Gila Regional Medical Center
Gila Regional Medical Center in Silver County, NM publishes cash prices for 270 common procedures listed here, from its own machine-readable price file updated Dec 2, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the New Mexico median for 215 of 267 procedures and below it for 44. By typical cash price it ranks #16 of 20 New Mexico hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1313 East 32 Street, Silver County, NM 88061 Collected Nov 6, 2026 Source price file Check a bill from this hospital (575) 538-4100
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CMS star rating 2 of 5 CCN 321311 · CMS hospital register NPI 1336220839
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Gila Regional Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONTRAST | $3,535.20 | $4,419.00 | $1,228.19–$1,293.30 | 46% above | 20% |
| Abdominal CT scan without and with contrast CPT 74170 CT RENAL W&WO CONTRAST | $3,535.20 | $4,419.00 | $1,228.19–$1,293.30 | 46% above | 20% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&WO CONTRAST | $3,535.20 | $4,419.00 | $1,228.19–$1,293.30 | — | 20% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT RENAL W&WO CONTRAST | $3,535.20 | $4,419.00 | $1,228.19–$1,293.30 | — | 20% |
| Abdominal X-ray, 2 views CPT 74019 XR ABD 2 VIEWS 74019 | $142.40 | $178.00 | $131.60–$339.24 | 25% below | 20% |
| Abdominal X-ray, 2 views CPT 74019 XR ABD 2 VIEWS (KUB) 74019 | $379.20 | $474.00 | $131.60–$339.24 | 101% above | 20% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD 2 VIEWS 74019 | $142.40 | $178.00 | $131.60–$339.24 | — | 20% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD 2 VIEWS (KUB) 74019 | $379.20 | $474.00 | $131.60–$339.24 | — | 20% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE 3VW | $413.60 | $517.00 | $143.24–$418.32 | 56% above | 20% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR Ankle Complete 3vw BL | $824.80 | $1,031.00 | $143.24–$418.32 | 211% above | 20% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE 3VW | $413.60 | $517.00 | $143.24–$418.32 | — | 20% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR Ankle Complete 3vw BL | $824.80 | $1,031.00 | $143.24–$418.32 | — | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 ARTERIAL UPR/LOW EXTR 1 LEV BI | $486.40 | $608.00 | $168.53–$189.65 | — | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 ARTERIAL UPR/LOW EXTR 1 LEV BI | $486.40 | $608.00 | $168.53–$189.65 | — | 20% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY WO CONT | $2,111.20 | $2,639.00 | $557.31–$746.71 | 50% above | 20% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY WO CONT | $2,111.20 | $2,639.00 | $557.31–$746.71 | — | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL BODY | $1,940.80 | $2,426.00 | $705.37–$1,697.14 | 90% above | 20% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN TOTAL BODY | $1,940.80 | $2,426.00 | $705.37–$1,697.14 | — | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT | $674.40 | $843.00 | $233.61–$589.37 | 38% above | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE | $674.40 | $843.00 | $233.61–$589.37 | 38% above | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL | $674.40 | $843.00 | $233.61–$589.37 | 38% above | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT | $674.40 | $843.00 | $233.61–$589.37 | 38% above | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE | $674.40 | $843.00 | $233.61–$589.37 | — | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RT | $674.40 | $843.00 | $233.61–$589.37 | — | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT | $674.40 | $843.00 | $233.61–$589.37 | — | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL | $674.40 | $843.00 | $233.61–$589.37 | — | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED | $674.40 | $843.00 | $196.41–$682.26 | 154% above | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED | $674.40 | $843.00 | $196.41–$682.26 | — | 20% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ABDOMEN PELVIS ANGIO W/ CO | $5,580.80 | $6,976.00 | $1,596.78–$4,879.90 | 128% above | 20% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ABDOMEN PELVIS ANGIO W/ CO | $5,580.80 | $6,976.00 | $1,596.78–$4,879.90 | — | 20% |
| CT angiography (CTA) of the head CPT 70496 CT HEAD ANGIO W/WO & RECONS | $3,080.80 | $3,851.00 | $1,067.74–$3,118.31 | 78% above | 20% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT HEAD ANGIO W/WO & RECONS | $3,080.80 | $3,851.00 | $1,067.74–$3,118.31 | — | 20% |
| CT angiography (CTA) of the neck CPT 70498 CT NECK ANGIO W/WO & RECONS | $3,145.60 | $3,932.00 | $972.72–$3,183.88 | 98% above | 20% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT NECK ANGIO W/WO & RECONS | $3,145.60 | $3,932.00 | $972.72–$3,183.88 | — | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PULMONARY ANG W/CON & REC | $3,199.20 | $3,999.00 | $972.72–$3,237.83 | 42% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT PULMONARY ANG W/CON & REC | $3,199.20 | $3,999.00 | $972.72–$3,237.83 | — | 20% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART ANGIO W/3D W/CONT | $3,279.20 | $4,099.00 | $768.96–$3,319.17 | 82% above | 20% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART ANGIO W/3D W/CONT | $3,279.20 | $4,099.00 | $768.96–$3,319.17 | — | 20% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING WO CO | $576.00 | $720.00 | $199.51–$503.33 | 184% above | 20% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SCORING WO CO | $576.00 | $720.00 | $199.51–$503.33 | — | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONTRAST | $4,724.80 | $5,906.00 | $541.81–$4,782.46 | 75% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O CONTRAST | $4,724.80 | $5,906.00 | $541.81–$4,782.46 | — | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL WITH CONTRAST | $5,972.00 | $7,465.00 | $838.27–$6,044.89 | 78% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL WITH CONTRAST | $5,972.00 | $7,465.00 | $838.27–$6,044.89 | — | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL WITH & WO CONTRAST | $6,107.20 | $7,634.00 | $934.55–$5,340.22 | 52% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL WITH & WO CONTRAST | $6,107.20 | $7,634.00 | $934.55–$5,340.22 | — | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT RENAL WITH CONTRAST | $3,073.60 | $3,842.00 | $848.61–$1,067.18 | 49% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST | $3,073.60 | $3,842.00 | $848.61–$1,067.18 | 49% above | 20% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT RENAL WITH CONTRAST | $3,073.60 | $3,842.00 | $848.61–$1,067.18 | — | 20% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST | $3,073.60 | $3,842.00 | $848.61–$1,067.18 | — | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $2,372.00 | $2,965.00 | $557.31–$2,074.28 | 33% above | 20% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $2,372.00 | $2,965.00 | $557.31–$2,074.28 | — | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST | $1,914.40 | $2,393.00 | $557.31–$1,938.05 | 47% above | 20% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO CONTRAST | $1,914.40 | $2,393.00 | $557.31–$1,938.05 | — | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $2,332.00 | $2,915.00 | $557.31–$2,360.52 | 55% above | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $2,332.00 | $2,915.00 | $557.31–$2,360.52 | — | 20% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST | $2,759.20 | $3,449.00 | $848.61–$2,412.71 | 54% above | 20% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST | $2,759.20 | $3,449.00 | $848.61–$2,412.71 | — | 20% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO CONTRAST | $3,110.40 | $3,888.00 | $952.87–$1,093.90 | 55% above | 20% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO CONTRAST | $3,110.40 | $3,888.00 | $952.87–$1,093.90 | — | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $2,801.60 | $3,502.00 | $557.31–$2,836.11 | 56% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST | $2,801.60 | $3,502.00 | $557.31–$2,836.11 | — | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $2,880.00 | $3,600.00 | $557.31–$2,914.96 | 39% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONTRAST | $2,880.00 | $3,600.00 | $557.31–$2,914.96 | — | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,976.00 | $3,720.00 | $1,045.88–$2,601.99 | 51% above | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,976.00 | $3,720.00 | $1,045.88–$2,601.99 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTIDS COMP BIL DUPLEX | $1,203.20 | $1,504.00 | $417.42–$1,467.00 | 136% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTIDS COMP BIL DUPLEX | $1,203.20 | $1,504.00 | $417.42–$1,467.00 | — | 20% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO | $3,187.20 | $3,984.00 | $1,120.23–$3,226.21 | 51% above | 20% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO | $3,187.20 | $3,984.00 | $1,120.23–$3,226.21 | — | 20% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS 71046 | $96.00 | $120.00 | $133.01–$388.44 | 60% below | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS 71046 | $96.00 | $120.00 | $133.01–$388.44 | — | 20% |
| Chest X-ray, single view CPT 71045 XR CHEST; SINGLE VIEW | $96.00 | $120.00 | $117.66–$343.62 | 55% below | 20% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST; SINGLE VIEW | $96.00 | $120.00 | $117.66–$343.62 | — | 20% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $413.60 | $517.00 | $361.37 | 66% above | 20% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR Clavicle BL | $824.80 | $1,031.00 | $361.37 | 231% above | 20% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE | $413.60 | $517.00 | $361.37 | — | 20% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR Clavicle BL | $824.80 | $1,031.00 | $361.37 | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL complete | $1,596.80 | $1,996.00 | $277.96–$1,616.01 | 203% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL complete | $1,596.80 | $1,996.00 | $277.96–$1,616.01 | — | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSTY AXIAL SKELETON | $228.00 | $285.00 | $79.01–$230.74 | 10% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSTY AXIAL SKELETON | $228.00 | $285.00 | $79.01–$230.74 | — | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX WO CONTRAST | $2,338.40 | $2,923.00 | $557.31–$2,367.16 | 44% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX WO CONTRAST | $2,338.40 | $2,923.00 | $557.31–$2,367.16 | — | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST | $2,747.20 | $3,434.00 | $848.61–$2,780.50 | 45% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST | $2,747.20 | $3,434.00 | $848.61–$2,780.50 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM DIG DIAG BILAT W/WO CAD | $492.80 | $616.00 | $217.21–$453.09 | — | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM DIG DIAG BILAT W/WO CAD | $492.80 | $616.00 | $217.21–$453.09 | — | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DIG DIAG UNILAT | $423.20 | $529.00 | $146.65–$428.28 | 129% above | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DIG DIAG UNILAT W/WOUT CAD | $423.20 | $529.00 | $146.65–$428.28 | 129% above | 20% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIG DIAG UNILAT W/WOUT CAD | $423.20 | $529.00 | $146.65–$428.28 | — | 20% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIG DIAG UNILAT | $423.20 | $529.00 | $146.65–$428.28 | — | 20% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DOPP LOW EXT COMP BIL | $896.80 | $1,121.00 | $311.41–$443.03 | at median | 20% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DOPP LOW EXT COMP BIL | $896.80 | $1,121.00 | $311.41–$443.03 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS EXTREMITIES BILATERAL | $1,409.60 | $1,762.00 | $443.03–$512.26 | — | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS EXTREMITIES BILATERAL | $1,409.60 | $1,762.00 | $443.03–$512.26 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EC transthoracic colr flow dop | $1,588.00 | $1,985.00 | $569.77–$1,607.71 | 20% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EC transthoracic wo/w | $2,157.60 | $2,697.00 | $569.77–$1,607.71 | 62% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EC transthoracic colr flow dop | $1,588.00 | $1,985.00 | $569.77–$1,607.71 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EC transthoracic wo/w | $2,157.60 | $2,697.00 | $569.77–$1,607.71 | — | 20% |
| Elbow X-ray, 2 views CPT 73070 ELBOW AP/LAT | $352.80 | $441.00 | $122.21–$430.00 | 57% above | 20% |
| Elbow X-ray, 2 views CPT 73070 XR Elbow AP/LAT BL | $690.40 | $863.00 | $122.21–$430.00 | 206% above | 20% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW AP/LAT | $352.80 | $441.00 | $122.21–$430.00 | — | 20% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR Elbow AP/LAT BL | $690.40 | $863.00 | $122.21–$430.00 | — | 20% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VW | $425.60 | $532.00 | $147.50–$372.12 | 75% above | 20% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VW | $425.60 | $532.00 | $147.50–$372.12 | — | 20% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA & IAC WO CONTR | $2,018.40 | $2,523.00 | $703.62–$2,042.63 | 50% above | 20% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA & IAC WO CONTR | $2,018.40 | $2,523.00 | $703.62–$2,042.63 | — | 20% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONE 3+VIEWS | $510.40 | $638.00 | $271.36 | 67% above | 20% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONE 3+VIEWS | $510.40 | $638.00 | $271.36 | — | 20% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM | $418.40 | $523.00 | $144.94–$169.53 | 70% above | 20% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR Forearm BL | $826.40 | $1,033.00 | $144.94–$169.53 | 236% above | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM | $418.40 | $523.00 | $144.94–$169.53 | — | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR Forearm BL | $826.40 | $1,033.00 | $144.94–$169.53 | — | 20% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEW | $371.20 | $464.00 | $131.37–$324.80 | 58% above | 20% |
| Hand X-ray, 2 views CPT 73120 XR Hand 2VW BL | $693.60 | $867.00 | $131.37–$324.80 | 195% above | 20% |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEW | $371.20 | $464.00 | $131.37–$324.80 | — | 20% |
| Hand X-ray, 2 views inpatient CPT 73120 XR Hand 2VW BL | $693.60 | $867.00 | $131.37–$324.80 | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEOUS MIN 2 VIEWS | $357.60 | $447.00 | $169.53 | 53% above | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR Calcaneus BL | $714.40 | $893.00 | $169.53 | 206% above | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEOUS MIN 2 VIEWS | $357.60 | $447.00 | $169.53 | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR Calcaneus BL | $714.40 | $893.00 | $169.53 | — | 20% |
| Knee X-ray, 3 views CPT 73562 KNEE MIN 3 VW | $621.60 | $777.00 | $215.42–$629.14 | 109% above | 20% |
| Knee X-ray, 3 views CPT 73562 XR Knee 3 vw BL | $1,240.00 | $1,550.00 | $215.42–$629.14 | 318% above | 20% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE MIN 3 VW | $621.60 | $777.00 | $215.42–$629.14 | — | 20% |
| Knee X-ray, 3 views inpatient CPT 73562 XR Knee 3 vw BL | $1,240.00 | $1,550.00 | $215.42–$629.14 | — | 20% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4+VW | $562.40 | $703.00 | $187.12–$569.38 | 60% above | 20% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR Lower Leg (Tib-Fib) BL | $1,072.80 | $1,341.00 | $187.12–$569.38 | 205% above | 20% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR Knee 4+vw BL | $1,072.80 | $1,341.00 | $187.12–$569.38 | 205% above | 20% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE 4+VW | $562.40 | $703.00 | $187.12–$569.38 | — | 20% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR Lower Leg (Tib-Fib) BL | $1,072.80 | $1,341.00 | $187.12–$569.38 | — | 20% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR Knee 4+vw BL | $1,072.80 | $1,341.00 | $187.12–$569.38 | — | 20% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY WO CONTRAST | $2,311.20 | $2,889.00 | $408.76–$2,339.77 | 40% above | 20% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Ext Lower WO Cont BL | $4,621.60 | $5,777.00 | $408.76–$2,339.77 | 180% above | 20% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY WO CONTRAST | $2,311.20 | $2,889.00 | $408.76–$2,339.77 | — | 20% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Ext Lower WO Cont BL | $4,621.60 | $5,777.00 | $408.76–$2,339.77 | — | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LMTD SINGLE ORGAN/QUAD | $848.00 | $1,060.00 | $277.86–$858.22 | 77% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LMTD SINGLE ORGAN/QUAD | $848.00 | $1,060.00 | $277.86–$858.22 | — | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NON-VASCULAR | $429.60 | $537.00 | $151.96–$434.92 | 34% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT NON VASCULAR LTD BL | $802.40 | $1,003.00 | $151.96–$434.92 | 150% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NON-VASCULAR | $429.60 | $537.00 | $151.96–$434.92 | — | 20% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXT NON VASCULAR LTD BL | $802.40 | $1,003.00 | $151.96–$434.92 | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LOWER LEG (TIB-FIB) | $424.00 | $530.00 | $146.93–$370.69 | 55% above | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LOWER LEG (TIB-FIB) | $424.00 | $530.00 | $146.93–$370.69 | — | 20% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WITHOUT CONTRAST | $2,229.60 | $2,787.00 | $783.62–$810.26 | 22% above | 20% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WITHOUT CONTRAST | $2,229.60 | $2,787.00 | $783.62–$810.26 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JOINT W/O CONT | $3,367.20 | $4,209.00 | $998.61–$3,407.98 | 129% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR Ext Lower Joint WO BL | $6,732.00 | $8,415.00 | $998.61–$3,407.98 | 357% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JOINT W/O CONT | $3,367.20 | $4,209.00 | $998.61–$3,407.98 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR Ext Lower Joint WO BL | $6,732.00 | $8,415.00 | $998.61–$3,407.98 | — | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST | $3,206.40 | $4,008.00 | $998.61–$3,245.30 | 48% above | 20% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT CONTRAST | $3,206.40 | $4,008.00 | $998.61–$3,245.30 | — | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONTRAST | $3,928.80 | $4,911.00 | $1,365.80–$3,976.53 | 43% above | 20% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&WO CONTRAST | $3,928.80 | $4,911.00 | $1,365.80–$3,976.53 | — | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT | $2,932.00 | $3,665.00 | $998.61–$3,576.00 | 59% above | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT | $2,932.00 | $3,665.00 | $998.61–$3,576.00 | — | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O CONTRAST | $4,262.40 | $5,328.00 | $1,479.27–$4,314.34 | 54% above | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WO/W | $6,512.80 | $8,141.00 | $2,259.12–$2,303.06 | 136% above | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&W/O CONTRAST | $4,262.40 | $5,328.00 | $1,479.27–$4,314.34 | — | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY WO/W | $6,512.80 | $8,141.00 | $2,259.12–$2,303.06 | — | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST | $3,413.60 | $4,267.00 | $1,185.12–$3,455.29 | 67% above | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CONTRAST | $3,413.60 | $4,267.00 | $1,185.12–$3,455.29 | — | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W & W/O CONTRAST | $4,552.00 | $5,690.00 | $1,577.59–$1,665.30 | 59% above | 20% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W & W/O CONTRAST | $4,552.00 | $5,690.00 | $1,577.59–$1,665.30 | — | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONTRAST | $3,434.40 | $4,293.00 | $1,206.98–$3,476.04 | 55% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CONTRAST | $3,434.40 | $4,293.00 | $1,206.98–$3,476.04 | — | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W & W/O CONTRAST | $4,571.20 | $5,714.00 | $1,661.35 | 63% above | 20% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W & W/O CONTRAST | $4,571.20 | $5,714.00 | $1,661.35 | — | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST | $3,209.60 | $4,012.00 | $998.61–$3,248.62 | 54% above | 20% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONTRAST | $3,209.60 | $4,012.00 | $998.61–$3,248.62 | — | 20% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONTRAST | $3,981.60 | $4,977.00 | $1,382.08–$4,030.48 | 28% above | 20% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO CONTRAST | $3,981.60 | $4,977.00 | $1,382.08–$4,030.48 | — | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $3,024.00 | $3,780.00 | $1,069.52 | 52% above | 20% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $3,024.00 | $3,780.00 | $1,069.52 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT WO CONT | $2,948.00 | $3,685.00 | $998.61–$2,577.62 | 90% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR Ext Upper Joint WO BL | $5,894.40 | $7,368.00 | $998.61–$2,577.62 | 279% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT WO CONT | $2,948.00 | $3,685.00 | $998.61–$2,577.62 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR Ext Upper Joint WO BL | $5,894.40 | $7,368.00 | $998.61–$2,577.62 | — | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4 OR 5 VIEW | $664.80 | $831.00 | $230.79–$673.13 | 70% above | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR C-SPINE 4 OR 5 VIEW | $664.80 | $831.00 | $230.79–$673.13 | — | 20% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TIS W/CONTRAST | $2,732.80 | $3,416.00 | $848.61–$2,389.76 | 64% above | 20% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TIS W/CONTRAST | $2,732.80 | $3,416.00 | $848.61–$2,389.76 | — | 20% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TIS W/O CONTRAST | $2,100.00 | $2,625.00 | $729.84–$750.68 | 43% above | 20% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TIS W/O CONTRAST | $2,100.00 | $2,625.00 | $729.84–$750.68 | — | 20% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $357.60 | $447.00 | $123.91–$169.53 | 52% above | 20% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE | $357.60 | $447.00 | $123.91–$169.53 | — | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARD ST/REST EF WALL MOTION MU | $3,784.80 | $4,731.00 | $1,313.87–$3,309.67 | 64% above | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARD ST/REST EF WALL MOTION MU | $3,784.80 | $4,731.00 | $1,313.87–$3,309.67 | — | 20% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SKULL BASE TO MID THIGH | $4,358.40 | $5,448.00 | $1,512.52–$4,411.45 | 22% above | 20% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET SKULL BASE TO MID THIGH | $4,358.40 | $5,448.00 | $1,512.52–$4,411.45 | — | 20% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WITHOUT CONTRAST | $2,528.00 | $3,160.00 | $557.31–$924.90 | 51% above | 20% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WITHOUT CONTRAST | $2,528.00 | $3,160.00 | $557.31–$924.90 | — | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR FOLLOW UP | $630.40 | $788.00 | $178.48–$638.27 | 53% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED OR FOLLOW UP | $630.40 | $788.00 | $178.48–$638.27 | — | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $890.40 | $1,113.00 | $277.86–$778.66 | 70% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $890.40 | $1,113.00 | $277.86–$778.66 | — | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 1STTRIM>or=14wks0days | $943.20 | $1,179.00 | $277.96–$824.55 | 85% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG 1STTRIM>or=14wks0days | $943.20 | $1,179.00 | $277.96–$824.55 | — | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIM EA<14wks 0 d | $532.00 | $665.00 | $277.96–$673.26 | 7% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIM<14 wks 0days | $769.60 | $962.00 | $277.96–$673.26 | 55% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1ST TRIM EA<14wks 0 d | $532.00 | $665.00 | $277.96–$673.26 | — | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1ST TRIM<14 wks 0days | $769.60 | $962.00 | $277.96–$673.26 | — | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREG LMTD 1ST TRIM/SZ/HR/PLOC | $638.40 | $798.00 | $178.48 | 45% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREG LMTD 1ST TRIM/SZ/HR/PLOC | $638.40 | $798.00 | $178.48 | — | 20% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2VW | $446.40 | $558.00 | $154.60–$390.05 | 66% above | 20% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2VW | $446.40 | $558.00 | $154.60–$390.05 | — | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS W/PA CXR MIN 3VW | $444.80 | $556.00 | $154.04–$271.36 | 47% above | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS W/PA CXR MIN 3VW | $444.80 | $556.00 | $154.04–$271.36 | — | 20% |
| Screening mammogram, both breasts CPT 77067 SCREEN MAMO BILAT2V W/CAD | $379.20 | $474.00 | $79.42–$383.46 | 33% above | 20% |
| Screening mammogram, both breasts inpatient CPT 77067 SCREEN MAMO BILAT2V W/CAD | $379.20 | $474.00 | $79.42–$383.46 | — | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP AP/Y/AXIL | $458.40 | $573.00 | $158.87–$559.00 | 93% above | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR Shoulder AP/Y/Axil BL | $914.40 | $1,143.00 | $158.87–$559.00 | 285% above | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP AP/Y/AXIL | $458.40 | $573.00 | $158.87–$559.00 | — | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR Shoulder AP/Y/Axil BL | $914.40 | $1,143.00 | $158.87–$559.00 | — | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL (1-3 VIEWS) | $452.80 | $566.00 | $271.36–$395.78 | 43% above | 20% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL (1-3 VIEWS) | $452.80 | $566.00 | $271.36–$395.78 | — | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY ABRUIEATED <6H | $543.20 | $679.00 | $2,751.13 | 65% below | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY ABRUIEATED <6H | $543.20 | $679.00 | $2,751.13 | — | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW | $731.20 | $914.00 | $253.51–$639.56 | 38% above | 20% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW | $731.20 | $914.00 | $253.51–$639.56 | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR Femur 2VW | $416.80 | $521.00 | $144.37–$364.24 | 78% above | 20% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR Femur 2vw BL | $830.40 | $1,038.00 | $144.37–$364.24 | 255% above | 20% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR Femur 2VW | $416.80 | $521.00 | $144.37–$364.24 | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR Femur 2vw BL | $830.40 | $1,038.00 | $144.37–$364.24 | — | 20% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $2,837.60 | $3,547.00 | $557.31–$2,871.80 | 66% above | 20% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST | $2,837.60 | $3,547.00 | $557.31–$2,871.80 | — | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANVAGINAL PELVIS | $812.00 | $1,015.00 | $277.96–$709.83 | 67% above | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANVAGINAL PELVIS | $812.00 | $1,015.00 | $277.96–$709.83 | — | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG/OB TRANSVAGINAL | $452.00 | $565.00 | $395.07 | 31% above | 20% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG/OB TRANSVAGINAL | $452.00 | $565.00 | $395.07 | — | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,002.40 | $1,253.00 | $277.96–$1,014.26 | 67% above | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,002.40 | $1,253.00 | $277.96–$1,014.26 | — | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM & CONTENTS | $765.60 | $957.00 | $267.44–$775.22 | 46% above | 20% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM & CONTENTS | $765.60 | $957.00 | $267.44–$775.22 | — | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK | $711.20 | $889.00 | $248.40–$719.61 | 55% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROIDS/SOFT TISSUE HEAD NECK | $711.20 | $889.00 | $248.40–$719.61 | 55% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK | $711.20 | $889.00 | $248.40–$719.61 | — | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROIDS/SOFT TISSUE HEAD NECK | $711.20 | $889.00 | $248.40–$719.61 | — | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Small bowel follow through | $553.60 | $692.00 | $192.13–$483.98 | 5% above | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR FL UGI wo/air | $553.60 | $692.00 | $192.13–$483.98 | 5% above | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Small bowel follow through | $553.60 | $692.00 | $192.13–$483.98 | — | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR FL UGI wo/air | $553.60 | $692.00 | $192.13–$483.98 | — | 20% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS | $369.60 | $462.00 | $128.17–$323.37 | 49% above | 20% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS | $369.60 | $462.00 | $128.17–$323.37 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS EXTREMITY UNILAT/LMTD | $716.00 | $895.00 | $248.11–$724.59 | 22% above | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS EXTREMITY UNILAT/LMTD | $716.00 | $895.00 | $248.11–$724.59 | — | 20% |
| Wrist X-ray, 2 views CPT 73100 WRIST AP/LAT | $377.60 | $472.00 | $169.53 | 68% above | 20% |
| Wrist X-ray, 2 views CPT 73100 XR Wrist PA/LAT BL | $704.00 | $880.00 | $169.53 | 212% above | 20% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST AP/LAT | $377.60 | $472.00 | $169.53 | — | 20% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR Wrist PA/LAT BL | $704.00 | $880.00 | $169.53 | — | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST MIN 3 VW | $503.20 | $629.00 | $169.48–$440.24 | 90% above | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR wrist Min 3 vw | $590.40 | $738.00 | $169.48–$440.24 | 124% above | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR Wrist Min 3vw | $1,005.60 | $1,257.00 | $169.48–$440.24 | 281% above | 20% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST MIN 3 VW | $503.20 | $629.00 | $169.48–$440.24 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR wrist Min 3 vw | $590.40 | $738.00 | $169.48–$440.24 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR Wrist Min 3vw | $1,005.60 | $1,257.00 | $169.48–$440.24 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR Hip 2-3 VW | $416.80 | $521.00 | $144.37–$364.24 | 78% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR Hip 2-3 VW | $416.80 | $521.00 | $144.37–$364.24 | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABD 1 VIEW 74018 | $96.00 | $120.00 | $100.89–$254.54 | 59% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABD 1 VIEW 74018 (KUB) | $291.20 | $364.00 | $100.89–$254.54 | 25% above | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1 VIEW 74018 | $96.00 | $120.00 | $100.89–$254.54 | — | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1 VIEW 74018 (KUB) | $291.20 | $364.00 | $100.89–$254.54 | — | 20% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE AP/LAT | $360.00 | $450.00 | $124.76–$271.36 | 81% above | 20% |
| X-ray of the ankle, 2 views CPT 73600 XR Ankle AP/LAT BL | $695.20 | $869.00 | $124.76–$271.36 | 249% above | 20% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE AP/LAT | $360.00 | $450.00 | $124.76–$271.36 | — | 20% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR Ankle AP/LAT BL | $695.20 | $869.00 | $124.76–$271.36 | — | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER | $322.40 | $403.00 | $111.99–$393.00 | 78% above | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR Finger BL | $602.40 | $753.00 | $111.99–$393.00 | 233% above | 20% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER | $322.40 | $403.00 | $111.99–$393.00 | — | 20% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR Finger BL | $602.40 | $753.00 | $111.99–$393.00 | — | 20% |
| X-ray of the foot, 2 views CPT 73620 FOOT,2 VW | $356.00 | $445.00 | $123.34–$360.22 | 64% above | 20% |
| X-ray of the foot, 2 views CPT 73620 XR Foot 2vw BL | $662.40 | $828.00 | $123.34–$360.22 | 205% above | 20% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT,2 VW | $356.00 | $445.00 | $123.34–$360.22 | — | 20% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR Foot 2vw BL | $662.40 | $828.00 | $123.34–$360.22 | — | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE MIN 3 VW | $445.60 | $557.00 | $154.32–$389.33 | 67% above | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR Foot 3vw BL | $888.80 | $1,111.00 | $154.32–$389.33 | 233% above | 20% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE MIN 3 VW | $445.60 | $557.00 | $154.32–$389.33 | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR Foot 3vw BL | $888.80 | $1,111.00 | $154.32–$389.33 | — | 20% |
| X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VW | $448.00 | $560.00 | $155.17–$453.18 | 84% above | 20% |
| X-ray of the hand, 3 or more views CPT 73130 XR Hand 3vw BL | $894.40 | $1,118.00 | $155.17–$453.18 | 266% above | 20% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VW | $448.00 | $560.00 | $155.17–$453.18 | — | 20% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR Hand 3vw BL | $894.40 | $1,118.00 | $155.17–$453.18 | — | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP/LAT | $389.60 | $487.00 | $134.99–$394.25 | 67% above | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR Knee AP/LAT BL | $751.20 | $939.00 | $134.99–$394.25 | 221% above | 20% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE AP/LAT | $389.60 | $487.00 | $134.99–$394.25 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR Knee AP/LAT BL | $751.20 | $939.00 | $134.99–$394.25 | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS | $446.40 | $558.00 | $154.60–$451.52 | 44% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS | $446.40 | $558.00 | $154.60–$451.52 | — | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4 VIEWS | $710.40 | $888.00 | $246.12–$620.92 | 80% above | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4 VIEWS | $710.40 | $888.00 | $246.12–$620.92 | — | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE (2 VIEWS) | $494.40 | $618.00 | $171.37–$271.36 | 68% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE (2 VIEWS) | $494.40 | $618.00 | $171.37–$271.36 | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP&LAT 2-3VIEW | $427.20 | $534.00 | $148.08–$432.43 | 57% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE AP&LAT 2-3VIEW | $427.20 | $534.00 | $148.08–$432.43 | — | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS | $368.80 | $461.00 | $127.89–$373.50 | 46% above | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS | $368.80 | $461.00 | $127.89–$373.50 | — | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROP HOR#4.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | 23% below | 20% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROP HOR#5.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | 23% below | 20% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROP HOR#1.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | 23% below | 20% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROP HOR#2.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | 23% below | 20% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROP HOR#3.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | 23% below | 20% |
| ACTH blood test CPT 82024 ACTH | $185.60 | $232.00 | $55.61–$64.23 | 3% above | 20% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPHIC HOR-ACTH5 | $538.40 | $673.00 | $55.61–$64.23 | 198% above | 20% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROP HOR#2.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | — | 20% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROP HOR#3.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | — | 20% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROP HOR#1.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | — | 20% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROP HOR#5.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | — | 20% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROP HOR#4.-ACTH5 | $139.20 | $174.00 | $55.61–$64.23 | — | 20% |
| ACTH blood test inpatient CPT 82024 ACTH | $185.60 | $232.00 | $55.61–$64.23 | — | 20% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPHIC HOR-ACTH5 | $538.40 | $673.00 | $55.61–$64.23 | — | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $72.80 | $91.00 | $63.81 | at median | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 DIR BILI & ALT FROM HFP PANEL | $78.40 | $98.00 | $63.81 | 8% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE;ALT-HCVFIBROSURE | $78.40 | $98.00 | $63.81 | 8% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $72.80 | $91.00 | $63.81 | — | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE;ALT-HCVFIBROSURE | $78.40 | $98.00 | $63.81 | — | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 DIR BILI & ALT FROM HFP PANEL | $78.40 | $98.00 | $63.81 | — | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $285.60 | $357.00 | $68.59–$249.52 | 5% above | 20% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $285.60 | $357.00 | $68.59–$249.52 | — | 20% |
| Albumin blood test CPT 82040 ALBUMIN;SER,PLAS,WB-IGGSYN | $22.40 | $28.00 | $24.44 | 49% below | 20% |
| Albumin blood test CPT 82040 ALBUMIN; SERUM - OLIGO | $70.40 | $88.00 | $24.44 | 61% above | 20% |
| Albumin blood test CPT 82040 ALBUMIN | $70.40 | $88.00 | $24.44 | 61% above | 20% |
| Albumin blood test CPT 82040 ALBUMIN; SERUM | $72.80 | $91.00 | $24.44 | 66% above | 20% |
| Albumin blood test inpatient CPT 82040 ALBUMIN;SER,PLAS,WB-IGGSYN | $22.40 | $28.00 | $24.44 | — | 20% |
| Albumin blood test inpatient CPT 82040 ALBUMIN; SERUM - OLIGO | $70.40 | $88.00 | $24.44 | — | 20% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $70.40 | $88.00 | $24.44 | — | 20% |
| Albumin blood test inpatient CPT 82040 ALBUMIN; SERUM | $72.80 | $91.00 | $24.44 | — | 20% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, 24 HR URINE | $188.00 | $235.00 | $75.03–$76.56 | 2% below | 20% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $216.80 | $271.00 | $75.03–$76.56 | 13% above | 20% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, 24 HR URINE | $188.00 | $235.00 | $75.03–$76.56 | — | 20% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $216.80 | $271.00 | $75.03–$76.56 | — | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG. SPEC IgE, QNT. | $24.00 | $30.00 | $23.67–$58.79 | 19% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 INDIVIDUAL MOLDS | $60.00 | $75.00 | $23.67–$58.79 | 103% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BAHIA GRASS | $60.00 | $75.00 | $23.67–$58.79 | 103% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA-GUINEA PIG EPI | $60.00 | $75.00 | $23.67–$58.79 | 103% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-PEPPERMINT | $60.00 | $75.00 | $23.67–$58.79 | 103% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN SPEC IgE QNT EA - DUCFTH | $60.00 | $75.00 | $23.67–$58.79 | 103% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5911 DOG DANDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5987 CHICKEN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WESTERN RAGWEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5958 APPLE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EW EGG WHITE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5809 MELONS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5842 WHITE BEAN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLER.#5913 DERM.PTERONYS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5876 PINEAPPLE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG#5855 CHICKEN FEATH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SALTBRUSH (IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5908 CAT DANDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PINTO BEAN (IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ALFALFA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT CHIN ELM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG #8786 AVOCADO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN OLIVE TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FALSE RAGWEED #5830 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALG.#5854 AUS PARROT/PARA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN PEAR | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HD HOUSE DUST | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5866 MUSHROOM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5865 BANANA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5963 TOMATO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG #5868 PECAN NUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5962 POTATO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST LIMA BEAN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5919 ALTERNARIA TENUIS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BG BERMUDA GRASS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN ENGLISH PLANTAIN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WATERMELON (IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT COCK BUR | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5867 COFFEE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5991 SHRIMP | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLER.#5891 RABBIT EPITH. | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST#5918 ASPERGILLUS FUMIGATU | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - PEACH #5879 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5943 MAPLE/BX ELDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT JOHSMUT- | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLER IgE; QNT - RWALN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT JUNIP MI | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST JKB JUNE KENTUCKY/BC | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5916 PENICILLIUM NOTATUM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CACAO (CHOCOLATE) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST OYSTER #5700 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST MULBERRY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5945 CORN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COCKROACH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT ORCHARD | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST LETTUCE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5944 COTTON WOOD | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5951 WHEAT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN SYCAMORE TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT BERSMUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT FESCUE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5960 PEA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5959 ORANGE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GRAPEFRUIT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG #5785 CHERRY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5877 TOBACCO LEAF | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PLUM (IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EY EGG YOLK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG #5999 WALNUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COTTONSEED (TO IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5953 OATS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WILLOW (ARUP) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GOAT EPITHELIUM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN TIMOTHY GRASS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5957 SOYBEAN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN SWEET POTATO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5802 CANDIDA ALBICANS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN #5973 PEANUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5956 GLUTEN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5942 WHITE PINE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN CUMMIN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN - HONEYBEE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG #5832 ALMOND | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLGN YEL-FACE HORNET | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5834 BARLEY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN CLOVES | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLER #5836 BRAZILNUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG #5988 SALMON | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN #5952 RYE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG HADDOCK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALRG#5835 BLUE MUSSEL | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLGN WHI/FACE HORNET | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG #5839 HAZELNUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLER #5841 SESAME SE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN CHIVES | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN PAPRIKA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG BASS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN #5992 TUNA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALRG #5982 PECAN TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN THYME | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLEG FLOUNDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN CURRY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG-MISC | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLGN FIREBRUSH(KOCHI | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG #5989 CODFISH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG TROUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN NUTMEG | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGEN - PAPER WASP | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLGN YEL-JACKET/WASP | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLGN WHITE OAK #5993 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5829 SCALE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5808 GOOSE FEATHERS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5834 BUCKWHEAT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST #5810 PARSLEY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-SCALLOPS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-GIANTRAGWEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-ZUCCHINI | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG. IgE; QNT, EA.-RTET | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-SHEEP EPITH. | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-AUREOBASIDIUM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-PEPBLACK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BLACKBERRY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-OLIVE,BLACK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.COM.SAGEBRUSH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT,EA.-SUNFLOW SEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG. IgE;QNT.EA-GINGER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-FERRET EPITH. | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE.QNT.EA.-COM.RAGWEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-STEMPHYLIUM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.MARSH ELDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-PAPAYA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG. IgE; QNT, EA-RCHI | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA-COTTON FIBER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-AMER.CHEESE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-CELERY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BEAN,KIDNEY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-MUGWORT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG. IgE; QNT, EA-RERYTH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-PINON | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-EGGPLANT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BUMBLEBEE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-MANGO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN SPEC IgE QNT EA-COCO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-MUSTARD | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-TURKEY FTH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-OREGANO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT,EA.-RBLU | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE QNT EA-BEET | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-PIGEON FTH. | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IGE;QNT.EA.-TURKEY MEAT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG. IgE; QNT, EA-RSULFAMETH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-RPEPRED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-FLAX/LINSEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-SAGE(SPICE) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC.IgE;QNT FEATHER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-OLIVE,GREEN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-HOPS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-CLAMS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IGE;QNT.EA-FUSARIAM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE QNT EA CARLE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-RONI | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG. SPEC. IgE; QNT CINNAMO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BREWERS YEAST | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT,EA.-RANT,FIRE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-GREEN BEANS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-MOUSE EPITH. | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA-PHOMA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IGE;QNT.EA.-SUNFLOWER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.W.BALD CYPRUS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-RKIWI | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-CAULIFLOWER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BASIL | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA-ORANGE TREE PO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-TRICHODERMA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-COCAT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-ASH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE QNT LOBSTER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLEG. IgE; QNT - RSUR | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-TILAPIA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-PISTACIO | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-CHED.CHEESE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC.IgE;QNT BENT GRA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-EUC.TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE; QNT SHRIMP | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT,EA.-RCUC | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC.IgE;LATEX | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-DATES | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT-EA.-RBRAN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-RANT,BLACK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-RPEPJAL | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE QNT.EA-GRAPE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-COTTON SEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.CHINCHILLA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE; QNT. COD | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-WHEY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-VANILLA BEAN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT,EA.-RRASB | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE; QNT. TUNA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE; QNT CRAB | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-CASEIN | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG. IgE; QNT, EA-RCEPH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE,QNT.EA.LODGEPOLE PINE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE.QNT.EA.-PONDER PINE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BLACK WALNUT (TRA) IBT | $67.20 | $84.00 | $23.78 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERG #5961 CARROT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5994 ELM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5910 COW DANDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN LIVE OAK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SQUASH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST APRICOT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HAMSTER EPITH #5892 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5948 MUCOR (MOLD) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST M MILK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN BIRCH TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN ACACIA TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CJ CEDAR JUNIPER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GREEN PEPPER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ANTIBIOTIC PROFILE (IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERG. MUGWORT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HONEY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5833 BAKERS YEAST | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5955 RICE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WA WHITE ASH | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLER #5806 MESQUITE WOOD | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN HOUSE DUST STIER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG #5872 CASHEW NUT | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALERG #5804 STRAWBERRY | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST LAMB'S QUARTER #5935 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEA #5861 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST LENTIL | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GOATS MILK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST #5857 HELMINTHOSPORIUM | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5972 MILK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG YOLK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG WHITE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST DF DERM.FARINAE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN ALDER TREE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5966 BEEF | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5990 CRAB | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GARLIC | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN GRAMA GRASS | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST#5917 CLADOSPORIUM HERBARU | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CANTALOUPE (IBT) | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5984 LOBSTER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST 5909 HORSE DANDER | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN #5965 PORK | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT ARIZ CYP | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT PAST SAG | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST-JOHNSON GRASS #5925 | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RP ROUGH PIGWEED | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-QUINOA | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG.IgE;QNT.EA.-BROCOLLI | $105.60 | $132.00 | $23.67–$58.79 | 257% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IgE QNT POND PIN | $202.40 | $253.00 | $23.67–$58.79 | 584% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Area 11 | $210.40 | $263.00 | $23.67–$58.79 | 611% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE;QNT.SEAFOOD | $238.40 | $298.00 | $23.67–$58.79 | 705% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN SPEC IgE QNT EA PALOVERD | $607.20 | $759.00 | $23.67–$58.79 | 1951% above | 20% |
| Allergy blood test, specific IgE, per allergen one side CPT 86003 RAST RT RUSSIAN THISTLE | $67.20 | $84.00 | $23.67–$58.79 | 127% above | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG. SPEC IgE, QNT. | $24.00 | $30.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN SPEC IgE QNT EA - DUCFTH | $60.00 | $75.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-PEPPERMINT | $60.00 | $75.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BAHIA GRASS | $60.00 | $75.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INDIVIDUAL MOLDS | $60.00 | $75.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA-GUINEA PIG EPI | $60.00 | $75.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-AUREOBASIDIUM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-QUINOA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE,QNT.EA.LODGEPOLE PINE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG. IgE; QNT, EA-RCEPH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-CASEIN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE; QNT CRAB | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE; QNT. TUNA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT,EA.-RRASB | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-VANILLA BEAN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-WHEY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE; QNT. COD | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.CHINCHILLA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-COTTON SEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE QNT.EA-GRAPE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-RPEPJAL | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-RANT,BLACK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT-EA.-RBRAN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-DATES | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC.IgE;LATEX | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT,EA.-RCUC | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE.QNT.EA.-PONDER PINE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE; QNT SHRIMP | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-EUC.TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC.IgE;QNT BENT GRA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-CHED.CHEESE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-PISTACIO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-TILAPIA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLEG. IgE; QNT - RSUR | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE QNT LOBSTER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-ASH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-COCAT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-TRICHODERMA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA-ORANGE TREE PO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BASIL | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-CAULIFLOWER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-RKIWI | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.W.BALD CYPRUS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IGE;QNT.EA.-SUNFLOWER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA-PHOMA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-MOUSE EPITH. | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-GREEN BEANS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT,EA.-RANT,FIRE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BREWERS YEAST | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG. SPEC. IgE; QNT CINNAMO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-RONI | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE QNT EA CARLE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IGE;QNT.EA-FUSARIAM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-CLAMS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-HOPS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-OLIVE,GREEN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC.IgE;QNT FEATHER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-SAGE(SPICE) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-FLAX/LINSEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-RPEPRED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG. IgE; QNT, EA-RSULFAMETH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IGE;QNT.EA.-TURKEY MEAT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-PIGEON FTH. | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE QNT EA-BEET | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT,EA.-RBLU | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-OREGANO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-TURKEY FTH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-MUSTARD | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN SPEC IgE QNT EA-COCO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-MANGO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BUMBLEBEE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-EGGPLANT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-PINON | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG. IgE; QNT, EA-RERYTH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-MUGWORT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BEAN,KIDNEY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-CELERY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-AMER.CHEESE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA-COTTON FIBER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG. IgE; QNT, EA-RCHI | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-PAPAYA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.MARSH ELDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-STEMPHYLIUM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE.QNT.EA.-COM.RAGWEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-FERRET EPITH. | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG. IgE;QNT.EA-GINGER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT,EA.-SUNFLOW SEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.COM.SAGEBRUSH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-OLIVE,BLACK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BLACKBERRY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-PEPBLACK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-SHEEP EPITH. | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG. IgE; QNT, EA.-RTET | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-ZUCCHINI | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-GIANTRAGWEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-SCALLOPS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5810 PARSLEY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5834 BUCKWHEAT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5808 GOOSE FEATHERS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5829 SCALE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLGN WHITE OAK #5993 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLGN YEL-JACKET/WASP | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN - PAPER WASP | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN NUTMEG | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG TROUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG #5989 CODFISH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLGN FIREBRUSH(KOCHI | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG-MISC | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN CURRY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLEG FLOUNDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN THYME | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALRG #5982 PECAN TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN #5992 TUNA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG BASS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN PAPRIKA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN CHIVES | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLER #5841 SESAME SE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG #5839 HAZELNUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLGN WHI/FACE HORNET | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALRG#5835 BLUE MUSSEL | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG HADDOCK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN #5952 RYE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG #5988 SALMON | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLER #5836 BRAZILNUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN CLOVES | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5834 BARLEY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLGN YEL-FACE HORNET | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG #5832 ALMOND | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN - HONEYBEE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN CUMMIN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5942 WHITE PINE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST #5956 GLUTEN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGEN #5973 PEANUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5802 CANDIDA ALBICANS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN SWEET POTATO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5957 SOYBEAN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN TIMOTHY GRASS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GOAT EPITHELIUM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WILLOW (ARUP) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5953 OATS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COTTONSEED (TO IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG #5999 WALNUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EY EGG YOLK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PLUM (IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5877 TOBACCO LEAF | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG #5785 CHERRY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GRAPEFRUIT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5959 ORANGE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5960 PEA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT FESCUE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT BERSMUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN SYCAMORE TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5951 WHEAT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5944 COTTON WOOD | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST LETTUCE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT ORCHARD | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COCKROACH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5945 CORN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST MULBERRY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST OYSTER #5700 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CACAO (CHOCOLATE) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5916 PENICILLIUM NOTATUM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST JKB JUNE KENTUCKY/BC | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT JUNIP MI | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLER IgE; QNT - RWALN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT JOHSMUT- | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5943 MAPLE/BX ELDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - PEACH #5879 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST#5918 ASPERGILLUS FUMIGATU | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLER.#5891 RABBIT EPITH. | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5991 SHRIMP | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5867 COFFEE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT COCK BUR | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WATERMELON (IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN ENGLISH PLANTAIN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BG BERMUDA GRASS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5919 ALTERNARIA TENUIS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST LIMA BEAN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5962 POTATO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG #5868 PECAN NUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5963 TOMATO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5865 BANANA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5866 MUSHROOM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HD HOUSE DUST | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN PEAR | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALG.#5854 AUS PARROT/PARA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST FALSE RAGWEED #5830 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN OLIVE TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG #8786 AVOCADO | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT CHIN ELM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-ALFALFA | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PINTO BEAN (IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5908 CAT DANDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SALTBRUSH (IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG#5855 CHICKEN FEATH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5876 PINEAPPLE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLER.#5913 DERM.PTERONYS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5842 WHITE BEAN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5809 MELONS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EW EGG WHITE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5958 APPLE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WESTERN RAGWEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5987 CHICKEN | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5911 DOG DANDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RP ROUGH PIGWEED | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-JOHNSON GRASS #5925 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT PAST SAG | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT ARIZ CYP | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5965 PORK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5909 HORSE DANDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5984 LOBSTER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CANTALOUPE (IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST#5917 CLADOSPORIUM HERBARU | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN GRAMA GRASS | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GARLIC | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5990 CRAB | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5966 BEEF | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN ALDER TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST DF DERM.FARINAE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EGG WHITE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EGG YOLK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5972 MILK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5857 HELMINTHOSPORIUM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GOATS MILK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST LENTIL | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEA #5861 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST LAMB'S QUARTER #5935 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG #5804 STRAWBERRY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALERG #5872 CASHEW NUT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN HOUSE DUST STIER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLER #5806 MESQUITE WOOD | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WA WHITE ASH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5955 RICE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5833 BAKERS YEAST | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HONEY | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERG. MUGWORT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ANTIBIOTIC PROFILE (IBT) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GREEN PEPPER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CJ CEDAR JUNIPER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN ACACIA TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN BIRCH TREE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST M MILK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #5948 MUCOR (MOLD) | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HAMSTER EPITH #5892 | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST APRICOT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SQUASH | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN LIVE OAK | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN #5910 COW DANDER | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 5994 ELM | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERG #5961 CARROT | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BLACK WALNUT (TRA) IBT | $67.20 | $84.00 | $23.78 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG.IgE;QNT.EA.-BROCOLLI | $105.60 | $132.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IgE QNT POND PIN | $202.40 | $253.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Area 11 | $210.40 | $263.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE;QNT.SEAFOOD | $238.40 | $298.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN SPEC IgE QNT EA PALOVERD | $607.20 | $759.00 | $23.67–$58.79 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient one side CPT 86003 RAST RT RUSSIAN THISTLE | $67.20 | $84.00 | $23.67–$58.79 | — | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Tumor Marker (Serial) | $56.80 | $71.00 | $42.35–$44.70 | 51% below | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN;SERUM,TUMOR | $122.40 | $153.00 | $42.35–$44.70 | 5% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN; SERUM-AFP | $139.20 | $174.00 | $42.35–$44.70 | 20% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN; SERUM - AFP | $139.20 | $174.00 | $42.35–$44.70 | 20% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN; SERUM | $184.00 | $230.00 | $42.35–$44.70 | 58% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP PROFILE - AFP | $271.20 | $339.00 | $42.35–$44.70 | 133% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SCREEN 4 | $444.00 | $555.00 | $42.35–$44.70 | 282% above | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Tumor Marker (Serial) | $56.80 | $71.00 | $42.35–$44.70 | — | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN;SERUM,TUMOR | $122.40 | $153.00 | $42.35–$44.70 | — | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN; SERUM - AFP | $139.20 | $174.00 | $42.35–$44.70 | — | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN; SERUM-AFP | $139.20 | $174.00 | $42.35–$44.70 | — | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN; SERUM | $184.00 | $230.00 | $42.35–$44.70 | — | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP PROFILE - AFP | $271.20 | $339.00 | $42.35–$44.70 | — | 20% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL SCREEN 4 | $444.00 | $555.00 | $42.35–$44.70 | — | 20% |
| Ammonia blood test CPT 82140 AMMONIA (BLOOD) | $122.40 | $153.00 | $14.28–$43.98 | 6% above | 20% |
| Ammonia blood test inpatient CPT 82140 AMMONIA (BLOOD) | $122.40 | $153.00 | $14.28–$43.98 | — | 20% |
| Amylase blood test CPT 82150 AMYLASE-URINE | $112.80 | $141.00 | $9.34–$104.68 | 14% above | 20% |
| Amylase blood test CPT 82150 PLEURAL FLUID AMYLASE | $112.80 | $141.00 | $9.34–$104.68 | 14% above | 20% |
| Amylase blood test CPT 82150 AMYLASE PERITONEAL(ABD.)FLUID | $112.80 | $141.00 | $9.34–$104.68 | 14% above | 20% |
| Amylase blood test CPT 82150 AMYLASE | $112.80 | $141.00 | $9.34–$104.68 | 14% above | 20% |
| Amylase blood test CPT 82150 BODY FLUID AMYLASE | $120.00 | $150.00 | $9.34–$104.68 | 21% above | 20% |
| Amylase blood test inpatient CPT 82150 AMYLASE PERITONEAL(ABD.)FLUID | $112.80 | $141.00 | $9.34–$104.68 | — | 20% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $112.80 | $141.00 | $9.34–$104.68 | — | 20% |
| Amylase blood test inpatient CPT 82150 AMYLASE-URINE | $112.80 | $141.00 | $9.34–$104.68 | — | 20% |
| Amylase blood test inpatient CPT 82150 PLEURAL FLUID AMYLASE | $112.80 | $141.00 | $9.34–$104.68 | — | 20% |
| Amylase blood test inpatient CPT 82150 BODY FLUID AMYLASE | $120.00 | $150.00 | $9.34–$104.68 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $105.60 | $132.00 | $17.41–$125.33 | 7% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR Ab's (ANA) | $124.00 | $155.00 | $17.41–$125.33 | 26% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $124.00 | $155.00 | $17.41–$125.33 | 26% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTO IMMUNE HEP.PAN #55356 | $396.00 | $495.00 | $17.41–$125.33 | 301% above | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $105.60 | $132.00 | $17.41–$125.33 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR Ab's (ANA) | $124.00 | $155.00 | $17.41–$125.33 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $124.00 | $155.00 | $17.41–$125.33 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTO IMMUNE HEP.PAN #55356 | $396.00 | $495.00 | $17.41–$125.33 | — | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE-BNP 83880 | $227.20 | $284.00 | $38.47–$229.91 | 32% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE-BNP 83880 | $227.20 | $284.00 | $38.47–$229.91 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $136.00 | $170.00 | $8.45–$136.95 | 60% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE W/SMEAR | $136.00 | $170.00 | $8.45–$136.95 | 60% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT., BAC; GC, ISO. | $155.20 | $194.00 | $8.45–$136.95 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CUL,BAC;ANY SR,ISO,ID,EA-AERLC | $155.20 | $194.00 | $8.45–$136.95 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE | $155.20 | $194.00 | $8.45–$136.95 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BAC THROAT ISO. PRES ID | $155.20 | $194.00 | $8.45–$136.95 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE-GRAM STAIN | $155.20 | $194.00 | $8.45–$136.95 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $155.20 | $194.00 | $8.45–$136.95 | 83% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE-GRAM STAIN | $156.80 | $196.00 | $8.45–$136.95 | 85% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 FLUID CULTURE-GRAM STAIN | $156.80 | $196.00 | $8.45–$136.95 | 85% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIRATORY CULTURE W/SM | $156.80 | $196.00 | $8.45–$136.95 | 85% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE | $136.00 | $170.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE W/SMEAR | $136.00 | $170.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CATHETER TIP CULTURE | $155.20 | $194.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BAC THROAT ISO. PRES ID | $155.20 | $194.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE-GRAM STAIN | $155.20 | $194.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT., BAC; GC, ISO. | $155.20 | $194.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE | $155.20 | $194.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CUL,BAC;ANY SR,ISO,ID,EA-AERLC | $155.20 | $194.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 RESPIRATORY CULTURE W/SM | $156.80 | $196.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND CULTURE-GRAM STAIN | $156.80 | $196.00 | $8.45–$136.95 | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 FLUID CULTURE-GRAM STAIN | $156.80 | $196.00 | $8.45–$136.95 | — | 20% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $164.80 | $206.00 | $8.29–$166.83 | 8% above | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $164.80 | $206.00 | $8.29–$166.83 | — | 20% |
| Bilirubin blood test, total CPT 82247 BODY FLUID-TOTAL BILIRUBIN | $56.80 | $71.00 | $7.22–$67.40 | 13% below | 20% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN;TOTAL-HCVFIBROSURE | $56.80 | $71.00 | $7.22–$67.40 | 13% below | 20% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL | $76.80 | $96.00 | $7.22–$67.40 | 18% above | 20% |
| Bilirubin blood test, total CPT 82247 NEONATAL BILIRUBIN | $76.80 | $96.00 | $7.22–$67.40 | 18% above | 20% |
| Bilirubin blood test, total inpatient CPT 82247 BODY FLUID-TOTAL BILIRUBIN | $56.80 | $71.00 | $7.22–$67.40 | — | 20% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN;TOTAL-HCVFIBROSURE | $56.80 | $71.00 | $7.22–$67.40 | — | 20% |
| Bilirubin blood test, total inpatient CPT 82247 NEONATAL BILIRUBIN | $76.80 | $96.00 | $7.22–$67.40 | — | 20% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL | $76.80 | $96.00 | $7.22–$67.40 | — | 20% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $170.40 | $213.00 | $10.11–$172.64 | 30% above | 20% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD PEDIATRIC | $170.40 | $213.00 | $10.11–$172.64 | 30% above | 20% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $170.40 | $213.00 | $10.11–$172.64 | — | 20% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD PEDIATRIC | $170.40 | $213.00 | $10.11–$172.64 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $32.00 | $40.00 | $8.91–$32.37 | 39% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $32.00 | $40.00 | $12.34 | 39% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VP - BY CHEMO | $32.00 | $40.00 | $8.91–$32.37 | 39% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL OF VENOUS BLOOD BY VP | $32.00 | $40.00 | $8.91–$32.37 | 39% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL BLOOD DRAW | $53.60 | $67.00 | $8.91–$32.37 | 132% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $32.00 | $40.00 | $12.34 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VP - BY CHEMO | $32.00 | $40.00 | $8.91–$32.37 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL OF VENOUS BLOOD BY VP | $32.00 | $40.00 | $8.91–$32.37 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $32.00 | $40.00 | $8.91–$32.37 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL BLOOD DRAW | $53.60 | $67.00 | $8.91–$32.37 | — | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT,BLOOD-2HRPP | $33.60 | $42.00 | $5.66–$79.68 | 14% below | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT,BLOOD-FASTING | $33.60 | $42.00 | $5.66–$79.68 | 14% below | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT,BLOOD-GTTFAST2HR | $52.00 | $65.00 | $5.66–$79.68 | 33% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT,BLDG-GTT2-2HRLV. | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BODY FL OTH SYNOVIAL | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BODY FL OTH PLEURAL | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BODY FL OTH PER DIALY | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BOY FL OTH RND. UR. | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BODY FL OTH PERITONEAL | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BODY FL OTHER CSF | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, BODY FL OTH 24 HR UR | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BODY FL OTH PER CARD F | $68.00 | $85.00 | $5.66–$79.68 | 74% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $78.40 | $98.00 | $5.66–$79.68 | 100% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT,BLD-GTT2 | $136.00 | $170.00 | $5.66–$79.68 | 247% above | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;QNT,BLOOD-2HRPP | $33.60 | $42.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;QNT,BLOOD-FASTING | $33.60 | $42.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;QNT,BLOOD-GTTFAST2HR | $52.00 | $65.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BODY FL OTH PLEURAL | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BODY FL OTH PERITONEAL | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BODY FL OTH SYNOVIAL | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BODY FL OTH PER CARD F | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BODY FL OTH 24 HR UR | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BOY FL OTH RND. UR. | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BODY FL OTHER CSF | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BODY FL OTH PER DIALY | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;QNT,BLDG-GTT2-2HRLV. | $68.00 | $85.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $78.40 | $98.00 | $5.66–$79.68 | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;QNT,BLD-GTT2 | $136.00 | $170.00 | $5.66–$79.68 | — | 20% |
| Blood lead test CPT 83655 LEAD BLOOD | $80.80 | $101.00 | $17.78–$31.55 | 18% above | 20% |
| Blood lead test CPT 83655 LEAD-BLOOD | $91.20 | $114.00 | $17.78–$31.55 | 33% above | 20% |
| Blood lead test CPT 83655 Heavy Metals Profile II, Urine | $99.20 | $124.00 | $17.78–$31.55 | 44% above | 20% |
| Blood lead test CPT 83655 LEAD-HMHAIR | $99.20 | $124.00 | $17.78–$31.55 | 44% above | 20% |
| Blood lead test CPT 83655 LEAD URINE 24 HR | $99.20 | $124.00 | $17.78–$31.55 | 44% above | 20% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $80.80 | $101.00 | $17.78–$31.55 | — | 20% |
| Blood lead test inpatient CPT 83655 LEAD-BLOOD | $91.20 | $114.00 | $17.78–$31.55 | — | 20% |
| Blood lead test inpatient CPT 83655 LEAD-HMHAIR | $99.20 | $124.00 | $17.78–$31.55 | — | 20% |
| Blood lead test inpatient CPT 83655 Heavy Metals Profile II, Urine | $99.20 | $124.00 | $17.78–$31.55 | — | 20% |
| Blood lead test inpatient CPT 83655 LEAD URINE 24 HR | $99.20 | $124.00 | $17.78–$31.55 | — | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST(QUALITATIVE) | $113.60 | $142.00 | $10.82–$115.37 | 6% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST(QUALITATIVE) | $113.60 | $142.00 | $10.82–$115.37 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH GROUPNG-UBSABOGR-LO3004 | $95.20 | $119.00 | $4.31–$521.24 | 7% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH GROUPING-UBSABOGR-LO300 | $308.80 | $386.00 | $4.31–$521.24 | 248% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO - LO 3004 | $515.20 | $644.00 | $4.31–$521.24 | 480% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RHOGAM WORKUP | $515.20 | $644.00 | $4.31–$521.24 | 480% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH GROUPNG-UBSABOGR-LO3004 | $95.20 | $119.00 | $4.31–$521.24 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH GROUPING-UBSABOGR-LO300 | $308.80 | $386.00 | $4.31–$521.24 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; ABO - LO 3004 | $515.20 | $644.00 | $4.31–$521.24 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RHOGAM WORKUP | $515.20 | $644.00 | $4.31–$521.24 | — | 20% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN (BODY FLUID) UREA NITROGEN | $9.60 | $12.00 | $28.35 | 87% below | 20% |
| Blood urea nitrogen (BUN) test CPT 84520 PERITONEAL DIALYSATE BUN | $56.80 | $71.00 | $28.35 | 21% below | 20% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $78.40 | $98.00 | $28.35 | 9% above | 20% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN (BODY FLUID) UREA NITROGEN | $9.60 | $12.00 | $28.35 | — | 20% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 PERITONEAL DIALYSATE BUN | $56.80 | $71.00 | $28.35 | — | 20% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $78.40 | $98.00 | $28.35 | — | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REAC.Prot-IBDsgi | $94.40 | $118.00 | $5.08–$112.88 | 56% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) | $111.20 | $139.00 | $5.08–$112.88 | 83% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REAC.Prot-IBDsgi | $94.40 | $118.00 | $5.08–$112.88 | — | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP) | $111.20 | $139.00 | $5.08–$112.88 | — | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 IA NA;C.DIFF,.AMP.PRB-CDIFFGX | $196.00 | $245.00 | $53.66–$171.36 | 31% above | 20% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA NA;C.DIFF,.AMP.PRB-CDIFFGX | $196.00 | $245.00 | $53.66–$171.36 | — | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 IA TUMOR Ag QNT CA 19-9 | $166.40 | $208.00 | $57.69–$60.90 | 17% above | 20% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUMOR Ag QNT CA 19-9 | $166.40 | $208.00 | $57.69–$60.90 | — | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 AMPLIFIED PROBE | $170.40 | $213.00 | $59.11–$149.14 | 52% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR on Cepheid | $170.40 | $213.00 | $59.11–$149.14 | 52% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 AMPLIFIED PROBE | $170.40 | $213.00 | $59.11–$149.14 | — | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR on Cepheid | $170.40 | $213.00 | $59.11–$149.14 | — | 20% |
| Calcium blood test, total CPT 82310 CALCIUM;TOTAL ON PTH1 | $58.40 | $73.00 | $7.43–$65.25 | 17% above | 20% |
| Calcium blood test, total CPT 82310 CALCIUM | $74.40 | $93.00 | $7.43–$65.25 | 49% above | 20% |
| Calcium blood test, total CPT 82310 CALCIUM-TOTAL | $74.40 | $93.00 | $7.43–$65.25 | 49% above | 20% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM;TOTAL ON PTH1 | $58.40 | $73.00 | $7.43–$65.25 | — | 20% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM-TOTAL | $74.40 | $93.00 | $7.43–$65.25 | — | 20% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $74.40 | $93.00 | $7.43–$65.25 | — | 20% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $184.00 | $230.00 | $63.66–$185.92 | 31% above | 20% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $184.00 | $230.00 | $63.66–$185.92 | — | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $208.00 | $260.00 | $13.12–$210.82 | 56% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $208.00 | $260.00 | $13.12–$210.82 | — | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBCC | $91.20 | $114.00 | $7.61–$110.39 | at median | 20% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM W/DIFFERENTIAL | $108.80 | $136.00 | $7.61–$110.39 | 20% above | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCC | $91.20 | $114.00 | $7.61–$110.39 | — | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM W/DIFFERENTIAL | $108.80 | $136.00 | $7.61–$110.39 | — | 20% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET CNT | $84.00 | $105.00 | $6.34–$84.66 | 77% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD CT;COMP,CBC,PLT,AUTOMA | $84.00 | $105.00 | $6.34–$84.66 | 77% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLT CT FOR CHEMO | $85.60 | $107.00 | $6.34–$84.66 | 81% above | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD CT;COMP,CBC,PLT,AUTOMA | $84.00 | $105.00 | $6.34–$84.66 | — | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM & PLATELET CNT | $84.00 | $105.00 | $6.34–$84.66 | — | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM & PLT CT FOR CHEMO | $85.60 | $107.00 | $6.34–$84.66 | — | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METAB PANEL-TRL | $243.20 | $304.00 | $10.35–$273.90 | 25% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $270.40 | $338.00 | $10.35–$273.90 | 39% above | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METAB PANEL-TRL | $243.20 | $304.00 | $10.35–$273.90 | — | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $270.40 | $338.00 | $10.35–$273.90 | — | 20% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVARY X3 | $127.20 | $159.00 | $14.68–$23.47 | 25% above | 20% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVARY X3 | $127.20 | $159.00 | $14.68–$23.47 | — | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $72.80 | $91.00 | $9.37–$104.58 | 3% below | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 BODY FLUID CREATINE KINASE | $72.80 | $91.00 | $9.37–$104.58 | 3% below | 20% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $72.80 | $91.00 | $9.37–$104.58 | — | 20% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 BODY FLUID CREATINE KINASE | $72.80 | $91.00 | $9.37–$104.58 | — | 20% |
| Creatinine blood test CPT 82565 PERITONEAL DIALYSATE CREATININ | $74.40 | $93.00 | $7.37–$76.36 | 2% above | 20% |
| Creatinine blood test CPT 82565 CREATININE;BLOOD-GFR | $74.40 | $93.00 | $7.37–$76.36 | 2% above | 20% |
| Creatinine blood test CPT 82565 CREATININE | $75.20 | $94.00 | $7.37–$76.36 | 4% above | 20% |
| Creatinine blood test inpatient CPT 82565 CREATININE;BLOOD-GFR | $74.40 | $93.00 | $7.37–$76.36 | — | 20% |
| Creatinine blood test inpatient CPT 82565 PERITONEAL DIALYSATE CREATININ | $74.40 | $93.00 | $7.37–$76.36 | — | 20% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $75.20 | $94.00 | $7.37–$76.36 | — | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP,D-DIMER;QUANT-DDIMER | $223.20 | $279.00 | $14.66–$225.76 | 77% above | 20% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP,D-DIMER;QUANT-DDIMER | $223.20 | $279.00 | $14.66–$225.76 | — | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA S | $131.20 | $164.00 | $32.02–$132.80 | 4% above | 20% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA S | $131.20 | $164.00 | $32.02–$132.80 | — | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates,1 or more-OPIACONFNMS | $164.80 | $206.00 | $83.55–$244.02 | 3% below | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL PRSMV DRG TST | $240.80 | $301.00 | $83.55–$244.02 | 41% above | 20% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiates,1 or more-OPIACONFNMS | $164.80 | $206.00 | $83.55–$244.02 | — | 20% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL PRSMV DRG TST | $240.80 | $301.00 | $83.55–$244.02 | — | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL | $216.80 | $271.00 | $40.24–$189.29 | 23% above | 20% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $216.80 | $271.00 | $40.24–$189.29 | — | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $158.40 | $198.00 | $26.76–$176.79 | 17% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FSH | $174.40 | $218.00 | $26.76–$176.79 | 29% above | 20% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $158.40 | $198.00 | $26.76–$176.79 | — | 20% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN; FSH | $174.40 | $218.00 | $26.76–$176.79 | — | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,FECAL | $333.60 | $417.00 | $115.67 | 81% above | 20% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN,FECAL | $333.60 | $417.00 | $115.67 | — | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $158.40 | $198.00 | $19.63–$160.19 | 42% above | 20% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $158.40 | $198.00 | $19.63–$160.19 | — | 20% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $91.20 | $114.00 | $13.99–$32.54 | 13% below | 20% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $91.20 | $114.00 | $13.99–$32.54 | — | 20% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID-FOLATE:SERUM 82746 | $79.20 | $99.00 | $16.58–$97.11 | 13% below | 20% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID-FOLATE:SERUM | $96.00 | $120.00 | $16.58–$97.11 | 6% above | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID-FOLATE:SERUM 82746 | $79.20 | $99.00 | $16.58–$97.11 | — | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID-FOLATE:SERUM | $96.00 | $120.00 | $16.58–$97.11 | — | 20% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 NICHOLS #400 | $144.00 | $180.00 | $24.40–$136.95 | 19% above | 20% |
| Free T3 thyroid hormone test CPT 84481 TRIODOTHYRONINE T3; FREE | $156.80 | $196.00 | $24.40–$136.95 | 30% above | 20% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 NICHOLS #400 | $144.00 | $180.00 | $24.40–$136.95 | — | 20% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIODOTHYRONINE T3; FREE | $156.80 | $196.00 | $24.40–$136.95 | — | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE-FT4-D | $123.20 | $154.00 | $12.98–$128.65 | at median | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 DRCT DIALYSIS NICH#524 | $123.20 | $154.00 | $12.98–$128.65 | at median | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE | $127.20 | $159.00 | $12.98–$128.65 | 3% above | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE-FT4-D | $123.20 | $154.00 | $12.98–$128.65 | — | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 DRCT DIALYSIS NICH#524 | $123.20 | $154.00 | $12.98–$128.65 | — | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE | $127.20 | $159.00 | $12.98–$128.65 | — | 20% |
| Free testosterone test CPT 84402 TESTOSTERONE-FREE | $178.40 | $223.00 | $36.67–$156.31 | 36% above | 20% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE-FREE | $178.40 | $223.00 | $36.67–$156.31 | — | 20% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFER.-HCVFIBROSURE | $85.60 | $107.00 | $32.97–$83.17 | 51% above | 20% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSPEP | $95.20 | $119.00 | $32.97–$83.17 | 68% above | 20% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFER.-HCVFIBROSURE | $85.60 | $107.00 | $32.97–$83.17 | — | 20% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSPEP | $95.20 | $119.00 | $32.97–$83.17 | — | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-2HR P.P | $31.20 | $39.00 | $87.47–$101.26 | 12% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE:QNT,BLD-GTT2-1HRPOST&P | $80.00 | $100.00 | $87.47–$101.26 | 125% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE;QNT,BLD-GTT2-1HRPOST&P | $100.00 | $125.00 | $87.47–$101.26 | 181% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE;QUANT,BLD-GTTC | $100.00 | $125.00 | $87.47–$101.26 | 181% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-2HR P.P | $31.20 | $39.00 | $87.47–$101.26 | — | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE:QNT,BLD-GTT2-1HRPOST&P | $80.00 | $100.00 | $87.47–$101.26 | — | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE;QNT,BLD-GTT2-1HRPOST&P | $100.00 | $125.00 | $87.47–$101.26 | — | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE;QUANT,BLD-GTTC | $100.00 | $125.00 | $87.47–$101.26 | — | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL.,3SPECS.-GTT6 | $111.20 | $139.00 | $18.53–$152.72 | at median | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE:TOL.TEST+3SPEC.-LACTOL | $113.60 | $142.00 | $18.53–$152.72 | 2% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL.,3SPECS-GTT5 | $113.60 | $142.00 | $18.53–$152.72 | 2% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL.,3SPECS-GTT4 | $113.60 | $142.00 | $18.53–$152.72 | 2% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC.TOLER.TEST-3 SPECS.GTT4 | $164.00 | $205.00 | $18.53–$152.72 | 47% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL.,3SPEC-GTT3 | $174.40 | $218.00 | $18.53–$152.72 | 56% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC.TOLER.TEST-3SPEC.GTTS | $181.60 | $227.00 | $18.53–$152.72 | 63% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC.TOLER.TEST-3 SPECS.GTT5 | $198.40 | $248.00 | $18.53–$152.72 | 78% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST-LACTOL | $202.40 | $253.00 | $18.53–$152.72 | 81% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC.TOLER.TEST-3 SPEC.-GTT6 | $229.60 | $287.00 | $18.53–$152.72 | 106% above | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL.,3SPECS.-GTT6 | $111.20 | $139.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL.,3SPECS-GTT4 | $113.60 | $142.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL.,3SPECS-GTT5 | $113.60 | $142.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE:TOL.TEST+3SPEC.-LACTOL | $113.60 | $142.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC.TOLER.TEST-3 SPECS.GTT4 | $164.00 | $205.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL.,3SPEC-GTT3 | $174.40 | $218.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC.TOLER.TEST-3SPEC.GTTS | $181.60 | $227.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC.TOLER.TEST-3 SPECS.GTT5 | $198.40 | $248.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE TEST-LACTOL | $202.40 | $253.00 | $18.53–$152.72 | — | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC.TOLER.TEST-3 SPEC.-GTT6 | $229.60 | $287.00 | $18.53–$152.72 | — | 20% |
| H. pylori stool antigen test CPT 87338 INF Ag DET EIA QUAL MS; H PYLO | $155.20 | $194.00 | $20.71–$135.51 | 95% above | 20% |
| H. pylori stool antigen test inpatient CPT 87338 INF Ag DET EIA QUAL MS; H PYLO | $155.20 | $194.00 | $20.71–$135.51 | — | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA,AG,EIZ;&HIV,1,2ABSINGLE-HIV | $79.20 | $99.00 | $29.01–$80.51 | 23% below | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA,AG,EIZ;&HIV,1,2ABSINGLE-HIV | $79.20 | $99.00 | $29.01–$80.51 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN;GLYCATED(GLYCO HBG) | $79.20 | $99.00 | $9.52–$94.62 | 6% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN REFERENCE LAB | $93.60 | $117.00 | $9.52–$94.62 | 25% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN;GLYCATED(GLYCO HBG) | $79.20 | $99.00 | $9.52–$94.62 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN REFERENCE LAB | $93.60 | $117.00 | $9.52–$94.62 | — | 20% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $43.20 | $54.00 | $38.00 | 7% above | 20% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $43.20 | $54.00 | $38.00 | — | 20% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL | $84.80 | $106.00 | $29.27 | 26% above | 20% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE TOTAL | $84.80 | $106.00 | $29.27 | — | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB. TITER | $132.00 | $165.00 | $15.47–$47.19 | 28% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $132.00 | $165.00 | $15.47–$47.19 | 28% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $132.00 | $165.00 | $15.47–$47.19 | — | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB. TITER | $132.00 | $165.00 | $15.47–$47.19 | — | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 INF Ag DET BY IA QUAL HBsAg-BS | $56.80 | $71.00 | $33.25–$97.11 | 8% below | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTI | $96.00 | $120.00 | $33.25–$97.11 | 56% above | 20% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INF Ag DET BY IA QUAL HBsAg-BS | $56.80 | $71.00 | $33.25–$97.11 | — | 20% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTI | $96.00 | $120.00 | $33.25–$97.11 | — | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C Ab.; | $84.00 | $105.00 | $40.36–$117.86 | at median | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C Ab | $116.80 | $146.00 | $40.36–$117.86 | 39% above | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C Ab.; | $84.00 | $105.00 | $40.36–$117.86 | — | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C Ab | $116.80 | $146.00 | $40.36–$117.86 | — | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 Ab; HSV TYPE I-HSVI-2 IGG-IGM | $79.20 | $99.00 | $19.00 | 16% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $79.20 | $99.00 | $19.00 | 16% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,TYPE1-HSVPAN | $79.20 | $99.00 | $19.00 | 16% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,TYPE1&2-HSVPAN | $120.80 | $151.00 | $19.00 | 76% above | 20% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 | $79.20 | $99.00 | $19.00 | — | 20% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX,TYPE1-HSVPAN | $79.20 | $99.00 | $19.00 | — | 20% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Ab; HSV TYPE I-HSVI-2 IGG-IGM | $79.20 | $99.00 | $19.00 | — | 20% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX,TYPE1&2-HSVPAN | $120.80 | $151.00 | $19.00 | — | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY;HSV TYPE 2 | $79.20 | $99.00 | $27.86 | 8% below | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX, TYPE2-HSVPAN | $79.20 | $99.00 | $27.86 | 8% below | 20% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY;HSV TYPE 2 | $79.20 | $99.00 | $27.86 | — | 20% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX, TYPE2-HSVPAN | $79.20 | $99.00 | $27.86 | — | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN,HIGH SENS | $116.80 | $146.00 | $18.65–$117.86 | 74% above | 20% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN,HIGH SENS | $116.80 | $146.00 | $18.65–$117.86 | — | 20% |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $96.00 | $120.00 | $33.25–$97.11 | 26% above | 20% |
| Insulin blood test CPT 83525 INSULIN; TOTAL-INST | $124.80 | $156.00 | $33.25–$97.11 | 64% above | 20% |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL | $96.00 | $120.00 | $33.25–$97.11 | — | 20% |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL-INST | $124.80 | $156.00 | $33.25–$97.11 | — | 20% |
| Iron blood test (serum iron) CPT 83540 IRON-SERUM | $90.40 | $113.00 | $6.34–$91.30 | 16% above | 20% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON-SERUM | $90.40 | $113.00 | $6.34–$91.30 | — | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $112.80 | $141.00 | $12.59–$114.54 | 44% above | 20% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $112.80 | $141.00 | $12.59–$114.54 | — | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNC. PANEL | $152.80 | $191.00 | $12.50–$154.38 | 1% below | 20% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNC. PANEL | $152.80 | $191.00 | $12.50–$154.38 | — | 20% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LH | $168.00 | $210.00 | $26.66–$146.99 | 24% above | 20% |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN; LH | $168.00 | $210.00 | $26.66–$146.99 | — | 20% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $96.00 | $120.00 | $13.88–$97.11 | 22% below | 20% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $96.00 | $120.00 | $13.88–$97.11 | — | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-PERICARDIAL FLUID | $95.20 | $119.00 | $8.70–$102.92 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $95.20 | $119.00 | $8.70–$102.92 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-PLEURAL(THORACIC) FLUID | $95.20 | $119.00 | $8.70–$102.92 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-PERITONEAL (ABD.)FLUID | $95.20 | $119.00 | $8.70–$102.92 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-SYNOVIAL FLUID | $95.20 | $119.00 | $8.70–$102.92 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CARDIAC PANEL 1 | $95.20 | $119.00 | $8.70–$102.92 | 26% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $101.60 | $127.00 | $8.70–$102.92 | 34% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID LDH | $113.60 | $142.00 | $8.70–$102.92 | 50% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CMP & CARDIAC #1 CHG. RULE | $139.20 | $174.00 | $8.70–$102.92 | 84% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CMP & CARDIAC # 2 CHG. RULE | $199.20 | $249.00 | $8.70–$102.92 | 163% above | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-SYNOVIAL FLUID | $95.20 | $119.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-PERITONEAL (ABD.)FLUID | $95.20 | $119.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-PERICARDIAL FLUID | $95.20 | $119.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $95.20 | $119.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CARDIAC PANEL 1 | $95.20 | $119.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-PLEURAL(THORACIC) FLUID | $95.20 | $119.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE | $101.60 | $127.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BODY FLUID LDH | $113.60 | $142.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CMP & CARDIAC #1 CHG. RULE | $139.20 | $174.00 | $8.70–$102.92 | — | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CMP & CARDIAC # 2 CHG. RULE | $199.20 | $249.00 | $8.70–$102.92 | — | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $136.00 | $170.00 | $9.92–$137.78 | 35% above | 20% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $136.00 | $170.00 | $9.92–$137.78 | — | 20% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $167.20 | $209.00 | $11.76–$169.32 | 12% above | 20% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $167.20 | $209.00 | $11.76–$169.32 | — | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM | $76.80 | $96.00 | $6.57–$95.45 | 1% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM-FECAL | $76.80 | $96.00 | $6.57–$95.45 | 1% above | 20% |
| Magnesium blood test CPT 83735 MAG W/CALCITONIN 24/HR URINE | $76.80 | $96.00 | $6.57–$95.45 | 1% above | 20% |
| Magnesium blood test CPT 83735 BODY FLUID MAGNESIUM | $76.80 | $96.00 | $6.57–$95.45 | 1% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM-MG-RBC | $82.40 | $103.00 | $6.57–$95.45 | 8% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM | $94.40 | $118.00 | $6.57–$95.45 | 24% above | 20% |
| Magnesium blood test inpatient CPT 83735 MAG W/CALCITONIN 24/HR URINE | $76.80 | $96.00 | $6.57–$95.45 | — | 20% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE RANDOM | $76.80 | $96.00 | $6.57–$95.45 | — | 20% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM-FECAL | $76.80 | $96.00 | $6.57–$95.45 | — | 20% |
| Magnesium blood test inpatient CPT 83735 BODY FLUID MAGNESIUM | $76.80 | $96.00 | $6.57–$95.45 | — | 20% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM-MG-RBC | $82.40 | $103.00 | $6.57–$95.45 | — | 20% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $94.40 | $118.00 | $6.57–$95.45 | — | 20% |
| Measles (rubeola) antibody test CPT 86765 Ab; RUBEOLA IgM | $74.40 | $93.00 | $18.55–$79.59 | at median | 20% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG Ab | $91.20 | $114.00 | $18.55–$79.59 | 23% above | 20% |
| Measles (rubeola) antibody test inpatient CPT 86765 Ab; RUBEOLA IgM | $74.40 | $93.00 | $18.55–$79.59 | — | 20% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG Ab | $91.20 | $114.00 | $18.55–$79.59 | — | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $100.80 | $126.00 | $7.46–$88.19 | 25% above | 20% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $100.80 | $126.00 | $7.46–$88.19 | — | 20% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS Ab - IgM | $79.20 | $99.00 | $18.79–$79.59 | 9% above | 20% |
| Mumps immunity blood test CPT 86735 MUMPS IGG & IGM | $79.20 | $99.00 | $18.79–$79.59 | 9% above | 20% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS Ab - IgG | $91.20 | $114.00 | $18.79–$79.59 | 26% above | 20% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG & IGM | $79.20 | $99.00 | $18.79–$79.59 | — | 20% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS Ab - IgM | $79.20 | $99.00 | $18.79–$79.59 | — | 20% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS Ab - IgG | $91.20 | $114.00 | $18.79–$79.59 | — | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; COMP. DIR. TOTAL-PSATRL | $116.80 | $146.00 | $22.07–$117.86 | 18% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST PROSTECT ULTRA SENS | $116.80 | $146.00 | $22.07–$117.86 | 18% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC AG;-TOTAL | $116.80 | $146.00 | $22.07–$117.86 | 18% above | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA; COMP. DIR. TOTAL-PSATRL | $116.80 | $146.00 | $22.07–$117.86 | — | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST PROSTECT ULTRA SENS | $116.80 | $146.00 | $22.07–$117.86 | — | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC AG;-TOTAL | $116.80 | $146.00 | $22.07–$117.86 | — | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE-PTHI | $155.20 | $194.00 | $53.71–$135.51 | 20% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHY.HORM.+CA.LV-PTHI | $160.00 | $200.00 | $53.71–$135.51 | 18% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH WHOLE MOLECULE ASSAY | $166.40 | $208.00 | $53.71–$135.51 | 14% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHROID HORMONE(PTH)BY 1CM* | $166.40 | $208.00 | $53.71–$135.51 | 14% below | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE-PTHI | $155.20 | $194.00 | $53.71–$135.51 | — | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHY.HORM.+CA.LV-PTHI | $160.00 | $200.00 | $53.71–$135.51 | — | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH WHOLE MOLECULE ASSAY | $166.40 | $208.00 | $53.71–$135.51 | — | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHROID HORMONE(PTH)BY 1CM* | $166.40 | $208.00 | $53.71–$135.51 | — | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBO TIME PARTIAL PLASMA | $56.80 | $71.00 | $8.65–$83.83 | 23% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT;FAC5INH | $61.60 | $77.00 | $8.65–$83.83 | 16% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBO.TIME,PARTIAL-PTTMIX | $62.40 | $78.00 | $8.65–$83.83 | 15% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 TT,PARTIAL (PTT);LA SENS-HCPAN | $62.40 | $78.00 | $8.65–$83.83 | 15% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $83.20 | $104.00 | $8.65–$83.83 | 13% above | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBO TIME PARTIAL PLASMA | $56.80 | $71.00 | $8.65–$83.83 | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT;FAC5INH | $61.60 | $77.00 | $8.65–$83.83 | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 TT,PARTIAL (PTT);LA SENS-HCPAN | $62.40 | $78.00 | $8.65–$83.83 | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBO.TIME,PARTIAL-PTTMIX | $62.40 | $78.00 | $8.65–$83.83 | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $83.20 | $104.00 | $8.65–$83.83 | — | 20% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $82.40 | $103.00 | $4.65–$83.00 | 9% above | 20% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $82.40 | $103.00 | $4.65–$83.00 | — | 20% |
| Potassium blood test CPT 84132 POTASSIUM | $61.60 | $77.00 | $6.85–$62.25 | 7% above | 20% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $61.60 | $77.00 | $6.85–$62.25 | — | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE | $141.60 | $177.00 | $30.04–$124.04 | 15% above | 20% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $141.60 | $177.00 | $30.04–$124.04 | — | 20% |
| Prolactin blood test CPT 84146 PROLACTIN | $154.40 | $193.00 | $27.91–$134.80 | 3% above | 20% |
| Prolactin blood test CPT 84146 PROLACTIN ZONE,DILUTION-PROLZ | $161.60 | $202.00 | $27.91–$134.80 | 8% above | 20% |
| Prolactin blood test CPT 84146 PROLACTIN ZONE-PROLZ | $161.60 | $202.00 | $27.91–$134.80 | 8% above | 20% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $154.40 | $193.00 | $27.91–$134.80 | — | 20% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN ZONE-PROLZ | $161.60 | $202.00 | $27.91–$134.80 | — | 20% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN ZONE,DILUTION-PROLZ | $161.60 | $202.00 | $27.91–$134.80 | — | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-FAC5INH | $61.60 | $77.00 | $6.18–$63.91 | 19% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $63.20 | $79.00 | $6.18–$63.91 | 22% above | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-FAC5INH | $61.60 | $77.00 | $6.18–$63.91 | — | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $63.20 | $79.00 | $6.18–$63.91 | — | 20% |
| Rapid flu test (influenza antigen) CPT 87804 IA DET.EIA,DOO;INF.B-INFAB EIA | $79.20 | $99.00 | $23.83–$69.55 | 56% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 IA DET.EIA,DOO;INF.A-INFAB EIA | $79.20 | $99.00 | $23.83–$69.55 | 56% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 IA,DET.EIA,DOO;INFAB EIA | $120.80 | $151.00 | $23.83–$69.55 | 137% above | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 IA DET.EIA,DOO;INF.B-INFAB EIA | $79.20 | $99.00 | $23.83–$69.55 | — | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 IA DET.EIA,DOO;INF.A-INFAB EIA | $79.20 | $99.00 | $23.83–$69.55 | — | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 IA,DET.EIA,DOO;INFAB EIA | $120.80 | $151.00 | $23.83–$69.55 | — | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INF. AGENT DET STREP A /10 MIN | $148.80 | $186.00 | $23.81–$150.23 | 125% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INF. AGENT DET STREP A /10 MIN | $148.80 | $186.00 | $23.81–$150.23 | — | 20% |
| Renin blood test CPT 84244 PLASMA RENIN ACTIVITY | $74.40 | $93.00 | $25.86–$26.39 | 29% below | 20% |
| Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY | $74.40 | $93.00 | $25.86–$26.39 | — | 20% |
| Rh blood typing CPT 86901 BLOOD TYPING; RH (D) - LO 3004 | $61.60 | $77.00 | $4.31–$62.25 | at median | 20% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING; RH (D) - LO 3004 | $61.60 | $77.00 | $4.31–$62.25 | — | 20% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER | $96.00 | $120.00 | $33.25–$97.11 | 56% above | 20% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER | $96.00 | $120.00 | $33.25–$97.11 | — | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY TITER | $101.60 | $127.00 | $20.72–$88.91 | 39% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 Ab; RUBELLA IgM | $136.80 | $171.00 | $20.72–$88.91 | 87% above | 20% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY TITER | $101.60 | $127.00 | $20.72–$88.91 | — | 20% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Ab; RUBELLA IgM | $136.80 | $171.00 | $20.72–$88.91 | — | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE ERY; AUTO. | $88.00 | $110.00 | $2.65–$88.81 | 102% above | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE ERY; AUTO. | $88.00 | $110.00 | $2.65–$88.81 | — | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD,OCC.EIA,FECAL, OL.-STOBEIA | $70.40 | $88.00 | $48.88 | 4% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD,OCC.EIA,FECAL, OL.-STOBEIA | $70.40 | $88.00 | $48.88 | — | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Ab; TREPONEMA pal; FTA-ABS-CSF | $91.20 | $114.00 | $19.07–$32.54 | 23% above | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Ab; TREPONEMA pal., FTA-ABS | $91.20 | $114.00 | $19.07–$32.54 | 23% above | 20% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ab; TREPONEMA pal., FTA-ABS | $91.20 | $114.00 | $19.07–$32.54 | — | 20% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ab; TREPONEMA pal; FTA-ABS-CSF | $91.20 | $114.00 | $19.07–$32.54 | — | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $84.00 | $105.00 | $6.14–$84.66 | 75% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $84.00 | $105.00 | $6.14–$84.66 | — | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB,CELL MEAS.,AG-QNTFERONTB | $333.60 | $417.00 | $118.03–$119.66 | 55% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB,CELL MEAS.,AG-QNTFERONTB | $333.60 | $417.00 | $118.03–$119.66 | — | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-TOTAL | $178.40 | $223.00 | $61.96–$180.94 | 35% above | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE-TOTAL | $178.40 | $223.00 | $61.96–$180.94 | — | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MIC,Ab,Ea-AMICRLK | $95.20 | $119.00 | $20.95–$165.63 | 12% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TMAB MICROSOMAL Ab | $161.60 | $202.00 | $20.95–$165.63 | 90% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL Ab's, EA, L/K | $161.60 | $202.00 | $20.95–$165.63 | 90% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO ANTIBODIES | $189.60 | $237.00 | $20.95–$165.63 | 123% above | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MIC,Ab,Ea-AMICRLK | $95.20 | $119.00 | $20.95–$165.63 | — | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TMAB MICROSOMAL Ab | $161.60 | $202.00 | $20.95–$165.63 | — | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL Ab's, EA, L/K | $161.60 | $202.00 | $20.95–$165.63 | — | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-TPO ANTIBODIES | $189.60 | $237.00 | $20.95–$165.63 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH HIGHLY SENTV - HS - TSH | $144.00 | $180.00 | $16.46–$169.32 | 19% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH HGHLY SNSTV HS-TSH NICH525 | $144.00 | $180.00 | $16.46–$169.32 | 19% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $167.20 | $209.00 | $16.46–$169.32 | 38% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH HIGHLY SENTV - HS - TSH | $144.00 | $180.00 | $16.46–$169.32 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH HGHLY SNSTV HS-TSH NICH525 | $144.00 | $180.00 | $16.46–$169.32 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $167.20 | $209.00 | $16.46–$169.32 | — | 20% |
| Total IgE blood test CPT 82785 IGE | $125.60 | $157.00 | $44.19 | 19% above | 20% |
| Total IgE blood test CPT 82785 Allgy Profile, total Area 11 | $140.00 | $175.00 | $44.19 | 33% above | 20% |
| Total IgE blood test CPT 82785 TOTAL IGE (INHOUSE TESTING) | $140.00 | $175.00 | $44.19 | 33% above | 20% |
| Total IgE blood test inpatient CPT 82785 IGE | $125.60 | $157.00 | $44.19 | — | 20% |
| Total IgE blood test inpatient CPT 82785 Allgy Profile, total Area 11 | $140.00 | $175.00 | $44.19 | — | 20% |
| Total IgE blood test inpatient CPT 82785 TOTAL IGE (INHOUSE TESTING) | $140.00 | $175.00 | $44.19 | — | 20% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM WB TOT | $78.40 | $98.00 | $68.83 | 41% above | 20% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM WB TOT | $78.40 | $98.00 | $68.83 | — | 20% |
| Total thyroxine (T4) blood test CPT 84436 T4 | $108.00 | $135.00 | $10.09–$94.64 | 64% above | 20% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTL NICHOLS #488 | $110.40 | $138.00 | $10.09–$94.64 | 67% above | 20% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 | $108.00 | $135.00 | $10.09–$94.64 | — | 20% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4 TOTL NICHOLS #488 | $110.40 | $138.00 | $10.09–$94.64 | — | 20% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 BY RIA NICHOLS #540 | $107.20 | $134.00 | $43.20–$126.16 | 10% above | 20% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIODOTHYRONINE T3; TOTAL | $124.80 | $156.00 | $43.20–$126.16 | 28% above | 20% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 BY RIA NICHOLS #540 | $107.20 | $134.00 | $43.20–$126.16 | — | 20% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIODOTHYRONINE T3; TOTAL | $124.80 | $156.00 | $43.20–$126.16 | — | 20% |
| Trichomonas test (NAAT) CPT 87661 IA Det NA;Tri.Vag.amp-Vag Plus | $96.00 | $120.00 | $34.30–$83.89 | 48% above | 20% |
| Trichomonas test (NAAT) inpatient CPT 87661 IA Det NA;Tri.Vag.amp-Vag Plus | $96.00 | $120.00 | $34.30–$83.89 | — | 20% |
| Triglycerides blood test CPT 84478 LIPO,BLD;HR FRAC,QNT,SUBCL-VAP | $78.40 | $98.00 | $74.57 | 20% above | 20% |
| Triglycerides blood test CPT 84478 TRIG.ON BODY FLUID,MISC CHEM-T | $78.40 | $98.00 | $74.57 | 20% above | 20% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $85.60 | $107.00 | $74.57 | 31% above | 20% |
| Triglycerides blood test inpatient CPT 84478 LIPO,BLD;HR FRAC,QNT,SUBCL-VAP | $78.40 | $98.00 | $74.57 | — | 20% |
| Triglycerides blood test inpatient CPT 84478 TRIG.ON BODY FLUID,MISC CHEM-T | $78.40 | $98.00 | $74.57 | — | 20% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $85.60 | $107.00 | $74.57 | — | 20% |
| Troponin test, quantitative CPT 84484 TROPONIN,T,QUANT.-TROPT | $160.80 | $201.00 | $12.22–$204.18 | 21% above | 20% |
| Troponin test, quantitative CPT 84484 TROPONIN,I,QUANT.TROP | $201.60 | $252.00 | $12.22–$204.18 | 51% above | 20% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN,T,QUANT.-TROPT | $160.80 | $201.00 | $12.22–$204.18 | — | 20% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN,I,QUANT.TROP | $201.60 | $252.00 | $12.22–$204.18 | — | 20% |
| Uric acid blood test CPT 84550 URIC ACID | $78.40 | $98.00 | $6.50–$79.68 | 28% above | 20% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $78.40 | $98.00 | $6.50–$79.68 | — | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS;AUTO,MICROS | $76.80 | $96.00 | $3.11–$78.02 | 30% above | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS;AUTO,MICROS | $76.80 | $96.00 | $3.11–$78.02 | — | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS,AUTO,W/O MICRO | $41.60 | $52.00 | $3.24–$51.00 | 76% above | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Hemoglobin, Free, Qual, Urine | $44.80 | $56.00 | $3.24–$51.00 | 89% above | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS,AUTO,W/O MICRO | $41.60 | $52.00 | $3.24–$51.00 | — | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hemoglobin, Free, Qual, Urine | $44.80 | $56.00 | $3.24–$51.00 | — | 20% |
| Urinalysis without microscope exam, manual CPT 81002 URINE,PROT,GLU;NONAUTO,NO MIC. | $17.60 | $22.00 | $3.62–$3.74 | 36% above | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE,PROT,GLU;NONAUTO,NO MIC. | $17.60 | $22.00 | $3.62–$3.74 | — | 20% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE;BAC;QNT,CC,URINE | $124.00 | $155.00 | $7.91–$125.33 | 38% above | 20% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE;BAC;QNT,CC,URINE | $124.00 | $155.00 | $7.91–$125.33 | — | 20% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $76.80 | $96.00 | $8.33–$78.02 | 12% below | 20% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN | $76.80 | $96.00 | $8.33–$78.02 | — | 20% |
| Urine pregnancy test, read by color change CPT 81025 UA PREGNANCY TEST BY VISUAL CO | $99.20 | $124.00 | $12.40–$100.43 | 180% above | 20% |
| Urine pregnancy test, read by color change inpatient CPT 81025 UA PREGNANCY TEST BY VISUAL CO | $99.20 | $124.00 | $12.40–$100.43 | — | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B12) | $89.60 | $112.00 | $17.02–$110.39 | 20% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VIT B12) | $108.80 | $136.00 | $17.02–$110.39 | 3% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 & SERUM FOLATE | $129.60 | $162.00 | $17.02–$110.39 | 15% above | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (VITAMIN B12) | $89.60 | $112.00 | $17.02–$110.39 | — | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (VIT B12) | $108.80 | $136.00 | $17.02–$110.39 | — | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 & SERUM FOLATE | $129.60 | $162.00 | $17.02–$110.39 | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL (25-OH VIT D3)VD25 | $125.60 | $157.00 | $29.01–$109.70 | 25% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL (25-OH VIT D3)VD25 | $125.60 | $157.00 | $29.01–$109.70 | — | 20% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D, 1, 25 | $100.00 | $125.00 | $34.67–$101.26 | 43% below | 20% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN D, 1, 25 | $100.00 | $125.00 | $34.67–$101.26 | — | 20% |
| Zinc blood test CPT 84630 ZINC | $91.20 | $114.00 | $12.85–$79.59 | 17% above | 20% |
| Zinc blood test inpatient CPT 84630 ZINC | $91.20 | $114.00 | $12.85–$79.59 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHOR; QNT - AFP | $105.60 | $132.00 | $21.67–$212.48 | 27% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,QUANT-FTSC | $166.40 | $208.00 | $21.67–$212.48 | 15% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN;HCG TUMOR MKR QNT | $188.00 | $235.00 | $21.67–$212.48 | 30% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHOR; QNT-AFP | $188.00 | $235.00 | $21.67–$212.48 | 30% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT, TUMOR MARKER | $188.00 | $235.00 | $21.67–$212.48 | 30% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREGNANCY TEST(QUANTITATIVE) | $209.60 | $262.00 | $21.67–$212.48 | 45% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHOR; QNT - AFP | $105.60 | $132.00 | $21.67–$212.48 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG,QUANT-FTSC | $166.40 | $208.00 | $21.67–$212.48 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT, TUMOR MARKER | $188.00 | $235.00 | $21.67–$212.48 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHOR; QNT-AFP | $188.00 | $235.00 | $21.67–$212.48 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN;HCG TUMOR MKR QNT | $188.00 | $235.00 | $21.67–$212.48 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREGNANCY TEST(QUANTITATIVE) | $209.60 | $262.00 | $21.67–$212.48 | — | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy, shoulder, discont | $6,645.60 | $8,307.00 | $1,967.20 | 17% below | 20% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscopy, shoulder, discont | $6,645.60 | $8,307.00 | $1,967.20 | — | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,323.20 | $1,654.00 | $468.06 | 12% above | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION(ICU) | $1,323.20 | $1,654.00 | $458.70 | 12% above | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (ER) | $1,323.20 | $1,654.00 | $458.70 | 12% above | 20% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION(ICU) | $1,323.20 | $1,654.00 | $458.70 | — | 20% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,323.20 | $1,654.00 | $468.06 | — | 20% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION (ER) | $1,323.20 | $1,654.00 | $458.70 | — | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $333.60 | $417.00 | $280.33 | 11% below | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $333.60 | $417.00 | $280.33 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 MAJOR JNT INJ SHOULDER BILAT | $1,036.80 | $1,296.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 MAJOR JNT INJ HIP BILATERAL | $1,036.80 | $1,296.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 MAJOR JNT INJ HIP BILAT | $1,036.80 | $1,296.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 BIL GRTR TROCHANTER BRSA INJ | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR JOINT DRAINAGE/INJECTION | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 BIL INTRA ART SHOULDER | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCEN/ASPIR/INJEC LA | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTION | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CATARACT EXTRACTION | $2,055.20 | $2,569.00 | $492.20 | 381% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JNT INJ KNEE RT | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JNT INJ HIP RT | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JNT INJ SHOULDER LT | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JNT INJ HIP LT | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JNT INJ KNEE LT | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JNT INJ SHOULDER RT | $738.40 | $923.00 | $492.20 | 73% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 MAJOR JNT INJ HIP BILAT | $1,036.80 | $1,296.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 MAJOR JNT INJ HIP BILATERAL | $1,036.80 | $1,296.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 MAJOR JNT INJ SHOULDER BILAT | $1,036.80 | $1,296.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHROCEN/ASPIR/INJEC LA | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJECTION | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 BIL INTRA ART SHOULDER | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR JOINT DRAINAGE/INJECTION | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 BIL GRTR TROCHANTER BRSA INJ | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CATARACT EXTRACTION | $2,055.20 | $2,569.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JNT INJ SHOULDER RT | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JNT INJ KNEE LT | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JNT INJ HIP LT | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JNT INJ SHOULDER LT | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JNT INJ HIP RT | $738.40 | $923.00 | $492.20 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JNT INJ KNEE RT | $738.40 | $923.00 | $492.20 | — | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCEN/ASPIR/INJEC IN | $635.20 | $794.00 | $492.20 | 75% above | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHROCEN/ASPIR/INJEC IN | $635.20 | $794.00 | $492.20 | — | 20% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMP/SING | $423.20 | $529.00 | $369.97 | 16% above | 20% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMP/SING | $423.20 | $529.00 | $369.97 | — | 20% |
| Paracentesis with imaging guidance CPT 49083 US PARACENTESIS | $1,684.80 | $2,106.00 | $587.53–$595.95 | 35% above | 20% |
| Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS | $1,684.80 | $2,106.00 | $587.53–$595.95 | — | 20% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal CA SCREEN HIGH RISK | $1,745.60 | $2,182.00 | $593.40–$605.06 | 24% above | 20% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal CA SCREEN HIGH RISK | $1,745.60 | $2,182.00 | $593.40–$605.06 | — | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPL SHORT ARM SPLINT ST | $154.40 | $193.00 | $54.52–$188.00 | 41% below | 20% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPL SHORT ARM SPLINT ST | $154.40 | $193.00 | $54.52–$188.00 | — | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 APPL SHORT LEG SPLINT | $347.20 | $434.00 | $120.22 | 23% above | 20% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 APPL SHORT LEG SPLINT | $347.20 | $434.00 | $120.22 | — | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP LAC S/N/A/G/T/E 2.5CM OR < | $355.20 | $444.00 | $123.06–$310.46 | 1% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMP LAC S/N/A/G/T/E 2.5CM OR < | $355.20 | $444.00 | $123.06–$310.46 | — | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMP LAC S/N/A/G/T/E 2.6 TO 7.5 | $396.00 | $495.00 | $83.40–$400.89 | at median | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMP LAC S/N/A/G/T/E 2.6 TO 7.5 | $396.00 | $495.00 | $83.40–$400.89 | — | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP LAC F/E/E/N/L/MM 2.5CM OR< | $369.60 | $462.00 | $129.98–$323.37 | 9% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMP LAC F/E/E/N/L/MM 2.5CM OR< | $369.60 | $462.00 | $129.98–$323.37 | — | 20% |
| Total knee replacement CPT 27447 TKA | $12,340.80 | $15,426.00 | $2,863.88–$8,548.79 | 33% below | 20% |
| Total knee replacement inpatient CPT 27447 TKA | $12,340.80 | $15,426.00 | $2,863.88–$8,548.79 | — | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ TRIGGER POINT1/2 MUS | $686.40 | $858.00 | $344.52 | 18% above | 20% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ TRIGGER POINT1/2 MUS | $686.40 | $858.00 | $344.52 | — | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,245.60 | $1,557.00 | $431.70–$1,089.12 | 81% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 Floseal | $1,283.20 | $1,604.00 | $431.70–$1,089.12 | 87% above | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $1,245.60 | $1,557.00 | $431.70–$1,089.12 | — | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Floseal | $1,283.20 | $1,604.00 | $431.70–$1,089.12 | — | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRES/NON PRES TX FOR AO/SI/DX | $308.80 | $386.00 | $107.14–$377.00 | 156% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRES/NON PRES TX FOR AO/SI/DX | $308.80 | $386.00 | $107.14–$377.00 | — | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION UP TO 1HR | $622.40 | $778.00 | $215.71–$629.97 | 20% above | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1HR | $622.40 | $778.00 | $215.71–$629.97 | 20% above | 20% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1HR | $622.40 | $778.00 | $215.71–$629.97 | — | 20% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION UP TO 1HR | $622.40 | $778.00 | $215.71–$629.97 | — | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE FIRST HR | $2,145.60 | $2,682.00 | $743.75–$2,172.11 | 2% above | 20% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 CRITICAL CARE FIRST HR | $2,145.60 | $2,682.00 | $743.75–$2,172.11 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETATION&REPORT | $337.60 | $422.00 | $117.09–$341.96 | 86% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O INTERPRETATION&REPORT | $337.60 | $422.00 | $117.09–$341.96 | — | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 LEVEL 1 CARE | $321.60 | $402.00 | $112.97–$281.06 | 60% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 LEVEL 1 CARE | $321.60 | $402.00 | $112.97–$281.06 | — | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 LEVEL 2 CARE | $474.40 | $593.00 | $164.55–$480.57 | 62% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 LEVEL 2 CARE | $474.40 | $593.00 | $164.55–$480.57 | — | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 LEVEL 3 CARE | $788.00 | $985.00 | $275.92–$797.63 | 48% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 LEVEL 3 CARE | $788.00 | $985.00 | $275.92–$797.63 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 LEVEL 4 CARE | $1,219.20 | $1,524.00 | $422.61–$1,828.49 | 42% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 LEVEL 4 CARE | $1,219.20 | $1,524.00 | $422.61–$1,828.49 | — | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 LEVEL 5 CARE | $1,806.40 | $2,258.00 | $626.09–$1,828.49 | 26% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 LEVEL 5 CARE | $1,806.40 | $2,258.00 | $626.09–$1,828.49 | — | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS ECG | $876.00 | $1,095.00 | $303.53–$765.76 | 61% above | 20% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS ECG | $876.00 | $1,095.00 | $303.53–$765.76 | — | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION FIRST HOUR | $339.20 | $424.00 | $30.26–$343.62 | at median | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION FIRST HOUR | $339.20 | $424.00 | $30.26–$343.62 | — | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV INF W/MED 1ST HOUR | $421.60 | $527.00 | $146.08–$426.62 | 2% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV Inf w/Med 1st Hour | $432.80 | $541.00 | $146.08–$426.62 | 1% above | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF W/MED 1ST HOUR | $421.60 | $527.00 | $146.08–$426.62 | — | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Inf w/Med 1st Hour | $432.80 | $541.00 | $146.08–$426.62 | — | 20% |
| IV push of a medicine, first drug CPT 96374 IV Push Non Chemo Med Initial | $297.60 | $372.00 | $103.16–$301.29 | 61% above | 20% |
| IV push of a medicine, first drug CPT 96374 IV PUSH NON CHEMO MED INITIAL | $297.60 | $372.00 | $103.16–$301.29 | 61% above | 20% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH NON CHEMO MED INITIAL | $297.60 | $372.00 | $103.16–$301.29 | — | 20% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push Non Chemo Med Initial | $297.60 | $372.00 | $103.16–$301.29 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ NON CHEMO MED | $141.60 | $177.00 | $49.17–$143.59 | 24% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ NON Chemo Med | $144.80 | $181.00 | $49.17–$143.59 | 27% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ NON CHEMO MED | $141.60 | $177.00 | $49.17–$143.59 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ NON Chemo Med | $144.80 | $181.00 | $49.17–$143.59 | — | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION 15' | $100.80 | $126.00 | $34.96–$88.19 | 2% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Telemed Neuromusc. reeducation | $100.80 | $126.00 | $34.96–$88.19 | 2% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED, EA 15 MIN | $108.80 | $136.00 | $34.96–$88.19 | 6% above | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Telemed Neuromusc. reeducation | $100.80 | $126.00 | $34.96–$88.19 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION 15' | $100.80 | $126.00 | $34.96–$88.19 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED, EA 15 MIN | $108.80 | $136.00 | $34.96–$88.19 | — | 20% |
| New patient office visit, about 60 minutes CPT 99205 INITIAL E&M LVL 5 | $527.20 | $659.00 | $182.74 | 41% above | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 INITIAL E&M LVL 5 | $527.20 | $659.00 | $182.74 | — | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL: LOW COMPLEX 30 MIN | $256.80 | $321.00 | $88.95–$224.42 | 11% above | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL: LOW COMPLEX 20 MIN | $264.00 | $330.00 | $88.95–$224.42 | 14% above | 20% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL: LOW COMPLEX 30 MIN | $256.80 | $321.00 | $88.95–$224.42 | — | 20% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL: LOW COMPLEX 20 MIN | $264.00 | $330.00 | $88.95–$224.42 | — | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 OT EVAL: LOW COMPLEX 20 MIN | $264.00 | $330.00 | $65.05–$267.26 | 10% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL: LOW COMPLEX 20 MIN | $264.00 | $330.00 | $65.05–$267.26 | 10% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL: LOW COMPLEX 20 MIN | $264.00 | $330.00 | $65.05–$267.26 | — | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 OT EVAL: LOW COMPLEX 20 MIN | $264.00 | $330.00 | $65.05–$267.26 | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL; MOD 30 MIN | $264.00 | $330.00 | $92.01–$230.87 | at median | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 OT EVAL: MOD COMPLEX 30 MIN | $264.00 | $330.00 | $92.01–$230.87 | at median | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL: MOD COMPLEX 30 MIN | $264.00 | $330.00 | $92.01–$230.87 | at median | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL: MOD COMPLEX 30 MIN | $264.00 | $330.00 | $92.01–$230.87 | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL; MOD 30 MIN | $264.00 | $330.00 | $92.01–$230.87 | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 OT EVAL: MOD COMPLEX 30 MIN | $264.00 | $330.00 | $92.01–$230.87 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TECHNIQUES EA 15' | $111.20 | $139.00 | $38.81–$97.51 | 3% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TECHS, EACH 15 MIN | $120.00 | $150.00 | $38.81–$97.51 | 11% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TECH, 1+ AREA, EA 15MIN | $120.00 | $150.00 | $38.65–$112.88 | 11% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL TECHNIQUES EA 15' | $111.20 | $139.00 | $38.81–$97.51 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL TECHS, EACH 15 MIN | $120.00 | $150.00 | $38.81–$97.51 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL TECH, 1+ AREA, EA 15MIN | $120.00 | $150.00 | $38.65–$112.88 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROC,1/MORE AREAS,EA 15' | $96.00 | $120.00 | $33.25–$83.89 | 1% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROC,1/MORE AREAS, EA 15' | $96.00 | $120.00 | $33.25–$97.11 | 1% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Telemed Therapeutic exercises | $96.00 | $120.00 | $33.25–$97.11 | 1% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROC, 1+ AREAS, EA 15MIN | $104.80 | $131.00 | $33.25–$83.89 | 8% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROC, 1+ AREA, EACH 15MIN | $104.80 | $131.00 | $33.25–$97.11 | 8% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Telemed Therapeutic exercises | $96.00 | $120.00 | $33.25–$97.11 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROC,1/MORE AREAS, EA 15' | $96.00 | $120.00 | $33.25–$97.11 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROC,1/MORE AREAS,EA 15' | $96.00 | $120.00 | $33.25–$83.89 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROC, 1+ AREA, EACH 15MIN | $104.80 | $131.00 | $33.25–$97.11 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROC, 1+ AREAS, EA 15MIN | $104.80 | $131.00 | $33.25–$83.89 | — | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M LVL 4 | $258.40 | $323.00 | $89.52–$91.34 | 32% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CONSULT OBS 25 MIN 99214 | $258.40 | $323.00 | $89.52–$91.34 | 32% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CONSULT OBS 25 MIN 99214 | $258.40 | $323.00 | $89.52–$91.34 | — | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M LVL 4 | $258.40 | $323.00 | $89.52–$91.34 | — | 20% |
| Speech and language evaluation CPT 92523 DYSPHAGIA CLINICAL EVALUATION | $492.00 | $615.00 | $229.90–$571.45 | 52% above | 20% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND LANG COMP | $653.60 | $817.00 | $229.90–$571.45 | 102% above | 20% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG. COMP. | $653.60 | $817.00 | $229.90–$571.45 | 102% above | 20% |
| Speech and language evaluation inpatient CPT 92523 DYSPHAGIA CLINICAL EVALUATION | $492.00 | $615.00 | $229.90–$571.45 | — | 20% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND LANG COMP | $653.60 | $817.00 | $229.90–$571.45 | — | 20% |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG. COMP. | $653.60 | $817.00 | $229.90–$571.45 | — | 20% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY | $205.60 | $257.00 | $71.83–$179.97 | 3% below | 20% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY | $205.60 | $257.00 | $71.83–$179.97 | — | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN | $101.60 | $127.00 | $35.24–$102.92 | 9% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THRPEUTIC ACTIVITIES, 15' | $102.40 | $128.00 | $35.53–$89.63 | 9% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES EA 15MI | $110.40 | $138.00 | $35.24–$102.92 | 2% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, EA 15M | $111.20 | $139.00 | $35.53–$89.63 | 1% below | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN | $101.60 | $127.00 | $35.24–$102.92 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THRPEUTIC ACTIVITIES, 15' | $102.40 | $128.00 | $35.53–$89.63 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES EA 15MI | $110.40 | $138.00 | $35.24–$102.92 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES, EA 15M | $111.20 | $139.00 | $35.53–$89.63 | — | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPUETIC | $249.60 | $312.00 | $87.90–$225.10 | 38% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPUETIC | $249.60 | $312.00 | $87.90–$225.10 | — | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Mexico | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABIES VACC, HUMAN DIPLOID/PF | $360.93 | $451.16 | $678.19 | 12% below | 20% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC, HUMAN DIPLOID/PF | $360.93 | $451.16 | $678.19 | — | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL DTaP VACCINE | $156.00 | $195.00 | $49.11–$143.41 | 90% above | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL DTaP VACCINE | $156.00 | $195.00 | $49.11–$143.41 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEP B ADMINISTRATION | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INITIAL VACCINATION | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INITIAL-FLU | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINATION INITIAL | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINATION INFLUENZA | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINATION PNEUMOCOCCAL | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMIN | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VAC ADMIN | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INITIAL | $100.80 | $126.00 | $34.96–$102.09 | 116% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INITIAL-FLU | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINATION INITIAL | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VAC ADMIN | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINATION PNEUMOCOCCAL | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINATION INFLUENZA | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INITIAL VACCINATION | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEP B ADMINISTRATION | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INITIAL | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACCINE ADMIN | $100.80 | $126.00 | $34.96–$102.09 | — | 20% |
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.