San Bernardino County
San Bernardino County in Colton, CA publishes cash prices for 416 common procedures listed here, from its own machine-readable price file updated Feb 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 274 of 410 procedures and below it for 133. By typical cash price it ranks #173 of 226 California hospitals and #24 of 27 hospitals in the Riverside, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
400 N Pepper Ave, Colton, CA 92324 Collected Oct 29, 2026 Source price file Check a bill from this hospital (909) 580-1000
Acute care hospital Government-owned hospital Emergency department CMS star rating 2 of 5 CCN 050245 · CMS hospital register NPI 1720158009
The price file shows no self-pay discount
For 1560 of the 1560 prices listed here, the cash price in San Bernardino County's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
San Bernardino County is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST | $5,516.00 | $5,516.00 | $225.59–$3,999.10 | 95% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST | $5,516.00 | $5,516.00 | $2,758.00–$3,999.10 | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS | $402.00 | $402.00 | $30.10–$291.45 | 7% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS BILATERAL | $802.00 | $802.00 | $25.14–$581.45 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS RIGHT | $402.00 | $402.00 | $25.14–$291.45 | 22% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT | $402.00 | $402.00 | $25.14–$291.45 | 22% below | — |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $519.00 | $519.00 | $52.10–$376.28 | 7% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $519.00 | $519.00 | $259.50–$376.28 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HUMERUS BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA BILATERAL WO IV CONT | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA LEFT WO IV CONT | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA RIGHT WO IV CONT | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 41% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HUMERUS LEFT WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | 181% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HUMERUS RIGHT WO IV CONTRAST | $6,401.00 | $6,401.00 | $134.46–$4,640.73 | 181% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HUMERUS BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA BILATERAL WO IV CONT | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA LEFT WO IV CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA RIGHT WO IV CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HUMERUS LEFT WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HUMERUS RIGHT WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $772.00 | $772.00 | $38.09–$559.70 | 27% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $772.00 | $772.00 | $386.00–$559.70 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY | $2,155.00 | $2,155.00 | $141.03–$1,562.38 | 2% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY | $2,155.00 | $2,155.00 | $1,077.50–$1,562.38 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST RIGHT COMPLETE | $572.00 | $572.00 | $96.23–$414.70 | 19% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST LEFT COMPLETE | $572.00 | $572.00 | $96.23–$414.70 | 19% below | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST LEFT COMPLETE | $572.00 | $572.00 | $286.00–$414.70 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST RIGHT COMPLETE | $572.00 | $572.00 | $286.00–$414.70 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED | $572.00 | $572.00 | $78.46–$414.70 | 7% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED | $572.00 | $572.00 | $286.00–$414.70 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST | $6,497.00 | $6,497.00 | $351.77–$4,710.33 | 20% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST | $6,497.00 | $6,497.00 | $3,248.50–$4,710.33 | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST | $5,585.00 | $5,585.00 | $225.59–$4,049.13 | 87% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST | $5,585.00 | $5,585.00 | $2,792.50–$4,049.13 | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST | $5,585.00 | $5,585.00 | $225.59–$4,049.13 | 88% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST | $5,585.00 | $5,585.00 | $2,792.50–$4,049.13 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT | $5,585.00 | $5,585.00 | $225.59–$4,049.13 | 63% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT | $5,585.00 | $5,585.00 | $2,792.50–$4,049.13 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM | $3,394.00 | $3,394.00 | $312.13–$2,460.65 | 26% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM | $3,394.00 | $3,394.00 | $1,697.00–$2,460.65 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST | $465.00 | $465.00 | $81.33–$337.13 | 23% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST | $465.00 | $465.00 | $232.50–$337.13 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $3,202.00 | $3,202.00 | $174.31–$2,321.45 | at median | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,947.00 | $4,947.00 | $281.80–$3,586.58 | 20% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,947.00 | $4,947.00 | $2,473.50–$3,586.58 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST | $5,516.00 | $5,516.00 | $319.24–$3,999.10 | 17% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST | $5,516.00 | $5,516.00 | $2,758.00–$3,999.10 | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $4,947.00 | $4,947.00 | $208.76–$3,586.58 | 96% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $4,947.00 | $4,947.00 | $2,473.50–$3,586.58 | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $3,202.00 | $3,202.00 | $131.18–$2,321.45 | 68% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT | $3,202.00 | $3,202.00 | $123.35–$2,321.45 | 47% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $3,202.00 | $3,202.00 | $101.27–$2,321.45 | 40% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $4,947.00 | $4,947.00 | $142.83–$3,586.58 | 83% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $4,947.00 | $4,947.00 | $2,473.50–$3,586.58 | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $5,516.00 | $5,516.00 | $168.04–$3,999.10 | 78% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $5,516.00 | $5,516.00 | $2,758.00–$3,999.10 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 12% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $3,202.00 | $3,202.00 | $124.99–$2,321.45 | 10% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $4,947.00 | $4,947.00 | $204.45–$3,586.58 | 94% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $4,947.00 | $4,947.00 | $2,473.50–$3,586.58 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID ULTRASOUND NEUROLOGY | $1,691.00 | $1,691.00 | $156.64–$1,225.98 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID ULTRASOUND NEUROLOGY | $1,691.00 | $1,691.00 | $845.50–$1,225.98 | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST | $5,516.00 | $5,516.00 | $191.61–$3,999.10 | 69% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST | $5,516.00 | $5,516.00 | $2,758.00–$3,999.10 | — | — |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $402.00 | $402.00 | $27.48–$291.45 | 1% below | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $402.00 | $402.00 | $17.67–$291.45 | 10% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE BILATERAL | $802.00 | $802.00 | $20.78–$581.45 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE LEFT | $402.00 | $402.00 | $20.78–$291.45 | 17% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE RIGHT | $402.00 | $402.00 | $20.78–$291.45 | 17% below | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE | $1,064.00 | $1,064.00 | $80.72–$771.40 | 26% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY | $626.00 | $626.00 | $34.27–$453.85 | 24% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY | $626.00 | $626.00 | $313.00–$453.85 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY/PERIPHERAL - DEXA BONE DENSITY EXTREMITY | $291.00 | $291.00 | $25.10–$210.98 | 5% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY/PERIPHERAL - DEXA BONE DENSITY EXTREMITY | $291.00 | $291.00 | $145.50–$210.98 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST | $1,685.00 | $1,685.00 | $164.15–$1,221.63 | 87% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST | $1,685.00 | $1,685.00 | $842.50–$1,221.63 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST | $3,202.00 | $3,202.00 | $127.32–$2,321.45 | 58% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $4,947.00 | $4,947.00 | $160.94–$3,586.58 | 72% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $4,947.00 | $4,947.00 | $2,473.50–$3,586.58 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $1,311.00 | $1,311.00 | $148.03–$950.48 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $1,311.00 | $1,311.00 | $655.50–$950.48 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT | $1,178.00 | $1,178.00 | $117.08–$854.05 | 214% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT | $1,178.00 | $1,178.00 | $117.08–$854.05 | 214% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT | $1,178.00 | $1,178.00 | $589.00–$854.05 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT | $1,178.00 | $1,178.00 | $589.00–$854.05 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL BYPASS GFT | $1,691.00 | $1,691.00 | $96.87–$1,225.98 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL BYPASS GFT | $1,691.00 | $1,691.00 | $845.50–$1,225.98 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VASC DUPLEX EXTREM VENOUS,BILAT | $1,691.00 | $1,691.00 | $168.24–$1,225.98 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VASC DUPLEX EXTREM VENOUS,BILAT | $1,691.00 | $1,691.00 | $845.50–$1,225.98 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE PEDIATRIC | $2,960.00 | $2,960.00 | $239.76–$2,146.00 | 10% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $2,960.00 | $2,960.00 | $239.76–$2,146.00 | 10% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE PEDIATRIC | $2,960.00 | $2,960.00 | $1,480.00–$2,146.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $2,960.00 | $2,960.00 | $1,480.00–$2,146.00 | — | — |
| Elbow X-ray, 2 views both sides CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $20.78–$581.45 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT | $402.00 | $402.00 | $20.78–$291.45 | 1% above | — |
| Elbow X-ray, 2 views one side CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS LEFT | $402.00 | $402.00 | $20.78–$291.45 | 1% above | — |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS BILATERAL | $802.00 | $802.00 | $25.98–$581.45 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT | $402.00 | $402.00 | $25.98–$291.45 | 17% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS LEFT | $402.00 | $402.00 | $25.98–$291.45 | 17% below | — |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 40% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS | $402.00 | $402.00 | $37.28–$291.45 | 19% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS BILATERAL | $802.00 | $802.00 | $20.78–$581.45 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT | $402.00 | $402.00 | $20.78–$291.45 | 6% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS RIGHT | $402.00 | $402.00 | $20.78–$291.45 | 6% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION | $2,712.00 | $2,712.00 | $291.01–$1,966.20 | 53% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION | $2,712.00 | $2,712.00 | $1,356.00–$1,966.20 | — | — |
| Hand X-ray, 2 views both sides CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $17.30–$581.45 | — | — |
| Hand X-ray, 2 views one side CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS RIGHT | $402.00 | $402.00 | $17.30–$291.45 | 1% below | — |
| Hand X-ray, 2 views one side CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS LEFT | $402.00 | $402.00 | $17.30–$291.45 | 1% below | — |
| Hand X-ray, 2 views inpatient both sides CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW BILATERAL | $802.00 | $802.00 | $19.02–$581.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS BILATERAL | $802.00 | $802.00 | $19.02–$581.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS LEFT | $402.00 | $402.00 | $19.02–$291.45 | 14% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW LEFT | $402.00 | $402.00 | $19.02–$291.45 | 14% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS RIGHT | $402.00 | $402.00 | $19.02–$291.45 | 14% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW RIGHT | $402.00 | $402.00 | $19.02–$291.45 | 14% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen one side CPT 95806 HC RT DESATURATION STUDY UNATTND | $1,446.00 | $1,446.00 | $82.72–$1,048.35 | 88% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient one side CPT 95806 HC RT DESATURATION STUDY UNATTND | $1,446.00 | $1,446.00 | $723.00–$1,048.35 | — | — |
| Knee X-ray, 3 views both sides CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS BILATERAL | $804.00 | $804.00 | $23.38–$582.90 | — | — |
| Knee X-ray, 3 views one side CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT | $402.00 | $402.00 | $23.38–$291.45 | 12% below | — |
| Knee X-ray, 3 views one side CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS LEFT | $402.00 | $402.00 | $23.38–$291.45 | 12% below | — |
| Knee X-ray, 3 views inpatient both sides CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS BILATERAL | $804.00 | $804.00 | $402.00–$582.90 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS BILATERAL | $802.00 | $802.00 | $27.70–$581.45 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS LEFT | $402.00 | $402.00 | $27.70–$291.45 | 31% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT | $402.00 | $402.00 | $27.70–$291.45 | 31% below | — |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA BILAT WO IV CONT | $6,401.00 | $6,401.00 | $124.34–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $124.34–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $124.34–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $124.34–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $124.34–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $124.34–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA RT WO IV CONT | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA LT WO IV CONT | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $124.34–$2,321.45 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA BILAT WO IV CONT | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR BILATERAL WO IV CONTRAST | $6,401.00 | $6,401.00 | $3,200.50–$4,640.73 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA LT WO IV CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE LEFT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA RT WO IV CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP RIGHT WO IV CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED | $691.00 | $691.00 | $60.74–$500.98 | 17% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC CHG US,OTHR EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED | $691.00 | $691.00 | $26.25–$500.98 | 27% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US KNEE RIGHT LIMITED | $691.00 | $691.00 | $26.25–$500.98 | 27% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US WRIST LEFT LIMITED | $691.00 | $691.00 | $26.25–$500.98 | 27% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US WRIST RIGHT LIMITED | $691.00 | $691.00 | $26.25–$500.98 | 27% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC CHG US,OTHR EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US KNEE RIGHT LIMITED | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US WRIST RIGHT LIMITED | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US WRIST LEFT LIMITED | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX W/O CONT LOW DOSE | $2,380.00 | $2,380.00 | $131.79–$1,725.50 | 568% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX W/O CONT LOW DOSE | $2,380.00 | $2,380.00 | $1,190.00–$1,725.50 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS BILATERAL | $802.00 | $802.00 | $20.78–$581.45 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS RIGHT | $402.00 | $402.00 | $20.78–$291.45 | 7% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS LEFT | $402.00 | $402.00 | $20.78–$291.45 | 7% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO, HEAD - MR HEAD ANGIO WO IV CONTRAST | $4,112.00 | $4,112.00 | $210.94–$2,981.20 | 42% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR ANGIO, HEAD - MR HEAD ANGIO WO IV CONTRAST | $4,112.00 | $4,112.00 | $2,056.00–$2,981.20 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRA LOWER EXT JOINT BILAT WO IV CONT | $7,687.00 | $7,687.00 | $306.88–$5,573.08 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE BILAT WO CONT | $8,302.00 | $8,302.00 | $306.88–$6,018.95 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRA LOWER EXT JOINT RT WO IV CONT | $4,152.00 | $4,152.00 | $306.88–$3,010.20 | 37% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRA LOWER EXT JOINT LT WO IV CONT | $4,152.00 | $4,152.00 | $306.88–$3,010.20 | 37% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO CONT | $4,152.00 | $4,152.00 | $306.88–$3,010.20 | 37% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO CONT | $4,152.00 | $4,152.00 | $306.88–$3,010.20 | 37% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRA LOWER EXT JOINT BILAT WO IV CONT | $7,687.00 | $7,687.00 | $3,843.50–$5,573.08 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE BILAT WO CONT | $8,302.00 | $8,302.00 | $4,151.00–$6,018.95 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO CONT | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRA LOWER EXT JOINT RT WO IV CONT | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRA LOWER EXT JOINT LT WO IV CONT | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO CONT | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP BILAT W AND WO IV CONTRAST | $12,906.00 | $12,906.00 | $448.71–$9,356.85 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE BILAT W AND WO IV CONTRAST | $12,906.00 | $12,906.00 | $448.71–$9,356.85 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE BILAT W AND WO CONTRAST | $12,909.00 | $12,909.00 | $448.71–$9,359.03 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE RIGHT W AND WO CONTRAST | $6,455.00 | $6,455.00 | $448.71–$4,679.88 | 40% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE LEFT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $448.71–$4,679.88 | 40% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE LEFT W AND WO CONTRAST | $6,455.00 | $6,455.00 | $448.71–$4,679.88 | 40% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP RIGHT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $448.71–$4,679.88 | 40% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP LEFT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $448.71–$4,679.88 | 40% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE RIGHT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $448.71–$4,679.88 | 40% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP BILAT W AND WO IV CONTRAST | $12,906.00 | $12,906.00 | $6,453.00–$9,356.85 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE BILAT W AND WO IV CONTRAST | $12,906.00 | $12,906.00 | $6,453.00–$9,356.85 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE BILAT W AND WO CONTRAST | $12,909.00 | $12,909.00 | $6,454.50–$9,359.03 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP RIGHT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE RIGHT W AND WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE RIGHT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE LEFT W AND WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP LEFT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE LEFT W AND WO IV CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST | $4,152.00 | $4,152.00 | $190.96–$3,010.20 | 48% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST | $6,455.00 | $6,455.00 | $333.52–$4,679.88 | 48% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $4,152.00 | $4,152.00 | $190.16–$3,010.20 | 43% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $6,455.00 | $6,455.00 | $311.06–$4,679.88 | 49% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $4,152.00 | $4,152.00 | $186.00–$3,010.20 | 36% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $6,455.00 | $6,455.00 | $312.29–$4,679.88 | 43% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST | $4,152.00 | $4,152.00 | $185.35–$3,010.20 | 43% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $6,455.00 | $6,455.00 | $313.24–$4,679.88 | 45% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $4,152.00 | $4,152.00 | $185.65–$3,010.20 | 39% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST | $6,455.00 | $6,455.00 | $332.91–$4,679.88 | 56% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST | $6,455.00 | $6,455.00 | $3,227.50–$4,679.88 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST | $4,152.00 | $4,152.00 | $226.34–$3,010.20 | 62% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER BILAT WO IV CONTRAST | $8,302.00 | $8,302.00 | $197.26–$6,018.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 HC MRI, JOINT UPPER EXTREM - MR WRIST BILAT WO IV CONTRAST | $8,302.00 | $8,302.00 | $197.26–$6,018.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 HC MRI, JOINT UPPER EXTREM - MR ELBOW BILAT WO IV CONTRAST | $8,302.00 | $8,302.00 | $197.26–$6,018.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, JOINT UPPER EXTREM - MR BRACHIAL PLEXUS WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR ELBOW RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR WRIST RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR ELBOW LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR FINGER LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR WRIST LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR FINGER RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $197.26–$3,010.20 | 58% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 HC MRI, JOINT UPPER EXTREM - MR ELBOW BILAT WO IV CONTRAST | $8,302.00 | $8,302.00 | $4,151.00–$6,018.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER BILAT WO IV CONTRAST | $8,302.00 | $8,302.00 | $4,151.00–$6,018.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 HC MRI, JOINT UPPER EXTREM - MR WRIST BILAT WO IV CONTRAST | $8,302.00 | $8,302.00 | $4,151.00–$6,018.95 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, JOINT UPPER EXTREM - MR BRACHIAL PLEXUS WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR WRIST LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR FINGER RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR WRIST RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR FINGER LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR ELBOW LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR ELBOW RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER RIGHT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM - MR SHOULDER LEFT WO IV CONTRAST | $4,152.00 | $4,152.00 | $2,076.00–$3,010.20 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS | $675.00 | $675.00 | $40.00–$489.38 | 5% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS | $675.00 | $675.00 | $337.50–$489.38 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST | $2,605.00 | $2,605.00 | $178.55–$1,888.63 | 5% below | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST | $2,605.00 | $2,605.00 | $1,302.50–$1,888.63 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT | $3,202.00 | $3,202.00 | $134.46–$2,321.45 | 51% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE | $402.00 | $402.00 | $17.30–$291.45 | 24% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST | $5,853.00 | $5,853.00 | $348.12–$4,243.43 | 44% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST | $5,853.00 | $5,853.00 | $2,926.50–$4,243.43 | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OU - BOTH EYES | $329.00 | $329.00 | $39.33–$238.53 | 166% above | — |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OS - LEFT EYE | $329.00 | $329.00 | $39.33–$238.53 | 166% above | — |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OD - RIGHT EYE | $329.00 | $329.00 | $39.33–$238.53 | 166% above | — |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OU - BOTH EYES | $329.00 | $329.00 | $164.50–$238.53 | — | — |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OD - RIGHT EYE | $329.00 | $329.00 | $164.50–$238.53 | — | — |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC CPTR OPHTH DX IMG POST SEGMT - OCT, RETINA - OS - LEFT EYE | $329.00 | $329.00 | $164.50–$238.53 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH | $9,111.00 | $9,111.00 | $1,839.15–$6,605.48 | 26% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH | $9,111.00 | $9,111.00 | $4,555.50–$6,605.48 | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST | $3,202.00 | $3,202.00 | $127.59–$2,321.45 | 63% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $691.00 | $691.00 | $42.17–$500.98 | 28% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS | $1,064.00 | $1,064.00 | $67.65–$771.40 | 13% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC CHG US, OB >/= 14 WKS, SNGL FETUS | $1,064.00 | $1,064.00 | $127.94–$771.40 | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC CHG US, OB >/= 14 WKS, SNGL FETUS | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC CHG US, OB < 14 WKS, SINGLE FETUS | $1,064.00 | $1,064.00 | $110.81–$771.40 | 37% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC CHG US, OB < 14 WKS, SINGLE FETUS | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $691.00 | $691.00 | $76.53–$500.98 | 14% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT | $402.00 | $402.00 | $27.16–$291.45 | 13% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS RIGHT | $402.00 | $402.00 | $27.16–$291.45 | 13% below | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS RT W/ CHEST ANTEROPOSTERIOR | $402.00 | $402.00 | $32.32–$291.45 | 35% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR | $402.00 | $402.00 | $32.32–$291.45 | 35% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS RT W/ CHEST ANTEROPOSTERIOR | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $992.00 | $992.00 | $119.45–$719.20 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $992.00 | $992.00 | $496.00–$719.20 | — | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS BILATERAL | $802.00 | $802.00 | $25.86–$581.45 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT | $402.00 | $402.00 | $25.86–$291.45 | 27% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS LEFT | $402.00 | $402.00 | $25.86–$291.45 | 27% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS | $402.00 | $402.00 | $33.35–$291.45 | 12% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS | $402.00 | $402.00 | $25.98–$291.45 | 1% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TRANSTHOR W/STRESS | $4,362.00 | $4,362.00 | $247.29–$3,162.45 | 37% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TRANSTHOR W/STRESS | $4,362.00 | $4,362.00 | $2,181.00–$3,162.45 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH | $772.00 | $772.00 | $51.91–$559.70 | 17% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH | $772.00 | $772.00 | $386.00–$559.70 | — | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW BILAT | $802.00 | $802.00 | $29.15–$581.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW LT | $402.00 | $402.00 | $29.15–$291.45 | 1% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT | $402.00 | $402.00 | $29.15–$291.45 | 1% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW BILAT | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW LT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST | $3,202.00 | $3,202.00 | $124.68–$2,321.45 | 14% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST | $3,202.00 | $3,202.00 | $1,601.00–$2,321.45 | — | — |
| Toe X-ray, 2 or more views both sides CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS BILATERAL | $802.00 | $802.00 | $15.59–$581.45 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS RIGHT | $402.00 | $402.00 | $15.59–$291.45 | 22% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT | $402.00 | $402.00 | $15.59–$291.45 | 22% above | — |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL | $1,064.00 | $1,064.00 | $67.65–$771.40 | 48% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $691.00 | $691.00 | $87.23–$500.98 | 4% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $691.00 | $691.00 | $345.50–$500.98 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,064.00 | $1,064.00 | $83.20–$771.40 | 3% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM | $1,064.00 | $1,064.00 | $59.78–$771.40 | 19% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM | $1,064.00 | $1,064.00 | $532.00–$771.40 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE | $1,055.00 | $1,055.00 | $59.74–$764.88 | 27% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE | $1,055.00 | $1,055.00 | $527.50–$764.88 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB | $772.00 | $772.00 | $102.03–$559.70 | 25% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB | $772.00 | $772.00 | $386.00–$559.70 | — | — |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 HC X-RAY HUMERUS - XR HUMERUS BILATERAL | $802.00 | $802.00 | $20.78–$581.45 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC X-RAY HUMERUS - XR HUMERUS RIGHT | $402.00 | $402.00 | $20.78–$291.45 | 6% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC X-RAY HUMERUS - XR HUMERUS LEFT | $402.00 | $402.00 | $20.78–$291.45 | 6% below | — |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HC X-RAY HUMERUS - XR HUMERUS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC X-RAY HUMERUS - XR HUMERUS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC X-RAY HUMERUS - XR HUMERUS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US DUPLEX EXTREM VENOUS,UNI OR LTD | $1,069.00 | $1,069.00 | $84.56–$775.03 | 19% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US DUPLEX EXTREM VENOUS,UNI OR LTD | $1,069.00 | $1,069.00 | $534.50–$775.03 | — | — |
| Wrist X-ray, 2 views both sides CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $17.30–$581.45 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT | $402.00 | $402.00 | $17.30–$291.45 | 3% above | — |
| Wrist X-ray, 2 views one side CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS LEFT | $402.00 | $402.00 | $17.30–$291.45 | 3% above | — |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS BILATERAL | $802.00 | $802.00 | $25.14–$581.45 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT | $402.00 | $402.00 | $25.14–$291.45 | 20% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS LEFT | $402.00 | $402.00 | $25.14–$291.45 | 20% below | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT | $402.00 | $402.00 | $37.28–$291.45 | at median | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT | $402.00 | $402.00 | $37.28–$291.45 | at median | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT INFANT | $402.00 | $402.00 | $37.28–$291.45 | at median | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT INFANT | $402.00 | $402.00 | $37.28–$291.45 | at median | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT INFANT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT INFANT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $402.00 | $402.00 | $24.63–$291.45 | 32% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the ankle, 2 views both sides CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS BILATERAL | $802.00 | $802.00 | $19.02–$581.45 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT | $402.00 | $402.00 | $19.02–$291.45 | 2% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS RIGHT | $402.00 | $402.00 | $19.02–$291.45 | 2% above | — |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS BILATERAL | $802.00 | $802.00 | $15.59–$581.45 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT | $402.00 | $402.00 | $15.59–$291.45 | 10% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT | $402.00 | $402.00 | $15.59–$291.45 | 10% above | — |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the foot, 2 views both sides CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $17.30–$581.45 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS LEFT | $402.00 | $402.00 | $17.30–$291.45 | 1% below | — |
| X-ray of the foot, 2 views one side CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT | $402.00 | $402.00 | $17.30–$291.45 | 1% below | — |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS BILATERAL | $802.00 | $802.00 | $24.22–$581.45 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT | $402.00 | $402.00 | $24.22–$291.45 | 19% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS LEFT | $402.00 | $402.00 | $24.22–$291.45 | 19% below | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS BILATERAL | $802.00 | $802.00 | $25.14–$581.45 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS LEFT | $402.00 | $402.00 | $25.14–$291.45 | 21% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT | $402.00 | $402.00 | $25.14–$291.45 | 21% below | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS BILATERAL | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS BILAT | $802.00 | $802.00 | $19.02–$581.45 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT PATELLA | $402.00 | $402.00 | $19.02–$291.45 | 1% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT PATELLA | $402.00 | $402.00 | $19.02–$291.45 | 1% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT | $402.00 | $402.00 | $19.02–$291.45 | 1% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT | $402.00 | $402.00 | $19.02–$291.45 | 1% above | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS BILAT | $802.00 | $802.00 | $401.00–$581.45 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT PATELLA | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT PATELLA | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS | $402.00 | $402.00 | $30.29–$291.45 | 15% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $675.00 | $675.00 | $43.85–$489.38 | 4% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $675.00 | $675.00 | $337.50–$489.38 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $402.00 | $402.00 | $28.04–$291.45 | 13% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $402.00 | $402.00 | $24.79–$291.45 | 7% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS | $402.00 | $402.00 | $25.98–$291.45 | 11% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $402.00 | $402.00 | $21.62–$291.45 | 4% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - JUDET VIEW | $402.00 | $402.00 | $21.62–$291.45 | 4% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - JUDET VIEW | $402.00 | $402.00 | $201.00–$291.45 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS | $402.00 | $402.00 | $25.02–$291.45 | 14% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS | $402.00 | $402.00 | $201.00–$291.45 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - HCV FIBROSURE | $71.00 | $71.00 | $4.58–$51.48 | 65% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $123.00 | $123.00 | $4.58–$89.18 | 185% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - HCV FIBROSURE | $71.00 | $71.00 | $35.50–$51.48 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $123.00 | $123.00 | $61.50–$89.18 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $121.00 | $121.00 | $4.41–$87.73 | 167% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $121.00 | $121.00 | $60.50–$87.73 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $1,080.00 | $1,080.00 | $34.86–$783.00 | 297% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $1,080.00 | $1,080.00 | $540.00–$783.00 | — | — |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN IGG SYNTH RATE | $28.04 | $28.04 | $4.02–$20.33 | 12% above | — |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN | $104.00 | $104.00 | $4.02–$75.40 | 317% above | — |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN IGG SYNTH RATE | $28.04 | $28.04 | $14.02–$20.33 | — | — |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN | $104.00 | $104.00 | $52.00–$75.40 | — | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE, URINE | $12.00 | $12.00 | $7.12–$57.05 | 60% below | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE | $19.00 | $19.00 | $11.27–$57.05 | 37% below | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE (ALDO/PRA) | $29.36 | $29.36 | $17.41–$57.05 | 2% below | — |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE, URINE | $12.00 | $12.00 | $6.00–$8.70 | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE | $19.00 | $19.00 | $9.50–$13.78 | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE (ALDO/PRA) | $29.36 | $29.36 | $14.68–$21.29 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE - POCT ALKALINE PHOSPHATASE ARUP | $30.00 | $30.00 | $4.13–$21.75 | 19% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE BONE SPECIFIC | $30.50 | $30.50 | $4.13–$22.11 | 17% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE | $121.00 | $121.00 | $4.13–$87.73 | 227% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE - POCT ALKALINE PHOSPHATASE ARUP | $30.00 | $30.00 | $15.00–$21.75 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE BONE SPECIFIC | $30.50 | $30.50 | $15.25–$22.11 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE | $121.00 | $121.00 | $60.50–$87.73 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - QUANTIT/SEM | $1.16 | $1.16 | $0.69–$7.31 | 77% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: GREER IGE | $2.42 | $2.42 | $1.44–$7.31 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - RESP 24 PRF | $5.09 | $5.09 | $3.02–$7.31 | 2% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ASPERGILLUS FUMIGATUS IGE | $5.60 | $5.60 | $3.32–$7.31 | 12% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER | $5.60 | $5.60 | $3.32–$7.31 | 12% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - IGE EACH | $5.60 | $5.60 | $3.32–$7.31 | 12% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - MOUSE SERUM PROTEINS IGE | $5.70 | $5.70 | $3.38–$7.31 | 14% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - PEANUT IGE | $5.78 | $5.78 | $3.43–$7.31 | 16% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - EACH ENVIRO | $6.00 | $6.00 | $3.56–$7.31 | 20% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - SOUTHERN CA | $6.03 | $6.03 | $3.58–$7.31 | 21% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - FOOD IGE | $7.14 | $7.14 | $4.23–$7.31 | 43% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - EACH MOLD | $7.68 | $7.68 | $4.55–$7.31 | 54% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE | $10.00 | $10.00 | $4.64–$7.31 | 100% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - CRUDE XTRC IGE | $10.00 | $10.00 | $4.64–$7.31 | 100% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - IGE EACH Q5 | $10.00 | $10.00 | $4.64–$7.31 | 100% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - HOP(FRUIT CONE) | $10.76 | $10.76 | $4.64–$7.80 | 115% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - MINT IGE | $10.76 | $10.76 | $4.64–$7.80 | 115% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - NECTARINES IGE | $14.51 | $14.51 | $4.64–$10.52 | 190% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - SUNFLOWER SEED IGE | $23.68 | $23.68 | $4.64–$17.17 | 374% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - IODINE IGE | $47.22 | $47.22 | $4.64–$34.23 | 844% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - QUANTIT/SEM | $1.16 | $1.16 | $0.58–$0.84 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: GREER IGE | $2.42 | $2.42 | $1.21–$1.75 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - RESP 24 PRF | $5.09 | $5.09 | $2.55–$3.69 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ASPERGILLUS FUMIGATUS IGE | $5.60 | $5.60 | $2.80–$4.06 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - FOOD IGE | $5.60 | $5.60 | $2.80–$4.06 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER | $5.60 | $5.60 | $2.80–$4.06 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - MOUSE SERUM PROTEINS IGE | $5.70 | $5.70 | $2.85–$4.13 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - PEANUT IGE | $5.78 | $5.78 | $2.89–$4.19 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - EACH ENVIRO | $6.00 | $6.00 | $3.00–$4.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - SOUTHERN CA | $6.03 | $6.03 | $3.02–$4.37 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - EACH MOLD | $7.68 | $7.68 | $3.84–$5.57 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE | $10.00 | $10.00 | $5.00–$7.25 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - IGE EACH Q5 | $10.00 | $10.00 | $5.00–$7.25 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - MINT IGE | $10.76 | $10.76 | $5.38–$7.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - HOP(FRUIT CONE) | $10.76 | $10.76 | $5.38–$7.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - NECTARINES IGE | $14.51 | $14.51 | $7.26–$10.52 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - IGE EACH | $20.00 | $20.00 | $10.00–$14.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - SUNFLOWER SEED IGE | $23.68 | $23.68 | $11.84–$17.17 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - CRUDE XTRC IGE | $24.00 | $24.00 | $12.00–$17.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - IODINE IGE | $47.22 | $47.22 | $23.61–$34.23 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER | $385.00 | $385.00 | $16.77–$279.13 | 401% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER | $385.00 | $385.00 | $192.50–$279.13 | — | — |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA - AMMONIA | $334.00 | $334.00 | $12.95–$242.15 | 85% above | — |
| Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA - AMMONIA | $334.00 | $334.00 | $167.00–$242.15 | — | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE, ISOENZYME | $27.50 | $27.50 | $5.73–$19.94 | 46% below | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $39.15 | $39.15 | $5.73–$28.38 | 23% below | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE | $153.00 | $153.00 | $5.73–$110.93 | 199% above | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE, ISOENZYME | $27.50 | $27.50 | $13.75–$19.94 | — | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $39.15 | $39.15 | $19.58–$28.38 | — | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE | $153.00 | $153.00 | $76.50–$110.93 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE IMMUNOASSAY | $7.10 | $7.10 | $4.21–$18.13 | 65% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $26.50 | $26.50 | $7.10–$19.21 | 31% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE IMMUNOASSAY | $7.10 | $7.10 | $3.55–$5.15 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $26.50 | $26.50 | $13.25–$19.21 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - CENTROMERE | $22.00 | $22.00 | $10.63–$16.93 | 32% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA REFLEX SM/dsDNA | $25.00 | $25.00 | $10.63–$18.13 | 22% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES), RIA | $27.50 | $27.50 | $10.63–$19.94 | 15% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $281.00 | $281.00 | $10.63–$203.73 | 772% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - CENTROMERE | $22.00 | $22.00 | $11.00–$15.95 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA REFLEX SM/dsDNA | $25.00 | $25.00 | $12.50–$18.13 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES), RIA | $27.50 | $27.50 | $13.75–$19.94 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $281.00 | $281.00 | $140.50–$203.73 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) | $697.00 | $697.00 | $30.15–$505.33 | 277% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) | $697.00 | $697.00 | $348.50–$505.33 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, CSF | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, SKIN/SUPERFICIAL | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, PERTUSSIS | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, DECUBITIS | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EYE | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EAR | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, GENITAL | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, LEGIONELLA | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, SPUTUM | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, WOUND/FLD/TISS | $201.00 | $201.00 | $7.51–$145.73 | 67% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, PERTUSSIS | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, DECUBITIS | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, SPUTUM | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, LEGIONELLA | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, CSF | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, GENITAL | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EYE | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, WOUND/FLD/TISS | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, SKIN/SUPERFICIAL | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EAR | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $197.00 | $197.00 | $7.27–$142.83 | at median | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $197.00 | $197.00 | $98.50–$142.83 | — | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $17.60 | $17.60 | $4.09–$12.76 | 61% below | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL | $22.00 | $22.00 | $4.09–$15.95 | 51% below | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL HCV FIBROSURE | $71.85 | $71.85 | $4.09–$52.09 | 59% above | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $17.60 | $17.60 | $8.80–$12.76 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL HCV FIBROSURE | $71.85 | $71.85 | $35.93–$52.09 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL | $117.00 | $117.00 | $58.50–$84.83 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV UCI | $80.00 | $80.00 | $40.99–$93.83 | 38% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV EDR | $114.00 | $114.00 | $40.99–$93.83 | 12% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV CS-LIGHT MICRO | $185.00 | $185.00 | $40.99–$134.13 | 42% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV BONE MARROW | $390.00 | $390.00 | $40.99–$282.75 | 200% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV | $469.00 | $469.00 | $40.99–$340.03 | 261% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV UCI | $80.00 | $80.00 | $40.00–$58.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV EDR | $114.00 | $114.00 | $57.00–$82.65 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV CS-LIGHT MICRO | $185.00 | $185.00 | $92.50–$134.13 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV BONE MARROW | $390.00 | $390.00 | $195.00–$282.75 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV | $469.00 | $469.00 | $234.50–$340.03 | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE; BLOOD | $238.00 | $238.00 | $8.98–$172.55 | 13% below | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE; BLOOD | $238.00 | $238.00 | $119.00–$172.55 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $139.00 | $139.00 | $9.34–$100.78 | 561% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $139.00 | $139.00 | $69.50–$100.78 | — | — |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING | $97.00 | $97.00 | $3.30–$70.33 | 159% above | — |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE | $97.00 | $97.00 | $3.30–$70.33 | 159% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE | $97.00 | $97.00 | $48.50–$70.33 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING | $97.00 | $97.00 | $48.50–$70.33 | — | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD | $5.69 | $5.69 | $3.37–$16.95 | 44% below | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $20.97 | $20.97 | $10.63–$16.95 | 105% above | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - BLOOD LEAD | $27.54 | $27.54 | $10.63–$19.97 | 169% above | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD 24HR URINE | $29.00 | $29.00 | $10.63–$21.03 | 183% above | — |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD | $5.69 | $5.69 | $2.85–$4.13 | — | — |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $20.97 | $20.97 | $10.49–$15.20 | — | — |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - BLOOD LEAD | $27.54 | $27.54 | $13.77–$19.97 | — | — |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD 24HR URINE | $29.00 | $29.00 | $14.50–$21.03 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN | $172.00 | $172.00 | $2.38–$239.57 | 67% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN | $172.00 | $172.00 | $86.00–$124.70 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - UREA NITROGEN, BODY FLUID | $26.80 | $26.80 | $3.15–$19.43 | 19% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN | $97.00 | $97.00 | $3.15–$70.33 | 193% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - UREA NITROGEN, BODY FLUID | $26.80 | $26.80 | $13.40–$19.43 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN | $97.00 | $97.00 | $48.50–$70.33 | — | — |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $12.00 | $12.00 | $7.12–$29.13 | 81% below | — |
| C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $12.00 | $12.00 | $6.00–$8.70 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN | $110.00 | $110.00 | $4.60–$79.75 | 104% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN | $110.00 | $110.00 | $55.00–$79.75 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C.DIFF TOXIN B | $149.00 | $149.00 | $28.64–$108.03 | 3% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C.DIFF TOXIN GENE(S), PCR | $731.00 | $731.00 | $28.64–$529.98 | 378% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C.DIFF TOXIN B | $149.00 | $149.00 | $74.50–$108.03 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C.DIFF TOXIN GENE(S), PCR | $731.00 | $731.00 | $365.50–$529.98 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9 | $11.00 | $11.00 | $6.52–$29.13 | 78% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - PERICARDIAL/CSF | $49.00 | $49.00 | $18.50–$35.53 | 2% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9 | $11.00 | $11.00 | $5.50–$7.98 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - PERICARDIAL/CSF | $49.00 | $49.00 | $24.50–$35.53 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125 | $427.00 | $427.00 | $18.50–$309.58 | 210% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125 | $427.00 | $427.00 | $213.50–$309.58 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-CoV-2 RAPID | $474.00 | $474.00 | $51.31–$343.65 | 401% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-CoV-2 RT PCR | $474.00 | $474.00 | $51.31–$343.65 | 401% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-CoV-2 RT PCR HIGH THROUGHPUT | $726.00 | $726.00 | $51.31–$526.35 | 667% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-CoV-2 RAPID | $474.00 | $474.00 | $237.00–$343.65 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-CoV-2 RT PCR | $100.00 | $100.00 | $50.00–$72.50 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-CoV-2 RT PCR HIGH THROUGHPUT | $726.00 | $726.00 | $363.00–$526.35 | — | — |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL - CALCIUM | $9.20 | $9.20 | $4.10–$7.22 | 85% below | — |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM, TOTAL - CALCIUM | $121.00 | $121.00 | $60.50–$87.73 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) FLUID | $42.00 | $42.00 | $16.85–$30.45 | 50% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) | $435.00 | $435.00 | $16.85–$315.38 | 420% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) FLUID | $42.00 | $42.00 | $21.00–$30.45 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) | $435.00 | $435.00 | $217.50–$315.38 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG | $13.00 | $13.00 | $7.71–$18.03 | 62% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER | $70.60 | $70.60 | $11.38–$51.19 | 108% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG (MAIN LAB) | $296.00 | $296.00 | $11.38–$214.60 | 771% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG | $13.00 | $13.00 | $6.50–$9.43 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER | $70.60 | $70.60 | $35.30–$51.19 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG (MAIN LAB) | $296.00 | $296.00 | $148.00–$214.60 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAM/GC CT | $22.50 | $22.50 | $13.34–$49.13 | 59% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR | $60.00 | $60.00 | $25.59–$49.13 | 10% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAM/GC CT THROAT | $60.00 | $60.00 | $25.59–$49.13 | 10% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAM/GC CT | $22.50 | $22.50 | $11.25–$16.31 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAM/GC CT THROAT | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $304.00 | $304.00 | $11.54–$220.40 | 200% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $304.00 | $304.00 | $152.00–$220.40 | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $179.00 | $179.00 | $6.75–$129.78 | 62% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $179.00 | $179.00 | $89.50–$129.78 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $152.00 | $152.00 | $5.71–$110.20 | 73% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $152.00 | $152.00 | $76.00–$110.20 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $241.00 | $241.00 | $9.19–$174.73 | 6% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $241.00 | $241.00 | $120.50–$174.73 | — | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - CORTISOL | $22.85 | $22.85 | $13.55–$22.82 | 76% below | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - CORTISOL | $22.85 | $22.85 | $11.43–$16.57 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - CK ISOENZYMES | $25.00 | $25.00 | $5.79–$18.13 | 71% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - CK | $153.00 | $153.00 | $5.79–$110.93 | 75% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) - CK ISOENZYMES | $25.00 | $25.00 | $12.50–$18.13 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) - CK | $153.00 | $153.00 | $76.50–$110.93 | — | — |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE - CREATININE FLUID | $119.00 | $119.00 | $4.31–$86.28 | 157% above | — |
| Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE - CREATININE FLUID | $119.00 | $119.00 | $59.50–$86.28 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG | $7.82 | $7.82 | $4.64–$20.15 | 72% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG TORCH CONV | $14.12 | $14.12 | $8.37–$20.15 | 49% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG LIFESTREAM | $20.00 | $20.00 | $11.86–$20.15 | 27% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV NEGATIVE | $40.00 | $40.00 | $12.38–$29.00 | 45% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG | $7.82 | $7.82 | $3.91–$5.67 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG TORCH CONV | $14.12 | $14.12 | $7.06–$10.24 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG LIFESTREAM | $20.00 | $20.00 | $10.00–$14.50 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV NEGATIVE | $40.00 | $40.00 | $20.00–$29.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE | $42.07 | $42.07 | $9.05–$30.50 | 71% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE | $42.07 | $42.07 | $21.04–$30.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN SINGLE | $11.00 | $11.00 | $6.52–$87.00 | 82% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - MARIJUANA 100 SCN/CONFIRM | $15.50 | $15.50 | $9.19–$87.00 | 75% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METHADONE SCREEN, W/CONF | $15.50 | $15.50 | $9.19–$87.00 | 75% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - EA CLASS | $20.00 | $20.00 | $11.86–$87.00 | 68% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - LSD SCREEN BLOOD | $30.00 | $30.00 | $17.79–$87.00 | 52% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - FENTANYL SCRN,UR W/ REFLEX | $35.00 | $35.00 | $20.76–$87.00 | 44% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG ABUSE PANEL 10-50 | $44.33 | $44.33 | $26.29–$87.00 | 28% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BENZODIAZEPINES SCN/CONFIRM | $45.00 | $45.00 | $26.69–$87.00 | 27% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - LSD URINE | $49.07 | $49.07 | $29.10–$87.00 | 21% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL ETHYL URINE | $49.40 | $49.40 | $29.29–$87.00 | 20% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - CANNABINOIDS (THC) | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - OPIATES W/ CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - OXYCODONE SCREEN URINE | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PROPOXYPHENE | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - MDMA/MDA SCREEN,URINE | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BUPRENORPHINE W CONFIRM URINE | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BENZODIAZEPINES W/CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG MONITOR,OXYCODONE W CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METHADONE SCREEN, URINE | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL ETHANOL | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - HEROIN W/CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE W/CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINES W/ CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG MONITORING OPIATES W CONF | $60.00 | $60.00 | $35.58–$87.00 | 3% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BARBITURATES NO CONF | $64.31 | $64.31 | $38.14–$87.00 | 4% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - OPIATE QUALITATIVE URINE | $64.31 | $64.31 | $38.14–$87.00 | 4% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINES W/ CONF,W/ D/L | $64.31 | $64.31 | $38.14–$87.00 | 4% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINE NO CONF | $64.31 | $64.31 | $38.14–$87.00 | 4% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METH META SCREEN | $64.31 | $64.31 | $38.14–$87.00 | 4% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG MONITORING | $81.81 | $81.81 | $43.50–$87.00 | 32% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METHAQUALONE SCRN | $88.48 | $88.48 | $43.50–$87.00 | 43% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL MET. W CONF, UR | $100.00 | $100.00 | $43.50–$87.00 | 61% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN W/ CONF | $111.75 | $111.75 | $43.50–$87.00 | 80% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PROPOXPHENE,SCRN, W/CONF | $119.93 | $119.93 | $43.50–$87.00 | 93% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - GAMMA HYDRXYBUTYR SCR,UR | $127.00 | $127.00 | $43.50–$92.08 | 105% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TESTING FOR PRESENCE OF DRUG, BY CHEMISTRY ANALYZERS | $129.15 | $129.15 | $43.50–$93.63 | 108% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN 7, SERUM | $140.00 | $140.00 | $43.50–$101.50 | 126% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $144.16 | $144.16 | $43.50–$104.52 | 133% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - TRICYCLIC ANTIDEPRESSANTS | $150.00 | $150.00 | $43.50–$108.75 | 142% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN MGMT BASE PROF W/O CONF | $159.39 | $159.39 | $43.50–$115.56 | 157% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN 9 AND VOLATILE | $200.00 | $200.00 | $43.50–$145.00 | 223% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG ABUSE SCREEN 9 W CONF,SER | $200.00 | $200.00 | $43.50–$145.00 | 223% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN, SINGLE | $238.29 | $238.29 | $43.50–$172.76 | 284% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN MGMT 5,W/CONF | $245.41 | $245.41 | $43.50–$177.92 | 296% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL ETHANOL URINE | $248.00 | $248.00 | $43.50–$179.80 | 300% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL 1, W/O CONF | $261.48 | $261.48 | $43.50–$189.57 | 322% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN MGMT8 W/CONF,W/O medMATCH | $277.55 | $277.55 | $43.50–$201.22 | 348% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN M7 W/CONF W/O MDMT | $277.55 | $277.55 | $43.50–$201.22 | 348% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - P6 W/CONF,W/O MDMATCH | $293.62 | $293.62 | $43.50–$212.87 | 374% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - TYLENOL ACETAMINOPHEN URINE | $462.00 | $462.00 | $43.50–$334.95 | 645% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - URINE DRUG SCREENING | $681.00 | $681.00 | $43.50–$493.73 | 998% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN SINGLE | $11.00 | $11.00 | $5.50–$7.98 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METHADONE SCREEN, W/CONF | $15.50 | $15.50 | $7.75–$11.24 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - MARIJUANA 100 SCN/CONFIRM | $15.50 | $15.50 | $7.75–$11.24 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - EA CLASS | $20.00 | $20.00 | $10.00–$14.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - LSD SCREEN BLOOD | $30.00 | $30.00 | $15.00–$21.75 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - FENTANYL SCRN,UR W/ REFLEX | $35.00 | $35.00 | $17.50–$25.38 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG ABUSE PANEL 10-50 | $44.33 | $44.33 | $22.17–$32.14 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BENZODIAZEPINES SCN/CONFIRM | $45.00 | $45.00 | $22.50–$32.63 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - LSD URINE | $49.07 | $49.07 | $24.54–$35.58 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL ETHYL URINE | $49.40 | $49.40 | $24.70–$35.82 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - OXYCODONE SCREEN URINE | $55.50 | $55.50 | $27.75–$40.24 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - MDMA/MDA SCREEN,URINE | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - CANNABINOIDS (THC) | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - OPIATES W/ CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL ETHANOL | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG MONITORING OPIATES W CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PROPOXYPHENE | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE W/CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - HEROIN W/CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METHADONE SCREEN, URINE | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BENZODIAZEPINES W/CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG MONITOR,OXYCODONE W CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BUPRENORPHINE W CONFIRM URINE | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINES W/ CONF | $60.00 | $60.00 | $30.00–$43.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINES W/ CONF,W/ D/L | $64.31 | $64.31 | $32.16–$46.62 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - OPIATE QUALITATIVE URINE | $64.31 | $64.31 | $32.16–$46.62 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BARBITURATES NO CONF | $64.31 | $64.31 | $32.16–$46.62 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METH META SCREEN | $64.31 | $64.31 | $32.16–$46.62 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINE NO CONF | $64.31 | $64.31 | $32.16–$46.62 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG MONITORING | $81.81 | $81.81 | $40.91–$59.31 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - METHAQUALONE SCRN | $88.48 | $88.48 | $44.24–$64.15 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL MET. W CONF, UR | $100.00 | $100.00 | $50.00–$72.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PROPOXPHENE,SCRN, W/CONF | $119.93 | $119.93 | $59.97–$86.95 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - GAMMA HYDRXYBUTYR SCR,UR | $127.00 | $127.00 | $63.50–$92.08 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TESTING FOR PRESENCE OF DRUG, BY CHEMISTRY ANALYZERS | $129.15 | $129.15 | $64.58–$93.63 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN 7, SERUM | $140.00 | $140.00 | $70.00–$101.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - TRICYCLIC ANTIDEPRESSANTS | $150.00 | $150.00 | $75.00–$108.75 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN W/ CONF | $150.00 | $150.00 | $75.00–$108.75 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN MGMT BASE PROF W/O CONF | $159.39 | $159.39 | $79.70–$115.56 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN 9 AND VOLATILE | $200.00 | $200.00 | $100.00–$145.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG ABUSE SCREEN 9 W CONF,SER | $200.00 | $200.00 | $100.00–$145.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $234.74 | $234.74 | $117.37–$170.19 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN, SINGLE | $238.29 | $238.29 | $119.15–$172.76 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN MGMT 5,W/CONF | $245.41 | $245.41 | $122.71–$177.92 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL ETHANOL URINE | $248.00 | $248.00 | $124.00–$179.80 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL 1, W/O CONF | $261.48 | $261.48 | $130.74–$189.57 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN MGMT8 W/CONF,W/O medMATCH | $277.55 | $277.55 | $138.78–$201.22 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PAIN M7 W/CONF W/O MDMT | $277.55 | $277.55 | $138.78–$201.22 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - P6 W/CONF,W/O MDMATCH | $293.62 | $293.62 | $146.81–$212.87 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - TYLENOL ACETAMINOPHEN URINE | $462.00 | $462.00 | $231.00–$334.95 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - URINE DRUG SCREENING | $681.00 | $681.00 | $340.50–$493.73 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $164.00 | $164.00 | $6.23–$118.90 | 95% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $164.00 | $164.00 | $82.00–$118.90 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA ANTIBODY PANEL | $15.00 | $15.00 | $8.90–$25.40 | 43% below | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA ANTIBODY PANEL | $9.45 | $9.45 | $4.73–$6.85 | — | — |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $15.52 | $15.52 | $9.20–$39.12 | 82% below | — |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL HIGH SENS | $29.00 | $29.00 | $17.20–$39.12 | 67% below | — |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $15.52 | $15.52 | $7.76–$11.25 | — | — |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL HIGH SENS | $29.00 | $29.00 | $14.50–$21.03 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH | $383.00 | $383.00 | $16.41–$277.68 | 275% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH | $383.00 | $383.00 | $191.50–$277.68 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $175.00 | $175.00 | $17.45–$126.88 | 140% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $175.00 | $175.00 | $87.50–$126.88 | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $314.00 | $314.00 | $12.07–$227.65 | 194% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $314.00 | $314.00 | $157.00–$227.65 | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN, CLAUSS | $35.50 | $35.50 | $7.63–$25.74 | 73% below | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN,QUANTITATIVE | $198.00 | $198.00 | $7.63–$143.55 | 48% above | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN,QUANTITATIVE (TEG) | $198.00 | $198.00 | $7.63–$143.55 | 48% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN, CLAUSS | $35.50 | $35.50 | $17.75–$25.74 | — | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN,QUANTITATIVE (TEG) | $198.00 | $198.00 | $99.00–$143.55 | — | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN,QUANTITATIVE | $198.00 | $198.00 | $99.00–$143.55 | — | — |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE | $337.00 | $337.00 | $13.07–$244.33 | 209% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE | $337.00 | $337.00 | $168.50–$244.33 | — | — |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $14.00 | $14.00 | $8.30–$23.72 | 83% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $69.50 | $69.50 | $34.75–$50.39 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE | $209.00 | $209.00 | $7.91–$151.53 | 207% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE | $209.00 | $209.00 | $104.50–$151.53 | — | — |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $27.75 | $27.75 | $16.46–$35.66 | 1% above | — |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $27.75 | $27.75 | $13.88–$20.12 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT - GAMMA GT HCV FIBROSURE | $71.00 | $71.00 | $6.40–$51.48 | 56% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT - GAMMA GT | $168.00 | $168.00 | $6.40–$121.80 | 269% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT - GAMMA GT HCV FIBROSURE | $71.00 | $71.00 | $35.50–$51.48 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT - GAMMA GT | $168.00 | $168.00 | $84.00–$121.80 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - POST DOSE | $113.00 | $113.00 | $4.19–$81.93 | 117% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - POST DOSE | $113.00 | $113.00 | $56.50–$81.93 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR | $296.00 | $296.00 | $11.27–$214.60 | 116% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR | $296.00 | $296.00 | $148.00–$214.60 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR | $511.00 | $511.00 | $25.36–$370.48 | 755% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR | $511.00 | $511.00 | $255.50–$370.48 | — | — |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGM | $45.00 | $45.00 | $12.95–$32.63 | 60% below | — |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI | $334.00 | $334.00 | $12.95–$242.15 | 193% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGM | $45.00 | $45.00 | $22.50–$32.63 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI | $334.00 | $334.00 | $167.00–$242.15 | — | — |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL | $15.90 | $15.90 | $9.43–$20.13 | 80% below | — |
| H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL | $15.90 | $15.90 | $7.95–$11.53 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, bDNA QUANT, PCR | $75.00 | $75.00 | $44.48–$119.14 | 26% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $75.00 | $75.00 | $44.48–$119.14 | 26% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $75.00 | $75.00 | $37.50–$54.38 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, bDNA QUANT, PCR | $75.00 | $75.00 | $37.50–$54.38 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 AB SCREEN | $37.50 | $37.50 | $11.96–$27.19 | 36% below | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 AB SCREEN | $37.50 | $37.50 | $18.75–$27.19 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1+2 AG/AB, 4TH GEN | $501.00 | $501.00 | $20.26–$363.23 | 473% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1+2 AG/AB, 4TH GEN | $501.00 | $501.00 | $250.50–$363.23 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $17.04 | $17.04 | $10.10–$49.13 | 87% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV LOW & HIGH RISK ANAL | $34.08 | $34.08 | $20.21–$49.13 | 75% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE | $35.00 | $35.00 | $20.76–$49.13 | 74% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV LOW & HIGH RISK | $80.00 | $80.00 | $31.19–$58.00 | 41% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV ORARISK | $90.00 | $90.00 | $31.19–$65.25 | 33% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV mRNA w/ REFLEX | $100.78 | $100.78 | $31.19–$73.07 | 25% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV RFLX GENO 16,18 | $103.30 | $103.30 | $31.19–$74.89 | 24% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - (HPV) | $105.88 | $105.88 | $31.19–$76.76 | 22% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV mRNA E6/E7 | $115.00 | $115.00 | $31.19–$83.38 | 15% below | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $17.04 | $17.04 | $8.52–$12.35 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV LOW & HIGH RISK ANAL | $34.08 | $34.08 | $17.04–$24.71 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE | $35.00 | $35.00 | $17.50–$25.38 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV LOW & HIGH RISK | $80.00 | $80.00 | $40.00–$58.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV ORARISK | $90.00 | $90.00 | $45.00–$65.25 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV mRNA w/ REFLEX | $100.78 | $100.78 | $50.39–$73.07 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV RFLX GENO 16,18 | $103.30 | $103.30 | $51.65–$74.89 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - (HPV) | $105.88 | $105.88 | $52.94–$76.76 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV mRNA E6/E7 | $115.00 | $115.00 | $57.50–$83.38 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $201.00 | $201.00 | $8.54–$145.73 | 208% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - POCT HEMOGLOBIN | $56.00 | $56.00 | $2.07–$40.60 | 39% above | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - HEMOGLOBIN | $56.00 | $56.00 | $2.07–$40.60 | 39% above | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN - POCT HEMOGLOBIN | $56.00 | $56.00 | $28.00–$40.60 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN - HEMOGLOBIN | $56.00 | $56.00 | $28.00–$40.60 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY | $248.00 | $248.00 | $9.51–$179.80 | 481% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY | $248.00 | $248.00 | $124.00–$179.80 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN | $214.00 | $214.00 | $9.12–$155.15 | 198% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN | $214.00 | $214.00 | $107.00–$155.15 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY | $296.00 | $296.00 | $12.57–$214.60 | 441% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY | $296.00 | $296.00 | $148.00–$214.60 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HEP C, RNA, AMP PROBE | $88.00 | $88.00 | $31.51–$63.80 | at median | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT TMA | $88.00 | $88.00 | $31.51–$63.80 | at median | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV RNA QUANT | $147.50 | $147.50 | $31.51–$106.94 | 68% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HEPATITIS C BDNA | $220.00 | $220.00 | $31.51–$159.50 | 150% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HEPTIMAX HCV RNA | $422.00 | $422.00 | $31.51–$305.95 | 380% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HEP C, RNA, AMP PROBE | $88.00 | $88.00 | $44.00–$63.80 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT TMA | $88.00 | $88.00 | $44.00–$63.80 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HEPTIMAX HCV RNA | $145.00 | $145.00 | $72.50–$105.13 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV RNA QUANT | $147.50 | $147.50 | $73.75–$106.94 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HEPATITIS C BDNA | $220.00 | $220.00 | $110.00–$159.50 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY TITER | $9.03 | $9.03 | $5.35–$18.47 | 53% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY TORCH | $12.94 | $12.94 | $7.67–$18.47 | 33% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY TORCH | $13.69 | $13.69 | $8.12–$18.47 | 29% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 2 IGG ANTIBODY | $25.75 | $25.75 | $11.72–$18.67 | 33% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY | $25.75 | $25.75 | $11.72–$18.67 | 33% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 ELISA,CSF | $54.89 | $54.89 | $11.72–$39.80 | 183% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IFA,CSF | $54.89 | $54.89 | $11.72–$39.80 | 183% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY TITER | $9.03 | $9.03 | $4.52–$6.55 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY TORCH | $12.94 | $12.94 | $6.47–$9.38 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY TORCH | $13.69 | $13.69 | $6.85–$9.93 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 2 IGG ANTIBODY | $25.75 | $25.75 | $12.88–$18.67 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY | $25.75 | $25.75 | $12.88–$18.67 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 ELISA,CSF | $54.89 | $54.89 | $27.45–$39.80 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IFA,CSF | $54.89 | $54.89 | $27.45–$39.80 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY TORCH | $18.99 | $18.99 | $11.26–$27.09 | 19% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY TORCH | $20.07 | $20.07 | $11.90–$27.09 | 15% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY TITER | $28.45 | $28.45 | $16.87–$27.09 | 21% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY | $43.00 | $43.00 | $17.20–$31.18 | 83% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG SPECIFIC ANTIBODY | $43.00 | $43.00 | $17.20–$31.18 | 83% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 ELISA, CSF | $54.89 | $54.89 | $17.20–$39.80 | 134% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IFA, CSF | $54.89 | $54.89 | $17.20–$39.80 | 134% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY TORCH | $18.99 | $18.99 | $9.50–$13.77 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY TORCH | $20.07 | $20.07 | $10.04–$14.55 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY TITER | $28.45 | $28.45 | $14.23–$20.63 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY | $43.00 | $43.00 | $21.50–$31.18 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG SPECIFIC ANTIBODY | $43.00 | $43.00 | $21.50–$31.18 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IFA, CSF | $54.89 | $54.89 | $27.45–$39.80 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 ELISA, CSF | $54.89 | $54.89 | $27.45–$39.80 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP | $27.00 | $27.00 | $11.06–$19.58 | 56% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP | $297.00 | $297.00 | $148.50–$215.33 | — | — |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL | $9.50 | $9.50 | $5.63–$16.00 | 75% below | — |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL | $9.50 | $9.50 | $4.75–$6.89 | — | — |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON | $138.00 | $138.00 | $5.72–$100.05 | 137% above | — |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON,LIVER TISSUE | $144.00 | $144.00 | $5.72–$104.40 | 148% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON | $138.00 | $138.00 | $69.00–$100.05 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON,LIVER TISSUE | $144.00 | $144.00 | $72.00–$104.40 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON BINDING CAPACITY | $171.00 | $171.00 | $6.89–$123.98 | 134% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON BINDING CAPACITY | $171.00 | $171.00 | $85.50–$123.98 | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $201.00 | $201.00 | $7.60–$145.73 | 41% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $201.00 | $201.00 | $100.50–$145.73 | — | — |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE | $383.00 | $383.00 | $16.38–$277.68 | 268% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE | $383.00 | $383.00 | $191.50–$277.68 | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF | $47.50 | $47.50 | $9.41–$34.44 | 64% below | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE | $245.00 | $245.00 | $9.41–$177.63 | 84% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTIC ACID PLASMA | $344.40 | $344.40 | $9.41–$249.69 | 158% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF | $47.50 | $47.50 | $23.75–$34.44 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE | $245.00 | $245.00 | $122.50–$177.63 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTIC ACID PLASMA | $344.40 | $344.40 | $172.20–$249.69 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE ISOS | $9.43 | $9.43 | $5.37–$8.46 | 74% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE | $142.00 | $142.00 | $5.37–$102.95 | 293% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE ISOS | $9.43 | $9.43 | $4.72–$6.84 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE | $142.00 | $142.00 | $71.00–$102.95 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE | $159.00 | $159.00 | $6.08–$115.28 | 65% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE | $159.00 | $159.00 | $79.50–$115.28 | — | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $189.00 | $189.00 | $6.38–$137.03 | 25% above | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $189.00 | $189.00 | $94.50–$137.03 | — | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $8.50 | $8.50 | $5.04–$23.84 | 60% below | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES, IFA CSF | $28.00 | $28.00 | $15.14–$23.84 | 33% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $8.50 | $8.50 | $4.25–$6.16 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES, IFA CSF | $28.00 | $28.00 | $14.00–$20.30 | — | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC | $30.57 | $30.57 | $5.96–$22.16 | 52% below | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM | $156.00 | $156.00 | $5.96–$113.10 | 146% above | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC | $30.57 | $30.57 | $15.29–$22.16 | — | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM | $156.00 | $156.00 | $78.00–$113.10 | — | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY (MEASLES) | $35.00 | $35.00 | $11.45–$25.38 | 12% above | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY, IGM | $42.25 | $42.25 | $11.45–$30.63 | 35% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY (MEASLES) | $35.00 | $35.00 | $17.50–$25.38 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY, IGM | $42.25 | $42.25 | $21.13–$30.63 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN | $14.65 | $14.65 | $4.49–$10.62 | 86% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN | $121.00 | $121.00 | $4.49–$87.73 | 18% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN | $14.65 | $14.65 | $7.33–$10.62 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN | $121.00 | $121.00 | $60.50–$87.73 | — | — |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $8.73 | $8.73 | $5.18–$18.27 | 46% below | — |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $13.00 | $13.00 | $7.71–$18.27 | 19% below | — |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS ANTIBODY | $35.00 | $35.00 | $11.59–$25.38 | 118% above | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $8.73 | $8.73 | $4.37–$6.33 | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $13.00 | $13.00 | $6.50–$9.43 | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS ANTIBODY | $35.00 | $35.00 | $17.50–$25.38 | — | — |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $718.00 | $718.00 | $35.83–$520.55 | 213% above | — |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $718.00 | $718.00 | $359.00–$520.55 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE | $13.30 | $13.30 | $7.89–$25.75 | 78% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE | $13.30 | $13.30 | $6.65–$9.64 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $378.00 | $378.00 | $16.35–$274.05 | 533% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $378.00 | $378.00 | $189.00–$274.05 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER | $85.15 | $85.15 | $23.50–$61.73 | 4% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO - SURE PATH PAP | $85.15 | $85.15 | $23.50–$61.73 | 4% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO - SURE PATH PAP | $85.15 | $85.15 | $42.58–$61.73 | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER | $85.15 | $85.15 | $42.58–$61.73 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER | $40.00 | $40.00 | $18.00–$29.00 | 56% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPHATH CERV/VAG THIN LAYER | $360.00 | $360.00 | $18.00–$261.00 | 296% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER | $40.00 | $40.00 | $20.00–$29.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPHATH CERV/VAG THIN LAYER | $360.00 | $360.00 | $180.00–$261.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $80.00 | $80.00 | $34.84–$58.00 | 27% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $18.05 | $18.05 | $9.03–$13.09 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL VON WILLBRND DX PNL | $9.00 | $9.00 | $5.34–$8.41 | 86% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $9.50 | $9.50 | $5.34–$8.41 | 85% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - PTT | $142.00 | $142.00 | $5.34–$102.95 | 127% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL VON WILLBRND DX PNL | $9.00 | $9.00 | $4.50–$6.53 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL | $22.50 | $22.50 | $11.25–$16.31 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - PTT | $142.00 | $142.00 | $71.00–$102.95 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS | $113.00 | $113.00 | $4.21–$81.93 | 49% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS | $113.00 | $113.00 | $56.50–$81.93 | — | — |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM | $110.00 | $110.00 | $3.44–$79.75 | 50% above | — |
| Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM | $110.00 | $110.00 | $55.00–$79.75 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHRMOML ANEUPLOIDY | $2,831.05 | $2,831.05 | $232.00–$2,052.51 | 63% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHRMOML ANEUPLOIDY | $2,831.05 | $2,831.05 | $1,415.53–$2,052.51 | — | — |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $131.85 | $131.85 | $18.30–$95.59 | 60% above | — |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN DIL STUDY | $95.00 | $95.00 | $17.11–$68.88 | 11% below | — |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $399.00 | $399.00 | $17.11–$289.28 | 272% above | — |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN DIL STUDY | $95.00 | $95.00 | $47.50–$68.88 | — | — |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $399.00 | $399.00 | $199.50–$289.28 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $97.00 | $97.00 | $3.49–$70.33 | 77% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $31.50 | $31.50 | $15.75–$22.84 | — | — |
| Renin blood test CPT 84244 HC ASSAY OF RENIN - RENIN PLASMA ASSAY (ALDO/PRA) | $15.84 | $15.84 | $9.39–$30.79 | 36% below | — |
| Renin blood test CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY (PRA LC/MS/MS) | $38.01 | $38.01 | $19.55–$30.79 | 53% above | — |
| Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN - RENIN PLASMA ASSAY (ALDO/PRA) | $15.84 | $15.84 | $7.92–$11.48 | — | — |
| Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY (PRA LC/MS/MS) | $38.01 | $38.01 | $19.01–$27.56 | — | — |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE | $108.00 | $108.00 | $2.46–$78.30 | 94% above | — |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE | $108.00 | $108.00 | $54.00–$78.30 | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - CRYOGLOBULIN REFLEX | $13.60 | $13.60 | $5.02–$9.86 | 3% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $17.50 | $17.50 | $5.02–$12.69 | 33% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - CRYOGLOBULIN REFLEX | $13.60 | $13.60 | $6.80–$9.86 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $17.50 | $17.50 | $8.75–$12.69 | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGG | $10.90 | $10.90 | $6.46–$20.15 | 79% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM TORCH CONV | $14.12 | $14.12 | $8.37–$20.15 | 72% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY | $330.00 | $330.00 | $12.79–$239.25 | 550% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGG | $10.90 | $10.90 | $5.45–$7.90 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM TORCH CONV | $14.12 | $14.12 | $7.06–$10.24 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY | $35.00 | $35.00 | $17.50–$25.38 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED | $87.00 | $87.00 | $2.40–$63.08 | 55% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED | $87.00 | $87.00 | $43.50–$63.08 | — | — |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM | $114.00 | $114.00 | $3.51–$82.65 | 74% above | — |
| Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM | $114.00 | $114.00 | $57.00–$82.65 | — | — |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $14.50 | $14.50 | $7.18–$12.46 | 31% below | — |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $14.50 | $14.50 | $7.25–$10.51 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD | $79.00 | $79.00 | $2.92–$57.28 | 103% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD | $79.00 | $79.00 | $39.50–$57.28 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLD,OCCULT;IMMUNOASSAY | $334.00 | $334.00 | $14.14–$242.15 | 582% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLD,OCCULT;IMMUNOASSAY | $334.00 | $334.00 | $167.00–$242.15 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM | $24.00 | $24.00 | $11.40–$18.54 | 48% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM | $35.78 | $35.78 | $11.40–$25.94 | 121% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM IFA CSF | $53.50 | $53.50 | $11.40–$38.79 | 230% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - SYPHILIS | $281.00 | $281.00 | $11.40–$203.73 | 1636% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM | $24.00 | $24.00 | $12.00–$17.40 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM | $35.78 | $35.78 | $17.89–$25.94 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM IFA CSF | $53.50 | $53.50 | $26.75–$38.79 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - SYPHILIS | $281.00 | $281.00 | $140.50–$203.73 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS SCREEN-RPR (DPH) | $9.00 | $9.00 | $3.18–$6.53 | 33% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF | $37.67 | $37.67 | $3.18–$27.31 | 181% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $102.00 | $102.00 | $3.18–$73.95 | 660% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS SCREEN-RPR (DPH) | $9.00 | $9.00 | $4.50–$6.53 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF | $37.67 | $37.67 | $18.84–$27.31 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $102.00 | $102.00 | $51.00–$73.95 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST GOLD | $68.00 | $68.00 | $40.32–$86.77 | 20% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST | $71.00 | $71.00 | $42.10–$86.77 | 16% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST GOLD | $68.00 | $68.00 | $34.00–$49.30 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST | $71.00 | $71.00 | $35.50–$51.48 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER KIDNEY MICRO AB,IGG | $8.36 | $8.36 | $4.96–$20.37 | 63% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB | $8.36 | $8.36 | $4.96–$20.37 | 63% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE AB | $35.00 | $35.00 | $12.93–$25.38 | 53% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER CYTOSOL AUTO ABS | $69.00 | $69.00 | $12.93–$50.03 | 202% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB RIA | $78.25 | $78.25 | $12.93–$56.73 | 242% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE AB | $5.82 | $5.82 | $2.91–$4.22 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB | $8.36 | $8.36 | $4.18–$6.06 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER KIDNEY MICRO AB,IGG | $8.36 | $8.36 | $4.18–$6.06 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER CYTOSOL AUTO ABS | $69.00 | $69.00 | $34.50–$50.03 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB RIA | $78.25 | $78.25 | $39.13–$56.73 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - TSH NEWBORN SCREEN | $14.50 | $14.50 | $8.60–$23.52 | 84% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - TSH ULTRA SENS THY CASCADE | $38.00 | $38.00 | $14.76–$27.55 | 59% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE (TSH) | $385.00 | $385.00 | $14.76–$279.13 | 316% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - TSH NEWBORN SCREEN | $14.50 | $14.50 | $7.25–$10.51 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - TSH ULTRA SENS THY CASCADE | $38.00 | $38.00 | $19.00–$27.55 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE (TSH) | $385.00 | $385.00 | $192.50–$279.13 | — | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE Q5 | $30.64 | $30.64 | $14.60–$23.04 | 51% below | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE | $43.00 | $43.00 | $14.60–$31.18 | 32% below | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE Q5 | $30.64 | $30.64 | $15.32–$22.21 | — | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE | $39.50 | $39.50 | $19.75–$28.64 | — | — |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $105.00 | $105.00 | $3.87–$76.13 | 150% above | — |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL LPEP | $105.00 | $105.00 | $3.87–$76.13 | 150% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $105.00 | $105.00 | $52.50–$76.13 | — | — |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL LPEP | $105.00 | $105.00 | $52.50–$76.13 | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $147.00 | $147.00 | $5.18–$106.58 | 275% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $147.00 | $147.00 | $73.50–$106.58 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) | $295.00 | $295.00 | $12.59–$213.88 | 278% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) | $295.00 | $295.00 | $147.50–$213.88 | — | — |
| Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN | $31.25 | $31.25 | $15.63–$22.66 | — | — |
| Trichomonas test (NAAT) CPT 87661 HC TRICH VAGINALIS RNA TMA MALE | $75.34 | $75.34 | $30.54–$54.62 | 23% below | — |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS ASSAY | $380.00 | $380.00 | $30.54–$275.50 | 288% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICH VAGINALIS RNA TMA MALE | $75.34 | $75.34 | $37.67–$54.62 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS ASSAY | $380.00 | $380.00 | $190.00–$275.50 | — | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - LPEP | $8.50 | $8.50 | $5.02–$8.04 | 79% below | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - VAP CHOL | $9.00 | $9.00 | $5.02–$8.04 | 78% below | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - CARDIO IQ | $10.50 | $10.50 | $5.02–$8.04 | 74% below | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES | $139.00 | $139.00 | $5.02–$100.78 | 238% above | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - LPEP | $8.50 | $8.50 | $4.25–$6.16 | — | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - VAP CHOL | $9.00 | $9.00 | $4.50–$6.53 | — | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - CARDIO IQ | $10.50 | $10.50 | $5.25–$7.61 | — | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES | $139.00 | $139.00 | $69.50–$100.78 | — | — |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN | $227.00 | $227.00 | $8.47–$164.58 | 27% above | — |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN | $227.00 | $227.00 | $113.50–$164.58 | — | — |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID | $108.00 | $108.00 | $4.01–$78.30 | 63% above | — |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID | $108.00 | $108.00 | $54.00–$78.30 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $78.00 | $78.00 | $2.77–$56.55 | 6% below | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $78.00 | $78.00 | $2.77–$56.55 | 6% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $78.00 | $78.00 | $39.00–$56.55 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $78.00 | $78.00 | $39.00–$56.55 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $53.00 | $53.00 | $1.96–$38.43 | 5% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE | $53.00 | $53.00 | $1.96–$38.43 | 5% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $53.00 | $53.00 | $26.50–$38.43 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE | $53.00 | $53.00 | $26.50–$38.43 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - URINE DIP | $62.00 | $62.00 | $2.15–$44.95 | 81% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - URINE DIP | $62.00 | $62.00 | $31.00–$44.95 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, QNT COL CT, URINE | $187.00 | $187.00 | $5.65–$135.58 | 34% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, QNT COL CT, URINE | $187.00 | $187.00 | $93.50–$135.58 | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE | $139.00 | $139.00 | $5.08–$100.78 | 279% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE | $139.00 | $139.00 | $69.50–$100.78 | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE | $130.00 | $130.00 | $2.80–$94.25 | 48% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE | $130.00 | $130.00 | $65.00–$94.25 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12 | $346.00 | $346.00 | $13.33–$250.85 | 268% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12 | $346.00 | $346.00 | $173.00–$250.85 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25 | $221.00 | $221.00 | $20.72–$160.23 | 246% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25 | $221.00 | $221.00 | $110.50–$160.23 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 | $19.11 | $19.11 | $11.33–$53.90 | 72% below | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 | $19.11 | $19.11 | $9.56–$13.85 | — | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC, RBC | $9.24 | $9.24 | $5.48–$15.95 | 16% below | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC | $9.24 | $9.24 | $5.48–$15.95 | 16% below | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC, RBC | $9.24 | $9.24 | $4.62–$6.70 | — | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC | $9.24 | $9.24 | $4.62–$6.70 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - BETA HCG QUANTITATIVE BODY FLUID | $25.00 | $25.00 | $13.24–$21.07 | 86% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $312.00 | $312.00 | $13.24–$226.20 | 74% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - BETA HCG QUANTITATIVE BODY FLUID | $25.00 | $25.00 | $12.50–$18.13 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $312.00 | $312.00 | $156.00–$226.20 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $1,620.00 | $1,620.00 | $103.87–$1,174.50 | 84% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $1,620.00 | $1,620.00 | $810.00–$6,000.00 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE LEFT | $4,484.00 | $4,484.00 | $632.17–$3,250.90 | 3% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE RIGHT | $4,484.00 | $4,484.00 | $632.17–$3,250.90 | 3% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE LEFT | $4,484.00 | $4,484.00 | $2,242.00–$6,000.00 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE RIGHT | $4,484.00 | $4,484.00 | $2,242.00–$6,000.00 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TRMT FRAC/DISLOC METATARSAL | $954.00 | $954.00 | $138.66–$691.65 | 77% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TRMT FRAC/DISLOC METATARSAL | $954.00 | $954.00 | $477.00–$691.65 | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $10,528.00 | $10,528.00 | $950.01–$7,632.80 | 19% below | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $10,528.00 | $10,528.00 | $5,264.00–$7,632.80 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION | $2,671.00 | $2,671.00 | $122.46–$1,936.48 | 40% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION | $2,671.00 | $2,671.00 | $1,335.50–$1,936.48 | — | — |
| Carpal tunnel release, open surgery CPT 64721 HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $4,535.00 | $4,535.00 | $316.83–$3,516.14 | 26% above | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $4,535.00 | $4,535.00 | $2,267.50–$6,000.00 | — | — |
| Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $3,386.00 | $3,386.00 | $143.89–$2,454.85 | 74% above | — |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $3,386.00 | $3,386.00 | $1,693.00–$2,454.85 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $5,432.00 | $5,432.00 | $126.58–$3,938.20 | 17% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $5,432.00 | $5,432.00 | $2,716.00–$6,000.00 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMSICION PROCEDURE | $9,169.00 | $9,169.00 | $2,688.58–$6,647.53 | 448% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMSICION PROCEDURE | $9,169.00 | $9,169.00 | $4,584.50–$6,647.53 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEONATE | $1,912.00 | $1,912.00 | $896.84–$1,386.20 | 252% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION NEONATE | $1,912.00 | $1,912.00 | $956.00–$6,000.00 | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) | $4,859.00 | $4,859.00 | $169.65–$3,522.78 | 112% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) | $4,859.00 | $4,859.00 | $2,429.50–$3,522.78 | — | — |
| Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $4,812.00 | $4,812.00 | $400.22–$3,488.70 | 110% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $4,812.00 | $4,812.00 | $2,406.00–$3,488.70 | — | — |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $4,812.00 | $4,812.00 | $330.23–$3,488.70 | 107% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $4,812.00 | $4,812.00 | $2,406.00–$3,488.70 | — | — |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $4,812.00 | $4,812.00 | $295.23–$3,488.70 | 131% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $4,812.00 | $4,812.00 | $2,406.00–$3,488.70 | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX | $7,986.00 | $7,986.00 | $292.89–$5,828.88 | 71% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX | $7,986.00 | $7,986.00 | $3,993.00–$5,789.85 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $2,025.00 | $2,025.00 | $153.04–$1,468.13 | 114% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $2,025.00 | $2,025.00 | $1,012.50–$1,468.13 | — | — |
| Coronary stent placement, one artery CPT 92928 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $27,775.00 | $27,775.00 | $483.05–$20,786.86 | 86% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $27,775.00 | $27,775.00 | $13,887.50–$20,136.88 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $3,833.00 | $3,833.00 | $86.75–$2,778.93 | 137% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $3,833.00 | $3,833.00 | $1,916.50–$2,778.93 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $779.00 | $779.00 | $69.80–$564.78 | 143% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $779.00 | $779.00 | $389.50–$564.78 | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC CREATE EARDRUM OPENING,LOCAL ANESTH | $4,080.00 | $4,080.00 | $59.94–$2,958.00 | 298% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC CREATE EARDRUM OPENING,LOCAL ANESTH | $4,080.00 | $4,080.00 | $2,040.00–$2,958.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $263.00 | $263.00 | $14.57–$190.68 | 48% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $263.00 | $263.00 | $131.50–$190.68 | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $410.00 | $410.00 | $43.20–$297.25 | 117% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $410.00 | $410.00 | $205.00–$297.25 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $987.00 | $987.00 | $93.00–$715.58 | 81% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING | $987.00 | $987.00 | $493.50–$715.58 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $4,671.00 | $4,671.00 | $223.38–$3,386.48 | 92% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN (PAIN OR) | $5,363.00 | $5,363.00 | $223.38–$3,888.18 | 120% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $4,671.00 | $4,671.00 | $2,335.50–$6,000.00 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN (PAIN OR) | $5,363.00 | $5,363.00 | $2,681.50–$6,000.00 | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC | $1,819.00 | $1,819.00 | $364.11–$1,318.78 | 106% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC | $1,819.00 | $1,819.00 | $909.50–$6,000.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL (PAIN OR) | $3,909.00 | $3,909.00 | $144.45–$2,834.03 | 90% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $3,909.00 | $3,909.00 | $144.45–$2,834.03 | 90% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL (PAIN OR) | $3,909.00 | $3,909.00 | $1,954.50–$6,000.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $3,909.00 | $3,909.00 | $1,954.50–$6,000.00 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID | $3,237.00 | $3,237.00 | $54.73–$2,346.83 | 77% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID | $3,237.00 | $3,237.00 | $1,618.50–$2,346.83 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $3,359.00 | $3,359.00 | $77.07–$2,435.28 | 79% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $3,359.00 | $3,359.00 | $1,679.50–$2,435.28 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM | $452.00 | $452.00 | $185.45–$358.64 | 28% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM | $452.00 | $452.00 | $226.00–$6,000.00 | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY,W/ENDO BX | $5,397.00 | $5,397.00 | $1,278.35–$5,828.88 | 24% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY,W/ENDO BX | $5,397.00 | $5,397.00 | $2,698.50–$3,912.83 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE | $274.00 | $274.00 | $112.23–$225.41 | 53% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE | $274.00 | $274.00 | $137.00–$198.65 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $902.00 | $902.00 | $109.05–$653.95 | 93% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $902.00 | $902.00 | $451.00–$653.95 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $1,609.00 | $1,609.00 | $52.58–$1,166.53 | 144% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $1,609.00 | $1,609.00 | $804.50–$1,166.53 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,363.00 | $1,363.00 | $58.61–$988.18 | 43% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - (PAIN OR) | $1,609.00 | $1,609.00 | $58.61–$1,166.53 | 69% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,363.00 | $1,363.00 | $681.50–$6,000.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - (PAIN OR) | $1,609.00 | $1,609.00 | $804.50–$6,000.00 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION, DRUG IMPLANT | $775.00 | $775.00 | $171.12–$561.88 | 173% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION, DRUG IMPLANT | $775.00 | $775.00 | $387.50–$561.88 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $1,363.00 | $1,363.00 | $50.14–$988.18 | 124% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $1,363.00 | $1,363.00 | $681.50–$6,000.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $1,363.00 | $1,363.00 | $48.23–$988.18 | 87% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $1,363.00 | $1,363.00 | $681.50–$6,000.00 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPIC APPENDECTOMY | $15,230.00 | $15,230.00 | $273.27–$11,041.75 | 86% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPIC APPENDECTOMY | $15,230.00 | $15,230.00 | $6,000.00–$11,041.75 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $3,136.00 | $3,136.00 | $186.15–$2,273.60 | 94% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $3,136.00 | $3,136.00 | $1,568.00–$6,000.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $807.00 | $807.00 | $246.24–$731.98 | 7% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $807.00 | $807.00 | $403.50–$585.08 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $4,671.00 | $4,671.00 | $220.03–$3,386.48 | 110% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN (PAIN OR) | $5,363.00 | $5,363.00 | $220.03–$3,888.18 | 142% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $4,671.00 | $4,671.00 | $2,335.50–$6,000.00 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN (PAIN OR) | $5,363.00 | $5,363.00 | $2,681.50–$6,000.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $4,671.00 | $4,671.00 | $143.34–$3,386.48 | 129% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL (PAIN OR) | $5,363.00 | $5,363.00 | $143.34–$3,888.18 | 163% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $4,671.00 | $4,671.00 | $2,335.50–$6,000.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL (PAIN OR) | $5,363.00 | $5,363.00 | $2,681.50–$6,000.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC SKIN LESION RMVL BENIGN | $4,545.00 | $4,545.00 | $119.85–$3,295.13 | 243% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC SKIN LESION RMVL BENIGN | $4,545.00 | $4,545.00 | $2,272.50–$6,000.00 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $2,556.00 | $2,556.00 | $134.46–$1,853.10 | 73% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $2,556.00 | $2,556.00 | $1,278.00–$6,000.00 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $555.00 | $555.00 | $107.09–$402.38 | 10% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $555.00 | $555.00 | $277.50–$402.38 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL | $2,171.00 | $2,171.00 | $62.92–$1,573.98 | 147% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL | $2,171.00 | $2,171.00 | $1,085.50–$6,000.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR | $30,934.00 | $30,934.00 | $744.60–$22,427.15 | 65% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR | $30,934.00 | $30,934.00 | $15,467.00–$22,427.15 | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,280.00 | $3,280.00 | $276.89–$2,378.00 | 79% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,280.00 | $3,280.00 | $1,640.00–$6,000.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $2,844.00 | $2,844.00 | $148.11–$2,061.90 | 119% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $2,844.00 | $2,844.00 | $1,422.00–$2,061.90 | — | — |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH | $5,593.00 | $5,593.00 | $87.49–$4,054.93 | 8% below | — |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH | $5,593.00 | $5,593.00 | $2,796.50–$6,000.00 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $6,802.00 | $6,802.00 | $195.34–$4,931.45 | 43% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL (PAIN OR) | $7,494.00 | $7,494.00 | $195.34–$5,433.15 | 58% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $6,802.00 | $6,802.00 | $3,401.00–$6,000.00 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL (PAIN OR) | $7,494.00 | $7,494.00 | $3,747.00–$6,000.00 | — | — |
| Removal of a breast lump, open surgery CPT 19120 HC EXCISE BREAST CYST | $9,884.00 | $9,884.00 | $210.72–$7,165.90 | 97% above | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISE BREAST CYST | $9,884.00 | $9,884.00 | $4,942.00–$7,165.90 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $1,647.00 | $1,647.00 | $140.63–$1,194.08 | 67% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $1,647.00 | $1,647.00 | $823.50–$6,000.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST | $1,537.00 | $1,537.00 | $82.65–$1,114.33 | 208% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST | $1,537.00 | $1,537.00 | $768.50–$1,114.33 | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $680.00 | $680.00 | $61.65–$493.00 | 62% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $680.00 | $680.00 | $340.00–$493.00 | — | — |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST | $1,537.00 | $1,537.00 | $85.26–$1,114.33 | 208% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST | $1,537.00 | $1,537.00 | $768.50–$1,114.33 | — | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT | $680.00 | $680.00 | $65.90–$493.00 | 38% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT | $680.00 | $680.00 | $340.00–$493.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM | $807.00 | $807.00 | $86.58–$585.08 | 46% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM | $807.00 | $807.00 | $403.50–$585.08 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN, 1ST | $907.00 | $907.00 | $118.03–$731.98 | 25% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN, 1ST | $907.00 | $907.00 | $453.50–$6,000.00 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MALIGNANT LESIONS | $4,545.00 | $4,545.00 | $69.25–$3,295.13 | 131% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MALIGNANT LESIONS | $4,545.00 | $4,545.00 | $2,272.50–$6,000.00 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $555.00 | $555.00 | $84.77–$402.38 | 40% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $555.00 | $555.00 | $277.50–$6,000.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $2,171.00 | $2,171.00 | $121.83–$1,573.98 | 64% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $2,171.00 | $2,171.00 | $1,085.50–$1,573.98 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM | $807.00 | $807.00 | $104.20–$585.08 | 8% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM | $807.00 | $807.00 | $403.50–$585.08 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM | $807.00 | $807.00 | $103.33–$585.08 | 22% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM | $807.00 | $807.00 | $403.50–$585.08 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY OF SKIN, 1ST | $907.00 | $907.00 | $95.41–$731.98 | 64% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY OF SKIN, 1ST | $907.00 | $907.00 | $453.50–$6,000.00 | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $3,180.00 | $3,180.00 | $92.33–$2,305.50 | 56% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $3,180.00 | $3,180.00 | $1,590.00–$2,305.50 | — | — |
| Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION | $3,598.00 | $3,598.00 | $210.72–$2,895.40 | 17% above | — |
| Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION | $3,598.00 | $3,598.00 | $1,799.00–$6,000.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $1,609.00 | $1,609.00 | $52.49–$1,166.53 | 152% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $1,609.00 | $1,609.00 | $804.50–$1,166.53 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE BILAT | $7,174.00 | $7,174.00 | $613.92–$5,201.15 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE RIGHT | $4,484.00 | $4,484.00 | $613.92–$3,250.90 | 40% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE LEFT | $4,484.00 | $4,484.00 | $613.92–$3,250.90 | 40% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE BILAT | $7,174.00 | $7,174.00 | $3,587.00–$5,201.15 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE RIGHT | $4,484.00 | $4,484.00 | $2,242.00–$3,250.90 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE LEFT | $4,484.00 | $4,484.00 | $2,242.00–$3,250.90 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD | $4,576.00 | $4,576.00 | $223.01–$3,455.25 | 86% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD | $4,576.00 | $4,576.00 | $2,288.00–$3,317.60 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $4,576.00 | $4,576.00 | $234.18–$3,317.60 | 159% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $4,576.00 | $4,576.00 | $2,288.00–$3,317.60 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD | $4,576.00 | $4,576.00 | $243.18–$3,317.60 | 144% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD | $4,576.00 | $4,576.00 | $2,288.00–$3,317.60 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD | $4,576.00 | $4,576.00 | $2,468.04–$3,455.25 | 40% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD | $4,576.00 | $4,576.00 | $2,288.00–$3,317.60 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS - EGD | $4,576.00 | $4,576.00 | $147.80–$3,317.60 | 144% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS - EGD | $4,576.00 | $4,576.00 | $2,288.00–$3,317.60 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD | $4,576.00 | $4,576.00 | $224.12–$3,317.60 | 144% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD | $4,576.00 | $4,576.00 | $2,288.00–$3,317.60 | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST - ENDO US (UPPER) | $15,724.00 | $15,724.00 | $349.96–$11,399.90 | 120% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST - ENDO US (UPPER) | $15,724.00 | $15,724.00 | $7,862.00–$11,399.90 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY | $9,169.00 | $9,169.00 | $260.61–$6,647.53 | 229% above | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY | $9,169.00 | $9,169.00 | $4,584.50–$6,647.53 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $7,579.00 | $7,579.00 | $1,989.03–$5,685.47 | 12% below | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $7,579.00 | $7,579.00 | $3,789.50–$6,000.00 | — | — |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $1,248.00 | $1,248.00 | $106.86–$904.80 | 248% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $1,248.00 | $1,248.00 | $624.00–$904.80 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $1,647.00 | $1,647.00 | $119.98–$1,194.08 | 142% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $1,647.00 | $1,647.00 | $823.50–$1,194.08 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $663.00 | $663.00 | $393.16–$794.39 | 24% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $663.00 | $663.00 | $331.50–$480.68 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $386.00 | $386.00 | $11.70–$394.30 | 20% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT PRESS/NON-PRESS MED TREATMENT | $972.00 | $972.00 | $11.70–$704.70 | 201% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT NEBULIZED MED TREATMENT | $972.00 | $972.00 | $11.70–$704.70 | 201% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT NEBULIZED MED TREATMENT | $972.00 | $972.00 | $486.00–$704.70 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT PRESS/NON-PRESS MED TREATMENT | $972.00 | $972.00 | $486.00–$704.70 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $972.00 | $972.00 | $486.00–$704.70 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $1,177.00 | $1,177.00 | $28.59–$853.33 | 35% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $1,177.00 | $1,177.00 | $588.50–$853.33 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE HEARING TEST | $682.00 | $682.00 | $165.50–$494.45 | 24% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE HEARING TEST | $682.00 | $682.00 | $341.00–$494.45 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $8,218.00 | $8,218.00 | $121.60–$5,958.05 | 50% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $8,218.00 | $8,218.00 | $4,109.00–$5,958.05 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,293.00 | $1,293.00 | $75.58–$937.43 | 26% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,293.00 | $1,293.00 | $646.50–$937.43 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG | $218.00 | $218.00 | $16.40–$158.05 | 36% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG | $218.00 | $218.00 | $109.00–$158.05 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB | $478.00 | $478.00 | $15.18–$346.55 | 14% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB | $478.00 | $478.00 | $239.00–$346.55 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $852.00 | $852.00 | $24.38–$617.70 | 2% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $852.00 | $852.00 | $426.00–$617.70 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,433.00 | $1,433.00 | $44.60–$1,038.93 | 4% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,433.00 | $1,433.00 | $716.50–$1,038.93 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $2,664.00 | $2,664.00 | $68.35–$1,931.40 | 2% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $2,664.00 | $2,664.00 | $1,332.00–$1,931.40 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $4,013.00 | $4,013.00 | $108.08–$2,909.43 | 13% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $4,013.00 | $4,013.00 | $2,006.50–$2,909.43 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE | $1,382.00 | $1,382.00 | $52.50–$1,001.95 | 2% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - MYOCARDIAL PERFUSION MULT | $1,382.00 | $1,382.00 | $52.50–$1,001.95 | 2% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM DOBUTAMINE | $1,382.00 | $1,382.00 | $52.50–$1,001.95 | 2% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE | $1,382.00 | $1,382.00 | $52.50–$1,001.95 | 2% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - MYOCARDIAL PERFUSION MULT | $1,382.00 | $1,382.00 | $691.00–$1,001.95 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE | $1,382.00 | $1,382.00 | $691.00–$1,001.95 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM DOBUTAMINE | $1,382.00 | $1,382.00 | $691.00–$1,001.95 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE | $1,382.00 | $1,382.00 | $691.00–$1,001.95 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $579.00 | $579.00 | $51.30–$419.78 | 16% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $579.00 | $579.00 | $289.50–$419.78 | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $1,009.00 | $1,009.00 | $62.60–$731.53 | 72% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $1,009.00 | $1,009.00 | $504.50–$731.53 | — | — |
| IV push of a medicine, first drug CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG | $418.00 | $418.00 | $49.82–$383.00 | 18% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG | $418.00 | $418.00 | $209.00–$303.05 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $207.00 | $207.00 | $18.75–$150.08 | 16% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT (DIALYSIS) | $207.00 | $207.00 | $18.75–$150.08 | 16% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT (DIALYSIS) | $207.00 | $207.00 | $103.50–$150.08 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $207.00 | $207.00 | $103.50–$150.08 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $633.00 | $633.00 | $160.95–$671.92 | 32% below | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $633.00 | $633.00 | $316.50–$458.93 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $245.00 | $245.00 | $12.22–$177.63 | 92% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $245.00 | $245.00 | $12.22–$177.63 | 92% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $245.00 | $245.00 | $122.50–$177.63 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $245.00 | $245.00 | $122.50–$177.63 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $225.00 | $225.00 | $33.81–$163.13 | 126% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $225.00 | $225.00 | $112.50–$163.13 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $620.00 | $620.00 | $106.09–$449.50 | 138% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $620.00 | $620.00 | $310.00–$449.50 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $633.00 | $633.00 | $103.17–$458.93 | 61% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $633.00 | $633.00 | $316.50–$458.93 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $557.00 | $557.00 | $103.17–$403.83 | 136% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $557.00 | $557.00 | $278.50–$403.83 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $594.00 | $594.00 | $103.17–$430.65 | 68% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $594.00 | $594.00 | $297.00–$430.65 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $221.00 | $221.00 | $22.21–$160.23 | 84% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $221.00 | $221.00 | $22.21–$160.23 | 84% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $221.00 | $221.00 | $110.50–$160.23 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $221.00 | $221.00 | $110.50–$160.23 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $119.00 | $119.00 | $10.96–$86.28 | 8% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15 MIN | $222.00 | $222.00 | $10.96–$160.95 | 72% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $119.00 | $119.00 | $59.50–$86.28 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15 MIN | $222.00 | $222.00 | $111.00–$160.95 | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC MD ASSESSMT W/MED DAILY (364) | $904.00 | $904.00 | $175.74–$655.40 | 184% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC MD ASSESSMT W/MED DAILY (364) | $904.00 | $904.00 | $452.00–$655.40 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $279.00 | $279.00 | $67.83–$319.60 | 12% below | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $279.00 | $279.00 | $139.50–$202.28 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $304.00 | $304.00 | $89.64–$319.60 | 4% below | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $304.00 | $304.00 | $152.00–$220.40 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $329.00 | $329.00 | $131.97–$319.60 | 10% below | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $329.00 | $329.00 | $164.50–$238.53 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $146.00 | $146.00 | $13.37–$105.85 | 99% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $146.00 | $146.00 | $73.00–$105.85 | — | — |
| Speech and language evaluation CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $1,450.00 | $1,450.00 | $130.58–$1,051.25 | 217% above | — |
| Speech and language evaluation inpatient CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $1,450.00 | $1,450.00 | $725.00–$1,051.25 | — | — |
| Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL | $632.00 | $632.00 | $56.41–$458.20 | 128% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL | $632.00 | $632.00 | $316.00–$458.20 | — | — |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY | $467.00 | $467.00 | $25.01–$388.80 | 23% above | — |
| Spirometry (breathing test) CPT 94010 HC PFT FLOW VOLUME LOOP - FLOW VOLUME LOOP | $467.00 | $467.00 | $25.01–$388.80 | 23% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC PFT FLOW VOLUME LOOP - FLOW VOLUME LOOP | $467.00 | $467.00 | $233.50–$338.58 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY | $467.00 | $467.00 | $233.50–$338.58 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $765.00 | $765.00 | $45.03–$671.92 | 4% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $765.00 | $765.00 | $382.50–$554.63 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $255.00 | $255.00 | $11.14–$184.88 | 86% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $255.00 | $255.00 | $127.50–$184.88 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY | $305.00 | $305.00 | $91.89–$239.57 | 6% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY-ROUTINE | $432.00 | $432.00 | $91.89–$313.20 | 34% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY-AFT HRS | $738.00 | $738.00 | $91.89–$535.05 | 128% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY | $305.00 | $305.00 | $152.50–$221.13 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY-ROUTINE | $432.00 | $432.00 | $216.00–$313.20 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY-AFT HRS | $738.00 | $738.00 | $369.00–$535.05 | — | — |
| Visual field test, extended CPT 92083 HC VISUAL FIELD EXAM,EXTENDED - VISUAL FIELD - OU - BOTH EYES | $521.00 | $521.00 | $30.51–$377.73 | 55% above | — |
| Visual field test, extended one side CPT 92083 HC VISUAL FIELD EXAM,EXTENDED - VISUAL FIELD - OD - RIGHT EYE | $521.00 | $521.00 | $30.51–$377.73 | 55% above | — |
| Visual field test, extended one side CPT 92083 HC VISUAL FIELD EXAM,EXTENDED - VISUAL FIELD - OS - LEFT EYE | $521.00 | $521.00 | $30.51–$377.73 | 55% above | — |
| Visual field test, extended inpatient CPT 92083 HC VISUAL FIELD EXAM,EXTENDED - VISUAL FIELD - OU - BOTH EYES | $521.00 | $521.00 | $260.50–$377.73 | — | — |
| Visual field test, extended inpatient one side CPT 92083 HC VISUAL FIELD EXAM,EXTENDED - VISUAL FIELD - OD - RIGHT EYE | $521.00 | $521.00 | $260.50–$377.73 | — | — |
| Visual field test, extended inpatient one side CPT 92083 HC VISUAL FIELD EXAM,EXTENDED - VISUAL FIELD - OS - LEFT EYE | $521.00 | $521.00 | $260.50–$377.73 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $54.00 | $54.00 | $32.02–$137.42 | 62% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC MODERNA COVID19 VACC 12 YRS AND OLDER | $170.16 | $170.16 | $100.90–$226.31 | 30% below | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC MODERNA COVID19 VACC 12 YRS AND OLDER | $170.16 | $170.16 | $85.08–$123.37 | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PFIZER COVID19 VACC 12 YRS AND OLDER | $164.10 | $164.10 | $97.31–$235.72 | 30% below | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PFIZER COVID19 VACC 12 YRS AND OLDER | $164.10 | $164.10 | $82.05–$118.97 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VAR VACCINE LIVE FOR SUBCUTANEOUS USE | $54.00 | $54.00 | $27.00–$238.56 | 83% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $888.69 | $888.69 | $178.03–$644.30 | 184% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VAR VACCINE LIVE FOR SUBCUTANEOUS USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $888.69 | $888.69 | $444.35–$644.30 | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE | $54.00 | $54.00 | $27.00–$84.63 | 68% below | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $577.40 | $577.40 | $63.16–$418.62 | 247% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION | $4,129.92 | $4,129.92 | $63.16–$2,994.19 | 2383% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $577.40 | $577.40 | $288.70–$418.62 | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION | $4,129.92 | $4,129.92 | $2,064.96–$2,994.19 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $65.98 | $65.98 | $31.32–$47.84 | 8% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $69.28 | $69.28 | $31.32–$50.23 | 3% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC DTAP IMMUNIZATION, IM, <7 YO | $115.00 | $115.00 | $31.32–$83.38 | 60% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $65.98 | $65.98 | $32.99–$47.84 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $69.28 | $69.28 | $34.64–$50.23 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC DTAP IMMUNIZATION, IM, <7 YO | $115.00 | $115.00 | $57.50–$83.38 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | $390.00 | $390.00 | $98.68–$282.75 | 137% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $682.63 | $682.63 | $98.68–$494.91 | 315% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | $390.00 | $390.00 | $195.00–$282.75 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $682.63 | $682.63 | $341.32–$494.91 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE | $474.00 | $474.00 | $112.97–$343.65 | 128% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE | $474.00 | $474.00 | $237.00–$343.65 | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR | $453.00 | $453.00 | $150.81–$328.43 | 159% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HC DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR | $453.00 | $453.00 | $226.50–$328.43 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE | $54.00 | $54.00 | $23.22–$39.15 | 26% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE | $54.00 | $54.00 | $27.00–$390.28 | 86% below | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $13,949.23 | $13,949.23 | $291.25–$10,113.19 | 3500% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $13,949.23 | $13,949.23 | $6,974.62–$10,113.19 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $54.00 | $54.00 | $27.00–$100.50 | 61% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $505.33 | $505.33 | $75.00–$366.36 | 262% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $505.33 | $505.33 | $252.67–$366.36 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE | $164.00 | $164.00 | $41.62–$118.90 | 122% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $555.63 | $555.63 | $41.62–$402.83 | 652% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE | $164.00 | $164.00 | $82.00–$118.90 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $555.63 | $555.63 | $277.82–$402.83 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $302.00 | $302.00 | $70.38–$218.95 | 146% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $302.00 | $302.00 | $151.00–$218.95 | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $84.60 | $84.60 | $50.17–$248.58 | 67% below | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $1,861.27 | $1,861.27 | $164.74–$1,349.42 | 629% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $84.60 | $84.60 | $42.30–$61.34 | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $1,861.27 | $1,861.27 | $930.64–$1,349.42 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM | $115.00 | $115.00 | $31.67–$83.38 | 99% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $4,836.24 | $4,836.24 | $31.67–$3,506.27 | 8285% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM | $115.00 | $115.00 | $57.50–$83.38 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $4,836.24 | $4,836.24 | $2,418.12–$3,506.27 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE | $35.00 | $35.00 | $17.50–$44.78 | 48% below | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $148.27 | $148.27 | $33.42–$107.50 | 119% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE | $35.00 | $35.00 | $17.50–$25.38 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $148.27 | $148.27 | $74.14–$107.50 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $62.31 | $62.31 | $16.59–$45.17 | 49% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE | $76.00 | $76.00 | $16.59–$55.10 | 82% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $62.31 | $62.31 | $31.16–$45.17 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE | $76.00 | $76.00 | $38.00–$55.10 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC FLU IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $396.00 | $396.00 | $87.95–$287.10 | 216% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC FLU IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $396.00 | $396.00 | $198.00–$287.10 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MMR VIRUS IMMUNIZATION, SUBCUT | $377.00 | $377.00 | $94.70–$273.33 | 169% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MMR VIRUS IMMUNIZATION, SUBCUT | $377.00 | $377.00 | $188.50–$273.33 | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $1,039.61 | $1,039.61 | $271.61–$753.72 | 158% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC COMBINED VACCINE,MMR+VARICELLA,SUB-Q | $1,091.00 | $1,091.00 | $271.61–$790.98 | 171% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $1,039.61 | $1,039.61 | $519.81–$753.72 | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC COMBINED VACCINE,MMR+VARICELLA,SUB-Q | $1,091.00 | $1,091.00 | $545.50–$790.98 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $378.88 | $378.88 | $159.63–$274.69 | 45% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENACWY CONJUGATE VACCINE GROUPS ACYW-135 IM USE | $628.00 | $628.00 | $159.63–$455.30 | 140% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $709.14 | $709.14 | $159.63–$514.13 | 171% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $378.88 | $378.88 | $189.44–$274.69 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENACWY CONJUGATE VACCINE GROUPS ACYW-135 IM USE | $628.00 | $628.00 | $314.00–$455.30 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $709.14 | $709.14 | $354.57–$514.13 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE | $54.00 | $54.00 | $27.00–$228.72 | 80% below | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $189.11 | $189.11 | $94.56–$228.72 | 29% below | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $425.55 | $425.55 | $170.69–$308.52 | 59% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $189.11 | $189.11 | $94.56–$137.10 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $425.55 | $425.55 | $212.78–$308.52 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM | $54.00 | $54.00 | $27.00–$304.80 | 88% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 HC MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM | $54.00 | $54.00 | $27.00–$259.92 | 73% below | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $539.06 | $539.06 | $193.97–$390.82 | 167% above | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HC MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $539.06 | $539.06 | $269.53–$390.82 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PCV13 VACCINE FOR INTRAMUSCULAR USE | $991.00 | $991.00 | $257.99–$718.48 | 217% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $2,310.97 | $2,310.97 | $257.99–$1,675.45 | 639% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PCV13 VACCINE FOR INTRAMUSCULAR USE | $991.00 | $991.00 | $495.50–$718.48 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $2,310.97 | $2,310.97 | $1,155.49–$1,675.45 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $585.60 | $585.60 | $258.02–$424.56 | 41% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC PCV15 VACCINE FOR INTRAMUSCULAR USE | $991.00 | $991.00 | $258.02–$718.48 | 139% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOCCAL 15-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $585.60 | $585.60 | $292.80–$424.56 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 HC PCV15 VACCINE FOR INTRAMUSCULAR USE | $991.00 | $991.00 | $495.50–$718.48 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $991.00 | $991.00 | $302.50–$718.48 | 91% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $8,263.99 | $8,263.99 | $302.50–$5,991.39 | 1491% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $991.00 | $991.00 | $495.50–$718.48 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $8,263.99 | $8,263.99 | $4,132.00–$5,991.39 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | $518.00 | $518.00 | $133.47–$375.55 | 220% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $599.45 | $599.45 | $133.47–$434.60 | 271% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $1,198.91 | $1,198.91 | $133.47–$869.21 | 641% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | $518.00 | $518.00 | $259.00–$375.55 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $599.45 | $599.45 | $299.73–$434.60 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $1,198.91 | $1,198.91 | $599.46–$869.21 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $107.23 | $107.23 | $46.35–$77.74 | 18% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 HC POLIOMYELITIS IMMUNIZATN,INACTV,SUB-Q | $142.00 | $142.00 | $46.35–$102.95 | 57% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $107.23 | $107.23 | $53.62–$77.74 | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC POLIOMYELITIS IMMUNIZATN,INACTV,SUB-Q | $142.00 | $142.00 | $71.00–$102.95 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE | $642.00 | $642.00 | $321.00–$702.44 | 32% below | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $8,236.80 | $8,236.80 | $524.21–$5,971.68 | 771% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE | $642.00 | $642.00 | $321.00–$465.45 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $8,236.80 | $8,236.80 | $4,118.40–$5,971.68 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $633.60 | $633.60 | $316.80–$702.44 | 35% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $642.00 | $642.00 | $321.00–$702.44 | 34% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $633.60 | $633.60 | $316.80–$459.36 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $642.00 | $642.00 | $321.00–$465.45 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $464.00 | $464.00 | $232.00–$401.28 | 50% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $464.00 | $464.00 | $232.00–$336.40 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $555.28 | $555.28 | $313.68–$439.15 | 21% below | — |
| Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE, IM | $1,707.00 | $1,707.00 | $313.68–$1,237.58 | 142% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $2,649.03 | $2,649.03 | $313.68–$1,920.55 | 275% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $555.28 | $555.28 | $277.64–$402.58 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VACCINE, IM | $1,707.00 | $1,707.00 | $853.50–$1,237.58 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $2,649.03 | $2,649.03 | $1,324.52–$1,920.55 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE | $54.00 | $54.00 | $27.00–$151.70 | 63% below | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE,LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/ML ORAL SUSP | $60.94 | $60.94 | $30.47–$151.70 | 59% below | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 HC RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE | $54.00 | $54.00 | $27.00–$39.15 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE,LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/ML ORAL SUSP | $60.94 | $60.94 | $30.47–$44.18 | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE | $413.00 | $413.00 | $99.67–$299.43 | 130% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE | $413.00 | $413.00 | $206.50–$299.43 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $210.00 | $210.00 | $105.00–$271.16 | 3% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $4,695.27 | $4,695.27 | $202.36–$3,404.07 | 2061% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $210.00 | $210.00 | $105.00–$152.25 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $4,695.27 | $4,695.27 | $2,347.64–$3,404.07 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $165.00 | $165.00 | $23.29–$119.63 | 103% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $165.00 | $165.00 | $82.50–$119.63 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $116.69 | $116.69 | $43.55–$84.60 | 1% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE >7 YO, IM | $208.00 | $208.00 | $43.55–$150.80 | 80% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $224.39 | $224.39 | $43.55–$162.68 | 94% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $5,785.18 | $5,785.18 | $43.55–$4,194.26 | 4899% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $116.69 | $116.69 | $58.35–$84.60 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE >7 YO, IM | $208.00 | $208.00 | $104.00–$150.80 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $224.39 | $224.39 | $112.20–$162.68 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $5,785.18 | $5,785.18 | $2,892.59–$4,194.26 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $207.00 | $207.00 | $18.76–$150.08 | 98% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $207.00 | $207.00 | $103.50–$150.08 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $117.00 | $117.00 | $4.46–$84.83 | 46% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $117.00 | $117.00 | $58.50–$84.83 | — | — |
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.