Marshall Medical Center
Marshall Medical Center in Placerville, CA publishes cash prices for 305 common procedures listed here, from its own machine-readable price file updated Feb 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 163 of 299 procedures and above it for 135. By typical cash price it ranks #102 of 226 California hospitals and #6 of 14 hospitals in the Sacramento, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1100 Marshall Way, Placerville, CA 95667 Collected Oct 30, 2026 Source price file Check a bill from this hospital (530) 622-1441
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 050254 · CMS hospital register NPI 1972503142
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Marshall Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN, ABDOMEN; W/O CNTRST , THEN W/CNTRST & SCTNS | $2,719.99 | $4,774.43 | $226.14–$4,296.99 | 4% below | 43% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN, ABDOMEN; W/O CNTRST , THEN W/CNTRST & SCTNS | $2,719.99 | $4,774.43 | $2,434.96–$4,296.99 | — | 43% |
| Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $645.08 | $1,132.32 | $44.79–$1,019.09 | 50% above | 43% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $645.08 | $1,132.32 | $577.48–$1,019.09 | — | 43% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC RADIOLOGIC EXAM, ANKLE; COMPL, 3+ VIEWS | $479.89 | $842.36 | $37.46–$758.12 | 7% below | 43% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC RADIOLOGIC EXAM, ANKLE; COMPL, 3+ VIEWS | $479.89 | $842.36 | $429.60–$758.12 | — | 43% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD XTRMTY ART 1-2 LVL | $349.65 | $613.75 | $77.63–$823.99 | 37% below | 43% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD XTRMTY ART 1-2 LVL | $349.65 | $613.75 | $313.01–$552.38 | — | 43% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN, UPPER XTRMTY; W/O CNTRST | $2,565.54 | $4,503.31 | $135.08–$4,052.98 | 13% above | 43% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN, UPPER XTRMTY; W/O CNTRST | $2,565.54 | $4,503.31 | $2,296.69–$4,052.98 | — | 43% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RADIOLOGIC EXAM; ESOPHAGUS | $523.13 | $918.26 | $56.75–$1,137.95 | 14% below | 43% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC RADIOLOGIC EXAM; ESOPHAGUS | $523.13 | $918.26 | $468.31–$826.43 | — | 43% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/OR JNT IMG; WHOLE BODY | $1,784.44 | $3,132.24 | $210.13–$2,819.02 | 16% below | 43% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE &/OR JNT IMG; WHOLE BODY | $1,784.44 | $3,132.24 | $1,597.44–$2,819.02 | — | 43% |
| Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE | $359.44 | $630.92 | $135.08–$679.78 | 49% below | 43% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE | $359.44 | $630.92 | $321.77–$567.83 | — | 43% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED | $362.39 | $636.11 | $111.85–$572.50 | 32% below | 43% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED | $362.39 | $636.11 | $324.42–$572.50 | — | 43% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE | $4,771.29 | $8,375.09 | $453.66–$7,537.58 | 12% below | 43% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE | $4,771.29 | $8,375.09 | $4,271.30–$7,537.58 | — | 43% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGPHY, HEAD, W/O CNTRST , FLW BY CNTST , W/IMG POST-PROC | $2,983.58 | $5,237.10 | $226.14–$4,713.39 | at median | 43% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGPHY, HEAD, W/O CNTRST , FLW BY CNTST , W/IMG POST-PROC | $2,983.58 | $5,237.10 | $2,670.92–$4,713.39 | — | 43% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGPHY, NECK, W/O CNTRST , FLW BY CNTST , W/IMG POST-PROC | $2,996.70 | $5,260.13 | $226.14–$4,734.12 | 1% above | 43% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGPHY, NECK, W/O CNTRST , FLW BY CNTST , W/IMG POST-PROC | $2,996.70 | $5,260.13 | $2,682.67–$4,734.12 | — | 43% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGPHY, CHEST, W/O CNTST , FLW BY CNTRST , W/IMG POST-PRC | $3,789.74 | $6,652.16 | $226.14–$5,986.94 | 11% above | 43% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGPHY, CHEST, W/O CNTST , FLW BY CNTRST , W/IMG POST-PRC | $3,789.74 | $6,652.16 | $3,392.60–$5,986.94 | — | 43% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CORON SCRNING | $288.20 | $505.88 | $111.85–$562.82 | 23% below | 43% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CORON SCRNING | $288.20 | $505.88 | $258.00–$455.29 | — | 43% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD/PELV W/O CON | $6,028.18 | $10,581.32 | $259.72–$9,523.19 | 88% above | 43% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD/PELV W/O CON | $6,028.18 | $10,581.32 | $5,396.47–$9,523.19 | — | 43% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD/PELV W/CON | $6,493.51 | $11,398.12 | $419.88–$10,258.31 | 57% above | 43% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD/PELV W/CON | $6,493.51 | $11,398.12 | $5,813.04–$10,258.31 | — | 43% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PELV W/WO CON | $5,098.12 | $8,948.78 | $453.66–$8,053.90 | 8% above | 43% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PELV W/WO CON | $5,098.12 | $8,948.78 | $4,563.88–$8,053.90 | — | 43% |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN, ABDOMEN; W/CNTRST | $2,765.30 | $4,853.95 | $226.14–$4,368.56 | 10% above | 43% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN, ABDOMEN; W/CNTRST | $2,765.30 | $4,853.95 | $2,475.51–$4,368.56 | — | 43% |
| CT scan of the abdomen without contrast CPT 74150 HC CT SCAN, ABDOMEN; W/O CNTRST | $2,689.91 | $4,721.63 | $135.08–$4,249.47 | 41% above | 43% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN, ABDOMEN; W/O CNTRST | $2,689.91 | $4,721.63 | $2,408.03–$4,249.47 | — | 43% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN, MAXILLOFCL AREA; W/O CNTRST | $2,752.37 | $4,831.26 | $135.08–$4,348.13 | 26% above | 43% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN, MAXILLOFCL AREA; W/O CNTRST | $2,752.37 | $4,831.26 | $2,463.94–$4,348.13 | — | 43% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN, HEAD/BRAIN; W/O CNTRST | $2,577.94 | $4,525.08 | $135.08–$4,072.57 | 13% above | 43% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN, HEAD/BRAIN; W/O CNTRST | $2,577.94 | $4,525.08 | $2,307.79–$4,072.57 | — | 43% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN, HEAD/BRAIN; W/CNTRST | $2,417.35 | $4,243.19 | $212.82–$3,818.87 | 11% below | 43% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN, HEAD/BRAIN; W/CNTRST | $2,417.35 | $4,243.19 | $2,164.03–$3,818.87 | — | 43% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN, HEAD/BRAIN; W/O CNTRST , THEN W/CNTRST | $2,304.56 | $4,045.21 | $226.14–$3,640.69 | 25% below | 43% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN, HEAD/BRAIN; W/O CNTRST , THEN W/CNTRST | $2,304.56 | $4,045.21 | $2,063.06–$3,640.69 | — | 43% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN, LUMBAR SPINE; W/O CNTRST | $2,821.78 | $4,953.10 | $135.08–$4,457.79 | 1% below | 43% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN, LUMBAR SPINE; W/O CNTRST | $2,821.78 | $4,953.10 | $2,526.08–$4,457.79 | — | 43% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN, CERVICAL SPINE; W/O CNTRST | $2,593.01 | $4,551.53 | $135.08–$4,096.38 | 11% below | 43% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN, CERVICAL SPINE; W/O CNTRST | $2,593.01 | $4,551.53 | $2,321.28–$4,096.38 | — | 43% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN, PELV; W/CNTRST | $2,854.48 | $5,010.50 | $226.14–$4,509.45 | 12% above | 43% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN, PELV; W/CNTRST | $2,854.48 | $5,010.50 | $2,555.36–$4,509.45 | — | 43% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $1,151.05 | $2,020.45 | $233.39–$1,818.40 | — | 43% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $1,151.05 | $2,020.45 | $1,030.43–$1,818.40 | — | 43% |
| Chest CT scan without and with contrast CPT 71270 HC CT SCAN, THORAX; W/O CNTRST , THEN W/CNTRST & SCTNS | $2,476.70 | $4,347.38 | $226.14–$3,912.64 | 24% below | 43% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN, THORAX; W/O CNTRST , THEN W/CNTRST & SCTNS | $2,476.70 | $4,347.38 | $2,217.16–$3,912.64 | — | 43% |
| Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $575.40 | $1,010.00 | $40.93–$909.00 | 41% above | 43% |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $575.40 | $1,010.00 | $515.10–$909.00 | — | 43% |
| Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $575.40 | $1,010.00 | $26.30–$909.00 | 58% above | 43% |
| Chest X-ray, single view CPT 71045 HC CHEST DECUBITUS 1 VIEW | $575.40 | $1,010.00 | $26.30–$909.00 | 58% above | 43% |
| Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $575.40 | $1,010.00 | $515.10–$909.00 | — | 43% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST DECUBITUS 1 VIEW | $575.40 | $1,010.00 | $515.10–$909.00 | — | 43% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC RADIOLOGIC EXAM; CLAVICLE, COMPL | $520.05 | $912.84 | $30.96–$821.56 | 7% above | 43% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC RADIOLOGIC EXAM; CLAVICLE, COMPL | $520.05 | $912.84 | $465.55–$821.56 | — | 43% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC ULTRASND, RETROPERITONEUM, B-SCAN/RL TM; COMPLT | $1,018.26 | $1,787.36 | $120.27–$1,608.62 | 20% above | 43% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC ULTRASND, RETROPERITONEUM, B-SCAN/RL TM; COMPLT | $1,018.26 | $1,787.36 | $911.55–$1,608.62 | — | 43% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA | $401.65 | $705.02 | $51.06–$679.78 | 20% below | 43% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA | $401.65 | $705.02 | $359.56–$634.52 | — | 43% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, DTL FTL XM, TRNSAB; SGL/ | $612.77 | $1,075.60 | $236.43–$1,545.16 | 32% below | 43% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, DTL FTL XM, TRNSAB; SGL/ | $612.77 | $1,075.60 | $548.56–$968.04 | — | 43% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX; W/O CNTRST | $2,314.02 | $4,061.82 | $135.08–$3,655.64 | 14% above | 43% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX; W/O CNTRST | $2,314.02 | $4,061.82 | $2,071.53–$3,655.64 | — | 43% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX; W/CNTRST | $2,643.51 | $4,640.18 | $226.14–$4,176.16 | 8% below | 43% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX; W/CNTRST | $2,643.51 | $4,640.18 | $2,366.49–$4,176.16 | — | 43% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAG MAMMO DIGITAL INCL CAD BILATERAL | $519.63 | $912.11 | $220.56–$820.90 | — | 43% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAG MAMMO DIGITAL INCL CAD BILATERAL | $519.63 | $912.11 | $465.18–$820.90 | — | 43% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIAG MAMMO DIGITAL UNILATERAL | $262.64 | $461.01 | $174.45–$414.91 | 30% below | 43% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAG MAMMO DIGITAL UNILATERAL | $262.64 | $461.01 | $235.12–$414.91 | — | 43% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT | $994.22 | $1,745.16 | $144.34–$1,570.64 | — | 43% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT | $994.22 | $1,745.16 | $890.03–$1,570.64 | — | 43% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT | $1,201.42 | $2,108.87 | $250.68–$1,897.98 | — | 43% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT | $1,201.42 | $2,108.87 | $1,075.52–$1,897.98 | — | 43% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC FULL ECHO DONE BY DOCTOR | $1,852.91 | $3,252.43 | $357.24–$3,504.93 | 31% below | 43% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC FULL ECHOCARDIOGRAPHY | $1,852.91 | $3,252.43 | $357.24–$3,504.93 | 31% below | 43% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE W/BUBBLE STUDY | $2,395.42 | $4,204.70 | $357.24–$3,784.23 | 11% below | 43% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE DOP/COLOR W/CON | $2,634.04 | $4,623.56 | $357.24–$4,161.20 | 2% below | 43% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC FULL ECHO DONE BY DOCTOR | $1,852.91 | $3,252.43 | $1,658.74–$2,927.19 | — | 43% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC FULL ECHOCARDIOGRAPHY | $1,852.91 | $3,252.43 | $1,658.74–$2,927.19 | — | 43% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE W/BUBBLE STUDY | $2,395.42 | $4,204.70 | $2,144.40–$3,784.23 | — | 43% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE DOP/COLOR W/CON | $2,634.04 | $4,623.56 | $2,358.02–$4,161.20 | — | 43% |
| Elbow X-ray, 2 views CPT 73070 HC RADIOLOGIC EXAM, ELBOW; 2 VIEWS | $385.93 | $677.42 | $30.96–$609.68 | 3% below | 43% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC RADIOLOGIC EXAM, ELBOW; 2 VIEWS | $385.93 | $677.42 | $345.48–$609.68 | — | 43% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC RADIOLOGIC EXAM, ELBOW; COMPL, 3+ VIEWS | $450.38 | $790.55 | $38.71–$711.50 | 7% below | 43% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC RADIOLOGIC EXAM, ELBOW; COMPL, 3+ VIEWS | $450.38 | $790.55 | $403.18–$711.50 | — | 43% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN, ORBIT/SELLA/POSTR FOSSA/OUT, MID, INN EAR; W/O CNTRST | $2,433.27 | $4,271.14 | $135.08–$3,844.03 | 6% above | 43% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN, ORBIT/SELLA/POSTR FOSSA/OUT, MID, INN EAR; W/O CNTRST | $2,433.27 | $4,271.14 | $2,178.28–$3,844.03 | — | 43% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC RADIOLOGIC EXAM, FACIAL BONES; COMPL, MIN, 3 VIEWS | $765.14 | $1,343.05 | $55.55–$1,208.74 | 55% above | 43% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC RADIOLOGIC EXAM, FACIAL BONES; COMPL, MIN, 3 VIEWS | $765.14 | $1,343.05 | $684.96–$1,208.74 | — | 43% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC RADIOLOGIC EXAM; FOREARM, 2 VIEWS | $509.63 | $894.55 | $30.96–$805.10 | 19% above | 43% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC RADIOLOGIC EXAM; FOREARM, 2 VIEWS | $509.63 | $894.55 | $456.22–$805.10 | — | 43% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC BILIARY INC GALLBLDR | $1,752.52 | $3,076.21 | $433.60–$2,768.59 | 1% below | 43% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC BILIARY INC GALLBLDR | $1,752.52 | $3,076.21 | $1,568.87–$2,768.59 | — | 43% |
| Hand X-ray, 2 views CPT 73120 HC RADIOLOGIC EXAM, HAND; 2 VIEWS | $412.57 | $724.18 | $25.78–$679.78 | 1% above | 43% |
| Hand X-ray, 2 views inpatient CPT 73120 HC RADIOLOGIC EXAM, HAND; 2 VIEWS | $412.57 | $724.18 | $369.33–$651.76 | — | 43% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC RADIOLOGIC EXAM; CALCANEUS, 2+ VIEWS | $326.22 | $572.61 | $28.34–$562.82 | 8% below | 43% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC RADIOLOGIC EXAM; CALCANEUS, 2+ VIEWS | $326.22 | $572.61 | $292.03–$515.35 | — | 43% |
| Knee X-ray, 3 views CPT 73562 HC RADIOLOGIC EXAM, KNEE; 3 VIEWS | $388.96 | $682.75 | $34.84–$614.48 | 15% below | 43% |
| Knee X-ray, 3 views inpatient CPT 73562 HC RADIOLOGIC EXAM, KNEE; 3 VIEWS | $388.96 | $682.75 | $348.20–$614.48 | — | 43% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC RADIOLOGIC EXAM, KNEE; COMPL, 4+ VIEWS | $661.99 | $1,161.99 | $41.27–$1,045.79 | 13% above | 43% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC RADIOLOGIC EXAM, KNEE; COMPL, 4+ VIEWS | $661.99 | $1,161.99 | $592.61–$1,045.79 | — | 43% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN, LWR XTRMTY; W/O CNTRST | $2,564.01 | $4,500.63 | $135.08–$4,050.57 | 20% above | 43% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN, LWR XTRMTY; W/O CNTRST | $2,564.01 | $4,500.63 | $2,295.32–$4,050.57 | — | 43% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ULTRASND, ABD, B-SCAN &/OR RL TM W/IMG DOC; LTD | $711.09 | $1,248.19 | $90.50–$1,123.37 | 14% below | 43% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ULTRASND, ABD, B-SCAN &/OR RL TM W/IMG DOC; LTD | $711.09 | $1,248.19 | $636.58–$1,123.37 | — | 43% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC U/S XTRMTY LIM | $562.28 | $986.98 | $39.10–$888.28 | 3% above | 43% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC U/S XTRMTY LIM | $562.28 | $986.98 | $503.36–$888.28 | — | 43% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR C- | $1,901.53 | $3,337.77 | $135.08–$3,003.99 | 434% above | 43% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR C- | $1,901.53 | $3,337.77 | $1,702.26–$3,003.99 | — | 43% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC RADIOLOGIC EXAM; TIBIA & FIBULA, TWO VIEWS | $386.99 | $679.28 | $30.96–$611.35 | 11% below | 43% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC RADIOLOGIC EXAM; TIBIA & FIBULA, TWO VIEWS | $386.99 | $679.28 | $346.43–$611.35 | — | 43% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA, HEAD; W/O CNTRST | $2,117.28 | $3,716.48 | $307.06–$3,344.83 | 27% below | 43% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA, HEAD; W/O CNTRST | $2,117.28 | $3,716.48 | $1,895.40–$3,344.83 | — | 43% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/WO CNTRST BILATERAL | $2,921.34 | $5,127.86 | $503.38–$4,615.07 | — | 43% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/WO CNTRST BILATERAL(NON MCAR) | $3,489.09 | $6,124.44 | $503.38–$5,512.00 | — | 43% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W/WO CNTRST BILATERAL | $2,921.34 | $5,127.86 | $2,615.21–$4,615.07 | — | 43% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W/WO CNTRST BILATERAL(NON MCAR) | $3,489.09 | $6,124.44 | $3,123.46–$5,512.00 | — | 43% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI, ANY JNT, LWR XTRMTY; W/O CNTRST | $2,634.19 | $4,623.81 | $307.06–$4,161.43 | 13% below | 43% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI, ANY JNT, LWR XTRMTY; W/O CNTRST | $2,634.19 | $4,623.81 | $2,358.14–$4,161.43 | — | 43% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, ANY JNT, LWR XTRMTY; W/O CNTRST, FLWD BY CNTRST & SEQ | $3,012.18 | $5,287.31 | $453.66–$4,758.58 | 35% below | 43% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI, ANY JNT, LWR XTRMTY; W/O CNTRST, FLWD BY CNTRST & SEQ | $3,012.18 | $5,287.31 | $2,696.53–$4,758.58 | — | 43% |
| MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN; W/O CNTRST | $3,029.70 | $5,318.06 | $284.53–$4,786.25 | 8% above | 43% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN; W/O CNTRST | $3,029.70 | $5,318.06 | $2,712.21–$4,786.25 | — | 43% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN; W/O CNTRST FLWD BY CNTRST & SQNCES | $2,576.01 | $4,521.69 | $453.66–$4,069.52 | 41% below | 43% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN; W/O CNTRST FLWD BY CNTRST & SQNCES | $2,576.01 | $4,521.69 | $2,306.06–$4,069.52 | — | 43% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI, BRAIN; W/O CNTRST | $2,818.71 | $4,947.71 | $283.34–$4,452.94 | 3% below | 43% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI, BRAIN; W/O CNTRST | $2,818.71 | $4,947.71 | $2,523.33–$4,452.94 | — | 43% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI, BRAIN; W/O CNTRST , THEN W/CNTRST & SEQ | $3,829.86 | $6,722.59 | $453.66–$6,050.33 | 11% below | 43% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI, BRAIN; W/O CNTRST , THEN W/CNTRST & SEQ | $3,829.86 | $6,722.59 | $3,428.52–$6,050.33 | — | 43% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE; W/O CNTRST | $2,468.89 | $4,333.67 | $277.14–$3,900.30 | 19% below | 43% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE; W/O CNTRST | $2,468.89 | $4,333.67 | $2,210.17–$3,900.30 | — | 43% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, SPINE W/O CNTRST , THEN W/CNTRST ; LUMBAR | $3,299.63 | $5,791.87 | $453.66–$5,212.68 | 27% below | 43% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, SPINE W/O CNTRST , THEN W/CNTRST ; LUMBAR | $3,299.63 | $5,791.87 | $2,953.85–$5,212.68 | — | 43% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, THORACIC SPINE; W/O CNTRST | $2,676.65 | $4,698.35 | $276.17–$4,228.52 | 8% below | 43% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, THORACIC SPINE; W/O CNTRST | $2,676.65 | $4,698.35 | $2,396.16–$4,228.52 | — | 43% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, SPINE W/O CNTRST , THEN W/CNTRST ; CERVICAL | $3,409.67 | $5,985.03 | $453.66–$5,386.53 | 23% below | 43% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, SPINE W/O CNTRST , THEN W/CNTRST ; CERVICAL | $3,409.67 | $5,985.03 | $3,052.37–$5,386.53 | — | 43% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERVICAL SPINE; W/O CNTRST | $2,417.95 | $4,244.25 | $276.62–$3,819.82 | 19% below | 43% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERVICAL SPINE; W/O CNTRST | $2,417.95 | $4,244.25 | $2,164.57–$3,819.82 | — | 43% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELV; W/O CNTRST , FLWD BY CNTRST & SQNCES | $2,565.33 | $4,502.94 | $453.66–$4,052.65 | 38% below | 43% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELV; W/O CNTRST , FLWD BY CNTRST & SQNCES | $2,565.33 | $4,502.94 | $2,296.50–$4,052.65 | — | 43% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELV; W/O CNTRST | $2,065.69 | $3,625.92 | $307.06–$3,263.33 | 20% below | 43% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELV; W/O CNTRST | $2,065.69 | $3,625.92 | $1,849.22–$3,263.33 | — | 43% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, ANY JNT, UPPER XTRMTY; W/O CNTRST | $2,619.79 | $4,598.54 | $293.92–$4,138.69 | at median | 43% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, ANY JNT, UPPER XTRMTY; W/O CNTRST | $2,619.79 | $4,598.54 | $2,345.26–$4,138.69 | — | 43% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADIO EXAM, SPINE, CERVICAL; 4+ VIEWS | $777.42 | $1,364.62 | $59.60–$1,228.16 | 21% above | 43% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADIO EXAM, SPINE, CERVICAL; 4+ VIEWS | $777.42 | $1,364.62 | $695.96–$1,228.16 | — | 43% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SCAN, SOFT TISSUE NECK; W/CNTRST | $2,766.83 | $4,856.65 | $226.14–$4,370.98 | 1% above | 43% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SCAN, SOFT TISSUE NECK; W/CNTRST | $2,766.83 | $4,856.65 | $2,476.89–$4,370.98 | — | 43% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN, SOFT TISSUE NECK; W/O CNTRST | $2,770.71 | $4,863.46 | $135.08–$4,377.11 | 31% above | 43% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN, SOFT TISSUE NECK; W/O CNTRST | $2,770.71 | $4,863.46 | $2,480.36–$4,377.11 | — | 43% |
| Neck soft tissue X-ray CPT 70360 HC RADIO EXAM; NECK, SOFT TISSUE | $413.68 | $726.14 | $25.78–$653.53 | 27% above | 43% |
| Neck soft tissue X-ray inpatient CPT 70360 HC RADIO EXAM; NECK, SOFT TISSUE | $413.68 | $726.14 | $370.33–$653.53 | — | 43% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCRD SPECT R&EX/D | $5,132.82 | $9,009.68 | $518.70–$8,345.08 | 26% above | 43% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCRD SPECT R&EX/D | $5,132.82 | $9,009.68 | $4,594.94–$8,108.71 | — | 43% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET,DIAG,NECKTOKNEE,NC | $3,855.85 | $6,768.21 | $1,852.85–$9,323.83 | 47% below | 43% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET,DIAG,NECKTOKNEE,NC | $3,855.85 | $6,768.21 | $3,451.79–$6,091.39 | — | 43% |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN, PELV; W/O CNTRST | $3,012.82 | $5,288.44 | $135.08–$4,759.60 | 54% above | 43% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN, PELV; W/O CNTRST | $3,012.82 | $5,288.44 | $2,697.10–$4,759.60 | — | 43% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC ECHOGRPH, PELVIC - NON-OB, LTD | $575.19 | $1,009.64 | $62.83–$908.68 | 7% above | 43% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC ECHOGRPH, PELVIC - NON-OB, LTD | $575.19 | $1,009.64 | $514.92–$908.68 | — | 43% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHOGPH, PELV (NONOBSTRC), B-SCN &/OR RL TM W/IMG DOC; CMPLT | $696.49 | $1,222.56 | $100.80–$1,100.30 | 26% below | 43% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHOGPH, PELV (NONOBSTRC), B-SCN &/OR RL TM W/IMG DOC; CMPLT | $696.49 | $1,222.56 | $623.51–$1,100.30 | — | 43% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, 1 TRI, TRNSAB; SGL/1 ADL | $723.57 | $1,270.09 | $135.08–$1,143.08 | 16% below | 43% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, 1 TRI, TRNSAB; SGL/1 ADL | $723.57 | $1,270.09 | $647.75–$1,143.08 | — | 43% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, 1 TRI, TRNSAB; SGL/1 | $735.46 | $1,290.96 | $116.85–$1,161.86 | 5% below | 43% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, PRG UTR, RL TM W/IMG DC, FTL & MTNL, 1 TRI, TRNSAB; SGL/1 | $735.46 | $1,290.96 | $658.39–$1,161.86 | — | 43% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB ULTRASND, LTD | $665.51 | $1,168.17 | $93.80–$1,051.35 | 10% above | 43% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB ULTRASND, LTD | $665.51 | $1,168.17 | $595.77–$1,051.35 | — | 43% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RADIO EXAM, RIBS, UNI; W/POSTEROANTERIOR CHEST, 3+ VIEWS | $817.62 | $1,435.18 | $48.16–$1,291.66 | 33% above | 43% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RADIO EXAM, RIBS, UNI; W/POSTEROANTERIOR CHEST, 3+ VIEWS | $817.62 | $1,435.18 | $731.94–$1,291.66 | — | 43% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCRNING INCL CAD BILATERAL | $352.12 | $618.08 | $177.98–$556.27 | — | 43% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCRNING INCL CAD BILATERAL | $352.12 | $618.08 | $315.22–$556.27 | — | 43% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADIOLOGIC EXAM, SHOULDER; COMPL, 2+ VIEWS | $633.86 | $1,112.62 | $38.53–$1,001.36 | 15% above | 43% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RADIOLOGIC EXAM, SHOULDER; COMPL, 2+ VIEWS | $633.86 | $1,112.62 | $567.44–$1,001.36 | — | 43% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC RADIOLOGIC EXAM, SINUSES, PARANASAL, COMPL, MIN, 3 VIEWS | $664.09 | $1,165.69 | $49.69–$1,049.12 | 45% above | 43% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC RADIOLOGIC EXAM, SINUSES, PARANASAL, COMPL, MIN, 3 VIEWS | $664.09 | $1,165.69 | $594.50–$1,049.12 | — | 43% |
| Skull X-ray, fewer than 4 views CPT 70250 HC RADIOLOGIC EXAM, SKULL; <4 VIEWS | $532.25 | $934.27 | $38.71–$840.84 | 31% above | 43% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC RADIOLOGIC EXAM, SKULL; <4 VIEWS | $532.25 | $934.27 | $476.48–$840.84 | — | 43% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNC, W/CINERADIOGRAPHY &/OR VIDEORADIOLOGY | $537.95 | $944.27 | $77.35–$1,137.95 | 19% below | 43% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FUNC, W/CINERADIOGRAPHY &/OR VIDEORADIOLOGY | $537.95 | $944.27 | $481.58–$849.84 | — | 43% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $467.72 | $820.99 | $43.43–$738.89 | 15% above | 43% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $467.72 | $820.99 | $418.70–$738.89 | — | 43% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN, THORACIC SPINE; W/O CNTRST | $2,347.93 | $4,121.35 | $135.08–$3,709.22 | 16% below | 43% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN, THORACIC SPINE; W/O CNTRST | $2,347.93 | $4,121.35 | $2,101.89–$3,709.22 | — | 43% |
| Toe X-ray, 2 or more views CPT 73660 HC RADIOLOGIC EXAM; TOE, 2+ VIEWS | $244.77 | $429.65 | $23.23–$562.82 | 26% below | 43% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC RADIOLOGIC EXAM; TOE, 2+ VIEWS | $244.77 | $429.65 | $219.12–$386.69 | — | 43% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRPH, TRANSVAGINAL | $937.23 | $1,645.12 | $100.80–$1,480.61 | 31% above | 43% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRPH, TRANSVAGINAL | $937.23 | $1,645.12 | $839.01–$1,480.61 | — | 43% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US, PREG UTERUS, RL TM W/IMG DOC, TRANSVAGINAL | $1,034.81 | $1,816.42 | $122.43–$1,634.78 | 55% above | 43% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, PREG UTERUS, RL TM W/IMG DOC, TRANSVAGINAL | $1,034.81 | $1,816.42 | $926.37–$1,634.78 | — | 43% |
| Ultrasound of the abdomen, complete CPT 76700 HC ULTRASND, ABD, B-SCAN &/OR RL TM W/IMG DOC; COMPLT | $937.38 | $1,645.39 | $123.97–$1,480.85 | 14% below | 43% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC ULTRASND, ABD, B-SCAN &/OR RL TM W/IMG DOC; COMPLT | $937.38 | $1,645.39 | $839.15–$1,480.85 | — | 43% |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHOGRPH, SCROTUM & CONTENTS | $1,007.85 | $1,769.08 | $89.07–$1,592.17 | 13% above | 43% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHOGRPH, SCROTUM & CONTENTS | $1,007.85 | $1,769.08 | $902.23–$1,592.17 | — | 43% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC ULTRASND, HEAD/NECK TISSUES, B-SCAN/RL TM W/IMG DOC | $734.62 | $1,289.48 | $89.01–$1,160.53 | 12% below | 43% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC ULTRASND, HEAD/NECK TISSUES, B-SCAN/RL TM W/IMG DOC | $734.62 | $1,289.48 | $657.63–$1,160.53 | — | 43% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADIOLOGIC EXAM, UPPER GI TRACT; W/WO DELAYED FILMS, W/O KUB | $1,388.83 | $2,437.83 | $152.02–$2,194.05 | 125% above | 43% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC RADIOLOGIC EXAM, UPPER GI TRACT; W/WO DELAYED FILMS, W/O KUB | $1,388.83 | $2,437.83 | $1,243.29–$2,194.05 | — | 43% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC RADIOLOGIC EXAM; HUMERUS, 2+ VIEWS | $485.83 | $852.79 | $30.96–$767.51 | 14% above | 43% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC RADIOLOGIC EXAM; HUMERUS, 2+ VIEWS | $485.83 | $852.79 | $434.92–$767.51 | — | 43% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $877.78 | $1,540.77 | $125.99–$1,386.69 | 3% below | 43% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $877.78 | $1,540.77 | $785.79–$1,386.69 | — | 43% |
| Wrist X-ray, 2 views CPT 73100 HC RADIOLOGIC EXAM, WRIST; 2 VIEWS | $464.82 | $815.90 | $25.78–$734.31 | 19% above | 43% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC RADIOLOGIC EXAM, WRIST; 2 VIEWS | $464.82 | $815.90 | $416.11–$734.31 | — | 43% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC RADIOLOGIC EXAM, WRIST; COMPL, 3+ VIEWS | $741.07 | $1,300.80 | $37.46–$1,170.72 | 47% above | 43% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC RADIOLOGIC EXAM, WRIST; COMPL, 3+ VIEWS | $741.07 | $1,300.80 | $663.41–$1,170.72 | — | 43% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $903.43 | $1,585.79 | $55.55–$1,427.21 | 125% above | 43% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $903.43 | $1,585.79 | $808.75–$1,427.21 | — | 43% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $419.36 | $736.10 | $36.65–$662.49 | 38% above | 43% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $419.36 | $736.10 | $375.41–$662.49 | — | 43% |
| X-ray of the ankle, 2 views CPT 73600 HC RADIOLOGIC EXAM, ANKLE; 2 VIEWS | $418.88 | $735.27 | $28.34–$661.74 | 7% above | 43% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC RADIOLOGIC EXAM, ANKLE; 2 VIEWS | $418.88 | $735.27 | $374.99–$661.74 | — | 43% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC RADIOLOGIC EXAM, FINGER, 2+ VIEWS | $279.03 | $489.78 | $23.23–$562.82 | 24% below | 43% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC RADIOLOGIC EXAM, FINGER, 2+ VIEWS | $279.03 | $489.78 | $249.79–$440.80 | — | 43% |
| X-ray of the foot, 2 views CPT 73620 HC RADIOLOGIC EXAM, FOOT; 2 VIEWS | $332.56 | $583.75 | $25.78–$562.82 | 18% below | 43% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC RADIOLOGIC EXAM, FOOT; 2 VIEWS | $332.56 | $583.75 | $297.71–$525.38 | — | 43% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC RADIOLOGIC EXAM, FOOT; COMPL, 3+ VIEWS | $450.42 | $790.63 | $36.09–$711.57 | 9% below | 43% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC RADIOLOGIC EXAM, FOOT; COMPL, 3+ VIEWS | $450.42 | $790.63 | $403.22–$711.57 | — | 43% |
| X-ray of the hand, 3 or more views CPT 73130 HC RADIOLOGIC EXAM, HAND; 3+ VIEWS | $462.00 | $810.96 | $37.46–$729.86 | 9% below | 43% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC RADIOLOGIC EXAM, HAND; 3+ VIEWS | $462.00 | $810.96 | $413.59–$729.86 | — | 43% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC RADIOLOGIC EXAM, KNEE; 1/2 VIEWS | $438.64 | $769.95 | $28.34–$692.96 | 11% above | 43% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC RADIOLOGIC EXAM, KNEE; 1/2 VIEWS | $438.64 | $769.95 | $392.67–$692.96 | — | 43% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC RADIO EXAM, SPINE, LUMBOSACRAL; 2 OR 3 VIEWS | $682.09 | $1,197.28 | $45.13–$1,077.55 | 45% above | 43% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC RADIO EXAM, SPINE, LUMBOSACRAL; 2 OR 3 VIEWS | $682.09 | $1,197.28 | $610.61–$1,077.55 | — | 43% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADIO EXAM, SPINE, LUMBOSACRAL; 4+ VIEWS | $800.87 | $1,405.77 | $65.34–$1,265.19 | 23% above | 43% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RADIO EXAM, SPINE, LUMBOSACRAL; 4+ VIEWS | $800.87 | $1,405.77 | $716.94–$1,265.19 | — | 43% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RADIO EXAM, SPINE; THORACIC, 2 VIEWS | $692.47 | $1,215.49 | $41.78–$1,093.94 | 50% above | 43% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC RADIO EXAM, SPINE; THORACIC, 2 VIEWS | $692.47 | $1,215.49 | $619.90–$1,093.94 | — | 43% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC RADIOLOGIC EXAM, NASAL BONES, COMPL, MIN, 3 VIEWS | $523.26 | $918.49 | $36.94–$826.64 | 21% above | 43% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC RADIOLOGIC EXAM, NASAL BONES, COMPL, MIN, 3 VIEWS | $523.26 | $918.49 | $468.43–$826.64 | — | 43% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADIO EXAM, SPINE, CERVICAL; 2 OR 3 VIEWS | $632.75 | $1,110.67 | $38.71–$999.60 | 40% above | 43% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADIO EXAM, SPINE, CERVICAL; 2 OR 3 VIEWS | $632.75 | $1,110.67 | $566.44–$999.60 | — | 43% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC RADIO EXAM, PELV; 1 OR 2 VIEWS | $389.38 | $683.48 | $32.21–$679.78 | 1% above | 43% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC RADIO EXAM, PELV; 1 OR 2 VIEWS | $389.38 | $683.48 | $348.57–$615.13 | — | 43% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC RADIOLOGIC EXAM, SACRUM & COCCYX, 2+ VIEWS | $491.32 | $862.41 | $37.28–$776.17 | 5% above | 43% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC RADIOLOGIC EXAM, SACRUM & COCCYX, 2+ VIEWS | $491.32 | $862.41 | $439.83–$776.17 | — | 43% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 RF TRANSFERASE; ALANINE AMINO (ALT) (SGPT) | $8.26 | $14.50 | $5.30–$13.05 | 81% below | 43% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE; ALANINE AMINO (ALT) (SGPT) | $52.67 | $92.46 | $5.30–$83.21 | 22% above | 43% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RF TRANSFERASE; ALANINE AMINO (ALT) (SGPT) | $8.26 | $14.50 | $7.39–$13.05 | — | 43% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE; ALANINE AMINO (ALT) (SGPT) | $52.67 | $92.46 | $47.15–$83.21 | — | 43% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 RF TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) | $13.96 | $24.50 | $5.18–$22.05 | 69% below | 43% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) | $60.04 | $105.38 | $5.18–$94.84 | 32% above | 43% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RF TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) | $13.96 | $24.50 | $12.49–$22.05 | — | 43% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) | $60.04 | $105.38 | $53.74–$94.84 | — | 43% |
| Albumin blood test CPT 82040 HC ALBUMIN; SERUM | $57.07 | $100.17 | $4.95–$90.15 | 129% above | 43% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN; SERUM | $57.07 | $100.17 | $51.09–$90.15 | — | 43% |
| Aldosterone blood test CPT 82088 RF ARUP ALDOSTERONE 1 | $12.82 | $22.50 | $11.47–$85.09 | 57% below | 43% |
| Aldosterone blood test inpatient CPT 82088 RF ARUP ALDOSTERONE 1 | $12.82 | $22.50 | $11.47–$20.25 | — | 43% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $76.35 | $134.01 | $5.18–$120.61 | 107% above | 43% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $76.35 | $134.01 | $68.35–$120.61 | — | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RF ARUP ALLRGN SPC IGE; QUANT/SEMIQUANT, EA ALLRGN | $2.85 | $5.00 | $2.55–$10.44 | 43% below | 43% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RF ARUP ALLRGN SPC IGE; QUANT/SEMIQUANT, EA ALLRGN | $2.85 | $5.00 | $2.55–$4.50 | — | 43% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPRTN; SERUM | $84.00 | $147.45 | $16.77–$132.71 | 9% above | 43% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPRTN; SERUM | $84.00 | $147.45 | $75.20–$132.71 | — | 43% |
| Ammonia blood test CPT 82140 HC AMMONIA | $162.39 | $285.04 | $14.57–$256.54 | 10% below | 43% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $162.39 | $285.04 | $145.37–$256.54 | — | 43% |
| Amylase blood test CPT 82150 HC AMYLASE | $87.31 | $153.25 | $6.48–$137.93 | 71% above | 43% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $87.31 | $153.25 | $78.16–$137.93 | — | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) | $48.33 | $84.83 | $12.09–$76.35 | 50% above | 43% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) | $48.33 | $84.83 | $43.26–$76.35 | — | 43% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RF ARUP LAB PROBRAIN NATRIURETIC PEPTIDE NT | $17.18 | $30.15 | $15.38–$78.52 | 91% below | 43% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $47.22 | $82.88 | $39.26–$78.52 | 74% below | 43% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RF ARUP LAB PROBRAIN NATRIURETIC PEPTIDE NT | $17.18 | $30.15 | $15.38–$27.14 | — | 43% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $47.22 | $82.88 | $42.27–$74.59 | — | 43% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BACTERIAL; ANY OTHER SOURCE EXCEPT URINE/BLOOD/STOOL | $264.56 | $464.38 | $8.62–$417.94 | 119% above | 43% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BACTERIAL; ANY OTHER SOURCE EXCEPT URINE/BLOOD/STOOL | $264.56 | $464.38 | $236.83–$417.94 | — | 43% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $213.51 | $374.77 | $8.46–$337.29 | 8% above | 43% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $213.51 | $374.77 | $191.13–$337.29 | — | 43% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN; TOTAL | $113.63 | $199.46 | $5.02–$179.51 | 151% above | 43% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN; TOTAL | $113.63 | $199.46 | $101.72–$179.51 | — | 43% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EXAM BY PATHOLOGIST | $19.52 | $34.26 | $17.47–$341.54 | 85% below | 43% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LVL IV - SURGICAL PATHOLOGY, GROSS/MICROSCP EXAM | $22.69 | $39.82 | $20.31–$341.54 | 83% below | 43% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE EXAM BY PATHOLOGIST | $19.52 | $34.26 | $17.47–$30.83 | — | 43% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LVL IV - SURGICAL PATHOLOGY, GROSS/MICROSCP EXAM | $22.69 | $39.82 | $20.31–$35.84 | — | 43% |
| Blood culture for bacteria CPT 87040 HC CULTURE, BACTERIAL; BLOOD, AEROBIC, W/ ISOLATN/PRESUMPTIVE ID | $276.62 | $485.55 | $10.32–$437.00 | 2% above | 43% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE, BACTERIAL; BLOOD, AEROBIC, W/ ISOLATN/PRESUMPTIVE ID | $276.62 | $485.55 | $247.63–$437.00 | — | 43% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE | $17.52 | $30.76 | $9.09–$27.68 | 17% below | 43% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD ALCOHOL DRAW FEE | $17.52 | $30.76 | $9.09–$27.68 | 17% below | 43% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE | $17.52 | $30.76 | $15.69–$27.68 | — | 43% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD ALCOHOL DRAW FEE | $17.52 | $30.76 | $15.69–$27.68 | — | 43% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE; QUANT, BLOOD (EXCEPT REAGNT STRIP) | $41.51 | $72.87 | $3.93–$65.58 | 11% above | 43% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE; QUANT, BLOOD (EXCEPT REAGNT STRIP) | $41.51 | $72.87 | $37.16–$65.58 | — | 43% |
| Blood lead test CPT 83655 RF ARUP LEAD | $4.15 | $7.28 | $3.71–$24.59 | 60% below | 43% |
| Blood lead test inpatient CPT 83655 RF ARUP LEAD | $4.15 | $7.28 | $3.71–$6.55 | — | 43% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB SERUM PREGNANCY TEST | $126.87 | $222.69 | $7.52–$200.42 | 21% below | 43% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB SERUM PREGNANCY TEST | $126.87 | $222.69 | $113.57–$200.42 | — | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RF LS050 ABO GROUPING AND TYPING | $17.87 | $31.37 | $2.99–$28.23 | 83% below | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RF LS005 ABO GROUPING | $21.32 | $37.42 | $2.99–$33.68 | 79% below | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RF LS010 ABO DISCREPANCY | $31.01 | $54.43 | $2.99–$48.99 | 70% below | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPE; ABO | $137.24 | $240.90 | $2.99–$216.81 | 33% above | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RF LS050 ABO GROUPING AND TYPING | $17.87 | $31.37 | $16.00–$28.23 | — | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RF LS005 ABO GROUPING | $21.32 | $37.42 | $19.08–$33.68 | — | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RF LS010 ABO DISCREPANCY | $31.01 | $54.43 | $27.76–$48.99 | — | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPE; ABO | $137.24 | $240.90 | $122.86–$216.81 | — | 43% |
| Blood urea nitrogen (BUN) test CPT 84520 RF ARUP UREA NITROGEN; QUANT | $16.81 | $29.50 | $3.95–$26.55 | 49% below | 43% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN; QUANT | $43.48 | $76.32 | $3.95–$68.69 | 31% above | 43% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 RF ARUP UREA NITROGEN; QUANT | $16.81 | $29.50 | $15.04–$26.55 | — | 43% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN; QUANT | $43.48 | $76.32 | $38.92–$68.69 | — | 43% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTV PRTN | $102.01 | $179.05 | $5.18–$161.15 | 89% above | 43% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTV PRTN | $102.01 | $179.05 | $91.32–$161.15 | — | 43% |
| C. difficile toxin gene test (stool PCR) CPT 87493 RF UCD LAB C DIFF AMPLIFIED PROBE | $64.73 | $113.62 | $37.27–$102.26 | 58% below | 43% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC LAB C DIFFICILE TOXIN | $138.41 | $242.96 | $37.27–$218.66 | 9% below | 43% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RF UCD LAB C DIFF AMPLIFIED PROBE | $64.73 | $113.62 | $57.95–$102.26 | — | 43% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC LAB C DIFFICILE TOXIN | $138.41 | $242.96 | $123.91–$218.66 | — | 43% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASY, TUMOR ANTIGN, QUANT; CA 19-9 | $113.39 | $199.03 | $20.81–$179.13 | 127% above | 43% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASY, TUMOR ANTIGN, QUANT; CA 19-9 | $113.39 | $199.03 | $101.51–$179.13 | — | 43% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASY, TUMOR ANTIGN, QUANT; CA 125 | $98.42 | $172.76 | $20.81–$155.48 | 29% below | 43% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASY, TUMOR ANTIGN, QUANT; CA 125 | $98.42 | $172.76 | $88.11–$155.48 | — | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RF LABCORP COVID-19 | $29.23 | $51.31 | $26.17–$102.62 | 69% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RF ARUP COVID-19 | $37.03 | $65.00 | $33.15–$102.62 | 61% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 | $47.13 | $82.73 | $42.19–$102.62 | 50% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 NAAT | $58.05 | $101.90 | $51.31–$102.62 | 39% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-2019 RNA, QUAL | $113.94 | $200.00 | $51.31–$180.00 | 20% above | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 2019-NCOV COVID-19 | $113.94 | $200.00 | $51.31–$180.00 | 20% above | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RF LABCORP COVID-19 | $29.23 | $51.31 | $26.17–$46.18 | — | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RF ARUP COVID-19 | $37.03 | $65.00 | $33.15–$58.50 | — | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 | $47.13 | $82.73 | $42.19–$74.46 | — | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 NAAT | $58.05 | $101.90 | $51.97–$91.71 | — | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-2019 RNA, QUAL | $113.94 | $200.00 | $102.00–$180.00 | — | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 2019-NCOV COVID-19 | $113.94 | $200.00 | $102.00–$180.00 | — | 43% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM | $33.23 | $58.32 | $5.16–$52.49 | 46% below | 43% |
| Calcium blood test, total CPT 82310 HC CALCIUM; TOTAL | $33.94 | $59.57 | $5.16–$53.61 | 45% below | 43% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM | $33.23 | $58.32 | $29.74–$52.49 | — | 43% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM; TOTAL | $33.94 | $59.57 | $30.38–$53.61 | — | 43% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGN (CEA) | $75.91 | $133.25 | $18.96–$119.92 | 9% below | 43% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGN (CEA) | $75.91 | $133.25 | $67.96–$119.92 | — | 43% |
| Chickenpox (varicella) immunity blood test CPT 86787 RF ANTIBDY; VARICELLA-ZOSTER | $6.20 | $10.88 | $5.55–$26.25 | 82% below | 43% |
| Chickenpox (varicella) immunity blood test CPT 86787 RF ARUP VARICELLA-ZOSTER VIRUS ANTIBODY, IGM | $6.48 | $11.38 | $5.80–$26.25 | 81% below | 43% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBDY; VARICELLA-ZOSTER | $44.20 | $77.59 | $12.88–$69.83 | 30% above | 43% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 RF ANTIBDY; VARICELLA-ZOSTER | $6.20 | $10.88 | $5.55–$9.79 | — | 43% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 RF ARUP VARICELLA-ZOSTER VIRUS ANTIBODY, IGM | $6.48 | $11.38 | $5.80–$10.24 | — | 43% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBDY; VARICELLA-ZOSTER | $44.20 | $77.59 | $39.57–$69.83 | — | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC INF AGNT, NUCLEIC ACID (DNA/RNA); CHLAMYDIA TRACHOMATIS, AMPLFD | $110.53 | $194.01 | $35.09–$174.61 | 102% above | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC INF AGNT, NUCLEIC ACID (DNA/RNA); CHLAMYDIA TRACHOMATIS, AMPLFD | $110.53 | $194.01 | $98.95–$174.61 | — | 43% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $87.53 | $153.65 | $13.39–$138.28 | 14% below | 43% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $87.53 | $153.65 | $78.36–$138.28 | — | 43% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) & AU | $106.84 | $187.54 | $7.77–$168.79 | 4% below | 43% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) & AU | $106.84 | $187.54 | $95.65–$168.79 | — | 43% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) | $143.45 | $251.80 | $6.47–$226.62 | 63% above | 43% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD CNT; COMPL CBC, AUTO (HGB, HCT, RBC, WBC, & PLATELET) | $143.45 | $251.80 | $128.42–$226.62 | — | 43% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $223.50 | $392.31 | $10.56–$353.08 | 12% below | 43% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $223.50 | $392.31 | $200.08–$353.08 | — | 43% |
| Cortisol blood test, total CPT 82533 HC CORTISOL; TOTAL | $172.00 | $301.92 | $16.30–$271.73 | 80% above | 43% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL; TOTAL | $172.00 | $301.92 | $153.98–$271.73 | — | 43% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK), (CPK); TOTAL | $165.58 | $290.64 | $6.51–$261.58 | 90% above | 43% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK), (CPK); TOTAL | $165.58 | $290.64 | $148.23–$261.58 | — | 43% |
| Creatinine blood test CPT 82565 RF UCD LAB ASSAY OF CREATININE | $5.71 | $10.03 | $5.12–$10.24 | 88% below | 43% |
| Creatinine blood test CPT 82565 HC CREATININE; BLOOD | $28.19 | $49.48 | $5.12–$44.53 | 39% below | 43% |
| Creatinine blood test inpatient CPT 82565 RF UCD LAB ASSAY OF CREATININE | $5.71 | $10.03 | $5.12–$9.03 | — | 43% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE; BLOOD | $28.19 | $49.48 | $25.23–$44.53 | — | 43% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $60.60 | $106.37 | $14.39–$95.73 | 120% above | 43% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY | $60.60 | $106.37 | $54.25–$95.73 | — | 43% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANT | $369.58 | $648.72 | $10.18–$583.85 | 158% above | 43% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANT | $369.58 | $648.72 | $330.85–$583.85 | — | 43% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) | $153.27 | $269.03 | $22.23–$242.13 | 52% above | 43% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) | $153.27 | $269.03 | $137.21–$242.13 | — | 43% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RF LAB OPDS | $15.90 | $27.90 | $14.23–$124.28 | 74% below | 43% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $280.24 | $491.90 | $62.14–$442.71 | 352% above | 43% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 RF LAB OPDS | $15.90 | $27.90 | $14.23–$25.11 | — | 43% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $280.24 | $491.90 | $250.87–$442.71 | — | 43% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $44.77 | $78.58 | $7.01–$70.72 | 47% below | 43% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $44.77 | $78.58 | $40.08–$70.72 | — | 43% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $145.74 | $255.81 | $27.94–$230.23 | 66% above | 43% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $145.74 | $255.81 | $130.46–$230.23 | — | 43% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH) | $108.30 | $190.10 | $18.58–$171.09 | 6% above | 43% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH) | $108.30 | $190.10 | $96.95–$171.09 | — | 43% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $182.52 | $320.38 | $19.63–$288.34 | 151% above | 43% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $182.52 | $320.38 | $163.39–$288.34 | — | 43% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $91.92 | $161.35 | $13.63–$145.22 | 14% below | 43% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $91.92 | $161.35 | $82.29–$145.22 | — | 43% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN; ACTIVITY | $210.28 | $369.10 | $9.72–$332.19 | 57% above | 43% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN; ACTIVITY | $210.28 | $369.10 | $188.24–$332.19 | — | 43% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID; SERUM | $105.47 | $185.14 | $14.70–$166.63 | 3% below | 43% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID; SERUM | $105.47 | $185.14 | $94.42–$166.63 | — | 43% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE T3; FREE | $64.46 | $113.15 | $16.94–$101.83 | 20% below | 43% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE T3; FREE | $64.46 | $113.15 | $57.71–$101.83 | — | 43% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE; FREE | $74.81 | $131.31 | $9.02–$118.18 | 10% above | 43% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE; FREE | $74.81 | $131.31 | $66.97–$118.18 | — | 43% |
| Free testosterone test CPT 84402 RF ARUP TESTOSTERONE, BIO/SHBG BY MASS SPEC | $7.20 | $12.63 | $6.44–$52.81 | 74% below | 43% |
| Free testosterone test CPT 84402 RF TESTOSTERONE FREE FEMALE OR CHILD | $12.90 | $22.64 | $11.55–$52.81 | 53% below | 43% |
| Free testosterone test inpatient CPT 84402 RF ARUP TESTOSTERONE, BIO/SHBG BY MASS SPEC | $7.20 | $12.63 | $6.44–$11.37 | — | 43% |
| Free testosterone test inpatient CPT 84402 RF TESTOSTERONE FREE FEMALE OR CHILD | $12.90 | $22.64 | $11.55–$20.38 | — | 43% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 RF GLUTAMYLTRANSFERASE, GAMMA (GGT) | $8.26 | $14.50 | $7.20–$14.40 | 82% below | 43% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE, GAMMA (GGT) | $60.02 | $105.36 | $7.20–$94.82 | 32% above | 43% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 RF GLUTAMYLTRANSFERASE, GAMMA (GGT) | $8.26 | $14.50 | $7.39–$13.05 | — | 43% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE, GAMMA (GGT) | $60.02 | $105.36 | $53.73–$94.82 | — | 43% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST | $24.70 | $43.36 | $4.75–$39.02 | 52% below | 43% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST | $24.70 | $43.36 | $22.11–$39.02 | — | 43% |
| Glucose tolerance test, 3 samples CPT 82951 HB LAB GLUCOSE TOLERACE 1/2 HOUR | $14.72 | $25.83 | $12.87–$25.74 | 89% below | 43% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE; TOLERANCE TST (GTT), 3 SPCMNS (INCLUDES GLUCOSE) | $58.87 | $103.33 | $12.87–$93.00 | 57% below | 43% |
| Glucose tolerance test, 3 samples CPT 82951 HC LAB GLUCOSE TOLERANCE 2HRS | $58.87 | $103.33 | $12.87–$93.00 | 57% below | 43% |
| Glucose tolerance test, 3 samples CPT 82951 HC LAB GLUCOSE TOLERANCE 3HRS | $64.39 | $113.02 | $12.87–$101.72 | 53% below | 43% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB LAB GLUCOSE TOLERACE 1/2 HOUR | $14.72 | $25.83 | $13.17–$23.25 | — | 43% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE; TOLERANCE TST (GTT), 3 SPCMNS (INCLUDES GLUCOSE) | $58.87 | $103.33 | $52.70–$93.00 | — | 43% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LAB GLUCOSE TOLERANCE 2HRS | $58.87 | $103.33 | $52.70–$93.00 | — | 43% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LAB GLUCOSE TOLERANCE 3HRS | $64.39 | $113.02 | $57.64–$101.72 | — | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC INF AGNT, NUCLEIC ACID (DNA/RNA); NEISSERIA GONOR, AMPLFD PRB | $133.36 | $234.08 | $35.09–$210.67 | 123% above | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC INF AGNT, NUCLEIC ACID (DNA/RNA); NEISSERIA GONOR, AMPLFD PRB | $133.36 | $234.08 | $119.38–$210.67 | — | 43% |
| H. pylori antibody blood test CPT 86677 HC ANTIBDY; HELICOBACTER PYLORI | $141.00 | $247.49 | $16.85–$222.74 | 24% above | 43% |
| H. pylori antibody blood test inpatient CPT 86677 HC ANTIBDY; HELICOBACTER PYLORI | $141.00 | $247.49 | $126.22–$222.74 | — | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RF ANTIBDY; HIV-1 & HIV-2, SNGL ASSAY | $11.54 | $20.26 | $10.33–$48.16 | 87% below | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV COMBO AG/AB | $68.94 | $121.01 | $24.08–$108.91 | 21% below | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RF ANTIBDY; HIV-1 & HIV-2, SNGL ASSAY | $11.54 | $20.26 | $10.33–$18.23 | — | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV COMBO AG/AB | $68.94 | $121.01 | $61.72–$108.91 | — | 43% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $65.39 | $114.78 | $9.71–$103.30 | at median | 43% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $65.39 | $114.78 | $58.54–$103.30 | — | 43% |
| Hemoglobin blood test CPT 85018 HC BLOOD CNT; HEMOGLOBIN | $61.32 | $107.64 | $2.37–$96.88 | 52% above | 43% |
| Hemoglobin blood test inpatient CPT 85018 HC BLOOD CNT; HEMOGLOBIN | $61.32 | $107.64 | $54.90–$96.88 | — | 43% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBDY (HBCAB); TOTAL | $79.30 | $139.20 | $12.05–$125.28 | 126% above | 43% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBDY (HBCAB); TOTAL | $79.30 | $139.20 | $70.99–$125.28 | — | 43% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SRFC ANTIBDY (HBSAB) | $60.63 | $106.43 | $10.74–$95.79 | 42% above | 43% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SRFC ANTIBDY (HBSAB) | $60.63 | $106.43 | $54.28–$95.79 | — | 43% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC ENZM IMMUNOASY (EIA), QUAL/SEMIQUANT, MULT STP; HEP B SRFC ANTI | $65.87 | $115.62 | $10.33–$104.06 | 8% below | 43% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC ENZM IMMUNOASY (EIA), QUAL/SEMIQUANT, MULT STP; HEP B SRFC ANTI | $65.87 | $115.62 | $58.97–$104.06 | — | 43% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEP C ANTIBDY | $59.67 | $104.74 | $14.27–$94.27 | 9% above | 43% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEP C ANTIBDY | $59.67 | $104.74 | $53.42–$94.27 | — | 43% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 RF ARUP LAB HEP C RNA QUANTATIVE | $21.69 | $38.08 | $19.42–$89.49 | 75% below | 43% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C REVRS TRNSCRPJ | $55.19 | $96.87 | $42.84–$89.49 | 37% below | 43% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RF ARUP LAB HEP C RNA QUANTATIVE | $21.69 | $38.08 | $19.42–$34.27 | — | 43% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C REVRS TRNSCRPJ | $55.19 | $96.87 | $49.40–$87.18 | — | 43% |
| Herpes blood test, HSV-1 antibody CPT 86695 RF ARUP ANTIBODY HERPES SMPLX TYPE 1 | $5.33 | $9.36 | $4.77–$26.88 | 72% below | 43% |
| Herpes blood test, HSV-1 antibody CPT 86695 RF ARUP LAB HSV1 | $6.68 | $11.72 | $5.98–$26.88 | 66% below | 43% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 RF ARUP ANTIBODY HERPES SMPLX TYPE 1 | $5.33 | $9.36 | $4.77–$8.42 | — | 43% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 RF ARUP LAB HSV1 | $6.68 | $11.72 | $5.98–$10.55 | — | 43% |
| Herpes blood test, HSV-2 antibody CPT 86696 RF ARUP LAB ANTIBODY HERPES SMPLX TYPE 2 | $9.80 | $17.20 | $8.77–$38.70 | 58% below | 43% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 RF ARUP LAB ANTIBODY HERPES SMPLX TYPE 2 | $9.80 | $17.20 | $8.77–$15.48 | — | 43% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTV PRTN; HIGH SENSITIVITY (HSCRP) | $56.30 | $98.82 | $12.95–$88.94 | 8% below | 43% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTV PRTN; HIGH SENSITIVITY (HSCRP) | $56.30 | $98.82 | $50.40–$88.94 | — | 43% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE | $108.04 | $189.65 | $17.92–$170.69 | 42% above | 43% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE | $108.04 | $189.65 | $96.72–$170.69 | — | 43% |
| Insulin blood test CPT 83525 HC INSULIN; TOTAL | $70.24 | $123.29 | $11.43–$110.96 | 82% above | 43% |
| Insulin blood test inpatient CPT 83525 HC INSULIN; TOTAL | $70.24 | $123.29 | $62.88–$110.96 | — | 43% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $44.97 | $78.94 | $6.47–$71.05 | 23% below | 43% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $44.97 | $78.94 | $40.26–$71.05 | — | 43% |
| Iron-binding capacity (TIBC) test CPT 83550 HC LAB TOTAL IRON BINDING | $37.48 | $65.79 | $8.74–$59.21 | 49% below | 43% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC LAB TOTAL IRON BINDING | $37.48 | $65.79 | $33.55–$59.21 | — | 43% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANL | $155.86 | $273.58 | $8.68–$246.22 | 10% above | 43% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANL | $155.86 | $273.58 | $139.53–$246.22 | — | 43% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN; LUTEINIZING HORMONE (LH) | $91.89 | $161.30 | $18.52–$145.17 | 12% below | 43% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN; LUTEINIZING HORMONE (LH) | $91.89 | $161.30 | $82.26–$145.17 | — | 43% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID) | $191.74 | $336.56 | $11.57–$302.90 | 44% above | 43% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID) | $191.74 | $336.56 | $171.65–$302.90 | — | 43% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 RF UCD LAB LACTATE DEHYDROGENASE LDH | $14.28 | $25.07 | $6.04–$22.56 | 60% below | 43% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LD), (LDH) | $103.12 | $181.01 | $6.04–$162.91 | 185% above | 43% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 RF UCD LAB LACTATE DEHYDROGENASE LDH | $14.28 | $25.07 | $12.79–$22.56 | — | 43% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LD), (LDH) | $103.12 | $181.01 | $92.32–$162.91 | — | 43% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $192.48 | $337.86 | $6.89–$304.07 | 100% above | 43% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $192.48 | $337.86 | $172.31–$304.07 | — | 43% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNC PANEL | $92.01 | $161.50 | $8.17–$145.35 | 39% below | 43% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNC PANEL | $92.01 | $161.50 | $82.36–$145.35 | — | 43% |
| Lyme disease antibody test CPT 86618 RF BORRELIA BURGODFFERI VISE1/PEPC10 W/RFLX IGG IMMUNOBLOT | $31.41 | $55.13 | $17.03–$49.62 | 49% above | 43% |
| Lyme disease antibody test CPT 86618 HC LAB LYMES TEST | $80.57 | $141.43 | $17.03–$127.29 | 281% above | 43% |
| Lyme disease antibody test inpatient CPT 86618 RF BORRELIA BURGODFFERI VISE1/PEPC10 W/RFLX IGG IMMUNOBLOT | $31.41 | $55.13 | $28.12–$49.62 | — | 43% |
| Lyme disease antibody test inpatient CPT 86618 HC LAB LYMES TEST | $80.57 | $141.43 | $72.13–$127.29 | — | 43% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $157.93 | $277.22 | $6.70–$249.50 | 149% above | 43% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $157.93 | $277.22 | $141.38–$249.50 | — | 43% |
| Measles (rubeola) antibody test CPT 86765 RF ANTIBDY; RUBEOLA | $6.52 | $11.45 | $5.84–$26.25 | 79% below | 43% |
| Measles (rubeola) antibody test CPT 86765 RF ARUP MESLES (RUBEOLA) ANTIBODY, IGM | $6.52 | $11.45 | $5.84–$26.25 | 79% below | 43% |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBDY; RUBEOLA | $40.77 | $71.57 | $12.88–$64.41 | 30% above | 43% |
| Measles (rubeola) antibody test inpatient CPT 86765 RF ANTIBDY; RUBEOLA | $6.52 | $11.45 | $5.84–$10.30 | — | 43% |
| Measles (rubeola) antibody test inpatient CPT 86765 RF ARUP MESLES (RUBEOLA) ANTIBODY, IGM | $6.52 | $11.45 | $5.84–$10.30 | — | 43% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBDY; RUBEOLA | $40.77 | $71.57 | $36.50–$64.41 | — | 43% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES; SCRNING | $107.71 | $189.06 | $5.18–$170.15 | 5% above | 43% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES; SCRNING | $107.71 | $189.06 | $96.42–$170.15 | — | 43% |
| Mumps immunity blood test CPT 86735 RF ARUP MUMPS VIRUS AB, IGM | $6.60 | $11.59 | $5.91–$26.59 | 59% below | 43% |
| Mumps immunity blood test CPT 86735 RF ANTIBDY; MUMPS | $6.60 | $11.59 | $5.91–$26.59 | 59% below | 43% |
| Mumps immunity blood test CPT 86735 HC ANTIBDY; MUMPS | $42.22 | $74.10 | $13.05–$66.69 | 164% above | 43% |
| Mumps immunity blood test inpatient CPT 86735 RF ARUP MUMPS VIRUS AB, IGM | $6.60 | $11.59 | $5.91–$10.43 | — | 43% |
| Mumps immunity blood test inpatient CPT 86735 RF ANTIBDY; MUMPS | $6.60 | $11.59 | $5.91–$10.43 | — | 43% |
| Mumps immunity blood test inpatient CPT 86735 HC ANTIBDY; MUMPS | $42.22 | $74.10 | $37.79–$66.69 | — | 43% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGN (PSA); FREE | $79.72 | $139.93 | $18.39–$125.94 | 32% above | 43% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGN (PSA); FREE | $79.72 | $139.93 | $71.36–$125.94 | — | 43% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 1 | $79.79 | $140.06 | $18.39–$126.05 | 34% above | 43% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 2 | $79.79 | $140.06 | $18.39–$126.05 | 34% above | 43% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 2 | $79.79 | $140.06 | $71.43–$126.05 | — | 43% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGN (PSA); TOTAL 1 | $79.79 | $140.06 | $71.43–$126.05 | — | 43% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE) | $306.04 | $537.19 | $41.28–$483.47 | 178% above | 43% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE) | $306.04 | $537.19 | $273.97–$483.47 | — | 43% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA/WHOLE BLOOD | $127.41 | $223.65 | $6.01–$201.28 | 104% above | 43% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA/WHOLE BLOOD | $127.41 | $223.65 | $114.06–$201.28 | — | 43% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC (PHOSPHATE) | $97.27 | $170.73 | $4.74–$153.66 | 29% above | 43% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC (PHOSPHATE) | $97.27 | $170.73 | $87.07–$153.66 | — | 43% |
| Potassium blood test CPT 84132 HC POTASSIUM; SERUM | $66.48 | $116.70 | $4.76–$105.03 | 9% below | 43% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM; SERUM | $66.48 | $116.70 | $59.52–$105.03 | — | 43% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $84.62 | $148.54 | $20.86–$133.69 | 3% above | 43% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $84.62 | $148.54 | $75.76–$133.69 | — | 43% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $136.24 | $239.15 | $19.38–$215.24 | 27% above | 43% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $136.24 | $239.15 | $121.97–$215.24 | — | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RF ARUP LAB LUPUS PT-D | $4.51 | $7.92 | $4.04–$8.58 | 92% below | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $100.69 | $176.74 | $4.29–$159.07 | 83% above | 43% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RF ARUP LAB LUPUS PT-D | $4.51 | $7.92 | $4.04–$7.13 | — | 43% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $100.69 | $176.74 | $90.14–$159.07 | — | 43% |
| Rapid flu test (influenza antigen) CPT 87804 HC INF AGNT, IMMUNOASY, DRCT OBSERVATION; INFLUENZA | $147.98 | $259.75 | $13.19–$233.78 | 96% above | 43% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INF AGNT, IMMUNOASY, DRCT OBSERVATION; INFLUENZA | $147.98 | $259.75 | $132.47–$233.78 | — | 43% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $274.64 | $482.07 | $10.42–$433.86 | 155% above | 43% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC | $274.64 | $482.07 | $245.86–$433.86 | — | 43% |
| Renin blood test CPT 84244 RF ARUP RENIN ACTIVITY | $11.11 | $19.50 | $9.95–$45.49 | 55% below | 43% |
| Renin blood test inpatient CPT 84244 RF ARUP RENIN ACTIVITY | $11.11 | $19.50 | $9.95–$17.55 | — | 43% |
| Rh blood typing CPT 86901 RF LS015 RF BLOOD TYPE; RH (D) | $14.21 | $24.95 | $2.99–$22.45 | 74% below | 43% |
| Rh blood typing CPT 86901 RF LS050 RH GROUPING AND TYPING | $17.66 | $31.00 | $2.99–$27.90 | 68% below | 43% |
| Rh blood typing CPT 86901 HC BLOOD TYPE; RH (D) | $150.24 | $263.71 | $2.99–$237.34 | 170% above | 43% |
| Rh blood typing inpatient CPT 86901 RF LS015 RF BLOOD TYPE; RH (D) | $14.21 | $24.95 | $12.72–$22.45 | — | 43% |
| Rh blood typing inpatient CPT 86901 RF LS050 RH GROUPING AND TYPING | $17.66 | $31.00 | $15.81–$27.90 | — | 43% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPE; RH (D) | $150.24 | $263.71 | $134.49–$237.34 | — | 43% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR | $47.09 | $82.65 | $5.67–$74.39 | 257% above | 43% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR | $47.09 | $82.65 | $42.15–$74.39 | — | 43% |
| Rubella antibody test (immunity check) CPT 86762 RF ARUP ANTIBDY; RUBELLA | $6.20 | $10.88 | $5.55–$28.78 | 88% below | 43% |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBDY; RUBELLA | $44.81 | $78.66 | $14.39–$70.79 | 12% below | 43% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RF ARUP ANTIBDY; RUBELLA | $6.20 | $10.88 | $5.55–$9.79 | — | 43% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBDY; RUBELLA | $44.81 | $78.66 | $40.12–$70.79 | — | 43% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC LAB SED RATE (WESTERGREN) | $47.57 | $83.50 | $2.70–$75.15 | 15% below | 43% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC LAB SED RATE (WESTERGREN) | $47.57 | $83.50 | $42.59–$75.15 | — | 43% |
| Sodium blood test CPT 84295 HC SODIUM; SERUM | $62.32 | $109.39 | $4.81–$98.45 | 5% below | 43% |
| Sodium blood test inpatient CPT 84295 HC SODIUM; SERUM | $62.32 | $109.39 | $55.79–$98.45 | — | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD, OCCULT, BY PEROXIDASE ACTIVITY, QUAL; FECES, 1-3 SIMUL DET, SCREENING | $46.42 | $81.48 | $4.35–$73.33 | 19% above | 43% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD, OCCULT, BY PEROXIDASE ACTIVITY, QUAL; FECES, 1-3 SIMUL DET, SCREENING | $46.42 | $81.48 | $41.55–$73.33 | — | 43% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC LAB FECAL HGB OCCULT BLOOD DX | $54.45 | $95.58 | $15.92–$86.02 | 11% above | 43% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC LAB FECAL HGB OCCULT BLOOD DX | $54.45 | $95.58 | $48.75–$86.02 | — | 43% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 RF SYPHILIS-TPPA | $6.50 | $11.40 | $5.81–$26.48 | 60% below | 43% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS-TPPA | $37.45 | $65.73 | $13.24–$59.16 | 131% above | 43% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RF SYPHILIS-TPPA | $6.50 | $11.40 | $5.81–$10.26 | — | 43% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS-TPPA | $37.45 | $65.73 | $33.52–$59.16 | — | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TST; QUAL | $37.45 | $65.73 | $4.27–$59.16 | 179% above | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TST; QUAL | $37.45 | $65.73 | $33.52–$59.16 | — | 43% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RF QUANTIFERON-TB GD | $45.58 | $80.00 | $40.80–$123.96 | 46% below | 43% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON-TB GD | $255.09 | $447.76 | $61.98–$402.98 | 201% above | 43% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RF QUANTIFERON-TB GD | $45.58 | $80.00 | $40.80–$72.00 | — | 43% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON-TB GD | $255.09 | $447.76 | $228.36–$402.98 | — | 43% |
| Testosterone blood test, total (not free testosterone) CPT 84403 RF ARUP LAB TESTOSTERONE FEMALE OR CHILD | $15.38 | $27.00 | $13.77–$53.54 | 62% below | 43% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TSTOSTERONE; TOTAL | $144.19 | $253.10 | $25.81–$227.79 | 260% above | 43% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RF ARUP LAB TESTOSTERONE FEMALE OR CHILD | $15.38 | $27.00 | $13.77–$24.30 | — | 43% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TSTOSTERONE; TOTAL | $144.19 | $253.10 | $129.08–$227.79 | — | 43% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES, EA | $46.04 | $80.82 | $14.55–$72.74 | 101% above | 43% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES, EA | $46.04 | $80.82 | $41.22–$72.74 | — | 43% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 RF ASSAY THYROID STIM HORMONE | $9.09 | $15.95 | $8.13–$34.50 | 90% below | 43% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $97.05 | $170.36 | $16.80–$153.32 | 5% above | 43% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RF ASSAY THYROID STIM HORMONE | $9.09 | $15.95 | $8.13–$14.36 | — | 43% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $97.05 | $170.36 | $86.88–$153.32 | — | 43% |
| Total cholesterol blood test CPT 82465 RF UCD LAB CHOLESTEROL SERUM/WHOLE BLOOD TOTAL | $10.94 | $19.20 | $4.35–$17.28 | 74% below | 43% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL, SERUM/WHOLE BLOOD, TOTAL | $42.10 | $73.90 | $4.35–$66.51 | at median | 43% |
| Total cholesterol blood test inpatient CPT 82465 RF UCD LAB CHOLESTEROL SERUM/WHOLE BLOOD TOTAL | $10.94 | $19.20 | $9.79–$17.28 | — | 43% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, SERUM/WHOLE BLOOD, TOTAL | $42.10 | $73.90 | $37.69–$66.51 | — | 43% |
| Total thyroxine (T4) blood test CPT 84436 RF ARUP T4 THYROXINE | $4.58 | $8.03 | $4.10–$13.74 | 88% below | 43% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE; TOTAL | $89.53 | $157.15 | $6.87–$141.44 | 128% above | 43% |
| Total thyroxine (T4) blood test inpatient CPT 84436 RF ARUP T4 THYROXINE | $4.58 | $8.03 | $4.10–$7.23 | — | 43% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE; TOTAL | $89.53 | $157.15 | $80.15–$141.44 | — | 43% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE T3; TOTAL (TT-3) | $41.70 | $73.19 | $14.18–$65.87 | 47% below | 43% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE T3; TOTAL (TT-3) | $41.70 | $73.19 | $37.33–$65.87 | — | 43% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $41.67 | $73.14 | $12.76–$65.83 | 23% below | 43% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $41.67 | $73.14 | $37.30–$65.83 | — | 43% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $149.27 | $262.02 | $35.09–$235.82 | 52% above | 43% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $149.27 | $262.02 | $133.63–$235.82 | — | 43% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $171.11 | $300.35 | $5.74–$270.31 | 317% above | 43% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $171.11 | $300.35 | $153.18–$270.31 | — | 43% |
| Troponin test, quantitative CPT 84484 HC TROPONIN, QUANT | $300.77 | $527.95 | $12.47–$475.15 | 68% above | 43% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN, QUANT | $300.77 | $527.95 | $269.25–$475.15 | — | 43% |
| Uric acid blood test CPT 84550 HC URIC ACID; BLOOD | $35.16 | $61.71 | $4.52–$55.54 | 47% below | 43% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID; BLOOD | $35.16 | $61.71 | $31.47–$55.54 | — | 43% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO WITH MICROSCOPY | $71.38 | $125.29 | $3.17–$112.76 | 14% below | 43% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO WITH MICROSCOPY | $71.38 | $125.29 | $63.90–$112.76 | — | 43% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO, W/O MICROSCOPY | $36.08 | $63.33 | $2.25–$57.00 | 36% below | 43% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, DIP STICK/TABLET REAGNT; AUTO, W/O MICROSCOPY | $36.08 | $63.33 | $32.30–$57.00 | — | 43% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, BACTERIAL; QUANT COLONY CNT, URINE | $142.50 | $250.13 | $8.07–$225.12 | 2% above | 43% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, BACTERIAL; QUANT COLONY CNT, URINE | $142.50 | $250.13 | $127.57–$225.12 | — | 43% |
| Urine microalbumin (albumin) test CPT 82043 RF ALBUMIN; URINE, MICROALBUMIN, QUANT | $6.38 | $11.20 | $5.71–$12.22 | 83% below | 43% |
| Urine microalbumin (albumin) test CPT 82043 HC MICRO TOTAL PROTEIN /CREATININE RATIO | $30.26 | $53.12 | $5.78–$47.81 | 18% below | 43% |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN; URINE, MICROALBUMIN, QUANT | $45.35 | $79.60 | $5.78–$71.64 | 24% above | 43% |
| Urine microalbumin (albumin) test inpatient CPT 82043 RF ALBUMIN; URINE, MICROALBUMIN, QUANT | $6.38 | $11.20 | $5.71–$10.08 | — | 43% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICRO TOTAL PROTEIN /CREATININE RATIO | $30.26 | $53.12 | $27.09–$47.81 | — | 43% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN; URINE, MICROALBUMIN, QUANT | $45.35 | $79.60 | $40.60–$71.64 | — | 43% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $200.27 | $351.54 | $4.17–$316.39 | 128% above | 43% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $200.27 | $351.54 | $179.29–$316.39 | — | 43% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC CYANOCOBALAMIN (VITAMIN B-12) | $87.75 | $154.02 | $15.08–$138.62 | 7% below | 43% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC CYANOCOBALAMIN (VITAMIN B-12) | $87.75 | $154.02 | $78.55–$138.62 | — | 43% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC CALCIFEDIOL (25-OH VITAMIN D-3) | $155.68 | $273.27 | $29.60–$245.94 | 143% above | 43% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC CALCIFEDIOL (25-OH VITAMIN D-3) | $155.68 | $273.27 | $139.37–$245.94 | — | 43% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 RF ARUP DIHYDROXYVITAMIN D, 1,25- | $14.07 | $24.70 | $12.60–$77.00 | 79% below | 43% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 RF ARUP DIHYDROXYVITAMIN D, 1,25- | $14.07 | $24.70 | $12.60–$22.23 | — | 43% |
| Zinc blood test CPT 84630 RF ZINC RBC | $5.77 | $10.12 | $5.16–$23.09 | 48% below | 43% |
| Zinc blood test CPT 84630 RF ARUP ZINC, SERUM | $5.77 | $10.12 | $5.16–$23.09 | 48% below | 43% |
| Zinc blood test CPT 84630 RF ARUP ZINC | $6.81 | $11.95 | $6.09–$23.09 | 38% below | 43% |
| Zinc blood test inpatient CPT 84630 RF ZINC RBC | $5.77 | $10.12 | $5.16–$9.11 | — | 43% |
| Zinc blood test inpatient CPT 84630 RF ARUP ZINC, SERUM | $5.77 | $10.12 | $5.16–$9.11 | — | 43% |
| Zinc blood test inpatient CPT 84630 RF ARUP ZINC | $6.81 | $11.95 | $6.09–$10.76 | — | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG); QUANT | $122.39 | $214.84 | $15.05–$193.36 | 32% below | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG); QUANT | $122.39 | $214.84 | $109.57–$193.36 | — | 43% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $3,233.21 | $5,675.29 | $941.93–$10,357.13 | 26% below | 43% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $3,233.21 | $5,675.29 | $2,894.40–$5,107.76 | — | 43% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM | $880.55 | $1,545.64 | $90.55–$1,391.08 | 40% above | 43% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM | $880.55 | $1,545.64 | $788.28–$1,391.08 | — | 43% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE/ SINGLE | $190.09 | $333.67 | $93.02–$1,270.19 | 59% below | 43% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE/ SINGLE | $190.09 | $333.67 | $170.17–$300.30 | — | 43% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJECT LARGE JNT/BURSA W/O US | $742.14 | $1,302.68 | $68.23–$1,886.98 | 22% below | 43% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJECT LARGE JNT/BURSA W/O US | $742.14 | $1,302.68 | $664.37–$1,172.41 | — | 43% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ JOINT/BURSA W/O US | $738.91 | $1,297.01 | $56.58–$1,886.98 | 21% above | 43% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJ JOINT/BURSA W/O US | $738.91 | $1,297.01 | $661.48–$1,167.31 | — | 43% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT SMALL JNT/BURSA - W/O US | $738.91 | $1,297.01 | $48.26–$1,886.98 | 1% above | 43% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT SMALL JNT/BURSA - W/O US | $738.91 | $1,297.01 | $661.48–$1,167.31 | — | 43% |
| Nail removal (partial or complete), one nail CPT 11730 HC RMVL OF NAIL PLATE | $313.35 | $550.02 | $47.71–$1,270.19 | 38% below | 43% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC RMVL OF NAIL PLATE | $313.35 | $550.02 | $280.51–$495.02 | — | 43% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMG GUIDE | $2,276.80 | $3,996.49 | $137.29–$5,993.21 | 24% above | 43% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMG GUIDE | $2,276.80 | $3,996.49 | $2,038.21–$3,596.84 | — | 43% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC RMVL OF NAIL BED | $626.69 | $1,100.03 | $185.22–$2,553.94 | 52% below | 43% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC RMVL OF NAIL BED | $626.69 | $1,100.03 | $561.02–$990.03 | — | 43% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY | $570.28 | $1,001.01 | $77.11–$2,553.94 | 42% below | 43% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY | $570.28 | $1,001.01 | $510.52–$900.91 | — | 43% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $208.49 | $365.96 | $166.97–$2,553.94 | 71% below | 43% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $208.49 | $365.96 | $186.64–$329.36 | — | 43% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,800.34 | $3,160.16 | $122.05–$4,426.85 | 36% above | 43% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,800.34 | $3,160.16 | $1,611.68–$2,844.14 | — | 43% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENT BX OF SKIN (SHV,SCP,SAUC,CUR) SING LES | $208.49 | $365.96 | $133.13–$1,270.19 | 62% below | 43% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENT BX OF SKIN (SHV,SCP,SAUC,CUR) SING LES | $208.49 | $365.96 | $186.64–$329.36 | — | 43% |
| Thoracentesis with imaging guidance CPT 32555 HC ASPIRATE PLEURA W/ IMAGING | $2,418.44 | $4,245.11 | $137.57–$3,952.15 | 19% above | 43% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ASPIRATE PLEURA W/ IMAGING | $2,418.44 | $4,245.11 | $2,165.01–$3,820.60 | — | 43% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG | $2,509.41 | $4,404.79 | $914.74–$10,357.13 | 22% below | 43% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG | $2,509.41 | $4,404.79 | $2,246.44–$3,964.31 | — | 43% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $188.25 | $330.44 | $148.67–$1,270.19 | 47% below | 43% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $188.25 | $330.44 | $168.52–$297.40 | — | 43% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE, SKIN, SUB-Q TISSUE,=<20 SQ CM | $570.28 | $1,001.01 | $154.77–$2,553.94 | 16% below | 43% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE, SKIN, SUB-Q TISSUE,=<20 SQ CM | $570.28 | $1,001.01 | $510.52–$900.91 | — | 43% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLD TRANSFUSION SVC UP TO 4 HOURS | $922.25 | $1,618.83 | $555.35–$2,794.60 | 6% above | 43% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLD TRANSFUSION SVC 4-8 HRS | $1,844.50 | $3,237.66 | $555.35–$2,913.89 | 111% above | 43% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLD TRANSFUSION SVC 9-12 HRS | $2,772.26 | $4,866.18 | $555.35–$4,379.56 | 217% above | 43% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLD TRANSFUSION SVC 13-23 HRS | $4,568.93 | $8,019.89 | $555.35–$7,217.90 | 423% above | 43% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD TRANSFUSION SVC UP TO 4 HOURS | $922.25 | $1,618.83 | $825.60–$1,456.95 | — | 43% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD TRANSFUSION SVC 4-8 HRS | $1,844.50 | $3,237.66 | $1,651.21–$2,913.89 | — | 43% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD TRANSFUSION SVC 9-12 HRS | $2,772.26 | $4,866.18 | $2,481.75–$4,379.56 | — | 43% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD TRANSFUSION SVC 13-23 HRS | $4,568.93 | $8,019.89 | $4,090.14–$7,217.90 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HAND NEB TX, SUBS | $223.12 | $391.65 | $17.43–$1,300.17 | 31% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI TX SUBS | $223.12 | $391.65 | $17.43–$1,300.17 | 31% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CONT NEB TX SUBS | $223.12 | $391.65 | $17.43–$1,300.17 | 31% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $225.66 | $396.10 | $17.43–$1,300.17 | 30% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SPUTUM INDUCTION | $225.66 | $396.10 | $17.43–$1,300.17 | 30% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC BLAND AEROSOL TX SUBSEQUENT | $283.97 | $498.46 | $17.43–$1,300.17 | 12% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CONT NEB DAILIY INITIAL TX | $338.06 | $593.40 | $17.43–$1,300.17 | 5% above | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HAND NEB DAILY INITIAL TX | $338.06 | $593.40 | $17.43–$1,300.17 | 5% above | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI DAILY INITIAL, TX | $338.06 | $593.40 | $17.43–$1,300.17 | 5% above | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC BLAND AEROSOL TX INITIAL | $392.15 | $688.34 | $17.43–$1,300.17 | 21% above | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HAND NEB TX, SUBS | $223.12 | $391.65 | $199.74–$352.49 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI TX SUBS | $223.12 | $391.65 | $199.74–$352.49 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CONT NEB TX SUBS | $223.12 | $391.65 | $199.74–$352.49 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SPUTUM INDUCTION | $225.66 | $396.10 | $202.01–$356.49 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $225.66 | $396.10 | $202.01–$356.49 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC BLAND AEROSOL TX SUBSEQUENT | $283.97 | $498.46 | $254.21–$448.61 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CONT NEB DAILIY INITIAL TX | $338.06 | $593.40 | $302.63–$534.06 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HAND NEB DAILY INITIAL TX | $338.06 | $593.40 | $302.63–$534.06 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI DAILY INITIAL, TX | $338.06 | $593.40 | $302.63–$534.06 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC BLAND AEROSOL TX INITIAL | $392.15 | $688.34 | $351.05–$619.51 | — | 43% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $613.20 | $1,076.35 | $42.60–$2,120.29 | 30% below | 43% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $613.20 | $1,076.35 | $548.94–$968.72 | — | 43% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $3,709.23 | $6,510.85 | $181.18–$5,859.77 | 32% below | 43% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $3,709.23 | $6,510.85 | $3,320.53–$5,859.77 | — | 43% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECRD | $1,304.32 | $2,289.48 | $112.61–$2,060.53 | 27% above | 43% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECRD | $1,304.32 | $2,289.48 | $1,167.63–$2,060.53 | — | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $336.02 | $589.82 | $24.44–$530.84 | 1% below | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $336.02 | $589.82 | $300.81–$530.84 | — | 43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC USE OF ER FACILITY, LVL I | $418.73 | $735.00 | $22.62–$661.50 | at median | 43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC USE OF ER FACILITY, LVL I | $418.73 | $735.00 | $374.85–$661.50 | — | 43% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC USE OF ER FACILITY,LVL II | $700.73 | $1,230.00 | $28.61–$1,107.00 | 20% below | 43% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC USE OF ER FACILITY,LVL II | $700.73 | $1,230.00 | $627.30–$1,107.00 | — | 43% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC USE OF ER FACILITY,LVL III | $1,259.04 | $2,210.00 | $66.45–$1,989.00 | 16% below | 43% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC USE OF ER FACILITY,LVL III | $1,259.04 | $2,210.00 | $1,127.10–$1,989.00 | — | 43% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC USE OF ER FACILITY,LVL IV | $2,113.59 | $3,710.00 | $80.21–$3,339.00 | 22% below | 43% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC USE OF ER FACILITY,LVL IV | $2,113.59 | $3,710.00 | $1,892.10–$3,339.00 | — | 43% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC USE OF ER FACILITY,LVL V | $3,104.87 | $5,450.00 | $161.04–$4,905.00 | 13% below | 43% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC USE OF ER FACILITY,LVL V | $3,104.87 | $5,450.00 | $2,779.50–$4,905.00 | — | 43% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARD STRESS TST,TRACING ONLY | $969.49 | $1,701.75 | $78.22–$1,990.55 | 31% below | 43% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARD STRESS TST,TRACING ONLY | $969.49 | $1,701.75 | $867.89–$1,531.58 | — | 43% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $275.94 | $484.36 | $76.44–$1,346.80 | 45% below | 43% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $275.94 | $484.36 | $247.02–$435.92 | — | 43% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INTL,1ST HOUR | $392.44 | $688.86 | $93.27–$1,346.80 | 33% below | 43% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INTL,1ST HOUR | $392.44 | $688.86 | $351.32–$619.97 | — | 43% |
| IV push of a medicine, first drug CPT 96374 HC INJ,THERAP/PROPH/DIAGNOST, IV PUSH, SNGL /INTL | $274.71 | $482.20 | $74.23–$1,346.80 | 22% below | 43% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJ,THERAP/PROPH/DIAGNOST, IV PUSH, SNGL /INTL | $274.71 | $482.20 | $245.92–$433.98 | — | 43% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM | $145.94 | $256.17 | $27.94–$454.97 | 19% below | 43% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM | $145.94 | $256.17 | $130.65–$230.55 | — | 43% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION | $101.18 | $177.60 | $18.21–$159.84 | 21% below | 43% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION OT | $101.18 | $177.60 | $18.21–$159.84 | 21% below | 43% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION OT | $101.18 | $177.60 | $90.58–$159.84 | — | 43% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION | $101.18 | $177.60 | $90.58–$159.84 | — | 43% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $24.53 | $43.05 | $21.96–$52.11 | 75% below | 43% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN PN | $24.53 | $43.05 | $21.96–$52.11 | 75% below | 43% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $24.53 | $43.05 | $21.96–$38.74 | — | 43% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN PN | $24.53 | $43.05 | $21.96–$38.74 | — | 43% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $157.59 | $276.62 | $141.08–$248.96 | 39% below | 43% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $157.59 | $276.62 | $141.08–$248.96 | — | 43% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $263.67 | $462.83 | $163.19–$416.55 | 33% below | 43% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $263.67 | $462.83 | $236.04–$416.55 | — | 43% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $134.55 | $236.18 | $120.45–$212.56 | 43% below | 43% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $134.55 | $236.18 | $120.45–$212.56 | — | 43% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $175.68 | $308.38 | $157.27–$277.54 | 50% below | 43% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $175.68 | $308.38 | $157.27–$277.54 | — | 43% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN | $77.06 | $135.26 | $33.09–$121.73 | 36% below | 43% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN | $77.06 | $135.26 | $68.98–$121.73 | — | 43% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES EA 15 MIN | $59.82 | $105.00 | $16.33–$94.50 | 54% below | 43% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES EA 15 MIN | $59.82 | $105.00 | $53.55–$94.50 | — | 43% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC USE OF FACILITY, EST V | $4,150.06 | $7,284.64 | $85.23–$6,556.18 | 1547% above | 43% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC USE OF FACILITY, EST V | $4,150.06 | $7,284.64 | $3,715.17–$6,556.18 | — | 43% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LACTATION SVCS LVL 2 | $88.02 | $154.50 | $35.76–$139.05 | 38% below | 43% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC USE OF FACILITY, EST III | $686.07 | $1,204.27 | $35.76–$1,083.84 | 380% above | 43% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LACTATION SVCS LVL 2 | $88.02 | $154.50 | $78.80–$139.05 | — | 43% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC USE OF FACILITY, EST III | $686.07 | $1,204.27 | $614.18–$1,083.84 | — | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC LACTATION SVCS LVL 3 | $117.36 | $206.00 | $55.88–$185.40 | 42% below | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC USE OF FACILITY, EST IV | $1,109.58 | $1,947.66 | $55.88–$1,752.89 | 452% above | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC LACTATION SVCS LVL 3 | $117.36 | $206.00 | $105.06–$185.40 | — | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC USE OF FACILITY, EST IV | $1,109.58 | $1,947.66 | $993.31–$1,752.89 | — | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LACTATION SVCS LVL 1 | $44.01 | $77.25 | $17.00–$69.53 | 62% below | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC USE OF FACILITY, EST II | $253.86 | $445.61 | $17.00–$401.05 | 121% above | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LACTATION SVCS LVL 1 | $44.01 | $77.25 | $39.40–$69.53 | — | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC USE OF FACILITY, EST II | $253.86 | $445.61 | $227.26–$401.05 | — | 43% |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN SUBSQ VISIT | $182.42 | $320.21 | $163.31–$369.91 | 60% below | 43% |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN INITL VISIT | $288.54 | $506.48 | $194.56–$455.83 | 37% below | 43% |
| Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN SUBSQ VISIT | $182.42 | $320.21 | $163.31–$288.19 | — | 43% |
| Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN INITL VISIT | $288.54 | $506.48 | $258.30–$455.83 | — | 43% |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING TX | $177.83 | $312.15 | $44.28–$280.94 | 36% below | 43% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING TX | $177.83 | $312.15 | $159.20–$280.94 | — | 43% |
| Spirometry (breathing test) CPT 94010 HC POC BREATHING CAPACITY TST | $338.06 | $593.40 | $36.65–$1,000.12 | 11% below | 43% |
| Spirometry (breathing test) inpatient CPT 94010 HC POC BREATHING CAPACITY TST | $338.06 | $593.40 | $302.63–$534.06 | — | 43% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM | $347.07 | $609.21 | $67.09–$1,990.55 | 57% below | 43% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM | $347.07 | $609.21 | $310.70–$548.29 | — | 43% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MIN | $96.27 | $168.99 | $16.60–$152.09 | 30% below | 43% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MIN | $96.27 | $168.99 | $86.18–$152.09 | — | 43% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $410.23 | $720.08 | $35.94–$823.99 | 27% above | 43% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $410.23 | $720.08 | $367.24–$648.07 | — | 43% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $114.16 | $200.38 | $48.05–$180.34 | 59% above | 43% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $135.33 | $237.54 | $48.05–$213.79 | 89% above | 43% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $114.16 | $200.38 | $102.19–$180.34 | — | 43% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $135.33 | $237.54 | $121.15–$213.79 | — | 43% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $81.47 | $143.00 | $68.87–$153.93 | 12% below | 43% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $81.47 | $143.00 | $72.93–$128.70 | — | 43% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $133.03 | $233.51 | $48.55–$210.16 | 131% above | 43% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $133.03 | $233.51 | $119.09–$210.16 | — | 43% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $286.60 | $503.07 | $92.40–$452.76 | 128% above | 43% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $286.60 | $503.07 | $256.57–$452.76 | — | 43% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $2,173.59 | $3,815.33 | $835.28–$3,433.80 | 130% above | 43% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $2,173.59 | $3,815.33 | $1,945.82–$3,433.80 | — | 43% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,173.59 | $3,815.33 | $835.28–$3,433.80 | 125% above | 43% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,173.59 | $3,815.33 | $1,945.82–$3,433.80 | — | 43% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,614.28 | $2,833.56 | $313.68–$2,550.20 | 129% above | 43% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,639.85 | $2,878.44 | $313.68–$2,590.60 | 132% above | 43% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,614.28 | $2,833.56 | $1,445.12–$2,550.20 | — | 43% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,639.85 | $2,878.44 | $1,468.00–$2,590.60 | — | 43% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $978.43 | $1,717.44 | $238.17–$1,545.70 | 350% above | 43% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $978.43 | $1,717.44 | $875.89–$1,545.70 | — | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN INFLUENZA | $177.83 | $312.14 | $6.65–$454.97 | 70% above | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN | $177.83 | $312.14 | $6.65–$454.97 | 70% above | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN INFLUENZA | $177.83 | $312.14 | $159.19–$280.93 | — | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN | $177.83 | $312.14 | $159.19–$280.93 | — | 43% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ ADMIN EA ADD'L | $88.92 | $156.08 | $24.02–$140.47 | 11% above | 43% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ ADMIN EA ADD'L | $88.92 | $156.08 | $79.60–$140.47 | — | 43% |
Source file: https://www.marshallmedical.org/documents/standard_charges/941450151_marshall-medical-center_standardcharges.csv