Valley Presbyterian Hospital
Valley Presbyterian Hospital in Van Nuys, CA publishes cash prices for 334 common procedures listed here, from its own machine-readable price file updated Jul 9, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 186 of 333 procedures and below it for 145. By typical cash price it ranks #137 of 226 California hospitals and #43 of 55 hospitals in the Los Angeles, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
15107 Vanowen Street, Van Nuys, CA 91406 Collected Oct 29, 2026 Source price file Check a bill from this hospital (818) 782-6600
Acute care hospital Nonprofit hospital Emergency department CMS star rating 1 of 5 CCN 050126 · CMS hospital register NPI 1578529285
The price file shows no self-pay discount
For 1890 of the 1890 prices listed here, the cash price in Valley Presbyterian Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Valley Presbyterian 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.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Valley Presbyterian Hospital in Van Nuys, CA:
- Mar 13, 2024 Warning notice
- Jun 17, 2024 Corrective action plan requested
- Jul 24, 2024 Case closed
- Jul 31, 2025 Met requirements
- Jan 7, 2026 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT-ABD W&W/O CONTR | $4,980.00 | $4,980.00 | $221.08–$4,482.00 | 76% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABD W&W/O CONTR | $4,980.00 | $4,980.00 | $710.00–$14,779.00 | — | — |
| Abdominal X-ray, 2 views CPT 74019 XR-ABDOMEN KUB & UPRIGHT 2V | $470.00 | $470.00 | $87.84–$423.00 | 9% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR-ABDOMEN KUB & UPRIGHT 2V | $470.00 | $470.00 | $305.50–$14,779.00 | — | — |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR-ANKLE BILATERAL | $1,114.00 | $1,114.00 | $54.91–$1,002.60 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HKI-ANKLE 3 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 63% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HKI-ANKLE 3 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 63% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE-MIN 3V - RT SIDE | $263.00 | $263.00 | $54.91–$308.44 | 49% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE-MIN 3V -LT SIDE | $291.00 | $291.00 | $54.91–$308.44 | 43% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE-MIN 3V-COMP LT SID | $640.00 | $640.00 | $54.91–$576.00 | 24% above | — |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR-ANKLE BILATERAL | $1,114.00 | $1,114.00 | $724.10–$14,779.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HKI-ANKLE 3 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HKI-ANKLE 3 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE-MIN 3V - RT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE-MIN 3V -LT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE-MIN 3V-COMP LT SID | $640.00 | $640.00 | $416.00–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 BILAT ART STUDIES 1-2LVL WO EX | $688.00 | $688.00 | $163.33–$619.20 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HBO LIM UNI ABI W/TCOM 1-2 LVL | $336.00 | $336.00 | $84.00–$494.00 | 40% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HBO LIM BIL ABI W/TCOM 1-2 LVL | $670.00 | $670.00 | $163.33–$603.00 | 20% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 SEG PRES W/ DIGIT BUE | $681.00 | $681.00 | $163.33–$612.90 | 22% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/BRACHIAL INDEX | $688.00 | $688.00 | $163.33–$619.20 | 23% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 SEG PRES W/TOES BLE | $688.00 | $688.00 | $163.33–$619.20 | 23% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 UNILAT ARTL STDY LOWER EXTRM | $412.00 | $412.00 | $103.00–$494.00 | 26% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 UNILAT ART STDY UPPER EXTRM | $412.00 | $412.00 | $103.00–$494.00 | 26% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 BILAT ART STUDIES 1-2LVL WO EX | $688.00 | $688.00 | $447.20–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HBO LIM UNI ABI W/TCOM 1-2 LVL | $336.00 | $336.00 | $218.40–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HBO LIM BIL ABI W/TCOM 1-2 LVL | $670.00 | $670.00 | $435.50–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 SEG PRES W/ DIGIT BUE | $681.00 | $681.00 | $442.65–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE/BRACHIAL INDEX | $688.00 | $688.00 | $447.20–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 SEG PRES W/TOES BLE | $688.00 | $688.00 | $447.20–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 UNILAT ART STDY UPPER EXTRM | $412.00 | $412.00 | $267.80–$14,779.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 UNILAT ARTL STDY LOWER EXTRM | $412.00 | $412.00 | $267.80–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT-UPPER EXTR VENOGR W/O-BILAT | $4,077.00 | $4,077.00 | $131.77–$3,669.30 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXT W/O CONT RT SIDE | $3,527.00 | $3,527.00 | $131.77–$3,174.30 | 55% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXT WO CONT LT SIDE | $3,702.00 | $3,702.00 | $131.77–$3,331.80 | 63% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTR VENOGR W/O-RT | $3,717.00 | $3,717.00 | $131.77–$3,345.30 | 63% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTR VENOGR W/O-LT | $3,717.00 | $3,717.00 | $131.77–$3,345.30 | 63% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY W/O-LEFT | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY W/O-RIGHT | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 71% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT-UPPER EXTR VENOGR W/O-BILAT | $4,077.00 | $4,077.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXT W/O CONT RT SIDE | $3,527.00 | $3,527.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXT WO CONT LT SIDE | $3,702.00 | $3,702.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTR VENOGR W/O-LT | $3,717.00 | $3,717.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTR VENOGR W/O-RT | $3,717.00 | $3,717.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY W/O-LEFT | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY W/O-RIGHT | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR-ESOPHAGUS DILATAT | $580.00 | $580.00 | $115.12–$522.00 | 4% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR-ESOPHAGUS DILATAT | $580.00 | $580.00 | $377.00–$14,779.00 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE WHOLE BODY SCAN | $1,747.00 | $1,747.00 | $431.59–$1,687.55 | 18% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE WHOLE BODY SCAN | $1,747.00 | $1,747.00 | $1,135.55–$14,779.00 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE (UNI) | $590.00 | $590.00 | $131.77–$531.00 | 16% below | — |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE (BIL) | $1,177.00 | $1,177.00 | $131.77–$1,059.30 | 67% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE (UNI) | $590.00 | $590.00 | $383.50–$14,779.00 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE (BIL) | $1,177.00 | $1,177.00 | $765.05–$14,779.00 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED | $590.00 | $590.00 | $109.69–$531.00 | 10% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED | $590.00 | $590.00 | $383.50–$14,779.00 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS W/WO CONT | $10,005.00 | $10,005.00 | $439.74–$9,004.50 | 85% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PELVIS W/WO CONT | $10,005.00 | $10,005.00 | $710.00–$14,779.00 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/WO CONTRAST | $5,572.00 | $5,572.00 | $221.08–$5,014.80 | 87% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD W/WO CONTRAST | $5,572.00 | $5,572.00 | $710.00–$14,779.00 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W/WO CONTRAST | $5,572.00 | $5,572.00 | $221.08–$5,014.80 | 88% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK W/WO CONTRAST | $5,572.00 | $5,572.00 | $710.00–$14,779.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $6,424.00 | $6,424.00 | $221.08–$5,781.60 | 87% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $6,424.00 | $6,424.00 | $710.00–$14,779.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $10,005.00 | $10,005.00 | $439.74–$9,004.50 | 270% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $10,005.00 | $10,005.00 | $710.00–$14,779.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-CARDIAC CALCIUM SCORING | $289.00 | $289.00 | $72.25–$883.00 | 23% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-CARDIAC CALCIUM SCORING | $289.00 | $289.00 | $187.85–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD AND PELVIS VENOGR WO | $3,890.00 | $3,890.00 | $300.74–$3,501.00 | 21% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABDOMEN AND PELVIS W/O CNTR | $4,084.00 | $4,084.00 | $300.74–$3,675.60 | 28% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD AND PELVIS VENOGR WO | $3,890.00 | $3,890.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABDOMEN AND PELVIS W/O CNTR | $4,084.00 | $4,084.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD AND PELVIS VENOGR WITH | $4,375.00 | $4,375.00 | $439.74–$3,937.50 | 6% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABDOMEN AND PELVIS W/CNTRST | $4,594.00 | $4,594.00 | $439.74–$4,134.60 | 11% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY W CONTRAST | $4,594.00 | $4,594.00 | $439.74–$4,134.60 | 11% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD AND PELVIS VENOGR WITH | $4,375.00 | $4,375.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY W CONTRAST | $4,594.00 | $4,594.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABDOMEN AND PELVIS W/CNTRST | $4,594.00 | $4,594.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD AND PELVIS VENOGR W/WO | $4,699.00 | $4,699.00 | $439.74–$4,229.10 | at median | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-AB AND PELV W/WO CONT ROUTI | $4,934.00 | $4,934.00 | $439.74–$4,440.60 | 5% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD/PELV W/WO CONT MULTIPHA | $5,850.00 | $5,850.00 | $439.74–$5,265.00 | 24% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD AND PELVIS VENOGR W/WO | $4,699.00 | $4,699.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-AB AND PELV W/WO CONT ROUTI | $4,934.00 | $4,934.00 | $710.00–$14,779.00 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD/PELV W/WO CONT MULTIPHA | $5,850.00 | $5,850.00 | $710.00–$14,779.00 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT-ABD W CONTRAST | $4,256.00 | $4,256.00 | $221.08–$3,830.40 | 69% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABD W CONTRAST | $4,256.00 | $4,256.00 | $710.00–$14,779.00 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT-ABD W/O CONTRAST | $3,959.00 | $3,959.00 | $131.77–$3,563.10 | 107% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABD W/O CONTRAST | $3,959.00 | $3,959.00 | $710.00–$14,779.00 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-SINUS WO CONTRAST | $4,348.00 | $4,348.00 | $131.77–$3,913.20 | 99% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-FACIAL /MANDIBLE/MAX W/O | $4,348.00 | $4,348.00 | $131.77–$3,913.20 | 99% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-FACIAL /MANDIBLE/MAX W/O | $4,348.00 | $4,348.00 | $710.00–$14,779.00 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-SINUS WO CONTRAST | $4,348.00 | $4,348.00 | $710.00–$14,779.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT- BRAIN-CODE STROKE | $3,432.00 | $3,432.00 | $131.77–$3,088.80 | 50% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-BRAIN W/O CONTR | $3,432.00 | $3,432.00 | $131.77–$3,088.80 | 50% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-BRAIN W/O CONTR | $3,432.00 | $3,432.00 | $710.00–$14,779.00 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT- BRAIN-CODE STROKE | $3,432.00 | $3,432.00 | $710.00–$14,779.00 | — | — |
| CT scan of the head with contrast CPT 70460 CT-BRAIN W/CONTRAST | $3,943.00 | $3,943.00 | $221.08–$3,548.70 | 46% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT-BRAIN W/CONTRAST | $3,943.00 | $3,943.00 | $710.00–$14,779.00 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT-BRAIN W/WO CONTRAST | $4,453.00 | $4,453.00 | $221.08–$4,007.70 | 44% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-BRAIN W/WO CONTRAST | $4,453.00 | $4,453.00 | $710.00–$14,779.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-L-SPINE W/O | $4,682.00 | $4,682.00 | $131.77–$4,213.80 | 64% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-L-SPINE W/O | $4,682.00 | $4,682.00 | $710.00–$14,779.00 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-C/SPINE W/O | $4,682.00 | $4,682.00 | $131.77–$4,213.80 | 61% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-C/SPINE W/O | $4,682.00 | $4,682.00 | $710.00–$14,779.00 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W CONTRAST | $4,487.00 | $4,487.00 | $221.08–$4,038.30 | 76% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W CONTRAST | $4,487.00 | $4,487.00 | $710.00–$14,779.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN-BILAT-COMP | $1,650.00 | $1,650.00 | $300.74–$1,485.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX | $1,652.00 | $1,652.00 | $300.74–$1,486.80 | 35% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN-BILAT-COMP | $1,650.00 | $1,650.00 | $1,072.50–$14,779.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLEX | $1,652.00 | $1,652.00 | $1,073.80–$14,779.00 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT-CLAVICLE W/WO CONTRAST BIL | $4,543.00 | $4,543.00 | $221.08–$4,088.70 | 39% above | — |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST W & W/O CONTRAST | $4,963.00 | $4,963.00 | $221.08–$4,466.70 | 52% above | — |
| Chest CT scan without and with contrast one side CPT 71270 CT-CLAVICLE W/WO CONTRAST LT | $4,310.00 | $4,310.00 | $221.08–$3,879.00 | 32% above | — |
| Chest CT scan without and with contrast one side CPT 71270 CT-CLAVICLE W/WO CONTRAST RT | $4,310.00 | $4,310.00 | $221.08–$3,879.00 | 32% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CLAVICLE W/WO CONTRAST BIL | $4,543.00 | $4,543.00 | $710.00–$14,779.00 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST W & W/O CONTRAST | $4,963.00 | $4,963.00 | $710.00–$14,779.00 | — | — |
| Chest CT scan without and with contrast inpatient one side CPT 71270 CT-CLAVICLE W/WO CONTRAST LT | $4,310.00 | $4,310.00 | $710.00–$14,779.00 | — | — |
| Chest CT scan without and with contrast inpatient one side CPT 71270 CT-CLAVICLE W/WO CONTRAST RT | $4,310.00 | $4,310.00 | $710.00–$14,779.00 | — | — |
| Chest X-ray, 2 views CPT 71046 XR-CHEST 2 VIEWS | $501.00 | $501.00 | $86.77–$450.90 | 23% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR-CHEST 2 VIEWS | $501.00 | $501.00 | $325.65–$14,779.00 | — | — |
| Chest X-ray, single view CPT 71045 XR-PORT CHEST 1 VIEW | $371.00 | $371.00 | $46.94–$333.90 | 2% above | — |
| Chest X-ray, single view CPT 71045 XR-CHEST 1 VIEW | $371.00 | $371.00 | $46.94–$333.90 | 2% above | — |
| Chest X-ray, single view inpatient CPT 71045 XR-CHEST 1 VIEW | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-PORT CHEST 1 VIEW | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR-CLAVICLE BILATERAL | $926.00 | $926.00 | $54.03–$833.40 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR-CLAVICLE COMP | $399.00 | $399.00 | $54.03–$359.10 | 18% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE-LEFT SIDE | $360.00 | $360.00 | $54.03–$324.00 | 26% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE-RIGHT SIDE | $441.00 | $441.00 | $54.03–$396.90 | 9% below | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR-CLAVICLE BILATERAL | $926.00 | $926.00 | $601.90–$14,779.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR-CLAVICLE COMP | $399.00 | $399.00 | $259.35–$14,779.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE-LEFT SIDE | $360.00 | $360.00 | $234.00–$14,779.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE-RIGHT SIDE | $441.00 | $441.00 | $286.65–$14,779.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETROPERITONEAL COMPLETE | $1,084.00 | $1,084.00 | $131.77–$975.60 | 28% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 AORTA-VASCULAR STUDY | $1,449.00 | $1,449.00 | $131.77–$1,304.10 | 71% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETROPERITONEAL COMPLETE | $1,084.00 | $1,084.00 | $704.60–$14,779.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 AORTA-VASCULAR STUDY | $1,449.00 | $1,449.00 | $941.85–$14,779.00 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-OB FETAL/MAT EXAM 1ST TRIME | $744.00 | $744.00 | $186.00–$779.13 | 17% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-OB FETAL/MAT EXAM 1ST TRIME | $744.00 | $744.00 | $483.60–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST W/O CONTR | $3,943.00 | $3,943.00 | $131.77–$3,548.70 | 94% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST, HIGH RESOLUTION | $3,943.00 | $3,943.00 | $131.77–$3,548.70 | 94% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CLAVICLE W/O CONTRAST BILT | $4,077.00 | $4,077.00 | $131.77–$3,669.30 | 101% above | — |
| Diagnostic CT scan of the chest, no contrast dye one side CPT 71250 CT-CLAVICLE W/O CONTRAST RT | $3,844.00 | $3,844.00 | $131.77–$3,459.60 | 89% above | — |
| Diagnostic CT scan of the chest, no contrast dye one side CPT 71250 CT-CLAVICLE W/O CONTRAST LT | $3,844.00 | $3,844.00 | $131.77–$3,459.60 | 89% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST W/O CONTR | $3,943.00 | $3,943.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST, HIGH RESOLUTION | $3,943.00 | $3,943.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CLAVICLE W/O CONTRAST BILT | $4,077.00 | $4,077.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient one side CPT 71250 CT-CLAVICLE W/O CONTRAST LT | $3,844.00 | $3,844.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient one side CPT 71250 CT-CLAVICLE W/O CONTRAST RT | $3,844.00 | $3,844.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CLAVICLE W CONTRAST BIL | $4,310.00 | $4,310.00 | $221.08–$3,879.00 | 50% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST W CONTRAST | $4,453.00 | $4,453.00 | $221.08–$4,007.70 | 54% above | — |
| Diagnostic CT scan of the chest, with contrast dye one side CPT 71260 CT-CLAVICLE W CONTRAST RT | $4,077.00 | $4,077.00 | $221.08–$3,669.30 | 41% above | — |
| Diagnostic CT scan of the chest, with contrast dye one side CPT 71260 CT-CLAVICLE W CONTRAST LT | $4,077.00 | $4,077.00 | $221.08–$3,669.30 | 41% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CLAVICLE W CONTRAST BIL | $4,310.00 | $4,310.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST W CONTRAST | $4,453.00 | $4,453.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient one side CPT 71260 CT-CLAVICLE W CONTRAST LT | $4,077.00 | $4,077.00 | $710.00–$14,779.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient one side CPT 71260 CT-CLAVICLE W CONTRAST RT | $4,077.00 | $4,077.00 | $710.00–$14,779.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART LE PASS GRA BILATERAL | $2,200.00 | $2,200.00 | $300.74–$1,980.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 GRAFT IMAGING BLE | $2,182.00 | $2,182.00 | $300.74–$1,963.80 | 108% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX BLE | $2,203.00 | $2,203.00 | $300.74–$1,982.70 | 110% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ART LE PASS GRA BILATERAL | $2,200.00 | $2,200.00 | $1,430.00–$14,779.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 GRAFT IMAGING BLE | $2,182.00 | $2,182.00 | $1,418.30–$14,779.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX BLE | $2,203.00 | $2,203.00 | $1,431.95–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VA-BILAT VENOUS STUDY LOWER | $494.00 | $494.00 | $123.50–$779.13 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEIN MAPPING BILATERAL | $1,650.00 | $1,650.00 | $300.74–$1,485.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS UPPER EXT-BILAT | $2,474.00 | $2,474.00 | $300.74–$2,226.60 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS LOWER EXT-BILAT | $2,474.00 | $2,474.00 | $300.74–$2,226.60 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 REFLUX US EXAM LOWER EXT BILAT | $2,474.00 | $2,474.00 | $300.74–$2,226.60 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX BUE | $1,623.00 | $1,623.00 | $300.74–$1,460.70 | 37% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAPPING BLE | $1,652.00 | $1,652.00 | $300.74–$1,486.80 | 39% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX BLE | $1,652.00 | $1,652.00 | $300.74–$1,486.80 | 39% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAPPING BUE | $1,652.00 | $1,652.00 | $300.74–$1,486.80 | 39% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VA-BILAT VENOUS STUDY LOWER | $494.00 | $494.00 | $321.10–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VEIN MAPPING BILATERAL | $1,650.00 | $1,650.00 | $1,072.50–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 REFLUX US EXAM LOWER EXT BILAT | $2,474.00 | $2,474.00 | $1,608.10–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS LOWER EXT-BILAT | $2,474.00 | $2,474.00 | $1,608.10–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS UPPER EXT-BILAT | $2,474.00 | $2,474.00 | $1,608.10–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX BUE | $1,623.00 | $1,623.00 | $1,054.95–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEIN MAPPING BLE | $1,652.00 | $1,652.00 | $1,073.80–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX BLE | $1,652.00 | $1,652.00 | $1,073.80–$14,779.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEIN MAPPING BUE | $1,652.00 | $1,652.00 | $1,073.80–$14,779.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM W/DOPPLER | $2,533.00 | $2,533.00 | $633.25–$2,279.70 | 6% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM W/DOPPLER | $2,533.00 | $2,533.00 | $1,646.45–$14,779.00 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 HKI-ELBOW 2 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 52% below | — |
| Elbow X-ray, 2 views one side CPT 73070 HKI-ELBOW 2 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 52% below | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW-2 VIEWS-LEFT SIDE | $237.00 | $237.00 | $54.03–$308.44 | 40% below | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW-2 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $54.03–$308.44 | 27% below | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW-1 VIEW-LEFT SIDE | $470.00 | $470.00 | $54.03–$423.00 | 18% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW-1 VIEW-RIGHT SIDE | $470.00 | $470.00 | $54.03–$423.00 | 18% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HKI-ELBOW 2 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HKI-ELBOW 2 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW-2 VIEWS-LEFT SIDE | $237.00 | $237.00 | $154.05–$14,779.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW-2 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW-1 VIEW-RIGHT SIDE | $470.00 | $470.00 | $305.50–$14,779.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW-1 VIEW-LEFT SIDE | $470.00 | $470.00 | $305.50–$14,779.00 | — | — |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR-ELBOW 3V BILATERAL | $1,013.00 | $1,013.00 | $59.05–$911.70 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HKI-ELBOW 3 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 61% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HKI-ELBOW 3 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 61% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW-MIN 3V - RT SIDE | $237.00 | $237.00 | $59.05–$308.44 | 51% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW-MIN 3V - LT SIDE | $263.00 | $263.00 | $59.05–$308.44 | 46% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW-MIN 3V/COMP LT SID | $794.00 | $794.00 | $59.05–$714.60 | 64% above | — |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR-ELBOW 3V BILATERAL | $1,013.00 | $1,013.00 | $658.45–$14,779.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HKI-ELBOW 3 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HKI-ELBOW 3 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW-MIN 3V - RT SIDE | $237.00 | $237.00 | $154.05–$14,779.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW-MIN 3V - LT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW-MIN 3V/COMP LT SID | $794.00 | $794.00 | $516.10–$14,779.00 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC WO CONTRAST | $4,347.00 | $4,347.00 | $131.77–$3,912.30 | 90% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT/TEMPORAL BONES W/O | $4,347.00 | $4,347.00 | $131.77–$3,912.30 | 90% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC WO CONTRAST | $4,347.00 | $4,347.00 | $710.00–$14,779.00 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT/TEMPORAL BONES W/O | $4,347.00 | $4,347.00 | $710.00–$14,779.00 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR-ZYGOMATIC ARCHES | $440.00 | $440.00 | $81.48–$510.80 | 11% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR-ZYGOMATIC ARCHES | $440.00 | $440.00 | $286.00–$14,779.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM 2VIEW BILATERAL | $983.00 | $983.00 | $54.03–$884.70 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM-RIGHT SIDE | $491.00 | $491.00 | $54.03–$441.90 | 15% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM-LEFT SIDE | $840.00 | $840.00 | $54.03–$756.00 | 97% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR FOREARM 2VIEW BILATERAL | $983.00 | $983.00 | $638.95–$14,779.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR-FOREARM-RIGHT SIDE | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR-FOREARM-LEFT SIDE | $840.00 | $840.00 | $546.00–$14,779.00 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA SCAN | $1,590.00 | $1,590.00 | $397.50–$1,687.55 | 11% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA SCAN | $1,590.00 | $1,590.00 | $1,033.50–$14,779.00 | — | — |
| Hand X-ray, 2 views one side CPT 73120 HKI-HAND 2 VIEW LEFT | $190.00 | $190.00 | $47.50–$510.80 | 53% below | — |
| Hand X-ray, 2 views one side CPT 73120 HKI-HAND 2 VIEW RIGHT | $190.00 | $190.00 | $47.50–$510.80 | 53% below | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND-2 VIEWS-LEFT SIDE | $291.00 | $291.00 | $51.06–$510.80 | 29% below | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND-2 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $51.06–$510.80 | 29% below | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND-1 VIEW-RIGHT SIDE | $472.00 | $472.00 | $51.06–$510.80 | 16% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND-1 VIEW-LEFT SIDE | $472.00 | $472.00 | $51.06–$510.80 | 16% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HKI-HAND 2 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HKI-HAND 2 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND-2 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND-2 VIEWS-LEFT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND-1 VIEW-RIGHT SIDE | $472.00 | $472.00 | $306.80–$14,779.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND-1 VIEW-LEFT SIDE | $472.00 | $472.00 | $306.80–$14,779.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR-CALCIS/HEEL BILATERAL | $986.00 | $986.00 | $49.01–$887.40 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HINDFOOT ALIGNMENT-RIGHT | $396.00 | $396.00 | $49.01–$356.40 | 12% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HINDFOOT ALIGNMENT-LEFT | $486.00 | $486.00 | $49.01–$437.40 | 38% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-OS CALCIS/HEEL-LEFT SIDE | $491.00 | $491.00 | $49.01–$441.90 | 39% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-OS CALCIS/HEEL-RIGHT SIDE | $491.00 | $491.00 | $49.01–$441.90 | 39% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR-CALCIS/HEEL BILATERAL | $986.00 | $986.00 | $640.90–$14,779.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HINDFOOT ALIGNMENT-RIGHT | $396.00 | $396.00 | $257.40–$14,779.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HINDFOOT ALIGNMENT-LEFT | $486.00 | $486.00 | $315.90–$14,779.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-OS CALCIS/HEEL-LEFT SIDE | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-OS CALCIS/HEEL-RIGHT SIDE | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| Knee X-ray, 3 views both sides CPT 73562 HKI-KNEE 3VIEW BILATERAL | $666.00 | $666.00 | $59.02–$599.40 | — | — |
| Knee X-ray, 3 views both sides CPT 73562 XR-KNEE 3 VIEW BILATERAL | $1,022.00 | $1,022.00 | $59.02–$919.80 | — | — |
| Knee X-ray, 3 views one side CPT 73562 HKI-XR KNEE 3 VIEWS RIGHT SIDE | $190.00 | $190.00 | $47.50–$308.44 | 59% below | — |
| Knee X-ray, 3 views one side CPT 73562 HKI-XR KNEE 3 VIEWS LEFT SIDE | $190.00 | $190.00 | $47.50–$308.44 | 59% below | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE-3 VIEWS-LEFT SIDE | $237.00 | $237.00 | $59.02–$308.44 | 48% below | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE-3 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $59.02–$308.44 | 37% below | — |
| Knee X-ray, 3 views one side CPT 73562 XR-PATELLA-3 VIEWS-RIGHT SI | $509.00 | $509.00 | $59.02–$458.10 | 11% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR-PATELLA-3 VIEWS-LEFT SID | $509.00 | $509.00 | $59.02–$458.10 | 11% above | — |
| Knee X-ray, 3 views inpatient both sides CPT 73562 HKI-KNEE 3VIEW BILATERAL | $666.00 | $666.00 | $432.90–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR-KNEE 3 VIEW BILATERAL | $1,022.00 | $1,022.00 | $664.30–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HKI-XR KNEE 3 VIEWS RIGHT SIDE | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HKI-XR KNEE 3 VIEWS LEFT SIDE | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE-3 VIEWS-LEFT SIDE | $237.00 | $237.00 | $154.05–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE-3 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-PATELLA-3 VIEWS-RIGHT SI | $509.00 | $509.00 | $330.85–$14,779.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-PATELLA-3 VIEWS-LEFT SID | $509.00 | $509.00 | $330.85–$14,779.00 | — | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 HKI-KNEE W/PATELLA 4 VWS BILAT | $190.00 | $190.00 | $47.50–$510.80 | — | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XR-KNEE W/PATELLA 4 VWS BILAT | $291.00 | $291.00 | $64.36–$510.80 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HKI-KNEE W/PATELLA 4 VWS RT SD | $190.00 | $190.00 | $47.50–$510.80 | 68% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HKI-KNEE W/PATELLA 4 VWS LT SD | $190.00 | $190.00 | $47.50–$510.80 | 68% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR-KNEE W/PATELLA 4 VIEW-RIGHT | $214.00 | $214.00 | $53.50–$510.80 | 63% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR-KNEE W/PATELLA 4 VIEWS-LEFT | $263.00 | $263.00 | $64.36–$510.80 | 55% below | — |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 HKI-KNEE W/PATELLA 4 VWS BILAT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XR-KNEE W/PATELLA 4 VWS BILAT | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HKI-KNEE W/PATELLA 4 VWS LT SD | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HKI-KNEE W/PATELLA 4 VWS RT SD | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR-KNEE W/PATELLA 4 VIEW-RIGHT | $214.00 | $214.00 | $139.10–$14,779.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR-KNEE W/PATELLA 4 VIEWS-LEFT | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT VENOG WO BIL | $4,426.00 | $4,426.00 | $131.77–$3,983.40 | 107% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $131.77–$3,512.70 | 83% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXT VENOG WO RT | $4,270.00 | $4,270.00 | $131.77–$3,843.00 | 100% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXT VENOG WO LT | $4,270.00 | $4,270.00 | $131.77–$3,843.00 | 100% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O-RIGHT | $4,483.00 | $4,483.00 | $131.77–$4,034.70 | 110% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O-LEFT | $4,483.00 | $4,483.00 | $131.77–$4,034.70 | 110% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT VENOG WO BIL | $4,426.00 | $4,426.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE RIGHT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT LEFT W/O CONTRAST | $3,903.00 | $3,903.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXT VENOG WO RT | $4,270.00 | $4,270.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXT VENOG WO LT | $4,270.00 | $4,270.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O-LEFT | $4,483.00 | $4,483.00 | $710.00–$14,779.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O-RIGHT | $4,483.00 | $4,483.00 | $710.00–$14,779.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-PANCREAS | $1,013.00 | $1,013.00 | $131.77–$911.70 | 22% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-LIVER | $1,013.00 | $1,013.00 | $131.77–$911.70 | 22% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LIMITED | $1,013.00 | $1,013.00 | $131.77–$911.70 | 22% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-SPLEEN | $1,013.00 | $1,013.00 | $131.77–$911.70 | 22% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-GALLBLADDER | $1,013.00 | $1,013.00 | $131.77–$911.70 | 22% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-GALLBLADDER | $1,013.00 | $1,013.00 | $658.45–$14,779.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LIMITED | $1,013.00 | $1,013.00 | $658.45–$14,779.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-LIVER | $1,013.00 | $1,013.00 | $658.45–$14,779.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-PANCREAS | $1,013.00 | $1,013.00 | $658.45–$14,779.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-SPLEEN | $1,013.00 | $1,013.00 | $658.45–$14,779.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US-EXTREMITY LIMITED BILATERAL | $687.00 | $687.00 | $29.86–$618.30 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US-EXTREMITY LIMITED RT SIDE | $240.00 | $240.00 | $29.86–$467.08 | 56% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US-EXTREMITY LIMITED LT SIDE | $280.00 | $280.00 | $29.86–$467.08 | 49% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US-EXTREMITY LIMITED BILATERAL | $687.00 | $687.00 | $446.55–$14,779.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US-EXTREMITY LIMITED RT SIDE | $240.00 | $240.00 | $156.00–$14,779.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US-EXTREMITY LIMITED LT SIDE | $280.00 | $280.00 | $182.00–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 HKI-TIBIA AND FIBULA-BILATERAL | $380.00 | $380.00 | $54.03–$342.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR-TIBIA AND FIBULA BILATERAL | $574.00 | $574.00 | $54.03–$516.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR-TIBIA AND FIBULA-BILATERAL | $574.00 | $574.00 | $54.03–$516.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HKI-TIBIA AND FIBULA RT SIDE | $190.00 | $190.00 | $47.50–$308.44 | 56% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HKI-TIBIA AND FIBULA LEFT SIDE | $190.00 | $190.00 | $47.50–$308.44 | 56% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA AND FIBULA-RIGHT SIDE | $263.00 | $263.00 | $54.03–$308.44 | 39% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA AND FIBULA-LEFT SIDE | $263.00 | $263.00 | $54.03–$308.44 | 39% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 HKI-TIBIA AND FIBULA-BILATERAL | $380.00 | $380.00 | $247.00–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR-TIBIA AND FIBULA-BILATERAL | $574.00 | $574.00 | $373.10–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR-TIBIA AND FIBULA BILATERAL | $574.00 | $574.00 | $373.10–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HKI-TIBIA AND FIBULA LEFT SIDE | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HKI-TIBIA AND FIBULA RT SIDE | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA AND FIBULA-LEFT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA AND FIBULA-RIGHT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA-BRAIN W/O CONTRAST | $2,751.00 | $2,751.00 | $300.74–$2,475.90 | 5% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-BRAIN W/O CONTRAST | $2,751.00 | $2,751.00 | $791.00–$14,779.00 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILATERAL W/ WO CON | $2,504.00 | $2,504.00 | $380.68–$2,253.60 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILATERAL W/ WO CON | $2,504.00 | $2,504.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI-HIP JOINT BILAT W/O CONTRA | $6,653.00 | $6,653.00 | $300.74–$5,987.70 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-PATELLA STUDY LT WO CONTRA | $2,445.00 | $2,445.00 | $300.74–$2,200.50 | 19% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-PATELLA STUDY RT WO CONTRA | $2,445.00 | $2,445.00 | $300.74–$2,200.50 | 19% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-JOINT LOWER EXT RT | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-KNEE JOINT RT W/O CONTRAST | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-JOINT LOWER EXT LT | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-ANKLE JOINT RT WO CONTRAST | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-ANKLE JOINT LT WO CONTRAST | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-KNEE JOINT-LEFT SIDE | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-HIP JOINT RT W/O CONTRAST | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-HIP JOINT LT W/O CONTRAST | $3,328.00 | $3,328.00 | $300.74–$2,995.20 | 10% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI-HIP JOINT BILAT W/O CONTRA | $6,653.00 | $6,653.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-PATELLA STUDY LT WO CONTRA | $2,445.00 | $2,445.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-PATELLA STUDY RT WO CONTRA | $2,445.00 | $2,445.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-HIP JOINT LT W/O CONTRAST | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-KNEE JOINT RT W/O CONTRAST | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-KNEE JOINT-LEFT SIDE | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-JOINT LOWER EXT RT | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-JOINT LOWER EXT LT | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-ANKLE JOINT RT WO CONTRAST | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-ANKLE JOINT LT WO CONTRAST | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-HIP JOINT RT W/O CONTRAST | $3,328.00 | $3,328.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-ANY JOINT LOWR EXT RT W/WO | $3,075.00 | $3,075.00 | $439.74–$4,143.26 | 33% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-ANY JOINT LOWR EXT LT W/WO | $3,229.00 | $3,229.00 | $439.74–$4,143.26 | 30% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LT KNEE W/WO CONTRAST | $5,192.00 | $5,192.00 | $439.74–$4,672.80 | 12% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LEFT HIP W/ & W/O CONTRAST | $5,192.00 | $5,192.00 | $439.74–$4,672.80 | 12% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RT KNEE W/ WO CONTRAST | $5,192.00 | $5,192.00 | $439.74–$4,672.80 | 12% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-ANY JOINT LOWR EXT RT W/WO | $3,075.00 | $3,075.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-ANY JOINT LOWR EXT LT W/WO | $3,229.00 | $3,229.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LEFT HIP W/ & W/O CONTRAST | $5,192.00 | $5,192.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RT KNEE W/ WO CONTRAST | $5,192.00 | $5,192.00 | $791.00–$14,779.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LT KNEE W/WO CONTRAST | $5,192.00 | $5,192.00 | $791.00–$14,779.00 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN W/O CONTRAST | $2,407.00 | $2,407.00 | $300.74–$2,166.30 | 14% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI-AORTA W/O CONTRAST | $4,136.00 | $4,136.00 | $300.74–$3,722.40 | 48% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN W/O CONTRAST | $2,407.00 | $2,407.00 | $791.00–$14,779.00 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI-AORTA W/O CONTRAST | $4,136.00 | $4,136.00 | $791.00–$14,779.00 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN W/WO CONTRAST | $4,137.00 | $4,137.00 | $439.74–$4,154.08 | 5% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN W/WO CONTRAST | $4,137.00 | $4,137.00 | $791.00–$14,779.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN W/O CONTRAST | $3,950.00 | $3,950.00 | $300.74–$3,555.00 | 36% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN W/O CONTRAST | $3,950.00 | $3,950.00 | $791.00–$14,779.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN AND PITUITARY W/ WO | $4,522.00 | $4,522.00 | $439.74–$4,206.82 | 5% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/WO CONTRAST | $4,522.00 | $4,522.00 | $439.74–$4,206.82 | 5% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN AND PITUITARY W/ WO | $4,522.00 | $4,522.00 | $791.00–$14,779.00 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN W/WO CONTRAST | $4,522.00 | $4,522.00 | $791.00–$14,779.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O CONTRAST | $4,137.00 | $4,137.00 | $300.74–$3,723.30 | 35% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O CONTRAST | $4,137.00 | $4,137.00 | $791.00–$14,779.00 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMBAR SPINE W/WO CONTRAST | $4,704.00 | $4,704.00 | $439.74–$4,233.60 | 4% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-LUMBAR SPINE W/WO CONTRAST | $4,704.00 | $4,704.00 | $791.00–$14,779.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-THORACIC SPINE LTD WO CONT | $1,698.00 | $1,698.00 | $300.74–$2,099.77 | 41% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-THORACIC SPINE LTD WO CONT | $1,698.00 | $1,698.00 | $791.00–$14,779.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-C-SPINE W/WO CONTRAST | $4,445.00 | $4,445.00 | $439.74–$4,206.82 | at median | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-C-SPINE W/WO CONTRAST | $4,445.00 | $4,445.00 | $791.00–$14,779.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-SPINAL CORD | $4,137.00 | $4,137.00 | $300.74–$3,723.30 | 38% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-C-SPINE W/O CONTRAST | $4,137.00 | $4,137.00 | $300.74–$3,723.30 | 38% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-C-SPINE W/O CONTRAST | $4,137.00 | $4,137.00 | $791.00–$14,779.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-SPINAL CORD | $4,137.00 | $4,137.00 | $791.00–$14,779.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/WO CONTRAST | $3,941.00 | $3,941.00 | $439.74–$4,154.08 | 5% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS W/WO CONTRAST | $3,941.00 | $3,941.00 | $791.00–$14,779.00 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONTRAST | $2,322.00 | $2,322.00 | $300.74–$2,089.80 | 10% below | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONTRAST | $2,322.00 | $2,322.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-SHOULDER JOINT RT WO CONTR | $2,625.00 | $2,625.00 | $300.74–$2,362.50 | at median | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-WRIST JOINT LEFT W/O CONTR | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-ELBOW JOINT-LT WO CONSTRAS | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-ELBOW JOINT RT W/O CONTRAS | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-WRIST JOINT RT W/O CONTRAS | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-SHOULDER JOINT LT WO CONTR | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT CLAVICLE W/O CONTRAST | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT CLAVICLE W/O CONTRAST | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT WRIST WO CONTRAST | $3,409.00 | $3,409.00 | $300.74–$3,068.10 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-SHOULDER JOINT RT WO CONTR | $2,625.00 | $2,625.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-WRIST JOINT RT W/O CONTRAS | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT CLAVICLE W/O CONTRAST | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT CLAVICLE W/O CONTRAST | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-ELBOW JOINT-LT WO CONSTRAS | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-ELBOW JOINT RT W/O CONTRAS | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT WRIST WO CONTRAST | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-WRIST JOINT LEFT W/O CONTR | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-SHOULDER JOINT LT WO CONTR | $3,409.00 | $3,409.00 | $791.00–$14,779.00 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HKI SPINE-CERVICAL LAT/FLEX/EX | $389.00 | $389.00 | $92.98–$510.80 | 40% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR-SPINE-CERVICAL 5V-ROUTINE | $706.00 | $706.00 | $92.98–$635.40 | 10% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HKI SPINE-CERVICAL LAT/FLEX/EX | $389.00 | $389.00 | $252.85–$14,779.00 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR-SPINE-CERVICAL 5V-ROUTINE | $706.00 | $706.00 | $458.90–$14,779.00 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT-SOFT TISSUE W/C | $4,320.00 | $4,320.00 | $221.08–$3,888.00 | 58% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-SOFT TISSUE W/C | $4,320.00 | $4,320.00 | $710.00–$14,779.00 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT-SOFT TISSUE NECK W/O | $3,811.00 | $3,811.00 | $131.77–$3,429.90 | 80% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-SOFT TISSUE NECK W/O | $3,811.00 | $3,811.00 | $710.00–$14,779.00 | — | — |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $259.00 | $259.00 | $43.99–$308.44 | 20% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE | $259.00 | $259.00 | $168.35–$14,779.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTIPLE | $4,281.00 | $4,281.00 | $1,070.25–$5,623.30 | 5% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTIPLE | $4,281.00 | $4,281.00 | $2,782.65–$14,779.00 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS W/O CONTR | $3,977.00 | $3,977.00 | $131.77–$3,579.30 | 103% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS W/O CONTR | $3,977.00 | $3,977.00 | $710.00–$14,779.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON-OB ABD LTD F/U | $441.00 | $441.00 | $109.20–$467.08 | 18% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON-OB ABD LTD F/U | $441.00 | $441.00 | $286.65–$14,779.00 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS-NON-OB ABD COMP | $891.00 | $891.00 | $131.77–$801.90 | 5% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS-NON-OB ABD COMP | $891.00 | $891.00 | $579.15–$14,779.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND FETAL AGE | $582.00 | $582.00 | $131.77–$779.13 | 33% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE | $600.00 | $600.00 | $131.77–$779.13 | 30% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-OB TRANSABD 2ND-3RD TRI | $912.00 | $912.00 | $131.77–$820.80 | 6% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND FETAL AGE | $582.00 | $582.00 | $378.30–$14,779.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE | $600.00 | $600.00 | $390.00–$14,779.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-OB TRANSABD 2ND-3RD TRI | $912.00 | $912.00 | $592.80–$14,779.00 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PC-US OB FIRST TRIMESTER | $479.00 | $479.00 | $113.59–$779.13 | 38% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-OB TRANSABDOMINAL 1ST TRI | $729.00 | $729.00 | $113.59–$779.13 | 6% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PC-US OB FIRST TRIMESTER | $479.00 | $479.00 | $311.35–$14,779.00 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-OB TRANSABDOMINAL 1ST TRI | $729.00 | $729.00 | $473.85–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $360.00 | $360.00 | $90.00–$779.13 | 40% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED MULTI GEST | $360.00 | $360.00 | $90.00–$779.13 | 40% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-EXTENSIVE LEVEL II | $408.00 | $408.00 | $102.00–$779.13 | 33% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OB EFW | $446.00 | $446.00 | $111.50–$779.13 | 26% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OB LIMITED-AFI | $547.00 | $547.00 | $131.77–$779.13 | 10% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OB LIMITED-PLACENTA | $547.00 | $547.00 | $131.77–$779.13 | 10% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OB LIMITED-FETAL POSITION | $547.00 | $547.00 | $131.77–$779.13 | 10% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED MULTI GEST | $360.00 | $360.00 | $234.00–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $360.00 | $360.00 | $234.00–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-EXTENSIVE LEVEL II | $408.00 | $408.00 | $265.20–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-OB EFW | $446.00 | $446.00 | $289.90–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-OB LIMITED-PLACENTA | $547.00 | $547.00 | $355.55–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-OB LIMITED-AFI | $547.00 | $547.00 | $355.55–$14,779.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-OB LIMITED-FETAL POSITION | $547.00 | $547.00 | $355.55–$14,779.00 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS UNILATERAL-RIGHT SIDE | $546.00 | $546.00 | $59.34–$491.40 | 18% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS UNILATERAL-LEFT SIDE | $747.00 | $747.00 | $59.34–$672.30 | 61% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS UNILATERAL-RIGHT SIDE | $546.00 | $546.00 | $354.90–$14,779.00 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS UNILATERAL-LEFT SIDE | $747.00 | $747.00 | $485.55–$14,779.00 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS UNI W A/P CHEST 3 V LT | $847.00 | $847.00 | $69.69–$762.30 | 38% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS UNI W A/P CHEST 3 V RT | $847.00 | $847.00 | $69.69–$762.30 | 38% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS UNI W A/P CHEST 3 V LT | $847.00 | $847.00 | $550.55–$14,779.00 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS UNI W A/P CHEST 3 V RT | $847.00 | $847.00 | $550.55–$14,779.00 | — | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR-SHOULDER-2 VIEWS-BILATERAL | $833.00 | $833.00 | $59.05–$749.70 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HKI-SHOULDER 2 VIEW BIL | $667.00 | $667.00 | $59.05–$600.30 | 21% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HKI-SHOULDER 2 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 66% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HKI-SHOULDER 2 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 66% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER- COMP- RT SIDE | $214.00 | $214.00 | $53.50–$308.44 | 61% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER- COMP- LT SIDE | $237.00 | $237.00 | $59.05–$308.44 | 57% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR-SHOULDER-2 VIEWS-BILATERAL | $833.00 | $833.00 | $541.45–$14,779.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HKI-SHOULDER 2 VIEW BIL | $667.00 | $667.00 | $433.55–$14,779.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HKI-SHOULDER 2 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HKI-SHOULDER 2 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER- COMP- RT SIDE | $214.00 | $214.00 | $139.10–$14,779.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER- COMP- LT SIDE | $237.00 | $237.00 | $154.05–$14,779.00 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR-SINUS SERIES 3V | $807.00 | $807.00 | $81.48–$726.30 | 77% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR-SINUS SERIES 3V | $807.00 | $807.00 | $524.55–$14,779.00 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HKI SKULL 2V | $389.00 | $389.00 | $64.36–$510.80 | 4% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR-SKULL 2V | $603.00 | $603.00 | $64.36–$542.70 | 49% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HKI SKULL 2V | $389.00 | $389.00 | $252.85–$14,779.00 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR-SKULL 2V | $603.00 | $603.00 | $391.95–$14,779.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR-BARIUM SWALLOW SPCH THPY PA | $608.00 | $608.00 | $135.19–$547.20 | 8% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR-BARIUM SWALLOW ESOPHAGUS | $671.00 | $671.00 | $135.19–$603.90 | 1% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR-BARIUM SWALLOW SPCH THPY PA | $608.00 | $608.00 | $395.20–$14,779.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR-BARIUM SWALLOW ESOPHAGUS | $671.00 | $671.00 | $436.15–$14,779.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HKI- XR FEMUR 2V BILATERAL | $645.00 | $645.00 | $73.46–$580.50 | — | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR-FEMUR 2V BILATERAL | $991.00 | $991.00 | $73.46–$891.90 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HKI-FEMUR 2 VIEW RIGHT | $252.00 | $252.00 | $63.00–$308.44 | 38% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HKI-FEMUR 2 VIEW LEFT | $252.00 | $252.00 | $63.00–$308.44 | 38% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-FEMUR 2 OR MORE VIEWS RT | $347.00 | $347.00 | $73.46–$312.30 | 15% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-FEMUR 2 OR MORE VIEWS LT | $347.00 | $347.00 | $73.46–$312.30 | 15% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 HKI- XR FEMUR 2V BILATERAL | $645.00 | $645.00 | $419.25–$14,779.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR-FEMUR 2V BILATERAL | $991.00 | $991.00 | $644.15–$14,779.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HKI-FEMUR 2 VIEW RIGHT | $252.00 | $252.00 | $163.80–$14,779.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HKI-FEMUR 2 VIEW LEFT | $252.00 | $252.00 | $163.80–$14,779.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR-FEMUR 2 OR MORE VIEWS LT | $347.00 | $347.00 | $225.55–$14,779.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR-FEMUR 2 OR MORE VIEWS RT | $347.00 | $347.00 | $225.55–$14,779.00 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-T-SPINE W/O | $4,682.00 | $4,682.00 | $131.77–$4,213.80 | 67% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-T-SPINE W/O | $4,682.00 | $4,682.00 | $710.00–$14,779.00 | — | — |
| Toe X-ray, 2 or more views CPT 73660 HKI-XRAY EXAM OF TOES 2+ VIEWS | $190.00 | $190.00 | $43.68–$308.44 | 42% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-LEFT FOOT-GREAT TOE | $215.00 | $215.00 | $43.68–$308.44 | 35% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-LEFT FOOT-SECOND DI | $239.00 | $239.00 | $43.68–$308.44 | 28% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-LEFT FOOT-THIRD DIG | $239.00 | $239.00 | $43.68–$308.44 | 28% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-LEFT FOOT-FIFTH DIG | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-RIGHT FOOT-GREAT TO | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-RIGHT FOOT-2ND DIGI | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-RIGHT FOOT-4TH DIGI | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-RIGHT FOOT-3RD DIGI | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-RIGHT FOOT-5TH DIGI | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR-TOES-LEFT FOOT-FOURTH DI | $293.00 | $293.00 | $43.68–$308.44 | 11% below | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HKI-XRAY EXAM OF TOES 2+ VIEWS | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-LEFT FOOT-GREAT TOE | $215.00 | $215.00 | $139.75–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-LEFT FOOT-THIRD DIG | $239.00 | $239.00 | $155.35–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-LEFT FOOT-SECOND DI | $239.00 | $239.00 | $155.35–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-RIGHT FOOT-5TH DIGI | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-RIGHT FOOT-4TH DIGI | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-RIGHT FOOT-3RD DIGI | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-RIGHT FOOT-2ND DIGI | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-RIGHT FOOT-GREAT TO | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-LEFT FOOT-FIFTH DIG | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR-TOES-LEFT FOOT-FOURTH DI | $293.00 | $293.00 | $190.45–$14,779.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US-PELVIS-NON-OB VAGINAL(ENDO) | $912.00 | $912.00 | $131.77–$820.80 | 27% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-PELVIS-NON-OB VAGINAL(ENDO) | $912.00 | $912.00 | $592.80–$14,779.00 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US-OB LIMITED-CERVICAL LENGTH | $464.00 | $464.00 | $116.00–$779.13 | 30% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 PC-US OB TRANSVAGINAL | $582.00 | $582.00 | $131.77–$779.13 | 13% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US-OB TRANSVAGINAL ALL TRI | $912.00 | $912.00 | $131.77–$820.80 | 37% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-OB LIMITED-CERVICAL LENGTH | $464.00 | $464.00 | $301.60–$14,779.00 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 PC-US OB TRANSVAGINAL | $582.00 | $582.00 | $378.30–$14,779.00 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-OB TRANSVAGINAL ALL TRI | $912.00 | $912.00 | $592.80–$14,779.00 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN - COMPLETE | $1,641.00 | $1,641.00 | $131.77–$1,476.90 | 50% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN - COMPLETE | $1,641.00 | $1,641.00 | $1,066.65–$14,779.00 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM | $547.00 | $547.00 | $131.77–$779.13 | 39% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM | $547.00 | $547.00 | $355.55–$14,779.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-THYROID | $912.00 | $912.00 | $131.77–$820.80 | 10% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE IMAGING | $912.00 | $912.00 | $131.77–$820.80 | 10% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-NECK | $912.00 | $912.00 | $131.77–$820.80 | 10% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-SOFT TISSUE IMAGING | $912.00 | $912.00 | $592.80–$14,779.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-THYROID | $912.00 | $912.00 | $592.80–$14,779.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-NECK | $912.00 | $912.00 | $592.80–$14,779.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR-UPPER GI | $1,279.00 | $1,279.00 | $151.73–$1,151.10 | 108% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR-UPPER GI | $1,279.00 | $1,279.00 | $831.35–$14,779.00 | — | — |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS 2VW BILATERAL | $938.00 | $938.00 | $59.05–$844.20 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR-HUMERUS-RIGHT SIDE | $441.00 | $441.00 | $59.05–$396.90 | 3% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR-HUMERUS-LEFT SIDE | $441.00 | $441.00 | $59.05–$396.90 | 3% above | — |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HUMERUS 2VW BILATERAL | $938.00 | $938.00 | $609.70–$14,779.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR-HUMERUS-RIGHT SIDE | $441.00 | $441.00 | $286.65–$14,779.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR-HUMERUS-LEFT SIDE | $441.00 | $441.00 | $286.65–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEIN MAPPING RLE | $1,064.00 | $1,064.00 | $131.77–$957.60 | 18% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX RUE | $1,064.00 | $1,064.00 | $131.77–$957.60 | 18% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEIN MAPPING RUE | $1,202.00 | $1,202.00 | $131.77–$1,081.80 | 33% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEIN MAPPING LUE | $1,223.00 | $1,223.00 | $131.77–$1,100.70 | 36% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEIN MAPPING LLE | $1,223.00 | $1,223.00 | $131.77–$1,100.70 | 36% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX LUE | $1,223.00 | $1,223.00 | $131.77–$1,100.70 | 36% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX LLE | $1,234.00 | $1,234.00 | $131.77–$1,110.60 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX RLE | $1,234.00 | $1,234.00 | $131.77–$1,110.60 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LOWER EXT-UNIL-LEFT | $1,051.00 | $1,051.00 | $131.77–$945.90 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER EXT-UNIL-LEFT | $1,051.00 | $1,051.00 | $131.77–$945.90 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 REFLUX US EXAM LOWER EXT RT | $1,224.00 | $1,224.00 | $131.77–$1,101.60 | 36% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 REFLUX US EXAM LOWER EXT LT | $1,224.00 | $1,224.00 | $131.77–$1,101.60 | 36% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING EXT-UNIL-LEFT | $1,232.00 | $1,232.00 | $131.77–$1,108.80 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING EXT-UNIL-RIGHT | $1,232.00 | $1,232.00 | $131.77–$1,108.80 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LOWER EXT-UNIL-RIGHT | $1,232.00 | $1,232.00 | $131.77–$1,108.80 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER EXT-UNIL-RIGHT | $1,232.00 | $1,232.00 | $131.77–$1,108.80 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEIN MAPPING RLE | $1,064.00 | $1,064.00 | $691.60–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX RUE | $1,064.00 | $1,064.00 | $691.60–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEIN MAPPING RUE | $1,202.00 | $1,202.00 | $781.30–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEIN MAPPING LUE | $1,223.00 | $1,223.00 | $794.95–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX LUE | $1,223.00 | $1,223.00 | $794.95–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEIN MAPPING LLE | $1,223.00 | $1,223.00 | $794.95–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX RLE | $1,234.00 | $1,234.00 | $802.10–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX LLE | $1,234.00 | $1,234.00 | $802.10–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS LOWER EXT-UNIL-LEFT | $1,051.00 | $1,051.00 | $683.15–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS UPPER EXT-UNIL-LEFT | $1,051.00 | $1,051.00 | $683.15–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 REFLUX US EXAM LOWER EXT RT | $1,224.00 | $1,224.00 | $795.60–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 REFLUX US EXAM LOWER EXT LT | $1,224.00 | $1,224.00 | $795.60–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS LOWER EXT-UNIL-RIGHT | $1,232.00 | $1,232.00 | $800.80–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS UPPER EXT-UNIL-RIGHT | $1,232.00 | $1,232.00 | $800.80–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEIN MAPPING EXT-UNIL-LEFT | $1,232.00 | $1,232.00 | $800.80–$14,779.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEIN MAPPING EXT-UNIL-RIGHT | $1,232.00 | $1,232.00 | $800.80–$14,779.00 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 HKI-WRIST 2 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 51% below | — |
| Wrist X-ray, 2 views one side CPT 73100 HKI-WRIST 2 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 51% below | — |
| Wrist X-ray, 2 views one side CPT 73100 XR-WRIST-2 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $51.06–$308.44 | 25% below | — |
| Wrist X-ray, 2 views one side CPT 73100 XR-WRIST-2 VIEWS-LEFT SIDE | $291.00 | $291.00 | $51.06–$308.44 | 25% below | — |
| Wrist X-ray, 2 views one side CPT 73100 XR-WRIST-1 VIEW-LEFT SIDE | $428.00 | $428.00 | $51.06–$385.20 | 10% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR-WRIST-1 VIEW-RIGHT SIDE | $428.00 | $428.00 | $51.06–$385.20 | 10% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HKI-WRIST 2 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HKI-WRIST 2 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR-WRIST-2 VIEWS-RIGHT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR-WRIST-2 VIEWS-LEFT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR-WRIST-1 VIEW-RIGHT SIDE | $428.00 | $428.00 | $278.20–$14,779.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR-WRIST-1 VIEW-LEFT SIDE | $428.00 | $428.00 | $278.20–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 HKI-WRIST-3+V BILAT | $190.00 | $190.00 | $47.50–$308.44 | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR-WRIST-3+V BILAT | $291.00 | $291.00 | $54.91–$308.44 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HKI-WRIST 3 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 62% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HKI-WRIST 3 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 62% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST 3 VIEWS-RIGHT ROUTINE | $263.00 | $263.00 | $54.91–$308.44 | 48% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST - COMP LT SIDE | $263.00 | $263.00 | $54.91–$308.44 | 48% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST 3 VIEW-LEFT ROUTINE | $478.00 | $478.00 | $54.91–$430.20 | 5% below | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 HKI-WRIST-3+V BILAT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR-WRIST-3+V BILAT | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HKI-WRIST 3 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HKI-WRIST 3 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST 3 VIEWS-RIGHT ROUTINE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST - COMP LT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST 3 VIEW-LEFT ROUTINE | $478.00 | $478.00 | $310.70–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI WO PELVIS 2-3 VRT | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W/WO PELVIS 2-3 VLT | $385.00 | $385.00 | $96.25–$346.50 | 4% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W/WO PELVIS 2-3 VRT | $385.00 | $385.00 | $96.25–$346.50 | 4% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 V LT (AP PELV & AP HIP) | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 3V RT (AP PELV & AP/LAT HP | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 V RT (AP PELV & AP HIP) | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 3V LT (AP PELV & AP/LAT HP | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2V -RT (AP PELV & LAT HIP) | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2V -LT (AP PELV & LAT HIP) | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2V -RIGHT (AP & LAT) | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2V -LEFT (AP & LAT) | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HKI HIP UNI WO PELV 2-3V LT | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HKI HIP UNI W/ PELV 2-3V LT | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HKI HIP UNI W/ PELV 2-3V RT | $251.00 | $251.00 | $62.75–$308.44 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP UNI WO PELVIS 2-3 VRT | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP UNI W/WO PELVIS 2-3 VLT | $385.00 | $385.00 | $250.25–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP UNI W/WO PELVIS 2-3 VRT | $385.00 | $385.00 | $250.25–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2V -LEFT (AP & LAT) | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2V -RIGHT (AP & LAT) | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2V -LT (AP PELV & LAT HIP) | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2V -RT (AP PELV & LAT HIP) | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 3V LT (AP PELV & AP/LAT HP | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 3V RT (AP PELV & AP/LAT HP | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 V LT (AP PELV & AP HIP) | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 V RT (AP PELV & AP HIP) | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HKI HIP UNI W/ PELV 2-3V RT | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HKI HIP UNI W/ PELV 2-3V LT | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HKI HIP UNI WO PELV 2-3V LT | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-PORT ABDOMEN 1 VIEW | $430.00 | $430.00 | $73.27–$387.00 | 41% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-ABDOMEN KUB 1V | $430.00 | $430.00 | $73.27–$387.00 | 41% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABDOMEN KUB 1V | $430.00 | $430.00 | $279.50–$14,779.00 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-PORT ABDOMEN 1 VIEW | $430.00 | $430.00 | $279.50–$14,779.00 | — | — |
| X-ray of the ankle, 2 views both sides CPT 73600 XR-ANKLE-2 VIEWS- BILATERAL | $660.00 | $660.00 | $51.06–$594.00 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 HKI-ANKLE 2 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 52% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 HKI-ANKLE 2 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 52% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE-2 VIEWS-RIGHT SIDE | $263.00 | $263.00 | $51.06–$308.44 | 33% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE-2 VIEWS-LEFT SIDE | $291.00 | $291.00 | $51.06–$308.44 | 26% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE-1 VIEW-LEFT SIDE | $491.00 | $491.00 | $51.06–$441.90 | 25% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE-1 VIEW-RIGHT SIDE | $491.00 | $491.00 | $51.06–$441.90 | 25% above | — |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR-ANKLE-2 VIEWS- BILATERAL | $660.00 | $660.00 | $429.00–$14,779.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HKI-ANKLE 2 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HKI-ANKLE 2 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE-2 VIEWS-RIGHT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE-2 VIEWS-LEFT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE-1 VIEW-RIGHT SIDE | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE-1 VIEW-LEFT SIDE | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR-FINGER-BILATERAL THUMBS | $440.00 | $440.00 | $43.68–$396.00 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HKI-XRAY FINGERS 2 MIN | $190.00 | $190.00 | $43.68–$308.44 | 48% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-RIGHT HAND-2ND DI | $224.00 | $224.00 | $43.68–$308.44 | 39% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-RIGHT HAND-5TH DI | $224.00 | $224.00 | $43.68–$308.44 | 39% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-LEFT HAND-5TH DIG | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-LEFT HAND-THUMB | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-LEFT HAND-2ND DIG | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-LEFT HAND-3RD DIG | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-LEFT HAND-4TH DIG | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-RIGHT HAND-THUMB | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-RIGHT HAND-3RD DI | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER-RIGHT HAND-4TH DI | $275.00 | $275.00 | $43.68–$308.44 | 25% below | — |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR-FINGER-BILATERAL THUMBS | $440.00 | $440.00 | $286.00–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HKI-XRAY FINGERS 2 MIN | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-RIGHT HAND-2ND DI | $224.00 | $224.00 | $145.60–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-RIGHT HAND-5TH DI | $224.00 | $224.00 | $145.60–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-LEFT HAND-3RD DIG | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-RIGHT HAND-4TH DI | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-RIGHT HAND-3RD DI | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-RIGHT HAND-THUMB | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-LEFT HAND-THUMB | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-LEFT HAND-5TH DIG | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-LEFT HAND-2ND DIG | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR-FINGER-LEFT HAND-4TH DIG | $275.00 | $275.00 | $178.75–$14,779.00 | — | — |
| X-ray of the foot, 2 views both sides CPT 73620 XR-FOOT BILATERAL | $660.00 | $660.00 | $51.06–$594.00 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 HKI-FOOT 2 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 53% below | — |
| X-ray of the foot, 2 views one side CPT 73620 HKI-FOOT 2 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 53% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT-2 VIEWS-RIGHT SIDE | $263.00 | $263.00 | $51.06–$308.44 | 35% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT-2 VIEWS-LEFT SIDE | $263.00 | $263.00 | $51.06–$308.44 | 35% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT-1 VIEW-LEFT SIDE | $392.00 | $392.00 | $51.06–$352.80 | 3% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT-1 VIEW-RIGHT SIDE | $483.00 | $483.00 | $51.06–$434.70 | 19% above | — |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR-FOOT BILATERAL | $660.00 | $660.00 | $429.00–$14,779.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HKI-FOOT 2 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HKI-FOOT 2 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT-2 VIEWS-RIGHT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT-2 VIEWS-LEFT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT-1 VIEW-LEFT SIDE | $392.00 | $392.00 | $254.80–$14,779.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT-1 VIEW-RIGHT SIDE | $483.00 | $483.00 | $313.95–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR-FOOT-3VIEWS-BILATERAL | $1,111.00 | $1,111.00 | $54.91–$999.90 | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR-FOOT 3 VIEW MIN. BILATERAL | $1,111.00 | $1,111.00 | $54.91–$999.90 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HKI-FOOT 3 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 62% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HKI-FOOT 3 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 62% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT-3 VIEWS-LEFT SIDE | $263.00 | $263.00 | $54.91–$308.44 | 47% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT-3 VIEWS-RIGHT SIDE | $263.00 | $263.00 | $54.91–$308.44 | 47% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT-MIN 3V/COMP LT SIDE | $785.00 | $785.00 | $54.91–$706.50 | 59% above | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR-FOOT 3 VIEW MIN. BILATERAL | $1,111.00 | $1,111.00 | $722.15–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR-FOOT-3VIEWS-BILATERAL | $1,111.00 | $1,111.00 | $722.15–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HKI-FOOT 3 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HKI-FOOT 3 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT-3 VIEWS-RIGHT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT-3 VIEWS-LEFT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR-FOOT-MIN 3V/COMP LT SIDE | $785.00 | $785.00 | $510.25–$14,779.00 | — | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR-HAND-3 VIEWS BILATERAL | $1,114.00 | $1,114.00 | $54.91–$1,002.60 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HKI-HAND 3 VIEW RIGHT | $190.00 | $190.00 | $47.50–$308.44 | 63% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HKI-HAND 3 VIEW LEFT | $190.00 | $190.00 | $47.50–$308.44 | 63% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND-3 VIEWS-RIGHT SIDE | $243.00 | $243.00 | $54.91–$308.44 | 52% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND-3 VIEWS-LEFT SIDE | $263.00 | $263.00 | $54.91–$308.44 | 48% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND MIN 3V LT SIDE | $794.00 | $794.00 | $54.91–$714.60 | 56% above | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR-HAND-3 VIEWS BILATERAL | $1,114.00 | $1,114.00 | $724.10–$14,779.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HKI-HAND 3 VIEW LEFT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HKI-HAND 3 VIEW RIGHT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND-3 VIEWS-RIGHT SIDE | $243.00 | $243.00 | $157.95–$14,779.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND-3 VIEWS-LEFT SIDE | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND MIN 3V LT SIDE | $794.00 | $794.00 | $516.10–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR-KNEE-1-2VIEW-BILATERAL | $474.00 | $474.00 | $54.03–$426.60 | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR-KNEE 1V OR 2V BILATERAL | $520.00 | $520.00 | $54.03–$468.00 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HKI-XR KNEE 1-2 VIEWS LFT SIDE | $190.00 | $190.00 | $47.50–$308.44 | 52% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HKI-XR KNEE 1-2 VIEWS RT SIDE | $190.00 | $190.00 | $47.50–$308.44 | 52% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR-KNEE-1 VIEW-RIGHT SIDE | $291.00 | $291.00 | $54.03–$308.44 | 27% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR-KNEE-1 VIEW-LEFT SIDE | $291.00 | $291.00 | $54.03–$308.44 | 27% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR-KNEE-2 VIEWS-RIGHT SIDE | $434.00 | $434.00 | $54.03–$390.60 | 9% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR-KNEE-2 VIEWS-LEFT SIDE | $434.00 | $434.00 | $54.03–$390.60 | 9% above | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR-KNEE-1-2VIEW-BILATERAL | $474.00 | $474.00 | $308.10–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR-KNEE 1V OR 2V BILATERAL | $520.00 | $520.00 | $338.00–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HKI-XR KNEE 1-2 VIEWS LFT SIDE | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HKI-XR KNEE 1-2 VIEWS RT SIDE | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR-KNEE-1 VIEW-RIGHT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR-KNEE-1 VIEW-LEFT SIDE | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR-KNEE-2 VIEWS-RIGHT SIDE | $434.00 | $434.00 | $282.10–$14,779.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR-KNEE-2 VIEWS-LEFT SIDE | $434.00 | $434.00 | $282.10–$14,779.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HKI-SPINE-LUMBAR 2V-AP/LAT | $190.00 | $190.00 | $47.50–$510.80 | 60% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-SPINE-LUMBAR 2V - AP/LAT | $263.00 | $263.00 | $65.75–$510.80 | 44% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE, LUMB 3V AP/LAT/L5-S1 SP | $511.00 | $511.00 | $69.37–$510.80 | 8% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HKI-SPINE-LUMBAR 2V-AP/LAT | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR-SPINE-LUMBAR 2V - AP/LAT | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE, LUMB 3V AP/LAT/L5-S1 SP | $511.00 | $511.00 | $332.15–$14,779.00 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HKI-SPINE-LUMBAR 4-6 V,ROUTINE | $319.00 | $319.00 | $79.75–$510.80 | 51% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR-SPINE-LUMBAR 5V - ROUTINE | $440.00 | $440.00 | $94.76–$510.80 | 33% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HKI-SPINE-LUMBAR 4-6 V,ROUTINE | $319.00 | $319.00 | $207.35–$14,779.00 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-SPINE-LUMBAR 5V - ROUTINE | $440.00 | $440.00 | $286.00–$14,779.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HKI SPINE THORACIC AP/LAT | $389.00 | $389.00 | $67.30–$510.80 | 16% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HKI SPINE THORACIC AP/LAT | $389.00 | $389.00 | $252.85–$14,779.00 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR-NASAL BONES | $562.00 | $562.00 | $54.03–$505.80 | 30% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR-NASAL BONES | $562.00 | $562.00 | $365.30–$14,779.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HKI SPINE-CERVICAL 2V -AP/LAT | $389.00 | $389.00 | $62.31–$510.80 | 14% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE, CERV 3V AP/LAT/ODONTOID | $416.00 | $416.00 | $62.31–$510.80 | 8% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-SPINE-CERVICAL 2V -AP/LAT | $511.00 | $511.00 | $62.31–$510.80 | 13% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HKI SPINE-CERVICAL 2V -AP/LAT | $389.00 | $389.00 | $252.85–$14,779.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE, CERV 3V AP/LAT/ODONTOID | $416.00 | $416.00 | $270.40–$14,779.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR-SPINE-CERVICAL 2V -AP/LAT | $511.00 | $511.00 | $332.15–$14,779.00 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HKI PELVIS 2 VIEW | $190.00 | $190.00 | $47.50–$510.80 | 51% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR-PELVIS 1 OR 2 VIEWS | $263.00 | $263.00 | $54.03–$510.80 | 32% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR-PELVIS 2 VIEW | $445.00 | $445.00 | $54.03–$510.80 | 16% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HKI PELVIS 2 VIEW | $190.00 | $190.00 | $123.50–$14,779.00 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR-PELVIS 1 OR 2 VIEWS | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR-PELVIS 2 VIEW | $445.00 | $445.00 | $289.25–$14,779.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM AND COCCYX | $473.00 | $473.00 | $59.05–$425.70 | 1% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM AND COCCYX | $473.00 | $473.00 | $307.45–$14,779.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $45.00 | $45.00 | $11.25–$150.57 | 34% below | — |
| ACTH blood test inpatient CPT 82024 ACTH | $45.00 | $45.00 | $29.25–$14,779.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $145.00 | $145.00 | $5.19–$130.50 | 236% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $145.00 | $145.00 | $94.25–$14,779.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $173.00 | $173.00 | $5.08–$155.70 | 281% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $173.00 | $173.00 | $112.45–$14,779.00 | — | — |
| Albumin blood test CPT 82040 ALBUMIN, PART OF PANEL | $10.00 | $10.00 | $2.50–$19.29 | 60% below | — |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN (PANEL) | $11.00 | $11.00 | $2.75–$19.29 | 56% below | — |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $14.00 | $14.00 | $3.50–$19.29 | 44% below | — |
| Albumin blood test CPT 82040 ALBUMIN, FLUID | $134.00 | $134.00 | $4.85–$120.60 | 437% above | — |
| Albumin blood test CPT 82040 A/G RATIO | $134.00 | $134.00 | $4.85–$120.60 | 437% above | — |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $159.00 | $159.00 | $4.85–$143.10 | 537% above | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN, PART OF PANEL | $10.00 | $10.00 | $6.50–$14,779.00 | — | — |
| Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN (PANEL) | $11.00 | $11.00 | $7.15–$14,779.00 | — | — |
| Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN | $14.00 | $14.00 | $9.10–$14,779.00 | — | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN, FLUID | $134.00 | $134.00 | $87.10–$14,779.00 | — | — |
| Albumin blood test inpatient CPT 82040 A/G RATIO | $134.00 | $134.00 | $87.10–$14,779.00 | — | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $41.00 | $41.00 | $10.25–$158.88 | 37% above | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE, URINE | $47.00 | $47.00 | $11.75–$158.88 | 57% above | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $41.00 | $41.00 | $26.65–$14,779.00 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE | $47.00 | $47.00 | $30.55–$14,779.00 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE P/TASE | $159.00 | $159.00 | $5.08–$143.10 | 330% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE P/TASE | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHELLFISH QUEST | $23.00 | $23.00 | $5.12–$57.19 | 360% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WHEY CORN SOY QUEST | $43.00 | $43.00 | $5.12–$57.19 | 760% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHELLFISH QUEST | $23.00 | $23.00 | $14.95–$14,779.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WHEY CORN SOY QUEST | $43.00 | $43.00 | $27.95–$14,779.00 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN (AFP) | $11.00 | $11.00 | $2.75–$65.41 | 86% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $26.00 | $26.00 | $6.50–$65.41 | 66% below | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN (AFP) | $11.00 | $11.00 | $7.15–$14,779.00 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM | $26.00 | $26.00 | $16.90–$14,779.00 | — | — |
| Ammonia blood test CPT 82140 AMMONIA | $440.00 | $440.00 | $14.28–$396.00 | 143% above | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $440.00 | $440.00 | $286.00–$14,779.00 | — | — |
| Amylase blood test CPT 82150 AMYLASE,FLUID | $21.00 | $21.00 | $5.25–$25.26 | 59% below | — |
| Amylase blood test CPT 82150 AMYLASE FRACTIONATION | $33.00 | $33.00 | $6.35–$29.70 | 35% below | — |
| Amylase blood test CPT 82150 DIASTASE 24 HR | $175.00 | $175.00 | $6.35–$157.50 | 242% above | — |
| Amylase blood test CPT 82150 DIASTASE 1 HR SPE | $175.00 | $175.00 | $6.35–$157.50 | 242% above | — |
| Amylase blood test CPT 82150 DIASTASE 2HR SPE | $175.00 | $175.00 | $6.35–$157.50 | 242% above | — |
| Amylase blood test CPT 82150 AMYLASE, PART OF PANEL | $175.00 | $175.00 | $6.35–$157.50 | 242% above | — |
| Amylase blood test CPT 82150 RAN UR DIASTASE | $185.00 | $185.00 | $6.35–$166.50 | 262% above | — |
| Amylase blood test CPT 82150 AMYLASE | $210.00 | $210.00 | $6.35–$189.00 | 311% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE,FLUID | $21.00 | $21.00 | $13.65–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE FRACTIONATION | $33.00 | $33.00 | $21.45–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 DIASTASE 24 HR | $175.00 | $175.00 | $113.75–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 DIASTASE 1 HR SPE | $175.00 | $175.00 | $113.75–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 DIASTASE 2HR SPE | $175.00 | $175.00 | $113.75–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE, PART OF PANEL | $175.00 | $175.00 | $113.75–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 RAN UR DIASTASE | $185.00 | $185.00 | $120.25–$14,779.00 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $210.00 | $210.00 | $136.50–$14,779.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY, IGG | $97.00 | $97.00 | $12.69–$87.30 | 378% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY, IGG | $97.00 | $97.00 | $63.05–$14,779.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI-NUCLEAR AB) | $19.00 | $19.00 | $4.75–$47.13 | 41% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANCA ANTINUCLEAR ANTIBODY | $31.00 | $31.00 | $7.75–$47.13 | 4% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTI-NUCLEAR AB) | $19.00 | $19.00 | $12.35–$14,779.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANCA ANTINUCLEAR ANTIBODY | $31.00 | $31.00 | $20.15–$14,779.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP | $313.00 | $313.00 | $38.47–$281.70 | 69% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP | $313.00 | $313.00 | $203.45–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BONE MARROW CULTURES | $253.00 | $253.00 | $8.45–$227.70 | 110% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, EYE | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, TISSUE | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, EAR | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, FLUID | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CSF | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, RESPIRATORY | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 G C SCREEN & GRAM STAIN | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, NASAL | $302.00 | $302.00 | $8.45–$271.80 | 150% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BONE MARROW CULTURES | $253.00 | $253.00 | $164.45–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, FLUID | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 G C SCREEN & GRAM STAIN | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CSF | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, RESPIRATORY | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, NASAL | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, TISSUE | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, EYE | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, EAR | $302.00 | $302.00 | $196.30–$14,779.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP) | $668.00 | $668.00 | $8.29–$601.20 | 239% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP) | $668.00 | $668.00 | $434.20–$14,779.00 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, FLUID | $175.00 | $175.00 | $4.92–$157.50 | 287% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, CORD BLOOD | $210.00 | $210.00 | $4.92–$189.00 | 364% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $210.00 | $210.00 | $4.92–$189.00 | 364% above | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, FLUID | $175.00 | $175.00 | $113.75–$14,779.00 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, CORD BLOOD | $210.00 | $210.00 | $136.50–$14,779.00 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $210.00 | $210.00 | $136.50–$14,779.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV PATH- CEDARS RENAL BX | $80.00 | $80.00 | $20.00–$234.92 | 38% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC | $116.00 | $116.00 | $29.00–$234.92 | 11% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV PATHOLOGY SPEC | $225.00 | $225.00 | $48.82–$234.92 | 73% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST (PA | $231.00 | $231.00 | $48.82–$234.92 | 78% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 B MARROW BX PATH | $581.00 | $581.00 | $48.82–$522.90 | 347% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV PATH- CEDARS RENAL BX | $80.00 | $80.00 | $52.00–$14,779.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICROSCOPIC | $116.00 | $116.00 | $75.40–$14,779.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV PATHOLOGY SPEC | $225.00 | $225.00 | $146.25–$14,779.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST (PA | $231.00 | $231.00 | $150.15–$14,779.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 B MARROW BX PATH | $581.00 | $581.00 | $377.65–$14,779.00 | — | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $418.00 | $418.00 | $10.11–$376.20 | 54% above | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $418.00 | $418.00 | $271.70–$14,779.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE FOR SPECIMEN | $27.00 | $27.00 | $6.75–$24.30 | 28% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $27.00 | $27.00 | $6.75–$24.30 | 28% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $27.00 | $27.00 | $17.55–$14,779.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE FOR SPECIMEN | $27.00 | $27.00 | $17.55–$14,779.00 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, URINE 24 HR | $133.00 | $133.00 | $3.85–$119.70 | 254% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $159.00 | $159.00 | $3.85–$143.10 | 324% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $159.00 | $159.00 | $3.85–$143.10 | 324% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, URINE 24 HR | $133.00 | $133.00 | $86.45–$14,779.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Blood lead test CPT 83655 LEAD | $10.00 | $10.00 | $2.50–$47.19 | 2% below | — |
| Blood lead test inpatient CPT 83655 LEAD | $10.00 | $10.00 | $6.50–$14,779.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL | $69.00 | $69.00 | $7.37–$62.10 | 57% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST URINE (QUAL BETA HCG | $69.00 | $69.00 | $7.37–$62.10 | 57% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL | $75.00 | $75.00 | $7.37–$67.50 | 53% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QUAL | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST URINE (QUAL BETA HCG | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL | $75.00 | $75.00 | $48.75–$14,779.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO TYPE | $22.00 | $22.00 | $5.50–$342.74 | 79% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO (PANEL) | $69.00 | $69.00 | $10.12–$342.74 | 33% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO, PART OF PANEL | $69.00 | $69.00 | $10.12–$342.74 | 33% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO TYPE | $22.00 | $22.00 | $14.30–$14,779.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO, PART OF PANEL | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, ABO (PANEL) | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $159.00 | $159.00 | $3.87–$143.10 | 380% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| C-peptide blood test CPT 84681 C-PEPTIDE, SERUM | $27.00 | $27.00 | $6.75–$81.12 | 58% below | — |
| C-peptide blood test CPT 84681 C-PEPTIDE, URINE | $27.00 | $27.00 | $6.75–$81.12 | 58% below | — |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, URINE | $27.00 | $27.00 | $17.55–$14,779.00 | — | — |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, SERUM | $27.00 | $27.00 | $17.55–$14,779.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROT | $196.00 | $196.00 | $5.08–$176.40 | 264% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROT | $196.00 | $196.00 | $127.40–$14,779.00 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF DNA ASSAY | $176.00 | $176.00 | $36.52–$159.06 | 15% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF DNA ASSAY | $176.00 | $176.00 | $114.40–$14,779.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $19.00 | $19.00 | $4.75–$81.15 | 62% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA 19-9 | $32.00 | $32.00 | $8.00–$81.15 | 36% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $19.00 | $19.00 | $12.35–$14,779.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA QUANT; CA 19-9 | $32.00 | $32.00 | $20.80–$14,779.00 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (CARBOHYDRATE ANTIGEN 1 | $18.00 | $18.00 | $4.50–$81.15 | 87% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125 | $32.00 | $32.00 | $8.00–$81.15 | 77% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (CARBOHYDRATE ANTIGEN 1 | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA QUANT; CA 125 | $32.00 | $32.00 | $20.80–$14,779.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR CP | $116.00 | $116.00 | $29.00–$138.54 | 23% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 | $116.00 | $116.00 | $29.00–$138.54 | 23% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR RAPID CEPHEID | $148.00 | $148.00 | $37.00–$138.54 | 56% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR CP | $116.00 | $116.00 | $75.40–$14,779.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 | $116.00 | $116.00 | $75.40–$14,779.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR RAPID CEPHEID | $148.00 | $148.00 | $96.20–$14,779.00 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM, RANDOM URINE | $7.00 | $7.00 | $1.75–$20.11 | 89% below | — |
| Calcium blood test, total CPT 82310 CALCIUM, PART OF PANEL | $74.00 | $74.00 | $5.06–$66.60 | 20% above | — |
| Calcium blood test, total CPT 82310 CALCIUM, FLUID | $133.00 | $133.00 | $5.06–$119.70 | 115% above | — |
| Calcium blood test, total CPT 82310 CALCIUM SERUM | $159.00 | $159.00 | $5.06–$143.10 | 157% above | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, RANDOM URINE | $7.00 | $7.00 | $4.55–$14,779.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, PART OF PANEL | $74.00 | $74.00 | $48.10–$14,779.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, FLUID | $133.00 | $133.00 | $86.45–$14,779.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $167.00 | $167.00 | $18.58–$150.30 | 100% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA, PANC FLUID, QUEST | $199.00 | $199.00 | $18.58–$179.10 | 138% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $167.00 | $167.00 | $108.55–$14,779.00 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, PANC FLUID, QUEST | $199.00 | $199.00 | $129.35–$14,779.00 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB, IGG | $11.00 | $11.00 | $2.75–$50.22 | 68% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY (PAN | $96.00 | $96.00 | $12.62–$86.40 | 182% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB, IGG | $11.00 | $11.00 | $7.15–$14,779.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY (PAN | $96.00 | $96.00 | $62.40–$14,779.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE QU | $35.00 | $35.00 | $8.75–$136.82 | 36% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T AMPLIF NA PROBE QU | $35.00 | $35.00 | $22.75–$14,779.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CORONARY LIPID PANEL | $386.00 | $386.00 | $13.12–$347.40 | 281% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CORONARY LIPID PANEL | $386.00 | $386.00 | $250.90–$14,779.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC | $196.00 | $196.00 | $7.61–$176.40 | 77% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $196.00 | $196.00 | $127.40–$14,779.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM AND PLAT | $155.00 | $155.00 | $6.34–$139.50 | 76% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM AND PLAT | $155.00 | $155.00 | $100.75–$14,779.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $725.00 | $725.00 | $10.35–$652.50 | 184% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $725.00 | $725.00 | $471.25–$14,779.00 | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL | $87.00 | $87.00 | $15.97–$78.30 | 9% below | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $87.00 | $87.00 | $56.55–$14,779.00 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK,TOTAL (PART OF PANEL) | $258.00 | $258.00 | $6.38–$232.20 | 195% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK,TOTAL (PART OF PANEL) | $258.00 | $258.00 | $167.70–$14,779.00 | — | — |
| Creatinine blood test CPT 82565 CREATININE W/EGFR | $7.00 | $7.00 | $1.75–$20.01 | 85% below | — |
| Creatinine blood test CPT 82565 CREATININE SERUM | $159.00 | $159.00 | $5.02–$143.10 | 243% above | — |
| Creatinine blood test inpatient CPT 82565 CREATININE W/EGFR | $7.00 | $7.00 | $4.55–$14,779.00 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS(CMV) (TORCH PA | $24.00 | $24.00 | $6.00–$56.09 | 13% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY (PANEL) | $60.00 | $60.00 | $14.10–$56.09 | 118% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 DONOR CMV TESTING | $76.00 | $76.00 | $14.10–$68.40 | 176% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV SCREEN | $90.00 | $90.00 | $14.10–$81.00 | 227% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS(CMV) (TORCH PA | $24.00 | $24.00 | $15.60–$14,779.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY (PANEL) | $60.00 | $60.00 | $39.00–$14,779.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 DONOR CMV TESTING | $76.00 | $76.00 | $49.40–$14,779.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREEN | $90.00 | $90.00 | $58.50–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MARIJUANA (THC) SCREEN | $18.00 | $18.00 | $4.50–$227.71 | 71% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PEDIATRIC URINE DRUG SCREEN | $75.00 | $75.00 | $18.75–$227.71 | 21% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE, QUAL | $94.00 | $94.00 | $23.50–$227.71 | 52% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, INCLUDE MARIJUANA | $99.00 | $99.00 | $24.75–$227.71 | 60% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN | $110.00 | $110.00 | $27.50–$227.71 | 77% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, EMPLOYEE | $137.00 | $137.00 | $34.25–$227.71 | 121% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPREHENSIVE DRUG SCREEN | $146.00 | $146.00 | $36.50–$227.71 | 135% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 EMERGENCY DEPT URINE PCP SCREE | $155.00 | $155.00 | $38.75–$227.71 | 150% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES CLINICAL SCRN, UR | $203.00 | $203.00 | $50.75–$227.71 | 227% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINES SCREEN, URINE | $215.00 | $215.00 | $53.75–$227.71 | 247% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ANALGESICS NON-OPIOD 1 OR 2 | $254.00 | $254.00 | $60.90–$228.60 | 310% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN | $263.00 | $263.00 | $60.90–$236.70 | 324% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD TISSUE DRUG SCREEN | $280.00 | $280.00 | $60.90–$252.00 | 352% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN | $298.00 | $298.00 | $60.90–$268.20 | 381% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE/ASPRN | $307.00 | $307.00 | $60.90–$276.30 | 395% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN QUANTALCOHOLS | $365.00 | $365.00 | $60.90–$328.50 | 489% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL ETHYL | $436.00 | $436.00 | $60.90–$392.40 | 603% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MARIJUANA (THC) SCREEN | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PEDIATRIC URINE DRUG SCREEN | $75.00 | $75.00 | $48.75–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE, QUAL | $94.00 | $94.00 | $61.10–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, INCLUDE MARIJUANA | $99.00 | $99.00 | $64.35–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN | $110.00 | $110.00 | $71.50–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, EMPLOYEE | $137.00 | $137.00 | $89.05–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPREHENSIVE DRUG SCREEN | $146.00 | $146.00 | $94.90–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EMERGENCY DEPT URINE PCP SCREE | $155.00 | $155.00 | $100.75–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES CLINICAL SCRN, UR | $203.00 | $203.00 | $131.95–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINES SCREEN, URINE | $215.00 | $215.00 | $139.75–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANALGESICS NON-OPIOD 1 OR 2 | $254.00 | $254.00 | $165.10–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN | $263.00 | $263.00 | $170.95–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CORD TISSUE DRUG SCREEN | $280.00 | $280.00 | $182.00–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN | $298.00 | $298.00 | $193.70–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE/ASPRN | $307.00 | $307.00 | $199.55–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCRN QUANTALCOHOLS | $365.00 | $365.00 | $237.25–$14,779.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL ETHYL | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES, WHOLE BLOOD | $482.00 | $482.00 | $6.87–$433.80 | 472% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $618.00 | $618.00 | $6.87–$556.20 | 634% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES, WHOLE BLOOD | $482.00 | $482.00 | $313.30–$14,779.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $618.00 | $618.00 | $401.70–$14,779.00 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $23.00 | $23.00 | $5.75–$108.92 | 74% below | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $23.00 | $23.00 | $14.95–$14,779.00 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $17.00 | $17.00 | $4.25–$72.45 | 83% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $17.00 | $17.00 | $11.05–$14,779.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $139.00 | $139.00 | $13.36–$125.10 | 30% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $250.00 | $250.00 | $9.53–$225.00 | 87% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $250.00 | $250.00 | $162.50–$14,779.00 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE | $139.00 | $139.00 | $14.41–$125.10 | 27% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3, FREE | $14.00 | $14.00 | $3.50–$66.03 | 83% below | — |
| Free T3 thyroid hormone test CPT 84481 T3; FREE | $98.00 | $98.00 | $16.60–$88.20 | 21% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE | $14.00 | $14.00 | $9.10–$14,779.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3; FREE | $98.00 | $98.00 | $63.70–$14,779.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE (FREE T4) | $206.00 | $206.00 | $8.84–$185.40 | 202% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE (FREE T4) | $206.00 | $206.00 | $133.90–$14,779.00 | — | — |
| Free testosterone test CPT 84402 WKLY BOND TESTOSTERONE | $217.00 | $217.00 | $24.96–$195.30 | 693% above | — |
| Free testosterone test inpatient CPT 84402 WKLY BOND TESTOSTERONE | $217.00 | $217.00 | $141.05–$14,779.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GG | $173.00 | $173.00 | $7.06–$155.70 | 280% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GG | $173.00 | $173.00 | $112.45–$14,779.00 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 METABOLIC EVALUATION,QUEST | $598.00 | $598.00 | $108.59–$538.20 | 115% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 METABOLIC EVALUATION,QUEST | $598.00 | $598.00 | $388.70–$14,779.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP | $155.00 | $155.00 | $4.66–$139.50 | 198% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOL TEST 2 HOUR | $164.00 | $164.00 | $4.66–$147.60 | 215% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR POST PRANDIAL | $164.00 | $164.00 | $4.66–$147.60 | 215% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP | $155.00 | $155.00 | $100.75–$14,779.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR POST PRANDIAL | $164.00 | $164.00 | $106.60–$14,779.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOL TEST 2 HOUR | $164.00 | $164.00 | $106.60–$14,779.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST 4 HOUR | $322.00 | $322.00 | $12.61–$289.80 | 135% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST 6 HOUR | $322.00 | $322.00 | $12.61–$289.80 | 135% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST 5 HOUR | $322.00 | $322.00 | $12.61–$289.80 | 135% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST 3 HOUR | $386.00 | $386.00 | $12.61–$347.40 | 181% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST 5 HOUR | $322.00 | $322.00 | $209.30–$14,779.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST 6 HOUR | $322.00 | $322.00 | $209.30–$14,779.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST 4 HOUR | $322.00 | $322.00 | $209.30–$14,779.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST 3 HOUR | $386.00 | $386.00 | $250.90–$14,779.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE QUES | $35.00 | $35.00 | $8.75–$136.82 | 41% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC RNA, TMA | $76.00 | $76.00 | $19.00–$136.82 | 27% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE QUES | $35.00 | $35.00 | $22.75–$14,779.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GC RNA, TMA | $76.00 | $76.00 | $49.40–$14,779.00 | — | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTOR PYLORI AB.IGG MST | $58.00 | $58.00 | $14.50–$56.58 | 49% below | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI AB IGG | $67.00 | $67.00 | $16.51–$60.30 | 41% below | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA | $67.00 | $67.00 | $16.51–$60.30 | 41% below | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI (PANEL) | $75.00 | $75.00 | $16.51–$67.50 | 34% below | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTOR PYLORI AB.IGG MST | $58.00 | $58.00 | $37.70–$14,779.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI AB IGG | $67.00 | $67.00 | $43.55–$14,779.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI AB IGA | $67.00 | $67.00 | $43.55–$14,779.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI (PANEL) | $75.00 | $75.00 | $48.75–$14,779.00 | — | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG, STOOL | $41.00 | $41.00 | $10.25–$57.68 | 48% below | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG, STOOL | $41.00 | $41.00 | $26.65–$14,779.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 COPIES/ML PNL 1 | $61.00 | $61.00 | $15.25–$331.74 | 40% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR | $128.00 | $128.00 | $32.00–$331.74 | 27% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA (VIRAL LOAD) | $337.00 | $337.00 | $83.40–$331.74 | 234% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 COPIES/ML PNL 1 | $61.00 | $61.00 | $39.65–$14,779.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR | $128.00 | $128.00 | $83.20–$14,779.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA (VIRAL LOAD) | $337.00 | $337.00 | $219.05–$14,779.00 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 CONFIRMATORY TESTING | $46.00 | $46.00 | $11.50–$53.48 | 22% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 ANTIBODY SCREEN | $252.00 | $252.00 | $13.44–$226.80 | 328% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 CONFIRMATORY TESTING | $46.00 | $46.00 | $29.90–$14,779.00 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 ANTIBODY SCREEN | $252.00 | $252.00 | $163.80–$14,779.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $16.00 | $16.00 | $4.00–$37.84 | 75% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $16.00 | $16.00 | $10.40–$14,779.00 | — | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $68.00 | $68.00 | $2.32–$61.20 | 69% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN (PART OF HH PANEL) | $68.00 | $68.00 | $2.32–$61.20 | 69% above | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $68.00 | $68.00 | $44.20–$14,779.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (PART OF HH PANEL) | $68.00 | $68.00 | $44.20–$14,779.00 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 COMFIRMATORY HEP BCORE AB | $11.00 | $11.00 | $2.75–$47.00 | 69% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB, TOTAL (PA | $139.00 | $139.00 | $11.81–$125.10 | 296% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB, TOTAL | $139.00 | $139.00 | $11.81–$125.10 | 296% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 COMFIRMATORY HEP BCORE AB | $11.00 | $11.00 | $7.15–$14,779.00 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB, TOTAL | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB, TOTAL (PA | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $139.00 | $139.00 | $10.53–$125.10 | 226% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $258.00 | $258.00 | $10.12–$232.20 | 260% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN (P | $258.00 | $258.00 | $10.12–$232.20 | 260% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $258.00 | $258.00 | $167.70–$14,779.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN (P | $258.00 | $258.00 | $167.70–$14,779.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY (RIBA) | $62.00 | $62.00 | $13.98–$55.80 | 13% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRAL ANTIBODY (PA | $90.00 | $90.00 | $13.98–$81.00 | 64% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRAL ANTIBODY | $90.00 | $90.00 | $13.98–$81.00 | 64% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY (RIBA) | $62.00 | $62.00 | $40.30–$14,779.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRAL ANTIBODY | $90.00 | $90.00 | $58.50–$14,779.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRAL ANTIBODY (PA | $90.00 | $90.00 | $58.50–$14,779.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA, PCR (VIRAL LO | $128.00 | $128.00 | $32.00–$167.00 | 46% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA, PCR (VIRAL LO | $128.00 | $128.00 | $83.20–$14,779.00 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,TYPE 1 (TORCH P | $23.00 | $23.00 | $5.75–$51.43 | 19% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,TYPE 1 | $70.00 | $70.00 | $12.93–$63.00 | 261% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX, PART OF PANEL | $148.00 | $148.00 | $12.93–$133.20 | 664% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX,TYPE 1 (TORCH P | $23.00 | $23.00 | $14.95–$14,779.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX,TYPE 1 | $70.00 | $70.00 | $45.50–$14,779.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX, PART OF PANEL | $148.00 | $148.00 | $96.20–$14,779.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX,TYPE 2 (TORCH P | $23.00 | $23.00 | $5.75–$75.45 | 2% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX,TYPE 2 | $98.00 | $98.00 | $18.96–$88.20 | 317% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX,TYPE 2 (TORCH P | $23.00 | $23.00 | $14.95–$14,779.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX,TYPE 2 | $98.00 | $98.00 | $63.70–$14,779.00 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTINE, URINE | $129.00 | $129.00 | $17.56–$116.10 | 69% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $198.00 | $198.00 | $17.56–$178.20 | 160% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE, URINE | $129.00 | $129.00 | $83.85–$14,779.00 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $198.00 | $198.00 | $128.70–$14,779.00 | — | — |
| Insulin blood test CPT 83525 INSULIN | $18.00 | $18.00 | $4.50–$44.58 | 53% below | — |
| Insulin blood test inpatient CPT 83525 INSULIN | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON (PANEL) | $220.00 | $220.00 | $6.34–$198.00 | 278% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON (PANEL) | $220.00 | $220.00 | $143.00–$14,779.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST (PANEL) | $184.00 | $184.00 | $8.57–$165.60 | 152% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST (PANEL) | $184.00 | $184.00 | $119.60–$14,779.00 | — | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL MASTER | $677.00 | $677.00 | $8.51–$609.30 | 376% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL MASTER | $677.00 | $677.00 | $440.05–$14,779.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZ HORMONE | $17.00 | $17.00 | $4.25–$72.19 | 84% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZ HORMONE | $17.00 | $17.00 | $11.05–$14,779.00 | — | — |
| Lactate (lactic acid) blood test CPT 83605 POC LACTIC ACID | $18.00 | $18.00 | $4.50–$41.65 | 87% below | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE) | $368.00 | $368.00 | $11.34–$331.20 | 176% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $368.00 | $368.00 | $11.34–$331.20 | 176% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTIC ACID | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $368.00 | $368.00 | $239.20–$14,779.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (LACTATE) | $368.00 | $368.00 | $239.20–$14,779.00 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF | $35.00 | $35.00 | $5.92–$31.50 | 3% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,CSF | $173.00 | $173.00 | $5.92–$155.70 | 379% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME (PAN | $206.00 | $206.00 | $5.92–$185.40 | 470% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL | $206.00 | $206.00 | $5.92–$185.40 | 470% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,FLUID | $206.00 | $206.00 | $5.92–$185.40 | 470% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF | $35.00 | $35.00 | $22.75–$14,779.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,CSF | $173.00 | $173.00 | $112.45–$14,779.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME (PAN | $206.00 | $206.00 | $133.90–$14,779.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL | $206.00 | $206.00 | $133.90–$14,779.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,FLUID | $206.00 | $206.00 | $133.90–$14,779.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $242.00 | $242.00 | $6.75–$217.80 | 151% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $242.00 | $242.00 | $157.30–$14,779.00 | — | — |
| Liver function blood test panel CPT 80076 LIVER PANEL | $682.00 | $682.00 | $8.01–$613.80 | 351% above | — |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL | $682.00 | $682.00 | $443.30–$14,779.00 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM; 24 HR URINE | $86.00 | $86.00 | $6.57–$77.40 | 36% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM; RANDOM URINE | $86.00 | $86.00 | $6.57–$77.40 | 36% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE 24 HR | $137.00 | $137.00 | $6.57–$123.30 | 116% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM,RNDM UR | $137.00 | $137.00 | $6.57–$123.30 | 116% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM SE | $164.00 | $164.00 | $6.57–$147.60 | 159% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM; RANDOM URINE | $86.00 | $86.00 | $55.90–$14,779.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM; 24 HR URINE | $86.00 | $86.00 | $55.90–$14,779.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE 24 HR | $137.00 | $137.00 | $89.05–$14,779.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM,RNDM UR | $137.00 | $137.00 | $89.05–$14,779.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SE | $164.00 | $164.00 | $106.60–$14,779.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA, IGG EMPLOYEE | $14.00 | $14.00 | $3.50–$50.22 | 55% below | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG AB (RUBEOLA) | $19.00 | $19.00 | $4.75–$50.22 | 39% below | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG, IF | $26.00 | $26.00 | $6.50–$50.22 | 17% below | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB IGM, IF | $26.00 | $26.00 | $6.50–$50.22 | 17% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY (PANEL) | $79.00 | $79.00 | $12.62–$71.10 | 152% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA, IGG EMPLOYEE | $14.00 | $14.00 | $9.10–$14,779.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG AB (RUBEOLA) | $19.00 | $19.00 | $12.35–$14,779.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG, IF | $26.00 | $26.00 | $16.90–$14,779.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGM, IF | $26.00 | $26.00 | $16.90–$14,779.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY (PANEL) | $79.00 | $79.00 | $51.35–$14,779.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES (MONOSP | $183.00 | $183.00 | $5.08–$164.70 | 78% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES (MONOSP | $183.00 | $183.00 | $118.95–$14,779.00 | — | — |
| Mumps immunity blood test CPT 86735 MUMPS, CF | $19.00 | $19.00 | $4.75–$50.87 | 19% above | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS IGG EIA | $21.00 | $21.00 | $5.25–$50.87 | 31% above | — |
| Mumps immunity blood test CPT 86735 MUMPS, PART OF PANEL | $148.00 | $148.00 | $12.79–$133.20 | 824% above | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS, CF | $19.00 | $19.00 | $12.35–$14,779.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS IGG EIA | $21.00 | $21.00 | $13.65–$14,779.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS, PART OF PANEL | $148.00 | $148.00 | $96.20–$14,779.00 | — | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $1,032.00 | $1,032.00 | $46.85–$928.80 | 350% above | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $1,032.00 | $1,032.00 | $670.80–$14,779.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FEE (PART OF PANEL) | $52.00 | $52.00 | $13.00–$71.73 | 14% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FEE (PART OF PANEL) | $52.00 | $52.00 | $33.80–$14,779.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL (PART OF PANEL) | $52.00 | $52.00 | $13.00–$71.73 | 13% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN (PS | $119.00 | $119.00 | $18.02–$107.10 | 99% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL (PART OF PANEL) | $52.00 | $52.00 | $33.80–$14,779.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN (PS | $119.00 | $119.00 | $77.35–$14,779.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID (IRMA), MASTER | $18.00 | $18.00 | $4.50–$160.90 | 84% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $32.00 | $32.00 | $8.00–$160.90 | 71% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT | $35.00 | $35.00 | $8.75–$160.90 | 68% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, PART OF PANEL | $126.00 | $126.00 | $31.50–$160.90 | 15% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $134.00 | $134.00 | $33.50–$160.90 | 22% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID (IRMA), MASTER | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE | $32.00 | $32.00 | $20.80–$14,779.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT | $35.00 | $35.00 | $22.75–$14,779.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, PART OF PANEL | $126.00 | $126.00 | $81.90–$14,779.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $134.00 | $134.00 | $87.10–$14,779.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $176.00 | $176.00 | $5.89–$158.40 | 182% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $176.00 | $176.00 | $114.40–$14,779.00 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM | $159.00 | $159.00 | $4.65–$143.10 | 110% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Potassium blood test CPT 84132 PLASMA POTASSIUM | $159.00 | $159.00 | $4.66–$143.10 | 118% above | — |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $159.00 | $159.00 | $4.66–$143.10 | 118% above | — |
| Potassium blood test inpatient CPT 84132 PLASMA POTASSIUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $18.00 | $18.00 | $4.50–$81.35 | 78% below | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $18.00 | $18.00 | $4.50–$75.55 | 83% below | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $18.00 | $18.00 | $11.70–$14,779.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $132.00 | $132.00 | $4.20–$118.80 | 140% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $132.00 | $132.00 | $85.80–$14,779.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN DIRECT GRP A ANTI | $134.00 | $134.00 | $16.20–$120.60 | 24% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN DIRECT GRP A ANTI | $134.00 | $134.00 | $87.10–$14,779.00 | — | — |
| Renin blood test CPT 84244 RENIN | $23.00 | $23.00 | $5.75–$85.75 | 7% below | — |
| Renin blood test inpatient CPT 84244 RENIN | $23.00 | $23.00 | $14.95–$14,779.00 | — | — |
| Rh blood typing CPT 86901 ARC Rh TYPE | $10.00 | $10.00 | $2.50–$96.22 | 82% below | — |
| Rh blood typing CPT 86901 RH, PART OF PANEL | $69.00 | $69.00 | $10.12–$96.22 | 24% above | — |
| Rh blood typing CPT 86901 BLOOD TYPING, RH (D) (PANEL) | $69.00 | $69.00 | $10.12–$96.22 | 24% above | — |
| Rh blood typing inpatient CPT 86901 ARC Rh TYPE | $10.00 | $10.00 | $6.50–$14,779.00 | — | — |
| Rh blood typing inpatient CPT 86901 RH, PART OF PANEL | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING, RH (D) (PANEL) | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (QUEST) | $456.00 | $456.00 | $5.56–$410.40 | 3355% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (QUEST) | $456.00 | $456.00 | $296.40–$14,779.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG & IgM | $19.00 | $19.00 | $4.75–$56.09 | 63% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA (TORCH PANEL) | $19.00 | $19.00 | $4.75–$56.09 | 63% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG & IGM ( | $27.00 | $27.00 | $6.75–$56.09 | 47% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (PANEL) | $66.00 | $66.00 | $14.10–$59.40 | 30% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY TITER | $76.00 | $76.00 | $14.10–$68.40 | 50% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $76.00 | $76.00 | $14.10–$68.40 | 50% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB, IGG & IGM (PANEL) | $76.00 | $76.00 | $14.10–$68.40 | 50% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $81.00 | $81.00 | $14.10–$72.90 | 60% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA (TORCH PANEL) | $19.00 | $19.00 | $12.35–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG & IgM | $19.00 | $19.00 | $12.35–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG & IGM ( | $27.00 | $27.00 | $17.55–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (PANEL) | $66.00 | $66.00 | $42.90–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY TITER | $76.00 | $76.00 | $49.40–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $76.00 | $76.00 | $49.40–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB, IGG & IGM (PANEL) | $76.00 | $76.00 | $49.40–$14,779.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN | $81.00 | $81.00 | $52.65–$14,779.00 | — | — |
| Sodium blood test CPT 84295 SODIUM,SERUM | $159.00 | $159.00 | $4.71–$143.10 | 143% above | — |
| Sodium blood test inpatient CPT 84295 SODIUM,SERUM | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $251.00 | $251.00 | $8.72–$225.90 | 1102% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STOOL | $113.00 | $113.00 | $4.29–$101.70 | 190% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD STOOL | $113.00 | $113.00 | $73.45–$14,779.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOODS | $33.00 | $33.00 | $8.25–$61.99 | 33% below | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOODS | $33.00 | $33.00 | $21.45–$14,779.00 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AD, MHA | $11.00 | $11.00 | $2.75–$64.11 | 32% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FLUORESCENT TREPONEMAL AB, IGM | $31.00 | $31.00 | $7.75–$64.11 | 91% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AD, MHA | $11.00 | $11.00 | $7.15–$14,779.00 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FLUORESCENT TREPONEMAL AB, IGM | $31.00 | $31.00 | $20.15–$14,779.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $11.00 | $11.00 | $2.75–$16.65 | 18% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, CORD BLOOD | $26.00 | $26.00 | $4.18–$23.40 | 94% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,SERUM | $90.00 | $90.00 | $4.18–$81.00 | 571% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,CSF | $90.00 | $90.00 | $4.18–$81.00 | 571% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $107.00 | $107.00 | $4.18–$96.30 | 697% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF | $11.00 | $11.00 | $7.15–$14,779.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, CORD BLOOD | $26.00 | $26.00 | $16.90–$14,779.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL,SERUM | $90.00 | $90.00 | $58.50–$14,779.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL,CSF | $90.00 | $90.00 | $58.50–$14,779.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $107.00 | $107.00 | $69.55–$14,779.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB | $97.00 | $97.00 | $24.25–$241.63 | 14% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS | $156.00 | $156.00 | $39.00–$241.63 | 84% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB | $97.00 | $97.00 | $63.05–$14,779.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS | $156.00 | $156.00 | $101.40–$14,779.00 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $22.00 | $22.00 | $5.50–$100.64 | 45% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE AND TOTAL | $237.00 | $237.00 | $25.29–$213.30 | 492% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $22.00 | $22.00 | $14.30–$14,779.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, FREE AND TOTAL | $237.00 | $237.00 | $154.05–$14,779.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER, KIDNEY MICROSOMAL AB | $20.00 | $20.00 | $5.00–$56.74 | 13% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODY | $23.00 | $23.00 | $5.75–$56.74 | 1% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER, KIDNEY MICROSOMAL AB | $20.00 | $20.00 | $13.00–$14,779.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODY | $23.00 | $23.00 | $14.95–$14,779.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE(TS | $38.00 | $38.00 | $9.50–$65.48 | 59% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $158.00 | $158.00 | $16.46–$142.20 | 71% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE(TS | $38.00 | $38.00 | $24.70–$14,779.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $158.00 | $158.00 | $102.70–$14,779.00 | — | — |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $17.00 | $17.00 | $4.25–$64.20 | 73% below | — |
| Total IgE blood test CPT 82785 IGE | $69.00 | $69.00 | $16.13–$64.20 | 10% above | — |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $17.00 | $17.00 | $11.05–$14,779.00 | — | — |
| Total IgE blood test inpatient CPT 82785 IGE | $69.00 | $69.00 | $44.85–$14,779.00 | — | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $159.00 | $159.00 | $4.26–$143.10 | 278% above | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $159.00 | $159.00 | $103.35–$14,779.00 | — | — |
| Total thyroxine (T4) blood test CPT 84436 T4 MNEONATAL | $243.00 | $243.00 | $6.73–$218.70 | 520% above | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE - TOTAL | $243.00 | $243.00 | $6.73–$218.70 | 520% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 MNEONATAL | $243.00 | $243.00 | $157.95–$14,779.00 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE - TOTAL | $243.00 | $243.00 | $157.95–$14,779.00 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 BY RIA | $307.00 | $307.00 | $13.90–$276.30 | 294% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 BY RIA | $307.00 | $307.00 | $199.55–$14,779.00 | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $14.00 | $14.00 | $3.50–$49.77 | 74% below | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $14.00 | $14.00 | $9.10–$14,779.00 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $206.00 | $206.00 | $5.63–$185.40 | 401% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $206.00 | $206.00 | $133.90–$14,779.00 | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN-I (PART OF PANEL) | $177.00 | $177.00 | $12.22–$159.30 | 1% below | — |
| Troponin test, quantitative CPT 84484 TROPONIN-T | $177.00 | $177.00 | $12.22–$159.30 | 1% below | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-I (PART OF PANEL) | $177.00 | $177.00 | $115.05–$14,779.00 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-T | $177.00 | $177.00 | $115.05–$14,779.00 | — | — |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $133.00 | $133.00 | $4.43–$119.70 | 101% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $133.00 | $133.00 | $86.45–$14,779.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPY | $139.00 | $139.00 | $3.11–$125.10 | 68% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPY | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 NITRITE,URINE | $45.00 | $45.00 | $3.94–$40.50 | 42% above | — |
| Urinalysis with microscope exam, manual CPT 81000 BLOOD,URINE | $45.00 | $45.00 | $3.94–$40.50 | 42% above | — |
| Urinalysis with microscope exam, manual CPT 81000 PH,URINE | $45.00 | $45.00 | $3.94–$40.50 | 42% above | — |
| Urinalysis with microscope exam, manual CPT 81000 REDUCING SUBST,UR | $50.00 | $50.00 | $3.94–$45.00 | 58% above | — |
| Urinalysis with microscope exam, manual CPT 81000 PROTEIN,URINE QL | $54.00 | $54.00 | $3.94–$48.60 | 70% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 PH,URINE | $45.00 | $45.00 | $29.25–$14,779.00 | — | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 BLOOD,URINE | $45.00 | $45.00 | $29.25–$14,779.00 | — | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 NITRITE,URINE | $45.00 | $45.00 | $29.25–$14,779.00 | — | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 REDUCING SUBST,UR | $50.00 | $50.00 | $32.50–$14,779.00 | — | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 PROTEIN,URINE QL | $54.00 | $54.00 | $35.10–$14,779.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 POC URINE | $12.00 | $12.00 | $2.21–$10.80 | 79% below | — |
| Urinalysis without microscope exam, automated CPT 81003 EMERGENCY DEPT URINALYSIS | $87.00 | $87.00 | $2.21–$78.30 | 55% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS,ROUT W/O MICRO | $104.00 | $104.00 | $2.21–$93.60 | 86% above | — |
| Urinalysis without microscope exam, automated CPT 81003 SP GRAVITY,URINE | $104.00 | $104.00 | $2.21–$93.60 | 86% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN,RNDM UR | $104.00 | $104.00 | $2.21–$93.60 | 86% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC URINE | $12.00 | $12.00 | $7.80–$14,779.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 EMERGENCY DEPT URINALYSIS | $87.00 | $87.00 | $56.55–$14,779.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SP GRAVITY,URINE | $104.00 | $104.00 | $67.60–$14,779.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS,ROUT W/O MICRO | $104.00 | $104.00 | $67.60–$14,779.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN,RNDM UR | $104.00 | $104.00 | $67.60–$14,779.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE DIPSTICK | $37.00 | $37.00 | $3.41–$33.30 | 8% above | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP STIC | $57.00 | $57.00 | $3.41–$51.30 | 67% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE DIPSTICK | $37.00 | $37.00 | $24.05–$14,779.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP STIC | $57.00 | $57.00 | $37.05–$14,779.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 EMERGENCY DEPARTMENT URINE CUL | $251.00 | $251.00 | $7.91–$225.90 | 80% above | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $298.00 | $298.00 | $7.91–$268.20 | 114% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 EMERGENCY DEPARTMENT URINE CUL | $251.00 | $251.00 | $163.15–$14,779.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $298.00 | $298.00 | $193.70–$14,779.00 | — | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $26.00 | $26.00 | $5.66–$23.40 | 29% below | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN | $26.00 | $26.00 | $16.90–$14,779.00 | — | — |
| Urine pregnancy test, read by color change CPT 81025 POCT URINE HCG | $21.00 | $21.00 | $5.25–$23.30 | 76% below | — |
| Urine pregnancy test, read by color change CPT 81025 POCT FOR PREGNANCY TEST | $22.00 | $22.00 | $5.50–$23.30 | 75% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 POCT URINE HCG | $21.00 | $21.00 | $13.65–$14,779.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 POCT FOR PREGNANCY TEST | $22.00 | $22.00 | $14.30–$14,779.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $139.00 | $139.00 | $14.78–$125.10 | 48% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY, SERUM | $55.00 | $55.00 | $13.75–$115.40 | 14% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY, SERUM | $55.00 | $55.00 | $35.75–$14,779.00 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXY VITAMIN D | $37.00 | $37.00 | $9.25–$150.08 | 45% below | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D | $210.00 | $210.00 | $37.73–$189.00 | 210% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1 25 DIHYDROXY VITAMIN D | $37.00 | $37.00 | $24.05–$14,779.00 | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D | $210.00 | $210.00 | $136.50–$14,779.00 | — | — |
| Zinc blood test CPT 84630 ZINC, BLOOD | $12.00 | $12.00 | $3.00–$44.39 | 9% above | — |
| Zinc blood test inpatient CPT 84630 ZINC, BLOOD | $12.00 | $12.00 | $7.80–$14,779.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG, TUMOR MARKER | $87.00 | $87.00 | $14.75–$78.30 | 51% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG | $226.00 | $226.00 | $14.75–$203.40 | 26% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG, TUMOR MARKER | $87.00 | $87.00 | $56.55–$14,779.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUANTITATIVE HCG | $226.00 | $226.00 | $146.90–$14,779.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ANKLE FIBULA | $518.00 | $518.00 | $129.50–$2,504.64 | 3% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ANKLE FIBULA | $518.00 | $518.00 | $336.70–$14,779.00 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL W/O MANIPULATION | $450.00 | $450.00 | $112.50–$1,683.00 | 16% below | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL W/O MANIPULATION | $450.00 | $450.00 | $292.50–$14,779.00 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC WITH LV AND W/ CORONARIES | $12,750.00 | $12,750.00 | $2,700.00–$11,475.00 | 1% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC WITH LV AND W/ CORONARIES | $12,750.00 | $12,750.00 | $8,287.50–$14,779.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTERNAL | $2,594.00 | $2,594.00 | $648.50–$6,873.00 | 36% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $4,064.00 | $4,064.00 | $833.08–$3,657.60 | 112% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT EXTERNAL | $2,594.00 | $2,594.00 | $1,686.10–$14,779.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $4,064.00 | $4,064.00 | $2,641.60–$14,779.00 | — | — |
| Coronary stent placement, one artery CPT 92928 INTRACOR BM STENT AND ANGIOPL | $26,011.00 | $26,011.00 | $3,700.00–$29,738.57 | 74% above | — |
| Coronary stent placement, one artery CPT 92928 COR BM STENT/ANGIOPL EA ADD VE | $30,479.00 | $30,479.00 | $3,700.00–$29,738.57 | 104% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 INTRACOR BM STENT AND ANGIOPL | $26,011.00 | $26,011.00 | $14,779.00–$23,409.90 | — | — |
| Coronary stent placement, one artery inpatient CPT 92928 COR BM STENT/ANGIOPL EA ADD VE | $30,479.00 | $30,479.00 | $14,779.00–$27,431.10 | — | — |
| Earwax removal with instruments, one ear both sides CPT 69210 REM IMP CERUMEN W INSTRU BILAT | $483.00 | $483.00 | $74.36–$1,642.00 | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 REM IMP CERUMEN W INSTR UNILAT | $241.00 | $241.00 | $60.25–$1,642.00 | 28% above | — |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 REM IMP CERUMEN W INSTRU BILAT | $483.00 | $483.00 | $313.95–$14,779.00 | — | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REM IMP CERUMEN W INSTR UNILAT | $241.00 | $241.00 | $156.65–$14,779.00 | — | — |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE OP | $7,911.00 | $7,911.00 | $1,977.75–$8,428.88 | 89% above | — |
| Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMERTOE OP | $7,911.00 | $7,911.00 | $5,142.15–$14,779.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR-INJECTION OF CONTRAST | $537.00 | $537.00 | $134.25–$1,683.00 | 14% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR-INJECTION OF CONTRAST | $537.00 | $537.00 | $349.05–$14,779.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE | $511.00 | $511.00 | $127.75–$1,683.00 | 9% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE | $511.00 | $511.00 | $332.15–$14,779.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON | $913.00 | $913.00 | $228.25–$1,766.00 | 38% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION FASCIA/LIGAMENT | $913.00 | $913.00 | $228.25–$1,766.00 | 38% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON | $913.00 | $913.00 | $593.45–$14,779.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION FASCIA/LIGAMENT | $913.00 | $913.00 | $593.45–$14,779.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 BILATERAL INJCTIONS/ASPIRATION | $1,542.00 | $1,542.00 | $385.50–$2,112.26 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASP SHLDR HIP OR KNEE | $771.00 | $771.00 | $192.75–$2,112.26 | 19% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 BILATERAL INJCTIONS/ASPIRATION | $1,542.00 | $1,542.00 | $1,002.30–$14,779.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASP SHLDR HIP OR KNEE | $771.00 | $771.00 | $501.15–$14,779.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION ASPIRATION LG JOINT | $913.00 | $913.00 | $228.25–$1,766.00 | 50% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION ASPIRATION LG JOINT | $913.00 | $913.00 | $593.45–$14,779.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION ASPIRATION SM JOINT | $901.00 | $901.00 | $225.25–$1,766.00 | 24% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION ASPIRATION SM JOINT | $901.00 | $901.00 | $585.65–$14,779.00 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) both sides CPT 66821 YAG LASER CAPSULOTOMY BILAT | $4,317.00 | $4,317.00 | $693.24–$3,885.30 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER CAPSULOTOMY | $2,780.00 | $2,780.00 | $693.24–$3,523.00 | 72% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient both sides CPT 66821 YAG LASER CAPSULOTOMY BILAT | $4,317.00 | $4,317.00 | $2,806.05–$14,779.00 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER CAPSULOTOMY | $2,780.00 | $2,780.00 | $1,807.00–$14,779.00 | — | — |
| Left heart catheterization, diagnostic CPT 93452 LHC LV | $12,166.00 | $12,166.00 | $2,700.00–$10,949.40 | 23% above | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC LV | $12,166.00 | $12,166.00 | $7,907.90–$14,779.00 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INS EPIDURAL CATHETER | $1,165.00 | $1,165.00 | $291.25–$3,523.00 | 35% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INS EPIDURAL CATHETER | $1,165.00 | $1,165.00 | $757.25–$14,779.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION MRGN T/A/L 0.5CM | $2,672.00 | $2,672.00 | $668.00–$3,523.00 | 102% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LESION MRGN T/A/L 0.5CM | $2,672.00 | $2,672.00 | $1,736.80–$14,779.00 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIG LESION MRGN XCP SK T | $2,973.00 | $2,973.00 | $743.25–$3,523.00 | 101% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BENIG LESION MRGN XCP SK T | $2,973.00 | $2,973.00 | $1,932.45–$14,779.00 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION,NAIL PLATE,SIMP/COMP | $316.00 | $316.00 | $79.00–$1,683.00 | 37% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION,NAIL PLATE,SIMP/COMP | $316.00 | $316.00 | $205.40–$14,779.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 INS NEW/REP PM W AT AND V LDS | $39,740.00 | $39,740.00 | $2,671.00–$35,766.00 | 112% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INS NEW/REP PM W AT AND V LDS | $39,740.00 | $39,740.00 | $14,779.00–$35,766.00 | — | — |
| Paracentesis with imaging guidance CPT 49083 CT-PARACENTESIS CT GD | $3,892.00 | $3,892.00 | $973.00–$4,198.00 | 112% above | — |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMG DX/THER | $4,777.00 | $4,777.00 | $1,143.20–$4,299.30 | 160% above | — |
| Paracentesis with imaging guidance CPT 49083 XR-PARACENTESIS W/IMG DX/THER | $4,777.00 | $4,777.00 | $1,143.20–$4,299.30 | 160% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 CT-PARACENTESIS CT GD | $3,892.00 | $3,892.00 | $2,529.80–$14,779.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 XR-PARACENTESIS W/IMG DX/THER | $4,777.00 | $4,777.00 | $3,105.05–$14,779.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMG DX/THER | $4,777.00 | $4,777.00 | $3,105.05–$14,779.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $1,732.00 | $1,732.00 | $433.00–$2,504.64 | 34% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $1,732.00 | $1,732.00 | $1,125.80–$14,779.00 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY SIMPLE | $806.00 | $806.00 | $201.50–$1,683.00 | 18% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY SIMPLE | $806.00 | $806.00 | $523.90–$14,779.00 | — | — |
| Short arm splint (forearm and hand) CPT 29125 APPL. S-ARM SPLINT (STATIC) | $431.00 | $431.00 | $107.75–$387.90 | 3% above | — |
| Short arm splint (forearm and hand) CPT 29125 OT APPL SHORTARM SPLINT STATIC | $473.00 | $473.00 | $118.25–$425.70 | 13% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPL. S-ARM SPLINT (STATIC) | $431.00 | $431.00 | $280.15–$14,779.00 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT APPL SHORTARM SPLINT STATIC | $473.00 | $473.00 | $307.45–$14,779.00 | — | — |
| Short leg cast (below the knee) both sides CPT 29405 SHORT LEG CAST BILATERAL | $1,745.00 | $1,745.00 | $223.00–$1,683.00 | — | — |
| Short leg cast (below the knee) both sides CPT 29405 APPLY SHORT LEG CAST BILAT | $1,745.00 | $1,745.00 | $223.00–$1,683.00 | — | — |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $882.00 | $882.00 | $220.50–$1,683.00 | 77% above | — |
| Short leg cast (below the knee) inpatient both sides CPT 29405 APPLY SHORT LEG CAST BILAT | $1,745.00 | $1,745.00 | $1,134.25–$14,779.00 | — | — |
| Short leg cast (below the knee) inpatient both sides CPT 29405 SHORT LEG CAST BILATERAL | $1,745.00 | $1,745.00 | $1,134.25–$14,779.00 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST | $882.00 | $882.00 | $573.30–$14,779.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT APPLICATION | $386.00 | $386.00 | $96.50–$1,683.00 | 22% below | — |
| Short leg splint (calf to foot) CPT 29515 APPL. S-LEG SPLINT | $446.00 | $446.00 | $111.50–$418.61 | 10% below | — |
| Short leg splint (calf to foot) CPT 29515 OT APPL SHORT LEG SPLINT | $491.00 | $491.00 | $122.75–$441.90 | 1% below | — |
| Short leg splint (calf to foot) CPT 29515 PT APPL SHORT LEG SPLINT | $491.00 | $491.00 | $122.75–$441.90 | 1% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT APPLICATION | $386.00 | $386.00 | $250.90–$14,779.00 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPL. S-LEG SPLINT | $446.00 | $446.00 | $289.90–$14,779.00 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 OT APPL SHORT LEG SPLINT | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 PT APPL SHORT LEG SPLINT | $491.00 | $491.00 | $319.15–$14,779.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SUPERF WND SIMPLE <2.5CM | $824.00 | $824.00 | $206.00–$1,683.00 | 49% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SUPERF WND SIMPLE <2.5CM | $824.00 | $824.00 | $535.60–$14,779.00 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $825.00 | $825.00 | $206.25–$3,351.80 | 14% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $825.00 | $825.00 | $536.25–$14,779.00 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS MULTI FIBRQ | $744.00 | $744.00 | $186.00–$1,683.00 | 88% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS MULTI FIBRQ | $744.00 | $744.00 | $483.60–$14,779.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR-LUMBAR PUNCTURE | $3,605.00 | $3,605.00 | $889.72–$3,523.00 | 173% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR-LUMBAR PUNCTURE | $3,605.00 | $3,605.00 | $2,343.25–$14,779.00 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP WND SIMPLE 2.6 TO 7.5 | $844.00 | $844.00 | $211.00–$1,683.00 | 13% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP WND SIMPLE 2.6 TO 7.5 | $844.00 | $844.00 | $548.60–$14,779.00 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE | $788.00 | $788.00 | $197.00–$3,351.80 | 43% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE | $788.00 | $788.00 | $512.20–$14,779.00 | — | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W US GUIDANCE | $2,244.00 | $2,244.00 | $561.00–$3,523.00 | 10% above | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W CT GUIDANCE | $2,755.00 | $2,755.00 | $688.75–$3,523.00 | 36% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W US GUIDANCE | $2,244.00 | $2,244.00 | $1,458.60–$14,779.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W CT GUIDANCE | $2,755.00 | $2,755.00 | $1,790.75–$14,779.00 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 OR-EGD BALLOON DILATION <30MM | $2,027.00 | $2,027.00 | $506.75–$4,943.23 | 17% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 OR-EGD BALLOON DILATION <30MM | $2,027.00 | $2,027.00 | $1,317.55–$14,779.00 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 OR-EGD BIOPSY,SINGLE OR MULTPL | $2,007.00 | $2,007.00 | $501.75–$4,198.00 | 14% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 OR-EGD BIOPSY,SINGLE OR MULTPL | $2,007.00 | $2,007.00 | $1,304.55–$14,779.00 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OR-EGD REMOVAL TMR/OLYP BY SNA | $1,691.00 | $1,691.00 | $422.75–$4,943.23 | 48% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 OR-EGD REMOVAL TMR/OLYP BY SNA | $1,691.00 | $1,691.00 | $1,099.15–$14,779.00 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 OR-EGD GUIDE WIRE/DILATION GD | $2,027.00 | $2,027.00 | $506.75–$4,198.00 | 8% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 OR-EGD GUIDE WIRE/DILATION GD | $2,027.00 | $2,027.00 | $1,317.55–$14,779.00 | — | — |
| Wart removal, up to 14 warts CPT 17110 DESTRCTN OF BENIGN LES 1-14 | $844.00 | $844.00 | $211.00–$1,683.00 | 135% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRCTN OF BENIGN LES 1-14 | $844.00 | $844.00 | $548.60–$14,779.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND DEBRIDEMENT -SUBQ &TSSUE | $1,584.00 | $1,584.00 | $396.00–$3,351.80 | 133% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WOUND DEBRIDEMENT -SUBQ &TSSUE | $1,584.00 | $1,584.00 | $1,029.60–$14,779.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 OB ED BLOOD TRANSFUSION | $1,572.00 | $1,572.00 | $393.00–$1,766.00 | 80% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,572.00 | $1,572.00 | $393.00–$1,766.00 | 80% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 0-3 HRS | $1,572.00 | $1,572.00 | $393.00–$1,766.00 | 80% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION >3-<6 HRS | $2,094.00 | $2,094.00 | $523.50–$1,884.60 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 6HRS OR> | $2,588.00 | $2,588.00 | $556.08–$2,329.20 | 196% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $1,572.00 | $1,572.00 | $1,021.80–$14,779.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OB ED BLOOD TRANSFUSION | $1,572.00 | $1,572.00 | $1,021.80–$14,779.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 0-3 HRS | $1,572.00 | $1,572.00 | $1,021.80–$14,779.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION >3-<6 HRS | $2,094.00 | $2,094.00 | $1,361.10–$14,779.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 6HRS OR> | $2,588.00 | $2,588.00 | $1,682.20–$14,779.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT | $139.00 | $139.00 | $34.75–$564.10 | 57% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULZR HAND HELD TX | $139.00 | $139.00 | $34.75–$564.10 | 57% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT | $172.00 | $172.00 | $43.00–$564.10 | 47% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI | $172.00 | $172.00 | $43.00–$564.10 | 47% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX | $1,088.00 | $1,088.00 | $133.00–$979.20 | 237% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TREATMENT | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULZR HAND HELD TX | $139.00 | $139.00 | $90.35–$14,779.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI | $172.00 | $172.00 | $111.80–$14,779.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT | $172.00 | $172.00 | $111.80–$14,779.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX | $1,088.00 | $1,088.00 | $707.20–$14,779.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR | $798.00 | $798.00 | $199.50–$850.89 | 9% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1ST HOUR | $1,436.00 | $1,436.00 | $359.00–$1,292.40 | 64% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR | $798.00 | $798.00 | $518.70–$14,779.00 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1ST HOUR | $1,436.00 | $1,436.00 | $933.40–$14,779.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITIAL CARE, FIRST HOUR | $4,446.00 | $4,446.00 | $1,041.16–$4,001.40 | 19% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITIAL CARE, FIRST HOUR | $4,446.00 | $4,446.00 | $2,889.90–$14,779.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG PERFORMED IN EMERGENCY | $421.00 | $421.00 | $59.92–$378.90 | 25% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG STANDARD | $421.00 | $421.00 | $59.92–$378.90 | 25% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG PERFORMED IN EMERGENCY | $421.00 | $421.00 | $273.65–$14,779.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG STANDARD | $421.00 | $421.00 | $273.65–$14,779.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED TRIAGE/NON-URGENT | $345.00 | $345.00 | $90.00–$324.02 | 18% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SUTURE REMOVAL/RECHECK | $443.00 | $443.00 | $90.00–$416.07 | 5% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 | $506.00 | $506.00 | $90.00–$475.24 | 20% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 W PROC | $506.00 | $506.00 | $90.00–$475.24 | 20% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED LEVEL 1 W PROCEDURE | $506.00 | $506.00 | $90.00–$475.24 | 20% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED LEVEL I | $506.00 | $506.00 | $90.00–$475.24 | 20% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED TRIAGE/NON-URGENT | $345.00 | $345.00 | $224.25–$14,779.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SUTURE REMOVAL/RECHECK | $443.00 | $443.00 | $287.95–$14,779.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ED LEVEL I | $506.00 | $506.00 | $328.90–$14,779.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1 | $506.00 | $506.00 | $328.90–$14,779.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1 W PROC | $506.00 | $506.00 | $328.90–$14,779.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ED LEVEL 1 W PROCEDURE | $506.00 | $506.00 | $328.90–$14,779.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2 W PROC | $837.00 | $837.00 | $129.00–$786.11 | 4% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL II | $837.00 | $837.00 | $129.00–$786.11 | 4% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ED LEVEL II | $837.00 | $837.00 | $129.00–$786.11 | 4% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ED LEVEL 2 W PROCEDURE | $837.00 | $837.00 | $129.00–$786.11 | 4% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ED LEVEL II | $837.00 | $837.00 | $544.05–$14,779.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED LEVEL 2 W PROC | $837.00 | $837.00 | $544.05–$14,779.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ED LEVEL 2 W PROCEDURE | $837.00 | $837.00 | $544.05–$14,779.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED LEVEL II | $837.00 | $837.00 | $544.05–$14,779.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL III | $1,787.00 | $1,787.00 | $236.00–$1,678.35 | 19% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3 W PROC | $1,787.00 | $1,787.00 | $236.00–$1,678.35 | 19% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ED LEVEL 3 W PROCEDURE | $1,787.00 | $1,787.00 | $236.00–$1,678.35 | 19% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ED LEVEL III | $1,787.00 | $1,787.00 | $236.00–$1,678.35 | 19% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ED LEVEL 3 W PROCEDURE | $1,787.00 | $1,787.00 | $1,161.55–$14,779.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ED LEVEL III | $1,787.00 | $1,787.00 | $1,161.55–$14,779.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED LEVEL 3 W PROC | $1,787.00 | $1,787.00 | $1,161.55–$14,779.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED LEVEL III | $1,787.00 | $1,787.00 | $1,161.55–$14,779.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ED LEVEL IV | $2,449.00 | $2,449.00 | $335.00–$2,461.00 | 10% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL IV | $2,449.00 | $2,449.00 | $335.00–$2,461.00 | 10% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ED LEVEL 4 W PROCEDURE | $2,449.00 | $2,449.00 | $335.00–$2,461.00 | 10% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4 W PROC | $2,449.00 | $2,449.00 | $335.00–$2,461.00 | 10% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ED LEVEL 4 W PROCEDURE | $2,449.00 | $2,449.00 | $1,591.85–$14,779.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED LEVEL IV | $2,449.00 | $2,449.00 | $1,591.85–$14,779.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED LEVEL 4 W PROC | $2,449.00 | $2,449.00 | $1,591.85–$14,779.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ED LEVEL IV | $2,449.00 | $2,449.00 | $1,591.85–$14,779.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ED LEVEL 5 W PROCEDURE | $3,177.00 | $3,177.00 | $506.00–$3,095.00 | 11% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL V | $3,177.00 | $3,177.00 | $506.00–$3,095.00 | 11% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5 W PROC | $3,177.00 | $3,177.00 | $506.00–$3,095.00 | 11% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ED LEVEL V | $3,177.00 | $3,177.00 | $506.00–$3,095.00 | 11% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ED LEVEL 5 W PROCEDURE | $3,177.00 | $3,177.00 | $2,065.05–$14,779.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED LEVEL V | $3,177.00 | $3,177.00 | $2,065.05–$14,779.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED LEVEL 5 W PROC | $3,177.00 | $3,177.00 | $2,065.05–$14,779.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ED LEVEL V | $3,177.00 | $3,177.00 | $2,065.05–$14,779.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST | $2,010.00 | $2,010.00 | $196.94–$1,809.00 | 43% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST | $2,010.00 | $2,010.00 | $1,306.50–$14,779.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION, INITIAL TO 1 HR | $318.00 | $318.00 | $79.50–$547.94 | 36% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS INFUSION,HYDRATION | $318.00 | $318.00 | $79.00–$547.94 | 36% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL, TO 1 HR | $318.00 | $318.00 | $79.50–$547.94 | 36% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION, FIRST HOUR | $372.00 | $372.00 | $79.00–$547.94 | 25% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB ED IV HYDRATION INITIAL | $695.00 | $695.00 | $173.75–$625.50 | 40% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HOUR | $695.00 | $695.00 | $173.75–$625.50 | 40% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL, TO 1 HR | $318.00 | $318.00 | $206.70–$14,779.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION, INITIAL TO 1 HR | $318.00 | $318.00 | $206.70–$14,779.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAVENOUS INFUSION,HYDRATION | $318.00 | $318.00 | $206.70–$14,779.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION, FIRST HOUR | $372.00 | $372.00 | $241.80–$14,779.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO 1 HOUR | $695.00 | $695.00 | $451.75–$14,779.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB ED IV HYDRATION INITIAL | $695.00 | $695.00 | $451.75–$14,779.00 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY UP TO 1 HOUR | $504.00 | $504.00 | $126.00–$547.94 | 14% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY, INITIAL TO 1 HR | $504.00 | $504.00 | $126.00–$547.94 | 14% below | — |
| IV infusion of a medicine, first hour CPT 96365 TOCOLYTIC TX FOR PIH/PTL, INIT | $504.00 | $504.00 | $126.00–$547.94 | 14% below | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV INITIAL HOUR | $591.00 | $591.00 | $79.00–$547.94 | 1% above | — |
| IV infusion of a medicine, first hour CPT 96365 REMICADE INFUSION FIRST HOUR | $627.00 | $627.00 | $156.75–$564.30 | 7% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY WITH MED UP TO 1 HR | $660.00 | $660.00 | $165.00–$594.00 | 12% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION W MED 1ST HOUR | $714.00 | $714.00 | $178.50–$642.60 | 22% above | — |
| IV infusion of a medicine, first hour CPT 96365 OB ED THER/PROP/DX IV INF INIT | $1,100.00 | $1,100.00 | $222.57–$990.00 | 87% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF, INIT | $1,100.00 | $1,100.00 | $222.57–$990.00 | 87% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 TOCOLYTIC TX FOR PIH/PTL, INIT | $504.00 | $504.00 | $327.60–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY, INITIAL TO 1 HR | $504.00 | $504.00 | $327.60–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY UP TO 1 HOUR | $504.00 | $504.00 | $327.60–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV INITIAL HOUR | $591.00 | $591.00 | $384.15–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 REMICADE INFUSION FIRST HOUR | $627.00 | $627.00 | $407.55–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY WITH MED UP TO 1 HR | $660.00 | $660.00 | $429.00–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION W MED 1ST HOUR | $714.00 | $714.00 | $464.10–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB ED THER/PROP/DX IV INF INIT | $1,100.00 | $1,100.00 | $715.00–$14,779.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF, INIT | $1,100.00 | $1,100.00 | $715.00–$14,779.00 | — | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH THERAPEUTIC | $184.00 | $184.00 | $46.00–$547.94 | 48% below | — |
| IV push of a medicine, first drug CPT 96374 IV INJ OR IV PUSH, INITIAL | $185.00 | $185.00 | $46.25–$547.94 | 48% below | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH MEDICATION, INITIAL | $216.00 | $216.00 | $54.00–$547.94 | 39% below | — |
| IV push of a medicine, first drug CPT 96374 OB ED IV PUSH INITIAL INJ | $350.00 | $350.00 | $87.50–$547.94 | 1% below | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH INJECTION | $350.00 | $350.00 | $87.50–$547.94 | 1% below | — |
| IV push of a medicine, first drug CPT 96374 IV INJECTION OR PUSH, INITIAL | $381.00 | $381.00 | $95.25–$547.94 | 8% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH THERAPEUTIC | $184.00 | $184.00 | $119.60–$14,779.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV INJ OR IV PUSH, INITIAL | $185.00 | $185.00 | $120.25–$14,779.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH MEDICATION, INITIAL | $216.00 | $216.00 | $140.40–$14,779.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 OB ED IV PUSH INITIAL INJ | $350.00 | $350.00 | $227.50–$14,779.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INJECTION | $350.00 | $350.00 | $227.50–$14,779.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV INJECTION OR PUSH, INITIAL | $381.00 | $381.00 | $247.65–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN IM/SUBQ INJECTION | $127.00 | $127.00 | $31.75–$429.00 | 29% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN SQ/IM MEDS | $185.00 | $185.00 | $46.25–$429.00 | 3% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION THERAPEUTIC, E | $185.00 | $185.00 | $46.25–$185.48 | 3% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION THERAPEUTIC | $185.00 | $185.00 | $46.25–$429.00 | 3% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM MEDS | $215.00 | $215.00 | $53.75–$429.00 | 20% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION | $217.00 | $217.00 | $54.25–$195.30 | 21% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB ED THER/PROP/DX IM/SQ | $350.00 | $350.00 | $59.54–$315.00 | 95% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER./PROPHYL/DIAG INJECTION | $350.00 | $350.00 | $59.54–$315.00 | 95% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP./PROPHYL. DIAG. INJECT | $363.00 | $363.00 | $59.54–$326.70 | 103% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN IM/SUBQ INJECTION | $127.00 | $127.00 | $82.55–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ INJECTION THERAPEUTIC | $185.00 | $185.00 | $120.25–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN SQ/IM MEDS | $185.00 | $185.00 | $120.25–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ INJECTION THERAPEUTIC, E | $185.00 | $185.00 | $120.25–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ/IM MEDS | $215.00 | $215.00 | $139.75–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION | $217.00 | $217.00 | $141.05–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER./PROPHYL/DIAG INJECTION | $350.00 | $350.00 | $227.50–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB ED THER/PROP/DX IM/SQ | $350.00 | $350.00 | $227.50–$14,779.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP./PROPHYL. DIAG. INJECT | $363.00 | $363.00 | $235.95–$14,779.00 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED | $138.00 | $138.00 | $34.50–$299.00 | 8% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEONATE DEVEL FEED EVAL 15M | $153.00 | $153.00 | $35.45–$299.00 | 20% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR ReED 15 MIN | $153.00 | $153.00 | $35.45–$299.00 | 20% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR ReED 15 MIN | $154.00 | $154.00 | $35.45–$299.00 | 21% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED | $138.00 | $138.00 | $89.70–$14,779.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEONATE DEVEL FEED EVAL 15M | $153.00 | $153.00 | $99.45–$14,779.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR ReED 15 MIN | $153.00 | $153.00 | $99.45–$14,779.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR ReED 15 MIN | $154.00 | $154.00 | $100.10–$14,779.00 | — | — |
| New patient office visit, about 30 minutes CPT 99203 LEVEL III NEW PATIENT | $371.00 | $371.00 | $79.00–$333.90 | 73% above | — |
| New patient office visit, about 30 minutes CPT 99203 HIGH RISK E/M LEVEL III NP | $371.00 | $371.00 | $79.00–$333.90 | 73% above | — |
| New patient office visit, about 30 minutes CPT 99203 PT DETAILED VISIT | $371.00 | $371.00 | $79.00–$333.90 | 73% above | — |
| New patient office visit, about 30 minutes CPT 99203 NICU CLINIC LEVEL 3 - NP | $371.00 | $371.00 | $79.00–$333.90 | 73% above | — |
| New patient office visit, about 30 minutes CPT 99203 CONSULT NEW PT,LEVEL 3-40M | $408.00 | $408.00 | $79.00–$367.20 | 90% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW OUTPAT, VISIT INTERMEDIATE | $436.00 | $436.00 | $79.00–$392.40 | 104% above | — |
| New patient office visit, about 30 minutes CPT 99203 HIGH RISK L&D E/M LEVEL III NP | $783.00 | $783.00 | $79.00–$704.70 | 266% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HIGH RISK E/M LEVEL III NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NICU CLINIC LEVEL 3 - NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL III NEW PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PT DETAILED VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 CONSULT NEW PT,LEVEL 3-40M | $408.00 | $408.00 | $265.20–$14,779.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OUTPAT, VISIT INTERMEDIATE | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HIGH RISK L&D E/M LEVEL III NP | $783.00 | $783.00 | $508.95–$14,779.00 | — | — |
| New patient office visit, about 45 minutes CPT 99204 HIGH RISK E/M LEVEL IV NP | $371.00 | $371.00 | $79.00–$387.21 | 52% above | — |
| New patient office visit, about 45 minutes CPT 99204 PT COMPREHENSIVE VISIT | $371.00 | $371.00 | $79.00–$387.21 | 52% above | — |
| New patient office visit, about 45 minutes CPT 99204 NICU CLINIC LEVEL 4 - NP | $371.00 | $371.00 | $79.00–$387.21 | 52% above | — |
| New patient office visit, about 45 minutes CPT 99204 LEVEL IV NEW PATIENT | $371.00 | $371.00 | $79.00–$387.21 | 52% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW OUTPATIENT VISIT EXTENSIVE | $436.00 | $436.00 | $79.00–$392.40 | 78% above | — |
| New patient office visit, about 45 minutes CPT 99204 CONSULT NEW PT,LEVEL 4-60M | $524.00 | $524.00 | $79.00–$471.60 | 114% above | — |
| New patient office visit, about 45 minutes CPT 99204 HIGH RISK L&D E/M LEVEL IV NP | $1,071.00 | $1,071.00 | $79.00–$963.90 | 338% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL IV NEW PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HIGH RISK E/M LEVEL IV NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NICU CLINIC LEVEL 4 - NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PT COMPREHENSIVE VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OUTPATIENT VISIT EXTENSIVE | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 CONSULT NEW PT,LEVEL 4-60M | $524.00 | $524.00 | $340.60–$14,779.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HIGH RISK L&D E/M LEVEL IV NP | $1,071.00 | $1,071.00 | $696.15–$14,779.00 | — | — |
| New patient office visit, about 60 minutes CPT 99205 PT COMPLEX VISIT | $371.00 | $371.00 | $79.00–$515.36 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 LEVEL V NEW PATIENT | $371.00 | $371.00 | $79.00–$515.36 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 NICU CLINIC LEVEL 5 - NP | $371.00 | $371.00 | $79.00–$515.36 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 HIGH RISK E/M LEVEL V NP | $371.00 | $371.00 | $79.00–$515.36 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW OUTPATIENT VISIT COMPLEX | $436.00 | $436.00 | $79.00–$515.36 | 27% above | — |
| New patient office visit, about 60 minutes CPT 99205 CONSULT NEW PT LEVEL 5-80M | $699.00 | $699.00 | $79.00–$629.10 | 104% above | — |
| New patient office visit, about 60 minutes CPT 99205 HIGH RISK L&D E/M LEVEL V NP | $1,392.00 | $1,392.00 | $79.00–$1,252.80 | 307% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PT COMPLEX VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NICU CLINIC LEVEL 5 - NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HIGH RISK E/M LEVEL V NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL V NEW PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OUTPATIENT VISIT COMPLEX | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 CONSULT NEW PT LEVEL 5-80M | $699.00 | $699.00 | $454.35–$14,779.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HIGH RISK L&D E/M LEVEL V NP | $1,392.00 | $1,392.00 | $904.80–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CONSULT NEW PT,LEVEL 2-30M | $262.00 | $262.00 | $65.50–$235.80 | 88% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HIGH RISK L&D E/M LEVEL II NP | $367.00 | $367.00 | $79.00–$330.30 | 163% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL II NEW PATIENT | $371.00 | $371.00 | $79.00–$333.90 | 166% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NICU CLINIC LEVEL 2 - NP | $371.00 | $371.00 | $79.00–$333.90 | 166% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HIGH RISK E/M LEVEL II NP | $371.00 | $371.00 | $79.00–$333.90 | 166% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PT EXPANDED VISIT | $371.00 | $371.00 | $79.00–$333.90 | 166% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OUTPATIENT VISIT LIMITED | $436.00 | $436.00 | $79.00–$392.40 | 212% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CONSULT NEW PT,LEVEL 2-30M | $262.00 | $262.00 | $170.30–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HIGH RISK L&D E/M LEVEL II NP | $367.00 | $367.00 | $238.55–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HIGH RISK E/M LEVEL II NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PT EXPANDED VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL II NEW PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NICU CLINIC LEVEL 2 - NP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW OUTPATIENT VISIT LIMITED | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIABETES INDIV.OP ONLY, 15 MIN | $36.00 | $36.00 | $9.00–$81.67 | 64% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NC-NUTRITIONAL EVAL - 15 MIN | $36.00 | $36.00 | $9.00–$81.67 | 64% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION SUPPORT CONSULT-EA 1 | $59.00 | $59.00 | $14.75–$81.67 | 41% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY,INTL | $108.00 | $108.00 | $27.00–$97.20 | 8% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIABETES EDUCATION INITIAL | $312.00 | $312.00 | $39.96–$280.80 | 213% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIABETES INDIV.OP ONLY, 15 MIN | $36.00 | $36.00 | $23.40–$14,779.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NC-NUTRITIONAL EVAL - 15 MIN | $36.00 | $36.00 | $23.40–$14,779.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION SUPPORT CONSULT-EA 1 | $59.00 | $59.00 | $38.35–$14,779.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY,INTL | $108.00 | $108.00 | $70.20–$14,779.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIABETES EDUCATION INITIAL | $312.00 | $312.00 | $202.80–$14,779.00 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 15 | $336.00 | $336.00 | $84.00–$302.40 | 29% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 30 | $366.00 | $366.00 | $91.50–$329.40 | 41% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY VRC | $389.00 | $389.00 | $97.25–$350.10 | 50% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 45 | $397.00 | $397.00 | $99.25–$357.30 | 53% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY | $427.00 | $427.00 | $106.75–$384.30 | 64% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 60 | $427.00 | $427.00 | $106.75–$384.30 | 64% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 15 | $336.00 | $336.00 | $218.40–$14,779.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 | $366.00 | $366.00 | $237.90–$14,779.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY VRC | $389.00 | $389.00 | $252.85–$14,779.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 45 | $397.00 | $397.00 | $258.05–$14,779.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY | $427.00 | $427.00 | $277.55–$14,779.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 60 | $427.00 | $427.00 | $277.55–$14,779.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 15 | $354.00 | $354.00 | $88.50–$318.60 | 10% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 45 | $400.00 | $400.00 | $100.00–$360.00 | 2% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 30 | $493.00 | $493.00 | $106.13–$443.70 | 26% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY VRC | $501.00 | $501.00 | $106.13–$450.90 | 28% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 60 | $555.00 | $555.00 | $106.13–$499.50 | 41% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $555.00 | $555.00 | $106.13–$499.50 | 41% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 15 | $354.00 | $354.00 | $230.10–$14,779.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 45 | $400.00 | $400.00 | $260.00–$14,779.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 30 | $493.00 | $493.00 | $320.45–$14,779.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY VRC | $501.00 | $501.00 | $325.65–$14,779.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY | $555.00 | $555.00 | $360.75–$14,779.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 60 | $555.00 | $555.00 | $360.75–$14,779.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY VRC | $327.00 | $327.00 | $81.75–$299.00 | 38% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 15 | $340.00 | $340.00 | $85.00–$306.00 | 44% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 30 | $370.00 | $370.00 | $92.50–$333.00 | 57% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 45 | $401.00 | $401.00 | $100.25–$360.90 | 70% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 60 | $433.00 | $433.00 | $106.13–$389.70 | 83% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $433.00 | $433.00 | $106.13–$389.70 | 83% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY VRC | $327.00 | $327.00 | $212.55–$14,779.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 15 | $340.00 | $340.00 | $221.00–$14,779.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 30 | $370.00 | $370.00 | $240.50–$14,779.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 45 | $401.00 | $401.00 | $260.65–$14,779.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 60 | $433.00 | $433.00 | $281.45–$14,779.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY | $433.00 | $433.00 | $281.45–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY 30 | $330.00 | $330.00 | $82.50–$299.00 | 7% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY 45 | $353.00 | $353.00 | $88.25–$317.70 | at median | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY 15 | $401.00 | $401.00 | $100.25–$360.90 | 13% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION 45 MIN | $437.00 | $437.00 | $106.13–$393.30 | 23% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY VRC | $445.00 | $445.00 | $106.13–$400.50 | 26% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY 60 | $493.00 | $493.00 | $106.13–$443.70 | 39% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY | $493.00 | $493.00 | $106.13–$443.70 | 39% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 | $330.00 | $330.00 | $214.50–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 45 | $353.00 | $353.00 | $229.45–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 15 | $401.00 | $401.00 | $260.65–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION 45 MIN | $437.00 | $437.00 | $284.05–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY VRC | $445.00 | $445.00 | $289.25–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 60 | $493.00 | $493.00 | $320.45–$14,779.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY | $493.00 | $493.00 | $320.45–$14,779.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $148.00 | $148.00 | $29.97–$299.00 | 23% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JOINT MOBILIZATION 15 MIN | $149.00 | $149.00 | $29.97–$299.00 | 24% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $177.00 | $177.00 | $29.97–$299.00 | 48% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 JOINT MOBILIZATIONS | $177.00 | $177.00 | $29.97–$299.00 | 48% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN | $177.00 | $177.00 | $29.97–$299.00 | 48% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $196.00 | $196.00 | $29.97–$299.00 | 64% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15 MIN | $148.00 | $148.00 | $96.20–$14,779.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JOINT MOBILIZATION 15 MIN | $149.00 | $149.00 | $96.85–$14,779.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY | $177.00 | $177.00 | $115.05–$14,779.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN | $177.00 | $177.00 | $115.05–$14,779.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 JOINT MOBILIZATIONS | $177.00 | $177.00 | $115.05–$14,779.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MIN | $196.00 | $196.00 | $127.40–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT ORAL STIMULATION 15 MIN | $175.00 | $175.00 | $31.43–$299.00 | 35% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ORAL STIM PROGRAM | $208.00 | $208.00 | $31.43–$299.00 | 61% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE | $208.00 | $208.00 | $31.43–$299.00 | 61% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE | $208.00 | $208.00 | $31.43–$299.00 | 61% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT NEUROMUSCULAR ReED 15 MIN | $230.00 | $230.00 | $31.43–$299.00 | 78% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN | $230.00 | $230.00 | $31.43–$299.00 | 78% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN | $232.00 | $232.00 | $31.43–$299.00 | 79% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT ORAL STIMULATION 15 MIN | $175.00 | $175.00 | $113.75–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ORAL STIM PROGRAM | $208.00 | $208.00 | $135.20–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE | $208.00 | $208.00 | $135.20–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE | $208.00 | $208.00 | $135.20–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT NEUROMUSCULAR ReED 15 MIN | $230.00 | $230.00 | $149.50–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN | $230.00 | $230.00 | $149.50–$14,779.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN | $232.00 | $232.00 | $150.80–$14,779.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MINS | $101.00 | $101.00 | $25.25–$138.00 | 38% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MINUTES | $183.00 | $183.00 | $45.75–$164.70 | 149% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE COUNSEL 3-10 MINS | $101.00 | $101.00 | $65.65–$14,779.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MINUTES | $183.00 | $183.00 | $118.95–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HIGH RISK L&D E/M LEVEL V | $371.00 | $371.00 | $79.00–$421.96 | 47% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HIGH RISK E/M LEVEL V | $371.00 | $371.00 | $79.00–$421.96 | 47% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PT COMPREHEN VISIT | $371.00 | $371.00 | $79.00–$421.96 | 47% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL V ESTAB PATIENT | $371.00 | $371.00 | $79.00–$421.96 | 47% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 NICU CLINIC LEVEL 5 - EP | $371.00 | $371.00 | $79.00–$421.96 | 47% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST OUTPATIENT VISIT COMPLEX | $436.00 | $436.00 | $79.00–$421.96 | 73% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CONSULT EST PT, LEVEL 5-80M | $757.00 | $757.00 | $79.00–$681.30 | 200% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HIGH RISK L&D E/M LEVEL V | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PT COMPREHEN VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HIGH RISK E/M LEVEL V | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 NICU CLINIC LEVEL 5 - EP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL V ESTAB PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST OUTPATIENT VISIT COMPLEX | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CONSULT EST PT, LEVEL 5-80M | $757.00 | $757.00 | $492.05–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PT EXPANDED VISIT | $371.00 | $371.00 | $79.00–$333.90 | 159% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL III ESTAB PATIENT | $371.00 | $371.00 | $79.00–$333.90 | 159% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 NICU CLINIC LEVEL 3 EP | $371.00 | $371.00 | $79.00–$333.90 | 159% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HIGH RISK E/M LEVEL III | $371.00 | $371.00 | $79.00–$333.90 | 159% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE CONSULTATION | $427.00 | $427.00 | $79.00–$384.30 | 199% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST OUTPAT.VISIT INTERMEDIATE | $436.00 | $436.00 | $79.00–$392.40 | 205% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CONSULT EST PT, LEVEL 3-40M | $437.00 | $437.00 | $79.00–$393.30 | 206% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HIGH RISK L&D E/M LEVEL III | $641.00 | $641.00 | $79.00–$576.90 | 348% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HIGH RISK E/M LEVEL III | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 NICU CLINIC LEVEL 3 EP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL III ESTAB PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PT EXPANDED VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE CONSULTATION | $427.00 | $427.00 | $277.55–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST OUTPAT.VISIT INTERMEDIATE | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CONSULT EST PT, LEVEL 3-40M | $437.00 | $437.00 | $284.05–$14,779.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HIGH RISK L&D E/M LEVEL III | $641.00 | $641.00 | $416.65–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NICU CLINIC LEVEL 4 EP | $371.00 | $371.00 | $79.00–$333.90 | 85% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HIGH RISK E/M LEVEL IV | $371.00 | $371.00 | $79.00–$333.90 | 85% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL IV ESTAB PATIENT | $371.00 | $371.00 | $79.00–$333.90 | 85% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PT DETAILED VISIT | $371.00 | $371.00 | $79.00–$333.90 | 85% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OUTPATIENT VISIT EXTENSIVE | $436.00 | $436.00 | $79.00–$392.40 | 117% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CONSULT EST PT, LEVEL 4-60M | $582.00 | $582.00 | $79.00–$523.80 | 190% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HIGH RISK L&D E/M LEVEL IV | $932.00 | $932.00 | $79.00–$838.80 | 364% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 NICU CLINIC LEVEL 4 EP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HIGH RISK E/M LEVEL IV | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PT DETAILED VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL IV ESTAB PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST OUTPATIENT VISIT EXTENSIVE | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CONSULT EST PT, LEVEL 4-60M | $582.00 | $582.00 | $378.30–$14,779.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HIGH RISK L&D E/M LEVEL IV | $932.00 | $932.00 | $605.80–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CONSULT EST PT, LEVEL 2-30M | $291.00 | $291.00 | $64.65–$261.90 | 153% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HIGH RISK L&D E/M LEVEL II | $338.00 | $338.00 | $64.65–$304.20 | 194% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL II ESTAB PATIENT | $371.00 | $371.00 | $64.65–$333.90 | 223% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PT FOCUSED VISIT | $371.00 | $371.00 | $64.65–$333.90 | 223% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NICU CLINIC LEVEL 2 EP | $371.00 | $371.00 | $64.65–$333.90 | 223% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HIGH RISK E/M LEVEL II | $371.00 | $371.00 | $64.65–$333.90 | 223% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST. OUTPATIENT VISIT LIMITED | $436.00 | $436.00 | $64.65–$392.40 | 279% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CONSULT EST PT, LEVEL 2-30M | $291.00 | $291.00 | $189.15–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HIGH RISK L&D E/M LEVEL II | $338.00 | $338.00 | $219.70–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HIGH RISK E/M LEVEL II | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 NICU CLINIC LEVEL 2 EP | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL II ESTAB PATIENT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PT FOCUSED VISIT | $371.00 | $371.00 | $241.15–$14,779.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST. OUTPATIENT VISIT LIMITED | $436.00 | $436.00 | $283.40–$14,779.00 | — | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $765.00 | $765.00 | $191.25–$688.50 | 67% above | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $765.00 | $765.00 | $497.25–$14,779.00 | — | — |
| Speech therapy session, individual CPT 92507 MC-SPEECH LANG THRPY GP THERAP | $112.00 | $112.00 | $28.00–$437.00 | 60% below | — |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY | $571.00 | $571.00 | $82.08–$513.90 | 106% above | — |
| Speech therapy session, individual inpatient CPT 92507 MC-SPEECH LANG THRPY GP THERAP | $112.00 | $112.00 | $72.80–$14,779.00 | — | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY | $571.00 | $571.00 | $371.15–$14,779.00 | — | — |
| Spirometry (breathing test) CPT 94010 SPIRO SCREENING | $353.00 | $353.00 | $88.25–$673.00 | 7% below | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $353.00 | $353.00 | $88.25–$673.00 | 7% below | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIRO SCREENING | $353.00 | $353.00 | $229.45–$14,779.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $353.00 | $353.00 | $229.45–$14,779.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 SPIRO B/A MEDS | $616.00 | $616.00 | $133.00–$961.28 | 23% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIRO B/A MEDS | $616.00 | $616.00 | $400.40–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITY EA 15M | $208.00 | $208.00 | $38.44–$299.00 | 52% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER TRAINING | $208.00 | $208.00 | $38.44–$299.00 | 52% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPUTIC ACTIVITIES | $208.00 | $208.00 | $38.44–$299.00 | 52% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY 15 MIN | $230.00 | $230.00 | $38.44–$299.00 | 68% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COORD ACTIVITES/ROM EA 15 M | $230.00 | $230.00 | $38.44–$299.00 | 68% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER TRAINING, EA 15 MI | $232.00 | $232.00 | $38.44–$299.00 | 69% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN | $232.00 | $232.00 | $38.44–$299.00 | 69% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TRANSFER TRAINING | $208.00 | $208.00 | $135.20–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACTIVITY EA 15M | $208.00 | $208.00 | $135.20–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPUTIC ACTIVITIES | $208.00 | $208.00 | $135.20–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COORD ACTIVITES/ROM EA 15 M | $230.00 | $230.00 | $149.50–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY 15 MIN | $230.00 | $230.00 | $149.50–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN | $232.00 | $232.00 | $150.80–$14,779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TRANSFER TRAINING, EA 15 MI | $232.00 | $232.00 | $150.80–$14,779.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $323.00 | $323.00 | $62.04–$1,129.86 | at median | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY HEMACR | $582.00 | $582.00 | $62.04–$1,129.86 | 80% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $323.00 | $323.00 | $77.00–$14,779.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY HEMACR | $582.00 | $582.00 | $138.75–$14,779.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE/PF 1,35 | $185.94 | $185.94 | $44.33–$167.35 | 41% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX 0.5ML INJ | $368.00 | $368.00 | $87.73–$331.20 | 18% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA IMMUNE GLOBULIN 125U | $554.00 | $554.00 | $116.25–$498.60 | 77% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE LIVE/PF 1,35 | $185.94 | $185.94 | $44.33–$14,779.00 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX 0.5ML INJ | $368.00 | $368.00 | $87.73–$14,779.00 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA IMMUNE GLOBULIN 125U | $554.00 | $554.00 | $132.07–$14,779.00 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TDAP VACCINE <7 YEARS OLD | $168.00 | $168.00 | $35.11–$151.20 | 134% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TDAP VACCINE <7 YEARS OLD | $168.00 | $168.00 | $40.05–$14,779.00 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEPATITIS B-DP(A)T-POLIO 0.5 M | $313.22 | $313.22 | $74.67–$281.90 | 90% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX 0.5ML VACC INJ | $365.00 | $365.00 | $87.02–$328.50 | 122% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEPATITIS B-DP(A)T-POLIO 0.5 M | $313.22 | $313.22 | $74.67–$14,779.00 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX 0.5ML VACC INJ | $365.00 | $365.00 | $87.02–$14,779.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVIRIN P-0.5ML INJ | $56.00 | $56.00 | $13.35–$50.40 | 31% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVIRIN P-0.5ML INJ | $56.00 | $56.00 | $13.35–$14,779.00 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACC PEDS 5MCG/0.5 | $168.00 | $168.00 | $32.54–$151.20 | 191% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACC PEDS 5MCG/0.5 | $168.00 | $168.00 | $40.05–$14,779.00 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEM B POLYSAC CONJ VACC 0.5 M | $50.20 | $50.20 | $11.97–$45.18 | 20% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEM B POLYSAC CONJ VAC 0.5ML | $54.00 | $54.00 | $12.87–$48.60 | 29% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEM B POLYSAC CONJ VACC 0.5 M | $50.20 | $50.20 | $11.97–$14,779.00 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEM B POLYSAC CONJ VAC 0.5ML | $54.00 | $54.00 | $12.87–$14,779.00 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC 2025-26(65YR UP)/PF 0 | $97.00 | $97.00 | $23.12–$196.60 | 23% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE HIGH DOSE | $105.00 | $105.00 | $25.03–$196.60 | 16% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC 2025-26(65YR UP)/PF 0 | $97.00 | $97.00 | $23.12–$14,779.00 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE HIGH DOSE | $105.00 | $105.00 | $25.03–$14,779.00 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13 VALENT VACCINE | $498.00 | $498.00 | $118.72–$516.73 | 59% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $594.47 | $594.47 | $141.72–$535.02 | 90% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 20-VAL CONJ-DIP 0.5ML | $618.00 | $618.00 | $147.33–$556.20 | 98% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13 VALENT VACCINE | $498.00 | $498.00 | $118.72–$14,779.00 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $594.47 | $594.47 | $141.72–$14,779.00 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 20-VAL CONJ-DIP 0.5ML | $618.00 | $618.00 | $147.33–$14,779.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 0.5ML INJ | $96.00 | $96.00 | $22.89–$267.33 | 41% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC (PREVNAR) 16 | $348.00 | $348.00 | $31.30–$313.20 | 115% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 0.5ML INJ | $96.00 | $96.00 | $22.89–$14,779.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC (PREVNAR) 16 | $348.00 | $348.00 | $82.96–$14,779.00 | — | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT 2.5 UNITS INJECTION | $480.00 | $480.00 | $114.43–$631.35 | 32% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACC, HUMAN DIPLOID/PF | $1,343.00 | $1,343.00 | $262.47–$1,208.70 | 90% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT 2.5 UNITS INJECTION | $480.00 | $480.00 | $114.43–$14,779.00 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC, HUMAN DIPLOID/PF | $1,343.00 | $1,343.00 | $320.17–$14,779.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID FLUID 0.5ML INJ | $90.00 | $90.00 | $21.46–$81.00 | 11% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID ADSORBED 0.5ML | $90.00 | $90.00 | $21.46–$81.00 | 11% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTH/TET TOX 0.5 ML INJ (ADU | $97.57 | $97.57 | $23.26–$87.81 | 20% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHT/TETANUS TOX ADULT 0.5ML | $114.00 | $114.00 | $27.18–$102.60 | 40% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOXOID ADSORBED 0.5ML | $90.00 | $90.00 | $21.46–$14,779.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOXOID FLUID 0.5ML INJ | $90.00 | $90.00 | $21.46–$14,779.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTH/TET TOX 0.5 ML INJ (ADU | $97.57 | $97.57 | $23.26–$14,779.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHT/TETANUS TOX ADULT 0.5ML | $114.00 | $114.00 | $27.18–$14,779.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH/TET/ACEL PERTUSS (ADULT | $145.00 | $145.00 | $34.57–$130.50 | 25% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM | $168.00 | $168.00 | $40.05–$151.20 | 45% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH/TET/ACEL PERTUSS 0.5ML | $279.00 | $279.00 | $66.51–$251.10 | 141% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH/TET/ACEL PERTUSS (ADULT | $145.00 | $145.00 | $34.57–$14,779.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM | $168.00 | $168.00 | $40.05–$14,779.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH/TET/ACEL PERTUSS 0.5ML | $279.00 | $279.00 | $66.51–$14,779.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN (IM/SQ/ID) FIRST | $147.00 | $147.00 | $36.75–$185.48 | 41% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTER HEPATITIS B VACCINE | $147.00 | $147.00 | $36.75–$185.48 | 41% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $319.00 | $319.00 | $79.75–$287.10 | 205% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTER HEPATITIS B VACCINE | $147.00 | $147.00 | $95.55–$14,779.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN (IM/SQ/ID) FIRST | $147.00 | $147.00 | $95.55–$14,779.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION | $319.00 | $319.00 | $207.35–$14,779.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDL VACCINE | $203.00 | $203.00 | $17.72–$182.70 | 154% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL | $230.00 | $230.00 | $17.72–$207.00 | 188% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EA ADDL VACCINE | $203.00 | $203.00 | $131.95–$14,779.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EA ADDITIONAL | $230.00 | $230.00 | $149.50–$14,779.00 | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.