Pioneer Memorial Hospital
Pioneer Memorial Hospital in Heppner, OR publishes cash prices for 234 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oregon median for 212 of 232 procedures and below it for 19. By typical cash price it ranks #49 of 49 Oregon hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
564 E Pioneer Drive, Heppner, OR 97836 Collected Nov 2, 2026 Source price file Check a bill from this hospital (541) 676-9133
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 381310 · CMS hospital register NPI 1376572099
The price file shows no self-pay discount
For 872 of the 872 prices listed here, the cash price in Pioneer Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Pioneer Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast | $3,268.49 | $3,268.49 | — | 87% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast | $3,268.49 | $3,268.49 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views | $382.44 | $382.44 | — | 30% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen 2 Views | $382.44 | $382.44 | — | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $339.18 | $339.18 | — | 21% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $339.18 | $339.18 | — | 21% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $339.18 | $339.18 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $339.18 | $339.18 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Right | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Left | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Right | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Right | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Left | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Left | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Right | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Left | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Left | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Left | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Right | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Right | $2,195.09 | $2,195.09 | — | 95% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Right | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Right | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Right | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Left | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Right | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Right | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Left | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Left | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Left | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Left | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Left | $2,195.09 | $2,195.09 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Right | $2,195.09 | $2,195.09 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $480.19 | $480.19 | — | 33% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $480.19 | $480.19 | — | 33% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $480.19 | $480.19 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $480.19 | $480.19 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain and Neck | $3,319.61 | $3,319.61 | — | 71% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Brain/Head Stroke Alert | $3,485.59 | $3,485.59 | — | 79% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head | $3,485.59 | $3,485.59 | — | 79% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain and Neck | $3,319.61 | $3,319.61 | — | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head | $3,485.59 | $3,485.59 | — | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Brain/Head Stroke Alert | $3,485.59 | $3,485.59 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck | $3,473.53 | $3,473.53 | — | 81% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck | $3,473.53 | $3,473.53 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE Protocol | $3,545.89 | $3,545.89 | — | 93% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE Protocol | $3,545.89 | $3,545.89 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $1,923.71 | $1,923.71 | — | 9% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $1,923.71 | $1,923.71 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $3,744.91 | $3,744.91 | — | 47% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $3,744.91 | $3,744.91 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $4,293.66 | $4,293.66 | — | 41% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $4,293.66 | $4,293.66 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $2,840.33 | $2,840.33 | — | 92% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $2,840.33 | $2,840.33 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $1,525.70 | $1,525.70 | — | 35% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $1,525.70 | $1,525.70 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,634.26 | $1,634.26 | — | 51% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast | $1,887.50 | $1,887.50 | — | 75% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,634.26 | $1,634.26 | — | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast | $1,887.50 | $1,887.50 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast BCE | $1,242.28 | $1,242.28 | — | 23% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $1,242.28 | $1,242.28 | — | 23% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $1,242.28 | $1,242.28 | — | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast BCE | $1,242.28 | $1,242.28 | — | — | — |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $1,803.10 | $1,803.10 | — | 38% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast | $1,803.10 | $1,803.10 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $2,170.96 | $2,170.96 | — | 38% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $2,170.96 | $2,170.96 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $2,201.10 | $2,201.10 | — | 69% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $2,201.10 | $2,201.10 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $2,225.24 | $2,225.24 | — | 82% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $2,225.24 | $2,225.24 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $2,846.37 | $2,846.37 | — | 93% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $2,846.37 | $2,846.37 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $1,787.18 | $1,787.18 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $1,787.18 | $1,787.18 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 CT Chest/Abdomen w/ + w/o Contrast | $2,822.24 | $2,822.24 | — | 51% above | — |
| Chest CT scan without and with contrast CPT 71270 CT Chest/Abd/Pelvis w/ + w/o Contrast | $2,822.24 | $2,822.24 | — | 51% above | — |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast | $2,822.24 | $2,822.24 | — | 51% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Contrast | $2,822.24 | $2,822.24 | — | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest/Abd/Pelvis w/ + w/o Contrast | $2,822.24 | $2,822.24 | — | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest/Abdomen w/ + w/o Contrast | $2,822.24 | $2,822.24 | — | — | — |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $286.29 | $286.29 | — | 6% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $286.29 | $286.29 | — | — | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View | $209.41 | $209.41 | — | 17% below | — |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View | $209.41 | $209.41 | — | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $291.13 | $291.13 | — | 35% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left | $291.13 | $291.13 | — | 35% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left | $291.13 | $291.13 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $291.13 | $291.13 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $1,103.97 | $1,103.97 | — | 95% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $1,103.97 | $1,103.97 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $665.52 | $665.52 | — | 73% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $665.52 | $665.52 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton | $366.33 | $366.33 | — | 52% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton | $366.33 | $366.33 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abd/Pelvis w/o Contrast | $1,772.96 | $1,772.96 | — | 45% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast | $1,772.96 | $1,772.96 | — | 45% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen w/o Contrast | $1,772.96 | $1,772.96 | — | 45% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast | $1,772.96 | $1,772.96 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest/Abd/Pelvis w/o Contrast | $1,772.96 | $1,772.96 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest/Abdomen w/o Contrast | $1,772.96 | $1,772.96 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abdomen w/ Contrast | $2,279.51 | $2,279.51 | — | 49% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abd/Pelvis w/ Contrast | $2,279.51 | $2,279.51 | — | 49% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $2,279.51 | $2,279.51 | — | 49% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast | $2,279.51 | $2,279.51 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Abdomen w/ Contrast | $2,279.51 | $2,279.51 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Abd/Pelvis w/ Contrast | $2,279.51 | $2,279.51 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $2,160.65 | $2,160.65 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $2,160.65 | $2,160.65 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $2,160.65 | $2,160.65 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $2,160.65 | $2,160.65 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Complete | $3,227.18 | $3,227.18 | — | 91% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Complete | $3,227.18 | $3,227.18 | — | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $291.13 | $291.13 | — | 19% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $291.13 | $291.13 | — | 19% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $291.13 | $291.13 | — | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $291.13 | $291.13 | — | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right | $363.18 | $363.18 | — | 49% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left | $363.18 | $363.18 | — | 49% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right | $363.18 | $363.18 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left | $363.18 | $363.18 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast | $2,870.49 | $2,870.49 | — | 169% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast | $2,870.49 | $2,870.49 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views | $425.72 | $425.72 | — | 23% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views | $425.72 | $425.72 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $281.48 | $281.48 | — | 7% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $281.48 | $281.48 | — | 7% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $281.48 | $281.48 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $281.48 | $281.48 | — | — | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right | $276.65 | $276.65 | — | 13% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left | $276.65 | $276.65 | — | 13% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right | $276.65 | $276.65 | — | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left | $276.65 | $276.65 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Right | $281.48 | $281.48 | — | 37% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left | $281.48 | $281.48 | — | 37% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Right | $281.48 | $281.48 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left | $281.48 | $281.48 | — | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $377.61 | $377.61 | — | 33% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $377.61 | $377.61 | — | 33% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $377.61 | $377.61 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $377.61 | $377.61 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Right | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula w/o Contrast Right | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Left | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Right | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula w/o Contrast Left | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Left | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Left | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Right | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Left | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Right | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Right | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Left | $2,201.10 | $2,201.10 | — | 97% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula w/o Contrast Left | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Left | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Right | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula w/o Contrast Right | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Left | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Left | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Right | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Left | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Left | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Right | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Right | $2,201.10 | $2,201.10 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Right | $2,201.10 | $2,201.10 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft Tissue Abd/Pel | $896.90 | $896.90 | — | 83% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $896.90 | $896.90 | — | 83% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft Tissue Abd/Pel | $896.90 | $896.90 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $896.90 | $896.90 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening | $1,250.00 | $1,250.00 | — | 321% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening | $1,250.00 | $1,250.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left | $271.82 | $271.82 | — | 9% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right | $271.82 | $271.82 | — | 9% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left | $271.82 | $271.82 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right | $271.82 | $271.82 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast | $3,932.63 | $3,932.63 | — | 110% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast | $3,932.63 | $3,932.63 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip w/o Contrast Bilat | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip w/o Contrast Bilat | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $3,932.25 | $3,932.25 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Hip w/ + w/o Contrast Bilat | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $5,306.29 | $5,306.29 | — | 99% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $5,306.29 | $5,306.29 | — | 99% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $5,306.29 | $5,306.29 | — | 99% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $5,306.29 | $5,306.29 | — | 99% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $5,306.29 | $5,306.29 | — | 99% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $5,306.29 | $5,306.29 | — | 99% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Hip w/ + w/o Contrast Bilat | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $5,306.29 | $5,306.29 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $5,306.29 | $5,306.29 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $3,932.25 | $3,932.25 | — | 115% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $3,932.25 | $3,932.25 | — | 115% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen and Pelvis w/o Contrast | $3,932.25 | $3,932.25 | — | 115% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen and Pelvis w/o Contrast | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Enterography | $5,306.29 | $5,306.29 | — | 81% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen and Pelvis w/ + w/o Contrast | $5,306.29 | $5,306.29 | — | 81% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $5,306.29 | $5,306.29 | — | 81% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $5,306.29 | $5,306.29 | — | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Enterography | $5,306.29 | $5,306.29 | — | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen and Pelvis w/ + w/o Contrast | $5,306.29 | $5,306.29 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $3,932.63 | $3,932.63 | — | 113% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $3,932.63 | $3,932.63 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $5,305.53 | $5,305.53 | — | 71% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary w/ + w/o Contrast | $5,305.53 | $5,305.53 | — | 71% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Pituitary w/ + w/o Contrast | $5,305.53 | $5,305.53 | — | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $5,305.53 | $5,305.53 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $3,932.63 | $3,932.63 | — | 110% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $3,932.63 | $3,932.63 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $5,306.29 | $5,306.29 | — | 79% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $5,306.29 | $5,306.29 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $3,931.89 | $3,931.89 | — | 112% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $3,931.89 | $3,931.89 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,954.91 | $2,954.91 | — | 3% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,954.91 | $2,954.91 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $3,988.77 | $3,988.77 | — | 123% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $3,988.77 | $3,988.77 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $4,803.20 | $4,803.20 | — | 75% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast | $4,803.20 | $4,803.20 | — | 75% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Sacrum w/ + w/o Contrast | $4,803.20 | $4,803.20 | — | 75% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Sacrum w/ + w/o Contrast | $4,803.20 | $4,803.20 | — | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $4,803.20 | $4,803.20 | — | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/ + w/o Contrast | $4,803.20 | $4,803.20 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Sacrum w/o Contrast | $3,932.25 | $3,932.25 | — | 119% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $3,932.25 | $3,932.25 | — | 119% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate w/o Contrast | $3,932.25 | $3,932.25 | — | 119% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Lumbarosacral Plexus w/o Contrast | $3,932.25 | $3,932.25 | — | 119% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Lumbarosacral Plexus w/o Contrast | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Sacrum w/o Contrast | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Prostate w/o Contrast | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Shoulder w/o Contrast Bilat | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Spectroscopy | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $3,932.25 | $3,932.25 | — | 121% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Shoulder w/o Contrast Bilat | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Spectroscopy | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $3,932.25 | $3,932.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $3,932.25 | $3,932.25 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views | $526.53 | $526.53 | — | 40% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views | $526.53 | $526.53 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast | $2,273.49 | $2,273.49 | — | 54% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast | $2,273.49 | $2,273.49 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,760.90 | $1,760.90 | — | 59% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,760.90 | $1,760.90 | — | — | — |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $271.82 | $271.82 | — | 9% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue | $271.82 | $271.82 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $1,549.83 | $1,549.83 | — | 29% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $1,549.83 | $1,549.83 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd | $325.51 | $325.51 | — | at median | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd | $325.51 | $325.51 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete | $1,062.76 | $1,062.76 | — | 103% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Complete | $1,062.76 | $1,062.76 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $1,103.97 | $1,103.97 | — | 113% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $1,103.97 | $1,103.97 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks | $1,103.97 | $1,103.97 | — | 137% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks | $1,103.97 | $1,103.97 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right | $372.82 | $372.82 | — | 41% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left | $372.82 | $372.82 | — | 41% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left | $372.82 | $372.82 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right | $372.82 | $372.82 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right | $323.38 | $323.38 | — | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left | $323.38 | $323.38 | — | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Right | $323.38 | $323.38 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left | $323.38 | $323.38 | — | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $295.93 | $295.93 | — | 6% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $295.93 | $295.93 | — | 6% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $295.93 | $295.93 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $295.93 | $295.93 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $353.48 | $353.48 | — | 26% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $353.48 | $353.48 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right | $276.65 | $276.65 | — | 10% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left | $276.65 | $276.65 | — | 10% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left | $276.65 | $276.65 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right | $276.65 | $276.65 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $2,213.17 | $2,213.17 | — | 82% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $2,213.17 | $2,213.17 | — | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Right | $324.74 | $324.74 | — | 62% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Left | $324.74 | $324.74 | — | 62% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Right | $324.74 | $324.74 | — | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Left | $324.74 | $324.74 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $1,049.34 | $1,049.34 | — | 125% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $1,049.34 | $1,049.34 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $1,381.08 | $1,381.08 | — | 278% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $1,381.08 | $1,381.08 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,103.97 | $1,103.97 | — | 83% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,103.97 | $1,103.97 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) | $1,060.99 | $1,060.99 | — | 100% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) | $1,060.99 | $1,060.99 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $1,045.41 | $1,045.41 | — | 114% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head/Neck | $1,045.41 | $1,045.41 | — | 114% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head/Neck | $1,045.41 | $1,045.41 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $1,045.41 | $1,045.41 | — | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right | $291.13 | $291.13 | — | 11% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left | $291.13 | $291.13 | — | 11% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right | $291.13 | $291.13 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left | $291.13 | $291.13 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $1,304.16 | $1,304.16 | — | 103% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $1,304.16 | $1,304.16 | — | 103% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $1,304.16 | $1,304.16 | — | 103% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $1,304.16 | $1,304.16 | — | 103% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $1,304.16 | $1,304.16 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $1,304.16 | $1,304.16 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $1,304.16 | $1,304.16 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $1,304.16 | $1,304.16 | — | — | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 1 View Right | $310.26 | $310.26 | — | 38% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $310.26 | $310.26 | — | 38% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left | $310.26 | $310.26 | — | 38% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 1 View Left | $310.26 | $310.26 | — | 38% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $310.26 | $310.26 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 1 View Left | $310.26 | $310.26 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left | $310.26 | $310.26 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 1 View Right | $310.26 | $310.26 | — | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $391.94 | $391.94 | — | 40% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $391.94 | $391.94 | — | 40% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $391.94 | $391.94 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $391.94 | $391.94 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left | $387.27 | $387.27 | — | 42% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $387.27 | $387.27 | — | 42% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $387.27 | $387.27 | — | 42% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right | $387.27 | $387.27 | — | 42% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $387.27 | $387.27 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right | $387.27 | $387.27 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $387.27 | $387.27 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left | $387.27 | $387.27 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View | $228.57 | $228.57 | — | 8% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View | $228.57 | $228.57 | — | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $286.29 | $286.29 | — | 13% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $286.29 | $286.29 | — | 13% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $286.29 | $286.29 | — | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $286.29 | $286.29 | — | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $348.68 | $348.68 | — | 55% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $348.68 | $348.68 | — | 55% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $348.68 | $348.68 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $348.68 | $348.68 | — | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $276.65 | $276.65 | — | 24% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $276.65 | $276.65 | — | 24% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $276.65 | $276.65 | — | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $276.65 | $276.65 | — | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $329.55 | $329.55 | — | 22% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $329.55 | $329.55 | — | 22% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $329.55 | $329.55 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $329.55 | $329.55 | — | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $333.21 | $333.21 | — | 7% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $333.21 | $333.21 | — | 7% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $333.21 | $333.21 | — | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $333.21 | $333.21 | — | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $300.75 | $300.75 | — | 23% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $300.75 | $300.75 | — | 23% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $300.75 | $300.75 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $300.75 | $300.75 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $411.22 | $411.22 | — | 29% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $411.22 | $411.22 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $564.97 | $564.97 | — | 41% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $564.97 | $564.97 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $324.74 | $324.74 | — | 7% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $324.74 | $324.74 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $348.68 | $348.68 | — | 55% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $348.68 | $348.68 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $387.27 | $387.27 | — | 50% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $387.27 | $387.27 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $252.71 | $252.71 | — | 10% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $252.71 | $252.71 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $295.93 | $295.93 | — | 18% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $295.93 | $295.93 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH LC | $583.91 | $583.91 | — | 357% above | — |
| ACTH blood test inpatient CPT 82024 ACTH LC | $583.91 | $583.91 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase LC | $80.06 | $80.06 | — | 234% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $80.06 | $80.06 | — | 234% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase LC | $80.06 | $80.06 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $80.06 | $80.06 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $78.25 | $78.25 | — | 175% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $78.25 | $78.25 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep A Ab Tot LC | $720.08 | $720.08 | — | 223% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel (4) LC | $720.08 | $720.08 | — | 223% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Panel (4) LC | $720.08 | $720.08 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep A Ab Tot LC | $720.08 | $720.08 | — | — | — |
| Albumin blood test CPT 82040 Albumin: LC | $74.81 | $74.81 | — | 193% above | — |
| Albumin blood test CPT 82040 Alb Lvl | $74.81 | $74.81 | — | 193% above | — |
| Albumin blood test inpatient CPT 82040 Albumin: LC | $74.81 | $74.81 | — | — | — |
| Albumin blood test inpatient CPT 82040 Alb Lvl | $74.81 | $74.81 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $78.25 | $78.25 | — | 211% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phosphatase LC | $78.25 | $78.25 | — | 211% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phosphatase LC | $78.25 | $78.25 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $78.25 | $78.25 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F040-IgE Tuna LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut (Filbert) LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F041-IgE Salmon LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F338-IgE Scallop LC | $57.55 | $57.55 | — | 323% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut (Filbert) LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F040-IgE Tuna LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F338-IgE Scallop LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F041-IgE Salmon LC | $57.55 | $57.55 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut LC | $57.55 | $57.55 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Tumor Marker LC | $242.17 | $242.17 | — | 234% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Tumor Marker LC | $242.17 | $242.17 | — | — | — |
| Ammonia blood test CPT 82140 Ammonia Level | $220.29 | $220.29 | — | 150% above | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $220.29 | $220.29 | — | — | — |
| Amylase blood test CPT 82150 Amylase Level | $97.99 | $97.99 | — | 103% above | — |
| Amylase blood test inpatient CPT 82150 Amylase Level | $97.99 | $97.99 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC | $187.69 | $187.69 | — | 232% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA LC | $187.69 | $187.69 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab INC. | $175.23 | $175.23 | — | 178% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab INC. | $175.23 | $175.23 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP LC | $513.13 | $513.13 | — | 225% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $513.13 | $513.13 | — | 225% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP LC | $513.13 | $513.13 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $513.13 | $513.13 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture MB LC | $130.23 | $130.23 | — | 133% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture MB LC | $130.23 | $130.23 | — | 133% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture + Gram Stain MB LC | $130.23 | $130.23 | — | 133% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Upper Resp Culture MB LC | $130.23 | $130.23 | — | 133% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture + Gram Stain MB LC | $130.23 | $130.23 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture MB LC | $130.23 | $130.23 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture MB LC | $130.23 | $130.23 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Upper Resp Culture MB LC | $130.23 | $130.23 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $127.86 | $127.86 | — | 166% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel iSTAT | $127.86 | $127.86 | — | 166% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $127.86 | $127.86 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel iSTAT | $127.86 | $127.86 | — | — | — |
| Bilirubin blood test, total CPT 82247 Bili Total | $75.79 | $75.79 | — | 197% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Bili Total | $75.79 | $75.79 | — | — | — |
| Blood culture for bacteria CPT 87040 Blood Culture MB LC | $130.23 | $130.23 | — | 18% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture MB LC | $130.23 | $130.23 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $32.02 | $32.02 | — | 59% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 - Drawing Fee-Venous | $32.02 | $32.02 | — | 59% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 - Drawing Fee-Venous | $32.02 | $32.02 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $32.02 | $32.02 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose Lvl | $59.34 | $59.34 | — | 147% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Level LC | $59.34 | $59.34 | — | 147% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Lvl | $59.34 | $59.34 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level LC | $59.34 | $59.34 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative | $113.57 | $113.57 | — | 57% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative Urine | $113.57 | $113.57 | — | 57% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative Urine | $113.57 | $113.57 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative | $113.57 | $113.57 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF ABO/Rh | $43.03 | $43.03 | — | 21% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $43.03 | $43.03 | — | 21% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .Post TR ABO/Rh | $45.17 | $45.17 | — | 17% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 REF ABO/Rh | $43.03 | $43.03 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $43.03 | $43.03 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .Post TR ABO/Rh | $45.17 | $45.17 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $59.68 | $59.68 | — | 134% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $59.68 | $59.68 | — | — | — |
| C-peptide blood test CPT 84681 C-Peptide LC | $314.56 | $314.56 | — | 250% above | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide LC | $314.56 | $314.56 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile | $508.77 | $508.77 | — | 225% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile | $508.77 | $508.77 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $314.63 | $314.63 | — | 233% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $314.63 | $314.63 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $314.63 | $314.63 | — | 181% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC | $314.63 | $314.63 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV-2(Covid-19) Ag | $230.95 | $230.95 | — | 93% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV-2(Covid-19) Ag | $230.95 | $230.95 | — | — | — |
| Calcium blood test, total CPT 82310 Calcium | $77.92 | $77.92 | — | 206% above | — |
| Calcium blood test, total CPT 82310 Calcium LC | $77.92 | $77.92 | — | 206% above | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $77.92 | $77.92 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium LC | $77.92 | $77.92 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA LC | $286.79 | $286.79 | — | 251% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA LC | $286.79 | $286.79 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia NAA LC | $368.45 | $368.45 | — | 293% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C trach NAA LC | $386.87 | $386.87 | — | 313% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia NAA LC | $368.45 | $368.45 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C trach NAA LC | $386.87 | $386.87 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LP+Chol/HDL+LDL/HDL LC | $202.48 | $202.48 | — | 251% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Pnl | $202.48 | $202.48 | — | 251% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel LC | $202.48 | $202.48 | — | 251% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel LC | $202.48 | $202.48 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LP+Chol/HDL+LDL/HDL LC | $202.48 | $202.48 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Pnl | $202.48 | $202.48 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC With Differential/Platelet LC | $117.61 | $117.61 | — | 184% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $117.61 | $117.61 | — | 184% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $117.61 | $117.61 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC With Differential/Platelet LC | $117.61 | $117.61 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $97.86 | $97.86 | — | 217% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $97.86 | $97.86 | — | 217% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $97.86 | $97.86 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $97.86 | $97.86 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $159.77 | $159.77 | — | 189% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp. Metabolic Panel (14) LC | $159.77 | $159.77 | — | 189% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $159.77 | $159.77 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp. Metabolic Panel (14) LC | $159.77 | $159.77 | — | — | — |
| Cortisol blood test, total CPT 82533 Cortisol - PM LC | $246.54 | $246.54 | — | 200% above | — |
| Cortisol blood test, total CPT 82533 Cortisol - AM LC | $246.54 | $246.54 | — | 200% above | — |
| Cortisol blood test, total CPT 82533 Cortisol Total LC | $246.54 | $246.54 | — | 200% above | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Total LC | $246.54 | $246.54 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol - PM LC | $246.54 | $246.54 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol - AM LC | $246.54 | $246.54 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $98.51 | $98.51 | — | 130% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $98.51 | $98.51 | — | — | — |
| Creatinine blood test CPT 82565 Creatinine iSTAT | $77.50 | $77.50 | — | 213% above | — |
| Creatinine blood test CPT 82565 Creatinine | $77.50 | $77.50 | — | 213% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine iSTAT | $77.50 | $77.50 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $77.50 | $77.50 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG Ab LC | $151.10 | $151.10 | — | 143% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG Ab LC | $151.10 | $151.10 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $153.90 | $153.90 | — | 19% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer LC | $153.90 | $153.90 | — | 19% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $153.90 | $153.90 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer LC | $153.90 | $153.90 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate LC | $336.08 | $336.08 | — | 293% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate LC | $336.08 | $336.08 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgG Ab LC | $263.76 | $263.76 | — | 254% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgM Ab LC | $263.76 | $263.76 | — | 254% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IgM Ab LC | $263.76 | $263.76 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IgG Ab LC | $263.76 | $263.76 | — | — | — |
| Estradiol blood test CPT 82670 Estradiol LC | $422.45 | $422.45 | — | 278% above | — |
| Estradiol blood test inpatient CPT 82670 Estradiol LC | $422.45 | $422.45 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $280.91 | $280.91 | — | 250% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LC | $280.91 | $280.91 | — | — | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity LC | $128.39 | $128.39 | — | 100% above | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity LC | $128.39 | $128.39 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Folate LC | $222.21 | $222.21 | — | 153% above | — |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC | $222.21 | $222.21 | — | 153% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate LC | $222.21 | $222.21 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) LC | $222.21 | $222.21 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free Direct LC | $136.29 | $136.29 | — | 198% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4Free(Direct) LC | $136.29 | $136.29 | — | 198% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $136.29 | $136.29 | — | 198% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free Direct LC | $136.29 | $136.29 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level | $136.29 | $136.29 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4Free(Direct) LC | $136.29 | $136.29 | — | — | — |
| Free testosterone test CPT 84402 Free Testost Direct LC | $356.16 | $356.16 | — | 488% above | — |
| Free testosterone test inpatient CPT 84402 Free Testost Direct LC | $356.16 | $356.16 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $108.86 | $108.86 | — | 263% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $108.86 | $108.86 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Screen (Glucose) | $49.88 | $49.88 | — | 45% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gestational Diabetes Screen (Glucose) | $49.88 | $49.88 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Gluc F | $59.34 | $59.34 | — | 24% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Gluc 1 Hr | $59.34 | $59.34 | — | 24% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Gluc 1 Hr | $59.34 | $59.34 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Gluc F | $59.34 | $59.34 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus NAA LC | $368.45 | $368.45 | — | 293% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N gonorrhoeae NAA LC | $386.87 | $386.87 | — | 313% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus NAA LC | $368.45 | $368.45 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N gonorrhoeae NAA LC | $386.87 | $386.87 | — | — | — |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Antigen Stool | $181.36 | $181.36 | — | 153% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Antigen Stool | $181.36 | $181.36 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $146.78 | $146.78 | — | 206% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC | $146.78 | $146.78 | — | 206% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $146.78 | $146.78 | — | 206% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c LC | $146.78 | $146.78 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $146.78 | $146.78 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $146.78 | $146.78 | — | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $35.74 | $35.74 | — | 105% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $35.74 | $35.74 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core IgM Ab LC | $132.86 | $132.86 | — | 105% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Total Ab LC | $132.86 | $132.86 | — | 105% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Total Ab LC | $132.86 | $132.86 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core IgM Ab LC | $132.86 | $132.86 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab Ql LC | $118.41 | $118.41 | — | 88% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HP5+HAVIgM+HBcIgM LC | $118.41 | $118.41 | — | 88% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surf Ab Ql LC | $118.41 | $118.41 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HP5+HAVIgM+HBcIgM LC | $118.41 | $118.41 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Antigen Scr LC | $141.62 | $141.62 | — | 156% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag Scr LC | $141.62 | $141.62 | — | 156% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Ag Scr LC | $141.62 | $141.62 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Antigen Scr LC | $141.62 | $141.62 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab LC | $157.31 | $157.31 | — | 115% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody Cascade(PCR/Geno) LC Test 144127 | $157.33 | $157.33 | — | 115% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR LC Test 144050 | $157.33 | $157.33 | — | 115% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab LC | $157.31 | $157.31 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody Cascade(PCR/Geno) LC Test 144127 | $157.33 | $157.33 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR LC Test 144050 | $157.33 | $157.33 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Spec LC | $145.43 | $145.43 | — | 149% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Spec LC | $145.43 | $145.43 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2 IgG | $213.34 | $213.34 | — | 194% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Spec LC | $213.34 | $213.34 | — | 194% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2 IgG | $213.34 | $213.34 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Spec LC | $213.34 | $213.34 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity | $195.73 | $195.73 | — | 222% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity | $195.73 | $195.73 | — | — | — |
| Homocysteine blood test CPT 83090 Homocyst(e)ine LC | $254.97 | $254.97 | — | 202% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine LC | $254.97 | $254.97 | — | — | — |
| Insulin blood test CPT 83525 Insulin LC Test 004333 | $172.80 | $172.80 | — | 215% above | — |
| Insulin blood test inpatient CPT 83525 Insulin LC Test 004333 | $172.80 | $172.80 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Iron LC | $97.99 | $97.99 | — | 142% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron LC | $97.99 | $97.99 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $193.06 | $193.06 | — | 352% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Bind.Cap.(TIBC) LC | $193.06 | $193.06 | — | 352% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Bind.Cap.(TIBC) LC | $193.06 | $193.06 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $193.06 | $193.06 | — | — | — |
| Kidney function blood test panel CPT 80069 Renal Pnl | $131.27 | $131.27 | — | 173% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $131.27 | $131.27 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level | $91.26 | $91.26 | — | 23% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Level | $91.26 | $91.26 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD Body Fluid LC | $91.26 | $91.26 | — | 192% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $91.26 | $91.26 | — | 192% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD Body Fluid LC | $91.26 | $91.26 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $91.26 | $91.26 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase LC | $104.19 | $104.19 | — | 64% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $104.19 | $104.19 | — | 64% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase LC | $104.19 | $104.19 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $104.19 | $104.19 | — | — | — |
| Liver function blood test panel CPT 80076 Hep Fnct Pnl | $123.49 | $123.49 | — | 197% above | — |
| Liver function blood test panel inpatient CPT 80076 Hep Fnct Pnl | $123.49 | $123.49 | — | — | — |
| Lyme disease antibody test CPT 86618 Lyme IgG CIA LC | $257.44 | $257.44 | — | 293% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody with reflex LC | $257.44 | $257.44 | — | 293% above | — |
| Lyme disease antibody test CPT 86618 Lyme IgM CIA LC | $257.44 | $257.44 | — | 293% above | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Antibody with reflex LC | $257.44 | $257.44 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgG CIA LC | $257.44 | $257.44 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgM CIA LC | $257.44 | $257.44 | — | — | — |
| Magnesium blood test CPT 83735 Magnesium LC | $73.87 | $73.87 | — | 114% above | — |
| Magnesium blood test CPT 83735 Mg | $73.87 | $73.87 | — | 114% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium LC | $73.87 | $73.87 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Mg | $73.87 | $73.87 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $78.25 | $78.25 | — | 58% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $78.25 | $78.25 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FPSA/PSA % INC | $278.13 | $278.13 | — | 266% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free LC | $278.13 | $278.13 | — | 266% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .%fPSA Reflex LC | $278.13 | $278.13 | — | 266% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .%fPSA Reflex LC | $278.13 | $278.13 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FPSA/PSA % INC | $278.13 | $278.13 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free LC | $278.13 | $278.13 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) LC | $278.13 | $278.13 | — | 269% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA LC | $278.13 | $278.13 | — | 269% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screening | $278.13 | $278.13 | — | 269% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA-Total | $278.13 | $278.13 | — | 269% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Screening | $278.13 | $278.13 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA-Total | $278.13 | $278.13 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) LC | $278.13 | $278.13 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA LC | $278.13 | $278.13 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $90.71 | $90.71 | — | 66% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $90.71 | $90.71 | — | 66% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT LC | $90.71 | $90.71 | — | 66% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT LC | $90.71 | $90.71 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $90.71 | $90.71 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $90.71 | $90.71 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $71.73 | $71.73 | — | 139% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $71.73 | $71.73 | — | — | — |
| Potassium blood test CPT 84132 Potassium Level | $69.47 | $69.47 | — | 219% above | — |
| Potassium blood test inpatient CPT 84132 Potassium Level | $69.47 | $69.47 | — | — | — |
| Progesterone blood test CPT 84144 Progesterone LC | $315.38 | $315.38 | — | 198% above | — |
| Progesterone blood test inpatient CPT 84144 Progesterone LC | $315.38 | $315.38 | — | — | — |
| Prolactin blood test CPT 84146 Prolactin LC | $292.95 | $292.95 | — | 229% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin LC | $292.95 | $292.95 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POCT | $28.15 | $28.15 | — | at median | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC (RE) | $28.15 | $28.15 | — | at median | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (PT) LC | $59.34 | $59.34 | — | 111% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $59.34 | $59.34 | — | 111% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $59.34 | $59.34 | — | 111% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time LC | $59.34 | $59.34 | — | 111% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC (RE) | $28.15 | $28.15 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POCT | $28.15 | $28.15 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $59.34 | $59.34 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $59.34 | $59.34 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time LC | $59.34 | $59.34 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (PT) LC | $59.34 | $59.34 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen (12 Panel) | $211.03 | $211.03 | — | 212% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine | $211.03 | $211.03 | — | 212% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Urine | $211.03 | $211.03 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Urine Drug Screen (12 Panel) | $211.03 | $211.03 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A & B | $181.36 | $181.36 | — | 148% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B | $181.36 | $181.36 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid | $181.36 | $181.36 | — | 231% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Rapid | $181.36 | $181.36 | — | — | — |
| Rh blood typing CPT 86901 Rh | $43.02 | $43.02 | — | 3% above | — |
| Rh blood typing inpatient CPT 86901 Rh | $43.02 | $43.02 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC | $85.81 | $85.81 | — | 108% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor LC | $85.81 | $85.81 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate-Westergren LC | $53.57 | $53.57 | — | 91% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate-Westergren LC | $53.57 | $53.57 | — | — | — |
| Sodium blood test CPT 84295 Sodium Level | $72.78 | $72.78 | — | 180% above | — |
| Sodium blood test inpatient CPT 84295 Sodium Level | $72.78 | $72.78 | — | — | — |
| Stool ova and parasites exam CPT 87177 Parasite MB LC | $98.12 | $98.12 | — | 82% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Parasite MB LC | $98.12 | $98.12 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen 1-3 | $51.39 | $51.39 | — | 49% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Screen 1-3 | $51.39 | $51.39 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunological Fecal Occult Blood POCT | $103.97 | $103.97 | — | 87% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunological Fecal Occult Blood POCT | $103.97 | $103.97 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T pallidum Screening Cascade LC | $191.96 | $191.96 | — | 456% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T pallidum Screening Cascade LC | $191.96 | $191.96 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Ab Reflex RPR Quant LC | $64.59 | $64.59 | — | 100% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Syphilis: RPR With Reflex to RPR Titer LC Test006072 | $64.59 | $64.59 | — | 100% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR 006099 LC | $64.59 | $64.59 | — | 100% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Syphilis: RPR With Reflex to RPR Titer LC Test006072 | $64.59 | $64.59 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Ab Reflex RPR Quant LC | $64.59 | $64.59 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .RPR 006099 LC | $64.59 | $64.59 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC | $1,086.14 | $1,086.14 | — | 518% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT-TB Plus (Client Incubated) LC | $1,086.14 | $1,086.14 | — | 518% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QFT-TB Plus (Client Incubated) LC | $1,086.14 | $1,086.14 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus LC | $1,086.14 | $1,086.14 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total | $390.31 | $390.31 | — | 446% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Tot LC/MS LC | $390.31 | $390.31 | — | 446% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC | $390.31 | $390.31 | — | 446% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Tot LC/MS LC | $390.31 | $390.31 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total | $390.31 | $390.31 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone LC | $390.31 | $390.31 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $219.98 | $219.98 | — | 223% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 .Thyroid Peroxidase (TPO) Ab LC | $219.98 | $219.98 | — | 223% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO Ab LC | $219.98 | $219.98 | — | 223% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $219.98 | $219.98 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO Ab LC | $219.98 | $219.98 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .Thyroid Peroxidase (TPO) Ab LC | $219.98 | $219.98 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Rflx FT4 | $254.03 | $254.03 | — | 249% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $254.03 | $254.03 | — | 249% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $254.03 | $254.03 | — | 249% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Rflx FT4 | $254.03 | $254.03 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $254.03 | $254.03 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $254.03 | $254.03 | — | — | — |
| Total cholesterol blood test CPT 82465 Chol | $65.76 | $65.76 | — | 173% above | — |
| Total cholesterol blood test inpatient CPT 82465 Chol | $65.76 | $65.76 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 T4 Thyroxine LC | $103.87 | $103.87 | — | 256% above | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) LC | $103.87 | $103.87 | — | 256% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) LC | $103.87 | $103.87 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Thyroxine LC | $103.87 | $103.87 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) LC | $214.33 | $214.33 | — | 185% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) LC | $214.33 | $214.33 | — | — | — |
| Transferrin blood test CPT 84466 Transferrin LC | $133.98 | $133.98 | — | 155% above | — |
| Transferrin blood test inpatient CPT 84466 Transferrin LC | $133.98 | $133.98 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Trich vag by NAA LC | $386.86 | $386.86 | — | 660% above | — |
| Trichomonas test (NAAT) CPT 87661 87661 Infectious agent detection by nucleic acid (DNA or RNA); Tri | $386.86 | $386.86 | — | 660% above | — |
| Trichomonas test (NAAT) CPT 87661 Trich vag NAA LC | $386.86 | $386.86 | — | 660% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 Infectious agent detection by nucleic acid (DNA or RNA); Tri | $386.86 | $386.86 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA LC | $386.86 | $386.86 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag NAA LC | $386.86 | $386.86 | — | — | — |
| Triglycerides blood test CPT 84478 Triglyceride | $86.99 | $86.99 | — | 241% above | — |
| Triglycerides blood test inpatient CPT 84478 Triglyceride | $86.99 | $86.99 | — | — | — |
| Troponin test, quantitative CPT 84484 Troponin T Gen 5 | $137.49 | $137.49 | — | 31% above | — |
| Troponin test, quantitative CPT 84484 Trop-I | $137.49 | $137.49 | — | 31% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Gen 5 | $137.49 | $137.49 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Trop-I | $137.49 | $137.49 | — | — | — |
| Uric acid blood test CPT 84550 Uric Acid | $68.31 | $68.31 | — | 135% above | — |
| Uric acid blood test CPT 84550 Uric Acid LC | $68.31 | $68.31 | — | 135% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid LC | $68.31 | $68.31 | — | — | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $68.31 | $68.31 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis With Micro if Indicated and Culture if Indicated | $47.82 | $47.82 | — | 46% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis With Micro if Indicated and Culture if Indicated | $47.82 | $47.82 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Only | $36.80 | $36.80 | — | 89% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Only | $36.80 | $36.80 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Urine | $36.54 | $36.54 | — | 52% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Urine | $36.54 | $36.54 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture MB LC | $122.00 | $122.00 | — | 132% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture MB LC | $122.00 | $122.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Urine Microalbumin | $87.43 | $87.43 | — | 98% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Level Urine | $87.43 | $87.43 | — | 98% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Urine Microalbumin | $87.43 | $87.43 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Level Urine | $87.43 | $87.43 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 LC | $227.88 | $227.88 | — | 194% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 LC | $227.88 | $227.88 | — | — | — |
| Zinc blood test CPT 84630 Zinc LC | $172.04 | $172.04 | — | 395% above | — |
| Zinc blood test inpatient CPT 84630 Zinc LC | $172.04 | $172.04 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-hCG Qnt | $227.63 | $227.63 | — | 218% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-hCG Qnt | $227.63 | $227.63 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Outpatient Treatment Room | $112.29 | $112.29 | — | 86% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD ADMIN CHARGE | $366.00 | $366.00 | — | 54% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Outpatient Treatment Room | $112.29 | $112.29 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION BLOOD ADMIN CHARGE | $366.00 | $366.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Flutter Therapy Subsequent CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Meter Dose Inhaler Subsequent CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Flutter Therapy Initial CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Aerosol Subsequent CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Meter Dose Inhaler Initial CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 METERED DOSE INHALER CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Aerosol Initial CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 NEB HAND HELD TREATMENT SUB CHARGE | $245.00 | $245.00 | — | 44% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Flutter Therapy Subsequent CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Aerosol Initial CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Meter Dose Inhaler Subsequent CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 METERED DOSE INHALER CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Meter Dose Inhaler Initial CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Aerosol Subsequent CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Flutter Therapy Initial CHARGE | $245.00 | $245.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 NEB HAND HELD TREATMENT SUB CHARGE | $245.00 | $245.00 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG POC - Nursing | $230.76 | $230.76 | — | 332% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG POC - Nursing | $230.76 | $230.76 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $187.34 | $187.34 | — | 21% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 11111 ED No Charge | $187.34 | $187.34 | — | 21% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $187.34 | $187.34 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 11111 ED No Charge | $187.34 | $187.34 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $314.38 | $314.38 | — | 33% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $314.38 | $314.38 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $503.34 | $503.34 | — | 41% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $503.34 | $503.34 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $917.09 | $917.09 | — | 31% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $917.09 | $917.09 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $1,365.04 | $1,365.04 | — | 35% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $1,365.04 | $1,365.04 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Outpatient Treatment Room IV Hydration | $112.29 | $112.29 | — | 72% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE | $147.00 | $147.00 | — | 63% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Outpatient Treatment Room IV Hydration | $112.29 | $112.29 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE | $147.00 | $147.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Outpatient Treatment Room IV Infusion | $112.29 | $112.29 | — | 75% below | — |
| IV infusion of a medicine, first hour CPT 96365 96365 IV DRUG INFUSION UP TO 1 HR CHARGE | $179.08 | $179.08 | — | 59% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Outpatient Treatment Room IV Infusion | $112.29 | $112.29 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV DRUG INFUSION UP TO 1 HR CHARGE | $179.08 | $179.08 | — | — | — |
| IV push of a medicine, first drug CPT 96374 96374 IV PUSH SINGLE/INITIAL CHARGE | $135.00 | $135.00 | — | 46% below | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH SINGLE/INITIAL CHARGE | $135.00 | $135.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SUBQ INJECTION | $46.00 | $46.00 | — | 57% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Subq/IM Injection | $46.00 | $46.00 | — | 57% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Outpt TX Room IM Injection | $112.29 | $112.29 | — | 4% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Subq/IM Injection | $46.00 | $46.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SUBQ INJECTION | $46.00 | $46.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Outpt TX Room IM Injection | $112.29 | $112.29 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $164.56 | $164.56 | — | 61% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $239.74 | $239.74 | — | 135% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $164.56 | $164.56 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $239.74 | $239.74 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Misc Therapy Charge | $632.23 | $632.23 | — | 157% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Misc Therapy Charge | $632.23 | $632.23 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $158.92 | $158.92 | — | 64% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $229.37 | $229.37 | — | 136% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $158.92 | $158.92 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $229.37 | $229.37 | — | — | — |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $301.68 | $301.68 | — | 5% above | — |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $301.68 | $301.68 | — | — | — |
| Spirometry (breathing test) CPT 94010 RT CHARGE PFT -> Spirometry | $256.50 | $256.50 | — | 2% above | — |
| Spirometry (breathing test) CPT 94010 RT FVC Charge | $320.00 | $320.00 | — | 27% above | — |
| Spirometry (breathing test) CPT 94010 RT Forced Vital Capacity (FVC) CHARGE | $320.00 | $320.00 | — | 27% above | — |
| Spirometry (breathing test) inpatient CPT 94010 RT CHARGE PFT -> Spirometry | $256.50 | $256.50 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 RT FVC Charge | $320.00 | $320.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 RT Forced Vital Capacity (FVC) CHARGE | $320.00 | $320.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT -> Spirometry before & after | $418.50 | $418.50 | — | 27% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE PFT -> Spirometry before & after | $418.50 | $418.50 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $171.54 | $171.54 | — | 87% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $250.10 | $250.10 | — | 173% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Inpatient Evaluation Acute | $250.10 | $250.10 | — | 173% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $171.54 | $171.54 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Inpatient Evaluation Acute | $250.10 | $250.10 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $250.10 | $250.10 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phleb | $368.56 | $368.56 | — | 84% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phleb | $368.56 | $368.56 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertussis (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL intramuscular suspension 0.5 mL [MCHD] | $287.77 | $287.77 | — | 353% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertussis (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL intramuscular suspension 0.5 mL [MCHD] | $287.77 | $287.77 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Administration First Vaccine | $20.00 | $20.00 | — | 65% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Administration First Vaccine | $20.00 | $20.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.morrowcountyhealthdistrict.org/files/107dd4b08/936002451_pioneer-memorial-hospital_standardcharges.csv