Gibson Area Hospital
Gibson Area Hospital in Gibson City, IL publishes cash prices for 498 common procedures listed here, from its own machine-readable price file updated Nov 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 343 of 497 procedures and below it for 150. By typical cash price it ranks #113 of 117 Illinois hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1120 N Melvin St, Gibson City, IL 60936 Collected Nov 6, 2026 Source price file Check a bill from this hospital (217) 784-4251
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 141317 · CMS hospital register
The price file shows no self-pay discount
For 2474 of the 2474 prices listed here, the cash price in Gibson Area Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Gibson 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.
State law
This state limits hospital bills for lower-income patients
Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO | $6,644.00 | $6,644.00 | $1,176.56–$5,080.60 | 136% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO | $6,644.00 | $6,644.00 | $3,936.13–$5,434.79 | — | — |
| Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $859.00 | $859.00 | $13.19–$211.85 | 158% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $859.00 | $859.00 | $13.19–$211.85 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 XRAY Ankle 3V+ side: | $1,684.00 | $1,684.00 | $10.00–$386.65 | 399% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X ANKLE RIGHT 3V+ | $1,684.00 | $1,684.00 | $161.04–$695.40 | 399% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X ANKLE LEFT 3V+ | $1,684.00 | $1,684.00 | $161.04–$700.24 | 399% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY Ankle 3V+ side: | $1,684.00 | $1,684.00 | $10.00–$386.65 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X ANKLE RIGHT 3V+ | $1,684.00 | $1,684.00 | $414.92–$1,377.51 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X ANKLE LEFT 3V+ | $1,684.00 | $1,684.00 | $414.92–$1,377.51 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UL LOW EXT ART ABI/TCPO2 1-2 LVLS | $1,407.00 | $1,407.00 | $12.95–$614.65 | 239% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INV STUDIES UPPER/LOWER EXTR SINGLE | $1,407.00 | $1,407.00 | $202.84–$875.90 | 239% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INV STUDIES UPPER/LOWER EXTR SINGLE | $1,407.00 | $1,407.00 | $678.59–$1,150.93 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UL LOW EXT ART ABI/TCPO2 1-2 LVLS | $1,407.00 | $1,407.00 | $12.95–$614.65 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT RIGHT W/O | $4,419.00 | $4,419.00 | $782.54–$3,379.15 | 142% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT LEFT W/O | $4,419.00 | $4,419.00 | $782.54–$3,379.15 | 142% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT LEFT W/O | $4,419.00 | $4,419.00 | $2,617.95–$3,614.74 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT RIGHT W/O | $4,419.00 | $4,419.00 | $2,617.95–$3,614.74 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X ESOPHAGUS | $1,483.00 | $1,483.00 | $226.82–$979.45 | 143% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X ESOPHAGUS | $1,483.00 | $1,483.00 | $758.82–$1,213.09 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE | $3,197.00 | $3,197.00 | $703.34–$3,037.15 | 103% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE | $3,197.00 | $3,197.00 | $2,352.99–$3,037.15 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 UL BREAST COMPLETE LEFT | $2,705.00 | $2,705.00 | $315.70–$1,363.25 | 423% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 UL BREAST COMPLETE RIGHT | $2,705.00 | $2,705.00 | $315.70–$1,363.25 | 423% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 UL BREAST COMPLETE LEFT | $2,705.00 | $2,705.00 | $1,056.16–$2,212.69 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 UL BREAST COMPLETE RIGHT | $2,705.00 | $2,705.00 | $1,056.16–$2,212.69 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $2,481.00 | $2,481.00 | $38.52–$544.35 | 465% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 UL BREAST LIMITED RIGHT | $2,481.00 | $2,481.00 | $253.00–$1,092.50 | 465% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 UL BREAST LIMITED LEFT | $2,481.00 | $2,481.00 | $253.00–$1,092.50 | 465% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED | $2,481.00 | $2,481.00 | $38.52–$544.35 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 UL BREAST LIMITED RIGHT | $2,481.00 | $2,481.00 | $846.40–$2,029.46 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 UL BREAST LIMITED LEFT | $2,481.00 | $2,481.00 | $846.40–$2,029.46 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PELV W/O&W/DYE | $8,468.00 | $8,468.00 | $1,619.86–$6,994.85 | 129% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD&PELV W/O&W/DYE | $8,468.00 | $8,468.00 | $5,419.17–$6,994.85 | — | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD(COW)W/WO/REPROC | $7,690.00 | $7,690.00 | $1,337.16–$5,774.10 | 205% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD(COW)W/WO/REPROC | $7,690.00 | $7,690.00 | $4,473.41–$6,290.42 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CTA HEAD/NECK/CAROTID W W/O REPROCESSING | $7,549.00 | $7,549.00 | $1,337.16–$5,774.10 | 194% above | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK/CAROTIDW/WO/REPRC | $7,549.00 | $7,549.00 | $1,337.16–$5,774.10 | 194% above | — |
| CT angiography (CTA) of the neck CPT 70498 *DNU CTA NECK/CAROTID W/WO/REPROC PFA) | $7,549.00 | $7,549.00 | $863.06–$3,726.85 | 194% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA HEAD/NECK/CAROTID W W/O REPROCESSING | $7,549.00 | $7,549.00 | $4,473.41–$6,175.08 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 *DNU CTA NECK/CAROTID W/WO/REPROC PFA) | $7,549.00 | $7,549.00 | $2,887.33–$6,175.08 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK/CAROTIDW/WO/REPRC | $7,549.00 | $7,549.00 | $4,473.41–$6,175.08 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO/REPROC | $8,267.00 | $8,267.00 | $1,464.32–$6,323.20 | 185% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO/REPROC | $8,267.00 | $8,267.00 | $4,898.82–$6,762.41 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Scoring | $122.00 | $122.00 | $32.96–$385.70 | 45% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Scoring | $122.00 | $122.00 | $32.96–$385.70 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O | $8,047.00 | $8,047.00 | $1,425.38–$6,155.05 | 132% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE (ABD/PELV W/O) | $8,047.00 | $8,047.00 | $1,425.38–$6,155.05 | 132% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O | $8,047.00 | $8,047.00 | $4,768.54–$6,582.45 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE (ABD/PELV W/O) | $8,047.00 | $8,047.00 | $4,768.54–$6,582.45 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV WITH | $9,567.00 | $9,567.00 | $1,694.44–$7,316.90 | 116% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV WITH | $9,567.00 | $9,567.00 | $5,668.67–$7,825.81 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/WO | $11,151.00 | $11,151.00 | $1,975.16–$8,529.10 | 127% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM | $11,151.00 | $11,151.00 | $1,975.16–$8,529.10 | 127% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W/WO | $11,151.00 | $11,151.00 | $6,607.81–$9,121.52 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM | $11,151.00 | $11,151.00 | $6,607.81–$9,121.52 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ | $5,744.00 | $5,744.00 | $1,017.28–$4,392.80 | 151% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ | $5,744.00 | $5,744.00 | $3,403.26–$4,698.59 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O | $4,935.00 | $4,935.00 | $874.06–$3,774.35 | 166% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O | $4,935.00 | $4,935.00 | $2,924.13–$4,036.83 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O | $4,717.00 | $4,717.00 | $835.34–$3,607.15 | 178% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O | $4,717.00 | $4,717.00 | $835.34–$3,607.15 | 178% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O | $4,717.00 | $4,717.00 | $2,794.59–$3,858.51 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/O | $4,717.00 | $4,717.00 | $2,794.59–$3,858.51 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O | $4,935.00 | $4,935.00 | $874.06–$3,774.35 | 171% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O | $4,935.00 | $4,935.00 | $2,924.13–$4,036.83 | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ | $4,719.00 | $4,719.00 | $902.66–$3,897.85 | 145% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ | $4,719.00 | $4,719.00 | $3,019.81–$3,897.85 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO | $5,787.00 | $5,787.00 | $1,024.98–$4,426.05 | 139% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO | $5,787.00 | $5,787.00 | $3,429.02–$4,733.77 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O | $4,997.00 | $4,997.00 | $884.84–$3,820.90 | 130% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O | $4,997.00 | $4,997.00 | $2,960.19–$4,087.55 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O | $4,997.00 | $4,997.00 | $884.84–$3,820.90 | 120% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O | $4,997.00 | $4,997.00 | $2,960.19–$4,087.55 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ | $5,288.00 | $5,288.00 | $1,011.56–$4,368.10 | 145% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ | $5,288.00 | $5,288.00 | $3,384.13–$4,368.10 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Arteries | $1,182.00 | $1,182.00 | $40.60–$1,057.35 | 36% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Carotid Arteries | $1,182.00 | $1,182.00 | $40.60–$1,057.35 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/O & W/DYE | $6,324.00 | $6,324.00 | $1,120.02–$4,836.45 | 124% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/O & W/DYE | $6,324.00 | $6,324.00 | $3,746.98–$5,173.03 | — | — |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $527.00 | $527.00 | $12.41–$100.70 | 75% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $527.00 | $527.00 | $12.41–$100.70 | — | — |
| Chest X-ray, single view CPT 71045 X CHEST 1V | $642.00 | $642.00 | $106.70–$460.75 | 147% above | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $642.00 | $642.00 | $10.41–$386.65 | 147% above | — |
| Chest X-ray, single view inpatient CPT 71045 X CHEST 1V | $642.00 | $642.00 | $356.96–$525.16 | — | — |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $642.00 | $642.00 | $10.41–$386.65 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 XRAY Clavicle side: | $1,530.00 | $1,530.00 | $9.59–$325.85 | 444% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X CLAVICLE LEFT 2V+ | $1,530.00 | $1,530.00 | $146.30–$631.75 | 444% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X CLAVICLE RIGHT 2V+ | $1,530.00 | $1,530.00 | $146.30–$914.41 | 444% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XRAY Clavicle side: | $1,530.00 | $1,530.00 | $9.59–$325.85 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X CLAVICLE LEFT 2V+ | $1,530.00 | $1,530.00 | $358.34–$1,251.54 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X CLAVICLE RIGHT 2V+ | $1,530.00 | $1,530.00 | $358.34–$1,251.54 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $987.00 | $987.00 | $41.70–$883.50 | 22% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $987.00 | $987.00 | $41.70–$883.50 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DX DXA BONE DENS/HIP/SPINE | $1,148.00 | $1,148.00 | $219.56–$948.10 | 144% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DX DXA BONE DENS/HIP/SPINE | $1,148.00 | $1,148.00 | $734.53–$948.10 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US, DETAILED, SNGL FETUS, Unspecified Trimester | $1,847.00 | $1,847.00 | $71.90–$891.10 | 88% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US, DETAILED, SNGL FETUS, Unspecified Trimester | $1,847.00 | $1,847.00 | $71.90–$891.10 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE | $4,717.00 | $4,717.00 | $835.34–$3,607.15 | 160% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O DYE | $4,717.00 | $4,717.00 | $2,794.59–$3,858.51 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE PE | $5,712.00 | $5,712.00 | $1,011.56–$4,368.10 | 139% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE | $5,712.00 | $5,712.00 | $1,011.56–$4,368.10 | 139% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/DYE | $5,712.00 | $5,712.00 | $3,384.13–$4,672.42 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/DYE PE | $5,712.00 | $5,712.00 | $3,384.13–$4,672.42 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 MM DX MAMMO BIL INCL CAD | $1,659.00 | $1,659.00 | $337.92–$1,459.20 | 396% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MM DX MAMMO BIL INCL CAD | $1,659.00 | $1,659.00 | $1,130.50–$1,459.20 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MM POST BX DIAG MAMMO LEFT | $1,337.00 | $1,337.00 | $164.56–$710.60 | 337% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MM POST BX DIAG MAMMO RIGHT | $1,337.00 | $1,337.00 | $164.56–$710.60 | 337% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM POST BX DIAG MAMMO RIGHT | $1,337.00 | $1,337.00 | $511.68–$1,093.67 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM POST BX DIAG MAMMO LEFT | $1,337.00 | $1,337.00 | $511.68–$1,093.67 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US LOW EXT ART DUPLEX BIL | $1,137.00 | $1,137.00 | $39.85–$1,016.50 | 19% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LOW EXT ART DUPLEX BIL | $1,137.00 | $1,137.00 | $39.85–$1,016.50 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Low/Up Ext Ven Dop Bilateral site: | $1,218.00 | $1,218.00 | $35.28–$1,089.65 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Low/Up Ext Ven Dop Bilateral site: | $1,218.00 | $1,218.00 | $35.28–$1,089.65 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO/COMPLETE | $416.00 | $416.00 | $71.51–$382.85 | 80% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $416.00 | $416.00 | $26.40–$11,482.74 | 80% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 UL ECHO COMPLETE PEDIATRIC | $5,562.00 | $5,562.00 | $975.31–$5,809.04 | 166% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 UL ECHO/COMPLETE | $5,562.00 | $5,562.00 | $1,048.96–$4,529.60 | 166% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $416.00 | $416.00 | $84.46–$340.29 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO/COMPLETE | $416.00 | $416.00 | $71.51–$382.85 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 UL ECHO COMPLETE PEDIATRIC | $5,562.00 | $5,562.00 | $3,509.25–$4,549.72 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 UL ECHO/COMPLETE | $5,562.00 | $5,562.00 | $3,509.25–$4,549.72 | — | — |
| Elbow X-ray, 2 views CPT 73070 XRAY Elbow 2V | $456.00 | $456.00 | $9.59–$287.85 | 60% above | — |
| Elbow X-ray, 2 views one side CPT 73070 X ELBOW LEFT 2V | $456.00 | $456.00 | $91.30–$394.25 | 60% above | — |
| Elbow X-ray, 2 views one side CPT 73070 X ELBOW RIGHT 2V | $456.00 | $456.00 | $91.30–$394.25 | 60% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 XRAY Elbow 2V | $456.00 | $456.00 | $9.59–$287.85 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 X ELBOW RIGHT 2V | $456.00 | $456.00 | $305.44–$394.25 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 X ELBOW LEFT 2V | $456.00 | $456.00 | $305.44–$394.25 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 XRAY Elbow 3V+ side: | $1,440.00 | $1,440.00 | $10.00–$399.00 | 324% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X ELBOW RIGHT 3V+ | $1,440.00 | $1,440.00 | $137.72–$594.70 | 324% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X ELBOW LEFT 3V+ | $1,440.00 | $1,440.00 | $137.72–$4,532.75 | 324% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XRAY Elbow 3V+ side: | $1,440.00 | $1,440.00 | $10.00–$399.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X ELBOW RIGHT 3V+ | $1,440.00 | $1,440.00 | $419.02–$1,177.92 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X ELBOW LEFT 3V+ | $1,440.00 | $1,440.00 | $419.02–$1,177.92 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT W/O | $4,112.00 | $4,112.00 | $775.72–$3,349.70 | 146% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMPORAL BONES W/O | $4,112.00 | $4,112.00 | $782.54–$3,379.15 | 146% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA W/O | $4,112.00 | $4,112.00 | $784.74–$3,388.65 | 146% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC W/O | $4,112.00 | $4,112.00 | $786.50–$3,396.25 | 146% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMPORAL BONES W/O | $4,112.00 | $4,112.00 | $2,617.95–$3,379.15 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT W/O | $4,112.00 | $4,112.00 | $2,595.14–$3,363.62 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC W/O | $4,112.00 | $4,112.00 | $2,631.20–$3,396.25 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA W/O | $4,112.00 | $4,112.00 | $2,625.31–$3,388.65 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X FACIAL BONES 3V+ | $945.00 | $945.00 | $180.62–$1,738.48 | 130% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X FACIAL BONES 3V+ | $945.00 | $945.00 | $604.26–$779.95 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XRAY Forearm side: | $1,746.00 | $1,746.00 | $9.22–$477.85 | 449% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X FOREARM RIGHT 2V+ | $1,746.00 | $1,746.00 | $166.98–$721.05 | 449% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X FOREARM LEFT 2V+ | $1,746.00 | $1,746.00 | $166.98–$721.05 | 449% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XRAY Forearm side: | $1,746.00 | $1,746.00 | $9.22–$477.85 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X FOREARM RIGHT 2V+ | $1,746.00 | $1,746.00 | $378.84–$1,428.23 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X FOREARM LEFT 2V+ | $1,746.00 | $1,746.00 | $378.84–$1,428.23 | — | — |
| Hand X-ray, 2 views CPT 73120 XRAY HAND 2V (DJD) | $1,207.00 | $1,207.00 | $9.59–$144.40 | 323% above | — |
| Hand X-ray, 2 views one side CPT 73120 X HAND RIGHT 2V | $1,207.00 | $1,207.00 | $106.70–$460.75 | 323% above | — |
| Hand X-ray, 2 views one side CPT 73120 X HAND LEFT 2V | $1,207.00 | $1,207.00 | $106.70–$460.75 | 323% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 XRAY HAND 2V (DJD) | $1,207.00 | $1,207.00 | $9.59–$144.40 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 X HAND RIGHT 2V | $1,207.00 | $1,207.00 | $356.96–$987.33 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 X HAND LEFT 2V | $1,207.00 | $1,207.00 | $356.96–$987.33 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XRAY Heel (Calcaneous) side: | $515.00 | $515.00 | $9.22–$287.85 | 99% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X CALCANEUS LEFT 2V+ | $515.00 | $515.00 | $106.70–$557.58 | 99% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X CALCANEUS RIGHT 2V+ | $515.00 | $515.00 | $106.70–$460.75 | 99% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XRAY Heel (Calcaneous) side: | $515.00 | $515.00 | $9.22–$287.85 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X CALCANEUS RIGHT 2V+ | $515.00 | $515.00 | $356.96–$460.75 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X CALCANEUS LEFT 2V+ | $515.00 | $515.00 | $356.96–$460.75 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED | $283.00 | $283.00 | $45.85–$335.79 | 55% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED & RESPIRATORY EFF | $283.00 | $283.00 | $434.94–$1,878.15 | 55% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTENDED | $283.00 | $283.00 | $45.85–$335.79 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED & RESPIRATORY EFF | $283.00 | $283.00 | $231.49–$1,878.15 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY (POLYSOMNOGRAPHY W/CPAP) | $562.00 | $562.00 | $127.18–$1,475.10 | 88% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLIT/ CPAP | $10,910.00 | $10,910.00 | $2,222.44–$9,596.90 | 139% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY WITH CPAP | $11,112.00 | $11,112.00 | $2,222.44–$9,596.90 | 143% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY (POLYSOMNOGRAPHY W/CPAP) | $562.00 | $562.00 | $127.18–$1,475.10 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY SPLIT/ CPAP | $10,910.00 | $10,910.00 | $7,435.07–$9,596.90 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY WITH CPAP | $11,112.00 | $11,112.00 | $7,435.07–$9,596.90 | — | — |
| Knee X-ray, 3 views CPT 73562 XRAY Knee 3V side: | $1,895.00 | $1,895.00 | $10.78–$450.30 | 441% above | — |
| Knee X-ray, 3 views one side CPT 73562 X KNEE LEFT 3V | $1,895.00 | $1,895.00 | $170.50–$736.25 | 441% above | — |
| Knee X-ray, 3 views one side CPT 73562 X KNEE RIGHT 3V | $1,895.00 | $1,895.00 | $170.50–$736.25 | 441% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 XRAY Knee 3V side: | $1,895.00 | $1,895.00 | $10.78–$450.30 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 X KNEE LEFT 3V | $1,895.00 | $1,895.00 | $450.18–$1,550.11 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 X KNEE RIGHT 3V | $1,895.00 | $1,895.00 | $450.18–$1,550.11 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 XRAY Knee 4V+ side: | $2,812.00 | $2,812.00 | $12.78–$481.65 | 535% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X KNEE RIGHT 4V+ | $2,812.00 | $2,812.00 | $249.04–$1,075.40 | 535% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X KNEE LEFT 4V+ | $2,812.00 | $2,812.00 | $249.04–$1,075.40 | 535% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XRAY Knee 4V+ side: | $2,812.00 | $2,812.00 | $12.78–$481.65 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X KNEE LEFT 4V+ | $2,812.00 | $2,812.00 | $641.24–$2,300.22 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X KNEE RIGHT 4V+ | $2,812.00 | $2,812.00 | $641.24–$2,300.22 | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT RIGHT W/O | $11,032.00 | $11,032.00 | $1,055.34–$4,557.15 | 514% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT LEFT W/O | $11,032.00 | $11,032.00 | $1,055.34–$4,557.15 | 514% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT LEFT W/O | $11,032.00 | $11,032.00 | $2,778.16–$9,024.18 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT RIGHT W/O | $11,032.00 | $11,032.00 | $2,778.16–$9,024.18 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited (Specify) | $535.00 | $535.00 | $33.74–$725.80 | 23% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited (Specify) | $535.00 | $535.00 | $33.74–$725.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 UL EXT NON VASCULAR LIMITED LEFT LIMITED | $273.00 | $273.00 | $60.06–$1,607.40 | 11% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 UL EXT NON VASCULAR LIMITED RT LIMITED | $273.00 | $273.00 | $60.06–$1,607.40 | 11% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 UL JNT NON VASC RIGHT LIMITED | $273.00 | $273.00 | $60.06–$1,607.40 | 11% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 UL JNT NON VASC LEFT LIMITED | $273.00 | $273.00 | $60.06–$1,607.40 | 11% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 UL EXT NON VASCULAR LIMITED RT LIMITED | $273.00 | $273.00 | $223.31–$1,607.40 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 UL JNT NON VASC RIGHT LIMITED | $273.00 | $273.00 | $223.31–$1,607.40 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 UL EXT NON VASCULAR LIMITED LEFT LIMITED | $273.00 | $273.00 | $223.31–$1,607.40 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 UL JNT NON VASC LEFT LIMITED | $273.00 | $273.00 | $223.31–$1,607.40 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING | $4,805.00 | $4,805.00 | $835.34–$3,607.15 | 750% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING | $4,805.00 | $4,805.00 | $2,794.59–$3,930.49 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG | $1,567.00 | $1,567.00 | $9.22–$181.45 | 384% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X LOWER LEG RIGHT 2V+ | $1,567.00 | $1,567.00 | $149.82–$646.95 | 384% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X LOWER LEG LEFT 2V+ | $1,567.00 | $1,567.00 | $149.82–$651.91 | 384% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-RAY EXAM OF LOWER LEG | $1,567.00 | $1,567.00 | $9.22–$181.45 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X LOWER LEG RIGHT 2V+ | $1,567.00 | $1,567.00 | $385.40–$1,281.81 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X LOWER LEG LEFT 2V+ | $1,567.00 | $1,567.00 | $385.40–$1,281.81 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O AND REPROC | $6,406.00 | $6,406.00 | $1,047.86–$4,524.85 | 144% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O+REPROC | $6,406.00 | $6,406.00 | $1,134.54–$4,899.15 | 144% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD W/O AND REPROC | $6,406.00 | $6,406.00 | $3,505.57–$5,240.11 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O+REPROC | $6,406.00 | $6,406.00 | $3,795.55–$5,240.11 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 * DNU MR JT LOW LT WO (V606) | $7,627.00 | $7,627.00 | $551.54–$2,381.65 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 * DNU MR JT LOW RT WO (V606) | $7,627.00 | $7,627.00 | $160.49–$2,381.65 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP LEFT W/O | $7,627.00 | $7,627.00 | $1,459.04–$6,300.40 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE RIGHT W/O | $7,627.00 | $7,627.00 | $1,459.04–$6,300.40 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE LEFT W/O | $7,627.00 | $7,627.00 | $1,459.04–$346,481.18 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE RIGHT W/O | $7,627.00 | $7,627.00 | $1,459.04–$6,300.40 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE LEFT W/O | $7,627.00 | $7,627.00 | $1,459.04–$6,300.40 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP RIGHT W/O | $7,627.00 | $7,627.00 | $1,459.04–$35,493.65 | 171% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR KNEE RIGHT W/O | $7,627.00 | $7,627.00 | $4,245.96–$6,300.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 * DNU MR JT LOW RT WO (V606) | $7,627.00 | $7,627.00 | $1,845.15–$6,238.89 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR KNEE LEFT W/O | $7,627.00 | $7,627.00 | $4,245.96–$6,300.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR HIP LEFT W/O | $7,627.00 | $7,627.00 | $4,245.96–$6,300.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR HIP RIGHT W/O | $7,627.00 | $7,627.00 | $4,245.96–$6,300.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ANKLE LEFT W/O | $7,627.00 | $7,627.00 | $4,245.96–$6,300.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 * DNU MR JT LOW LT WO (V606) | $7,627.00 | $7,627.00 | $1,845.15–$6,238.89 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ANKLE RIGHT W/O | $7,627.00 | $7,627.00 | $4,245.96–$6,300.40 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR KNEE RIGHT W/WO | $8,070.00 | $8,070.00 | $1,543.74–$430,364.94 | 134% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE RIGHT W/WO | $8,070.00 | $8,070.00 | $1,543.74–$6,666.15 | 134% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE LEFT W/WO | $8,070.00 | $8,070.00 | $1,543.74–$244,272.96 | 134% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR HIP RIGHT W/WO | $8,070.00 | $8,070.00 | $1,543.74–$671,453.17 | 134% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR HIP LEFT W/WO | $8,070.00 | $8,070.00 | $1,543.74–$6,666.15 | 134% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR KNEE LEFT W/WO | $8,070.00 | $8,070.00 | $1,543.74–$6,666.15 | 134% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ANKLE LEFT W/WO | $8,070.00 | $8,070.00 | $5,164.51–$6,666.15 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR HIP RIGHT W/WO | $8,070.00 | $8,070.00 | $5,164.51–$6,666.15 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ANKLE RIGHT W/WO | $8,070.00 | $8,070.00 | $5,164.51–$6,666.15 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR HIP LEFT W/WO | $8,070.00 | $8,070.00 | $5,164.51–$6,666.15 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR KNEE RIGHT W/WO | $8,070.00 | $8,070.00 | $5,164.51–$6,666.15 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR KNEE LEFT W/WO | $8,070.00 | $8,070.00 | $5,164.51–$6,666.15 | — | — |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O | $7,860.00 | $7,860.00 | $1,465.20–$6,327.00 | 185% above | — |
| MRI of the abdomen without contrast CPT 74181 MR MRCP | $7,860.00 | $7,860.00 | $1,392.16–$7,841.43 | 185% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN W/O | $7,860.00 | $7,860.00 | $4,264.00–$6,429.48 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR MRCP | $7,860.00 | $7,860.00 | $4,051.62–$6,429.48 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO | $10,046.00 | $10,046.00 | $1,779.14–$7,682.65 | 169% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/WO | $10,046.00 | $10,046.00 | $5,952.03–$8,217.63 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O | $6,863.00 | $6,863.00 | $1,215.50–$6,025.93 | 146% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O | $6,863.00 | $6,863.00 | $4,066.40–$5,613.93 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO | $10,697.00 | $10,697.00 | $1,278.83–$7,682.65 | 166% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR IAC AND BRAIN W/WO | $11,351.00 | $11,351.00 | $2,010.58–$9,419.82 | 182% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO | $10,697.00 | $10,697.00 | $5,952.03–$8,750.15 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR IAC AND BRAIN W/WO | $11,351.00 | $11,351.00 | $6,726.30–$9,285.12 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPINE W/O | $7,442.00 | $7,442.00 | $1,294.04–$5,587.90 | 158% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE W/O | $7,442.00 | $7,442.00 | $4,329.15–$6,087.56 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE W/WO | $10,046.00 | $10,046.00 | $1,779.14–$7,682.65 | 149% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE W/WO | $10,046.00 | $10,046.00 | $5,952.03–$8,217.63 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE W/O | $7,004.00 | $7,004.00 | $1,240.58–$5,357.05 | 146% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE W/O | $7,004.00 | $7,004.00 | $4,150.30–$5,729.27 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE W/WO | $9,695.00 | $9,695.00 | $1,717.32–$7,415.70 | 147% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE W/WO | $9,695.00 | $9,695.00 | $5,745.22–$7,930.51 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE W/O | $8,194.00 | $8,194.00 | $1,399.42–$6,042.95 | 180% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE W/O | $8,194.00 | $8,194.00 | $4,593.64–$6,702.69 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO | $8,953.00 | $8,953.00 | $1,585.54–$6,846.65 | 150% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W/WO | $8,953.00 | $8,953.00 | $5,304.35–$7,323.55 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O | $6,621.00 | $6,621.00 | $1,172.82–$5,064.45 | 153% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O | $6,621.00 | $6,621.00 | $3,923.62–$5,415.98 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULDER LEFT W/O | $14,976.00 | $14,976.00 | $1,432.42–$3,315,926.90 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST RIGHT W/O | $14,976.00 | $14,976.00 | $1,432.42–$6,185.45 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST LEFT W/O | $14,976.00 | $14,976.00 | $697.23–$6,185.45 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW RIGHT W/O | $14,976.00 | $14,976.00 | $1,432.20–$7,060.03 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW LEFT W/O | $14,976.00 | $14,976.00 | $1,432.20–$6,184.50 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULDER RIGHT W/O | $14,976.00 | $14,976.00 | $1,432.42–$623,034.28 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 * DNU MR JT UP RT WO | $14,976.00 | $14,976.00 | $928.62–$4,009.95 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 * DNU MR JT UP LT WO (V806) | $14,976.00 | $14,976.00 | $928.62–$4,009.95 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UP EXT JOINT RIGHT W/O (V 05-17) | $14,976.00 | $14,976.00 | $1,231.56–$5,318.10 | 433% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR ELBOW RIGHT W/O | $14,976.00 | $14,976.00 | $4,168.06–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR WRIST RIGHT W/O | $14,976.00 | $14,976.00 | $4,168.88–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR SHOULDER RIGHT W/O | $14,976.00 | $14,976.00 | $4,168.88–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UP EXT JOINT RIGHT W/O (V 05-17) | $14,976.00 | $14,976.00 | $4,120.13–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR WRIST LEFT W/O | $14,976.00 | $14,976.00 | $4,168.88–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 * DNU MR JT UP RT WO | $14,976.00 | $14,976.00 | $3,106.66–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 * DNU MR JT UP LT WO (V806) | $14,976.00 | $14,976.00 | $3,106.66–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR ELBOW LEFT W/O | $14,976.00 | $14,976.00 | $4,168.06–$12,250.37 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR SHOULDER LEFT W/O | $14,976.00 | $14,976.00 | $4,168.88–$12,250.37 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY Cervical Spine 4V+ | $1,212.00 | $1,212.00 | $15.56–$532.95 | 123% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XRAY Cervical Spine 4V+ | $1,212.00 | $1,212.00 | $15.56–$532.95 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/(SOFT TISSUE) | $5,113.00 | $5,113.00 | $905.52–$3,910.20 | 144% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/(SOFT TISSUE) | $5,113.00 | $5,113.00 | $3,029.38–$4,182.43 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O (SOFT TISSUE) | $4,091.00 | $4,091.00 | $782.54–$3,379.15 | 133% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O (SOFT TISSUE) | $4,091.00 | $4,091.00 | $2,617.95–$3,379.15 | — | — |
| Neck soft tissue X-ray CPT 70360 X NECK SOFT TISSUE 2V | $558.00 | $558.00 | $106.70–$460.75 | 112% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 X NECK SOFT TISSUE 2V | $558.00 | $558.00 | $356.96–$460.75 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Cardiac Rest/Stress | $2,200.00 | $2,200.00 | $90.11–$1,968.40 | 45% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Cardiac Rest/Stress | $2,200.00 | $2,200.00 | $90.11–$1,968.40 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM PET CT PROSTATE SKULL TO THIGH | $10,643.00 | $10,643.00 | $2,168.10–$198,960.46 | 80% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM PET CT ATT SKULL BASE MID TH | $10,643.00 | $10,643.00 | $2,168.10–$9,362.25 | 80% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM PET CT PROSTATE SKULL TO THIGH | $10,643.00 | $10,643.00 | $7,253.28–$9,362.25 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM PET CT ATT SKULL BASE MID TH | $10,643.00 | $10,643.00 | $7,253.28–$9,362.25 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O | $4,935.00 | $4,935.00 | $874.06–$3,774.35 | 160% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O | $4,935.00 | $4,935.00 | $2,924.13–$4,036.83 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 UL Bladder | $161.00 | $161.00 | $27.63–$475.00 | 70% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 UL Bladder | $161.00 | $161.00 | $27.63–$475.00 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic | $2,047.00 | $2,047.00 | $39.30–$768.55 | 159% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic | $2,047.00 | $2,047.00 | $39.30–$768.55 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2nd/3rd Trimester | $1,995.00 | $1,995.00 | $55.96–$850.25 | 171% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2nd/3rd Trimester | $1,995.00 | $1,995.00 | $55.96–$850.25 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US, 1st Trimester <14 Wks, Single Fetus | $1,785.00 | $1,785.00 | $55.59–$886.35 | 167% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB Dating US | $1,785.00 | $1,785.00 | $55.59–$572.85 | 167% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB Dating US | $1,785.00 | $1,785.00 | $55.59–$572.85 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US, 1st Trimester <14 Wks, Single Fetus | $1,785.00 | $1,785.00 | $55.59–$886.35 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $254.00 | $254.00 | $36.93–$653.60 | 52% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $254.00 | $254.00 | $36.93–$653.60 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 XRAY Ribs side: | $563.00 | $563.00 | $12.78–$434.15 | 63% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 X RIBS RIGHT 2V | $563.00 | $563.00 | $115.28–$497.80 | 63% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 X RIBS LEFT 2V | $563.00 | $563.00 | $115.28–$497.80 | 63% above | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 XRAY Ribs side: | $563.00 | $563.00 | $12.78–$434.15 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 X RIBS RIGHT 2V | $563.00 | $563.00 | $385.66–$497.80 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 X RIBS LEFT 2V | $563.00 | $563.00 | $385.66–$497.80 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XRAY Ribs W/PA CXR 3V+ side: | $945.00 | $945.00 | $15.19–$499.70 | 105% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X RIBS RIGHT W/PA CXR 3V+ | $945.00 | $945.00 | $180.62–$779.95 | 105% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X RIBS LEFT W/PA CXR 3V+ | $945.00 | $945.00 | $180.62–$779.95 | 105% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XRAY Ribs W/PA CXR 3V+ side: | $945.00 | $945.00 | $15.19–$499.70 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X RIBS LEFT W/PA CXR 3V+ | $945.00 | $945.00 | $604.26–$779.95 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X RIBS RIGHT W/PA CXR 3V+ | $945.00 | $945.00 | $604.26–$779.95 | — | — |
| Screening mammogram, both breasts CPT 77067 MM SCREEN ICAD(V 01-18) | $1,562.00 | $1,562.00 | $26.40–$371.55 | 469% above | — |
| Screening mammogram, both breasts CPT 77067 MM SCR MAMMO BIL INCL CAD | $1,562.00 | $1,562.00 | $289.08–$1,336.36 | 469% above | — |
| Screening mammogram, both breasts one side CPT 77067 MM SCR MAMMO RIGHT INCL CAD | $1,562.00 | $1,562.00 | $289.08–$3,762.86 | 469% above | — |
| Screening mammogram, both breasts one side CPT 77067 MM SCR MAMMO LEFT INCL CAD | $1,562.00 | $1,562.00 | $289.08–$1,335.06 | 469% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 MM SCR MAMMO BIL INCL CAD | $1,562.00 | $1,562.00 | $967.10–$1,277.72 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 MM SCREEN ICAD(V 01-18) | $1,562.00 | $1,562.00 | $88.32–$1,277.72 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MM SCR MAMMO RIGHT INCL CAD | $1,562.00 | $1,562.00 | $967.10–$1,277.72 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MM SCR MAMMO LEFT INCL CAD | $1,562.00 | $1,562.00 | $967.10–$1,277.72 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY Shoulder 2V+ side: | $1,611.00 | $1,611.00 | $10.78–$445.55 | 349% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X SHOULDER RIGHT 2V+ | $1,611.00 | $1,611.00 | $142.56–$615.60 | 349% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X SHOULDER LEFT 2V+ | $1,611.00 | $1,611.00 | $142.56–$615.60 | 349% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY Shoulder 2V+ side: | $1,611.00 | $1,611.00 | $10.78–$445.55 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X SHOULDER RIGHT 2V+ | $1,611.00 | $1,611.00 | $434.60–$1,317.80 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X SHOULDER LEFT 2V+ | $1,611.00 | $1,611.00 | $434.60–$1,317.80 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAY Sinuses 3V+ | $945.00 | $945.00 | $12.41–$167.20 | 156% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XRAY Sinuses 3V+ | $945.00 | $945.00 | $12.41–$167.20 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 X SKULL 1-3V | $770.00 | $770.00 | $117.48–$507.30 | 146% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X SKULL 1-3V | $770.00 | $770.00 | $393.02–$629.86 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY (POLYSOMNOGRAPHY, 4 OR MORE) | $560.00 | $560.00 | $122.62–$1,350.67 | 85% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY W/O CPAP | $10,404.00 | $10,404.00 | $2,080.76–$8,985.10 | 170% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY (POLYSOMNOGRAPHY, 4 OR MORE) | $560.00 | $560.00 | $122.62–$1,350.67 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY W/O CPAP | $10,404.00 | $10,404.00 | $6,961.09–$8,985.10 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X BAR SWAL W/ SPEECH | $1,256.00 | $1,256.00 | $240.24–$1,037.40 | 107% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X BAR SWAL W/ SPEECH | $1,256.00 | $1,256.00 | $803.71–$1,037.40 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $152.00 | $152.00 | $10.41–$139.65 | 46% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/> | $152.00 | $152.00 | $10.41–$139.65 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T SPINE W/O | $4,768.00 | $4,768.00 | $844.36–$3,646.10 | 122% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T SPINE W/O | $4,768.00 | $4,768.00 | $2,824.77–$3,900.22 | — | — |
| Toe X-ray, 2 or more views CPT 73660 XRAY Toes side/site: | $558.00 | $558.00 | $7.63–$287.85 | 137% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 X TOES (DO NOT USE) | $558.00 | $558.00 | $89.76–$387.60 | 137% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 XRAY Toes side/site: | $558.00 | $558.00 | $7.63–$287.85 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 X TOES (DO NOT USE) | $558.00 | $558.00 | $300.29–$456.44 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US Pelvic Transvaginal Only | $332.00 | $332.00 | $39.30–$700.15 | 49% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvic Transvaginal Only | $332.00 | $332.00 | $39.30–$700.15 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal Only | $289.00 | $289.00 | $42.85–$754.30 | 45% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal Only | $289.00 | $289.00 | $42.85–$754.30 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $2,436.00 | $2,436.00 | $45.67–$972.80 | 141% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $2,436.00 | $2,436.00 | $45.67–$972.80 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum | $1,880.00 | $1,880.00 | $36.52–$700.15 | 155% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum | $1,880.00 | $1,880.00 | $36.52–$700.15 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid/Soft Tissue Head or Neck | $325.00 | $325.00 | $32.52–$602.30 | 52% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid/Soft Tissue Head or Neck | $325.00 | $325.00 | $32.52–$602.30 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X UGI W/O KUB | $1,770.00 | $1,770.00 | $273.68–$1,181.80 | 151% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X UGI W/KUB | $1,770.00 | $1,770.00 | $338.58–$1,462.05 | 151% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X UGI W/KUB | $1,770.00 | $1,770.00 | $1,132.70–$1,462.05 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X UGI W/O KUB | $1,770.00 | $1,770.00 | $915.58–$1,447.86 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 XRAY Humerus side: | $1,117.00 | $1,117.00 | $9.22–$407.55 | 279% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X HUMERUS LEFT 2V+ | $1,117.00 | $1,117.00 | $106.70–$460.75 | 279% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X HUMERUS RIGHT 2V+ | $1,117.00 | $1,117.00 | $106.70–$460.75 | 279% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XRAY Humerus side: | $1,117.00 | $1,117.00 | $9.22–$407.55 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X HUMERUS RIGHT 2V+ | $1,117.00 | $1,117.00 | $356.96–$913.71 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X HUMERUS LEFT 2V+ | $1,117.00 | $1,117.00 | $356.96–$913.71 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Low/Up Ext Ven Dop side/site: | $886.00 | $886.00 | $22.42–$792.30 | 33% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UL UP EXT VEN DOP LEFT | $1,939.00 | $1,939.00 | $426.58–$1,842.05 | 191% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UL LOW EXT VEN DOP RIGHT | $1,939.00 | $1,939.00 | $426.58–$1,842.05 | 191% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UL LOW EXT VEN DOP LEFT | $1,939.00 | $1,939.00 | $426.58–$1,842.05 | 191% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UL VEN REFLUX RIGHT | $1,939.00 | $1,939.00 | $426.58–$1,842.05 | 191% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UL VEN REFLUX LEFT | $1,939.00 | $1,939.00 | $426.58–$1,842.05 | 191% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UL UP EXT VEN DOP RIGHT | $1,939.00 | $1,939.00 | $426.58–$1,842.05 | 191% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Low/Up Ext Ven Dop side/site: | $886.00 | $886.00 | $22.42–$792.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UL VEN REFLUX RIGHT | $1,939.00 | $1,939.00 | $1,427.10–$1,842.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UL UP EXT VEN DOP RIGHT | $1,939.00 | $1,939.00 | $1,427.10–$1,842.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UL UP EXT VEN DOP LEFT | $1,939.00 | $1,939.00 | $1,427.10–$1,842.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UL LOW EXT VEN DOP RIGHT | $1,939.00 | $1,939.00 | $1,427.10–$1,842.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UL LOW EXT VEN DOP LEFT | $1,939.00 | $1,939.00 | $1,427.10–$1,842.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UL VEN REFLUX LEFT | $1,939.00 | $1,939.00 | $1,427.10–$1,842.05 | — | — |
| Wrist X-ray, 2 views CPT 73100 XRAY Wrist 2V side: | $1,394.00 | $1,394.00 | $9.59–$171.00 | 422% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X WRIST RIGHT 2V | $1,394.00 | $1,394.00 | $106.70–$460.75 | 422% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X NAVICULAR RIGHT 2V | $1,394.00 | $1,394.00 | $106.70–$460.75 | 422% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X NAVICULAR LEFT 2V | $1,394.00 | $1,394.00 | $106.70–$11,700.05 | 422% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X WRIST LEFT 2V | $1,394.00 | $1,394.00 | $106.70–$460.75 | 422% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 XRAY Wrist 2V side: | $1,394.00 | $1,394.00 | $9.59–$171.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X WRIST RIGHT 2V | $1,394.00 | $1,394.00 | $356.96–$1,140.29 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X NAVICULAR LEFT 2V | $1,394.00 | $1,394.00 | $356.96–$1,140.29 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X NAVICULAR RIGHT 2V | $1,394.00 | $1,394.00 | $356.96–$1,140.29 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 X WRIST LEFT 2V | $1,394.00 | $1,394.00 | $356.96–$1,140.29 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 XRAY Wrist 3V+ side: | $1,881.00 | $1,881.00 | $10.00–$205.20 | 474% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X WRIST RIGHT 3V+ | $1,881.00 | $1,881.00 | $179.96–$777.10 | 474% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X WRIST LEFT 3V+ | $1,881.00 | $1,881.00 | $179.96–$777.10 | 474% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY Wrist 3V+ side: | $1,881.00 | $1,881.00 | $10.00–$205.20 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X WRIST RIGHT 3V+ | $1,881.00 | $1,881.00 | $410.00–$1,538.66 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X WRIST LEFT 3V+ | $1,881.00 | $1,881.00 | $410.00–$1,538.66 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $1,233.00 | $1,233.00 | $12.78–$494.00 | 308% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $1,233.00 | $1,233.00 | $12.78–$494.00 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $703.00 | $703.00 | $10.41–$173.85 | 164% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $703.00 | $703.00 | $10.41–$173.85 | — | — |
| X-ray of the ankle, 2 views CPT 73600 XRAY Ankle 2V side: | $1,117.00 | $1,117.00 | $9.22–$287.85 | 303% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X ANKLE LEFT 2V | $1,117.00 | $1,117.00 | $106.70–$460.75 | 303% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X ANKLE RIGHT 2V | $1,117.00 | $1,117.00 | $106.70–$460.75 | 303% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 XRAY Ankle 2V side: | $1,117.00 | $1,117.00 | $9.22–$287.85 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X ANKLE LEFT 2V | $1,117.00 | $1,117.00 | $356.96–$913.71 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X ANKLE RIGHT 2V | $1,117.00 | $1,117.00 | $356.96–$913.71 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 XRAY Finger side/site: | $857.00 | $857.00 | $8.00–$199.50 | 220% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X FINGER (DO NOT USE) | $857.00 | $857.00 | $96.58–$417.05 | 220% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XRAY Finger side/site: | $857.00 | $857.00 | $8.00–$199.50 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X FINGER (DO NOT USE) | $857.00 | $857.00 | $323.10–$701.03 | — | — |
| X-ray of the foot, 2 views CPT 73620 XRAY Foot 2V side: | $1,117.00 | $1,117.00 | $8.85–$287.85 | 305% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X FOOT LEFT 2V | $1,117.00 | $1,117.00 | $106.70–$460.75 | 305% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X FOOT RIGHT 2V | $1,117.00 | $1,117.00 | $106.70–$460.75 | 305% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 XRAY Foot 2V side: | $1,117.00 | $1,117.00 | $8.85–$287.85 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 X FOOT RIGHT 2V | $1,117.00 | $1,117.00 | $356.96–$913.71 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 X FOOT LEFT 2V | $1,117.00 | $1,117.00 | $356.96–$913.71 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 XRAY Foot 3V+ side: | $1,783.00 | $1,783.00 | $9.63–$346.75 | 417% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X FOOT RIGHT 3V+ | $1,783.00 | $1,783.00 | $157.74–$681.15 | 417% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X FOOT LEFT 3V+ | $1,783.00 | $1,783.00 | $157.74–$681.15 | 417% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY Foot 3V+ side: | $1,783.00 | $1,783.00 | $9.63–$346.75 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X FOOT LEFT 3V+ | $1,783.00 | $1,783.00 | $405.90–$1,458.49 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X FOOT RIGHT 3V+ | $1,783.00 | $1,783.00 | $405.90–$1,458.49 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 XRAY Hand 3V+ side: | $2,032.00 | $2,032.00 | $10.00–$232.75 | 489% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X HAND RIGHT 3V+ | $2,032.00 | $2,032.00 | $179.96–$777.10 | 489% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X HAND LEFT 3V+ | $2,032.00 | $2,032.00 | $179.96–$777.10 | 489% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY Hand 3V+ side: | $2,032.00 | $2,032.00 | $10.00–$232.75 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 X HAND LEFT 3V+ | $2,032.00 | $2,032.00 | $414.92–$1,662.18 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 X HAND RIGHT 3V+ | $2,032.00 | $2,032.00 | $414.92–$1,662.18 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 XRAY Knee 1-2V side: | $1,664.00 | $1,664.00 | $9.59–$425.60 | 477% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X KNEE LEFT 1-2V | $1,664.00 | $1,664.00 | $147.18–$677.29 | 477% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X KNEE RIGHT 1-2V | $1,664.00 | $1,664.00 | $147.18–$772.80 | 477% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY Knee 1-2V side: | $1,664.00 | $1,664.00 | $9.59–$425.60 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X KNEE RIGHT 1-2V | $1,664.00 | $1,664.00 | $378.84–$1,361.15 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X KNEE LEFT 1-2V | $1,664.00 | $1,664.00 | $378.84–$1,361.15 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY Lumbar Spine 2-3V | $1,013.00 | $1,013.00 | $12.78–$202.35 | 127% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY Lumbar Spine 2-3V | $1,013.00 | $1,013.00 | $12.78–$202.35 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY Lumbar Spine 4V+ | $1,226.00 | $1,226.00 | $14.78–$328.70 | 121% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY Lumbar Spine 4V+ | $1,226.00 | $1,226.00 | $14.78–$328.70 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY Thoracic Spine 2V | $627.00 | $627.00 | $11.59–$186.20 | 71% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY Thoracic Spine 2V | $627.00 | $627.00 | $11.59–$186.20 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X NASAL BONES 3V+ | $602.00 | $602.00 | $115.06–$499.01 | 100% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X NASAL BONES 3V+ | $602.00 | $602.00 | $384.93–$496.85 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY Cervical Spine 2V | $892.00 | $892.00 | $12.78–$101.65 | 150% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY Cervical Spine 2V | $892.00 | $892.00 | $12.78–$101.65 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY Pelvis 1-2V | $642.00 | $642.00 | $10.00–$352.45 | 85% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY Pelvis 1-2V | $642.00 | $642.00 | $10.00–$352.45 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY Sacrum And Coccyx | $605.00 | $605.00 | $10.00–$200.45 | 76% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY Sacrum And Coccyx | $605.00 | $605.00 | $10.00–$200.45 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $796.00 | $796.00 | $135.87–$756.20 | 298% above | — |
| ACTH blood test CPT 82024 ASSAY OF ACTH | $796.00 | $796.00 | $3.50–$230.85 | 298% above | — |
| ACTH blood test inpatient CPT 82024 ASSAY OF ACTH | $796.00 | $796.00 | $3.50–$230.85 | — | — |
| ACTH blood test inpatient CPT 82024 ACTH | $796.00 | $796.00 | $585.86–$756.20 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $180.00 | $180.00 | $37.40–$163.31 | 227% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO | $180.00 | $180.00 | $3.50–$50.35 | 227% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SERIAL ALT | $180.00 | $180.00 | $37.40–$161.50 | 227% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO | $180.00 | $180.00 | $3.50–$50.35 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $180.00 | $180.00 | $125.12–$161.50 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SERIAL ALT | $180.00 | $180.00 | $125.12–$161.50 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $168.00 | $168.00 | $36.96–$161.39 | 205% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTATE AMINO | $168.00 | $168.00 | $3.50–$56.05 | 205% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $168.00 | $168.00 | $123.65–$159.60 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE ASPARTATE AMINO | $168.00 | $168.00 | $3.50–$56.05 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 AQT HEP PANEL | $809.00 | $809.00 | $3.50–$209.00 | 210% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE | $809.00 | $809.00 | $164.78–$711.55 | 210% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 AQT HEP PANEL | $809.00 | $809.00 | $3.50–$209.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL, ACUTE | $809.00 | $809.00 | $551.26–$711.55 | — | — |
| Albumin blood test CPT 82040 ALBUMIN | $104.00 | $104.00 | $22.88–$98.80 | 142% above | — |
| Albumin blood test CPT 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD | $104.00 | $104.00 | $3.50–$38.95 | 142% above | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $104.00 | $104.00 | $76.54–$98.80 | — | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD | $104.00 | $104.00 | $3.50–$38.95 | — | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $644.00 | $644.00 | $141.68–$611.80 | 290% above | — |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $644.00 | $644.00 | $3.50–$200.45 | 290% above | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE (24-HOUR) | $644.00 | $644.00 | $99.20–$530.10 | 290% above | — |
| Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOSTERONE | $644.00 | $644.00 | $3.50–$200.45 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE (24-HOUR) | $644.00 | $644.00 | $410.69–$530.10 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $644.00 | $644.00 | $473.98–$611.80 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $122.00 | $122.00 | $22.24–$115.90 | 122% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE SP | $122.00 | $122.00 | $22.00–$95.00 | 122% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $122.00 | $122.00 | $3.50–$50.35 | 122% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE | $122.00 | $122.00 | $3.50–$50.35 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $122.00 | $122.00 | $89.79–$115.90 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE SP | $122.00 | $122.00 | $73.60–$99.80 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MEAT | $99.00 | $99.00 | $12.54–$64.89 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HAMSTER EPITHELIUM | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALNUT | $99.00 | $99.00 | $12.54–$65.33 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ORCHARD GRASS | $99.00 | $99.00 | $4.55–$633.89 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CODFISH | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RAT URINE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLAM | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EPICOCCUM PURPUR | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SWORDFISH | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LETTUCE | $99.00 | $99.00 | $14.30–$713.66 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CATFISH | $99.00 | $99.00 | $12.54–$55.43 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CELERY | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHITEFISH | $99.00 | $99.00 | $10.79–$55.43 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PECAN | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHEESE | $99.00 | $99.00 | $12.54–$656.20 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MACADAMIA NUT | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CRAB | $99.00 | $99.00 | $9.24–$39.90 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN PROFILE LATEX PLUS | $99.00 | $99.00 | $12.54–$153.73 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LOBSTER | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOSQUITO WHOLE BODY | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHOCOLATE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORK | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PTERONYSSINUS | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SILVER BIRCH | $99.00 | $99.00 | $5.74–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D FARINAE | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NETTLE | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG WHOLE | $99.00 | $99.00 | $14.30–$87.51 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GOAT MILK | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SWISS CHEESE | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CAT DANDER | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHEEP SORREL | $99.00 | $99.00 | $5.74–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHRIMP | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DUST MITE | $99.00 | $99.00 | $5.74–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SESAME SEED | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOUSE URINE | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCALLOP | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RABBIT | $99.00 | $99.00 | $9.02–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DOG DANDER | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALFALFA | $99.00 | $99.00 | $12.54–$171.58 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BLUEGRASS KENTUCKY | $99.00 | $99.00 | $10.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TURKEY | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALTERARIA | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TANGERINE | $99.00 | $99.00 | $12.54–$618.09 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OAK WHITE | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LIME | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ELM AMERICAN | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRAPEFRUIT | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ...AL | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN APPLE | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AVOCADO | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BANANA | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BARLEY | $99.00 | $99.00 | $12.54–$60.03 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BRAZIL NUT | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BROCCOLI | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ...ALL | $99.00 | $99.00 | $9.84–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BRUSSEL SPROUTS | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CABBAGE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CARROT | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CAULIFLOWER | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COCONUT | $99.00 | $99.00 | $12.54–$93.80 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CUCUMBER | $99.00 | $99.00 | $9.24–$39.90 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GARLIC | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $99.00 | $99.00 | $3.50–$58.65 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RAGWEED | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEFACLOR | $99.00 | $99.00 | $13.93–$91.20 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LEMON | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUSHROOM | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PLANTAIN | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V IGE | $99.00 | $99.00 | $18.48–$79.80 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BERMUDA GRASS | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ONION | $99.00 | $99.00 | $12.54–$127.26 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HONEYBEE | $99.00 | $99.00 | $13.20–$57.00 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GREEN BEAN | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WASP PAPER | $99.00 | $99.00 | $13.20–$61.11 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MELON | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TIMOTHY GRASS | $99.00 | $99.00 | $19.36–$83.60 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHICKEN | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GREEN PEA | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUSTARD | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OAT | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD BASIC | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ORANGE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CORN | $99.00 | $99.00 | $7.33–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRAIN | $99.00 | $99.00 | $14.30–$63.97 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPICE (7) PANEL | $99.00 | $99.00 | $21.12–$104.70 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEACH | $99.00 | $99.00 | $12.54–$78.08 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G | $99.00 | $99.00 | $18.48–$79.80 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V COO2 IGE | $99.00 | $99.00 | $18.48–$79.80 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTACHIO | $99.00 | $99.00 | $9.02–$54.53 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEAR | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FORMALDEHYDE | $99.00 | $99.00 | $41.58–$179.55 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN POTATOE WHITE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RICE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RYE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NUTS (7) PANEL | $99.00 | $99.00 | $16.37–$100.70 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD BERRIES | $99.00 | $99.00 | $11.92–$55.10 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PUMPKIN | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RYE GRASS | $99.00 | $99.00 | $19.36–$83.60 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE LATEX | $99.00 | $99.00 | $13.20–$98.74 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUCOR RACEMOSUS | $99.00 | $99.00 | $19.36–$83.60 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WATERMELLON | $99.00 | $99.00 | $18.04–$77.90 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EVALUATION EACH | $99.00 | $99.00 | $19.36–$83.60 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HAZELNUT | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BIRCH | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN APRICOT | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HICKORY NUT | $99.00 | $99.00 | $9.84–$54.57 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SOLE | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHITE BEAN | $99.00 | $99.00 | $5.87–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TOMATO | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN STRAWBERRY | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPINACH | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN JOHNSON GRASS | $99.00 | $99.00 | $19.36–$83.60 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SOYBEAN | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN MOLD | $99.00 | $99.00 | $12.29–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BAHIA GRASS | $99.00 | $99.00 | $19.36–$83.60 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MILK | $99.00 | $99.00 | $22.22–$95.95 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLADOSPORIUM HERBARUM | $99.00 | $99.00 | $19.36–$185.13 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FRUIT | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHEAT | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRAPE | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PINEAPPLE | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BLUEBERRY | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALMOND | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TILAPIA | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG WHITE | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG YOLK | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CASHEWS | $99.00 | $99.00 | $11.05–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGY FOOD PORK | $99.00 | $99.00 | $12.54–$54.15 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUT | $99.00 | $99.00 | $14.30–$61.75 | 260% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGY FOOD CHICKEN | $99.00 | $99.00 | $12.54–$54.50 | 260% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CODFISH | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HAMSTER EPITHELIUM | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ORCHARD GRASS | $99.00 | $99.00 | $17.22–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RAT URINE | $99.00 | $99.00 | $17.22–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EPICOCCUM PURPUR | $99.00 | $99.00 | $17.22–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LETTUCE | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CELERY | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PECAN | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MACADAMIA NUT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN PROFILE LATEX PLUS | $99.00 | $99.00 | $38.54–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MOSQUITO WHOLE BODY | $99.00 | $99.00 | $38.54–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORK | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SILVER BIRCH | $99.00 | $99.00 | $5.74–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN NETTLE | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHEEP SORREL | $99.00 | $99.00 | $5.74–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DUST MITE | $99.00 | $99.00 | $5.74–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MOUSE URINE | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RABBIT | $99.00 | $99.00 | $9.02–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALFALFA | $99.00 | $99.00 | $17.22–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TURKEY | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TANGERINE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LIME | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $99.00 | $99.00 | $3.50–$58.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEFACLOR | $99.00 | $99.00 | $70.66–$91.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRAPEFRUIT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V IGE | $99.00 | $99.00 | $61.82–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G | $99.00 | $99.00 | $61.82–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ONION | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GREEN BEAN | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MELON | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHICKEN | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V COO2 IGE | $99.00 | $99.00 | $61.82–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FORMALDEHYDE | $99.00 | $99.00 | $80.98–$179.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LATEX | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EVALUATION EACH | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN MOLD | $99.00 | $99.00 | $13.94–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GREEN PEA | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SOLE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHITE BEAN | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TOMATO | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN STRAWBERRY | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPINACH | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MILK | $99.00 | $99.00 | $44.28–$95.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FRUIT | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRAPE | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BLUEBERRY | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BIRCH | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HAZELNUT | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WATERMELLON | $99.00 | $99.00 | $60.35–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PUMPKIN | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD BERRIES | $99.00 | $99.00 | $42.69–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN NUTS (7) PANEL | $99.00 | $99.00 | $78.02–$100.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SPICE (7) PANEL | $99.00 | $99.00 | $70.66–$91.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SOYBEAN | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RYE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RICE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN POTATOE WHITE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEAR | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRAIN | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CORN | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEACH | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD BASIC | $99.00 | $99.00 | $41.00–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ORANGE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ...ALL | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OAT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUSTARD | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUSHROOM | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LEMON | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GARLIC | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CUCUMBER | $99.00 | $99.00 | $30.91–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COCONUT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CAULIFLOWER | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CARROT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CABBAGE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BRUSSEL SPROUTS | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ...AL | $99.00 | $99.00 | $41.95–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BROCCOLI | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BRAZIL NUT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BARLEY | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BANANA | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN AVOCADO | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN APPLE | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MEAT | $99.00 | $99.00 | $41.00–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SWISS CHEESE | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GOAT MILK | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG WHOLE | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGY FOOD CHICKEN | $99.00 | $99.00 | $41.00–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGY FOOD PORK | $99.00 | $99.00 | $41.00–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEANUT | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HICKORY NUT | $99.00 | $99.00 | $9.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CASHEWS | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG YOLK | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG WHITE | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TILAPIA | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALMOND | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PINEAPPLE | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHEAT | $99.00 | $99.00 | $47.84–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLADOSPORIUM HERBARUM | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BAHIA GRASS | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN JOHNSON GRASS | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN APRICOT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PISTACHIO | $99.00 | $99.00 | $9.02–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUCOR RACEMOSUS | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RYE GRASS | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCALLOP | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TIMOTHY GRASS | $99.00 | $99.00 | $64.77–$83.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WASP PAPER | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HONEYBEE | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BERMUDA GRASS | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PLANTAIN | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RAGWEED | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ELM AMERICAN | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OAK WHITE | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALTERARIA | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BLUEGRASS KENTUCKY | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DOG DANDER | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SESAME SEED | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHRIMP | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WALNUT | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CAT DANDER | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D FARINAE | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PTERONYSSINUS | $99.00 | $99.00 | $44.16–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHOCOLATE | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LOBSTER | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CRAB | $99.00 | $99.00 | $30.91–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHEESE | $99.00 | $99.00 | $30.34–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHITEFISH | $99.00 | $99.00 | $41.82–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CATFISH | $99.00 | $99.00 | $41.82–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SWORDFISH | $99.00 | $99.00 | $41.82–$80.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLAM | $99.00 | $99.00 | $32.80–$80.98 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $329.00 | $329.00 | $3.50–$114.00 | 183% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (TUMOR MARKER) | $329.00 | $329.00 | $72.38–$312.55 | 183% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL SCREEN SPINA BIFIDA | $329.00 | $329.00 | $25.01–$213.75 | 183% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (PREGNANCY) | $329.00 | $329.00 | $72.38–$312.55 | 183% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN (PREGNANCY) | $329.00 | $329.00 | $242.14–$312.55 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM | $329.00 | $329.00 | $3.50–$114.00 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 MATERNAL SCREEN SPINA BIFIDA | $329.00 | $329.00 | $25.01–$269.12 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN (TUMOR MARKER) | $329.00 | $329.00 | $242.14–$312.55 | — | — |
| Ammonia blood test CPT 82140 AMMONIA | $323.00 | $323.00 | $31.98–$306.85 | 197% above | — |
| Ammonia blood test CPT 82140 AMMONIA | $323.00 | $323.00 | $3.50–$85.50 | 197% above | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $323.00 | $323.00 | $237.73–$306.85 | — | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $323.00 | $323.00 | $3.50–$85.50 | — | — |
| Amylase blood test CPT 82150 AMYLASE | $353.00 | $353.00 | $3.50–$128.25 | 339% above | — |
| Amylase blood test CPT 82150 AMYLASE SERUM | $353.00 | $353.00 | $48.26–$300.20 | 339% above | — |
| Amylase blood test CPT 82150 AMYLASE URINE (24-HOUR) | $353.00 | $353.00 | $69.52–$300.20 | 339% above | — |
| Amylase blood test CPT 82150 AMYLASE FLUID | $353.00 | $353.00 | $55.63–$321.10 | 339% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE FLUID | $353.00 | $353.00 | $155.80–$321.10 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $353.00 | $353.00 | $3.50–$128.25 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $353.00 | $353.00 | $130.38–$300.20 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE (24-HOUR) | $353.00 | $353.00 | $136.12–$300.20 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB(IGG/IGA | $432.00 | $432.00 | $88.00–$380.00 | 414% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA | $432.00 | $432.00 | $3.50–$114.00 | 414% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA | $432.00 | $432.00 | $3.50–$114.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB(IGG/IGA | $432.00 | $432.00 | $294.40–$380.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLX DNA/RNP/SM/SSA&B | $246.00 | $246.00 | $41.80–$269.94 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ...ANA W/ | $246.00 | $246.00 | $41.80–$180.50 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECTIVE TISSUE CASCADE | $246.00 | $246.00 | $41.80–$517.39 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ..ANTI | $246.00 | $246.00 | $41.80–$269.94 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN | $246.00 | $246.00 | $23.46–$236.72 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/ REFLEX | $246.00 | $246.00 | $5.39–$180.50 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX 9MARKERS | $246.00 | $246.00 | $41.80–$269.94 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $246.00 | $246.00 | $3.50–$60.80 | 166% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/ REFLEX | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX 9MARKERS | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONNECTIVE TISSUE CASCADE | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCREEN | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ...ANA W/ | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLX DNA/RNP/SM/SSA&B | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $246.00 | $246.00 | $3.50–$60.80 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ..ANTI | $246.00 | $246.00 | $139.84–$201.23 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $656.00 | $656.00 | $129.58–$658.41 | 247% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $656.00 | $656.00 | $3.50–$257.45 | 247% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP | $656.00 | $656.00 | $85.81–$509.20 | 247% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $656.00 | $656.00 | $3.50–$257.45 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP | $656.00 | $656.00 | $394.50–$536.61 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $656.00 | $656.00 | $433.50–$559.55 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $263.00 | $263.00 | $33.44–$285.99 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CLOTEST | $263.00 | $263.00 | $44.44–$254.60 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC(FLUID) | $263.00 | $263.00 | $57.42–$247.95 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $263.00 | $263.00 | $58.52–$252.70 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE AEROBIC (TISSUE) | $263.00 | $263.00 | $51.70–$223.25 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - BACTERIA EXCLUDE-URINE/BLD/STL AERC ISOL | $263.00 | $263.00 | $3.50–$60.80 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $263.00 | $263.00 | $48.18–$208.05 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - BACTERIA EXCLUDE | $263.00 | $263.00 | $3.50–$60.80 | 196% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL | $263.00 | $263.00 | $195.78–$252.70 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $263.00 | $263.00 | $161.18–$215.13 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - BACTERIA EXCLUDE-URINE/BLD/STL AERC ISOL | $263.00 | $263.00 | $3.50–$60.80 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF | $263.00 | $263.00 | $111.87–$215.13 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - BACTERIA EXCLUDE | $263.00 | $263.00 | $3.50–$60.80 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE AEROBIC (TISSUE) | $263.00 | $263.00 | $172.96–$223.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC(FLUID) | $263.00 | $263.00 | $192.10–$247.95 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CLOTEST | $263.00 | $263.00 | $197.25–$254.60 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL | $338.00 | $338.00 | $66.66–$570.18 | 167% above | — |
| Basic metabolic panel (blood test) CPT 80048 .DELETE | $338.00 | $338.00 | $24.42–$105.45 | 167% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $338.00 | $338.00 | $3.50–$85.50 | 167% above | — |
| Basic metabolic panel (blood test) CPT 80048 RL BASIC MET PANEL | $338.00 | $338.00 | $33.22–$143.45 | 167% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 RL BASIC MET PANEL | $338.00 | $338.00 | $108.24–$276.48 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC MET PANEL | $338.00 | $338.00 | $223.01–$287.85 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 .DELETE | $338.00 | $338.00 | $81.70–$276.48 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $338.00 | $338.00 | $3.50–$85.50 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT | $106.00 | $106.00 | $3.50–$32.30 | 76% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $106.00 | $106.00 | $23.32–$100.70 | 76% above | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $106.00 | $106.00 | $78.02–$100.70 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOT | $106.00 | $106.00 | $3.50–$32.30 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW PARTICLE SECTION | $730.00 | $730.00 | $115.06–$651.59 | 198% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LVL IV-SURG PATH GROSS MCRSCP XM | $730.00 | $730.00 | $37.80–$328.80 | 198% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW TREPHINE BIOPSY | $730.00 | $730.00 | $115.06–$743.05 | 198% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LVL IV-SURG PATH GROSS MCRSCP XM | $730.00 | $730.00 | $37.80–$328.80 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW TREPHINE BIOPSY | $730.00 | $730.00 | $384.93–$597.14 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW PARTICLE SECTION | $730.00 | $730.00 | $384.93–$597.14 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $395.00 | $395.00 | $78.10–$337.25 | 173% above | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $395.00 | $395.00 | $3.50–$61.75 | 173% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $395.00 | $395.00 | $245.18–$337.25 | — | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA | $395.00 | $395.00 | $3.50–$61.75 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $45.00 | $45.00 | $4.10–$38.95 | 91% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE BLOOD COLLECTION | $45.00 | $45.00 | $6.84–$55.10 | 91% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION & HANDLING CHARGE | $45.00 | $45.00 | $13.64–$58.90 | 91% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 X RHC VENIPUNCTURE BLOOD COLLECTION | $45.00 | $45.00 | $9.02–$38.95 | 91% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 X RHC VENIPUNCTURE BLOOD COLLECTION | $45.00 | $45.00 | $30.18–$38.95 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE BLOOD COLLECTION | $45.00 | $45.00 | $36.81–$55.10 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION & HANDLING CHARGE | $45.00 | $45.00 | $36.81–$58.90 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $45.00 | $45.00 | $4.10–$38.95 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUC QUAN BLD | $126.00 | $126.00 | $3.50–$32.30 | 217% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $126.00 | $126.00 | $9.71–$111.15 | 217% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUC QUAN BLD | $126.00 | $126.00 | $3.50–$32.30 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM | $126.00 | $126.00 | $86.11–$111.15 | — | — |
| Blood lead test CPT 83655 LEAD BLOOD (WHOLE BLOOD) | $225.00 | $225.00 | $41.80–$180.50 | 317% above | — |
| Blood lead test CPT 83655 LEAD URINE | $225.00 | $225.00 | $35.86–$154.85 | 317% above | — |
| Blood lead test CPT 83655 LEAD BLOOD(CAPILLARY SAMPLE) | $225.00 | $225.00 | $46.64–$201.40 | 317% above | — |
| Blood lead test CPT 83655 LEAD | $225.00 | $225.00 | $3.50–$60.80 | 317% above | — |
| Blood lead test inpatient CPT 83655 LEAD | $225.00 | $225.00 | $3.50–$60.80 | — | — |
| Blood lead test inpatient CPT 83655 LEAD BLOOD (WHOLE BLOOD) | $225.00 | $225.00 | $139.84–$184.05 | — | — |
| Blood lead test inpatient CPT 83655 LEAD URINE | $225.00 | $225.00 | $119.97–$184.05 | — | — |
| Blood lead test inpatient CPT 83655 LEAD BLOOD(CAPILLARY SAMPLE) | $225.00 | $225.00 | $156.03–$201.40 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONAD CHORNC QUAL | $240.00 | $240.00 | $3.50–$60.80 | 170% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM PREGNANCY TEST | $240.00 | $240.00 | $49.72–$229.63 | 170% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM PREGNANCY TEST | $240.00 | $240.00 | $159.08–$214.70 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONAD CHORNC QUAL | $240.00 | $240.00 | $3.50–$60.80 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPING ABO | $172.00 | $172.00 | $33.88–$146.30 | 105% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD TYPING ABO | $172.00 | $172.00 | $3.50–$26.60 | 105% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPING ABO | $172.00 | $172.00 | $113.34–$146.30 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLD TYPING ABO | $172.00 | $172.00 | $3.50–$26.60 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 UREA N QUAN | $113.00 | $113.00 | $3.50–$38.95 | 133% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $113.00 | $113.00 | $22.44–$96.90 | 133% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $113.00 | $113.00 | $75.07–$96.90 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA N QUAN | $113.00 | $113.00 | $3.50–$38.95 | — | — |
| C-peptide blood test CPT 84681 C-PEPTIDE | $395.00 | $395.00 | $86.90–$375.25 | 281% above | — |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $395.00 | $395.00 | $3.50–$144.40 | 281% above | — |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $395.00 | $395.00 | $290.72–$375.25 | — | — |
| C-peptide blood test inpatient CPT 84681 ASSAY OF C-PEPTIDE | $395.00 | $395.00 | $3.50–$144.40 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 .SYNOVIAL CRP | $159.00 | $159.00 | $57.86–$249.85 | 130% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SERIAL C-REACTIVE PROTEIN | $159.00 | $159.00 | $31.24–$134.90 | 130% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $159.00 | $159.00 | $31.24–$134.90 | 130% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $159.00 | $159.00 | $3.50–$38.95 | 130% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 .SYNOVIAL CRP | $159.00 | $159.00 | $130.06–$249.85 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 SERIAL C-REACTIVE PROTEIN | $159.00 | $159.00 | $104.51–$134.90 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $159.00 | $159.00 | $3.50–$38.95 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $159.00 | $159.00 | $104.51–$134.90 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDUM DIFFICILE PCR | $564.00 | $564.00 | $124.08–$896.59 | 204% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDUM DIFFICILE PCR | $564.00 | $564.00 | $415.10–$535.80 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $329.00 | $329.00 | $72.38–$312.55 | 193% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IA TUM AG QUAN CA 19-9 | $329.00 | $329.00 | $3.50–$92.15 | 193% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $329.00 | $329.00 | $242.14–$312.55 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUM AG QUAN CA 19-9 | $329.00 | $329.00 | $3.50–$92.15 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUM AG QUAN CA 125 | $395.00 | $395.00 | $3.50–$95.00 | 145% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $395.00 | $395.00 | $86.90–$375.25 | 145% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $395.00 | $395.00 | $290.72–$375.25 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUM AG QUAN CA 125 | $395.00 | $395.00 | $3.50–$95.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID NAAT SURGICAL | $267.00 | $267.00 | $58.74–$253.65 | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONAVIRUS | $267.00 | $267.00 | $58.74–$253.65 | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 NOVEL CORONAVIRUS | $267.00 | $267.00 | $196.51–$253.65 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID NAAT SURGICAL | $267.00 | $267.00 | $196.51–$253.65 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM URINE (RANDOM) | $166.00 | $166.00 | $28.09–$161.65 | 281% above | — |
| Calcium blood test, total CPT 82310 CALCIUM TOT | $166.00 | $166.00 | $3.50–$50.35 | 281% above | — |
| Calcium blood test, total CPT 82310 CALCIUM SERUM | $166.00 | $166.00 | $34.98–$240.51 | 281% above | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOT | $166.00 | $166.00 | $3.50–$50.35 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM | $166.00 | $166.00 | $117.02–$151.05 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE (RANDOM) | $166.00 | $166.00 | $122.18–$157.70 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA (BODY FLUID) | $415.00 | $415.00 | $27.88–$275.09 | 190% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $415.00 | $415.00 | $91.30–$491.82 | 190% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG | $415.00 | $415.00 | $3.50–$132.05 | 190% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA (BODY FLUID) | $415.00 | $415.00 | $27.88–$339.47 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG | $415.00 | $415.00 | $3.50–$132.05 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $415.00 | $415.00 | $305.44–$394.25 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY (IgG) | $135.00 | $135.00 | $24.86–$117.20 | 86% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY, IGM | $135.00 | $135.00 | $23.42–$108.30 | 86% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTB VARICELLA-ZOSTER | $135.00 | $135.00 | $3.50–$72.20 | 86% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTB VARICELLA-ZOSTER | $135.00 | $135.00 | $3.50–$72.20 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY (IgG) | $135.00 | $135.00 | $83.17–$110.43 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY, IGM | $135.00 | $135.00 | $83.90–$110.43 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IADNA CHLAMYDIA TRACHOMATIS AMP PRB | $459.00 | $459.00 | $3.50–$154.85 | 273% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, DNA (SWAB) | $459.00 | $459.00 | $44.28–$390.45 | 273% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA (LIQUID PAP) | $459.00 | $459.00 | $10.56–$70.18 | 273% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, DNA (URINE) | $459.00 | $459.00 | $90.42–$390.45 | 273% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA (LIQUID PAP) | $459.00 | $459.00 | $35.33–$375.46 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA, DNA (SWAB) | $459.00 | $459.00 | $302.50–$390.45 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IADNA CHLAMYDIA TRACHOMATIS AMP PRB | $459.00 | $459.00 | $3.50–$154.85 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA, DNA (URINE) | $459.00 | $459.00 | $302.50–$390.45 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $414.00 | $414.00 | $3.50–$85.50 | 233% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $414.00 | $414.00 | $81.62–$352.45 | 233% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL LIPID PANEL | $414.00 | $414.00 | $12.17–$157.70 | 233% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $414.00 | $414.00 | $3.50–$85.50 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $414.00 | $414.00 | $248.46–$352.45 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL LIPID PANEL | $414.00 | $414.00 | $122.18–$338.65 | — | — |
| Complete blood count (CBC) with differential CPT 85025 SERIAL CBC W/AUTO DIFF | $247.00 | $247.00 | $47.74–$206.15 | 209% above | — |
| Complete blood count (CBC) with differential CPT 85025 DRAGU CBC W/AUTO DIFF | $247.00 | $247.00 | $47.74–$206.15 | 209% above | — |
| Complete blood count (CBC) with differential CPT 85025 BLD COMPL AUTO HHRWP/AUTO DIFFIAL | $247.00 | $247.00 | $3.50–$58.90 | 209% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $247.00 | $247.00 | $42.73–$206.15 | 209% above | — |
| Complete blood count (CBC) with differential CPT 85025 RL CBC W/AUTO DIFF | $247.00 | $247.00 | $22.44–$96.90 | 209% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $247.00 | $247.00 | $159.71–$206.15 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 SERIAL CBC W/AUTO DIFF | $247.00 | $247.00 | $159.71–$206.15 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLD COMPL AUTO HHRWP/AUTO DIFFIAL | $247.00 | $247.00 | $3.50–$58.90 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 RL CBC W/AUTO DIFF | $247.00 | $247.00 | $75.07–$202.05 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 DRAGU CBC W/AUTO DIFF | $247.00 | $247.00 | $159.71–$206.15 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC w/o DIFF | $186.00 | $186.00 | $37.18–$160.55 | 186% above | — |
| Complete blood count (CBC), no differential CPT 85027 .CBC W/MANUAL DIFF | $186.00 | $186.00 | $33.66–$145.35 | 186% above | — |
| Complete blood count (CBC), no differential CPT 85027 BLD# COMPL AUTO HHRWP | $186.00 | $186.00 | $3.50–$85.50 | 186% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 .CBC W/MANUAL DIFF | $186.00 | $186.00 | $112.61–$152.15 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o DIFF | $186.00 | $186.00 | $124.38–$160.55 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLD# COMPL AUTO HHRWP | $186.00 | $186.00 | $3.50–$85.50 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPRE METAB PANEL | $463.00 | $463.00 | $3.50–$116.85 | 202% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $463.00 | $463.00 | $89.54–$386.65 | 202% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 RL COMP METABOLIC PANEL | $463.00 | $463.00 | $45.10–$194.75 | 202% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 SERIAL COMP METABOLIC PANEL | $463.00 | $463.00 | $87.56–$378.10 | 202% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 RL COMP METABOLIC PANEL | $463.00 | $463.00 | $147.60–$378.73 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPRE METAB PANEL | $463.00 | $463.00 | $3.50–$116.85 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $463.00 | $463.00 | $276.34–$386.65 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 SERIAL COMP METABOLIC PANEL | $463.00 | $463.00 | $276.34–$378.73 | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL - (BLOOD) | $240.00 | $240.00 | $3.50–$85.50 | 113% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL (A.M. & P.M.) | $240.00 | $240.00 | $67.76–$292.60 | 113% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL SERUM | $240.00 | $240.00 | $52.80–$292.60 | 113% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL FREE, SERUM | $240.00 | $240.00 | $80.08–$345.80 | 113% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVARY | $240.00 | $240.00 | $52.80–$228.00 | 113% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL STIMULATION | $240.00 | $240.00 | $95.66–$530.10 | 113% above | — |
| Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION | $240.00 | $240.00 | $67.76–$415.71 | 113% above | — |
| Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION | $240.00 | $240.00 | $196.32–$292.60 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL (A.M. & P.M.) | $240.00 | $240.00 | $196.32–$292.60 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL SERUM | $240.00 | $240.00 | $196.32–$292.60 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL STIMULATION | $240.00 | $240.00 | $196.32–$530.10 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL FREE, SERUM | $240.00 | $240.00 | $196.32–$345.80 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVARY | $240.00 | $240.00 | $61.50–$228.00 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL - (BLOOD) | $240.00 | $240.00 | $3.50–$85.50 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 SERIAL CK TOTAL | $187.00 | $187.00 | $35.86–$292.25 | 180% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL | $187.00 | $187.00 | $35.86–$154.85 | 180% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOT | $187.00 | $187.00 | $3.50–$50.35 | 180% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOT | $187.00 | $187.00 | $3.50–$50.35 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 SERIAL CK TOTAL | $187.00 | $187.00 | $119.97–$154.85 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL | $187.00 | $187.00 | $119.97–$154.85 | — | — |
| Creatinine blood test CPT 82565 ISTAT CHEM PANEL XRAY | $136.00 | $136.00 | $22.44–$367.72 | 186% above | — |
| Creatinine blood test CPT 82565 CREATININE BLD | $136.00 | $136.00 | $3.50–$43.70 | 186% above | — |
| Creatinine blood test CPT 82565 CREATININE SERUM | $136.00 | $136.00 | $27.28–$117.80 | 186% above | — |
| Creatinine blood test CPT 82565 ISTAT CREATININE XRAY | $136.00 | $136.00 | $27.28–$117.80 | 186% above | — |
| Creatinine blood test CPT 82565 GFR | $136.00 | $136.00 | $25.08–$108.30 | 186% above | — |
| Creatinine blood test inpatient CPT 82565 CREATININE BLD | $136.00 | $136.00 | $3.50–$43.70 | — | — |
| Creatinine blood test inpatient CPT 82565 GFR | $136.00 | $136.00 | $83.90–$111.25 | — | — |
| Creatinine blood test inpatient CPT 82565 ISTAT CREATININE XRAY | $136.00 | $136.00 | $91.26–$117.80 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $136.00 | $136.00 | $91.26–$117.80 | — | — |
| Creatinine blood test inpatient CPT 82565 ISTAT CHEM PANEL XRAY | $136.00 | $136.00 | $75.07–$111.25 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB (IGG) | $212.00 | $212.00 | $45.77–$201.40 | 142% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $212.00 | $212.00 | $3.50–$66.50 | 142% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB (IGG) | $212.00 | $212.00 | $130.38–$201.40 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY | $212.00 | $212.00 | $3.50–$66.50 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION, QUANT | $293.00 | $293.00 | $3.50–$58.90 | 146% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $293.00 | $293.00 | $57.21–$249.85 | 146% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 SERIAL D-DIMER | $293.00 | $293.00 | $48.84–$304.12 | 146% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION, QUANT | $293.00 | $293.00 | $3.50–$58.90 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $293.00 | $293.00 | $173.02–$249.85 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 SERIAL D-DIMER | $293.00 | $293.00 | $163.39–$239.67 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $426.00 | $426.00 | $73.03–$574.97 | 287% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE | $426.00 | $426.00 | $3.50–$142.50 | 287% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA | $426.00 | $426.00 | $93.72–$574.97 | 287% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 FL DHEA-SULFATE | $426.00 | $426.00 | $27.94–$360.14 | 287% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE | $426.00 | $426.00 | $313.54–$404.70 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE | $426.00 | $426.00 | $3.50–$142.50 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA | $426.00 | $426.00 | $313.54–$404.70 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 FL DHEA-SULFATE | $426.00 | $426.00 | $93.47–$348.47 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID METABOLITE SYNTHETIC | $74.00 | $74.00 | $84.56–$5,333.77 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE (14)SCRN(LABCORP) | $74.00 | $74.00 | $16.28–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE (10)SCRN(LABCORP) | $74.00 | $74.00 | $16.28–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PRE-EMP(LABCORP) | $74.00 | $74.00 | $16.28–$600.51 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM | $74.00 | $74.00 | $16.28–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL URINE | $74.00 | $74.00 | $36.25–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ..DRUG SCREEN PRE-EMPLOYMENT | $74.00 | $74.00 | $16.28–$805.56 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD | $74.00 | $74.00 | $36.08–$818.48 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MDMA URINE CONFIRMATION | $74.00 | $74.00 | $124.74–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, CORD BLOOD | $74.00 | $74.00 | $124.74–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, ETHANOL, URINE | $74.00 | $74.00 | $16.28–$805.56 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS SERUM W/CONFIRM | $74.00 | $74.00 | $124.74–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE (10)SCREEN, WB | $74.00 | $74.00 | $124.74–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE (10)SCREEN, SERUM | $74.00 | $74.00 | $124.74–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ..DRUGS NOS | $74.00 | $74.00 | $10.66–$1,219.64 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 .DRUG SCREEN BLOOD | $74.00 | $74.00 | $36.08–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, CORD TISSUE | $74.00 | $74.00 | $124.74–$1,084.88 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP URINE/W CONFIRM | $74.00 | $74.00 | $56.58–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN GAH PRE-EMP(LABCORP) | $74.00 | $74.00 | $63.14–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ..DRUG SCREEN POST ACCIDENT | $74.00 | $74.00 | $89.38–$538.65 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $74.00 | $74.00 | $3.50–$64.60 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE (ETG) | $74.00 | $74.00 | $54.12–$805.56 | 26% below | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, CORD BLOOD | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MDMA URINE CONFIRMATION | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL URINE | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL, ETHANOL, URINE | $74.00 | $74.00 | $28.70–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG OF ABUSE (10)SCREEN, WB | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, CORD TISSUE | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD | $74.00 | $74.00 | $36.08–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE (ETG) | $74.00 | $74.00 | $54.12–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG OF ABUSE (10)SCREEN, SERUM | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .DRUG SCREEN BLOOD | $74.00 | $74.00 | $36.08–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN GAH PRE-EMP(LABCORP) | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $74.00 | $74.00 | $3.50–$64.60 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOID METABOLITE SYNTHETIC | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MECONIUM | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ..DRUG SCREEN PRE-EMPLOYMENT | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PRE-EMP(LABCORP) | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG OF ABUSE (10)SCRN(LABCORP) | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG OF ABUSE (14)SCRN(LABCORP) | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ..DRUG SCREEN POST ACCIDENT | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PCP URINE/W CONFIRM | $74.00 | $74.00 | $56.58–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOIDS SERUM W/CONFIRM | $74.00 | $74.00 | $60.53–$538.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ..DRUGS NOS | $74.00 | $74.00 | $10.66–$538.65 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $232.00 | $232.00 | $3.50–$60.80 | 155% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $232.00 | $232.00 | $51.04–$220.40 | 155% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $232.00 | $232.00 | $3.50–$60.80 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $232.00 | $232.00 | $170.75–$220.40 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA (IGM) ANTIBODY | $344.00 | $344.00 | $75.68–$488.73 | 221% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR ANTIBODY | $344.00 | $344.00 | $3.50–$83.60 | 221% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA (IGG) ANTIBODY | $344.00 | $344.00 | $27.18–$326.80 | 221% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR ANTIBODY | $344.00 | $344.00 | $3.50–$83.60 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA (IGM) ANTIBODY | $344.00 | $344.00 | $253.18–$326.80 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA (IGG) ANTIBODY | $344.00 | $344.00 | $253.18–$326.80 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL (PEDIATRICS) ULT SENS | $408.00 | $408.00 | $133.54–$576.65 | 271% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $408.00 | $408.00 | $3.50–$85.50 | 271% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $408.00 | $408.00 | $83.16–$359.10 | 271% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $408.00 | $408.00 | $278.21–$359.10 | — | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $408.00 | $408.00 | $3.50–$85.50 | — | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL (PEDIATRICS) ULT SENS | $408.00 | $408.00 | $333.74–$576.65 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $428.00 | $428.00 | $87.12–$376.20 | 256% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH (PEDIATRICS ULT SENS) | $428.00 | $428.00 | $52.14–$225.15 | 256% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 GONAD FOLLICLE STIMULATING HORM | $428.00 | $428.00 | $3.50–$85.50 | 256% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (PEDIATRICS ULT SENS) | $428.00 | $428.00 | $63.14–$350.10 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONAD FOLLICLE STIMULATING HORM | $428.00 | $428.00 | $3.50–$85.50 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $428.00 | $428.00 | $291.46–$376.20 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $375.00 | $375.00 | $3.50–$88.35 | 114% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL | $375.00 | $375.00 | $82.50–$360.25 | 114% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL | $375.00 | $375.00 | $276.00–$356.25 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $375.00 | $375.00 | $3.50–$88.35 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $341.00 | $341.00 | $3.50–$74.10 | 160% above | — |
| Ferritin blood test (iron stores) CPT 82728 SERIAL FERRITIN | $341.00 | $341.00 | $67.32–$290.70 | 160% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $341.00 | $341.00 | $67.32–$4,344.63 | 160% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 SERIAL FERRITIN | $341.00 | $341.00 | $205.00–$290.70 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $341.00 | $341.00 | $3.50–$74.10 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $341.00 | $341.00 | $205.00–$290.70 | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN (ACTIVITY) | $208.00 | $208.00 | $45.76–$197.60 | 148% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN (ACTIVITY) | $208.00 | $208.00 | $153.09–$197.60 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $385.00 | $385.00 | $75.90–$5,684.52 | 238% above | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $385.00 | $385.00 | $3.50–$79.80 | 238% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $385.00 | $385.00 | $209.92–$327.75 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $385.00 | $385.00 | $3.50–$79.80 | — | — |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRO9 T3 FR | $385.00 | $385.00 | $3.50–$74.10 | 217% above | — |
| Free T3 thyroid hormone test CPT 84481 T-3 FREE | $385.00 | $385.00 | $75.90–$490.15 | 217% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T-3 FREE | $385.00 | $385.00 | $175.48–$327.75 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRO9 T3 FR | $385.00 | $385.00 | $3.50–$74.10 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FR | $416.00 | $416.00 | $3.50–$73.15 | 259% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE | $416.00 | $416.00 | $80.52–$519.99 | 259% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 FREE | $416.00 | $416.00 | $209.10–$347.70 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FR | $416.00 | $416.00 | $3.50–$73.15 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE (NO TOTAL) | $522.00 | $522.00 | $11.08–$366.70 | 318% above | — |
| Free testosterone test CPT 84402 TSTOSTERONE FR | $522.00 | $522.00 | $3.50–$142.50 | 318% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE (INCLUDES TOTAL) | $522.00 | $522.00 | $106.26–$458.85 | 318% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE (NO TOTAL) | $522.00 | $522.00 | $284.10–$427.00 | — | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE (INCLUDES TOTAL) | $522.00 | $522.00 | $355.49–$458.85 | — | — |
| Free testosterone test inpatient CPT 84402 TSTOSTERONE FR | $522.00 | $522.00 | $3.50–$142.50 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $206.00 | $206.00 | $45.32–$195.70 | 253% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 RL GGT | $206.00 | $206.00 | $23.32–$100.70 | 253% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRASE GAMMA | $206.00 | $206.00 | $3.50–$38.00 | 253% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRASE GAMMA | $206.00 | $206.00 | $3.50–$38.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $206.00 | $206.00 | $151.62–$195.70 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 RL GGT | $206.00 | $206.00 | $78.02–$168.51 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUC POST GLUC DOSE GLUC | $66.00 | $66.00 | $3.50–$58.90 | 15% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR PP | $66.00 | $66.00 | $38.50–$166.25 | 15% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR PP | $66.00 | $66.00 | $53.99–$166.25 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUC POST GLUC DOSE GLUC | $66.00 | $66.00 | $3.50–$58.90 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 .GTT - 4 HOUR | $271.00 | $271.00 | $50.38–$217.55 | 108% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUC TOLERANCE TST GTT 3 SPEC GLUC | $271.00 | $271.00 | $3.50–$72.20 | 108% above | — |
| Glucose tolerance test, 3 samples CPT 82951 .GTT - 3 HOUR | $271.00 | $271.00 | $25.94–$230.85 | 108% above | — |
| Glucose tolerance test, 3 samples CPT 82951 __2 HR GLUCOSE | $271.00 | $271.00 | $59.62–$257.45 | 108% above | — |
| Glucose tolerance test, 3 samples CPT 82951 .GTT - 2 HOUR | $271.00 | $271.00 | $53.46–$230.85 | 108% above | — |
| Glucose tolerance test, 3 samples CPT 82951 .GTT - 5 HOUR | $271.00 | $271.00 | $53.46–$246.92 | 108% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT - 2 HOUR | $271.00 | $271.00 | $178.85–$230.85 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT - 3 HOUR | $271.00 | $271.00 | $178.85–$230.85 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT - 4 HOUR | $271.00 | $271.00 | $168.54–$221.68 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 __2 HR GLUCOSE | $271.00 | $271.00 | $199.46–$257.45 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT - 5 HOUR | $271.00 | $271.00 | $178.85–$230.85 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC TOLERANCE TST GTT 3 SPEC GLUC | $271.00 | $271.00 | $3.50–$72.20 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IADNA NEISSERIA GONORRHOEAE AMP PRB | $319.00 | $319.00 | $3.50–$154.85 | 167% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GC DNA (SWAB) | $319.00 | $319.00 | $62.92–$271.70 | 167% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GC DNA (URINE) | $319.00 | $319.00 | $62.92–$435.20 | 167% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .NEISSERIA (LIQUID PAP) | $319.00 | $319.00 | $10.56–$63.80 | 167% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .NEISSERIA (LIQUID PAP) | $319.00 | $319.00 | $35.33–$260.94 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GC DNA (URINE) | $319.00 | $319.00 | $210.50–$271.70 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IADNA NEISSERIA GONORRHOEAE AMP PRB | $319.00 | $319.00 | $3.50–$154.85 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GC DNA (SWAB) | $319.00 | $319.00 | $210.50–$271.70 | — | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODIES (IGA) | $228.00 | $228.00 | $50.16–$567.40 | 96% above | — |
| H. pylori antibody blood test CPT 86677 ANTB HELICOBACTER PYLORI | $228.00 | $228.00 | $3.50–$76.95 | 96% above | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODIES (IGM) | $228.00 | $228.00 | $50.16–$657.92 | 96% above | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODIES (IGA,IGM,IGG) | $228.00 | $228.00 | $50.16–$567.40 | 96% above | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODIES (IGM) | $228.00 | $228.00 | $167.81–$216.60 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODIES (IGA,IGM,IGG) | $228.00 | $228.00 | $167.81–$216.60 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 ANTB HELICOBACTER PYLORI | $228.00 | $228.00 | $3.50–$76.95 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODIES (IGA) | $228.00 | $228.00 | $167.81–$216.60 | — | — |
| H. pylori stool antigen test CPT 87338 HPYLORI, STOOL, EIA | $476.00 | $476.00 | $3.50–$170.05 | 310% above | — |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN, STOOL | $476.00 | $476.00 | $104.72–$452.20 | 310% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI, STOOL, EIA | $476.00 | $476.00 | $3.50–$170.05 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN, STOOL | $476.00 | $476.00 | $350.34–$452.20 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV GENOTYPE | $691.00 | $691.00 | $152.02–$731.83 | 103% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 IADNA HIV-1 QUAN | $691.00 | $691.00 | $3.50–$466.45 | 103% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA PCR, QN | $691.00 | $691.00 | $66.44–$555.14 | 103% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA PCR, QN | $691.00 | $691.00 | $222.27–$565.24 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV GENOTYPE | $691.00 | $691.00 | $508.58–$656.45 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 IADNA HIV-1 QUAN | $691.00 | $691.00 | $3.50–$466.45 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV AB REFLEX TO WESTERN BLOTT | $269.00 | $269.00 | $96.58–$464.94 | 128% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 (RAPID) ANTIBODY | $269.00 | $269.00 | $54.78–$349.41 | 128% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTB HIV-1/HIV-2 1 ASSAY | $269.00 | $269.00 | $3.50–$73.15 | 128% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV AB REFLEX TO WESTERN BLOTT | $269.00 | $269.00 | $220.04–$417.05 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1&2 (RAPID) ANTIBODY | $269.00 | $269.00 | $183.26–$236.55 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 ANTB HIV-1/HIV-2 1 ASSAY | $269.00 | $269.00 | $3.50–$73.15 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $230.00 | $230.00 | $3.50–$158.65 | 100% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1&2 ANTIBODY SCREEN | $230.00 | $230.00 | $38.64–$251.35 | 100% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/0/2 AB/AG W/p24 PANEL | $230.00 | $230.00 | $64.24–$277.40 | 100% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $230.00 | $230.00 | $3.50–$158.65 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1&2 ANTIBODY SCREEN | $230.00 | $230.00 | $164.13–$211.85 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/0/2 AB/AG W/p24 PANEL | $230.00 | $230.00 | $188.14–$277.40 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $691.00 | $691.00 | $3.50–$323.00 | 372% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK | $691.00 | $691.00 | $136.40–$589.00 | 372% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA genotypr (APTIMA) 16,18/45 | $691.00 | $691.00 | $78.54–$339.15 | 372% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA genotypr (APTIMA) 16,18/45 | $691.00 | $691.00 | $262.75–$565.24 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HIGH RISK | $691.00 | $691.00 | $456.32–$589.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES | $691.00 | $691.00 | $3.50–$323.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 X RHC HEMOGLOBIN A1c | $93.00 | $93.00 | $23.52–$146.30 | 5% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL HEMOGLOBIN A1c | $93.00 | $93.00 | $28.82–$124.45 | 5% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1c | $93.00 | $93.00 | $46.49–$249.85 | 5% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb A1C IN/OUT | $93.00 | $93.00 | $3.50–$79.80 | 5% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 X RHC HEMOGLOBIN A1c | $93.00 | $93.00 | $76.07–$146.30 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1c | $93.00 | $93.00 | $76.07–$249.85 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL HEMOGLOBIN A1c | $93.00 | $93.00 | $76.07–$124.45 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb A1C IN/OUT | $93.00 | $93.00 | $3.50–$79.80 | — | — |
| Hemoglobin blood test CPT 85018 BLOOD HEMOGLOBIN LAB TEST | $31.00 | $31.00 | $3.50–$26.60 | 2% below | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $31.00 | $31.00 | $16.50–$71.25 | 2% below | — |
| Hemoglobin blood test CPT 85018 X RHC HEMOGLOBIN | $31.00 | $31.00 | $13.20–$57.00 | 2% below | — |
| Hemoglobin blood test inpatient CPT 85018 X RHC HEMOGLOBIN | $31.00 | $31.00 | $25.36–$57.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 BLOOD HEMOGLOBIN LAB TEST | $31.00 | $31.00 | $3.50–$26.60 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $31.00 | $31.00 | $25.36–$71.25 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL AB | $271.00 | $271.00 | $33.38–$243.20 | 239% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTB HBCAB TOT | $271.00 | $271.00 | $3.50–$85.50 | 239% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTB HBCAB TOT | $271.00 | $271.00 | $3.50–$85.50 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE TOTAL AB | $271.00 | $271.00 | $188.42–$243.20 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF ANTB HBSAB | $234.00 | $234.00 | $3.50–$60.80 | 149% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $234.00 | $234.00 | $48.62–$209.95 | 149% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF ANTB HBSAB | $234.00 | $234.00 | $3.50–$60.80 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $234.00 | $234.00 | $162.66–$209.95 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $242.00 | $242.00 | $46.20–$199.50 | 173% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 IAAD EIA HEP B SURF AG | $242.00 | $242.00 | $3.50–$60.80 | 173% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IAAD EIA HEP B SURF AG | $242.00 | $242.00 | $3.50–$60.80 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $242.00 | $242.00 | $154.56–$199.50 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB W/ REFLEX TO QNT | $350.00 | $350.00 | $64.68–$279.30 | 212% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $350.00 | $350.00 | $59.62–$334.54 | 212% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTB | $350.00 | $350.00 | $3.50–$85.50 | 212% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTB | $350.00 | $350.00 | $3.50–$85.50 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB W/ REFLEX TO QNT | $350.00 | $350.00 | $216.38–$286.30 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $350.00 | $350.00 | $199.46–$286.30 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOAD, QN | $983.00 | $983.00 | $234.08–$1,010.80 | 271% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C, RNA, QN | $983.00 | $983.00 | $254.76–$1,100.10 | 271% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C GT1aNS5A | $983.00 | $983.00 | $96.69–$1,010.80 | 271% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C, RNA, QUANT | $983.00 | $983.00 | $3.50–$408.50 | 271% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA, QT rfx geno | $983.00 | $983.00 | $216.26–$933.85 | 271% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C, RNA, DIAGNOSIS | $983.00 | $983.00 | $124.52–$537.70 | 271% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C, RNA, QN | $983.00 | $983.00 | $804.09–$1,100.10 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C, RNA, DIAGNOSIS | $983.00 | $983.00 | $416.58–$804.09 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C GT1aNS5A | $983.00 | $983.00 | $783.10–$1,010.80 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA, QT rfx geno | $983.00 | $983.00 | $723.49–$933.85 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOAD, QN | $983.00 | $983.00 | $783.10–$1,010.80 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C, RNA, QUANT | $983.00 | $983.00 | $3.50–$408.50 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 ..HERPES SIM 1&2 IGM AB | $167.00 | $167.00 | $40.48–$174.80 | 147% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1, IgG Ab | $167.00 | $167.00 | $3.50–$72.20 | 147% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIM 1 IGG AB | $167.00 | $167.00 | $36.74–$158.65 | 147% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1, IgG Ab | $167.00 | $167.00 | $3.50–$72.20 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIM 1 IGG AB | $167.00 | $167.00 | $122.91–$158.65 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 ..HERPES SIM 1&2 IGM AB | $167.00 | $167.00 | $135.42–$174.80 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2, IgG AB | $209.00 | $209.00 | $3.50–$72.20 | 126% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIM 2 IGG AB | $209.00 | $209.00 | $36.74–$158.65 | 126% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ..HERPES SIM 2 IGM AB(BILL ONLY) | $209.00 | $209.00 | $2.79–$92.15 | 126% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2, IgG AB | $209.00 | $209.00 | $3.50–$72.20 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIM 2 IGG AB | $209.00 | $209.00 | $122.91–$170.96 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ..HERPES SIM 2 IGM AB(BILL ONLY) | $209.00 | $209.00 | $71.39–$170.96 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HI SENSITIVITY | $315.00 | $315.00 | $3.50–$107.35 | 241% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-R PROTEIN (HS)(CARDIO) | $315.00 | $315.00 | $69.30–$460.89 | 241% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-R PROTEIN (HS)(CARDIO) | $315.00 | $315.00 | $231.84–$299.25 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HI SENSITIVITY | $315.00 | $315.00 | $3.50–$107.35 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL | $378.00 | $378.00 | $139.26–$926.17 | 215% above | — |
| Homocysteine blood test CPT 83090 HOMOCSTEINE | $378.00 | $378.00 | $3.50–$142.50 | 215% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIOVASCULAR | $378.00 | $378.00 | $83.16–$359.10 | 215% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIOVASCULAR | $378.00 | $378.00 | $278.21–$359.10 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCSTEINE | $378.00 | $378.00 | $3.50–$142.50 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTRITIONAL | $378.00 | $378.00 | $309.20–$601.35 | — | — |
| Insulin blood test CPT 83525 INSULIN TOT | $200.00 | $200.00 | $3.50–$107.35 | 170% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $200.00 | $200.00 | $44.00–$284.15 | 170% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL (3 SPECIMENS) | $200.00 | $200.00 | $34.10–$220.21 | 170% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL (3 SPECIMENS) | $200.00 | $200.00 | $82.82–$163.60 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $200.00 | $200.00 | $147.20–$241.90 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN TOT | $200.00 | $200.00 | $3.50–$107.35 | — | — |
| Iron blood test (serum iron) CPT 83540 .DELETE IRON TOTAL | $249.00 | $249.00 | $17.82–$76.95 | 223% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $249.00 | $249.00 | $3.50–$60.80 | 223% above | — |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL | $249.00 | $249.00 | $49.06–$211.85 | 223% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 .DELETE IRON TOTAL | $249.00 | $249.00 | $59.62–$203.68 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $249.00 | $249.00 | $3.50–$60.80 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL | $249.00 | $249.00 | $151.70–$211.85 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BNDNG CAP | $229.00 | $229.00 | $3.50–$60.80 | 191% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 UIBC | $229.00 | $229.00 | $35.42–$152.95 | 191% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $229.00 | $229.00 | $26.84–$264.09 | 191% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BNDNG CAP | $229.00 | $229.00 | $3.50–$60.80 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC | $229.00 | $229.00 | $118.50–$187.32 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $229.00 | $229.00 | $125.46–$201.40 | — | — |
| Kidney function blood test panel CPT 80069 RNL FUNCJ PANEL | $276.00 | $276.00 | $3.50–$85.50 | 86% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $276.00 | $276.00 | $26.78–$392.12 | 86% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $276.00 | $276.00 | $203.14–$262.20 | — | — |
| Kidney function blood test panel inpatient CPT 80069 RNL FUNCJ PANEL | $276.00 | $276.00 | $3.50–$85.50 | — | — |
| LH (luteinizing hormone) test CPT 83002 GONAD LTNZNG HORM | $494.00 | $494.00 | $3.50–$85.50 | 330% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $494.00 | $494.00 | $100.54–$657.14 | 330% above | — |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS | $494.00 | $494.00 | $23.78–$434.15 | 330% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 GONAD LTNZNG HORM | $494.00 | $494.00 | $3.50–$85.50 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH PEDIATRICS | $494.00 | $494.00 | $23.78–$434.15 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $494.00 | $494.00 | $308.32–$434.15 | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE | $344.00 | $344.00 | $3.50–$60.80 | 283% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $344.00 | $344.00 | $67.76–$292.60 | 283% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $344.00 | $344.00 | $226.69–$292.60 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE | $344.00 | $344.00 | $3.50–$60.80 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF | $194.00 | $194.00 | $38.28–$165.30 | 268% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, BODY FLUID | $194.00 | $194.00 | $33.66–$145.35 | 268% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYD | $194.00 | $194.00 | $3.50–$60.80 | 268% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $194.00 | $194.00 | $22.11–$176.89 | 268% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 SERIAL LDH | $194.00 | $194.00 | $38.06–$164.35 | 268% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $194.00 | $194.00 | $127.33–$164.35 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF | $194.00 | $194.00 | $128.06–$165.30 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SERIAL LDH | $194.00 | $194.00 | $127.33–$164.35 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, BODY FLUID | $194.00 | $194.00 | $112.61–$158.69 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYD | $194.00 | $194.00 | $3.50–$60.80 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $338.00 | $338.00 | $66.66–$287.85 | 276% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $338.00 | $338.00 | $3.50–$60.80 | 276% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $338.00 | $338.00 | $152.52–$287.85 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $338.00 | $338.00 | $3.50–$60.80 | — | — |
| Liver function blood test panel CPT 80076 HEPATC FUNCJ PANEL | $315.00 | $315.00 | $3.50–$85.50 | 125% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $315.00 | $315.00 | $62.04–$267.90 | 125% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $315.00 | $315.00 | $207.55–$267.90 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATC FUNCJ PANEL | $315.00 | $315.00 | $3.50–$85.50 | — | — |
| Lyme disease antibody test CPT 86618 LYME ANTIBODY/RFX | $35.00 | $35.00 | $6.16–$26.60 | 53% below | — |
| Lyme disease antibody test CPT 86618 .LYME ANTIBODY/RFX WESTERN BLOTT | $35.00 | $35.00 | $4.90–$26.80 | 53% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB/REFLEX | $35.00 | $35.00 | $16.72–$343.90 | 53% below | — |
| Lyme disease antibody test CPT 86618 ANTB BORRELIA BURGDORFERI LYME DISEASE | $35.00 | $35.00 | $3.50–$104.50 | 53% below | — |
| Lyme disease antibody test inpatient CPT 86618 ANTB BORRELIA BURGDORFERI LYME DISEASE | $35.00 | $35.00 | $3.50–$104.50 | — | — |
| Lyme disease antibody test inpatient CPT 86618 .LYME ANTIBODY/RFX WESTERN BLOTT | $35.00 | $35.00 | $20.61–$28.63 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY/RFX | $35.00 | $35.00 | $20.61–$28.63 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB/REFLEX | $35.00 | $35.00 | $28.63–$343.90 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $260.00 | $260.00 | $3.50–$60.80 | 279% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE (24-HOUR) | $260.00 | $260.00 | $18.70–$133.95 | 279% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $260.00 | $260.00 | $31.02–$133.95 | 279% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $260.00 | $260.00 | $45.70–$309.47 | 279% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE (24-HOUR) | $260.00 | $260.00 | $84.46–$212.68 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $260.00 | $260.00 | $84.46–$212.68 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $260.00 | $260.00 | $167.81–$216.60 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $260.00 | $260.00 | $3.50–$60.80 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgM) | $232.00 | $232.00 | $12.38–$193.80 | 209% above | — |
| Measles (rubeola) antibody test CPT 86765 ANTB RUBEOLA | $232.00 | $232.00 | $3.50–$74.10 | 209% above | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgG) | $232.00 | $232.00 | $48.18–$295.58 | 209% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IgM) | $232.00 | $232.00 | $150.14–$193.80 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IgG) | $232.00 | $232.00 | $161.18–$208.05 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTB RUBEOLA | $232.00 | $232.00 | $3.50–$74.10 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HTROPHL ANTIBODIES SCR | $140.00 | $140.00 | $3.50–$45.60 | 82% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $140.00 | $140.00 | $30.80–$133.00 | 82% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $140.00 | $140.00 | $103.04–$133.00 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HTROPHL ANTIBODIES SCR | $140.00 | $140.00 | $3.50–$45.60 | — | — |
| Mumps immunity blood test CPT 86735 ANTB MUMPS-IgG | $139.00 | $139.00 | $3.50–$72.20 | 85% above | — |
| Mumps immunity blood test CPT 86735 ANTB MUMPS-IgM | $139.00 | $139.00 | $3.50–$86.45 | 85% above | — |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY (IgG) | $139.00 | $139.00 | $24.36–$130.15 | 85% above | — |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY (IgM) | $139.00 | $139.00 | $16.02–$176.01 | 85% above | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY (IgG) | $139.00 | $139.00 | $100.83–$130.15 | — | — |
| Mumps immunity blood test inpatient CPT 86735 ANTB MUMPS-IgM | $139.00 | $139.00 | $3.50–$86.45 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY (IgM) | $139.00 | $139.00 | $113.70–$163.40 | — | — |
| Mumps immunity blood test inpatient CPT 86735 ANTB MUMPS-IgG | $139.00 | $139.00 | $3.50–$72.20 | — | — |
| Obstetric blood test panel CPT 80055 .PRENATAL PROFILE (QUEST) | $576.00 | $576.00 | $92.40–$399.00 | 174% above | — |
| Obstetric blood test panel CPT 80055 .PRENATAL PROFILE | $576.00 | $576.00 | $98.12–$423.70 | 174% above | — |
| Obstetric blood test panel CPT 80055 OB PANEL | $576.00 | $576.00 | $3.50–$177.65 | 174% above | — |
| Obstetric blood test panel inpatient CPT 80055 .PRENATAL PROFILE (QUEST) | $576.00 | $576.00 | $309.12–$471.17 | — | — |
| Obstetric blood test panel inpatient CPT 80055 .PRENATAL PROFILE | $576.00 | $576.00 | $328.00–$471.17 | — | — |
| Obstetric blood test panel inpatient CPT 80055 OB PANEL | $576.00 | $576.00 | $3.50–$177.65 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $397.00 | $397.00 | $87.34–$377.15 | 306% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PRST8 SPEC AG FR | $397.00 | $397.00 | $3.50–$90.25 | 306% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $397.00 | $397.00 | $292.19–$377.15 | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PRST8 SPEC AG FR | $397.00 | $397.00 | $3.50–$90.25 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE | $370.00 | $370.00 | $63.58–$274.55 | 222% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PRST8 SPEC AG TOT | $370.00 | $370.00 | $3.50–$90.25 | 222% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $370.00 | $370.00 | $57.42–$379.06 | 222% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PRST8 SPEC AG TOT | $370.00 | $370.00 | $3.50–$90.25 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE | $370.00 | $370.00 | $212.70–$302.66 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $370.00 | $370.00 | $244.35–$315.40 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 .PAP SMEAR THIN LAYER PREP (88175) | $465.00 | $465.00 | $70.91–$396.15 | 251% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $465.00 | $465.00 | $3.50–$120.65 | 251% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .PAP SMEAR THIN LAYER PREP (88175) | $465.00 | $465.00 | $306.91–$396.15 | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $465.00 | $465.00 | $3.50–$120.65 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .PAP SMEAR THIN LAYER PREP (88142) | $318.00 | $318.00 | $64.48–$302.10 | 183% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTP C/V FLU AUTO THIN MNL PHYS | $318.00 | $318.00 | $3.35–$91.20 | 183% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTP C/V FLU AUTO THIN MNL PHYS | $318.00 | $318.00 | $3.35–$91.20 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .PAP SMEAR THIN LAYER PREP (88142) | $318.00 | $318.00 | $234.05–$302.10 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $840.00 | $840.00 | $171.16–$739.10 | 273% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORM | $840.00 | $840.00 | $3.50–$257.45 | 273% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORM | $840.00 | $840.00 | $3.50–$257.45 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $840.00 | $840.00 | $572.61–$739.10 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TM PRTL PLSM/WHL BLD | $57.00 | $57.00 | $3.50–$50.35 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME (PTT) | $57.00 | $57.00 | $43.12–$264.54 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 DRAGU PTT | $57.00 | $57.00 | $23.25–$186.20 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .RL PARTIAL THROMBOPLASTIN TIME (PTT) | $57.00 | $57.00 | $28.10–$162.45 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA (SEND OUT) | $57.00 | $57.00 | $34.54–$319.67 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT MIXING STUDIES | $57.00 | $57.00 | $30.52–$419.90 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 SERIAL PARTIAL THROMBOPLASTIN TIME (PTT) | $57.00 | $57.00 | $43.12–$186.20 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME (PTT) | $57.00 | $57.00 | $46.63–$186.20 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SERIAL PARTIAL THROMBOPLASTIN TIME (PTT) | $57.00 | $57.00 | $46.63–$186.20 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT MIXING STUDIES | $57.00 | $57.00 | $46.63–$419.90 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA (SEND OUT) | $57.00 | $57.00 | $46.63–$149.15 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .RL PARTIAL THROMBOPLASTIN TIME (PTT) | $57.00 | $57.00 | $46.63–$162.45 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 DRAGU PTT | $57.00 | $57.00 | $46.63–$186.20 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TM PRTL PLSM/WHL BLD | $57.00 | $57.00 | $3.50–$50.35 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $134.00 | $134.00 | $3.50–$60.80 | 129% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM | $134.00 | $134.00 | $26.19–$115.90 | 129% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC | $134.00 | $134.00 | $3.50–$60.80 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM | $134.00 | $134.00 | $89.79–$115.90 | — | — |
| Potassium blood test CPT 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD | $111.00 | $111.00 | $3.50–$38.95 | 156% above | — |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $111.00 | $111.00 | $12.47–$99.75 | 156% above | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD | $111.00 | $111.00 | $3.50–$38.95 | — | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $111.00 | $111.00 | $77.28–$99.75 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 PLUS CORE W/ GENDER | $2,006.00 | $2,006.00 | $441.32–$2,600.37 | 128% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 PLUS CORE NO GENDER | $2,006.00 | $2,006.00 | $334.61–$4,884.11 | 128% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 ..TRISOMY21/MONOSOMY X | $2,006.00 | $2,006.00 | $441.32–$2,038.40 | 128% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 ..TRISOMY21/MONOSOMY X | $2,006.00 | $2,006.00 | $806.88–$1,905.70 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT21 PLUS CORE W/ GENDER | $2,006.00 | $2,006.00 | $931.52–$1,905.70 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT21 PLUS CORE NO GENDER | $2,006.00 | $2,006.00 | $931.52–$1,905.70 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $457.00 | $457.00 | $39.82–$401.85 | 226% above | — |
| Progesterone blood test CPT 84144 PROGST | $457.00 | $457.00 | $3.50–$90.25 | 226% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $457.00 | $457.00 | $311.33–$401.85 | — | — |
| Progesterone blood test inpatient CPT 84144 PROGST | $457.00 | $457.00 | $3.50–$90.25 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN, FREE | $440.00 | $440.00 | $57.42–$247.95 | 240% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $440.00 | $440.00 | $77.44–$380.02 | 240% above | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $440.00 | $440.00 | $3.50–$90.25 | 240% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $440.00 | $440.00 | $259.07–$359.92 | — | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN, FREE | $440.00 | $440.00 | $105.78–$359.92 | — | — |
| Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN | $440.00 | $440.00 | $3.50–$90.25 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 RL PROTHROMBIN TIME w/INR | $59.00 | $59.00 | $17.38–$75.05 | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME IN/OUT | $59.00 | $59.00 | $3.50–$50.35 | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 SERIAL PROTHROMBIN TIME w/INR | $59.00 | $59.00 | $11.71–$173.85 | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME w/INR | $59.00 | $59.00 | $12.98–$173.85 | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 X RHC PROTHROMBIN TIME | $59.00 | $59.00 | $15.05–$80.75 | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 DRAGU PT w/INR | $59.00 | $59.00 | $11.71–$173.85 | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 aPT MIXING STUDIES | $59.00 | $59.00 | $17.17–$178.60 | 36% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 X RHC PROTHROMBIN TIME | $59.00 | $59.00 | $48.26–$80.75 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 DRAGU PT w/INR | $59.00 | $59.00 | $48.26–$173.85 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME IN/OUT | $59.00 | $59.00 | $3.50–$50.35 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL PROTHROMBIN TIME w/INR | $59.00 | $59.00 | $48.26–$75.05 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 aPT MIXING STUDIES | $59.00 | $59.00 | $48.26–$178.60 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SERIAL PROTHROMBIN TIME w/INR | $59.00 | $59.00 | $48.26–$173.85 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME w/INR | $59.00 | $59.00 | $48.26–$173.85 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $80.00 | $80.00 | $3.50–$67.45 | 2% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $80.00 | $80.00 | $3.50–$67.45 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 X RHC INFLUENZA A | $65.00 | $65.00 | $12.82–$261.32 | 9% below | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B (IN)- IAADIADOO INF | $65.00 | $65.00 | $3.50–$56.05 | 9% below | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 X RHC INFLUENZA A | $65.00 | $65.00 | $53.17–$179.55 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B (IN)- IAADIADOO INF | $65.00 | $65.00 | $3.50–$56.05 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 X RHC STREP SCREEN, RAPID | $66.00 | $66.00 | $5.35–$77.90 | 8% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN - IAADIADOO STREPTOCOCCUS GRP | $66.00 | $66.00 | $3.50–$58.90 | 8% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN - IAADIADOO STREPTOCOCCUS GRP | $66.00 | $66.00 | $3.50–$58.90 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 X RHC STREP SCREEN, RAPID | $66.00 | $66.00 | $53.99–$77.90 | — | — |
| Renin blood test CPT 84244 RENIN | $455.00 | $455.00 | $100.10–$646.44 | 296% above | — |
| Renin blood test inpatient CPT 84244 RENIN | $455.00 | $455.00 | $334.88–$432.25 | — | — |
| Rh blood typing CPT 86901 BLD TYPING RH D | $178.00 | $178.00 | $3.50–$26.60 | 165% above | — |
| Rh blood typing CPT 86901 BB BLOOD TYPING RH | $178.00 | $178.00 | $34.98–$151.05 | 165% above | — |
| Rh blood typing inpatient CPT 86901 BLD TYPING RH D | $178.00 | $178.00 | $3.50–$26.60 | — | — |
| Rh blood typing inpatient CPT 86901 BB BLOOD TYPING RH | $178.00 | $178.00 | $117.02–$151.05 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (IGG) | $103.00 | $103.00 | $22.00–$95.00 | 65% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $103.00 | $103.00 | $3.50–$50.35 | 65% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (IGA) | $103.00 | $103.00 | $22.00–$142.07 | 65% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (IGA) | $103.00 | $103.00 | $73.60–$95.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (IGG) | $103.00 | $103.00 | $73.60–$95.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN | $103.00 | $103.00 | $3.50–$50.35 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IgG) | $167.00 | $167.00 | $36.74–$237.26 | 128% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IgM | $167.00 | $167.00 | $36.74–$237.26 | 128% above | — |
| Rubella antibody test (immunity check) CPT 86762 ANTB RUBELLA | $167.00 | $167.00 | $3.50–$48.45 | 128% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IgM | $167.00 | $167.00 | $122.91–$158.65 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (IgG) | $167.00 | $167.00 | $122.91–$158.65 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 ANTB RUBELLA | $167.00 | $167.00 | $3.50–$48.45 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $149.00 | $149.00 | $22.19–$188.96 | 208% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE RBC AUTO | $149.00 | $149.00 | $2.62–$41.80 | 208% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE RBC AUTO | $149.00 | $149.00 | $2.62–$41.80 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE | $149.00 | $149.00 | $97.89–$126.35 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS, COMPLETE | $148.00 | $148.00 | $3.50–$46.55 | 2% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS, COMPLETE | $148.00 | $148.00 | $3.50–$46.55 | — | — |
| Sodium blood test CPT 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD | $108.00 | $108.00 | $3.50–$38.95 | 120% above | — |
| Sodium blood test CPT 84295 SODIUM, SERUM | $108.00 | $108.00 | $23.76–$153.44 | 120% above | — |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD | $108.00 | $108.00 | $3.50–$38.95 | — | — |
| Sodium blood test inpatient CPT 84295 SODIUM, SERUM | $108.00 | $108.00 | $79.49–$102.60 | — | — |
| Stool ova and parasites exam CPT 87177 OVA PARASITS DIR SMRS CONCENTRATION/ID | $199.00 | $199.00 | $3.50–$50.35 | 166% above | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $199.00 | $199.00 | $34.98–$151.05 | 166% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA PARASITS DIR SMRS CONCENTRATION/ID | $199.00 | $199.00 | $3.50–$50.35 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $199.00 | $199.00 | $106.60–$162.78 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Feces Occult Blood Screening | $47.00 | $47.00 | $2.48–$38.95 | 63% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 X RHC OCCULT BLOOD SCREEN, FECES 1-3 | $47.00 | $47.00 | $5.50–$24.22 | 63% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 .OCCULT BLOOD SCREEN FECES 1-3 | $47.00 | $47.00 | $15.62–$72.42 | 63% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Feces Occult Blood Screening | $47.00 | $47.00 | $2.48–$38.95 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 X RHC OCCULT BLOOD SCREEN, FECES 1-3 | $47.00 | $47.00 | $18.40–$38.45 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .OCCULT BLOOD SCREEN FECES 1-3 | $47.00 | $47.00 | $38.45–$67.45 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3 | $120.00 | $120.00 | $3.50–$74.10 | 61% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD DIAGNOSTIC, FIT | $120.00 | $120.00 | $39.44–$320.15 | 61% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD SCREEN FECES FIT 1-3 | $120.00 | $120.00 | $8.85–$107.35 | 61% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD SCREEN FECES FIT 1-3 | $120.00 | $120.00 | $75.44–$107.35 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3 | $120.00 | $120.00 | $3.50–$74.10 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD DIAGNOSTIC, FIT | $120.00 | $120.00 | $98.16–$320.15 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum FTA/ABS | $216.00 | $216.00 | $3.50–$70.30 | 227% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM CASCADE | $216.00 | $216.00 | $44.88–$289.83 | 227% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $216.00 | $216.00 | $44.88–$289.83 | 227% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $216.00 | $216.00 | $47.52–$205.20 | 227% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $216.00 | $216.00 | $158.98–$205.20 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM CASCADE | $216.00 | $216.00 | $150.14–$193.80 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum FTA/ABS | $216.00 | $216.00 | $3.50–$70.30 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB | $216.00 | $216.00 | $150.14–$193.80 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $157.00 | $157.00 | $30.58–$318.37 | 207% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $157.00 | $157.00 | $14.43–$176.91 | 207% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR REFLEX TO TREP. PALLIDUM | $157.00 | $157.00 | $31.24–$176.91 | 207% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $157.00 | $157.00 | $3.50–$50.35 | 207% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $157.00 | $157.00 | $104.51–$134.90 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $157.00 | $157.00 | $102.30–$132.05 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $157.00 | $157.00 | $3.50–$50.35 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR REFLEX TO TREP. PALLIDUM | $157.00 | $157.00 | $104.51–$134.90 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 ..QUANTIFERON TB +(LAB INCUBATED) | $385.00 | $385.00 | $84.70–$422.75 | 74% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 .....QUANTIFERON TB GOLD (LAB INCUBATED) | $385.00 | $385.00 | $84.70–$422.75 | 74% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL IMMUN MEASURE | $385.00 | $385.00 | $3.50–$235.60 | 74% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD + (LABCORP INCUB) | $385.00 | $385.00 | $97.90–$422.75 | 74% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD + (LABCORP INCUB) | $385.00 | $385.00 | $314.93–$422.75 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 ..QUANTIFERON TB +(LAB INCUBATED) | $385.00 | $385.00 | $314.93–$422.75 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 .....QUANTIFERON TB GOLD (LAB INCUBATED) | $385.00 | $385.00 | $314.93–$422.75 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST, CELL IMMUN MEASURE | $385.00 | $385.00 | $3.50–$235.60 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 .TESTOSTERONE FREE (TOTAL NOT INC) | $453.00 | $453.00 | $34.44–$652.38 | 258% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (FEMALE/PED) | $453.00 | $453.00 | $89.32–$754.36 | 258% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (MALE) | $453.00 | $453.00 | $89.32–$860.77 | 258% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TSTOSTERONE TOT | $453.00 | $453.00 | $3.50–$128.25 | 258% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 .FAI 2 | $453.00 | $453.00 | $60.06–$259.35 | 258% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 .TESTOSTERONE FREE (TOTAL NOT INC) | $453.00 | $453.00 | $34.44–$370.55 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 .FAI 2 | $453.00 | $453.00 | $186.14–$370.55 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TSTOSTERONE TOT | $453.00 | $453.00 | $3.50–$128.25 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (FEMALE/PED) | $453.00 | $453.00 | $298.82–$385.70 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (MALE) | $453.00 | $453.00 | $298.82–$385.70 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EA | $298.00 | $298.00 | $3.50–$74.10 | 274% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES | $298.00 | $298.00 | $60.72–$262.20 | 274% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY | $298.00 | $298.00 | $63.80–$275.50 | 274% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EA | $298.00 | $298.00 | $3.50–$74.10 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES | $298.00 | $298.00 | $203.14–$262.20 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY | $298.00 | $298.00 | $213.44–$275.50 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $376.00 | $376.00 | $36.32–$714.48 | 238% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYR STIMULATING HORM | $376.00 | $376.00 | $3.50–$105.45 | 238% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE | $376.00 | $376.00 | $57.20–$247.00 | 238% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL TSH | $376.00 | $376.00 | $38.06–$182.20 | 238% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL TSH | $376.00 | $376.00 | $127.33–$307.57 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $376.00 | $376.00 | $248.03–$320.15 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE | $376.00 | $376.00 | $191.36–$307.57 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYR STIMULATING HORM | $376.00 | $376.00 | $3.50–$105.45 | — | — |
| Total IgE blood test CPT 82785 ASSAY OF GAMMAGLOBULIN IGE | $258.00 | $258.00 | $3.50–$79.80 | 195% above | — |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $258.00 | $258.00 | $56.76–$245.10 | 195% above | — |
| Total IgE blood test CPT 82785 ALLERGEN PROFILE PLUS PEDIATRIC | $258.00 | $258.00 | $19.36–$95.53 | 195% above | — |
| Total IgE blood test inpatient CPT 82785 ALLERGEN PROFILE PLUS PEDIATRIC | $258.00 | $258.00 | $64.77–$211.04 | — | — |
| Total IgE blood test inpatient CPT 82785 ASSAY OF GAMMAGLOBULIN IGE | $258.00 | $258.00 | $3.50–$79.80 | — | — |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $258.00 | $258.00 | $189.89–$245.10 | — | — |
| Total cholesterol blood test CPT 82465 ASSAY, BLD/SERUM CHOLESTEROL | $107.00 | $107.00 | $3.50–$44.65 | 151% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL fluid | $107.00 | $107.00 | $25.87–$153.90 | 151% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $107.00 | $107.00 | $23.54–$101.65 | 151% above | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $107.00 | $107.00 | $78.75–$101.65 | — | — |
| Total cholesterol blood test inpatient CPT 82465 ASSAY, BLD/SERUM CHOLESTEROL | $107.00 | $107.00 | $3.50–$44.65 | — | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL fluid | $107.00 | $107.00 | $87.53–$153.90 | — | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOT | $283.00 | $283.00 | $3.50–$50.35 | 242% above | — |
| Total thyroxine (T4) blood test CPT 84436 T-4, TOTAL | $283.00 | $283.00 | $55.88–$360.87 | 242% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T-4, TOTAL | $283.00 | $283.00 | $155.80–$241.30 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOT | $283.00 | $283.00 | $3.50–$50.35 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL | $390.00 | $390.00 | $53.23–$332.50 | 307% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRO9 T3 TOT | $390.00 | $390.00 | $3.50–$95.00 | 307% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRO9 T3 TOT | $390.00 | $390.00 | $3.50–$95.00 | — | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL | $390.00 | $390.00 | $243.54–$332.50 | — | — |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $202.00 | $202.00 | $3.50–$41.80 | 112% above | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $202.00 | $202.00 | $39.97–$191.90 | 112% above | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $202.00 | $202.00 | $148.67–$191.90 | — | — |
| Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN | $202.00 | $202.00 | $3.50–$41.80 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA | $290.00 | $290.00 | $63.80–$275.50 | 133% above | — |
| Trichomonas test (NAAT) CPT 87661 .TRICH VAG AMP PROBE EACH ORGANISM | $290.00 | $290.00 | $34.98–$152.03 | 133% above | — |
| Trichomonas test (NAAT) CPT 87661 .TRICH (LIQUID PAP) | $290.00 | $290.00 | $10.56–$45.60 | 133% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, amplified probe technique | $290.00 | $290.00 | $3.50–$87.40 | 133% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 .TRICH VAG AMP PROBE EACH ORGANISM | $290.00 | $290.00 | $117.02–$237.22 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 .TRICH (LIQUID PAP) | $290.00 | $290.00 | $35.33–$237.22 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, amplified probe technique | $290.00 | $290.00 | $3.50–$87.40 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA | $290.00 | $290.00 | $213.44–$275.50 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES FLUID | $137.00 | $137.00 | $30.14–$130.15 | 188% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $137.00 | $137.00 | $35.20–$152.00 | 188% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $137.00 | $137.00 | $3.50–$50.35 | 188% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES FLUID | $137.00 | $137.00 | $100.83–$130.15 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $137.00 | $137.00 | $112.07–$152.00 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $137.00 | $137.00 | $3.50–$50.35 | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN-I | $443.00 | $443.00 | $50.70–$677.63 | 195% above | — |
| Troponin test, quantitative CPT 84484 SERIAL TROPONIN-I | $443.00 | $443.00 | $28.23–$378.10 | 195% above | — |
| Troponin test, quantitative CPT 84484 TROPONIN QUAN | $443.00 | $443.00 | $3.50–$120.65 | 195% above | — |
| Troponin test, quantitative CPT 84484 TROPONIN-T (SEND OUT) | $443.00 | $443.00 | $73.48–$317.30 | 195% above | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUAN | $443.00 | $443.00 | $3.50–$120.65 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-I | $443.00 | $443.00 | $292.93–$378.10 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-T (SEND OUT) | $443.00 | $443.00 | $245.82–$362.37 | — | — |
| Troponin test, quantitative inpatient CPT 84484 SERIAL TROPONIN-I | $443.00 | $443.00 | $292.93–$378.10 | — | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $140.00 | $140.00 | $3.50–$50.35 | 99% above | — |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $140.00 | $140.00 | $23.11–$118.75 | 99% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLD | $140.00 | $140.00 | $3.50–$50.35 | — | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $140.00 | $140.00 | $92.00–$118.75 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URNLS DIP STICK/TABLET RGNT AUTO MIC | $194.00 | $194.00 | $3.50–$60.80 | 203% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS w/MICROSCOPIC | $194.00 | $194.00 | $19.80–$161.50 | 203% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URNLS DIP STICK/TABLET RGNT AUTO MIC | $194.00 | $194.00 | $3.50–$60.80 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS w/MICROSCOPIC | $194.00 | $194.00 | $125.12–$161.50 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 URNLS DIP STICK/TABLET RGNT NON-AUTO MIC | $21.00 | $21.00 | $3.50–$18.05 | 7% below | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URNLS DIP STICK/TABLET RGNT NON-AUTO MIC | $21.00 | $21.00 | $3.50–$18.05 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 .URINE DIPSTICK ONLY | $54.00 | $54.00 | $8.88–$95.00 | 113% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICROSCOPIC | $54.00 | $54.00 | $29.26–$126.35 | 113% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MIC | $54.00 | $54.00 | $3.50–$45.60 | 113% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK | $54.00 | $54.00 | $10.78–$82.81 | 113% above | — |
| Urinalysis without microscope exam, automated CPT 81003 X RHC URINE DIPSTICK ONLY | $54.00 | $54.00 | $11.88–$52.77 | 113% above | — |
| Urinalysis without microscope exam, automated CPT 81003 SYNOVIAL FLUID DIPSTICK | $54.00 | $54.00 | $11.43–$99.15 | 113% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .URINE DIPSTICK ONLY | $54.00 | $54.00 | $44.17–$95.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SYNOVIAL FLUID DIPSTICK | $54.00 | $54.00 | $44.17–$96.90 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK | $54.00 | $54.00 | $36.06–$46.55 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICROSCOPIC | $54.00 | $54.00 | $44.17–$126.35 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 X RHC URINE DIPSTICK ONLY | $54.00 | $54.00 | $39.74–$51.30 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MIC | $54.00 | $54.00 | $3.50–$45.60 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC | $27.00 | $27.00 | $3.50–$22.80 | 20% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC | $27.00 | $27.00 | $3.50–$22.80 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 RL CULTURE URINE | $316.00 | $316.00 | $16.24–$98.80 | 245% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $316.00 | $316.00 | $44.90–$268.85 | 245% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CUL BACT QUAN COLONY CNT URINE | $316.00 | $316.00 | $3.50–$60.80 | 245% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $316.00 | $316.00 | $173.02–$268.85 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CUL BACT QUAN COLONY CNT URINE | $316.00 | $316.00 | $3.50–$60.80 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 RL CULTURE URINE | $316.00 | $316.00 | $76.54–$258.49 | — | — |
| Urine microalbumin (albumin) test CPT 82043 .MICROALBUMIN URINE (24-HOUR) | $225.00 | $225.00 | $30.36–$131.10 | 236% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE (RANDOM) | $225.00 | $225.00 | $44.22–$190.95 | 236% above | — |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE MICROALBUMIN QUAN | $225.00 | $225.00 | $3.50–$38.95 | 236% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE(W/O CREAT) | $225.00 | $225.00 | $29.21–$190.95 | 236% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE(W/O CREAT) | $225.00 | $225.00 | $107.42–$190.95 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 .MICROALBUMIN URINE (24-HOUR) | $225.00 | $225.00 | $101.57–$184.05 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE (RANDOM) | $225.00 | $225.00 | $107.42–$190.95 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE MICROALBUMIN QUAN | $225.00 | $225.00 | $3.50–$38.95 | — | — |
| Urine pregnancy test, read by color change CPT 81025 X RHC HCG, URINE PREGNANCY TEST | $71.00 | $71.00 | $13.75–$398.95 | 4% below | — |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE PREGNANCY TEST | $71.00 | $71.00 | $44.00–$271.92 | 4% below | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE - VIS COLOR CMPRSN METHS | $71.00 | $71.00 | $2.58–$60.80 | 4% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST - URINE - VIS COLOR CMPRSN METHS | $71.00 | $71.00 | $2.58–$60.80 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE PREGNANCY TEST | $71.00 | $71.00 | $58.08–$190.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 X RHC HCG, URINE PREGNANCY TEST | $71.00 | $71.00 | $58.08–$167.20 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $422.00 | $422.00 | $81.62–$397.28 | 226% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN | $422.00 | $422.00 | $3.50–$85.50 | 226% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN | $422.00 | $422.00 | $3.50–$85.50 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $422.00 | $422.00 | $239.44–$352.45 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 FL VITAMIN D 25-HYDROXY | $552.00 | $552.00 | $29.04–$1,636.92 | 203% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $552.00 | $552.00 | $3.50–$142.50 | 203% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY | $552.00 | $552.00 | $32.44–$1,254.03 | 203% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $552.00 | $552.00 | $3.50–$142.50 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 FL VITAMIN D 25-HYDROXY | $552.00 | $552.00 | $97.15–$451.54 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY | $552.00 | $552.00 | $342.24–$451.54 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $701.00 | $701.00 | $3.50–$171.00 | 258% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1, 25-DIHYDROXY | $701.00 | $701.00 | $154.22–$1,634.85 | 258% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1, 25-DIHYDROXY | $701.00 | $701.00 | $515.94–$665.95 | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $701.00 | $701.00 | $3.50–$171.00 | — | — |
| Zinc blood test CPT 84630 ZINC | $214.00 | $214.00 | $3.50–$66.50 | 201% above | — |
| Zinc blood test CPT 84630 ZINC SERUM | $214.00 | $214.00 | $47.08–$203.30 | 201% above | — |
| Zinc blood test inpatient CPT 84630 ZINC SERUM | $214.00 | $214.00 | $157.50–$203.30 | — | — |
| Zinc blood test inpatient CPT 84630 ZINC | $214.00 | $214.00 | $3.50–$66.50 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $347.00 | $347.00 | $68.42–$295.45 | 223% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREGNANCY - LAB TEST - SERUM | $347.00 | $347.00 | $3.50–$85.50 | 223% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE | $347.00 | $347.00 | $218.12–$295.45 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREGNANCY - LAB TEST - SERUM | $347.00 | $347.00 | $3.50–$85.50 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $1,058.00 | $1,058.00 | $142.90–$947.15 | 80% below | — |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 REMOVAL OF ADENOIDS | $1,058.00 | $1,058.00 | $142.90–$947.15 | — | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE/REMOVE ADDL | $12,199.00 | $12,199.00 | $1,062.48–$10,923.10 | at median | — |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 NECK SPINE FUSE/REMOVE ADDL | $12,199.00 | $12,199.00 | $1,062.48–$10,923.10 | — | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $3,345.00 | $3,345.00 | $374.55–$2,994.40 | 27% below | — |
| Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY | $3,345.00 | $3,345.00 | $374.55–$2,994.40 | — | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $7,613.00 | $7,613.00 | $621.50–$6,816.25 | 41% below | — |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 KNEE ARTHROSCOPY/SURGERY | $7,613.00 | $7,613.00 | $621.50–$6,816.25 | — | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOP ROTATOR CUFF REPR | $6,425.00 | $6,425.00 | $674.20–$5,752.25 | 31% below | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOP ROTATOR CUFF REPR | $6,425.00 | $6,425.00 | $674.20–$5,752.25 | — | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $679.00 | $679.00 | $79.37–$607.05 | 66% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE | $679.00 | $679.00 | $79.37–$607.05 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MM BRST STRTCTC 1ST LESION | $6,391.00 | $6,391.00 | $1,406.02–$6,071.45 | 107% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MM BRST STRTCTC 1ST LESION | $6,391.00 | $6,391.00 | $4,703.78–$6,071.45 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $1,417.00 | $1,417.00 | $152.60–$1,267.30 | 221% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE | $1,417.00 | $1,417.00 | $152.60–$1,267.30 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $1,058.00 | $1,058.00 | $97.05–$947.15 | 64% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FF FRACTURE METATARSAL | $1,058.00 | $1,058.00 | $147.62–$637.45 | 64% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE | $1,058.00 | $1,058.00 | $97.05–$947.15 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FF FRACTURE METATARSAL | $1,058.00 | $1,058.00 | $493.86–$865.44 | — | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION | $5,436.00 | $5,436.00 | $419.00–$4,866.85 | 35% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRECTION OF BUNION | $5,436.00 | $5,436.00 | $419.00–$4,866.85 | — | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION | $3,710.00 | $3,710.00 | $359.30–$3,321.20 | 6% above | — |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION OF BUNION | $3,710.00 | $3,710.00 | $359.30–$3,321.20 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $905.00 | $905.00 | $310.05–$5,846.30 | 91% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $905.00 | $905.00 | $310.05–$5,846.30 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT | $933.00 | $933.00 | $108.10–$859.75 | 22% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $933.00 | $933.00 | $333.52–$1,440.20 | 22% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL | $933.00 | $933.00 | $763.19–$1,440.20 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC, EXT | $933.00 | $933.00 | $108.10–$859.75 | — | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $3,009.00 | $3,009.00 | $447.31–$2,693.25 | 15% below | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY | $3,009.00 | $3,009.00 | $447.31–$2,693.25 | — | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $555.00 | $555.00 | $75.57–$495.90 | 42% below | — |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $555.00 | $555.00 | $75.57–$495.90 | — | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB ANTEPARTUM CARE C DLVR POSTPARTUM | $6,795.00 | $6,795.00 | $2,695.05–$6,083.80 | 33% above | — |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB ANTEPARTUM CARE C DLVR POSTPARTUM | $6,795.00 | $6,795.00 | $2,695.05–$6,083.80 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $1,120.00 | $1,120.00 | $146.70–$1,002.25 | 55% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION | $1,120.00 | $1,120.00 | $146.70–$1,002.25 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $841.00 | $841.00 | $77.50–$775.20 | 50% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $2,136.00 | $2,136.00 | $210.76–$4,428.81 | 27% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, EXCEPT NEWBORN | $2,136.00 | $2,136.00 | $93.92–$102,579.14 | 27% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $841.00 | $841.00 | $77.50–$775.20 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $2,136.00 | $2,136.00 | $705.09–$1,747.25 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION, EXCEPT NEWBORN | $2,136.00 | $2,136.00 | $788.99–$1,747.25 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA | $442.00 | $442.00 | $97.24–$419.90 | 15% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FF CLSD TR FRACTURE RADIUS/ULNA | $995.00 | $995.00 | $66.25–$1,135.25 | 92% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA | $1,291.00 | $1,291.00 | $155.35–$1,155.20 | 149% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/ULNA | $442.00 | $442.00 | $320.62–$419.90 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FF CLSD TR FRACTURE RADIUS/ULNA | $995.00 | $995.00 | $813.91–$1,135.25 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/ULNA | $1,291.00 | $1,291.00 | $155.35–$1,155.20 | — | — |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $2,662.00 | $2,662.00 | $252.46–$2,382.60 | 6% below | — |
| Colonoscopy with polyp removal inpatient CPT 45385 LESION REMOVAL COLONOSCOPY | $2,662.00 | $2,662.00 | $252.46–$2,382.60 | — | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,243.00 | $2,243.00 | $199.60–$2,007.35 | 18% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY | $2,243.00 | $2,243.00 | $199.60–$2,007.35 | — | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,949.00 | $1,949.00 | $183.67–$1,744.20 | 19% below | — |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,949.00 | $1,949.00 | $183.67–$1,744.20 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $632.00 | $632.00 | $50.20–$565.25 | 32% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 CS WITH BIOPSY OF CERVIX & ENDO CURETTAG | $632.00 | $632.00 | $115.39–$21,247.76 | 32% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 CS WITH BIOPSY OF CERVIX & ENDO CURETTAG | $632.00 | $632.00 | $516.98–$1,051.65 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $632.00 | $632.00 | $50.20–$565.25 | — | — |
| Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL | $1,506.00 | $1,506.00 | $371.74–$1,619.75 | 89% below | — |
| Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL | $1,506.00 | $1,506.00 | $371.74–$1,619.75 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $2,106.00 | $2,106.00 | $138.90–$1,884.80 | 50% below | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT | $2,106.00 | $2,106.00 | $138.90–$1,884.80 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $133.00 | $133.00 | $29.26–$128.96 | 89% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $987.00 | $987.00 | $79.97–$883.50 | 22% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $133.00 | $133.00 | $82.00–$126.35 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $987.00 | $987.00 | $79.97–$883.50 | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $1,439.00 | $1,439.00 | $206.85–$1,288.20 | 53% below | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE | $1,439.00 | $1,439.00 | $206.85–$1,288.20 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST | $75.00 | $75.00 | $16.50–$1,514.16 | 54% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST | $244.00 | $244.00 | $52.70–$217.55 | 49% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CHEMICAL CAUTERIZATION, 1ST LESION | $244.00 | $244.00 | $16.60–$254.60 | 49% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST | $75.00 | $75.00 | $52.48–$71.25 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 CHEMICAL CAUTERIZATION, 1ST LESION | $244.00 | $244.00 | $197.25–$254.60 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST | $244.00 | $244.00 | $52.70–$217.55 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $1,043.00 | $1,043.00 | $80.50–$932.90 | 38% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 CREATE EARDRUM OPENING | $1,043.00 | $1,043.00 | $80.50–$932.90 | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $186.00 | $186.00 | $40.92–$176.70 | 66% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $704.00 | $704.00 | $76.60–$629.85 | 28% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING | $186.00 | $186.00 | $130.38–$176.70 | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING | $704.00 | $704.00 | $76.60–$629.85 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 FF REMOVAL IMPACTED EAR WAX UNI | $77.00 | $77.00 | $53.90–$369.55 | 33% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX BY LAVAGE/IRRIGATION UNI | $77.00 | $77.00 | $7.10–$67.45 | 33% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX BY LAVAGE/IRRIGATION UNI | $77.00 | $77.00 | $7.10–$67.45 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 FF REMOVAL IMPACTED EAR WAX UNI | $77.00 | $77.00 | $62.99–$232.75 | — | — |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPACT CERUMEN BY INST SPX 1/2 EARS | $49.00 | $49.00 | $10.78–$989.25 | 61% below | — |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPACTED CERUMEN BY INSTRUMENTATION SPX 1/BTH EARS | $161.00 | $161.00 | $21.40–$143.45 | 29% above | — |
| Earwax removal with instruments, one ear CPT 69210 FF IRRIGATION EAR ONE OR BOTH | $555.00 | $555.00 | $122.10–$527.25 | 344% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 RMVL IMPACT CERUMEN BY INST SPX 1/2 EARS | $49.00 | $49.00 | $33.62–$46.55 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 RMVL IMPACTED CERUMEN BY INSTRUMENTATION SPX 1/BTH EARS | $161.00 | $161.00 | $21.40–$143.45 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 FF IRRIGATION EAR ONE OR BOTH | $555.00 | $555.00 | $408.48–$527.25 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $483.00 | $483.00 | $52.90–$431.30 | 41% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $483.00 | $483.00 | $52.90–$431.30 | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF ETHMOID SINUS | $3,724.00 | $3,724.00 | $325.99–$3,333.55 | 51% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 REMOVAL OF ETHMOID SINUS | $3,724.00 | $3,724.00 | $325.99–$3,333.55 | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $2,450.00 | $2,450.00 | $180.30–$2,192.60 | 38% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 EXPLORATION MAXILLARY SINUS | $2,450.00 | $2,450.00 | $180.30–$2,192.60 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY, MAXILLARY SINUS | $4,185.00 | $4,185.00 | $224.70–$3,746.80 | 44% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 ENDOSCOPY, MAXILLARY SINUS | $4,185.00 | $4,185.00 | $224.70–$3,746.80 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ ANESTHESIA INTERLAMINAR CRV/THRC | $4,912.00 | $4,912.00 | $882.86–$3,812.35 | 171% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 X ESI C-T Spine | $4,912.00 | $4,912.00 | $67.64–$1,344.25 | 171% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ ANESTHESIA INTERLAMINAR CRV/THRC | $4,912.00 | $4,912.00 | $2,953.57–$4,018.02 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 X ESI C-T Spine | $4,912.00 | $4,912.00 | $67.64–$1,344.25 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET/JOINT NERVE Lumbar/Sacral FIRST INJ | $1,439.00 | $1,439.00 | $52.13–$1,327.15 | 7% below | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET/JOINT NERVE Lumbar/Sacral FIRST INJ | $1,439.00 | $1,439.00 | $52.13–$1,327.15 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $1,492.00 | $1,492.00 | $210.71–$1,334.75 | 81% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $1,492.00 | $1,492.00 | $210.71–$1,334.75 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $662.00 | $662.00 | $56.25–$591.85 | 38% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $662.00 | $662.00 | $56.25–$591.85 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $4,531.00 | $4,531.00 | $647.90–$4,056.50 | 31% below | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $4,531.00 | $4,531.00 | $647.90–$4,056.50 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $4,630.00 | $4,630.00 | $438.49–$4,145.80 | 67% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $4,630.00 | $4,630.00 | $438.49–$4,145.80 | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $5,312.00 | $5,312.00 | $647.90–$4,755.70 | 7% below | — |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 REMOVAL OF GALLBLADDER | $5,312.00 | $5,312.00 | $647.90–$4,755.70 | — | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $2,589.00 | $2,589.00 | $270.50–$2,317.05 | 26% below | — |
| Hammertoe correction surgery inpatient CPT 28285 REPAIR OF HAMMERTOE | $2,589.00 | $2,589.00 | $270.50–$2,317.05 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $737.00 | $737.00 | $107.00–$659.30 | 19% below | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S) | $737.00 | $737.00 | $107.00–$659.30 | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY | $1,795.00 | $1,795.00 | $342.65–$1,606.45 | 36% below | — |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY | $1,795.00 | $1,795.00 | $342.65–$1,606.45 | — | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $15,042.00 | $15,042.00 | $1,689.95–$13,468.15 | at median | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 TOTAL HIP ARTHROPLASTY | $15,042.00 | $15,042.00 | $1,689.95–$13,468.15 | — | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $5,025.00 | $5,025.00 | $772.70–$4,498.25 | 15% below | — |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL HYSTERECTOMY | $5,025.00 | $5,025.00 | $772.70–$4,498.25 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 X HYSTROSALPING CATH | $1,792.00 | $1,792.00 | $394.24–$1,702.40 | 361% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 X HYSTROSALPING CATH | $1,792.00 | $1,792.00 | $907.74–$1,702.40 | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION | $8,244.00 | $8,244.00 | $248.39–$7,380.55 | 36% above | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY, ABLATION | $8,244.00 | $8,244.00 | $248.39–$7,380.55 | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY | $2,184.00 | $2,184.00 | $145.80–$1,955.10 | 35% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY, BIOPSY | $2,184.00 | $2,184.00 | $145.80–$1,955.10 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $414.00 | $414.00 | $50.83–$369.55 | 14% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $414.00 | $414.00 | $50.83–$369.55 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS, SINGLE/SIMPLE | $133.00 | $133.00 | $29.26–$126.35 | 66% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS, SINGLE OR SIMP | $133.00 | $133.00 | $29.26–$126.35 | 66% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS, SINGLE AND SIMPLE | $383.00 | $383.00 | $36.00–$342.00 | 2% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 INC/DRAIN ABSCESS - SIMPLE OR SINGLE | $1,402.00 | $1,402.00 | $308.44–$1,331.90 | 258% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 FF I&D SKIN SIMPLE | $1,766.00 | $1,766.00 | $369.82–$2,281.69 | 351% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS, SINGLE OR SIMP | $133.00 | $133.00 | $97.89–$126.35 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS, SINGLE/SIMPLE | $133.00 | $133.00 | $97.89–$126.35 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS, SINGLE AND SIMPLE | $383.00 | $383.00 | $36.00–$342.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC/DRAIN ABSCESS - SIMPLE OR SINGLE | $1,402.00 | $1,402.00 | $1,031.87–$1,331.90 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 FF I&D SKIN SIMPLE | $1,766.00 | $1,766.00 | $1,237.22–$1,596.95 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $3,311.00 | $3,311.00 | $387.05–$2,964.00 | 23% below | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR | $3,311.00 | $3,311.00 | $387.05–$2,964.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIG FLUORO GU | $59.00 | $59.00 | $12.98–$56.05 | 86% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 FF INJECTION OF SINGLE TENDON SHEATH | $279.00 | $279.00 | $192.28–$830.30 | 35% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT Fluoro Guided | $279.00 | $279.00 | $31.75–$248.90 | 35% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION 1 TENDON SHEATH/LIG FLUORO GU | $59.00 | $59.00 | $39.36–$56.05 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT Fluoro Guided | $279.00 | $279.00 | $31.75–$248.90 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 FF INJECTION OF SINGLE TENDON SHEATH | $279.00 | $279.00 | $228.22–$830.30 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR/INJ MAJORJT/BUR | $71.00 | $71.00 | $15.62–$1,433.40 | 86% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR/INJECTION MAJOR JT/BURSA | $347.00 | $347.00 | $31.80–$309.70 | 30% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 X DRAIN/INJ MAJOR JT/BURSA RT | $6,068.00 | $6,068.00 | $422.51–$2,342.70 | 1128% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 X DRAIN/INJ MAJOR JT/BURSA LT | $6,068.00 | $6,068.00 | $542.52–$2,342.70 | 1128% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR/INJ MAJORJT/BUR | $71.00 | $71.00 | $47.56–$67.45 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR/INJECTION MAJOR JT/BURSA | $347.00 | $347.00 | $31.80–$309.70 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 X DRAIN/INJ MAJOR JT/BURSA RT | $6,068.00 | $6,068.00 | $1,814.98–$4,963.62 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 X DRAIN/INJ MAJOR JT/BURSA LT | $6,068.00 | $6,068.00 | $1,814.98–$4,963.62 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $656.00 | $656.00 | $63.03–$586.15 | 182% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $656.00 | $656.00 | $890.34–$3,844.65 | 182% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE | $656.00 | $656.00 | $536.61–$3,844.65 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE | $656.00 | $656.00 | $63.03–$586.15 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR/INJ INTERM JT/BUR | $59.00 | $59.00 | $1.63–$1,191.14 | 86% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FF INJECTION BURSA INTERMEDIATE | $1,180.00 | $1,180.00 | $164.12–$708.70 | 184% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FF INJ BURSA (INTERMEDIATE JNT) | $1,180.00 | $1,180.00 | $156.64–$1,020.52 | 184% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FF BURSA INTERMEDIATE | $1,180.00 | $1,180.00 | $164.12–$708.70 | 184% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FF INJ/ASP MD JNT ELBOW ANKLE | $1,180.00 | $1,180.00 | $259.60–$1,121.00 | 184% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR/INJECTION INTERM JT/BURSA | $2,385.00 | $2,385.00 | $33.00–$246.05 | 475% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 X ARTHROCENTESISPHYSPRCDR | $2,385.00 | $2,385.00 | $296.78–$1,281.55 | 475% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 X DRAIN/INJ MINOR JT/BURSA RT | $2,385.00 | $2,385.00 | $262.48–$1,969.35 | 475% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 X DRAIN/INJ MINOR JT/BURSA LT | $2,385.00 | $2,385.00 | $456.06–$1,969.35 | 475% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIR/INJ INTERM JT/BUR | $59.00 | $59.00 | $37.72–$56.05 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FF INJ BURSA (INTERMEDIATE JNT) | $1,180.00 | $1,180.00 | $524.03–$965.24 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FF INJ/ASP MD JNT ELBOW ANKLE | $1,180.00 | $1,180.00 | $682.24–$1,121.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FF INJECTION BURSA INTERMEDIATE | $1,180.00 | $1,180.00 | $549.06–$965.24 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FF BURSA INTERMEDIATE | $1,180.00 | $1,180.00 | $549.06–$965.24 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 X ARTHROCENTESISPHYSPRCDR | $2,385.00 | $2,385.00 | $992.86–$1,950.93 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIR/INJECTION INTERM JT/BURSA | $2,385.00 | $2,385.00 | $33.00–$246.05 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 X DRAIN/INJ MINOR JT/BURSA LT | $2,385.00 | $2,385.00 | $1,525.73–$1,969.35 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 X DRAIN/INJ MINOR JT/BURSA RT | $2,385.00 | $2,385.00 | $1,525.73–$1,969.35 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR/INJ SMALL JT/BUR | $55.00 | $55.00 | $12.10–$52.25 | 82% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR/INJECTION SMALL JT/BURSA | $252.00 | $252.00 | $30.40–$224.20 | 19% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 FF INJECTION BURSA | $874.00 | $874.00 | $50.00–$1,318.44 | 180% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 FF INJ/ASP SM JNT FINGER TOE | $874.00 | $874.00 | $107.00–$830.30 | 180% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR/INJ SMALL JT/BUR | $55.00 | $55.00 | $36.90–$52.25 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR/INJECTION SMALL JT/BURSA | $252.00 | $252.00 | $30.40–$224.20 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 FF INJ/ASP SM JNT FINGER TOE | $874.00 | $874.00 | $643.26–$830.30 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 FF INJECTION BURSA | $874.00 | $874.00 | $524.03–$714.93 | — | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $5,182.00 | $5,182.00 | $621.50–$4,639.80 | 10% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 KNEE ARTHROSCOPY/SURGERY | $5,182.00 | $5,182.00 | $621.50–$4,639.80 | — | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $5,002.00 | $5,002.00 | $553.38–$4,478.30 | 29% below | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY/SURGERY | $5,002.00 | $5,002.00 | $553.38–$4,478.30 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $6,018.00 | $6,018.00 | $574.73–$5,387.45 | at median | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE ARTHROSCOPY/SURGERY | $6,018.00 | $6,018.00 | $574.73–$5,387.45 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $4,398.00 | $4,398.00 | $599.35–$3,936.80 | 10% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 KNEE ARTHROSCOPY/SURGERY | $4,398.00 | $4,398.00 | $599.35–$3,936.80 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY | $3,222.00 | $3,222.00 | $374.55–$2,884.20 | 50% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY, APPENDECTOMY | $3,222.00 | $3,222.00 | $374.55–$2,884.20 | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $6,699.00 | $6,699.00 | $542.05–$5,997.35 | 41% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS | $6,699.00 | $6,699.00 | $542.05–$5,997.35 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL | $2,633.00 | $2,633.00 | $387.05–$2,356.95 | 61% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPARO HERNIA REPAIR INITIAL | $2,633.00 | $2,633.00 | $387.05–$2,356.95 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR | $3,273.00 | $3,273.00 | $409.20–$2,929.80 | 50% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAPARO HERNIA REPAIR RECUR | $3,273.00 | $3,273.00 | $409.20–$2,929.80 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA | $4,134.00 | $4,134.00 | $480.00–$3,701.20 | 36% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY, REMOVE ADNEXA | $4,134.00 | $4,134.00 | $480.00–$3,701.20 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 FF SCALP TRK EXT LYR 0 TO 2.5 CM | $714.00 | $714.00 | $191.64–$1,727.10 | 19% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $714.00 | $714.00 | $64.70–$638.40 | 19% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 FF SCALP TRK EXT LYR 0 TO 2.5 CM | $714.00 | $714.00 | $584.05–$1,727.10 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $714.00 | $714.00 | $64.70–$638.40 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $727.00 | $727.00 | $249.26–$1,509.67 | 90% below | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $727.00 | $727.00 | $249.26–$1,509.67 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Spine Lumbar/Sacral, WITH Imaging | $10,304.00 | $10,304.00 | $61.58–$1,348.05 | 613% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inject Spine Lumbar/Sacral, WITH Imaging | $10,304.00 | $10,304.00 | $61.58–$1,348.05 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inject Spine Lumbar/Sacral, WITHOUT Imaging | $1,184.00 | $1,184.00 | $53.89–$1,059.25 | 19% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inject Spine Lumbar/Sacral, WITHOUT Imaging | $1,184.00 | $1,184.00 | $53.89–$1,059.25 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $4,667.00 | $4,667.00 | $567.16–$2,449.10 | 229% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 X INJ FORAMEN EPIDURAL L/S | $4,880.00 | $4,880.00 | $88.25–$1,672.00 | 244% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $4,667.00 | $4,667.00 | $1,897.41–$3,817.61 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 X INJ FORAMEN EPIDURAL L/S | $4,880.00 | $4,880.00 | $88.25–$1,672.00 | — | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $6,687.00 | $6,687.00 | $932.91–$5,986.90 | 22% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LOW BACK DISK SURGERY | $6,687.00 | $6,687.00 | $932.91–$5,986.90 | — | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 LUMBAR SPINE FUSION COMBINED | $12,193.00 | $12,193.00 | $1,132.79–$10,917.40 | 25% above | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 LUMBAR SPINE FUSION COMBINED | $12,193.00 | $12,193.00 | $1,132.79–$10,917.40 | — | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA | $7,199.00 | $7,199.00 | $1,129.12–$6,445.75 | 11% below | — |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 REMOVAL OF SPINAL LAMINA | $7,199.00 | $7,199.00 | $1,129.12–$6,445.75 | — | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION | $10,835.00 | $10,835.00 | $1,198.70–$9,701.40 | 4% above | — |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 LUMBAR SPINE FUSION | $10,835.00 | $10,835.00 | $1,198.70–$9,701.40 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 Lumpectomy | $2,445.00 | $2,445.00 | $310.80–$2,187.85 | 41% below | — |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 Lumpectomy | $2,445.00 | $2,445.00 | $310.80–$2,187.85 | — | — |
| Mastectomy (total removal of the breast) CPT 19303 Simple Mastectomy Complete | $3,561.00 | $3,561.00 | $461.95–$3,188.20 | 50% below | — |
| Mastectomy (total removal of the breast) inpatient CPT 19303 Simple Mastectomy Complete | $3,561.00 | $3,561.00 | $461.95–$3,188.20 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $2,104.00 | $2,104.00 | $199.95–$1,882.90 | 39% below | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $2,104.00 | $2,104.00 | $199.95–$1,882.90 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/< | $438.00 | $438.00 | $39.05–$391.40 | 30% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 FF EXC B9 LESION MRGN XCP SK TG 0.5 CM/< | $438.00 | $438.00 | $278.74–$1,203.65 | 30% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 FF EXC B9 LESION MRGN XCP SK TG 0.5 CM/< | $438.00 | $438.00 | $358.28–$1,203.65 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/< | $438.00 | $438.00 | $39.05–$391.40 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LES MARGN F/E/E/N/L/M 0.5CM/< | $145.00 | $145.00 | $31.90–$544.21 | 77% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $488.00 | $488.00 | $54.15–$436.05 | 21% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9 LES MARGN F/E/E/N/L/M 0.5CM/< | $145.00 | $145.00 | $102.50–$137.75 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $488.00 | $488.00 | $54.15–$436.05 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE 1 | $76.00 | $76.00 | $16.72–$72.20 | 74% below | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $292.00 | $292.00 | $34.30–$260.30 | 1% above | — |
| Nail removal (partial or complete), one nail CPT 11730 FF AVULSION OF NAIL PLATE | $958.00 | $958.00 | $210.76–$910.10 | 233% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE, PTL OR COMP, SNGL | $958.00 | $958.00 | $41.02–$437.00 | 233% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE 1 | $76.00 | $76.00 | $54.94–$72.20 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $292.00 | $292.00 | $34.30–$260.30 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE, PTL OR COMP, SNGL | $958.00 | $958.00 | $338.56–$783.64 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 FF AVULSION OF NAIL PLATE | $958.00 | $958.00 | $705.09–$910.10 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ, OCCIPITAL | $554.00 | $554.00 | $53.20–$494.95 | 7% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ, OCCIPITAL | $554.00 | $554.00 | $53.20–$494.95 | — | — |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING | $3,122.00 | $3,122.00 | $63.95–$646.00 | 118% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING | $3,122.00 | $3,122.00 | $63.95–$646.00 | — | — |
| Partial knee replacement (one compartment) CPT 27446 Unicompartmental Knee | $7,232.00 | $7,232.00 | $1,163.35–$6,475.20 | 18% below | — |
| Partial knee replacement (one compartment) inpatient CPT 27446 Unicompartmental Knee | $7,232.00 | $7,232.00 | $1,163.35–$6,475.20 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL | $701.00 | $701.00 | $61.85–$627.00 | 12% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL & NAIL MATRIX, PTL OR COMP | $701.00 | $701.00 | $296.12–$1,278.70 | 12% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL | $701.00 | $701.00 | $61.85–$627.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL & NAIL MATRIX, PTL OR COMP | $701.00 | $701.00 | $573.42–$1,278.70 | — | — |
| Prostate biopsy CPT 55700 UL PROSTATE BIOPSY | $855.00 | $855.00 | $1,716.48–$7,805.20 | 73% below | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $855.00 | $855.00 | $113.60–$788.50 | 73% below | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $855.00 | $855.00 | $42.68–$18,563.76 | 73% below | — |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $855.00 | $855.00 | $132.84–$699.39 | — | — |
| Prostate biopsy inpatient CPT 55700 UL PROSTATE BIOPSY | $855.00 | $855.00 | $699.39–$7,805.20 | — | — |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $855.00 | $855.00 | $113.60–$788.50 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JOINT | $2,273.00 | $2,273.00 | $135.68–$2,095.70 | 17% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JOINT | $2,273.00 | $2,273.00 | $135.68–$2,095.70 | — | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $1,756.00 | $1,756.00 | $240.00–$1,571.30 | 39% below | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $1,756.00 | $1,756.00 | $240.00–$1,571.30 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL | $495.00 | $495.00 | $39.05–$442.70 | 3% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 FF REMOVL OF FORN BDY SUBCUT TISSUE SMPL | $2,145.00 | $2,145.00 | $259.52–$2,037.75 | 345% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION&REMOVAL FOREIGN BODY SUBQ TISS SMPL | $495.00 | $495.00 | $39.05–$442.70 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FF REMOVL OF FORN BDY SUBCUT TISSUE SMPL | $2,145.00 | $2,145.00 | $1,578.72–$2,037.75 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $3,165.00 | $3,165.00 | $703.30–$2,918.40 | 51% below | — |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PARTIAL REMOVAL OF THYROID | $3,165.00 | $3,165.00 | $703.30–$2,918.40 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $3,274.00 | $3,274.00 | $184.01–$2,930.75 | 29% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind | $3,274.00 | $3,274.00 | $184.01–$2,930.75 | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $3,310.00 | $3,310.00 | $183.67–$2,963.05 | 38% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind | $3,310.00 | $3,310.00 | $183.67–$2,963.05 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $5,576.00 | $5,576.00 | $571.68–$4,992.25 | 21% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 MAJOR SURGERY EXTRACORPOREAL SHOCKWAVE | $5,576.00 | $5,576.00 | $4,611.64–$29,129.30 | 21% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 FRAGMENTING OF KIDNEY STONE | $5,576.00 | $5,576.00 | $571.68–$4,992.25 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 MAJOR SURGERY EXTRACORPOREAL SHOCKWAVE | $5,576.00 | $5,576.00 | $4,561.17–$19,913.90 | — | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $92.00 | $92.00 | $20.24–$2,575.96 | 69% below | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $422.00 | $422.00 | $59.45–$377.15 | 41% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST | $92.00 | $92.00 | $62.32–$87.40 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST | $422.00 | $422.00 | $59.45–$377.15 | — | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $61.00 | $61.00 | $13.42–$854.42 | 76% below | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $336.00 | $336.00 | $32.15–$300.20 | 35% above | — |
| Short arm splint (forearm and hand) CPT 29125 FF SPLINT SHORT ARM | $1,268.00 | $1,268.00 | $278.96–$1,204.60 | 409% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $61.00 | $61.00 | $39.36–$57.95 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $336.00 | $336.00 | $32.15–$300.20 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 FF SPLINT SHORT ARM | $1,268.00 | $1,268.00 | $933.25–$1,204.60 | — | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $434.00 | $434.00 | $58.96–$387.60 | 23% above | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $434.00 | $434.00 | $19.36–$1,313.42 | 23% above | — |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST | $434.00 | $434.00 | $248.16–$1,071.60 | 23% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST | $434.00 | $434.00 | $355.01–$1,071.60 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST | $434.00 | $434.00 | $58.96–$387.60 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST | $434.00 | $434.00 | $59.04–$355.01 | — | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $276.00 | $276.00 | $16.50–$527.79 | 2% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $349.00 | $349.00 | $35.85–$311.60 | 29% above | — |
| Short leg splint (calf to foot) CPT 29515 FF SPLINT SHORT LEG | $1,054.00 | $1,054.00 | $231.88–$1,001.30 | 290% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $276.00 | $276.00 | $50.02–$225.77 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $349.00 | $349.00 | $35.85–$311.60 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 FF SPLINT SHORT LEG | $1,054.00 | $1,054.00 | $775.74–$1,001.30 | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHOULDER ARTHROSCOPY/SURGERY | $4,196.00 | $4,196.00 | $526.45–$3,756.30 | 40% below | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHOULDER ARTHROSCOPY/SURGERY | $4,196.00 | $4,196.00 | $526.45–$3,756.30 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $4,434.00 | $4,434.00 | $173.16–$3,969.10 | 41% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $4,434.00 | $4,434.00 | $173.16–$3,969.10 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/TRUNK 2.5CM< | $74.00 | $74.00 | $16.28–$70.30 | 80% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/TRUNK 2.5/< | $74.00 | $74.00 | $16.28–$70.30 | 80% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $486.00 | $486.00 | $45.41–$434.15 | 32% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE SU 2.5 S N T EX | $486.00 | $486.00 | $101.90–$461.70 | 32% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 FF LAC REP S N T H F EX 0 TO 2.5 CM | $1,304.00 | $1,304.00 | $252.78–$1,091.55 | 254% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/TRUNK 2.5CM< | $74.00 | $74.00 | $45.92–$70.30 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/TRUNK 2.5/< | $74.00 | $74.00 | $45.92–$70.30 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE SU 2.5 S N T EX | $486.00 | $486.00 | $357.70–$461.70 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $486.00 | $486.00 | $45.41–$434.15 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 FF LAC REP S N T H F EX 0 TO 2.5 CM | $1,304.00 | $1,304.00 | $845.66–$1,091.55 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $495.00 | $495.00 | $30.56–$442.70 | 33% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $495.00 | $495.00 | $81.59–$946.20 | 33% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $495.00 | $495.00 | $30.56–$442.70 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $495.00 | $495.00 | $404.91–$946.20 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MLG+MARG 0.5 < CM | $813.00 | $813.00 | $54.15–$727.70 | 43% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MLG+MARG 0.5 < CM | $813.00 | $813.00 | $54.15–$727.70 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS 15 OR LESS | $282.00 | $282.00 | $32.04–$312.55 | 14% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP W/15< | $282.00 | $282.00 | $35.65–$251.75 | 14% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP W/15< | $282.00 | $282.00 | $35.65–$251.75 | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS 15 OR LESS | $282.00 | $282.00 | $230.68–$312.55 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 FF LUMBAR PUNCTURE DIAG | $3,257.00 | $3,257.00 | $716.54–$8,711.60 | 236% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL LUMBAR PUNCTURE | $3,280.00 | $3,280.00 | $721.60–$3,116.00 | 238% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $3,280.00 | $3,280.00 | $53.70–$598.50 | 238% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $3,280.00 | $3,280.00 | $346.50–$1,496.25 | 238% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 FF LUMBAR PUNCTURE DIAG | $3,257.00 | $3,257.00 | $2,397.15–$3,094.15 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL LUMBAR PUNCTURE | $3,280.00 | $3,280.00 | $2,414.08–$3,116.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $3,280.00 | $3,280.00 | $1,159.20–$2,683.04 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $3,280.00 | $3,280.00 | $53.70–$598.50 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $598.00 | $598.00 | $58.40–$534.85 | 44% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 FF LAC REP N T H F EX 2.6 TO 7.5 CM | $1,481.00 | $1,481.00 | $287.10–$1,239.75 | 256% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $598.00 | $598.00 | $58.40–$534.85 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 FF LAC REP N T H F EX 2.6 TO 7.5 CM | $1,481.00 | $1,481.00 | $960.48–$1,239.75 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $588.00 | $588.00 | $55.58–$525.35 | 45% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FF LAC REPR FACE 0 TO 2.5 CM | $1,304.00 | $1,304.00 | $240.74–$2,783.50 | 222% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $588.00 | $588.00 | $55.58–$525.35 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 FF LAC REPR FACE 0 TO 2.5 CM | $1,304.00 | $1,304.00 | $845.66–$1,091.55 | — | — |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $4,296.00 | $4,296.00 | $727.22–$3,845.60 | 25% below | — |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 PROSTATECTOMY (TURP) | $4,296.00 | $4,296.00 | $727.22–$3,845.60 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $270.00 | $270.00 | $24.37–$241.30 | 9% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN/SQ TISSUE MUCOUS MEMBRANE SNGL | $270.00 | $270.00 | $41.72–$579.50 | 9% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $270.00 | $270.00 | $24.37–$241.30 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN/SQ TISSUE MUCOUS MEMBRANE SNGL | $270.00 | $270.00 | $220.86–$579.50 | — | — |
| Thoracentesis with imaging guidance CPT 32555 BX THORACENTESIS | $4,498.00 | $4,498.00 | $706.42–$5,470.18 | 260% above | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING | $4,588.00 | $4,588.00 | $67.46–$735.30 | 267% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 BX THORACENTESIS | $4,498.00 | $4,498.00 | $2,363.30–$3,679.36 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGING | $4,588.00 | $4,588.00 | $67.46–$735.30 | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $1,664.00 | $1,664.00 | $202.50–$1,488.65 | 76% below | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOVE TONSILS AND ADENOIDS | $1,664.00 | $1,664.00 | $202.50–$1,488.65 | — | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $1,596.00 | $1,596.00 | $194.20–$1,427.85 | 78% below | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS AND ADENOIDS | $1,596.00 | $1,596.00 | $194.20–$1,427.85 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $1,248.00 | $1,248.00 | $202.50–$1,116.25 | 65% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVAL OF TONSILS | $1,248.00 | $1,248.00 | $202.50–$1,116.25 | — | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $12,649.00 | $12,649.00 | $1,300.93–$11,325.90 | 4% above | — |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY | $12,649.00 | $12,649.00 | $1,300.93–$11,325.90 | — | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $9,432.00 | $9,432.00 | $1,299.57–$8,445.50 | 18% below | — |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY | $9,432.00 | $9,432.00 | $1,299.57–$8,445.50 | — | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $8,475.00 | $8,475.00 | $1,463.59–$7,588.60 | 14% below | — |
| Total shoulder replacement inpatient CPT 23472 RECONSTRUCT SHOULDER JOINT | $8,475.00 | $8,475.00 | $1,463.59–$7,588.60 | — | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $2,832.00 | $2,832.00 | $235.80–$2,534.60 | 65% above | — |
| Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH | $2,832.00 | $2,832.00 | $235.80–$2,534.60 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 M | $58.00 | $58.00 | $12.73–$55.10 | 89% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $280.00 | $280.00 | $31.75–$249.85 | 46% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 FF TRIGGER POINT INJ 1 OR 2 MUSCLE GRP | $2,040.00 | $2,040.00 | $448.80–$1,938.00 | 292% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 X TRIGGERPTINJ1OR2MUSCLE | $2,092.00 | $2,092.00 | $400.18–$1,728.05 | 302% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 M | $58.00 | $58.00 | $38.54–$55.10 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $280.00 | $280.00 | $31.75–$249.85 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 FF TRIGGER POINT INJ 1 OR 2 MUSCLE GRP | $2,040.00 | $2,040.00 | $1,501.44–$1,938.00 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 X TRIGGERPTINJ1OR2MUSCLE | $2,092.00 | $2,092.00 | $1,338.78–$1,728.05 | — | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY | $2,597.00 | $2,597.00 | $363.45–$2,324.65 | 51% below | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY, TUBAL CAUTERY | $2,597.00 | $2,597.00 | $363.45–$2,324.65 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 UL BREAST CORE BX RT (EA) | $6,546.00 | $6,546.00 | $1,333.42–$10,325.36 | 170% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 UL BREAST CORE BX LT (EA) | $6,546.00 | $6,546.00 | $1,333.42–$10,325.36 | 170% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 UL BREAST CORE BX RT (EA) | $6,546.00 | $6,546.00 | $4,460.90–$5,757.95 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 UL BREAST CORE BX LT (EA) | $6,546.00 | $6,546.00 | $4,460.90–$5,757.95 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION | $2,388.00 | $2,388.00 | $113.40–$2,137.50 | 2% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH ENDOSCOPY, DILATION | $2,388.00 | $2,388.00 | $113.40–$2,137.50 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $1,598.00 | $1,598.00 | $137.58–$1,429.75 | 29% below | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $1,598.00 | $1,598.00 | $137.58–$1,429.75 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $1,814.00 | $1,814.00 | $194.85–$1,623.55 | 41% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $1,814.00 | $1,814.00 | $194.85–$1,623.55 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $1,315.00 | $1,315.00 | $121.99–$1,176.10 | 35% below | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $1,315.00 | $1,315.00 | $121.99–$1,176.10 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $2,612.00 | $2,612.00 | $262.20–$2,337.95 | 82% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $2,612.00 | $2,612.00 | $262.20–$2,337.95 | — | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $2,328.00 | $2,328.00 | $252.92–$2,084.30 | 62% below | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $2,328.00 | $2,328.00 | $252.92–$2,084.30 | — | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $6,920.00 | $6,920.00 | $2,551.37–$6,195.90 | 47% above | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY | $6,920.00 | $6,920.00 | $2,551.37–$6,195.90 | — | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $6,289.00 | $6,289.00 | $2,435.81–$5,630.65 | 36% above | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBSTETRICAL CARE | $6,289.00 | $6,289.00 | $2,435.81–$5,630.65 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $1,640.00 | $1,640.00 | $230.43–$1,467.75 | 4% below | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S) | $1,640.00 | $1,640.00 | $230.43–$1,467.75 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 UL IR ENDOVENOUS ABLATION 1ST VEIN | $13,289.00 | $13,289.00 | $2,923.58–$12,624.55 | 166% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 UL IR ENDOVENOUS ABLATION 1ST VEIN | $13,289.00 | $13,289.00 | $9,780.70–$12,624.55 | — | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF BENIGN LESIONS UP TO 14 | $335.00 | $335.00 | $119.68–$516.80 | 42% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14 | $335.00 | $335.00 | $67.45–$299.25 | 42% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION OF BENIGN LESIONS UP TO 14 | $335.00 | $335.00 | $274.03–$516.80 | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14 | $335.00 | $335.00 | $67.45–$299.25 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE | $337.00 | $337.00 | $59.98–$301.15 | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 FF WOUND DEBRIDE OF SOFT TISSUE FIRST 20 | $337.00 | $337.00 | $775.94–$3,350.65 | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN PARTIAL THICKNESS | $1,908.00 | $1,908.00 | $139.26–$601.35 | 177% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBCUTANEOUS TISSUE | $1,908.00 | $1,908.00 | $374.66–$1,617.85 | 177% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 FF WOUND DEBRIDE OF SOFT TISSUE FIRST 20 | $337.00 | $337.00 | $275.67–$3,350.65 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE | $337.00 | $337.00 | $59.98–$301.15 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN PARTIAL THICKNESS | $1,908.00 | $1,908.00 | $465.89–$1,560.74 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBCUTANEOUS TISSUE | $1,908.00 | $1,908.00 | $1,253.41–$1,617.85 | — | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $3,344.00 | $3,344.00 | $443.95–$2,993.45 | 57% below | — |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $3,344.00 | $3,344.00 | $443.95–$2,993.45 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADMIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $452.47–$2,756.90 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADMINISTRATION SERVICE | $2,472.00 | $2,472.00 | $347.44–$1,761.30 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 FF BLOOD ADMIN OVER 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $767.36–$3,313.60 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 FF BLOOD ADMIN UP TO 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $356.74–$2,173.60 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION SERVICE | $2,472.00 | $2,472.00 | $407.88–$20,569.29 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $2,472.00 | $2,472.00 | $16.65–$225.15 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 FF BLOOD ADMIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $638.44–$2,756.90 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 FF BLOOD ADMINISTRATION SERVICE | $2,472.00 | $2,472.00 | $347.44–$1,761.30 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN UP TO 4 HOURS(V11-20) | $2,472.00 | $2,472.00 | $452.36–$2,297.10 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADMIN OVER 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $759.95–$3,761.05 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $317.02–$1,368.95 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN OVER 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $493.68–$2,131.80 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION UP TO 6 HOURS | $2,472.00 | $2,472.00 | $394.68–$1,704.30 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN UP TO 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $394.68–$8,668.10 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $317.02–$1,368.95 | 186% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OP BLOOD ADMIN UP TO 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $479.14–$5,706.37 | 186% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 FF BLOOD ADMIN UP TO 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $1,683.97–$2,173.60 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE | $2,472.00 | $2,472.00 | $16.65–$225.15 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION SERVICE | $2,472.00 | $2,472.00 | $1,364.54–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $1,060.58–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN UP TO 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $1,320.38–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN OVER 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $1,651.58–$2,131.80 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION UP TO 6 HOURS | $2,472.00 | $2,472.00 | $1,320.38–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $1,060.58–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADMIN OVER 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $2,022.10–$3,761.05 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADMIN UP TO 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $2,022.10–$3,313.60 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADMIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $2,022.10–$2,756.90 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP BLOOD ADMINISTRATION SERVICE | $2,472.00 | $2,472.00 | $1,364.54–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 FF BLOOD ADMIN OVER 6 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $2,022.10–$3,313.60 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 FF BLOOD ADMIN UP TO 4 HOURS(V-11-20) | $2,472.00 | $2,472.00 | $2,022.10–$2,756.90 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 FF BLOOD ADMINISTRATION SERVICE | $2,472.00 | $2,472.00 | $1,364.54–$2,022.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN UP TO 4 HOURS(V11-20) | $2,472.00 | $2,472.00 | $1,779.65–$2,297.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZ PAP TREATMENT | $350.00 | $350.00 | $40.70–$175.75 | 82% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZ PAP INITIAL | $350.00 | $350.00 | $68.20–$294.50 | 82% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER PRN | $350.00 | $350.00 | $69.96–$302.10 | 82% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESS/N-PRESS INHLJ TX F/AAO/SPTM INDCTJ | $350.00 | $350.00 | $9.15–$81.70 | 82% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER WITH PEAK FLOW | $350.00 | $350.00 | $124.96–$539.60 | 82% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESS/N-PRESS INHLJ TX F/AAO/SPTM INDCTJ | $350.00 | $350.00 | $9.15–$81.70 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZ PAP INITIAL | $350.00 | $350.00 | $228.16–$294.50 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER WITH PEAK FLOW | $350.00 | $350.00 | $286.30–$539.60 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER PRN | $350.00 | $350.00 | $234.05–$302.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZ PAP TREATMENT | $350.00 | $350.00 | $136.16–$286.30 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION UP TO 1 HR, SGL/INIT | $2,577.00 | $2,577.00 | $456.28–$70,521.03 | 303% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INFUSION UP TO 1 HR, SGL/INIT | $2,577.00 | $2,577.00 | $1,526.46–$2,107.99 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $224.00 | $224.00 | $31.85–$105.45 | 13% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $224.00 | $224.00 | $12.10–$597.57 | 13% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $224.00 | $224.00 | $31.85–$105.45 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $224.00 | $224.00 | $40.48–$183.23 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN | $2,158.00 | $2,158.00 | $84.90–$876.85 | 4% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 FF CRITICAL CARE 30-74 MIN | $9,511.00 | $9,511.00 | $1,827.98–$8,010.47 | 356% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN | $2,158.00 | $2,158.00 | $84.90–$876.85 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 FF CRITICAL CARE 30-74 MIN | $9,511.00 | $9,511.00 | $5,603.88–$7,893.55 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $2,562.00 | $2,562.00 | $198.84–$2,511.61 | 194% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG, AWAKE AND DROWSY | $2,562.00 | $2,562.00 | $57.10–$639.65 | 194% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $2,562.00 | $2,562.00 | $1,745.79–$2,253.40 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG, AWAKE AND DROWSY | $2,562.00 | $2,562.00 | $57.10–$639.65 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $229.00 | $229.00 | $132.22–$570.95 | 117% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I/R | $229.00 | $229.00 | $14.47–$195.70 | 117% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PAXT EKG 12 LEADS WITH INTERP | $229.00 | $229.00 | $60.72–$262.20 | 117% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 CLINICS EKG | $229.00 | $229.00 | $15.18–$637.43 | 117% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $229.00 | $229.00 | $187.32–$570.95 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 CLINICS EKG | $229.00 | $229.00 | $187.32–$571.90 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PAXT EKG 12 LEADS WITH INTERP | $229.00 | $229.00 | $187.32–$262.20 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I/R | $229.00 | $229.00 | $14.47–$195.70 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 *EKG- THOPIAH(V-8-17) | $550.00 | $550.00 | $114.40–$494.00 | 137% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PAXT EKG TRACING | $550.00 | $550.00 | $110.88–$478.80 | 137% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 X RHC ECG TRACING ONLY | $550.00 | $550.00 | $32.34–$139.65 | 137% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELETROCARDIOGRAM TRACING | $550.00 | $550.00 | $28.82–$124.45 | 137% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I/R | $550.00 | $550.00 | $5.99–$141.55 | 137% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 *EKG- THOPIAH(V-8-17) | $550.00 | $550.00 | $382.72–$494.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I/R | $550.00 | $550.00 | $5.99–$141.55 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 X RHC ECG TRACING ONLY | $550.00 | $550.00 | $108.19–$449.90 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PAXT EKG TRACING | $550.00 | $550.00 | $370.94–$478.80 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELETROCARDIOGRAM TRACING | $550.00 | $550.00 | $96.42–$449.90 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FF ER VISIT LEVEL 1 | $1,646.00 | $1,646.00 | $316.36–$1,366.10 | 635% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMER DEPT SELF LIMITED/MINOR | $1,646.00 | $1,646.00 | $11.86–$130.15 | 635% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMER DEPT SELF LIMITED/MINOR | $1,646.00 | $1,646.00 | $11.86–$130.15 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 FF ER VISIT LEVEL 1 | $1,646.00 | $1,646.00 | $732.26–$1,366.10 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMER DEPT LOW TO MODERATE SEVERITY | $255.00 | $255.00 | $24.20–$227.05 | 36% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 FF ER VISIT LEVEL 2 | $2,207.00 | $2,207.00 | $420.20–$1,814.50 | 452% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMER DEPT LOW TO MODERATE SEVERITY | $255.00 | $255.00 | $24.20–$227.05 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 FF ER VISIT LEVEL 2 | $2,207.00 | $2,207.00 | $1,261.16–$1,814.50 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMER DEPT MODERATE SEVERITY | $507.00 | $507.00 | $32.20–$453.15 | 28% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 FF ER VISIT LEVEL 3 | $3,444.00 | $3,444.00 | $644.16–$2,781.60 | 392% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMER DEPT MODERATE SEVERITY | $507.00 | $507.00 | $32.20–$453.15 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FF ER VISIT LEVEL 3 | $3,444.00 | $3,444.00 | $1,933.56–$2,817.19 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER DEPT HI SEVERITY/URGENT EVAL | $879.00 | $879.00 | $44.00–$786.60 | 23% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FF ER VISIT LEVEL 4 | $5,501.00 | $5,501.00 | $1,028.94–$4,443.15 | 381% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMER DEPT HI SEVERITY/URGENT EVAL | $879.00 | $879.00 | $44.00–$786.60 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FF ER VISIT LEVEL 4 | $5,501.00 | $5,501.00 | $3,088.12–$4,499.82 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER DEPT HIGH SEVERITY/THREAT FUNCJ | $1,376.00 | $1,376.00 | $69.25–$1,231.20 | 14% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 FF ER VISIT LEVEL 5 | $7,995.00 | $7,995.00 | $1,536.48–$6,634.80 | 400% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMER DEPT HIGH SEVERITY/THREAT FUNCJ | $1,376.00 | $1,376.00 | $69.25–$1,231.20 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FF ER VISIT LEVEL 5 | $7,995.00 | $7,995.00 | $4,611.68–$6,634.80 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,895.00 | $1,895.00 | $386.10–$1,667.25 | 96% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $1,895.00 | $1,895.00 | $27.50–$118.75 | 96% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,895.00 | $1,895.00 | $27.90–$133.00 | 96% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $1,895.00 | $1,895.00 | $27.90–$133.00 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $1,895.00 | $1,895.00 | $92.00–$1,550.11 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $1,895.00 | $1,895.00 | $1,291.68–$1,667.25 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT 1 HR | $741.00 | $741.00 | $158.18–$683.05 | 314% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 BEHAVORIAL HEALTH FAMILY COUPLE THERAPY | $741.00 | $741.00 | $61.20–$551.00 | 314% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 BEHAVORIAL HEALTH FAMILY COUPLE THERAPY | $741.00 | $741.00 | $61.20–$551.00 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY WITH PATIENT 1 HR | $741.00 | $741.00 | $529.18–$683.05 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX WO PATIENT | $448.00 | $448.00 | $95.22–$332.50 | 138% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT 1 HR | $448.00 | $448.00 | $95.48–$412.30 | 138% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W/O PATIENT 1 HR | $448.00 | $448.00 | $319.42–$412.30 | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX WO PATIENT | $448.00 | $448.00 | $95.22–$332.50 | — | — |
| Group psychotherapy session CPT 90853 BEHAVORIAL HEALTH GROUP THERAPY | $446.00 | $446.00 | $23.38–$306.85 | 248% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY | $446.00 | $446.00 | $87.56–$378.10 | 248% above | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY | $446.00 | $446.00 | $292.93–$378.10 | — | — |
| Group psychotherapy session inpatient CPT 90853 BEHAVORIAL HEALTH GROUP THERAPY | $446.00 | $446.00 | $23.38–$306.85 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $232.00 | $232.00 | $19.11–$213.75 | 31% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $232.00 | $232.00 | $19.11–$213.75 | — | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF, INIT | $288.00 | $288.00 | $19.11–$265.05 | 29% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF, INIT | $288.00 | $288.00 | $19.11–$265.05 | — | — |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $208.00 | $208.00 | $29.55–$190.95 | 3% below | — |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $208.00 | $208.00 | $29.55–$190.95 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $107.00 | $107.00 | $9.81–$95.00 | 2% below | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $107.00 | $107.00 | $9.81–$95.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 TELEHEALTH PSYCH DIAGNOSTIC EVALUATION | $743.00 | $743.00 | $122.11–$341.05 | 183% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INITIAL EVALUATION ASSESSMENT | $743.00 | $743.00 | $158.62–$684.95 | 183% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $743.00 | $743.00 | $122.11–$341.05 | 183% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 DIAGNOSTIC EVALUATION NO MED SERVICES | $743.00 | $743.00 | $97.24–$419.90 | 183% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INITIAL EVALUATION ASSESSMENT | $743.00 | $743.00 | $530.66–$684.95 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TELEHEALTH PSYCH DIAGNOSTIC EVALUATION | $743.00 | $743.00 | $122.11–$341.05 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 DIAGNOSTIC EVALUATION NO MED SERVICES | $743.00 | $743.00 | $325.31–$607.77 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $743.00 | $743.00 | $122.11–$341.05 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies; 7-8 Studies | $851.00 | $851.00 | $105.15–$760.95 | 17% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies; 7-8 Studies | $851.00 | $851.00 | $105.15–$760.95 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $100.00 | $100.00 | $10.90–$213.75 | 16% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE-ED EA 15 MIN W THCAP | $100.00 | $100.00 | $10.90–$213.75 | 16% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 SM NEUROMUSC RE-ED EA 15 MINUTES | $100.00 | $100.00 | $28.09–$237.50 | 16% below | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE-ED EA 15 MIN W THCAP | $100.00 | $100.00 | $10.90–$213.75 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 SM NEUROMUSC RE-ED EA 15 MINUTES | $100.00 | $100.00 | $81.80–$237.50 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $100.00 | $100.00 | $10.90–$213.75 | — | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPT NEW 30 MIN | $154.00 | $154.00 | $33.88–$4,850.18 | 30% below | — |
| New patient office visit, about 30 minutes CPT 99203 TELEHEALTH OFFICE/OUTPATIENT VISIT NEW-30 MIN | $269.00 | $269.00 | $41.60–$240.35 | 22% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPT NEW 30 MIN | $269.00 | $269.00 | $41.60–$240.35 | 22% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW OFFICE O/P NEW 30-44 MIN | $1,008.00 | $1,008.00 | $216.66–$957.60 | 356% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPT NEW 30 MIN | $154.00 | $154.00 | $113.34–$146.30 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPT NEW 30 MIN | $269.00 | $269.00 | $41.60–$240.35 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 TELEHEALTH OFFICE/OUTPATIENT VISIT NEW-30 MIN | $269.00 | $269.00 | $41.60–$240.35 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OFFICE O/P NEW 30-44 MIN | $1,008.00 | $1,008.00 | $494.46–$957.60 | — | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPT NEW 45 MIN | $206.00 | $206.00 | $45.32–$195.70 | 30% below | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPT NEW 45 MIN | $396.00 | $396.00 | $66.40–$353.40 | 34% above | — |
| New patient office visit, about 45 minutes CPT 99204 TELEHEATH OFFICE/OUTPATIENT VISIT NEW-45 MIN | $396.00 | $396.00 | $66.40–$353.40 | 34% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW OFFICE O/P NEW MOD 45-59 MIN | $1,233.00 | $1,233.00 | $273.49–$1,198.90 | 317% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPT NEW 45 MIN | $206.00 | $206.00 | $151.62–$195.70 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 TELEHEATH OFFICE/OUTPATIENT VISIT NEW-45 MIN | $396.00 | $396.00 | $66.40–$353.40 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPT NEW 45 MIN | $396.00 | $396.00 | $66.40–$353.40 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OFFICE O/P NEW MOD 45-59 MIN | $1,233.00 | $1,233.00 | $619.10–$1,198.90 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPT NEW 60 MIN | $175.00 | $175.00 | $38.50–$194.34 | 55% below | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPT NEW 60 MIN | $504.00 | $504.00 | $70.85–$450.30 | 30% above | — |
| New patient office visit, about 60 minutes CPT 99205 TELEHEALTH OFFICE/OUTPATIENT VISIT NEW-60 MIN | $504.00 | $504.00 | $70.85–$450.30 | 30% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW OFFICE O/P HI 60-74 MIN | $1,583.00 | $1,583.00 | $353.54–$1,526.65 | 309% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPT NEW 60 MIN | $175.00 | $175.00 | $128.80–$194.34 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 TELEHEALTH OFFICE/OUTPATIENT VISIT NEW-60 MIN | $504.00 | $504.00 | $70.85–$450.30 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPT NEW 60 MIN | $504.00 | $504.00 | $70.85–$450.30 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OFFICE O/P HI 60-74 MIN | $1,583.00 | $1,583.00 | $788.84–$1,526.65 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPT NEW 15-29 MIN | $113.00 | $113.00 | $24.86–$107.35 | 33% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPT VISIT NEW | $113.00 | $113.00 | $24.86–$376.88 | 33% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT, NEW | $113.00 | $113.00 | $24.86–$107.35 | 33% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT, NEW | $183.00 | $183.00 | $32.00–$162.45 | 9% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TELEHEALTH OFFICE/OUTPATIENT VISIT NEW-20 MIN | $183.00 | $183.00 | $32.00–$162.45 | 9% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TREATMENT ROOM NEW PATIENT - ED | $875.00 | $875.00 | $96.54–$522.50 | 421% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OFFICE O/P SF 15-29 MIN | $875.00 | $875.00 | $181.06–$781.85 | 421% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW E&M PATIENT-LEVEL 1 | $875.00 | $875.00 | $149.16–$644.10 | 421% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT, NEW | $113.00 | $113.00 | $83.17–$107.35 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPT NEW 15-29 MIN | $113.00 | $113.00 | $83.17–$107.35 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPT VISIT NEW | $113.00 | $113.00 | $83.17–$107.35 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT, NEW | $183.00 | $183.00 | $32.00–$162.45 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TELEHEALTH OFFICE/OUTPATIENT VISIT NEW-20 MIN | $183.00 | $183.00 | $32.00–$162.45 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TREATMENT ROOM NEW PATIENT - ED | $875.00 | $875.00 | $269.78–$715.75 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW E&M PATIENT-LEVEL 1 | $875.00 | $875.00 | $332.92–$715.75 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW OFFICE O/P SF 15-29 MIN | $875.00 | $875.00 | $403.44–$781.85 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION, INDIV, IN | $90.00 | $90.00 | $30.01–$79.80 | 71% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT-INIT ASSESSMENT/INTERVENTION 15 MIN | $290.00 | $290.00 | $58.96–$380.74 | 452% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION, INDIV, IN | $90.00 | $90.00 | $30.01–$79.80 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT-INIT ASSESSMENT/INTERVENTION 15 MIN | $290.00 | $290.00 | $197.25–$254.60 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $737.00 | $737.00 | $99.40–$549.10 | 188% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $737.00 | $737.00 | $99.40–$549.10 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $435.00 | $435.00 | $99.57–$349.60 | 27% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN W THCAP | $435.00 | $435.00 | $99.57–$349.60 | 27% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $435.00 | $435.00 | $99.57–$349.60 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN W THCAP | $435.00 | $435.00 | $99.57–$349.60 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $443.00 | $443.00 | $90.41–$336.30 | 97% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN W THCAP | $443.00 | $443.00 | $90.41–$336.30 | 97% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN W THCAP | $443.00 | $443.00 | $90.41–$336.30 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $443.00 | $443.00 | $90.41–$336.30 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN W THCAP | $501.00 | $501.00 | $99.57–$349.60 | 64% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $501.00 | $501.00 | $99.57–$349.60 | 64% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $501.00 | $501.00 | $99.57–$349.60 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN W THCAP | $501.00 | $501.00 | $99.57–$349.60 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SM MANUAL THER TQS EA 15 MINUTES | $216.00 | $216.00 | $23.04–$213.75 | 62% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TQS EA 15 MIN W THCAP | $216.00 | $216.00 | $11.80–$185.25 | 62% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $216.00 | $216.00 | $11.80–$191.90 | 62% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SM MANUAL THER TQS EA 15 MINUTES | $216.00 | $216.00 | $165.60–$213.75 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TQS EA 15 MIN W THCAP | $216.00 | $216.00 | $11.80–$185.25 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY | $216.00 | $216.00 | $11.80–$191.90 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $222.00 | $222.00 | $10.40–$197.60 | 98% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN W THCAP | $222.00 | $222.00 | $10.40–$197.60 | 98% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX EA 15 MIN IPA U6 | $222.00 | $222.00 | $10.40–$197.60 | 98% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SM THERAPEUTIC EXERCISE EA 15 MIN | $222.00 | $222.00 | $51.21–$227.05 | 98% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE | $222.00 | $222.00 | $10.40–$197.60 | 98% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE | $222.00 | $222.00 | $10.40–$197.60 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $222.00 | $222.00 | $10.40–$197.60 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN W THCAP | $222.00 | $222.00 | $10.40–$197.60 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX EA 15 MIN IPA U6 | $222.00 | $222.00 | $10.40–$197.60 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SM THERAPEUTIC EXERCISE EA 15 MIN | $222.00 | $222.00 | $175.90–$227.05 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 1ST PREVENTIVE MEDICINE NEW PATIENT AGE 18-39YRS | $323.00 | $323.00 | $94.21–$287.85 | 32% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 1ST PREVENTIVE MEDICINE NEW PATIENT AGE 18-39YRS | $323.00 | $323.00 | $94.21–$287.85 | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 1ST PREVENTIVE MEDICINE NEW PATIENT AGE 40-64YRS | $360.00 | $360.00 | $66.40–$321.10 | 49% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 1ST PREVENTIVE MEDICINE NEW PATIENT AGE 40-64YRS | $360.00 | $360.00 | $66.40–$321.10 | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 1ST PREVENTIVE MEDICINE NEW PATIENT AGE 65YRS> | $367.00 | $367.00 | $66.40–$327.75 | 69% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 1ST PREVENTIVE MEDICINE NEW PATIENT AGE 65YRS> | $367.00 | $367.00 | $66.40–$327.75 | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREVENTIVE MED EST PATIENT AGE 18-39YRS | $279.00 | $279.00 | $86.07–$248.90 | 52% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PERIODIC PREVENTIVE MED EST PATIENT AGE 18-39YRS | $279.00 | $279.00 | $86.07–$248.90 | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC PREVENTIVE MED EST PATIENT AGE 40-64YRS | $297.00 | $297.00 | $42.50–$265.05 | 45% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC PREVENTIVE MED EST PATIENT AGE 40-64YRS | $297.00 | $297.00 | $42.50–$265.05 | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC PREVENTIVE MED EST PATIENT AGE 65YRS> | $316.00 | $316.00 | $42.50–$282.15 | 41% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PERIODIC PREVENTIVE MED EST PATIENT AGE 65YRS> | $316.00 | $316.00 | $42.50–$282.15 | — | — |
| Psychiatric evaluation with medical services CPT 90792 TLEHEALTH PSYCH DIAG EVAL W/MED SRVCS | $741.00 | $741.00 | $124.44–$551.00 | 107% above | — |
| Psychiatric evaluation with medical services CPT 90792 DIAGNOSTIC EVALUATION WITH MED SERVICES | $741.00 | $741.00 | $158.18–$683.05 | 107% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W MED SRVCS | $741.00 | $741.00 | $124.44–$551.00 | 107% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W MED SRVCS | $741.00 | $741.00 | $124.44–$551.00 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 DIAGNOSTIC EVALUATION WITH MED SERVICES | $741.00 | $741.00 | $529.18–$683.05 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 TLEHEALTH PSYCH DIAG EVAL W/MED SRVCS | $741.00 | $741.00 | $124.44–$551.00 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $839.00 | $839.00 | $66.71–$627.00 | 236% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS 0-60 MIN | $839.00 | $839.00 | $155.50–$773.30 | 236% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY FOR CRISIS 0-60 MIN | $839.00 | $839.00 | $599.10–$773.30 | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $839.00 | $839.00 | $66.71–$627.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX PT FAMILY 30 MINUTES | $559.00 | $559.00 | $29.48–$416.10 | 196% above | — |
| Psychotherapy session, 30 minutes CPT 90832 TELEHEALTH PSYTX W PT 30 MINUTES | $559.00 | $559.00 | $29.48–$416.10 | 196% above | — |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN | $559.00 | $559.00 | $119.24–$514.90 | 196% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT FAMILY 30 MINUTES | $559.00 | $559.00 | $29.48–$416.10 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 TELEHEALTH PSYTX W PT 30 MINUTES | $559.00 | $559.00 | $29.48–$416.10 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN | $559.00 | $559.00 | $398.91–$514.90 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 TELEHEALTH PSYTX W PT 45 MINUTES | $672.00 | $672.00 | $88.11–$500.65 | 251% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT FAMILY 45 MINUTES | $672.00 | $672.00 | $88.11–$500.65 | 251% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN | $672.00 | $672.00 | $143.44–$619.40 | 251% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT FAMILY 45 MINUTES | $672.00 | $672.00 | $88.11–$500.65 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 TELEHEALTH PSYTX W PT 45 MINUTES | $672.00 | $672.00 | $88.11–$500.65 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 45 MIN | $672.00 | $672.00 | $479.87–$619.40 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MIN | $741.00 | $741.00 | $158.18–$683.05 | 168% above | — |
| Psychotherapy session, 60 minutes CPT 90837 TELEHEALTH PSYTX W PT 60 MINUTES | $741.00 | $741.00 | $129.45–$551.00 | 168% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX PT FAMILY 60 MINUTES | $741.00 | $741.00 | $129.45–$551.00 | 168% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT FAMILY 60 MINUTES | $741.00 | $741.00 | $129.45–$551.00 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 60 MIN | $741.00 | $741.00 | $529.18–$683.05 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 TELEHEALTH PSYTX W PT 60 MINUTES | $741.00 | $741.00 | $129.45–$551.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO COUNSELING 3 MIN UP TO 10 MIN | $80.00 | $80.00 | $7.19–$70.30 | 105% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING AND TOBACCO COUNSELING 3 MIN UP TO 10 MIN | $80.00 | $80.00 | $7.19–$70.30 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OUTPT VISIT EST | $149.00 | $149.00 | $32.78–$5,037.71 | 46% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OUTPT EST 40-54 MIN | $149.00 | $149.00 | $32.78–$141.55 | 46% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OUTPT EST | $149.00 | $149.00 | $32.78–$14,257.73 | 46% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OUTPATIENT VISIT EST | $347.00 | $347.00 | $48.00–$309.70 | 26% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $347.00 | $347.00 | $48.00–$309.70 | 26% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST OFFICE O/P HI 40-54 MIN | $1,575.00 | $1,575.00 | $346.50–$1,496.25 | 471% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OUTPT VISIT EST | $149.00 | $149.00 | $109.66–$141.55 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OUTPT EST | $149.00 | $149.00 | $109.66–$141.55 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OUTPT EST 40-54 MIN | $149.00 | $149.00 | $109.66–$141.55 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $347.00 | $347.00 | $48.00–$309.70 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OUTPATIENT VISIT EST | $347.00 | $347.00 | $48.00–$309.70 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST OFFICE O/P HI 40-54 MIN | $1,575.00 | $1,575.00 | $773.26–$1,496.25 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPT EST 15 MIN | $94.00 | $94.00 | $20.68–$538.38 | 38% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPT EST 15MIN | $94.00 | $94.00 | $20.68–$89.30 | 38% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPT EST 15 MIN | $189.00 | $189.00 | $28.35–$168.15 | 24% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $189.00 | $189.00 | $28.35–$169.10 | 24% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST OFFICE O/P LOW 20-29 MIN | $1,057.00 | $1,057.00 | $215.38–$930.05 | 593% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OUTPT EST 15 MIN | $94.00 | $94.00 | $69.18–$89.30 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OUTPT EST 15MIN | $94.00 | $94.00 | $69.18–$89.30 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OUTPT EST 15 MIN | $189.00 | $189.00 | $28.35–$168.15 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $189.00 | $189.00 | $28.35–$169.10 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST OFFICE O/P LOW 20-29 MIN | $1,057.00 | $1,057.00 | $480.52–$930.05 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OUTPT EST 25 MIN | $126.00 | $126.00 | $27.72–$10,781.41 | 32% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OUTPT EST 25 MIN | $265.00 | $265.00 | $42.50–$236.55 | 43% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $265.00 | $265.00 | $42.50–$236.55 | 43% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OFFICE O/P MOD 30-39 MIN | $1,215.00 | $1,215.00 | $267.30–$1,154.25 | 557% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OUTPT EST 25 MIN | $126.00 | $126.00 | $92.74–$119.70 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OUTPT EST 25 MIN | $265.00 | $265.00 | $42.50–$236.55 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $265.00 | $265.00 | $42.50–$236.55 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST OFFICE O/P MOD 30-39 MIN | $1,215.00 | $1,215.00 | $596.14–$1,154.25 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $139.00 | $139.00 | $24.25–$123.50 | 11% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OUTPT EST 10 MIN | $139.00 | $139.00 | $18.26–$1,675.67 | 11% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OUTPT EST 10 MIN | $139.00 | $139.00 | $24.25–$123.50 | 11% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST OFFICE O/P SF 10-19 MIN | $833.00 | $833.00 | $169.62–$732.45 | 566% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OUTPT EST 10 MIN | $139.00 | $139.00 | $61.09–$113.70 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OUTPT EST 10 MIN | $139.00 | $139.00 | $24.25–$123.50 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $139.00 | $139.00 | $24.25–$123.50 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST OFFICE O/P SF 10-19 MIN | $833.00 | $833.00 | $378.02–$732.45 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OUTPT NEW/EST 40MIN | $103.00 | $103.00 | $22.66–$9,856.02 | 26% below | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSLTJ 40 MIN | $354.00 | $354.00 | $51.30–$316.35 | 155% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OUTPT NEW/EST 40MIN | $103.00 | $103.00 | $75.81–$97.85 | — | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSLTJ 40 MIN | $354.00 | $354.00 | $51.30–$316.35 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT 60 MIN | $148.00 | $148.00 | $32.56–$140.60 | 39% below | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSLTJ 60 MIN | $494.00 | $494.00 | $71.40–$441.75 | 104% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT 60 MIN | $148.00 | $148.00 | $105.78–$140.60 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSLTJ 60 MIN | $494.00 | $494.00 | $71.40–$441.75 | — | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $782.00 | $782.00 | $37.40–$699.20 | 125% above | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $782.00 | $782.00 | $37.40–$699.20 | — | — |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY | $522.00 | $522.00 | $19.85–$466.45 | 181% above | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY | $522.00 | $522.00 | $19.85–$466.45 | — | — |
| Spirometry (breathing test) CPT 94010 PFT-SCREEN SPIROMETRY W/VC EXPIRATORY FLO+-MXML VOL VNTJ | $171.00 | $171.00 | $8.49–$152.95 | 42% below | — |
| Spirometry (breathing test) CPT 94010 PEAK FLOW CHECK | $484.00 | $484.00 | $106.48–$459.80 | 63% above | — |
| Spirometry (breathing test) CPT 94010 PFT-SCREENING | $484.00 | $484.00 | $106.48–$459.80 | 63% above | — |
| Spirometry (breathing test) inpatient CPT 94010 PFT-SCREEN SPIROMETRY W/VC EXPIRATORY FLO+-MXML VOL VNTJ | $171.00 | $171.00 | $8.49–$152.95 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW CHECK | $484.00 | $484.00 | $356.22–$459.80 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 PFT-SCREENING | $484.00 | $484.00 | $356.22–$459.80 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PFT COMPLETE-BRNCDILAT RSPSE SPMTRY PRE/POST-BRNCDILAT ADMN (PFT) | $277.00 | $277.00 | $10.61–$247.00 | 49% below | — |
| Spirometry before and after a bronchodilator CPT 94060 PFT-COMPLETE | $1,126.00 | $1,126.00 | $110.69–$989.90 | 107% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT COMPLETE-BRNCDILAT RSPSE SPMTRY PRE/POST-BRNCDILAT ADMN (PFT) | $277.00 | $277.00 | $10.61–$247.00 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT-COMPLETE | $1,126.00 | $1,126.00 | $766.91–$989.90 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $252.00 | $252.00 | $22.15–$224.20 | 102% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES W THCAP | $252.00 | $252.00 | $22.15–$224.20 | 102% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 SM FUNCTIONAL THERA ACT EA 15 MIN | $252.00 | $252.00 | $55.42–$249.85 | 102% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SM FUNCTIONAL THERA ACT EA 15 MIN | $252.00 | $252.00 | $193.57–$249.85 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $252.00 | $252.00 | $22.15–$224.20 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES W THCAP | $252.00 | $252.00 | $22.15–$224.20 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $378.00 | $378.00 | $28.76–$266.95 | 76% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC SEPERATE PROCEDUR | $378.00 | $378.00 | $77.66–$335.35 | 76% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC SEPERATE PROCEDUR | $378.00 | $378.00 | $259.81–$335.35 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $378.00 | $378.00 | $28.76–$266.95 | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $591.00 | $591.00 | $67.90–$178.21 | 37% above | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIOVASCULAR STRESS TEST | $591.00 | $591.00 | $67.90–$178.21 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE SUBQ | $352.00 | $352.00 | $138.31–$314.45 | 27% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE SUBQ | $352.00 | $352.00 | $138.31–$314.45 | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV WHEN ADMIN PTS AGE 4-6 YRS IM | $100.00 | $100.00 | $54.18–$89.30 | at median | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV WHEN ADMIN PTS AGE 4-6 YRS IM | $100.00 | $100.00 | $54.18–$89.30 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP Vaccine, < 7 Yrs, IM | $46.00 | $46.00 | $25.51–$39.90 | 27% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP Vaccine, < 7 Yrs, IM | $46.00 | $46.00 | $25.51–$39.90 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 TETANUS DIPHTHERA TOXOID PED SYR:5-10LFU | $144.00 | $144.00 | $13.71–$59.21 | 10% below | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | $144.00 | $144.00 | $83.94–$127.30 | 10% below | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | $144.00 | $144.00 | $83.94–$127.30 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 TETANUS DIPHTHERA TOXOID PED SYR:5-10LFU | $144.00 | $144.00 | $45.87–$117.79 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-HIB-IPV VACCINE IM | $179.00 | $179.00 | $101.19–$158.65 | 1% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-HIB-IPV VACCINE IM | $179.00 | $179.00 | $101.19–$158.65 | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $199.00 | $199.00 | $155.21–$177.65 | 17% below | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $199.00 | $199.00 | $155.21–$177.65 | — | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACC RIV3 NO PRESERV | $40.00 | $40.00 | $29.88–$42.75 | 61% below | — |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACC RIV3 NO PRESERV | $40.00 | $40.00 | $29.88–$42.75 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE(2015-2016)SYR:0.5ML | $40.00 | $40.00 | $4.34–$243.64 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE(2013-2014)SYR:0.5ML | $40.00 | $40.00 | $43.02–$5,032.59 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HIGH DOSE FLU VACCIN(2013-2014)SYR:0.5ML | $40.00 | $40.00 | $99.97–$11,693.98 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE(2012-2013)SYR:0.5ML | $40.00 | $40.00 | $42.99–$185.63 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HIGH DOSE FLU VACCIN(2015-2016)SYR:0.5ML | $40.00 | $40.00 | $114.41–$494.05 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE(2011-2012)SYR:0.5ML | $40.00 | $40.00 | $45.25–$195.42 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM | $40.00 | $40.00 | $17.69–$34.20 | 14% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE(2012-2013)SYR:0.5ML | $40.00 | $40.00 | $32.72–$185.63 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE(2015-2016)SYR:0.5ML | $40.00 | $40.00 | $32.72–$243.64 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HIGH DOSE FLU VACCIN(2015-2016)SYR:0.5ML | $40.00 | $40.00 | $32.72–$494.05 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HIGH DOSE FLU VACCIN(2013-2014)SYR:0.5ML | $40.00 | $40.00 | $32.72–$431.67 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE(2013-2014)SYR:0.5ML | $40.00 | $40.00 | $32.72–$185.77 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE(2011-2012)SYR:0.5ML | $40.00 | $40.00 | $32.72–$195.42 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PRSRV FR 3 YEARS + IM | $40.00 | $40.00 | $17.69–$34.20 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE NON VALENT IM (Gardasil 9) | $559.00 | $559.00 | $232.36–$499.70 | 14% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE NON VALENT IM (Gardasil 9) | $559.00 | $559.00 | $232.36–$499.70 | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A/B VACCINE HEPA-HEPB ADULT IM | $813.00 | $813.00 | $111.05–$727.70 | 299% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A/B VACCINE HEPA-HEPB ADULT IM | $813.00 | $813.00 | $111.05–$727.70 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT IM | $157.00 | $157.00 | $58.44–$139.65 | 30% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE ADULT IM | $157.00 | $157.00 | $58.44–$139.65 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE PEDIATRICS | $64.00 | $64.00 | $33.83–$57.00 | 23% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE PEDIATRICS | $64.00 | $64.00 | $33.83–$57.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HB | $152.00 | $152.00 | $5.44–$54,527.35 | 41% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT DOSAGE INTRAMU0SCULAR | $152.00 | $152.00 | $69.65–$134.90 | 41% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT DOSAGE INTRAMU0SCULAR | $152.00 | $152.00 | $69.65–$134.90 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 RECOMBIVAX HB | $152.00 | $152.00 | $124.34–$686.00 | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEP B VACC ADULT 2 DOSE IM | $150.00 | $150.00 | $116.20–$156.35 | 33% below | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEP B VACC ADULT 2 DOSE IM | $150.00 | $150.00 | $116.20–$156.35 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B(ENGERIX)VIAL:10MCG/0.5ML 0.5ML ped | $16.71 | $16.71 | $107.40–$32,195.48 | 81% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE PEDIATRIC 3 DOSE IM | $16.71 | $16.71 | $28.21–$72.20 | 81% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE PEDIATRIC 3 DOSE IM | $16.71 | $16.71 | $28.21–$72.20 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B(ENGERIX)VIAL:10MCG/0.5ML 0.5ML ped | $16.71 | $16.71 | $13.67–$463.77 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HILUS INFLUENZA B VACCINE PRP-OMP 3 DOSE IM | $70.00 | $70.00 | $26.63–$61.75 | 13% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HILUS INFLUENZA B VACCINE PRP-OMP 3 DOSE IM | $70.00 | $70.00 | $26.63–$61.75 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HEMOPHILUS INFLUENZA B VACCINE PRP-T 4 DOSE IM | $70.00 | $70.00 | $11.25–$61.75 | 32% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HEMOPHILUS INFLUENZA B VACCINE PRP-T 4 DOSE IM | $70.00 | $70.00 | $11.25–$61.75 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE (2019-2020)SYR:0.5ML | $38.00 | $38.00 | $164.59–$1,520.19 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE (2018-2019)SYR:0.5ML | $38.00 | $38.00 | $22.42–$1,400.43 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE (2017-2018)SYR:0.5ML | $38.00 | $38.00 | $150.35–$3,710.74 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HIGH DOSE INFLU VAC (2016-2017)SYR:0.5ML | $38.00 | $38.00 | $135.00–$623.62 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU HD(FLUZONE HD)2022-2023 SYR 0.7ML: | $38.00 | $38.00 | $205.88–$5,081.37 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PRSV FREE INC ANTIG | $38.00 | $38.00 | $28.22–$72.15 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU HD(FLUZONE HD)2021-2022 SYR 0.7ML: | $38.00 | $38.00 | $191.97–$828.95 | 51% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HIGH DOSE INFLU VAC (2016-2017)SYR:0.5ML | $38.00 | $38.00 | $31.08–$582.94 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLU HD(FLUZONE HD)2022-2023 SYR 0.7ML: | $38.00 | $38.00 | $31.08–$889.05 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLU HD(FLUZONE HD)2021-2022 SYR 0.7ML: | $38.00 | $38.00 | $31.08–$828.95 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE (2019-2020)SYR:0.5ML | $38.00 | $38.00 | $31.08–$710.72 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE (2018-2019)SYR:0.5ML | $38.00 | $38.00 | $31.08–$706.04 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE (2017-2018)SYR:0.5ML | $38.00 | $38.00 | $31.08–$649.24 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC PRSV FREE INC ANTIG | $38.00 | $38.00 | $28.22–$72.15 | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INACTIVATED JE VACC IM | $729.00 | $729.00 | $259.85–$651.70 | 72% above | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 INACTIVATED JE VACC IM | $729.00 | $729.00 | $259.85–$651.70 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ | $195.00 | $195.00 | $79.87–$173.85 | 1% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS&RUBELLA (MMR-II) VACCINE: | $1,681.00 | $1,681.00 | $281.80–$15,000.22 | 766% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ | $195.00 | $195.00 | $79.87–$173.85 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS&RUBELLA (MMR-II) VACCINE: | $1,681.00 | $1,681.00 | $942.75–$1,375.06 | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Proquad-MMR Varicella | $541.00 | $541.00 | $228.92–$483.55 | 38% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Proquad-MMR Varicella | $541.00 | $541.00 | $228.92–$483.55 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACCINE TETRAVALENT | $247.00 | $247.00 | $130.82–$220.40 | at median | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACCINE TETRAVALENT | $247.00 | $247.00 | $130.82–$220.40 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM | $232.00 | $232.00 | $142.17–$207.10 | 9% below | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT VACCINE IM | $232.00 | $232.00 | $142.17–$207.10 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB RP W/OMV VACCINE IM | $370.00 | $370.00 | $182.71–$330.60 | 2% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB RP W/OMV VACCINE IM | $370.00 | $370.00 | $182.71–$330.60 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13VAL(PREVNAR)SYR:0.5ML | $470.00 | $470.00 | $789.85–$25,886.75 | 30% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR/PNEUMOCOCCAL VACC, PED < PCV13 | $470.00 | $470.00 | $230.14–$419.90 | 30% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR/PNEUMOCOCCAL VACC, PED < PCV13 | $470.00 | $470.00 | $230.14–$419.90 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13VAL(PREVNAR)SYR:0.5ML | $470.00 | $470.00 | $384.46–$3,410.70 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM | $438.00 | $438.00 | $246.20–$391.40 | 26% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PCV15 VACCINE IM | $438.00 | $438.00 | $246.20–$391.40 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $287.00 | $287.00 | $223.27–$307.61 | 35% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM | $287.00 | $287.00 | $223.27–$307.61 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 ANNEX PNEUMOCOCC 23(PNEUMOVAX) | $247.00 | $247.00 | $325.16–$1,404.10 | 31% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL(PNEUMOVAX)VIAL:25MCG/0.5ML | $247.00 | $247.00 | $91.80–$1,689.81 | 31% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYSAC VACCINE 23-V 2 YR + SUBQ/IM | $247.00 | $247.00 | $119.92–$220.40 | 31% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCC 23(PNEUMOVAX)VIAL:25MCG/0.5ML | $247.00 | $247.00 | $30.03–$129.68 | 31% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCC 23(PNEUMOVAX)VIAL:25MCG/0.5ML | $247.00 | $247.00 | $100.46–$202.05 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL POLYSAC VACCINE 23-V 2 YR + SUBQ/IM | $247.00 | $247.00 | $119.92–$220.40 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL(PNEUMOVAX)VIAL:25MCG/0.5ML | $247.00 | $247.00 | $202.05–$1,689.81 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 ANNEX PNEUMOCOCC 23(PNEUMOVAX) | $247.00 | $247.00 | $202.05–$1,404.10 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED SUBQ/IM | $99.00 | $99.00 | $35.74–$88.35 | 30% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOMYELITIS VAC KILLED(IPOL)SYR 0.5ML | $99.00 | $99.00 | $92.85–$562.07 | 30% below | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED SUBQ/IM | $99.00 | $99.00 | $35.74–$88.35 | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOMYELITIS VAC KILLED(IPOL)SYR 0.5ML | $99.00 | $99.00 | $80.98–$400.93 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE INTRAMUSCULAR | $659.00 | $659.00 | $303.24–$607.05 | 13% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE(RABAVERT):2.5UNITS | $1,681.00 | $1,681.00 | $764.98–$89,487.18 | 123% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE INTRAMUSCULAR | $659.00 | $659.00 | $303.24–$607.05 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE(RABAVERT):2.5UNITS | $1,681.00 | $1,681.00 | $1,375.06–$3,303.32 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL | $243.00 | $243.00 | $126.92–$216.60 | 8% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACC HUMAN ATTENUATED 2 DOSE LIVE ORAL | $243.00 | $243.00 | $126.92–$216.60 | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE PENTAVALENT 3 DOSE LIVE0 ORAL | $482.00 | $482.00 | $86.10–$211.85 | 226% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE PENTAVALENT 3 DOSE LIVE0 ORAL | $482.00 | $482.00 | $86.10–$211.85 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM NJXHZV VACC RECOMBINANT IM NJX | $189.00 | $189.00 | $146.91–$212.06 | 12% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM NJXHZV VACC RECOMBINANT IM NJX | $189.00 | $189.00 | $146.91–$212.06 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETAN&DIPH(TENIVAC)SYR:0.5ML PYX | $65.00 | $65.00 | $17.27–$460.60 | 16% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM | $65.00 | $65.00 | $25.27–$57.95 | 16% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD TOXOIDS ADSORBED PRSRV FR 7 YR + IM | $65.00 | $65.00 | $25.27–$57.95 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETAN&DIPH(TENIVAC)SYR:0.5ML PYX | $65.00 | $65.00 | $53.17–$460.60 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YR And Older IM | $84.00 | $84.00 | $34.28–$74.10 | 22% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 D.P.T. (Tdap) (ADACEL) SYR 0.5ML | $1,681.00 | $1,681.00 | $180.74–$780.46 | 1464% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YR And Older IM | $84.00 | $84.00 | $34.28–$74.10 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 D.P.T. (Tdap) (ADACEL) SYR 0.5ML | $1,681.00 | $1,681.00 | $604.65–$1,375.06 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM | $245.00 | $245.00 | $75.16–$218.50 | 17% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM | $245.00 | $245.00 | $75.16–$218.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACC | $50.00 | $50.00 | $10.00–$43.70 | 13% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FF IMMUNIZATION ADMINISTRATION | $596.00 | $596.00 | $115.28–$497.80 | 939% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACC | $50.00 | $50.00 | $10.00–$43.70 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FF IMMUNIZATION ADMINISTRATION | $596.00 | $596.00 | $385.66–$497.80 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACC | $32.00 | $32.00 | $5.00–$28.50 | 17% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACC | $32.00 | $32.00 | $5.00–$28.50 | — | — |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE, SC | $359.00 | $359.00 | $143.47–$320.15 | 29% above | — |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE, SC | $359.00 | $359.00 | $143.47–$320.15 | — | — |
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.gibsonhospital.org/file/2582/370647938_gibson-area-hospital_standardcharges.csv