Punxsutawney Area Hospital
Punxsutawney Area Hospital in Punxsutawney, PA publishes cash prices for 298 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 279 of 295 procedures and above it for 15. By typical cash price it ranks #7 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
81 Hillcrest Dr, Punxsutawney, PA 15767 Collected Sep 22, 2026 Source price file Check a bill from this hospital (814) 938-1800
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 390199 · CMS hospital register NPI 1265449870
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Punxsutawney Area Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST 74170 | $473.40 | $1,315.00 | $122.65–$1,315.00 | 75% below | 64% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST 74170 | $539.15 | $1,315.00 | — | — | 59% |
| Abdominal X-ray, 2 views CPT 74019 XRAY EXAM ABDOMEN 2 VIEWS | $240.12 | $667.00 | $18.13–$667.00 | 27% below | 64% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XRAY EXAM ABDOMEN 2 VIEWS | $273.47 | $667.00 | — | — | 59% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 OR MORE VIEWS LT | $156.96 | $436.00 | $16.89–$436.00 | 57% below | 64% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 OR MORE VIEWS RT | $156.96 | $436.00 | $16.89–$436.00 | 57% below | 64% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 OR MORE VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 OR MORE VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O CO 73200LT | $295.92 | $822.00 | $86.94–$822.00 | 75% below | 64% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O CO 73200RT | $295.92 | $822.00 | $86.94–$822.00 | 75% below | 64% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O CO 73200RT | $337.02 | $822.00 | — | — | 59% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O CO 73200LT | $337.02 | $822.00 | — | — | 59% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING,WHOLE BODY 78306 | $716.40 | $1,990.00 | $67.65–$1,990.00 | 42% below | 64% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING,WHOLE BODY 78306 | $815.90 | $1,990.00 | — | — | 59% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $199.80 | $555.00 | $58.77–$555.00 | 63% below | 64% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE | $227.55 | $555.00 | — | — | 59% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $199.80 | $555.00 | $45.03–$555.00 | 57% below | 64% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED | $227.55 | $555.00 | — | — | 59% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PELV W/O&W DYE 74174 | $1,287.36 | $3,576.00 | $330.52–$3,576.00 | 57% below | 64% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD&PELV W/O&W DYE 74174 | $1,466.16 | $3,576.00 | — | — | 59% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD CEREBROVASCULAR 70496 | $512.64 | $1,424.00 | $166.17–$1,424.00 | 70% below | 64% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD CEREBROVASCULAR 70496 | $583.84 | $1,424.00 | — | — | 59% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK (CAROTID ARTS) 70498 | $421.20 | $1,170.00 | $166.17–$1,170.00 | 75% below | 64% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK (CAROTID ARTS) 70498 | $479.70 | $1,170.00 | — | — | 59% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST THORACIC ARTER 71275 | $576.72 | $1,602.00 | $166.17–$1,602.00 | 70% below | 64% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST-PULMONARY ARTE 71275 | $576.72 | $1,602.00 | $166.17–$1,602.00 | 70% below | 64% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST THORACIC ARTER 71275 | $656.82 | $1,602.00 | — | — | 59% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST-PULMONARY ARTE 71275 | $656.82 | $1,602.00 | — | — | 59% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONT 74176 | $894.60 | $2,485.00 | $111.18–$2,485.00 | 57% below | 64% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONT 74176 | $1,018.85 | $2,485.00 | — | — | 59% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W CONT 74177 | $1,317.96 | $3,661.00 | $212.00–$3,661.00 | 56% below | 64% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W CONT 74177 | $1,501.01 | $3,661.00 | — | — | 59% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W/WO CON 74178 | $1,534.68 | $4,263.00 | $280.17–$4,263.00 | 49% below | 64% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS W/WO CON 74178 | $1,747.83 | $4,263.00 | — | — | 59% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST 74160 | $510.12 | $1,417.00 | $99.00–$1,417.00 | 69% below | 64% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST 74160 | $580.97 | $1,417.00 | — | — | 59% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST 74150 | $448.92 | $1,247.00 | $85.25–$1,247.00 | 60% below | 64% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST 74150 | $511.27 | $1,247.00 | — | — | 59% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CON 70486 | $336.24 | $934.00 | $85.25–$934.00 | 70% below | 64% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CON 70486 | $382.94 | $934.00 | — | — | 59% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST 70450 | $273.96 | $761.00 | $85.25–$761.00 | 75% below | 64% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST 70450 | $312.01 | $761.00 | — | — | 59% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST 70460 | $775.80 | $2,155.00 | $88.00–$2,155.00 | 43% below | 64% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST 70460 | $883.55 | $2,155.00 | — | — | 59% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST 70470 | $397.44 | $1,104.00 | $110.00–$1,104.00 | 76% below | 64% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST 70470 | $452.64 | $1,104.00 | — | — | 59% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT,LS W/O CONTRAST 72131 | $343.44 | $954.00 | $96.91–$954.00 | 70% below | 64% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT,LS W/O CONTRAST 72131 | $391.14 | $954.00 | — | — | 59% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE,W/O CONT 72125 | $343.08 | $953.00 | $91.41–$953.00 | 71% below | 64% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE,W/O CONT 72125 | $390.73 | $953.00 | — | — | 59% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST 72193 | $535.68 | $1,488.00 | $95.15–$1,488.00 | 68% below | 64% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST 72193 | $610.08 | $1,488.00 | — | — | 59% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID ULTRASOUND BILATERAL | $430.92 | $1,197.00 | $90.06–$1,197.00 | — | 64% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID ULTRASOUND BILATERAL | $490.77 | $1,197.00 | — | — | 59% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/WO CONTRAST 71270 | $482.40 | $1,340.00 | $113.85–$1,340.00 | 70% below | 64% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/WO CONTRAST 71270 | $549.40 | $1,340.00 | — | — | 59% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $156.96 | $436.00 | $16.34–$436.00 | 51% below | 64% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $178.76 | $436.00 | — | — | 59% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $156.96 | $436.00 | $8.92–$436.00 | 17% below | 64% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $178.76 | $436.00 | — | — | 59% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT | $156.96 | $436.00 | $12.65–$436.00 | 45% below | 64% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT | $156.96 | $436.00 | $12.65–$436.00 | 45% below | 64% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT | $178.76 | $436.00 | — | — | 59% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT | $178.76 | $436.00 | — | — | 59% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEUM,COMPLETE | $189.72 | $527.00 | $53.90–$527.00 | 74% below | 64% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEUM,COMPLETE | $216.07 | $527.00 | — | — | 59% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY | $189.72 | $527.00 | $57.13–$527.00 | 30% below | 64% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY | $216.07 | $527.00 | — | — | 59% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST 71250 | $343.80 | $955.00 | $91.41–$955.00 | 69% below | 64% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST 71250 | $391.55 | $955.00 | — | — | 59% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST 71260 | $394.56 | $1,096.00 | $96.25–$1,096.00 | 72% below | 64% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONTRAST 71260 | $449.36 | $1,096.00 | — | — | 59% |
| Diagnostic mammogram, both breasts CPT 77066 TC MAMMO BIL ALL VIEWS | $324.36 | $901.00 | $72.00–$901.00 | at median | 64% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 TC MAMMO BIL ALL VIEWS | $369.41 | $901.00 | — | — | 59% |
| Diagnostic mammogram, one breast one side CPT 77065 TC MAMMO UNILAT RT ALL VIEWS | $255.96 | $711.00 | $70.97–$711.00 | 19% below | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 TC MAMMO UNILAT LT ALL VIEW | $255.96 | $711.00 | $70.97–$711.00 | 19% below | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 TC MAMMO UNILAT LT ALL VIEW | $291.51 | $711.00 | — | — | 59% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 TC MAMMO UNILAT RT ALL VIEWS | $291.51 | $711.00 | — | — | 59% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOWER EXTREM US BILATERAL | $430.92 | $1,197.00 | $77.26–$1,197.00 | — | 64% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOWER EXTREM US BILATERAL | $490.77 | $1,197.00 | — | — | 59% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS ULTRASOUND/BILAT 93970 | $430.92 | $1,197.00 | $85.58–$1,197.00 | — | 64% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS ULTRASOUND/BILAT 93970 | $490.77 | $1,197.00 | — | — | 59% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMBINED (M/2-D) | $459.36 | $1,276.00 | $107.95–$1,276.00 | 76% below | 64% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMBINED (M/2-D) | $523.16 | $1,276.00 | — | — | 59% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW LIMITED/2 VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 49% below | 64% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW LIMITED / 2 VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 49% below | 64% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIMITED / 2 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIMITED/2 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 OR MORE VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 55% below | 64% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 OR MORE VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 55% below | 64% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 OR MORE VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 OR MORE VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST 70480 | $416.88 | $1,158.00 | $99.05–$1,158.00 | 62% below | 64% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMP BONES/MAST W/O C 70480 | $416.88 | $1,158.00 | $99.05–$1,158.00 | 62% below | 64% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMP BONES/MAST W/O C 70480 | $474.78 | $1,158.00 | — | — | 59% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONTRAST 70480 | $474.78 | $1,158.00 | — | — | 59% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE | $189.72 | $527.00 | $24.75–$527.00 | 54% below | 64% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMPLETE | $216.07 | $527.00 | — | — | 59% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM / 2 VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 44% below | 64% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM / 2 VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 44% below | 64% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM / 2 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM / 2 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SCAN 78226 | $842.40 | $2,340.00 | $235.92–$2,340.00 | 31% below | 64% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SCAN 78226 | $959.40 | $2,340.00 | — | — | 59% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT | $189.72 | $527.00 | $11.00–$527.00 | 32% below | 64% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT | $189.72 | $527.00 | $11.00–$527.00 | 32% below | 64% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT | $216.07 | $527.00 | — | — | 59% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT | $216.07 | $527.00 | — | — | 59% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALIS (HEEL) RT | $156.96 | $436.00 | $12.65–$436.00 | 41% below | 64% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALIS (HEEL) LT | $156.96 | $436.00 | $12.65–$436.00 | 41% below | 64% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALIS (HEEL) LT | $178.76 | $436.00 | — | — | 59% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALIS (HEEL) RT | $178.76 | $436.00 | — | — | 59% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT & RESP EFFT | $290.16 | $806.00 | $97.58–$806.00 | 52% below | 64% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT & RESP EFFT | $330.46 | $806.00 | — | — | 59% |
| Knee X-ray, 3 views one side CPT 73562 KNEE (3 VIEWS) LT | $165.60 | $460.00 | $18.15–$460.00 | 58% below | 64% |
| Knee X-ray, 3 views one side CPT 73562 KNEE (3 VIEWS) RT | $165.60 | $460.00 | $18.15–$460.00 | 58% below | 64% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE (3 VIEWS) LT | $188.60 | $460.00 | — | — | 59% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE (3 VIEWS) RT | $188.60 | $460.00 | — | — | 59% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE >4 VIEWS LT | $192.60 | $535.00 | $24.15–$535.00 | 56% below | 64% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE >4 VIEWS RT | $192.60 | $535.00 | $24.15–$535.00 | 56% below | 64% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE >4 VIEWS LT | $219.35 | $535.00 | — | — | 59% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE >4 VIEWS RT | $219.35 | $535.00 | — | — | 59% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O CO 73700RT | $367.20 | $1,020.00 | $86.94–$1,020.00 | 65% below | 64% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O CO 73700LT | $367.20 | $1,020.00 | $86.94–$1,020.00 | 65% below | 64% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O CO 73700LT | $418.20 | $1,020.00 | — | — | 59% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O CO 73700RT | $418.20 | $1,020.00 | — | — | 59% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN, LIMITED | $189.72 | $527.00 | $41.25–$527.00 | 69% below | 64% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 APPENDIX ULTRASOUND | $189.72 | $527.00 | $41.25–$527.00 | 69% below | 64% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SONOGRAPHY OF THE PYLORUS | $189.72 | $527.00 | $41.25–$527.00 | 69% below | 64% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 RIGHT UPPER QUADRANT | $189.72 | $527.00 | $41.25–$527.00 | 69% below | 64% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN, LIMITED | $216.07 | $527.00 | — | — | 59% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 APPENDIX ULTRASOUND | $216.07 | $527.00 | — | — | 59% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SONOGRAPHY OF THE PYLORUS | $216.07 | $527.00 | — | — | 59% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 RIGHT UPPER QUADRANT | $216.07 | $527.00 | — | — | 59% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXTREMITY US LIMITED RT LOWER | $189.72 | $527.00 | $8.63–$527.00 | 52% below | 64% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXTREMITY US LIMITED RT UPPER | $189.72 | $527.00 | $8.63–$527.00 | 52% below | 64% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXTREMITY US LIMITED LT LOWER | $189.72 | $527.00 | $8.63–$527.00 | 52% below | 64% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXTREMITY US LIMITED LT UPPER | $192.60 | $535.00 | $8.63–$535.00 | 51% below | 64% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXTREMITY US LIMITED RT UPPER | $216.07 | $527.00 | — | — | 59% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXTREMITY US LIMITED RT LOWER | $216.07 | $527.00 | — | — | 59% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXTREMITY US LIMITED LT LOWER | $216.07 | $527.00 | — | — | 59% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXTREMITY US LIMITED LT UPPER | $219.35 | $535.00 | — | — | 59% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CT - LOW DOSE SCREENING | $163.08 | $453.00 | $80.72–$453.00 | 59% below | 64% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG CT - LOW DOSE SCREENING | $185.73 | $453.00 | — | — | 59% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA AND FIBULA/2 VIEWS LT | $156.96 | $436.00 | $17.04–$436.00 | 53% below | 64% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA AND FIBULA/2 VIEWS RT | $156.96 | $436.00 | $17.04–$436.00 | 53% below | 64% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA AND FIBULA/2 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA AND FIBULA/2 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA OF HEAD W/O CONTRAST 70544 | $527.76 | $1,466.00 | $226.04–$1,466.00 | 71% below | 64% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA OF HEAD W/O CONTRAST 70544 | $601.06 | $1,466.00 | — | — | 59% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JT LOW EXT W/O 73721LT | $598.68 | $1,663.00 | $226.04–$1,663.00 | 71% below | 64% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JT LOW EXT W/O 73721RT | $598.68 | $1,663.00 | $226.04–$1,663.00 | 71% below | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JT LOW EXT W/O 73721LT | $681.83 | $1,663.00 | — | — | 59% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JT LOW EXT W/O 73721RT | $681.83 | $1,663.00 | — | — | 59% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JT,LOW EXT W/WO73723RT | $868.32 | $2,412.00 | $330.52–$2,412.00 | 75% below | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JT,LOW EXT W/WO73723LT | $868.32 | $2,412.00 | $330.52–$2,412.00 | 75% below | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JT,LOW EXT W/WO73723RT | $988.92 | $2,412.00 | — | — | 59% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JT,LOW EXT W/WO73723LT | $988.92 | $2,412.00 | — | — | 59% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST 74181 | $609.12 | $1,692.00 | $226.04–$1,692.00 | 69% below | 64% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST 74181 | $693.72 | $1,692.00 | — | — | 59% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONT 74183 | $892.80 | $2,480.00 | $330.52–$2,480.00 | 75% below | 64% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONT 74183 | $1,016.80 | $2,480.00 | — | — | 59% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN INC STEM W/O C 70551 | $575.64 | $1,599.00 | $226.04–$1,599.00 | 68% below | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN INC STEM W/O C 70551 | $655.59 | $1,599.00 | — | — | 59% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INC STEM W/WO 70553 | $1,271.52 | $3,532.00 | $295.90–$3,532.00 | 56% below | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INC STEM W/WO 70553 | $1,448.12 | $3,532.00 | — | — | 59% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/0 CON 72148 | $621.36 | $1,726.00 | $205.92–$1,726.00 | 65% below | 64% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/0 CON 72148 | $707.66 | $1,726.00 | — | — | 59% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CO 72158 | $1,265.40 | $3,515.00 | $295.90–$3,515.00 | 61% below | 64% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CO 72158 | $1,441.15 | $3,515.00 | — | — | 59% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/0 C 72146 | $658.08 | $1,828.00 | $205.92–$1,828.00 | 68% below | 64% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/0 C 72146 | $749.48 | $1,828.00 | — | — | 59% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W/W0 CO 72156 | $1,278.72 | $3,552.00 | $295.90–$3,552.00 | 56% below | 64% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV SPINE W/W0 CO 72156 | $1,456.32 | $3,552.00 | — | — | 59% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERV SPINE W/0 CONT 72141 | $608.76 | $1,691.00 | $226.04–$1,691.00 | 65% below | 64% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERV SPINE W/0 CONT 72141 | $693.31 | $1,691.00 | — | — | 59% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST 72197 | $892.80 | $2,480.00 | $294.26–$2,480.00 | 75% below | 64% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST 72197 | $1,016.80 | $2,480.00 | — | — | 59% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST 72195 | $525.96 | $1,461.00 | $226.04–$1,461.00 | 73% below | 64% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST 72195 | $599.01 | $1,461.00 | — | — | 59% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JT UPR EXT W/O 73221RT | $598.68 | $1,663.00 | $226.04–$1,663.00 | 72% below | 64% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JT UPR EXT W/O 73221LT | $598.68 | $1,663.00 | $226.04–$1,663.00 | 72% below | 64% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JT UPR EXT W/O 73221LT | $681.83 | $1,663.00 | — | — | 59% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JT UPR EXT W/O 73221RT | $681.83 | $1,663.00 | — | — | 59% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMPLETE | $189.72 | $527.00 | $29.15–$527.00 | 57% below | 64% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE COMPLETE | $216.07 | $527.00 | — | — | 59% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CO 70491 | $400.68 | $1,113.00 | $90.75–$1,113.00 | 70% below | 64% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CO 70491 | $456.33 | $1,113.00 | — | — | 59% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFTTISSUE NECK W/O C 70490 | $314.28 | $873.00 | $86.90–$873.00 | 71% below | 64% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFTTISSUE NECK W/O C 70490 | $357.93 | $873.00 | — | — | 59% |
| Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK | $156.96 | $436.00 | $11.00–$436.00 | 44% below | 64% |
| Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK | $178.76 | $436.00 | — | — | 59% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF(STRESS,REST)78452 | $2,327.76 | $6,466.00 | $306.17–$6,466.00 | 41% below | 64% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF(STRESS,REST)78452 | $2,651.06 | $6,466.00 | — | — | 59% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO THIGH 78815 | $2,847.24 | $7,909.00 | $500.00–$7,909.00 | 61% below | 64% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO THIGH 78815 | $3,242.69 | $7,909.00 | — | — | 59% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST 72192 | $448.92 | $1,247.00 | $74.25–$1,247.00 | 59% below | 64% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST 72192 | $511.27 | $1,247.00 | — | — | 59% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS,LIMITED | $412.56 | $1,146.00 | $20.90–$1,146.00 | 8% below | 64% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS,LIMITED | $469.86 | $1,146.00 | — | — | 59% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS GYN | $189.72 | $527.00 | $51.15–$527.00 | 67% below | 64% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS GYN | $216.07 | $527.00 | — | — | 59% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PREGNANCY COMPLETE | $189.72 | $527.00 | $51.15–$527.00 | 69% below | 64% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PREGNANCY COMPLETE | $216.07 | $527.00 | — | — | 59% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY<14WKS,SINGLE GESTAT | $189.72 | $527.00 | $42.23–$527.00 | 66% below | 64% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREGNANCY<14WKS,SINGLE GESTAT | $216.07 | $527.00 | — | — | 59% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANCY/LIMITED | $189.72 | $527.00 | $42.90–$527.00 | 64% below | 64% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANCY/LIMITED | $216.07 | $527.00 | — | — | 59% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS,UNILATERAL* 2 VIEWS LT | $189.72 | $527.00 | $18.15–$527.00 | 44% below | 64% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS,UNILATERAL 2 VIEWS RT | $189.72 | $527.00 | $18.15–$527.00 | 44% below | 64% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS,UNILATERAL 2 VIEWS RT | $216.07 | $527.00 | — | — | 59% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS,UNILATERAL* 2 VIEWS LT | $216.07 | $527.00 | — | — | 59% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS,UNILATERAL PA CHEST 3 RT | $189.72 | $527.00 | $18.15–$527.00 | 54% below | 64% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS,UNILATERAL, PA CHEST 3 LT | $189.72 | $527.00 | $18.15–$527.00 | 54% below | 64% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS,UNILATERAL PA CHEST 3 RT | $216.07 | $527.00 | — | — | 59% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS,UNILATERAL, PA CHEST 3 LT | $216.07 | $527.00 | — | — | 59% |
| Screening mammogram, both breasts CPT 77067 TC MAMMO DIG SREEN BIL ALL V | $279.36 | $776.00 | $72.00–$776.00 | 9% above | 64% |
| Screening mammogram, both breasts inpatient CPT 77067 TC MAMMO DIG SREEN BIL ALL V | $318.16 | $776.00 | — | — | 59% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMPLETE 2 OR MORE RT | $163.44 | $454.00 | $18.15–$454.00 | 52% below | 64% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER,COMPLETE, 2 OR MOR LT | $163.44 | $454.00 | $18.15–$454.00 | 52% below | 64% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMPLETE 2 OR MORE RT | $186.14 | $454.00 | — | — | 59% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER,COMPLETE, 2 OR MOR LT | $186.14 | $454.00 | — | — | 59% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMPLETE MIN 3 V | $156.96 | $436.00 | $24.75–$436.00 | 63% below | 64% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES COMPLETE MIN 3 V | $178.76 | $436.00 | — | — | 59% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL LIMITED < 4 VIEWS | $189.72 | $527.00 | $23.10–$527.00 | 47% below | 64% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LIMITED < 4 VIEWS | $216.07 | $527.00 | — | — | 59% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHOGRAPHY | $317.52 | $882.00 | $30.80–$882.00 | 46% below | 64% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHOGRAPHY | $361.62 | $882.00 | — | — | 59% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 > VIEWS RT | $156.96 | $436.00 | $18.75–$436.00 | 61% below | 64% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 > VIEWS LT | $156.96 | $436.00 | $18.75–$436.00 | 61% below | 64% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 > VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 > VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O C 72128 | $343.44 | $954.00 | $99.05–$954.00 | 71% below | 64% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O C 72128 | $391.14 | $954.00 | — | — | 59% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE - RIGHT | $156.96 | $436.00 | $9.90–$436.00 | 44% below | 64% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE - LEFT | $156.96 | $436.00 | $9.90–$436.00 | 44% below | 64% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE - RIGHT | $178.76 | $436.00 | — | — | 59% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE - LEFT | $178.76 | $436.00 | — | — | 59% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL/PELVIS ULTRASOUND | $226.44 | $629.00 | $51.15–$629.00 | 60% below | 64% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL/PELVIS ULTRASOUND | $257.89 | $629.00 | — | — | 59% |
| Transvaginal ultrasound during pregnancy CPT 76817 PREGNANCY TRANSVAGINAL | $205.92 | $572.00 | $58.33–$572.00 | 63% below | 64% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 PREGNANCY TRANSVAGINAL | $234.52 | $572.00 | — | — | 59% |
| Ultrasound of the abdomen, complete CPT 76700 ABD COMP*LIVER SPLN GB PA | $189.72 | $527.00 | $63.25–$527.00 | 76% below | 64% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABD COMP*LIVER SPLN GB PA | $216.07 | $527.00 | — | — | 59% |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM/TESTIS | $210.24 | $584.00 | $48.40–$584.00 | 66% below | 64% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM/TESTIS | $239.44 | $584.00 | — | — | 59% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK THYROID PATHYR PAROT76536 | $189.72 | $527.00 | $55.47–$527.00 | 67% below | 64% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK THYROID PATHYR PAROT76536 | $216.07 | $527.00 | — | — | 59% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES WITH PEG TUBE | $317.52 | $882.00 | $42.90–$882.00 | 50% below | 64% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SERIES WITH PEG TUBE | $361.62 | $882.00 | — | — | 59% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS LT | $158.40 | $440.00 | $12.65–$440.00 | 43% below | 64% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS RT | $158.40 | $440.00 | $12.65–$440.00 | 43% below | 64% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS RT | $180.40 | $440.00 | — | — | 59% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS LT | $180.40 | $440.00 | — | — | 59% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS US UNILATERAL LT | $189.72 | $527.00 | $59.83–$527.00 | 70% below | 64% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS US UNILATERAL RT | $189.72 | $527.00 | $59.83–$527.00 | 70% below | 64% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS US UNILATERAL RT | $216.07 | $527.00 | — | — | 59% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS US UNILATERAL LT | $216.07 | $527.00 | — | — | 59% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LIMITED / 2 VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 43% below | 64% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LIMITED / 2 VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 43% below | 64% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LIMITED / 2 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LIMITED / 2 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE 3 OR 4 VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 51% below | 64% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE 3 OR 4 VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 51% below | 64% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE 3 OR 4 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE 3 OR 4 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNI 2-3 VIEWS RT | $156.96 | $436.00 | $24.60–$436.00 | 56% below | 64% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNI 2-3 VIEWS LT | $156.96 | $436.00 | $24.60–$436.00 | 56% below | 64% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNI 2-3 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNI 2-3 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN AP | $156.96 | $436.00 | $15.15–$436.00 | 44% below | 64% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN AP | $178.76 | $436.00 | — | — | 59% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 54% below | 64% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE * 2 VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 54% below | 64% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE * 2 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS LEFT | $156.96 | $436.00 | $9.90–$436.00 | 35% below | 64% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS RIGHT | $156.96 | $436.00 | $9.90–$436.00 | 35% below | 64% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS RIGHT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS LEFT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT / 2 VIEWS RT | $156.96 | $436.00 | $11.00–$436.00 | 52% below | 64% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT / 2 VIEWS LT | $156.96 | $436.00 | $11.00–$436.00 | 52% below | 64% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT / 2 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT / 2 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT-COMPLETE MIN 3 VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 57% below | 64% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 57% below | 64% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT-COMPLETE MIN 3 VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 OR MORE VIEWS LT | $156.96 | $436.00 | $12.65–$436.00 | 47% below | 64% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 OR MORE VIEWS RT | $156.96 | $436.00 | $12.65–$436.00 | 47% below | 64% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 OR MORE VIEWS LT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 OR MORE VIEWS RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE (1 OR 2 VIEWS) LT | $156.96 | $436.00 | $18.15–$436.00 | 44% below | 64% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE (1 OR 2 VIEWS) RT | $156.96 | $436.00 | $18.15–$436.00 | 44% below | 64% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE (1 OR 2 VIEWS) RT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE (1 OR 2 VIEWS) LT | $178.76 | $436.00 | — | — | 59% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL SPINE 2 OR 3 VIEWS | $189.72 | $527.00 | $22.06–$527.00 | 48% below | 64% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL SPINE 2 OR 3 VIEWS | $216.07 | $527.00 | — | — | 59% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBOSACRAL SPINE/ MIN 4 VIEWS | $189.72 | $527.00 | $24.75–$527.00 | 58% below | 64% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL SPINE/ MIN 4 VIEWS | $216.07 | $527.00 | — | — | 59% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $156.96 | $436.00 | $12.65–$436.00 | 42% below | 64% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $178.76 | $436.00 | — | — | 59% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE/3 VIEWS OR LESS | $156.96 | $436.00 | $18.15–$436.00 | 53% below | 64% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE/3 VIEWS OR LESS | $178.76 | $436.00 | — | — | 59% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS | $189.72 | $527.00 | $11.00–$527.00 | 35% below | 64% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS | $216.07 | $527.00 | — | — | 59% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX | $194.04 | $539.00 | $18.15–$539.00 | 42% below | 64% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX | $220.99 | $539.00 | — | — | 59% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $65.16 | $181.00 | $32.26–$181.00 | 71% below | 64% |
| ACTH blood test inpatient CPT 82024 ACTH | $74.21 | $181.00 | — | — | 59% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT | $24.84 | $69.00 | $4.43–$69.00 | 32% below | 64% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT)(SGPT) | $35.28 | $98.00 | $4.43–$98.00 | 3% below | 64% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT | $28.29 | $69.00 | — | — | 59% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT)(SGPT) | $40.18 | $98.00 | — | — | 59% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $11.52 | $32.00 | $3.54–$32.00 | 68% below | 64% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT) | $35.28 | $98.00 | $3.54–$98.00 | 3% below | 64% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $13.12 | $32.00 | — | — | 59% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST)(SGOT) | $40.18 | $98.00 | — | — | 59% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PROFILE | $152.64 | $424.00 | $39.78–$424.00 | 51% below | 64% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PROFILE | $173.84 | $424.00 | — | — | 59% |
| Albumin blood test CPT 82040 ALBUMIN,SERUM | $17.64 | $49.00 | $3.65–$49.00 | 45% below | 64% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $158.04 | $439.00 | $3.65–$439.00 | 394% above | 64% |
| Albumin blood test inpatient CPT 82040 ALBUMIN,SERUM | $20.09 | $49.00 | — | — | 59% |
| Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN | $179.99 | $439.00 | — | — | 59% |
| Aldosterone blood test CPT 82088 URINE,ALDOSTERONE | $66.60 | $185.00 | $26.00–$185.00 | 68% below | 64% |
| Aldosterone blood test CPT 82088 ALDOSTERONE,SERUM | $66.60 | $185.00 | $26.00–$185.00 | 68% below | 64% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE,SERUM | $75.85 | $185.00 | — | — | 59% |
| Aldosterone blood test inpatient CPT 82088 URINE,ALDOSTERONE | $75.85 | $185.00 | — | — | 59% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $18.36 | $51.00 | $3.62–$51.00 | 50% below | 64% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD ALLERGEN | $7.20 | $20.00 | $4.36–$20.00 | 78% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN ALLERGEN | $7.20 | $20.00 | $4.36–$20.00 | 78% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDI PULLULANS | $11.16 | $31.00 | $4.36–$31.00 | 65% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TURKEY | $11.16 | $31.00 | $4.36–$31.00 | 65% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO ALLERGEN | $11.16 | $31.00 | $4.36–$31.00 | 65% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOPS ALLERGEN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/DERMATOPHAGOIDES PTER | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/ASPERGILLUS FUMIGATUS | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINEAPPLE | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*GLUTEN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MUSSEL | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CRAB | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SHRIMP | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OYSTER | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-LOBSTER | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CLAM | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PARSLEY IgE | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IgE | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FORMALDEHYDE IGE | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MUSHROOM | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PALM ALLERGEN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEY ALLERGEN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER ALLERGEN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CORN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GINGER ALLERGEN | $11.52 | $32.00 | $4.36–$32.00 | 64% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GUINEA PIG EPITHELIUM | $12.24 | $34.00 | $4.36–$34.00 | 62% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TILAPA | $12.24 | $34.00 | $4.36–$34.00 | 62% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MANGO | $12.96 | $36.00 | $4.36–$36.00 | 60% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGAN - BASIL | $14.04 | $39.00 | $4.36–$39.00 | 57% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGAN - OREGANO | $14.04 | $39.00 | $4.36–$39.00 | 57% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - PLUM | $14.40 | $40.00 | $4.36–$40.00 | 55% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CRANBERRY | $14.40 | $40.00 | $4.36–$40.00 | 55% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - NETTLE | $15.12 | $42.00 | $4.36–$42.00 | 53% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TANGERINE | $15.12 | $42.00 | $4.36–$42.00 | 53% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - COCONUT | $15.12 | $42.00 | $4.36–$42.00 | 53% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG SPECIF IgE CRUDE XTR EA | $15.12 | $42.00 | $4.36–$42.00 | 53% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORRIS ROOT IGE | $15.12 | $42.00 | $4.36–$42.00 | 53% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINE NUT | $15.12 | $42.00 | $4.36–$42.00 | 53% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/MUCOR RACEMOSUS | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/RYE GRASS | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/WHITE HICKORY | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/WHITE ASH | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/SYCAMORE | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/WALNUT TREE | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/WILLOW | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/REDTOP GRASS | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/ORCHARD GRASS | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/FESCUE | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/JOHNSPN GRASS | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/PIGWEED | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/SORREL | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,BERMUDA GRASS | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE IGE | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/SWEET VERNAL | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/FUSARIUM MONILIFORME | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/ELM | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BEECH | $17.28 | $48.00 | $4.36–$48.00 | 47% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - RYE GRAIN | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS IGE | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BLUEBERRY | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - ASPERGILLUS NIGER | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX-HEVEA BRAZILIENSIS | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - COW DANDER | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,MUGWORT | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,MOUNTAIN CEDAR | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,WHITE MULBERRY | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,KIWI | $17.64 | $49.00 | $4.36–$49.00 | 45% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RED CEDAR | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SESAME SEED | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGERN CHICKEN FEATHERS | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - GOLDENROD | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - MELON | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGGYOLK | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*RHIZOPUS NIGRICANS* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGGWHITE | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*HELMINTHOSPOR.HALODES | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TOMATO | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*CANDIDA ALBICANS* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-STRAWBERRY | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*LAMB'S QUARTER* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHEAT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*ENGLISH PLANTAIN* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*COMMON RAGWEED* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/MAPLE (BOX ELDER) | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*KENTUCKY BLUE(JUNE)* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/CLADOSPORUM HERM-HORM | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*TIMOTHY* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/PENICILLUM | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*DERM FARINAE* | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN*MACADEMIA NUT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DOG DANDER | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/CAT DANDER | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,RASPBERRY | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BEE VENOM | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,WATERMELON | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,PEA | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PENICILLIN V | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/CASHEW | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/WALNUT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PENICILLIN G | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/ALMOND | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHOCOLATE | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,PEAR | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/HORSE DANDER | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/PEANUT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WASP | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,PEACH | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/ALPHA LACTALBUMIN | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BRAZIL NUT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SQUASH | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/PORK | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/PECAN | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORNET,WHITE | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CARROT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BEEF | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MILK | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BAKER'S YEAST | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,BARLEY | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/RICE | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CASEIN | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/COD | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,APPLE | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/OAT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SOY | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BIRCH | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHICKEN | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/COCKROACH | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,GREEN BEAN | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BANANA | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/LIME | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/ORANGE | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/LEMON | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,RABBIT EPITHELIA | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/GIANT RAGWEED | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/OAK | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/COTTONWOOD | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ALTERNARIA TENIUS | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SCALLOP | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HAZELNUT | $18.36 | $51.00 | $4.36–$51.00 | 43% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SWEET GUM | $19.80 | $55.00 | $4.36–$55.00 | 39% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BAHIA GRASS | $19.80 | $55.00 | $4.36–$55.00 | 39% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CINNAMON | $20.52 | $57.00 | $4.36–$57.00 | 37% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN E PURPURASCENS | $20.52 | $57.00 | $4.36–$57.00 | 37% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CHERRY | $21.96 | $61.00 | $4.36–$61.00 | 32% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,GRAPE | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CHICKPEA | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,KIDNEY BEAN | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,GOOSE FEATHERS | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,ONION | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,GREEN PEPPER | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEM,PISTACHIO | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CHESTNUT | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HALIBUT | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,TUNA | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,FLOUNDER | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,BROCCOLI | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,WHITE BEAN | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CHEESE MOLD | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CHEDDAR | $27.00 | $75.00 | $4.36–$75.00 | 17% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,WHITE PINE | $27.72 | $77.00 | $4.36–$77.00 | 14% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TARRAGON IgE | $28.08 | $78.00 | $4.36–$78.00 | 13% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 XANTHAN GUM ALLERGEN | $28.08 | $78.00 | $4.36–$78.00 | 13% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,PERCH | $28.08 | $78.00 | $4.36–$78.00 | 13% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO IGE | $28.08 | $78.00 | $4.36–$78.00 | 13% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CELERY | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SPINACH | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CUCUMBER | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,GARLIC | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CABBAGE | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CAULIFLOWER | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - LIMA BEAN | $28.80 | $80.00 | $4.36–$80.00 | 11% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SUGAR CANE | $29.16 | $81.00 | $4.36–$81.00 | 10% below | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,CARMINE RED DYE | $34.56 | $96.00 | $4.36–$96.00 | 7% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-FLAXSEED | $36.00 | $100.00 | $4.36–$100.00 | 11% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,TROUT | $36.00 | $100.00 | $4.36–$100.00 | 11% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HADDOCK | $36.00 | $100.00 | $4.36–$100.00 | 11% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SALMON | $36.00 | $100.00 | $4.36–$100.00 | 11% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RAT EPITHELIUM | $38.52 | $107.00 | $4.36–$107.00 | 19% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOUSE URINE | $38.52 | $107.00 | $4.36–$107.00 | 19% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,MOSQUITO | $42.12 | $117.00 | $4.36–$117.00 | 30% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CURVULARIA LUNATA | $42.12 | $117.00 | $4.36–$117.00 | 30% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DANDELION | $51.12 | $142.00 | $4.36–$142.00 | 58% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASPARAGUS | $52.92 | $147.00 | $4.36–$147.00 | 64% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - WHITEFISH | $60.12 | $167.00 | $4.36–$167.00 | 86% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VENISON ALLERGEN | $61.20 | $170.00 | $4.36–$170.00 | 89% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CARELESS WEED | $69.48 | $193.00 | $4.36–$193.00 | 115% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCREEN | $124.92 | $347.00 | $4.36–$347.00 | 286% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $412.56 | $1,146.00 | $4.36–$1,146.00 | 1176% above | 64% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GELATIN ALLERGEN | $8.20 | $20.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD ALLERGEN | $8.20 | $20.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO ALLERGEN | $12.71 | $31.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDI PULLULANS | $12.71 | $31.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TURKEY | $12.71 | $31.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/DERMATOPHAGOIDES PTER | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PARSLEY IgE | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MUSHROOM | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER ALLERGEN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER ALLERGEN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FORMALDEHYDE IGE | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IgE | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY ALLERGEN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PALM ALLERGEN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CLAM | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-LOBSTER | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OYSTER | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SHRIMP | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CRAB | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*GLUTEN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MUSSEL | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/ASPERGILLUS FUMIGATUS | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINEAPPLE | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CORN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOPS ALLERGEN | $13.12 | $32.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GUINEA PIG EPITHELIUM | $13.94 | $34.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TILAPA | $13.94 | $34.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MANGO | $14.76 | $36.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGAN - OREGANO | $15.99 | $39.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGAN - BASIL | $15.99 | $39.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - PLUM | $16.40 | $40.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CRANBERRY | $16.40 | $40.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - COCONUT | $17.22 | $42.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG SPECIF IgE CRUDE XTR EA | $17.22 | $42.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TANGERINE | $17.22 | $42.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - NETTLE | $17.22 | $42.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORRIS ROOT IGE | $17.22 | $42.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINE NUT | $17.22 | $42.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/WILLOW | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/SWEET VERNAL | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/RYE GRASS | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/PIGWEED | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/SORREL | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE IGE | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/FUSARIUM MONILIFORME | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/MUCOR RACEMOSUS | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/REDTOP GRASS | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,BERMUDA GRASS | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BEECH | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/ELM | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/ORCHARD GRASS | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/WHITE HICKORY | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/WHITE ASH | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/FESCUE | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/SYCAMORE | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/WALNUT TREE | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/JOHNSPN GRASS | $19.68 | $48.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ASPERGILLUS NIGER | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,KIWI | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,MOUNTAIN CEDAR | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,MUGWORT | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,WHITE MULBERRY | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX-HEVEA BRAZILIENSIS | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYS IGE | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BLUEBERRY | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - COW DANDER | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - RYE GRAIN | $20.09 | $49.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*COMMON RAGWEED* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/ALPHA LACTALBUMIN | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BAKER'S YEAST | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,PEACH | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,BARLEY | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/RICE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CASEIN | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/COD | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,APPLE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/OAT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SOY | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BIRCH | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHICKEN | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WASP | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/PEANUT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/HORSE DANDER | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/COCKROACH | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,PEAR | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,GREEN BEAN | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,SESAME SEED | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BANANA | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/LIME | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/ORANGE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/LEMON | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,RABBIT EPITHELIA | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/GIANT RAGWEED | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHOCOLATE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/ALMOND | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/OAK | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PENICILLIN G | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/WALNUT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/CASHEW | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PENICILLIN V | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/COTTONWOOD | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,PEA | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,WATERMELON | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BEE VENOM | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,RASPBERRY | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RED CEDAR | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGERN CHICKEN FEATHERS | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - GOLDENROD | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/CAT DANDER | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DOG DANDER | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*MACADEMIA NUT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MELON | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*DERM FARINAE* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/PENICILLUM | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*TIMOTHY* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/CLADOSPORUM HERM-HORM | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*KENTUCKY BLUE(JUNE)* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/MAPLE (BOX ELDER) | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,HAZELNUT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TOMATO | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*ENGLISH PLANTAIN* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WHEAT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,SCALLOP | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ALTERNARIA TENIUS | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*LAMB'S QUARTER* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-STRAWBERRY | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*CANDIDA ALBICANS* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGGYOLK | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*RHIZOPUS NIGRICANS* | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGGWHITE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN*HELMINTHOSPOR.HALODES | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,SQUASH | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/PORK | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/PECAN | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORNET,WHITE | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CARROT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BEEF | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BRAZIL NUT | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MILK | $20.91 | $51.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BAHIA GRASS | $22.55 | $55.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SWEET GUM | $22.55 | $55.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN E PURPURASCENS | $23.37 | $57.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CINNAMON | $23.37 | $57.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CHERRY | $25.01 | $61.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,ONION | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,KIDNEY BEAN | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CHEDDAR | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,WHITE BEAN | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,GRAPE | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,TUNA | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEM,PISTACHIO | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CHESTNUT | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,GREEN PEPPER | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,GOOSE FEATHERS | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,HALIBUT | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,FLOUNDER | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CHICKPEA | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,BROCCOLI | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CHEESE MOLD | $30.75 | $75.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,WHITE PINE | $31.57 | $77.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JALAPENO IGE | $31.98 | $78.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 XANTHAN GUM ALLERGEN | $31.98 | $78.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,PERCH | $31.98 | $78.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TARRAGON IgE | $31.98 | $78.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CABBAGE | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,GARLIC | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,SPINACH | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - LIMA BEAN | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CAULIFLOWER | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CUCUMBER | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CELERY | $32.80 | $80.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,SUGAR CANE | $33.21 | $81.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,CARMINE RED DYE | $39.36 | $96.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-FLAXSEED | $41.00 | $100.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,TROUT | $41.00 | $100.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,HADDOCK | $41.00 | $100.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,SALMON | $41.00 | $100.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RAT EPITHELIUM | $43.87 | $107.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MOUSE URINE | $43.87 | $107.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CURVULARIA LUNATA | $47.97 | $117.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,MOSQUITO | $47.97 | $117.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DANDELION | $58.22 | $142.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASPARAGUS | $60.27 | $147.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - WHITEFISH | $68.47 | $167.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VENISON ALLERGEN | $69.70 | $170.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CARELESS WEED | $79.13 | $193.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCREEN | $142.27 | $347.00 | — | — | 59% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $469.86 | $1,146.00 | — | — | 59% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN, SERUM | $27.00 | $75.00 | $14.00–$75.00 | 75% below | 64% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN/TUMOR MARK | $123.12 | $342.00 | $14.00–$342.00 | 12% above | 64% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN, SERUM | $30.75 | $75.00 | — | — | 59% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN/TUMOR MARK | $140.22 | $342.00 | — | — | 59% |
| Ammonia blood test CPT 82140 AMMONIA | $50.40 | $140.00 | $5.00–$140.00 | 45% below | 64% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $57.40 | $140.00 | — | — | 59% |
| Amylase blood test CPT 82150 AMYLASE-FLUID | $13.32 | $37.00 | $5.00–$37.00 | 70% below | 64% |
| Amylase blood test CPT 82150 AMYLASE- URINE | $16.20 | $45.00 | $5.00–$45.00 | 63% below | 64% |
| Amylase blood test CPT 82150 AMYLASE | $21.96 | $61.00 | $5.00–$61.00 | 50% below | 64% |
| Amylase blood test CPT 82150 AMYLASE ISOENYZMES | $81.36 | $226.00 | $5.00–$226.00 | 86% above | 64% |
| Amylase blood test inpatient CPT 82150 AMYLASE-FLUID | $15.17 | $37.00 | — | — | 59% |
| Amylase blood test inpatient CPT 82150 AMYLASE- URINE | $18.45 | $45.00 | — | — | 59% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $25.01 | $61.00 | — | — | 59% |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENYZMES | $92.66 | $226.00 | — | — | 59% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP IGG | $98.64 | $274.00 | $10.82–$274.00 | 16% above | 64% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP IGG | $112.34 | $274.00 | — | — | 59% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI-NUCLEAR ANTIBODY) | $38.52 | $107.00 | $10.10–$107.00 | 48% below | 64% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTI-NUCLEAR ANTIBODY) | $43.87 | $107.00 | — | — | 59% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATURETIC PEPTIDE | $137.16 | $381.00 | $23.20–$381.00 | 31% below | 64% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATURETIC PEPTIDE | $156.21 | $381.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE | $19.80 | $55.00 | $6.90–$55.00 | 62% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $19.80 | $55.00 | $6.90–$55.00 | 62% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE CULTURE | $19.80 | $55.00 | $6.90–$55.00 | 62% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE | $19.80 | $55.00 | $6.90–$55.00 | 62% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE | $19.80 | $55.00 | $6.90–$55.00 | 62% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $19.80 | $55.00 | $6.90–$55.00 | 62% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL ASPIRATE CULTURE | $21.96 | $61.00 | $6.90–$61.00 | 58% below | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE CULTURE | $22.55 | $55.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE | $22.55 | $55.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE | $22.55 | $55.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE | $22.55 | $55.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE | $22.55 | $55.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE | $22.55 | $55.00 | — | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL ASPIRATE CULTURE | $25.01 | $61.00 | — | — | 59% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL(PXY 8) | $28.80 | $80.00 | $7.07–$80.00 | 61% below | 64% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL(PXY 8) | $32.80 | $80.00 | — | — | 59% |
| Bilirubin blood test, total CPT 82247 FLUID,BILIRUBIN | $17.64 | $49.00 | $4.19–$49.00 | 45% below | 64% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $17.64 | $49.00 | $4.19–$49.00 | 45% below | 64% |
| Bilirubin blood test, total inpatient CPT 82247 FLUID,BILIRUBIN | $20.09 | $49.00 | — | — | 59% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $20.09 | $49.00 | — | — | 59% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW ASPIRATE T | $57.24 | $159.00 | $9.00–$159.00 | 68% below | 64% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL SPECIMEN LEVEL IV T | $79.92 | $222.00 | $9.00–$222.00 | 55% below | 64% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW ASPIRATE T | $65.19 | $159.00 | — | — | 59% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL SPECIMEN LEVEL IV T | $91.02 | $222.00 | — | — | 59% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $29.52 | $82.00 | $8.62–$82.00 | 65% below | 64% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $33.62 | $82.00 | — | — | 59% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $6.84 | $19.00 | $1.08–$26.15 | 54% below | 64% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $7.79 | $19.00 | — | — | 59% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $13.32 | $37.00 | $3.29–$37.00 | 48% below | 64% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $35.28 | $98.00 | $3.29–$98.00 | 37% above | 64% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $15.17 | $37.00 | — | — | 59% |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $40.18 | $98.00 | — | — | 59% |
| Blood lead test CPT 83655 LEAD, CAPILLARY | $23.04 | $64.00 | $10.00–$64.00 | 70% below | 64% |
| Blood lead test CPT 83655 LEAD | $27.00 | $75.00 | $10.00–$75.00 | 65% below | 64% |
| Blood lead test CPT 83655 LEAD LEVEL-BLOOD | $27.72 | $77.00 | $10.00–$77.00 | 64% below | 64% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $68.04 | $189.00 | $10.00–$189.00 | 13% below | 64% |
| Blood lead test inpatient CPT 83655 LEAD, CAPILLARY | $26.24 | $64.00 | — | — | 59% |
| Blood lead test inpatient CPT 83655 LEAD | $30.75 | $75.00 | — | — | 59% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL-BLOOD | $31.57 | $77.00 | — | — | 59% |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD | $77.49 | $189.00 | — | — | 59% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST/SERUM | $18.36 | $51.00 | $5.78–$51.00 | 63% below | 64% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST/SERUM | $20.91 | $51.00 | — | — | 59% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING,ABO | $55.44 | $154.00 | $4.12–$154.00 | 58% below | 64% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING,ABO | $63.14 | $154.00 | — | — | 59% |
| Blood urea nitrogen (BUN) test CPT 84520 FLUID/BUN | $9.00 | $25.00 | $3.30–$25.00 | 67% below | 64% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $14.40 | $40.00 | $3.30–$40.00 | 47% below | 64% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 FLUID/BUN | $10.25 | $25.00 | — | — | 59% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $16.40 | $40.00 | — | — | 59% |
| C-peptide blood test CPT 84681 C PEPTIDE | $42.12 | $117.00 | $17.38–$117.00 | 61% below | 64% |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE | $47.97 | $117.00 | — | — | 59% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $33.84 | $94.00 | $3.00–$94.00 | 5% below | 64% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $38.54 | $94.00 | — | — | 59% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $113.04 | $314.00 | $31.13–$314.00 | 46% below | 64% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF TOXIN (LAB CORP) | $113.04 | $314.00 | $31.13–$314.00 | 46% below | 64% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $128.74 | $314.00 | — | — | 59% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF TOXIN (LAB CORP) | $128.74 | $314.00 | — | — | 59% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $95.04 | $264.00 | $15.70–$264.00 | 29% below | 64% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $108.24 | $264.00 | — | — | 59% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $111.24 | $309.00 | $14.65–$309.00 | 15% below | 64% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $126.69 | $309.00 | — | — | 59% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $108.00 | $300.00 | $35.49–$300.00 | 18% above | 64% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 RAPID COVID RT-PCR | $108.00 | $300.00 | $35.49–$300.00 | 18% above | 64% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $123.00 | $300.00 | — | — | 59% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 RAPID COVID RT-PCR | $123.00 | $300.00 | — | — | 59% |
| Calcium blood test, total CPT 82310 CALCIUM | $29.52 | $82.00 | $3.54–$82.00 | 12% below | 64% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $33.62 | $82.00 | — | — | 59% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA RADIOIMMUNOSSAY | $79.56 | $221.00 | $15.83–$221.00 | 33% below | 64% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA RADIOIMMUNOSSAY | $90.61 | $221.00 | — | — | 59% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER,IgM | $60.48 | $168.00 | $10.76–$168.00 | 29% below | 64% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER,IgG | $60.48 | $168.00 | $10.76–$168.00 | 29% below | 64% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER,IgG | $68.88 | $168.00 | — | — | 59% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER,IgM | $68.88 | $168.00 | — | — | 59% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA/URINE | $62.64 | $174.00 | $23.19–$174.00 | 68% below | 64% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA/URINE | $71.34 | $174.00 | — | — | 59% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $42.84 | $119.00 | $11.19–$119.00 | 52% below | 64% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE/ BLOOD CHEMISTRY | $115.56 | $321.00 | $11.19–$321.00 | 29% above | 64% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $48.79 | $119.00 | — | — | 59% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE/ BLOOD CHEMISTRY | $131.61 | $321.00 | — | — | 59% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $23.76 | $66.00 | $6.00–$66.00 | 54% below | 64% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $27.06 | $66.00 | — | — | 59% |
| Complete blood count (CBC), no differential CPT 85027 CBC without DIFF | $29.16 | $81.00 | $4.70–$81.00 | 33% below | 64% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without DIFF | $33.21 | $81.00 | — | — | 59% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $36.00 | $100.00 | $8.82–$100.00 | 59% below | 64% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $41.00 | $100.00 | — | — | 59% |
| Cortisol blood test, total CPT 82533 CORTISOL AM | $36.00 | $100.00 | $12.00–$100.00 | 65% below | 64% |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $51.48 | $143.00 | $12.00–$143.00 | 50% below | 64% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL AM | $41.00 | $100.00 | — | — | 59% |
| Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL | $58.63 | $143.00 | — | — | 59% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK(CK) | $24.12 | $67.00 | $5.44–$67.00 | 46% below | 64% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK(CK) | $27.47 | $67.00 | — | — | 59% |
| Creatinine blood test CPT 82565 BEDSIDE CREATININE | $10.08 | $28.00 | $3.70–$28.00 | 70% below | 64% |
| Creatinine blood test CPT 82565 GFR ESTIMATE(CREATININE,BLOOD) | $17.64 | $49.00 | $3.70–$49.00 | 48% below | 64% |
| Creatinine blood test CPT 82565 CREATININE | $17.64 | $49.00 | $3.70–$49.00 | 48% below | 64% |
| Creatinine blood test inpatient CPT 82565 BEDSIDE CREATININE | $11.48 | $28.00 | — | — | 59% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $20.09 | $49.00 | — | — | 59% |
| Creatinine blood test inpatient CPT 82565 GFR ESTIMATE(CREATININE,BLOOD) | $20.09 | $49.00 | — | — | 59% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IgG | $48.96 | $136.00 | $12.02–$136.00 | 43% below | 64% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IgG | $55.76 | $136.00 | — | — | 59% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $69.84 | $194.00 | $18.57–$194.00 | 48% below | 64% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $79.54 | $194.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN METABOLITE | $111.96 | $311.00 | $51.90–$311.00 | 38% below | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHYLPHENIDATE URINE | $116.64 | $324.00 | $51.90–$324.00 | 36% below | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 THC WHOLE BLOOD | $116.64 | $324.00 | $51.90–$324.00 | 36% below | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, BLOOD | $116.64 | $324.00 | $51.90–$324.00 | 36% below | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL URINE | $116.64 | $324.00 | $51.90–$324.00 | 36% below | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMPTIVE CHEM ANL | $178.56 | $496.00 | $51.90–$496.00 | 2% below | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UMBILICAL EXPANDED DRUG SCREEN | $210.60 | $585.00 | $51.90–$585.00 | 16% above | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM | $248.40 | $690.00 | $51.90–$690.00 | 36% above | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN | $248.40 | $690.00 | $51.90–$690.00 | 36% above | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OLANZAPINE | $333.36 | $926.00 | $51.90–$926.00 | 83% above | 64% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN METABOLITE | $127.51 | $311.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC WHOLE BLOOD | $132.84 | $324.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL URINE | $132.84 | $324.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, BLOOD | $132.84 | $324.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHYLPHENIDATE URINE | $132.84 | $324.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMPTIVE CHEM ANL | $203.36 | $496.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UMBILICAL EXPANDED DRUG SCREEN | $239.85 | $585.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN | $282.90 | $690.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MECONIUM | $282.90 | $690.00 | — | — | 59% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OLANZAPINE | $379.66 | $926.00 | — | — | 59% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $19.44 | $54.00 | $5.86–$54.00 | 63% below | 64% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $22.14 | $54.00 | — | — | 59% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EB VCA AB,IgM | $62.28 | $173.00 | $15.15–$173.00 | 46% below | 64% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EB VCA AB,IgG | $62.28 | $173.00 | $15.15–$173.00 | 46% below | 64% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR ABS IGG/IGM | $137.16 | $381.00 | $15.15–$381.00 | 20% above | 64% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VCA AB,IgG | $70.93 | $173.00 | — | — | 59% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VCA AB,IgM | $70.93 | $173.00 | — | — | 59% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR ABS IGG/IGM | $156.21 | $381.00 | — | — | 59% |
| Estradiol blood test CPT 82670 ESTROGEN, FRACTIONATED | $52.56 | $146.00 | $21.50–$146.00 | 68% below | 64% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL | $68.40 | $190.00 | $21.50–$190.00 | 59% below | 64% |
| Estradiol blood test CPT 82670 ESTRADIOL | $169.20 | $470.00 | $21.50–$470.00 | 2% above | 64% |
| Estradiol blood test inpatient CPT 82670 ESTROGEN, FRACTIONATED | $59.86 | $146.00 | — | — | 59% |
| Estradiol blood test inpatient CPT 82670 ASSAY OF ESTRADIOL | $77.90 | $190.00 | — | — | 59% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $192.70 | $470.00 | — | — | 59% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $65.52 | $182.00 | $15.52–$182.00 | 45% below | 64% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH,PEDIATRIC | $65.52 | $182.00 | $15.52–$182.00 | 45% below | 64% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $74.62 | $182.00 | — | — | 59% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH,PEDIATRIC | $74.62 | $182.00 | — | — | 59% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL | $98.64 | $274.00 | $16.40–$274.00 | 24% below | 64% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL | $112.34 | $274.00 | — | — | 59% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $27.72 | $77.00 | $11.39–$77.00 | 68% below | 64% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $31.57 | $77.00 | — | — | 59% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $31.68 | $88.00 | $8.12–$88.00 | 52% below | 64% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $101.16 | $281.00 | $8.12–$281.00 | 53% above | 64% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $36.08 | $88.00 | — | — | 59% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $115.21 | $281.00 | — | — | 59% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID,SERUM | $40.68 | $113.00 | $12.00–$113.00 | 53% below | 64% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $40.68 | $113.00 | $12.00–$113.00 | 53% below | 64% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $46.33 | $113.00 | — | — | 59% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID,SERUM | $46.33 | $113.00 | — | — | 59% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $137.52 | $382.00 | $14.15–$382.00 | 29% above | 64% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $156.62 | $382.00 | — | — | 59% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $35.28 | $98.00 | $7.53–$98.00 | 41% below | 64% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4, DIRECT DIALYSIS | $35.28 | $98.00 | $7.53–$98.00 | 41% below | 64% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4, DIRECT DIALYSIS | $40.18 | $98.00 | — | — | 59% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $40.18 | $98.00 | — | — | 59% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $47.52 | $132.00 | $21.28–$132.00 | 70% below | 64% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $54.12 | $132.00 | — | — | 59% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRNSTPTDSE | $28.80 | $80.00 | $5.47–$80.00 | 39% below | 64% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $35.28 | $98.00 | $5.47–$98.00 | 26% below | 64% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRNSTPTDSE | $32.80 | $80.00 | — | — | 59% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT | $40.18 | $98.00 | — | — | 59% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1 HR PREGNAN | $28.80 | $80.00 | $10.75–$80.00 | 64% below | 64% |
| Glucose tolerance test, 3 samples CPT 82951 GTT X3 SPECIMENS | $29.52 | $82.00 | $10.75–$82.00 | 64% below | 64% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1 HR PREGNAN | $32.80 | $80.00 | — | — | 59% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT X3 SPECIMENS | $33.62 | $82.00 | — | — | 59% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA DETECTION,DNA PROBE | $153.72 | $427.00 | $23.19–$427.00 | 16% below | 64% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA DETECTION,DNA PROBE | $175.07 | $427.00 | — | — | 59% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,AB,IgA | $33.84 | $94.00 | $13.23–$94.00 | 71% below | 64% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGM | $40.32 | $112.00 | $13.23–$112.00 | 65% below | 64% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IgG | $79.92 | $222.00 | $13.23–$222.00 | 31% below | 64% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,AB,IgA | $38.54 | $94.00 | — | — | 59% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGM | $45.92 | $112.00 | — | — | 59% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IgG | $91.02 | $222.00 | — | — | 59% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI,AG,STOOL | $129.96 | $361.00 | $9.65–$361.00 | 35% above | 64% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI,AG,STOOL | $148.01 | $361.00 | — | — | 59% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA,PCR | $162.72 | $452.00 | $71.07–$452.00 | 67% below | 64% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA,PCR | $185.32 | $452.00 | — | — | 59% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 ANTIBODY SCREEN | $73.80 | $205.00 | $20.12–$205.00 | 48% below | 64% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 ANTIBODY SCREEN | $84.05 | $205.00 | — | — | 59% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $113.04 | $314.00 | $29.30–$314.00 | 46% below | 64% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES | $128.74 | $314.00 | — | — | 59% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSILATED HEMOGLOBIN-A1C | $25.92 | $72.00 | $7.00–$72.00 | 49% below | 64% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSILATED HEMOGLOBIN-A1C | $29.52 | $72.00 | — | — | 59% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $7.20 | $20.00 | $1.98–$20.00 | 58% below | 64% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $8.20 | $20.00 | — | — | 59% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $40.68 | $113.00 | $10.06–$113.00 | 52% below | 64% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $46.33 | $113.00 | — | — | 59% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB,QUANT | $28.80 | $80.00 | $8.97–$80.00 | 61% below | 64% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $35.28 | $98.00 | $8.97–$98.00 | 52% below | 64% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB,QUANT | $32.80 | $80.00 | — | — | 59% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $40.18 | $98.00 | — | — | 59% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $28.80 | $80.00 | $8.63–$80.00 | 59% below | 64% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $32.40 | $90.00 | $8.63–$90.00 | 53% below | 64% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $32.80 | $80.00 | — | — | 59% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA | $36.90 | $90.00 | — | — | 59% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY SCREEN | $40.32 | $112.00 | $11.92–$112.00 | 59% below | 64% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $42.84 | $119.00 | $11.92–$119.00 | 57% below | 64% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY SCREEN | $45.92 | $112.00 | — | — | 59% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $48.79 | $119.00 | — | — | 59% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANTITATIVE | $98.64 | $274.00 | $35.78–$274.00 | 65% below | 64% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANTITATIVE | $112.34 | $274.00 | — | — | 59% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX ABS,IGG | $27.00 | $75.00 | $11.02–$75.00 | 66% below | 64% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX ABS,IGG | $30.75 | $75.00 | — | — | 59% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $53.64 | $149.00 | $16.05–$149.00 | 50% below | 64% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IgG SUPPLEMENTAL TEST | $53.64 | $149.00 | $16.05–$149.00 | 50% below | 64% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IgG SUPPLEMENTAL TEST | $61.09 | $149.00 | — | — | 59% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $61.09 | $149.00 | — | — | 59% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $36.00 | $100.00 | $10.53–$100.00 | 54% below | 64% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $41.00 | $100.00 | — | — | 59% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $61.56 | $171.00 | $14.97–$171.00 | 49% below | 64% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $70.11 | $171.00 | — | — | 59% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL | $28.80 | $80.00 | $9.55–$80.00 | 60% below | 64% |
| Insulin blood test CPT 83525 INSULIN,TOTAL | $47.52 | $132.00 | $9.55–$132.00 | 34% below | 64% |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL | $32.80 | $80.00 | — | — | 59% |
| Insulin blood test inpatient CPT 83525 INSULIN,TOTAL | $54.12 | $132.00 | — | — | 59% |
| Iron blood test (serum iron) CPT 83540 IRON,SERUM | $20.88 | $58.00 | $4.81–$58.00 | 54% below | 64% |
| Iron blood test (serum iron) CPT 83540 IRON | $38.16 | $106.00 | $4.81–$106.00 | 16% below | 64% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON,SERUM | $23.78 | $58.00 | — | — | 59% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $43.46 | $106.00 | — | — | 59% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $121.68 | $338.00 | $5.00–$338.00 | 104% above | 64% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $138.58 | $338.00 | — | — | 59% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $37.44 | $104.00 | $7.25–$104.00 | 45% below | 64% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $42.64 | $104.00 | — | — | 59% |
| LH (luteinizing hormone) test CPT 83002 LEUTIENIZING HORMONE | $36.36 | $101.00 | $15.47–$101.00 | 70% below | 64% |
| LH (luteinizing hormone) test CPT 83002 LEUTENIZING HORMONE,PEDIATRIC | $38.88 | $108.00 | $15.47–$108.00 | 67% below | 64% |
| LH (luteinizing hormone) test inpatient CPT 83002 LEUTIENIZING HORMONE | $41.41 | $101.00 | — | — | 59% |
| LH (luteinizing hormone) test inpatient CPT 83002 LEUTENIZING HORMONE,PEDIATRIC | $44.28 | $108.00 | — | — | 59% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $44.64 | $124.00 | $8.00–$124.00 | 42% below | 64% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $50.84 | $124.00 | — | — | 59% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-FLUID | $14.04 | $39.00 | $4.37–$39.00 | 62% below | 64% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $20.88 | $58.00 | $4.37–$58.00 | 43% below | 64% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-FLUID | $15.99 | $39.00 | — | — | 59% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $23.78 | $58.00 | — | — | 59% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $15.48 | $43.00 | $5.00–$43.00 | 67% below | 64% |
| Lipase blood test (pancreas enzyme) CPT 83690 FLUID LIPASE | $21.60 | $60.00 | $5.00–$60.00 | 54% below | 64% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $17.63 | $43.00 | — | — | 59% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 FLUID LIPASE | $24.60 | $60.00 | — | — | 59% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL (A) | $23.76 | $66.00 | $6.82–$66.00 | 70% below | 64% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL (A) | $27.06 | $66.00 | — | — | 59% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $50.76 | $141.00 | $14.22–$141.00 | 46% below | 64% |
| Lyme disease antibody test CPT 86618 LYME IGG/IGM EIA | $50.76 | $141.00 | $14.22–$141.00 | 46% below | 64% |
| Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM EIA | $57.81 | $141.00 | — | — | 59% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES | $57.81 | $141.00 | — | — | 59% |
| Magnesium blood test CPT 83735 RBC MAGNESIUM | $14.04 | $39.00 | $4.82–$39.00 | 66% below | 64% |
| Magnesium blood test CPT 83735 MAGNESIUM | $14.04 | $39.00 | $4.82–$39.00 | 66% below | 64% |
| Magnesium blood test CPT 83735 URINE,MAGNESIUM | $14.04 | $39.00 | $4.82–$39.00 | 66% below | 64% |
| Magnesium blood test inpatient CPT 83735 URINE,MAGNESIUM | $15.99 | $39.00 | — | — | 59% |
| Magnesium blood test inpatient CPT 83735 RBC MAGNESIUM | $15.99 | $39.00 | — | — | 59% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $15.99 | $39.00 | — | — | 59% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG-ELISA | $32.04 | $89.00 | $10.40–$89.00 | 60% below | 64% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IgG & IgM | $102.60 | $285.00 | $10.40–$285.00 | 27% above | 64% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG-ELISA | $36.49 | $89.00 | — | — | 59% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IgG & IgM | $116.85 | $285.00 | — | — | 59% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $29.52 | $82.00 | $3.36–$82.00 | 21% below | 64% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $33.62 | $82.00 | — | — | 59% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $24.84 | $69.00 | $8.76–$69.00 | 69% below | 64% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $62.64 | $174.00 | $8.76–$174.00 | 23% below | 64% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGM | $28.29 | $69.00 | — | — | 59% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY | $71.34 | $174.00 | — | — | 59% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA/FREE | $77.40 | $215.00 | $15.36–$215.00 | 32% below | 64% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA/FREE | $88.15 | $215.00 | — | — | 59% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA/TOTAL | $56.88 | $158.00 | $15.36–$158.00 | 48% below | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC ANTIGEN/DIAG | $129.60 | $360.00 | $15.36–$360.00 | 18% above | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA/TOTAL | $64.78 | $158.00 | — | — | 59% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPEC ANTIGEN/DIAG | $147.60 | $360.00 | — | — | 59% |
| Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP IMAGING W/MAN REVIEW | $90.36 | $251.00 | $19.40–$251.00 | 10% above | 64% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP IMAGING W/MAN REVIEW | $102.91 | $251.00 | — | — | 59% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID N TERMINAL | $71.64 | $199.00 | $34.48–$199.00 | 67% below | 64% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID N TERMINAL | $81.59 | $199.00 | — | — | 59% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $13.32 | $37.00 | $4.52–$37.00 | 68% below | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBIN TIME PLASMA | $19.80 | $55.00 | $4.52–$55.00 | 52% below | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL | $15.17 | $37.00 | — | — | 59% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBIN TIME PLASMA | $22.55 | $55.00 | — | — | 59% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $25.92 | $72.00 | $2.88–$72.00 | 20% below | 64% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $29.52 | $72.00 | — | — | 59% |
| Potassium blood test CPT 84132 POTASSIUM (SERUM) | $11.16 | $31.00 | $2.95–$31.00 | 65% below | 64% |
| Potassium blood test inpatient CPT 84132 POTASSIUM (SERUM) | $12.71 | $31.00 | — | — | 59% |
| Prolactin blood test CPT 84146 PROLACTIN | $33.84 | $94.00 | $16.18–$94.00 | 73% below | 64% |
| Prolactin blood test CPT 84146 PROLACTIN TOTAL/MONOMERIC x2 | $158.04 | $439.00 | $16.18–$439.00 | 27% above | 64% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $38.54 | $94.00 | — | — | 59% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN TOTAL/MONOMERIC x2 | $179.99 | $439.00 | — | — | 59% |
| Prothrombin time (PT/INR) clotting test CPT 85610 COAGULATION CHECK | $9.00 | $25.00 | $2.32–$25.00 | 68% below | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME W/INR | $9.36 | $26.00 | $2.32–$26.00 | 67% below | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.36 | $26.00 | $2.32–$26.00 | 67% below | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COAGULATION CHECK | $10.25 | $25.00 | — | — | 59% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME W/INR | $10.66 | $26.00 | — | — | 59% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $10.66 | $26.00 | — | — | 59% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN (TRIAGE) | $248.40 | $690.00 | $10.52–$690.00 | 346% above | 64% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN (TRIAGE) | $282.90 | $690.00 | — | — | 59% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A,B,RAPID TEST | $72.36 | $201.00 | $11.35–$201.00 | 32% above | 64% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A,B,RAPID TEST | $82.41 | $201.00 | — | — | 59% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A | $32.76 | $91.00 | $6.30–$91.00 | 48% below | 64% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A | $37.31 | $91.00 | — | — | 59% |
| Renin blood test CPT 84244 RENIN | $42.84 | $119.00 | $12.00–$119.00 | 70% below | 64% |
| Renin blood test inpatient CPT 84244 RENIN | $48.79 | $119.00 | — | — | 59% |
| Rh blood typing CPT 86901 Rh,BLOOD | $44.28 | $123.00 | $4.17–$123.00 | 22% below | 64% |
| Rh blood typing inpatient CPT 86901 Rh,BLOOD | $50.43 | $123.00 | — | — | 59% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGA | $21.60 | $60.00 | $4.73–$60.00 | 45% below | 64% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $31.68 | $88.00 | $4.73–$88.00 | 19% below | 64% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR IGA | $24.60 | $60.00 | — | — | 59% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR | $36.08 | $88.00 | — | — | 59% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANITBODY TITER/IGM | $28.80 | $80.00 | $11.96–$80.00 | 66% below | 64% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SEROLOGY/IGG/ELISA | $28.80 | $80.00 | $11.96–$80.00 | 66% below | 64% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANITBODY TITER/IGM | $32.80 | $80.00 | — | — | 59% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SEROLOGY/IGG/ELISA | $32.80 | $80.00 | — | — | 59% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS/URINE | $72.00 | $200.00 | $8.26–$200.00 | 19% below | 64% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS/URINE | $82.00 | $200.00 | — | — | 59% |
| Sodium blood test CPT 84295 SODIUM (SERUM) | $15.48 | $43.00 | $4.01–$43.00 | 52% below | 64% |
| Sodium blood test inpatient CPT 84295 SODIUM (SERUM) | $17.63 | $43.00 | — | — | 59% |
| Stool ova and parasites exam CPT 87177 STOOL FOR OVA & PARASITES | $18.36 | $51.00 | $7.43–$51.00 | 69% below | 64% |
| Stool ova and parasites exam inpatient CPT 87177 STOOL FOR OVA & PARASITES | $20.91 | $51.00 | — | — | 59% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLADIUM | $35.64 | $99.00 | $11.06–$99.00 | 52% below | 64% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA | $55.44 | $154.00 | $11.06–$154.00 | 26% below | 64% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. PALLADIUM | $40.59 | $99.00 | — | — | 59% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA | $63.14 | $154.00 | — | — | 59% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $5.04 | $14.00 | $2.54–$14.00 | 82% below | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/CSF | $14.04 | $39.00 | $2.54–$39.00 | 50% below | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $5.74 | $14.00 | — | — | 59% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/CSF | $15.99 | $39.00 | — | — | 59% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON | $201.24 | $559.00 | $51.77–$559.00 | 35% below | 64% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON | $229.19 | $559.00 | — | — | 59% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $69.48 | $193.00 | $21.56–$193.00 | 57% below | 64% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $79.13 | $193.00 | — | — | 59% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL AB | $23.04 | $64.00 | $7.91–$64.00 | 69% below | 64% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER & KIDNEY MICROSOMAL ANTI | $25.92 | $72.00 | $7.91–$72.00 | 66% below | 64% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $45.72 | $127.00 | $7.91–$127.00 | 39% below | 64% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE ANTIBO | $49.68 | $138.00 | $7.91–$138.00 | 34% below | 64% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL AB | $26.24 | $64.00 | — | — | 59% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER & KIDNEY MICROSOMAL ANTI | $29.52 | $72.00 | — | — | 59% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH | $52.07 | $127.00 | — | — | 59% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE ANTIBO | $56.58 | $138.00 | — | — | 59% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $61.56 | $171.00 | $14.03–$171.00 | 39% below | 64% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $70.11 | $171.00 | — | — | 59% |
| Total IgE blood test CPT 82785 IGE | $53.64 | $149.00 | $13.74–$149.00 | 48% below | 64% |
| Total IgE blood test inpatient CPT 82785 IGE | $61.09 | $149.00 | — | — | 59% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL,SERUM TOTAL | $25.92 | $72.00 | $3.64–$72.00 | 14% below | 64% |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $35.28 | $98.00 | $3.64–$98.00 | 16% above | 64% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL,SERUM TOTAL | $29.52 | $72.00 | — | — | 59% |
| Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $40.18 | $98.00 | — | — | 59% |
| Total thyroxine (T4) blood test CPT 84436 T4 RIA | $18.36 | $51.00 | $5.21–$51.00 | 59% below | 64% |
| Total thyroxine (T4) blood test CPT 84436 T4(THYROXINE,TOTAL) | $18.36 | $51.00 | $5.21–$51.00 | 59% below | 64% |
| Total thyroxine (T4) blood test CPT 84436 T7 (INCLUDES T3 & T4) | $36.00 | $100.00 | $5.21–$100.00 | 20% below | 64% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4(THYROXINE,TOTAL) | $20.91 | $51.00 | — | — | 59% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 RIA | $20.91 | $51.00 | — | — | 59% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T7 (INCLUDES T3 & T4) | $41.00 | $100.00 | — | — | 59% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 RIA MC | $40.68 | $113.00 | $8.00–$113.00 | 58% below | 64% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 RIA MC | $46.33 | $113.00 | — | — | 59% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $29.16 | $81.00 | $10.66–$81.00 | 66% below | 64% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $33.21 | $81.00 | — | — | 59% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS URINE MALE | $169.56 | $471.00 | $29.30–$471.00 | 8% below | 64% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS URINE MALE | $193.11 | $471.00 | — | — | 59% |
| Triglycerides blood test CPT 84478 FLUID-TRIGLYCERIDES | $14.04 | $39.00 | $4.80–$39.00 | 65% below | 64% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $35.28 | $98.00 | $4.80–$98.00 | 11% below | 64% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $36.00 | $100.00 | $4.80–$100.00 | 9% below | 64% |
| Triglycerides blood test inpatient CPT 84478 FLUID-TRIGLYCERIDES | $15.99 | $39.00 | — | — | 59% |
| Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES | $40.18 | $98.00 | — | — | 59% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $41.00 | $100.00 | — | — | 59% |
| Troponin test, quantitative CPT 84484 TROPONIN I | $30.24 | $84.00 | $9.87–$84.00 | 63% below | 64% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I | $34.44 | $84.00 | — | — | 59% |
| Uric acid blood test CPT 84550 URIC ACID/SERUM | $25.92 | $72.00 | $3.77–$72.00 | 18% below | 64% |
| Uric acid blood test inpatient CPT 84550 URIC ACID/SERUM | $29.52 | $72.00 | — | — | 59% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $12.96 | $36.00 | $2.45–$36.00 | 61% below | 64% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $14.76 | $36.00 | — | — | 59% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO | $9.00 | $25.00 | $1.88–$25.00 | 50% below | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO | $10.25 | $25.00 | — | — | 59% |
| Urinalysis without microscope exam, manual CPT 81002 RHC URINALYSIS NON-AUTOMATED | $6.48 | $18.00 | $2.91–$18.00 | 69% below | 64% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 RHC URINALYSIS NON-AUTOMATED | $7.38 | $18.00 | — | — | 59% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $17.64 | $49.00 | $6.74–$49.00 | 69% below | 64% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $20.09 | $49.00 | — | — | 59% |
| Urine microalbumin (albumin) test CPT 82043 URINE ALBUMIN,MICROALB,QUANT | $37.08 | $103.00 | $4.82–$103.00 | 6% below | 64% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN/URINE | $43.92 | $122.00 | $4.82–$122.00 | 11% above | 64% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE ALBUMIN,MICROALB,QUANT | $42.23 | $103.00 | — | — | 59% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN/URINE | $50.02 | $122.00 | — | — | 59% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy test/Urine | $14.76 | $41.00 | $4.00–$41.00 | 60% below | 64% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $19.80 | $55.00 | $4.00–$55.00 | 46% below | 64% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST/URINE | $23.76 | $66.00 | $4.00–$66.00 | 36% below | 64% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy test/Urine | $16.81 | $41.00 | — | — | 59% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $22.55 | $55.00 | — | — | 59% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST/URINE | $27.06 | $66.00 | — | — | 59% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 (CYANOCOBALAMIN) | $44.64 | $124.00 | $12.59–$124.00 | 52% below | 64% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 (CYANOCOBALAMIN) | $50.84 | $124.00 | — | — | 59% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VITIMIN D | $75.96 | $211.00 | $24.72–$211.00 | 49% below | 64% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXY VITIMIN D | $86.51 | $211.00 | — | — | 59% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1-25 DIHYDROXY | $81.72 | $227.00 | $32.16–$227.00 | 66% below | 64% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1-25 DIHYDROXY | $93.07 | $227.00 | — | — | 59% |
| Zinc blood test CPT 84630 ZINC, RBC | $30.96 | $86.00 | $9.51–$86.00 | 57% below | 64% |
| Zinc blood test CPT 84630 ZINC,SERUM | $40.68 | $113.00 | $9.51–$113.00 | 44% below | 64% |
| Zinc blood test inpatient CPT 84630 ZINC, RBC | $35.26 | $86.00 | — | — | 59% |
| Zinc blood test inpatient CPT 84630 ZINC,SERUM | $46.33 | $113.00 | — | — | 59% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT | $27.00 | $75.00 | $12.57–$75.00 | 70% below | 64% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG TUMOR MARKER | $87.12 | $242.00 | $12.57–$242.00 | 3% below | 64% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA SUBUNIT | $30.75 | $75.00 | — | — | 59% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG TUMOR MARKER | $99.22 | $242.00 | — | — | 59% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $498.24 | $1,384.00 | $112.74–$1,384.00 | 1% above | 64% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE | $567.44 | $1,384.00 | — | — | 59% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TX METATARSAL FRACTURE | $412.92 | $1,147.00 | $74.98–$1,147.00 | 21% below | 64% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TX METATARSAL FRACTURE | $470.27 | $1,147.00 | — | — | 59% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ARRHYTHMIA EL TC | $349.20 | $970.00 | $95.70–$970.00 | 76% below | 64% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, EXTERNAL ELECT | $813.60 | $2,260.00 | $95.70–$2,260.00 | 44% below | 64% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ARRHYTHMIA EL TC | $397.70 | $970.00 | — | — | 59% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, EXTERNAL ELECT | $926.60 | $2,260.00 | — | — | 59% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $144.00 | $400.00 | $26.56–$1,500.00 | 88% below | 64% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $164.00 | $400.00 | — | — | 59% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVAL W/IRR UNI TC | $86.40 | $240.00 | $55.89–$853.60 | 38% below | 64% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVAL W/IRR UNI TC | $98.40 | $240.00 | — | — | 59% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECTION FOR UTERUS/TUBE X-RA | $140.04 | $389.00 | $57.20–$853.60 | 63% below | 64% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECTION FOR UTERUS/TUBE X-RA | $159.49 | $389.00 | — | — | 59% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSCESS, SIMPLE | $345.60 | $960.00 | $25.85–$960.00 | 32% below | 64% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN SKIN ABSCESS, SIMPLE | $393.60 | $960.00 | — | — | 59% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND/SHEATH/LIGAMENT SINGL | $522.72 | $1,452.00 | $35.20–$1,452.00 | 8% below | 64% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND/SHEATH/LIGAMENT SINGL | $595.32 | $1,452.00 | — | — | 59% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS-APRIRATE OR INJ | $386.64 | $1,074.00 | $11.87–$1,074.00 | 17% below | 64% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS-APRIRATE OR INJ | $440.34 | $1,074.00 | — | — | 59% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $478.08 | $1,328.00 | $19.80–$1,328.00 | 16% above | 64% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $544.48 | $1,328.00 | — | — | 59% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $158.76 | $441.00 | $75.05–$853.60 | 66% below | 64% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $180.81 | $441.00 | — | — | 59% |
| Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NRV BLOCK | $522.72 | $1,452.00 | $38.50–$1,452.00 | 7% below | 64% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIPITAL NRV BLOCK | $595.32 | $1,452.00 | — | — | 59% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATR | $709.20 | $1,970.00 | $187.04–$1,970.00 | 15% below | 64% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL AND NAIL MATR | $807.70 | $1,970.00 | — | — | 59% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $313.56 | $871.00 | $44.47–$871.00 | 52% below | 64% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $357.11 | $871.00 | — | — | 59% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP TC | $399.24 | $1,109.00 | $46.20–$1,510.85 | 67% below | 64% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE TC | $429.84 | $1,194.00 | $46.20–$1,510.85 | 65% below | 64% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP TC | $454.69 | $1,109.00 | — | — | 59% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE TC | $489.54 | $1,194.00 | — | — | 59% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $348.84 | $969.00 | $53.90–$969.00 | 38% below | 64% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 | $397.29 | $969.00 | — | — | 59% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $562.32 | $1,562.00 | $36.30–$2,044.22 | 48% below | 64% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE | $640.42 | $1,562.00 | — | — | 59% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $432.00 | $1,200.00 | $30.62–$1,200.00 | 54% below | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION TC | $505.44 | $1,404.00 | $30.62–$1,404.00 | 46% below | 64% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $492.00 | $1,200.00 | — | — | 59% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION TC | $575.64 | $1,404.00 | — | — | 59% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT INITIAL | $176.76 | $491.00 | $11.83–$491.00 | 21% below | 64% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT INITIAL | $201.31 | $491.00 | — | — | 59% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $601.92 | $1,672.00 | $137.28–$1,672.00 | 17% below | 64% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $685.52 | $1,672.00 | — | — | 59% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $363.96 | $1,011.00 | $14.85–$1,011.00 | 52% below | 64% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $414.51 | $1,011.00 | — | — | 59% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY | $55.44 | $154.00 | $10.74–$154.00 | 68% below | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY | $63.14 | $154.00 | — | — | 59% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT*NON EMERG* LEVEL I MA | $111.96 | $311.00 | $17.81–$311.00 | 63% below | 64% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL ONE TECHNICAL | $111.96 | $311.00 | $17.81–$311.00 | 63% below | 64% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL ONE TECHNICAL | $127.51 | $311.00 | — | — | 59% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT*NON EMERG* LEVEL I MA | $127.51 | $311.00 | — | — | 59% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL TWO TECHNICAL | $205.92 | $572.00 | $29.54–$572.00 | 57% below | 64% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT*NON EMERG* MA LEVELII | $205.92 | $572.00 | $29.54–$572.00 | 57% below | 64% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT*NON EMERG* MA LEVELII | $234.52 | $572.00 | — | — | 59% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL TWO TECHNICAL | $234.52 | $572.00 | — | — | 59% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL THREE TECHNICAL | $191.52 | $532.00 | $38.50–$532.00 | 74% below | 64% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL THREE TECHNICAL | $218.12 | $532.00 | — | — | 59% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL FOUR TECHNICAL | $313.92 | $872.00 | $55.00–$872.00 | 74% below | 64% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL FOUR TECHNICAL | $357.52 | $872.00 | — | — | 59% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL FIVE TECHNICAL | $468.72 | $1,302.00 | $55.00–$1,302.00 | 71% below | 64% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL FIVE TECHNICAL | $533.82 | $1,302.00 | — | — | 59% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $532.80 | $1,480.00 | $28.36–$1,480.00 | 44% below | 64% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $606.80 | $1,480.00 | — | — | 59% |
| Group psychotherapy session CPT 90853 GROUP THERAPY - 60 MINS 2ND PF | $34.56 | $96.00 | $33.00–$96.00 | 76% below | 64% |
| Group psychotherapy session CPT 90853 GROUP THERAPY - 60 MINS 2ND TC | $99.36 | $276.00 | $33.00–$276.00 | 31% below | 64% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY - 60 MINS 2ND PF | $39.36 | $96.00 | — | — | 59% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY - 60 MINS 2ND TC | $113.16 | $276.00 | — | — | 59% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUS HYDRAT INIT 31-1HR | $370.08 | $1,028.00 | $34.79–$1,028.00 | 15% below | 64% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV THERAPY, HYDRATION, 1ST HR | $390.96 | $1,086.00 | $34.79–$1,086.00 | 10% below | 64% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV THERAP HYDRATE ONLY 1ST HR | $390.96 | $1,086.00 | $34.79–$1,086.00 | 10% below | 64% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUS HYDRAT INIT 31-1HR | $421.48 | $1,028.00 | — | — | 59% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV THERAP HYDRATE ONLY 1ST HR | $445.26 | $1,086.00 | — | — | 59% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV THERAPY, HYDRATION, 1ST HR | $445.26 | $1,086.00 | — | — | 59% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HOUR | $92.52 | $257.00 | $43.23–$257.00 | 79% below | 64% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY, 1ST HOUR | $124.92 | $347.00 | $43.23–$347.00 | 72% below | 64% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY,1ST HOUR | $159.84 | $444.00 | $43.23–$444.00 | 65% below | 64% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT HR | $370.08 | $1,028.00 | $43.23–$1,028.00 | 18% below | 64% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY 1ST HOUR | $105.37 | $257.00 | — | — | 59% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY, 1ST HOUR | $142.27 | $347.00 | — | — | 59% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY,1ST HOUR | $182.04 | $444.00 | — | — | 59% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT HR | $421.48 | $1,028.00 | — | — | 59% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG/INJ IV PUSH | $370.08 | $1,028.00 | $34.12–$1,028.00 | 13% above | 64% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV | $390.96 | $1,086.00 | $34.12–$1,086.00 | 19% above | 64% |
| IV push of a medicine, first drug CPT 96374 INJECTION,IV | $390.96 | $1,086.00 | $34.12–$1,086.00 | 19% above | 64% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG/INJ IV PUSH | $421.48 | $1,028.00 | — | — | 59% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV | $445.26 | $1,086.00 | — | — | 59% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION,IV | $445.26 | $1,086.00 | — | — | 59% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SQ or IM | $50.40 | $140.00 | $13.97–$140.00 | 59% below | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $52.56 | $146.00 | $13.97–$146.00 | 57% below | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SQ OR IM | $52.56 | $146.00 | $13.97–$146.00 | 57% below | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SQ/IM | $122.40 | $340.00 | $13.97–$340.00 | 1% below | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUTANEOUS OR IM | $132.48 | $368.00 | $13.97–$368.00 | 7% above | 64% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SQ or IM | $57.40 | $140.00 | — | — | 59% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ | $59.86 | $146.00 | — | — | 59% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SQ OR IM | $59.86 | $146.00 | — | — | 59% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SQ/IM | $139.40 | $340.00 | — | — | 59% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUTANEOUS OR IM | $150.88 | $368.00 | — | — | 59% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INIT EVAL (INTAKE) PF | $110.52 | $307.00 | $28.88–$307.00 | 59% below | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INIT EVAL (INTAKE) TC | $163.80 | $455.00 | $28.88–$455.00 | 39% below | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INIT EVAL (INTAKE) PF | $125.87 | $307.00 | — | — | 59% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INIT EVAL (INTAKE) TC | $186.55 | $455.00 | — | — | 59% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NVR CNDJ TST 7-8 STUDIES | $497.52 | $1,382.00 | $64.89–$1,382.00 | 66% below | 64% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NVR CNDJ TST 7-8 STUDIES | $566.62 | $1,382.00 | — | — | 59% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY ASSESS | $149.76 | $416.00 | $21.82–$416.00 | 197% above | 64% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRITION THERAPY ASSESS | $170.56 | $416.00 | — | — | 59% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC EVAL PHYS TC | $204.84 | $569.00 | $82.50–$569.00 | 38% below | 64% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC EVAL PHYS TC | $233.29 | $569.00 | — | — | 59% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCHE TESTING EVAL 1ST HR TC | $387.00 | $1,075.00 | $97.53–$1,075.00 | 33% below | 64% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCHE TESTING EVAL 1ST HR TC | $440.75 | $1,075.00 | — | — | 59% |
| Psychotherapy session, 30 minutes CPT 90832 INDIV THERAPY - 30 MINS PF | $55.08 | $153.00 | $28.60–$153.00 | 78% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 INDIV THERAPY - 30 MIN TC | $120.60 | $335.00 | $28.60–$335.00 | 51% below | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIV THERAPY - 30 MINS PF | $62.73 | $153.00 | — | — | 59% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIV THERAPY - 30 MIN TC | $137.35 | $335.00 | — | — | 59% |
| Psychotherapy session, 45 minutes CPT 90834 INDIV THERAPY 45 MIN PF | $109.44 | $304.00 | $42.90–$304.00 | 57% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 INDIV THERAPY 45 MINS TC | $136.80 | $380.00 | $42.90–$380.00 | 47% below | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIV THERAPY 45 MIN PF | $124.64 | $304.00 | — | — | 59% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIV THERAPY 45 MINS TC | $155.80 | $380.00 | — | — | 59% |
| Psychotherapy session, 60 minutes CPT 90837 INDIV THERAPY 60 MIN PF | $129.24 | $359.00 | $57.20–$359.00 | 57% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 INDIV THERAPY - 60 MINS PF | $129.24 | $359.00 | $57.20–$359.00 | 57% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 INDIV THERAPY - 60 MINS TC | $171.72 | $477.00 | $57.20–$477.00 | 43% below | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIV THERAPY - 60 MINS PF | $147.19 | $359.00 | — | — | 59% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIV THERAPY 60 MIN PF | $147.19 | $359.00 | — | — | 59% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIV THERAPY - 60 MINS TC | $195.57 | $477.00 | — | — | 59% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $58.68 | $163.00 | $19.91–$163.00 | 29% above | 64% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $66.83 | $163.00 | — | — | 59% |
| Spirometry (breathing test) CPT 94010 BASIC PULMONARY FUNCTION/S | $156.60 | $435.00 | $9.90–$435.00 | 48% below | 64% |
| Spirometry (breathing test) inpatient CPT 94010 BASIC PULMONARY FUNCTION/S | $178.35 | $435.00 | — | — | 59% |
| Spirometry before and after a bronchodilator CPT 94060 BASIC PFT WITH BRONCHODILATOR | $228.96 | $636.00 | $12.54–$636.00 | 65% below | 64% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BASIC PFT WITH BRONCHODILATOR | $260.76 | $636.00 | — | — | 59% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC | $97.20 | $270.00 | $11.00–$270.00 | 58% below | 64% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $219.60 | $610.00 | $11.00–$610.00 | 5% below | 64% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $219.60 | $610.00 | $11.00–$610.00 | 5% below | 64% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC | $110.70 | $270.00 | — | — | 59% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $250.10 | $610.00 | — | — | 59% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $250.10 | $610.00 | — | — | 59% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP (INFANRIX) 0.5ML | $27.83 | $77.31 | $11.00–$77.31 | 19% below | 64% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP (INFANRIX) 0.5ML | $31.70 | $77.31 | — | — | 59% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE TRIVALENT | $37.08 | $103.00 | $11.00–$103.00 | 44% below | 64% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE TRIVALENT | $42.23 | $103.00 | — | — | 59% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 PFS 0.5ML | $299.88 | $833.00 | $11.00–$834.38 | 7% below | 64% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 PFS 0.5ML | $341.53 | $833.00 | — | — | 59% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 DTAP 0.5ML ADMIN | $71.64 | $199.00 | $0.21–$199.00 | 12% above | 64% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECT-VACCINE/TOXOID (SINGLE) | $98.28 | $273.00 | $0.21–$273.00 | 54% above | 64% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 DTAP 0.5ML ADMIN | $81.59 | $199.00 | — | — | 59% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJECT-VACCINE/TOXOID (SINGLE) | $111.93 | $273.00 | — | — | 59% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJECT-VACCINE/TOXOID EA ADDL | $20.16 | $56.00 | $0.49–$106.00 | 25% below | 64% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJECT-VACCINE/TOXOID EA ADDL | $22.96 | $56.00 | — | — | 59% |
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.pah.org/download/?id=4490