Baxter Health
Listed in its price file as “Baxter County Regional Hospital, Inc.”.
Baxter Health in Mountain Home, AR publishes cash prices for 370 common procedures listed here, from its own machine-readable price file updated Jul 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arkansas median for 181 of 368 procedures and below it for 176. By typical cash price it ranks #29 of 57 Arkansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
624 Hospital Drive Mountain Home AR 72653 Collected Oct 30, 2026 Source price file Check a bill from this hospital (870) 508-1000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 040027 · CMS hospital register NPI 1881788933
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Baxter Health is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen With And Without Co | $1,030.20 | $1,717.00 | $214.26–$1,717.00 | 4% above | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen With And Without Co | $1,030.20 | $1,717.00 | $1,030.20–$1,717.00 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 X-Ray Exam Abdomen 2 Views | $73.54 | $122.57 | $73.54–$130.76 | 45% below | 40% |
| Abdominal X-ray, 2 views CPT 74019 Abdomen 2V | $171.60 | $286.00 | $130.76–$286.00 | 28% above | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-Ray Exam Abdomen 2 Views | $73.54 | $122.57 | $73.54–$122.57 | — | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen 2V | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle 3+V | $140.40 | $234.00 | $97.08–$234.00 | 6% above | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle 3+V | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Abi Limited Bilat | $271.20 | $452.00 | $271.20–$452.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Ankle Brach Index | $271.20 | $452.00 | $271.20–$452.00 | 59% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Abi Limited Bilat | $271.20 | $452.00 | $271.20–$452.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Us Ankle Brach Index | $271.20 | $452.00 | $271.20–$452.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extremity Without Con | $484.80 | $808.00 | $130.76–$808.00 | 25% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extremity Without Con | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus Single Contrast | $379.20 | $632.00 | $214.26–$632.00 | 64% above | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus Single Contrast | $379.20 | $632.00 | $379.20–$632.00 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan Whole Body - Nm | $610.20 | $1,017.00 | $452.54–$1,017.00 | 6% below | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Scan Whole Body - Nm | $610.20 | $1,017.00 | $610.20–$1,017.00 | — | 40% |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast(S) Complete | $171.60 | $286.00 | $130.76–$286.00 | at median | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Us Breast(S) Complete | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast(S) Limited | $155.40 | $259.00 | $97.08–$259.00 | 2% above | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Us Breast(S) Limited | $155.40 | $259.00 | $155.40–$259.00 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abdomen And Pelvis W | $815.40 | $1,359.00 | $441.74–$1,359.00 | 34% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abdomen And Pelvis W | $815.40 | $1,359.00 | $815.40–$1,359.00 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 Ct Angio Head With And Without | $1,019.40 | $1,699.00 | $214.26–$1,699.00 | 3% above | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct Angio Head With And Without | $1,019.40 | $1,699.00 | $1,019.40–$1,699.00 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 Ct Angio Neck With And Without | $1,019.40 | $1,699.00 | $214.26–$1,699.00 | 22% above | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angio Neck With And Without | $1,019.40 | $1,699.00 | $1,019.40–$1,699.00 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Pe Protocol | $457.80 | $763.00 | $214.26–$763.00 | 34% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest With And Withou | $1,099.20 | $1,832.00 | $214.26–$1,832.00 | 58% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Pe Protocol | $457.80 | $763.00 | $457.80–$763.00 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angio Chest With And Withou | $1,099.20 | $1,832.00 | $1,099.20–$1,832.00 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Angio Coronary Arteries | $535.80 | $893.00 | $535.80–$893.00 | 16% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Angio Coronary Arteries | $535.80 | $893.00 | $535.80–$893.00 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Cardiac Scoring W/Calcium | $49.80 | $83.00 | $49.80–$97.08 | 26% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Cardiac Scoring W/Calcium | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/Pelvis W/O Contrast | $738.00 | $1,230.00 | $276.16–$1,230.00 | 27% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Cystogram Ab/Plvs Wo Cnt | $738.00 | $1,230.00 | $276.16–$1,230.00 | 27% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen/Pelvis W/O Contrast | $738.00 | $1,230.00 | $738.00–$1,230.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Cystogram Ab/Plvs Wo Cnt | $738.00 | $1,230.00 | $738.00–$1,230.00 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen/Pelvis W/ Contrast | $1,030.20 | $1,717.00 | $441.74–$1,717.00 | 28% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen/Pelvis W/ Contrast | $1,030.20 | $1,717.00 | $1,030.20–$1,717.00 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/Pelvis W/ W/O Contr | $1,220.40 | $2,034.00 | $441.74–$2,034.00 | 24% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abdomen/Pelvis W/ W/O Contr | $1,220.40 | $2,034.00 | $1,220.40–$2,034.00 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen With Contrast | $823.80 | $1,373.00 | $214.26–$1,373.00 | 11% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen With Contrast | $823.80 | $1,373.00 | $823.80–$1,373.00 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Without Contrast | $606.00 | $1,010.00 | $130.76–$1,010.00 | at median | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen Without Contrast | $606.00 | $1,010.00 | $606.00–$1,010.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Face/Sinus W/O Contrast | $655.20 | $1,092.00 | $130.76–$1,092.00 | 6% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Face/Sinus Without Contrast | $655.20 | $1,092.00 | $130.76–$1,092.00 | 6% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Face/Sinus W/O Contrast | $655.20 | $1,092.00 | $655.20–$1,092.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Face/Sinus Without Contrast | $655.20 | $1,092.00 | $655.20–$1,092.00 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain Without Contrast | $484.80 | $808.00 | $130.76–$808.00 | 26% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain Without Contrast | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| CT scan of the head with contrast CPT 70460 Ct Head/Brain With Contrast | $703.20 | $1,172.00 | $214.26–$1,172.00 | 19% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain With Contrast | $703.20 | $1,172.00 | $703.20–$1,172.00 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 Ct Head/Brain With And Without | $1,030.20 | $1,717.00 | $214.26–$1,717.00 | 7% above | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain With And Without | $1,030.20 | $1,717.00 | $1,030.20–$1,717.00 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine Without Contra | $484.80 | $808.00 | $130.76–$808.00 | 33% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine Without Contra | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine Without Cont | $484.80 | $808.00 | $130.76–$808.00 | 28% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cervical Spine Without Cont | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis With Contrast | $703.20 | $1,172.00 | $214.26–$1,172.00 | 18% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis With Contrast | $703.20 | $1,172.00 | $703.20–$1,172.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial Bilat Study | $146.26 | $243.77 | $146.26–$419.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Cdc Us Carotid Doppler Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Ultrasound Carotid Arteries Bi | $458.40 | $764.00 | $419.00–$764.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial Bilat Study | $146.26 | $243.77 | $146.26–$243.77 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Cdc Us Carotid Doppler Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Ultrasound Carotid Arteries Bi | $458.40 | $764.00 | $458.40–$764.00 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 Ct Chest With And Without Cont | $823.80 | $1,373.00 | $214.26–$1,373.00 | 9% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest With And Without Cont | $823.80 | $1,373.00 | $823.80–$1,373.00 | — | 40% |
| Chest X-ray, 2 views CPT 71046 Xray, Chest Pa & Lat | $79.72 | $132.87 | $79.72–$132.87 | 44% below | 40% |
| Chest X-ray, 2 views CPT 71046 Lateral Decubitis Chest View | $122.40 | $204.00 | $97.08–$204.00 | 14% below | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST PA/LAT w FLUOROSCOPY | $122.40 | $204.00 | $97.08–$204.00 | 14% below | 40% |
| Chest X-ray, 2 views CPT 71046 Chest 2 View | $122.40 | $204.00 | $97.08–$204.00 | 14% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 Xray, Chest Pa & Lat | $79.72 | $132.87 | $79.72–$132.87 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2 View | $122.40 | $204.00 | $122.40–$204.00 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 Lateral Decubitis Chest View | $122.40 | $204.00 | $122.40–$204.00 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST PA/LAT w FLUOROSCOPY | $122.40 | $204.00 | $122.40–$204.00 | — | 40% |
| Chest X-ray, single view CPT 71045 Xray, Chest 1 View | $46.97 | $78.28 | $46.97–$97.08 | 58% below | 40% |
| Chest X-ray, single view CPT 71045 Chest 1 View | $112.20 | $187.00 | $97.08–$187.00 | 1% above | 40% |
| Chest X-ray, single view inpatient CPT 71045 Xray, Chest 1 View | $46.97 | $78.28 | $46.97–$78.28 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 Chest 1 View | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Xray, Clavicle Complete | $75.40 | $125.66 | $75.40–$125.66 | 30% below | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle | $112.20 | $187.00 | $97.08–$187.00 | 5% above | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xray, Clavicle Complete | $75.40 | $125.66 | $75.40–$125.66 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retroperitoneal Com | $339.00 | $565.00 | $130.76–$565.00 | 3% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Retroperitoneal Com | $339.00 | $565.00 | $339.00–$565.00 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Densitometry | $420.60 | $701.00 | $130.76–$701.00 | 132% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Densitometry | $420.60 | $701.00 | $420.60–$701.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/O Con Low Dose Diag | $484.80 | $808.00 | $130.76–$808.00 | 20% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/O Con Diagnostic | $484.80 | $808.00 | $130.76–$808.00 | 20% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest W/O Con Low Dose Diag | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest W/O Con Diagnostic | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest With Contrast | $703.20 | $1,172.00 | $214.26–$1,172.00 | 10% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest With Contrast | $703.20 | $1,172.00 | $703.20–$1,172.00 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG w-w/o CAD BILAT | $249.00 | $415.00 | $94.74–$415.00 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG w-w/o CAD BILAT | $249.00 | $415.00 | $249.00–$415.00 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG w-w/o CAD UNILAT | $201.00 | $335.00 | $73.91–$335.00 | 25% above | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG w-w/o CAD UNILAT | $201.00 | $335.00 | $201.00–$335.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Cdc Us Dopp Scan Art Le Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound Vascular Lower Extr | $458.40 | $764.00 | $419.00–$764.00 | at median | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Bs Us Lower Extremity | $458.40 | $764.00 | $360.00–$764.00 | at median | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Cdc Us Dopp Scan Art Le Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Bs Us Lower Extremity | $458.40 | $764.00 | $458.40–$764.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound Vascular Lower Extr | $458.40 | $764.00 | $458.40–$764.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Cdc Us Vein Dop Le Or Ue Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Cdc Us Comp Venous Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity Study | $146.26 | $243.77 | $92.63–$243.77 | 70% below | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Veins | $458.40 | $764.00 | $419.00–$764.00 | 7% below | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Venous | $458.40 | $764.00 | $419.00–$764.00 | 7% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Cdc Us Vein Dop Le Or Ue Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Cdc Us Comp Venous Bilat | $345.20 | $575.33 | $345.20–$575.33 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity Study | $146.26 | $243.77 | $146.26–$243.77 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound Veins | $458.40 | $764.00 | $458.40–$764.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound Venous | $458.40 | $764.00 | $458.40–$764.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram | $930.00 | $1,550.00 | $930.00–$1,550.00 | 8% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete W Bubble Study | $930.00 | $1,550.00 | $930.00–$1,550.00 | 8% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete W Bubble Study | $930.00 | $1,550.00 | $930.00–$1,550.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram | $930.00 | $1,550.00 | $930.00–$1,550.00 | — | 40% |
| Elbow X-ray, 2 views CPT 73070 Xray, Elbow 2 Views | $77.87 | $129.78 | $77.87–$129.78 | 15% below | 40% |
| Elbow X-ray, 2 views CPT 73070 Elbow 2 View | $112.20 | $187.00 | $97.08–$187.00 | 22% above | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 Xray, Elbow 2 Views | $77.87 | $129.78 | $77.87–$129.78 | — | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 View | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Xray, Elbow Min Of 3 Views | $83.43 | $139.05 | $83.43–$139.05 | 22% below | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow 3 Or More Images | $140.40 | $234.00 | $97.08–$234.00 | 31% above | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xray, Elbow Min Of 3 Views | $83.43 | $139.05 | $83.43–$139.05 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow 3 Or More Images | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Ear/Orbit Without Contrast | $484.80 | $808.00 | $130.76–$808.00 | 30% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Ear/Orbit Without Contrast | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray Exam Of Facial Bones | $64.09 | $106.81 | $64.09–$130.76 | 47% below | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones 3 Or More Views | $171.60 | $286.00 | $130.76–$286.00 | 42% above | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-Ray Exam Of Facial Bones | $64.09 | $106.81 | $64.09–$106.81 | — | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones 3 Or More Views | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Xray, Forearm 2 Views | $71.69 | $119.48 | $71.69–$119.48 | 33% below | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views | $140.40 | $234.00 | $97.08–$234.00 | 31% above | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xray, Forearm 2 Views | $71.69 | $119.48 | $71.69–$119.48 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary - Nm | $699.60 | $1,166.00 | $452.54–$1,166.00 | 10% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary - Nm | $699.60 | $1,166.00 | $699.60–$1,166.00 | — | 40% |
| Hand X-ray, 2 views CPT 73120 Xray, Hand 2 Views | $73.54 | $122.57 | $73.54–$130.76 | 31% below | 40% |
| Hand X-ray, 2 views CPT 73120 Hand 2 View | $140.40 | $234.00 | $130.76–$234.00 | 31% above | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 Xray, Hand 2 Views | $73.54 | $122.57 | $73.54–$122.57 | — | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 2 View | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xray, Calcaneus 2 Views Ahrens | $54.00 | $90.00 | $54.00–$97.08 | 46% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xray, Calcaneus 2 Views | $54.00 | $90.00 | $54.00–$97.08 | 46% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus (Heel) | $140.40 | $234.00 | $97.08–$234.00 | 40% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xray, Calcaneus 2 Views Ahrens | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xray, Calcaneus 2 Views | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneus (Heel) | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Portable Unattende | $340.20 | $567.00 | $251.00–$567.00 | 5% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Portable Unattende | $340.20 | $567.00 | $340.20–$567.00 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study With Initiation Of | $2,093.40 | $3,489.00 | $2,093.40–$3,489.00 | 19% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study With Initiation Of | $2,093.40 | $3,489.00 | $2,093.40–$3,489.00 | — | 40% |
| Knee X-ray, 3 views CPT 73562 Xray, Knee 3 Views | $67.98 | $113.30 | $67.98–$113.30 | 47% below | 40% |
| Knee X-ray, 3 views CPT 73562 Knee 3 View | $153.60 | $256.00 | $97.08–$256.00 | 19% above | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 Xray, Knee 3 Views | $67.98 | $113.30 | $67.98–$113.30 | — | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 Knee 3 View | $153.60 | $256.00 | $153.60–$256.00 | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee 4 Or More Views | $172.20 | $287.00 | $130.76–$287.00 | 19% above | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee 4 Or More Views | $172.20 | $287.00 | $172.20–$287.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extemity Without Cont | $606.00 | $1,010.00 | $130.76–$1,010.00 | at median | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extemity Without Cont | $606.00 | $1,010.00 | $606.00–$1,010.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen | $64.09 | $106.81 | $64.09–$130.76 | 73% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Fast Abdomen Lmtd | $303.00 | $505.00 | $303.00–$505.00 | 25% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdomen Limited | $303.00 | $505.00 | $130.76–$505.00 | 25% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Bedside Us Abdomen Lmtd | $303.00 | $505.00 | $303.00–$505.00 | 25% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen | $64.09 | $106.81 | $64.09–$106.81 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Fast Abdomen Lmtd | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Abdomen Limited | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Bedside Us Abdomen Lmtd | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Lmtd Jt/Fcl Evl Nvasc Xtr | $64.09 | $106.81 | $64.09–$130.76 | 61% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Lmtd Ext Non Vascular | $171.60 | $286.00 | $130.76–$286.00 | 5% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound Ext Non Vascular Li | $171.60 | $286.00 | $130.76–$286.00 | 5% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Fast Us Lmtd Jt/Fcl Evl Nvasc | $171.60 | $286.00 | $171.60–$360.00 | 5% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Bedside Us Lmtd Jt/Fcl Evl Nva | $171.60 | $286.00 | $171.60–$360.00 | 5% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Lmtd Jt/Fcl Evl Nvasc Xtr | $64.09 | $106.81 | $64.09–$106.81 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Fast Us Lmtd Jt/Fcl Evl Nvasc | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound Ext Non Vascular Li | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Lmtd Ext Non Vascular | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Bedside Us Lmtd Jt/Fcl Evl Nva | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHST w/o CON LW DOSE CA SCR | $169.20 | $282.00 | $97.08–$282.00 | 39% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHST w/o CON LW DOSE CA SCR | $169.20 | $282.00 | $169.20–$282.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xray, Tib/Fib 2 Views | $76.01 | $126.69 | $76.01–$126.69 | 32% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia - Fibula 2 View | $140.40 | $234.00 | $97.08–$234.00 | 25% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xray, Tib/Fib 2 Views | $76.01 | $126.69 | $76.01–$126.69 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia - Fibula 2 View | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 22% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr Angiogram Head/Neck Without | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 22% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr Angiogram Head Without Cont | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 22% above | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr Angiogram Head/Neck Without | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr Angiogram Head Without Cont | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mr Lower Extremity Joint W/O C | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 26% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mr Lower Extremity Joint Witho | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 26% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mr Lower Extremity Joint Witho | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mr Lower Extremity Joint W/O C | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mr Lower Extremity Joint With | $1,661.40 | $2,769.00 | $441.74–$2,769.00 | 61% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mr Lower Extremity Joint W | $1,661.40 | $2,769.00 | $441.74–$2,769.00 | 61% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mr Lower Extremity Joint W | $1,661.40 | $2,769.00 | $1,661.40–$2,769.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mr Lower Extremity Joint With | $1,661.40 | $2,769.00 | $1,661.40–$2,769.00 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 Mr Abdomen Without Contrast | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 21% above | 40% |
| MRI of the abdomen without contrast CPT 74181 Mr Abdomen W/O Contrast | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 21% above | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mr Abdomen Without Contrast | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mr Abdomen W/O Contrast | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mr Abdomen With And Without Co | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 46% above | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mr Abdomen W/ W/O Contrast | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 46% above | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mr Abdomen With And Without Co | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mr Abdomen W/ W/O Contrast | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 Mr Brain Without Contrast | $880.80 | $1,468.00 | $276.16–$1,468.00 | 4% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 Mr Brain W/O Contrast | $880.80 | $1,468.00 | $276.16–$1,468.00 | 4% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mr Brain Without Contrast | $880.80 | $1,468.00 | $880.80–$1,468.00 | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mr Brain W/O Contrast | $880.80 | $1,468.00 | $880.80–$1,468.00 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 Mr Brain With And Without Cont | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 10% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 Mr Brain W/ W/O Contrast | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 10% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mr Brain W/ W/O Contrast | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mr Brain With And Without Cont | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 Mr Lumbar Spine W/O Contrast | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 23% above | 40% |
| MRI of the lower back, no contrast dye CPT 72148 Mr Lumbar Spine Without Contra | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 23% above | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mr Lumbar Spine W/O Contrast | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mr Lumbar Spine Without Contra | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mr Lumbar Spine W/ W/O Cntrst | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 25% above | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mr Lumbar Spine With And Witho | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 25% above | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mr Lumbar Spine W/ W/O Cntrst | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mr Lumbar Spine With And Witho | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mr Thoracic Spine W/O Contrast | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 22% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mr Thoracic Spine Without Cont | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 22% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mr Thoracic Spine W/O Contrast | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mr Thoracic Spine Without Cont | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mr Cervical Spine With And Wit | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 22% above | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mr Cervical Spine W/ W/O Cntrs | $1,673.40 | $2,789.00 | $441.74–$2,789.00 | 22% above | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mr Cervical Spine With And Wit | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mr Cervical Spine W/ W/O Cntrs | $1,673.40 | $2,789.00 | $1,673.40–$2,789.00 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mr Cervical Spine W/O Contrast | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 18% above | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mr Cervical Spine Without Cont | $1,101.00 | $1,835.00 | $276.16–$1,835.00 | 18% above | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mr Cervical Spine Without Cont | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mr Cervical Spine W/O Contrast | $1,101.00 | $1,835.00 | $1,101.00–$1,835.00 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 Mr Pelvis With And Without Con | $1,338.60 | $2,231.00 | $441.74–$2,231.00 | 25% above | 40% |
| MRI of the pelvis without and with contrast CPT 72197 Mr Pelvis W/ W/O Contrast | $1,338.60 | $2,231.00 | $441.74–$2,231.00 | 25% above | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mr Pelvis W/ W/O Contrast | $1,338.60 | $2,231.00 | $1,338.60–$2,231.00 | — | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mr Pelvis With And Without Con | $1,338.60 | $2,231.00 | $1,338.60–$2,231.00 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 Mr Pelvis W/O Contrast | $855.60 | $1,426.00 | $276.16–$1,426.00 | 1% above | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 Mr Pelvis Without Contrast | $855.60 | $1,426.00 | $276.16–$1,426.00 | 1% above | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mr Pelvis Without Contrast | $855.60 | $1,426.00 | $855.60–$1,426.00 | — | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mr Pelvis W/O Contrast | $855.60 | $1,426.00 | $855.60–$1,426.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mr Upper Extremity Jnt W/O Cnt | $934.20 | $1,557.00 | $276.16–$1,557.00 | 4% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mr Upper Extremity Joint Witho | $934.20 | $1,557.00 | $276.16–$1,557.00 | 4% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mr Upper Extremity Joint Witho | $934.20 | $1,557.00 | $934.20–$1,557.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mr Upper Extremity Jnt W/O Cnt | $934.20 | $1,557.00 | $934.20–$1,557.00 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4 To 5 Views | $184.80 | $308.00 | $130.76–$308.00 | 10% above | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Spine Cervical 4 To 5 Views | $184.80 | $308.00 | $184.80–$308.00 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Neck With Contrast | $879.00 | $1,465.00 | $214.26–$1,465.00 | 10% above | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Neck With Contrast | $879.00 | $1,465.00 | $879.00–$1,465.00 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Neck Without Contrast | $484.80 | $808.00 | $130.76–$808.00 | 20% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Neck Without Contrast | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Neck soft tissue X-ray CPT 70360 Xray, Neck Soft Tissue | $68.60 | $114.33 | $68.60–$114.33 | 32% below | 40% |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $140.40 | $234.00 | $97.08–$234.00 | 39% above | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 Xray, Neck Soft Tissue | $68.60 | $114.33 | $68.60–$114.33 | — | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Spect Myocard Perfusion Single | $1,804.20 | $3,007.00 | $1,567.13–$3,007.00 | 2% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Lexiscan Cardiollite | $1,855.80 | $3,093.00 | $1,567.13–$3,093.00 | 1% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Resting Thallium | $1,855.80 | $3,093.00 | $1,567.13–$3,093.00 | 1% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Spect Myocard Perfusion Double | $1,855.80 | $3,093.00 | $1,567.13–$3,093.00 | 1% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Spect Myocard Perfusion Single | $1,804.20 | $3,007.00 | $1,804.20–$3,007.00 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Lexiscan Cardiollite | $1,855.80 | $3,093.00 | $1,855.80–$3,093.00 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Spect Myocard Perfusion Double | $1,855.80 | $3,093.00 | $1,855.80–$3,093.00 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Resting Thallium | $1,855.80 | $3,093.00 | $1,855.80–$3,093.00 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Skullbase To Mid Thigh | $1,800.00 | $3,000.00 | $1,776.41–$3,000.00 | 9% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Skullbase To Mid Thigh | $1,800.00 | $3,000.00 | $1,800.00–$3,000.00 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis Without Contrast | $484.80 | $808.00 | $130.76–$808.00 | 25% below | 40% |
| Pelvic CT scan without contrast CPT 72192 Ct Cystogram Pelvis Wo Cnt | $606.00 | $1,010.00 | $130.76–$1,010.00 | 7% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis Without Contrast | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Cystogram Pelvis Wo Cnt | $606.00 | $1,010.00 | $606.00–$1,010.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Fast Pelvis Lmtd | $171.60 | $286.00 | $171.60–$360.00 | 10% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Bedside Us Pelvis Lmtd | $171.60 | $286.00 | $171.60–$360.00 | 10% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Pelvis Limited | $185.40 | $309.00 | $130.76–$309.00 | 19% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Bedside Us Pelvis Lmtd | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Fast Pelvis Lmtd | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Pelvis Limited | $185.40 | $309.00 | $185.40–$309.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvis Complete | $303.00 | $505.00 | $130.76–$505.00 | 6% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvis | $303.00 | $505.00 | $130.76–$505.00 | 6% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvis Complete | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvis | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Pregnancy Complete | $257.40 | $429.00 | $130.76–$429.00 | 8% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Us >= 14 Wks Sngl Fetus | $257.40 | $429.00 | $130.76–$429.00 | 8% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Us >= 14 Wks Sngl Fetus | $257.40 | $429.00 | $257.40–$429.00 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound Pregnancy Complete | $257.40 | $429.00 | $257.40–$429.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks Single Fetus | $257.40 | $429.00 | $130.76–$429.00 | 15% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound Pregnancy Early Ges | $257.40 | $429.00 | $130.76–$429.00 | 15% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound Pregnancy Early Ges | $257.40 | $429.00 | $257.40–$429.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us < 14 Wks Single Fetus | $257.40 | $429.00 | $257.40–$429.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound Pregnancy Limited | $185.40 | $309.00 | $130.76–$309.00 | 19% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Bedside Us Ob Limited | $185.40 | $309.00 | $185.40–$360.00 | 19% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound Pregnancy Limited | $185.40 | $309.00 | $185.40–$309.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Bedside Us Ob Limited | $185.40 | $309.00 | $185.40–$309.00 | — | 40% |
| Rib X-ray, one side, 2 views CPT 71100 Xray, Ribs Uni, 2 Views | $92.08 | $153.47 | $92.08–$153.47 | 14% below | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs Unilateral 2 Views | $112.20 | $187.00 | $97.08–$187.00 | 5% above | 40% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 Xray, Ribs Uni, 2 Views | $92.08 | $153.47 | $92.08–$153.47 | — | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Unilateral 2 Views | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-Ray Exam Unilat Ribs/Chest | $69.00 | $115.00 | $69.00–$130.76 | 45% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilateral Including Ches | $171.60 | $286.00 | $130.76–$286.00 | 37% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-Ray Exam Unilat Ribs/Chest | $69.00 | $115.00 | $69.00–$115.00 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Unilateral Including Ches | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN w-w/o CAD BILAT | $218.40 | $364.00 | $78.21–$364.00 | — | 40% |
| Screening mammogram, both breasts CPT 77067 SCREEN MAMMO MOBILE w-w/o CAD | $218.40 | $364.00 | $78.21–$364.00 | 78% above | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN w-w/o CAD BILAT | $218.40 | $364.00 | $218.40–$364.00 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 SCREEN MAMMO MOBILE w-w/o CAD | $218.40 | $364.00 | $218.40–$364.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xray, Shoulder Min Of 3 Views | $84.67 | $141.11 | $84.67–$141.11 | 26% below | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder 2 Views | $140.40 | $234.00 | $97.08–$234.00 | 23% above | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xray, Shoulder Min Of 3 Views | $84.67 | $141.11 | $84.67–$141.11 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder 2 Views | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses 3 Views | $112.20 | $187.00 | $97.08–$187.00 | 15% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses 3 Views | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull 3 Or Less Views | $171.60 | $286.00 | $130.76–$286.00 | 48% above | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull 3 Or Less Views | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study | $2,093.40 | $3,489.00 | $2,093.40–$3,489.00 | 36% above | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study | $2,093.40 | $3,489.00 | $2,093.40–$3,489.00 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete | $336.00 | $560.00 | $336.00–$806.00 | 39% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Rest And Stress | $607.20 | $1,012.00 | $607.20–$1,276.00 | 11% above | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete | $336.00 | $560.00 | $336.00–$560.00 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Rest And Stress | $607.20 | $1,012.00 | $607.20–$1,012.00 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Esophagus With Speech Patholog | $278.40 | $464.00 | $214.26–$464.00 | 34% above | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Esophagus With Speech Patholog | $278.40 | $464.00 | $278.40–$464.00 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xray Femur Min 2 Views | $83.43 | $139.05 | $83.43–$139.05 | 26% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur 2 Views | $127.80 | $213.00 | $97.08–$213.00 | 13% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xray Femur Min 2 Views | $83.43 | $139.05 | $83.43–$139.05 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur 2 Views | $127.80 | $213.00 | $127.80–$213.00 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic Spine Without Cont | $484.80 | $808.00 | $130.76–$808.00 | 30% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic Spine Without Cont | $484.80 | $808.00 | $484.80–$808.00 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 Xray, Toes Min Of 2 Views | $61.18 | $101.97 | $61.18–$101.97 | 43% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 Toe(S) | $135.00 | $225.00 | $97.08–$225.00 | 26% above | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Xray, Toes Min Of 2 Views | $61.18 | $101.97 | $61.18–$101.97 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toe(S) | $135.00 | $225.00 | $135.00–$225.00 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound Pelvis Transvaginal | $303.00 | $505.00 | $130.76–$505.00 | 29% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Pelvis Transvaginal | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound Pregnancy Transvagi | $171.60 | $286.00 | $130.76–$286.00 | 7% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound Pregnancy Transvagi | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdomen Complete | $339.00 | $565.00 | $130.76–$565.00 | 10% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdomen Complete | $339.00 | $565.00 | $339.00–$565.00 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Testicle/Scrotum | $242.40 | $404.00 | $130.76–$404.00 | 3% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Testicle/Scrotum | $242.40 | $404.00 | $242.40–$404.00 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head And Neck | $303.00 | $505.00 | $130.76–$505.00 | 29% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Soft Tissue Head And Neck | $303.00 | $505.00 | $303.00–$505.00 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Up Gi Sngl Cnt W/Sm Bowel | $273.33 | $455.55 | $214.26–$455.55 | 8% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Single Contrast | $273.33 | $455.55 | $214.26–$455.55 | 8% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Single Contrast | $273.33 | $455.55 | $273.33–$455.55 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Up Gi Sngl Cnt W/Sm Bowel | $273.33 | $455.55 | $273.33–$455.55 | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Xray, Humerus Min Of 2 Views | $81.58 | $135.96 | $81.58–$135.96 | 33% below | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus | $140.40 | $234.00 | $97.08–$234.00 | 15% above | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xray, Humerus Min Of 2 Views | $81.58 | $135.96 | $81.58–$135.96 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity Study | $64.09 | $106.81 | $40.59–$106.81 | 74% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound Venous | $286.20 | $477.00 | $286.20–$477.00 | 18% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Cdc Us Comp Venous Unilat | $163.46 | $272.43 | $163.46–$419.00 | 33% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Ultrasound Vein Unilateral | $286.20 | $477.00 | $286.20–$477.00 | 18% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilat/Lmt | $286.20 | $477.00 | $286.20–$477.00 | 18% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity Study | $64.09 | $106.81 | $64.09–$106.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound Venous | $286.20 | $477.00 | $286.20–$477.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Cdc Us Comp Venous Unilat | $163.46 | $272.43 | $163.46–$272.43 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Ultrasound Vein Unilateral | $286.20 | $477.00 | $286.20–$477.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup-Scan Xtr Veins Unilat/Lmt | $286.20 | $477.00 | $286.20–$477.00 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 Xray, Wrist 2 Views | $71.69 | $119.48 | $71.69–$119.48 | 33% below | 40% |
| Wrist X-ray, 2 views CPT 73100 Wrist 2 View | $140.40 | $234.00 | $97.08–$234.00 | 31% above | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 Xray, Wrist 2 Views | $71.69 | $119.48 | $71.69–$119.48 | — | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 View | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist 3 Or More View | $153.60 | $256.00 | $97.08–$256.00 | 22% above | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist 3 Or More View | $153.60 | $256.00 | $153.60–$256.00 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP, UNI 2 or 3 VIEWS w/PELVIS | $127.80 | $213.00 | $97.08–$213.00 | 9% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2 or 3 VIEWS | $127.80 | $213.00 | $97.08–$213.00 | 9% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP, UNI 2 or 3 VIEWS w/PELVIS | $127.80 | $213.00 | $127.80–$213.00 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP 2 or 3 VIEWS | $127.80 | $213.00 | $127.80–$213.00 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 Xray, Abdomen | $62.42 | $104.03 | $62.42–$104.03 | 45% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 Xray, Abdomen Ahrens | $62.42 | $104.03 | $62.42–$104.03 | 45% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen For Foreign Body | $140.40 | $234.00 | $97.08–$234.00 | 24% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1V | $140.40 | $234.00 | $97.08–$234.00 | 24% above | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xray, Abdomen | $62.42 | $104.03 | $62.42–$104.03 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xray, Abdomen Ahrens | $62.42 | $104.03 | $62.42–$104.03 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1V | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen For Foreign Body | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 Xray Ankle | $71.07 | $118.45 | $71.07–$118.45 | 33% below | 40% |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2V | $129.60 | $216.00 | $97.08–$216.00 | 22% above | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Xray Ankle | $71.07 | $118.45 | $71.07–$118.45 | — | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2V | $129.60 | $216.00 | $129.60–$216.00 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-Ray Exam Of Finger(S) | $49.57 | $82.61 | $49.57–$97.08 | 48% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) | $127.80 | $213.00 | $97.08–$213.00 | 33% above | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray Exam Of Finger(S) | $49.57 | $82.61 | $49.57–$82.61 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger(S) | $127.80 | $213.00 | $127.80–$213.00 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 Xray, Foot 2 Views | $71.69 | $119.48 | $71.69–$119.48 | 20% below | 40% |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views | $126.00 | $210.00 | $97.08–$210.00 | 40% above | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 Xray, Foot 2 Views | $71.69 | $119.48 | $71.69–$119.48 | — | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views | $126.00 | $210.00 | $126.00–$210.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Xray, Foot Min Of 3 Views | $81.58 | $135.96 | $81.58–$135.96 | 38% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3 Or More Views | $140.40 | $234.00 | $97.08–$234.00 | 7% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xray, Foot Min Of 3 Views | $81.58 | $135.96 | $81.58–$135.96 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot 3 Or More Views | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 Xray Hand | $71.07 | $118.45 | $71.07–$118.45 | 42% below | 40% |
| X-ray of the hand, 3 or more views CPT 73130 Hand 3 Or More Views | $153.60 | $256.00 | $97.08–$256.00 | 25% above | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Xray Hand | $71.07 | $118.45 | $71.07–$118.45 | — | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand 3 Or More Views | $153.60 | $256.00 | $153.60–$256.00 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 Xray, Knee 1 Or 2 Views | $57.47 | $95.79 | $57.47–$97.08 | 52% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 2 View | $140.40 | $234.00 | $97.08–$234.00 | 18% above | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xray, Knee 1 Or 2 Views | $57.47 | $95.79 | $57.47–$95.79 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 2 View | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xray, Ls Spine 2 Or 3 Views | $84.05 | $140.08 | $84.05–$140.08 | 34% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine 2 Views | $171.60 | $286.00 | $130.76–$286.00 | 35% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xray, Ls Spine 2 Or 3 Views | $84.05 | $140.08 | $84.05–$140.08 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar Spine 2 Views | $171.60 | $286.00 | $171.60–$286.00 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 Xray Lumbar Spine | $84.05 | $140.08 | $84.05–$140.08 | 49% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbar Spine 4 Or More Views | $231.00 | $385.00 | $130.76–$385.00 | 41% above | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xray Lumbar Spine | $84.05 | $140.08 | $84.05–$140.08 | — | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Spine 4 Or More Views | $231.00 | $385.00 | $231.00–$385.00 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xray, T Spine 2 Views | $82.81 | $138.02 | $82.81–$138.02 | 38% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 View | $119.40 | $199.00 | $119.40–$199.00 | 10% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xray, T Spine 2 Views | $82.81 | $138.02 | $82.81–$138.02 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2 View | $119.40 | $199.00 | $119.40–$199.00 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones | $112.20 | $187.00 | $97.08–$187.00 | 5% above | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xray, C Spine 2 Or 3 Views | $92.70 | $154.50 | $92.70–$154.50 | 23% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 3 View Or Less | $140.40 | $234.00 | $97.08–$234.00 | 17% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xray, C Spine 2 Or 3 Views | $92.70 | $154.50 | $92.70–$154.50 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 3 View Or Less | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xray, Pelvis 1 Or 2 Views | $63.04 | $105.06 | $63.04–$130.76 | 44% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 View | $160.20 | $267.00 | $130.76–$267.00 | 41% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xray, Pelvis 1 Or 2 Views | $63.04 | $105.06 | $63.04–$105.06 | — | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 View | $160.20 | $267.00 | $160.20–$267.00 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Tailbone | $140.40 | $234.00 | $97.08–$234.00 | 23% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Tailbone Ahrens | $140.40 | $234.00 | $97.08–$234.00 | 23% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum And Tailbone | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum And Tailbone Ahrens | $140.40 | $234.00 | $140.40–$234.00 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 * Acth | $102.60 | $171.00 | $38.62–$171.00 | 12% above | 40% |
| ACTH blood test inpatient CPT 82024 * Acth | $102.60 | $171.00 | $102.60–$171.00 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Alanine Aminotransferase) | $34.20 | $57.00 | $5.30–$57.00 | 62% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Alanine Aminotransferase) | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Aspartate Aminotransferas | $34.20 | $57.00 | $5.18–$57.00 | 85% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Aspartate Aminotransferas | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute | $325.20 | $542.00 | $47.63–$542.00 | 70% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hep Panel Idc | $325.20 | $542.00 | $47.63–$542.00 | 70% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hep Panel Idc | $325.20 | $542.00 | $325.20–$542.00 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute | $325.20 | $542.00 | $325.20–$542.00 | — | 40% |
| Albumin blood test CPT 82040 Albumin (B) | $30.00 | $50.00 | $4.95–$50.00 | 35% above | 40% |
| Albumin blood test CPT 82040 * Albumin Serum | $30.00 | $50.00 | $4.95–$50.00 | 35% above | 40% |
| Albumin blood test inpatient CPT 82040 Albumin (B) | $30.00 | $50.00 | $30.00–$50.00 | — | 40% |
| Albumin blood test inpatient CPT 82040 * Albumin Serum | $30.00 | $50.00 | $30.00–$50.00 | — | 40% |
| Aldosterone blood test CPT 82088 * Aldosterone (B) | $133.20 | $222.00 | $40.75–$222.00 | 33% above | 40% |
| Aldosterone blood test inpatient CPT 82088 * Aldosterone (B) | $133.20 | $222.00 | $133.20–$222.00 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $34.20 | $57.00 | $5.18–$57.00 | 62% above | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen Specific Ige | $33.37 | $55.62 | $5.22–$55.62 | 122% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Cockroach | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Dust | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Food, Alph-Gal Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Egg White Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Hickory/Pecan | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN-OAT IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Codfish | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Ragweed | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Red Cedar | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen Latex Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, SOYBEAN IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Bermuda Grass | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Elm | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Birch | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Maple | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Rough Pigweed | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Timothy Grass | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-White Mulberry | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Japanese Cedar | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, MOUNTAIN CEDAR IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, OAK TREE IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, P.NOTATUM IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, TIMOTHY GRASS IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, WALNUT TREE IgEf25 | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, WALNUT IgE (f10) | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Acacia | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Alder | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Apple | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Australian Pine | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Bahia Grass | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Barley | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Biomia Tropicalis | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Chicken | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, ELDER/MAPLE IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, D.PTERONYSSINUS Ig | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, D. FARINAE IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Cashew | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Cladosporium Herba | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, A. FUMIGATUS IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, A. ALTERNATA IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Corn | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Cottonwood | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Egg Yolk | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Hazelnut | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Sycamore | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Mugwort | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Mulberry | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Nettle | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Olive | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Rye Grass | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Almond | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Russing Thistle | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Rye Cereal | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Salmon | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Sesame Seed | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * STACHYBOTRYS CHART/ATRA IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Pork Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Food, Lamb Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Sheep Sorrel | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Strawberry | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Tomato | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Tuna | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, White Ash | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Horse Dander | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Mouse Urine | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Aureobasidium Pull | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Rice | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Brazil Nut | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, FUNGI/MOLD, HD IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN MITES D.FARINAE IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN MITES D.PTERONY IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen Weed Cmn/Shrt Rgwd | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 *ALLERGEN WEED MARSH ELDER IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Food, Gluten | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen Generic | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Beef Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Pine | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Walnut Tree | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, WHEAT IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Mold | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Mountain Cedar | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * ALLERGEN, PEANUT IgE | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Red Oak | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Shrimp | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Scallops | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Clam | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Cat Dander | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Penicilloyl G | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-White Oak | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Johnson Grass | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-June Grass | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Rough Marsh Elder | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen, Dog Dander | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen Ige, Crude Xtrc, Ea | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 * Allergen-Milk (Cow) Ige | $34.20 | $57.00 | $5.22–$57.00 | 128% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen Specific Ige | $33.37 | $55.62 | $33.37–$55.62 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Corn | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Walnut Tree | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Cottonwood | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Johnson Grass | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Olive | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Rye Grass | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Russing Thistle | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, A. ALTERNATA IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Rye Cereal | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Almond | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Salmon | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Mountain Cedar | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Sesame Seed | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * STACHYBOTRYS CHART/ATRA IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Pork Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, PEANUT IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Sheep Sorrel | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Dust | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Strawberry | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Red Oak | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Tomato | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen Ige, Crude Xtrc, Ea | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Tuna | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Shrimp | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, White Ash | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-June Grass | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Horse Dander | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Scallops | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Codfish | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Mouse Urine | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Ragweed | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Cockroach | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Red Cedar | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Aureobasidium Pull | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen Latex Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Clam | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, SOYBEAN IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Rice | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Bermuda Grass | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Rough Marsh Elder | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Elm | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Brazil Nut | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Birch | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Cat Dander | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Maple | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, FUNGI/MOLD, HD IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Rough Pigweed | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Milk (Cow) Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Timothy Grass | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN MITES D.FARINAE IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-White Mulberry | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Penicilloyl G | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Japanese Cedar | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN MITES D.PTERONY IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, OAK TREE IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Dog Dander | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, P.NOTATUM IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen Weed Cmn/Shrt Rgwd | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, TIMOTHY GRASS IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-White Oak | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, WALNUT TREE IgEf25 | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *ALLERGEN WEED MARSH ELDER IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, WALNUT IgE (f10) | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Acacia | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Food, Gluten | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Alder | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Apple | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen Generic | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Australian Pine | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Bahia Grass | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Barley | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Biomia Tropicalis | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Chicken | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Pine | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Food, Lamb Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, ELDER/MAPLE IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, D.PTERONYSSINUS Ig | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, MOUNTAIN CEDAR IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, D. FARINAE IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Cashew | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Cladosporium Herba | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, A. FUMIGATUS IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Egg Yolk | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN-OAT IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Hickory/Pecan | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Egg White Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Food, Alph-Gal Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * ALLERGEN, WHEAT IgE | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Hazelnut | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Beef Ige | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Sycamore | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Mugwort | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen-Mold | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Mulberry | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 * Allergen, Nettle | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 * Afp-Maternal | $65.40 | $109.00 | $16.77–$109.00 | 21% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 * Maternal Serum Screen | $65.40 | $109.00 | $16.77–$109.00 | 21% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp-Tumor Marker | $65.40 | $109.00 | $16.77–$109.00 | 21% below | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 * Afp-Maternal | $65.40 | $109.00 | $65.40–$109.00 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp-Tumor Marker | $65.40 | $109.00 | $65.40–$109.00 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 * Maternal Serum Screen | $65.40 | $109.00 | $65.40–$109.00 | — | 40% |
| Ammonia blood test CPT 82140 Ammonia Blood | $55.20 | $92.00 | $14.57–$92.00 | 2% above | 40% |
| Ammonia blood test inpatient CPT 82140 Ammonia Blood | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Amylase blood test CPT 82150 Amylase (B) | $49.80 | $83.00 | $6.48–$83.00 | 89% above | 40% |
| Amylase blood test CPT 82150 Amylase (U) 24 Hr | $49.80 | $83.00 | $6.48–$83.00 | 89% above | 40% |
| Amylase blood test CPT 82150 Amylase (U) 2 Hr | $49.80 | $83.00 | $6.48–$83.00 | 89% above | 40% |
| Amylase blood test CPT 82150 Amylase (Fld) | $49.80 | $83.00 | $6.48–$83.00 | 89% above | 40% |
| Amylase blood test CPT 82150 Amylase (U) Random | $49.80 | $83.00 | $6.48–$83.00 | 89% above | 40% |
| Amylase blood test inpatient CPT 82150 Amylase (B) | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 Amylase (U) 2 Hr | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 Amylase (U) 24 Hr | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 Amylase (U) Random | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 Amylase (Fld) | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 * CYCLIC CITRULLNE PEPTIDE IgG | $88.20 | $147.00 | $12.95–$147.00 | 95% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Peptide (C | $88.20 | $147.00 | $12.95–$147.00 | 95% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 * CYCLIC CITRULLNE PEPTIDE IgG | $88.20 | $147.00 | $88.20–$147.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrulline Peptide (C | $88.20 | $147.00 | $88.20–$147.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 * Ana Choice Specific Ab | $47.40 | $79.00 | $12.09–$79.00 | 5% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 * Ana | $47.40 | $79.00 | $12.09–$79.00 | 5% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 * Antinuclear Ab (Ana) W/Refle | $47.40 | $79.00 | $12.09–$79.00 | 5% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 * Ana Choice Specific Ab | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 * Antinuclear Ab (Ana) W/Refle | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 * Ana | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro-Bnp (B Natriuretic Peptide | $120.00 | $200.00 | $39.26–$200.00 | 88% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Pro-Bnp (B Natriuretic Peptide | $120.00 | $200.00 | $120.00–$200.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 * Culture, Wound | $39.55 | $65.92 | $8.62–$65.92 | 3% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 * Culture, Other Source | $39.55 | $65.92 | $8.62–$65.92 | 3% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Abscess | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Catheter Tip | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Carba Resist Screen | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 * Culture, Brucella | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 * Culture, B Anthracis | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Nasopharyngeal | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Wound | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Sinus | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bal | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Uterine | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Ear | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Body Fluid | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Surface, Pediatric | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Gastric Aspirate | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Gallbladder | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Surgery | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Throat | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Peri-Rectal | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Skin, Deep | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Eye | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Skin | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Hip Joint | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Other | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Tissue | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Csf | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bronchial Brush | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Genital | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Routine | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bile | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Clr Culture, (Fld) | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Clr-Culture, Sputum | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Clr Culture, Wound | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Clr Culture, Genital | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Sputum | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bronchial Washing | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bone Marrow | $55.20 | $92.00 | $8.62–$92.00 | 43% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 * Culture, Other Source | $39.55 | $65.92 | $39.55–$65.92 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 * Culture, Wound | $39.55 | $65.92 | $39.55–$65.92 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Catheter Tip | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Routine | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Bronchial Brush | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Other | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Throat | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Wound | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Body Fluid | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Csf | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Genital | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Eye | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Ear | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Nasopharyngeal | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Sputum | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Abscess | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Sinus | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Gastric Aspirate | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Surgery | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Peri-Rectal | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Skin, Deep | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Skin | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Tissue | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Uterine | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Hip Joint | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Gallbladder | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Surface, Pediatric | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Bronchial Washing | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Bile | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Bone Marrow | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Clr Culture, (Fld) | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Clr-Culture, Sputum | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Clr Culture, Wound | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Clr Culture, Genital | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Carba Resist Screen | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 * Culture, Brucella | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 * Culture, B Anthracis | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Bal | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $53.40 | $89.00 | $8.46–$89.00 | 43% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $53.40 | $89.00 | $53.40–$89.00 | — | 40% |
| Bilirubin blood test, total CPT 82247 Clr-Bilirubin Total | $4.20 | $7.00 | $4.20–$7.03 | 89% below | 40% |
| Bilirubin blood test, total CPT 82247 Bilirubin (F) | $40.80 | $68.00 | $5.02–$68.00 | 4% above | 40% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $40.80 | $68.00 | $5.02–$68.00 | 4% above | 40% |
| Bilirubin blood test, total inpatient CPT 82247 Clr-Bilirubin Total | $4.20 | $7.00 | $4.20–$7.00 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $40.80 | $68.00 | $40.80–$68.00 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin (F) | $40.80 | $68.00 | $40.80–$68.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Clr-Sp-Gross & Micro Level Iv | $39.60 | $66.00 | $39.60–$66.00 | 49% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 * Gross/Micro L 4 | $253.20 | $422.00 | $49.47–$422.00 | 227% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block, Fluid W/Concentrat | $253.20 | $422.00 | $49.47–$422.00 | 227% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Sp-Gross & Micro, Level Iv | $253.20 | $422.00 | $49.47–$422.00 | 227% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block, Bm Asp, Level Iv | $253.20 | $422.00 | $49.47–$422.00 | 227% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Cell Block | $253.20 | $422.00 | $49.47–$422.00 | 227% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 G/M Level Iv, Biopsy, Lung, Tr | $253.20 | $422.00 | $49.47–$422.00 | 227% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Clr-Sp-Gross & Micro Level Iv | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 * Gross/Micro L 4 | $253.20 | $422.00 | $253.20–$422.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block, Fluid W/Concentrat | $253.20 | $422.00 | $253.20–$422.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Sp-Gross & Micro, Level Iv | $253.20 | $422.00 | $253.20–$422.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 G/M Level Iv, Biopsy, Lung, Tr | $253.20 | $422.00 | $253.20–$422.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Cell Block | $253.20 | $422.00 | $253.20–$422.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block, Bm Asp, Level Iv | $253.20 | $422.00 | $253.20–$422.00 | — | 40% |
| Blood culture for bacteria CPT 87040 Culture, Blood | $65.40 | $109.00 | $10.32–$109.00 | 33% above | 40% |
| Blood culture for bacteria CPT 87040 Culture, Blood, Pediatric | $65.40 | $109.00 | $10.32–$109.00 | 33% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 Culture, Blood | $65.40 | $109.00 | $65.40–$109.00 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 Culture, Blood, Pediatric | $65.40 | $109.00 | $65.40–$109.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Ip | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Fairlamb | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Nephrology | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Reppell | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Idc | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Op | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Mel Venipuncture | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab Draw Fee | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Opsc Venipuncture | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Pul | $15.00 | $25.00 | $3.00–$25.00 | 67% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Idc | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Lab Draw Fee | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Fairlamb | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Pul | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Nephrology | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Op | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Mel Venipuncture | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Reppell | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Opsc Venipuncture | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Ip | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Blood glucose (sugar) test CPT 82947 Glucose, Blood | $25.34 | $42.23 | $3.93–$42.23 | 37% above | 40% |
| Blood glucose (sugar) test CPT 82947 Poct-Glucose | $26.40 | $44.00 | $3.93–$44.00 | 42% above | 40% |
| Blood glucose (sugar) test CPT 82947 Glucose (B) | $26.40 | $44.00 | $3.93–$44.00 | 42% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Blood | $25.34 | $42.23 | $25.34–$42.23 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 Poct-Glucose | $26.40 | $44.00 | $26.40–$44.00 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose (B) | $26.40 | $44.00 | $26.40–$44.00 | — | 40% |
| Blood lead test CPT 83655 * Lead (B) Capillary | $22.20 | $37.00 | $12.11–$37.00 | 25% below | 40% |
| Blood lead test CPT 83655 * Lead (U) | $22.20 | $37.00 | $12.11–$37.00 | 25% below | 40% |
| Blood lead test CPT 83655 * Lead (B) | $22.20 | $37.00 | $12.11–$37.00 | 25% below | 40% |
| Blood lead test inpatient CPT 83655 * Lead (U) | $22.20 | $37.00 | $22.20–$37.00 | — | 40% |
| Blood lead test inpatient CPT 83655 * Lead (B) | $22.20 | $37.00 | $22.20–$37.00 | — | 40% |
| Blood lead test inpatient CPT 83655 * Lead (B) Capillary | $22.20 | $37.00 | $22.20–$37.00 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 * Hcg Qual (Send Out) | $34.61 | $57.68 | $7.52–$57.68 | 8% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual (B) | $59.40 | $99.00 | $7.52–$99.00 | 58% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 * Hcg Qual (Send Out) | $34.61 | $57.68 | $34.61–$57.68 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qual (B) | $59.40 | $99.00 | $59.40–$99.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Clb Abo | $16.20 | $27.00 | $2.99–$27.00 | 72% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 * Blood Typing, Abo | $18.54 | $30.90 | $2.99–$30.90 | 68% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord Blood, Abo | $33.00 | $55.00 | $2.99–$55.00 | 44% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 * Arc Abo Type | $33.00 | $55.00 | $2.99–$55.00 | 44% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $65.42 | $109.03 | $2.99–$109.03 | 12% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Clb Abo | $16.20 | $27.00 | $16.20–$27.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 * Blood Typing, Abo | $18.54 | $30.90 | $18.54–$30.90 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord Blood, Abo | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 * Arc Abo Type | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo | $65.42 | $109.03 | $65.42–$109.03 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun | $25.34 | $42.23 | $3.95–$42.23 | at median | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun (Blood Urea Nitrogen) | $26.40 | $44.00 | $3.95–$44.00 | 4% above | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun | $25.34 | $42.23 | $25.34–$42.23 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun (Blood Urea Nitrogen) | $26.40 | $44.00 | $26.40–$44.00 | — | 40% |
| C-peptide blood test CPT 84681 * C-Peptide | $115.20 | $192.00 | $20.81–$192.00 | 85% above | 40% |
| C-peptide blood test inpatient CPT 84681 * C-Peptide | $115.20 | $192.00 | $115.20–$192.00 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $81.60 | $136.00 | $5.18–$136.00 | 184% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Pcr W Reflex Nap If Ind | $72.00 | $120.00 | $37.27–$120.00 | 19% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin Gene (S) Nap/Epi | $72.00 | $120.00 | $37.27–$120.00 | 19% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin | $72.00 | $120.00 | $37.27–$120.00 | 19% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Toxin | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Toxin Gene (S) Nap/Epi | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Pcr W Reflex Nap If Ind | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 * Ca 19-9 | $55.62 | $92.70 | $20.81–$92.70 | 11% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $90.60 | $151.00 | $20.81–$151.00 | 45% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 * Ca 19-9 | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 | $90.60 | $151.00 | $90.60–$151.00 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 | $123.60 | $206.00 | $20.81–$206.00 | 81% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125 | $123.60 | $206.00 | $123.60–$206.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Self Pay Covid 19 Pcr | $72.00 | $120.00 | $51.31–$120.00 | 26% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Self Pay Covid 19 Pcr | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Calcium blood test, total CPT 82310 Clr-Calcium | $4.80 | $8.00 | $4.80–$8.00 | 76% below | 40% |
| Calcium blood test, total CPT 82310 Calcium | $34.20 | $57.00 | $5.16–$57.00 | 73% above | 40% |
| Calcium blood test, total inpatient CPT 82310 Clr-Calcium | $4.80 | $8.00 | $4.80–$8.00 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 Calcium | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea (Carcinogenic Embryonic Ag | $104.40 | $174.00 | $18.96–$174.00 | 73% above | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea (Carcinogenic Embryonic Ag | $104.40 | $174.00 | $104.40–$174.00 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 Self-Varicella Zoster | $12.00 | $20.00 | $12.00–$20.00 | 65% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 * Varicella Zoster | $22.25 | $37.08 | $12.88–$37.08 | 36% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 * Varicella Zoster Ab Igg | $51.00 | $85.00 | $12.88–$85.00 | 48% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 * Varicella Zoster Ab Igm | $51.00 | $85.00 | $12.88–$85.00 | 48% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Self-Varicella Zoster | $12.00 | $20.00 | $12.00–$20.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 * Varicella Zoster | $22.25 | $37.08 | $22.25–$37.08 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 * Varicella Zoster Ab Igm | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 * Varicella Zoster Ab Igg | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 * Chlamydia | $55.62 | $92.70 | $35.09–$92.70 | 12% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 * C Trachomatis Dna Sda (Pap V | $72.00 | $120.00 | $35.09–$120.00 | 14% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. Trachomatis PCR | $72.00 | $120.00 | $35.09–$120.00 | 14% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 * C Trachomatis Rna Tma | $72.00 | $120.00 | $35.09–$120.00 | 14% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 * Chlamydia Trachomatis Pcr | $72.00 | $120.00 | $35.09–$120.00 | 14% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 * Chlamydia | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. Trachomatis PCR | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 * C Trachomatis Rna Tma | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 * Chlamydia Trachomatis Pcr | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 * C Trachomatis Dna Sda (Pap V | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 * Lipid Panel | $79.20 | $132.00 | $13.39–$132.00 | 11% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel Reflex Direct Ldl | $79.20 | $132.00 | $13.39–$132.00 | 11% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 * Lipid Panel | $79.20 | $132.00 | $79.20–$132.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel Reflex Direct Ldl | $79.20 | $132.00 | $79.20–$132.00 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 Mel Cbc W/ Auto Diff | $15.00 | $25.00 | $7.77–$25.00 | 51% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $32.14 | $53.56 | $7.77–$53.56 | 5% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W/ Auto Diff | $49.80 | $83.00 | $7.77–$83.00 | 62% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Mel Cbc W/ Auto Diff | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff | $32.14 | $53.56 | $32.14–$53.56 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/ Auto Diff | $49.80 | $83.00 | $49.80–$83.00 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 Clr Cbc Reflex | $5.40 | $9.00 | $5.40–$9.06 | 77% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 Hemogram (Only) | $39.60 | $66.00 | $6.47–$66.00 | 66% above | 40% |
| Complete blood count (CBC), no differential CPT 85027 Cbc W/O Diff | $39.60 | $66.00 | $6.47–$66.00 | 66% above | 40% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated | $39.60 | $66.00 | $6.47–$66.00 | 66% above | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Clr Cbc Reflex | $5.40 | $9.00 | $5.40–$9.00 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc W/O Diff | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Automated | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram (Only) | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $67.80 | $113.00 | $10.56–$113.00 | 50% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $67.80 | $113.00 | $67.80–$113.00 | — | 40% |
| Cortisol blood test, total CPT 82533 * Cortisol, Total | $21.01 | $35.02 | $16.30–$35.02 | 64% below | 40% |
| Cortisol blood test, total CPT 82533 Cortisol, Total | $112.20 | $187.00 | $16.30–$187.00 | 93% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 * Cortisol, Total | $21.01 | $35.02 | $21.01–$35.02 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, Total | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Cpk) | $41.40 | $69.00 | $6.51–$69.00 | 18% above | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (Cpk) | $41.40 | $69.00 | $41.40–$69.00 | — | 40% |
| Creatinine blood test CPT 82565 Assay Of Creatinine Idtf | $9.00 | $15.00 | $5.12–$15.00 | 56% below | 40% |
| Creatinine blood test CPT 82565 * Creatinine Blood | $11.74 | $19.57 | $5.12–$19.57 | 43% below | 40% |
| Creatinine blood test CPT 82565 Creatinine (B) | $34.20 | $57.00 | $5.12–$57.00 | 67% above | 40% |
| Creatinine blood test inpatient CPT 82565 Assay Of Creatinine Idtf | $9.00 | $15.00 | $9.00–$15.00 | — | 40% |
| Creatinine blood test inpatient CPT 82565 * Creatinine Blood | $11.74 | $19.57 | $11.74–$19.57 | — | 40% |
| Creatinine blood test inpatient CPT 82565 Creatinine (B) | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 * Cytomegovirus | $52.53 | $87.55 | $14.39–$87.55 | 1% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Testing Fee | $60.00 | $100.00 | $14.39–$100.00 | 16% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 * Arc Cmv Neg Surcharge | $60.00 | $100.00 | $14.39–$100.00 | 16% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 * Cmv Ab Igg W/Titer | $60.00 | $100.00 | $14.39–$100.00 | 16% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 * Cytomegovirus | $52.53 | $87.55 | $52.53–$87.55 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Testing Fee | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 * Arc Cmv Neg Surcharge | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 * Cmv Ab Igg W/Titer | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Plasma | $79.80 | $133.00 | $10.18–$133.00 | 62% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Plasma | $79.80 | $133.00 | $79.80–$133.00 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 * Dhea Sulfate | $73.80 | $123.00 | $22.23–$123.00 | 11% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 * Dhea S | $73.80 | $123.00 | $22.23–$123.00 | 11% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 * Dhea Sulfate | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 * Dhea S | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamins, Quant 1-2 | $33.00 | $55.00 | $33.00–$77.00 | 41% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Uds Ms-Lc-Lc | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetaminophen | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 * Drug Screen Meconimum | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 * Drug Screen (B) 9 Panel | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 * Flunitrazepam & Met (B) | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Uds Presum Infra Red | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 * Chlorpromazine (B) | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylates (B) | $222.60 | $371.00 | $62.14–$371.00 | 295% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamins, Quant 1-2 | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 * Flunitrazepam & Met (B) | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Salicylates (B) | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 * Chlorpromazine (B) | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Uds Presum Infra Red | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Acetaminophen | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Uds Ms-Lc-Lc | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 * Drug Screen Meconimum | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 * Drug Screen (B) 9 Panel | $222.60 | $371.00 | $222.60–$371.00 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $46.20 | $77.00 | $7.01–$77.00 | 20% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Poct-Electrolyte | $46.20 | $77.00 | $7.01–$77.00 | 20% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Poct-Electrolyte | $46.20 | $77.00 | $46.20–$77.00 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $46.20 | $77.00 | $46.20–$77.00 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 * Epstein-Barr Vca | $22.87 | $38.11 | $18.14–$38.11 | 52% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 * Ebv Viral Capsid Ab Igg | $54.00 | $90.00 | $18.14–$90.00 | 14% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 * Ebv Viral Capsid Ab Igm | $54.00 | $90.00 | $18.14–$90.00 | 14% above | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 * Epstein-Barr Vca | $22.87 | $38.11 | $22.87–$38.11 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 * Ebv Viral Capsid Ab Igm | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 * Ebv Viral Capsid Ab Igg | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Estradiol blood test CPT 82670 Estradiol (B) | $90.00 | $150.00 | $27.94–$150.00 | 2% above | 40% |
| Estradiol blood test inpatient CPT 82670 Estradiol (B) | $90.00 | $150.00 | $90.00–$150.00 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Hormone (Fsh) | $116.40 | $194.00 | $18.58–$194.00 | 76% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stim Hormone (Fsh) | $116.40 | $194.00 | $116.40–$194.00 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 * Calprotectin, Stool | $238.20 | $397.00 | $19.63–$397.00 | 152% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 * Calprotectin, Stool | $238.20 | $397.00 | $238.20–$397.00 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $74.40 | $124.00 | $13.63–$124.00 | 48% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $74.40 | $124.00 | $74.40–$124.00 | — | 40% |
| Fibrinogen blood test CPT 85384 Fibrinogen | $53.40 | $89.00 | $9.72–$89.00 | 82% above | 40% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen | $53.40 | $89.00 | $53.40–$89.00 | — | 40% |
| Folate (folic acid) blood test CPT 82746 Folic Acid | $80.40 | $134.00 | $14.70–$134.00 | 51% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid | $80.40 | $134.00 | $80.40–$134.00 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 T3, Free | $104.40 | $174.00 | $16.94–$174.00 | 73% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, Free | $104.40 | $174.00 | $104.40–$174.00 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free | $71.40 | $119.00 | $9.02–$119.00 | 123% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free | $71.40 | $119.00 | $71.40–$119.00 | — | 40% |
| Free testosterone test CPT 84402 * Testosterone, Free | $84.00 | $140.00 | $25.47–$140.00 | 16% above | 40% |
| Free testosterone test CPT 84402 * Testosterone, Free & Weakly | $84.00 | $140.00 | $25.47–$140.00 | 16% above | 40% |
| Free testosterone test inpatient CPT 84402 * Testosterone, Free | $84.00 | $140.00 | $84.00–$140.00 | — | 40% |
| Free testosterone test inpatient CPT 84402 * Testosterone, Free & Weakly | $84.00 | $140.00 | $84.00–$140.00 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt (Gamma Glutamyl Trans) | $46.80 | $78.00 | $7.20–$78.00 | 23% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt (Gamma Glutamyl Trans) | $46.80 | $78.00 | $46.80–$78.00 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2HR Postprandial | $29.40 | $49.00 | $4.75–$49.00 | 14% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2HR Postprandial | $29.40 | $49.00 | $29.40–$49.00 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 * Lactose Tolerance 3 Samples | $81.60 | $136.00 | $12.87–$136.00 | 77% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2 | $81.60 | $136.00 | $12.87–$136.00 | 77% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 4 | $81.60 | $136.00 | $12.87–$136.00 | 77% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Samples | $81.60 | $136.00 | $12.87–$136.00 | 77% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Spec | $81.60 | $136.00 | $12.87–$136.00 | 77% above | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Spec | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Samples | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2 | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 * Lactose Tolerance 3 Samples | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 4 | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 * Gonorrhea Amplified | $55.62 | $92.70 | $35.09–$92.70 | 19% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 * Gc Dna Probe | $72.00 | $120.00 | $35.09–$120.00 | 5% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 * N Gonorrhoeae Rna Tma | $72.00 | $120.00 | $35.09–$120.00 | 5% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 * Gc Dna Sda (Pap Vial) | $72.00 | $120.00 | $35.09–$120.00 | 5% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae, Pcr | $72.00 | $120.00 | $35.09–$120.00 | 5% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 * Gonorrhea Amplified | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 * N Gonorrhoeae Rna Tma | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 * Gc Dna Sda (Pap Vial) | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 * Gc Dna Probe | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N Gonorrhoeae, Pcr | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| H. pylori antibody blood test CPT 86677 * H-Pylori Ab | $72.31 | $120.51 | $16.85–$120.51 | 2% above | 40% |
| H. pylori antibody blood test CPT 86677 H Pylori, Ab, Qual | $79.20 | $132.00 | $16.85–$132.00 | 12% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 * H-Pylori Ab | $72.31 | $120.51 | $72.31–$120.51 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H Pylori, Ab, Qual | $79.20 | $132.00 | $79.20–$132.00 | — | 40% |
| H. pylori stool antigen test CPT 87338 * H.Pylori Antigen - Stool | $78.60 | $131.00 | $14.38–$131.00 | 46% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 * H.Pylori Antigen - Stool | $78.60 | $131.00 | $78.60–$131.00 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 * Hiv-1 Quant By Pcr | $71.70 | $119.50 | $71.70–$119.50 | 57% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 * Hiv-1 Quant By Pcr | $71.70 | $119.50 | $71.70–$119.50 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/2 Screen | $44.40 | $74.00 | $13.71–$74.00 | 25% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 * Hiv 1&2 Single Assay | $51.29 | $85.49 | $13.71–$85.49 | 14% below | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/2 Screen | $44.40 | $74.00 | $44.40–$74.00 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 * Hiv 1&2 Single Assay | $51.29 | $85.49 | $51.29–$85.49 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Ab/Ab Combo | $47.40 | $79.00 | $24.08–$79.00 | 3% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/2 Ab/Ab Combo | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 * Hgb A1C | $44.50 | $74.16 | $9.71–$74.16 | 29% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $44.50 | $74.16 | $9.71–$74.16 | 29% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 * Hgb A1C | $44.50 | $74.16 | $44.50–$74.16 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $44.50 | $74.16 | $44.50–$74.16 | — | 40% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $8.65 | $14.42 | $2.37–$14.42 | 27% below | 40% |
| Hemoglobin blood test CPT 85018 Hgb | $8.65 | $14.42 | $2.37–$14.42 | 27% below | 40% |
| Hemoglobin blood test CPT 85018 Mel Hemoglobin | $9.60 | $16.00 | $2.37–$16.00 | 19% below | 40% |
| Hemoglobin blood test CPT 85018 Poct Hemoglobin | $15.60 | $26.00 | $2.37–$26.00 | 32% above | 40% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $8.65 | $14.42 | $8.65–$14.42 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 Hgb | $8.65 | $14.42 | $8.65–$14.42 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 Mel Hemoglobin | $9.60 | $16.00 | $9.60–$16.00 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 Poct Hemoglobin | $15.60 | $26.00 | $15.60–$26.00 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 * Hep B Core Antigen | $13.60 | $22.66 | $12.05–$22.66 | 59% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 * Hepatitis B Core Ab Tl | $76.20 | $127.00 | $12.05–$127.00 | 127% above | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 * Hep B Core Antigen | $13.60 | $22.66 | $13.60–$22.66 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 * Hepatitis B Core Ab Tl | $76.20 | $127.00 | $76.20–$127.00 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 * Hep B Surface Ab | $32.75 | $54.59 | $10.74–$54.59 | 33% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab | $59.40 | $99.00 | $10.74–$99.00 | 21% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 * Hep B Surface Ab | $32.75 | $54.59 | $32.75–$54.59 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab | $59.40 | $99.00 | $59.40–$99.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 * Hep B Surface Ag | $38.93 | $64.89 | $10.33–$64.89 | 5% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 * Hep B Surface Ag | $38.93 | $64.89 | $38.93–$64.89 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 * Hep C Ab | $53.77 | $89.61 | $14.27–$89.61 | 2% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 * Hepatitis C Ab | $90.00 | $150.00 | $14.27–$150.00 | 71% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab | $90.00 | $150.00 | $14.27–$150.00 | 71% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 * Hep C Ab | $53.77 | $89.61 | $53.77–$89.61 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab | $90.00 | $150.00 | $90.00–$150.00 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 * Hepatitis C Ab | $90.00 | $150.00 | $90.00–$150.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 * Hep C Quant | $99.50 | $165.83 | $42.84–$165.83 | 24% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 * Hepatitis C Virus, Quant,Pcr | $122.40 | $204.00 | $42.84–$204.00 | 7% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 * Hcv Rna-Pcr Qt (Heptimax) | $122.40 | $204.00 | $42.84–$204.00 | 7% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 * Hep C Quant | $99.50 | $165.83 | $99.50–$165.83 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 * Hepatitis C Virus, Quant,Pcr | $122.40 | $204.00 | $122.40–$204.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 * Hcv Rna-Pcr Qt (Heptimax) | $122.40 | $204.00 | $122.40–$204.00 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 * Herpes Simplex Type 1 | $13.60 | $22.66 | $13.19–$22.66 | 66% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 * Hsv 1 Ab Igm | $33.00 | $55.00 | $13.19–$55.00 | 17% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 * Hsv 1 Glycoprotein G Ab Igg | $33.00 | $55.00 | $13.19–$55.00 | 17% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 * Herpes Simplex Type 1 | $13.60 | $22.66 | $13.60–$22.66 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 * Hsv 1 Glycoprotein G Ab Igg | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 * Hsv 1 Ab Igm | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 * Herpes Simplex Type 2 | $25.34 | $42.23 | $19.35–$42.23 | 53% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 * Hsv 2 Glycoprotein G Ab Igg | $39.60 | $66.00 | $19.35–$66.00 | 26% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 * Hsv 2 Ab Igm | $39.60 | $66.00 | $19.35–$66.00 | 26% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 * HSV 1/2 COMBO Abs, IgM ELISA | $39.60 | $66.00 | $19.35–$66.00 | 26% below | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 * Herpes Simplex Type 2 | $25.34 | $42.23 | $25.34–$42.23 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 * Hsv 2 Ab Igm | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 * HSV 1/2 COMBO Abs, IgM ELISA | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 * Hsv 2 Glycoprotein G Ab Igg | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio Hscrp | $81.60 | $136.00 | $12.95–$136.00 | 87% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Cardio Hscrp | $81.60 | $136.00 | $81.60–$136.00 | — | 40% |
| Homocysteine blood test CPT 83090 * Homocystine | $60.00 | $100.00 | $17.92–$100.00 | at median | 40% |
| Homocysteine blood test inpatient CPT 83090 * Homocystine | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Insulin blood test CPT 83525 Insulin, Tl (B) | $88.20 | $147.00 | $11.43–$147.00 | 125% above | 40% |
| Insulin blood test inpatient CPT 83525 Insulin, Tl (B) | $88.20 | $147.00 | $88.20–$147.00 | — | 40% |
| Iron blood test (serum iron) CPT 83540 Iron | $39.60 | $66.00 | $6.47–$66.00 | 59% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total | $55.20 | $92.00 | $8.74–$92.00 | 107% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity Total | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Kidney function blood test panel CPT 80069 Renal Panel | $56.40 | $94.00 | $8.68–$94.00 | 27% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel | $56.40 | $94.00 | $56.40–$94.00 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 Leutinizing Hormone (Lh) | $116.40 | $194.00 | $18.52–$194.00 | 85% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 Leutinizing Hormone (Lh) | $116.40 | $194.00 | $116.40–$194.00 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $67.80 | $113.00 | $11.57–$113.00 | 59% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $67.80 | $113.00 | $67.80–$113.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh (B) | $36.60 | $61.00 | $6.04–$61.00 | 76% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh (Fld) | $36.60 | $61.00 | $6.04–$61.00 | 76% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh (Csf) | $36.60 | $61.00 | $6.04–$61.00 | 76% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh (B) | $36.60 | $61.00 | $36.60–$61.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh (Fld) | $36.60 | $61.00 | $36.60–$61.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh (Csf) | $36.60 | $61.00 | $36.60–$61.00 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Fld) | $54.00 | $90.00 | $6.89–$90.00 | 100% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (U) | $54.00 | $90.00 | $6.89–$90.00 | 100% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (B) | $54.00 | $90.00 | $6.89–$90.00 | 100% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (Fld) | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (B) | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (U) | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $64.20 | $107.00 | $8.17–$107.00 | at median | 40% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $64.20 | $107.00 | $64.20–$107.00 | — | 40% |
| Lyme disease antibody test CPT 86618 * Lyme Ab Panel | $34.20 | $57.00 | $17.03–$57.00 | 40% below | 40% |
| Lyme disease antibody test CPT 86618 LYME AB IGG SCR w/REF | $43.20 | $72.00 | $17.03–$72.00 | 24% below | 40% |
| Lyme disease antibody test CPT 86618 Lyme Ab Igm Scr/Ref | $43.20 | $72.00 | $17.03–$72.00 | 24% below | 40% |
| Lyme disease antibody test CPT 86618 * Lyme Disease Ab | $110.62 | $184.37 | $17.03–$184.37 | 94% above | 40% |
| Lyme disease antibody test inpatient CPT 86618 * Lyme Ab Panel | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Ab Igm Scr/Ref | $43.20 | $72.00 | $43.20–$72.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB IGG SCR w/REF | $43.20 | $72.00 | $43.20–$72.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 * Lyme Disease Ab | $110.62 | $184.37 | $110.62–$184.37 | — | 40% |
| Magnesium blood test CPT 83735 * Magnesium | $12.36 | $20.60 | $6.70–$20.60 | 55% below | 40% |
| Magnesium blood test CPT 83735 Magnesium (U) 24 Hr | $41.40 | $69.00 | $6.70–$69.00 | 51% above | 40% |
| Magnesium blood test CPT 83735 Magnesium | $41.40 | $69.00 | $6.70–$69.00 | 51% above | 40% |
| Magnesium blood test CPT 83735 * Magnesium Rbc | $41.40 | $69.00 | $6.70–$69.00 | 51% above | 40% |
| Magnesium blood test inpatient CPT 83735 * Magnesium | $12.36 | $20.60 | $12.36–$20.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium (U) 24 Hr | $41.40 | $69.00 | $41.40–$69.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium | $41.40 | $69.00 | $41.40–$69.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 * Magnesium Rbc | $41.40 | $69.00 | $41.40–$69.00 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 Self-Rubeola (Measles) Ab Igg | $18.00 | $30.00 | $12.88–$30.00 | 48% below | 40% |
| Measles (rubeola) antibody test CPT 86765 * Rubeola Ab Igm | $51.00 | $85.00 | $12.88–$85.00 | 49% above | 40% |
| Measles (rubeola) antibody test CPT 86765 * Rubeola (Measles) Ab Igg | $54.60 | $91.00 | $12.88–$91.00 | 59% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 Self-Rubeola (Measles) Ab Igg | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 * Rubeola Ab Igm | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 * Rubeola (Measles) Ab Igg | $54.60 | $91.00 | $54.60–$91.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mel Mononucleosis Screen | $18.00 | $30.00 | $5.18–$30.00 | 7% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Fam Mononucleosis Screen | $18.00 | $30.00 | $5.18–$30.00 | 7% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen | $19.16 | $31.93 | $5.18–$31.93 | 1% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono | $19.16 | $31.93 | $5.18–$31.93 | 1% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen (Hetero A | $34.20 | $57.00 | $5.18–$57.00 | 77% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mel Mononucleosis Screen | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Fam Mononucleosis Screen | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Screen | $19.16 | $31.93 | $19.16–$31.93 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono | $19.16 | $31.93 | $19.16–$31.93 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen (Hetero A | $34.20 | $57.00 | $34.20–$57.00 | — | 40% |
| Mumps immunity blood test CPT 86735 Self-Mumps Ab Igg | $18.00 | $30.00 | $13.05–$30.00 | 51% below | 40% |
| Mumps immunity blood test CPT 86735 * Mumps Ab Igg | $37.80 | $63.00 | $13.05–$63.00 | 2% above | 40% |
| Mumps immunity blood test CPT 86735 * Mumps Ab Igm | $37.80 | $63.00 | $13.05–$63.00 | 2% above | 40% |
| Mumps immunity blood test CPT 86735 * Mumps Antibody Panel | $46.35 | $77.25 | $13.05–$77.25 | 26% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 Self-Mumps Ab Igg | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 * Mumps Ab Igg | $37.80 | $63.00 | $37.80–$63.00 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 * Mumps Ab Igm | $37.80 | $63.00 | $37.80–$63.00 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 * Mumps Antibody Panel | $46.35 | $77.25 | $46.35–$77.25 | — | 40% |
| Obstetric blood test panel CPT 80055 * Obstetric Panel | $102.60 | $171.00 | $47.81–$171.00 | 25% below | 40% |
| Obstetric blood test panel inpatient CPT 80055 * Obstetric Panel | $102.60 | $171.00 | $102.60–$171.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 * Psa Free | $47.40 | $79.00 | $18.39–$79.00 | 14% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 * Psa Free | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 * Psa Total | $47.40 | $79.00 | $18.39–$79.00 | 19% below | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 * Psa Total | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 * Pap Diag, Auto, In Fluid | $45.00 | $75.00 | $26.61–$75.00 | 7% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 * Pap, Cytyc Rvw | $45.00 | $75.00 | $26.61–$75.00 | 7% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 * Pap, Cyto,Liq-Based Scr Auto | $45.00 | $75.00 | $26.61–$75.00 | 7% above | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 * Pap, Cytyc Rvw | $45.00 | $75.00 | $45.00–$75.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 * Pap Diag, Auto, In Fluid | $45.00 | $75.00 | $45.00–$75.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 * Pap, Cyto,Liq-Based Scr Auto | $45.00 | $75.00 | $45.00–$75.00 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 * Pap, Sure Path Man Diagnosti | $76.20 | $127.00 | $20.26–$127.00 | 57% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 * Pap, Sure Path Man Diagnosti | $76.20 | $127.00 | $76.20–$127.00 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact | $122.40 | $204.00 | $41.28–$204.00 | 11% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact | $122.40 | $204.00 | $122.40–$204.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Clr Ptt | $5.40 | $9.00 | $5.40–$9.00 | 80% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 * Ptt La Screen | $36.60 | $61.00 | $6.01–$61.00 | 37% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 * Ptt-D Ref To Heparin If Ind | $36.60 | $61.00 | $6.01–$61.00 | 37% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt (Partial Thromboplastin Ti | $36.60 | $61.00 | $6.01–$61.00 | 37% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Clr Ptt | $5.40 | $9.00 | $5.40–$9.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 * Ptt-D Ref To Heparin If Ind | $36.60 | $61.00 | $36.60–$61.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 * Ptt La Screen | $36.60 | $61.00 | $36.60–$61.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt (Partial Thromboplastin Ti | $36.60 | $61.00 | $36.60–$61.00 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $43.20 | $72.00 | $4.74–$72.00 | 58% above | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $43.20 | $72.00 | $43.20–$72.00 | — | 40% |
| Potassium blood test CPT 84132 Potassium | $29.40 | $49.00 | $4.76–$49.00 | 40% above | 40% |
| Potassium blood test CPT 84132 Poct Potassium | $29.40 | $49.00 | $4.76–$49.00 | 40% above | 40% |
| Potassium blood test inpatient CPT 84132 Potassium | $29.40 | $49.00 | $29.40–$49.00 | — | 40% |
| Potassium blood test inpatient CPT 84132 Poct Potassium | $29.40 | $49.00 | $29.40–$49.00 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 * Fetal Chromosome Aneuploidy | $547.20 | $912.00 | $547.20–$1,062.67 | 55% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 * Fetal Chromosome Aneuploidy | $547.20 | $912.00 | $547.20–$912.00 | — | 40% |
| Progesterone blood test CPT 84144 Progesterone | $129.60 | $216.00 | $20.86–$216.00 | 132% above | 40% |
| Progesterone blood test inpatient CPT 84144 Progesterone | $129.60 | $216.00 | $129.60–$216.00 | — | 40% |
| Prolactin blood test CPT 84146 * Prolactin Dilution Study | $88.80 | $148.00 | $19.38–$148.00 | 52% above | 40% |
| Prolactin blood test CPT 84146 Prolactin | $88.80 | $148.00 | $19.38–$148.00 | 52% above | 40% |
| Prolactin blood test inpatient CPT 84146 * Prolactin Dilution Study | $88.80 | $148.00 | $88.80–$148.00 | — | 40% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $88.80 | $148.00 | $88.80–$148.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Clr Pt (Prothrombin Time) | $3.60 | $6.00 | $3.60–$6.01 | 82% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Mel Pt (Prothrombin Time) | $15.00 | $25.00 | $4.29–$25.00 | 25% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Fam Inr | $15.00 | $25.00 | $4.29–$25.00 | 25% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pro-Time | $19.78 | $32.96 | $4.29–$32.96 | 1% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Protime | $19.78 | $32.96 | $4.29–$32.96 | 1% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 * Pt (Prothrombin Time) Lupus | $26.40 | $44.00 | $4.29–$44.00 | 32% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Poct Pt | $26.40 | $44.00 | $4.29–$44.00 | 32% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt (Prothrombin Time) | $26.40 | $44.00 | $4.29–$44.00 | 32% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Fairlamb | $27.19 | $45.32 | $4.29–$45.32 | 36% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Clr Pt (Prothrombin Time) | $3.60 | $6.00 | $3.60–$6.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Fam Inr | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Mel Pt (Prothrombin Time) | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pro-Time | $19.78 | $32.96 | $19.78–$32.96 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime | $19.78 | $32.96 | $19.78–$32.96 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Poct Pt | $26.40 | $44.00 | $26.40–$44.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 * Pt (Prothrombin Time) Lupus | $26.40 | $44.00 | $26.40–$44.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt (Prothrombin Time) | $26.40 | $44.00 | $26.40–$44.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Fairlamb | $27.19 | $45.32 | $27.19–$45.32 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Multi Panel (Cup) | $33.00 | $55.00 | $12.60–$55.00 | 22% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Ua Cup Drug Screen | $33.00 | $55.00 | $12.60–$55.00 | 22% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Mel Drug Screen (U) Multi Clas | $60.00 | $100.00 | $12.60–$100.00 | 122% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 * Dot Drug Screen | $60.00 | $100.00 | $12.60–$100.00 | 122% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Mul Panel (Cup) | $60.00 | $100.00 | $12.60–$100.00 | 122% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen, (U) Multi Class | $60.00 | $100.00 | $12.60–$100.00 | 122% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Multi Panel (Cup) | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Ua Cup Drug Screen | $33.00 | $55.00 | $33.00–$55.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Mel Drug Screen (U) Multi Clas | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Mul Panel (Cup) | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 * Dot Drug Screen | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen, (U) Multi Class | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Mel Flu | $27.00 | $45.00 | $16.55–$45.00 | 43% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Fam Influenza A/B | $27.00 | $45.00 | $16.55–$45.00 | 43% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Rapid Flu | $32.75 | $54.59 | $16.55–$54.59 | 31% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Rapid Flu Fairlamb | $32.75 | $54.59 | $16.55–$54.59 | 31% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza | $32.75 | $54.59 | $16.55–$54.59 | 31% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/B | $32.75 | $54.59 | $16.55–$54.59 | 31% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Inflenza A/B | $32.75 | $54.59 | $16.55–$54.59 | 31% below | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Mel Flu | $27.00 | $45.00 | $27.00–$45.00 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Fam Influenza A/B | $27.00 | $45.00 | $27.00–$45.00 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Inflenza A/B | $32.75 | $54.59 | $32.75–$54.59 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Flu | $32.75 | $54.59 | $32.75–$54.59 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza | $32.75 | $54.59 | $32.75–$54.59 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A/B | $32.75 | $54.59 | $32.75–$54.59 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Flu Fairlamb | $32.75 | $54.59 | $32.75–$54.59 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Fairlamb | $18.54 | $30.90 | $16.53–$30.90 | 30% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep | $18.54 | $30.90 | $16.53–$30.90 | 30% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen | $18.54 | $30.90 | $16.53–$30.90 | 30% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Mel Strep A Screen | $22.80 | $38.00 | $16.53–$38.00 | 14% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Fam Strep A | $22.80 | $38.00 | $16.53–$38.00 | 14% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep | $18.54 | $30.90 | $18.54–$30.90 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Fairlamb | $18.54 | $30.90 | $18.54–$30.90 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep Screen | $18.54 | $30.90 | $18.54–$30.90 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Mel Strep A Screen | $22.80 | $38.00 | $22.80–$38.00 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Fam Strep A | $22.80 | $38.00 | $22.80–$38.00 | — | 40% |
| Renin blood test CPT 84244 * Renin, Direct | $58.80 | $98.00 | $21.99–$98.00 | 22% below | 40% |
| Renin blood test CPT 84244 * Renin | $58.80 | $98.00 | $21.99–$98.00 | 22% below | 40% |
| Renin blood test inpatient CPT 84244 * Renin, Direct | $58.80 | $98.00 | $58.80–$98.00 | — | 40% |
| Renin blood test inpatient CPT 84244 * Renin | $58.80 | $98.00 | $58.80–$98.00 | — | 40% |
| Rh blood typing CPT 86901 Self-Blood Typing Rh | $6.00 | $10.00 | $2.99–$10.00 | 80% below | 40% |
| Rh blood typing CPT 86901 * Blood Typing, Rh | $16.07 | $26.78 | $2.99–$26.78 | 46% below | 40% |
| Rh blood typing CPT 86901 Clb Rh | $16.20 | $27.00 | $2.99–$27.00 | 46% below | 40% |
| Rh blood typing CPT 86901 * Acr Blood Typing Rh(D) | $42.00 | $70.00 | $2.99–$70.00 | 40% above | 40% |
| Rh blood typing CPT 86901 Cord Blood, Rh | $42.00 | $70.00 | $2.99–$70.00 | 40% above | 40% |
| Rh blood typing CPT 86901 * Arc Blood Typing Rh | $42.00 | $70.00 | $2.99–$70.00 | 40% above | 40% |
| Rh blood typing CPT 86901 Blood Typing Rh(D) | $42.00 | $70.00 | $2.99–$70.00 | 40% above | 40% |
| Rh blood typing inpatient CPT 86901 Self-Blood Typing Rh | $6.00 | $10.00 | $6.00–$10.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 * Blood Typing, Rh | $16.07 | $26.78 | $16.07–$26.78 | — | 40% |
| Rh blood typing inpatient CPT 86901 Clb Rh | $16.20 | $27.00 | $16.20–$27.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 * Arc Blood Typing Rh | $42.00 | $70.00 | $42.00–$70.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 Cord Blood, Rh | $42.00 | $70.00 | $42.00–$70.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 Blood Typing Rh(D) | $42.00 | $70.00 | $42.00–$70.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 * Acr Blood Typing Rh(D) | $42.00 | $70.00 | $42.00–$70.00 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 * Rf Quantitative | $7.42 | $12.36 | $5.67–$12.36 | 74% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant | $42.60 | $71.00 | $5.67–$71.00 | 48% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 * Rf Quantitative | $7.42 | $12.36 | $7.42–$12.36 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant | $42.60 | $71.00 | $42.60–$71.00 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 Self-Rubella Ab Igm | $18.00 | $30.00 | $14.39–$30.00 | 51% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg | $51.00 | $85.00 | $14.39–$85.00 | 37% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 * Rubella | $53.77 | $89.61 | $14.39–$89.61 | 45% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Self-Rubella Ab Igm | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 * Rubella | $53.77 | $89.61 | $53.77–$89.61 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr (Sed Rate) Auto | $22.80 | $38.00 | $2.70–$38.00 | at median | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Esr (Sed Rate) Auto | $22.80 | $38.00 | $22.80–$38.00 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Motility Count | $81.00 | $135.00 | $12.31–$135.00 | 25% below | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis Motility Count | $81.00 | $135.00 | $81.00–$135.00 | — | 40% |
| Sodium blood test CPT 84295 Sodium | $29.40 | $49.00 | $4.81–$49.00 | 38% above | 40% |
| Sodium blood test CPT 84295 Poct-Sodium | $29.40 | $49.00 | $4.81–$49.00 | 38% above | 40% |
| Sodium blood test inpatient CPT 84295 Sodium | $29.40 | $49.00 | $29.40–$49.00 | — | 40% |
| Sodium blood test inpatient CPT 84295 Poct-Sodium | $29.40 | $49.00 | $29.40–$49.00 | — | 40% |
| Stool ova and parasites exam CPT 87177 * Ova & Parasites Direct | $28.80 | $48.00 | $8.90–$48.00 | 10% below | 40% |
| Stool ova and parasites exam CPT 87177 * O&P Smear | $33.37 | $55.62 | $8.90–$55.62 | 5% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 * Ova & Parasites Direct | $28.80 | $48.00 | $28.80–$48.00 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 * O&P Smear | $33.37 | $55.62 | $33.37–$55.62 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Mel Occult Screening | $9.00 | $15.00 | $4.38–$15.00 | 57% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Scr, Stool 1SAMPL | $19.80 | $33.00 | $4.38–$33.00 | 6% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $19.80 | $33.00 | $4.38–$33.00 | 6% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood | $19.80 | $33.00 | $4.38–$33.00 | 6% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Ca Screen Fairlmb | $20.39 | $33.99 | $4.38–$33.99 | 3% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Guiac Cards | $26.57 | $44.29 | $4.38–$44.29 | 26% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Mel Occult Screening | $9.00 | $15.00 | $9.00–$15.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Scr, Stool 1SAMPL | $19.80 | $33.00 | $19.80–$33.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood | $19.80 | $33.00 | $19.80–$33.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool | $19.80 | $33.00 | $19.80–$33.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Ca Screen Fairlmb | $20.39 | $33.99 | $20.39–$33.99 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Guiac Cards | $26.57 | $44.29 | $26.57–$44.29 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Immunoassy | $35.23 | $58.71 | $15.92–$58.71 | 10% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Immunoassay | $35.23 | $58.71 | $15.92–$58.71 | 10% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Immunoassay | $35.23 | $58.71 | $35.23–$58.71 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Immunoassy | $35.23 | $58.71 | $35.23–$58.71 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 * Fta-Abs, T Pallidum Ab | $51.00 | $85.00 | $13.24–$85.00 | 101% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 * T. Palldum Ab Igg/Fta-Abs(S) | $51.00 | $85.00 | $13.24–$85.00 | 101% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 * Fta-Abs, T Pallidum Ab | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 * T. Palldum Ab Igg/Fta-Abs(S) | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 * Vdrl/Rpr Qual | $16.07 | $26.78 | $4.27–$26.78 | 8% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 * VDRL w REF TO TITER | $28.20 | $47.00 | $4.27–$47.00 | 61% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test, Qual | $28.20 | $47.00 | $4.27–$47.00 | 61% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 * Vdrl/Rpr Qual | $16.07 | $26.78 | $16.07–$26.78 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 * VDRL w REF TO TITER | $28.20 | $47.00 | $28.20–$47.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test, Qual | $28.20 | $47.00 | $28.20–$47.00 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 * Testosterone, Total | $85.20 | $142.00 | $25.81–$142.00 | 10% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $85.20 | $142.00 | $25.81–$142.00 | 10% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 * Testosterone, Total | $85.20 | $142.00 | $85.20–$142.00 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $85.20 | $142.00 | $85.20–$142.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 * Thyroid Antibody | $54.38 | $90.64 | $14.55–$90.64 | 39% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 * Microsomal Ab, Thyroid Perox | $91.20 | $152.00 | $14.55–$152.00 | 133% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 * Thyroid Peroxidase/Micros Ab | $91.20 | $152.00 | $14.55–$152.00 | 133% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 * Thyroid Autoantibodies | $91.20 | $152.00 | $14.55–$152.00 | 133% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 * Microsomal Ab, Liver/Kidney | $91.20 | $152.00 | $14.55–$152.00 | 133% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 * Thyroid Antibody | $54.38 | $90.64 | $54.38–$90.64 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 * Thyroid Peroxidase/Micros Ab | $91.20 | $152.00 | $91.20–$152.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 * Thyroid Autoantibodies | $91.20 | $152.00 | $91.20–$152.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 * Microsomal Ab, Thyroid Perox | $91.20 | $152.00 | $91.20–$152.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 * Microsomal Ab, Liver/Kidney | $91.20 | $152.00 | $91.20–$152.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 * TSH 3rd GENERATION | $73.80 | $123.00 | $16.80–$123.00 | 55% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Clr Tsh | $73.80 | $123.00 | $16.80–$123.00 | 55% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh (Thyroid Stimulating Hormo | $73.80 | $123.00 | $16.80–$123.00 | 55% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Clr Tsh | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 * TSH 3rd GENERATION | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh (Thyroid Stimulating Hormo | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| Total IgE blood test CPT 82785 * Immunoglobulin E | $39.00 | $65.00 | $16.46–$65.00 | 10% below | 40% |
| Total IgE blood test CPT 82785 Gammaglobulin, Ige | $99.60 | $166.00 | $16.46–$166.00 | 131% above | 40% |
| Total IgE blood test inpatient CPT 82785 * Immunoglobulin E | $39.00 | $65.00 | $39.00–$65.00 | — | 40% |
| Total IgE blood test inpatient CPT 82785 Gammaglobulin, Ige | $99.60 | $166.00 | $99.60–$166.00 | — | 40% |
| Total cholesterol blood test CPT 82465 Cholesterol | $28.20 | $47.00 | $4.35–$47.00 | 4% above | 40% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $28.20 | $47.00 | $28.20–$47.00 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 * T4 Isotope | $40.20 | $67.00 | $6.87–$67.00 | 58% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 Total | $40.20 | $67.00 | $6.87–$67.00 | 58% above | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Total | $40.20 | $67.00 | $40.20–$67.00 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 * T4 Isotope | $40.20 | $67.00 | $40.20–$67.00 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $77.40 | $129.00 | $14.18–$129.00 | 70% above | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total | $77.40 | $129.00 | $77.40–$129.00 | — | 40% |
| Transferrin blood test CPT 84466 * Transferrin | $97.80 | $163.00 | $12.76–$163.00 | 174% above | 40% |
| Transferrin blood test inpatient CPT 84466 * Transferrin | $97.80 | $163.00 | $97.80–$163.00 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 * T Vaginalis Rna Tma | $42.00 | $70.00 | $35.09–$70.00 | 15% below | 40% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vag Dna Amp Prob | $72.00 | $120.00 | $35.09–$120.00 | 45% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 * T Vaginalis Rna Tma | $42.00 | $70.00 | $42.00–$70.00 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vag Dna Amp Prob | $72.00 | $120.00 | $72.00–$120.00 | — | 40% |
| Triglycerides blood test CPT 84478 Triglycerides | $35.40 | $59.00 | $5.74–$59.00 | 51% above | 40% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $35.40 | $59.00 | $35.40–$59.00 | — | 40% |
| Troponin test, quantitative CPT 84484 Troponin I | $61.20 | $102.00 | $12.47–$102.00 | at median | 40% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I | $61.20 | $102.00 | $61.20–$102.00 | — | 40% |
| Uric acid blood test CPT 84550 Uric Acid | $28.20 | $47.00 | $4.52–$47.00 | 8% above | 40% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $28.20 | $47.00 | $28.20–$47.00 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis W/Micro | $25.20 | $42.00 | $3.17–$42.00 | 43% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis W/Micro | $25.20 | $42.00 | $25.20–$42.00 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 Specific Gravity | $19.80 | $33.00 | $4.02–$33.00 | 12% above | 40% |
| Urinalysis with microscope exam, manual CPT 81000 Ua Micro | $22.25 | $37.08 | $4.02–$37.08 | 26% above | 40% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, Dipstick | $22.25 | $37.08 | $4.02–$37.08 | 26% above | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Specific Gravity | $19.80 | $33.00 | $19.80–$33.00 | — | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis, Dipstick | $22.25 | $37.08 | $22.25–$37.08 | — | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Ua Micro | $22.25 | $37.08 | $22.25–$37.08 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Nephrology | $14.21 | $23.69 | $2.25–$23.69 | 1% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Micro | $17.40 | $29.00 | $2.25–$29.00 | 24% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Ua Machine | $17.40 | $29.00 | $2.25–$29.00 | 24% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 * Urinalysis Auto W/O Micro | $17.40 | $29.00 | $2.25–$29.00 | 24% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph | $17.40 | $29.00 | $2.25–$29.00 | 24% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Nephrology | $14.21 | $23.69 | $14.21–$23.69 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ph | $17.40 | $29.00 | $17.40–$29.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 * Urinalysis Auto W/O Micro | $17.40 | $29.00 | $17.40–$29.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ua Machine | $17.40 | $29.00 | $17.40–$29.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Micro | $17.40 | $29.00 | $17.40–$29.00 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Mel Urinalysis | $9.00 | $15.00 | $3.48–$15.00 | 23% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto Fairlamb | $14.21 | $23.69 | $3.48–$23.69 | 22% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Ua Manual | $14.21 | $23.69 | $3.48–$23.69 | 22% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Poct-Ph Body Fluid | $15.60 | $26.00 | $3.48–$26.00 | 33% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Poct-Urine Nonauto W/O Micro | $15.60 | $26.00 | $3.48–$26.00 | 33% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Mel Drug Screen | $60.00 | $100.00 | $3.48–$100.00 | 413% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Mel Urinalysis | $9.00 | $15.00 | $9.00–$15.00 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ua Manual | $14.21 | $23.69 | $14.21–$23.69 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Auto Fairlamb | $14.21 | $23.69 | $14.21–$23.69 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Poct-Urine Nonauto W/O Micro | $15.60 | $26.00 | $15.60–$26.00 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Poct-Ph Body Fluid | $15.60 | $26.00 | $15.60–$26.00 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Mel Drug Screen | $60.00 | $100.00 | $60.00–$100.00 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Clr-Culture, Urine W/Col Ct | $7.80 | $13.00 | $7.80–$13.00 | 73% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine, Foley Cath | $51.00 | $85.00 | $8.07–$85.00 | 78% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine W/Colony Count | $51.00 | $85.00 | $8.07–$85.00 | 78% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 * Culture, Urine, Colony Count | $52.53 | $87.55 | $8.07–$87.55 | 84% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Clr-Culture, Urine W/Col Ct | $7.80 | $13.00 | $7.80–$13.00 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine W/Colony Count | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture, Urine, Foley Cath | $51.00 | $85.00 | $51.00–$85.00 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 * Culture, Urine, Colony Count | $52.53 | $87.55 | $52.53–$87.55 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin (U) 24 Hrs | $41.40 | $69.00 | $5.78–$69.00 | 99% above | 40% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin (U) Random | $41.40 | $69.00 | $5.78–$69.00 | 99% above | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin (U) Random | $41.40 | $69.00 | $41.40–$69.00 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin (U) 24 Hrs | $41.40 | $69.00 | $41.40–$69.00 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 Mel Hcg | $15.00 | $25.00 | $8.61–$25.00 | 48% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Fam Hcg | $15.00 | $25.00 | $8.61–$25.00 | 48% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Urine Hcg | $21.01 | $35.02 | $8.61–$35.02 | 27% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test, Urine | $21.01 | $35.02 | $8.61–$35.02 | 27% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Poct-Hcg | $39.60 | $66.00 | $8.61–$66.00 | 38% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 Poct Hcg Opsc | $39.60 | $66.00 | $8.61–$66.00 | 38% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qual (U) | $39.60 | $66.00 | $8.61–$66.00 | 38% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Fam Hcg | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Mel Hcg | $15.00 | $25.00 | $15.00–$25.00 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test, Urine | $21.01 | $35.02 | $21.01–$35.02 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Hcg | $21.01 | $35.02 | $21.01–$35.02 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qual (U) | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Poct-Hcg | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Poct Hcg Opsc | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12 | $82.20 | $137.00 | $15.08–$137.00 | 52% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B 12 | $82.20 | $137.00 | $82.20–$137.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 * Vitamin D2 & D3 | $55.20 | $92.00 | $29.60–$92.00 | 25% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 * 25-Oh Vit D2 & D3 | $55.20 | $92.00 | $29.60–$92.00 | 25% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 * Vitamin D 25 Hydroxy | $55.20 | $92.00 | $29.60–$92.00 | 25% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Total | $55.20 | $92.00 | $29.60–$92.00 | 25% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 * 25-Oh Vit D2 & D3 | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Total | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 * Vitamin D2 & D3 | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 * Vitamin D 25 Hydroxy | $55.20 | $92.00 | $55.20–$92.00 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 * Dihydroxy Vit D,1,25- | $126.60 | $211.00 | $38.50–$211.00 | 26% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 * Dihydroxy Vit D,1,25- | $126.60 | $211.00 | $126.60–$211.00 | — | 40% |
| Zinc blood test CPT 84630 * Zinc (B) | $73.80 | $123.00 | $11.39–$123.00 | 96% above | 40% |
| Zinc blood test CPT 84630 * Zinc (U) 24 Hr | $73.80 | $123.00 | $11.39–$123.00 | 96% above | 40% |
| Zinc blood test inpatient CPT 84630 * Zinc (U) 24 Hr | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| Zinc blood test inpatient CPT 84630 * Zinc (B) | $73.80 | $123.00 | $73.80–$123.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Self-Hcg Quant | $22.80 | $38.00 | $15.05–$38.00 | 43% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant | $64.20 | $107.00 | $15.05–$107.00 | 61% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Self-Hcg Quant | $22.80 | $38.00 | $22.80–$38.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant | $64.20 | $107.00 | $64.20–$107.00 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Chemodenerv Facial Musc Mgrne | $400.20 | $667.00 | $400.20–$693.00 | 21% below | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Facial Musc Mgrne | $400.20 | $667.00 | $400.20–$667.00 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Perc Br Biopsy W/ Stereo 1ST L | $2,022.00 | $3,370.00 | $2,022.00–$3,370.00 | 38% above | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Perc Br Biopsy W/ Stereo 1ST L | $2,022.00 | $3,370.00 | $2,022.00–$3,370.00 | — | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 Lt, Heart Cath W/ Cor Angio & | $6,312.00 | $10,520.00 | $5,326.00–$10,520.00 | 40% above | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt, Heart Cath W/ Cor Angio & | $6,312.00 | $10,520.00 | $6,312.00–$10,520.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Electrical Conversion Of Heart | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Cath Lab Electiv | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Er-Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Micu Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion 4S Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Ccu Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Aru Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Cvicu Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | 16% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Electrical Conversion Of Heart | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Cvicu Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Aru Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Ccu Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion 4S Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Micu Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Er-Elective | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Cath Lab Electiv | $786.00 | $1,310.00 | $786.00–$1,310.00 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 Colon W/ Snare-Polyp | $1,633.80 | $2,723.00 | $1,633.80–$2,723.00 | 114% above | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colon W/ Snare-Polyp | $1,633.80 | $2,723.00 | $1,633.80–$2,723.00 | — | 40% |
| Colonoscopy with tissue sample CPT 45380 Colon W/ Biopsy | $1,633.80 | $2,723.00 | $1,633.80–$2,723.00 | 114% above | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colon W/ Biopsy | $1,633.80 | $2,723.00 | $1,633.80–$2,723.00 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $1,633.80 | $2,723.00 | $1,633.80–$2,723.00 | 39% above | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy | $1,633.80 | $2,723.00 | $1,633.80–$2,723.00 | — | 40% |
| Coronary stent placement, one artery CPT 92928 Perc Card Stent W/ Angio 1 Vsl | $11,340.00 | $18,900.00 | $8,506.00–$18,900.00 | 31% above | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 Perc Card Stent W/ Angio 1 Vsl | $11,340.00 | $18,900.00 | $11,340.00–$18,900.00 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACT CERUMEN w IRR | $88.37 | $147.29 | $88.37–$693.00 | 64% above | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACT CERUMEN w IRR | $88.37 | $147.29 | $88.37–$147.29 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impact Cerumen Fairlamb | $88.37 | $147.29 | $88.37–$693.00 | 3% below | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impact Cerumen Fairlamb | $88.37 | $147.29 | $88.37–$147.29 | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ CERV/THOR SINGLE w GUIDE | $760.80 | $1,268.00 | $760.80–$1,268.00 | 1% above | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ CERV/THOR SINGLE w GUIDE | $760.80 | $1,268.00 | $760.80–$1,268.00 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Level | $818.40 | $1,364.00 | $818.40–$1,364.00 | 10% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Jnt/Lum/Sac Nerve W/Fluoro | $818.40 | $1,364.00 | $818.40–$1,364.00 | 10% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Jnt L/S 1 Level | $818.40 | $1,364.00 | $818.40–$1,364.00 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Jnt/Lum/Sac Nerve W/Fluoro | $818.40 | $1,364.00 | $818.40–$1,364.00 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy | $724.80 | $1,208.00 | $724.80–$1,251.00 | 7% above | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy | $724.80 | $1,208.00 | $724.80–$1,208.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligate Hemorrhoids | $1,117.20 | $1,862.00 | $1,117.20–$1,862.00 | 34% above | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligate Hemorrhoids | $1,117.20 | $1,862.00 | $1,117.20–$1,862.00 | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Injection For Hysterosalpingog | $189.60 | $316.00 | $189.60–$693.00 | 16% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Injection For Hysterosalpingog | $189.60 | $316.00 | $189.60–$316.00 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Simple | $92.70 | $154.50 | $92.70–$154.50 | 63% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple Fairlamb | $215.68 | $359.47 | $215.68–$693.00 | 13% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple | $260.40 | $434.00 | $260.40–$693.00 | 5% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Simple | $92.70 | $154.50 | $92.70–$154.50 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple Fairlamb | $215.68 | $359.47 | $215.68–$359.47 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple | $260.40 | $434.00 | $260.40–$434.00 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj,Single Tendon,Sheath,Lgmnt | $342.00 | $570.00 | $342.00–$693.00 | 18% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj,Single Tendon,Sheath,Lgmnt | $342.00 | $570.00 | $342.00–$570.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Injection Or Aspiration Of Joi | $454.80 | $758.00 | $454.80–$758.00 | 14% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject Joint/Bursa | $454.80 | $758.00 | $454.80–$758.00 | 14% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject Joint/Bursa Idm | $454.80 | $758.00 | $454.80–$758.00 | 14% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject Joint/Bursa Idm | $454.80 | $758.00 | $454.80–$758.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject Joint/Bursa | $454.80 | $758.00 | $454.80–$758.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Injection Or Aspiration Of Joi | $454.80 | $758.00 | $454.80–$758.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj Bursa/Joint Intermediate | $367.20 | $612.00 | $367.20–$693.00 | 2% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Idc Inj/Asp Of Joint | $367.20 | $612.00 | $367.20–$693.00 | 2% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Injection Or Aspiration Of Joi | $367.20 | $612.00 | $367.20–$693.00 | 2% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Injection Or Aspiration Of Joi | $367.20 | $612.00 | $367.20–$612.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Idc Inj/Asp Of Joint | $367.20 | $612.00 | $367.20–$612.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inj Bursa/Joint Intermediate | $367.20 | $612.00 | $367.20–$612.00 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small Joint/Bursa Injection | $321.60 | $536.00 | $321.60–$693.00 | 4% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection Or Aspiration Of Joi | $321.60 | $536.00 | $321.60–$693.00 | 4% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Injection Or Aspiration Of Joi | $321.60 | $536.00 | $321.60–$536.00 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small Joint/Bursa Injection | $321.60 | $536.00 | $321.60–$536.00 | — | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH w INJ & IMAGNG | $3,938.40 | $6,564.00 | $3,938.40–$6,564.00 | 13% below | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH w INJ & IMAGNG | $3,938.40 | $6,564.00 | $3,938.40–$6,564.00 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPIDURAL L/S w IMAGING | $760.80 | $1,268.00 | $760.80–$1,268.00 | 1% above | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LMB/SCRL w IMAGING | $760.80 | $1,268.00 | $760.80–$1,268.00 | 1% above | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPIDURAL L/S w IMAGING | $760.80 | $1,268.00 | $760.80–$1,268.00 | — | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LMB/SCRL w IMAGING | $760.80 | $1,268.00 | $760.80–$1,268.00 | — | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPIDURAL L/S w/o IMAGING | $919.20 | $1,532.00 | $919.20–$1,532.00 | 50% above | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR/SACRAL w/o IMAGING | $919.20 | $1,532.00 | $919.20–$1,532.00 | 50% above | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR/SACRAL w/o IMAGING | $919.20 | $1,532.00 | $919.20–$1,532.00 | — | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPIDURAL L/S w/o IMAGING | $919.20 | $1,532.00 | $919.20–$1,532.00 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epidural Lumb/Sac | $1,023.00 | $1,705.00 | $1,023.00–$1,705.00 | 14% above | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection Agent Into Lumbar Sp | $1,456.04 | $2,426.73 | $1,251.00–$2,426.73 | 62% above | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Foramen Epidural Lumb/Sac | $1,023.00 | $1,705.00 | $1,023.00–$1,705.00 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection Agent Into Lumbar Sp | $1,456.04 | $2,426.73 | $1,456.04–$2,426.73 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 Avulusion Nail Plate 1 Fairlmb | $122.98 | $204.97 | $122.98–$693.00 | 43% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Add Fairla | $122.98 | $204.97 | $122.98–$693.00 | 43% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate, Simple | $123.00 | $205.00 | $123.00–$693.00 | 43% below | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulusion Nail Plate 1 Fairlmb | $122.98 | $204.97 | $122.98–$204.97 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Add Fairla | $122.98 | $204.97 | $122.98–$204.97 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate, Simple | $123.00 | $205.00 | $123.00–$205.00 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 Nerve Block Inj Occipital | $420.60 | $701.00 | $420.60–$701.00 | 3% above | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve Block Inj Occipital | $420.60 | $701.00 | $420.60–$701.00 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 A/V Seq Pce/Ins | $22,739.40 | $37,899.00 | $19,309.00–$37,899.00 | 166% above | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 A/V Seq Pce/Ins | $22,739.40 | $37,899.00 | $22,739.40–$37,899.00 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 Bedside Us Paracent W/ Imaging | $1,500.60 | $2,501.00 | $360.00–$2,501.00 | 110% above | 40% |
| Paracentesis with imaging guidance CPT 49083 Paracent, W/ Imaging Guidance | $1,500.60 | $2,501.00 | $1,500.60–$2,501.00 | 110% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 Bedside Us Paracent W/ Imaging | $1,500.60 | $2,501.00 | $1,500.60–$2,501.00 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 Paracent, W/ Imaging Guidance | $1,500.60 | $2,501.00 | $1,500.60–$2,501.00 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $592.20 | $987.00 | $592.20–$987.00 | 3% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed | $592.20 | $987.00 | $592.20–$987.00 | — | 40% |
| Prostate biopsy CPT 55700 Ct Biopsy Prostrate | $2,543.40 | $4,239.00 | $2,048.00–$4,239.00 | 16% above | 40% |
| Prostate biopsy inpatient CPT 55700 Ct Biopsy Prostrate | $2,543.40 | $4,239.00 | $2,543.40–$4,239.00 | — | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumbar/Sac Facet Joint | $1,238.40 | $2,064.00 | $1,238.40–$3,318.00 | 26% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumbar/Sac Facet Joint | $1,238.40 | $2,064.00 | $1,238.40–$2,064.00 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body | $192.00 | $320.00 | $192.00–$693.00 | 45% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body | $192.00 | $320.00 | $192.00–$320.00 | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Screen Non-Risk/Avg.-Ris | $1,364.40 | $2,274.00 | $1,251.00–$2,274.00 | 106% above | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon Screen Non-Risk/Avg.-Ris | $1,364.40 | $2,274.00 | $1,364.40–$2,274.00 | — | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colon Screen High Risk | $1,405.80 | $2,343.00 | $1,251.00–$2,343.00 | 118% above | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colon Screen High Risk | $1,405.80 | $2,343.00 | $1,405.80–$2,343.00 | — | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy | $7,299.60 | $12,166.00 | $7,299.60–$12,166.00 | 136% above | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy | $7,299.60 | $12,166.00 | $7,299.60–$12,166.00 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 Forearm Splint Application | $125.40 | $209.00 | $125.40–$307.00 | 6% below | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Forearm Splint Application | $125.40 | $209.00 | $125.40–$209.00 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Superficial Wound | $205.80 | $343.00 | $205.80–$693.00 | at median | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Superficial Wound | $205.80 | $343.00 | $205.80–$343.00 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $262.10 | $436.83 | $262.10–$693.00 | at median | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion | $262.10 | $436.83 | $262.10–$436.83 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlg 0.5CM Or Less | $932.96 | $1,554.93 | $932.96–$1,554.93 | 8% above | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlg 0.5CM Or Less | $932.96 | $1,554.93 | $932.96–$1,554.93 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $814.80 | $1,358.00 | $814.80–$1,358.00 | 20% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $814.80 | $1,358.00 | $814.80–$1,358.00 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Bx Skin Sngl Lesion | $262.10 | $436.83 | $262.10–$693.00 | at median | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Bx Skin Sngl Lesion | $262.10 | $436.83 | $262.10–$436.83 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging | $730.80 | $1,218.00 | $730.80–$1,251.00 | 21% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging Us | $730.80 | $1,218.00 | $730.80–$1,251.00 | 21% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Bedside Asprt Pleura W/Imaging | $730.80 | $1,218.00 | $360.00–$1,218.00 | 21% below | 40% |
| Thoracentesis with imaging guidance one side CPT 32555 Aspirate Pleura W/ Imaging Rt | $730.80 | $1,218.00 | $730.80–$1,251.00 | 21% below | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Bedside Asprt Pleura W/Imaging | $730.80 | $1,218.00 | $730.80–$1,218.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging Us | $730.80 | $1,218.00 | $730.80–$1,218.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging | $730.80 | $1,218.00 | $730.80–$1,218.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 Aspirate Pleura W/ Imaging Rt | $730.80 | $1,218.00 | $730.80–$1,218.00 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscle | $285.00 | $475.00 | $285.00–$693.00 | 27% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscle | $285.00 | $475.00 | $285.00–$475.00 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Perc Br Biopsy W/ Us 1ST L | $2,022.00 | $3,370.00 | $2,022.00–$3,370.00 | 40% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Perc Br Biopsy Us Guide 1ST | $2,022.00 | $3,370.00 | $2,022.00–$3,370.00 | 40% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Perc Br Biopsy Us Guide 1ST | $2,022.00 | $3,370.00 | $2,022.00–$3,370.00 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Perc Br Biopsy W/ Us 1ST L | $2,022.00 | $3,370.00 | $2,022.00–$3,370.00 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | 24% above | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd Balloon Dilation | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd W Bx | $1,550.40 | $2,584.00 | $1,550.40–$2,584.00 | 33% above | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd W Bx | $1,550.40 | $2,584.00 | $1,550.40–$2,584.00 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Egd W/ Injection | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | 35% below | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Egd W/ Injection | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | — | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd W/ Snare-Polyp | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | 56% above | 40% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd W/ Snare-Polyp | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Dilate/Guidewire | $1,315.20 | $2,192.00 | $1,315.20–$2,192.00 | 110% above | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Dilate/Guidewire | $1,315.20 | $2,192.00 | $1,315.20–$2,192.00 | — | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd W/Wo Specimen | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | 17% below | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd W/Wo Specimen | $1,240.20 | $2,067.00 | $1,240.20–$2,067.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Sq 1ST 20 Sq Cm | $483.60 | $806.00 | $483.60–$806.00 | 21% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Sq 1ST 20 Sq Cm | $483.60 | $806.00 | $483.60–$806.00 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Administer Blood | $490.80 | $818.00 | $490.80–$832.00 | 4% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Infusion Of Blood Products | $490.80 | $818.00 | $490.80–$832.00 | 4% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Infusion Of Blood Products | $490.80 | $818.00 | $490.80–$818.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Administer Blood | $490.80 | $818.00 | $490.80–$818.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Updraft W/Albuterol | $18.54 | $30.90 | $18.54–$156.00 | 76% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Tx W/Pft Or Spirometry | $100.20 | $167.00 | $100.20–$474.00 | 28% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment Subsqnt | $100.20 | $167.00 | $100.20–$167.00 | 28% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ultrasonic Treatment | $100.20 | $167.00 | $100.20–$167.00 | 28% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Updraft Nebulizer Treatment Su | $111.60 | $186.00 | $111.60–$186.00 | 42% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ipv Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metaneb Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Updraft Nebulizer Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ez-Pap Treatment | $112.20 | $187.00 | $112.20–$187.00 | 43% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Updraft W/Albuterol | $18.54 | $30.90 | $18.54–$30.90 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment Subsqnt | $100.20 | $167.00 | $100.20–$167.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ultrasonic Treatment | $100.20 | $167.00 | $100.20–$167.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Neb Tx W/Pft Or Spirometry | $100.20 | $167.00 | $100.20–$167.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Updraft Nebulizer Treatment Su | $111.60 | $186.00 | $111.60–$186.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ez-Pap Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Updraft Nebulizer Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Metaneb Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ipv Treatment | $112.20 | $187.00 | $112.20–$187.00 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion, First Hour | $319.20 | $532.00 | $319.20–$532.00 | 12% above | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Admin Iv 1 Hr Or Initial | $319.20 | $532.00 | $319.20–$532.00 | 12% above | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Admin Iv 1 Hr Or Initial | $319.20 | $532.00 | $319.20–$532.00 | — | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion, First Hour | $319.20 | $532.00 | $319.20–$532.00 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care; First 30-74 Min | $225.57 | $375.95 | $225.57–$375.95 | 81% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care, First 30-74 Min | $981.60 | $1,636.00 | $981.60–$1,636.00 | 17% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Er First Hour | $981.60 | $1,636.00 | $981.60–$2,008.00 | 17% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care; First 30-74 Min | $225.57 | $375.95 | $225.57–$375.95 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Er First Hour | $981.60 | $1,636.00 | $981.60–$1,636.00 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care, First 30-74 Min | $981.60 | $1,636.00 | $981.60–$1,636.00 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg-W/O Sleep | $425.40 | $709.00 | $320.00–$709.00 | 23% above | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg-W/O Sleep | $425.40 | $709.00 | $425.40–$709.00 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Cmplt Idc | $25.96 | $43.26 | $25.96–$208.00 | at median | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Cmplt Idc | $25.96 | $43.26 | $25.96–$43.26 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg 93005 | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Mel Clinic | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Mtn View | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Fam Clnc | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Idc Ecg | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Fmly Mkt | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Calico Clnc | $55.62 | $92.70 | $55.62–$208.00 | 27% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Opsc Ekg | $58.80 | $98.00 | $58.80–$208.00 | 23% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Mtn View | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Fam Clnc | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Calico Clnc | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Idc Ecg | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Mel Clinic | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg 93005 | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Fmly Mkt | $55.62 | $92.70 | $55.62–$92.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Opsc Ekg | $58.80 | $98.00 | $58.80–$98.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I | $195.00 | $325.00 | $195.00–$360.00 | 9% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Level I | $195.00 | $325.00 | $195.00–$325.00 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii | $345.00 | $575.00 | $345.00–$590.00 | 17% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Level Ii | $345.00 | $575.00 | $345.00–$575.00 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii | $495.00 | $825.00 | $495.00–$867.00 | 2% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Level Iii | $495.00 | $825.00 | $495.00–$825.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv | $645.00 | $1,075.00 | $645.00–$1,267.00 | 3% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Level Iv | $645.00 | $1,075.00 | $645.00–$1,075.00 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V | $795.00 | $1,325.00 | $795.00–$1,583.00 | 24% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Level V | $795.00 | $1,325.00 | $795.00–$1,325.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Str-Test | $155.12 | $258.53 | $155.12–$258.53 | 59% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Cardiac Exercise/Pharm | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Treadmill Thallium | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Adenosine Thallium | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Treadmill Cardiolyte | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test For Echo | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Lexiscan Cardiolyte | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Lexiscan Thallium | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Adenosine Cardiolyte | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress, Cardiac Treadmill | $376.80 | $628.00 | $376.80–$628.00 | at median | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Str-Test | $155.12 | $258.53 | $155.12–$258.53 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Treadmill Thallium | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Treadmill Cardiolyte | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Adenosine Thallium | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Cardiac Treadmill | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Adenosine Cardiolyte | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test For Echo | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Lexiscan Cardiolyte | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Cardiac Exercise/Pharm | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress, Lexiscan Thallium | $376.80 | $628.00 | $376.80–$628.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Fluid Infusion, 1ST Hour | $256.80 | $428.00 | $256.80–$428.00 | 79% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Initial Iv Hydration Flds Outp | $256.80 | $428.00 | $256.80–$428.00 | 79% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus Hydrate 31 Min-1 Hr | $256.80 | $428.00 | $256.80–$428.00 | 79% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Fluids For Hydration | $256.80 | $428.00 | $256.80–$428.00 | 79% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Initial Iv Hydration Flds Er | $256.80 | $428.00 | $256.80–$428.00 | 79% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Initial Iv Hydration Flds Outp | $256.80 | $428.00 | $256.80–$428.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infus Hydrate 31 Min-1 Hr | $256.80 | $428.00 | $256.80–$428.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Initial Iv Hydration Flds Er | $256.80 | $428.00 | $256.80–$428.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Fluid Infusion, 1ST Hour | $256.80 | $428.00 | $256.80–$428.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Fluids For Hydration | $256.80 | $428.00 | $256.80–$428.00 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 Rabavent | $266.98 | $444.96 | $169.08–$444.96 | 55% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 Initial Iv Therapeutic Flds Op | $273.00 | $455.00 | $273.00–$455.00 | 59% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infus Ter/Proph/Dx To 1 Hr | $273.00 | $455.00 | $273.00–$455.00 | 59% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 Initial Iv Therapeutic Flds | $273.00 | $455.00 | $273.00–$455.00 | 59% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion, Therapeutic, Init | $273.00 | $455.00 | $273.00–$455.00 | 59% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 Initial Iv Therapeutic Fl-Oper | $273.00 | $455.00 | $273.00–$455.00 | 59% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Rabavent | $266.98 | $444.96 | $266.98–$444.96 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Initial Iv Therapeutic Flds Op | $273.00 | $455.00 | $273.00–$455.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Initial Iv Therapeutic Fl-Oper | $273.00 | $455.00 | $273.00–$455.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Initial Iv Therapeutic Flds | $273.00 | $455.00 | $273.00–$455.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infus Ter/Proph/Dx To 1 Hr | $273.00 | $455.00 | $273.00–$455.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion, Therapeutic, Init | $273.00 | $455.00 | $273.00–$455.00 | — | 40% |
| IV push of a medicine, first drug CPT 96374 Adm Iv Push | $65.51 | $109.18 | $65.51–$109.18 | 46% below | 40% |
| IV push of a medicine, first drug CPT 96374 Iv Push Single Or Ini Sub/Drug | $118.80 | $198.00 | $118.80–$368.00 | 2% below | 40% |
| IV push of a medicine, first drug CPT 96374 Initial Iv Med Outpatient | $152.94 | $254.90 | $152.94–$368.00 | 27% above | 40% |
| IV push of a medicine, first drug CPT 96374 Iv Push, Single Or Initial | $152.94 | $254.90 | $152.94–$368.00 | 27% above | 40% |
| IV push of a medicine, first drug CPT 96374 Iv Push, Single Or Initial Dru | $152.94 | $254.90 | $152.94–$368.00 | 27% above | 40% |
| IV push of a medicine, first drug CPT 96374 Initial Iv Med Er | $152.94 | $254.90 | $152.94–$360.00 | 27% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Adm Iv Push | $65.51 | $109.18 | $65.51–$109.18 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push Single Or Ini Sub/Drug | $118.80 | $198.00 | $118.80–$198.00 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push, Single Or Initial | $152.94 | $254.90 | $152.94–$254.90 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push, Single Or Initial Dru | $152.94 | $254.90 | $152.94–$254.90 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Initial Iv Med Er | $152.94 | $254.90 | $152.94–$254.90 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Initial Iv Med Outpatient | $152.94 | $254.90 | $152.94–$254.90 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Administer Inj Sq/Im | $37.99 | $63.32 | $37.99–$63.32 | 21% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Injection Antibiotic | $94.98 | $158.30 | $94.98–$368.00 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Injection | $94.98 | $158.30 | $94.98–$368.00 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Or Subqutaneous Injection | $94.98 | $158.30 | $60.15–$158.30 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Inj Med Outpt | $94.98 | $158.30 | $94.98–$368.00 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Dx Inj Sc/Mi Pul | $94.98 | $158.30 | $60.15–$158.30 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Dx Inj Sc/Mi Idc | $94.98 | $158.30 | $60.15–$158.30 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq Or Im Injection Nephrology | $94.98 | $158.30 | $60.15–$158.30 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq Or Im Injection Fairlamb | $94.98 | $158.30 | $60.15–$158.30 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Injection Reppell | $94.98 | $158.30 | $60.15–$158.30 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sq Injection Er | $94.98 | $158.30 | $94.98–$360.00 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq/Im Injection 4SOUTH | $94.98 | $158.30 | $94.98–$368.00 | 96% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Administer Inj Sq/Im | $37.99 | $63.32 | $37.99–$63.32 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Injection | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Injection Reppell | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Injection 4SOUTH | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq Or Im Injection Fairlamb | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq/Im Inj Med Outpt | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sq Injection Er | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Injection Antibiotic | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Or Subqutaneous Injection | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Dx Inj Sc/Mi Pul | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq Or Im Injection Nephrology | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Dx Inj Sc/Mi Idc | $94.98 | $158.30 | $94.98–$158.30 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Bpc Nerve Conduct 7-8 Studies | $450.00 | $750.00 | $363.00–$750.00 | at median | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies | $450.00 | $750.00 | $363.00–$750.00 | at median | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Bpc Nerve Conduct 7-8 Studies | $450.00 | $750.00 | $450.00–$750.00 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies | $450.00 | $750.00 | $450.00–$750.00 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 Office Visit | $105.68 | $176.13 | $105.68–$176.13 | 6% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 Office Visit New Level Ii | $151.41 | $252.35 | $151.41–$252.35 | 52% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 New Patient Level 3 Fairlamb | $151.41 | $252.35 | $151.41–$252.35 | 52% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 New Patient Level 3 Pul | $151.41 | $252.35 | $95.89–$252.35 | 52% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 New Pt Level Iii W/Procedure | $151.41 | $252.35 | $151.41–$252.35 | 52% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 New Pt Level Iii | $151.41 | $252.35 | $151.41–$252.35 | 52% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit | $105.68 | $176.13 | $105.68–$176.13 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Patient Level 3 Fairlamb | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level Iii W/Procedure | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level Iii | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Patient Level 3 Pul | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit New Level Ii | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 Office Visit | $149.56 | $249.26 | $149.56–$249.26 | 1% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 New Patient Level 4 Pul | $208.27 | $347.11 | $131.90–$347.11 | 40% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 New Pt Level Iv W/Procedure | $208.27 | $347.11 | $208.27–$347.11 | 40% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 New Pt Level Iv | $208.27 | $347.11 | $208.27–$347.11 | 40% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 Office Visit New Level Iii | $208.27 | $347.11 | $208.27–$347.11 | 40% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit | $149.56 | $249.26 | $149.56–$249.26 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Patient Level 4 Pul | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level Iv W/Procedure | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit New Level Iii | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level Iv | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 New Pt Level V W/Procedure | $281.19 | $468.65 | $281.19–$468.65 | 49% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 Office Visit New Level Iv | $281.19 | $468.65 | $281.19–$468.65 | 49% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 New Patient Level 5 Fairlamb | $281.19 | $468.65 | $281.19–$468.65 | 49% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 New Patient Level 5 Pul | $281.19 | $468.65 | $178.09–$468.65 | 49% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 New Pt Level V | $281.19 | $468.65 | $281.19–$468.65 | 49% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Patient Level 5 Pul | $281.19 | $468.65 | $281.19–$468.65 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level V | $281.19 | $468.65 | $281.19–$468.65 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level V W/Procedure | $281.19 | $468.65 | $281.19–$468.65 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Patient Level 5 Fairlamb | $281.19 | $468.65 | $281.19–$468.65 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit New Level Iv | $281.19 | $468.65 | $281.19–$468.65 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit | $70.45 | $117.42 | $70.45–$117.42 | 13% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level Ii W/Procedure | $114.95 | $191.58 | $114.95–$191.58 | 42% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit New Level I | $114.95 | $191.58 | $114.95–$191.58 | 42% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level 2 Pul | $114.95 | $191.58 | $72.80–$191.58 | 42% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level Ii | $114.95 | $191.58 | $114.95–$191.58 | 42% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level 2 Fairlamb | $114.95 | $191.58 | $114.95–$191.58 | 42% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit | $70.45 | $117.42 | $70.45–$117.42 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Patient Level 2 Pul | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Patient Level 2 Fairlamb | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit New Level I | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Level Ii W/Procedure | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Level Ii | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition Diab Initial Per 15 | $18.00 | $30.00 | $18.00–$178.00 | 48% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition Renal Initial Per 15 | $18.00 | $30.00 | $18.00–$178.00 | 48% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition Consult Initial Per | $18.00 | $30.00 | $18.00–$178.00 | 48% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition Diab Initial Per 15 | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition Consult Initial Per | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition Renal Initial Per 15 | $18.00 | $30.00 | $18.00–$30.00 | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 New Pt-Wellness Exam Age 18-39 | $129.78 | $216.30 | $129.78–$216.30 | 30% above | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Pt-Wellness Exam Age 18-39 | $129.78 | $216.30 | $129.78–$216.30 | — | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 New Pt-Wellness Exam Age 40-64 | $152.65 | $254.41 | $152.65–$254.41 | 22% above | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Pt-Wellness Exam Age 40-64 | $152.65 | $254.41 | $152.65–$254.41 | — | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 New Pt-Wellness Exam Age 65+ | $166.24 | $277.07 | $166.24–$277.07 | 66% above | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New Pt-Wellness Exam Age 65+ | $166.24 | $277.07 | $166.24–$277.07 | — | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Est Pt-Wellness Exam Age 18-39 | $106.30 | $177.16 | $106.30–$177.16 | 6% above | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Est Pt-Wellness Exam Age 18-39 | $106.30 | $177.16 | $106.30–$177.16 | — | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Est Pt Wellness Exam Age 40-64 | $117.42 | $195.70 | $117.42–$195.70 | 8% above | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Est Pt Wellness Exam Age 40-64 | $117.42 | $195.70 | $117.42–$195.70 | — | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Est Pt Wellness Exam Age 65+ | $129.78 | $216.30 | $129.78–$216.30 | 13% above | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Est Pt Wellness Exam Age 65+ | $129.78 | $216.30 | $129.78–$216.30 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 Min | $39.60 | $66.00 | $39.60–$178.00 | 26% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation Counseling 3 | $39.60 | $66.00 | $39.60–$178.00 | 26% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 Minutes | $39.60 | $66.00 | $39.60–$178.00 | 26% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 Min Pul | $40.26 | $67.10 | $40.26–$178.00 | 28% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 Min | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 Minutes | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation Counseling 3 | $39.60 | $66.00 | $39.60–$66.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 Min Pul | $40.26 | $67.10 | $40.26–$67.10 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit | $131.02 | $218.36 | $131.02–$218.36 | 21% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Pul | $208.27 | $347.11 | $131.90–$347.11 | 25% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Level 5 Fairlamb | $208.27 | $347.11 | $208.27–$347.11 | 25% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Est Level Iv | $208.27 | $347.11 | $208.27–$347.11 | 25% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level V W/Procedure | $208.27 | $347.11 | $208.27–$347.11 | 25% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level V | $208.27 | $347.11 | $208.27–$347.11 | 25% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Nursing Care Level 5 | $223.20 | $372.00 | $223.20–$372.00 | 34% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit | $131.02 | $218.36 | $131.02–$218.36 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit Level 5 Pul | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Pt Level V | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Pt Level V W/Procedure | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit Est Level Iv | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Patient Level 5 Fairlamb | $208.27 | $347.11 | $208.27–$347.11 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Nursing Care Level 5 | $223.20 | $372.00 | $223.20–$372.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit | $57.47 | $95.79 | $57.47–$95.79 | 42% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Level 3 Fairlamb | $121.13 | $201.88 | $121.13–$201.88 | 21% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level Iii | $121.13 | $201.88 | $121.13–$201.88 | 21% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Est Level Ii | $121.13 | $201.88 | $121.13–$201.88 | 21% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Pul | $121.13 | $201.88 | $76.71–$201.88 | 21% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level Iii W/Procedure | $121.13 | $201.88 | $121.13–$201.88 | 21% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Nursing Care Level 3 | $148.20 | $247.00 | $148.20–$247.00 | 48% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit | $57.47 | $95.79 | $57.47–$95.79 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Patient Level 3 Fairlamb | $121.13 | $201.88 | $121.13–$201.88 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Pt Level Iii | $121.13 | $201.88 | $121.13–$201.88 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Pt Level Iii W/Procedure | $121.13 | $201.88 | $121.13–$201.88 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit Level 3 Pul | $121.13 | $201.88 | $121.13–$201.88 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit Est Level Ii | $121.13 | $201.88 | $121.13–$201.88 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Nursing Care Level 3 | $148.20 | $247.00 | $148.20–$247.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit | $90.23 | $150.38 | $90.23–$150.38 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level Iv | $151.41 | $252.35 | $151.41–$252.35 | 14% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level Iv W/Procedure | $151.41 | $252.35 | $151.41–$252.35 | 14% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Level 4 Fairlamb | $151.41 | $252.35 | $151.41–$252.35 | 14% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Est Level Iii | $151.41 | $252.35 | $151.41–$252.35 | 14% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Nursing Care Level 4 | $166.20 | $277.00 | $166.20–$277.00 | 25% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit | $90.23 | $150.38 | $90.23–$150.38 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Patient Level 4 Fairlamb | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Pt Level Iv | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Pt Level Iv W/Procedure | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit Est Level Iii | $151.41 | $252.35 | $151.41–$252.35 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Nursing Care Level 4 | $166.20 | $277.00 | $166.20–$277.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit | $42.02 | $70.04 | $42.02–$70.04 | 43% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level Ii | $114.95 | $191.58 | $114.95–$191.58 | 56% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level Ii W/Procedure | $114.95 | $191.58 | $114.95–$191.58 | 56% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Est Level I | $114.95 | $191.58 | $114.95–$191.58 | 56% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Pul | $114.95 | $191.58 | $72.80–$191.58 | 56% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Level 2 Fairlamb | $114.95 | $191.58 | $114.95–$191.58 | 56% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Nursing Care Level 2 | $126.60 | $211.00 | $80.18–$211.00 | 72% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit | $42.02 | $70.04 | $42.02–$70.04 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Patient Level 2 Fairlamb | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Pt Level Ii | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Pt Level Ii W/Procedure | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit Level 2 Pul | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit Est Level I | $114.95 | $191.58 | $114.95–$191.58 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Nursing Care Level 2 | $126.60 | $211.00 | $126.60–$211.00 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult Level 4 | $188.49 | $314.15 | $188.49–$314.15 | 39% above | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult Level 4 | $188.49 | $314.15 | $188.49–$314.15 | — | 40% |
| Spirometry (breathing test) CPT 94010 Pft Spirometry Pre Only | $175.80 | $293.00 | $175.80–$474.00 | 13% above | 40% |
| Spirometry (breathing test) CPT 94010 Spirometry Pul | $213.89 | $356.48 | $213.89–$474.00 | 37% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 Pft Spirometry Pre Only | $175.80 | $293.00 | $175.80–$293.00 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Pul | $213.89 | $356.48 | $213.89–$356.48 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 Pft Spirometry Pre & Post | $220.20 | $367.00 | $220.20–$474.00 | 13% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Challenge Pul | $405.44 | $675.73 | $405.44–$675.73 | 60% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pft Spirometry Pre & Post | $220.20 | $367.00 | $220.20–$367.00 | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Challenge Pul | $405.44 | $675.73 | $405.44–$675.73 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic | $97.20 | $162.00 | $97.20–$186.00 | 8% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic Aru | $174.17 | $290.28 | $174.17–$290.28 | 65% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy, Therapeutic | $97.20 | $162.00 | $97.20–$162.00 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic Aru | $174.17 | $290.28 | $174.17–$290.28 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 Vacc Fairlamb | $45.60 | $76.00 | $11.40–$76.00 | 40% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 Vacc Ahrens | $45.60 | $76.00 | $11.40–$76.00 | 40% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 Vacc Pulm | $45.60 | $76.00 | $11.40–$76.00 | 40% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 Vacc Idc | $45.60 | $76.00 | $11.40–$76.00 | 40% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 Vacc Idc | $45.60 | $76.00 | $45.60–$76.00 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 Vacc Ahrens | $45.60 | $76.00 | $45.60–$76.00 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 Vacc Fairlamb | $45.60 | $76.00 | $45.60–$76.00 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 Vacc Pulm | $45.60 | $76.00 | $45.60–$76.00 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A & B Adult | $97.03 | $161.71 | $61.45–$161.71 | 43% below | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A & B Adult | $97.03 | $161.71 | $97.03–$161.71 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine | $87.76 | $146.26 | $55.58–$146.26 | at median | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine | $87.76 | $146.26 | $87.76–$146.26 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Inj Adult | $38.93 | $64.89 | $9.73–$64.89 | 64% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B (Recombivax) | $47.40 | $79.00 | $11.85–$79.00 | 57% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Inj Adult | $38.93 | $64.89 | $38.93–$64.89 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B (Recombivax) | $47.40 | $79.00 | $47.40–$79.00 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 INJ Hepatitis B Vacc, 10 mcg | $16.65 | $27.75 | $4.16–$27.75 | 69% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Inj Ped | $38.93 | $64.89 | $9.73–$64.89 | 28% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 INJ Hepatitis B Vacc, 10 mcg | $16.65 | $27.75 | $16.65–$27.75 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Inj Ped | $38.93 | $64.89 | $38.93–$64.89 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Vaccine Prp-T Im Idc | $77.40 | $129.00 | $77.40–$129.00 | 90% above | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib Vaccine Prp-T Im Idc | $77.40 | $129.00 | $77.40–$129.00 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose Quad Pulm | $130.20 | $217.00 | $32.55–$217.00 | 1% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose Quad Fairlam | $130.20 | $217.00 | $32.55–$217.00 | 1% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose Quad Fairlam | $130.20 | $217.00 | $130.20–$217.00 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose Quad Pulm | $130.20 | $217.00 | $130.20–$217.00 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vaccine Idc | $77.40 | $129.00 | $77.40–$129.00 | 59% below | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Vaccine Idc | $77.40 | $129.00 | $77.40–$129.00 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4C Vacc 2 Dose Im Idc | $184.25 | $307.08 | $184.25–$307.08 | 42% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Group B, 0.5 mL | $184.25 | $307.08 | $116.69–$307.08 | 42% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal Group B, 0.5 mL | $184.25 | $307.08 | $184.25–$307.08 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb-4C Vacc 2 Dose Im Idc | $184.25 | $307.08 | $184.25–$307.08 | — | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal Vacc 13 Val Idc | $101.97 | $169.95 | $25.49–$169.95 | 74% below | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL INJ IM Fairlamb | $101.97 | $169.95 | $25.49–$257.85 | 74% below | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal Vacc 13 Val Idc | $101.97 | $169.95 | $101.97–$169.95 | — | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL INJ IM Fairlamb | $101.97 | $169.95 | $101.97–$169.95 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 Vaccine Fairlamb | $492.96 | $821.60 | $123.24–$821.60 | 14% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 Vaccine Idc | $492.96 | $821.60 | $123.24–$821.60 | 14% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 Vaccine Idc | $492.96 | $821.60 | $492.96–$821.60 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 Vaccine Fairlamb | $492.96 | $821.60 | $492.96–$821.60 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneum Vaccine Fairlamb | $47.59 | $79.31 | $11.90–$133.47 | 74% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Idc | $47.59 | $79.31 | $11.90–$133.47 | 74% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 23 Valent | $189.36 | $315.60 | $47.34–$315.60 | 4% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneum Vaccine Fairlamb | $47.59 | $79.31 | $47.59–$79.31 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine Idc | $47.59 | $79.31 | $47.59–$79.31 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine 23 Valent | $189.36 | $315.60 | $189.36–$315.60 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Fairlamb | $35.23 | $58.71 | $22.31–$58.71 | 50% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine Fairlamb | $35.23 | $58.71 | $35.23–$58.71 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS Dipth/Per dose 90715 | $63.04 | $105.06 | $39.92–$105.06 | 16% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet/Dip/Per per dose 90715 | $63.04 | $105.06 | $39.92–$105.06 | 16% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS Dipth/Per dose 90715 | $63.04 | $105.06 | $63.04–$105.06 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet/Dip/Per per dose 90715 | $63.04 | $105.06 | $63.04–$105.06 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vac Nephrology | $52.20 | $87.00 | $38.00–$87.00 | 97% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine/Immunization | $54.00 | $90.00 | $38.00–$90.00 | 103% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Injection | $54.00 | $90.00 | $38.00–$90.00 | 103% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Inj Immun Admin | $54.00 | $90.00 | $38.00–$90.00 | 103% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Injection Pneumonia Vaccine | $54.00 | $90.00 | $38.00–$90.00 | 103% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Injection Hepatitis B Vaccc | $54.00 | $90.00 | $38.00–$90.00 | 103% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vac Br Pul | $61.31 | $102.18 | $38.00–$102.18 | 131% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admn Immunization Idc | $95.79 | $159.65 | $38.00–$159.65 | 261% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumcoc Vac Idc | $95.79 | $159.65 | $38.00–$159.65 | 261% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumcoc Vac Pul | $95.79 | $159.65 | $38.00–$159.65 | 261% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Other Vaccine Fairlamb | $95.79 | $159.65 | $38.00–$159.65 | 261% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admn Immunization Reppell | $95.79 | $159.65 | $38.00–$159.65 | 261% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vac Nephrology | $52.20 | $87.00 | $52.20–$87.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Inj Immun Admin | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Injection Hepatitis B Vaccc | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine/Immunization | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Injection | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Injection Pneumonia Vaccine | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vac Br Pul | $61.31 | $102.18 | $61.31–$102.18 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumcoc Vac Pul | $95.79 | $159.65 | $95.79–$159.65 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Other Vaccine Fairlamb | $95.79 | $159.65 | $95.79–$159.65 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admn Immunization Reppell | $95.79 | $159.65 | $95.79–$159.65 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumcoc Vac Idc | $95.79 | $159.65 | $95.79–$159.65 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admn Immunization Idc | $95.79 | $159.65 | $95.79–$159.65 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Inj Each Addition | $54.00 | $90.00 | $38.00–$90.00 | 126% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Inj Ea Additional | $54.00 | $90.00 | $38.00–$90.00 | 126% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Ea Addl Vaccine-Oper | $54.00 | $90.00 | $38.00–$90.00 | 126% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immu Ea Add Reppell | $54.00 | $90.00 | $38.00–$90.00 | 126% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immu Ea Add Idc | $54.00 | $90.00 | $38.00–$90.00 | 126% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Inj Ea Additional | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Inj Each Addition | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immu Ea Add Reppell | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Ea Addl Vaccine-Oper | $54.00 | $90.00 | $54.00–$90.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immu Ea Add Idc | $54.00 | $90.00 | $54.00–$90.00 | — | 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.baxterhealth.org/documents/systems/710561765_baxter-health_standardcharges.csv