | $33.64 | $116.00 | — | 29% above | 71% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTO W/O DIFF | $33.64 | $116.00 | — | — | 71% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC POC WIC CBC | $33.64 | $116.00 | — | — | 71% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $65.54 | $226.00 | — | 32% below | 71% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $65.54 | $226.00 | — | — | 71% |
| Cortisol blood test, total CPT 82533 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) TOTAL CORTISOL MISC REF-BAYGEN | $47.27 | $163.00 | — | 13% below | 71% |
| Cortisol blood test, total CPT 82533 HC CORTISOL, INTRAOP | $48.43 | $167.00 | — | 11% below | 71% |
| Cortisol blood test, total CPT 82533 HC ALDOSTERONE-CORTISOL, INTRAOP TOTAL CORTISOL | $48.43 | $167.00 | — | 11% below | 71% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $49.30 | $170.00 | — | 10% below | 71% |
| Cortisol blood test, total CPT 82533 HC CORTISOL BY LC-MS/MS, SALIVARY-ARUP | $49.30 | $170.00 | — | 10% below | 71% |
| Cortisol blood test, total inpatient CPT 82533 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) TOTAL CORTISOL MISC REF-BAYGEN | $47.27 | $163.00 | — | — | 71% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, INTRAOP | $48.43 | $167.00 | — | — | 71% |
| Cortisol blood test, total inpatient CPT 82533 HC ALDOSTERONE-CORTISOL, INTRAOP TOTAL CORTISOL | $48.43 | $167.00 | — | — | 71% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL BY LC-MS/MS, SALIVARY-ARUP | $49.30 | $170.00 | — | — | 71% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $49.30 | $170.00 | — | — | 71% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL | $25.23 | $87.00 | — | 20% below | 71% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) TOTAL | $25.23 | $87.00 | — | — | 71% |
| Creatinine blood test CPT 82565 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY OF CREATININE MISC REF-BAYGEN | $14.79 | $51.00 | — | 34% below | 71% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $20.01 | $69.00 | — | 11% below | 71% |
| Creatinine blood test CPT 82565 HC GLOMERULAR FILTRATION RATE (ESTIMATED)-ARUP | $20.01 | $69.00 | — | 11% below | 71% |
| Creatinine blood test inpatient CPT 82565 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY OF CREATININE MISC REF-BAYGEN | $14.79 | $51.00 | — | — | 71% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $20.01 | $69.00 | — | — | 71% |
| Creatinine blood test inpatient CPT 82565 HC GLOMERULAR FILTRATION RATE (ESTIMATED)-ARUP | $20.01 | $69.00 | — | — | 71% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC TRANSPLANT VIRAL STUDIES CMV ANTIBODY-MBC | $16.82 | $58.00 | — | 62% below | 71% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY IGG | $39.73 | $137.00 | — | 9% below | 71% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC TRANSPLANT VIRAL STUDIES CMV ANTIBODY-MBC | $16.82 | $58.00 | — | — | 71% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY IGG | $39.73 | $137.00 | — | — | 71% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION D DIMER QN | $47.27 | $163.00 | — | 9% below | 71% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADATION D DIMER QN | $47.27 | $163.00 | — | — | 71% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S | $58.00 | $200.00 | — | 19% below | 71% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S | $58.00 | $200.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UR DRUG SCRN W INTERP DRUG TEST PRSMV CHEM ANLYZR-ARUP | $52.49 | $181.00 | — | 26% below | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UR ETHANOL SCRN | $112.81 | $389.00 | — | 59% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE SALICYLATE SCRN | $112.81 | $389.00 | — | 59% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC UR FENTANYL SCRN LAB | $112.81 | $389.00 | — | 59% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE ACETAMINOPHEN SCRN | $112.81 | $389.00 | — | 59% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN INSTRUMENT | $115.13 | $397.00 | — | 62% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TOXICOLOGY MONITORING BASE PNL W CONF, ORAL FI-QSTD | $159.50 | $550.00 | — | 125% above | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UR DRUG SCRN W INTERP DRUG TEST PRSMV CHEM ANLYZR-ARUP | $52.49 | $181.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UR ETHANOL SCRN | $112.81 | $389.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC UR FENTANYL SCRN LAB | $112.81 | $389.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE ACETAMINOPHEN SCRN | $112.81 | $389.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE SALICYLATE SCRN | $112.81 | $389.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN INSTRUMENT | $115.13 | $397.00 | — | — | 71% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TOXICOLOGY MONITORING BASE PNL W CONF, ORAL FI-QSTD | $159.50 | $550.00 | — | — | 71% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $41.18 | $142.00 | — | 11% below | 71% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $41.18 | $142.00 | — | — | 71% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV VCA ANTIBODY IGM | $45.24 | $156.00 | — | 9% below | 71% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV VCA ANTIBODY IGM | $45.24 | $156.00 | — | — | 71% |
| Estradiol blood test CPT 82670 HC ESTRODIOL (ADULT MALES, CHILDREN, POSTMENOPAUSAL FEMALES, OR INDIVIDUALS ON ESTROGEN-SUPPRESSING HORMONE THERAPY)-ARUP | $56.84 | $196.00 | — | 33% below | 71% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $84.39 | $291.00 | — | 1% below | 71% |
| Estradiol blood test inpatient CPT 82670 HC ESTRODIOL (ADULT MALES, CHILDREN, POSTMENOPAUSAL FEMALES, OR INDIVIDUALS ON ESTROGEN-SUPPRESSING HORMONE THERAPY)-ARUP | $56.84 | $196.00 | — | — | 71% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $84.39 | $291.00 | — | — | 71% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) PEDIATRIC-ARUP | $43.50 | $150.00 | — | 30% below | 71% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIM HORMONE (FSH) | $64.09 | $221.00 | — | 3% above | 71% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) PEDIATRIC-ARUP | $43.50 | $150.00 | — | — | 71% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIM HORMONE (FSH) | $64.09 | $221.00 | — | — | 71% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $100.63 | $347.00 | — | at median | 71% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $195.17 | $673.00 | — | 94% above | 71% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $100.63 | $347.00 | — | — | 71% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $195.17 | $673.00 | — | — | 71% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $43.50 | $150.00 | — | 4% below | 71% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $43.50 | $150.00 | — | — | 71% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $34.22 | $118.00 | — | 29% below | 71% |
| Fibrinogen blood test CPT 85384 HC THROMBOELASTOGRAPHY (TEG) - HEPARINASE FIBRINOGEN ACTIVITY | $80.91 | $279.00 | — | 68% above | 71% |
| Fibrinogen blood test CPT 85384 HC THROMBOELASTOGRAPHY (TEG) FIBRINOGEN ACTIVITY | $109.62 | $378.00 | — | 127% above | 71% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $34.22 | $118.00 | — | — | 71% |
| Fibrinogen blood test inpatient CPT 85384 HC THROMBOELASTOGRAPHY (TEG) - HEPARINASE FIBRINOGEN ACTIVITY | $80.91 | $279.00 | — | — | 71% |
| Fibrinogen blood test inpatient CPT 85384 HC THROMBOELASTOGRAPHY (TEG) FIBRINOGEN ACTIVITY | $109.62 | $378.00 | — | — | 71% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM | $33.64 | $116.00 | — | 32% below | 71% |
| Folate (folic acid) blood test CPT 82746 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) BLOOD FOLIC ACID SERUM MISC REF-BAYGEN | $42.63 | $147.00 | — | 14% below | 71% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM | $33.64 | $116.00 | — | — | 71% |
| Folate (folic acid) blood test inpatient CPT 82746 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) BLOOD FOLIC ACID SERUM MISC REF-BAYGEN | $42.63 | $147.00 | — | — | 71% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T-3) FREE | $34.51 | $119.00 | — | 39% below | 71% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE, FREE (FREE T3) | $56.84 | $196.00 | — | 1% above | 71% |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $61.19 | $211.00 | — | 8% above | 71% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T-3) FREE | $34.51 | $119.00 | — | — | 71% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE, FREE (FREE T3) | $56.84 | $196.00 | — | — | 71% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $61.19 | $211.00 | — | — | 71% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T-4) FREE | $33.64 | $116.00 | — | at median | 71% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE (T-4) FREE | $33.64 | $116.00 | — | — | 71% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $80.33 | $277.00 | — | 25% above | 71% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $80.33 | $277.00 | — | — | 71% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT/GGTP | $24.94 | $86.00 | — | 25% below | 71% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT/GGTP | $24.94 | $86.00 | — | — | 71% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE | $30.74 | $106.00 | — | 2% above | 71% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE | $30.74 | $106.00 | — | — | 71% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 1ST 3 SPEC | $41.76 | $144.00 | — | 4% below | 71% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 1ST 3 SPEC | $41.76 | $144.00 | — | — | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NUCLEIC ACID AMP NEISSERIA | $56.55 | $195.00 | — | 8% below | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA (TMA) N.GONORRHOEAE DNA AMP PROB - ARUP | $56.55 | $195.00 | — | 8% below | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA (TMA) N.GONORRHOEAE DNA AMP PROB - ARUP | $56.55 | $195.00 | — | — | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NUCLEIC ACID AMP NEISSERIA | $56.55 | $195.00 | — | — | 71% |
| H. pylori antibody blood test CPT 86677 HC H PYLORI ANTIBODY IGG | $44.95 | $155.00 | — | 7% below | 71% |
| H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI ANTIBODY IGG | $44.95 | $155.00 | — | — | 71% |
| H. pylori stool antigen test CPT 87338 HC EIA QL H PYLORI ANTIGEN STOOL | $44.08 | $152.00 | — | 28% below | 71% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG, FECAL | $113.97 | $393.00 | — | 86% above | 71% |
| H. pylori stool antigen test inpatient CPT 87338 HC EIA QL H PYLORI ANTIGEN STOOL | $44.08 | $152.00 | — | — | 71% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG, FECAL | $113.97 | $393.00 | — | — | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 BY QT NAAT, PLSM - (ARUP) | $83.23 | $287.00 | — | 48% below | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC NUCLEIC ACID REV TRANS QN HIV- | $116.00 | $400.00 | — | 27% below | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 BY QT NAAT, PLSM - (ARUP) | $83.23 | $287.00 | — | — | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC NUCLEIC ACID REV TRANS QN HIV- | $116.00 | $400.00 | — | — | 71% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC TRANSPLANT VIRAL STUDIES HIV-1/HIV-2 1 RESULT ANTBDY-MBC | $16.24 | $56.00 | — | 57% below | 71% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC LAB - IMMUNOLOGY | $44.08 | $152.00 | — | 16% above | 71% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC POC RAPID HIV 1/2 | $74.24 | $256.00 | — | 96% above | 71% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC TRANSPLANT VIRAL STUDIES HIV-1/HIV-2 1 RESULT ANTBDY-MBC | $16.24 | $56.00 | — | — | 71% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC LAB - IMMUNOLOGY | $44.08 | $152.00 | — | — | 71% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC POC RAPID HIV 1/2 | $74.24 | $256.00 | — | — | 71% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA QL HIV-1 & HIV-2 ANTIBOD | $39.73 | $137.00 | — | 29% below | 71% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC EIA QL HIV-1 & HIV-2 ANTIBOD | $39.73 | $137.00 | — | — | 71% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HIGH RISK HPV PCR | $53.94 | $186.00 | — | 24% above | 71% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC INFECT AGNT HPV HIGH-RISK TYPE | $53.94 | $186.00 | — | 24% above | 71% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HIGH RISK HPV PCR | $53.94 | $186.00 | — | — | 71% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC INFECT AGNT HPV HIGH-RISK TYPE | $53.94 | $186.00 | — | — | 71% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (A1C) | $36.83 | $127.00 | — | 12% below | 71% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (A1C) | $36.83 | $127.00 | — | — | 71% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $16.53 | $57.00 | — | 14% below | 71% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $16.53 | $57.00 | — | — | 71% |
| Hepatitis B core antibody test (total) CPT 86704 HC TRANSPLANT VIRAL STUDIES HEP B CORE ANTIBODY TOTAL-MBC | $14.50 | $50.00 | — | 61% below | 71% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY | $35.38 | $122.00 | — | 4% below | 71% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC TRANSPLANT VIRAL STUDIES HEP B CORE ANTIBODY TOTAL-MBC | $14.50 | $50.00 | — | — | 71% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY | $35.38 | $122.00 | — | — | 71% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $49.59 | $171.00 | — | 6% above | 71% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $49.59 | $171.00 | — | — | 71% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC TRANSPLANT VIRAL STUDIES HEPATITIS B SURFACE AG IA-MBC | $12.47 | $43.00 | — | 67% below | 71% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC EIA QL HEPATITIS B ANTIGEN | $36.83 | $127.00 | — | 3% below | 71% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC TRANSPLANT VIRAL STUDIES HEPATITIS B SURFACE AG IA-MBC | $12.47 | $43.00 | — | — | 71% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC EIA QL HEPATITIS B ANTIGEN | $36.83 | $127.00 | — | — | 71% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC TRANSPLANT VIRAL STUDIES HEPATITIS C AB TEST-MBC | $16.82 | $58.00 | — | 62% below | 71% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $40.60 | $140.00 | — | 8% below | 71% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C IGG W/RFX PCR | $66.12 | $228.00 | — | 50% above | 71% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC TRANSPLANT VIRAL STUDIES HEPATITIS C AB TEST-MBC | $16.82 | $58.00 | — | — | 71% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $40.60 | $140.00 | — | — | 71% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C IGG W/RFX PCR | $66.12 | $228.00 | — | — | 71% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC PCR HEPATITIS C VIRUS QT | $115.42 | $398.00 | — | 25% below | 71% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC PCR HEPATITIS C VIRUS QT | $115.42 | $398.00 | — | — | 71% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SMPX I ANTIBODY | $39.73 | $137.00 | — | 18% above | 71% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SMPX I ANTIBODY | $39.73 | $137.00 | — | — | 71% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SMPX II ANTIBODY | $45.24 | $156.00 | — | 11% above | 71% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SMPX II ANTIBODY | $45.24 | $156.00 | — | — | 71% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENS | $33.06 | $114.00 | — | 18% below | 71% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENS | $33.06 | $114.00 | — | — | 71% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE | $41.76 | $144.00 | — | 20% below | 71% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE | $41.76 | $144.00 | — | — | 71% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL SERUM | $44.08 | $152.00 | — | 7% above | 71% |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL SERUM | $44.08 | $152.00 | — | — | 71% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $18.56 | $64.00 | — | 25% below | 71% |
| Iron blood test (serum iron) CPT 83540 HC TIBC ASSAY OF IRON | $18.56 | $64.00 | — | 25% below | 71% |
| Iron blood test (serum iron) inpatient CPT 83540 HC TIBC ASSAY OF IRON | $18.56 | $64.00 | — | — | 71% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $18.56 | $64.00 | — | — | 71% |
| Iron-binding capacity (TIBC) test CPT 83550 HC TIBC IRON BINDING TEST | $28.13 | $97.00 | — | 31% below | 71% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $28.13 | $97.00 | — | 31% below | 71% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $28.13 | $97.00 | — | — | 71% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TIBC IRON BINDING TEST | $28.13 | $97.00 | — | — | 71% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $69.02 | $238.00 | — | 3% above | 71% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $69.02 | $238.00 | — | — | 71% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH) | $69.60 | $240.00 | — | 12% above | 71% |
| LH (luteinizing hormone) test CPT 83002 HC L H (PEDATRIC)-MAYO | $89.90 | $310.00 | — | 45% above | 71% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH) | $69.60 | $240.00 | — | — | 71% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC L H (PEDATRIC)-MAYO | $89.90 | $310.00 | — | — | 71% |
| Lactate (lactic acid) blood test CPT 83605 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY OF LACTIC ACID MISC REF-BAYGEN | $33.64 | $116.00 | — | 11% below | 71% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE/LACTIC ACID | $60.90 | $210.00 | — | 62% above | 71% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY OF LACTIC ACID MISC REF-BAYGEN | $33.64 | $116.00 | — | — | 71% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE/LACTIC ACID | $60.90 | $210.00 | — | — | 71% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDRO (LDH) BLOOD | $20.88 | $72.00 | — | 8% below | 71% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDRO (LDH) BLOOD | $20.88 | $72.00 | — | — | 71% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $33.93 | $117.00 | — | 3% below | 71% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $33.93 | $117.00 | — | — | 71% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $40.89 | $141.00 | — | 46% below | 71% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $40.89 | $141.00 | — | — | 71% |
| Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI CSF (STANDARD TWO TIER TESTING)-ARUP | $27.55 | $95.00 | — | 33% below | 71% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY IGG | $27.55 | $95.00 | — | 33% below | 71% |
| Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI VLSE1-PEPC10 AB, TOTAL BY ELISA W RFX TO IGM AND IGG BY ELISA (MODIFIED TWO TIER TESTING)-ARUP | $45.53 | $157.00 | — | 10% above | 71% |
| Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI VISE1-PEPC10 ABS LYME DISEASE ANTIBODY-ARUP | $45.53 | $157.00 | — | 10% above | 71% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE MODIFIED TWO-TIER TESTING | $75.69 | $261.00 | — | 83% above | 71% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY IGG | $27.55 | $95.00 | — | — | 71% |
| Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI CSF (STANDARD TWO TIER TESTING)-ARUP | $27.55 | $95.00 | — | — | 71% |
| Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI VLSE1-PEPC10 AB, TOTAL BY ELISA W RFX TO IGM AND IGG BY ELISA (MODIFIED TWO TIER TESTING)-ARUP | $45.53 | $157.00 | — | — | 71% |
| Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI VISE1-PEPC10 ABS LYME DISEASE ANTIBODY-ARUP | $45.53 | $157.00 | — | — | 71% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE MODIFIED TWO-TIER TESTING | $75.69 | $261.00 | — | — | 71% |
| Magnesium blood test CPT 83735 HC UR 24HR KIDNEY STONE PNL MAGNESIUM - (LTH) | $7.54 | $26.00 | — | 64% below | 71% |
| Magnesium blood test CPT 83735 HC MAGNESIUM BLOOD | $24.65 | $85.00 | — | 19% above | 71% |
| Magnesium blood test inpatient CPT 83735 HC UR 24HR KIDNEY STONE PNL MAGNESIUM - (LTH) | $7.54 | $26.00 | — | — | 71% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM BLOOD | $24.65 | $85.00 | — | — | 71% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $23.20 | $80.00 | — | 41% below | 71% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY | $23.20 | $80.00 | — | — | 71% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY IGG | $15.95 | $55.00 | — | 60% below | 71% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY IGG | $15.95 | $55.00 | — | — | 71% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG FREE | $37.99 | $131.00 | — | 23% below | 71% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC AG FREE | $37.99 | $131.00 | — | — | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC | $55.68 | $192.00 | — | 1% below | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING | $55.68 | $192.00 | — | 1% below | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING TOTAL W/RFX FREE PSA | $55.68 | $192.00 | — | 1% below | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC TOTAL W/RFX FREE PSA | $55.68 | $192.00 | — | 1% below | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC TOTAL W/RFX FREE PSA | $55.68 | $192.00 | — | — | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING TOTAL W/RFX FREE PSA | $55.68 | $192.00 | — | — | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING | $55.68 | $192.00 | — | — | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC | $55.68 | $192.00 | — | — | 71% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP TLP AUTO/MAN/REV | $42.34 | $146.00 | — | 10% above | 71% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH PAP TLP AUTO/MAN | $42.34 | $146.00 | — | 10% above | 71% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH PAP TLP AUTO/MAN | $42.34 | $146.00 | — | — | 71% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP TLP AUTO/MAN/REV | $42.34 | $146.00 | — | — | 71% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC GYNECOLOGIC CYTOLOGY TP | $41.76 | $144.00 | — | 18% above | 71% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH PAP TLP MAN | $49.88 | $172.00 | — | 41% above | 71% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC GYNECOLOGIC CYTOLOGY TP | $41.76 | $144.00 | — | — | 71% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH PAP TLP MAN | $49.88 | $172.00 | — | — | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC POST OP PTH | $55.39 | $191.00 | — | 54% below | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC HORMONE FNA-PTH | $96.86 | $334.00 | — | 20% below | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PTH) N TERMINAL | $96.86 | $334.00 | — | 20% below | 71% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC POST OP PTH | $55.39 | $191.00 | — | — | 71% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC HORMONE FNA-PTH | $96.86 | $334.00 | — | — | 71% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PTH) N TERMINAL | $96.86 | $334.00 | — | — | 71% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLAS TIME (PTT) | $28.42 | $98.00 | — | 9% above | 71% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLAS TIME (PTT) | $28.42 | $98.00 | — | — | 71% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $18.85 | $65.00 | — | 34% below | 71% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHATE CATHARTIC LAXATIVES PROFILE STOOL-MAYO | $56.26 | $194.00 | — | 98% above | 71% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $18.85 | $65.00 | — | — | 71% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHATE CATHARTIC LAXATIVES PROFILE STOOL-MAYO | $56.26 | $194.00 | — | — | 71% |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM/ PLASMA/ BLOOD | $20.88 | $72.00 | — | at median | 71% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM/ PLASMA/ BLOOD | $20.88 | $72.00 | — | — | 71% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $40.89 | $141.00 | — | 36% below | 71% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $40.89 | $141.00 | — | — | 71% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $68.73 | $237.00 | — | 2% below | 71% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $68.73 | $237.00 | — | — | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PT) | $20.30 | $70.00 | — | at median | 71% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME (PT) | $20.30 | $70.00 | — | — | 71% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN, DIRECT OPTICAL | $20.01 | $69.00 | — | 4% above | 71% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC COTININE SCREEN | $29.29 | $101.00 | — | 53% above | 71% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREEN, DIRECT OPTICAL | $20.01 | $69.00 | — | — | 71% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC COTININE SCREEN | $29.29 | $101.00 | — | — | 71% |
| Rapid flu test (influenza antigen) CPT 87804 HC IMMUNO OPTICAL INFLUENZA | $23.78 | $82.00 | — | 36% below | 71% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC IMMUNO OPTICAL INFLUENZA | $23.78 | $82.00 | — | — | 71% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IMMUNO OPTICAL STREP A | $29.58 | $102.00 | — | 18% below | 71% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IMMUNO OPTICAL STREP A | $29.58 | $102.00 | — | — | 71% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY-ARUP | $25.81 | $89.00 | — | 58% below | 71% |
| Renin blood test CPT 84244 HC RENIN | $45.24 | $156.00 | — | 27% below | 71% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY-ARUP | $25.81 | $89.00 | — | — | 71% |
| Renin blood test inpatient CPT 84244 HC RENIN | $45.24 | $156.00 | — | — | 71% |
| Rh blood typing CPT 86901 HC TRANSPLANT VIRAL STUDIES BLOOD TYPING SEROLOGIC RH(D)-MBC | $4.93 | $17.00 | — | 84% below | 71% |
| Rh blood typing CPT 86901 HC WEAK RHD ANALYSIS BLOOD TYPING SEROLOGIC RH (D)-VERSITI | $26.68 | $92.00 | — | 13% below | 71% |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH(D) | $27.55 | $95.00 | — | 10% below | 71% |
| Rh blood typing inpatient CPT 86901 HC TRANSPLANT VIRAL STUDIES BLOOD TYPING SEROLOGIC RH(D)-MBC | $4.93 | $17.00 | — | — | 71% |
| Rh blood typing inpatient CPT 86901 HC WEAK RHD ANALYSIS BLOOD TYPING SEROLOGIC RH (D)-VERSITI | $26.68 | $92.00 | — | — | 71% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH(D) | $27.55 | $95.00 | — | — | 71% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QN | $28.13 | $97.00 | — | 5% below | 71% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR | $32.48 | $112.00 | — | 10% above | 71% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QN | $28.13 | $97.00 | — | — | 71% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR | $32.48 | $112.00 | — | — | 71% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG | $29.58 | $102.00 | — | 4% below | 71% |
| Rubella antibody test (immunity check) CPT 86762 HC TORCH ANTIBODIES IGM RUBELLA ANTIBODY-ARUP | $54.23 | $187.00 | — | 76% above | 71% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG | $29.58 | $102.00 | — | — | 71% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC TORCH ANTIBODIES IGM RUBELLA ANTIBODY-ARUP | $54.23 | $187.00 | — | — | 71% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE, ESR, ERYTHOCYTE SED RATE, SED RATE, SED | $23.20 | $80.00 | — | 31% above | 71% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE, ESR, ERYTHOCYTE SED RATE, SED RATE, SED | $23.20 | $80.00 | — | — | 71% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANLYS CMPL | $68.44 | $236.00 | — | 9% above | 71% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC COMPREHENSIVE SEMEN ANALYSIS | $431.81 | $1,489.00 | — | 588% above | 71% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANLYS CMPL | $68.44 | $236.00 | — | — | 71% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC COMPREHENSIVE SEMEN ANALYSIS | $431.81 | $1,489.00 | — | — | 71% |
| Sodium blood test CPT 84295 HC SODIUM BLOOD | $22.62 | $78.00 | — | 16% below | 71% |
| Sodium blood test inpatient CPT 84295 HC SODIUM BLOOD | $22.62 | $78.00 | — | — | 71% |
| Stool ova and parasites exam CPT 87177 HC SMEAR OVA PARASITE CONCNT/IDEN | $35.67 | $123.00 | — | 14% above | 71% |
| Stool ova and parasites exam inpatient CPT 87177 HC SMEAR OVA PARASITE CONCNT/IDEN | $35.67 | $123.00 | — | — | 71% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES SCREEN | $15.95 | $55.00 | — | 16% below | 71% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES SCREEN | $15.95 | $55.00 | — | — | 71% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC IMMUNOASSAY SCRN BLOOD FECAL | $31.90 | $110.00 | — | 4% above | 71% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC IMMUNOASSAY SCRN BLOOD FECAL | $31.90 | $110.00 | — | — | 71% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TRANSPLANT VIRAL STUDIES TREPONEMA PALLIDUM-MBC | $15.66 | $54.00 | — | 49% below | 71% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY | $44.66 | $154.00 | — | 47% above | 71% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC .TREPONEMA PALLIDUM ANTIBODY BY TP-PA | $47.56 | $164.00 | — | 56% above | 71% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TRANSPLANT VIRAL STUDIES TREPONEMA PALLIDUM-MBC | $15.66 | $54.00 | — | — | 71% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY | $44.66 | $154.00 | — | — | 71% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC .TREPONEMA PALLIDUM ANTIBODY BY TP-PA | $47.56 | $164.00 | — | — | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS VDRL RPR QL | $20.01 | $69.00 | — | 22% below | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB - IMMUNOLOGY | $24.07 | $83.00 | — | 7% below | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR SCREEN | $35.38 | $122.00 | — | 37% above | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS VDRL RPR QL | $20.01 | $69.00 | — | — | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB - IMMUNOLOGY | $24.07 | $83.00 | — | — | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR SCREEN | $35.38 | $122.00 | — | — | 71% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON-TB | $71.63 | $247.00 | — | 44% below | 71% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON-TB | $71.63 | $247.00 | — | — | 71% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $79.75 | $275.00 | — | 11% above | 71% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $79.75 | $275.00 | — | — | 71% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY THYROID | $29.29 | $101.00 | — | 28% below | 71% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX PNL MICROSOMAL ANTIBODY EACH-VRCR | $35.96 | $124.00 | — | 12% below | 71% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY THYROID | $29.29 | $101.00 | — | — | 71% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX PNL MICROSOMAL ANTIBODY EACH-VRCR | $35.96 | $124.00 | — | — | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH TDOH | $18.56 | $64.00 | — | 64% below | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $40.89 | $141.00 | — | 20% below | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX PNL ASSAY THYROID STIM HORMONE-VRCR | $45.24 | $156.00 | — | 11% below | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH TDOH | $18.56 | $64.00 | — | — | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $40.89 | $141.00 | — | — | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX PNL ASSAY THYROID STIM HORMONE-VRCR | $45.24 | $156.00 | — | — | 71% |
| Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE | $58.87 | $203.00 | — | at median | 71% |
| Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE | $58.87 | $203.00 | — | — | 71% |
| Total cholesterol blood test CPT 82465 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY, BLD/SERUM CHOLESTEROL MISC REF-BAYGEN | $12.76 | $44.00 | — | 38% below | 71% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL | $18.56 | $64.00 | — | 11% below | 71% |
| Total cholesterol blood test inpatient CPT 82465 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY, BLD/SERUM CHOLESTEROL MISC REF-BAYGEN | $12.76 | $44.00 | — | — | 71% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL TOTAL | $18.56 | $64.00 | — | — | 71% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T-4) TOTAL | $26.97 | $93.00 | — | at median | 71% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE (T-4) TOTAL | $26.97 | $93.00 | — | — | 71% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE (T-3) TOTAL | $41.47 | $143.00 | — | 15% below | 71% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE (T-3) TOTAL | $41.47 | $143.00 | — | — | 71% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $51.62 | $178.00 | — | at median | 71% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $51.62 | $178.00 | — | — | 71% |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFD PROBE | $63.51 | $219.00 | — | 1% below | 71% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFD PROBE | $63.51 | $219.00 | — | — | 71% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $23.49 | $81.00 | — | at median | 71% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $23.49 | $81.00 | — | — | 71% |
| Troponin test, quantitative CPT 84484 HC TROPONIN T HIGH SENSITIVITY | $30.45 | $105.00 | — | 34% below | 71% |
| Troponin test, quantitative CPT 84484 HC TROPONIN QN | $41.18 | $142.00 | — | 10% below | 71% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T HIGH SENSITIVITY | $30.45 | $105.00 | — | — | 71% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QN | $41.18 | $142.00 | — | — | 71% |
| Uric acid blood test CPT 84550 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY OF URIC ACID, BLOOD MISC REF-BAYGEN | $13.05 | $45.00 | — | 54% below | 71% |
| Uric acid blood test CPT 84550 HC URIC ACID W RASBURICASE | $19.43 | $67.00 | — | 32% below | 71% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $19.43 | $67.00 | — | 32% below | 71% |
| Uric acid blood test inpatient CPT 84550 HC GLOBAL METABOLOMIC ASSISTED PATHWAY SCREEN (GLOBAL MAPS) ASSAY OF URIC ACID, BLOOD MISC REF-BAYGEN | $13.05 | $45.00 | — | — | 71% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $19.43 | $67.00 | — | — | 71% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID W RASBURICASE | $19.43 | $67.00 | — | — | 71% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/MICRO | $24.65 | $85.00 | — | 19% below | 71% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/MICRO | $24.65 | $85.00 | — | — | 71% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTO W/MICRO | $12.76 | $44.00 | — | 4% below | 71% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS NONAUTO W/MICRO | $12.76 | $44.00 | — | — | 71% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO | $8.41 | $29.00 | — | 22% below | 71% |
| Urinalysis without microscope exam, automated CPT 81003 HC POC URINALYSIS UA CLINITEK | $8.41 | $29.00 | — | 22% below | 71% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO | $8.41 | $29.00 | — | — | 71% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINALYSIS UA CLINITEK | $8.41 | $29.00 | — | — | 71% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O MICRO | $11.89 | $41.00 | — | 50% above | 71% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O MICRO | $11.89 | $41.00 | — | — | 71% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE W/COLONY COUNT | $40.31 | $139.00 | — | 5% above | 71% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACT UROLOGY ENHANCED URINE | $40.31 | $139.00 | — | 5% above | 71% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE W/COLONY COUNT | $40.31 | $139.00 | — | — | 71% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACT UROLOGY ENHANCED URINE | $40.31 | $139.00 | — | — | 71% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN LEVEL URINE UR ALBUMIN QUANTITATIVE | $19.43 | $67.00 | — | at median | 71% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN LEVEL 24 HOUR URINE UR ALBUMIN QUANTITATIVE | $19.43 | $67.00 | — | at median | 71% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QN | $25.23 | $87.00 | — | 30% above | 71% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN LEVEL 24 HOUR URINE UR ALBUMIN QUANTITATIVE | $19.43 | $67.00 | — | — | 71% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN LEVEL URINE UR ALBUMIN QUANTITATIVE | $19.43 | $67.00 | — | — | 71% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QN | $25.23 | $87.00 | — | — | 71% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY VISUAL | $32.19 | $111.00 | — | 17% below | 71% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY VISUAL | $32.19 | $111.00 | — | — | 71% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $34.51 | $119.00 | — | 31% below | 71% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $34.51 | $119.00 | — | — | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $56.55 | $195.00 | — | 23% below | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC HYDROXYVITAMIN D2 AND D3 BY LC-MS/MS, SERUM (INFANTS <1YO)-MAYO | $119.19 | $411.00 | — | 63% above | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $56.55 | $195.00 | — | — | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC HYDROXYVITAMIN D2 AND D3 BY LC-MS/MS, SERUM (INFANTS <1YO)-MAYO | $119.19 | $411.00 | — | — | 71% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INC FRACTION | $93.67 | $323.00 | — | 15% below | 71% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1,25 DIHYDROXY VITAMIN D | $107.30 | $370.00 | — | 2% below | 71% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1 25 DIHYDROXY INC FRACTION | $93.67 | $323.00 | — | — | 71% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1,25 DIHYDROXY VITAMIN D | $107.30 | $370.00 | — | — | 71% |
| Zinc blood test CPT 84630 HC ZINC | $33.93 | $117.00 | — | 3% below | 71% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $33.93 | $117.00 | — | — | 71% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG (TUMOR MARKER) | $55.68 | $192.00 | — | at median | 71% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QN | $55.68 | $192.00 | — | at median | 71% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QN | $55.68 | $192.00 | — | — | 71% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG (TUMOR MARKER) | $55.68 | $192.00 | — | — | 71% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 HC REMOVAL OF ADENOIDS 1' <12 YRS | $1,633.57 | $5,633.00 | — | 51% below | 71% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 HC REMOVAL OF ADENOIDS 1' <12 YRS | $1,633.57 | $5,633.00 | — | — | 71% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC ENDO NASAL DILATION MAX SINUS | $2,378.58 | $8,202.00 | — | 29% below | 71% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC ENDO NASAL DILATION MAX SINUS | $2,378.58 | $8,202.00 | — | — | 71% |
| Botox injections for chronic migraine CPT 64615 HC CHEMDNR NRV MUSCLE FACIAL TRIG | $312.91 | $1,079.00 | — | 64% above | 71% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMDNR NRV MUSCLE FACIAL TRIG | $312.91 | $1,079.00 | — | — | 71% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST DVC 1ST LESION | $2,080.17 | $7,173.00 | — | 38% above | 71% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST DVC 1ST LESION | $2,080.17 | $7,173.00 | — | — | 71% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC TX FX FIB DIST W/O MAN CLSD | $291.45 | $1,005.00 | — | 21% above | 71% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC TX FX FIB DIST W/O MAN CLSD | $291.45 | $1,005.00 | — | — | 71% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TX FX METATARSAL W/O MAN CLSD | $263.32 | $908.00 | — | 60% above | 71% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TX FX METATARSAL W/O MAN CLSD | $263.32 | $908.00 | — | — | 71% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC LT HRT ART/VENTRICLE ANGIO | $6,801.37 | $23,453.00 | — | 28% above | 71% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LT HRT ART/VENTRICLE ANGIO | $6,801.37 | $23,453.00 | — | — | 71% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTV EXTERNAL | $742.98 | $2,562.00 | — | 7% above | 71% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTV EXTERNAL | $742.98 | $2,562.00 | — | — | 71% |
| Carpal tunnel release, open surgery CPT 64721 HC NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL | $1,931.69 | $6,661.00 | — | 33% below | 71% |
| Carpal tunnel release, open surgery inpatient CPT 64721 HC NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL | $1,931.69 | $6,661.00 | — | — | 71% |
| Catheter ablation for atrial fibrillation CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL | $17,910.69 | $61,761.00 | — | 5% above | 71% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL | $17,910.69 | $61,761.00 | — | — | 71% |
| Cervical biopsy CPT 57500 HC BX/EXC CERVIX LOCAL | $1,314.28 | $4,532.00 | — | 188% above | 71% |
| Cervical biopsy inpatient CPT 57500 HC BX/EXC CERVIX LOCAL | $1,314.28 | $4,532.00 | — | — | 71% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUM W/CLAMP / OTHER DVC | $1,930.53 | $6,657.00 | — | 220% above | 71% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUM W/CLAMP / OTHER DVC | $1,930.53 | $6,657.00 | — | — | 71% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC TX FX RADIAL DIST W/O MAN CLSD | $302.76 | $1,044.00 | — | 28% above | 71% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC TX FX RADIAL DIST W/O MAN CLSD | $302.76 | $1,044.00 | — | — | 71% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY FLEX W/US | $1,074.74 | $3,706.00 | — | 2% below | 71% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY FLEX W/US | $1,074.74 | $3,706.00 | — | — | 71% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY FLEX W/REM SNARE | $1,199.44 | $4,136.00 | — | 5% below | 71% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY FLEX W/REM SNARE | $1,199.44 | $4,136.00 | — | — | 71% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY FLEX W/BIOPSY | $1,271.65 | $4,385.00 | — | 1% above | 71% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY FLEX W/BIOPSY | $1,271.65 | $4,385.00 | — | — | 71% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLEXIBLE | $1,049.51 | $3,619.00 | — | 17% below | 71% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLEXIBLE | $1,049.51 | $3,619.00 | — | — | 71% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY W/BX LOOP CERVIX | $2,060.16 | $7,104.00 | — | 5% below | 71% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY W/BX LOOP CERVIX | $2,060.16 | $7,104.00 | — | — | 71% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/BX&CURETTAGE | $473.86 | $1,634.00 | — | 28% above | 71% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/BX&CURETTAGE | $473.86 | $1,634.00 | — | — | 71% |
| Coronary stent placement, one artery CPT 92928 HC PL STNT DRG ELUT I/C W/PL SGL | $9,457.77 | $32,613.00 | — | 20% above | 71% |
| Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $9,457.77 | $32,613.00 | — | 20% above | 71% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PL STNT DRG ELUT I/C W/PL SGL | $9,457.77 | $32,613.00 | — | — | 71% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $9,457.77 | $32,613.00 | — | — | 71% |
| Cystoscopy with ureteral stent placement CPT 52332 HC CYST W INS INDWELLING URTR STNT | $3,666.47 | $12,643.00 | — | 8% below | 71% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYST W INS INDWELLING URTR STNT | $3,666.47 | $12,643.00 | — | — | 71% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $3,666.47 | $12,643.00 | — | 428% above | 71% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $3,666.47 | $12,643.00 | — | — | 71% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C DIAGNOSTIC OR THERAP NOT OB | $2,569.11 | $8,859.00 | — | 6% below | 71% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C DIAGNOSTIC OR THERAP NOT OB | $2,569.11 | $8,859.00 | — | — | 71% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DEST LESN PREMALIG 1ST LES | $110.49 | $381.00 | — | 11% above | 71% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DEST LESN PREMALIG 1ST LES | $110.49 | $381.00 | — | — | 71% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC TYMPANOSTOMY W/ANES GENL | $1,429.70 | $4,930.00 | — | 34% below | 71% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC TYMPANOSTOMY W/ANES GENL | $1,429.70 | $4,930.00 | — | — | 71% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY W/ANES LOCAL | $638.29 | $2,201.00 | — | 68% above | 71% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY W/ANES LOCAL | $638.29 | $2,201.00 | — | — | 71% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE CERUMEN IMPACTED IRRIG | $160.08 | $552.00 | — | 253% above | 71% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE CERUMEN IMPACTED IRRIG | $160.08 | $552.00 | — | — | 71% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE CERUMEN IMPACTED | $117.45 | $405.00 | — | 59% above | 71% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE CERUMEN IMPACTED | $117.45 | $405.00 | — | — | 71% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BX ENDOMETRIAL SAMPLING W/O | $184.73 | $637.00 | — | 133% above | 71% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BX ENDOMETRIAL SAMPLING W/O | $184.73 | $637.00 | — | — | 71% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC ENDO NASAL W/MAXIL ANTROSTOMY | $1,814.82 | $6,258.00 | — | 61% below | 71% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC ENDO NASAL W/MAXIL ANTROSTOMY | $1,814.82 | $6,258.00 | — | — | 71% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ INTERLAMNR CRV/THRC W IMG | $1,080.83 | $3,727.00 | — | 98% above | 71% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ INTERLAMNR CRV/THRC W IMG | $1,080.83 | $3,727.00 | — | — | 71% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJ MEDS INTRAVITREAL | $613.64 | $2,116.00 | — | 396% above | 71% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJ MEDS INTRAVITREAL | $613.64 | $2,116.00 | — | — | 71% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ ANES/STER LUMB/SACR SGL | $882.18 | $3,042.00 | — | 26% above | 71% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ ANES/STER LUMB/SACR SGL | $882.18 | $3,042.00 | — | — | 71% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLEX | $1,013.84 | $3,496.00 | — | 51% above | 71% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOIDOSCOPY FLEX | $1,013.84 | $3,496.00 | — | — | 71% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY | $1,170.44 | $4,036.00 | — | 15% above | 71% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY | $1,170.44 | $4,036.00 | — | — | 71% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INTRO SALINE/CONTRAST SIS | $435.87 | $1,503.00 | — | 183% above | 71% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INTRO SALINE/CONTRAST SIS | $435.87 | $1,503.00 | — | — | 71% |
| Hysteroscopy with endometrial ablation CPT 58563 HC SURGICAL HYSTEROSCOPY WITH ABLATION OF ENDOMETRIUM | $4,064.06 | $14,014.00 | — | 13% below | 71% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC SURGICAL HYSTEROSCOPY WITH ABLATION OF ENDOMETRIUM | $4,064.06 | $14,014.00 | — | — | 71% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY W BX ENDOM OR POLYPECT | $2,822.28 | $9,732.00 | — | 24% below | 71% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY W BX ENDOM OR POLYPECT | $2,822.28 | $9,732.00 | — | — | 71% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD | $887.40 | $3,060.00 | — | 58% below | 71% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD | $887.40 | $3,060.00 | — | — | 71% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE | $626.98 | $2,162.00 | — | 185% above | 71% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE | $626.98 | $2,162.00 | — | — | 71% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGLE TENDON/LIGAMENT | $405.42 | $1,398.00 | — | 72% above | 71% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SINGLE TENDON/LIGAMENT | $405.42 | $1,398.00 | — | — | 71% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHOCENTESIS ASP/INJ MAJOR | $493.87 | $1,703.00 | — | 52% above | 71% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHOCENTESIS ASP/INJ MAJOR | $493.87 | $1,703.00 | — | — | 71% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INS IMPL DRUG DELIV NON-BIODEG | $171.39 | $591.00 | — | at median | 71% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INS IMPL DRUG DELIV NON-BIODEG | $171.39 | $591.00 | — | — | 71% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENT ASP/INJ JT INTERMED | $376.13 | $1,297.00 | — | 29% above | 71% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENT ASP/INJ JT INTERMED | $376.13 | $1,297.00 | — | — | 71% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENT ASP/INJ JT SMALL | $617.99 | $2,131.00 | — | 116% above | 71% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENT ASP/INJ JT SMALL | $617.99 | $2,131.00 | — | — | 71% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC LAP FUNDOPLASTY ESOP | $7,635.99 | $26,331.00 | — | 34% below | 71% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HC LAP FUNDOPLASTY ESOP | $7,635.99 | $26,331.00 | — | — | 71% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCIS CATARACT SEC MEM LASER | $1,074.16 | $3,704.00 | — | 21% above | 71% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC DISCIS CATARACT SEC MEM LASER | $1,074.16 | $3,704.00 | — | — | 71% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR LAC INT SCALP/AXIL | $827.37 | $2,853.00 | — | 156% above | 71% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC RPR LAC INT SCALP/AXIL | $827.37 | $2,853.00 | — | — | 71% |
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART W/ VENTRCLGRPH | $4,772.24 | $16,456.00 | — | 48% above | 71% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART W/ VENTRCLGRPH | $4,772.24 | $16,456.00 | — | — | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTERLAMNR LMBR/SAC W IMG | $722.10 | $2,490.00 | — | 47% above | 71% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ INTERLAMNR LMBR/SAC W IMG | $722.10 | $2,490.00 | — | — | 71% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTERLAMNR LMBR/SAC WO IMG | $665.55 | $2,295.00 | — | 4% below | 71% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ INTERLAMNR LMBR/SAC WO IMG | $665.55 | $2,295.00 | — | — | 71% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ EPIDURAL LUMBAR/SACRAL SGL | $1,116.21 | $3,849.00 | — | 57% above | 71% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ EPIDURAL LUMBAR/SACRAL SGL | $1,116.21 | $3,849.00 | — | — | 71% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC SURG TX MISSED ABORT 1ST TRIMESTER | $2,611.74 | $9,006.00 | — | 15% below | 71% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC SURG TX MISSED ABORT 1ST TRIMESTER | $2,611.74 | $9,006.00 | — | — | 71% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS 1 STAGE H/N/HF/G | $665.26 | $2,294.00 | — | at median | 71% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC MOHS 1 STAGE H/N/HF/G | $665.26 | $2,294.00 | — | — | 71% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC LESN BGN TRUNK/ARM | $642.93 | $2,217.00 | — | 81% above | 71% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC LESN BGN TRUNK/ARM | $642.93 | $2,217.00 | — | — | 71% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC LESN BGN FACE/EAR | $740.37 | $2,553.00 | — | 24% above | 71% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC LESN BGN FACE/EAR | $740.37 | $2,553.00 | — | — | 71% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE | $504.89 | $1,741.00 | — | 281% above | 71% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE | $504.89 | $1,741.00 | — | — | 71% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES NRV GREAT OCCIPITAL | $523.45 | $1,805.00 | — | 81% above | 71% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES NRV GREAT OCCIPITAL | $523.45 | $1,805.00 | — | — | 71% |
| Pacemaker implant (dual chamber) CPT 33208 HC INS NEW/ REPL PERM PACEMKR A/V | $8,722.62 | $30,078.00 | — | 68% above | 71% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS NEW/ REPL PERM PACEMKR A/V | $8,722.62 | $30,078.00 | — | — | 71% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS WITH IMAGING | $1,137.09 | $3,921.00 | — | 94% above | 71% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS WITH IMAGING | $1,137.09 | $3,921.00 | — | — | 71% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL & MATRIX | $718.91 | $2,479.00 | — | 89% above | 71% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL & MATRIX | $718.91 | $2,479.00 | — | — | 71% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT | $1,918.35 | $6,615.00 | — | 24% above | 71% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMB/SAC FACET JNT | $1,918.35 | $6,615.00 | — | — | 71% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/LESN BREAST | $1,877.46 | $6,474.00 | — | 55% below | 71% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST/LESN BREAST | $1,877.46 | $6,474.00 | — | — | 71% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION/REM FB SUBQ SMP | $841.29 | $2,901.00 | — | 179% above | 71% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION/REM FB SUBQ SMP | $841.29 | $2,901.00 | — | — | 71% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CANCER SCR NON-HR | $1,324.14 | $4,566.00 | — | 6% above | 71% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLON CANCER SCR NON-HR | $1,324.14 | $4,566.00 | — | — | 71% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLON CANCER SCR COLON HR | $1,225.25 | $4,225.00 | — | at median | 71% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLON CANCER SCR COLON HR | $1,225.25 | $4,225.00 | — | — | 71% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY EXTRACO SHOCK WAVE | $4,784.42 | $16,498.00 | — | 9% below | 71% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY EXTRACO SHOCK WAVE | $4,784.42 | $16,498.00 | — | — | 71% |
| Short arm cast (elbow to hand) CPT 29075 HC APPL CAST ARM SHORT | $206.48 | $712.00 | — | 29% above | 71% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPL CAST ARM SHORT | $206.48 | $712.00 | — | — | 71% |
| Short arm splint (forearm and hand) CPT 29125 HC APPL SPLINT ARM SHORT STATIC | $211.41 | $729.00 | — | 45% above | 71% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPL SPLINT ARM SHORT STATIC | $211.41 | $729.00 | — | — | 71% |
| Short leg cast (below the knee) CPT 29405 HC APPL CAST LEG SHORT | $232.00 | $800.00 | — | 54% above | 71% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPL CAST LEG SHORT | $232.00 | $800.00 | — | — | 71% |
| Short leg splint (calf to foot) CPT 29515 HC APPL SPLINT LEG SHORT | $226.49 | $781.00 | — | 41% above | 71% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPL SPLINT LEG SHORT | $226.49 | $781.00 | — | — | 71% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR LAC SMP SCALP | $314.94 | $1,086.00 | — | 46% above | 71% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR LAC SMP SCALP | $314.94 | $1,086.00 | — | — | 71% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $229.68 | $792.00 | — | 23% above | 71% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $229.68 | $792.00 | — | — | 71% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC LESN MAL TRUNK/ARM | $651.34 | $2,246.00 | — | 26% below | 71% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC LESN MAL TRUNK/ARM | $651.34 | $2,246.00 | — | — | 71% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVE SKIN TAG | $203.58 | $702.00 | — | 32% above | 71% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVE SKIN TAG | $203.58 | $702.00 | — | — | 71% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $691.07 | $2,383.00 | — | 72% above | 71% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $691.07 | $2,383.00 | — | — | 71% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR LAC SMP SCALP 2.6-7.5CM | $339.30 | $1,170.00 | — | 46% above | 71% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR LAC SMP SCALP 2.6-7.5CM | $339.30 | $1,170.00 | — | — | 71% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR LAC SMP FACE | $319.00 | $1,100.00 | — | 36% above | 71% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR LAC SMP FACE | $319.00 | $1,100.00 | — | — | 71% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $579.13 | $1,997.00 | — | 237% above | 71% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $579.13 | $1,997.00 | — | — | 71% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING GUID | $1,222.06 | $4,214.00 | — | 93% above | 71% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING GUID | $1,222.06 | $4,214.00 | — | — | 71% |
| Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION | $1,713.32 | $5,908.00 | — | 44% below | 71% |
| Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION | $1,713.32 | $5,908.00 | — | — | 71% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PT 1-2 MUSCLE(S) | $441.96 | $1,524.00 | — | 78% above | 71% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PT 1-2 MUSCLE(S) | $441.96 | $1,524.00 | — | — | 71% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST DVC 1ST LESION | $1,883.84 | $6,496.00 | — | 87% above | 71% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST DVC 1ST LESION | $1,883.84 | $6,496.00 | — | — | 71% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILAT ESOPH BALLOON | $1,532.07 | $5,283.00 | — | 40% above | 71% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILAT ESOPH BALLOON | $1,532.07 | $5,283.00 | — | — | 71% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BIOPSY | $990.64 | $3,416.00 | — | at median | 71% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BIOPSY | $990.64 | $3,416.00 | — | — | 71% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/INJ SUBMUCOSAL DIRECTED | $1,208.14 | $4,166.00 | — | 11% above | 71% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/INJ SUBMUCOSAL DIRECTED | $1,208.14 | $4,166.00 | — | — | 71% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REM TUMR/POLYP SNARE | $1,546.28 | $5,332.00 | — | 15% above | 71% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REM TUMR/POLYP SNARE | $1,546.28 | $5,332.00 | — | — | 71% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT ESOPH GD WIRE | $1,272.23 | $4,387.00 | — | 16% above | 71% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT ESOPH GD WIRE | $1,272.23 | $4,387.00 | — | — | 71% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD | $729.35 | $2,515.00 | — | 24% below | 71% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD | $729.35 | $2,515.00 | — | — | 71% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD W/DRAIN PSEUDOCYST | $2,159.05 | $7,445.00 | — | 81% above | 71% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD W/DRAIN PSEUDOCYST | $2,159.05 | $7,445.00 | — | — | 71% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTO W/REM FB SMP | $3,851.78 | $13,282.00 | — | 5% below | 71% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTO W/REM FB SMP | $3,851.78 | $13,282.00 | — | — | 71% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY SEMEN EXAM POSTOP | $1,439.56 | $4,964.00 | — | 23% above | 71% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY SEMEN EXAM POSTOP | $1,439.56 | $4,964.00 | — | — | 71% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $2,204.29 | $7,601.00 | — | at median | 71% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $2,204.29 | $7,601.00 | — | — | 71% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION | $186.47 | $643.00 | — | 55% above | 71% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION | $186.47 | $643.00 | — | — | 71% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBR SKIN/SUBQ TISSUE | $775.46 | $2,674.00 | — | 80% above | 71% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBR SKIN/SUBQ TISSUE | $775.46 | $2,674.00 | — | — | 71% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUS BLOOD/COMP | $580.58 | $2,002.00 | — | 46% above | 71% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUS BLOOD/COMP | $580.58 | $2,002.00 | — | — | 71% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NONPRESSURIZED INHALATION | $178.06 | $614.00 | — | 81% above | 71% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NONPRESSURIZED INHALATION | $178.06 | $614.00 | — | — | 71% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEM IV INFUSION SGL/INIT | $584.64 | $2,016.00 | — | 125% above | 71% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEM IV INFUSION SGL/INIT | $584.64 | $2,016.00 | — | — | 71% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC EYE EXAM NEW COMPREHENSIVE | $201.26 | $694.00 | — | 101% above | 71% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC EYE EXAM NEW COMPREHENSIVE | $201.26 | $694.00 | — | — | 71% |
| Comprehensive eye exam, returning patient CPT 92014 HC EYE EXAM ESTAB COMPREHENSIVE | $116.00 | $400.00 | — | 46% above | 71% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HC EYE EXAM ESTAB COMPREHENSIVE | $116.00 | $400.00 | — | — | 71% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOMETRY | $113.39 | $391.00 | — | 1% below | 71% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOMETRY | $113.39 | $391.00 | — | — | 71% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE 30-74 MIN | $1,675.33 | $5,777.00 | — | 38% above | 71% |
| Critical care, first 30 to 74 minutes CPT 99291 HC COMBO - 99291 + TRAUMA ACT LVL 1 W/O NOTIF, LVL 3 TRAUMA FACILITY (REGIONAL HOSPITAL) | $4,870.84 | $16,796.00 | — | 302% above | 71% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER CRITICAL CARE 30-74 MIN | $1,675.33 | $5,777.00 | — | — | 71% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC COMBO - 99291 + TRAUMA ACT LVL 1 W/O NOTIF, LVL 3 TRAUMA FACILITY (REGIONAL HOSPITAL) | $4,870.84 | $16,796.00 | — | — | 71% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY | $494.16 | $1,704.00 | — | 66% above | 71% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY | $494.16 | $1,704.00 | — | — | 71% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $153.70 | $530.00 | — | 44% above | 71% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING | $153.70 | $530.00 | — | — | 71% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY | $479.37 | $1,653.00 | — | 39% below | 71% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY | $479.37 | $1,653.00 | — | — | 71% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL I | $216.05 | $745.00 | — | 47% above | 71% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LEVEL I | $216.05 | $745.00 | — | — | 71% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL II | $367.72 | $1,268.00 | — | 60% above | 71% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER LEVEL II | $367.72 | $1,268.00 | — | — | 71% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL III | $606.68 | $2,092.00 | — | 37% above | 71% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER LEVEL III | $606.68 | $2,092.00 | — | — | 71% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL IV | $1,034.43 | $3,567.00 | — | 43% above | 71% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER LEVEL IV | $1,034.43 | $3,567.00 | — | — | 71% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC COMBO - 99285 + TRAUMA ACT LVL 1 W/O NOTIF, LVL 3 TRAUMA FACILITY (REGIONAL HOSPITAL) | $4,331.73 | $14,937.00 | — | 339% above | 71% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC COMBO - 99285 + TRAUMA ACT LVL 1 W/O NOTIF, LVL 3 TRAUMA FACILITY (REGIONAL HOSPITAL) | $4,331.73 | $14,937.00 | — | — | 71% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TRACING ONLY | $612.77 | $2,113.00 | — | 46% above | 71% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TRACING ONLY | $612.77 | $2,113.00 | — | — | 71% |
| Eye exam, returning patient, intermediate CPT 92012 HC EYE EXAM ESTAB INTERMEDIATE | $91.06 | $314.00 | — | 14% above | 71% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HC EYE EXAM ESTAB INTERMEDIATE | $91.06 | $314.00 | — | — | 71% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCH THRPY FAMILY W/PT | $187.05 | $645.00 | — | 54% above | 71% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCH THRPY FAMILY W/PT | $187.05 | $645.00 | — | — | 71% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSYCH THRPY FAMILY W/O PT | $152.54 | $526.00 | — | 2% above | 71% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYCH THRPY FAMILY W/O PT | $152.54 | $526.00 | — | — | 71% |
| Group psychotherapy session CPT 90853 HC PSYCH THRPY GRP- NOT MULTI-FAMILY(NON PHP SETTING) | $156.60 | $540.00 | — | 64% above | 71% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCH THRPY GRP- NOT MULTI-FAMILY(NON PHP SETTING) | $156.60 | $540.00 | — | — | 71% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC ECG MONIT/REPRT UP TO 48 HRS | $191.11 | $659.00 | — | 7% above | 71% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC ECG MONIT/REPRT UP TO 48 HRS | $191.11 | $659.00 | — | — | 71% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFS THPY FLD INTL 31MN-1HR | $257.23 | $887.00 | — | 73% above | 71% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFS THPY FLD INTL 31MN-1HR | $257.23 | $887.00 | — | — | 71% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUS THPY/PROPH/DX INTL UP | $358.44 | $1,236.00 | — | 133% above | 71% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUS THPY/PROPH/DX INTL UP | $358.44 | $1,236.00 | — | — | 71% |
| IV push of a medicine, first drug CPT 96374 HC THERAPYPRO//DX IV PUSH INITIA | $215.18 | $742.00 | — | 92% above | 71% |
| IV push of a medicine, first drug inpatient CPT 96374 HC THERAPYPRO//DX IV PUSH INITIA | $215.18 | $742.00 | — | — | 71% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAP/PRO/DX INJ SQ/IM | $104.11 | $359.00 | — | 86% above | 71% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAP/PRO/DX INJ SQ/IM | $104.11 | $359.00 | — | — | 71% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $187.63 | $647.00 | — | 44% above | 71% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $187.63 | $647.00 | — | — | 71% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 | $1,272.23 | $4,387.00 | — | 250% above | 71% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 | $1,272.23 | $4,387.00 | — | — | 71% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED 15 MIN | $57.42 | $198.00 | — | 23% above | 71% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED 15 MIN | $57.42 | $198.00 | — | 23% above | 71% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED 15 MIN | $57.42 | $198.00 | — | — | 71% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED 15 MIN | $57.42 | $198.00 | — | — | 71% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTRITION THRPY EVAL 15 MIN | $30.45 | $105.00 | — | 14% above | 71% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTRITION THRPY EVAL 15 MIN | $30.45 | $105.00 | — | — | 71% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $144.13 | $497.00 | — | 1% above | 71% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $144.13 | $497.00 | — | — | 71% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $158.05 | $545.00 | — | 16% above | 71% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $158.05 | $545.00 | — | — | 71% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $139.20 | $480.00 | — | 7% above | 71% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $139.20 | $480.00 | — | — | 71% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $149.35 | $515.00 | — | 15% above | 71% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $149.35 | $515.00 | — | — | 71% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THRPY 15 MIN | $63.51 | $219.00 | — | 36% above | 71% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THRPY 15 MIN | $63.51 | $219.00 | — | 36% above | 71% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THRPY 15 MIN | $63.51 | $219.00 | — | — | 71% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THRPY 15 MIN | $63.51 | $219.00 | — | — | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES 15 MIN | $69.89 | $241.00 | — | 49% above | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES 15 MIN | $69.89 | $241.00 | — | 49% above | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES 15 MIN | $69.89 | $241.00 | — | — | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES 15 MIN | $69.89 | $241.00 | — | — | 71% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV VISIT NEW AGE 18-39 | $86.42 | $298.00 | — | at median | 71% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV VISIT NEW AGE 18-39 | $86.42 | $298.00 | — | — | 71% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40-64 | $114.26 | $394.00 | — | at median | 71% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV VISIT NEW AGE 40-64 | $114.26 | $394.00 | — | — | 71% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INIT PM E/M NEW PAT 65+ YRS | $124.70 | $430.00 | — | 9% above | 71% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INIT PM E/M NEW PAT 65+ YRS | $124.70 | $430.00 | — | — | 71% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV VISIT EST AGE 18-39 | $86.42 | $298.00 | — | 24% above | 71% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREV VISIT EST AGE 18-39 | $86.42 | $298.00 | — | — | 71% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV VISIT EST AGE 40-64 | $108.75 | $375.00 | — | at median | 71% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREV VISIT EST AGE 40-64 | $108.75 | $375.00 | — | — | 71% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PM REEVAL EST PAT 65+ YR | $124.70 | $430.00 | — | at median | 71% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PER PM REEVAL EST PAT 65+ YR | $124.70 | $430.00 | — | — | 71% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/ MED SERVICE | $197.20 | $680.00 | — | 59% above | 71% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/ MED SERVICE | $197.20 | $680.00 | — | — | 71% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCL TST EVAL PHYS/QHP 1ST | $113.10 | $390.00 | — | 25% below | 71% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCL TST EVAL PHYS/QHP 1ST | $113.10 | $390.00 | — | — | 71% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCH THERAPY CRISIS 1ST 60 M | $124.99 | $431.00 | — | 30% above | 71% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCH THERAPY CRISIS 1ST 60 M | $124.99 | $431.00 | — | — | 71% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCH THERAPY 30 MIN W/ | $66.70 | $230.00 | — | at median | 71% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCH THERAPY 30 MIN W/ | $66.70 | $230.00 | — | — | 71% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCH THERAPY 45 MIN W/ | $131.37 | $453.00 | — | 37% above | 71% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCH THERAPY 45 MIN W/ | $131.37 | $453.00 | — | — | 71% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCH THERAPY 60 MIN W/ | $150.80 | $520.00 | — | 50% above | 71% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCH THERAPY 60 MIN W/ | $150.80 | $520.00 | — | — | 71% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOK CESS COUN INTER >3MIN | $25.23 | $87.00 | — | 10% below | 71% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOK CESS COUN INTER >3MIN | $25.23 | $87.00 | — | — | 71% |
| Speech and language evaluation CPT 92523 HC ST SPEECH EVAL COMPREHENSIO | $276.66 | $954.00 | — | 49% above | 71% |
| Speech and language evaluation inpatient CPT 92523 HC ST SPEECH EVAL COMPREHENSIO | $276.66 | $954.00 | — | — | 71% |
| Speech therapy session, individual CPT 92507 HC ST TREAT SPEECH/LANG | $73.08 | $252.00 | — | 52% below | 71% |
| Speech therapy session, individual inpatient CPT 92507 HC ST TREAT SPEECH/LANG | $73.08 | $252.00 | — | — | 71% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY/PFT SMP | $295.51 | $1,019.00 | — | 104% above | 71% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY/PFT SMP | $295.51 | $1,019.00 | — | — | 71% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY/PFT PRE & POST | $382.22 | $1,318.00 | — | 12% above | 71% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY/PFT PRE & POST | $382.22 | $1,318.00 | — | — | 71% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC TRANSCRN MAG STIM THER TX INIT | $239.54 | $826.00 | — | at median | 71% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC TRANSCRN MAG STIM THER TX INIT | $239.54 | $826.00 | — | — | 71% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES 15 MIN | $56.55 | $195.00 | — | 22% above | 71% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES 15 MIN | $56.55 | $195.00 | — | 22% above | 71% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES 15 MIN | $56.55 | $195.00 | — | — | 71% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES 15 MIN | $56.55 | $195.00 | — | — | 71% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $113.10 | $390.00 | — | 21% above | 71% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $113.10 | $390.00 | — | — | 71% |
| Visual field test, extended CPT 92083 HC EXAM VISUAL FIELD EXD | $214.02 | $738.00 | — | 13% above | 71% |
| Visual field test, extended inpatient CPT 92083 HC EXAM VISUAL FIELD EXD | $214.02 | $738.00 | — | — | 71% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANT VACCINE IM FLUAD HD > 65 YO | $29.00 | $100.00 | — | 67% below | 71% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $29.00 | $100.00 | — | 67% below | 71% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $29.00 | $100.00 | — | 67% below | 71% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $29.00 | $100.00 | — | — | 71% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $29.00 | $100.00 | — | — | 71% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANT VACCINE IM FLUAD HD > 65 YO | $29.00 | $100.00 | — | — | 71% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $65.25 | $225.00 | — | 69% below | 71% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC SARSCOV2 VAC 50 MCG/0.5ML IM | $65.25 | $225.00 | — | 69% below | 71% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $65.25 | $225.00 | — | — | 71% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC SARSCOV2 VAC 50 MCG/0.5ML IM | $65.25 | $225.00 | — | — | 71% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2024-2025 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $65.25 | $225.00 | — | 61% below | 71% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2024-2025 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $65.25 | $225.00 | — | — | 71% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $87.29 | $301.00 | — | 51% below | 71% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA VIRUS VACCINE | $126.15 | $435.00 | — | 30% below | 71% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $87.29 | $301.00 | — | — | 71% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA VIRUS VACCINE | $126.15 | $435.00 | — | — | 71% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DPT + POLIO VACCINE (KINRIX) | $38.28 | $132.00 | — | 55% below | 71% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DPT + POLIO VACC (QUADRACEL) | $42.05 | $145.00 | — | 51% below | 71% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC DPT + POLIO VACCINE (KINRIX) | $38.28 | $132.00 | — | — | 71% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC DPT + POLIO VACC (QUADRACEL) | $42.05 | $145.00 | — | — | 71% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC DPT (ACELLULAR PERTUSSIS) | $17.98 | $62.00 | — | 68% below | 71% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $17.98 | $62.00 | — | 68% below | 71% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $17.98 | $62.00 | — | — | 71% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC DPT (ACELLULAR PERTUSSIS) | $17.98 | $62.00 | — | — | 71% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $67.86 | $234.00 | — | 46% below | 71% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC DTAP HEP B IPV VACCINE IM | $67.86 | $234.00 | — | 46% below | 71% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC DTAP HEP B IPV VACCINE IM | $67.86 | $234.00 | — | — | 71% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $67.86 | $234.00 | — | — | 71% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC DPT-POLIO-HIB VACCINE | $67.86 | $234.00 | — | 31% below | 71% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC DPT-POLIO-HIB VACCINE | $67.86 | $234.00 | — | — | 71% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC IIV3 VACC NO PRSV 0.5ML IM FLUARIX | $18.85 | $65.00 | — | 44% below | 71% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $18.85 | $65.00 | — | 44% below | 71% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $18.85 | $65.00 | — | 44% below | 71% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $18.85 | $65.00 | — | — | 71% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $18.85 | $65.00 | — | — | 71% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC IIV3 VACC NO PRSV 0.5ML IM FLUARIX | $18.85 | $65.00 | — | — | 71% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $146.74 | $506.00 | — | 13% below | 71% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HUMAN PAPILLOMAVIRUS VACCINE 9 VALENT | $207.06 | $714.00 | — | 22% above | 71% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $146.74 | $506.00 | — | — | 71% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HUMAN PAPILLOMAVIRUS VACCINE 9 VALENT | $207.06 | $714.00 | — | — | 71% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $58.87 | $203.00 | — | 30% below | 71% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC HEPATITIS A + B VACCINE | $69.60 | $240.00 | — | 18% below | 71% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $58.87 | $203.00 | — | — | 71% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC HEPATITIS A + B VACCINE | $69.60 | $240.00 | — | — | 71% |
| Hepatitis A vaccine, adult dose CPT 90632 HC HEP A VIRUS VAC ADULT (HAVRIX) | $26.68 | $92.00 | — | 63% below | 71% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $26.68 | $92.00 | — | 63% below | 71% |
| Hepatitis A vaccine, adult dose CPT 90632 HC HEP A VIRUS VAC ADULT (VAQTA) | $47.85 | $165.00 | — | 34% below | 71% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $26.68 | $92.00 | — | — | 71% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEP A VIRUS VAC ADULT (HAVRIX) | $26.68 | $92.00 | — | — | 71% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEP A VIRUS VAC ADULT (VAQTA) | $47.85 | $165.00 | — | — | 71% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $26.68 | $92.00 | — | 42% below | 71% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEP A VIRUS VACC PEDS (VAQTA) | $26.68 | $92.00 | — | 42% below | 71% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEP A VIRUS VAC PEDS (HAVRIX) | $26.68 | $92.00 | — | 42% below | 71% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEP A VIRUS VACC PEDS (VAQTA) | $26.68 | $92.00 | — | — | 71% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $26.68 | $92.00 | — | — | 71% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEP A VIRUS VAC PEDS (HAVRIX) | $26.68 | $92.00 | — | — | 71% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE (RECOMBINANT) | $36.54 | $126.00 | — | 70% below | 71% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE (RECOMBINANT) | $36.54 | $126.00 | — | — | 71% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $48.43 | $167.00 | — | 72% below | 71% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACC 2 DOSE ADULT IM | $88.16 | $304.00 | — | 49% below | 71% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $48.43 | $167.00 | — | — | 71% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPB VACC 2 DOSE ADULT IM | $88.16 | $304.00 | — | — | 71% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $18.85 | $65.00 | — | 66% below | 71% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPATITIS B VACCINE (RECOMBINANT) | $18.85 | $65.00 | — | 66% below | 71% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $18.85 | $65.00 | — | — | 71% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPATITIS B VACCINE (RECOMBINANT) | $18.85 | $65.00 | — | — | 71% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC HAEMOPHILUS B CONJUGATE VACCINE (ACTHIB) | $21.75 | $75.00 | — | 26% below | 71% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC HAEMOPHILUS B CONJUGATE VACCINE (ACTHIB) | $21.75 | $75.00 | — | — | 71% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC IIV NO PRSV INCREASED AG IM | $29.00 | $100.00 | — | 66% below | 71% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC IIV NO PRSV INCREASED AG IM PEDS 0-18 | $29.00 | $100.00 | — | 66% below | 71% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC IIV NO PRSV INCREASED AG IM | $29.00 | $100.00 | — | — | 71% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC IIV NO PRSV INCREASED AG IM PEDS 0-18 | $29.00 | $100.00 | — | — | 71% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC JAPANESE ENCEPHALITIS IM | $112.81 | $389.00 | — | at median | 71% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC JAPANESE ENCEPHALITIS IM | $112.81 | $389.00 | — | — | 71% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $50.46 | $174.00 | — | 56% below | 71% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MEASLES, MUMPS & RUBELLA(3246386) | $61.19 | $211.00 | — | 47% below | 71% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $50.46 | $174.00 | — | — | 71% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MEASLES, MUMPS & RUBELLA(3246386) | $61.19 | $211.00 | — | — | 71% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ | $187.92 | $648.00 | — | at median | 71% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ | $187.92 | $648.00 | — | — | 71% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL VACCINE (MENACTRA) | $71.92 | $248.00 | — | 65% below | 71% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $71.92 | $248.00 | — | 65% below | 71% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL VACCINE (MENVEO) | $76.56 | $264.00 | — | 63% below | 71% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $71.92 | $248.00 | — | — | 71% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL VACCINE (MENACTRA) | $71.92 | $248.00 | — | — | 71% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL VACCINE (MENVEO) | $76.56 | $264.00 | — | — | 71% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENINGOCOCCAL GROUP B VACCINE (BEXSERO) | $121.80 | $420.00 | — | 51% below | 71% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $121.80 | $420.00 | — | 51% below | 71% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $121.80 | $420.00 | — | — | 71% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENINGOCOCCAL GROUP B VACCINE (BEXSERO) | $121.80 | $420.00 | — | — | 71% |
| Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $61.19 | $211.00 | — | 87% below | 71% |
| Meningococcal B vaccine (Trumenba) CPT 90621 HC MENB-FHBP VACC 2/3 DOSE IM | $61.19 | $211.00 | — | 87% below | 71% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $61.19 | $211.00 | — | — | 71% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HC MENB-FHBP VACC 2/3 DOSE IM | $61.19 | $211.00 | — | — | 71% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $144.42 | $498.00 | — | 53% below | 71% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $185.89 | $641.00 | — | 40% below | 71% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $144.42 | $498.00 | — | — | 71% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $185.89 | $641.00 | — | — | 71% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $144.42 | $498.00 | — | 55% below | 71% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC PCV21 VACCINE IM | $162.69 | $561.00 | — | 50% below | 71% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $144.42 | $498.00 | — | — | 71% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC PCV21 VACCINE IM | $162.69 | $561.00 | — | — | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $66.99 | $231.00 | — | 57% below | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $66.99 | $231.00 | — | 57% below | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE | $78.88 | $272.00 | — | 49% below | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $66.99 | $231.00 | — | — | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $66.99 | $231.00 | — | — | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE | $78.88 | $272.00 | — | — | 71% |
| Polio vaccine, inactivated (IPV) CPT 90713 HC POLIOVIRUS VACCINE, IPV | $28.71 | $99.00 | — | 58% below | 71% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC POLIOVIRUS VACCINE, IPV | $28.71 | $99.00 | — | — | 71% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $489.41 | $1,687.62 | — | 11% below | 71% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $489.41 | $1,687.62 | — | — | 71% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $489.41 | $1,687.62 | — | 22% below | 71% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $489.41 | $1,687.62 | — | — | 71% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION (ABRYSVO) | $142.10 | $490.00 | — | 53% below | 71% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACC PREF SUBUNIT BIVALENT FOR IM USE ABRYSVO | $194.01 | $669.00 | — | 36% below | 71% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION (ABRYSVO) | $142.10 | $490.00 | — | — | 71% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VACC PREF SUBUNIT BIVALENT FOR IM USE ABRYSVO | $194.01 | $669.00 | — | — | 71% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC RSV VACC PREF RECOMB ADJT IM AREXVY | $166.75 | $575.00 | — | at median | 71% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC RSV VACC PREF RECOMB ADJT IM AREXVY | $166.75 | $575.00 | — | — | 71% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $194.30 | $670.00 | — | 64% below | 71% |
| Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE (IM) | $228.81 | $789.00 | — | 58% below | 71% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $194.30 | $670.00 | — | — | 71% |
| Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VACCINE (IM) | $228.81 | $789.00 | — | — | 71% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC ROTAVIRUS VACCINE LIVE, PENTA | $62.06 | $214.00 | — | 13% below | 71% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION | $62.06 | $214.00 | — | 13% below | 71% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC ROTAVIRUS VACCINE LIVE, PENTA | $62.06 | $214.00 | — | — | 71% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION | $62.06 | $214.00 | — | — | 71% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE | $65.83 | $227.00 | — | 46% below | 71% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER (SHINGRIX) 50 MCG/0.5 ML IM SUSP | $65.83 | $227.00 | — | 46% below | 71% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC VARICELLA-ZOSTER GE/AS01B/PF (SHINGRIX) | $127.60 | $440.00 | — | 5% above | 71% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER (SHINGRIX) 50 MCG/0.5 ML IM SUSP | $65.83 | $227.00 | — | — | 71% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE | $65.83 | $227.00 | — | — | 71% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC VARICELLA-ZOSTER GE/AS01B/PF (SHINGRIX) | $127.60 | $440.00 | — | — | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $21.17 | $73.00 | — | 64% below | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $21.17 | $73.00 | — | 64% below | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS-DIPHTHERIA TOXOIDS ADSORBED (ADULT) | $27.26 | $94.00 | — | 53% below | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $21.17 | $73.00 | — | — | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $21.17 | $73.00 | — | — | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS-DIPHTHERIA TOXOIDS ADSORBED (ADULT) | $27.26 | $94.00 | — | — | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $17.98 | $62.00 | — | 81% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $24.07 | $83.00 | — | 74% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $24.07 | $83.00 | — | 74% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TETANUS, DIPHTHERIA (ACEL), PERTUSSIS | $25.81 | $89.00 | — | 72% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $17.98 | $62.00 | — | — | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $24.07 | $83.00 | — | — | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $24.07 | $83.00 | — | — | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TETANUS, DIPHTHERIA (ACEL), PERTUSSIS | $25.81 | $89.00 | — | — | 71% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE INTRAMUSCULAR | $98.60 | $340.00 | — | 4% above | 71% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE INTRAMUSCULAR | $98.60 | $340.00 | — | — | 71% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC TYPHOID VACC LIVE CAP EC | $33.64 | $116.00 | — | at median | 71% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 HC TYPHOID VACC LIVE CAP EC | $33.64 | $116.00 | — | — | 71% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN ONE VACC | $57.71 | $199.00 | — | 59% above | 71% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN ONE VACC | $57.71 | $199.00 | — | — | 71% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN EA ADD VACC | $36.83 | $127.00 | — | 8% above | 71% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN EA ADD VACC | $36.83 | $127.00 | — | — | 71% |
| Yellow fever vaccine, live CPT 90717 HC YELLOW FEVER VAC (YF-VAX) | $133.40 | $460.00 | — | at median | 71% |
| Yellow fever vaccine, live inpatient CPT 90717 HC YELLOW FEVER VAC (YF-VAX) | $133.40 | $460.00 | — | — | 71% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC PERIODONTAL SCALING & ROOT | $189.37 | $653.00 | — | at median | 71% |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 HC PERIODONTAL SCALING & ROOT | $189.37 | $653.00 | — | — | 71% |
| Porcelain crown CDT D2740 HC CROWN PORCELAIN/CERAMIC | $189.37 | $653.00 | — | at median | 71% |
| Porcelain crown inpatient CDT D2740 HC CROWN PORCELAIN/CERAMIC | $189.37 | $653.00 | — | — | 71% |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC END THXPY, MOLAR TOOTH | $189.37 | $653.00 | — | at median | 71% |
| Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 HC END THXPY, MOLAR TOOTH | $189.37 | $653.00 | — | — | 71% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC DENTAL PROPHYLAXIS ADULT | $17.40 | $60.00 | — | at median | 71% |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 HC DENTAL PROPHYLAXIS ADULT | $17.40 | $60.00 | — | — | 71% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC EXTRACTION ERUPTED TOOTH/EXR | $189.37 | $653.00 | — | at median | 71% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC EXTRACTION ERUPTED TOOTH/EXR | $189.37 | $653.00 | — | — | 71% |
Source file: https://finance.vumc.org/assets/pub/pt/352528741-1306889597_vanderbilt-university-medical-center_standardcharges.csv