Hospital Zanesville, OH

Genesis Hospital

Genesis Hospital in Zanesville, OH publishes cash prices for 481 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 280 of 476 procedures and above it for 191. By typical cash price it ranks #43 of 139 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

2951 Maple Ave, Zanesville, Ohio 43701 Collected Nov 6, 2026 Source price file Check a bill from this hospital (740) 454-5000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 360039 · CMS hospital register NPI 1598868655

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Genesis Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W W/O Contrast	$1,798.38	$2,997.30	$182.54–$2,547.71	35% above	40%
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W W/O Contrast	$1,831.79	$3,052.99	$178.74–$575.15	38% above	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen W W/O Contrast	$1,798.38	$2,997.30	$182.54–$2,547.71	—	40%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Abdomen Two Views	$242.40	$404.00	$23.32–$342.81	28% below	40%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Abdomen Two Views	$242.40	$404.00	$109.01–$343.40	28% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Abdomen Two Views	$242.40	$404.00	$109.01–$343.40	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle- 3 Views	$189.37	$315.62	$82.71–$402.42	41% below	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle- 3 Views	$378.74	$631.24	$26.39–$285.36	19% above	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle- 3 Views\|RIGHT SIDE	$234.94	$391.57	$26.39–$285.36	26% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle- 3 Views\|LEFT SIDE	$386.18	$643.63	$26.39–$285.36	21% above	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle- 3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr/L Xtremity Art 2 Levels	$382.28	$637.14	$114.45–$541.57	21% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr/L Xtremity Art 2 Levels	$1,072.53	$1,787.55	$65.65–$782.38	123% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Upr/L Xtremity Art 2 Levels	$382.28	$637.14	$114.45–$541.57	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Up Extremity W/O Contr	$599.46	$999.10	$109.01–$1,273.85	37% below	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Up Extremity W/O Contr	$599.46	$999.10	$104.88–$725.58	37% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Up Extremity W/O Contr\|LEFT SIDE	$599.46	$999.10	$104.88–$725.58	37% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Up Extremity W/O Contr\|RIGHT SIDE	$599.46	$999.10	$104.88–$725.58	37% below	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Up Extremity W/O Contr	$599.46	$999.10	$109.01–$1,273.85	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram	$442.50	$737.50	$61.02–$575.15	at median	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram	$442.50	$737.50	$182.54–$626.88	at median	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagram	$442.50	$737.50	$182.54–$626.88	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Whole Body	$977.47	$1,629.11	$385.55–$1,512.47	36% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Whole Body	$1,028.31	$1,713.85	$202.40–$1,512.47	33% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Whole Body	$977.47	$1,629.11	$385.55–$1,512.47	—	40%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US Breast Bilat W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$92.47–$599.17	—	40%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US Breast Bilat W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$61.02–$342.81	—	40%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US Breast Bilat W/Image Doc Inc Axilla When Done Complete\|LEFT SIDE	$845.88	$1,409.80	$61.02–$342.81	—	40%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US Breast Bilat W/Image Doc Inc Axilla When Done Complete\|RIGHT SIDE	$845.88	$1,409.80	$61.02–$342.81	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilat W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$92.47–$599.17	11% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilat Rt W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$92.47–$599.17	11% below	40%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC US Breast Bilat W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$92.47–$599.17	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilat Rt W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$92.47–$599.17	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilat W/Image Doc Inc Axilla When Done Complete	$422.94	$704.90	$92.47–$599.17	—	40%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US Breast Bilat W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US Breast Bilat W/Image Doc Axilla When Done Limited	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat Rt W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$228.43	$380.72	$77.00–$485.42	44% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat Rt W/Image Doc Axilla When Done Limited	$228.43	$380.72	$77.00–$485.42	44% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited	$228.43	$380.72	$77.00–$485.42	44% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$228.43	$380.72	$77.00–$485.42	44% below	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited	$575.02	$958.36	$47.84–$342.81	40% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$680.86	$1,134.76	$47.84–$342.81	66% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited\|LEFT SIDE	$1,163.96	$1,939.94	$47.84–$342.81	184% above	40%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US Breast Bilat W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US Breast Bilat W/Image Doc Axilla When Done Limited	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilat Rt W/Image Doc Axilla When Done Limited	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilat W/Image Doc Axilla When Done Limited	$228.43	$380.72	$77.00–$485.42	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilat Rt W/Image Doc Axilla When Done Limited\|RIGHT SIDE	$228.43	$380.72	$77.00–$485.42	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd & Pelvis W/Cont Include W/O if Done	$2,397.84	$3,996.40	$363.76–$3,396.94	12% above	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd & Pelvis W/Cont Include W/O if Done	$3,632.52	$6,054.20	$254.81–$1,143.97	70% above	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd & Pelvis W/Cont Include W/O if Done	$2,397.84	$3,996.40	$363.76–$3,396.94	—	40%
CT angiography (CTA) of the head CPT 70496 HC Cta Head W W/O Contrast	$808.71	$1,347.85	$182.54–$1,145.67	39% below	40%
CT angiography (CTA) of the head CPT 70496 HC Cta Head W W/O Contrast	$1,638.86	$2,731.43	$177.85	23% above	40%
CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W W/O Contrast	$808.71	$1,347.85	$182.54–$1,145.67	—	40%
CT angiography (CTA) of the neck CPT 70498 HC Cta Neck W W/O Contrast	$808.71	$1,347.85	$182.54–$1,145.67	38% below	40%
CT angiography (CTA) of the neck CPT 70498 HC Cta Neck W W/O Contrast	$882.79	$1,471.31	$177.85–$575.15	32% below	40%
CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck W W/O Contrast	$808.71	$1,347.85	$182.54–$1,145.67	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W W/O Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	15% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W W/O Contrast	$1,244.10	$2,073.50	$180.91–$575.15	12% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W W/O Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart Cornry Arteries	$1,405.94	$2,343.24	$363.76–$1,991.75	12% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart Cornry Arteries	$1,442.38	$2,403.96	$197.50–$1,143.97	10% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Heart Cornry Arteries	$1,405.94	$2,343.24	$363.76–$1,991.75	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Cardiac Scoring	$99.00	$165.00	$56.76–$285.36	65% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Cardiac Scoring	$99.00	$165.00	$66.87–$285.36	65% below	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Cardiac Scoring	$99.00	$165.00	$56.76–$285.36	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd-Pelvis W/O Contrast	$1,798.38	$2,997.30	$94.76–$782.38	13% above	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd-Pelvis W/O Contrast	$1,798.38	$2,997.30	$235.27–$2,547.71	13% above	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd-Pelvis W/O Contrast	$1,798.38	$2,997.30	$235.27–$2,547.71	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd-Pelvis W/Contrast	$1,798.38	$2,997.30	$363.76–$2,547.71	9% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd-Pelvis W/Contrast	$3,022.30	$5,037.16	$198.66	52% above	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd-Pelvis W/Contrast	$1,798.38	$2,997.30	$363.76–$2,547.71	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd-Pelvis With and Without Contrast	$3,596.76	$5,994.60	$363.76–$5,095.41	54% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd-Pelvis With and Without Contrast	$3,631.46	$6,052.43	$225.05–$1,143.97	56% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd-Pelvis With and Without Contrast	$3,596.76	$5,994.60	$363.76–$5,095.41	—	40%
CT scan of the abdomen with contrast CPT 74160 HC CT Abd With Contrast Lmtd	$1,198.92	$1,998.20	$182.54–$1,698.47	3% above	40%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen With Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	3% above	40%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen With Contrast	$2,431.25	$4,052.09	$78.80–$575.15	108% above	40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen With Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abd With Contrast Lmtd	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
CT scan of the abdomen without contrast CPT 74150 HC CT Abd W/O Contrast Lmtd	$1,198.92	$1,998.20	$109.01–$1,698.47	14% above	40%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast	$1,198.92	$1,998.20	$109.01–$1,698.47	14% above	40%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast	$1,198.92	$1,998.20	$37.41–$342.81	14% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast	$1,198.92	$1,998.20	$109.01–$1,698.47	—	40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abd W/O Contrast Lmtd	$1,198.92	$1,998.20	$109.01–$1,698.47	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxxillofacial W/O Cont	$462.12	$770.20	$109.01–$654.67	47% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxxillofacial W/O Cont	$2,049.98	$3,416.64	$81.25–$342.81	134% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxxillofacial W/O Cont	$462.12	$770.20	$109.01–$654.67	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast	$599.46	$999.10	$109.01–$849.24	28% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast	$599.46	$999.10	$61.63–$342.81	28% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head W/O Contrast	$599.46	$999.10	$109.01–$849.24	—	40%
CT scan of the head with contrast CPT 70460 HC CT Head With Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	19% above	40%
CT scan of the head with contrast CPT 70460 HC CT Head With Contrast	$1,242.04	$2,070.06	$88.33–$575.15	24% above	40%
CT scan of the head with contrast inpatient CPT 70460 HC CT Head With Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
CT scan of the head without and with contrast CPT 70470 HC CT Head W W/O Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	1% above	40%
CT scan of the head without and with contrast CPT 70470 HC CT Head W W/O Contrast	$1,236.60	$2,061.00	$105.18–$575.15	4% above	40%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head W W/O Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Cont	$1,198.92	$1,998.20	$76.65–$342.81	9% above	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Cont	$1,198.92	$1,998.20	$109.01–$1,698.47	9% above	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Cont	$1,198.92	$1,998.20	$109.01–$1,698.47	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Cont	$1,198.92	$1,998.20	$109.01–$1,698.47	12% above	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Cont	$1,798.38	$2,997.30	$77.26	68% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Cont	$1,198.92	$1,998.20	$109.01–$1,698.47	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis With Contrast	$624.62	$1,041.03	$182.54–$884.88	49% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis With Contrast	$658.03	$1,096.72	$158.20–$575.15	46% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis With Contrast	$624.62	$1,041.03	$182.54–$884.88	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Carotid Duplex Scan Bilat	$788.84	$1,314.74	$235.27–$1,117.53	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Carotid Duplex Scan Bilat	$788.84	$1,314.74	$139.23–$782.38	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Carotid Duplex Scan Bilat	$788.84	$1,314.74	$235.27–$1,117.53	—	40%
Chest CT scan without and with contrast CPT 71270 HC CT Chest W W/O Contrast	$1,798.38	$2,997.30	$182.54–$2,547.71	19% above	40%
Chest CT scan without and with contrast CPT 71270 HC CT Chest Limited W W/O Contrast	$1,798.38	$2,997.30	$182.54–$2,547.71	19% above	40%
Chest CT scan without and with contrast CPT 71270 HC CT Chest W W/O Contrast	$5,420.14	$9,033.56	$126.94	258% above	40%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest W W/O Contrast	$1,798.38	$2,997.30	$182.54–$2,547.71	—	40%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest Limited W W/O Contrast	$1,798.38	$2,997.30	$182.54–$2,547.71	—	40%
Chest X-ray, 2 views CPT 71046 HC Chest X-Ray 2 Views	$197.24	$328.73	$82.71–$285.36	25% below	40%
Chest X-ray, 2 views CPT 71046 HC Chest X-Ray 2 Views	$325.28	$542.14	$21.18–$285.36	23% above	40%
Chest X-ray, 2 views inpatient CPT 71046 HC Chest X-Ray 2 Views	$197.24	$328.73	$82.71–$285.36	—	40%
Chest X-ray, single view CPT 71045 HC Oehs Chest X-Ray One View	$38.40	$64.00	$22.02–$285.36	83% below	40%
Chest X-ray, single view CPT 71045 HC Chest X-Ray Single View	$197.24	$328.73	$82.71–$419.14	12% below	40%
Chest X-ray, single view CPT 71045 HC Chest X-Ray Single View	$13,599.56	$22,665.94	$15.66–$40,216.07	5985% above	40%
Chest X-ray, single view inpatient CPT 71045 HC Oehs Chest X-Ray One View	$38.40	$64.00	$22.02–$285.36	—	40%
Chest X-ray, single view inpatient CPT 71045 HC Chest X-Ray Single View	$197.24	$328.73	$82.71–$419.14	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Clavicle	$181.80	$303.00	$82.71–$386.33	33% below	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Clavicle	$545.40	$909.00	$23.32–$285.36	101% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Clavicle\|RIGHT SIDE	$181.80	$303.00	$23.32–$285.36	33% below	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Clavicle\|LEFT SIDE	$379.04	$631.73	$23.32–$285.36	40% above	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Clavicle	$181.80	$303.00	$82.71–$386.33	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US-Retroperitonium	$346.58	$577.64	$109.01–$490.99	51% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US-Retroperitonium	$346.58	$577.64	$66.23–$342.81	51% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US-Retroperitonium	$346.58	$577.64	$109.01–$490.99	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa-Spine/Hips/Forearm	$521.17	$868.62	$109.01–$738.33	15% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa-Spine/Hips/Forearm	$1,316.21	$2,193.69	$27.61–$342.81	191% above	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa-Spine/Hips/Forearm	$521.17	$868.62	$109.01–$738.33	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Appendicular Skeleton	$401.95	$669.92	$20.57–$285.36	57% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Appendicular Skeleton	$401.95	$669.92	$82.71–$569.43	57% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dexa Appendicular Skeleton	$401.95	$669.92	$82.71–$569.43	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus	$442.22	$737.04	$235.27–$782.38	48% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus	$442.22	$737.04	$84.07–$782.38	48% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US Detailed Sngl Fetus	$442.22	$737.04	$235.27–$782.38	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest Lmtd Study W/O Co	$599.46	$999.10	$109.01–$849.24	36% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O Co	$599.46	$999.10	$109.01–$849.24	36% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O Co	$599.46	$999.10	$76.34–$342.81	36% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest W/O Co	$599.46	$999.10	$109.01–$849.24	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest Lmtd Study W/O Co	$599.46	$999.10	$109.01–$849.24	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest/Lmtd W/Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	1% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	1% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/Contrast	$3,022.30	$5,037.16	$103.65	149% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W/Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest/Lmtd W/Contrast	$1,198.92	$1,998.20	$182.54–$1,698.47	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Bilat Includes Cad When Performed	$527.95	$879.91	$101.51–$747.92	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Bilat Includes Cad When Performed	$1,510.55	$2,517.58	$101.51–$203.02	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Bilat Includes Cad When Performed	$527.95	$879.91	$101.51–$747.92	—	40%
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Unilat Includes Cad When Performed	$391.42	$652.37	$79.10–$554.51	9% above	40%
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Unilat Includes Cad When Performed\|LEFT SIDE	$680.86	$1,134.76	$79.10–$158.20	89% above	40%
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Unilat Includes Cad When Performed\|RIGHT SIDE	$680.86	$1,134.76	$79.10–$158.20	89% above	40%
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Unilat Includes Cad When Performed	$1,269.80	$2,116.34	$79.10–$158.20	253% above	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Unilat Includes Cad When Performed	$391.42	$652.37	$79.10–$554.51	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Le Art/Bpg Bilat	$690.25	$1,150.41	$235.27–$977.85	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Le Art/Bpg Bilat	$1,072.53	$1,787.55	$184.32–$782.38	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Le Art/Bpg Bilat	$690.25	$1,150.41	$235.27–$977.85	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Veins Bilat Cc6740	$1,012.33	$1,687.22	$139.54–$782.38	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Veins Bilat Cc6740	$1,012.33	$1,687.22	$235.27–$2,151.21	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Veins Bilat	$1,012.33	$1,687.22	$235.27–$2,151.21	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Veins Bilat Cc6740	$1,012.33	$1,687.22	$235.27–$2,151.21	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Veins Bilat	$1,012.33	$1,687.22	$235.27–$2,151.21	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2d Tte W/WO Contrast Doppler	$1,422.00	$2,370.00	$431.34–$2,570.51	16% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Comb 2d M-Mode Echo	$1,422.00	$2,370.00	$431.34–$2,570.51	16% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2d Tte W/WO Contrast Doppler	$1,492.42	$2,487.36	$118.70–$2,570.51	12% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2d Tte W/WO Contrast Doppler	$1,422.00	$2,370.00	$431.34–$2,570.51	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Comb 2d M-Mode Echo	$1,422.00	$2,370.00	$431.34–$2,570.51	—	40%
Elbow X-ray, 2 views CPT 73070 HC Elbow- 2 Views	$181.80	$303.00	$82.71–$386.33	30% below	40%
Elbow X-ray, 2 views one side CPT 73070 HC Elbow- 2 Views\|LEFT SIDE	$181.80	$303.00	$19.65–$342.81	30% below	40%
Elbow X-ray, 2 views one side CPT 73070 HC Elbow- 2 Views\|RIGHT SIDE	$371.17	$618.62	$19.65–$342.81	42% above	40%
Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow- 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow Minimum 3 Views	$189.37	$315.62	$82.71–$402.42	40% below	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow Minimum 3 Views	$371.17	$618.62	$22.71–$342.81	18% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Elbow Minimum 3 Views\|LEFT SIDE	$189.37	$315.62	$22.71–$342.81	40% below	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Elbow Minimum 3 Views\|RIGHT SIDE	$378.74	$631.24	$22.71–$342.81	20% above	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow Minimum 3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT 0rbits/Fac Bon/Post Fossa/S	$599.46	$999.10	$109.01–$849.24	30% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT 0rbits/Fac Bon/Post Fossa/S	$599.46	$999.10	$91.09–$342.81	30% below	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT 0rbits/Fac Bon/Post Fossa/S	$599.46	$999.10	$109.01–$849.24	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Min 3 Views	$242.40	$404.00	$31.60–$342.81	36% below	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Min 3 Views	$242.40	$404.00	$109.01–$343.40	36% below	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Min 3 Views	$242.40	$404.00	$109.01–$343.40	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views	$181.80	$303.00	$82.71–$386.33	33% below	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views	$528.38	$880.64	$19.65–$342.81	94% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Forearm 2 Views\|RIGHT SIDE	$371.17	$618.62	$19.65–$342.81	36% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Forearm 2 Views\|LEFT SIDE	$371.17	$618.62	$19.65–$342.81	36% above	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatob Sys Image With Gb	$1,572.13	$2,620.22	$385.55–$2,227.19	1% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatob Sys Image With Gb	$1,666.39	$2,777.31	$230.63–$1,512.47	5% above	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatob Sys Image With Gb	$1,572.13	$2,620.22	$385.55–$2,227.19	—	40%
Hand X-ray, 2 views CPT 73120 HC Hand 2 Views	$242.40	$404.00	$109.01–$515.10	9% below	40%
Hand X-ray, 2 views one side CPT 73120 HC Hand 2 Views\|LEFT SIDE	$242.40	$404.00	$21.48–$342.81	9% below	40%
Hand X-ray, 2 views one side CPT 73120 HC Hand 2 Views\|RIGHT SIDE	$424.20	$707.00	$21.48–$342.81	59% above	40%
Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Views	$242.40	$404.00	$109.01–$515.10	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Os Calcis	$181.80	$303.00	$82.71–$386.33	33% below	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Os Calcis	$363.60	$606.00	$19.03–$285.36	34% above	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Os Calcis\|LEFT SIDE	$181.80	$303.00	$19.03–$285.36	33% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Os Calcis\|RIGHT SIDE	$181.80	$303.00	$19.03–$285.36	33% below	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Os Calcis	$181.80	$303.00	$82.71–$386.33	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt & Resp Efft	$380.91	$634.85	$26.85–$816.92	46% below	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt & Resp Efft	$380.91	$634.85	$184.04–$816.92	46% below	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unatt & Resp Efft	$380.91	$634.85	$184.04–$816.92	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Psg With Cpap	$2,950.63	$4,917.71	$268.13–$3,248.88	28% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Psg With Cpap	$2,950.63	$4,917.71	$840.93–$4,180.05	28% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Psg With Cpap	$2,950.63	$4,917.71	$840.93–$4,180.05	—	40%
Knee X-ray, 3 views CPT 73562 HC Knee- 3 Views	$189.37	$315.62	$82.71–$402.42	46% below	40%
Knee X-ray, 3 views CPT 73562 HC Knee- 3 Views	$999.89	$1,666.48	$30.37–$342.81	183% above	40%
Knee X-ray, 3 views one side CPT 73562 HC Knee- 3 Views\|LEFT SIDE	$378.74	$631.24	$30.37–$342.81	7% above	40%
Knee X-ray, 3 views one side CPT 73562 HC Knee- 3 Views\|RIGHT SIDE	$674.17	$1,123.62	$30.37–$342.81	91% above	40%
Knee X-ray, 3 views inpatient CPT 73562 HC Knee- 3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC Knee 4 or More Views	$242.40	$404.00	$109.01–$515.10	38% below	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC Knee 4 or More Views	$516.46	$860.77	$35.28–$342.81	31% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC Knee 4 or More Views\|RIGHT SIDE	$242.40	$404.00	$35.28–$342.81	38% below	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC Knee 4 or More Views\|LEFT SIDE	$242.40	$404.00	$35.28–$342.81	38% below	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Knee 4 or More Views	$242.40	$404.00	$109.01–$515.10	—	40%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Low Ext Uni or Bi W/O C\|RIGHT SIDE	$599.46	$999.10	$76.96–$725.58	—	40%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Low Ext Uni or Bi W/O C	$599.46	$999.10	$109.01–$1,273.85	—	40%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Low Ext Uni or Bi W/O C\|LEFT SIDE	$599.46	$999.10	$76.96–$725.58	—	40%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Low Ext Uni or Bi W/O C	$599.46	$999.10	$76.96–$725.58	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 HC CT Low Ext Uni or Bi W/O C	$599.46	$999.10	$109.01–$1,273.85	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC -US Transabdominal Limite	$378.91	$631.51	$53.97–$342.81	31% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC -US Transabdominal Limite	$378.91	$631.51	$109.01–$536.78	31% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC - Fast US Transabdominal Limited	$378.91	$631.51	$109.01–$536.78	31% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC - Fast US Transabdominal Limited	$378.91	$631.51	$109.01–$536.78	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC -US Transabdominal Limite	$378.91	$631.51	$109.01–$536.78	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extrem Non Vas Limited	$346.58	$577.64	$29.45–$6,248.54	27% below	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extrem Non Vas Limited	$346.58	$577.64	$109.01–$736.49	27% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Extrem Non Vas Limited\|RIGHT SIDE	$346.58	$577.64	$29.45–$6,248.54	27% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Extrem Non Vas Limited\|LEFT SIDE	$346.58	$577.64	$29.45–$6,248.54	27% below	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Extrem Non Vas Limited	$346.58	$577.64	$109.01–$736.49	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr C-	$242.40	$404.00	$79.75–$342.81	18% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr C-	$242.40	$404.00	$109.01–$343.40	18% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Cancer Scr C-	$242.40	$404.00	$109.01–$343.40	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Leg- 2 View	$181.80	$303.00	$82.71–$386.33	34% below	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Leg- 2 View	$424.20	$707.00	$21.79–$342.81	55% above	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Leg- 2 View\|LEFT SIDE	$423.68	$706.13	$21.79–$342.81	55% above	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Leg- 2 View\|RIGHT SIDE	$615.91	$1,026.51	$21.79–$342.81	125% above	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Leg- 2 View	$181.80	$303.00	$82.71–$386.33	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra-Head W/O Contrast	$1,198.92	$1,998.20	$235.27–$1,698.47	17% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra-Head W/O Contrast	$3,028.48	$5,047.47	$146.59	108% above	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra-Head W/O Contrast	$1,198.92	$1,998.20	$235.27–$1,698.47	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Low Ext Joint W/O Cont	$1,198.92	$1,998.20	$130.01–$782.38	32% below	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Low Ext Joint W/O Cont-Limited Study	$1,198.92	$1,998.20	$235.27–$1,698.47	32% below	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Low Ext Joint W/O Cont	$1,198.92	$1,998.20	$235.27–$1,698.47	32% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Low Ext Joint W/O Cont\|LEFT SIDE	$1,198.92	$1,998.20	$130.01–$782.38	32% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Low Ext Joint W/O Cont\|RIGHT SIDE	$1,198.92	$1,998.20	$130.01–$782.38	32% below	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Low Ext Joint W/O Cont-Limited Study	$1,198.92	$1,998.20	$235.27–$1,698.47	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Low Ext Joint W/O Cont	$1,198.92	$1,998.20	$235.27–$1,698.47	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Low Ext Joint Wwo Cont	$1,386.34	$2,310.57	$363.76–$1,963.98	42% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Low Ext Joint Wwo Cont	$1,405.62	$2,342.70	$259.06–$1,143.97	41% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Low Ext Joint Wwo Cont\|RIGHT SIDE	$1,408.22	$2,347.04	$259.06–$1,143.97	41% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Low Ext Joint Wwo Cont\|LEFT SIDE	$1,411.54	$2,352.56	$259.06–$1,143.97	41% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Low Ext Joint Wwo Cont	$1,386.34	$2,310.57	$363.76–$1,963.98	—	40%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast	$2,988.81	$4,981.35	$235.27–$4,234.15	62% above	40%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast	$2,988.81	$4,981.35	$116.83–$782.38	62% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast	$2,988.81	$4,981.35	$235.27–$4,234.15	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W W/O Contrast	$4,251.18	$7,085.30	$363.76–$6,022.51	85% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W W/O Contrast	$4,277.77	$7,129.62	$215.24–$1,143.97	87% above	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W W/O Contrast	$4,251.18	$7,085.30	$363.76–$6,022.51	—	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast	$1,798.38	$2,997.30	$235.27–$2,547.71	12% above	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast	$2,222.58	$3,704.30	$117.14–$782.38	38% above	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast	$1,798.38	$2,997.30	$235.27–$2,547.71	—	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W W/O Contrast	$2,397.84	$3,996.40	$363.76–$3,396.94	10% above	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W W/O Contrast	$2,423.03	$4,038.39	$194.40–$1,143.97	11% above	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W W/O Contrast	$2,397.84	$3,996.40	$363.76–$3,396.94	—	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast	$2,397.84	$3,996.40	$235.27–$3,396.94	44% above	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast	$2,397.84	$3,996.40	$113.15–$782.38	44% above	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast	$2,397.84	$3,996.40	$235.27–$3,396.94	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W W/O Contra	$2,397.84	$3,996.40	$363.76–$3,396.94	3% above	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W W/O Contra	$2,429.20	$4,048.67	$195.32–$1,143.97	4% above	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar Spine W W/O Contra	$2,397.84	$3,996.40	$363.76–$3,396.94	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contra	$2,397.84	$3,996.40	$112.23–$782.38	43% above	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contra	$2,397.84	$3,996.40	$235.27–$3,396.94	43% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O Contra	$2,397.84	$3,996.40	$235.27–$3,396.94	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cervic.Sp W/ W/O Contrast	$2,397.84	$3,996.40	$363.76–$3,396.94	6% above	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cervic.Sp W/ W/O Contrast	$2,434.42	$4,057.37	$195.01–$1,143.97	8% above	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cervic.Sp W/ W/O Contrast	$2,397.84	$3,996.40	$363.76–$3,396.94	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine W/O Contra	$2,397.84	$3,996.40	$112.54–$782.38	45% above	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine W/O Contra	$2,397.84	$3,996.40	$235.27–$3,396.94	45% above	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cervical Spine W/O Contra	$2,397.84	$3,996.40	$235.27–$3,396.94	—	40%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/ W/O Contrast	$1,386.34	$2,310.57	$363.76–$1,963.98	29% below	40%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/ W/O Contrast	$1,411.54	$2,352.56	$213.71–$1,143.97	28% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W/ W/O Contrast	$1,386.34	$2,310.57	$363.76–$1,963.98	—	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast	$1,198.92	$1,998.20	$235.27–$1,698.47	21% below	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast	$1,207.34	$2,012.23	$147.48–$782.38	21% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Contrast	$1,198.92	$1,998.20	$235.27–$1,698.47	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Up Ext Jt Rt W/O Cont\|RIGHT SIDE	$1,198.92	$1,998.20	$130.31–$1,726.25	21% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Up Ext Jt Rt W/O Cont\|LEFT SIDE	$1,198.92	$1,998.20	$130.31–$1,726.25	21% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Up Ext Jt Rt W/O Cont	$1,198.92	$1,998.20	$235.27–$2,547.71	21% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Up Ext Jt Rt W/O Cont	$1,198.92	$1,998.20	$235.27–$2,547.71	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Cervical Spine Min 4 Views	$242.40	$404.00	$109.01–$343.40	46% below	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Cervical Spine Min 4 Views	$484.80	$808.00	$38.65–$342.81	8% above	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Cervical Spine Min 4 Views	$242.40	$404.00	$109.01–$343.40	—	40%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck With Contrast	$624.62	$1,041.03	$182.54–$884.88	47% below	40%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck With Contrast	$667.73	$1,112.89	$110.09–$575.15	43% below	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck With Contrast	$624.62	$1,041.03	$182.54–$884.88	—	40%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck W/O Contrast	$599.46	$999.10	$83.09–$342.81	35% below	40%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck W/O Contrast	$599.46	$999.10	$109.01–$849.24	35% below	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Neck W/O Contrast	$599.46	$999.10	$109.01–$849.24	—	40%
Neck soft tissue X-ray CPT 70360 HC Soft Tissue Neck	$181.80	$303.00	$82.71–$285.36	30% below	40%
Neck soft tissue X-ray CPT 70360 HC Soft Tissue Neck	$379.04	$631.73	$20.57–$285.36	46% above	40%
Neck soft tissue X-ray inpatient CPT 70360 HC Soft Tissue Neck	$181.80	$303.00	$82.71–$285.36	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocard Img Mult Spect Red	$3,588.82	$5,981.36	$1,335.13–$5,084.16	11% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocard Img Mult Spect Red	$5,493.87	$9,156.45	$324.47–$4,898.08	37% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Myocard Img Mult Spect Red	$3,588.82	$5,981.36	$1,335.13–$5,084.16	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Psma Pet Exam	$5,444.02	$9,073.36	$1,490.95–$7,712.36	12% above	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skull/Mid Thigh	$5,607.34	$9,345.56	$1,490.95–$7,943.73	16% above	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skull/Mid Thigh	$7,287.39	$12,145.65	$49.68–$5,409.96	50% above	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Psma Pet Exam	$5,444.02	$9,073.36	$1,490.95–$7,712.36	—	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Skull/Mid Thigh	$5,607.34	$9,345.56	$1,490.95–$7,943.73	—	40%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast	$599.46	$999.10	$109.01–$849.24	40% below	40%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast	$654.34	$1,090.57	$76.04–$342.81	35% below	40%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast	$599.46	$999.10	$109.01–$849.24	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Pelvic US Limited	$346.58	$577.64	$25.16–$342.81	20% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Pelvic US Limited	$346.58	$577.64	$109.01–$490.99	20% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Pelvic US Limited	$346.58	$577.64	$109.01–$490.99	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic Scan	$346.58	$577.64	$109.01–$490.99	31% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic Scan	$693.17	$1,155.28	$66.84–$342.81	38% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvic Scan	$346.58	$577.64	$109.01–$490.99	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Fet Scan W/ Tv > 14 Wee	$346.58	$577.64	$109.01–$490.99	42% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Fet Scan W/ Tv > 14 Wee	$1,307.96	$2,179.94	$81.59–$342.81	118% above	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Fet Scan W/ Tv > 14 Wee	$346.58	$577.64	$109.01–$490.99	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Fetal 1st Trimester<14 Weeks	$346.58	$577.64	$109.01–$490.99	37% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Fetal 1st Trimester<14 Weeks	$693.17	$1,155.28	$64.70–$342.81	26% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US Fetal 1st Trimester<14 Weeks	$346.58	$577.64	$109.01–$490.99	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB U.S. Limited	$357.31	$595.51	$109.01–$506.18	25% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB Bedsdie Ultrasound	$357.31	$595.51	$109.01–$506.18	25% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB U.S. Limited	$1,450.58	$2,417.64	$46.62–$804.73	204% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB Bedsdie Ultrasound	$357.31	$595.51	$109.01–$506.18	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB U.S. Limited	$357.31	$595.51	$109.01–$506.18	—	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views	$181.80	$303.00	$82.71–$285.36	40% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views\|RIGHT SIDE	$181.80	$303.00	$23.63–$285.36	40% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views	$379.04	$631.73	$23.63–$285.36	25% above	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views	$181.80	$303.00	$82.71–$285.36	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Ribs-Unilat W/Pa Cht-Min 4 VI\|LEFT SIDE	$242.40	$404.00	$26.69–$342.81	37% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Ribs-Unilat W/Pa Cht-Min 4 VI	$242.40	$404.00	$26.69–$342.81	37% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Ribs-Unilat W/Pa Cht-Min 4 VI	$242.40	$404.00	$109.01–$343.40	37% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Ribs-Unilat W/Pa Cht-Min 4 VI\|RIGHT SIDE	$320.03	$533.38	$26.69–$342.81	16% below	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Ribs-Unilat W/Pa Cht-Min 4 VI	$242.40	$404.00	$109.01–$343.40	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC Screen Mammo Bilat( 2 View Ea Breast) Incl Cad When Perfoemed	$527.95	$879.91	$41.85–$747.92	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC Screen Mammo Bilat( 2 View Ea Breast) Incl Cad When Perfoemed	$1,502.30	$2,503.83	$41.85–$167.40	—	40%
Screening mammogram, both breasts one side CPT 77067 HC Unilat Mammo Screen W/Cad if Performed	$527.95	$879.91	$41.85–$747.92	175% above	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Screen Mammo Bilat( 2 View Ea Breast) Incl Cad When Perfoemed	$527.95	$879.91	$41.85–$747.92	—	40%
Screening mammogram, both breasts inpatient one side CPT 77067 HC Unilat Mammo Screen W/Cad if Performed	$527.95	$879.91	$41.85–$747.92	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Min 2 Views	$181.80	$303.00	$82.71–$386.33	46% below	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Min 2 Views	$606.00	$1,010.00	$24.55–$342.81	80% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Min 2 Views\|LEFT SIDE	$606.00	$1,010.00	$24.55–$342.81	80% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Min 2 Views\|RIGHT SIDE	$2,501.98	$4,169.97	$24.55–$342.81	642% above	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Min 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses Min 3 Views	$189.37	$315.62	$25.16–$285.36	48% below	40%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses Min 3 Views	$189.37	$315.62	$82.71–$285.36	48% below	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Sinuses Min 3 Views	$189.37	$315.62	$82.71–$285.36	—	40%
Skull X-ray, fewer than 4 views CPT 70250 HC Skull Less Than 4 Views	$242.40	$404.00	$109.01–$343.40	16% below	40%
Skull X-ray, fewer than 4 views CPT 70250 HC Skull Less Than 4 Views	$621.44	$1,035.73	$24.86–$285.36	115% above	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull Less Than 4 Views	$242.40	$404.00	$109.01–$343.40	—	40%
Sleep study in a lab (polysomnography) CPT 95810 HC Psg Only (Has No Cpap)	$2,784.38	$4,640.63	$254.46–$3,248.88	23% below	40%
Sleep study in a lab (polysomnography) CPT 95810 HC Psg Only (Has No Cpap)	$2,784.38	$4,640.63	$793.55–$3,944.54	23% below	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Psg Only (Has No Cpap)	$2,784.38	$4,640.63	$793.55–$3,944.54	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo W Cont Ecg Monitor	$2,559.20	$4,265.33	$569.73–$3,625.53	25% above	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo W Cont Ecg Monitor	$3,330.29	$5,550.48	$139.88–$2,570.51	62% above	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo W Cont Ecg Monitor	$2,559.20	$4,265.33	$569.73–$3,625.53	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Esophagram-Video	$535.00	$891.66	$182.54–$757.91	6% above	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Esophagram-Video	$1,012.24	$1,687.06	$87.68–$575.15	100% above	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Esophagram-Video	$535.00	$891.66	$182.54–$757.91	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Femur 2 or > Views	$181.80	$303.00	$82.71–$386.33	33% below	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Femur 2 or > Views	$424.20	$707.00	$24.86–$342.81	57% above	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Femur 2 or > Views\|LEFT SIDE	$181.80	$303.00	$24.86–$342.81	33% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Femur 2 or > Views\|RIGHT SIDE	$410.57	$684.28	$24.86–$342.81	51% above	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Femur 2 or > Views	$181.80	$303.00	$82.71–$386.33	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thorac Spine W/O Contr	$1,198.92	$1,998.20	$109.01–$1,698.47	32% above	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thorac Spine W/O Contr	$2,397.84	$3,996.40	$76.96	165% above	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Thorac Spine W/O Contr	$1,198.92	$1,998.20	$109.01–$1,698.47	—	40%
Toe X-ray, 2 or more views CPT 73660 HC Toe(S) Minimum 2 Views	$181.80	$303.00	$82.71–$386.33	27% below	40%
Toe X-ray, 2 or more views CPT 73660 HC Toe(S) Minimum 2 Views	$371.17	$618.62	$20.57–$285.36	49% above	40%
Toe X-ray, 2 or more views one side CPT 73660 HC Toe(S) Minimum 2 Views\|RIGHT SIDE	$181.80	$303.00	$20.57–$285.36	27% below	40%
Toe X-ray, 2 or more views one side CPT 73660 HC Toe(S) Minimum 2 Views\|LEFT SIDE	$213.46	$355.77	$20.57–$285.36	14% below	40%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Toe(S) Minimum 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
Transvaginal pelvic ultrasound CPT 76830 HC US-Transvaginal Imaging	$346.58	$577.64	$109.01–$490.99	39% below	40%
Transvaginal pelvic ultrasound CPT 76830 HC US-Transvaginal Imaging	$693.17	$1,155.28	$78.21–$342.81	23% above	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US-Transvaginal Imaging	$346.58	$577.64	$109.01–$490.99	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Transvaginal Imaging-OB	$346.58	$577.64	$109.01–$490.99	31% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Transvaginal Imaging-OB	$346.58	$577.64	$26.37–$342.81	31% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Transvaginal Imaging-OB	$346.58	$577.64	$109.01–$490.99	—	40%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdominal Scan	$346.58	$577.64	$109.01–$490.99	45% below	40%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdominal Scan	$346.58	$577.64	$70.55–$342.81	45% below	40%
Ultrasound of the abdomen, complete one side CPT 76700 HC US Abdominal Scan\|RIGHT SIDE	$346.58	$577.64	$70.55–$342.81	45% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdominal Scan	$346.58	$577.64	$109.01–$490.99	—	40%
Ultrasound of the scrotum and testicles CPT 76870 HC US-Testicular Scan	$346.58	$577.64	$109.01–$490.99	35% below	40%
Ultrasound of the scrotum and testicles CPT 76870 HC US-Testicular Scan	$983.80	$1,639.66	$63.16–$782.38	83% above	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US-Testicular Scan	$346.58	$577.64	$109.01–$490.99	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Thyrd/Soft Tissue Head/Neck	$346.58	$577.64	$109.01–$490.99	40% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Thyrd/Soft Tissue Head/Neck	$346.58	$577.64	$75.42–$342.81	40% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid one side CPT 76536 HC US Thyrd/Soft Tissue Head/Neck\|RIGHT SIDE	$346.58	$577.64	$75.42–$342.81	40% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Thyrd/Soft Tissue Head/Neck	$346.58	$577.64	$109.01–$490.99	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Radiologic Exam Upr GI Trc Single Contrast Study	$483.83	$806.39	$182.54–$685.43	18% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Radiologic Exam Upr GI Trc Single Contrast Study	$483.83	$806.39	$77.26–$575.15	18% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Radiologic Exam Upr GI Trc Single Contrast Study	$483.83	$806.39	$182.54–$685.43	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus 2 Views	$181.80	$303.00	$82.71–$386.33	34% below	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus 2 Views	$363.60	$606.00	$22.10–$285.36	32% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Humerus 2 Views\|RIGHT SIDE	$371.17	$618.62	$22.10–$285.36	35% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Humerus 2 Views\|LEFT SIDE	$400.72	$667.87	$22.10–$285.36	46% above	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Ext Veins Unil/Limit Cc6740	$611.65	$1,019.41	$109.01–$866.50	17% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Ext Veins Unil/Limit	$611.65	$1,019.41	$88.02–$21,052.22	17% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Ext Veins Unil/Limit	$611.65	$1,019.41	$109.01–$866.50	17% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext Veins Unil/Limit\|LEFT SIDE	$15,809.59	$26,349.32	$88.02–$21,052.22	2049% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext Veins Unil/Limit\|RIGHT SIDE	$15,809.59	$26,349.32	$88.02–$21,052.22	2049% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Ext Veins Unil/Limit	$611.65	$1,019.41	$109.01–$866.50	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Ext Veins Unil/Limit Cc6740	$611.65	$1,019.41	$109.01–$866.50	—	40%
Wrist X-ray, 2 views CPT 73100 HC Wrist 2 Views	$181.80	$303.00	$82.71–$386.33	30% below	40%
Wrist X-ray, 2 views CPT 73100 HC Wrist 2 Views	$363.60	$606.00	$23.94–$285.36	39% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC Wrist 2 Views\|LEFT SIDE	$363.60	$606.00	$23.94–$285.36	39% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC Wrist 2 Views\|RIGHT SIDE	$363.60	$606.00	$23.94–$285.36	39% above	40%
Wrist X-ray, 2 views inpatient CPT 73100 HC Wrist 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Lt Min 3 Views	$189.37	$315.62	$82.71–$402.42	43% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Lt Min 3 Views\|LEFT SIDE	$234.55	$390.92	$31.29–$285.36	30% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Lt Min 3 Views\|RIGHT SIDE	$378.74	$631.24	$31.29–$285.36	13% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Lt Min 3 Views	$378.74	$631.24	$31.29–$285.36	13% above	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Wrist Lt Min 3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilat W Pelvis 2-3 Views	$189.37	$315.62	$82.71–$402.42	38% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilat W Pelvis 2-3 Views\|RIGHT SIDE	$431.77	$719.62	$34.97–$342.81	40% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilat W Pelvis 2-3 Views\|LEFT SIDE	$459.73	$766.22	$34.97–$342.81	49% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilat W Pelvis 2-3 Views	$999.89	$1,666.48	$34.97–$342.81	225% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip Unilat W Pelvis 2-3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Abdomen One View	$181.80	$303.00	$19.34–$285.36	29% below	40%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Abdomen One View	$181.80	$303.00	$82.71–$285.36	29% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Abdomen One View	$181.80	$303.00	$82.71–$285.36	—	40%
X-ray of the ankle, 2 views CPT 73600 HC Ankle 2 Views	$181.80	$303.00	$82.71–$386.33	27% below	40%
X-ray of the ankle, 2 views CPT 73600 HC Ankle 2 Views	$363.60	$606.00	$22.40–$285.36	46% above	40%
X-ray of the ankle, 2 views one side CPT 73600 HC Ankle 2 Views\|LEFT SIDE	$363.60	$606.00	$22.40–$285.36	46% above	40%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger(S) Minimum 2 Views	$181.80	$303.00	$82.71–$386.33	30% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger(S) Minimum 2 Views	$371.17	$618.62	$30.07–$285.36	44% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Finger(S) Minimum 2 Views\|RIGHT SIDE	$371.17	$618.62	$30.07–$285.36	44% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Finger(S) Minimum 2 Views\|LEFT SIDE	$588.49	$980.81	$30.07–$285.36	128% above	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger(S) Minimum 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
X-ray of the foot, 2 views CPT 73620 HC Foot 2 View	$181.80	$303.00	$82.71–$386.33	22% below	40%
X-ray of the foot, 2 views CPT 73620 HC Foot 2 View	$371.17	$618.62	$19.34–$285.36	60% above	40%
X-ray of the foot, 2 views one side CPT 73620 HC Foot 2 View\|RIGHT SIDE	$181.80	$303.00	$19.34–$285.36	22% below	40%
X-ray of the foot, 2 views one side CPT 73620 HC Foot 2 View\|LEFT SIDE	$371.17	$618.62	$19.34–$285.36	60% above	40%
X-ray of the foot, 2 views inpatient CPT 73620 HC Foot 2 View	$181.80	$303.00	$82.71–$386.33	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot- Min 3 Views	$189.37	$315.62	$82.71–$402.42	38% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot- Min 3 Views	$371.17	$618.62	$23.94–$342.81	21% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Foot- Min 3 Views\|LEFT SIDE	$234.94	$391.57	$23.94–$342.81	23% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Foot- Min 3 Views\|RIGHT SIDE	$238.40	$397.33	$23.94–$342.81	22% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Foot- Min 3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Min 3 Views	$189.37	$315.62	$82.71–$402.42	42% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 HC Hand Min 3 Views\|LEFT SIDE	$378.74	$631.24	$27.00–$285.36	16% above	40%
X-ray of the hand, 3 or more views one side CPT 73130 HC Hand Min 3 Views\|RIGHT SIDE	$378.74	$631.24	$27.00–$285.36	16% above	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Min 3 Views	$189.37	$315.62	$82.71–$402.42	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 HC Knee- 1 or 2 Views	$181.80	$303.00	$82.71–$386.33	33% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Knee- 1 or 2 Views\|RIGHT SIDE	$29,171.35	$48,618.91	$24.24–$48,572.85	10586% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Knee- 1 or 2 Views\|LEFT SIDE	$29,741.73	$49,569.55	$24.24–$48,572.85	10795% above	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee- 1 or 2 Views	$181.80	$303.00	$82.71–$386.33	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbosacral 2 or 3 Views	$242.40	$404.00	$27.31–$342.81	25% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbosacral 2 or 3 Views	$242.40	$404.00	$109.01–$343.40	25% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Spine Lumbosacral 2 or 3 Views	$242.40	$404.00	$109.01–$343.40	—	40%
X-ray of the lower back, 4 or more views CPT 72110 HC Lumbar Spine-Min 4 Views	$242.40	$404.00	$109.01–$343.40	48% below	40%
X-ray of the lower back, 4 or more views CPT 72110 HC Lumbar Spine-Min 4 Views	$242.40	$404.00	$37.42–$342.81	48% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lumbar Spine-Min 4 Views	$242.40	$404.00	$109.01–$343.40	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Thoracic Spine-2views	$242.40	$404.00	$109.01–$343.40	20% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Thoracic Spine-2views	$557.37	$928.95	$21.48–$342.81	84% above	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Thoracic Spine-2views	$242.40	$404.00	$109.01–$343.40	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bone Min 3 View	$189.37	$315.62	$26.69–$285.36	35% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bone Min 3 View	$189.37	$315.62	$82.71–$285.36	35% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bone Min 3 View	$189.37	$315.62	$82.71–$285.36	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2 or 3 Views	$189.37	$315.62	$82.71–$285.36	43% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2 or 3 Views	$378.74	$631.24	$27.00–$285.36	13% above	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Spine Cervical 2 or 3 Views	$189.37	$315.62	$82.71–$285.36	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 Views	$242.40	$404.00	$109.01–$343.40	4% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 Views	$27,047.26	$45,078.76	$18.11–$48,572.85	10651% above	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis 1 or 2 Views	$242.40	$404.00	$109.01–$343.40	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum/Coccyx Min 2 Views	$181.80	$303.00	$82.71–$285.36	39% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum/Coccyx Min 2 Views	$424.20	$707.00	$21.79–$342.81	43% above	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum/Coccyx Min 2 Views	$181.80	$303.00	$82.71–$285.36	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ACTH blood test CPT 82024 HC Acth So	$170.90	$284.83	$38.62–$242.11	30% above	40%
ACTH blood test CPT 82024 HC Acth So	$459.85	$766.41	$38.62–$272.41	249% above	40%
ACTH blood test inpatient CPT 82024 HC Acth So	$170.90	$284.83	$38.62–$242.11	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino Alt Sgpt Lc	$23.26	$38.76	$5.30–$32.95	17% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alcohol,Ethyl,Blood	$59.38	$98.97	$5.30–$84.12	113% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt	$72.25	$120.42	$3.32–$12.34	159% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino Alt Sgpt Lc	$23.26	$38.76	$5.30–$32.95	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alcohol,Ethyl,Blood	$59.38	$98.97	$5.30–$84.12	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot Lc	$23.26	$38.76	$5.18–$32.95	8% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast	$71.66	$119.43	$3.24–$12.05	184% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino Ast Sgot Lc	$23.26	$38.76	$5.18–$32.95	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$365.86	$609.77	$29.85–$110.91	68% above	40%
Albumin blood test CPT 82040 HC Assay of Serum Albumin	$9.38	$15.63	$3.58–$13.29	58% below	40%
Albumin blood test CPT 82040 HC Albumin	$36.43	$60.72	$3.10–$11.53	65% above	40%
Albumin blood test CPT 82040 HC Albumin - Serum So (End Of	$43.18	$71.97	$4.95–$61.17	95% above	40%
Albumin blood test CPT 82040 HC Assay of Serum Albumin	$246.38	$410.63	$2.71–$9.90	1015% above	40%
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin	$9.38	$15.63	$3.58–$13.29	—	40%
Albumin blood test inpatient CPT 82040 HC Albumin - Serum So (End Of	$43.18	$71.97	$4.95–$61.17	—	40%
Aldosterone blood test CPT 82088 HC Aldosterone	$50.00	$83.33	$19.07–$81.50	64% below	40%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone	$51.61	$86.02	$19.68–$81.50	63% below	40%
Aldosterone blood test CPT 82088 HC Aldosterone-UR So	$134.03	$223.39	$40.75–$189.88	4% below	40%
Aldosterone blood test CPT 82088 HC Aldosterone So	$168.98	$281.63	$40.75–$239.39	21% above	40%
Aldosterone blood test CPT 82088 HC Aldosterone So	$489.06	$815.10	$40.75–$81.50	250% above	40%
Aldosterone blood test inpatient CPT 82088 HC Aldosterone	$50.00	$83.33	$19.07–$81.50	—	40%
Aldosterone blood test inpatient CPT 82088 HC Assay of Aldosterone	$51.61	$86.02	$19.68–$81.50	—	40%
Aldosterone blood test inpatient CPT 82088 HC Aldosterone-UR So	$134.03	$223.39	$40.75–$189.88	—	40%
Aldosterone blood test inpatient CPT 82088 HC Aldosterone So	$168.98	$281.63	$40.75–$239.39	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase	$178.97	$298.29	$3.24–$12.05	646% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige, Quat or Semiquant Ea Allergen	$11.42	$19.03	$4.35–$16.18	51% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen-Latex	$19.22	$32.03	$5.22–$27.23	18% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen-Oak	$19.22	$32.03	$5.22–$27.23	18% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige	$19.25	$32.08	$5.22–$27.27	18% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen So	$52.79	$87.98	$5.22–$74.78	126% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen So	$1,695.85	$2,826.42	$85.84–$302.76	7147% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige, Quat or Semiquant Ea Allergen	$11.42	$19.03	$4.35–$16.18	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen-Oak	$19.22	$32.03	$5.22–$27.23	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen-Latex	$19.22	$32.03	$5.22–$27.23	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige	$19.25	$32.08	$5.22–$27.27	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen So	$52.79	$87.98	$5.22–$74.78	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Afp,Maternal Serum	$27.56	$45.94	$10.51–$39.05	55% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetaprotein-Tumor M	$50.87	$84.79	$10.51–$39.05	16% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Maternal Serum Screen,Afp Only	$61.21	$102.02	$10.51–$39.05	1% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Afp-So	$71.72	$119.53	$16.77–$101.60	18% above	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Afp,Maternal Serum	$27.56	$45.94	$10.51–$39.05	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Afp-So	$71.72	$119.53	$16.77–$101.60	—	40%
Ammonia blood test CPT 82140 HC Ammonia/Blood	$130.72	$217.87	$9.13–$33.93	139% above	40%
Amylase blood test CPT 82150 HC Pancreatic Amylase So	$42.32	$70.53	$6.48–$59.95	12% below	40%
Amylase blood test CPT 82150 HC Salivary Amylase So	$43.26	$72.10	$6.48–$61.29	10% below	40%
Amylase blood test CPT 82150 HC Amylase,Pleural Fluid	$85.92	$143.20	$6.48–$121.72	79% above	40%
Amylase blood test CPT 82150 HC Amylase Serum	$95.69	$159.48	$4.06–$15.08	100% above	40%
Amylase blood test CPT 82150 HC Amylase, Random Urine	$132.47	$220.78	$4.06–$15.08	177% above	40%
Amylase blood test inpatient CPT 82150 HC Pancreatic Amylase So	$42.32	$70.53	$6.48–$59.95	—	40%
Amylase blood test inpatient CPT 82150 HC Salivary Amylase So	$43.26	$72.10	$6.48–$61.29	—	40%
Amylase blood test inpatient CPT 82150 HC Amylase,Pleural Fluid	$85.92	$143.20	$6.48–$121.72	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody Lc	$75.28	$125.47	$12.95–$106.65	30% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrulinated Pept. Igg	$117.43	$195.72	$12.95–$166.36	103% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrulinated Pept. Igg	$494.69	$824.49	$12.95–$25.90	755% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Peptide Antibody Lc	$75.28	$125.47	$12.95–$106.65	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrulinated Pept. Igg	$117.43	$195.72	$12.95–$166.36	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana	$12.72	$21.20	$4.85–$24.18	77% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Lc	$14.33	$23.88	$5.46–$24.18	74% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Anit-Nuclear Ab Cascade	$113.09	$188.48	$7.58–$28.16	105% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Anti-Nuclear Ab-Ana	$318.37	$530.62	$7.58–$28.16	476% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies Ana	$12.72	$21.20	$4.85–$24.18	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies Lc	$14.33	$23.88	$5.46–$24.18	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Bnp	$143.95	$239.91	$24.61–$91.43	4% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Throat Culture	$14.18	$23.63	$5.41–$20.09	79% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Cath Tip	$83.92	$139.87	$5.41–$20.09	27% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Dialysis Fld Culture *	$91.37	$152.29	$5.41–$20.09	38% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Placenta Culture	$99.55	$165.92	$8.62–$141.03	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Wound Culture *	$102.63	$171.05	$5.41–$20.09	56% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Eye Culture *	$126.65	$211.09	$5.41–$20.09	92% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Ear Culture *	$126.65	$211.09	$5.41–$20.09	92% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Routine Culture/Sputum	$134.73	$224.55	$5.41–$20.09	104% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Routine Culture/CSF *	$180.78	$301.30	$8.62–$256.11	174% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Routine Culture/CSF	$180.83	$301.38	$8.62–$256.17	174% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Routine Culture/Bf-Tis *	$180.83	$301.38	$5.41–$20.09	174% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Placenta Culture	$99.55	$165.92	$8.62–$141.03	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Routine Culture/CSF *	$180.78	$301.30	$8.62–$256.11	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Routine Culture/CSF	$180.83	$301.38	$8.62–$256.17	—	40%
Basic metabolic panel (blood test) CPT 80048 HC Health Fair Chem 8 Only	$21.00	$35.00	$8.01–$29.75	68% below	40%
Basic metabolic panel (blood test) CPT 80048 HC Chem 8 (Basic Metabolic - Lik	$60.34	$100.56	$5.30–$19.70	8% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Health Fair Chem 8 Only	$21.00	$35.00	$8.01–$29.75	—	40%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total Natal	$14.20	$23.67	$3.15–$11.70	41% below	40%
Bilirubin blood test, total CPT 82247 HC Bilirubin Level Total Lc	$23.26	$38.76	$5.02–$32.95	3% below	40%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$120.81	$201.35	$3.15–$11.70	404% above	40%
Bilirubin blood test, total CPT 82247 HC Neontatal Bilirubin	$142.84	$238.06	$5.02–$202.35	495% above	40%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Level Total Lc	$23.26	$38.76	$5.02–$32.95	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC Neontatal Bilirubin	$142.84	$238.06	$5.02–$202.35	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Bone Marrow Pathology	$147.42	$245.70	$31.57–$208.85	28% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path Ex Biopsy Level IV	$270.93	$451.55	$31.57–$383.82	33% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Histology Level 4	$270.93	$451.55	$31.57–$383.82	33% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Cell Block/Cytology	$392.69	$654.49	$31.57–$556.32	93% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Histology Level 4	$4,911.32	$8,185.54	$32.21–$4,527.26	2314% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Bone Marrow Pathology	$147.42	$245.70	$31.57–$208.85	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path Ex Biopsy Level IV	$270.93	$451.55	$31.57–$383.82	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Histology Level 4	$270.93	$451.55	$31.57–$383.82	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Cell Block/Cytology	$392.69	$654.49	$31.57–$556.32	—	40%
Blood culture for bacteria CPT 87040 HC Blood Culture	$323.26	$538.77	$6.47–$24.03	245% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC POC Venipunture	$22.60	$37.66	$2.27–$18.68	42% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture POC	$22.60	$37.66	$8.62–$32.01	42% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Lab Draw/Venipuncture	$97.16	$161.93	$9.34–$18.68	511% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture POC	$22.60	$37.66	$8.62–$32.01	—	40%
Blood glucose (sugar) test CPT 82947 HC Health Fair Fasting Glucose	$7.20	$12.00	$2.75–$10.20	69% below	40%
Blood glucose (sugar) test CPT 82947 HC Health Fair Fasting Glucose Only	$21.00	$35.00	$3.93–$29.75	11% below	40%
Blood glucose (sugar) test CPT 82947 HC Assay Glucose Blood Quant Lc	$23.26	$38.76	$3.93–$32.95	1% below	40%
Blood glucose (sugar) test CPT 82947 HC Glucose Fasting	$44.66	$74.44	$2.46–$9.15	89% above	40%
Blood glucose (sugar) test CPT 82947 HC Glucose/2 Hr Pp *	$44.66	$74.44	$3.93–$63.27	89% above	40%
Blood glucose (sugar) test CPT 82947 HC Glucose (Abg Oh)	$44.66	$74.44	$3.93–$63.27	89% above	40%
Blood glucose (sugar) test CPT 82947 HC Glucose (Abg Oh) Part of Abg	$44.66	$74.44	$3.93–$63.27	89% above	40%
Blood glucose (sugar) test CPT 82947 HC Glucose (Abg Oh)-Perfusion	$44.66	$74.44	$3.93–$63.27	89% above	40%
Blood glucose (sugar) test CPT 82947 HC Glucose (Abg Oh) Part of Abg	$99.26	$165.43	$3.93–$7.86	321% above	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Health Fair Fasting Glucose	$7.20	$12.00	$2.75–$10.20	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Health Fair Fasting Glucose Only	$21.00	$35.00	$3.93–$29.75	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Glucose Blood Quant Lc	$23.26	$38.76	$3.93–$32.95	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose/2 Hr Pp *	$44.66	$74.44	$3.93–$63.27	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose (Abg Oh)	$44.66	$74.44	$3.93–$63.27	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose (Abg Oh) Part of Abg	$44.66	$74.44	$3.93–$63.27	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose (Abg Oh)-Perfusion	$44.66	$74.44	$3.93–$63.27	—	40%
Blood lead test CPT 83655 HC Lead/Blood	$19.91	$33.18	$7.59–$28.20	59% below	40%
Blood lead test CPT 83655 HC Lead, Venous	$29.95	$49.92	$11.42–$42.43	38% below	40%
Blood lead test CPT 83655 HC Lead Industrial	$32.34	$53.90	$12.11–$45.82	33% below	40%
Blood lead test CPT 83655 HC Lead -So	$55.03	$91.71	$12.11–$77.95	13% above	40%
Blood lead test CPT 83655 HC Lead - So	$55.03	$91.71	$7.59–$28.20	13% above	40%
Blood lead test inpatient CPT 83655 HC Lead, Venous	$29.95	$49.92	$11.42–$42.43	—	40%
Blood lead test inpatient CPT 83655 HC Lead Industrial	$32.34	$53.90	$12.11–$45.82	—	40%
Blood lead test inpatient CPT 83655 HC Lead -So	$55.03	$91.71	$12.11–$77.95	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Preg Test	$77.74	$129.57	$4.72–$17.53	43% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Type	$268.69	$447.82	$2.99–$503.38	352% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Type-Gel	$268.69	$447.82	$2.99–$503.38	352% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Type-Cord	$268.69	$447.82	$2.99–$503.38	352% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Typing-So	$268.69	$447.82	$2.99–$503.38	352% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Type-Rxn	$379.28	$632.13	$2.99–$503.38	539% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Type-Cord	$268.69	$447.82	$2.99–$503.38	—	40%
Blood urea nitrogen (BUN) test CPT 84520 HC Bun - Post Dialysis	$44.17	$73.61	$3.95–$62.57	89% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC Bun	$215.75	$359.59	$2.48–$9.21	823% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Bun - Post Dialysis	$44.17	$73.61	$3.95–$62.57	—	40%
C-peptide blood test CPT 84681 HC C-Peptide So	$126.25	$210.41	$20.81–$178.85	59% above	40%
C-peptide blood test CPT 84681 HC C-Peptide So	$270.20	$450.33	$20.81–$41.62	241% above	40%
C-peptide blood test inpatient CPT 84681 HC C-Peptide So	$126.25	$210.41	$20.81–$178.85	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Crp Synovial Fluid	$25.42	$42.36	$5.18–$36.01	49% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$114.40	$190.67	$3.24–$12.05	128% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Crp Synovial Fluid	$25.42	$42.36	$5.18–$36.01	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Difficile	$68.27	$113.79	$26.04–$96.72	48% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Difficile	$157.24	$262.06	$17.33–$74.54	21% above	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C.Difficle Dna Amplification	$288.40	$480.66	$37.27–$408.56	121% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Difficile	$68.27	$113.79	$26.04–$96.72	—	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C.Difficle Dna Amplification	$288.40	$480.66	$37.27–$408.56	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-9 So	$111.71	$186.19	$20.81–$158.26	53% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-9 So	$183.04	$305.06	$10.28–$41.62	150% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Ca 19-9 So	$111.71	$186.19	$20.81–$158.26	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ca 125	$93.50	$155.83	$13.04–$48.46	at median	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars Cov 2 Rapid Molecular Test	$83.33	$138.88	$31.78–$118.05	41% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb	$136.35	$227.25	$51.31–$193.16	3% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb	$136.35	$227.25	$20.52–$102.62	3% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars Cov 2 Rapid Molecular Test	$83.33	$138.88	$31.78–$118.05	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb	$136.35	$227.25	$51.31–$193.16	—	40%
Calcium blood test, total CPT 82310 HC Calcium/Serum	$151.93	$253.21	$3.24–$12.02	381% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Cea	$183.04	$305.06	$11.89–$44.16	110% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella Ab Igm So-Ln	$155.38	$258.97	$12.88–$220.12	169% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella Ab Igg So	$155.38	$258.97	$12.88–$220.12	169% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella Ab Igg So	$522.16	$870.27	$12.88–$25.76	803% above	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella Ab Igg So	$155.38	$258.97	$12.88–$220.12	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella Ab Igm So-Ln	$155.38	$258.97	$12.88–$220.12	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Amp Probe Lc	$15.90	$26.50	$6.06–$70.18	83% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Iadna Chlamydia Trachomatis Amplified Probe Tq Lc	$25.44	$42.40	$9.70–$70.18	72% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Amplified Probe Lc	$193.41	$322.35	$35.09–$274.00	109% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia-Amplified Probe	$260.53	$434.22	$21.99–$81.71	182% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia & Gc Amplified M4	$300.68	$501.13	$35.09–$425.96	225% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Amp Probe Lc	$15.90	$26.50	$6.06–$70.18	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Iadna Chlamydia Trachomatis Amplified Probe Tq Lc	$25.44	$42.40	$9.70–$70.18	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Amplified Probe Lc	$193.41	$322.35	$35.09–$274.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia & Gc Amplified M4	$300.68	$501.13	$35.09–$425.96	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Health Fair Lipid Profile	$7.20	$12.00	$2.75–$26.78	86% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Health Fair POC Lipid	$18.00	$30.00	$6.86–$26.78	66% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Health Fair Lipid Profile Only	$21.00	$35.00	$8.01–$29.75	60% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Cholesterol Profile * (Measur	$97.79	$162.99	$8.39–$31.19	85% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel Send Out	$244.84	$408.07	$13.39–$346.86	363% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Health Fair Lipid Profile	$7.20	$12.00	$2.75–$26.78	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Health Fair POC Lipid	$18.00	$30.00	$6.86–$26.78	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Health Fair Lipid Profile Only	$21.00	$35.00	$8.01–$29.75	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel Send Out	$244.84	$408.07	$13.39–$346.86	—	40%
Complete blood count (CBC) with differential CPT 85025 HC Health Fair Cbc	$7.20	$12.00	$2.75–$15.54	80% below	40%
Complete blood count (CBC) with differential CPT 85025 HC Health Fair Cbc Only	$21.00	$35.00	$7.77–$29.75	42% below	40%
Complete blood count (CBC) with differential CPT 85025 HC Cbc With Auto Diff	$100.93	$168.21	$4.87–$18.09	177% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Health Fair Cbc	$7.20	$12.00	$2.75–$15.54	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Health Fair Cbc Only	$21.00	$35.00	$7.77–$29.75	—	40%
Complete blood count (CBC), no differential CPT 85027 HC Hemogram & Platelet Count	$98.66	$164.43	$4.05–$15.06	191% above	40%
Complete blood count (CBC), no differential CPT 85027 HC Cbc W/Manual Diff	$111.01	$185.02	$4.05–$15.06	228% above	40%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Manual W/Diff	$111.01	$185.02	$6.47–$157.27	228% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Manual W/Diff	$111.01	$185.02	$6.47–$157.27	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC Metaboloc Panel (Comprehensiv	$282.26	$470.43	$6.62–$24.60	344% above	40%
Cortisol blood test, total CPT 82533 HC Saliva Cortisol	$128.38	$213.97	$16.30–$181.87	77% above	40%
Cortisol blood test, total CPT 82533 HC Cortisol-Random	$229.78	$382.96	$10.22–$37.96	217% above	40%
Cortisol blood test, total CPT 82533 HC Cortisol#3	$229.78	$382.96	$10.22–$37.96	217% above	40%
Cortisol blood test, total CPT 82533 HC Cortisol/Pm	$229.80	$383.00	$10.22–$37.96	217% above	40%
Cortisol blood test, total CPT 82533 HC Cortisol/Am	$237.82	$396.36	$10.22–$37.96	228% above	40%
Cortisol blood test, total inpatient CPT 82533 HC Saliva Cortisol	$128.38	$213.97	$16.30–$181.87	—	40%
Creatine kinase (CK) blood test, total CPT 82550 HC Cpk	$125.71	$209.52	$4.08–$15.16	255% above	40%
Creatinine blood test CPT 82565 HC Creatinine POC	$46.64	$77.74	$3.21–$11.93	89% above	40%
Creatinine blood test CPT 82565 HC Creatinine	$78.38	$130.63	$3.21–$11.93	217% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Igg Ifa So	$101.33	$168.88	$14.39–$143.55	47% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Igg Ifa So	$1,079.74	$1,799.57	$14.39–$28.78	1471% above	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cmv Igg Ifa So	$101.33	$168.88	$14.39–$143.55	—	40%
D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer	$167.31	$278.85	$6.38–$23.70	140% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea Sulfate So	$131.59	$219.32	$22.23–$186.42	32% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea Sulfate So	$541.51	$902.52	$22.23–$44.46	445% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea Sulfate So	$131.59	$219.32	$22.23–$186.42	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Alcohol Ethyl UR Qt	$22.50	$37.50	$8.58–$124.28	76% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Pain Mgmt Drug Class Add'l	$40.07	$66.78	$15.28–$124.28	58% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Pain Mgmt Drug Screen Class A	$40.07	$66.78	$15.28–$124.28	58% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Pain Mgmt Drug Screen Class B	$40.07	$66.78	$15.28–$124.28	58% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Barbiturate Urine	$70.57	$117.62	$26.91–$124.28	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Benzodiazepine Qualitative Urine	$70.57	$117.62	$26.91–$124.28	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Amphetamine Screen Urine	$70.57	$117.62	$26.91–$124.28	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Opiate Qualitative Urine	$70.57	$117.62	$26.91–$124.28	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Buprenorphine Urine Screen W/ Reflex	$84.39	$140.65	$32.18–$124.28	12% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Pain Mgmt 7 Panel	$94.83	$158.05	$36.16–$134.34	1% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Urine 7 Panel	$94.83	$158.05	$36.16–$134.34	1% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Pain Mgmt	$118.52	$197.54	$45.20–$167.91	24% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Urine 9 Panel	$118.54	$197.57	$45.20–$167.93	24% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Synthetic Cannabinoid Metabolite Urine	$125.65	$209.41	$47.91–$178.00	32% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Umbilical Cord, Presumptive	$128.51	$214.18	$49.00–$202.71	34% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Tricyclic Drug Level	$209.85	$349.75	$62.14–$297.29	120% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Umbilical Cord, Single Class	$257.02	$428.36	$62.14–$364.11	169% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Urine 7 Panel	$263.54	$439.23	$21.67–$228.86	176% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Blood	$309.55	$515.92	$62.14–$438.53	224% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Urine	$328.96	$548.26	$62.14–$466.02	244% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen-Urin 5 Panel	$342.68	$571.13	$62.14–$485.46	259% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Alcohol Ethyl UR Qt	$22.50	$37.50	$8.58–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Pain Mgmt Drug Screen Class B	$40.07	$66.78	$15.28–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Pain Mgmt Drug Screen Class A	$40.07	$66.78	$15.28–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Pain Mgmt Drug Class Add'l	$40.07	$66.78	$15.28–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Benzodiazepine Qualitative Urine	$70.57	$117.62	$26.91–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Opiate Qualitative Urine	$70.57	$117.62	$26.91–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Barbiturate Urine	$70.57	$117.62	$26.91–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Amphetamine Screen Urine	$70.57	$117.62	$26.91–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Buprenorphine Urine Screen W/ Reflex	$84.39	$140.65	$32.18–$124.28	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Urine 7 Panel	$94.83	$158.05	$36.16–$134.34	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Pain Mgmt 7 Panel	$94.83	$158.05	$36.16–$134.34	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Pain Mgmt	$118.52	$197.54	$45.20–$167.91	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Urine 9 Panel	$118.54	$197.57	$45.20–$167.93	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Synthetic Cannabinoid Metabolite Urine	$125.65	$209.41	$47.91–$178.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Umbilical Cord, Presumptive	$128.51	$214.18	$49.00–$202.71	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Tricyclic Drug Level	$209.85	$349.75	$62.14–$297.29	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Umbilical Cord, Single Class	$257.02	$428.36	$62.14–$364.11	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Blood	$309.55	$515.92	$62.14–$438.53	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Urine	$328.96	$548.26	$62.14–$466.02	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen-Urin 5 Panel	$342.68	$571.13	$62.14–$485.46	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolytes Panel	$91.59	$152.65	$4.40–$16.33	92% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Ebv Igg Titer Ifa	$235.07	$391.79	$18.14–$333.02	262% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Ebv Igm Ifa	$235.07	$391.79	$18.14–$333.02	262% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Ebv Igm Ifa	$536.69	$894.49	$18.14–$36.28	726% above	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Ebv Igm Ifa	$235.07	$391.79	$18.14–$333.02	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Ebv Igg Titer Ifa	$235.07	$391.79	$18.14–$333.02	—	40%
Estradiol blood test CPT 82670 HC Assay of Total Estradiol	$44.42	$74.04	$16.94–$62.93	60% below	40%
Estradiol blood test CPT 82670 HC Estradiol Premenopause Female	$119.57	$199.29	$27.94–$169.40	7% above	40%
Estradiol blood test CPT 82670 HC Estradiol	$119.57	$199.29	$27.94–$169.40	7% above	40%
Estradiol blood test CPT 82670 HC Estradiol	$396.39	$660.65	$13.80–$55.88	254% above	40%
Estradiol blood test inpatient CPT 82670 HC Assay of Total Estradiol	$44.42	$74.04	$16.94–$62.93	—	40%
Estradiol blood test inpatient CPT 82670 HC Estradiol	$119.57	$199.29	$27.94–$169.40	—	40%
Estradiol blood test inpatient CPT 82670 HC Estradiol Premenopause Female	$119.57	$199.29	$27.94–$169.40	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh/Serum	$344.60	$574.33	$11.64–$43.26	302% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal	$14.87	$24.79	$5.67–$39.26	90% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal	$172.11	$286.85	$19.63–$39.26	15% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal	$411.65	$686.09	$19.63–$583.18	176% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal	$14.87	$24.79	$5.67–$39.26	—	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Assay for Calprotectin Fecal	$411.65	$686.09	$19.63–$583.18	—	40%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin	$150.62	$251.04	$8.54–$31.74	98% above	40%
Fibrinogen blood test CPT 85384 HC Fibrinogen	$430.35	$717.25	$6.10–$22.64	856% above	40%
Folate (folic acid) blood test CPT 82746 HC Serum Folate	$84.61	$141.01	$14.70–$119.86	25% above	40%
Folate (folic acid) blood test CPT 82746 HC Folate	$222.96	$371.60	$9.22–$34.24	230% above	40%
Folate (folic acid) blood test inpatient CPT 82746 HC Serum Folate	$84.61	$141.01	$14.70–$119.86	—	40%
Free T3 thyroid hormone test CPT 84481 HC Free T3	$179.93	$299.88	$10.62–$39.45	137% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 Free Cascade	$136.63	$227.72	$5.66–$21.01	222% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 Free Equilibrium Dialysis	$136.63	$227.72	$9.02–$193.56	222% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 Free	$147.60	$246.00	$5.66–$21.01	247% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 Free Equilibrium Dialysis	$136.63	$227.72	$9.02–$193.56	—	40%
Free testosterone test CPT 84402 HC Assay of Free Testosterone	$48.23	$80.39	$18.39–$68.33	50% below	40%
Free testosterone test CPT 84402 HC Testosterone Free,Adult Male	$110.33	$183.89	$25.47–$156.31	13% above	40%
Free testosterone test CPT 84402 HC Testosterone Free,Female	$110.33	$183.89	$25.47–$156.31	13% above	40%
Free testosterone test CPT 84402 HC Testosterone Free,Female	$400.01	$666.69	$25.47–$50.94	311% above	40%
Free testosterone test inpatient CPT 84402 HC Assay of Free Testosterone	$48.23	$80.39	$18.39–$68.33	—	40%
Free testosterone test inpatient CPT 84402 HC Testosterone Free,Adult Male	$110.33	$183.89	$25.47–$156.31	—	40%
Free testosterone test inpatient CPT 84402 HC Testosterone Free,Female	$110.33	$183.89	$25.47–$156.31	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Glutamyltrase Gamma Lc	$23.26	$38.76	$7.20–$32.95	45% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Ggtp	$202.09	$336.81	$4.51–$16.77	374% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Glutamyltrase Gamma Lc	$23.26	$38.76	$7.20–$32.95	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$719.98	$1,199.96	$274.55–$1,019.97	225% above	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$719.98	$1,199.96	$274.55–$1,019.97	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glu 1 Hr Dextol (Was Glu	$99.85	$166.42	$2.98–$11.08	160% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose 2hr Post 75 Grams **	$108.50	$180.83	$2.98–$11.08	183% above	40%
Glucose tolerance test, 3 samples CPT 82951 HC Lactose Tolerance, 3 Specimens	$23.72	$39.53	$9.04–$33.60	65% below	40%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance: 3 Hr *	$33.56	$55.93	$8.07–$29.98	50% below	40%
Glucose tolerance test, 3 samples CPT 82951 HC Lactose Tolerance * So	$88.76	$147.94	$12.87–$125.75	32% above	40%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance 4 Hr	$219.49	$365.82	$12.87–$310.95	227% above	40%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance: 5 Hr *	$241.50	$402.50	$12.87–$342.13	259% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Lactose Tolerance, 3 Specimens	$23.72	$39.53	$9.04–$33.60	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Lactose Tolerance * So	$88.76	$147.94	$12.87–$125.75	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance 4 Hr	$219.49	$365.82	$12.87–$310.95	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance: 5 Hr *	$241.50	$402.50	$12.87–$342.13	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc Amp Probe Lc	$15.90	$26.50	$6.06–$70.18	83% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq Lc	$25.44	$42.40	$9.70–$70.18	73% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc	$150.36	$250.60	$35.09–$213.01	62% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc Amplified Probe Lc	$193.41	$322.35	$35.09–$274.00	108% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc - Amplified Probe	$260.53	$434.22	$21.99–$81.71	180% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Gc Amp Probe Lc	$15.90	$26.50	$6.06–$70.18	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq Lc	$25.44	$42.40	$9.70–$70.18	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Gc	$150.36	$250.60	$35.09–$213.01	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Gc Amplified Probe Lc	$193.41	$322.35	$35.09–$274.00	—	40%
H. pylori antibody blood test CPT 86677 HC H.Pylori Ab,Iga So	$98.84	$164.73	$16.85–$140.02	31% above	40%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab Ig	$98.84	$164.73	$16.85–$140.02	31% above	40%
H. pylori antibody blood test CPT 86677 HC H.Pylori Ab,Igg So	$98.84	$164.73	$16.85–$140.02	31% above	40%
H. pylori antibody blood test CPT 86677 Antibody Helicobacter Pylori	$308.00	$513.33	$50.55–$101.10	308% above	40%
H. pylori antibody blood test inpatient CPT 86677 HC H.Pylori Ab,Iga So	$98.84	$164.73	$16.85–$140.02	—	40%
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Ab Ig	$98.84	$164.73	$16.85–$140.02	—	40%
H. pylori antibody blood test inpatient CPT 86677 HC H.Pylori Ab,Igg So	$98.84	$164.73	$16.85–$140.02	—	40%
H. pylori stool antigen test CPT 87338 HC Helicobacter Pylor Antgn Stoo	$170.21	$283.68	$14.38–$241.13	144% above	40%
H. pylori stool antigen test CPT 87338 HC Helicobacter Pylor Antgn Stoo	$285.03	$475.05	$7.10–$37.27	308% above	40%
H. pylori stool antigen test inpatient CPT 87338 HC Helicobacter Pylor Antgn Stoo	$170.21	$283.68	$14.38–$241.13	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv Virus by Branched Dna So	$38.30	$63.83	$14.60–$170.20	89% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Iadna Hiv 1 Quant and Reverse Transcription	$161.17	$268.61	$61.46–$228.32	55% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Rna Quant.Pcr	$249.10	$415.16	$85.10–$352.89	30% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv 1 by Quantitative Naat Plasma	$249.10	$415.16	$85.10–$352.89	30% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv 1 by Quantitative Naat Plasma	$525.32	$875.53	$85.10–$170.20	47% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Iadna Hiv 1 Quant and Reverse Transcription	$161.17	$268.61	$61.46–$228.32	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv 1 by Quantitative Naat Plasma	$249.10	$415.16	$85.10–$352.89	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Rna Quant.Pcr	$249.10	$415.16	$85.10–$352.89	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1/2 Antibody,P24 Antigen	$260.28	$433.80	$15.09–$56.07	251% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv Amplified Probe Lc	$31.80	$53.00	$12.13–$70.18	73% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv-High Risk	$57.68	$96.13	$21.99–$81.71	51% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv Amplified Probe	$101.42	$169.03	$21.99–$81.71	15% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv Amp Probe Lc	$230.14	$383.56	$35.09–$326.03	94% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv Amplified Probe Lc	$31.80	$53.00	$12.13–$70.18	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv-High Risk	$57.68	$96.13	$21.99–$81.71	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv Amp Probe Lc	$230.14	$383.56	$35.09–$326.03	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c Lc	$7.15	$11.91	$2.73–$19.42	84% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Health Fair A1c	$7.20	$12.00	$2.75–$19.42	84% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Health Fair POC A1c	$15.00	$25.00	$5.72–$21.25	67% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glyco Hemoglobin	$17.35	$28.91	$6.61–$24.57	62% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC POC A1c (Glyco Hemoglobin)	$17.35	$28.91	$6.24–$23.18	62% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c	$17.35	$28.91	$6.09–$22.62	62% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Health Fair A1c Only	$21.00	$35.00	$8.01–$29.75	54% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c Lc	$107.75	$179.58	$9.71–$19.42	136% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c Lc	$7.15	$11.91	$2.73–$19.42	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Health Fair A1c	$7.20	$12.00	$2.75–$19.42	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Health Fair POC A1c	$15.00	$25.00	$5.72–$21.25	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glyco Hemoglobin	$17.35	$28.91	$6.61–$24.57	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Health Fair A1c Only	$21.00	$35.00	$8.01–$29.75	—	40%
Hemoglobin blood test CPT 85018 HC Hemoglobin	$26.30	$43.84	$1.49–$5.53	62% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab,Igg,Igm So	$95.24	$158.73	$12.05–$134.92	77% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab,Igg,Igm So	$771.90	$1,286.50	$5.95–$24.10	1331% above	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hep B Core Ab,Igg,Igm So	$95.24	$158.73	$12.05–$134.92	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Ab (Was: A	$502.37	$837.28	$6.73–$25.02	939% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen	$19.57	$32.62	$7.46–$27.73	59% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag	$453.35	$755.58	$6.48–$24.06	858% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen	$19.57	$32.62	$7.46–$27.73	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hcv Antibody Reflex to Quant Pcr	$10.11	$16.85	$3.86–$28.54	84% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C	$139.96	$233.27	$8.94–$33.23	119% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hcv Antibody Reflex to Quant Pcr	$10.11	$16.85	$3.86–$28.54	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant and Reverse Transcription	$81.14	$135.23	$30.94–$114.95	58% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hcv by Quantitative Naat	$89.33	$148.88	$34.06–$126.55	54% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C Rna Quant by Pcr	$451.20	$752.00	$42.84–$639.20	135% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hcv Quant With Reflex to Hcv Genotype	$473.36	$788.94	$42.84–$670.60	146% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hcv Quant With Reflex to Hcv Genotype	$612.97	$1,021.62	$42.84–$85.68	219% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant and Reverse Transcription	$81.14	$135.23	$30.94–$114.95	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hcv by Quantitative Naat	$89.33	$148.88	$34.06–$126.55	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hepatitis C Rna Quant by Pcr	$451.20	$752.00	$42.84–$639.20	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hcv Quant With Reflex to Hcv Genotype	$473.36	$788.94	$42.84–$670.60	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsv Type 1 Lc	$10.11	$16.85	$3.86–$26.38	83% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody Herpes Smplx Type 1	$24.98	$41.64	$9.53–$35.39	58% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Type 1 Glyc Spec Ab Ig	$90.32	$150.54	$13.19–$127.96	53% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsv Type 1 Lc	$364.62	$607.70	$13.19–$26.38	516% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Hsv Type 1 Lc	$10.11	$16.85	$3.86–$26.38	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Antibody Herpes Smplx Type 1	$24.98	$41.64	$9.53–$35.39	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Type 1 Glyc Spec Ab Ig	$90.32	$150.54	$13.19–$127.96	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsv 2 Igg Lc	$15.26	$25.43	$5.82–$38.70	77% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody Herpes Smplx Type 2	$36.65	$61.08	$13.98–$51.92	45% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpe Type 2 Glyc G Spe Ab Ig	$90.32	$150.54	$19.35–$127.96	36% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsv 2 Igg Lc	$368.72	$614.54	$9.56–$38.70	456% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Hsv 2 Igg Lc	$15.26	$25.43	$5.82–$38.70	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Antibody Herpes Smplx Type 2	$36.65	$61.08	$13.98–$51.92	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpe Type 2 Glyc G Spe Ab Ig	$90.32	$150.54	$19.35–$127.96	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC Crp High Sensitivity	$19.08	$31.80	$7.28–$27.03	72% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Hs	$215.42	$359.03	$8.12–$30.17	219% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Crp High Sensitivity	$19.08	$31.80	$7.28–$27.03	—	40%
Homocysteine blood test CPT 83090 HC Homocystine-Plasma	$719.14	$1,198.56	$11.23–$41.74	792% above	40%
Insulin blood test CPT 83525 HC Insulin,Fasting	$97.76	$162.94	$11.43–$138.50	90% above	40%
Insulin blood test CPT 83525 HC Insulin Total	$97.76	$162.94	$11.43–$138.50	90% above	40%
Insulin blood test CPT 83525 HC Insulin,Fasting	$309.95	$516.58	$5.64–$22.86	504% above	40%
Insulin blood test inpatient CPT 83525 HC Insulin,Fasting	$97.76	$162.94	$11.43–$138.50	—	40%
Insulin blood test inpatient CPT 83525 HC Insulin Total	$97.76	$162.94	$11.43–$138.50	—	40%
Iron blood test (serum iron) CPT 83540 HC Iron Level Lc	$6.07	$10.11	$2.31–$12.94	84% below	40%
Iron blood test (serum iron) CPT 83540 HC Iron Total/Serum	$158.12	$263.53	$4.05–$15.06	316% above	40%
Iron blood test (serum iron) inpatient CPT 83540 HC Iron Level Lc	$6.07	$10.11	$2.31–$12.94	—	40%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity Lc	$6.36	$10.60	$2.43–$17.48	84% below	40%
Iron-binding capacity (TIBC) test CPT 83550 HC Tibc	$166.21	$277.02	$5.48–$20.36	326% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity Lc	$6.36	$10.60	$2.43–$17.48	—	40%
Kidney function blood test panel CPT 80069 HC Renal Panel (Like a Chem 8 Pl	$69.47	$115.78	$5.44–$20.21	3% below	40%
LH (luteinizing hormone) test CPT 83002 HC Luteinizing Hormone Lc	$18.97	$31.61	$7.23–$37.04	80% below	40%
LH (luteinizing hormone) test CPT 83002 HC Lh Serum	$408.47	$680.78	$11.61–$43.13	327% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC Luteinizing Hormone Lc	$18.97	$31.61	$7.23–$37.04	—	40%
Lactate (lactic acid) blood test CPT 83605 HC Lactate	$148.23	$247.05	$11.57–$209.99	185% above	40%
Lactate (lactic acid) blood test CPT 83605 HC Lactate/Lactic Acid	$1,342.50	$2,237.50	$7.25–$26.95	2482% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactate	$148.23	$247.05	$11.57–$209.99	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh/Bf	$9.93	$16.55	$3.79–$14.07	64% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase Ldh	$11.45	$19.08	$4.37–$16.22	58% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh,Peritoneal Fluid	$93.26	$155.43	$6.04–$132.12	242% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh,Plueral Fluid	$93.26	$155.43	$6.04–$132.12	242% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh	$444.16	$740.27	$3.79–$14.07	1527% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Ldh/Bf	$9.93	$16.55	$3.79–$14.07	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase Ldh	$11.45	$19.08	$4.37–$16.22	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Ldh,Plueral Fluid	$93.26	$155.43	$6.04–$132.12	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Ldh,Peritoneal Fluid	$93.26	$155.43	$6.04–$132.12	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase	$89.89	$149.82	$4.32–$16.05	54% above	40%
Liver function blood test panel CPT 80076 HC Health Fair Liver Panel	$21.00	$35.00	$8.01–$29.75	65% below	40%
Liver function blood test panel CPT 80076 HC Liver Panel - Hepatic Functio	$75.37	$125.62	$5.12–$19.03	24% above	40%
Liver function blood test panel inpatient CPT 80076 HC Health Fair Liver Panel	$21.00	$35.00	$8.01–$29.75	—	40%
Lyme disease antibody test CPT 86618 HC Lyme Disease Total Antibody With Reflex Lc	$47.87	$79.78	$17.03–$67.81	38% below	40%
Lyme disease antibody test CPT 86618 HC Lyme Disease Igg Igm Lc	$88.65	$147.75	$17.03–$125.59	16% above	40%
Lyme disease antibody test CPT 86618 HC Lyme Ab,Serum So	$113.09	$188.48	$17.03–$160.21	47% above	40%
Lyme disease antibody test CPT 86618 HC Lyme Disease Total Antibody With Reflex Lc	$147.90	$246.50	$17.03–$34.06	93% above	40%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Total Antibody With Reflex Lc	$47.87	$79.78	$17.03–$67.81	—	40%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Igg Igm Lc	$88.65	$147.75	$17.03–$125.59	—	40%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Ab,Serum So	$113.09	$188.48	$17.03–$160.21	—	40%
Magnesium blood test CPT 83735 HC Magnesium RBC	$68.54	$114.24	$6.70–$97.10	103% above	40%
Magnesium blood test CPT 83735 HC Magnesium/Urine *	$73.30	$122.16	$6.70–$103.84	117% above	40%
Magnesium blood test CPT 83735 HC Magnesium/Serum	$127.77	$212.95	$4.20–$15.60	278% above	40%
Magnesium blood test inpatient CPT 83735 HC Magnesium RBC	$68.54	$114.24	$6.70–$97.10	—	40%
Magnesium blood test inpatient CPT 83735 HC Magnesium/Urine *	$73.30	$122.16	$6.70–$103.84	—	40%
Measles (rubeola) antibody test CPT 86765 HC Rubeola So	$57.11	$95.19	$12.88–$80.91	at median	40%
Measles (rubeola) antibody test CPT 86765 HC Measles (Rubeola) Abs Igg & Igm	$57.11	$95.19	$12.88–$80.91	at median	40%
Measles (rubeola) antibody test CPT 86765 HC Rubeola So	$266.80	$444.67	$12.88–$25.76	367% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC Measles (Rubeola) Abs Igg & Igm	$57.11	$95.19	$12.88–$80.91	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola So	$57.11	$95.19	$12.88–$80.91	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Test	$294.49	$490.81	$3.24–$12.05	453% above	40%
Mumps immunity blood test CPT 86735 HC Mumps Antibody	$85.24	$142.06	$13.05–$120.75	46% above	40%
Mumps immunity blood test CPT 86735 HC Mumps Ab,Igm So	$85.24	$142.06	$13.05–$120.75	46% above	40%
Mumps immunity blood test CPT 86735 HC Mumps Ab,Igm So	$285.76	$476.26	$13.05–$26.10	388% above	40%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Ab,Igm So	$85.24	$142.06	$13.05–$120.75	—	40%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Antibody	$85.24	$142.06	$13.05–$120.75	—	40%
Obstetric blood test panel CPT 80055 HC Prenatal Profile	$425.68	$709.46	$47.81–$603.04	98% above	40%
Obstetric blood test panel CPT 80055 HC Prenatal Profile	$489.82	$816.37	$47.81–$95.62	128% above	40%
Obstetric blood test panel inpatient CPT 80055 HC Prenatal Profile	$425.68	$709.46	$47.81–$603.04	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free	$24.00	$40.00	$18.39–$36.78	71% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free	$29.17	$48.61	$11.12–$41.32	65% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa-Free	$129.17	$215.29	$18.39–$183.00	56% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Prostate Specific Antigen Free	$29.17	$48.61	$11.12–$41.32	—	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa-Free	$129.17	$215.29	$18.39–$183.00	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Health Fair Psa	$7.20	$12.00	$2.75–$36.78	91% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Health Fair Psa Only	$21.00	$35.00	$8.01–$36.78	73% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total	$24.16	$40.27	$9.21–$36.78	69% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Psa Total	$34.84	$58.06	$13.28–$49.35	56% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total,Screening	$112.18	$186.96	$11.53–$42.83	42% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total,Diagnostic	$227.74	$379.56	$11.53–$42.83	188% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa,Total Diagnostic Reflex	$227.74	$379.56	$11.53–$42.83	188% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Health Fair Psa	$7.20	$12.00	$2.75–$36.78	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Health Fair Psa Only	$21.00	$35.00	$8.01–$36.78	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total	$24.16	$40.27	$9.21–$36.78	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Psa Total	$34.84	$58.06	$13.28–$49.35	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Thin Prep Pap Lc	$28.62	$47.70	$10.91–$53.22	71% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Thin Prep Pap Test,Screen	$101.42	$169.03	$16.68–$61.97	4% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Thin Prep Pap Test Lc	$139.92	$233.20	$26.61–$198.22	44% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Thin Prep Pap Test, Diagnosti	$216.48	$360.80	$16.68–$61.97	122% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Thin Prep Pap Test, Diagnosti	$229.47	$382.45	$26.61–$325.08	135% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Thin Prep Lc	$230.23	$383.72	$26.61–$326.16	136% above	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Thin Prep Pap Lc	$28.62	$47.70	$10.91–$53.22	—	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Thin Prep Pap Test Lc	$139.92	$233.20	$26.61–$198.22	—	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Thin Prep Pap Test, Diagnosti	$229.47	$382.45	$26.61–$325.08	—	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Thin Prep Lc	$230.23	$383.72	$26.61–$326.16	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Thin Prep Non-Imaged	$148.66	$247.77	$12.70–$47.18	63% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi Post 4	$171.32	$285.53	$41.28–$242.70	21% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi Post 1	$171.32	$285.53	$41.28–$242.70	21% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi Pre Excision	$171.32	$285.53	$41.28–$242.70	21% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi Pre-Incision	$171.32	$285.53	$41.28–$242.70	21% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi Post 3	$171.32	$285.53	$41.28–$242.70	21% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pth - Intact	$188.15	$313.59	$25.87–$96.12	33% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi Post 2	$920.39	$1,533.99	$41.28–$1,303.89	550% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi Post 1	$171.32	$285.53	$41.28–$242.70	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi Post 4	$171.32	$285.53	$41.28–$242.70	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi Post 3	$171.32	$285.53	$41.28–$242.70	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi Pre Excision	$171.32	$285.53	$41.28–$242.70	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi Pre-Incision	$171.32	$285.53	$41.28–$242.70	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi Post 2	$920.39	$1,533.99	$41.28–$1,303.89	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt So	$47.77	$79.62	$6.01–$67.68	27% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Heparin Nuetralization	$61.85	$103.09	$6.01–$87.63	65% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt 1 Hr	$70.68	$117.80	$6.01–$100.13	88% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Mixing Studies, Aptt	$70.68	$117.80	$6.01–$100.13	88% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Apc Resistance Ref.Factor V	$89.39	$148.98	$6.01–$126.63	138% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt	$288.50	$480.83	$3.77–$13.99	669% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Aptt So	$47.77	$79.62	$6.01–$67.68	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Heparin Nuetralization	$61.85	$103.09	$6.01–$87.63	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Aptt 1 Hr	$70.68	$117.80	$6.01–$100.13	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Mixing Studies, Aptt	$70.68	$117.80	$6.01–$100.13	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Apc Resistance Ref.Factor V	$89.39	$148.98	$6.01–$126.63	—	40%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus	$165.17	$275.29	$2.97–$11.04	362% above	40%
Potassium blood test CPT 84132 HC POC Finger Stick Blood Sugar	$22.60	$37.66	$4.76–$32.01	3% below	40%
Potassium blood test CPT 84132 HC Potassium (Lytes) Part of Abg	$38.06	$63.44	$4.76–$9.52	63% above	40%
Potassium blood test CPT 84132 HC Potassium (Abg)-Perfusion	$59.38	$98.97	$4.76–$84.12	154% above	40%
Potassium blood test CPT 84132 HC Potassium Serum	$59.38	$98.97	$2.99–$11.09	154% above	40%
Potassium blood test CPT 84132 HC Potassium (Abg)	$59.38	$98.97	$4.76–$84.12	154% above	40%
Potassium blood test CPT 84132 HC Potassium (Lytes) Part of Abg	$59.38	$98.97	$4.76–$84.12	154% above	40%
Potassium blood test CPT 84132 HC Potassium (Abg Oh) Part of Ab	$87.49	$145.82	$4.76–$123.95	275% above	40%
Potassium blood test inpatient CPT 84132 HC POC Finger Stick Blood Sugar	$22.60	$37.66	$4.76–$32.01	—	40%
Potassium blood test inpatient CPT 84132 HC Potassium (Abg)-Perfusion	$59.38	$98.97	$4.76–$84.12	—	40%
Potassium blood test inpatient CPT 84132 HC Potassium (Abg)	$59.38	$98.97	$4.76–$84.12	—	40%
Potassium blood test inpatient CPT 84132 HC Potassium (Lytes) Part of Abg	$59.38	$98.97	$4.76–$84.12	—	40%
Potassium blood test inpatient CPT 84132 HC Potassium (Abg Oh) Part of Ab	$87.49	$145.82	$4.76–$123.95	—	40%
Progesterone blood test CPT 84144 HC Progesterone So	$102.94	$171.57	$20.86–$145.83	27% above	40%
Progesterone blood test CPT 84144 HC Progesterone So	$378.63	$631.05	$20.86–$41.72	367% above	40%
Progesterone blood test inpatient CPT 84144 HC Progesterone So	$102.94	$171.57	$20.86–$145.83	—	40%
Prolactin blood test CPT 84146 HC Macroprolactin Lc	$82.58	$137.64	$19.38–$116.99	5% below	40%
Prolactin blood test CPT 84146 HC Prolactin	$270.05	$450.09	$12.14–$45.12	210% above	40%
Prolactin blood test inpatient CPT 84146 HC Macroprolactin Lc	$82.58	$137.64	$19.38–$116.99	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Protime So	$47.77	$79.62	$4.29–$67.68	99% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POC Protime	$62.39	$103.98	$4.29–$88.38	159% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Mixing Studies, Prothrombin Time	$70.68	$117.80	$4.29–$100.13	194% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Protime	$81.20	$135.33	$2.69–$10.00	238% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Protein S, Func. So*	$134.89	$224.81	$4.29–$191.09	461% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Protime So	$47.77	$79.62	$4.29–$67.68	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC Protime	$62.39	$103.98	$4.29–$88.38	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Mixing Studies, Prothrombin Time	$70.68	$117.80	$4.29–$100.13	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Protein S, Func. So*	$134.89	$224.81	$4.29–$191.09	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs	$21.23	$35.39	$8.10–$30.08	63% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs	$11,690.37	$19,483.95	$12.60–$27,452.58	20108% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Dir Opt Obs	$21.23	$35.39	$8.10–$30.08	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POC Rapid Strep	$74.29	$123.81	$16.53–$105.24	30% above	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Rapid Strep Screen	$74.29	$123.81	$16.53–$105.24	30% above	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POC Rapid Strep	$74.29	$123.81	$16.53–$105.24	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Rapid Strep Screen	$74.29	$123.81	$16.53–$105.24	—	40%
Renin blood test CPT 84244 HC Assay of Renin	$22.67	$37.79	$8.65–$43.98	73% below	40%
Renin blood test CPT 84244 HC Renin So	$131.59	$219.32	$21.99–$186.42	54% above	40%
Renin blood test CPT 84244 HC Renin So	$489.06	$815.10	$21.99–$43.98	472% above	40%
Renin blood test inpatient CPT 84244 HC Assay of Renin	$22.67	$37.79	$8.65–$43.98	—	40%
Renin blood test inpatient CPT 84244 HC Renin So	$131.59	$219.32	$21.99–$186.42	—	40%
Rh blood typing CPT 86901 HC Rh Type	$78.06	$130.10	$2.99–$141.30	109% above	40%
Rh blood typing CPT 86901 HC Rh Typing-So	$78.06	$130.10	$2.99–$141.30	109% above	40%
Rh blood typing CPT 86901 HC Rh Type Gel	$78.06	$130.10	$2.99–$141.30	109% above	40%
Rh blood typing CPT 86901 HC Rh Type-Cord	$78.06	$130.10	$2.99–$141.30	109% above	40%
Rh blood typing CPT 86901 HC Rh Type-Rxn	$379.28	$632.13	$2.99–$141.30	917% above	40%
Rh blood typing inpatient CPT 86901 HC Rh Type-Cord	$78.06	$130.10	$2.99–$141.30	—	40%
Rheumatoid factor (RF) test CPT 86431 HC Rheumonatoid Factor Body Flui	$43.26	$72.10	$5.67–$61.29	30% above	40%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quant Lc	$75.28	$125.47	$5.67–$106.65	127% above	40%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative Lc	$117.31	$195.51	$5.67–$166.18	254% above	40%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor	$244.01	$406.69	$3.55–$13.20	636% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumonatoid Factor Body Flui	$43.26	$72.10	$5.67–$61.29	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quant Lc	$75.28	$125.47	$5.67–$106.65	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative Lc	$117.31	$195.51	$5.67–$166.18	—	40%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab, Igm So	$115.67	$192.78	$14.39–$163.86	135% above	40%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Igg (Was Rubella Tit	$402.47	$670.78	$9.02–$33.52	719% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Ab, Igm So	$115.67	$192.78	$14.39–$163.86	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate	$121.47	$202.45	$1.69–$6.29	220% above	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis /Complete	$20.24	$33.73	$7.72–$28.67	85% below	40%
Sodium blood test CPT 84295 HC Sodium (Abg Oh) Part of Abg O	$30.58	$50.97	$4.81–$9.62	12% above	40%
Sodium blood test CPT 84295 HC Sodium (Abg Oh)-Perfusion	$56.93	$94.88	$4.81–$80.65	109% above	40%
Sodium blood test CPT 84295 HC Sodium Serum	$56.93	$94.88	$3.02–$11.20	109% above	40%
Sodium blood test CPT 84295 HC Sodium (Abg Oh)	$56.93	$94.88	$4.81–$80.65	109% above	40%
Sodium blood test CPT 84295 HC Sodium (Abg Oh) Part of Abg O	$56.93	$94.88	$4.81–$80.65	109% above	40%
Sodium blood test inpatient CPT 84295 HC Sodium (Abg Oh)	$56.93	$94.88	$4.81–$80.65	—	40%
Sodium blood test inpatient CPT 84295 HC Sodium (Abg Oh) Part of Abg O	$56.93	$94.88	$4.81–$80.65	—	40%
Sodium blood test inpatient CPT 84295 HC Sodium (Abg Oh)-Perfusion	$56.93	$94.88	$4.81–$80.65	—	40%
Stool ova and parasites exam CPT 87177 HC Ova & Parasites	$40.18	$66.97	$8.90–$56.92	1% above	40%
Stool ova and parasites exam CPT 87177 Ova&Parasites Direct Smears Concentration & ID	$61.53	$102.55	$8.90–$17.80	55% above	40%
Stool ova and parasites exam inpatient CPT 87177 HC Ova & Parasites	$40.18	$66.97	$8.90–$56.92	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Fecal Guaiac Colorectal Neoplasm Screening	$30.50	$50.84	$4.38–$8.76	6% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Fecal Guaiac Colorectal Neoplasm Screening	$30.50	$50.84	$4.38–$43.21	6% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Fecal Guaiac Colorectal Neoplasm Screening	$30.50	$50.84	$4.38–$43.21	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3	$28.50	$47.50	$15.92–$31.84	47% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum Ab (Fta)	$5.96	$9.93	$2.27–$26.48	90% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum Ab. Tp-Pa	$17.50	$29.17	$6.67–$26.48	70% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum Antibody	$74.66	$124.44	$13.24–$105.77	29% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum Antibody	$411.83	$686.38	$13.24–$26.48	612% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponema Pallidum Ab. Tp-Pa	$17.50	$29.17	$6.67–$26.48	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponema Pallidum Antibody	$74.66	$124.44	$13.24–$105.77	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC : Rapid Plasma Reagin Serum (Aka Vdrl) Reflex	$53.05	$88.42	$4.27–$75.16	122% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl/CSF So	$53.05	$88.42	$4.27–$75.16	122% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Rpr (Syphilis Test)	$53.05	$88.42	$4.27–$75.16	122% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Rpr (Syphilis Test)	$272.53	$454.21	$2.11–$8.54	1043% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC : Rapid Plasma Reagin Serum (Aka Vdrl) Reflex	$53.05	$88.42	$4.27–$75.16	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl/CSF So	$53.05	$88.42	$4.27–$75.16	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Rpr (Syphilis Test)	$53.05	$88.42	$4.27–$75.16	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon TB Gold Plus	$27.89	$46.49	$10.64–$123.96	76% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon TB Gold Plus 4 Tube	$259.58	$432.63	$61.98–$367.74	122% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon TB Gold Plus 4 Tube	$490.56	$817.60	$40.29–$80.57	319% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quantiferon TB Gold Plus 4 Tube	$259.58	$432.63	$61.98–$367.74	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone	$48.88	$81.47	$18.64–$69.25	47% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone, Total	$65.33	$108.88	$16.18–$60.10	29% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone So	$65.33	$108.88	$24.91–$92.55	29% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone	$230.25	$383.75	$12.75–$51.62	150% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Total Testosterone	$48.88	$81.47	$18.64–$69.25	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone So	$65.33	$108.88	$24.91–$92.55	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Each Lc	$37.92	$63.20	$14.46–$53.72	42% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomalab,Liver-Kidney So	$106.27	$177.11	$14.55–$150.54	63% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Ab-Thyroid So	$106.27	$177.11	$14.55–$150.54	63% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Ab So	$106.27	$177.11	$14.55–$150.54	63% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Ab-Thyroid So	$302.14	$503.57	$7.18–$18.92	365% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody Each Lc	$37.92	$63.20	$14.46–$53.72	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Ab-Thyroid So	$106.27	$177.11	$14.55–$150.54	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Ab So	$106.27	$177.11	$14.55–$150.54	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomalab,Liver-Kidney So	$106.27	$177.11	$14.55–$150.54	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Health Fair Tsh Only	$21.00	$35.00	$8.01–$33.60	72% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh	$118.38	$197.30	$10.53–$39.13	57% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Cascade	$191.12	$318.53	$10.53–$39.13	154% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Health Fair Tsh Only	$21.00	$35.00	$8.01–$33.60	—	40%
Total IgE blood test CPT 82785 HC Immunoglobin E	$34.27	$57.11	$13.07–$48.54	45% below	40%
Total IgE blood test CPT 82785 HC Ige So	$106.27	$177.11	$16.46–$150.54	71% above	40%
Total IgE blood test CPT 82785 HC Ige So	$1,695.85	$2,826.42	$8.13–$32.92	2635% above	40%
Total IgE blood test inpatient CPT 82785 HC Immunoglobin E	$34.27	$57.11	$13.07–$48.54	—	40%
Total IgE blood test inpatient CPT 82785 HC Ige So	$106.27	$177.11	$16.46–$150.54	—	40%
Total cholesterol blood test CPT 82465 HC Cholesterol Serum Whole Blood Total Lc	$23.26	$38.76	$4.35–$32.95	36% below	40%
Total cholesterol blood test CPT 82465 HC Cholesterol	$83.38	$138.97	$2.73–$10.14	128% above	40%
Total cholesterol blood test inpatient CPT 82465 HC Cholesterol Serum Whole Blood Total Lc	$23.26	$38.76	$4.35–$32.95	—	40%
Total thyroxine (T4) blood test CPT 84436 HC T4	$182.15	$303.59	$4.31–$16.01	335% above	40%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 Uptake So	$58.15	$96.91	$14.18–$82.37	3% below	40%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 Total Cascade	$90.42	$150.70	$8.89–$33.02	50% above	40%
Total triiodothyronine (T3) blood test CPT 84480 HC T3, Total	$156.73	$261.21	$8.89–$33.02	161% above	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 Uptake So	$58.15	$96.91	$14.18–$82.37	—	40%
Transferrin blood test CPT 84466 HC Transferrin	$476.18	$793.64	$8.00–$29.72	542% above	40%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Amp Probe Lc	$39.75	$66.25	$15.16–$70.18	54% below	40%
Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech Lc	$41.12	$68.54	$15.68–$70.18	52% below	40%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Amplified Probe	$86.20	$143.67	$32.87–$122.12	at median	40%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Amplified Probe Lc	$175.10	$291.84	$35.09–$248.06	103% above	40%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Amplified Probe	$260.53	$434.22	$19.15–$70.18	202% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Amp Probe Lc	$39.75	$66.25	$15.16–$70.18	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech Lc	$41.12	$68.54	$15.68–$70.18	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Amplified Probe	$86.20	$143.67	$32.87–$122.12	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Amplified Probe Lc	$175.10	$291.84	$35.09–$248.06	—	40%
Triglycerides blood test CPT 84478 HC Triglyceride-Body Fluid	$9.43	$15.72	$3.60–$13.36	73% below	40%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides Lc	$23.26	$38.76	$5.74–$32.95	32% below	40%
Triglycerides blood test CPT 84478 HC Triglyceride Vap	$32.36	$53.93	$5.74–$45.84	6% below	40%
Triglycerides blood test CPT 84478 HC Triglyceride	$69.58	$115.97	$3.60–$13.36	102% above	40%
Triglycerides blood test inpatient CPT 84478 HC Triglyceride-Body Fluid	$9.43	$15.72	$3.60–$13.36	—	40%
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides Lc	$23.26	$38.76	$5.74–$32.95	—	40%
Triglycerides blood test inpatient CPT 84478 HC Triglyceride Vap	$32.36	$53.93	$5.74–$45.84	—	40%
Troponin test, quantitative CPT 84484 HC Troponin I	$383.12	$638.53	$7.82–$29.04	356% above	40%
Uric acid blood test CPT 84550 HC Uric Acid	$134.73	$224.55	$2.83–$10.53	283% above	40%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Reflux Culture	$45.98	$76.63	$1.99–$7.39	70% above	40%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis	$83.00	$138.33	$1.99–$7.39	207% above	40%
Urinalysis with microscope exam, manual CPT 81000 HC Reducing Substance, Urine	$6.61	$11.02	$2.52–$9.37	64% below	40%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis W/ Micro (Man.Dip)	$10.51	$17.51	$4.01–$14.88	42% below	40%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis W/Micro Reflex	$82.97	$138.29	$4.02–$117.55	356% above	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Reducing Substance, Urine	$6.61	$11.02	$2.52–$9.37	—	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis W/ Micro (Man.Dip)	$10.51	$17.51	$4.01–$14.88	—	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis W/Micro Reflex	$82.97	$138.29	$4.02–$117.55	—	40%
Urinalysis without microscope exam, automated CPT 81003 HC Specific Gravity, Urine	$9.27	$15.45	$1.41–$5.24	60% below	40%
Urinalysis without microscope exam, automated CPT 81003 HC Ph, Urine	$37.51	$62.52	$1.41–$5.24	60% above	40%
Urinalysis without microscope exam, manual CPT 81002 HC Urine Dip POC Ketones	$6.06	$10.10	$2.31–$8.59	63% below	40%
Urinalysis without microscope exam, manual CPT 81002 HC Urine Dip Stick	$21.37	$35.62	$3.48–$30.28	32% above	40%
Urinalysis without microscope exam, manual CPT 81002 HC OB Urine Dip for Protein	$23.98	$39.97	$3.48–$33.97	48% above	40%
Urinalysis without microscope exam, manual CPT 81002 HC Urine Dip POC	$23.98	$39.97	$3.48–$33.97	48% above	40%
Urinalysis without microscope exam, manual CPT 81002 HC Urine Dip Stick	$620.93	$1,034.89	$2.18–$8.10	3733% above	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urine Dip POC Ketones	$6.06	$10.10	$2.31–$8.59	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urine Dip Stick	$21.37	$35.62	$3.48–$30.28	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC OB Urine Dip for Protein	$23.98	$39.97	$3.48–$33.97	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urine Dip POC	$23.98	$39.97	$3.48–$33.97	—	40%
Urine culture for bacteria, with colony count CPT 87086 HC Routine Culture Urine	$40.76	$67.94	$5.06–$18.79	28% below	40%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin	$109.76	$182.94	$3.62–$13.46	116% above	40%
Urine microalbumin (albumin) test CPT 82043 HC Microalbuin, Urine So (Part	$164.72	$274.53	$3.62–$13.46	224% above	40%
Urine pregnancy test, read by color change CPT 81025 HC Preg Test-POC	$69.14	$115.24	$8.61–$97.95	42% above	40%
Urine pregnancy test, read by color change CPT 81025 HC Hcg/Urine	$103.82	$173.03	$5.40–$20.05	113% above	40%
Urine pregnancy test, read by color change CPT 81025 HC Preg Test-POC	$7,002.01	$11,670.01	$8.61–$12,247.08	14293% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Preg Test-POC	$69.14	$115.24	$8.61–$97.95	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B12	$153.20	$255.33	$9.45–$35.11	106% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D, 25 Hydroxy	$171.84	$286.40	$18.55–$68.92	82% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-Hydroxyvitamin D2 D3	$458.56	$764.26	$29.60–$649.62	386% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-Hydroxyvitamin D2 D3	$458.56	$764.26	$29.60–$649.62	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Vitamin D1,25 Dihydroxy So	$131.59	$219.32	$38.50–$186.42	15% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Vitamin D1,25 Dihydroxy So	$273.01	$455.01	$38.50–$77.00	77% above	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Vitamin D1,25 Dihydroxy So	$131.59	$219.32	$38.50–$186.42	—	40%
Zinc blood test CPT 84630 HC Zinc So	$98.89	$164.81	$11.39–$140.09	93% above	40%
Zinc blood test CPT 84630 HC Zinc So	$570.08	$950.14	$11.39–$22.78	1010% above	40%
Zinc blood test inpatient CPT 84630 HC Zinc So	$98.89	$164.81	$11.39–$140.09	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Beta Hcg-Tumor Marker	$22.79	$37.98	$8.69–$32.28	66% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Test/Serum Beta	$30.69	$51.15	$9.44–$35.05	55% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Bhcg-So	$47.77	$79.62	$15.05–$67.68	29% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Beta Hcg-Tumor Marker	$22.79	$37.98	$8.69–$32.28	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Bhcg-So	$47.77	$79.62	$15.05–$67.68	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$7,343.39	$12,238.98	$188.03–$12,543.45	2% above	40%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$40,753.83	$67,923.05	$1,570.07–$48,572.85	26% below	40%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$24,939.28	$41,565.47	$865.58–$27,452.58	33% below	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj\|LEFT SIDE	$24,358.81	$40,598.01	$865.58–$27,452.58	35% below	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj\|RIGHT SIDE	$24,645.34	$41,075.56	$865.58–$27,452.58	34% below	40%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$26,668.73	$44,447.88	$949.93–$27,452.58	5% below	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr\|RIGHT SIDE	$21,659.60	$36,099.34	$949.93–$27,452.58	22% below	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr\|LEFT SIDE	$23,210.20	$38,683.67	$949.93–$27,452.58	17% below	40%
Botox injections for chronic migraine CPT 64615 HC Chemodenrv Musc Migraine	$576.80	$961.34	$267.01–$1,161.29	4% above	40%
Botox injections for chronic migraine CPT 64615 HC Chemodenrv Musc Migraine	$1,998.41	$3,330.69	$107.45–$1,161.29	261% above	40%
Botox injections for chronic migraine inpatient CPT 64615 HC Chemodenrv Musc Migraine	$576.80	$961.34	$267.01–$1,161.29	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Sbb Breast Bx-Including Clip Plcmt and Specimen	$2,745.73	$4,576.21	$439.82–$6,248.54	31% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Percutaneous Bx of Breast D/C	$2,745.73	$4,576.21	$439.82–$6,248.54	31% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Sbb Breast Bx-Including Clip Plcmt and Specimen	$5,031.29	$8,385.48	$137.37–$6,248.54	26% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Sbb Breast Bx-Including Clip Plcmt and Specimen	$2,745.73	$4,576.21	$439.82–$6,248.54	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Percutaneous Bx of Breast D/C	$2,745.73	$4,576.21	$439.82–$6,248.54	—	40%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$12,271.34	$20,452.24	$470.48–$12,379.03	49% below	40%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot\|LEFT SIDE	$15,526.22	$25,877.04	$470.48–$12,379.03	36% below	40%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot\|RIGHT SIDE	$16,731.46	$27,885.76	$470.48–$12,379.03	31% below	40%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$6,364.23	$10,607.05	$445.67–$12,379.03	55% below	40%
Cardiac catheterization with coronary angiogram CPT 93458 HC Lhc,Cors,&Lv When Performed	$9,464.11	$15,773.52	$2,870.78–$13,407.49	21% below	40%
Cardiac catheterization with coronary angiogram CPT 93458 HC Lhc,Cors,&Lv When Performed	$11,234.89	$18,724.82	$663.36–$12,265.26	7% below	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Lhc,Cors,&Lv When Performed	$9,464.11	$15,773.52	$2,870.78–$13,407.49	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion-	$1,288.71	$2,147.85	$390.91–$2,500.55	37% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion-	$4,729.01	$7,881.68	$93.21–$2,500.55	130% above	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion-	$1,288.71	$2,147.85	$390.91–$2,500.55	—	40%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$16,919.06	$28,198.44	$405.62–$7,387.79	105% above	40%
Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne\|RIGHT SIDE	$5,578.35	$9,297.25	$405.62–$7,387.79	32% below	40%
Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne\|LEFT SIDE	$6,833.87	$11,389.79	$405.62–$7,387.79	17% below	40%
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$8,333.33	$13,888.89	$447.12–$8,731.24	12% above	40%
Cataract surgery with lens implant one side CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp\|LEFT SIDE	$7,459.54	$12,432.56	$447.12–$8,731.24	at median	40%
Cataract surgery with lens implant one side CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp\|RIGHT SIDE	$8,356.66	$13,927.76	$447.12–$8,731.24	12% above	40%
Catheter ablation for atrial fibrillation CPT 93656 HC Eps W P.V.I for Afib Icl Transep	$46,534.43	$77,557.39	$14,115.44–$98,887.85	37% above	40%
Catheter ablation for atrial fibrillation CPT 93656 HC Eps W P.V.I for Afib Icl Transep	$74,871.26	$124,785.44	$801.02–$98,887.85	120% above	40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Eps W P.V.I for Afib Icl Transep	$46,534.43	$77,557.39	$14,115.44–$98,887.85	—	40%
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$6,718.27	$11,197.11	$66.91–$3,484.62	285% above	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$7,860.49	$13,100.82	$176.91–$7,908.61	28% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision	$235.20	$392.00	$180.32–$333.20	87% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision	$6,600.51	$11,000.85	$83.40–$7,908.61	273% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision	$235.20	$392.00	$180.32–$333.20	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj	$17,272.56	$28,787.60	$323.49–$12,379.03	4118% above	40%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$5,628.10	$9,380.16	$65.59–$4,527.26	68% above	40%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$5,460.64	$9,101.07	$64.98–$4,527.26	64% above	40%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$3,588.03	$5,980.05	$80.84–$3,518.34	32% above	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$5,512.68	$9,187.80	$139.53–$12,247.08	42% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$5,542.95	$9,238.25	$117.01–$7,908.61	510% above	40%
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$6,873.73	$11,456.21	$610.31–$8,731.24	4% below	40%
Complex cataract surgery with lens implant one side CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp\|RIGHT SIDE	$7,633.90	$12,723.16	$610.31–$8,731.24	7% above	40%
Complex cataract surgery with lens implant one side CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp\|LEFT SIDE	$8,018.30	$13,363.83	$610.31–$8,731.24	12% above	40%
Coronary stent placement, one artery CPT 92928 HC Stent (Incl Pta)	$19,725.46	$32,875.76	$5,983.39–$43,675.34	53% above	40%
Coronary stent placement, one artery CPT 92928 HC Stent (Incl Pta)	$50,752.22	$84,587.03	$461.50–$43,675.34	293% above	40%
Coronary stent placement, one artery inpatient CPT 92928 HC Stent (Incl Pta)	$19,725.46	$32,875.76	$5,983.39–$43,675.34	—	40%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$9,709.26	$16,182.10	$137.28–$13,336.13	2% below	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent\|RIGHT SIDE	$7,921.85	$13,203.09	$137.28–$13,336.13	20% below	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent\|LEFT SIDE	$8,273.62	$13,789.36	$137.28–$13,336.13	17% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$5,218.50	$8,697.50	$70.27–$2,638.09	162% above	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$5,769.62	$9,616.03	$65.59–$12,247.08	17% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruction Premalignant Lesion 1st	$340.78	$567.97	$183.56–$482.77	68% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruction Premalignant Lesion 1st	$1,569.28	$2,615.46	$45.74–$407.93	675% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruction Premalignant Lesion 1st	$340.78	$567.97	$183.56–$482.77	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$8,874.49	$14,790.81	$139.32–$22,396.62	107% above	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy General Anesthesia\|LEFT SIDE	$5,083.74	$8,472.90	$139.32–$22,396.62	19% above	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy General Anesthesia\|RIGHT SIDE	$5,083.74	$8,472.90	$139.32–$22,396.62	19% above	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$8,874.49	$14,790.81	$253.24–$22,396.62	570% above	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Cerumen Removal, Irrigat/Lavage, Unilateral	$173.14	$288.56	$132.74–$367.91	12% above	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Cerumen Removal, Irrigat/Lavage, Unilateral	$4,736.54	$7,894.24	$23.49–$223.19	2962% above	40%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Cerumen Removal, Irrigat/Lavage, Unilateral	$173.14	$288.56	$132.74–$367.91	—	40%
Earwax removal with instruments, one ear one side CPT 69210 Gb Cerumen Removal, Req Instrument, Unilateral	$172.09	$286.82	$131.94–$535.00	11% above	40%
Earwax removal with instruments, one ear one side CPT 69210 HC Cerumen Removal, Req Instrument, Unilateral	$172.09	$286.82	$131.94–$365.70	11% above	40%
Earwax removal with instruments, one ear one side CPT 69210 HC Cerumen Removal, Req Instrument, Unilateral\|LEFT SIDE	$4,774.22	$7,957.03	$26.77–$12,543.45	2986% above	40%
Earwax removal with instruments, one ear one side CPT 69210 HC Cerumen Removal, Req Instrument, Unilateral	$4,883.06	$8,138.44	$26.77–$12,543.45	3056% above	40%
Earwax removal with instruments, one ear one side CPT 69210 HC Cerumen Removal, Req Instrument, Unilateral\|RIGHT SIDE	$7,055.66	$11,759.43	$26.77–$12,543.45	4461% above	40%
Earwax removal with instruments, one ear inpatient one side CPT 69210 Gb Cerumen Removal, Req Instrument, Unilateral	$172.09	$286.82	$131.94–$535.00	—	40%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Cerumen Removal, Req Instrument, Unilateral	$172.09	$286.82	$131.94–$365.70	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$8,587.07	$14,311.79	$54.68–$764.89	2135% above	40%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$12,649.27	$21,082.11	$131.18–$26,700.63	3% below	40%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy\|LEFT SIDE	$12,285.07	$20,475.12	$131.18–$26,700.63	6% below	40%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy\|RIGHT SIDE	$15,022.94	$25,038.23	$131.18–$26,700.63	15% above	40%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$17,149.83	$28,583.05	$65.59–$26,700.63	25% below	40%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus\|RIGHT SIDE	$17,310.32	$28,850.54	$65.59–$26,700.63	24% below	40%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus\|LEFT SIDE	$20,311.12	$33,851.86	$65.59–$26,700.63	11% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$10,022.28	$16,703.80	$65.59–$26,700.63	5% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy\|RIGHT SIDE	$13,171.42	$21,952.37	$65.59–$26,700.63	25% above	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy\|LEFT SIDE	$13,419.24	$22,365.40	$65.59–$26,700.63	28% above	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$9,607.54	$16,012.56	$65.59–$26,700.63	56% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus\|LEFT SIDE	$11,434.46	$19,057.43	$65.59–$26,700.63	47% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus\|RIGHT SIDE	$13,784.15	$22,973.58	$65.59–$26,700.63	37% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Epidural Steroid Inj W/Img- Cervical or Thoracic	$1,213.15	$2,021.92	$648.78–$2,670.58	46% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Epidural Steroid Inj W/Img- Cervical or Thoracic	$1,256.49	$2,094.15	$93.77–$2,670.58	44% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Epidural Steroid Inj W/Img- Cervical or Thoracic	$1,213.15	$2,021.92	$648.78–$2,670.58	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Facet Inj Lbr or Sacrl 1st Lv	$1,348.31	$2,247.18	$1,060.22–$2,865.15	38% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Facet Inj Lbr or Sacrl 1st Lv	$3,439.70	$5,732.83	$79.55–$3,346.24	57% above	40%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Facet Inj Lbr or Sacrl 1st Lv\|LEFT SIDE	$3,425.93	$5,709.88	$79.55–$3,346.24	57% above	40%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Facet Inj Lbr or Sacrl 1st Lv\|RIGHT SIDE	$3,436.55	$5,727.58	$79.55–$3,346.24	57% above	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Facet Inj Lbr or Sacrl 1st Lv	$1,348.31	$2,247.18	$1,060.22–$2,865.15	—	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$17,525.59	$29,209.32	$519.30–$24,492.53	31% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm one side CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible\|LEFT SIDE	$21,006.35	$35,010.59	$519.30–$24,492.53	17% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm one side CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible\|RIGHT SIDE	$21,136.46	$35,227.44	$519.30–$24,492.53	16% below	40%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$23,917.93	$39,863.22	$697.10–$24,492.53	11% below	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$15,302.26	$25,503.77	$311.33–$22,872.17	7% below	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm one side CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible\|RIGHT SIDE	$12,401.66	$20,669.44	$311.33–$22,872.17	24% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$3,436.32	$5,727.20	$52.12–$3,518.34	34% above	40%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$13,432.40	$22,387.33	$618.18–$22,872.17	23% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$14,233.76	$23,722.93	$669.98–$22,872.17	18% below	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$16,685.33	$27,808.88	$990.71–$11,740.34	359% above	40%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$15,920.16	$26,533.60	$358.16–$27,452.58	64% above	40%
Hammertoe correction surgery one side CPT 28285 Correction Hammertoe\|LEFT SIDE	$15,977.30	$26,628.83	$358.16–$27,452.58	65% above	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Ligation of Hemorrhoid(S)	$1,507.70	$2,512.83	$1,185.55–$2,135.91	21% below	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$6,439.82	$10,733.04	$188.68–$3,518.34	237% above	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Ligation of Hemorrhoid(S)	$1,507.70	$2,512.83	$1,185.55–$2,135.91	—	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC Hemorrhoidectomy, Int/Ext Sim	$4,152.82	$6,921.36	$3,265.50–$5,883.16	56% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$7,539.47	$12,565.79	$65.59–$10,501.20	19% below	40%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC Hemorrhoidectomy, Int/Ext Sim	$4,152.82	$6,921.36	$3,265.50–$5,883.16	—	40%
Hip replacement after an earlier hip surgery (conversion to total hip) one side CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft\|LEFT SIDE	$27,618.23	$46,030.39	$1,470.13–$48,572.85	35% below	40%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$23,310.38	$38,850.63	$258.28–$16,403.32	677% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Inj Procedure Hysterosalp	$199.27	$332.12	$156.69–$282.30	48% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Inj Procedure Hysterosalp	$1,194.90	$1,991.50	$50.77–$782.38	213% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Inj Procedure Hysterosalp	$199.27	$332.12	$156.69–$282.30	—	40%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$10,077.95	$16,796.59	$65.59–$18,925.87	12% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$7,749.34	$12,915.56	$65.59–$12,247.08	18% below	40%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$9,005.86	$15,009.77	$65.59–$12,247.08	1688% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D Simple Abcess	$431.98	$719.97	$183.56–$759.06	12% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D of Abcess	$431.98	$719.97	$183.56–$759.06	12% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D of Abcess	$649.15	$1,081.92	$96.14–$657.89	68% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D Simple Abcess	$431.98	$719.97	$183.56–$759.06	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D of Abcess	$431.98	$719.97	$183.56–$759.06	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$8,877.87	$14,796.45	$495.34–$22,968.14	16% below	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|RIGHT SIDE	$10,683.29	$17,805.49	$495.34–$22,968.14	1% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|LEFT SIDE	$10,759.69	$17,932.82	$495.34–$22,968.14	2% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection(S) Single Tendon Sheath or Ligament	$513.35	$855.59	$267.01–$1,161.29	51% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection(S) Single Tendon Sheath or Ligament	$2,790.58	$4,650.97	$33.07–$1,161.29	723% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection(S) Single Tendon Sheath or Ligament	$513.35	$855.59	$267.01–$1,161.29	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Aspirati & or/Inject Lg Joint W/O US Guid	$622.57	$1,037.62	$267.01–$1,322.97	11% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Aspirati & or/Inject Lg Joint W/O US Guid	$1,587.67	$2,646.11	$39.13–$1,161.29	128% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Aspirati & or/Inject Lg Joint W/O US Guid\|RIGHT SIDE	$1,587.67	$2,646.11	$39.13–$1,161.29	128% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Aspirati & or/Inject Lg Joint W/O US Guid\|LEFT SIDE	$1,587.67	$2,646.11	$39.13–$1,161.29	128% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Aspirati & or/Inject Lg Joint W/O US Guid	$622.57	$1,037.62	$267.01–$1,322.97	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Aspirate & or Inject Inter Jt W/O US Guid	$609.94	$1,016.57	$267.01–$1,296.13	1% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Aspirate & or Inject Inter Jt W/O US Guid	$1,584.05	$2,640.09	$31.60–$6,083.54	157% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Aspirate & or Inject Inter Jt W/O US Guid\|RIGHT SIDE	$1,575.52	$2,625.86	$31.60–$6,083.54	155% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Aspirate & or Inject Inter Jt W/O US Guid\|LEFT SIDE	$9,489.09	$15,815.15	$31.60–$6,083.54	1438% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Aspirate & or Inject Inter Jt W/O US Guid	$609.94	$1,016.57	$267.01–$1,296.13	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Aspir & or Inject Small Joint W/O US Guid	$1,312.39	$2,187.31	$267.01–$1,859.21	166% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$1,312.39	$2,187.31	$267.01–$1,859.21	166% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Aspir & or Inject Small Joint W/O US Guid	$1,952.80	$3,254.67	$30.93–$1,161.29	296% above	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$1,312.39	$2,187.31	$267.01–$1,859.21	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Aspir & or Inject Small Joint W/O US Guid	$1,312.39	$2,187.31	$267.01–$1,859.21	—	40%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral	$14,912.80	$24,854.67	$622.30–$27,452.58	41% below	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral\|LEFT SIDE	$15,221.51	$25,369.18	$622.30–$27,452.58	40% below	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral\|RIGHT SIDE	$16,112.77	$26,854.61	$622.30–$27,452.58	37% below	40%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg	$9,477.24	$15,795.40	$497.66–$12,379.03	25% below	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg\|RIGHT SIDE	$9,340.42	$15,567.37	$497.66–$12,379.03	26% below	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg\|LEFT SIDE	$9,767.05	$16,278.41	$497.66–$12,379.03	23% below	40%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving	$9,058.28	$15,097.13	$514.87–$12,379.03	31% below	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving\|LEFT SIDE	$9,111.43	$15,185.71	$514.87–$12,379.03	30% below	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving\|RIGHT SIDE	$10,076.08	$16,793.47	$514.87–$12,379.03	23% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg	$20,599.02	$34,331.70	$567.39–$27,452.58	52% above	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg\|RIGHT SIDE	$7,899.99	$13,166.65	$567.39–$27,452.58	42% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg\|LEFT SIDE	$10,631.55	$17,719.25	$567.39–$27,452.58	22% below	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$15,205.32	$25,342.20	$564.99–$22,872.17	13% below	40%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$21,790.28	$36,317.14	$994.82–$40,216.07	at median	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$18,790.68	$31,317.80	$258.28–$40,216.07	52% below	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$19,681.89	$32,803.15	$101.40–$40,216.07	48% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$16,898.54	$28,164.24	$412.52–$22,872.17	29% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|RIGHT SIDE	$15,626.00	$26,043.33	$412.52–$22,872.17	35% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|LEFT SIDE	$15,684.76	$26,141.27	$412.52–$22,872.17	34% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$17,758.70	$29,597.83	$535.47–$22,872.17	34% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia\|RIGHT SIDE	$15,556.20	$25,927.00	$535.47–$22,872.17	42% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia\|LEFT SIDE	$16,742.75	$27,904.59	$535.47–$22,872.17	38% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$18,070.43	$30,117.38	$65.59–$22,872.17	9% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures\|RIGHT SIDE	$11,836.88	$19,728.14	$65.59–$22,872.17	28% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures\|LEFT SIDE	$12,567.04	$20,945.06	$65.59–$22,872.17	24% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$457.45	$762.41	$350.71–$648.05	14% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$6,464.73	$10,774.55	$128.71–$1,537.96	1112% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$457.45	$762.41	$350.71–$648.05	—	40%
Left heart catheterization, diagnostic CPT 93452 HC Lhc/Inj. for Lv When Performe	$8,337.65	$13,896.09	$2,529.09–$11,811.68	10% below	40%
Left heart catheterization, diagnostic inpatient CPT 93452 HC Lhc/Inj. for Lv When Performe	$8,337.65	$13,896.09	$2,529.09–$11,811.68	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Epidural Steroid Inj W/Img-Lumbar or Sacral	$1,213.15	$2,021.92	$648.78–$2,670.58	40% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Epidural Steroid Inj W/Img-Lumbar or Sacral	$1,257.40	$2,095.67	$87.51–$2,670.58	38% below	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Epidural Steroid Inj W/Img-Lumbar or Sacral	$1,213.15	$2,021.92	$648.78–$2,670.58	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Epidural Steroid Inj W/O Img-Lumbar or Sacral	$1,373.02	$2,288.36	$1,052.65–$1,945.11	15% below	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Epidural Steroid Inj W/O Img-Lumbar or Sacral	$1,373.02	$2,288.36	$1,052.65–$1,945.11	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Transform. Epi Inject L/S Incl Imaging	$1,816.10	$3,026.83	$1,428.06–$2,572.81	12% below	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$3,475.45	$5,792.42	$97.27–$3,346.24	68% above	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Transform. Epi Inject L/S Incl Imaging	$1,816.10	$3,026.83	$1,428.06–$2,572.81	—	40%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar	$20,071.78	$33,452.96	$870.52–$27,452.58	20% below	40%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar\|LEFT SIDE	$20,262.31	$33,770.52	$870.52–$27,452.58	20% below	40%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar\|RIGHT SIDE	$20,539.81	$34,233.01	$870.52–$27,452.58	19% below	40%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar	$69,007.91	$115,013.18	$1,663.23–$102,656.66	32% below	40%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$24,351.53	$40,585.88	$1,036.98–$27,452.58	27% below	40%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar\|LEFT SIDE	$30,077.71	$50,129.52	$1,036.98–$27,452.58	9% below	40%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$54,871.57	$91,452.62	$1,434.74–$66,336.04	83% above	40%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$15,033.04	$25,055.06	$258.28–$30,922.55	15% below	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy Partial\|RIGHT SIDE	$13,258.06	$22,096.76	$258.28–$30,922.55	25% below	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy Partial\|LEFT SIDE	$14,618.38	$24,363.96	$258.28–$30,922.55	17% below	40%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$37,561.06	$62,601.77	$347.24–$25,121.87	37% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy Simple Complete\|RIGHT SIDE	$16,207.13	$27,011.89	$347.24–$25,121.87	41% below	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy Simple Complete\|LEFT SIDE	$23,177.65	$38,629.42	$347.24–$25,121.87	15% below	40%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$6,310.01	$10,516.69	$65.59–$12,247.08	11% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Removal of Noncancer Skin Growth of Body, Arms, or Legs, 0.5 Cm or Less	$1,118.71	$1,864.51	$857.67–$1,584.83	17% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$9,541.97	$15,903.29	$65.59–$12,247.08	608% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Removal of Noncancer Skin Growth of Body, Arms, or Legs, 0.5 Cm or Less	$1,118.71	$1,864.51	$857.67–$1,584.83	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Removal of Noncancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, or Mouth, 0.5 Cm or Less	$1,118.71	$1,864.51	$857.67–$1,584.83	18% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$5,017.21	$8,362.02	$65.59–$2,679.08	266% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Removal of Noncancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, or Mouth, 0.5 Cm or Less	$1,118.71	$1,864.51	$857.67–$1,584.83	—	40%
Nail removal (partial or complete), one nail CPT 11730 HC Nail Avulsion	$431.98	$719.97	$183.56–$759.06	36% above	40%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion	$431.98	$719.97	$183.56–$759.06	36% above	40%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion	$2,000.89	$3,334.82	$47.98–$1,537.96	528% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion	$431.98	$719.97	$183.56–$759.06	—	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Nail Avulsion	$431.98	$719.97	$183.56–$759.06	—	40%
Occipital nerve block (injection for headaches) CPT 64405 HC Greater Occipital Nerve Block	$527.45	$879.09	$267.01–$1,161.29	33% below	40%
Occipital nerve block (injection for headaches) CPT 64405 HC Greater Occipital Nerve Block	$546.01	$910.01	$45.65–$1,161.29	31% below	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Greater Occipital Nerve Block	$527.45	$879.09	$267.01–$1,161.29	—	40%
Pacemaker implant (dual chamber) CPT 33208 HC Pcmkr Atrial & Vent Lead	$20,839.34	$34,732.23	$6,321.27–$39,543.23	34% above	40%
Pacemaker implant (dual chamber) CPT 33208 HC Pcmkr Atrial & Vent Lead	$36,569.17	$60,948.62	$448.82–$39,543.23	135% above	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Pcmkr Atrial & Vent Lead	$20,839.34	$34,732.23	$6,321.27–$39,543.23	—	40%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis W/Imaging	$2,379.30	$3,965.50	$827.70–$3,431.41	37% above	40%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance	$2,379.30	$3,965.50	$827.70–$3,431.41	37% above	40%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis W/Imaging	$2,486.68	$4,144.46	$91.56–$3,431.41	43% above	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance	$2,379.30	$3,965.50	$827.70–$3,431.41	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis W/Imaging	$2,379.30	$3,965.50	$827.70–$3,431.41	—	40%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$32,849.36	$54,748.93	$1,021.12–$48,572.85	6% above	40%
Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt\|LEFT SIDE	$23,076.56	$38,460.94	$1,021.12–$48,572.85	26% below	40%
Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt\|RIGHT SIDE	$26,438.57	$44,064.28	$1,021.12–$48,572.85	15% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed	$640.32	$1,067.20	$353.57–$1,537.96	18% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed	$4,835.59	$8,059.32	$91.37–$1,537.96	522% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed	$640.32	$1,067.20	$353.57–$1,537.96	—	40%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach	$4,587.38	$7,645.63	—	128% above	40%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$31,811.36	$53,018.94	$258.28–$40,216.07	40% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Lumbar or Sacral Single Facet	$4,361.77	$7,269.61	$3,429.80–$6,179.17	31% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$4,567.26	$7,612.10	$169.14–$7,387.79	37% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Lumbar or Sacral Single Facet	$4,361.77	$7,269.61	$3,429.80–$6,179.17	—	40%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$6,509.18	$10,848.63	$395.68–$14,813.33	46% above	40%
Removal of a breast lump, open surgery CPT 19120 HC Excision ,Open, Breast Mass	$6,740.95	$11,234.92	$487.80–$14,324.52	51% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|RIGHT SIDE	$6,589.40	$10,982.33	$395.68–$14,813.33	48% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|LEFT SIDE	$7,317.00	$12,195.00	$395.68–$14,813.33	64% above	40%
Removal of a breast lump, open surgery inpatient CPT 19120 HC Excision ,Open, Breast Mass	$6,740.95	$11,234.92	$487.80–$14,324.52	—	40%
Removal of a foreign object under the skin, simple CPT 10120 HC Incis & Rem of F.B.Subcut Tis	$687.48	$1,145.80	$332.17–$1,537.96	3% above	40%
Removal of a foreign object under the skin, simple CPT 10120 HC Incis & Rem of F.B.Subcut Tis	$4,230.93	$7,051.55	$97.70–$1,537.96	531% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incis & Rem of F.B.Subcut Tis	$687.48	$1,145.80	$332.17–$1,537.96	—	40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$16,679.35	$27,798.91	$258.28–$22,872.17	24% below	40%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy\|LEFT SIDE	$15,621.98	$26,036.63	$258.28–$22,872.17	29% below	40%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy\|RIGHT SIDE	$16,208.59	$27,014.32	$258.28–$22,872.17	26% below	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$3,691.96	$6,153.26	$65.59–$3,518.34	42% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$3,580.94	$5,968.23	$65.59–$3,518.34	38% above	40%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$10,267.74	$17,112.90	$585.85–$12,543.45	50% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$6,243.80	$10,406.34	$509.85–$13,336.13	37% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 Lithotripsy Xtrcorp Shock Wave\|RIGHT SIDE	$6,714.26	$11,190.43	$509.85–$13,336.13	33% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 Lithotripsy Xtrcorp Shock Wave\|LEFT SIDE	$6,845.36	$11,408.94	$509.85–$13,336.13	31% below	40%
Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint Forearm-Hand Static	$439.62	$732.70	$337.04–$934.19	51% above	40%
Short arm splint (forearm and hand) one side CPT 29125 HC Application Short Arm Splint Forearm-Hand Static\|RIGHT SIDE	$15,720.40	$26,200.67	$39.41–$27,452.58	5309% above	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Application Short Arm Splint Forearm-Hand Static	$439.62	$732.70	$337.04–$934.19	—	40%
Short leg cast (below the knee) one side CPT 29405 HC Short Cast-Right Leg	$508.60	$847.67	$389.93–$720.52	34% above	40%
Short leg cast (below the knee) inpatient one side CPT 29405 HC Short Cast-Right Leg	$508.60	$847.67	$389.93–$720.52	—	40%
Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf Foot	$478.00	$796.66	$366.46–$677.16	62% above	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC Application Short Leg Splint Calf Foot	$478.00	$796.66	$366.46–$677.16	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$21,102.55	$35,170.91	$617.47–$27,452.58	21% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|LEFT SIDE	$14,853.75	$24,756.25	$617.47–$27,452.58	44% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|RIGHT SIDE	$17,715.82	$29,526.37	$617.47–$27,452.58	34% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$15,786.17	$26,310.29	$145.87–$27,452.58	30% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|RIGHT SIDE	$20,140.06	$33,566.76	$145.87–$27,452.58	11% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|LEFT SIDE	$22,133.45	$36,889.08	$145.87–$27,452.58	2% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$381.22	$635.36	$292.27–$810.08	16% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Sim Repair Wound 2.5cm or Les	$381.22	$635.36	$292.27–$810.08	16% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Sim Repair Wound 2.5cm or Les	$381.22	$635.36	$292.27–$810.08	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$381.22	$635.36	$292.27–$810.08	—	40%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Single Lesion	$518.92	$864.86	$37.59–$1,537.96	17% above	40%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Single Lesion	$518.92	$864.86	$353.57–$1,537.96	17% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Single Lesion	$518.92	$864.86	$353.57–$1,537.96	—	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$8,025.91	$13,376.51	$104.92–$2,679.08	485% above	40%
Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags	$409.39	$682.31	$183.56–$759.06	40% above	40%
Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags	$8,644.22	$14,407.03	$66.03–$6,248.54	2855% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal of Skin Tags	$409.39	$682.31	$183.56–$759.06	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture	$791.18	$1,318.63	$606.57–$1,120.84	26% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture-Diagnostic	$791.18	$1,318.63	$606.57–$1,120.84	26% below	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Lumbar Puncture-Diagnostic	$791.18	$1,318.63	$606.57–$1,120.84	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Lumbar Puncture	$791.18	$1,318.63	$606.57–$1,120.84	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Simp Repr of Wnds 2.6cm-7.5cm	$666.97	$1,111.61	$511.34–$944.87	89% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$666.97	$1,111.61	$511.34–$944.87	89% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$666.97	$1,111.61	$511.34–$944.87	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Simp Repr of Wnds 2.6cm-7.5cm	$666.97	$1,111.61	$511.34–$944.87	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/<	$381.22	$635.36	$292.27–$540.06	20% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/<	$381.22	$635.36	$292.27–$540.06	—	40%
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$10,318.37	$17,197.29	$65.59–$20,285.37	42% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy of Skin Single Lesion	$500.05	$833.42	$353.57–$1,537.96	66% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy of Skin Single Lesion	$717.22	$1,195.37	$29.64–$1,537.96	138% above	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy of Skin Single Lesion	$500.05	$833.42	$353.57–$1,537.96	—	40%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W Image Guidance	$1,283.38	$2,138.97	$553.73–$2,373.30	26% below	40%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W Image Guidance	$1,539.92	$2,566.53	$65.59–$2,373.30	11% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis W Image Guidance\|LEFT SIDE	$1,511.96	$2,519.93	$65.59–$2,373.30	13% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis W Image Guidance\|RIGHT SIDE	$1,756.63	$2,927.72	$65.59–$2,373.30	1% above	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis W Image Guidance	$1,283.38	$2,138.97	$553.73–$2,373.30	—	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$8,660.83	$14,434.71	$264.13–$12,543.45	67% above	40%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$8,397.85	$13,996.42	$253.24–$22,396.62	at median	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$7,894.83	$13,158.05	$223.73–$12,543.45	31% below	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$7,693.70	$12,822.83	$234.94–$22,396.62	21% above	40%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$24,946.75	$41,577.92	$1,134.94–$48,572.85	44% below	40%
Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|LEFT SIDE	$27,691.78	$46,152.97	$1,134.94–$48,572.85	37% below	40%
Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|RIGHT SIDE	$27,740.07	$46,233.45	$1,134.94–$48,572.85	37% below	40%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$28,291.61	$47,152.69	$1,132.39–$48,572.85	34% below	40%
Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments\|LEFT SIDE	$29,998.68	$49,997.80	$1,132.39–$48,572.85	30% below	40%
Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments\|RIGHT SIDE	$30,035.21	$50,058.68	$1,132.39–$48,572.85	30% below	40%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$37,098.79	$61,831.31	$16,222.86–$66,336.04	32% below	40%
Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder\|RIGHT SIDE	$39,680.83	$66,134.71	$16,222.86–$66,336.04	27% below	40%
Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder\|LEFT SIDE	$40,304.15	$67,173.59	$16,222.86–$66,336.04	26% below	40%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$19,340.26	$32,233.77	$260.43–$22,872.17	33% below	40%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$4,890.33	$8,150.55	$274.57–$6,083.54	49% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Trigger Point Inj. 1 or 2 Mus	$631.21	$1,052.02	$267.01–$1,161.29	10% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Trigger Point Inj. 1 or 2 Mus	$644.79	$1,074.65	$34.88–$1,161.29	8% below	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Trigger Point Inj. 1 or 2 Mus	$631.21	$1,052.02	$267.01–$1,161.29	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC US Breast Bx-Including Clip Plcmt and Specimen	$3,352.78	$5,587.97	$434.44–$6,248.54	1% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC US Breast Bx-Including Clip Plcmt and Specimen	$5,051.99	$8,419.98	$129.73–$6,248.54	52% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC US Breast Bx-Including Clip Plcmt and Specimen	$3,352.78	$5,587.97	$434.44–$6,248.54	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$5,477.87	$9,129.79	$65.59–$7,259.83	56% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Biopsy Single/Multiple	$3,515.92	$5,859.87	$2,764.69–$4,980.89	25% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$5,378.12	$8,963.54	$65.59–$7,259.83	92% above	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Biopsy Single/Multiple	$3,515.92	$5,859.87	$2,764.69–$4,980.89	—	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$7,015.58	$11,692.64	$121.06–$3,431.41	150% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$6,807.00	$11,345.00	$65.59–$7,259.83	110% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$5,198.47	$8,664.12	$145.14–$3,431.41	85% above	40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$1,474.79	$2,457.99	$1,130.68–$2,089.29	43% below	40%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$4,569.25	$7,615.41	$65.59–$3,431.41	76% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$1,474.79	$2,457.99	$1,130.68–$2,089.29	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$9,129.69	$15,216.15	$339.67–$20,285.37	23% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy\|LEFT SIDE	$7,978.67	$13,297.79	$339.67–$20,285.37	32% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy\|RIGHT SIDE	$8,434.59	$14,057.65	$339.67–$20,285.37	28% below	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$8,972.49	$14,954.15	$361.00–$20,285.37	41% below	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt\|RIGHT SIDE	$8,941.83	$14,903.05	$361.00–$20,285.37	41% below	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt\|LEFT SIDE	$9,129.19	$15,215.32	$361.00–$20,285.37	40% below	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC Rf Closure Saphenous Vein	$6,345.20	$10,575.33	$2,925.63–$11,945.76	3% below	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC Rf Closure Saphenous Vein	$8,364.83	$13,941.39	$244.94–$11,945.76	28% above	40%
Vein ablation, radiofrequency, first vein one side CPT 36475 HC Rf Closure Saphenous Vein\|RIGHT SIDE	$8,368.67	$13,947.79	$244.94–$11,945.76	28% above	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Rf Closure Saphenous Vein	$6,345.20	$10,575.33	$2,925.63–$11,945.76	—	40%
Wart removal, up to 14 warts CPT 17110 HC Destruct B9 Lesion 1-14	$340.78	$567.97	$183.56–$482.77	9% above	40%
Wart removal, up to 14 warts CPT 17110 HC Destruct B9 Lesion 1-14	$5,227.36	$8,712.26	$59.52–$759.06	1566% above	40%
Wart removal, up to 14 warts inpatient CPT 17110 HC Destruct B9 Lesion 1-14	$340.78	$567.97	$183.56–$482.77	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debrid Skin & Subq 1st 20sqcm	$1,568.91	$2,614.85	$54.46–$1,537.96	101% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debrid Skin & Subq 1st 20sqcm	$1,568.91	$2,614.85	$353.57–$2,222.62	101% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 HC Debrid Skin & Subq 1st 20sqcm\|LEFT SIDE	$2,143.76	$3,572.93	$54.46–$1,537.96	175% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debrid Skin & Subq 1st 20sqcm	$1,568.91	$2,614.85	$353.57–$2,222.62	—	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation\|RIGHT SIDE	$14,616.01	$24,360.02	$673.13–$27,452.58	12% below	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation\|LEFT SIDE	$17,787.73	$29,646.21	$673.13–$27,452.58	7% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Adm Discontinued	$1,313.54	$2,189.23	$405.94–$1,860.85	18% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Replacement	$1,313.54	$2,189.23	$405.94–$1,860.85	18% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfuse Blood or Blood Components Untimed	$1,313.54	$2,189.23	$405.94–$1,860.85	18% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfuse Blood or Blood Components Untimed	$3,766.45	$6,277.42	$43.61–$1,669.11	239% above	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfuse Blood or Blood Components Untimed	$1,313.54	$2,189.23	$405.94–$1,860.85	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Adm Discontinued	$1,313.54	$2,189.23	$405.94–$1,860.85	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Replacement	$1,313.54	$2,189.23	$405.94–$1,860.85	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Breathing Tx, Inital/Subsequent	$134.62	$224.37	$103.21–$828.46	23% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Breathing Tx, Inital/Subsequent	$11,847.13	$19,745.22	$8.00–$26,700.63	6651% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Breathing Tx, Inital/Subsequent	$134.62	$224.37	$103.21–$828.46	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo, IV Up to 1 Hr	$835.43	$1,392.39	$317.70–$1,249.65	9% above	40%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo, IV Up to 1 Hr	$6,494.37	$10,823.95	$123.32–$1,249.65	747% above	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo, IV Up to 1 Hr	$835.43	$1,392.39	$317.70–$1,249.65	—	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Basic Com Audiometry	$301.92	$503.20	$134.16–$486.83	15% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Basic Com Audiometry	$380.79	$634.65	$12.69–$486.83	45% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Basic Com Audiometry	$301.92	$503.20	$134.16–$486.83	—	40%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 1st 75 Minutes	$1,950.00	$3,250.00	$1,200.00–$2,862.00	34% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 1st 75 Minutes	$1,950.00	$3,250.00	$1,200.00–$2,862.00	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake/Drowsy	$630.64	$1,051.07	$179.73–$893.41	34% below	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake/Drowsy	$630.64	$1,051.07	$163.89–$816.92	34% below	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake/Drowsy	$630.64	$1,051.07	$179.73–$893.41	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Complete	$150.58	$250.97	$42.92–$223.19	19% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg	$150.58	$250.97	$42.92–$223.19	19% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg	$186.66	$311.10	$6.47–$43,675.34	1% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg 12 Lead Complete	$150.58	$250.97	$42.92–$223.19	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ekg	$150.58	$250.97	$42.92–$223.19	—	40%
Electroconvulsive therapy (ECT), one session CPT 90870 HC Electro Shock Procedure	$703.93	$1,173.22	$539.68–$997.24	48% below	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC Electro Shock Procedure	$703.93	$1,173.22	$539.68–$997.24	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level I	$219.00	$365.00	$120.00–$1,200.00	30% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Level I	$219.00	$365.00	$120.00–$1,200.00	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Level II	$325.80	$543.00	$249.78–$1,200.00	36% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Level II	$325.80	$543.00	$249.78–$1,200.00	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level III	$597.00	$995.00	$284.62–$2,348.00	29% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level III	$674.83	$1,124.71	$69.06–$2,348.00	20% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Level III	$597.00	$995.00	$284.62–$2,348.00	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level IV	$866.90	$1,444.84	$117.61–$3,843.00	35% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level IV	$961.20	$1,602.00	$435.06–$3,843.00	28% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level IV	$961.20	$1,602.00	$435.06–$3,843.00	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level V	$1,598.40	$2,664.00	$1,200.00–$3,843.00	8% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level V	$1,598.40	$2,664.00	$1,200.00–$3,843.00	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Oehs Stress Test	$153.85	$256.42	$46.67–$816.92	83% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test	$696.68	$1,161.13	$211.33–$986.96	22% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test	$5,493.87	$9,156.45	$17.96–$4,898.08	512% above	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Oehs Stress Test	$153.85	$256.42	$46.67–$816.92	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Stress Test	$696.68	$1,161.13	$211.33–$986.96	—	40%
Family therapy with the patient, 50 minutes CPT 90847 HC Fam & Pt 50 Min Lpcc/Lpc	$252.29	$420.49	$193.43–$357.42	15% below	40%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy W Pt 6269	$252.29	$420.49	$193.43–$357.42	15% below	40%
Family therapy with the patient, 50 minutes CPT 90847 HC Fam & Pt 50 Min Lisw/Lsw	$252.29	$420.49	$193.43–$357.42	15% below	40%
Family therapy with the patient, 50 minutes CPT 90847 HC Fam & Pt 50 Min Licdc/ Lcdc III/Lcdc II	$252.29	$420.49	$193.43–$357.42	15% below	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Fam & Pt 50 Min Lisw/Lsw	$252.29	$420.49	$193.43–$357.42	—	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Fam & Pt 50 Min Licdc/ Lcdc III/Lcdc II	$252.29	$420.49	$193.43–$357.42	—	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Fam & Pt 50 Min Lpcc/Lpc	$252.29	$420.49	$193.43–$357.42	—	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Therapy W Pt 6269	$252.29	$420.49	$193.43–$357.42	—	40%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Therapy WO Pt 50 Min Lpcc/Lpc	$327.26	$545.43	$250.90–$463.62	6% above	40%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Therapy WO Pt 6269	$327.26	$545.43	$250.90–$463.62	6% above	40%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Therapy WO Pt 50 Min Lisw/Lsw	$327.26	$545.43	$250.90–$463.62	6% above	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Therapy WO Pt 50 Min Lpcc/Lpc	$327.26	$545.43	$250.90–$463.62	—	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Therapy WO Pt 6269	$327.26	$545.43	$250.90–$463.62	—	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Therapy WO Pt 50 Min Lisw/Lsw	$327.26	$545.43	$250.90–$463.62	—	40%
Group psychotherapy session CPT 90853 HC Continuing Care-Grp-OP Licdc/Lcdc111/Lcdc11	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Expressive Therapy Group 6269	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Group Therapy Not Multi-Family	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Grouped Therapy	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Group Psychotherapy	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Continuing Care-Grp-OP Lisw/Lsw	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Group Therapy	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC O.T.Sensory Motor Group	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Ins Art Psychothry Grp	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Int Music Therapy Group	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Group Therapy Not Multi-Family Lpcc/Lpc	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Group Therapy Not Multi-Family Licdc/Lcdc III/Lcdc II	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Continuing Care-Grp-OP Lpcc/Lpc	$143.63	$239.39	$110.12–$203.48	16% below	40%
Group psychotherapy session CPT 90853 HC Two Hour Group Therapy	$287.27	$478.79	$220.24–$406.97	68% above	40%
Group psychotherapy session CPT 90853 HC Two Hour Group Therapy Lisw/Lsw	$287.27	$478.79	$220.24–$406.97	68% above	40%
Group psychotherapy session CPT 90853 HC Two Hour Group Therapy Licdc/Lcdc111/Lcdcii	$287.27	$478.79	$220.24–$406.97	68% above	40%
Group psychotherapy session CPT 90853 HC Three Hour Group Therapy Lisw/Lsw	$430.91	$718.18	$330.36–$610.45	152% above	40%
Group psychotherapy session CPT 90853 HC Three Hour Group Therapy Lpcc/Lpc	$430.91	$718.18	$330.36–$610.45	152% above	40%
Group psychotherapy session CPT 90853 HC Three Hour Group Therapy Licdc.Lcdciii,Lcdcii	$430.91	$718.18	$330.36–$610.45	152% above	40%
Group psychotherapy session CPT 90853 HC Three Hour Group Therapy	$430.91	$718.18	$330.36–$610.45	152% above	40%
Group psychotherapy session CPT 90853 HC Grouped Therapy	$1,579.99	$2,633.31	$73.08–$105.92	824% above	40%
Group psychotherapy session inpatient CPT 90853 HC Group Therapy	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Expressive Therapy Group 6269	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Group Therapy Not Multi-Family	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Grouped Therapy	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Continuing Care-Grp-OP Licdc/Lcdc111/Lcdc11	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Continuing Care-Grp-OP Lpcc/Lpc	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Continuing Care-Grp-OP Lisw/Lsw	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Group Therapy Not Multi-Family Licdc/Lcdc III/Lcdc II	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Group Therapy Not Multi-Family Lpcc/Lpc	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Int Music Therapy Group	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Ins Art Psychothry Grp	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC O.T.Sensory Motor Group	$143.63	$239.39	$110.12–$203.48	—	40%
Group psychotherapy session inpatient CPT 90853 HC Two Hour Group Therapy Licdc/Lcdc111/Lcdcii	$287.27	$478.79	$220.24–$406.97	—	40%
Group psychotherapy session inpatient CPT 90853 HC Two Hour Group Therapy Lisw/Lsw	$287.27	$478.79	$220.24–$406.97	—	40%
Group psychotherapy session inpatient CPT 90853 HC Two Hour Group Therapy	$287.27	$478.79	$220.24–$406.97	—	40%
Group psychotherapy session inpatient CPT 90853 HC Three Hour Group Therapy Lpcc/Lpc	$430.91	$718.18	$330.36–$610.45	—	40%
Group psychotherapy session inpatient CPT 90853 HC Three Hour Group Therapy	$430.91	$718.18	$330.36–$610.45	—	40%
Group psychotherapy session inpatient CPT 90853 HC Three Hour Group Therapy Licdc.Lcdciii,Lcdcii	$430.91	$718.18	$330.36–$610.45	—	40%
Group psychotherapy session inpatient CPT 90853 HC Three Hour Group Therapy Lisw/Lsw	$430.91	$718.18	$330.36–$610.45	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydrat Ther Init 31min-1hr (96360)	$514.54	$857.57	$208.05–$804.73	23% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydrat Ther Init 31min-1hr (96360)	$799.62	$1,332.70	$31.18–$804.73	91% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Hydrat Ther Init 31min-1hr (96360)	$514.54	$857.57	$208.05–$804.73	—	40%
IV infusion of a medicine, first hour CPT 96365 HC IV Med Init or Sngl Drg 1st H (96365)	$514.54	$857.57	$208.05–$804.73	19% above	40%
IV infusion of a medicine, first hour CPT 96365 HC IV Med Init or Sngl Drg 1st H (96365)	$1,305.64	$2,176.07	$62.34–$804.73	202% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Med Init or Sngl Drg 1st H (96365)	$514.54	$857.57	$208.05–$804.73	—	40%
IV push of a medicine, first drug CPT 96374 HC Ivp Injection Initial (96374)	$514.54	$857.57	$208.05–$804.73	101% above	40%
IV push of a medicine, first drug CPT 96374 HC Ivp Injection Initial (96374)	$1,082.50	$1,804.17	$35.22–$804.73	322% above	40%
IV push of a medicine, first drug inpatient CPT 96374 HC Ivp Injection Initial (96374)	$514.54	$857.57	$208.05–$804.73	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection, Im/Sq Therapeutic (96372)	$169.32	$282.20	$63.36–$272.41	20% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection, Im/Sq Therapeutic (96372)	$2,380.72	$3,967.87	$14.63–$272.41	1584% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection, Im/Sq Therapeutic (96372)	$169.32	$282.20	$63.36–$272.41	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation Rn	$333.68	$556.14	$255.82–$472.72	7% above	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation Lpcc/Lpc	$333.68	$556.14	$255.82–$472.72	7% above	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation Lisw/Lsw	$333.68	$556.14	$255.82–$472.72	7% above	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation Licdc/Lcdc III/Lcdc II	$333.68	$556.14	$255.82–$472.72	7% above	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation Lisw/Lsw	$539.78	$899.63	$137.24–$582.02	72% above	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psych Diagnostic Evaluation Rn	$333.68	$556.14	$255.82–$472.72	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psych Diagnostic Evaluation Lisw/Lsw	$333.68	$556.14	$255.82–$472.72	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psych Diagnostic Evaluation Licdc/Lcdc III/Lcdc II	$333.68	$556.14	$255.82–$472.72	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psych Diagnostic Evaluation Lpcc/Lpc	$333.68	$556.14	$255.82–$472.72	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nvr Cndj Tst 7-8 Studies	$527.45	$879.09	$389.08–$1,411.76	62% below	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nvr Cndj Tst 7-8 Studies	$848.30	$1,413.84	$72.05–$1,411.76	39% below	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nvr Cndj Tst 7-8 Studies	$527.45	$879.09	$389.08–$1,411.76	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC T Neuromuscular Re-Education	$123.21	$205.35	$31.53–$174.55	12% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED	$123.21	$205.35	$31.53–$174.55	12% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-Education	$123.21	$205.35	$31.53–$174.55	12% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC T Neuromuscular Re-Education	$1,817.31	$3,028.85	$31.53–$128.00	1558% above	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-Education	$123.21	$205.35	$31.53–$174.55	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED	$123.21	$205.35	$31.53–$174.55	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC T Neuromuscular Re-Education	$123.21	$205.35	$31.53–$174.55	—	40%
New patient office visit, about 30 minutes CPT 99203 HC Outpatient Visit New Lvl III	$211.67	$352.78	$70.77–$299.86	93% above	40%
New patient office visit, about 30 minutes CPT 99203 HC Outpatient Visit New Lvl III	$234.10	$390.16	$9.34–$804.73	113% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Outpatient Visit New Lvl III	$211.67	$352.78	$70.77–$299.86	—	40%
New patient office visit, about 45 minutes CPT 99204 HC Outpatient Visit New Lvl IV	$227.00	$378.34	$115.62–$321.59	87% above	40%
New patient office visit, about 45 minutes CPT 99204 HC Outpatient Visit New Lvl IV	$227.00	$378.34	$115.62–$237.02	87% above	40%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Outpatient Visit New Lvl IV	$227.00	$378.34	$115.62–$321.59	—	40%
New patient office visit, about 60 minutes CPT 99205 HC Outpatient Visit New Lvl V	$310.01	$516.69	$121.39–$439.19	79% above	40%
New patient office visit, about 60 minutes CPT 99205 HC Outpatient Visit New Lvl V	$667.67	$1,112.79	$30.85–$759.06	286% above	40%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Outpatient Visit New Lvl V	$310.01	$516.69	$121.39–$439.19	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Outpatient Visit New Lvl II	$194.96	$324.93	$40.64–$138.82	92% above	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Outpatient Visit New Lvl II	$194.96	$324.93	$40.64–$276.19	92% above	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Outpatient Visit New Lvl II	$194.96	$324.93	$40.64–$276.19	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Assessment and Intervention Each 15 Min	$63.81	$106.35	$25.79–$90.40	1% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutrition Counseling/15'	$63.81	$106.35	$25.79–$90.40	1% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Assessment and Intervention Each 15 Min	$16,506.13	$27,510.21	$51.58–$110.90	25388% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Med Nutrition Counseling/15'	$63.81	$106.35	$25.79–$90.40	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Initial Assessment and Intervention Each 15 Min	$63.81	$106.35	$25.79–$90.40	—	40%
Occupational therapy evaluation, low complexity CPT 97165 HC Rsc Ot Eval Low Complexity	$172.81	$288.01	$83.49–$244.81	34% below	40%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity	$172.81	$288.01	$83.49–$244.81	34% below	40%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity	$1,719.92	$2,866.53	$95.15–$188.72	559% above	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Rsc Ot Eval Low Complexity	$172.81	$288.01	$83.49–$244.81	—	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complexity	$172.81	$288.01	$83.49–$244.81	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity	$228.73	$381.22	$94.33–$324.04	24% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity	$567.55	$945.92	$94.33–$188.66	88% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complexity	$228.73	$381.22	$94.33–$324.04	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Rsc Pt Eval Low Complexity	$177.90	$296.50	$85.96–$252.03	32% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity	$177.90	$296.50	$85.96–$252.03	32% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity	$2,041.41	$3,402.35	$94.33–$183.94	682% above	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complexity	$177.90	$296.50	$85.96–$252.03	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Rsc Pt Eval Low Complexity	$177.90	$296.50	$85.96–$252.03	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity	$203.30	$338.84	$94.33–$288.01	27% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity	$28,667.70	$47,779.50	$94.33–$48,572.85	10216% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Moderate Complexity	$203.30	$338.84	$94.33–$288.01	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Wh Pt Manual Therapy per 15 Min	$132.90	$221.50	$26.72–$188.28	20% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy per 15 Min	$132.90	$221.50	$26.72–$188.28	20% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy per 15 Min	$132.90	$221.50	$26.72–$188.28	20% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy per 15 Min	$1,250.02	$2,083.36	$26.72–$53.44	1027% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy per 15 Min	$132.90	$221.50	$26.72–$188.28	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Wh Pt Manual Therapy per 15 Min	$132.90	$221.50	$26.72–$188.28	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therapy per 15 Min	$132.90	$221.50	$26.72–$188.28	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	43% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	43% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Wh Ot Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	43% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Wh Pt Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	43% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	43% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex per 15 Min	$1,096.87	$1,828.11	$28.01–$56.02	826% above	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Wh Ot Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Wh Pt Therapeutic Ex per 15 Min	$169.41	$282.35	$28.01–$240.00	—	40%
Preventive checkup, new patient aged 40–64 CPT 99386 HC Health Screenings 40-64 Yrs	$33.87	$56.45	$25.97–$47.98	77% below	40%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Health Screenings 40-64 Yrs	$33.87	$56.45	$25.97–$47.98	—	40%
Preventive checkup, new patient aged 65 or older CPT 99387 HC Health Screening 65 Yrs+	$33.87	$56.45	$25.97–$47.98	78% below	40%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Health Screening 65 Yrs+	$33.87	$56.45	$25.97–$47.98	—	40%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval With Medical Services	$314.80	$524.66	$241.34–$445.96	11% below	40%
Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Diagnostic Eval With Medical Services	$314.80	$524.66	$241.34–$445.96	—	40%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psychological Testing Evaluation 1st 60 Minutes	$399.80	$666.34	$306.52–$566.39	6% below	40%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psychological Testing Evaluation 1st 60 Minutes	$399.80	$666.34	$306.52–$566.39	—	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy for Crisis, 1st 60 Min Lisw/Lsw	$302.69	$504.48	$232.06–$428.81	3% below	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis Initial 60 Minutes	$5,925.95	$9,876.59	$129.46	1791% above	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Psychotherapy for Crisis, 1st 60 Min Lisw/Lsw	$302.69	$504.48	$232.06–$428.81	—	40%
Psychotherapy session, 30 minutes CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Licdc/Lcdc III/Lcdc II	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC Individual Therapy 16-37 Mins Lisw/Lsw	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Lisw/Lsw	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC Diagnostic Art Psych Htp 16-37 Mins	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC O.T.Ind.Psych Treatment 16-37 Mins	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC Life Skills-Ind.Treatment 16-37 Mins	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC O.T.Outpt. Individual Tx 16-37 Mins	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Lpcc/Lpc	$318.85	$531.42	$244.45–$451.71	68% above	40%
Psychotherapy session, 30 minutes CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Lisw/Lsw	$639.70	$1,066.16	$69.44–$582.02	238% above	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Lpcc/Lpc	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Licdc/Lcdc III/Lcdc II	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Life Skills-Ind.Treatment 16-37 Mins	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC O.T.Outpt. Individual Tx 16-37 Mins	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC O.T.Ind.Psych Treatment 16-37 Mins	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Pt 1:1 or W Fam 16-37 Min Lisw/Lsw	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Diagnostic Art Psych Htp 16-37 Mins	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Individual Therapy 16-37 Mins Lisw/Lsw	$318.85	$531.42	$244.45–$451.71	—	40%
Psychotherapy session, 45 minutes CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Lpcc/Lpc	$320.84	$534.74	$245.98–$454.53	20% above	40%
Psychotherapy session, 45 minutes CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Licdc/Lcdc III/Lcdcii	$320.84	$534.74	$245.98–$454.53	20% above	40%
Psychotherapy session, 45 minutes CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Lisw/Lsw	$320.84	$534.74	$245.98–$454.53	20% above	40%
Psychotherapy session, 45 minutes CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Lisw/Lsw	$629.24	$1,048.74	$91.82–$582.02	136% above	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Licdc/Lcdc III/Lcdcii	$320.84	$534.74	$245.98–$454.53	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Lpcc/Lpc	$320.84	$534.74	$245.98–$454.53	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Pt 1:1 or W Fam 38-52 Min Lisw/Lsw	$320.84	$534.74	$245.98–$454.53	—	40%
Psychotherapy session, 60 minutes CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Lpcc/Lpc	$308.40	$514.00	$236.44–$436.90	2% below	40%
Psychotherapy session, 60 minutes CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Lisw/Lsw	$308.40	$514.00	$236.44–$436.90	2% below	40%
Psychotherapy session, 60 minutes CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Licdc/Lcdciii/Lcdcii	$308.40	$514.00	$236.44–$436.90	2% below	40%
Psychotherapy session, 60 minutes CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Lisw/Lsw	$616.80	$1,028.00	$135.22–$671.52	97% above	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Licdc/Lcdciii/Lcdcii	$308.40	$514.00	$236.44–$436.90	—	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Lpcc/Lpc	$308.40	$514.00	$236.44–$436.90	—	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Pt 1:1 or W Fam > 53 Mins Lisw/Lsw	$308.40	$514.00	$236.44–$436.90	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Cess Counsel 3-10min	$60.17	$100.28	$26.82–$141.74	37% above	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Cess Counsel 3-10min	$249.56	$415.94	$10.57–$141.74	470% above	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Tobacco Cess Counsel 3-10min	$60.17	$100.28	$26.82–$141.74	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC O/P Visit Est Lev V	$245.08	$408.47	$121.39–$347.20	46% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC O/P Visit Est Lev V	$602.74	$1,004.57	$30.85–$804.73	258% above	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC O/P Visit Est Lev V	$245.08	$408.47	$121.39–$347.20	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC O/P Visit Est Lev III	$206.09	$343.49	$56.80–$291.97	77% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC O/P Visit Est Lev III	$206.09	$343.49	$56.80–$804.73	77% above	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC O/P Visit Est Lev III	$206.09	$343.49	$56.80–$291.97	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC O/P Visit Est Lev IV	$217.17	$361.95	$83.59–$307.66	59% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC O/P Visit Est Lev IV	$217.17	$361.95	$29.60–$804.73	59% above	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC O/P Visit Est Lev IV	$217.17	$361.95	$83.59–$307.66	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC O/P Visit Est Lev II	$189.40	$315.66	$30.74–$804.73	88% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC O/P Visit Est Lev II	$189.40	$315.66	$30.74–$268.31	88% above	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC O/P Visit Est Lev II	$189.40	$315.66	$30.74–$268.31	—	40%
Speech and language evaluation CPT 92523 HC Rsc Eval Speech Sound Lang Comprehension	$372.17	$620.28	$128.00–$527.24	9% above	40%
Speech and language evaluation CPT 92523 HC Eval Speech Sound Lang Comprehension	$372.17	$620.28	$128.00–$527.24	9% above	40%
Speech and language evaluation CPT 92523 HC Eval Speech Sound Lang Comprehension	$505.09	$841.81	$128.00–$427.11	48% above	40%
Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Lang Comprehension	$372.17	$620.28	$128.00–$527.24	—	40%
Speech and language evaluation inpatient CPT 92523 HC Rsc Eval Speech Sound Lang Comprehension	$372.17	$620.28	$128.00–$527.24	—	40%
Speech therapy session, individual CPT 92507 HC Speech Therapy/ Tx	$132.92	$221.53	$73.70–$188.30	39% below	40%
Speech therapy session, individual CPT 92507 HC Aural Rehab	$132.92	$221.53	$73.70–$188.30	39% below	40%
Speech therapy session, individual CPT 92507 HC Speech Therapy/ Tx	$505.09	$841.81	$73.70–$143.72	131% above	40%
Speech therapy session, individual inpatient CPT 92507 HC Aural Rehab	$132.92	$221.53	$73.70–$188.30	—	40%
Speech therapy session, individual inpatient CPT 92507 HC Speech Therapy/ Tx	$132.92	$221.53	$73.70–$188.30	—	40%
Spirometry (breathing test) CPT 94010 HC Bedside Spirometry	$159.00	$265.00	$121.90–$816.92	49% below	40%
Spirometry (breathing test) CPT 94010 HC Spirometry (Pft)	$313.61	$522.68	$225.13–$816.92	1% above	40%
Spirometry (breathing test) CPT 94010 HC Spirometry (Pft)	$828.46	$1,380.76	$19.65–$1,411.76	167% above	40%
Spirometry (breathing test) inpatient CPT 94010 HC Bedside Spirometry	$159.00	$265.00	$121.90–$816.92	—	40%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry (Pft)	$313.61	$522.68	$225.13–$816.92	—	40%
Spirometry before and after a bronchodilator CPT 94060 HC Pre/Post Bedside Spirometry	$630.64	$1,051.07	$389.08–$1,411.76	10% above	40%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Pre & Post (Pft)	$630.64	$1,051.07	$389.08–$1,411.76	10% above	40%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Pre & Post (Pft)	$1,147.98	$1,913.30	$30.37–$1,411.76	101% above	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Pre & Post (Pft)	$630.64	$1,051.07	$389.08–$1,411.76	—	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Pre/Post Bedside Spirometry	$630.64	$1,051.07	$389.08–$1,411.76	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activity Dir Ea 15m	$169.40	$282.34	$33.50–$239.99	39% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activity Dir Ea 15m	$28,901.65	$48,169.42	$33.50–$48,572.85	23551% above	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeutic Activity Dir Ea 15m	$169.40	$282.34	$33.50–$239.99	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy, Therapeutic	$247.20	$412.00	$114.45–$503.38	4% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy, Therapeutic	$253.15	$421.91	$90.26–$503.38	7% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy, Therapeutic	$247.20	$412.00	$114.45–$503.38	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY	$114.11	$190.18	$41.08–$174.70	45% below	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$969.97	$1,616.62	$48.82–$174.70	368% above	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY	$114.11	$190.18	$41.08–$174.70	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$31.99	$53.31	$24.52–$45.31	51% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$31.99	$53.31	$24.52–$45.31	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$20.42	$34.03	$4.05–$28.93	55% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$20,678.89	$34,464.82	$22.35–$12,036.13	45100% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$20.42	$34.03	$4.05–$28.93	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$127.20	$212.00	$45.95–$180.20	59% below	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$1,772.72	$2,954.53	$163.15–$697.47	478% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$127.20	$212.00	$45.95–$180.20	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$59.95	$99.91	$20.92–$84.92	62% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$59.95	$99.91	$20.92–$84.92	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ (WRAPPER)	$33.04	$55.07	$10.91–$46.81	45% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ (WRAPPER)	$33.04	$55.07	$10.91–$46.81	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR	$18.13	$30.21	$5.36–$25.68	41% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$1,772.72	$2,954.53	$16.23–$697.47	5703% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR	$18.13	$30.21	$5.36–$25.68	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$113.76	$189.60	$40.95–$161.16	46% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq	$466.32	$777.20	$20.76–$146.39	123% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$113.76	$189.60	$40.95–$161.16	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$11,811.56	$19,685.93	$74.77–$6,340.07	3625% above	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$765.52	$1,275.86	$20.76–$236.10	91% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$199.91	$333.19	$48.52–$292.15	64% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c Recombnt Prtn & Outer Memb Vesic Vacc Im	$765.52	$1,275.86	$20.76–$292.15	39% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$199.91	$333.19	$48.52–$292.15	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$310.93	$518.21	$115.72–$440.48	53% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$1,191.97	$1,986.61	$48.82–$338.31	80% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$310.93	$518.21	$115.72–$440.48	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$525.88	$876.47	$55.11–$745.00	727% above	40%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated Subq/Im	$1,772.72	$2,954.53	$55.11–$697.47	2687% above	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$525.88	$876.47	$55.11–$745.00	—	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$662.07	$1,103.45	$40.89–$338.31	8% below	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$350.68	$584.47	$130.51–$623.51	63% below	40%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular	$513.85	$856.41	$313.36–$623.51	46% below	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$350.68	$584.47	$130.51–$623.51	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$5,240.06	$8,733.43	$29.46–$4,912.32	939% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$53.62	$89.37	$18.57–$75.96	40% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$53.62	$89.37	$18.57–$75.96	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY/SUSP - HOSPITAL USE ONLY	$48.79	$81.32	$16.77–$69.12	56% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im	$1,029.20	$1,715.34	$48.82–$331.68	831% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY/SUSP - HOSPITAL USE ONLY	$48.79	$81.32	$16.77–$69.12	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Influenza Vaccine	$163.16	$271.94	$40.89–$272.41	301% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Adm One Vaccine	$163.16	$271.94	$40.89–$272.41	301% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Adm One Vaccine	$513.85	$856.41	$20.76–$272.41	1163% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Influenza Vaccine	$163.16	$271.94	$40.89–$272.41	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Adm One Vaccine	$163.16	$271.94	$40.89–$272.41	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Add'l Im/Sq Vaccine Immun Inj	$53.54	$89.24	$41.05–$75.85	54% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Additional Im Influenza and Pne Only	$53.54	$89.24	$41.05–$153.54	54% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Add'l Im/Sq Vaccine Immun Inj	$1,047.30	$1,745.50	$48.82–$338.31	2909% above	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Add'l Im/Sq Vaccine Immun Inj	$53.54	$89.24	$41.05–$75.85	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Additional Im Influenza and Pne Only	$53.54	$89.24	$41.05–$153.54	—	40%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://genesisgenericblob.blob.core.windows.net/price-transparency/311480941_Genesis-Healthcare-System_standardcharges.csv