Hospital La Grande, OR

Grande Ronde Hospital

Grande Ronde Hospital in La Grande, OR publishes cash prices for 384 common procedures listed here, from its own machine-readable price file updated Nov 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oregon median for 228 of 381 procedures and above it for 148. By typical cash price it ranks #20 of 49 Oregon hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

900 Sunset Drive, La Grande, OR 97850 Collected Oct 29, 2026 Source price file Check a bill from this hospital (541) 963-8421

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 381321 · CMS hospital register NPI 1467446195

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Oregon law (ORS 442.614) requires nonprofit hospitals to cut what patients owe for medically necessary care by 100% for household income up to 200% of the federal poverty level, and by at least 75%, 50% or 25% up to 400%. Ask the hospital for its financial assistance application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,735.08	$2,891.80	$159.11	1% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,735.08	$2,891.80	$159.11	—	40%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$278.28	$463.80	$20.65	6% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$278.28	$463.80	$20.65	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$204.45	$340.75	$23.37	27% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$204.45	$340.75	$23.37	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$264.21	$440.35	$58.47	49% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$264.21	$440.35	$58.47	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,196.31	$1,993.85	$93.38	7% above	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,196.31	$1,993.85	$93.38	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CONTRAST	$384.69	$641.15	$54.19	31% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CONTRAST	$384.69	$641.15	$54.19	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE AND OR JOINT IMAGING WHOLE BODY CDM	$1,154.88	$1,924.80	$179.95	18% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE AND OR JOINT IMAGING WHOLE BODY CDM	$1,154.88	$1,924.80	$179.95	—	40%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$534.51	$890.85	$54.19	48% above	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$534.51	$890.85	$54.19	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$162.72	$271.20	$67.54	46% below	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$162.72	$271.20	$67.54	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS	$2,878.68	$4,797.80	$226.58	16% above	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS	$2,878.68	$4,797.80	$226.58	—	40%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,872.03	$3,120.05	$158.21	4% below	40%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,872.03	$3,120.05	$158.21	—	40%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,872.03	$3,120.05	$157.94	3% below	40%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,872.03	$3,120.05	$157.94	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST	$1,852.53	$3,087.55	$160.94	1% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST	$1,852.53	$3,087.55	$160.94	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$2,373.93	$3,956.55	$84.11	13% above	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$2,373.93	$3,956.55	$84.11	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$2,842.26	$4,737.10	$176.84	11% above	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$2,842.26	$4,737.10	$176.84	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$3,082.53	$5,137.55	$200.21	1% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$3,082.53	$5,137.55	$200.21	—	40%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,574.64	$2,624.40	$140.29	6% above	40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,574.64	$2,624.40	$140.29	—	40%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,263.51	$2,105.85	$66.46	12% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,263.51	$2,105.85	$66.46	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$968.76	$1,614.60	$72.19	10% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$968.76	$1,614.60	$72.19	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,136.85	$1,894.75	$54.74	12% above	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,136.85	$1,894.75	$54.74	—	40%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,260.87	$2,101.45	$78.66	3% below	40%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,260.87	$2,101.45	$78.66	—	40%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,708.23	$2,847.05	$93.38	9% above	40%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,708.23	$2,847.05	$93.38	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$1,253.04	$2,088.40	$68.10	4% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$1,253.04	$2,088.40	$68.10	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE WO CONTRAST	$1,315.95	$2,193.25	$68.65	8% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE WO CONTRAST	$1,315.95	$2,193.25	$68.65	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,424.70	$2,374.50	$140.56	4% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,424.70	$2,374.50	$140.56	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$741.60	$1,236.00	$123.85	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$741.60	$1,236.00	$123.85	—	40%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,937.34	$3,228.90	$112.75	4% above	40%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,937.34	$3,228.90	$112.75	—	40%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$257.13	$428.55	$18.74	5% below	40%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$257.13	$428.55	$18.74	—	40%
Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$223.62	$372.70	$13.83	11% below	40%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$223.62	$372.70	$13.83	11% below	40%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$223.62	$372.70	$13.83	—	40%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$223.62	$372.70	$13.83	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$133.20	$222.00	$20.65	38% below	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$133.20	$222.00	$20.65	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$535.83	$893.05	$59.02	5% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$535.83	$893.05	$59.02	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$334.77	$557.95	$24.46	13% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$334.77	$557.95	$24.46	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$1,286.61	$2,144.35	$67.83	5% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$1,286.61	$2,144.35	$67.83	5% above	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$1,286.61	$2,144.35	$67.83	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$1,286.61	$2,144.35	$67.83	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$1,572.81	$2,621.35	$92.02	3% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$1,572.81	$2,621.35	$92.02	—	40%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD	$545.37	$908.95	$90.11	28% above	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD	$545.37	$908.95	$90.11	—	40%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD	$267.81	$446.35	$70.28	14% below	40%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD	$267.81	$446.35	$70.28	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$500.85	$834.75	$163.58	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$500.85	$834.75	$163.58	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN XTR VEINS COMPLETE BILATERAL STUDY	$874.86	$1,458.10	$123.85	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX SCAN XTR VEINS COMPLETE BILATERAL STUDY	$874.86	$1,458.10	$123.85	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,642.65	$2,737.75	$1,204.61	3% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,642.65	$2,737.75	$2,244.96	—	40%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$231.33	$385.55	$17.37	5% below	40%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$231.33	$385.55	$17.37	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$214.89	$358.15	$20.10	12% below	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$214.89	$358.15	$20.10	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,125.51	$1,875.85	$80.84	5% above	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,125.51	$1,875.85	$80.84	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$179.19	$298.65	$17.37	32% below	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$179.19	$298.65	$17.37	—	40%
Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW	$202.41	$337.35	$19.01	17% below	40%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$210.33	$350.55	$19.01	14% below	40%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW	$202.41	$337.35	$19.01	—	40%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$210.33	$350.55	$19.01	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL MIN 2 VIEWS	$115.32	$192.20	$16.83	44% below	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL MIN 2 VIEWS	$115.32	$192.20	$16.83	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM OVER 6YRS SLEEP W/CPAP AND 4 ADDL PARAM ATTND CDM	$1,854.33	$3,090.55	$1,359.84	47% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM OVER 6YRS SLEEP W/CPAP AND 4 ADDL PARAM ATTND CDM	$1,854.33	$3,090.55	$2,534.25	—	40%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$236.49	$394.15	$26.92	17% below	40%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$236.49	$394.15	$26.92	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4/PLUS VIEWS	$408.66	$681.10	$31.28	15% above	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4/PLUS VIEWS	$408.66	$681.10	$31.28	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,217.43	$2,029.05	$68.37	9% above	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,217.43	$2,029.05	$68.37	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$352.59	$587.65	$47.92	28% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$352.59	$587.65	$47.92	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$308.34	$513.90	$26.10	2% above	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$308.34	$513.90	$26.10	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LW DOSE LNG CA SCR WO CONTRAST CDM	$409.62	$682.70	$70.75	38% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LW DOSE LNG CA SCR WO CONTRAST CDM	$409.62	$682.70	$70.75	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG 2 VIEWS	$188.46	$314.10	$19.28	24% below	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG 2 VIEWS	$188.46	$314.10	$19.28	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$2,143.92	$3,573.20	$130.39	14% above	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$2,143.92	$3,573.20	$130.39	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,744.11	$2,906.85	$115.47	2% below	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,744.11	$2,906.85	$115.47	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$2,212.14	$3,686.90	$230.48	17% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$2,212.14	$3,686.90	$230.48	—	40%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$2,039.82	$3,399.70	$104.02	11% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$2,039.82	$3,399.70	$104.02	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,103.45	$3,505.75	$191.48	28% below	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,103.45	$3,505.75	$191.48	—	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE	$1,840.20	$3,067.00	$104.02	at median	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE	$1,840.20	$3,067.00	$104.02	—	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE	$2,716.02	$4,526.70	$172.66	13% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE	$2,716.02	$4,526.70	$172.66	—	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$2,044.44	$3,407.40	$100.47	9% above	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$2,044.44	$3,407.40	$100.47	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$2,908.65	$4,847.75	$173.48	2% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$2,908.65	$4,847.75	$173.48	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,969.62	$3,282.70	$99.66	6% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,969.62	$3,282.70	$99.66	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,221.44	$3,702.40	$173.48	22% below	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,221.44	$3,702.40	$173.48	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$1,885.26	$3,142.10	$99.93	5% above	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$1,885.26	$3,142.10	$99.93	—	40%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & W CONTRAST	$2,220.42	$3,700.70	$190.12	19% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & W CONTRAST	$2,220.42	$3,700.70	$190.12	—	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$1,762.14	$2,936.90	$131.29	2% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$1,762.14	$2,936.90	$131.29	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,634.79	$2,724.65	$115.75	8% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,634.79	$2,724.65	$115.75	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$344.46	$574.10	$34.28	8% below	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$344.46	$574.10	$34.28	—	40%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,424.70	$2,374.50	$98.02	3% below	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,424.70	$2,374.50	$98.02	—	40%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,183.44	$1,972.40	$73.83	7% above	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,183.44	$1,972.40	$73.83	—	40%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$195.45	$325.75	$18.19	22% below	40%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$195.45	$325.75	$18.19	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYCARD PERFUS SPECT MULTIPLE	$2,767.86	$4,613.10	$288.25	19% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYCARD PERFUS SPECT MULTIPLE	$2,767.86	$4,613.10	$288.25	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W CT SKULL MID THIGH	$4,139.37	$6,898.95	$1,298.40	10% below	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W CT SKULL MID THIGH	$4,139.37	$6,898.95	$1,298.40	—	40%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,200.51	$2,000.85	$67.55	at median	40%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,200.51	$2,000.85	$67.55	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED	$336.15	$560.25	$22.28	3% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC FOLLICLE LIMITED	$336.15	$560.25	$22.28	3% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED	$336.15	$560.25	$22.28	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC FOLLICLE LIMITED	$336.15	$560.25	$22.28	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB COMPLETE	$514.65	$857.75	$59.56	2% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB COMPLETE	$514.65	$857.75	$59.56	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$419.46	$699.10	$72.38	19% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$419.46	$699.10	$72.38	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$404.76	$674.60	$57.46	13% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$404.76	$674.60	$57.46	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC PR 76815 US PREGNANT UTERUS LIMITED 1/> FETUSES RHC	$272.67	$454.45	$66.19	24% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S) CDM	$333.39	$555.65	$41.65	7% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S) CDM	$333.39	$555.65	$41.65	—	40%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS UNI 2 VIEWS	$238.20	$397.00	$20.92	10% below	40%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS UNI 2 VIEWS	$238.20	$397.00	$20.92	—	40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$355.65	$592.75	$23.92	10% above	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$355.65	$592.75	$23.92	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO BI INCL CAD	$246.24	$410.40	$74.37	—	40%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$246.24	$410.40	$74.37	26% below	40%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD	$246.24	$410.40	$74.37	26% below	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO BI INCL CAD	$246.24	$410.40	$74.37	—	40%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$246.24	$410.40	$74.37	—	40%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD	$246.24	$410.40	$74.37	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$205.74	$342.90	$21.74	27% below	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$205.74	$342.90	$21.74	—	40%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$234.96	$391.60	$22.01	16% below	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$234.96	$391.60	$22.01	—	40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE	$1,679.73	$2,799.55	$1,231.80	46% below	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE	$1,679.73	$2,799.55	$2,295.63	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$436.86	$728.10	$77.92	19% below	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$436.86	$728.10	$77.92	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$248.55	$414.25	$22.01	1% below	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$248.55	$414.25	$22.01	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE WO CONTRAST	$1,361.31	$2,268.85	$68.37	12% above	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE WO CONTRAST	$1,361.31	$2,268.85	$68.37	—	40%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$159.72	$266.20	$18.19	21% below	40%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$159.72	$266.20	$18.19	—	40%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$502.47	$837.45	$69.38	8% above	40%
Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 TRANSVAGINAL US NON-OB RHC	$551.16	$918.60	$95.28	18% above	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$502.47	$837.45	$69.38	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL CDM	$161.91	$269.85	$46.83	56% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC PR 76817 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG RHC	$223.17	$371.95	$75.15	39% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL CDM	$161.91	$269.85	$46.83	—	40%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$536.13	$893.55	$62.56	11% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$536.13	$893.55	$62.56	—	40%
Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM & CONTENTS	$521.73	$869.55	$56.10	2% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US EXAM SCROTUM & CONTENTS	$521.73	$869.55	$56.10	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$384.39	$640.65	$67.20	21% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$384.39	$640.65	$67.20	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$476.88	$794.80	$68.65	17% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$476.88	$794.80	$68.65	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$160.89	$268.15	$19.55	38% below	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$160.89	$268.15	$19.55	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$576.69	$961.15	$78.11	10% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$576.69	$961.15	$78.11	—	40%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$178.11	$296.85	$21.19	21% below	40%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$178.11	$296.85	$21.19	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$208.23	$347.05	$27.74	26% below	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$208.23	$347.05	$27.74	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$281.88	$469.80	$31.01	4% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$281.88	$469.80	$31.01	—	40%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$191.37	$318.95	$17.10	23% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$191.37	$318.95	$17.10	—	40%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 1 VIEW	$89.43	$149.05	$19.83	65% below	40%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$139.23	$232.05	$19.83	45% below	40%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 1 VIEW	$89.43	$149.05	$19.83	—	40%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$139.23	$232.05	$19.83	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$115.23	$192.05	$26.65	49% below	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$115.23	$192.05	$26.65	—	40%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 1 VIEW	$93.57	$155.95	$17.10	58% below	40%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$131.37	$218.95	$17.10	41% below	40%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 1 VIEW	$93.57	$155.95	$17.10	—	40%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$131.37	$218.95	$17.10	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$200.25	$333.75	$21.19	26% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$200.25	$333.75	$21.19	—	40%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEWS	$191.28	$318.80	$24.19	38% below	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEWS	$191.28	$318.80	$24.19	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEWS	$172.08	$286.80	$21.46	30% below	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEWS	$172.08	$286.80	$21.46	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$258.42	$430.70	$24.19	19% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$258.42	$430.70	$24.19	—	40%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$369.51	$615.85	$33.19	8% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$369.51	$615.85	$33.19	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$275.67	$459.45	$19.01	9% below	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$275.67	$459.45	$19.01	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$213.60	$356.00	$23.65	5% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$213.60	$356.00	$23.65	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$223.50	$372.50	$23.92	14% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$223.50	$372.50	$23.92	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$214.71	$357.85	$16.01	23% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$214.71	$357.85	$16.01	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$118.86	$198.10	$19.28	53% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$118.86	$198.10	$19.28	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH CDM	$206.19	$343.65	$30.90	61% above	40%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH CDM	$206.19	$343.65	$30.90	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT)	$57.21	$95.35	$4.24	138% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT)	$57.21	$95.35	$4.24	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST)	$74.61	$124.35	$4.14	162% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST)	$74.61	$124.35	$4.14	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL	$146.58	$244.30	$38.10	34% below	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL	$146.58	$244.30	$38.10	—	40%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$45.93	$76.55	$3.96	80% above	40%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$45.93	$76.55	$3.96	—	40%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE CDM	$110.07	$183.45	$32.60	14% above	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLD	$110.07	$183.45	$32.60	14% above	40%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE CDM	$110.07	$183.45	$32.60	—	40%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLD	$110.07	$183.45	$32.60	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS	$25.14	$41.90	$4.14	at median	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS	$25.14	$41.90	$4.14	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE	$20.76	$34.60	$4.18	53% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - QUANT IGE	$20.76	$34.60	$4.18	53% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - IGE QUANT	$20.76	$34.60	$4.18	53% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH CDM	$20.76	$34.60	$4.18	53% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE	$20.76	$34.60	$4.18	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - QUANT IGE	$20.76	$34.60	$4.18	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - IGE QUANT	$20.76	$34.60	$4.18	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH CDM	$20.76	$34.60	$4.18	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM CDM	$51.51	$85.85	$13.42	29% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$51.51	$85.85	$13.42	29% below	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN SERUM CDM	$51.51	$85.85	$13.42	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$51.51	$85.85	$13.42	—	40%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA CDM	$171.06	$285.10	$11.66	94% above	40%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA CDM	$171.06	$285.10	$11.66	—	40%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE CDM	$52.68	$87.80	$5.18	9% above	40%
Amylase blood test CPT 82150 HC AMYLASE	$52.68	$87.80	$5.18	9% above	40%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE CDM	$52.68	$87.80	$5.18	—	40%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$52.68	$87.80	$5.18	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY	$101.46	$169.10	$10.36	79% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY	$101.46	$169.10	$10.36	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA CDM	$63.66	$106.10	$9.67	1% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$63.66	$106.10	$9.67	1% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$63.66	$106.10	$9.67	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA CDM	$63.66	$106.10	$9.67	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE CDM	$203.61	$339.35	$31.41	29% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE CDM	$203.61	$339.35	$31.41	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER	$80.01	$133.35	$6.90	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIA OTHER	$80.01	$133.35	$6.90	—	40%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$44.91	$74.85	$6.77	6% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$44.91	$74.85	$6.77	—	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL CDM	$71.52	$119.20	$4.02	180% above	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$71.52	$119.20	$4.02	180% above	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL CDM	$71.52	$119.20	$4.02	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$71.52	$119.20	$4.02	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM CDM	$194.37	$323.95	$28.55	2% below	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM CDM	$194.37	$323.95	$28.55	—	40%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$170.64	$284.40	$8.26	55% above	40%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$170.64	$284.40	$8.26	—	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$41.40	$69.00	$3.14	72% above	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$41.40	$69.00	$3.14	—	40%
Blood lead test CPT 83655 HC LEAD WHOLE BLOOD	$75.90	$126.50	$9.69	134% above	40%
Blood lead test CPT 83655 HC ASSAY OF LEAD CDM	$75.90	$126.50	$9.69	134% above	40%
Blood lead test inpatient CPT 83655 HC LEAD WHOLE BLOOD	$75.90	$126.50	$9.69	—	40%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD CDM	$75.90	$126.50	$9.69	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$99.90	$166.50	$6.02	38% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$99.90	$166.50	$6.02	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO CDM	$42.06	$70.10	$2.39	23% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO CDM	$42.06	$70.10	$2.39	—	40%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$52.50	$87.50	$3.16	106% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$52.50	$87.50	$3.16	—	40%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE CDM	$124.32	$207.20	$16.65	38% above	40%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE CDM	$124.32	$207.20	$16.65	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$46.86	$78.10	$4.14	23% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$46.86	$78.10	$4.14	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE CDM	$120.72	$201.20	$29.82	23% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$120.72	$201.20	$29.82	23% below	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$120.72	$201.20	$29.82	—	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE CDM	$120.72	$201.20	$29.82	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$75.78	$126.30	$16.65	20% below	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$75.78	$126.30	$16.65	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$116.25	$193.75	$16.65	4% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$116.25	$193.75	$16.65	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ CDM	$66.81	$111.35	$41.05	44% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ CDM	$66.81	$111.35	$41.05	—	40%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$18.54	$30.90	$4.13	27% below	40%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL CDM	$18.54	$30.90	$4.13	27% below	40%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$18.54	$30.90	$4.13	—	40%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL CDM	$18.54	$30.90	$4.13	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$114.99	$191.65	$15.17	41% above	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$114.99	$191.65	$15.17	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM	$49.35	$82.25	$10.30	19% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG	$49.35	$82.25	$10.30	19% below	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG	$49.35	$82.25	$10.30	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM	$49.35	$82.25	$10.30	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ CDM	$76.41	$127.35	$28.07	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$76.41	$127.35	$28.07	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE	$76.41	$127.35	$28.07	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ CDM	$76.41	$127.35	$28.07	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$76.41	$127.35	$28.07	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE	$76.41	$127.35	$28.07	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$70.59	$117.65	$10.71	22% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL CDM	$70.59	$117.65	$10.71	22% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$70.59	$117.65	$10.71	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL CDM	$70.59	$117.65	$10.71	—	40%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO	$69.60	$116.00	$6.22	68% above	40%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$69.60	$116.00	$6.22	68% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$69.60	$116.00	$6.22	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO	$69.60	$116.00	$6.22	—	40%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED CDM	$63.27	$105.45	$5.18	105% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED CDM	$63.27	$105.45	$5.18	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL	$85.17	$141.95	$8.45	54% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL	$85.17	$141.95	$8.45	—	40%
Cortisol blood test, total CPT 82533 HC CORTISOL	$72.06	$120.10	$13.04	12% below	40%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL CDM	$72.06	$120.10	$13.04	12% below	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL CDM	$72.06	$120.10	$13.04	—	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$72.06	$120.10	$13.04	—	40%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$45.84	$76.40	$5.21	7% above	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$45.84	$76.40	$5.21	—	40%
Creatinine blood test CPT 82565 HC ASSAY CREATININE	$54.69	$91.15	$4.10	121% above	40%
Creatinine blood test inpatient CPT 82565 HC ASSAY CREATININE	$54.69	$91.15	$4.10	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY	$72.09	$120.15	$11.51	16% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV CDM	$72.09	$120.15	$11.51	16% above	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV CDM	$72.09	$120.15	$11.51	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY	$72.09	$120.15	$11.51	—	40%
D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT	$149.67	$249.45	$8.14	15% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT	$149.67	$249.45	$8.14	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE CDM	$118.05	$196.75	$17.78	38% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE CDM	$118.05	$196.75	$17.78	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$94.62	$157.70	$49.71	64% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$94.62	$157.70	$49.71	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA CDM	$59.88	$99.80	$14.51	20% below	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA CDM	$59.88	$99.80	$14.51	—	40%
Estradiol blood test CPT 82670 HC ASSAY OF TOTAL ESTRADIOL CDM	$130.53	$217.55	$22.35	17% above	40%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF TOTAL ESTRADIOL CDM	$130.53	$217.55	$22.35	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$86.73	$144.55	$14.86	8% above	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$86.73	$144.55	$14.86	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL CDM	$219.03	$365.05	$15.70	86% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL CDM	$219.03	$365.05	$15.70	—	40%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN CDM	$80.52	$134.20	$10.90	44% above	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN CDM	$80.52	$134.20	$10.90	—	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$133.68	$222.80	$7.78	108% above	40%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$133.68	$222.80	$7.78	—	40%
Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$85.44	$142.40	$11.76	3% below	40%
Folate (folic acid) blood test inpatient CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$85.44	$142.40	$11.76	—	40%
Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$81.27	$135.45	$13.55	12% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$81.27	$135.45	$13.55	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$54.36	$90.60	$7.22	19% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$54.36	$90.60	$7.22	—	40%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$38.76	$64.60	$20.38	36% below	40%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE	$38.76	$64.60	$20.38	36% below	40%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$38.76	$64.60	$20.38	—	40%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE	$38.76	$64.60	$20.38	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT TOTAL	$47.76	$79.60	$5.76	59% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT TOTAL	$47.76	$79.60	$5.76	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE CDM	$83.46	$139.10	$3.80	142% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$83.46	$139.10	$3.80	142% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$83.46	$139.10	$3.80	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE CDM	$83.46	$139.10	$3.80	—	40%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$126.09	$210.15	$10.30	61% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$126.09	$210.15	$10.30	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMPLIFIED PROBE	$76.41	$127.35	$28.07	18% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ CDM	$76.41	$127.35	$28.07	18% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$76.41	$127.35	$28.07	18% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$76.41	$127.35	$28.07	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ CDM	$76.41	$127.35	$28.07	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMPLIFIED PROBE	$76.41	$127.35	$28.07	—	40%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL CDM	$136.35	$227.25	$11.50	90% above	40%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL CDM	$136.35	$227.25	$11.50	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR	$266.49	$444.15	$68.08	1% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR	$266.49	$444.15	$68.08	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$84.69	$141.15	$19.26	6% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC ANTI-HIV 1/2 AB & P24 AG	$84.69	$141.15	$19.26	6% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$84.69	$141.15	$19.26	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC ANTI-HIV 1/2 AB & P24 AG	$84.69	$141.15	$19.26	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT CDM	$43.47	$72.45	$28.07	50% below	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT CDM	$43.47	$72.45	$28.07	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$29.10	$48.50	$7.77	39% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$29.10	$48.50	$7.77	—	40%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$22.86	$38.10	$1.90	31% above	40%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$22.86	$38.10	$1.90	31% above	40%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$22.86	$38.10	$1.90	—	40%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$22.86	$38.10	$1.90	—	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL CDM	$45.00	$75.00	$9.64	30% below	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL CDM	$45.00	$75.00	$9.64	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$42.39	$70.65	$8.59	33% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$42.39	$70.65	$8.59	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$33.24	$55.40	$8.26	40% below	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$33.24	$55.40	$8.26	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY CDM	$60.03	$100.05	$11.42	18% below	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY CDM	$60.03	$100.05	$11.42	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANTITATIVE PCR	$277.05	$461.75	$34.27	41% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION CDM	$277.05	$461.75	$34.27	41% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANTITATIVE PCR	$277.05	$461.75	$34.27	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION CDM	$277.05	$461.75	$34.27	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG	$57.18	$95.30	$10.55	2% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 CDM	$57.18	$95.30	$10.55	2% below	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 CDM	$57.18	$95.30	$10.55	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG	$57.18	$95.30	$10.55	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 CDM	$66.06	$110.10	$15.48	9% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2	$66.06	$110.10	$15.48	9% below	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2	$66.06	$110.10	$15.48	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 CDM	$66.06	$110.10	$15.48	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$61.20	$102.00	$10.36	1% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$61.20	$102.00	$10.36	—	40%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE CDM	$65.58	$109.30	$14.34	22% below	40%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTEINE CDM	$65.58	$109.30	$14.34	—	40%
Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY	$73.20	$122.00	$9.14	33% above	40%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY	$73.20	$122.00	$9.14	—	40%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON CDM	$67.08	$111.80	$5.18	65% above	40%
Iron blood test (serum iron) CPT 83540 HC IRON	$67.08	$111.80	$5.18	65% above	40%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON CDM	$67.08	$111.80	$5.18	—	40%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$67.08	$111.80	$5.18	—	40%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY CDM	$86.28	$143.80	$6.99	102% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY CDM	$86.28	$143.80	$6.99	—	40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM	$143.70	$239.50	$6.94	199% above	40%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM	$143.70	$239.50	$6.94	—	40%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$87.06	$145.10	$14.82	7% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$87.06	$145.10	$14.82	—	40%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE CDM	$119.97	$199.95	$9.26	62% above	40%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE	$119.97	$199.95	$9.26	62% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE CDM	$119.97	$199.95	$9.26	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE	$119.97	$199.95	$9.26	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH SERUM	$83.97	$139.95	$4.83	169% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID	$83.97	$139.95	$4.83	169% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID	$83.97	$139.95	$4.83	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH SERUM	$83.97	$139.95	$4.83	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE CDM	$88.02	$146.70	$5.51	38% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE CDM	$88.02	$146.70	$5.51	—	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$88.08	$146.80	$6.54	112% above	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$88.08	$146.80	$6.54	—	40%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY	$86.85	$144.75	$13.62	33% above	40%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY	$86.85	$144.75	$13.62	—	40%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM CDM	$64.23	$107.05	$5.36	86% above	40%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM CDM	$64.23	$107.05	$5.36	—	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - IGG	$65.76	$109.60	$10.30	11% above	40%
Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA CDM	$65.76	$109.60	$10.30	11% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA CDM	$65.76	$109.60	$10.30	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - IGG	$65.76	$109.60	$10.30	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES	$48.42	$80.70	$4.14	2% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN CDM	$48.42	$80.70	$4.14	2% below	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES	$48.42	$80.70	$4.14	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN CDM	$48.42	$80.70	$4.14	—	40%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY IGG	$82.02	$136.70	$10.44	68% above	40%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS CDM	$82.02	$136.70	$10.44	68% above	40%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY IGG	$82.02	$136.70	$10.44	—	40%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS CDM	$82.02	$136.70	$10.44	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$87.66	$146.10	$14.71	15% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$87.66	$146.10	$14.71	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$99.12	$165.20	$14.71	32% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$99.12	$165.20	$14.71	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS CDM	$33.00	$55.00	$21.29	64% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS	$33.00	$55.00	$21.29	64% below	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS CDM	$33.00	$55.00	$21.29	—	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS	$33.00	$55.00	$21.29	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE CDM	$143.16	$238.60	$33.02	14% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE CDM	$143.16	$238.60	$33.02	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM	$80.40	$134.00	$4.81	47% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM	$80.40	$134.00	$4.81	—	40%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY PHOSPHORUS	$36.84	$61.40	$3.79	23% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY PHOSPHORUS	$36.84	$61.40	$3.79	—	40%
Potassium blood test CPT 84132 HC POTASSIUM	$51.09	$85.15	$3.81	135% above	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$51.09	$85.15	$3.81	—	40%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE CDM	$101.76	$169.60	$16.69	4% below	40%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE CDM	$101.76	$169.60	$16.69	—	40%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN CDM	$113.52	$189.20	$15.50	27% above	40%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN CDM	$113.52	$189.20	$15.50	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$27.93	$46.55	$3.43	1% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610	$27.93	$46.55	$3.43	1% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM	$27.93	$46.55	$3.43	1% below	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610	$27.93	$46.55	$3.43	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$27.93	$46.55	$3.43	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM	$27.93	$46.55	$3.43	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE CDM	$85.41	$142.35	$10.08	26% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE CDM	$85.41	$142.35	$10.08	—	40%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA B SCREEN	$108.12	$180.20	$13.24	48% above	40%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A SCREEN	$108.12	$180.20	$13.24	48% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA B SCREEN	$108.12	$180.20	$13.24	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A SCREEN	$108.12	$180.20	$13.24	—	40%
Renin blood test CPT 84244 HC ASSAY OF RENIN CDM	$116.37	$193.95	$17.59	68% above	40%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN CDM	$116.37	$193.95	$17.59	—	40%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) CDM	$40.20	$67.00	$2.39	4% below	40%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) CDM	$40.20	$67.00	$2.39	—	40%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$53.43	$89.05	$4.54	29% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$53.43	$89.05	$4.54	—	40%
Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA CDM	$73.20	$122.00	$11.51	61% above	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$73.20	$122.00	$11.51	61% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA CDM	$73.20	$122.00	$11.51	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$73.20	$122.00	$11.51	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTOMATED	$37.17	$61.95	$2.16	32% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTOMATED	$37.17	$61.95	$2.16	—	40%
Sodium blood test CPT 84295 HC SODIUM	$52.08	$86.80	$3.85	100% above	40%
Sodium blood test inpatient CPT 84295 HC SODIUM	$52.08	$86.80	$3.85	—	40%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS	$40.83	$68.05	$7.12	24% below	40%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS	$40.83	$68.05	$7.12	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$35.73	$59.55	$3.50	4% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$35.73	$59.55	$3.50	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$34.11	$56.85	$12.74	39% below	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$34.11	$56.85	$12.74	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM - AB	$40.26	$67.10	$10.59	17% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM CDM	$40.26	$67.10	$10.59	17% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM CDM	$40.26	$67.10	$10.59	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM - AB	$40.26	$67.10	$10.59	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL CDM	$58.14	$96.90	$3.42	80% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$58.14	$96.90	$3.42	80% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM	$58.14	$96.90	$3.42	80% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL CDM	$58.14	$96.90	$3.42	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$58.14	$96.90	$3.42	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM	$58.14	$96.90	$3.42	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON CDM	$164.82	$274.70	$49.58	6% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON CDM	$164.82	$274.70	$49.58	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$83.76	$139.60	$20.65	17% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE -TOTAL	$83.76	$139.60	$20.65	17% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL CDM	$83.76	$139.60	$20.65	17% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL CDM	$83.76	$139.60	$20.65	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$83.76	$139.60	$20.65	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE -TOTAL	$83.76	$139.60	$20.65	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH CDM	$68.04	$113.40	$11.64	at median	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH CDM	$68.04	$113.40	$11.64	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE TSH	$99.00	$165.00	$13.44	36% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$99.00	$165.00	$13.44	36% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4	$99.00	$165.00	$13.44	36% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$99.00	$165.00	$13.44	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE TSH	$99.00	$165.00	$13.44	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4	$99.00	$165.00	$13.44	—	40%
Total IgE blood test CPT 82785 HC IGE SERUM TOTAL	$81.75	$136.25	$13.17	49% above	40%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE CDM	$81.75	$136.25	$13.17	49% above	40%
Total IgE blood test inpatient CPT 82785 HC IGE SERUM TOTAL	$81.75	$136.25	$13.17	—	40%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE CDM	$81.75	$136.25	$13.17	—	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$28.38	$47.30	$3.48	18% above	40%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$28.38	$47.30	$3.48	—	40%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL CDM	$43.68	$72.80	$5.50	50% above	40%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4	$43.68	$72.80	$5.50	50% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF THYROXINE TOTAL CDM	$43.68	$72.80	$5.50	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4	$43.68	$72.80	$5.50	—	40%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 CDM	$80.64	$134.40	$11.34	7% above	40%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3	$80.64	$134.40	$11.34	7% above	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 CDM	$80.64	$134.40	$11.34	—	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3	$80.64	$134.40	$11.34	—	40%
Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN	$87.48	$145.80	$10.21	67% above	40%
Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN	$87.48	$145.80	$10.21	—	40%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH CDM	$128.49	$214.15	$28.07	152% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH CDM	$128.49	$214.15	$28.07	—	40%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES CDM	$32.10	$53.50	$4.59	26% above	40%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES CDM	$32.10	$53.50	$4.59	—	40%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$108.30	$180.50	$9.98	3% above	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$108.30	$180.50	$9.98	—	40%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$37.86	$63.10	$3.62	30% above	40%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$37.86	$63.10	$3.62	—	40%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$38.10	$63.50	$2.54	16% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$38.10	$63.50	$2.54	—	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$7.80	$13.00	$1.80	60% below	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$7.80	$13.00	$1.80	—	40%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$7.26	$12.10	$2.78	70% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$7.26	$12.10	$2.78	—	40%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT	$85.83	$143.05	$6.46	63% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT	$85.83	$143.05	$6.46	—	40%
Urine microalbumin (albumin) test CPT 82043 HC URINE ALBUMIN QUANTITATIVE CDM	$32.49	$54.15	$4.62	26% below	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE	$32.49	$54.15	$4.62	26% below	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE ALBUMIN QUANTITATIVE CDM	$32.49	$54.15	$4.62	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE	$32.49	$54.15	$4.62	—	40%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$63.63	$106.05	$6.89	17% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$63.63	$106.05	$6.89	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN-B12	$92.31	$153.85	$12.06	19% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN-B12	$92.31	$153.85	$12.06	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$161.34	$268.90	$23.68	56% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$161.34	$268.90	$23.68	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$81.90	$136.50	$30.80	21% below	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$81.90	$136.50	$30.80	—	40%
Zinc blood test CPT 84630 HC ZINC SERUM(ARUP)	$75.36	$125.60	$9.11	117% above	40%
Zinc blood test CPT 84630 HC ASSAY OF ZINC CDM	$75.36	$125.60	$9.11	117% above	40%
Zinc blood test inpatient CPT 84630 HC ZINC SERUM(ARUP)	$75.36	$125.60	$9.11	—	40%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC CDM	$75.36	$125.60	$9.11	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE CDM	$116.64	$194.40	$12.04	63% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE CDM	$116.64	$194.40	$12.04	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREO	$2,988.36	$4,980.60	$2,191.46	25% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREO	$2,988.36	$4,980.60	$4,084.09	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$342.45	$570.75	$251.13	77% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$342.45	$570.75	$468.02	—	40%
Cervical biopsy CPT 57500 HC PR 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX RHC	$246.60	$411.00	$121.62	75% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC PR 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK RHC	$265.08	$441.80	$121.49	45% below	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC PR 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX RHC	$683.61	$1,139.35	$258.54	60% below	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE RHC	$320.10	$533.50	$216.45	23% below	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC PR 58120 DILATION AND CURETTAGE RHC	$363.54	$605.90	$237.30	91% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST RHC	$135.30	$225.50	$106.75	18% below	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$311.10	$518.50	$228.14	300% above	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT RHC	$27.69	$46.15	$25.60	64% below	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$311.10	$518.50	$425.17	—	40%
Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT RHC	$83.31	$138.85	$66.02	26% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC PR 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX RHC	$223.80	$373.00	$102.65	46% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ W/NDL OR CATH PLCMNT EPIDRL C/T W/IMG	$2,034.63	$3,391.05	$1,492.06	6% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ W/NDL OR CATH PLCMNT EPIDRL C/T W/IMG	$2,034.63	$3,391.05	$2,780.66	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV	$417.15	$695.25	$305.91	78% below	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV	$417.15	$695.25	$570.11	—	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC PR 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS RHC	$530.13	$883.55	$262.44	28% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY	$128.16	$213.60	$93.98	54% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER FOR HYSTEROGRAPHY	$128.16	$213.60	$175.15	—	40%
Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION RHC	$3,269.94	$5,449.90	$397.52	13% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC PR 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C RHC	$2,066.79	$3,444.65	$372.72	24% below	40%
IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 INSERTION INTRAUTERINE DEVICE IUD RHC	$211.35	$352.25	$83.26	52% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$168.78	$281.30	$123.77	50% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE RHC	$209.13	$348.55	$202.31	38% below	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$168.78	$281.30	$230.67	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS RHC	$109.23	$182.05	$75.87	54% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US RHC	$124.20	$207.00	$88.56	60% below	40%
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	$495.93	$826.55	$363.68	59% above	40%
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	$495.93	$826.55	$677.77	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT RHC	$270.06	$450.10	$85.72	6% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US RHC	$106.08	$176.80	$72.49	69% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$1,141.83	$1,903.05	$837.34	232% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE	$1,141.83	$1,903.05	$837.34	232% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE	$1,141.83	$1,903.05	$1,560.50	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$1,141.83	$1,903.05	$1,560.50	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US RHC	$97.68	$162.80	$69.71	69% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE	$1,188.63	$1,981.05	$871.66	279% above	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE	$1,188.63	$1,981.05	$1,624.46	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR 12031 REPAIR INTERMEDIATE SCLP/AXL/TRK/EXTM LTE 2.5 CM RHC	$422.58	$704.30	$209.62	30% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$519.72	$866.20	$381.13	14% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$519.72	$866.20	$710.28	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$319.62	$532.70	$234.39	80% below	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$319.62	$532.70	$436.81	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$492.15	$820.25	$360.91	69% below	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$492.15	$820.25	$672.61	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S	$317.79	$529.65	$233.05	81% below	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S	$317.79	$529.65	$434.31	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC PR11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/OR LESS RHC	$208.05	$346.75	$164.60	67% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC PR 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/OR LESS RHC	$270.93	$451.55	$114.65	60% below	40%
Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 RHC	$181.41	$302.35	$105.63	10% below	40%
Nail removal (partial or complete), one nail CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$994.86	$1,658.10	$729.56	391% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$994.86	$1,658.10	$1,359.64	—	40%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NERVE CDM	$120.12	$200.20	$88.09	68% below	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NERVE CDM	$120.12	$200.20	$164.16	—	40%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$1,309.71	$2,182.85	$960.45	at median	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$1,309.71	$2,182.85	$1,789.94	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL RHC	$319.53	$532.55	$127.05	47% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$3,590.46	$5,984.10	$2,633.00	26% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$3,590.46	$5,984.10	$4,906.96	—	40%
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$91.59	$152.65	$67.17	77% below	40%
Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE RHC	$255.84	$426.40	$206.46	37% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$91.59	$152.65	$125.17	—	40%
Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$112.26	$187.10	$82.32	38% below	40%
Short arm splint (forearm and hand) CPT 29125 HC PR 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC RHC	$145.68	$242.80	$77.97	19% below	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$112.26	$187.10	$153.42	—	40%
Short leg cast (below the knee) CPT 29405 HC PR 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE RHC	$142.86	$238.10	$70.39	51% below	40%
Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$112.26	$187.10	$82.32	52% below	40%
Short leg splint (calf to foot) CPT 29515 HC PR 29515 APPLICATION SHORT LEG SPLINT CALF FOOT RHC	$134.70	$224.50	$95.84	43% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$112.26	$187.10	$153.42	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/OR LESS RHC	$185.76	$309.60	$84.25	45% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$193.95	$323.25	$142.23	43% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$193.95	$323.25	$265.07	—	40%
Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION RHC	$197.16	$328.60	$92.04	22% below	40%
Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 RHC	$149.91	$249.85	$148.57	40% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$182.19	$303.65	$133.61	82% below	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$182.19	$303.65	$248.99	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$197.97	$329.95	$145.18	49% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM RHC	$226.50	$377.50	$110.99	42% below	40%
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 ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$197.97	$329.95	$270.56	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/OR LESS RHC	$227.04	$378.40	$104.83	33% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$197.97	$329.95	$145.18	42% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$197.97	$329.95	$270.56	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION RHC	$155.34	$258.90	$73.43	28% below	40%
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$369.33	$615.55	$270.84	76% below	40%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$369.33	$615.55	$270.84	76% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$369.33	$615.55	$504.75	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$369.33	$615.55	$504.75	—	40%
Trigger finger release surgery CPT 26055 HC PR 26055 TENDON SHEATH INCISION RHC	$1,179.45	$1,965.75	$508.30	16% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$95.88	$159.80	$70.31	60% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$95.88	$159.80	$70.31	60% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES RHC	$103.92	$173.20	$73.98	57% below	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$95.88	$159.80	$131.04	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$95.88	$159.80	$131.04	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID CDM	$1,967.76	$3,279.60	$1,443.02	33% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID CDM	$1,967.76	$3,279.60	$2,689.27	—	40%
Wart removal, up to 14 warts CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 RHC	$180.33	$300.55	$130.87	21% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LESS RHC	$216.18	$360.30	$107.14	64% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$381.51	$635.85	$279.77	37% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$381.51	$635.85	$521.40	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$322.89	$538.15	$37.33	59% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$322.89	$538.15	$37.33	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT DAILY	$72.69	$121.15	$53.31	57% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 NEBULIZER SMALL VOLUME	$72.69	$121.15	$53.31	57% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 NEBULIZER SMALL VOLUME RHC	$72.69	$121.15	$18.00	57% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PR 94640 NEBULIZER SMALL VOLUME	$72.69	$121.15	$99.34	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT DAILY	$72.69	$121.15	$99.34	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$289.23	$482.05	$108.15	62% below	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$289.23	$482.05	$108.15	—	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ	$66.72	$111.20	$48.93	78% below	40%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ	$66.72	$111.20	$91.18	—	40%
Critical care, first 30 to 74 minutes CPT 99291 HC ED FACILITY VISIT LEVEL CRITICAL CARE FIRST HOUR CDM	$2,042.88	$3,404.80	$1,498.11	23% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED FACILITY VISIT LEVEL CRITICAL CARE FIRST HOUR CDM	$2,042.88	$3,404.80	$2,791.94	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY PORTABLE	$710.13	$1,183.55	$520.76	21% below	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY PORTABLE	$710.13	$1,183.55	$970.51	—	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R RHC	$214.38	$357.30	$27.06	301% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY	$180.63	$301.05	$132.46	26% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC PR 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R RHC	$180.63	$301.05	$12.11	26% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY	$180.63	$301.05	$246.86	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FACILITY VISIT LEVEL 1 CDM	$179.88	$299.80	$131.91	25% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FACILITY VISIT LEVEL 1 CDM	$179.88	$299.80	$245.84	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FACILITY VISIT LEVEL 2 CDM	$308.07	$513.45	$225.92	35% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FACILITY VISIT LEVEL 2 CDM	$308.07	$513.45	$421.03	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FACILITY VISIT LEVEL 3 CDM	$540.33	$900.55	$396.24	37% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FACILITY VISIT LEVEL 3 CDM	$540.33	$900.55	$738.45	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FACILITY VISIT LEVEL 4 CDM	$979.50	$1,632.50	$718.30	26% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FACILITY VISIT LEVEL 4 CDM	$979.50	$1,632.50	$1,338.65	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FACILITY VISIT LVL 5 W CRITICAL CARE CDM	$1,263.30	$2,105.50	$926.42	40% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FACILITY VISIT LEVEL 5 CDM	$1,263.30	$2,105.50	$926.42	40% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FACILITY VISIT LEVEL 5 CDM	$1,263.30	$2,105.50	$1,726.51	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FACILITY VISIT LVL 5 W CRITICAL CARE CDM	$1,263.30	$2,105.50	$1,726.51	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$560.25	$933.75	$410.85	17% below	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$560.25	$933.75	$765.68	—	40%
Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC	$180.27	$300.45	$132.20	14% above	40%
Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 FAMILY PSYTX W/PATIENT	$180.27	$300.45	$163.80	14% above	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC	$180.27	$300.45	$246.37	—	40%
Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC	$114.21	$190.35	$83.75	26% below	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC	$114.21	$190.35	$156.09	—	40%
Group psychotherapy session CPT 90853 HC PR 90853 PSYTX GROUP RHC	$38.70	$64.50	$28.38	56% below	40%
Group psychotherapy session inpatient CPT 90853 HC PR 90853 PSYTX GROUP RHC	$38.70	$64.50	$52.89	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV INFUSION HYDRATION INITIAL 31 MIN-1 HR CDM	$211.17	$351.95	$154.86	47% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HR CDM	$211.17	$351.95	$154.86	47% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC PR 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR RHC	$211.17	$351.95	$63.12	47% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV INFUSION HYDRATION INITIAL 31 MIN-1 HR CDM	$211.17	$351.95	$288.60	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HR CDM	$211.17	$351.95	$288.60	—	40%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THER/PROPH/DX INITIAL 1 HR CDM	$226.38	$377.30	$166.01	49% below	40%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THER/PROPH/DX INITIAL 1 HR CDM	$226.38	$377.30	$166.01	49% below	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THER/PROPH/DX INITIAL 1 HR CDM	$226.38	$377.30	$309.39	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THER/PROPH/DX INITIAL 1 HR CDM	$226.38	$377.30	$309.39	—	40%
IV push of a medicine, first drug CPT 96374 HC ED THER/PROPH/DX INJECTION IV PUSH SINGLE/1ST SUBSTANCE/DRUG CDM	$188.31	$313.85	$138.09	24% below	40%
IV push of a medicine, first drug CPT 96374 HC PR 96374 THER/PROPH/DX INJECTION IV PUSH SINGLE/1ST SUBSTANCE/DRUG RHC	$188.31	$313.85	$72.98	24% below	40%
IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DX INJECTION IV PUSH SINGLE/1ST SUBSTANCE/DRUG CDM	$188.31	$313.85	$138.09	24% below	40%
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PROPH/DX INJECTION IV PUSH SINGLE/1ST SUBSTANCE/DRUG CDM	$188.31	$313.85	$257.36	—	40%
IV push of a medicine, first drug inpatient CPT 96374 HC ED THER/PROPH/DX INJECTION IV PUSH SINGLE/1ST SUBSTANCE/DRUG CDM	$188.31	$313.85	$257.36	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 THER/PROPH/DX INJECTION SUBQ/IM	$44.46	$74.10	$32.60	59% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 THER/PROPH/DX INJECTION SUBQ/IM RHC	$44.46	$74.10	$25.45	59% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THER/PROPH/DX INJECTION SUBQ/IM CDM	$72.90	$121.50	$53.46	32% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DX INJECTION SUBQ/IM	$72.90	$121.50	$53.46	32% below	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC PR 96372 THER/PROPH/DX INJECTION SUBQ/IM	$44.46	$74.10	$60.76	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DX INJECTION SUBQ/IM	$72.90	$121.50	$99.63	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THER/PROPH/DX INJECTION SUBQ/IM CDM	$72.90	$121.50	$99.63	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PR 90791 PSYCH DIAG EVAL RHC	$206.34	$343.90	$151.32	32% below	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PR 90791 PSYCH DIAG EVAL RHC	$206.34	$343.90	$282.00	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$89.64	$149.40	$65.74	12% below	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$89.64	$149.40	$122.51	—	40%
New patient office visit, about 30 minutes CPT 99203 HC PR 99203 OFFICE OUTPATIENT NEW RHC	$153.99	$256.65	$139.94	27% below	40%
New patient office visit, about 45 minutes CPT 99204 HC PR 99204 OFFICE OUTPATIENT NEW RHC	$232.29	$387.15	$228.28	18% below	40%
New patient office visit, about 60 minutes CPT 99205 HC PR 99205 OFFICE OUTPATIENT NEW RHC	$310.17	$516.95	$294.36	10% below	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PR 99202 OFFICE OUTPATIENT NEW RHC	$98.43	$164.05	$82.68	24% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM	$40.26	$67.10	$29.52	43% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM	$40.26	$67.10	$55.02	—	40%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX	$170.40	$284.00	$124.96	33% below	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX	$170.40	$284.00	$232.88	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX	$227.88	$379.80	$167.11	24% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX	$227.88	$379.80	$311.44	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$160.38	$267.30	$117.61	35% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$160.38	$267.30	$219.19	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$192.90	$321.50	$141.46	39% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$192.90	$321.50	$263.63	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$86.16	$143.60	$63.18	10% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$86.16	$143.60	$117.75	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$69.66	$116.10	$51.08	28% below	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$69.66	$116.10	$95.20	—	40%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS RHC	$212.58	$354.30	$187.95	29% above	40%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREVENTIVE VISIT NEW 40-64 RHC	$216.93	$361.55	$228.52	5% above	40%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> RHC	$315.06	$525.10	$245.71	40% above	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 PREVENTIVE VISIT EST 18-39 RHC	$195.63	$326.05	$171.82	32% above	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 PREVENTIVE VISIT EST 40-64 RHC	$191.88	$319.80	$186.59	11% above	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 PREVENTIVE VISIT EST 65 & OVER RHC	$197.52	$329.20	$195.86	6% above	40%
Psychiatric evaluation with medical services CPT 90792 HC PR 90792 PSYCH DIAG EVAL W MED SRVCS RHC	$229.59	$382.65	$168.37	7% below	40%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PR 90792 PSYCH DIAG EVAL W MED SRVCS RHC	$229.59	$382.65	$313.77	—	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC	$168.90	$281.50	$123.86	51% below	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC	$168.90	$281.50	$230.83	—	40%
Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC	$109.62	$182.70	$80.39	16% below	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC	$109.62	$182.70	$149.81	—	40%
Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC	$130.29	$217.15	$95.55	33% below	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC	$130.29	$217.15	$178.06	—	40%
Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC	$186.57	$310.95	$136.82	22% below	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC	$186.57	$310.95	$254.98	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 OFFICE OUTPATIENT VISIT RHC	$251.97	$419.95	$246.79	25% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PR 99213 OFFICE OUTPATIENT VISIT RHC	$124.68	$207.80	$113.37	34% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 OFFICE OUTPATIENT VISIT RHC	$177.60	$296.00	$167.68	26% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 OFFICE OUTPATIENT VISIT RHC	$77.88	$129.80	$60.55	23% below	40%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$210.42	$350.70	$154.31	40% below	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$210.42	$350.70	$287.57	—	40%
Speech therapy session, individual CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$226.38	$377.30	$166.01	21% below	40%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$226.38	$377.30	$309.39	—	40%
Spirometry (breathing test) CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$231.42	$385.70	$169.71	8% below	40%
Spirometry (breathing test) inpatient CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$231.42	$385.70	$316.27	—	40%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$478.50	$797.50	$350.90	16% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$478.50	$797.50	$653.95	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$80.64	$134.40	$59.14	12% below	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$80.64	$134.40	$110.21	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$177.24	$295.40	$129.98	11% below	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$177.24	$295.40	$242.23	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$415.02	$691.70	$304.35	90% above	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$415.02	$691.70	$567.19	—	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML	$124.86	$208.10	$91.56	70% above	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY	$212.59	$354.31	$155.90	189% above	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML	$124.86	$208.10	$170.64	—	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY	$212.59	$354.31	$290.53	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC PR RX DIPHTH TETANUS TOX ACELL PERTUSSIS VACC/YOUNGER THAN 7 YRS/IM	$13.18	$21.96	$9.66	77% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC PR RX DIPHTH TETANUS TOX ACELL PERTUSSIS VACC/YOUNGER THAN 7 YRS/IM	$13.18	$21.96	$18.01	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC PR RX DTAP-IPV/HIB VACCINE IM 0.5 ML	$111.21	$185.35	$81.55	16% below	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC PR RX DTAP-IPV/HIB VACCINE IM 0.5 ML	$111.21	$185.35	$151.99	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML	$13.18	$21.96	$9.66	63% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML	$13.18	$21.96	$18.01	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML	$121.32	$202.20	$88.97	20% below	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$160.55	$267.58	$117.74	6% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML	$121.32	$202.20	$165.80	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$160.55	$267.58	$219.42	—	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$114.25	$190.42	$83.78	11% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$114.25	$190.42	$156.14	—	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC PR RX HEPATITIS A VACCINE PEDIATRIC 2 DOSE IM 0.5 ML	$80.94	$134.90	$59.36	45% above	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC PR RX HEPATITIS A VACCINE PEDIATRIC 2 DOSE IM 0.5 ML	$80.94	$134.90	$110.62	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML INJECTION SUSP/SUSY (WRAPPER)	$165.26	$275.43	$121.19	57% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION SUSP/SUSY (WRAPPER)	$203.54	$339.23	$149.26	93% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML INJECTION SUSP/SUSY (WRAPPER)	$165.26	$275.43	$225.85	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION SUSP/SUSY (WRAPPER)	$203.54	$339.23	$278.17	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC PR RX HEPB VACCINE PED/ADOLESC 3 DOSE IM 0.5 ML	$13.18	$21.96	$9.66	79% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECTION SUSP/SUSY (WRAPPER)	$75.18	$125.30	$55.13	18% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC PR RX HEPB VACCINE PED/ADOLESC 3 DOSE IM 0.5 ML	$13.18	$21.96	$18.01	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECTION SUSP/SUSY (WRAPPER)	$75.18	$125.30	$102.75	—	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC PR RX HIB PRP-OMP VACCINE 3 DOSE IM 0.5 ML	$68.34	$113.90	$50.12	72% above	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$122.17	$203.61	$89.59	207% above	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC PR RX HIB PRP-OMP VACCINE 3 DOSE IM 0.5 ML	$68.34	$113.90	$93.40	—	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$122.17	$203.61	$166.96	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$71.96	$119.93	$52.77	71% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC PR RX HIB PRP-T VACCINE 4 DOSE IM 1 EA	$120.51	$200.85	$88.37	187% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HPV 9-VALENT RECOMB VACCINE IM SUSP	$309.28	$515.46	$226.80	636% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$71.96	$119.93	$98.34	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC PR RX HIB PRP-T VACCINE 4 DOSE IM 1 EA	$120.51	$200.85	$164.70	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HPV 9-VALENT RECOMB VACCINE IM SUSP	$309.28	$515.46	$422.68	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$114.13	$190.21	$83.69	59% above	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC PR RX IIV VACCINE PF INCREASED AG CONTENT IM 1 EA	$154.05	$256.75	$112.97	115% above	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$114.13	$190.21	$155.97	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC PR RX IIV VACCINE PF INCREASED AG CONTENT IM 1 EA	$154.05	$256.75	$210.54	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC PR RX MEASLES MUMPS RUBELLA VACCINE LIVE SQ 1 EA	$106.38	$177.30	$78.01	30% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJECTION SOLR	$143.47	$239.12	$105.21	6% below	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC PR RX MEASLES MUMPS RUBELLA VACCINE LIVE SQ 1 EA	$106.38	$177.30	$145.39	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJECTION SOLR	$143.47	$239.12	$196.08	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 TETANUS CONJ IM SOLN	$172.54	$287.57	$126.53	3% below	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 TETANUS CONJ IM SOLN	$172.54	$287.57	$235.81	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$334.38	$557.30	$245.21	2% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$334.38	$557.30	$456.99	—	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC PR RX PNEUMOCOCCAL CONJ 21 VALENT VACCINE (PCV21) IM 1 EA	$420.21	$700.35	$308.15	14% above	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC PR RX PNEUMOCOCCAL CONJ 21 VALENT VACCINE (PCV21) IM 1 EA	$420.21	$700.35	$574.29	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION SOSY	$175.97	$293.28	$129.04	at median	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HH-HSP WGR PNEUMONIA VACCINATION (90732)	$194.19	$323.65	$142.41	10% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION SOSY	$175.97	$293.28	$240.49	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HH-HSP WGR PNEUMONIA VACCINATION (90732)	$194.19	$323.65	$265.39	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 HC PR RX POLIOVIRUS VACCINE INACTIVATED SQ/IM 0.5 ML	$105.24	$175.40	$77.18	at median	40%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJECTION SUSP	$189.87	$316.45	$139.24	80% above	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC PR RX POLIOVIRUS VACCINE INACTIVATED SQ/IM 0.5 ML	$105.24	$175.40	$143.83	—	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJECTION SUSP	$189.87	$316.45	$259.49	—	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC PR RX RSV PREF BIVALENT IM 1 EA	$227.85	$379.75	$167.09	51% below	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC PR RX RSV PREF BIVALENT IM 1 EA	$227.85	$379.75	$311.40	—	40%
Rabies vaccine, one dose CPT 90675 HC PR RX RABIES VACCINE IM 1 ML	$372.78	$621.30	$273.37	32% below	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$424.04	$706.73	$310.96	22% below	40%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$622.55	$1,037.58	$456.54	14% above	40%
Rabies vaccine, one dose inpatient CPT 90675 HC PR RX RABIES VACCINE IM 1 ML	$372.78	$621.30	$509.47	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$424.04	$706.73	$579.52	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$622.55	$1,037.58	$850.82	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC PR RX ROTOVIRUS VACCINE (RV5) 3 DOSE ORAL 2 ML	$13.18	$21.96	$9.66	89% below	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC PR RX ROTOVIRUS VACCINE (RV5) 3 DOSE ORAL 2 ML	$13.18	$21.96	$18.01	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC PR RX HZV ZOSTER VACCINE RECOMBINANT ADJUVANTED IM 0.5 ML	$194.04	$323.40	$142.30	6% below	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC PR RX HZV ZOSTER VACCINE RECOMBINANT ADJUVANTED IM 0.5 ML	$194.04	$323.40	$265.19	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML	$13.18	$21.96	$9.66	68% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$181.17	$301.95	$132.86	341% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML	$13.18	$21.96	$18.01	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$181.17	$301.95	$247.60	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML	$13.18	$21.96	$9.66	79% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$186.66	$311.10	$136.88	194% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML	$13.18	$21.96	$18.01	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$186.66	$311.10	$255.10	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HH-HSP WGR INFLUENZA ADMINISTRATION (90471/G0008)	$14.55	$24.25	$10.67	75% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HH-HSP WGR PNEUMONIA ADMINISTRATION (90471/G0009)	$17.07	$28.45	$12.52	70% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INITIAL CDM	$26.04	$43.40	$19.10	55% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR 90471 IMMUNIZATION ADMIN-SINGLE	$26.04	$43.40	$19.10	55% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR 90471 IMMUNIZATION ADMIN	$26.04	$43.40	$19.10	55% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$63.15	$105.25	$46.31	9% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN CDM	$63.15	$105.25	$46.31	9% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$63.15	$105.25	$46.31	9% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$63.15	$105.25	$46.31	9% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HH-HSP WGR INFLUENZA ADMINISTRATION (90471/G0008)	$14.55	$24.25	$19.89	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HH-HSP WGR PNEUMONIA ADMINISTRATION (90471/G0009)	$17.07	$28.45	$23.33	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR 90471 IMMUNIZATION ADMIN	$26.04	$43.40	$35.59	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR 90471 IMMUNIZATION ADMIN-SINGLE	$26.04	$43.40	$35.59	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INITIAL CDM	$26.04	$43.40	$35.59	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$63.15	$105.25	$86.31	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN CDM	$63.15	$105.25	$86.31	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$63.15	$105.25	$86.31	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$63.15	$105.25	$86.31	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR 90472 IMMUNIZATION ADMIN EACH ADD	$21.75	$36.25	$15.95	43% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL CDM	$21.75	$36.25	$15.95	43% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL CDM	$21.75	$36.25	$29.73	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR 90472 IMMUNIZATION ADMIN EACH ADD	$21.75	$36.25	$29.73	—	40%

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

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

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

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

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

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

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

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

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

Source file: https://www.grh.org/clientfiles/GetFile/930505325_grande-ronde-hospital_standardcharges.csv