Hospital Michigan City-La Porte, IN

Northwest Health-la Porte

Listed in its price file as “La Porte Hospital Company LLC”.

Northwest Health-la Porte in La Porte, IN publishes cash prices for 448 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Indiana median for 225 of 444 procedures and below it for 212. By typical cash price it ranks #44 of 84 Indiana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1331 State Street, La Porte, IN 46350 Collected Sep 22, 2026 Source price file Check a bill from this hospital (219) 326-1234

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 150006 · CMS hospital register NPI 1750746285

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Northwest Health-la Porte is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO	$1,272.76	$3,856.86	$176.30–$3,471.17	6% below	67%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V CR - XR Abdomen 2V CR	$128.29	$388.77	$98.17–$450.79	52% below	67%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$128.29	$388.77	$98.17–$450.79	52% below	67%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$209.94	$388.77	$162.51–$349.89	—	46%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V CR - XR Abdomen 2V CR	$209.94	$388.77	$162.51–$349.89	—	46%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$155.30	$470.60	$34.49–$423.54	21% below	67%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$155.30	$470.60	$34.49–$423.54	21% below	67%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$155.30	$470.60	$34.49–$423.54	21% below	67%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$155.30	$470.60	$34.49–$423.54	21% below	67%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat	$427.30	$1,294.85	$76.95–$1,165.37	—	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat	$427.30	$1,294.85	$76.95–$1,165.37	—	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CHRG - US-EXT ARTERIAL LTD 208	$427.30	$1,294.85	$76.95–$1,165.37	17% above	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US- EXT ARTERIAL LTD - Net Health - 208	$427.30	$1,294.85	$76.95–$1,165.37	17% above	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI Seg Pres w Dopp UE LE Single	$427.30	$1,294.85	$76.95–$1,165.37	17% above	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat	$699.22	$1,294.85	$541.25–$1,165.37	—	46%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat	$699.22	$1,294.85	$541.25–$1,165.37	—	46%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI Seg Pres w Dopp UE LE Single	$699.22	$1,294.85	$541.25–$1,165.37	—	46%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CHRG - US-EXT ARTERIAL LTD 208	$699.22	$1,294.85	$541.25–$1,165.37	—	46%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US- EXT ARTERIAL LTD - Net Health - 208	$699.22	$1,294.85	$541.25–$1,165.37	—	46%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	27% above	67%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium	$243.08	$736.61	$164.69–$756.32	48% below	67%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin	$243.08	$736.61	$164.69–$756.32	48% below	67%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin	$397.77	$736.61	$307.90–$662.95	—	46%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium	$397.77	$736.61	$307.90–$662.95	—	46%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,307.96	$3,963.51	$241.14–$3,567.16	17% below	67%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$2,140.30	$3,963.51	$1,656.75–$3,567.16	—	46%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral	$609.95	$1,848.32	$93.88–$1,663.49	—	67%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right	$353.04	$1,069.83	$93.88–$962.85	19% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left	$353.04	$1,069.83	$93.88–$962.85	19% below	67%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral	$998.09	$1,848.32	$772.60–$1,663.49	—	46%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right	$577.71	$1,069.83	$447.19–$962.85	—	46%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left	$577.71	$1,069.83	$447.19–$962.85	—	46%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral	$270.78	$820.56	$78.28–$738.50	—	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$156.73	$474.95	$78.28–$427.46	52% below	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$156.73	$474.95	$78.28–$427.46	52% below	67%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral	$443.10	$820.56	$342.99–$738.50	—	46%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left	$256.47	$474.95	$198.53–$427.46	—	46%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right	$256.47	$474.95	$198.53–$427.46	—	46%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis	$1,272.76	$3,856.86	$350.65–$3,471.17	33% below	67%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT angiography (CTA) of the head CPT 70496 CTA Head Neck Stroke	$1,272.76	$3,856.86	$176.30–$3,471.17	at median	67%
CT angiography (CTA) of the head CPT 70496 CTA Head	$1,272.76	$3,856.86	$176.30–$3,471.17	at median	67%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Neck Stroke	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT angiography (CTA) of the neck CPT 70498 CTA Neck	$1,272.76	$3,856.86	$176.30–$3,471.17	5% above	67%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE	$1,272.76	$3,856.86	$176.30–$3,471.17	at median	67%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$1,272.76	$3,856.86	$176.30–$3,471.17	at median	67%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart Function W	$1,272.76	$3,856.86	$350.00–$3,471.17	52% above	67%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart Function W	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Score WO	$95.49	$289.35	$81.71–$375.25	49% below	67%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO	$95.49	$289.35	$81.71–$375.25	49% below	67%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart WO	$156.25	$289.35	$120.95–$260.42	—	46%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Score WO	$156.25	$289.35	$120.95–$260.42	—	46%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO	$1,018.10	$3,085.14	$239.82–$2,776.63	15% below	67%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol	$1,018.10	$3,085.14	$239.82–$2,776.63	15% below	67%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis	$1,145.43	$3,471.01	$350.00–$3,123.91	34% below	67%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W	$1,145.43	$3,471.01	$350.00–$3,123.91	34% below	67%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W	$1,874.35	$3,471.01	$1,450.88–$3,123.91	—	46%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis	$1,874.35	$3,471.01	$1,450.88–$3,123.91	—	46%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO	$1,272.76	$3,856.86	$350.65–$3,471.17	26% below	67%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$1,145.43	$3,471.01	$176.30–$3,123.91	8% above	67%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$1,874.35	$3,471.01	$1,450.88–$3,123.91	—	46%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$1,018.10	$3,085.14	$105.08–$2,776.63	20% above	67%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$1,018.10	$3,085.14	$105.08–$2,776.63	33% above	67%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO	$1,018.10	$3,085.14	$105.08–$2,776.63	33% above	67%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the head with contrast CPT 70460 CT Head or Brain W	$1,214.39	$3,679.96	$176.30–$3,311.96	42% above	67%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W	$1,987.18	$3,679.96	$1,538.22–$3,311.96	—	46%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO	$1,272.76	$3,856.86	$176.30–$3,471.17	22% above	67%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO	$1,018.10	$3,085.14	$105.08–$2,776.63	15% above	67%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$1,145.43	$3,471.01	$176.30–$3,123.91	24% above	67%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$1,874.35	$3,471.01	$1,450.88–$3,123.91	—	46%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$590.32	$1,788.86	$175.68–$1,609.97	—	67%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$590.32	$1,788.86	$175.68–$1,609.97	—	67%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$965.98	$1,788.86	$747.74–$1,609.97	—	46%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$965.98	$1,788.86	$747.74–$1,609.97	—	46%
Chest CT scan without and with contrast CPT 71270 CT Chest Diagnostic WWO	$1,272.76	$3,856.86	$176.30–$3,471.17	17% above	67%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Diagnostic WWO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR	$182.30	$552.41	$30.87–$497.17	12% below	67%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR	$182.30	$552.41	$30.87–$497.17	12% below	67%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR	$298.30	$552.41	$230.91–$497.17	—	46%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR	$298.30	$552.41	$230.91–$497.17	—	46%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$45.36	$84.00	$35.11–$75.60	—	46%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$45.36	$84.00	$35.11–$75.60	—	46%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal - zzXR Chest 1 V Frontal	$73.92	$224.00	$81.71–$375.25	55% below	67%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR	$114.77	$347.80	$81.71–$375.25	29% below	67%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable CR	$114.77	$347.80	$81.71–$375.25	29% below	67%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR	$114.77	$347.80	$81.71–$375.25	29% below	67%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal CR	$114.77	$347.80	$81.71–$375.25	29% below	67%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal - zzXR Chest 1 V Frontal	$120.96	$224.00	$93.63–$201.60	—	46%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable CR	$187.81	$347.80	$145.38–$313.02	—	46%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal CR	$187.81	$347.80	$145.38–$313.02	—	46%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR	$187.81	$347.80	$145.38–$313.02	—	46%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR	$187.81	$347.80	$145.38–$313.02	—	46%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR	$148.53	$450.10	$31.06–$405.09	23% below	67%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right CR	$148.53	$450.10	$31.06–$405.09	23% below	67%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left CR	$148.53	$450.10	$31.06–$405.09	23% below	67%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR	$148.53	$450.10	$31.06–$405.09	23% below	67%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left CR	$243.05	$450.10	$188.14–$405.09	—	46%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR	$243.05	$450.10	$188.14–$405.09	—	46%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR	$243.05	$450.10	$188.14–$405.09	—	46%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right CR	$243.05	$450.10	$188.14–$405.09	—	46%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$562.34	$1,704.06	$99.48–$1,533.65	12% above	67%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$920.19	$1,704.06	$712.30–$1,533.65	—	46%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$261.40	$792.12	$36.73–$712.91	10% below	67%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$427.74	$792.12	$331.11–$712.91	—	46%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$119.89	$363.29	$81.38–$375.25	17% below	67%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton	$196.18	$363.29	$151.86–$326.96	—	46%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 US-PLV PRG 2T DETAIL	$583.57	$1,768.38	$171.64–$1,591.54	4% above	67%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete w Detail	$583.57	$1,768.38	$171.64–$1,591.54	4% above	67%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnancy Complete w Detail	$954.93	$1,768.38	$739.18–$1,591.54	—	46%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 76811 US-PLV PRG 2T DETAIL	$954.93	$1,768.38	$739.18–$1,591.54	—	46%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W	$1,145.43	$3,471.01	$176.30–$3,123.91	22% above	67%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W	$1,874.35	$3,471.01	$1,450.88–$3,123.91	—	46%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD	$219.92	$666.41	$90.50–$599.77	—	67%
Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT	$219.92	$666.41	$90.50–$599.77	—	67%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT	$359.86	$666.41	$278.56–$599.77	—	46%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD	$359.86	$666.41	$278.56–$599.77	—	46%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD	$173.13	$524.63	$70.61–$472.17	22% below	67%
Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT	$173.13	$524.63	$70.61–$472.17	22% below	67%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD	$173.13	$524.63	$70.61–$472.17	22% below	67%
Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT	$283.30	$524.63	$219.30–$472.17	—	46%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD	$283.30	$524.63	$219.30–$472.17	—	46%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD	$283.30	$524.63	$219.30–$472.17	—	46%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral	$745.13	$2,257.97	$220.43–$2,032.17	—	67%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$745.13	$2,257.97	$220.43–$2,032.17	—	67%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$1,219.30	$2,257.97	$943.83–$2,032.17	—	46%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral	$1,219.30	$2,257.97	$943.83–$2,032.17	—	46%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Leg Comp Bilat	$773.11	$2,342.77	$170.94–$2,108.49	—	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral	$773.11	$2,342.77	$170.94–$2,108.49	—	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral	$773.11	$2,342.77	$170.94–$2,108.49	—	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$773.11	$2,342.77	$170.94–$2,108.49	—	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$773.11	$2,342.77	$170.94–$2,108.49	—	67%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Left	$773.11	$2,342.77	$170.94–$2,108.49	41% below	67%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Right	$773.11	$2,342.77	$170.94–$2,108.49	41% below	67%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Leg Comp Bilat	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Right	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Left	$1,265.10	$2,342.77	$979.28–$2,108.49	—	46%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$1,058.62	$3,207.95	$184.65–$2,887.16	36% below	67%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$1,732.29	$3,207.95	$1,340.92–$2,887.16	—	46%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right CR	$108.04	$327.39	$81.71–$375.25	35% below	67%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left CR	$108.04	$327.39	$81.71–$375.25	35% below	67%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR	$108.04	$327.39	$81.71–$375.25	35% below	67%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR	$108.04	$327.39	$81.71–$375.25	35% below	67%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right CR	$176.79	$327.39	$136.85–$294.65	—	46%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left CR	$176.79	$327.39	$136.85–$294.65	—	46%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR	$176.79	$327.39	$136.85–$294.65	—	46%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR	$176.79	$327.39	$136.85–$294.65	—	46%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left CR	$121.54	$368.30	$81.71–$375.25	52% below	67%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com	$121.54	$368.30	$81.71–$375.25	52% below	67%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$121.54	$368.30	$81.71–$375.25	52% below	67%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right CR - XR Elbow Com	$121.54	$368.30	$81.71–$375.25	52% below	67%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com	$198.88	$368.30	$153.95–$331.47	—	46%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right CR - XR Elbow Com	$198.88	$368.30	$153.95–$331.47	—	46%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO	$1,018.10	$3,085.14	$105.08–$2,776.63	19% above	67%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Sella WO	$1,018.10	$3,085.14	$105.08–$2,776.63	19% above	67%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO	$1,018.10	$3,085.14	$105.08–$2,776.63	19% above	67%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO	$1,018.10	$3,085.14	$105.08–$2,776.63	19% above	67%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Sella WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arches Minimum 3V CR	$128.29	$388.77	$98.17–$450.79	53% below	67%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$128.29	$388.77	$98.17–$450.79	53% below	67%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V CR	$128.29	$388.77	$98.17–$450.79	53% below	67%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arches Minimum 3V DR	$128.29	$388.77	$98.17–$450.79	53% below	67%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V CR	$209.94	$388.77	$162.51–$349.89	—	46%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arches Minimum 3V CR	$209.94	$388.77	$162.51–$349.89	—	46%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arches Minimum 3V DR	$209.94	$388.77	$162.51–$349.89	—	46%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$209.94	$388.77	$162.51–$349.89	—	46%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR	$155.30	$470.60	$27.03–$423.54	16% below	67%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR	$155.30	$470.60	$27.03–$423.54	16% below	67%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right CR	$155.30	$470.60	$27.03–$423.54	16% below	67%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left CR	$155.30	$470.60	$27.03–$423.54	16% below	67%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1	$1,259.24	$3,815.89	$264.54–$3,434.30	4% below	67%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1	$2,060.58	$3,815.89	$1,595.04–$3,434.30	—	46%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right CR	$108.04	$327.39	$98.17–$450.79	37% below	67%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left CR	$108.04	$327.39	$98.17–$450.79	37% below	67%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR	$108.04	$327.39	$98.17–$450.79	37% below	67%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR	$108.04	$327.39	$98.17–$450.79	37% below	67%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left CR	$176.79	$327.39	$136.85–$294.65	—	46%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR	$176.79	$327.39	$136.85–$294.65	—	46%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right CR	$176.79	$327.39	$136.85–$294.65	—	46%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR	$176.79	$327.39	$136.85–$294.65	—	46%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR	$141.80	$429.69	$26.41–$386.72	34% below	67%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR XR Calcaneus 2 V Left DR	$141.80	$429.69	$26.41–$386.72	34% below	67%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Left CR	$141.80	$429.69	$26.41–$386.72	34% below	67%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right CR	$141.80	$429.69	$26.41–$386.72	34% below	67%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR	$232.03	$429.69	$179.61–$386.72	—	46%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Left CR	$232.03	$429.69	$179.61–$386.72	—	46%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right CR	$232.03	$429.69	$179.61–$386.72	—	46%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR XR Calcaneus 2 V Left DR	$232.03	$429.69	$179.61–$386.72	—	46%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 CHRG - SLEEP TITRATE UNATT	$350.62	$1,062.48	$97.01–$956.23	15% below	67%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 CHRG - SLEEP TITRATE UNATT	$573.74	$1,062.48	$444.12–$956.23	—	46%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO	$2,553.71	$7,738.50	$658.17–$6,964.65	21% below	67%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO	$4,178.79	$7,738.50	$3,234.69–$6,964.65	—	46%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR	$155.30	$470.60	$39.47–$423.54	32% below	67%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR	$155.30	$470.60	$39.47–$423.54	32% below	67%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR	$155.30	$470.60	$39.47–$423.54	32% below	67%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR	$155.30	$470.60	$39.47–$423.54	32% below	67%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right DR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left CR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right CR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left CR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left DR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right CR	$155.30	$470.60	$98.17–$450.79	41% below	67%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO	$1,018.10	$3,085.14	$105.08–$2,776.63	30% above	67%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$524.25	$1,588.63	$80.71–$1,429.77	15% above	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$524.25	$1,588.63	$80.71–$1,429.77	15% above	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus	$524.25	$1,588.63	$80.71–$1,429.77	15% above	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas	$524.25	$1,588.63	$80.71–$1,429.77	15% above	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver	$524.25	$1,588.63	$80.71–$1,429.77	15% above	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$524.25	$1,588.63	$80.71–$1,429.77	15% above	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus	$857.86	$1,588.63	$664.05–$1,429.77	—	46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$857.86	$1,588.63	$664.05–$1,429.77	—	46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$857.86	$1,588.63	$664.05–$1,429.77	—	46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$857.86	$1,588.63	$664.05–$1,429.77	—	46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas	$857.86	$1,588.63	$664.05–$1,429.77	—	46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver	$857.86	$1,588.63	$664.05–$1,429.77	—	46%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 Us Extremity Non Vascular Limited Bilat - US Extre	$367.02	$1,112.17	$22.80–$1,000.95	—	67%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Non Vascular Limited - zzUS Extremity	$367.02	$1,112.17	$22.80–$1,000.95	21% above	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt	$367.02	$1,112.17	$22.80–$1,000.95	21% above	67%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt	$367.02	$1,112.17	$22.80–$1,000.95	21% above	67%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 Us Extremity Non Vascular Limited Bilat - US Extre	$600.57	$1,112.17	$464.89–$1,000.95	—	46%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Extremity Non Vascular Limited - zzUS Extremity	$600.57	$1,112.17	$464.89–$1,000.95	—	46%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt	$600.57	$1,112.17	$464.89–$1,000.95	—	46%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt	$600.57	$1,112.17	$464.89–$1,000.95	—	46%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO	$153.36	$464.74	$105.08–$464.74	19% below	67%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO	$250.96	$464.74	$194.26–$418.27	—	46%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR	$155.30	$470.60	$29.20–$423.54	22% below	67%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left CR	$155.30	$470.60	$29.20–$423.54	22% below	67%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR	$155.30	$470.60	$29.20–$423.54	22% below	67%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right CR	$155.30	$470.60	$29.20–$423.54	22% below	67%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head WO	$1,272.76	$3,856.86	$239.82–$3,471.17	14% above	67%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO	$1,272.76	$3,856.86	$239.82–$3,471.17	24% above	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO	$1,272.76	$3,856.86	$239.82–$3,471.17	24% above	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO	$1,272.76	$3,856.86	$239.82–$3,471.17	24% above	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO	$1,272.76	$3,856.86	$239.82–$3,471.17	24% above	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO	$1,272.76	$3,856.86	$239.82–$3,471.17	24% above	67%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO	$1,272.76	$3,856.86	$239.82–$3,471.17	24% above	67%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	6% above	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	6% above	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	6% above	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	6% above	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	6% above	67%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	6% above	67%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the abdomen without contrast CPT 74181 MRI MRCP WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	3% below	67%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$1,272.76	$3,856.86	$239.82–$3,471.17	25% above	67%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	17% above	67%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	17% above	67%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO	$1,272.76	$3,856.86	$239.82–$3,471.17	25% above	67%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	4% above	67%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO	$1,272.76	$3,856.86	$239.82–$3,471.17	27% above	67%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	4% above	67%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO	$1,272.76	$3,856.86	$239.82–$3,471.17	22% above	67%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO	$1,527.41	$4,628.51	$350.65–$4,165.66	5% above	67%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO	$2,499.40	$4,628.51	$1,934.72–$4,165.66	—	46%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$1,272.76	$3,856.86	$239.82–$3,471.17	21% above	67%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO	$1,272.76	$3,856.86	$239.82–$3,471.17	19% above	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO	$2,082.70	$3,856.86	$1,612.17–$3,471.17	—	46%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V CR	$265.74	$805.28	$51.28–$724.75	24% below	67%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR	$265.74	$805.28	$51.28–$724.75	24% below	67%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR	$434.85	$805.28	$336.61–$724.75	—	46%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V CR	$434.85	$805.28	$336.61–$724.75	—	46%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W	$1,145.43	$3,471.01	$176.30–$3,123.91	17% above	67%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W	$1,874.35	$3,471.01	$1,450.88–$3,123.91	—	46%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR	$135.04	$409.21	$81.71–$375.25	22% below	67%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue CR	$135.04	$409.21	$81.71–$375.25	22% below	67%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR	$220.97	$409.21	$171.05–$368.29	—	46%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue CR	$220.97	$409.21	$171.05–$368.29	—	46%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$1,608.92	$4,875.51	$1,215.66–$5,582.47	58% below	67%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1	$1,608.92	$4,875.51	$1,215.66–$5,582.47	58% below	67%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1	$1,608.92	$4,875.51	$1,215.66–$5,582.47	58% below	67%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,632.78	$4,875.51	$2,037.96–$4,387.96	—	46%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,632.78	$4,875.51	$2,037.96–$4,387.96	—	46%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1	$2,632.78	$4,875.51	$2,037.96–$4,387.96	—	46%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Tumor Imaging Skull Base to Midthigh Scan	$1,874.65	$5,680.77	$1,342.69–$6,165.87	54% below	67%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Scan	$1,928.18	$5,842.98	$1,342.69–$6,165.87	52% below	67%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Tumor Imaging Skull Base to Midthigh Scan	$3,067.62	$5,680.77	$2,374.56–$5,112.69	—	46%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Scan	$3,155.21	$5,842.98	$2,442.37–$5,258.68	—	46%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$1,018.10	$3,085.14	$105.08–$2,776.63	22% above	67%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited	$374.24	$1,134.07	$47.98–$1,020.66	5% above	67%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU	$374.24	$1,134.07	$47.98–$1,020.66	5% above	67%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited	$612.40	$1,134.07	$474.04–$1,020.66	—	46%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU	$612.40	$1,134.07	$474.04–$1,020.66	—	46%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$580.67	$1,759.60	$98.43–$1,583.64	25% above	67%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US-PELVIS NON OB	$580.67	$1,759.60	$98.43–$1,583.64	25% above	67%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$950.18	$1,759.60	$735.51–$1,583.64	—	46%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US-PELVIS NON OB	$950.18	$1,759.60	$735.51–$1,583.64	—	46%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$578.74	$1,753.75	$105.08–$1,578.38	4% above	67%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG	$578.74	$1,753.75	$105.08–$1,578.38	4% above	67%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$947.03	$1,753.75	$733.07–$1,578.38	—	46%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG	$947.03	$1,753.75	$733.07–$1,578.38	—	46%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GES	$578.74	$1,753.75	$105.08–$1,578.38	12% above	67%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal	$578.74	$1,753.75	$105.08–$1,578.38	12% above	67%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal	$947.03	$1,753.75	$733.07–$1,578.38	—	46%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GES	$947.03	$1,753.75	$733.07–$1,578.38	—	46%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Fetal Position	$407.54	$1,234.97	$76.35–$1,111.47	7% above	67%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Placenta Location	$407.54	$1,234.97	$76.35–$1,111.47	7% above	67%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited	$407.54	$1,234.97	$76.35–$1,111.47	7% above	67%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited	$666.88	$1,234.97	$516.22–$1,111.47	—	46%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Fetal Position	$666.88	$1,234.97	$516.22–$1,111.47	—	46%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Placenta Location	$666.88	$1,234.97	$516.22–$1,111.47	—	46%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left CR	$175.56	$531.99	$33.66–$478.79	14% below	67%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR	$175.56	$531.99	$33.66–$478.79	14% below	67%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR	$175.56	$531.99	$33.66–$478.79	14% below	67%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right CR	$175.56	$531.99	$33.66–$478.79	14% below	67%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left CR	$287.27	$531.99	$222.37–$478.79	—	46%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right CR	$287.27	$531.99	$222.37–$478.79	—	46%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR	$287.27	$531.99	$222.37–$478.79	—	46%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR	$287.27	$531.99	$222.37–$478.79	—	46%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$216.05	$654.71	$38.90–$589.24	11% below	67%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$216.05	$654.71	$38.90–$589.24	11% below	67%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$216.05	$654.71	$38.90–$589.24	11% below	67%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$216.05	$654.71	$38.90–$589.24	11% below	67%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$353.54	$654.71	$273.67–$589.24	—	46%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$353.54	$654.71	$273.67–$589.24	—	46%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$353.54	$654.71	$273.67–$589.24	—	46%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$353.54	$654.71	$273.67–$589.24	—	46%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD	$168.80	$511.51	$74.42–$460.36	—	67%
Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI	$168.80	$511.51	$74.42–$460.36	—	67%
Screening mammogram, both breasts CPT 77067 77067 BR-DIG MAMMO SCRN UN	$168.80	$511.51	$74.42–$460.36	32% below	67%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD	$168.80	$511.51	$74.42–$460.36	32% below	67%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD	$168.80	$511.51	$74.42–$460.36	32% below	67%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD	$276.22	$511.51	$213.81–$460.36	—	46%
Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI	$276.22	$511.51	$213.81–$460.36	—	46%
Screening mammogram, both breasts inpatient CPT 77067 77067 BR-DIG MAMMO SCRN UN	$276.22	$511.51	$213.81–$460.36	—	46%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD	$276.22	$511.51	$213.81–$460.36	—	46%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD	$276.22	$511.51	$213.81–$460.36	—	46%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$175.56	$531.99	$33.27–$478.79	16% below	67%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$175.56	$531.99	$33.27–$478.79	16% below	67%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$175.56	$531.99	$33.27–$478.79	16% below	67%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$175.56	$531.99	$33.27–$478.79	16% below	67%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$287.27	$531.99	$222.37–$478.79	—	46%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$287.27	$531.99	$222.37–$478.79	—	46%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$287.27	$531.99	$222.37–$478.79	—	46%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$287.27	$531.99	$222.37–$478.79	—	46%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete CR	$222.34	$673.76	$35.21–$606.38	22% below	67%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR	$222.34	$673.76	$35.21–$606.38	22% below	67%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete CR	$363.83	$673.76	$281.63–$606.38	—	46%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR	$363.83	$673.76	$281.63–$606.38	—	46%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR	$208.82	$632.79	$33.27–$569.51	10% below	67%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V CR	$208.82	$632.79	$33.27–$569.51	10% below	67%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR	$341.71	$632.79	$264.51–$569.51	—	46%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V CR	$341.71	$632.79	$264.51–$569.51	—	46%
Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO	$2,303.40	$6,979.99	$626.64–$6,281.99	13% below	67%
Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO	$3,769.19	$6,979.99	$2,917.64–$6,281.99	—	46%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI Echo TTE 2D Rest Stress w Cont Monito	$906.22	$2,746.13	$219.13–$2,471.52	49% below	67%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI Echo TTE 2D Rest Stress w Cont Monito	$1,482.91	$2,746.13	$1,147.88–$2,471.52	—	46%
Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow	$283.59	$859.37	$112.14–$773.43	22% below	67%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow	$464.06	$859.37	$359.22–$773.43	—	46%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left CR	$168.80	$511.51	$33.27–$460.36	16% below	67%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR	$168.80	$511.51	$33.27–$460.36	16% below	67%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right CR	$168.80	$511.51	$33.27–$460.36	16% below	67%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR	$168.80	$511.51	$33.27–$460.36	16% below	67%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left CR	$276.22	$511.51	$213.81–$460.36	—	46%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right CR	$276.22	$511.51	$213.81–$460.36	—	46%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR	$276.22	$511.51	$213.81–$460.36	—	46%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR	$276.22	$511.51	$213.81–$460.36	—	46%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO	$1,018.10	$3,085.14	$105.08–$2,776.63	20% above	67%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO	$1,665.98	$3,085.14	$1,289.59–$2,776.63	—	46%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left CR	$121.54	$368.30	$81.71–$375.25	21% below	67%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right CR	$198.88	$368.30	$153.95–$331.47	—	46%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$198.88	$368.30	$153.95–$331.47	—	46%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$512.19	$1,552.08	$105.08–$1,396.87	26% above	67%
Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL	$512.19	$1,552.08	$105.08–$1,396.87	26% above	67%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL	$838.12	$1,552.08	$648.77–$1,396.87	—	46%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$838.12	$1,552.08	$648.77–$1,396.87	—	46%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$512.19	$1,552.08	$87.12–$1,396.87	39% above	67%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$838.12	$1,552.08	$648.77–$1,396.87	—	46%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$654.94	$1,984.68	$105.08–$1,786.21	25% above	67%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$1,071.73	$1,984.68	$829.60–$1,786.21	—	46%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$511.22	$1,549.15	$87.45–$1,394.24	21% above	67%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$836.54	$1,549.15	$647.54–$1,394.24	—	46%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid	$482.76	$1,462.91	$101.38–$1,316.62	13% above	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$482.76	$1,462.91	$101.38–$1,316.62	13% above	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid	$482.76	$1,462.91	$101.38–$1,316.62	13% above	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$482.76	$1,462.91	$101.38–$1,316.62	13% above	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid	$789.97	$1,462.91	$611.50–$1,316.62	—	46%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid	$789.97	$1,462.91	$611.50–$1,316.62	—	46%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$789.97	$1,462.91	$611.50–$1,316.62	—	46%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$789.97	$1,462.91	$611.50–$1,316.62	—	46%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin	$443.70	$1,344.55	$114.18–$1,210.10	15% below	67%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 FL-UPPER GI SINGLE	$443.70	$1,344.55	$114.18–$1,210.10	15% below	67%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium	$443.70	$1,344.55	$114.18–$1,210.10	15% below	67%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI wo KUB Barium - zzRF Upper GI wo KUB B	$144.41	$267.42	$111.78–$240.68	—	46%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 FL-UPPER GI SINGLE	$726.06	$1,344.55	$562.02–$1,210.10	—	46%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium	$726.06	$1,344.55	$562.02–$1,210.10	—	46%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin	$726.06	$1,344.55	$562.02–$1,210.10	—	46%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR	$148.53	$450.10	$29.82–$405.09	23% below	67%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR	$148.53	$450.10	$29.82–$405.09	23% below	67%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right CR	$148.53	$450.10	$29.82–$405.09	23% below	67%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left CR	$148.53	$450.10	$29.82–$405.09	23% below	67%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR	$243.05	$450.10	$188.14–$405.09	—	46%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right CR	$243.05	$450.10	$188.14–$405.09	—	46%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR	$243.05	$450.10	$188.14–$405.09	—	46%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left CR	$243.05	$450.10	$188.14–$405.09	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Extremities Limited	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Leg Limited	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Arm Limited	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Left	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Left	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Right	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Right	$689.18	$2,088.42	$105.08–$1,879.58	9% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Extremities Limited	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Arm Limited	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Leg Limited	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Left	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Right	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Left	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Right	$1,127.75	$2,088.42	$872.96–$1,879.58	—	46%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right CR	$114.77	$347.80	$81.71–$375.25	27% below	67%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR	$114.77	$347.80	$81.71–$375.25	27% below	67%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR	$114.77	$347.80	$81.71–$375.25	27% below	67%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left CR	$114.77	$347.80	$81.71–$375.25	27% below	67%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR	$187.81	$347.80	$145.38–$313.02	—	46%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR	$187.81	$347.80	$145.38–$313.02	—	46%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right CR	$187.81	$347.80	$145.38–$313.02	—	46%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left CR	$187.81	$347.80	$145.38–$313.02	—	46%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt CR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt DR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt DR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt CR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$142.27	$431.12	$39.75–$388.01	44% below	67%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt CR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt DR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt CR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt DR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$232.80	$431.12	$180.21–$388.01	—	46%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$232.80	$431.12	$180.21–$388.01	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views DR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views CR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views DR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views CR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$141.80	$429.69	$45.42–$386.72	47% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR	$148.53	$450.10	$27.70–$405.09	32% below	67%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR	$148.53	$450.10	$27.70–$405.09	32% below	67%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR	$243.05	$450.10	$188.14–$405.09	—	46%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR	$243.05	$450.10	$188.14–$405.09	—	46%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right CR	$121.54	$368.30	$81.71–$375.25	24% below	67%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR	$121.54	$368.30	$81.71–$375.25	24% below	67%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left CR	$121.54	$368.30	$81.71–$375.25	24% below	67%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR	$121.54	$368.30	$81.71–$375.25	24% below	67%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right CR	$198.88	$368.30	$153.95–$331.47	—	46%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left CR	$198.88	$368.30	$153.95–$331.47	—	46%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR	$198.88	$368.30	$153.95–$331.47	—	46%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR	$198.88	$368.30	$153.95–$331.47	—	46%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$128.29	$388.77	$81.71–$375.25	19% below	67%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR	$141.80	$429.69	$26.72–$386.72	13% below	67%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR	$141.80	$429.69	$26.72–$386.72	13% below	67%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR	$141.80	$429.69	$26.72–$386.72	13% below	67%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR	$141.80	$429.69	$26.72–$386.72	13% below	67%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR	$155.30	$470.60	$31.70–$423.54	23% below	67%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR	$155.30	$470.60	$31.70–$423.54	23% below	67%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR	$155.30	$470.60	$31.70–$423.54	23% below	67%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR	$155.30	$470.60	$31.70–$423.54	23% below	67%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR	$254.12	$470.60	$196.71–$423.54	—	46%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR	$254.12	$470.60	$196.71–$423.54	—	46%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR	$254.12	$470.60	$196.71–$423.54	—	46%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR	$254.12	$470.60	$196.71–$423.54	—	46%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR	$141.80	$429.69	$35.42–$386.72	30% below	67%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR	$141.80	$429.69	$35.42–$386.72	30% below	67%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR	$141.80	$429.69	$35.42–$386.72	30% below	67%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR	$141.80	$429.69	$35.42–$386.72	30% below	67%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR	$141.80	$429.69	$31.99–$386.72	32% below	67%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR	$141.80	$429.69	$31.99–$386.72	32% below	67%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR	$141.80	$429.69	$31.99–$386.72	32% below	67%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR	$141.80	$429.69	$31.99–$386.72	32% below	67%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR	$232.03	$429.69	$179.61–$386.72	—	46%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$195.82	$593.38	$37.68–$534.04	22% below	67%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$195.82	$593.38	$37.68–$534.04	22% below	67%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$320.43	$593.38	$248.03–$534.04	—	46%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$320.43	$593.38	$248.03–$534.04	—	46%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$289.87	$878.38	$49.71–$790.54	16% below	67%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$289.87	$878.38	$49.71–$790.54	16% below	67%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$474.33	$878.38	$367.16–$790.54	—	46%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$474.33	$878.38	$367.16–$790.54	—	46%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V CR	$189.05	$572.89	$30.85–$515.60	19% below	67%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR	$189.05	$572.89	$30.85–$515.60	19% below	67%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V CR	$309.36	$572.89	$239.47–$515.60	—	46%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR	$309.36	$572.89	$239.47–$515.60	—	46%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$155.30	$470.60	$34.80–$423.54	23% below	67%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$155.30	$470.60	$34.80–$423.54	23% below	67%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$254.12	$470.60	$196.71–$423.54	—	46%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$254.12	$470.60	$196.71–$423.54	—	46%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR	$175.56	$531.99	$37.06–$478.79	30% below	67%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR	$175.56	$531.99	$37.06–$478.79	30% below	67%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR	$287.27	$531.99	$222.37–$478.79	—	46%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR	$287.27	$531.99	$222.37–$478.79	—	46%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR	$128.29	$388.77	$98.17–$450.79	35% below	67%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR	$128.29	$388.77	$98.17–$450.79	35% below	67%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR	$209.94	$388.77	$162.51–$349.89	—	46%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V CR	$168.80	$511.51	$29.84–$460.36	23% below	67%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$168.80	$511.51	$29.84–$460.36	23% below	67%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V CR	$276.22	$511.51	$213.81–$460.36	—	46%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$276.22	$511.51	$213.81–$460.36	—	46%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$143.23	$434.04	$34.06–$390.64	42% below	67%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$234.38	$434.04	$181.43–$390.64	—	46%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 L550140 TRANSFERASE ALT 889	$66.50	$201.51	$4.67–$181.36	142% above	67%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$73.32	$222.17	$4.67–$199.95	167% above	67%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT	$73.32	$222.17	$4.67–$199.95	167% above	67%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 L550140 TRANSFERASE ALT 889	$108.82	$201.51	$84.23–$181.36	—	46%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT	$119.97	$222.17	$92.87–$199.95	—	46%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$119.97	$222.17	$92.87–$199.95	—	46%
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 L550140 TRANSFERASE AST 889	$78.82	$238.85	$4.57–$214.97	172% above	67%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$86.90	$263.33	$4.57–$237.00	200% above	67%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 L550140 TRANSFERASE AST 889	$128.98	$238.85	$99.84–$214.97	—	46%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$142.20	$263.33	$110.07–$237.00	—	46%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) LC	$207.39	$628.44	$42.01–$565.60	34% below	67%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute	$207.39	$628.44	$42.01–$565.60	34% below	67%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute	$339.36	$628.44	$262.69–$565.60	—	46%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel (4) LC	$339.36	$628.44	$262.69–$565.60	—	46%
Albumin blood test CPT 82040 Albumin Level	$51.62	$156.42	$4.37–$140.78	126% above	67%
Albumin blood test CPT 82040 82040 ALBUMIN SERUM	$51.62	$156.42	$4.37–$140.78	126% above	67%
Albumin blood test CPT 82040 82040 L203836 ALBUMIN SERUM	$51.62	$156.42	$4.37–$140.78	126% above	67%
Albumin blood test CPT 82040 82040 L85928 ALB SER	$51.62	$156.42	$4.37–$140.78	126% above	67%
Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM	$84.47	$156.42	$65.38–$140.78	—	46%
Albumin blood test inpatient CPT 82040 Albumin Level	$84.47	$156.42	$65.38–$140.78	—	46%
Albumin blood test inpatient CPT 82040 82040 L203836 ALBUMIN SERUM	$84.47	$156.42	$65.38–$140.78	—	46%
Albumin blood test inpatient CPT 82040 82040 L85928 ALB SER	$84.47	$156.42	$65.38–$140.78	—	46%
Aldosterone blood test CPT 82088 Aldosterone LCMS Level LC	$125.88	$381.44	$35.94–$343.30	39% below	67%
Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS Level LC	$205.98	$381.44	$159.44–$343.30	—	46%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$72.35	$219.23	$4.57–$197.31	126% above	67%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 PHOSPHATASE ALKALINE	$72.35	$219.23	$4.57–$197.31	126% above	67%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$72.35	$219.23	$4.57–$197.31	126% above	67%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$118.38	$219.23	$91.64–$197.31	—	46%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 PHOSPHATASE ALKALINE	$118.38	$219.23	$91.64–$197.31	—	46%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$118.38	$219.23	$91.64–$197.31	—	46%
Allergy blood test, specific IgE, per allergen CPT 86003 F008-IgE Corn LC	$1.72	$5.22	$1.41–$15.66	91% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC	$1.72	$5.22	$1.41–$15.66	91% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F044-IgE Strawberry LC	$12.57	$38.10	$4.61–$34.29	35% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L602632 ALLERGEN IGE QUANT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 K087-IgE Alpha-Amylase (LC)	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L602989 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 I100-IgE Cockroach American Sendout to LabCorp	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L62695 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IgE Egg Whole LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L671926 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L671935 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L674010 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk (Cow) LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F210-IgE Pineapple LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - L601872 ALG FRUIT PN	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG PROFILE FOOD CITRS L600981	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG PROFILE LATEX PLUS L670654	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG PROFILE FOOD GRAIN L601633	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PNL FOOD MEAT L602284	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG VEG PNL L601831	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600973 ALLERGEN IGE	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L601823 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003-L602998 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F075-IgE Egg (Yolk) LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Hair/Dander LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 W003-IgE Ragweed Giant LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Hair/Dander LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatu LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 M004-IgE Mucor racemosus LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Marsh Elder Rough LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F079-IgE Gluten LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600919 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut, Food LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 I006-IgE Cockroach,German LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L648014 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L139825 ALG IGE QT	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC	$13.20	$40.01	$4.61–$36.01	31% below	67%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC	$2.82	$5.22	$2.18–$4.70	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F008-IgE Corn LC	$2.82	$5.22	$2.18–$4.70	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F044-IgE Strawberry LC	$20.57	$38.10	$15.93–$34.29	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600919 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Urine LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut, Food LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006-IgE Cockroach,German LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L602632 ALLERGEN IGE QUANT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K087-IgE Alpha-Amylase (LC)	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I100-IgE Cockroach American Sendout to LabCorp	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IgE Egg Whole LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F203-IgE Pistachio Nut LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IgE Johnson Grass LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk (Cow) LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F210-IgE Pineapple LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F079-IgE Gluten LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Marsh Elder Rough LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M004-IgE Mucor racemosus LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatu LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Hair/Dander LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W003-IgE Ragweed Giant LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Hair/Dander LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F075-IgE Egg (Yolk) LC	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-L602998 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L601823 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600973 ALLERGEN IGE	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG VEG PNL L601831	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PNL FOOD MEAT L602284	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG PROFILE FOOD GRAIN L601633	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG PROFILE LATEX PLUS L670654	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG PROFILE FOOD CITRS L600981	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 - L601872 ALG FRUIT PN	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L648014 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L674010 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L671935 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L671926 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L62695 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L602989 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L139825 ALG IGE QT	$21.61	$40.01	$16.72–$36.01	—	46%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$90.68	$274.79	$14.79–$247.31	11% below	67%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Open Spina Bifida (LC)	$90.68	$274.79	$14.79–$247.31	11% below	67%
Alpha-fetoprotein (AFP) blood test CPT 82105 82105 L17319 AFP SERUM	$90.68	$274.79	$14.79–$247.31	11% below	67%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 L17319 AFP SERUM	$148.39	$274.79	$114.86–$247.31	—	46%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Open Spina Bifida (LC)	$148.39	$274.79	$114.86–$247.31	—	46%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$148.39	$274.79	$114.86–$247.31	—	46%
Ammonia blood test CPT 82140 82140 L306266 AMMONIA	$66.08	$200.25	$12.85–$180.22	45% below	67%
Ammonia blood test CPT 82140 Ammonia Level	$66.08	$200.25	$12.85–$180.22	45% below	67%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$108.14	$200.25	$83.70–$180.22	—	46%
Ammonia blood test inpatient CPT 82140 82140 L306266 AMMONIA	$108.14	$200.25	$83.70–$180.22	—	46%
Amylase blood test CPT 82150 Pancreatic Amylase Blood	$81.02	$245.50	$5.72–$220.95	56% above	67%
Amylase blood test CPT 82150 Amylase Blood	$81.02	$245.50	$5.72–$220.95	56% above	67%
Amylase blood test CPT 82150 Amylase 24 Hour Urine	$81.02	$245.50	$5.72–$220.95	56% above	67%
Amylase blood test CPT 82150 Amylase Urine Timed	$81.02	$245.50	$5.72–$220.95	56% above	67%
Amylase blood test inpatient CPT 82150 Amylase Blood	$132.57	$245.50	$102.62–$220.95	—	46%
Amylase blood test inpatient CPT 82150 Amylase Urine Timed	$132.57	$245.50	$102.62–$220.95	—	46%
Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine	$132.57	$245.50	$102.62–$220.95	—	46%
Amylase blood test inpatient CPT 82150 Pancreatic Amylase Blood	$132.57	$245.50	$102.62–$220.95	—	46%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$56.88	$172.35	$11.42–$155.12	8% above	67%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$93.07	$172.35	$72.04–$155.12	—	46%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC)	$57.32	$173.70	$10.66–$156.33	4% below	67%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC)	$93.80	$173.70	$72.61–$156.33	—	46%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide	$81.02	$245.50	$34.62–$220.95	52% below	67%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone	$81.02	$245.50	$34.62–$220.95	52% below	67%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide	$132.57	$245.50	$102.62–$220.95	—	46%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone	$132.57	$245.50	$102.62–$220.95	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture without Gram Stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH	$135.04	$409.21	$7.60–$368.29	45% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain	$220.97	$409.21	$171.05–$368.29	—	46%
Basic metabolic panel (blood test) CPT 80048 BMPWTCA	$77.80	$235.76	$7.46–$212.18	at median	67%
Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA	$127.31	$235.76	$98.55–$212.18	—	46%
Bilirubin blood test, total CPT 82247 82247 L550140 BILIRUBIN TOTAL 889	$74.81	$226.70	$4.43–$204.03	116% above	67%
Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL	$82.48	$249.94	$4.43–$224.95	138% above	67%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$82.48	$249.94	$4.43–$224.95	138% above	67%
Bilirubin blood test, total CPT 82247 Bilirubin Total Neo	$82.48	$249.94	$4.43–$224.95	138% above	67%
Bilirubin blood test, total inpatient CPT 82247 82247 L550140 BILIRUBIN TOTAL 889	$122.42	$226.70	$94.76–$204.03	—	46%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$134.97	$249.94	$104.47–$224.95	—	46%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neo	$134.97	$249.94	$104.47–$224.95	—	46%
Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL	$134.97	$249.94	$104.47–$224.95	—	46%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy	$119.61	$362.44	$52.37–$326.20	54% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO 88305 Bill Surg Compre Review of Data	$119.61	$362.44	$52.37–$326.20	54% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi	$119.61	$362.44	$52.37–$326.20	54% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$119.61	$362.44	$52.37–$326.20	54% below	67%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO 88305 Bill Surg Compre Review of Data	$195.72	$362.44	$151.50–$326.20	—	46%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy	$195.72	$362.44	$151.50–$326.20	—	46%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$195.72	$362.44	$151.50–$326.20	—	46%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi	$195.72	$362.44	$151.50–$326.20	—	46%
Blood culture for bacteria CPT 87040 Blood Culture	$135.04	$409.21	$9.10–$368.29	3% above	67%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$220.97	$409.21	$171.05–$368.29	—	46%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE	$16.40	$49.69	$8.24–$44.72	1% below	67%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg	$16.40	$49.69	$8.24–$44.72	1% below	67%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg	$26.83	$49.69	$20.77–$44.72	—	46%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE	$26.83	$49.69	$20.77–$44.72	—	46%
Blood glucose (sugar) test CPT 82947 82947 L550140 GLUCOSE, QUANT 889	$21.00	$63.65	$3.47–$57.28	21% below	67%
Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB	$23.16	$70.17	$3.47–$63.15	13% below	67%
Blood glucose (sugar) test CPT 82947 .Glucose POC	$23.16	$70.17	$3.47–$63.15	13% below	67%
Blood glucose (sugar) test CPT 82947 Glucose Level	$23.16	$70.17	$3.47–$63.15	13% below	67%
Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB	$23.16	$70.17	$3.47–$63.15	13% below	67%
Blood glucose (sugar) test inpatient CPT 82947 82947 L550140 GLUCOSE, QUANT 889	$34.37	$63.65	$26.61–$57.28	—	46%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$37.89	$70.17	$29.33–$63.15	—	46%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC	$37.89	$70.17	$29.33–$63.15	—	46%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB	$37.89	$70.17	$29.33–$63.15	—	46%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB	$37.89	$70.17	$29.33–$63.15	—	46%
Blood lead test CPT 83655 83655 L706200 LEAD	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test CPT 83655 83655 L250281 LEAD	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test CPT 83655 83655 L038170 LEAD	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test CPT 83655 83655 LEAD	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test CPT 83655 83655 L7046 LEAD	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test CPT 83655 Lead Blood Pediatric (LC)	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test CPT 83655 Lead Blood Adult (LC)	$57.89	$175.41	$10.68–$157.87	19% below	67%
Blood lead test inpatient CPT 83655 83655 L706200 LEAD	$94.72	$175.41	$73.32–$157.87	—	46%
Blood lead test inpatient CPT 83655 Lead Blood Adult (LC)	$94.72	$175.41	$73.32–$157.87	—	46%
Blood lead test inpatient CPT 83655 83655 LEAD	$94.72	$175.41	$73.32–$157.87	—	46%
Blood lead test inpatient CPT 83655 83655 L7046 LEAD	$94.72	$175.41	$73.32–$157.87	—	46%
Blood lead test inpatient CPT 83655 83655 L038170 LEAD	$94.72	$175.41	$73.32–$157.87	—	46%
Blood lead test inpatient CPT 83655 Lead Blood Pediatric (LC)	$94.72	$175.41	$73.32–$157.87	—	46%
Blood lead test inpatient CPT 83655 83655 L250281 LEAD	$94.72	$175.41	$73.32–$157.87	—	46%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qual	$68.25	$206.81	$6.63–$186.13	6% below	67%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qual	$111.68	$206.81	$86.45–$186.13	—	46%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse	$45.33	$137.36	$124.93–$573.71	8% below	67%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO	$45.33	$137.36	$124.93–$573.71	8% below	67%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward	$45.33	$137.36	$124.93–$573.71	8% below	67%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh	$45.33	$137.36	$124.93–$573.71	8% below	67%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh	$74.17	$137.36	$57.42–$123.62	—	46%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward	$74.17	$137.36	$57.42–$123.62	—	46%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO	$74.17	$137.36	$57.42–$123.62	—	46%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse	$74.17	$137.36	$57.42–$123.62	—	46%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$25.09	$76.03	$3.48–$68.43	6% above	67%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$41.06	$76.03	$31.78–$68.43	—	46%
C-peptide blood test CPT 84681 C-Peptide Level LC	$42.92	$130.07	$18.35–$117.06	69% below	67%
C-peptide blood test inpatient CPT 84681 C-Peptide Level LC	$70.24	$130.07	$54.37–$117.06	—	46%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (LC)	$45.82	$138.86	$4.57–$124.97	34% below	67%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$45.82	$138.86	$4.57–$124.97	34% below	67%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$74.98	$138.86	$58.04–$124.97	—	46%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC)	$74.98	$138.86	$58.04–$124.97	—	46%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe	$73.78	$223.59	$32.87–$201.23	45% below	67%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR	$73.78	$223.59	$32.87–$201.23	45% below	67%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp	$73.78	$223.59	$32.87–$201.23	45% below	67%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE - BCE	$73.78	$223.59	$32.87–$201.23	45% below	67%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe	$120.74	$223.59	$93.46–$201.23	—	46%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE - BCE	$120.74	$223.59	$93.46–$201.23	—	46%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR	$120.74	$223.59	$93.46–$201.23	—	46%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp	$120.74	$223.59	$93.46–$201.23	—	46%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$49.68	$150.56	$18.35–$135.50	66% below	67%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$81.30	$150.56	$62.93–$135.50	—	46%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer 125 - Send Out to CQ	$28.33	$85.86	$18.35–$77.27	83% below	67%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125	$39.06	$118.37	$18.35–$106.53	76% below	67%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer 125 - Send Out to CQ	$46.36	$85.86	$35.89–$77.27	—	46%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125	$63.92	$118.37	$49.48–$106.53	—	46%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR	$49.79	$150.89	$40.74–$153.93	53% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA (LC)	$65.68	$199.02	$45.25–$179.12	38% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR	$81.48	$150.89	$63.07–$135.80	—	46%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NAA (LC)	$107.47	$199.02	$83.19–$179.12	—	46%
Calcium blood test, total CPT 82310 Calcium Level	$46.78	$141.77	$4.55–$127.59	77% above	67%
Calcium blood test, total CPT 82310 Calcium Urine	$46.78	$141.77	$4.55–$127.59	77% above	67%
Calcium blood test, total CPT 82310 82310 L54601 CALCIUM TOTAL	$46.78	$141.77	$4.55–$127.59	77% above	67%
Calcium blood test, total inpatient CPT 82310 Calcium Urine	$76.56	$141.77	$59.26–$127.59	—	46%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$76.56	$141.77	$59.26–$127.59	—	46%
Calcium blood test, total inpatient CPT 82310 82310 L54601 CALCIUM TOTAL	$76.56	$141.77	$59.26–$127.59	—	46%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$96.45	$292.26	$16.72–$263.03	20% below	67%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$157.82	$292.26	$122.16–$263.03	—	46%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgM (LC)	$44.36	$134.43	$11.36–$120.99	55% below	67%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$44.36	$134.43	$11.36–$120.99	55% below	67%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgM (LC)	$72.59	$134.43	$56.19–$120.99	—	46%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$72.59	$134.43	$56.19–$120.99	—	46%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe	$70.89	$214.81	$30.95–$193.33	27% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2	$70.89	$214.81	$30.95–$193.33	27% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH	$70.89	$214.81	$30.95–$193.33	27% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP	$70.89	$214.81	$30.95–$193.33	27% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe	$116.00	$214.81	$89.79–$193.33	—	46%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP	$116.00	$214.81	$89.79–$193.33	—	46%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2	$116.00	$214.81	$89.79–$193.33	—	46%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH	$116.00	$214.81	$89.79–$193.33	—	46%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$138.41	$419.42	$11.81–$377.48	32% above	67%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$226.49	$419.42	$175.32–$377.48	—	46%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$14.85	$45.00	$6.85–$40.50	64% below	67%
Complete blood count (CBC) with differential CPT 85025 CBCADIFF	$88.26	$267.44	$6.85–$240.70	113% above	67%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$24.30	$45.00	$18.81–$40.50	—	46%
Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF	$144.42	$267.44	$111.79–$240.70	—	46%
Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT	$47.75	$144.71	$5.71–$130.24	62% above	67%
Complete blood count (CBC), no differential CPT 85027 CBC	$47.75	$144.71	$5.71–$130.24	62% above	67%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT	$78.14	$144.71	$60.49–$130.24	—	46%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$78.14	$144.71	$60.49–$130.24	—	46%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$131.18	$397.51	$9.31–$357.76	48% above	67%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$214.66	$397.51	$166.16–$357.76	—	46%
Cortisol blood test, total CPT 82533 Salivary Cortisol MS Sendout to LabCorp	$91.64	$277.69	$14.37–$249.92	3% below	67%
Cortisol blood test, total CPT 82533 Cortisol Level	$91.64	$277.69	$14.37–$249.92	3% below	67%
Cortisol blood test, total CPT 82533 82533 L502120 CORTISOL TOT	$91.64	$277.69	$14.37–$249.92	3% below	67%
Cortisol blood test, total inpatient CPT 82533 82533 L502120 CORTISOL TOT	$149.95	$277.69	$116.07–$249.92	—	46%
Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol MS Sendout to LabCorp	$149.95	$277.69	$116.07–$249.92	—	46%
Cortisol blood test, total inpatient CPT 82533 Cortisol Level	$149.95	$277.69	$116.07–$249.92	—	46%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$32.32	$97.94	$5.74–$88.15	17% below	67%
Creatine kinase (CK) blood test, total CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$32.32	$97.94	$5.74–$88.15	17% below	67%
Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL	$32.32	$97.94	$5.74–$88.15	17% below	67%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL	$52.89	$97.94	$40.94–$88.15	—	46%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$52.89	$97.94	$40.94–$88.15	—	46%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$52.89	$97.94	$40.94–$88.15	—	46%
Creatinine blood test CPT 82565 .ISTAT Creatinine Level POC	$46.29	$140.28	$4.52–$126.25	61% above	67%
Creatinine blood test CPT 82565 ISCREA	$46.29	$140.28	$4.52–$126.25	61% above	67%
Creatinine blood test CPT 82565 CREA	$46.29	$140.28	$4.52–$126.25	61% above	67%
Creatinine blood test inpatient CPT 82565 CREA	$75.75	$140.28	$58.64–$126.25	—	46%
Creatinine blood test inpatient CPT 82565 ISCREA	$75.75	$140.28	$58.64–$126.25	—	46%
Creatinine blood test inpatient CPT 82565 .ISTAT Creatinine Level POC	$75.75	$140.28	$58.64–$126.25	—	46%
Cytomegalovirus (CMV) antibody test CPT 86644 86644 CMV AB	$36.16	$109.59	$12.69–$98.63	55% below	67%
Cytomegalovirus (CMV) antibody test CPT 86644 86644 L221085 CMV AB	$36.16	$109.59	$12.69–$98.63	55% below	67%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 CMV AB	$59.18	$109.59	$45.81–$98.63	—	46%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 L221085 CMV AB	$59.18	$109.59	$45.81–$98.63	—	46%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant	$64.62	$195.81	$8.98–$176.23	47% below	67%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant	$105.74	$195.81	$81.85–$176.23	—	46%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$146.61	$444.26	$19.61–$399.83	at median	67%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$239.90	$444.26	$185.70–$399.83	—	46%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite Urine LC	$69.55	$210.77	$54.81–$189.69	39% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethanol Urine (LC)	$69.55	$210.77	$54.81–$189.69	39% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiate Screen, Urine LC	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8AQualAuto	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UAmpQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite, Serum LC	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS9AQualAuto	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen, Urine (LC)	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Panel 8 MedTox RLNI	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBarbQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hydrocodone Qual Urine	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UCocQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UTHCQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10QualAuto	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBenzQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Qual	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UOpiQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone Qual Urine	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen, Urine (LC)	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UPCPQl	$76.69	$232.38	$54.81–$209.14	33% below	67%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite Urine LC	$113.82	$210.77	$88.10–$189.69	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethanol Urine (LC)	$113.82	$210.77	$88.10–$189.69	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite, Serum LC	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UTHCQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UPCPQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UOpiQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UCocQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBenzQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBarbQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UAmpQl	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8AQualAuto	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hydrocodone Qual Urine	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone Qual Urine	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Qual	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10QualAuto	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen, Urine (LC)	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen, Urine (LC)	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiate Screen, Urine LC	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Panel 8 MedTox RLNI	$125.49	$232.38	$97.13–$209.14	—	46%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS9AQualAuto	$125.49	$232.38	$97.13–$209.14	—	46%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel	$78.61	$238.22	$6.18–$214.40	22% above	67%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel	$128.64	$238.22	$99.58–$214.40	—	46%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgM (LC)	$46.29	$140.28	$16.00–$126.25	43% below	67%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L216655EPST-BARR VCA	$46.29	$140.28	$16.00–$126.25	43% below	67%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgG (LC)	$46.29	$140.28	$16.00–$126.25	43% below	67%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L240610 EBV VCA	$46.29	$140.28	$16.00–$126.25	43% below	67%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L240610 EBV VCA	$75.75	$140.28	$58.64–$126.25	—	46%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L216655EPST-BARR VCA	$75.75	$140.28	$58.64–$126.25	—	46%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgG (LC)	$75.75	$140.28	$58.64–$126.25	—	46%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgM (LC)	$75.75	$140.28	$58.64–$126.25	—	46%
Estradiol blood test CPT 82670 Estradiol Level	$104.07	$315.36	$24.64–$283.82	19% below	67%
Estradiol blood test CPT 82670 82670 L4606 ESTRADIOL	$104.07	$315.36	$24.64–$283.82	19% below	67%
Estradiol blood test CPT 82670 82670-L4606 Estradiol	$104.07	$315.36	$24.64–$283.82	19% below	67%
Estradiol blood test inpatient CPT 82670 82670 L4606 ESTRADIOL	$170.29	$315.36	$131.82–$283.82	—	46%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$170.29	$315.36	$131.82–$283.82	—	46%
Estradiol blood test inpatient CPT 82670 82670-L4606 Estradiol	$170.29	$315.36	$131.82–$283.82	—	46%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum	$85.85	$260.15	$16.39–$234.14	33% below	67%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum	$140.48	$260.15	$108.74–$234.14	—	46%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC)	$41.49	$125.72	$17.32–$113.15	77% below	67%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC)	$67.89	$125.72	$52.55–$113.15	—	46%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$49.68	$150.56	$12.02–$135.50	38% below	67%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$81.30	$150.56	$62.93–$135.50	—	46%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$54.49	$165.12	$8.58–$148.61	9% below	67%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$89.16	$165.12	$69.02–$148.61	—	46%
Folate (folic acid) blood test CPT 82746 Folate Level	$69.92	$211.88	$12.97–$190.69	9% below	67%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$114.42	$211.88	$88.57–$190.69	—	46%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free	$70.52	$213.71	$14.94–$192.34	47% below	67%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free	$115.40	$213.71	$89.33–$192.34	—	46%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free	$58.24	$176.49	$7.96–$158.84	28% below	67%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free LC	$58.24	$176.49	$7.96–$158.84	28% below	67%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$58.24	$176.49	$7.96–$158.84	28% below	67%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$58.24	$176.49	$7.96–$158.84	28% below	67%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free	$95.30	$176.49	$73.77–$158.84	—	46%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free LC	$95.30	$176.49	$73.77–$158.84	—	46%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$95.30	$176.49	$73.77–$158.84	—	46%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$95.30	$176.49	$73.77–$158.84	—	46%
Free testosterone test CPT 84402 84402 L329562 TESTOSTERONE, FREE (TTFSHBLC)	$107.82	$326.74	$22.46–$294.07	29% above	67%
Free testosterone test CPT 84402 Testosterone Free Direct LC	$107.82	$326.74	$22.46–$294.07	29% above	67%
Free testosterone test CPT 84402 84402 TESTOSTERONE, FREE	$107.82	$326.74	$22.46–$294.07	29% above	67%
Free testosterone test inpatient CPT 84402 84402 L329562 TESTOSTERONE, FREE (TTFSHBLC)	$176.44	$326.74	$136.58–$294.07	—	46%
Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC	$176.44	$326.74	$136.58–$294.07	—	46%
Free testosterone test inpatient CPT 84402 84402 TESTOSTERONE, FREE	$176.44	$326.74	$136.58–$294.07	—	46%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 L550140 GGT 889	$43.32	$131.26	$6.35–$118.13	33% above	67%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$47.75	$144.71	$6.35–$130.24	47% above	67%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT - BCE	$47.75	$144.71	$6.35–$130.24	47% above	67%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GGT	$47.75	$144.71	$6.35–$130.24	47% above	67%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 L550140 GGT 889	$70.88	$131.26	$54.87–$118.13	—	46%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT - BCE	$78.14	$144.71	$60.49–$130.24	—	46%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GGT	$78.14	$144.71	$60.49–$130.24	—	46%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$78.14	$144.71	$60.49–$130.24	—	46%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 $ General Health Panel	$257.07	$779.00	$58.90–$701.10	16% below	67%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 $ General Health Panel	$420.66	$779.00	$325.62–$701.10	—	46%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB	$36.16	$109.59	$4.19–$98.63	12% below	67%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB	$59.18	$109.59	$45.81–$98.63	—	46%
Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting	$88.75	$268.94	$11.35–$242.05	20% above	67%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting	$145.23	$268.94	$112.42–$242.05	—	46%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$70.89	$214.81	$30.95–$193.33	27% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN	$70.89	$214.81	$30.95–$193.33	27% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe 2	$70.89	$214.81	$30.95–$193.33	27% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe	$70.89	$214.81	$30.95–$193.33	27% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe	$116.00	$214.81	$89.79–$193.33	—	46%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN	$116.00	$214.81	$89.79–$193.33	—	46%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe 2	$116.00	$214.81	$89.79–$193.33	—	46%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$116.00	$214.81	$89.79–$193.33	—	46%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG	$36.66	$111.08	$14.86–$99.97	62% below	67%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgM (LC)	$36.66	$111.08	$14.86–$99.97	62% below	67%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgM (LC)	$59.98	$111.08	$46.43–$99.97	—	46%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG	$59.98	$111.08	$46.43–$99.97	—	46%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$99.84	$302.55	$12.68–$272.30	24% below	67%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$163.38	$302.55	$126.47–$272.30	—	46%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC)	$154.82	$469.16	$75.06–$422.24	56% below	67%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .GenoSure PRIme(R) Quant RNA PCR (LC)	$154.82	$469.16	$75.06–$422.24	56% below	67%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, PCR (NonGraph) Rfx Geno LC	$154.82	$469.16	$75.06–$422.24	56% below	67%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .GenoSure(R) MG Quant RNA PCR (LC)	$154.82	$469.16	$75.06–$422.24	56% below	67%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC)	$253.35	$469.16	$196.11–$422.24	—	46%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .GenoSure(R) MG Quant RNA PCR (LC)	$253.35	$469.16	$196.11–$422.24	—	46%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, PCR (NonGraph) Rfx Geno LC	$253.35	$469.16	$196.11–$422.24	—	46%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .GenoSure PRIme(R) Quant RNA PCR (LC)	$253.35	$469.16	$196.11–$422.24	—	46%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 2 Ab Ag 4th Generation Auto w/Rfx	$25.47	$77.19	$20.84–$72.24	57% below	67%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 2 Ab Ag 4th Generation Auto w/Rfx	$41.68	$77.19	$32.27–$69.47	—	46%
HPV test for high-risk types, one combined (pooled) result CPT 87624 SO 87624 AP Bill HPV High Risk Types	$101.28	$306.92	$30.95–$276.23	3% below	67%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 SO 87624 AP Bill HPV High Risk Types	$165.74	$306.92	$128.29–$276.23	—	46%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$47.32	$143.40	$8.57–$129.06	28% below	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC)	$47.32	$143.40	$8.57–$129.06	28% below	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC)	$77.44	$143.40	$59.94–$129.06	—	46%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$77.44	$143.40	$59.94–$129.06	—	46%
Hemoglobin blood test CPT 85018 Hemoglobin	$13.50	$40.92	$2.09–$36.83	27% below	67%
Hemoglobin blood test CPT 85018 Hemoglobin, Free, Plasma LC	$65.12	$197.32	$2.09–$177.59	254% above	67%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$22.10	$40.92	$17.10–$36.83	—	46%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin, Free, Plasma LC	$106.55	$197.32	$82.48–$177.59	—	46%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (LC)	$73.32	$222.17	$10.63–$199.95	10% above	67%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (LC)	$119.97	$222.17	$92.87–$199.95	—	46%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB - BCE	$110.94	$336.18	$9.48–$302.56	70% above	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab w/Interp	$110.94	$336.18	$9.48–$302.56	70% above	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp	$181.54	$336.18	$140.52–$302.56	—	46%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB - BCE	$181.54	$336.18	$140.52–$302.56	—	46%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen (LC)	$99.84	$302.55	$9.11–$272.30	64% above	67%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG- BCE	$99.84	$302.55	$9.11–$272.30	64% above	67%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$99.84	$302.55	$9.11–$272.30	64% above	67%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG- BCE	$163.38	$302.55	$126.47–$272.30	—	46%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$163.38	$302.55	$126.47–$272.30	—	46%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen (LC)	$163.38	$302.55	$126.47–$272.30	—	46%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$135.53	$410.71	$12.58–$369.64	36% above	67%
Hepatitis C antibody blood test (screening) CPT 86803 HCAB2	$135.53	$410.71	$12.58–$369.64	36% above	67%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC)	$135.53	$410.71	$12.58–$369.64	36% above	67%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody	$135.53	$410.71	$12.58–$369.64	36% above	67%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2	$221.78	$410.71	$171.68–$369.64	—	46%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$221.78	$410.71	$171.68–$369.64	—	46%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC)	$221.78	$410.71	$171.68–$369.64	—	46%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody	$221.78	$410.71	$171.68–$369.64	—	46%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC)	$335.19	$1,015.72	$37.78–$914.15	50% above	67%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$335.19	$1,015.72	$37.78–$914.15	50% above	67%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$335.19	$1,015.72	$37.78–$914.15	50% above	67%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC)	$548.49	$1,015.72	$424.57–$914.15	—	46%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$548.49	$1,015.72	$424.57–$914.15	—	46%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$548.49	$1,015.72	$424.57–$914.15	—	46%
Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMP TYPE 1	$44.85	$135.92	$11.64–$122.33	12% below	67%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC)	$44.85	$135.92	$11.64–$122.33	12% below	67%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC	$44.85	$135.92	$11.64–$122.33	12% below	67%
Herpes blood test, HSV-1 antibody CPT 86695 86695 L164922 HSV1	$44.85	$135.92	$11.64–$122.33	12% below	67%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164922 HSV1	$73.40	$135.92	$56.81–$122.33	—	46%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec LC	$73.40	$135.92	$56.81–$122.33	—	46%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC)	$73.40	$135.92	$56.81–$122.33	—	46%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMP TYPE 1	$73.40	$135.92	$56.81–$122.33	—	46%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Spec LC	$7.10	$21.51	$5.81–$58.05	90% below	67%
Herpes blood test, HSV-2 antibody CPT 86696 86696 L164922 HSV2	$44.85	$135.92	$17.06–$122.33	38% below	67%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Specific Antibody IgG (LC)	$44.85	$135.92	$17.06–$122.33	38% below	67%
Herpes blood test, HSV-2 antibody CPT 86696 86696 HERPES SIMP TYPE 2	$44.85	$135.92	$17.06–$122.33	38% below	67%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, Type Spec LC	$11.62	$21.51	$8.99–$19.36	—	46%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 HERPES SIMP TYPE 2	$73.40	$135.92	$56.81–$122.33	—	46%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Specific Antibody IgG (LC)	$73.40	$135.92	$56.81–$122.33	—	46%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164922 HSV2	$73.40	$135.92	$56.81–$122.33	—	46%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity	$62.69	$189.98	$11.42–$170.98	15% below	67%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity	$102.59	$189.98	$79.41–$170.98	—	46%
Homocysteine blood test CPT 83090 Homocyst(e)ine Plasma LC	$97.42	$295.20	$15.80–$265.68	25% below	67%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC	$159.41	$295.20	$123.39–$265.68	—	46%
Insulin blood test CPT 83525 83525 L501561 INSULIN TOT	$113.81	$344.88	$10.08–$310.39	59% above	67%
Insulin blood test CPT 83525 Insulin LC	$113.81	$344.88	$10.08–$310.39	59% above	67%
Insulin blood test CPT 83525 83525 INSULIN, TOTAL	$113.81	$344.88	$10.08–$310.39	59% above	67%
Insulin blood test inpatient CPT 83525 Insulin LC	$186.24	$344.88	$144.16–$310.39	—	46%
Insulin blood test inpatient CPT 83525 83525 INSULIN, TOTAL	$186.24	$344.88	$144.16–$310.39	—	46%
Insulin blood test inpatient CPT 83525 83525 L501561 INSULIN TOT	$186.24	$344.88	$144.16–$310.39	—	46%
Iron blood test (serum iron) CPT 83540 IRON	$29.89	$90.59	$5.71–$81.53	38% below	67%
Iron blood test (serum iron) CPT 83540 83540 IRON	$29.89	$90.59	$5.71–$81.53	38% below	67%
Iron blood test (serum iron) inpatient CPT 83540 83540 IRON	$48.92	$90.59	$37.87–$81.53	—	46%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$48.92	$90.59	$37.87–$81.53	—	46%
Iron-binding capacity (TIBC) test CPT 83550 Iron and TIBC (LC)	$39.81	$120.63	$7.71–$108.57	10% below	67%
Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT	$43.89	$132.99	$7.71–$119.69	1% below	67%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron and TIBC (LC)	$65.14	$120.63	$50.42–$108.57	—	46%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT	$71.81	$132.99	$55.59–$119.69	—	46%
Kidney function blood test panel CPT 80069 RFP	$101.28	$306.92	$7.66–$276.23	at median	67%
Kidney function blood test panel inpatient CPT 80069 RFP	$165.74	$306.92	$128.29–$276.23	—	46%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Pediatric (LC)	$84.41	$255.79	$16.34–$230.21	41% below	67%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$84.41	$255.79	$16.34–$230.21	41% below	67%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$138.13	$255.79	$106.92–$230.21	—	46%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone, Pediatric (LC)	$138.13	$255.79	$106.92–$230.21	—	46%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2	$48.72	$147.64	$10.21–$132.88	46% below	67%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex	$48.72	$147.64	$10.21–$132.88	46% below	67%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$48.72	$147.64	$10.21–$132.88	46% below	67%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA	$48.72	$147.64	$10.21–$132.88	46% below	67%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex	$79.73	$147.64	$61.71–$132.88	—	46%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$79.73	$147.64	$61.71–$132.88	—	46%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2	$79.73	$147.64	$61.71–$132.88	—	46%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA	$79.73	$147.64	$61.71–$132.88	—	46%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$34.25	$103.80	$5.33–$93.42	20% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$34.25	$103.80	$5.33–$93.42	20% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase (LC)	$34.25	$103.80	$5.33–$93.42	20% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 L1842 LACTATE DEHYDR	$34.25	$103.80	$5.33–$93.42	20% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROLDH	$34.25	$103.80	$5.33–$93.42	20% below	67%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase (LC)	$56.05	$103.80	$43.39–$93.42	—	46%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 L1842 LACTATE DEHYDR	$56.05	$103.80	$43.39–$93.42	—	46%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH	$56.05	$103.80	$43.39–$93.42	—	46%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$56.05	$103.80	$43.39–$93.42	—	46%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$56.05	$103.80	$43.39–$93.42	—	46%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$46.78	$141.77	$6.08–$127.59	47% below	67%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$76.56	$141.77	$59.26–$127.59	—	46%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$176.52	$534.92	$7.21–$481.43	87% above	67%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$288.86	$534.92	$223.60–$481.43	—	46%
Lyme disease antibody test CPT 86618 Borrelia burgdorferi Total Antibody Test w/Reflex	$101.50	$307.57	$15.02–$276.81	18% below	67%
Lyme disease antibody test CPT 86618 86618 LYME DISEASE AB	$111.90	$339.10	$15.02–$305.19	9% below	67%
Lyme disease antibody test CPT 86618 C6 B burgdorferi w/Reflex WB (LC)	$111.90	$339.10	$15.02–$305.19	9% below	67%
Lyme disease antibody test CPT 86618 86618 L139825 LYME DIS AB	$111.90	$339.10	$15.02–$305.19	9% below	67%
Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$111.90	$339.10	$15.02–$305.19	9% below	67%
Lyme disease antibody test inpatient CPT 86618 Borrelia burgdorferi Total Antibody Test w/Reflex	$166.09	$307.57	$128.56–$276.81	—	46%
Lyme disease antibody test inpatient CPT 86618 86618 L139825 LYME DIS AB	$183.11	$339.10	$141.74–$305.19	—	46%
Lyme disease antibody test inpatient CPT 86618 86618 LYME DISEASE AB	$183.11	$339.10	$141.74–$305.19	—	46%
Lyme disease antibody test inpatient CPT 86618 C6 B burgdorferi w/Reflex WB (LC)	$183.11	$339.10	$141.74–$305.19	—	46%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$183.11	$339.10	$141.74–$305.19	—	46%
Magnesium blood test CPT 83735 Magnesium Serum	$56.42	$170.98	$5.91–$153.88	19% above	67%
Magnesium blood test CPT 83735 Magnesium, Urine (LC)	$56.42	$170.98	$5.91–$153.88	19% above	67%
Magnesium blood test CPT 83735 83735 L306266 MAGNESIUM	$56.42	$170.98	$5.91–$153.88	19% above	67%
Magnesium blood test inpatient CPT 83735 Magnesium, Urine (LC)	$92.33	$170.98	$71.47–$153.88	—	46%
Magnesium blood test inpatient CPT 83735 83735 L306266 MAGNESIUM	$92.33	$170.98	$71.47–$153.88	—	46%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$92.33	$170.98	$71.47–$153.88	—	46%
Measles (rubeola) antibody test CPT 86765 86765 L58495 RUBEOLA AB	$64.16	$194.41	$11.36–$174.97	18% below	67%
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$64.16	$194.41	$11.36–$174.97	18% below	67%
Measles (rubeola) antibody test inpatient CPT 86765 86765 L58495 RUBEOLA AB	$104.98	$194.41	$81.26–$174.97	—	46%
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$104.98	$194.41	$81.26–$174.97	—	46%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Test, Qual (LC)	$99.84	$302.55	$4.57–$272.30	28% above	67%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$99.84	$302.55	$4.57–$272.30	28% above	67%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$163.38	$302.55	$126.47–$272.30	—	46%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Test, Qual (LC)	$163.38	$302.55	$126.47–$272.30	—	46%
Mumps immunity blood test CPT 86735 Measles/Mumps/Rubella Immunity LC	$4.79	$14.50	$3.92–$39.15	94% below	67%
Mumps immunity blood test CPT 86735 86735 L58495 MUMPS AB	$37.62	$114.00	$11.51–$102.60	51% below	67%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgM Sendout to LabCorp	$37.62	$114.00	$11.51–$102.60	51% below	67%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgG LC	$37.62	$114.00	$11.51–$102.60	51% below	67%
Mumps immunity blood test inpatient CPT 86735 Measles/Mumps/Rubella Immunity LC	$7.83	$14.50	$6.06–$13.05	—	46%
Mumps immunity blood test inpatient CPT 86735 86735 L58495 MUMPS AB	$61.56	$114.00	$47.65–$102.60	—	46%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgM Sendout to LabCorp	$61.56	$114.00	$47.65–$102.60	—	46%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG LC	$61.56	$114.00	$47.65–$102.60	—	46%
Obstetric blood test panel CPT 80055 Obstetric Panel CS	$426.34	$1,291.93	$42.16–$1,162.74	32% above	67%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS	$697.64	$1,291.93	$540.03–$1,162.74	—	46%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE	$66.87	$202.65	$16.22–$182.39	4% below	67%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE	$109.43	$202.65	$84.71–$182.39	—	46%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total	$60.05	$181.97	$16.22–$163.77	25% below	67%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL	$60.05	$181.97	$16.22–$163.77	25% below	67%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL	$98.26	$181.97	$76.06–$163.77	—	46%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total	$98.26	$181.97	$76.06–$163.77	—	46%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$54.49	$165.12	$17.87–$148.61	22% below	67%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$89.16	$165.12	$69.02–$148.61	—	46%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$130.20	$394.56	$36.41–$355.10	32% below	67%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop	$130.20	$394.56	$36.41–$355.10	32% below	67%
Parathyroid hormone (PTH) blood test CPT 83970 83970 L54601 PARATHORMONE PTH	$130.20	$394.56	$36.41–$355.10	32% below	67%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 L54601 PARATHORMONE PTH	$213.06	$394.56	$164.93–$355.10	—	46%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop	$213.06	$394.56	$164.93–$355.10	—	46%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$213.06	$394.56	$164.93–$355.10	—	46%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117199 THROMBO TIME	$42.72	$129.45	$5.30–$116.50	15% below	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$44.85	$135.92	$5.30–$122.33	10% below	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated (LC)	$44.85	$135.92	$5.30–$122.33	10% below	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - L117079 APTT	$44.85	$135.92	$5.30–$122.33	10% below	67%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117199 THROMBO TIME	$69.90	$129.45	$54.11–$116.50	—	46%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 - L117079 APTT	$73.40	$135.92	$56.81–$122.33	—	46%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated (LC)	$73.40	$135.92	$56.81–$122.33	—	46%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$73.40	$135.92	$56.81–$122.33	—	46%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum	$51.13	$154.93	$4.19–$139.44	78% above	67%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum	$83.66	$154.93	$64.76–$139.44	—	46%
Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB	$23.65	$71.67	$4.19–$64.50	17% below	67%
Potassium blood test CPT 84132 Potassium Serum	$23.65	$71.67	$4.19–$64.50	17% below	67%
Potassium blood test inpatient CPT 84132 Potassium Serum	$38.70	$71.67	$29.96–$64.50	—	46%
Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB	$38.70	$71.67	$29.96–$64.50	—	46%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core+SCA (LC)	$828.48	$2,510.56	$669.48–$2,277.15	3% below	67%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core+SCA (LC)	$1,355.70	$2,510.56	$1,049.41–$2,259.50	—	46%
Progesterone blood test CPT 84144 Progesterone Sendout to LabCorp	$93.27	$282.65	$18.40–$254.38	32% below	67%
Progesterone blood test inpatient CPT 84144 Progesterone Sendout to LabCorp	$152.63	$282.65	$118.15–$254.38	—	46%
Prolactin blood test CPT 84146 Prolactin Level	$81.90	$248.19	$17.09–$223.37	19% below	67%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$134.02	$248.19	$103.74–$223.37	—	46%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR	$35.69	$108.16	$3.78–$97.34	35% above	67%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 L117028 PROTHROMBIN	$35.69	$108.16	$3.78–$97.34	35% above	67%
Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC	$35.69	$108.16	$3.78–$97.34	35% above	67%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 - L117079 PT	$35.69	$108.16	$3.78–$97.34	35% above	67%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC	$58.41	$108.16	$45.21–$97.34	—	46%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 - L117079 PT	$58.41	$108.16	$45.21–$97.34	—	46%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR	$58.41	$108.16	$45.21–$97.34	—	46%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L117028 PROTHROMBIN	$58.41	$108.16	$45.21–$97.34	—	46%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result	$59.32	$179.75	$14.60–$161.78	13% above	67%
Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP	$59.32	$179.75	$14.60–$161.78	13% above	67%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result	$59.32	$179.75	$14.60–$161.78	13% above	67%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP	$97.07	$179.75	$75.14–$161.78	—	46%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result	$97.07	$179.75	$75.14–$161.78	—	46%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result	$97.07	$179.75	$75.14–$161.78	—	46%
Renin blood test CPT 84244 Renin Activity Plasma LC	$47.77	$144.77	$19.39–$130.29	57% below	67%
Renin blood test inpatient CPT 84244 Renin Activity Plasma LC	$78.18	$144.77	$60.51–$130.29	—	46%
Rh blood typing CPT 86901 ABORh Solid Phase	$35.14	$106.48	$35.07–$161.04	9% below	67%
Rh blood typing CPT 86901 BB Bill Rh Test	$46.78	$141.77	$35.07–$161.04	21% above	67%
Rh blood typing inpatient CPT 86901 ABORh Solid Phase	$57.50	$106.48	$44.51–$95.83	—	46%
Rh blood typing inpatient CPT 86901 BB Bill Rh Test	$76.56	$141.77	$59.26–$127.59	—	46%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (LC)	$68.96	$208.97	$5.00–$188.07	41% above	67%
Rheumatoid factor (RF) test CPT 86431 86431 L56499 RA FACT QT	$68.96	$208.97	$5.00–$188.07	41% above	67%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer	$68.96	$208.97	$5.00–$188.07	41% above	67%
Rheumatoid factor (RF) test inpatient CPT 86431 86431 L56499 RA FACT QT	$112.84	$208.97	$87.35–$188.07	—	46%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (LC)	$112.84	$208.97	$87.35–$188.07	—	46%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer	$112.84	$208.97	$87.35–$188.07	—	46%
Rubella antibody test (immunity check) CPT 86762 86762 L58495 RUBELLA AB	$106.58	$322.97	$12.69–$290.67	60% above	67%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp	$106.58	$322.97	$12.69–$290.67	60% above	67%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC	$7.73	$14.31	$5.98–$12.88	—	46%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp	$174.40	$322.97	$135.00–$290.67	—	46%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 L58495 RUBELLA AB	$174.40	$322.97	$135.00–$290.67	—	46%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA	$68.48	$207.52	$2.39–$186.77	76% above	67%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA	$112.06	$207.52	$86.74–$186.77	—	46%
Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB	$24.58	$74.48	$4.24–$67.03	33% below	67%
Sodium blood test CPT 84295 Sodium Serum	$24.58	$74.48	$4.24–$67.03	33% below	67%
Sodium blood test inpatient CPT 84295 Sodium Serum	$40.22	$74.48	$31.13–$67.03	—	46%
Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB	$40.22	$74.48	$31.13–$67.03	—	46%
Stool ova and parasites exam CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$30.86	$93.51	$7.85–$84.16	36% below	67%
Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$50.50	$93.51	$39.09–$84.16	—	46%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT	$39.56	$119.87	$3.86–$107.88	10% above	67%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT	$64.73	$119.87	$50.11–$107.88	—	46%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$55.46	$168.05	$14.04–$151.25	7% above	67%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$90.75	$168.05	$70.24–$151.25	—	46%
Syphilis antibody test (Treponema pallidum) CPT 86780 zzTreponema pallidum Ab FTA (LC)	$27.96	$84.74	$11.68–$76.27	59% below	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies (LC)	$27.96	$84.74	$11.68–$76.27	59% below	67%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 zzTreponema pallidum Ab FTA (LC)	$45.76	$84.74	$35.42–$76.27	—	46%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies (LC)	$45.76	$84.74	$35.42–$76.27	—	46%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$68.96	$208.97	$3.76–$188.07	69% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$68.96	$208.97	$3.76–$188.07	69% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC	$68.96	$208.97	$3.76–$188.07	69% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$112.84	$208.97	$87.35–$188.07	—	46%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$112.84	$208.97	$87.35–$188.07	—	46%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC	$112.84	$208.97	$87.35–$188.07	—	46%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 .QuantiFERON In Tube LC	$47.68	$144.47	$39.01–$185.94	68% below	67%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold (In Tube) LC	$47.68	$144.47	$39.01–$185.94	68% below	67%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$52.56	$159.27	$43.00–$185.94	64% below	67%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 .QuantiFERON In Tube LC	$78.01	$144.47	$60.39–$130.02	—	46%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB Gold (In Tube) LC	$78.01	$144.47	$60.39–$130.02	—	46%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$86.01	$159.27	$66.57–$143.34	—	46%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL	$106.02	$321.28	$22.76–$289.15	11% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$106.02	$321.28	$22.76–$289.15	11% below	67%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$173.49	$321.28	$134.30–$289.15	—	46%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL	$173.49	$321.28	$134.30–$289.15	—	46%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC)	$58.85	$178.33	$12.83–$160.50	37% below	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL AB	$58.85	$178.33	$12.83–$160.50	37% below	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 L6684 MICROSOMAL AB	$58.85	$178.33	$12.83–$160.50	37% below	67%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 L6684 MICROSOMAL AB	$96.30	$178.33	$74.54–$160.50	—	46%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC)	$96.30	$178.33	$74.54–$160.50	—	46%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 MICROSOMAL AB	$96.30	$178.33	$74.54–$160.50	—	46%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total	$33.28	$100.86	$14.81–$90.77	59% below	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH	$33.28	$100.86	$14.81–$90.77	59% below	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC	$33.28	$100.86	$14.81–$90.77	59% below	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH reflex to T4F (LC)	$33.28	$100.86	$14.81–$90.77	59% below	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$33.28	$100.86	$14.81–$90.77	59% below	67%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH	$54.46	$100.86	$42.16–$90.77	—	46%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total	$54.46	$100.86	$42.16–$90.77	—	46%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$54.46	$100.86	$42.16–$90.77	—	46%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH reflex to T4F (LC)	$54.46	$100.86	$42.16–$90.77	—	46%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC	$54.46	$100.86	$42.16–$90.77	—	46%
Total IgE blood test CPT 82785 82785-L602998 GAMMAGLB IGE	$44.36	$134.43	$14.52–$120.99	41% below	67%
Total IgE blood test CPT 82785 82785 L2295 GAMMAGLOBULIN IGE	$44.36	$134.43	$14.52–$120.99	41% below	67%
Total IgE blood test CPT 82785 82785 L602632 GAMMAGLOBULIN IGE	$44.36	$134.43	$14.52–$120.99	41% below	67%
Total IgE blood test CPT 82785 Immunoglobulin E, Total LC	$44.36	$134.43	$14.52–$120.99	41% below	67%
Total IgE blood test CPT 82785 Immunoglobulin E Total (LC)	$44.36	$134.43	$14.52–$120.99	41% below	67%
Total IgE blood test inpatient CPT 82785 82785-L602998 GAMMAGLB IGE	$72.59	$134.43	$56.19–$120.99	—	46%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E, Total LC	$72.59	$134.43	$56.19–$120.99	—	46%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total (LC)	$72.59	$134.43	$56.19–$120.99	—	46%
Total IgE blood test inpatient CPT 82785 82785 L2295 GAMMAGLOBULIN IGE	$72.59	$134.43	$56.19–$120.99	—	46%
Total IgE blood test inpatient CPT 82785 82785 L602632 GAMMAGLOBULIN IGE	$72.59	$134.43	$56.19–$120.99	—	46%
Total cholesterol blood test CPT 82465 82465 L550140 CHOLESTEROL TOTAL 889	$81.80	$247.87	$3.83–$223.08	167% above	67%
Total cholesterol blood test CPT 82465 Cholesterol	$90.18	$273.27	$3.83–$245.94	194% above	67%
Total cholesterol blood test inpatient CPT 82465 82465 L550140 CHOLESTEROL TOTAL 889	$133.85	$247.87	$103.61–$223.08	—	46%
Total cholesterol blood test inpatient CPT 82465 Cholesterol	$147.57	$273.27	$114.23–$245.94	—	46%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 Total	$89.62	$271.59	$6.06–$244.43	89% above	67%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 (LC)	$89.62	$271.59	$6.06–$244.43	89% above	67%
Total thyroxine (T4) blood test CPT 84436 84436 L455 THYROXINE T4,TOTAL	$89.62	$271.59	$6.06–$244.43	89% above	67%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC)	$146.66	$271.59	$113.52–$244.43	—	46%
Total thyroxine (T4) blood test inpatient CPT 84436 84436 L455 THYROXINE T4,TOTAL	$146.66	$271.59	$113.52–$244.43	—	46%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 Total	$146.66	$271.59	$113.52–$244.43	—	46%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC)	$75.72	$229.45	$12.51–$206.50	37% below	67%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC)	$123.90	$229.45	$95.91–$206.50	—	46%
Transferrin blood test CPT 84466 Transferrin LC	$59.15	$179.24	$11.25–$161.32	30% below	67%
Transferrin blood test inpatient CPT 84466 Transferrin LC	$96.79	$179.24	$74.92–$161.32	—	46%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC)	$73.78	$223.59	$30.95–$201.23	22% below	67%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC)	$120.74	$223.59	$93.46–$201.23	—	46%
Triglycerides blood test CPT 84478 84478 L550140 TRIGLYCERIDES 889	$88.72	$268.86	$5.07–$241.97	148% above	67%
Triglycerides blood test CPT 84478 Triglycerides	$97.82	$296.42	$5.07–$266.78	174% above	67%
Triglycerides blood test inpatient CPT 84478 84478 L550140 TRIGLYCERIDES 889	$145.18	$268.86	$112.38–$241.97	—	46%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$160.07	$296.42	$123.90–$266.78	—	46%
Troponin test, quantitative CPT 84484 .ISTAT cTroponin I POC	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 Troponin T HS x 3 Series	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 .Troponin T Quant 1 Hour	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 Troponin I (LC)	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 Troponin T HS	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 .Troponin T HS 3 Hour	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 Troponin T Quant x 3 Series	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 .Troponin T HS 1 Hour	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 .Troponin I Quant 2 Hour	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 .Troponin T Quant 3 Hour	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 .Troponin T Quant 4 Hour	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 Troponin I Quant	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative CPT 84484 Troponin T Quant	$123.75	$375.01	$11.00–$337.51	2% above	67%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 3 Hour	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 .ISTAT cTroponin I POC	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 1 Hour	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS x 3 Series	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 3 Hour	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 Troponin I (LC)	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 1 Hour	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant x 3 Series	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 2 Hour	$202.51	$375.01	$156.75–$337.51	—	46%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 4 Hour	$202.51	$375.01	$156.75–$337.51	—	46%
Uric acid blood test CPT 84550 Uric Acid Level	$56.42	$170.98	$3.99–$153.88	18% above	67%
Uric acid blood test inpatient CPT 84550 Uric Acid Level	$92.33	$170.98	$71.47–$153.88	—	46%
Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd	$55.95	$169.54	$2.80–$152.59	33% above	67%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated	$55.95	$169.54	$2.80–$152.59	33% above	67%
Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes	$55.95	$169.54	$2.80–$152.59	33% above	67%
Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes	$91.55	$169.54	$70.87–$152.59	—	46%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd	$91.55	$169.54	$70.87–$152.59	—	46%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated	$91.55	$169.54	$70.87–$152.59	—	46%
Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd	$21.38	$64.79	$3.55–$58.31	20% below	67%
Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd	$34.99	$64.79	$27.08–$58.31	—	46%
Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required	$45.01	$136.40	$1.98–$122.76	84% above	67%
Urinalysis without microscope exam, automated CPT 81003 81003 L306266 UA, AUTO, W-O SCOPE	$47.26	$143.22	$1.98–$128.90	93% above	67%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated	$47.26	$143.22	$1.98–$128.90	93% above	67%
Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No	$47.26	$143.22	$1.98–$128.90	93% above	67%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto	$47.26	$143.22	$1.98–$128.90	93% above	67%
Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc	$47.26	$143.22	$1.98–$128.90	93% above	67%
Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick	$47.26	$143.22	$1.98–$128.90	93% above	67%
Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required	$73.66	$136.40	$57.02–$122.76	—	46%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated	$77.34	$143.22	$59.87–$128.90	—	46%
Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No	$77.34	$143.22	$59.87–$128.90	—	46%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto	$77.34	$143.22	$59.87–$128.90	—	46%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc	$77.34	$143.22	$59.87–$128.90	—	46%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick	$77.34	$143.22	$59.87–$128.90	—	46%
Urinalysis without microscope exam, automated inpatient CPT 81003 81003 L306266 UA, AUTO, W-O SCOPE	$77.34	$143.22	$59.87–$128.90	—	46%
Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC	$21.38	$64.79	$3.07–$58.31	37% above	67%
Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql	$21.38	$64.79	$3.07–$58.31	37% above	67%
Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual	$21.38	$64.79	$3.07–$58.31	37% above	67%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis w/o Microscopic Manual	$21.38	$64.79	$3.07–$58.31	37% above	67%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis w/o Microscopic Manual	$34.99	$64.79	$27.08–$58.31	—	46%
Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual	$34.99	$64.79	$27.08–$58.31	—	46%
Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC	$34.99	$64.79	$27.08–$58.31	—	46%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql	$34.99	$64.79	$27.08–$58.31	—	46%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn	$54.01	$163.68	$7.12–$147.31	24% above	67%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn	$88.39	$163.68	$68.42–$147.31	—	46%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Random Urine Sendout to LabCorp	$70.42	$213.38	$5.09–$192.04	103% above	67%
Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT	$70.42	$213.38	$5.09–$192.04	103% above	67%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour	$70.42	$213.38	$5.09–$192.04	103% above	67%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Random Urine Sendout to LabCorp	$115.23	$213.38	$89.19–$192.04	—	46%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT	$115.23	$213.38	$89.19–$192.04	—	46%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour	$115.23	$213.38	$89.19–$192.04	—	46%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result	$16.40	$49.69	$7.60–$44.72	70% below	67%
Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$16.40	$49.69	$7.60–$44.72	70% below	67%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative	$16.40	$49.69	$7.60–$44.72	70% below	67%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive	$16.40	$49.69	$7.60–$44.72	70% below	67%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC	$16.40	$49.69	$7.60–$44.72	70% below	67%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC	$26.83	$49.69	$20.77–$44.72	—	46%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result	$26.83	$49.69	$20.77–$44.72	—	46%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative	$26.83	$49.69	$20.77–$44.72	—	46%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive	$26.83	$49.69	$20.77–$44.72	—	46%
Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$26.83	$49.69	$20.77–$44.72	—	46%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$63.66	$192.90	$13.30–$173.61	14% below	67%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$104.17	$192.90	$80.63–$173.61	—	46%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC	$69.92	$211.88	$26.11–$190.69	48% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy	$69.92	$211.88	$26.11–$190.69	48% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC	$69.92	$211.88	$26.11–$190.69	48% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC	$114.42	$211.88	$88.57–$190.69	—	46%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy	$114.42	$211.88	$88.57–$190.69	—	46%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC	$114.42	$211.88	$88.57–$190.69	—	46%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol Level (LC)	$79.58	$241.15	$33.96–$217.04	55% below	67%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol Level (LC)	$130.22	$241.15	$100.80–$217.04	—	46%
Zinc blood test CPT 84630 Zinc Plasma or Serum (LC)	$68.25	$206.81	$10.04–$186.13	17% below	67%
Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC)	$111.68	$206.81	$86.45–$186.13	—	46%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant (	$122.01	$369.74	$13.28–$332.77	53% above	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 L17319 HCG QUANT	$122.01	$369.74	$13.28–$332.77	53% above	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG QUANT	$122.01	$369.74	$13.28–$332.77	53% above	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant	$122.01	$369.74	$13.28–$332.77	53% above	67%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 L17319 HCG QUANT	$199.66	$369.74	$154.55–$332.77	—	46%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 HCG QUANT	$199.66	$369.74	$154.55–$332.77	—	46%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant	$199.66	$369.74	$154.55–$332.77	—	46%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant (	$199.66	$369.74	$154.55–$332.77	—	46%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$12,436.16	$37,685.33	$181.82–$33,916.80	166% above	67%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$27,391.42	$83,004.30	$818.16–$74,703.87	38% above	67%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$26,826.74	$81,293.15	$897.17–$73,163.83	58% above	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt	$1,230.31	$3,728.22	$1,550.82–$7,121.62	51% below	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt	$1,230.31	$3,728.22	$1,550.82–$7,121.62	51% below	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 50 BX BREAST 1ST LESION STRTCTC	$1,453.14	$2,691.00	$1,124.84–$2,421.90	—	46%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt	$2,013.24	$3,728.22	$1,558.40–$3,355.40	—	46%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt	$2,013.24	$3,728.22	$1,558.40–$3,355.40	—	46%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION	$14,478.31	$43,873.68	$456.48–$39,486.31	53% above	67%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION	$14,357.29	$43,506.94	$432.54–$39,156.25	160% above	67%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT - Mac Lab 106	$7,450.42	$22,577.03	$932.98–$20,319.33	25% below	67%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT - Mac Lab 106	$12,191.60	$22,577.03	$9,437.20–$20,319.33	—	46%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI Cardioversion	$1,403.46	$4,252.92	$90.48–$3,827.63	at median	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - Mac Lab 107	$1,403.46	$4,252.92	$90.48–$3,827.63	at median	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - Mac Lab 106	$1,403.46	$4,252.92	$90.48–$3,827.63	at median	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion	$1,403.46	$4,252.92	$90.48–$3,827.63	at median	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$1,403.46	$4,252.92	$90.48–$3,827.63	at median	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation	$1,403.46	$4,252.92	$90.48–$3,827.63	at median	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT	$4,631.31	$14,034.28	$90.48–$12,630.85	230% above	67%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation	$2,296.58	$4,252.92	$1,777.72–$3,827.63	—	46%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion	$2,296.58	$4,252.92	$1,777.72–$3,827.63	—	46%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - Mac Lab 106	$2,296.58	$4,252.92	$1,777.72–$3,827.63	—	46%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$2,296.58	$4,252.92	$1,777.72–$3,827.63	—	46%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI Cardioversion	$2,296.58	$4,252.92	$1,777.72–$3,827.63	—	46%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - Mac Lab 107	$2,296.58	$4,252.92	$1,777.72–$3,827.63	—	46%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$12,161.77	$36,853.84	$389.54–$33,168.46	158% above	67%
Cataract surgery with lens implant CPT 66984 REMOVE CATARACT/INSERT LENS	$8,777.19	$26,597.55	$438.36–$23,937.80	67% above	67%
Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I - Mac Lab 107	$29,302.38	$88,795.09	$24,474.47–$112,705.04	5% above	67%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I - Mac Lab 107	$47,949.35	$88,795.09	$37,116.35–$79,915.58	—	46%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION	$11,919.54	$36,119.82	$169.53–$32,507.84	125% above	67%
Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY	$7,598.39	$23,025.41	$210.50–$20,722.87	150% above	67%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$6,200.24	$18,788.60	$167.00–$16,909.74	110% above	67%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$4,265.45	$12,925.62	$154.36–$11,633.06	111% above	67%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CERVIX EXCISION	$14,847.83	$44,993.41	$130.94–$40,494.07	—	67%
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$9,291.65	$28,156.51	$597.30–$25,340.86	56% above	67%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG - Mac Lab 106	$13,716.19	$41,564.21	$10,826.97–$49,777.92	12% below	67%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG - Mac Lab 106	$22,444.67	$41,564.21	$17,373.84–$37,407.79	—	46%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$15,096.26	$45,746.23	$130.83–$41,171.61	117% above	67%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$8,836.25	$26,776.53	$66.64–$24,098.88	224% above	67%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$12,071.60	$36,580.60	$134.72–$32,922.54	97% above	67%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$2,774.03	$8,406.15	$15.64–$7,565.54	1478% above	67%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$11,816.55	$35,807.74	$25.49–$32,226.97	7290% above	67%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF ETHMOID SINUS	$16,537.19	$50,112.71	$254.87–$45,101.44	at median	67%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$17,094.98	$51,802.98	$142.55–$46,622.68	91% above	67%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY, MAXILLARY SINUS	$16,932.45	$51,310.45	$209.16–$46,179.41	80% above	67%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR Inj Paravert Facet Joint L S 1 Lvl	$1,124.11	$3,406.38	$830.51–$3,813.79	3% below	67%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR Inj Paravert Facet Joint L S 1 Lvl	$1,839.45	$3,406.38	$1,423.87–$3,065.74	—	46%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$23,899.28	$72,422.06	$472.67–$65,179.85	28% above	67%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$21,994.79	$66,650.87	$284.82–$59,985.78	146% above	67%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$5,376.45	$16,292.26	$50.08–$14,663.03	159% above	67%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$24,761.33	$75,034.32	$571.38–$67,530.89	51% above	67%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$34,216.96	$103,687.77	$618.38–$93,318.99	101% above	67%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$13,579.02	$41,148.55	$347.91–$37,033.70	10% above	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ-CATH HYSTERSO	$120.82	$366.12	$48.34–$329.51	58% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 S-INJ CATH HYSTERSO	$133.20	$403.65	$48.34–$363.28	54% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$133.20	$403.65	$48.34–$363.28	54% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 DR S-INJ CATH HYSTERSO	$133.20	$403.65	$48.34–$363.28	54% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 CATHETER FOR HYSTEROGRAPHY	$167.40	$310.00	$129.58–$279.00	—	46%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ-CATH HYSTERSO	$197.70	$366.12	$153.04–$329.51	—	46%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 22 CATHETER FOR HYSTEROGRAPHY	$209.52	$388.00	$162.18–$349.20	—	46%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$217.97	$403.65	$168.73–$363.28	—	46%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 DR S-INJ CATH HYSTERSO	$217.97	$403.65	$168.73–$363.28	—	46%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 S-INJ CATH HYSTERSO	$217.97	$403.65	$168.73–$363.28	—	46%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION	$27,427.57	$83,113.86	$200.40–$74,802.47	230% above	67%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY	$17,060.23	$51,697.68	$188.81–$46,527.91	144% above	67%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$21,180.52	$64,183.38	$41.33–$57,765.04	278% above	67%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$1,609.05	$4,875.91	$94.18–$4,388.32	249% above	67%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA	$18,253.51	$55,313.67	$459.67–$49,782.30	108% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 S-JNT ASP INJ MAJ BI	$228.29	$691.79	$288.22–$1,323.56	—	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN	$228.29	$691.79	$288.22–$1,323.56	45% below	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA	$1,909.01	$5,784.89	$36.81–$5,206.40	362% above	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 S-JNT ASP INJ MAJ BI	$373.57	$691.79	$289.17–$622.61	—	46%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN	$373.57	$691.79	$289.17–$622.61	—	46%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$163.07	$494.14	$288.22–$1,323.56	62% below	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA	$12,403.72	$37,587.02	$30.16–$33,828.32	2801% above	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$266.84	$494.14	$206.55–$444.73	—	46%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM	$137.81	$417.60	$288.22–$1,323.56	53% below	67%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM	$225.50	$417.60	$174.56–$375.84	—	46%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$21,766.16	$65,958.07	$590.53–$59,362.26	64% above	67%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$17,217.96	$52,175.63	$474.14–$46,958.07	110% above	67%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$16,754.88	$50,772.36	$490.09–$45,695.12	111% above	67%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y	$40,996.64	$124,232.24	$1,457.51–$111,809.02	2% above	67%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY	$23,694.41	$71,801.23	$523.36–$64,621.11	66% above	67%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$27,914.54	$84,589.50	$760.11–$76,130.55	22% above	67%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL	$26,037.90	$78,902.72	$384.33–$71,012.45	54% above	67%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR	$27,137.74	$82,235.59	$498.21–$74,012.03	70% above	67%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA	$20,976.80	$63,566.05	$539.01–$57,209.45	29% above	67%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY	$43,569.51	$132,028.82	$897.99–$118,825.94	42% above	67%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S)	$11,304.22	$34,255.21	$124.91–$30,829.69	1472% above	67%
Left heart catheterization, diagnostic CPT 93452 93452 - LHC Only	$5,333.83	$16,163.11	$809.60–$14,546.80	31% below	67%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - Mac Lab 106	$5,333.83	$16,163.11	$809.60–$14,546.80	31% below	67%
Left heart catheterization, diagnostic inpatient CPT 93452 93452 - LHC Only	$8,728.08	$16,163.11	$6,756.18–$14,546.80	—	46%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - Mac Lab 106	$8,728.08	$16,163.11	$6,756.18–$14,546.80	—	46%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$1,870.94	$5,669.50	$70.21–$5,102.55	32% above	67%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$18,108.94	$54,875.58	$573.11–$49,388.02	131% above	67%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$27,916.87	$84,596.59	$829.43–$76,136.93	59% above	67%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$11,855.00	$35,924.25	$315.14–$32,331.83	174% above	67%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION	$16,771.26	$50,822.00	$71.43–$45,739.80	647% above	67%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION	$11,552.90	$35,008.79	$91.59–$31,507.91	1467% above	67%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$11,085.43	$33,592.22	$46.51–$30,233.00	2699% above	67%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER	$29,238.50	$88,601.50	$414.18–$79,741.35	142% above	67%
Paracentesis with imaging guidance CPT 49083 CT Abdominal Paracentesis w Imaging	$1,212.73	$3,674.95	$851.64–$3,910.86	12% below	67%
Paracentesis with imaging guidance CPT 49083 IR Abdominal Paracentesis w Imaging	$1,212.73	$3,674.95	$851.64–$3,910.86	12% below	67%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image	$1,212.73	$3,674.95	$851.64–$3,910.86	12% below	67%
Paracentesis with imaging guidance CPT 49083 IR Abdominal Paracentesis w Imaging - Lab 106	$1,212.73	$3,674.95	$851.64–$3,910.86	12% below	67%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$3,100.96	$9,396.86	$87.74–$8,457.17	124% above	67%
Paracentesis with imaging guidance inpatient CPT 49083 IR Abdominal Paracentesis w Imaging - Lab 106	$1,984.47	$3,674.95	$1,536.13–$3,307.46	—	46%
Paracentesis with imaging guidance inpatient CPT 49083 CT Abdominal Paracentesis w Imaging	$1,984.47	$3,674.95	$1,536.13–$3,307.46	—	46%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image	$1,984.47	$3,674.95	$1,536.13–$3,307.46	—	46%
Paracentesis with imaging guidance inpatient CPT 49083 IR Abdominal Paracentesis w Imaging	$1,984.47	$3,674.95	$1,536.13–$3,307.46	—	46%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$11,943.34	$36,191.95	$89.01–$32,572.75	1617% above	67%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$13,639.46	$41,331.71	$233.32–$37,198.54	283% above	67%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$12,953.95	$39,254.40	$370.76–$35,328.96	157% above	67%
Removal of a foreign object under the skin, simple CPT 10120 S-Remove for Bdy St Simple	$415.43	$1,258.88	$381.71–$1,752.86	33% below	67%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$5,562.87	$16,857.18	$95.59–$15,171.46	804% above	67%
Removal of a foreign object under the skin, simple inpatient CPT 10120 S-Remove for Bdy St Simple	$679.80	$1,258.88	$526.21–$1,132.99	—	46%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$24,314.52	$73,680.36	$588.78–$66,312.32	145% above	67%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 COLON CA SCRN NOT HI RSK IND	$165.00	$500.00	$869.66–$4,009.94	91% below	67%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$3,939.25	$11,937.12	$154.52–$10,743.41	110% above	67%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121 COLON CA SCRN NOT HI RSK IND	$443.88	$822.00	$343.60–$739.80	—	46%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLORECTAL SCRN; HI RISK IND	$164.67	$499.00	$869.66–$4,009.94	90% below	67%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$3,964.81	$12,014.59	$154.36–$10,813.13	131% above	67%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105 COLORECTAL SCRN; HI RISK IND	$443.34	$821.00	$343.18–$738.90	—	46%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$16,210.83	$49,123.72	$570.25–$44,211.35	62% above	67%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy	$2,037.19	$6,173.30	$3,309.89–$15,199.53	84% below	67%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$10,145.58	$30,744.18	$488.14–$27,669.76	19% below	67%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy	$3,333.58	$6,173.30	$2,580.44–$5,555.97	—	46%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$8,339.90	$25,272.41	$54.26–$22,745.17	2212% above	67%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM STATIC PTA - Redoc 18	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM STATIC COTA - Redoc 2	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPICATION SHORT ARM STATIC PTA - Redoc 257	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM STATIC COTA - Redoc 1	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM STATIC PTA - Redoc 17	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 OT Static Short Arm Splint Assist Units	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 185	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 181	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 257	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 258	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 189	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 186	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 179	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 184	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 183	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 182	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 175	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 OT Static Short Arm Splint Charge	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 OT Static Short Arm Splint Units	$102.74	$311.33	$124.93–$573.71	43% below	67%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,574.13	$4,770.10	$37.95–$4,293.09	766% above	67%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 183	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPICATION SHORT ARM STATIC PTA - Redoc 257	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 184	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 181	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM STATIC PTA - Redoc 17	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 OT Static Short Arm Splint Charge	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 175	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 OT Static Short Arm Splint Units	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 179	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 185	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 189	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 257	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM STATIC COTA - Redoc 1	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM STATIC PTA - Redoc 18	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 258	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 182	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM STATIC COTA - Redoc 2	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 OT Static Short Arm Splint Assist Units	$168.12	$311.33	$130.14–$280.20	—	46%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 186	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 186	$102.52	$310.66	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 183	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 257	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 189	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 179	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 175	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 257	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 258	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 175	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 181	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 182	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 184	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 186	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 179	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 182	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - REDOC 184	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 183	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 189	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 258	$102.74	$311.33	$262.63–$1,206.03	73% below	67%
Short leg cast (below the knee) inpatient CPT 29405 29405 APPLY SHORT LEG CAST	$115.56	$214.00	$89.45–$192.60	—	46%
Short leg cast (below the knee) inpatient CPT 29405 29405 22 APPLY SHORT LEG CAST	$144.72	$268.00	$112.02–$241.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 186	$167.76	$310.66	$129.86–$279.59	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 258	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 257	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 258	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 189	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 186	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 184	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 183	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 182	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 181	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST COTA - Redoc 179	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST PTA - Redoc 175	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 257	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 175	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 189	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 184	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 183	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 182	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - REDOC 179	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg cast (below the knee) inpatient CPT 29405 29405 50 APPLY SHORT LEG CAST	$173.34	$321.00	$134.18–$288.90	—	46%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 189	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 183	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 186	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 257	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 258	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 189	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 186	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 185	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 184	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 183	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 182	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 181	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 179	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 175	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 PT Applicat Short Leg Splint Assist Unit	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 185	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 181	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 257	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 258	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 PT Application Short Leg Splint Units	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 PT Application Short Leg Splint Charge	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 175	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 182	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 179	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT - REDOC 184	$102.74	$311.33	$152.59–$700.69	57% below	67%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,131.58	$3,429.03	$46.10–$3,086.13	369% above	67%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 175	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 257	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 258	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 189	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 186	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 185	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 184	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 183	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 182	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 181	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG COTA - Redoc 179	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PTA - Redoc 175	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 PT Applicat Short Leg Splint Assist Unit	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 185	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 181	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 257	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 258	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 189	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 186	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 179	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 184	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 183	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT - REDOC 182	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 PT Application Short Leg Splint Charge	$168.12	$311.33	$130.14–$280.20	—	46%
Short leg splint (calf to foot) inpatient CPT 29515 PT Application Short Leg Splint Units	$168.12	$311.33	$130.14–$280.20	—	46%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY	$21,981.52	$66,610.68	$135.46–$59,949.61	43% above	67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$891.89	$2,702.71	$40.22–$2,432.44	104% above	67%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$8,827.43	$26,749.79	$35.95–$24,074.81	1856% above	67%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$11,560.02	$35,030.36	$64.86–$31,527.32	3984% above	67%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Punctures w/o imaging	$511.69	$1,550.57	$662.81–$3,043.73	50% below	67%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$511.69	$1,550.57	$662.81–$3,043.73	50% below	67%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-Spinal Tab Diagnostic	$867.11	$2,627.60	$662.81–$3,043.73	15% below	67%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC	$4,667.98	$14,145.40	$53.12–$12,730.86	355% above	67%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$837.31	$1,550.57	$648.14–$1,395.51	—	46%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Punctures w/o imaging	$837.31	$1,550.57	$648.14–$1,395.51	—	46%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-Spinal Tab Diagnostic	$1,418.90	$2,627.60	$1,098.34–$2,364.84	—	46%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S)	$1,629.52	$4,937.94	$52.43–$4,444.15	308% above	67%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$1,802.02	$5,460.67	$49.62–$4,914.60	318% above	67%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$16,979.47	$51,452.94	$492.88–$46,307.65	6% above	67%
Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w Imaging Guidance	$1,079.85	$3,272.26	$89.15–$2,945.03	1% below	67%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance	$1,079.85	$3,272.26	$89.15–$2,945.03	1% below	67%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance	$1,079.85	$3,272.26	$89.15–$2,945.03	1% below	67%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance - Lab 106	$1,079.85	$3,272.26	$89.15–$2,945.03	1% below	67%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,749.28	$5,300.86	$89.15–$4,770.77	60% above	67%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance	$1,767.02	$3,272.26	$1,367.80–$2,945.03	—	46%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance	$1,767.02	$3,272.26	$1,367.80–$2,945.03	—	46%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance - Lab 106	$1,767.02	$3,272.26	$1,367.80–$2,945.03	—	46%
Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis w Imaging Guidance	$1,767.02	$3,272.26	$1,367.80–$2,945.03	—	46%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$14,509.75	$43,968.95	$253.72–$39,572.06	116% above	67%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$13,126.30	$39,776.67	$243.15–$35,799.00	112% above	67%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$15,819.31	$47,937.30	$215.69–$43,143.57	175% above	67%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$12,067.56	$36,568.36	$226.99–$32,911.52	47% above	67%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT	$43,167.63	$130,811.00	$1,064.13–$117,729.90	47% above	67%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT	$41,561.84	$125,944.96	$1,062.09–$113,350.46	57% above	67%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$42,507.21	$128,809.74	$1,193.77–$115,928.77	22% above	67%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$30,128.19	$91,297.55	$760.23–$82,167.80	104% above	67%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$12,029.53	$36,453.12	$265.43–$32,807.81	187% above	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$2,607.97	$7,902.95	$1,550.82–$7,121.62	12% above	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Lt	$1,229.84	$3,726.80	$1,550.82–$7,121.62	47% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Rt	$1,229.84	$3,726.80	$1,550.82–$7,121.62	47% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Rt	$2,012.47	$3,726.80	$1,557.80–$3,354.12	—	46%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Lt	$2,012.47	$3,726.80	$1,557.80–$3,354.12	—	46%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION	$6,810.74	$20,638.60	$128.25–$18,574.74	113% above	67%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY	$5,975.26	$18,106.86	$116.27–$16,296.17	98% above	67%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$8,487.48	$25,719.63	$116.27–$23,147.67	121% above	67%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY	$6,381.07	$19,336.57	$162.88–$17,402.91	62% above	67%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE	$4,760.79	$14,426.64	$139.08–$12,983.98	76% above	67%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS	$4,071.72	$12,338.54	$103.93–$11,104.69	72% above	67%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$19,882.92	$60,251.26	$322.73–$54,226.13	101% above	67%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$20,788.06	$62,994.12	$342.42–$56,694.71	30% above	67%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$9,680.37	$29,334.44	$204.02–$26,401.00	98% above	67%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION, 1-14	$11,940.36	$36,182.92	$58.53–$32,564.63	3928% above	67%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$2,461.66	$7,459.58	$52.18–$6,713.62	216% above	67%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$20,921.59	$63,398.75	$641.53–$57,058.88	117% above	67%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor)	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor)	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions	$360.27	$1,091.74	$414.26–$1,902.32	60% below	67%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$4,701.14	$14,245.88	$43.53–$12,821.29	422% above	67%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor)	$589.54	$1,091.74	$456.35–$982.57	—	46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor)	$589.54	$1,091.74	$456.35–$982.57	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$50.65	$153.48	$205.62–$944.22	55% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$82.88	$153.48	$64.15–$138.13	—	46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent	$82.88	$153.48	$64.15–$138.13	—	46%
Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR	$226.68	$686.91	$310.16–$1,424.25	66% below	67%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR	$370.93	$686.91	$287.13–$618.22	—	46%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$1,345.09	$4,076.02	$188.73–$3,668.42	37% below	67%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$2,201.05	$4,076.02	$1,703.78–$3,668.42	—	46%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Including Recording Awake and Drowsy	$728.43	$2,207.36	$217.03–$1,986.62	6% above	67%
EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE DROWSY	$728.43	$2,207.36	$217.03–$1,986.62	6% above	67%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Including Recording Awake and Drowsy	$1,191.97	$2,207.36	$922.68–$1,986.62	—	46%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE DROWSY	$1,191.97	$2,207.36	$922.68–$1,986.62	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time	$202.08	$612.37	$6.35–$551.13	at median	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours	$330.68	$612.37	$255.97–$551.13	—	46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour	$330.68	$612.37	$255.97–$551.13	—	46%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$120.10	$363.95	$79.18–$363.60	45% below	67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$196.53	$363.95	$152.13–$327.56	—	46%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$182.79	$553.90	$144.18–$662.07	56% below	67%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$299.11	$553.90	$231.53–$498.51	—	46%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$384.38	$1,164.78	$256.32–$1,177.06	50% below	67%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 $ED Cricothyrotomy	$651.08	$1,972.98	$65.36–$1,775.68	16% below	67%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$628.98	$1,164.78	$486.88–$1,048.30	—	46%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 $ED Cricothyrotomy	$1,065.41	$1,972.98	$824.71–$1,775.68	—	46%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$756.22	$2,291.59	$111.13–$2,062.43	36% below	67%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,237.46	$2,291.59	$957.88–$2,062.43	—	46%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$1,010.87	$3,063.23	$161.52–$2,756.91	42% below	67%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$1,654.14	$3,063.23	$1,280.43–$2,756.91	—	46%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$543.04	$1,645.59	$35.93–$1,481.03	29% below	67%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Cardiovascular Stress Test Trace Only	$543.04	$1,645.59	$35.93–$1,481.03	29% below	67%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test	$543.04	$1,645.59	$35.93–$1,481.03	29% below	67%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$888.62	$1,645.59	$687.86–$1,481.03	—	46%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test	$888.62	$1,645.59	$687.86–$1,481.03	—	46%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Cardiovascular Stress Test Trace Only	$888.62	$1,645.59	$687.86–$1,481.03	—	46%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy w/Patient Present 908477	$94.71	$287.00	$185.18–$765.35	50% below	67%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy w/Patient Present 908477	$154.98	$287.00	$119.97–$258.30	—	46%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$147.58	$447.20	$199.72–$917.17	60% below	67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour	$147.58	$447.20	$199.72–$917.17	60% below	67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$147.58	$447.20	$199.72–$917.17	60% below	67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$147.58	$447.20	$199.72–$917.17	60% below	67%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$241.49	$447.20	$186.93–$402.48	—	46%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour	$241.49	$447.20	$186.93–$402.48	—	46%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$241.49	$447.20	$186.93–$402.48	—	46%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$241.49	$447.20	$186.93–$402.48	—	46%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$127.48	$386.30	$199.72–$917.17	68% below	67%
IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour	$147.58	$447.20	$199.72–$917.17	64% below	67%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour	$147.58	$447.20	$199.72–$917.17	64% below	67%
IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$147.58	$447.20	$199.72–$917.17	64% below	67%
IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$147.58	$447.20	$199.72–$917.17	64% below	67%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$208.60	$386.30	$161.47–$347.67	—	46%
IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$241.49	$447.20	$186.93–$402.48	—	46%
IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$241.49	$447.20	$186.93–$402.48	—	46%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour	$241.49	$447.20	$186.93–$402.48	—	46%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour	$241.49	$447.20	$186.93–$402.48	—	46%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$84.15	$255.00	$199.72–$917.17	60% below	67%
IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial	$97.42	$295.20	$199.72–$917.17	54% below	67%
IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$97.42	$295.20	$199.72–$917.17	54% below	67%
IV push of a medicine, first drug CPT 96374 IV push initial	$97.42	$295.20	$199.72–$917.17	54% below	67%
IV push of a medicine, first drug CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH	$97.42	$295.20	$199.72–$917.17	54% below	67%
IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$97.42	$295.20	$199.72–$917.17	54% below	67%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$137.70	$255.00	$106.59–$229.50	—	46%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH	$159.41	$295.20	$123.39–$265.68	—	46%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$159.41	$295.20	$123.39–$265.68	—	46%
IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$159.41	$295.20	$123.39–$265.68	—	46%
IV push of a medicine, first drug inpatient CPT 96374 IV push initial	$159.41	$295.20	$123.39–$265.68	—	46%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial	$159.41	$295.20	$123.39–$265.68	—	46%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$39.16	$118.66	$67.61–$310.47	63% below	67%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$45.33	$137.36	$67.61–$310.47	57% below	67%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$45.33	$137.36	$67.61–$310.47	57% below	67%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$45.33	$137.36	$67.61–$310.47	57% below	67%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection	$45.33	$137.36	$14.51–$358.00	57% below	67%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$64.08	$118.66	$49.60–$106.79	—	46%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$74.17	$137.36	$57.42–$123.62	—	46%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$74.17	$137.36	$57.42–$123.62	—	46%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection	$74.17	$137.36	$57.42–$123.62	—	46%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection	$74.17	$137.36	$57.42–$123.62	—	46%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 CHRG - MTR-SENS 7-8 NRV TST	$142.42	$431.57	$350.39–$1,609.02	83% below	67%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 NRV CNDJ TEST 7-8 STUDIES	$171.27	$519.00	$350.39–$1,609.02	80% below	67%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 CHRG - MTR-SENS 7-8 NRV TST	$233.05	$431.57	$180.40–$388.41	—	46%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 NRV CNDJ TEST 7-8 STUDIES	$280.26	$519.00	$216.94–$467.10	—	46%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 185	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 186	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 189	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 179	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 257	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 184	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 258	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 183	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 181	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 TH NEU REED-15MIN PT - REDOC 175	$51.24	$155.28	$27.83–$139.75	32% below	67%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PTA - REDOC 257	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PT - REDOC 257	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 175	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 182	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 183	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 184	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 179	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 186	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 189	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 258	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 257	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromusclr Reeducation Assist Charge	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 2	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 2	$81.51	$247.00	$27.83–$222.30	8% above	67%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 185	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 175	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 181	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 183	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 184	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 257	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 258	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 179	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 189	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEU REED-15MIN PT - REDOC 186	$83.85	$155.28	$64.91–$139.75	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 175	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromusclr Reeducation Assist Charge	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 258	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 189	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 186	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 179	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 184	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 183	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PTA - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PT - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 182	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 2	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 2	$133.38	$247.00	$103.25–$222.30	—	46%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1	$133.38	$247.00	$103.25–$222.30	—	46%
New patient office visit, about 60 minutes CPT 99205 CHRG - WOUND CARE LEVEL 5 NEW PT	$566.20	$1,715.77	$122.40–$1,544.19	123% above	67%
New patient office visit, about 60 minutes inpatient CPT 99205 CHRG - WOUND CARE LEVEL 5 NEW PT	$926.52	$1,715.77	$717.19–$1,544.19	—	46%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - MNT INITIAL EA 15 MIN	$35.69	$108.16	$25.61–$97.34	4% above	67%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TH MNT INITIAL EA 15 MN	$49.42	$149.77	$25.61–$134.79	45% above	67%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRITION INDIV IN	$49.68	$92.00	$38.46–$82.80	—	46%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - MNT INITIAL EA 15 MIN	$58.41	$108.16	$45.21–$97.34	—	46%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TH MNT INITIAL EA 15 MN	$80.88	$149.77	$62.60–$134.79	—	46%
Occupational therapy evaluation, low complexity CPT 97165 TH OTEVL- LOW CMP OT - REDOC 185	$131.83	$399.48	$85.73–$359.53	17% below	67%
Occupational therapy evaluation, low complexity CPT 97165 TH OTEVL- LOW CMP OT - REDOC 179	$131.83	$399.48	$85.73–$359.53	17% below	67%
Occupational therapy evaluation, low complexity CPT 97165 TH OTEVL- LOW CMP OT - REDOC 186	$131.83	$399.48	$85.73–$359.53	17% below	67%
Occupational therapy evaluation, low complexity CPT 97165 TH OTEVL- LOW CMP OT - REDOC 189	$131.83	$399.48	$85.73–$359.53	17% below	67%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 189	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 IRF OT EVAL LOW	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 179	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 186	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OCCUPAT THERAPY EVAL LOW COMPLEXITY COTA - Redoc 2	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 258	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 185	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OT Eval Low Assistant Unit - Yes	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity CPT 97165 OCCUPAT THERAPY EVAL LOW COMPLEXITY COTA - Redoc 1	$213.65	$647.43	$85.73–$582.69	34% above	67%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TH OTEVL- LOW CMP OT - REDOC 189	$215.72	$399.48	$166.98–$359.53	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TH OTEVL- LOW CMP OT - REDOC 179	$215.72	$399.48	$166.98–$359.53	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TH OTEVL- LOW CMP OT - REDOC 185	$215.72	$399.48	$166.98–$359.53	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TH OTEVL- LOW CMP OT - REDOC 186	$215.72	$399.48	$166.98–$359.53	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPAT THERAPY EVAL LOW COMPLEXITY COTA - Redoc 1	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval Low Assistant Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 185	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPAT THERAPY EVAL LOW COMPLEXITY COTA - Redoc 2	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 258	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 189	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 186	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 179	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Occupational therapy evaluation, low complexity inpatient CPT 97165 IRF OT EVAL LOW	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH PTEVL- HGH CMP PT - REDOC 184	$124.47	$377.17	$83.82–$339.45	47% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH PTEVL- HGH CMP PT - REDOC 182	$124.47	$377.17	$83.82–$339.45	47% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH PTEVL- HGH CMP PT - REDOC 175	$124.47	$377.17	$83.82–$339.45	47% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH PTEVL- HGH CMP PT - REDOC 181	$124.47	$377.17	$83.82–$339.45	47% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH PTEVL- HGH CMP PT - REDOC 257	$124.47	$377.17	$83.82–$339.45	47% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH PTEVL- HGH CMP PT - REDOC 183	$124.47	$377.17	$83.82–$339.45	47% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval High Assistant Unit - Yes	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 184	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 183	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 182	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 175	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH CMP PT - REDOC 257	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 257	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 2	$213.65	$647.43	$83.82–$582.69	9% below	67%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH PTEVL- HGH CMP PT - REDOC 182	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH PTEVL- HGH CMP PT - REDOC 183	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH PTEVL- HGH CMP PT - REDOC 184	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH PTEVL- HGH CMP PT - REDOC 175	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH PTEVL- HGH CMP PT - REDOC 257	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH PTEVL- HGH CMP PT - REDOC 181	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 2	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 257	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 183	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 184	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH CMP PT - REDOC 257	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 182	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval High Assistant Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 175	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 182	$124.47	$377.17	$83.82–$339.45	13% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 181	$124.47	$377.17	$83.82–$339.45	13% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 183	$124.47	$377.17	$83.82–$339.45	13% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 175	$124.47	$377.17	$83.82–$339.45	13% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 257	$124.47	$377.17	$83.82–$339.45	13% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 184	$124.47	$377.17	$83.82–$339.45	13% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW CMP PT - REDOC 257	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 175	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 182	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 183	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 184	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 257	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval Low Assistant Unit - Yes	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 2	$213.65	$647.43	$83.82–$582.69	49% above	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 175	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 257	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 184	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 183	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 182	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 181	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 175	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW CMP PT - REDOC 257	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 182	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 183	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 184	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 257	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval Low Assistant Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 2	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 175	$124.47	$377.17	$83.82–$339.45	33% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 183	$124.47	$377.17	$83.82–$339.45	33% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 182	$124.47	$377.17	$83.82–$339.45	33% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 257	$124.47	$377.17	$83.82–$339.45	33% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 181	$124.47	$377.17	$83.82–$339.45	33% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 184	$124.47	$377.17	$83.82–$339.45	33% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 2	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 175	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 1	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 257	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD CMP PT - REDOC 257	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval Mod Assistant Unit - Yes	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 183	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 182	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 184	$213.65	$647.43	$83.82–$582.69	14% above	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 181	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 182	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 184	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 183	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 257	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 175	$203.67	$377.17	$157.66–$339.45	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 2	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 257	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD CMP PT - REDOC 257	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval Mod Assistant Unit - Yes	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 183	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 1	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 182	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 184	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 175	$349.61	$647.43	$270.63–$582.69	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 175	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 257	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Charges	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 185	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 257	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 258	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 GAIT TRNNG-15MIN PTA - REDOC 257	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 189	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 186	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 179	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 184	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 183	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 182	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 258	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 175	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Charges	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 184	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 183	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 189	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PT - REDOC 257	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 179	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 186	$81.51	$247.00	$23.55–$222.30	5% below	67%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 258	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 189	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 186	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 184	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 183	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 179	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 175	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 185	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 258	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 189	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 186	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 179	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 184	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 183	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 182	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 175	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PT - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 GAIT TRNNG-15MIN PTA - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 181	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 258	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 175	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 189	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 182	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 186	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 183	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 185	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 184	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 179	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 257	$51.24	$155.28	$24.70–$139.75	32% below	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 179	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 186	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA - REDOC 257	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 189	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 258	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 189	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 257	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 258	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 257	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 257	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 183	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 175	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 179	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 184	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 175	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 184	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185	$81.51	$247.00	$24.70–$222.30	8% above	67%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 185	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 184	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 186	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 183	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 181	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 189	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 182	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 179	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 257	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 258	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 175	$83.85	$155.28	$64.91–$139.75	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 184	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 175	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 258	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 189	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 258	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 189	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 186	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 179	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 184	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 179	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 183	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 175	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge	$133.38	$247.00	$103.25–$222.30	—	46%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185	$133.38	$247.00	$103.25–$222.30	—	46%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes	$13.03	$39.48	$35.05–$161.54	57% below	67%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$13.03	$39.48	$35.05–$161.54	57% below	67%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 BEHAV CHNG SMOKING 3-10 MIN	$20.52	$38.00	$15.88–$34.20	—	46%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes	$21.32	$39.48	$16.50–$35.53	—	46%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$21.32	$39.48	$16.50–$35.53	—	46%
Speech and language evaluation CPT 92523 TH EVL SP SND PR CMP - REDOC 178	$134.48	$407.51	$110.03–$657.42	34% below	67%
Speech and language evaluation CPT 92523 TH EVL SP SND PR CMP - REDOC 188	$134.48	$407.51	$110.03–$657.42	34% below	67%
Speech and language evaluation CPT 92523 TH EVL SP SND PR CMP - REDOC 177	$134.48	$407.51	$110.03–$657.42	34% below	67%
Speech and language evaluation CPT 92523 TH EVL SP SND PR CMP - REDOC 187	$134.48	$407.51	$110.03–$657.42	34% below	67%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 188	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge - Yes	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Units	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 177	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 178	$226.68	$686.91	$143.43–$657.42	11% above	67%
Speech and language evaluation inpatient CPT 92523 TH EVL SP SND PR CMP - REDOC 178	$220.06	$407.51	$170.34–$366.76	—	46%
Speech and language evaluation inpatient CPT 92523 TH EVL SP SND PR CMP - REDOC 188	$220.06	$407.51	$170.34–$366.76	—	46%
Speech and language evaluation inpatient CPT 92523 TH EVL SP SND PR CMP - REDOC 187	$220.06	$407.51	$170.34–$366.76	—	46%
Speech and language evaluation inpatient CPT 92523 TH EVL SP SND PR CMP - REDOC 177	$220.06	$407.51	$170.34–$366.76	—	46%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187	$370.93	$686.91	$287.13–$618.22	—	46%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units	$370.93	$686.91	$287.13–$618.22	—	46%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit	$370.93	$686.91	$287.13–$618.22	—	46%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 177	$370.93	$686.91	$287.13–$618.22	—	46%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge - Yes	$370.93	$686.91	$287.13–$618.22	—	46%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 178	$370.93	$686.91	$287.13–$618.22	—	46%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 188	$370.93	$686.91	$287.13–$618.22	—	46%
Speech therapy session, individual CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 177	$116.04	$351.63	$65.20–$316.47	20% below	67%
Speech therapy session, individual CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 187	$116.04	$351.63	$65.20–$316.47	20% below	67%
Speech therapy session, individual CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 178	$116.04	$351.63	$65.20–$316.47	20% below	67%
Speech therapy session, individual CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 188	$116.04	$351.63	$65.20–$316.47	20% below	67%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI - REDOC 177	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual CPT 92507 Speech Treatment Charge	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 178	$163.50	$495.44	$65.20–$445.90	12% above	67%
Speech therapy session, individual inpatient CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 178	$189.88	$351.63	$146.98–$316.47	—	46%
Speech therapy session, individual inpatient CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 188	$189.88	$351.63	$146.98–$316.47	—	46%
Speech therapy session, individual inpatient CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 177	$189.88	$351.63	$146.98–$316.47	—	46%
Speech therapy session, individual inpatient CPT 92507 TH SP-HEAR-TX-IN VST - REDOC 187	$189.88	$351.63	$146.98–$316.47	—	46%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes	$267.54	$495.44	$207.09–$445.90	—	46%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge	$267.54	$495.44	$207.09–$445.90	—	46%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$267.54	$495.44	$207.09–$445.90	—	46%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI - REDOC 177	$267.54	$495.44	$207.09–$445.90	—	46%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 178	$267.54	$495.44	$207.09–$445.90	—	46%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188	$267.54	$495.44	$207.09–$445.90	—	46%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$267.54	$495.44	$207.09–$445.90	—	46%
Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry	$131.05	$397.11	$202.75–$931.06	47% below	67%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry	$214.44	$397.11	$165.99–$357.40	—	46%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$264.77	$802.34	$350.39–$1,609.02	51% below	67%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$433.26	$802.34	$335.38–$722.11	—	46%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 181	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 186	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 175	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 189	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 258	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 183	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 257	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 179	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 182	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 185	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 184	$56.88	$172.36	$29.62–$155.12	25% below	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 179	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 184	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assist Charges	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 183	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PT - REDOC 257	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PTA - REDOC 257	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 175	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 257	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 258	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 2	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 189	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 2	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 186	$81.51	$247.00	$29.62–$222.30	8% above	67%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 258	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 189	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 186	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 185	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 179	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 257	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 184	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 183	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 182	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 181	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 175	$93.07	$172.36	$72.05–$155.12	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PTA - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PT - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 257	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assist Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 2	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 2	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 175	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 183	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 184	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 179	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 186	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 189	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 258	$133.38	$247.00	$103.25–$222.30	—	46%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$87.78	$266.00	$124.93–$573.71	58% below	67%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$87.78	$266.00	$124.93–$573.71	58% below	67%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therap Phlebotomy	$24.30	$45.00	$18.81–$40.50	—	46%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$143.64	$266.00	$111.19–$239.40	—	46%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$143.64	$266.00	$111.19–$239.40	—	46%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$566.47	$1,716.57	$155.07–$1,544.91	69% above	67%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$566.47	$1,716.57	$155.07–$1,544.91	69% above	67%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$926.95	$1,716.57	$717.53–$1,544.91	—	46%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$926.95	$1,716.57	$717.53–$1,544.91	—	46%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$735.76	$2,229.57	$193.46–$2,006.61	80% above	67%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$735.76	$2,229.57	$193.46–$2,006.61	80% above	67%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$735.76	$2,229.57	$193.46–$2,006.61	80% above	67%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$735.76	$2,229.57	$193.46–$2,006.61	80% above	67%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$1,203.97	$2,229.57	$931.96–$2,006.61	—	46%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$1,203.97	$2,229.57	$931.96–$2,006.61	—	46%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$1,203.97	$2,229.57	$931.96–$2,006.61	—	46%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$1,203.97	$2,229.57	$931.96–$2,006.61	—	46%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/	$205.17	$621.74	$161.65–$559.57	40% above	67%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/	$224.23	$679.49	$176.67–$611.54	53% above	67%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/	$224.23	$679.49	$176.67–$611.54	53% above	67%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/	$224.23	$679.49	$176.67–$611.54	53% above	67%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/	$335.74	$621.74	$259.89–$559.57	—	46%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/	$366.92	$679.49	$284.03–$611.54	—	46%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/	$366.92	$679.49	$284.03–$611.54	—	46%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/	$366.92	$679.49	$284.03–$611.54	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis acel	$94.83	$287.36	$74.71–$258.62	15% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel	$94.83	$287.36	$74.71–$258.62	15% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel	$122.64	$371.65	$96.63–$334.49	49% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel	$122.64	$371.65	$96.63–$334.49	49% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis acel	$122.64	$371.65	$96.63–$334.49	49% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis acel	$122.64	$371.65	$96.63–$334.49	49% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel	$143.14	$433.76	$112.78–$390.38	74% above	67%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis acel	$155.17	$287.36	$120.12–$258.62	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel	$155.17	$287.36	$120.12–$258.62	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis acel	$200.69	$371.65	$155.35–$334.49	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel	$200.69	$371.65	$155.35–$334.49	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis acel	$200.69	$371.65	$155.35–$334.49	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel	$200.69	$371.65	$155.35–$334.49	—	46%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel	$234.23	$433.76	$181.31–$390.38	—	46%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol	$394.79	$1,196.32	$104.35–$1,076.69	108% above	67%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 58160-0811-52 - diphtheria/hepB/pertussisacel/pol	$394.79	$1,196.32	$104.35–$1,076.69	108% above	67%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol	$646.01	$1,196.32	$500.06–$1,076.69	—	46%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 58160-0811-52 - diphtheria/hepB/pertussisacel/pol	$646.01	$1,196.32	$500.06–$1,076.69	—	46%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan	$302.72	$917.33	$238.51–$825.60	22% above	67%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan	$302.72	$917.33	$238.51–$825.60	22% above	67%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan	$495.36	$917.33	$383.44–$825.60	—	46%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan	$495.36	$917.33	$383.44–$825.60	—	46%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine,	$291.71	$883.96	$93.25–$795.56	420% above	67%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine,	$477.34	$883.96	$369.50–$795.56	—	46%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$63.87	$193.55	$22.06–$174.20	64% above	67%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$63.87	$193.55	$22.06–$174.20	64% above	67%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$104.52	$193.55	$80.90–$174.20	—	46%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$104.52	$193.55	$80.90–$174.20	—	46%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$1,142.45	$3,461.98	$331.40–$3,115.78	81% above	67%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$1,869.47	$3,461.98	$1,447.11–$3,115.78	—	46%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$517.44	$1,568.00	$133.36–$1,411.20	117% above	67%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$846.72	$1,568.00	$655.42–$1,411.20	—	46%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$284.90	$863.32	$224.46–$776.99	67% above	67%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$284.90	$863.32	$224.46–$776.99	67% above	67%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$284.90	$863.32	$224.46–$776.99	67% above	67%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$284.90	$863.32	$224.46–$776.99	67% above	67%
Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$339.69	$1,029.37	$267.64–$926.43	99% above	67%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$466.19	$863.32	$360.87–$776.99	—	46%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$466.19	$863.32	$360.87–$776.99	—	46%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$466.19	$863.32	$360.87–$776.99	—	46%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$466.19	$863.32	$360.87–$776.99	—	46%
Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$555.86	$1,029.37	$430.28–$926.43	—	46%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25.	$116.57	$353.24	$91.84–$317.92	36% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u	$116.57	$353.24	$91.84–$317.92	36% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u	$116.57	$353.24	$91.84–$317.92	36% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720.	$155.95	$472.57	$122.87–$425.31	83% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720	$155.95	$472.57	$122.87–$425.31	83% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720.	$155.95	$472.57	$122.87–$425.31	83% above	67%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u	$190.75	$353.24	$147.65–$317.92	—	46%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25.	$190.75	$353.24	$147.65–$317.92	—	46%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u	$190.75	$353.24	$147.65–$317.92	—	46%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720	$255.19	$472.57	$197.53–$425.31	—	46%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720.	$255.19	$472.57	$197.53–$425.31	—	46%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720.	$255.19	$472.57	$197.53–$425.31	—	46%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$295.04	$894.07	$66.86–$804.66	68% above	67%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$295.04	$894.07	$66.86–$804.66	68% above	67%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$295.04	$894.07	$66.86–$804.66	68% above	67%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$295.04	$894.07	$66.86–$804.66	68% above	67%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$482.80	$894.07	$373.72–$804.66	—	46%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$482.80	$894.07	$373.72–$804.66	—	46%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$482.80	$894.07	$373.72–$804.66	—	46%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$482.80	$894.07	$373.72–$804.66	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp	$88.42	$267.93	$30.09–$241.14	21% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc	$88.42	$267.93	$30.09–$241.14	21% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc	$88.42	$267.93	$30.09–$241.14	21% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m	$117.71	$356.69	$30.09–$321.02	61% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp	$117.71	$356.69	$33.20–$321.02	61% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp	$117.71	$356.69	$30.09–$321.02	61% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp	$117.71	$356.69	$30.09–$321.02	61% above	67%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc	$144.68	$267.93	$111.99–$241.14	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc	$144.68	$267.93	$111.99–$241.14	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp	$144.68	$267.93	$111.99–$241.14	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp	$192.61	$356.69	$149.10–$321.02	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m	$192.61	$356.69	$149.10–$321.02	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp	$192.61	$356.69	$149.10–$321.02	—	46%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp	$192.61	$356.69	$149.10–$321.02	—	46%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va	$49.17	$149.00	$38.74–$134.10	1% above	67%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va	$49.17	$149.00	$38.74–$134.10	1% above	67%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va	$80.46	$149.00	$62.28–$134.10	—	46%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va	$80.46	$149.00	$62.28–$134.10	—	46%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$236.53	$716.75	$93.25–$645.08	32% above	67%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$236.53	$716.75	$93.25–$645.08	32% above	67%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$236.53	$716.75	$93.25–$645.08	32% above	67%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$387.05	$716.75	$299.60–$645.08	—	46%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$387.05	$716.75	$299.60–$645.08	—	46%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$387.05	$716.75	$299.60–$645.08	—	46%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$353.72	$1,071.87	$278.69–$964.68	38% above	67%
MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$353.72	$1,071.87	$278.69–$964.68	38% above	67%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$578.81	$1,071.87	$448.04–$964.68	—	46%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$578.81	$1,071.87	$448.04–$964.68	—	46%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi	$1,116.88	$3,384.49	$291.19–$3,046.04	163% above	67%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi	$1,116.88	$3,384.49	$291.19–$3,046.04	163% above	67%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi	$1,827.62	$3,384.49	$1,414.72–$3,046.04	—	46%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi	$1,827.62	$3,384.49	$1,414.72–$3,046.04	—	46%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$446.68	$1,353.59	$167.91–$1,218.23	28% above	67%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$608.49	$1,843.91	$167.91–$1,659.52	74% above	67%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$730.94	$1,353.59	$565.80–$1,218.23	—	46%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$995.71	$1,843.91	$770.75–$1,659.52	—	46%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po	$473.93	$1,436.16	$173.18–$1,292.54	51% above	67%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po	$775.53	$1,436.16	$600.31–$1,292.54	—	46%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$879.85	$2,666.22	$238.78–$2,399.60	127% above	67%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$1,439.76	$2,666.22	$1,114.48–$2,399.60	—	46%
Meningococcal B vaccine (Trumenba) CPT 90621 00005-0100-10 - meningococcal group B vaccine full	$657.51	$1,992.46	$208.77–$1,793.21	55% above	67%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 00005-0100-10 - meningococcal group B vaccine full	$1,075.93	$1,992.46	$832.85–$1,793.21	—	46%
Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine,	$83.66	$253.51	$28.22–$228.16	118% above	67%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine,	$136.90	$253.51	$105.97–$228.16	—	46%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v	$956.76	$2,899.28	$226.43–$2,609.35	105% above	67%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v	$956.76	$2,899.28	$226.43–$2,609.35	105% above	67%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v	$956.76	$2,899.28	$226.43–$2,609.35	105% above	67%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v	$1,565.61	$2,899.28	$1,211.90–$2,609.35	—	46%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v	$1,565.61	$2,899.28	$1,211.90–$2,609.35	—	46%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v	$1,565.61	$2,899.28	$1,211.90–$2,609.35	—	46%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v	$893.49	$2,707.55	$247.39–$2,436.80	59% above	67%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v	$893.49	$2,707.55	$247.39–$2,436.80	59% above	67%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v	$1,462.08	$2,707.55	$1,131.76–$2,436.80	—	46%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v	$1,462.08	$2,707.55	$1,131.76–$2,436.80	—	46%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$1,056.50	$3,201.52	$287.54–$2,881.37	69% above	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$1,056.50	$3,201.52	$287.54–$2,881.37	69% above	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$1,728.82	$3,201.52	$1,338.24–$2,881.37	—	46%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$1,728.82	$3,201.52	$1,338.24–$2,881.37	—	46%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v	$994.27	$3,012.93	$304.22–$2,711.64	145% above	67%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v	$1,626.98	$3,012.93	$1,259.40–$2,711.64	—	46%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$460.20	$1,394.56	$122.94–$1,255.10	118% above	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$460.20	$1,394.56	$122.94–$1,255.10	118% above	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$460.20	$1,394.56	$122.94–$1,255.10	118% above	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$460.20	$1,394.56	$122.94–$1,255.10	118% above	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$753.06	$1,394.56	$582.93–$1,255.10	—	46%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$753.06	$1,394.56	$582.93–$1,255.10	—	46%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$753.06	$1,394.56	$582.93–$1,255.10	—	46%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$753.06	$1,394.56	$582.93–$1,255.10	—	46%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su	$98.98	$299.94	$77.98–$269.95	20% below	67%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su	$137.77	$417.48	$108.54–$375.73	11% above	67%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su	$161.97	$299.94	$125.37–$269.95	—	46%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su	$225.44	$417.48	$174.51–$375.73	—	46%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva	$1,761.35	$5,337.43	$560.03–$4,803.69	55% above	67%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva	$2,882.21	$5,337.43	$2,231.05–$4,803.69	—	46%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$1,761.35	$5,337.43	$560.03–$4,803.69	55% above	67%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$1,761.35	$5,337.43	$560.03–$4,803.69	55% above	67%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$2,882.21	$5,337.43	$2,231.05–$4,803.69	—	46%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$2,882.21	$5,337.43	$2,231.05–$4,803.69	—	46%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$1,131.10	$3,427.59	$308.95–$3,084.83	86% above	67%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$1,131.10	$3,427.59	$308.95–$3,084.83	86% above	67%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$1,850.90	$3,427.59	$1,432.73–$3,084.83	—	46%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$1,850.90	$3,427.59	$1,432.73–$3,084.83	—	46%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$1,131.33	$3,428.26	$308.49–$3,085.43	49% above	67%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$1,851.26	$3,428.26	$1,433.01–$3,085.43	—	46%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine human diploid cell	$1,435.50	$4,350.00	$1,174.50–$3,915.00	79% above	67%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$1,435.50	$4,350.00	$1,174.50–$3,915.00	79% above	67%
Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$1,435.50	$4,350.00	$1,174.50–$3,915.00	79% above	67%
Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$1,435.50	$4,350.00	$1,174.50–$3,915.00	79% above	67%
Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$1,712.58	$5,189.64	$1,401.20–$4,670.68	114% above	67%
Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$1,712.58	$5,189.64	$1,401.20–$4,670.68	114% above	67%
Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine purified chick emb	$1,712.58	$5,189.64	$1,401.20–$4,670.68	114% above	67%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$1,712.58	$5,189.64	$1,401.20–$4,670.68	114% above	67%
Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$1,712.58	$5,189.64	$1,401.20–$4,670.68	114% above	67%
Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine purified chick emb	$1,712.58	$5,189.64	$1,401.20–$4,670.68	114% above	67%
Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$2,349.00	$4,350.00	$1,818.30–$3,915.00	—	46%
Rabies vaccine, one dose inpatient CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$2,349.00	$4,350.00	$1,818.30–$3,915.00	—	46%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$2,349.00	$4,350.00	$1,818.30–$3,915.00	—	46%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine human diploid cell	$2,349.00	$4,350.00	$1,818.30–$3,915.00	—	46%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$2,802.41	$5,189.64	$2,169.27–$4,670.68	—	46%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$2,802.41	$5,189.64	$2,169.27–$4,670.68	—	46%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine purified chick emb	$2,802.41	$5,189.64	$2,169.27–$4,670.68	—	46%
Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$2,802.41	$5,189.64	$2,169.27–$4,670.68	—	46%
Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$2,802.41	$5,189.64	$2,169.27–$4,670.68	—	46%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine purified chick emb	$2,802.41	$5,189.64	$2,169.27–$4,670.68	—	46%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-41 - rotavirus vaccine Susp	$216.81	$657.01	$170.82–$591.31	13% above	67%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp	$216.81	$657.01	$170.82–$591.31	13% above	67%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp	$216.81	$657.01	$170.82–$591.31	13% above	67%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp	$354.79	$657.01	$274.63–$591.31	—	46%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-41 - rotavirus vaccine Susp	$354.79	$657.01	$274.63–$591.31	—	46%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp	$354.79	$657.01	$274.63–$591.31	—	46%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine inactivated adjuva	$817.98	$2,478.73	$217.02–$2,230.86	110% above	67%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$817.98	$2,478.73	$217.02–$2,230.86	110% above	67%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine inactivated adjuva	$817.98	$2,478.73	$217.02–$2,230.86	110% above	67%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$817.98	$2,478.73	$217.02–$2,230.86	110% above	67%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$1,338.51	$2,478.73	$1,036.11–$2,230.86	—	46%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine inactivated adjuva	$1,338.51	$2,478.73	$1,036.11–$2,230.86	—	46%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$1,338.51	$2,478.73	$1,036.11–$2,230.86	—	46%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine inactivated adjuva	$1,338.51	$2,478.73	$1,036.11–$2,230.86	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$97.80	$296.36	$35.50–$266.72	15% below	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$97.80	$296.36	$35.50–$266.72	15% below	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$97.80	$296.36	$35.50–$266.72	15% below	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$127.13	$385.25	$35.50–$346.73	11% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$127.13	$385.25	$35.50–$346.73	11% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$127.13	$385.25	$35.50–$346.73	11% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$127.13	$385.25	$35.50–$346.73	11% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$127.13	$385.25	$35.50–$346.73	11% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$224.15	$679.23	$35.50–$611.31	96% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$160.03	$296.36	$123.88–$266.72	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$160.03	$296.36	$123.88–$266.72	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$160.03	$296.36	$123.88–$266.72	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$208.04	$385.25	$161.03–$346.73	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$208.04	$385.25	$161.03–$346.73	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$208.04	$385.25	$161.03–$346.73	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$208.04	$385.25	$161.03–$346.73	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$208.04	$385.25	$161.03–$346.73	—	46%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$366.78	$679.23	$283.92–$611.31	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel	$161.11	$488.21	$126.93–$439.39	31% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$161.11	$488.21	$126.93–$439.39	31% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel	$161.11	$488.21	$126.93–$439.39	31% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$161.11	$488.21	$126.93–$439.39	31% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$194.90	$590.62	$153.56–$531.56	59% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$194.90	$590.62	$153.56–$531.56	59% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$194.90	$590.62	$153.56–$531.56	59% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$194.90	$590.62	$153.56–$531.56	59% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel	$263.63	$488.21	$204.07–$439.39	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$263.63	$488.21	$204.07–$439.39	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$263.63	$488.21	$204.07–$439.39	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel	$263.63	$488.21	$204.07–$439.39	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$318.93	$590.62	$246.88–$531.56	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$318.93	$590.62	$246.88–$531.56	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$318.93	$590.62	$246.88–$531.56	—	46%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$318.93	$590.62	$246.88–$531.56	—	46%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR	$279.69	$847.54	$220.36–$762.79	40% above	67%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC	$279.69	$847.54	$220.36–$762.79	40% above	67%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC	$457.67	$847.54	$354.27–$762.79	—	46%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR	$457.67	$847.54	$354.27–$762.79	—	46%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$45.33	$137.36	$67.61–$310.47	26% below	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$45.33	$137.36	$67.61–$310.47	26% below	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$45.33	$137.36	$67.61–$310.47	26% below	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine	$45.33	$137.36	$67.61–$310.47	26% below	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$45.33	$137.36	$67.61–$310.47	26% below	67%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$74.17	$137.36	$57.42–$123.62	—	46%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$74.17	$137.36	$57.42–$123.62	—	46%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine	$74.17	$137.36	$57.42–$123.62	—	46%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$74.17	$137.36	$57.42–$123.62	—	46%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$74.17	$137.36	$57.42–$123.62	—	46%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$37.13	$112.51	$15.08–$101.26	7% below	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$37.13	$112.51	$15.08–$101.26	7% below	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$37.13	$112.51	$15.08–$101.26	7% below	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OB CHRG - VACCINE ADM EA AD	$37.13	$112.51	$15.08–$101.26	7% below	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l	$37.13	$112.51	$15.08–$101.26	7% below	67%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$60.76	$112.51	$47.03–$101.26	—	46%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l	$60.76	$112.51	$47.03–$101.26	—	46%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OB CHRG - VACCINE ADM EA AD	$60.76	$112.51	$47.03–$101.26	—	46%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$60.76	$112.51	$47.03–$101.26	—	46%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$60.76	$112.51	$47.03–$101.26	—	46%
Yellow fever vaccine, live CPT 90717 49281-0915-01 - yellow fever vaccine - Powder	$2,626.30	$7,958.49	$2,069.21–$7,958.49	28% above	67%
Yellow fever vaccine, live CPT 90717 49281-0915-05 - yellow fever vaccine - Powder	$2,626.30	$7,958.49	$2,069.21–$7,958.49	28% above	67%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-01 - yellow fever vaccine - Powder	$4,297.58	$7,958.49	$3,326.65–$7,162.64	—	46%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-05 - yellow fever vaccine - Powder	$4,297.58	$7,958.49	$3,326.65–$7,162.64	—	46%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.nwhealthlaporte.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/810722737_northwest-health-laporte_standardcharges.csv