Hospital

Jackson County Regional Health Center

Jackson County Regional Health Center in Maquoketa, IA publishes cash prices for 363 common procedures listed here, from its own machine-readable price file updated Aug 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Iowa median for 294 of 363 procedures and below it for 69. By typical cash price it ranks #83 of 90 Iowa hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

601 HOSPITAL DRIVE, MAQUOKETA, IA 52060 Collected Nov 7, 2026 Source price file Check a bill from this hospital (563) 652-2474

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 161329 · CMS hospital register NPI 1912960758

The price file shows no self-pay discount

For 1169 of the 1169 prices listed here, the cash price in Jackson County Regional Health Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Jackson County Regional Health Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W AND WO C	$2,948.00	$2,948.00	$842.68–$2,859.56	51% above	—
Abdominal X-ray, 2 views CPT 74019 PORT ABDOMEN 2	$368.00	$368.00	$130.64–$434.56	48% above	—
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$448.00	$448.00	$130.64–$434.56	80% above	—
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE ROUTINEBILAT	$448.00	$448.00	$92.51–$434.56	97% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE ROUTINE RIGHT	$358.00	$358.00	$92.51–$434.56	58% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE ROUTINE LEFT	$358.00	$358.00	$92.51–$434.56	58% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI WITH EXERCISE	$379.00	$379.00	$164.79–$690.46	5% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER W O CONTRAST-R	$2,171.00	$2,171.00	$320.12–$2,629.67	80% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER W O CONTRAST-L	$2,251.00	$2,251.00	$320.12–$2,629.67	87% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER W O CONTRAST- BIL	$2,711.00	$2,711.00	$320.12–$2,629.67	125% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 GI ESOPHAGRAM	$569.00	$569.00	$92.51–$551.93	56% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY	$2,029.00	$2,029.00	$882.21–$1,968.13	65% above	—
Breast ultrasound, complete, one breast CPT 76641 U S BREAST UNI W DOC AXILLA	$212.00	$212.00	$92.18–$290.15	41% below	—
Breast ultrasound, complete, one breast CPT 76641 OR U S BREAST UNI W DOC AXILLA	$212.00	$212.00	$92.18–$290.15	41% below	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND BILAT	$853.00	$853.00	$263.58–$827.41	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 BR BREAST US R	$839.00	$839.00	$263.58–$827.41	135% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 BR BREAST US BIL	$839.00	$839.00	$263.58–$827.41	135% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN PELVIS WANDWO CONTRAST	$3,136.00	$3,136.00	$680.72–$3,041.92	5% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN PELVIS W C	$3,136.00	$3,136.00	$680.72–$3,041.92	5% above	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD W CONTRAST	$2,535.00	$2,535.00	$680.72–$2,458.95	30% above	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK W CONTRAST	$2,347.00	$2,347.00	$532.35–$2,276.59	13% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CONTRAST	$3,638.00	$3,638.00	$680.72–$3,563.78	71% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST FOR PULMONARY EMBOLI W C	$3,638.00	$3,638.00	$680.72–$3,528.86	71% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W WO CONTRAST	$3,674.00	$3,674.00	$680.72–$3,563.78	73% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO C	$4,051.00	$4,051.00	$842.68–$3,929.47	56% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W C	$4,439.00	$4,439.00	$842.68–$4,618.17	39% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CONTRAST	$4,761.00	$4,761.00	$842.68–$4,618.17	49% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W WO C	$5,190.00	$5,190.00	$842.68–$5,034.30	52% above	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W C	$2,717.00	$2,717.00	$842.68–$2,635.49	65% above	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO C	$2,158.00	$2,158.00	$320.12–$2,093.26	63% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS LIMITED	$1,738.00	$1,738.00	$320.12–$1,685.86	35% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS	$1,926.00	$1,926.00	$320.12–$1,868.22	49% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE ALERT	$1,994.00	$1,994.00	$343.13–$1,934.18	46% above	—
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$2,377.00	$2,377.00	$343.13–$2,305.69	59% above	—
CT scan of the head without and with contrast CPT 70470 CT HEAD W AND W O CONTRAST	$2,563.00	$2,563.00	$343.13–$2,486.11	42% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE WO CONTRAST	$2,272.00	$2,272.00	$320.12–$2,203.84	50% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO CONTRAST	$2,559.00	$2,559.00	$320.12–$2,482.23	70% above	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,502.00	$2,502.00	$842.68–$2,426.94	46% above	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER SCAN	$1,407.00	$1,407.00	$263.58–$1,364.79	61% above	—
Chest CT scan without and with contrast CPT 71270 CT CHEST W AND WO C	$3,014.00	$3,014.00	$532.35–$2,923.58	59% above	—
Chest X-ray, 2 views CPT 71046 PORT CHEST 2 VWS	$338.00	$338.00	$92.51–$327.86	64% above	—
Chest X-ray, single view CPT 71045 CHEST 1 VIEW FRONTAL	$368.00	$368.00	$130.64–$356.96	119% above	—
Chest X-ray, single view CPT 71045 CHEST WITH FLUOROSCOPY	$459.00	$459.00	$130.64–$445.23	174% above	—
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BILAT	$497.00	$497.00	$92.51–$486.94	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$448.00	$448.00	$92.51–$486.94	128% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$502.00	$502.00	$92.51–$486.94	155% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITOMETRY-DEXA-HIP SPINE PELVIS	$504.00	$504.00	$219.14–$488.88	27% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMP SIN GEST W DETAIL FETAL	$699.00	$699.00	$275.80–$678.03	9% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO C	$2,119.00	$2,119.00	$320.12–$2,055.43	54% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W C	$2,588.00	$2,588.00	$532.35–$2,510.36	45% above	—
Diagnostic mammogram, both breasts both sides CPT 77066 MG 3D BILATERAL EXTRA VIEWS	$713.00	$713.00	$210.10–$696.46	—	—
Diagnostic mammogram, both breasts CPT 77066 BR DIGITAL A V MAMMOGRAM BIL	$644.00	$644.00	$210.10–$696.46	84% above	—
Diagnostic mammogram, both breasts CPT 77066 MG 3D DIAG MAMMO BIL W CAD	$713.00	$713.00	$210.10–$696.46	104% above	—
Diagnostic mammogram, both breasts CPT 77066 BR DIAGNOSTIC MAM BIL WCAD	$718.00	$718.00	$210.10–$696.46	105% above	—
Diagnostic mammogram, both breasts CPT 77066 JACKSON CDM	$718.00	$718.00	$210.10–$696.46	105% above	—
Diagnostic mammogram, one breast CPT 77065 BR DIGITAL A V MAMMOGRAM L	$457.00	$457.00	$198.70–$518.95	56% above	—
Diagnostic mammogram, one breast CPT 77065 BR DIGITAL A V MAMMOGRAM R	$457.00	$457.00	$198.70–$518.95	56% above	—
Diagnostic mammogram, one breast CPT 77065 BR DIAGNOSTIC MAM R WCAD	$535.00	$535.00	$198.70–$518.95	83% above	—
Diagnostic mammogram, one breast CPT 77065 BR DIAGNOSTIC MAM L WCAD	$535.00	$535.00	$198.70–$518.95	83% above	—
Diagnostic mammogram, one breast CPT 77065 JACKSON CDM	$535.00	$535.00	$198.70–$518.95	83% above	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNI LT W CAD	$535.00	$535.00	$198.70–$518.95	83% above	—
Diagnostic mammogram, one breast one side CPT 77065 3D UNI EXTRA VIEWS RT	$535.00	$535.00	$198.70–$518.95	83% above	—
Diagnostic mammogram, one breast one side CPT 77065 3D UNI EXTRA VIEWS LT	$535.00	$535.00	$198.70–$518.95	83% above	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNI RT W CAD	$535.00	$535.00	$198.70–$518.95	83% above	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ART LOW EXT BIL	$867.00	$867.00	$376.97–$840.99	16% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER LOW EXT BIL	$1,614.00	$1,614.00	$402.63–$1,579.16	91% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US DTA	$1,628.00	$1,628.00	$402.63–$1,579.16	92% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W DOPPLER COLOR	$2,898.00	$2,898.00	$925.94–$2,811.06	90% above	—
Elbow X-ray, 2 views both sides CPT 73070 ELBOW AP LAT BILAT	$451.00	$451.00	$92.51–$437.47	—	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW AP LAT LEFT	$358.00	$358.00	$92.51–$437.47	116% above	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW 1VW RIGHT	$358.00	$358.00	$92.51–$437.47	116% above	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW 1VW LEFT	$358.00	$358.00	$92.51–$437.47	116% above	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW AP LAT RIGHT	$402.00	$402.00	$92.51–$437.47	142% above	—
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW ROUTINEBILAT	$451.00	$451.00	$92.51–$437.47	107% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW ROUTINE RIGHT	$358.00	$358.00	$92.51–$437.47	64% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW ROUTINE LEFT	$358.00	$358.00	$92.51–$437.47	64% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA FOSSA WO CONTRAST	$1,969.00	$1,969.00	$320.12–$1,909.93	48% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES ROUTINE	$543.00	$543.00	$92.51–$526.71	101% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 ZYGOMATIC ARCHES	$543.00	$543.00	$92.51–$526.71	101% above	—
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM BILAT	$451.00	$451.00	$92.51–$437.47	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT	$358.00	$358.00	$92.51–$437.47	79% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT	$358.00	$358.00	$92.51–$437.47	79% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING	$1,617.00	$1,617.00	$703.07–$1,568.49	36% above	—
Hand X-ray, 2 views both sides CPT 73120 HAND PA LAT BILAT	$448.00	$448.00	$92.51–$434.56	—	—
Hand X-ray, 2 views CPT 73120 HAND 1 VW BIL	$448.00	$448.00	$92.51–$434.56	169% above	—
Hand X-ray, 2 views one side CPT 73120 HAND PA LAT LEFT	$358.00	$358.00	$92.51–$434.56	115% above	—
Hand X-ray, 2 views one side CPT 73120 HAND PA LAT RIGHT	$358.00	$358.00	$92.51–$434.56	115% above	—
Hand X-ray, 2 views one side CPT 73120 HAND 1 VW LEFT	$361.00	$361.00	$92.51–$434.56	117% above	—
Hand X-ray, 2 views one side CPT 73120 HAND 1 VW RIGHT	$361.00	$361.00	$92.51–$434.56	117% above	—
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 OS CALCIS HEEL BILAT	$502.00	$502.00	$92.51–$486.94	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS HEEL RIGHT	$358.00	$358.00	$92.51–$486.94	111% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS 1 VW RIGHT	$358.00	$358.00	$92.51–$486.94	111% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS 1 VW LEFT	$358.00	$358.00	$92.51–$486.94	111% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS HEEL LEFT	$361.00	$361.00	$92.51–$486.94	112% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM W CPAP	$4,070.00	$4,070.00	$1,740.03–$3,947.90	28% above	—
Knee X-ray, 3 views both sides CPT 73562 KNEE ROUTINE BILAT	$448.00	$448.00	$92.51–$434.56	—	—
Knee X-ray, 3 views one side CPT 73562 KNEE ROUTINE RIGHT	$398.00	$398.00	$92.51–$434.56	76% above	—
Knee X-ray, 3 views one side CPT 73562 KNEE ROUTINE LEFT	$398.00	$398.00	$92.51–$434.56	76% above	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE W PATELLA BIL	$464.00	$464.00	$92.51–$459.78	68% above	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE W MERCHANTS BIL	$474.00	$474.00	$92.51–$459.78	72% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W MERCHANTS LEFT	$433.00	$433.00	$92.51–$459.78	57% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W O CONTRAST-R	$2,171.00	$2,171.00	$320.12–$2,629.67	64% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W O CONTRAST-L	$2,171.00	$2,171.00	$320.12–$2,629.67	64% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W O CONTRAST-BIL	$2,711.00	$2,711.00	$320.12–$2,629.67	105% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U S ABD REAL W DOCUMENT	$272.00	$272.00	$118.27–$791.52	42% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 OR U S ABD REAL W DOCUMENT	$272.00	$272.00	$118.27–$791.52	42% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$816.00	$816.00	$118.27–$791.52	73% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 U S LIMITED JOINT MUS OTHER	$167.00	$167.00	$72.61–$495.67	52% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 OR U S LIMITED JOINT MUS OTHER	$167.00	$167.00	$72.61–$495.67	52% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY LIMITED	$511.00	$511.00	$72.61–$495.67	46% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CANCER SCREENING	$687.00	$687.00	$298.71–$666.39	57% above	—
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIBIA AND FIBULA BILAT	$451.00	$451.00	$92.51–$437.47	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA AND FIBULA LEFT	$358.00	$358.00	$92.51–$437.47	83% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA AND FIBULA RIGHT	$358.00	$358.00	$92.51–$437.47	83% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB 1 VW RIGHT	$361.00	$361.00	$92.51–$437.47	84% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB 1 VW LEFT	$361.00	$361.00	$92.51–$437.47	84% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST	$3,484.00	$3,484.00	$616.55–$3,379.48	53% above	—
MRI of both breasts, without and then with contrast dye CPT 77049 MR BREAST BIL W WO CONTRAST	$1,643.00	$1,643.00	$714.38–$1,593.71	1% below	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANKLE JOINT W O CONTRAST - R	$2,973.00	$2,973.00	$736.50–$3,913.95	33% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANKLE JOINT W O CONTRAST - L	$2,973.00	$2,973.00	$736.50–$3,913.95	33% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANKLE JOINT W O CONTRAST - BIL	$4,035.00	$4,035.00	$736.50–$3,913.95	81% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR KNEE - BIL	$4,035.00	$4,035.00	$736.50–$3,913.95	81% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR KNEE W AND W O CONTRAST L	$3,874.00	$3,874.00	$867.91–$4,278.67	21% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR KNEE W AND W O CONTRAST - BIL	$4,035.00	$4,035.00	$867.91–$4,278.67	26% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR ANKLE JOINT W AND W O CONTRAST- BIL	$4,411.00	$4,411.00	$867.91–$4,278.67	38% above	—
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CONTRAST	$2,334.00	$2,334.00	$736.50–$2,263.98	12% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W WO CONTRAST	$4,291.00	$4,291.00	$1,014.59–$4,162.27	26% above	—
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CONTRAST	$2,954.00	$2,954.00	$736.50–$2,865.38	29% above	—
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W WO CONTRAST	$5,062.00	$5,062.00	$1,014.59–$4,910.14	45% above	—
MRI of the lower back, no contrast dye CPT 72148 AFC GENERIC ADD-ON GHS MRI SPINE LUMBAR W O C	$2,925.00	$2,925.00	$736.50–$2,837.25	23% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINE LUMBAR W WO CONTRAST	$4,666.00	$4,666.00	$790.54–$4,526.02	35% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINE THORACIC WO CONTRAST	$1,961.00	$1,961.00	$736.50–$3,715.10	14% below	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 ADD-ON GHS MRI SPINE THORACIC W O C	$3,830.00	$3,830.00	$736.50–$3,715.10	68% above	—
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CONTRAST	$2,848.00	$2,848.00	$736.50–$2,762.56	38% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR ELBOW JOINT W O CONTRAST-R	$2,342.00	$2,342.00	$736.50–$3,913.95	8% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR SHOULDER JOINT W O CONTRAST-BIL	$4,035.00	$4,035.00	$736.50–$3,913.95	86% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR WRIST JOINT W O CONTRAST-BIL	$4,035.00	$4,035.00	$736.50–$3,913.95	86% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR ELBOW JOINT W O CONTRAST-BIL	$4,035.00	$4,035.00	$736.50–$3,913.95	86% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VWS	$514.00	$514.00	$92.51–$498.58	61% above	—
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONTRAST	$2,412.00	$2,412.00	$532.35–$2,339.64	50% above	—
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CONTRAST	$2,016.00	$2,016.00	$320.12–$1,955.52	59% above	—
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$258.00	$258.00	$92.51–$250.26	43% above	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST	$2,090.00	$2,090.00	$320.12–$2,027.30	62% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD	$453.00	$453.00	$196.96–$439.41	28% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ADD-ON US TRANS ABD PELVIC	$1,089.00	$1,089.00	$343.97–$1,056.33	99% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPTWIN GEST MORE THAN 14WK	$872.00	$872.00	$275.80–$1,127.14	59% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP SINGLEGEST MORE THAN 14WK	$1,162.00	$1,162.00	$275.80–$1,127.14	112% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP SINGLE GEST LESS THAN 14WK	$1,162.00	$1,162.00	$275.80–$1,127.14	149% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB < 12 WKS	$428.00	$428.00	$186.09–$415.16	27% above	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL LEFT	$448.00	$448.00	$92.51–$434.56	108% above	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL RIGHT	$448.00	$448.00	$92.51–$434.56	108% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RIGHT WITH PA CHEST	$621.00	$621.00	$92.51–$602.37	118% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LEFT WITH PA CHEST	$621.00	$621.00	$92.51–$602.37	118% above	—
Screening mammogram, both breasts CPT 77067 BR SCREEN MAM L WCAD	$583.00	$583.00	$83.26–$585.88	90% above	—
Screening mammogram, both breasts CPT 77067 JACKSON CDM	$583.00	$583.00	$83.26–$585.88	90% above	—
Screening mammogram, both breasts CPT 77067 BR SCREEN MAM R WCAD	$583.00	$583.00	$83.26–$585.88	90% above	—
Screening mammogram, both breasts CPT 77067 MG 3D SCREENING MAMMO BIL W CAD	$597.00	$597.00	$83.26–$585.88	94% above	—
Screening mammogram, both breasts CPT 77067 BR SCREEN MAM BIL WCAD	$604.00	$604.00	$83.26–$585.88	96% above	—
Screening mammogram, both breasts one side CPT 77067 MAMMO UNILATERAL LT W CAD	$583.00	$583.00	$83.26–$585.88	90% above	—
Screening mammogram, both breasts one side CPT 77067 MAMMO UNI RT W CAD	$583.00	$583.00	$83.26–$585.88	90% above	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER ROUTINE BILAT	$448.00	$448.00	$92.51–$434.56	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER ROUTINE RIGHT	$375.00	$375.00	$92.51–$434.56	65% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER ROUTINE LEFT	$375.00	$375.00	$92.51–$434.56	65% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES PARANASAL ROUTINE	$665.00	$665.00	$92.51–$645.05	167% above	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4VWS	$330.00	$330.00	$92.51–$320.10	57% above	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM DISCONTINUE	$3,856.00	$3,856.00	$1,676.59–$3,740.32	33% above	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM	$3,856.00	$3,856.00	$1,676.59–$3,740.32	33% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOW STUDY	$506.00	$506.00	$220.01–$629.07	22% above	—
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR BILAT MIN 2 VWS	$451.00	$451.00	$130.64–$437.47	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT MIN 2 VWS	$358.00	$358.00	$130.64–$437.47	83% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT MIN 2 VWS	$432.00	$432.00	$130.64–$437.47	120% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE WO CONTRAST	$2,396.00	$2,396.00	$320.12–$2,324.12	73% above	—
Toe X-ray, 2 or more views both sides CPT 73660 TOES BILAT	$451.00	$451.00	$92.51–$437.47	—	—
Toe X-ray, 2 or more views one side CPT 73660 TOES 1 VW LEFT	$358.00	$358.00	$92.51–$437.47	109% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOES RIGHT	$358.00	$358.00	$92.51–$437.47	109% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOES LEFT	$358.00	$358.00	$92.51–$437.47	109% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOES 1 VW RIGHT	$358.00	$358.00	$92.51–$437.47	109% above	—
Transvaginal pelvic ultrasound CPT 76830 US TRANS VAG PELVIC	$518.00	$518.00	$225.23–$502.46	1% above	—
Transvaginal pelvic ultrasound CPT 76830 US TRANS VAGINAL PELVIC LIMITED	$518.00	$518.00	$225.23–$502.46	1% above	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$791.00	$791.00	$275.80–$767.27	75% above	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$1,205.00	$1,205.00	$343.97–$1,168.85	74% above	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR WITH A V FLOW	$984.00	$984.00	$263.58–$997.16	86% above	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$1,028.00	$1,028.00	$263.58–$997.16	95% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 OR U S SOFT TIS W DOCUMENT	$347.00	$347.00	$150.88–$901.13	25% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U S SOFT TIS W DOCUMENT	$451.00	$451.00	$150.88–$901.13	3% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK SOFT TISSUE	$929.00	$929.00	$150.88–$901.13	100% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI UPPER W SMALL BOWEL	$1,225.00	$1,225.00	$322.41–$1,188.25	184% above	—
Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS BILAT	$448.00	$448.00	$92.51–$434.56	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 1 VW LEFT	$358.00	$358.00	$92.51–$434.56	82% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT	$358.00	$358.00	$92.51–$434.56	82% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 1 VW RIGHT	$358.00	$358.00	$92.51–$434.56	82% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT	$358.00	$358.00	$92.51–$434.56	82% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DOPPLER LOW EXT R	$920.00	$920.00	$263.58–$892.40	42% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DOPPLER LOW EXT L	$920.00	$920.00	$263.58–$892.40	42% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DTA	$920.00	$920.00	$263.58–$892.40	42% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILATERAL	$920.00	$920.00	$263.58–$892.40	42% above	—
Wrist X-ray, 2 views both sides CPT 73100 WRIST PA LAT BILAT	$451.00	$451.00	$92.51–$437.47	—	—
Wrist X-ray, 2 views one side CPT 73100 WRIST PA LAT RIGHT	$358.00	$358.00	$92.51–$437.47	91% above	—
Wrist X-ray, 2 views one side CPT 73100 WRIST PA LAT LEFT	$358.00	$358.00	$92.51–$437.47	91% above	—
Wrist X-ray, 2 views one side CPT 73100 WRIST 1 VW LEFT	$361.00	$361.00	$92.51–$437.47	92% above	—
Wrist X-ray, 2 views one side CPT 73100 WRIST 1 VW RIGHT	$361.00	$361.00	$92.51–$437.47	92% above	—
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST ROUTINE BILAT	$502.00	$502.00	$92.51–$486.94	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST ROUTINE RIGHT	$358.00	$358.00	$92.51–$486.94	61% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST ROUTINE LEFT	$358.00	$358.00	$92.51–$486.94	61% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS AND FROGLEG CHILD BIL 2 VWS	$451.00	$451.00	$92.51–$437.47	119% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS RIGHT 2-3 VWS	$358.00	$358.00	$92.51–$437.47	74% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PORT HIP AP LAT LEFT 2-3 VWS	$361.00	$361.00	$92.51–$437.47	75% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS LEFT 2-3 VWS	$364.00	$364.00	$92.51–$437.47	77% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS AND LAT HIP RIGHT	$368.00	$368.00	$92.51–$437.47	79% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS AND LAT HIP LEFT	$368.00	$368.00	$92.51–$437.47	79% above	—
X-ray of the abdomen, 1 view CPT 74018 KUB FOR TUBE PATENCY	$199.00	$199.00	$86.53–$193.03	11% above	—
X-ray of the abdomen, 1 view CPT 74018 SITZ MARKER - KUB	$323.00	$323.00	$130.64–$313.31	80% above	—
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE AP LAT BILAT	$451.00	$451.00	$92.51–$437.47	—	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VW LEFT	$358.00	$358.00	$92.51–$437.47	109% above	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VW RIGHT	$358.00	$358.00	$92.51–$437.47	109% above	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP LAT LEFT	$358.00	$358.00	$92.51–$437.47	109% above	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP LAT RIGHT	$402.00	$402.00	$92.51–$437.47	135% above	—
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGERS BILATERAL	$451.00	$451.00	$92.51–$437.47	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS 1 VW LEFT	$358.00	$358.00	$92.51–$437.47	113% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS 1 VW RIGHT	$358.00	$358.00	$92.51–$437.47	113% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS LEFT	$402.00	$402.00	$92.51–$437.47	139% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS RIGHT	$402.00	$402.00	$92.51–$437.47	139% above	—
X-ray of the foot, 2 views both sides CPT 73620 FOOT 1 VIEW BILATERAL	$156.00	$156.00	$67.83–$347.26	—	—
X-ray of the foot, 2 views both sides CPT 73620 FOOT AP LAT BILAT	$358.00	$358.00	$67.83–$347.26	—	—
X-ray of the foot, 2 views one side CPT 73620 FOOT APANDLAT LEFT	$358.00	$358.00	$67.83–$347.26	117% above	—
X-ray of the foot, 2 views one side CPT 73620 FOOT APANDLAT RIGHT	$358.00	$358.00	$67.83–$347.26	117% above	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT ROUTINE BILAT	$448.00	$448.00	$92.51–$434.56	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT ROUTINE RIGHT	$358.00	$358.00	$92.51–$434.56	63% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT ROUTINE LEFT	$361.00	$361.00	$92.51–$434.56	65% above	—
X-ray of the hand, 3 or more views both sides CPT 73130 HAND ROUTINE BILAT	$448.00	$448.00	$92.51–$434.56	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND ROUTINE RIGHT	$358.00	$358.00	$92.51–$434.56	75% above	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND ROUTINE LEFT	$358.00	$358.00	$92.51–$434.56	75% above	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 2 VWS BILAT	$448.00	$448.00	$92.51–$437.47	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 PORT KNEE AP LAT BILAT	$451.00	$451.00	$92.51–$437.47	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VW RIGHT	$358.00	$358.00	$92.51–$437.47	82% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 PORT KNEE AP LAT LEFT	$361.00	$361.00	$92.51–$437.47	84% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS RIGHT	$361.00	$361.00	$92.51–$437.47	84% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS LEFT	$361.00	$361.00	$92.51–$437.47	84% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR ROUTINE 2 OR 3 VWS	$564.00	$564.00	$92.51–$547.08	104% above	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 5 VWS	$591.00	$591.00	$92.51–$573.27	66% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC	$448.00	$448.00	$92.51–$434.56	80% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$351.00	$351.00	$92.51–$340.47	71% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL ROUTINE 2 OR 3 VWS	$407.00	$407.00	$92.51–$394.79	65% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 2 VIEWS	$396.00	$396.00	$92.51–$429.71	104% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PORT PELVIS	$398.00	$398.00	$92.51–$429.71	105% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP	$443.00	$443.00	$92.51–$429.71	128% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$368.00	$368.00	$92.51–$356.96	70% above	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
ACTH blood test CPT 82024 ACTH PLASMA- QUEST	$107.00	$107.00	$46.52–$277.42	39% below	—
ACTH blood test CPT 82024 ACTH -SENDOUT	$286.00	$286.00	$46.52–$277.42	64% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT - SENDOUT	$40.00	$40.00	$17.39–$71.78	8% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ADD-ON FIBRO-ALT	$53.00	$53.00	$17.39–$71.78	22% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCV FIBROSURE-ALT	$66.00	$66.00	$17.39–$71.78	52% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$74.00	$74.00	$17.39–$71.78	70% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT - SENDOUT	$39.00	$39.00	$16.96–$71.78	9% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 ADD-ON FIBRO-AST	$53.00	$53.00	$16.96–$71.78	24% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$74.00	$74.00	$16.96–$71.78	73% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE - QUEST	$175.00	$175.00	$58.06–$492.76	23% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL 4 - SENDOUT	$508.00	$508.00	$58.06–$492.76	125% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL - SENDOUT	$508.00	$508.00	$58.06–$492.76	125% above	—
Albumin blood test CPT 82040 ADD-ON IGG INDEX-ALBUMINSERUM	$38.00	$38.00	$16.52–$132.89	11% below	—
Albumin blood test CPT 82040 IGG INDEX-ALBUMINSERUM	$38.00	$38.00	$16.52–$132.89	11% below	—
Albumin blood test CPT 82040 ALBUMIN	$83.00	$83.00	$16.52–$132.89	94% above	—
Albumin blood test CPT 82040 ADD-ON MS PNL-ALBUMINSERUM	$137.00	$137.00	$16.52–$132.89	220% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM - QUEST	$235.00	$235.00	$87.46–$352.11	41% above	—
Aldosterone blood test CPT 82088 ADD-ON ALDO RENIN-ALDOSTERONE	$285.00	$285.00	$87.46–$352.11	71% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE UR-SENDOUT	$303.00	$303.00	$87.46–$352.11	81% above	—
Aldosterone blood test CPT 82088 ALDOSTLCMS	$363.00	$363.00	$87.46–$352.11	117% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 ADD-ON ALK-ALKALINE PHOSPHATASE-TOT	$50.00	$50.00	$21.74–$88.27	17% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$91.00	$91.00	$21.74–$88.27	113% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERGEN-IEG-SPECIFICIADDTL	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERGEN-IGE-SPECIFICADDTL	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERGEN-IEG-SPECIFICI	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERGEN-IGE-SPECIFIC	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON HVAPROFILE-HONEYBEEVENOMLGE	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON HVAPROFILE-HBVCOMPAPIM1	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON HVAPROFILE-HBVCOMPAPIM2	$22.00	$22.00	$9.57–$384.12	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALPGALIGEPNL-BEEF IGE	$22.00	$22.00	$9.57–$74.01	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALPGALIGEPNL-LAMB IGE	$22.00	$22.00	$9.57–$74.01	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALPGALIGEPNL-PORK IGE	$22.00	$22.00	$9.57–$74.01	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLSUMMERGRASS-ADDL	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERGEN PERENNIAL-ADDL	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERGEN PERENNIAL-1ST	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLSPRINGTREES-ADDL	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLSPRINGTREES-1ST	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLFALLWEED-ADDL	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLFALLWEED-1ST	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLSUMMERGRASS-1ST	$23.00	$23.00	$9.57–$384.12	36% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CATFISH - SENDOUT	$24.00	$24.00	$9.57–$384.12	33% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE FLOUNDER - SENDOUT	$24.00	$24.00	$9.57–$384.12	33% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE HALIBUT - SENDOUT	$24.00	$24.00	$9.57–$384.12	33% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL PRF STING INSECT-IGE PAPER WASP	$26.00	$26.00	$9.57–$384.12	28% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL PRF STING INSECT-IGE YELLOW JACKET	$26.00	$26.00	$9.57–$384.12	28% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL PRF STING INSECT-IGE YELLOW HORNET	$26.00	$26.00	$9.57–$384.12	28% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GREEN PEA - SENDOUT	$26.00	$26.00	$9.57–$384.12	28% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL PRF STING INSECT-IGE WHITE FACE HORNET	$26.00	$26.00	$9.57–$384.12	28% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL PRF STING INSECT-IGE HONEY BEE	$26.00	$26.00	$9.57–$384.12	28% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE AUREOBASIDI PULLULANS	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE ASPERGILLUS FUMIGATUS	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE ALTERNARIA ALTERNATA	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE D FARINAE - SENDOUT	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE PHOMA BETAE	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE PEANUT IGE W REFLEXES-SENDOUT	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE STEMPHYLIUM HERBARUM	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE MUCOR RACEMOSUS	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE FUSARIUM PROLIFERATUM	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE EPICOCCUM PURPUR	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE CLADOSPORIUM HERBARUM	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE CANDIDA ALBICANS	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE PENICILLIUM CHRYSOGEN	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALLERG-IGE SETOMELANOMMA ROSTRAT	$28.00	$28.00	$9.57–$384.12	22% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON IGE EGG COMP-OVOMUCOID	$29.00	$29.00	$12.61–$74.01	19% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON IGE EGG COMP-OVAALBUMIN	$29.00	$29.00	$12.61–$74.01	19% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CLAM - SENDOUT	$32.00	$32.00	$9.57–$384.12	11% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SCALLOP - SENDOUT	$32.00	$32.00	$9.57–$384.12	11% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PECAN HICKORY - SENDOUT	$32.00	$32.00	$9.57–$384.12	11% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL MILK-CHEESE BLUE	$33.00	$33.00	$9.57–$384.12	8% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL MILK-CHEESE CHEDDAR	$33.00	$33.00	$9.57–$384.12	8% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL MILK-CASEIN	$33.00	$33.00	$9.57–$384.12	8% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGEASPERGNIGM207	$34.00	$34.00	$9.57–$384.12	6% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PISTACHIO NUT-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL-ADDITIONAL ALLERGENS	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL-1ST ALLERGEN	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LOBSTER - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LIME - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LATEX - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE HAZELNUT FILBERT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GRAPE - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GOOSE FEATHERS - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GLUTEN - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE GARLIC - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE FORMALDEHYDE - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE EGG WHITE - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE EGG YOLK - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE DUCK FEATHERS - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE DOG DANDER - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE D PTERONYSSINUS-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CUMIN - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WHEAT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE TILAPIA- SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE COMMON SILVER BIRCH	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CINNAMON-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CAT DANDER-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE TUNA	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE TIMOTHY GRASS	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SESAME SEED-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAGWEED SHORT-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ORANGE	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE FERRET EPITHELIUM	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRANBERRY - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRAB - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE COTTONWOOD - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CORN - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CORIANDER CILANTRO - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE COCONUT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CASHEW NUT-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CARROT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ASPERGILLUS FUMIGATUS - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE APPLE - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE AMOXICILLOYL - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALMOND - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON IGEALLER-ADDITIONAL ALLERGENS	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON IGEALLER-ALLERGEN SPECIFIC IGE	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE YEAST - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WHOLE BODY MOSQUITO - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WHEAT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WATERMELON - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WALNUT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE TOMATO - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SUNFLOWER SEED-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SUNFLOWER POLLEN-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE STRAWBERRY-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SOYBEAN - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SHRIMP - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE POPPY SEED-SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PECAN NUT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON FOODALL- ADDITIONAL FOOD ALLERGEN IGE	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON FOODALL-FOOD ALLERGEN IGE	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PAPRIKA - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE OREGANO - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ONION - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MELON - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MANGO - SENDOUT	$39.00	$39.00	$9.57–$384.12	8% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL+IGE-ALLERGEN SPECIFIC IGE ADDTL	$40.00	$40.00	$9.57–$384.12	11% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE HONEY - SENDOUT	$40.00	$40.00	$9.57–$384.12	11% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE EGG WHOLE - SENDOUT	$40.00	$40.00	$9.57–$384.12	11% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ADD-ON ALL+IGE-ALLERGEN SPECIFIC IGE	$40.00	$40.00	$9.57–$384.12	11% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY INDIVIDUAL ALLERGEN	$50.00	$50.00	$9.57–$384.12	39% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MILK-SENDOUT	$52.00	$52.00	$9.57–$384.12	44% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL T19-D3 - SENDOUT	$98.00	$98.00	$9.57–$384.12	172% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL T19 - SENDOUT	$161.00	$161.00	$9.57–$384.12	347% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL T19-D2 - SENDOUT	$161.00	$161.00	$9.57–$384.12	347% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL MC - SENDOUT	$332.00	$332.00	$9.57–$384.12	822% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL - SENDOUT	$396.00	$396.00	$9.57–$384.12	1000% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ADD-ON AFP-ALPHA FETO-PROT	$124.00	$124.00	$53.92–$312.34	33% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP OPEN SPINA BIFIDA - SENDOUT	$124.00	$124.00	$53.92–$312.34	33% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER-SENDOUT	$149.00	$149.00	$53.92–$312.34	60% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER - QUEST	$322.00	$322.00	$53.92–$312.34	246% above	—
Ammonia blood test CPT 82140 AMMONIA -SENDOUT	$137.00	$137.00	$59.57–$211.46	55% above	—
Ammonia blood test CPT 82140 AMMONIA	$218.00	$218.00	$59.57–$211.46	147% above	—
Amylase blood test CPT 82150 ADD-ON AMY ISO-PANCREATIC AMYLASE	$49.00	$49.00	$21.31–$129.98	8% below	—
Amylase blood test CPT 82150 ADD-ON AMY ISO-TOTAL AMYLASE	$49.00	$49.00	$21.31–$129.98	8% below	—
Amylase blood test CPT 82150 AMYLASE BODY FLUID-SENDOUT	$50.00	$50.00	$21.31–$129.98	6% below	—
Amylase blood test CPT 82150 AMYLASE URINE RANDOM	$117.00	$117.00	$21.31–$129.98	119% above	—
Amylase blood test CPT 82150 AMYLASE	$134.00	$134.00	$21.31–$129.98	151% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS IGG IGA-SENDOUT	$126.00	$126.00	$41.26–$209.52	59% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE AB - QUEST	$216.00	$216.00	$41.26–$209.52	173% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB IFA REFLEX CASCADE-SENDOUT	$81.00	$81.00	$35.22–$166.84	12% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB REFLEX CASCADE - SENDOUT	$108.00	$108.00	$35.22–$166.84	50% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ABS IFA-SENDOUT	$108.00	$108.00	$35.22–$166.84	50% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$172.00	$172.00	$35.22–$166.84	139% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$192.00	$192.00	$83.48–$429.71	24% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP-SENDOUT	$263.00	$263.00	$83.48–$429.71	69% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$396.00	$396.00	$83.48–$429.71	155% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP - JAC	$443.00	$443.00	$83.48–$429.71	185% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 UPPER RESPIRATORY CULTURE-SENDOUT	$39.00	$39.00	$16.96–$151.32	35% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE STERILE - SENDOUT	$46.00	$46.00	$16.96–$151.32	24% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC BACTERIAL CULTURE - SENDOUT	$66.00	$66.00	$16.96–$151.32	9% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA SPECIES CULTURE-SENDOUT	$66.00	$66.00	$16.96–$151.32	9% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ADD-ON LEG-LEGIONELLA CULT	$66.00	$66.00	$16.96–$151.32	9% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$123.00	$123.00	$16.96–$151.32	103% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIA CULTURE- OTHER BILL ONLY	$124.00	$124.00	$16.96–$151.32	105% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CEREBROSPINAL FLUID CULTURE	$140.00	$140.00	$16.96–$151.32	132% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$156.00	$156.00	$16.96–$151.32	158% above	—
Basic metabolic panel (blood test) CPT 80048 BMP8	$65.00	$65.00	$28.26–$134.83	25% below	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$139.00	$139.00	$28.26–$134.83	61% above	—
Bilirubin blood test, total CPT 82247 ADD-ON FIBRO-BILIRUBIN TOTAL	$53.00	$53.00	$23.04–$116.90	16% above	—
Bilirubin blood test, total CPT 82247 HCV FIBROSURE-TOTAL BILIRUBIN	$66.00	$66.00	$23.04–$116.90	45% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL BODY FLUID -SENDOUT	$72.00	$72.00	$23.04–$116.90	58% above	—
Bilirubin blood test, total CPT 82247 CORD BILIRUBIN TOTAL	$78.00	$78.00	$23.04–$116.90	71% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$81.00	$81.00	$23.04–$116.90	78% above	—
Bilirubin blood test, total CPT 82247 ADD-ON BILIRUBIN TOTAL	$81.00	$81.00	$23.04–$116.90	78% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH GANDM LEVEL IV BILL ONLY	$185.00	$185.00	$73.34–$179.45	4% above	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE 15-DAY HOLD	$190.00	$190.00	$35.14–$190.12	107% above	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$196.00	$196.00	$35.14–$190.12	114% above	—
Blood glucose (sugar) test CPT 82947 ADD-ON FIBRO-GLUCOSE	$53.00	$53.00	$23.04–$80.51	46% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE TOLERANCE FASTING NONGESTATIONAL 75G	$58.00	$58.00	$23.04–$80.51	59% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL	$83.00	$83.00	$23.04–$80.51	128% above	—
Blood lead test CPT 83655 LEAD LEVEL	$43.00	$43.00	$18.70–$191.09	22% below	—
Blood lead test CPT 83655 ADD-ON HMUR-LEAD UR	$58.00	$58.00	$18.70–$191.09	5% above	—
Blood lead test CPT 83655 ADD-ON LEAD PROF-LEAD	$66.00	$66.00	$18.70–$191.09	20% above	—
Blood lead test CPT 83655 HMBLD-LEAD BLOOD	$93.00	$93.00	$18.70–$191.09	68% above	—
Blood lead test CPT 83655 LEAD BLOOD ADULT-SENDOUT	$93.00	$93.00	$18.70–$191.09	68% above	—
Blood lead test CPT 83655 LEAD BLOOD PEDIATRIC CAPILLARY - SENDOUT	$93.00	$93.00	$18.70–$191.09	68% above	—
Blood lead test CPT 83655 ADD-ON HMURII-LEAD	$93.00	$93.00	$18.70–$191.09	68% above	—
Blood lead test CPT 83655 LEAD BLOOD PEDIATRIC 0-15YRS - SENDOUT	$93.00	$93.00	$18.70–$191.09	68% above	—
Blood lead test CPT 83655 LEAD BLOOD - JAC	$197.00	$197.00	$18.70–$191.09	257% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY QUALITATIVE SERUM	$111.00	$111.00	$32.85–$116.90	79% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 RAPID HCG - SERUM	$111.00	$111.00	$32.85–$116.90	79% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ADD-ON ABO RH-ABO GROUPING	$28.00	$28.00	$12.17–$271.60	51% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$55.00	$55.00	$12.17–$271.60	4% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RHIG INFO	$280.00	$280.00	$12.17–$271.60	390% above	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD	$74.00	$74.00	$32.18–$71.78	82% above	—
C-peptide blood test CPT 84681 C-PEPTIDE -QUEST	$155.00	$155.00	$61.12–$174.09	48% above	—
C-peptide blood test CPT 84681 CPEPTIDE	$155.00	$155.00	$61.12–$174.09	48% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QN-SENDOUT	$52.00	$52.00	$22.61–$108.64	11% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANTITATIVE	$84.00	$84.00	$22.61–$108.64	44% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN - QUEST	$112.00	$112.00	$22.61–$108.64	92% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA-SENDOUT	$262.00	$262.00	$74.01–$375.39	125% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF QUIK CHEK COMPLETE	$387.00	$387.00	$74.01–$375.39	232% above	—
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9 - QUEST	$74.00	$74.00	$32.18–$167.81	24% below	—
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN-G1 FLUID - SENDOUT	$155.00	$155.00	$32.18–$167.81	59% above	—
CA 19-9 blood test (tumor marker) CPT 86301 CA199	$173.00	$173.00	$32.18–$167.81	77% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN CA 125-SENDOUT	$155.00	$155.00	$35.14–$235.71	35% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 - QUEST	$243.00	$243.00	$35.14–$235.71	112% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 _SARS COV2 NAA 2 DAY TAT-SENDOUT	$30.00	$30.00	$13.04–$118.34	75% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CO-2NAA	$122.00	$122.00	$53.05–$220.19	2% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 SALIVA	$122.00	$122.00	$53.05–$220.19	2% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 INHOUSE PCR	$122.00	$122.00	$53.05–$220.19	2% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19IA	$122.00	$122.00	$53.05–$220.19	2% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19IL	$122.00	$122.00	$13.04–$118.34	2% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 ID NOW NAAT	$122.00	$122.00	$53.05–$220.19	2% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RAPID TEST JAC	$158.00	$158.00	$53.05–$220.19	33% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ADD-ON COVID19RSV-COVID19	$227.00	$227.00	$53.05–$220.19	90% above	—
Calcium blood test, total CPT 82310 CALCIUM LEVEL	$41.00	$41.00	$17.83–$74.69	4% below	—
Calcium blood test, total CPT 82310 ADD-ON PTH+CA-CALCIUM	$58.00	$58.00	$17.83–$74.69	36% above	—
Calcium blood test, total CPT 82310 ADD-ON CALCIUM BLOOD	$77.00	$77.00	$17.83–$74.69	80% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA FLUID - SENDOUT	$84.00	$84.00	$36.52–$209.52	20% below	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA-SENDOUT	$168.00	$168.00	$36.52–$209.52	61% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$216.00	$216.00	$36.52–$209.52	107% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS IGG AB - QUEST	$39.00	$39.00	$16.96–$127.07	37% below	—
Chickenpox (varicella) immunity blood test CPT 86787 ADD-ON VZV-IGG	$97.00	$97.00	$16.96–$127.07	57% above	—
Chickenpox (varicella) immunity blood test CPT 86787 ADD-ON VZV-IGM	$97.00	$97.00	$16.96–$127.07	57% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB IGM-SENDOUT	$97.00	$97.00	$16.96–$127.07	57% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS IGG AB CSF - SENDOUT	$98.00	$98.00	$16.96–$127.07	59% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS IGM AB CSF - SENDOUT	$123.00	$123.00	$16.96–$127.07	99% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER V AB IGG-SENDOUT	$131.00	$131.00	$16.96–$127.07	112% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON VG+ HSV-CHLAMYDIA TRACH NAA	$218.00	$218.00	$74.01–$315.25	91% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON NUSWAB VG+CAND 6SP-CHLAMYDIA TRACH	$226.00	$226.00	$74.01–$315.25	98% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS RNA	$227.00	$227.00	$74.01–$220.19	99% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON CHLAM GC RECTAL-CHLAM	$240.00	$240.00	$74.01–$315.25	111% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA CONJUNCTIVA NAA	$262.00	$262.00	$74.01–$315.25	130% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON CH GCPHAR-CHYLMYDIA AMP PROBE	$262.00	$262.00	$74.01–$315.25	130% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON VG+-CHLAMYDIA TRACHOMATIS	$262.00	$262.00	$74.01–$315.25	130% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT NAA PHARYNGEAL - SENDOUT	$262.00	$262.00	$74.01–$315.25	130% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA - SENDOUT	$262.00	$262.00	$74.01–$315.25	130% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON NUSWAB STD4-CHLAMYDIA TRACHOMATISNAA	$263.00	$263.00	$74.01–$315.25	131% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON CHL GC-CHLAMYDIA AMP PROBE	$290.00	$290.00	$74.01–$315.25	155% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ADD-ON NUSWAB STD3-CHLAMYDIA TRACHOMATISNAA	$295.00	$295.00	$74.01–$315.25	159% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 _C TRACHOMATIS NAA CONFIRM	$325.00	$325.00	$74.01–$315.25	185% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ADD-ON NMR LIPO-LIPID PROFILE	$101.00	$101.00	$43.91–$129.98	16% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W REFLEX DIRECT LDL	$134.00	$134.00	$58.06–$129.98	54% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$134.00	$134.00	$43.91–$129.98	54% above	—
Complete blood count (CBC) with differential CPT 85025 BILL ONLY - CBC PLATELET AUTOMATED DIFFERENTIAL	$131.00	$131.00	$28.27–$127.07	100% above	—
Complete blood count (CBC), no differential CPT 85027 CBCPLTNODIFF	$50.00	$50.00	$21.74–$77.60	3% above	—
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM CBC PLT W O DIFF	$80.00	$80.00	$21.74–$77.60	64% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$190.00	$190.00	$58.06–$184.30	54% above	—
Cortisol blood test, total CPT 82533 ADD-ON ACTHSTIM-CORTISOL3	$72.00	$72.00	$31.31–$150.35	26% below	—
Cortisol blood test, total CPT 82533 CORTISOL AM-SENDOUT	$101.00	$101.00	$31.31–$150.35	4% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT3-CORTISOL 3	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT2-CORTISOL 1	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT2-CORTISOL 2	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT4-CORTISOL 2	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT4-CORTISOL 3	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT4-CORTISOL 4	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT4-CORTISOL 1	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 SALIVARY CORTISOLMS - SENDOUT	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON CBG+CORT-CORTISOL	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT3-CORTISOL 1	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION 8AM-SENDOUT	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 ADD-ON SAL CORT3-CORTISOL 2	$122.00	$122.00	$31.31–$150.35	25% above	—
Cortisol blood test, total CPT 82533 CORTISOL	$155.00	$155.00	$31.31–$150.35	59% above	—
Creatine kinase (CK) blood test, total CPT 82550 ADD-ON CKTOT+ISO-CKTOT	$72.00	$72.00	$31.31–$116.90	30% above	—
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$108.00	$108.00	$31.31–$116.90	96% above	—
Creatinine blood test CPT 82565 CREATININE	$83.00	$83.00	$32.85–$80.51	96% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 ADD-ON PREG INF DIS-CMV AB	$60.00	$60.00	$26.09–$122.79	11% below	—
Cytomegalovirus (CMV) antibody test CPT 86644 ADD-ON PRENATAL INF DIS-CMV AB	$62.00	$62.00	$26.09–$122.79	8% below	—
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS CMV AB IGG-SENDOUT	$107.00	$107.00	$26.09–$122.79	59% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 ADD-ON PRENAT INF-CMV AB	$107.00	$107.00	$26.09–$122.79	59% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG CSF - SENDOUT	$107.00	$107.00	$26.09–$122.79	59% above	—
D-dimer blood test (blood clot marker) CPT 85379 ADD-ON THROMBOSIS-FIBRIN DEGRADATION QUAN	$103.00	$103.00	$30.56–$99.91	21% above	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$171.00	$171.00	$30.56–$165.87	101% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE - QUEST	$56.00	$56.00	$24.35–$160.05	49% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE-SENDOUT	$165.00	$165.00	$24.35–$160.05	49% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 MEC-CONFIRMATION	$117.00	$117.00	$50.87–$1,134.90	12% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGSCAN URINE PANEL-LOW	$155.00	$155.00	$50.87–$1,134.90	16% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGSCAN URINE PANEL-MED	$160.00	$160.00	$50.87–$1,134.90	20% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN - SENDOUT	$167.00	$167.00	$50.87–$1,134.90	25% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID THC SCREEN URINE	$236.00	$236.00	$50.87–$1,134.90	77% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE	$305.00	$305.00	$50.87–$1,134.90	129% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 9	$315.00	$315.00	$50.87–$1,134.90	136% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PROFILE UR7 DRUGS+ALCOHOL-SENDOUT	$315.00	$315.00	$50.87–$1,134.90	136% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 THC SCREEN W RFLX CONFRIM WB-SENDOUT	$315.00	$315.00	$50.87–$1,134.90	136% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE OXYMORPHONE SCREENANDCNFM UR-SENDOUT	$324.00	$324.00	$50.87–$1,134.90	143% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL URINE-SENDOUT	$361.00	$361.00	$50.87–$1,134.90	171% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE LEVEL - SENDOUT	$361.00	$361.00	$50.87–$1,134.90	171% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 _KETAMINE GC MS LEVEL RETEST - SENDOUT	$375.00	$375.00	$50.87–$1,134.90	182% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGPROF14	$377.00	$377.00	$50.87–$1,134.90	183% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN UC - SENDOUT	$391.00	$391.00	$50.87–$1,134.90	194% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 EXPDRUGSCR+BUP	$391.00	$391.00	$50.87–$1,134.90	194% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 7 SCR ONLY WB-SENDOUT	$414.00	$414.00	$50.87–$1,134.90	211% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 11 W CONFIRM S-SENDOUT	$420.00	$420.00	$50.87–$1,134.90	215% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ADD-ON CANN CRE-CANNABINOID	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM COCAINE SCREEN - SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 5 PANEL-SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 KETAMINE LEVEL - SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPREHENSIVE DRUG PROFILE URINE - SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE URINE	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE SCREEN URINE	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTIDEPRESSANT URINE-SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE METABOLITE URINE-SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 10+OXYCODONE+CRT-SCR-SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN 10 WHOLE BLOOD-SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 8 WB-SENDOUT	$432.00	$432.00	$50.87–$1,134.90	224% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 12 W CONFIRM S-SENDOUT	$439.00	$439.00	$50.87–$1,134.90	230% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM ROHYPNOL SCR UR-SENDOUT	$515.00	$515.00	$50.87–$1,134.90	287% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYLGLUCUR	$559.00	$559.00	$50.87–$1,134.90	320% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORDSTAT9 - SENDOUT	$668.00	$668.00	$50.87–$1,134.90	402% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD13-DRUG PANEL	$668.00	$668.00	$50.87–$1,134.90	402% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD12-DRUG PANEL	$668.00	$668.00	$50.87–$1,134.90	402% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAINMGMTPRFL13UR	$968.00	$968.00	$50.87–$1,134.90	627% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ADD-ON DRUGSCNCOMP-INITIAL	$1,170.00	$1,170.00	$50.87–$1,134.90	778% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$104.00	$104.00	$45.22–$116.90	37% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 ADD-ON EBV AB PROF-VCA IGM	$98.00	$98.00	$41.26–$132.89	36% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 ADD-ON EBV AB PROF-VCA IGG	$98.00	$98.00	$41.26–$132.89	36% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA IGM - SENDOUT	$137.00	$137.00	$41.26–$132.89	90% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 ADD-ON EB-EBVCA IGM	$137.00	$137.00	$41.26–$132.89	90% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 ADD-ON EB-EBVCA IGG	$137.00	$137.00	$41.26–$132.89	90% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 ADD-ON EBV ACUTE ABS-VCA IGG	$137.00	$137.00	$41.26–$132.89	90% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 ADD-ON EBV ACUTE ABS-VCA IGM	$137.00	$137.00	$41.26–$132.89	90% above	—
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE - SENDOUT	$88.00	$88.00	$38.26–$129.98	30% below	—
Estradiol blood test CPT 82670 ESTRADIOL	$134.00	$134.00	$38.26–$129.98	6% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRIC - SENDOUT	$139.00	$139.00	$48.13–$160.05	34% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH - QUEST	$143.00	$143.00	$48.13–$160.05	38% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$165.00	$165.00	$48.13–$160.05	60% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$221.00	$221.00	$61.12–$395.76	32% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL-SENDOUT	$408.00	$408.00	$61.12–$395.76	144% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN SERUM	$57.00	$57.00	$24.78–$176.54	38% below	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN -SENDOUT	$112.00	$112.00	$24.78–$176.54	22% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$182.00	$182.00	$24.78–$176.54	98% above	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY- SENDOUT	$66.00	$66.00	$28.70–$69.84	at median	—
Fibrinogen blood test CPT 85384 ADD-ON FIBRIN-FIBRINOGEN ACTIVITY	$72.00	$72.00	$28.70–$69.84	9% above	—
Folate (folic acid) blood test CPT 82746 FOLATE FOLIC ACID SERUM	$61.00	$61.00	$26.52–$148.41	32% below	—
Folate (folic acid) blood test CPT 82746 FOLATE FOLIC ACID -SENDOUT	$110.00	$110.00	$26.52–$148.41	23% above	—
Folate (folic acid) blood test CPT 82746 ADD-ON VITB12FOL-FOLATE	$112.00	$112.00	$26.52–$148.41	25% above	—
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL - QUEST	$153.00	$153.00	$26.52–$148.41	71% above	—
Free T3 thyroid hormone test CPT 84481 FT3	$70.00	$70.00	$30.44–$160.05	33% below	—
Free T3 thyroid hormone test CPT 84481 _T3FREE - SENDOUT	$106.00	$106.00	$30.44–$160.05	2% above	—
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE-SENDOUT	$122.00	$122.00	$30.44–$160.05	18% above	—
Free T3 thyroid hormone test CPT 84481 T3 FREE RADIOIMMUNOASSAY	$165.00	$165.00	$30.44–$160.05	59% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT - SENDOUT	$52.00	$52.00	$22.61–$282.27	21% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 _T4 FREEDIRECT - SENDOUT	$52.00	$52.00	$22.61–$282.27	21% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 _T4FREEDIRECT - SENDOUT	$61.00	$61.00	$22.61–$282.27	7% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 _T4F - SENDOUT	$69.00	$69.00	$22.61–$282.27	5% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 ADD-ON T4 FREE	$92.00	$92.00	$22.61–$282.27	40% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE FT4	$124.00	$124.00	$22.61–$282.27	89% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS MASS SPEC-SENDOUT	$291.00	$291.00	$22.61–$282.27	344% above	—
Free testosterone test CPT 84402 ADD-ON TESTFR+WK+T LC MS-FREE TESTOST	$191.00	$191.00	$48.13–$236.68	89% above	—
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT -SENDOUT	$191.00	$191.00	$48.13–$236.68	89% above	—
Free testosterone test CPT 84402 ADD-ON TESTFR+T LC MS-FREE TESTOST	$218.00	$218.00	$48.13–$236.68	115% above	—
Free testosterone test CPT 84402 ADD-ON TESTFR+T-FREE TESTOST	$244.00	$244.00	$48.13–$236.68	141% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ADD-ON FIBRO-GGT	$53.00	$53.00	$23.04–$128.04	2% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCV FIBROSURE-GGT	$66.00	$66.00	$23.04–$128.04	28% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE	$132.00	$132.00	$23.04–$128.04	155% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GEST DIABETES 1-HR SCREEN - SENDOUT	$36.00	$36.00	$15.65–$72.75	16% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 2HR NONGEST 75G	$66.00	$66.00	$15.65–$72.75	54% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOLA	$66.00	$66.00	$15.65–$72.75	54% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1HR GESTATIONAL 50G	$74.00	$74.00	$15.65–$72.75	73% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR POST PRANDIAL	$75.00	$75.00	$15.65–$72.75	75% above	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE FASTING GESTATIONAL 100G	$65.00	$65.00	$28.26–$214.37	28% below	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HR GESTATIONAL	$221.00	$221.00	$28.26–$214.37	145% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAA - SENDOUT	$196.00	$196.00	$85.22–$286.15	81% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON VG+ HSV-N GONORRHOEAE NAA	$218.00	$218.00	$85.22–$286.15	101% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON NUSWAB VG+CAND 6SP-N GONORRHOEAE	$226.00	$226.00	$85.22–$286.15	108% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON CHLAM GC RECTAL-GC	$240.00	$240.00	$85.22–$286.15	121% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA SDA	$249.00	$249.00	$85.22–$286.15	129% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON CH GCPHAR-GC AMP PROBE	$262.00	$262.00	$85.22–$286.15	141% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON VG+-NEISSERIA GONORRHOEAE	$262.00	$262.00	$85.22–$286.15	141% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NAA PHARYNGEAL - SENDOUT	$262.00	$262.00	$85.22–$286.15	141% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON NUSWAB STD4-NEISSERIA GONORRHOEAENAA	$263.00	$263.00	$85.22–$286.15	142% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON CHL GC-NGONORRHOEAE AMP PROBE	$290.00	$290.00	$85.22–$286.15	167% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ADD-ON NUSWAB STD3-NEISSERIA GONORRHOEAENAA	$295.00	$295.00	$85.22–$286.15	172% above	—
H. pylori antibody blood test CPT 86677 ADD-ON H PYLORI ABS-IGG	$84.00	$84.00	$36.52–$127.07	7% above	—
H. pylori antibody blood test CPT 86677 ADD-ON H PYLORI ABS-IGA	$84.00	$84.00	$36.52–$127.07	7% above	—
H. pylori antibody blood test CPT 86677 ADD-ON H PYLORI ABS-IGM	$84.00	$84.00	$36.52–$127.07	7% above	—
H. pylori antibody blood test CPT 86677 ADD-ON HPYL-IGA	$108.00	$108.00	$36.52–$127.07	37% above	—
H. pylori antibody blood test CPT 86677 ADD-ON HPYL-IGG	$108.00	$108.00	$36.52–$127.07	37% above	—
H. pylori antibody blood test CPT 86677 H PYLORI IGG ABS-SENDOUT	$131.00	$131.00	$36.52–$127.07	66% above	—
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGM AB-SENDOUT	$131.00	$131.00	$36.52–$127.07	66% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB - QUEST	$159.00	$159.00	$41.26–$154.23	102% above	—
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG EIA-SENDOUT	$135.00	$135.00	$35.14–$155.20	19% above	—
H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL - QUEST	$160.00	$160.00	$35.14–$155.20	41% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 _HIV1 RNA QL - SENDOUT	$607.00	$607.00	$91.68–$611.10	123% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA REAL TIME PCR NON-GRAPH-SENDOUT	$629.00	$629.00	$91.68–$611.10	131% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR NONGRAPH RFX GENO-SENDOUT	$629.00	$629.00	$91.68–$611.10	131% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 _HIV QN RNA PCR-SENDOUT	$630.00	$630.00	$91.68–$611.10	131% above	—
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV - AMB POC	$72.00	$72.00	$31.31–$74.01	32% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGEN ANTIBODY COMBO W RFX - SENDOUT	$210.00	$210.00	$35.14–$203.70	177% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$101.00	$101.00	$43.91–$116.90	55% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C	$106.00	$106.00	$43.91–$116.90	63% above	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$48.00	$48.00	$20.87–$53.82	66% above	—
Hepatitis B core antibody test (total) CPT 86704 ADD-ON HBV CORE IGG	$83.00	$83.00	$36.09–$191.09	16% above	—
Hepatitis B core antibody test (total) CPT 86704 ADD-ON HEP B PROF-HEP B CORE AB TOTAL	$91.00	$91.00	$36.09–$191.09	27% above	—
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOT-SENDOUT	$108.00	$108.00	$36.09–$191.09	51% above	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY - QUEST	$197.00	$197.00	$36.09–$191.09	176% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ADD-ON HEP B PROF-HEP B SURFACE AB	$78.00	$78.00	$33.91–$130.95	13% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB-SENDOUT	$102.00	$102.00	$33.91–$130.95	48% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY QUALITATIVE - QUEST	$135.00	$135.00	$33.91–$130.95	96% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$43.00	$43.00	$18.70–$113.49	39% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 ADD-ON HEP B PROF-HEP B SURFACE AG	$90.00	$90.00	$18.70–$113.49	28% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG - SENDOUT	$96.00	$96.00	$18.70–$113.49	37% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN - QUEST	$117.00	$117.00	$18.70–$113.49	67% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB RFX TO QUANT PCR - SENDOUT	$69.00	$69.00	$30.00–$175.57	12% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY RFLX NAA - SENDOUT	$69.00	$69.00	$30.00–$175.57	12% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W RFLX TO VERIFICATION-SENDOUT	$125.00	$125.00	$30.00–$175.57	59% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB-SENDOUT	$129.00	$129.00	$30.00–$175.57	65% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY - QUEST	$159.00	$159.00	$30.00–$175.57	103% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W RFLX TO HEPATITIS C RNA PCR QN - SENDOUT	$181.00	$181.00	$30.00–$175.57	131% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSISNAA-SENDOUT	$190.00	$190.00	$82.61–$366.66	32% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT REAL TIME PCR-QUEST	$331.00	$331.00	$82.61–$366.66	18% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT PCR REFLEX-SENDOUT	$371.00	$371.00	$82.61–$366.66	33% above	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 _HCV RT-PCR QUANT NON-GRAPH-SENDOUT	$208.00	$208.00	$82.61–$366.66	26% below	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT NON-GRAPH-SENDOUT	$378.00	$378.00	$82.61–$366.66	35% above	—
Herpes blood test, HSV-1 antibody CPT 86695 ADD-ON PRENATAL INF DIS-HSV1	$57.00	$57.00	$24.78–$122.79	15% below	—
Herpes blood test, HSV-1 antibody CPT 86695 ADD-ON HSV 1 SPEC IGG	$95.00	$95.00	$24.78–$122.79	41% above	—
Herpes blood test, HSV-1 antibody CPT 86695 ADD-ON PRENAT INF-HSV TYPE 1	$99.00	$99.00	$24.78–$122.79	47% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-SPECIFIC AB IGG-SENDOUT	$99.00	$99.00	$24.78–$122.79	47% above	—
Herpes blood test, HSV-1 antibody CPT 86695 ADD-ON HSV 1 2 IGM-HERPES SIMPLEX TYPE 1	$99.00	$99.00	$24.78–$122.79	47% above	—
Herpes blood test, HSV-1 antibody CPT 86695 ADD-ON HSV 1 2 IGG-HERPES SIMPLEX TYPE 1	$118.00	$118.00	$24.78–$122.79	75% above	—
Herpes blood test, HSV-2 antibody CPT 86696 ADD-ON PRENATAL INF DIS-HSV2	$82.00	$82.00	$35.65–$140.65	42% above	—
Herpes blood test, HSV-2 antibody CPT 86696 _HSV 2 IGG SUPPLEMENTAL TEST-SENDOUT	$121.00	$121.00	$35.65–$140.65	109% above	—
Herpes blood test, HSV-2 antibody CPT 86696 ADD-ON HSV 2 SPEC IGG	$121.00	$121.00	$35.65–$140.65	109% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 TYPE SPECIFIC AB IGG W RFX-SENDOUT	$121.00	$121.00	$35.65–$140.65	109% above	—
Herpes blood test, HSV-2 antibody CPT 86696 ADD-ON HSV 1 2 IGG-HERPES SIMPLEX TYPE 2	$144.00	$144.00	$35.65–$140.65	149% above	—
Herpes blood test, HSV-2 antibody CPT 86696 ADD-ON PRENAT INF-HSV TYPE 2	$145.00	$145.00	$35.65–$140.65	151% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2-SPECIFIC AB IGG-SENDOUT	$145.00	$145.00	$35.65–$140.65	151% above	—
Herpes blood test, HSV-2 antibody CPT 86696 ADD-ON HSV 1 2 IGM-HERPES SIMPLEX TYPE 2	$145.00	$145.00	$35.65–$140.65	151% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN CARDIAC - SENDOUT	$116.00	$116.00	$41.26–$116.90	44% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIOVASCULAR - QUEST	$109.00	$109.00	$47.39–$162.96	14% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE -SENDOUT	$125.00	$125.00	$47.39–$162.96	30% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE NON CARDIAC-SENDOUT	$125.00	$125.00	$47.39–$162.96	30% above	—
Homocysteine blood test CPT 83090 ADD-ON THROM VKA-HOMOCYSTEINE	$168.00	$168.00	$47.39–$162.96	75% above	—
Insulin blood test CPT 83525 INSULIN-SENDOUT	$103.00	$103.00	$44.78–$150.35	34% above	—
Insulin blood test CPT 83525 INSULIN TOTAL	$155.00	$155.00	$44.78–$150.35	102% above	—
Iron blood test (serum iron) CPT 83540 ADD-ON IRON TIBC-IRON	$68.00	$68.00	$29.57–$232.80	51% above	—
Iron blood test (serum iron) CPT 83540 ADD-ON IRON SERUM	$95.00	$95.00	$29.57–$232.80	110% above	—
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE-SENDOUT	$240.00	$240.00	$29.57–$232.80	432% above	—
Iron-binding capacity (TIBC) test CPT 83550 ADD-ON IRON TIBC-IRON BINDING	$89.00	$89.00	$38.70–$170.72	79% above	—
Iron-binding capacity (TIBC) test CPT 83550 ADD-ON IRON BINDING CAPACITY	$176.00	$176.00	$38.70–$170.72	255% above	—
Kidney function blood test panel CPT 80069 RENALPNL10	$66.00	$66.00	$28.70–$166.84	25% below	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$172.00	$172.00	$28.70–$166.84	95% above	—
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE - QUEST	$139.00	$139.00	$48.13–$160.05	55% above	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE PEDIATRIC-SENDOUT	$139.00	$139.00	$48.13–$160.05	55% above	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONELH - SENDOUT	$165.00	$165.00	$48.13–$160.05	84% above	—
Lactate (lactic acid) blood test CPT 83605 LACTATE	$201.00	$201.00	$61.12–$194.97	145% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 ADD-ON LD ISO-LDHTOT	$48.00	$48.00	$20.87–$75.66	8% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$78.00	$78.00	$20.87–$75.66	75% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID-SENDOUT	$54.00	$54.00	$23.48–$134.83	17% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE-SENDOUT	$54.00	$54.00	$23.48–$134.83	17% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$139.00	$139.00	$23.48–$134.83	114% above	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$143.00	$143.00	$58.06–$138.71	61% above	—
Lyme disease antibody test CPT 86618 _LYME IGM	$78.00	$78.00	$33.91–$323.98	11% below	—
Lyme disease antibody test CPT 86618 _LYME IGG	$78.00	$78.00	$33.91–$323.98	11% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W RFX-SENDOUT	$85.00	$85.00	$33.91–$323.98	3% below	—
Lyme disease antibody test CPT 86618 ADD-ON LYME AB-LYME DISEASE IGG	$153.00	$153.00	$33.91–$323.98	74% above	—
Lyme disease antibody test CPT 86618 ADD-ON LYME AB-LYMES DISEASE IGM	$153.00	$153.00	$33.91–$323.98	74% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE W REFL IGG IGM - QUEST	$334.00	$334.00	$33.91–$323.98	281% above	—
Magnesium blood test CPT 83735 MAGNESIUM URINE - SENDOUT	$52.00	$52.00	$22.61–$116.90	3% above	—
Magnesium blood test CPT 83735 MAGNESIUM RBC - SENDOUT	$69.00	$69.00	$22.61–$116.90	37% above	—
Magnesium blood test CPT 83735 MAGNESIUM 24-HOUR URINE W O CREATININE - QUEST	$91.00	$91.00	$22.61–$116.90	81% above	—
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$118.00	$118.00	$22.61–$116.90	134% above	—
Measles (rubeola) antibody test CPT 86765 ADD-ON MMR- RUBEOLA AB	$97.00	$97.00	$41.26–$257.05	53% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ABS IGG-SENDOUT	$118.00	$118.00	$41.26–$257.05	86% above	—
Measles (rubeola) antibody test CPT 86765 MEASLES IGG ANTIBODY RUBEOLOA-QUEST	$118.00	$118.00	$41.26–$257.05	86% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ABS IGM-SENDOUT	$265.00	$265.00	$41.26–$257.05	317% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$77.00	$77.00	$33.48–$74.69	48% above	—
Mumps immunity blood test CPT 86735 MUMPS VIRUS IGG AB BY EIA - QUEST	$70.00	$70.00	$30.44–$113.49	28% above	—
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGM CSF - SENDOUT	$98.00	$98.00	$30.44–$113.49	79% above	—
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG CSF - SENDOUT	$98.00	$98.00	$30.44–$113.49	79% above	—
Mumps immunity blood test CPT 86735 MUMPS ABS IGM-SENDOUT	$98.00	$98.00	$30.44–$113.49	79% above	—
Mumps immunity blood test CPT 86735 ADD-ON MMR- MUMPS AB	$98.00	$98.00	$30.44–$113.49	79% above	—
Mumps immunity blood test CPT 86735 MUMPS ABS IGG-SENDOUT	$117.00	$117.00	$30.44–$113.49	114% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 _PERCFPSA REFLEX-SENDOUT	$91.00	$91.00	$39.57–$129.01	1% below	—
PSA (prostate-specific antigen) blood test, free CPT 84154 ADD-ON PSA T+F-PSA FREE	$133.00	$133.00	$39.57–$129.01	44% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG - SENDOUT	$112.00	$112.00	$48.70–$213.40	16% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 BILL ONLY - PSA	$139.00	$139.00	$48.70–$213.40	44% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 ADD-ON PSA T+F-PSA TOT	$164.00	$164.00	$48.70–$213.40	70% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$165.00	$165.00	$48.70–$213.40	71% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL REFLEX TO FREE-SENDOUT	$220.00	$220.00	$48.70–$213.40	128% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE PTH INTACT ASPIRATE-SENDOUT	$205.00	$205.00	$87.46–$331.74	15% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTHINTACT	$256.00	$256.00	$87.46–$331.74	43% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTRAOPERATIVE	$282.00	$282.00	$87.46–$331.74	58% above	—
Parathyroid hormone (PTH) blood test CPT 83970 ADD-ON PTH+CA-PARTHYROID HORMONE	$305.00	$305.00	$87.46–$331.74	71% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE W CA - QUEST	$318.00	$318.00	$87.46–$331.74	78% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT-SENDOUT	$342.00	$342.00	$87.46–$331.74	92% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ADD-ON APSPROF-PTT	$26.00	$26.00	$11.30–$205.64	47% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ADD-ON APTT MIX-APTT	$72.00	$72.00	$11.30–$205.64	48% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$103.00	$103.00	$11.30–$205.64	112% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ADD-ON THROMBOSIS- APTT	$103.00	$103.00	$11.30–$205.64	112% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ADD-ON THROM VKA-APTT	$168.00	$168.00	$11.30–$205.64	246% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ADD-ON VONWILL SCRN- APTT	$212.00	$212.00	$11.30–$205.64	336% above	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL	$87.00	$87.00	$32.85–$84.39	107% above	—
Potassium blood test CPT 84132 POTASSIUM	$74.00	$74.00	$32.18–$71.78	79% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 INFORMASEQ PRENATAL TEST-SENDOUT	$1,619.00	$1,619.00	$339.98–$1,570.43	105% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 INFORMASEQSMWITH XY ANALYSIS - SENDOUT	$1,619.00	$1,619.00	$339.98–$3,588.03	105% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 PLUS CORE NO GENDER-SENDOUT	$3,699.00	$3,699.00	$339.98–$3,588.03	369% above	—
Progesterone blood test CPT 84144 PROGESTERONE LEVEL - QUEST	$153.00	$153.00	$48.13–$210.49	56% above	—
Progesterone blood test CPT 84144 PROGESTERONE LCMS ENDO SCI - SENDOUT	$156.00	$156.00	$48.13–$210.49	59% above	—
Progesterone blood test CPT 84144 PROGESTERONE-SENDOUT	$217.00	$217.00	$48.13–$210.49	121% above	—
Prolactin blood test CPT 84146 PROLACTIN SERUM ICMA-SENDOUT	$125.00	$125.00	$48.13–$192.06	20% above	—
Prolactin blood test CPT 84146 ADD-ON MACROPRO-PROLACTIN	$145.00	$145.00	$48.13–$192.06	39% above	—
Prolactin blood test CPT 84146 ADD-ON MACROPRO-MONOMERIC PROLACTIN	$145.00	$145.00	$48.13–$192.06	39% above	—
Prolactin blood test CPT 84146 PROLACTIN LEVEL - QUEST	$180.00	$180.00	$48.13–$192.06	73% above	—
Prolactin blood test CPT 84146 PROLACTIN	$198.00	$198.00	$48.13–$192.06	90% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 ADD-ON APSPRO-PT	$19.00	$19.00	$8.26–$99.91	42% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$87.00	$87.00	$8.26–$99.91	165% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 ADD-ON THROMBOSIS-PROTHROMBIN TIME	$103.00	$103.00	$8.26–$99.91	214% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN - JAC	$179.00	$179.00	$61.12–$173.63	128% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN THROAT ONLY	$115.00	$115.00	$35.14–$111.55	113% above	—
Renin blood test CPT 84244 ADD-ON ALDO RENIN-RENIN	$146.00	$146.00	$48.13–$191.09	38% above	—
Renin blood test CPT 84244 RENIN ACTIVITY -SENDOUT	$197.00	$197.00	$48.13–$191.09	86% above	—
Rh blood typing CPT 86901 ADD-ON ABO RH-RHO D TYPING	$28.00	$28.00	$12.17–$118.58	38% below	—
Rh blood typing CPT 86901 ADD-ON RH D	$69.00	$69.00	$12.17–$118.58	54% above	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGM BY EIARDL-SENDOUT	$28.00	$28.00	$12.17–$134.83	49% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGA BY EIARDL-SENDOUT	$28.00	$28.00	$12.17–$134.83	49% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGG BY EIARDL-SENDOUT	$28.00	$28.00	$12.17–$134.83	49% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR RF IGA-SENDOUT	$43.00	$43.00	$12.17–$134.83	21% below	—
Rheumatoid factor (RF) test CPT 86431 ADD-ON RF IG M A-RF IGM	$43.00	$43.00	$12.17–$134.83	21% below	—
Rheumatoid factor (RF) test CPT 86431 ADD-ON RF IG M A-RF IGG	$43.00	$43.00	$12.17–$134.83	21% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR RF IGM-SENDOUT	$43.00	$43.00	$12.17–$134.83	21% below	—
Rheumatoid factor (RF) test CPT 86431 ADD-ON RF IG M A-RF IGA	$43.00	$43.00	$12.17–$134.83	21% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR RF IGG-SENDOUT	$43.00	$43.00	$12.17–$134.83	21% below	—
Rheumatoid factor (RF) test CPT 86431 ADD-ON RF ISO-IGG	$48.00	$48.00	$12.17–$134.83	12% below	—
Rheumatoid factor (RF) test CPT 86431 ADD-ON RF ISO-IGA	$48.00	$48.00	$12.17–$134.83	12% below	—
Rheumatoid factor (RF) test CPT 86431 ADD-ON RF ISO-IGM	$48.00	$48.00	$12.17–$134.83	12% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS FACTOR-SENDOUT	$72.00	$72.00	$12.17–$134.83	32% above	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE - QUEST	$139.00	$139.00	$12.17–$134.83	154% above	—
Rubella antibody test (immunity check) CPT 86762 ADD-ON PRENATAL INF DIS-RUBELLA	$62.00	$62.00	$26.96–$176.54	3% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ABS IGM-SENDOUT	$107.00	$107.00	$26.96–$176.54	67% above	—
Rubella antibody test (immunity check) CPT 86762 ADD-ON MMR-RUBELLA AB	$107.00	$107.00	$26.96–$176.54	67% above	—
Rubella antibody test (immunity check) CPT 86762 ADD-ON PRENAT INF-RUBELLA AB	$107.00	$107.00	$26.96–$176.54	67% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ABS IGG-SENDOUT	$129.00	$129.00	$26.96–$176.54	102% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG - QUEST	$182.00	$182.00	$26.96–$176.54	184% above	—
Sodium blood test CPT 84295 SODIUM LEVEL	$74.00	$74.00	$32.18–$71.78	87% above	—
Stool ova and parasites exam CPT 87177 OVAANDPARASITE EXAMFORMALIN ONLY-SENDOUT	$39.00	$39.00	$16.96–$64.02	19% below	—
Stool ova and parasites exam CPT 87177 ADD-ON GIAR+O P-O P	$58.00	$58.00	$16.96–$64.02	20% above	—
Stool ova and parasites exam CPT 87177 ADD-ON O+P-SMEARS	$66.00	$66.00	$16.96–$64.02	37% above	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES - JAC	$103.00	$103.00	$35.14–$99.91	113% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD WORKUP - SCREENING	$60.00	$60.00	$26.09–$116.90	83% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IA-SENDOUT	$119.00	$119.00	$45.41–$115.43	103% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM SYPHILIS SCREENING CASCADE-SENDOUT	$81.00	$81.00	$35.22–$122.79	48% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 _FTAABS-RPR QN-SENDOUT	$98.00	$98.00	$35.22–$122.79	79% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ABS - SENDOUT	$99.00	$99.00	$35.22–$122.79	81% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 ADD-ON RPR QUAN-TREPONEMA PALLID	$99.00	$99.00	$35.22–$122.79	81% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB FTA-AB-SENDOUT	$99.00	$99.00	$35.22–$122.79	81% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 _RPR QL - SENDOUT	$27.00	$27.00	$11.74–$114.46	44% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGINRPRQUAL-SENDOUT	$32.00	$32.00	$11.74–$114.46	34% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF-SENDOUT	$32.00	$32.00	$11.74–$114.46	34% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W RFX TREPONEMAL AB- SENDOUT	$39.00	$39.00	$11.74–$114.46	20% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-SENDOUT	$46.00	$46.00	$11.74–$114.46	5% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W REFLEX TITER - QUEST	$77.00	$77.00	$11.74–$114.46	59% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 NON-TREPONEMAL SCREENING VDRL-SENDOUT	$118.00	$118.00	$11.74–$114.46	143% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB GOLD - QUEST	$436.00	$436.00	$109.25–$439.41	182% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON CLIENT INCUBATED-SENDOUT	$453.00	$453.00	$109.25–$439.41	193% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERONTB + CLIENT INCUBATED-SENDOUT	$453.00	$453.00	$109.25–$439.41	193% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS-SENDOUT	$453.00	$453.00	$109.25–$439.41	193% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 ADD-ON TESTFR+WK+T LC MS-TOT TESTOST	$193.00	$193.00	$48.13–$208.55	93% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL - QUEST	$203.00	$203.00	$48.13–$208.55	102% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-SENDOUT	$215.00	$215.00	$48.13–$208.55	114% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 ADD-ON TESTFR+T-TOT TESTOST	$215.00	$215.00	$48.13–$208.55	114% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 ADD-ON TESTFR+T LC MS-TOT TESTOST	$215.00	$215.00	$48.13–$208.55	114% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE AB - SENDOUT	$89.00	$89.00	$38.70–$127.07	15% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 _THYROID PEROXIDASETPO ABS - SENDOUT	$92.00	$92.00	$38.70–$127.07	19% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO AB RDL - SENDOUT	$107.00	$107.00	$38.70–$127.07	39% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ADD-ON THYR-THYROID PEROXIDASE	$108.00	$108.00	$38.70–$127.07	40% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB-SENDOUT	$108.00	$108.00	$38.70–$127.07	40% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE TPO AB-SENDOUT	$131.00	$131.00	$38.70–$127.07	70% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-SENDOUT	$124.00	$124.00	$48.13–$180.42	25% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH RFX ON ABNORMAL TO FREE T4 - SENDOUT	$124.00	$124.00	$48.13–$180.42	25% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE - SENDOUT	$125.00	$125.00	$48.13–$180.42	26% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ADD-ON TSH	$155.00	$155.00	$48.13–$180.42	56% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE SENSITIVE	$186.00	$186.00	$48.13–$180.42	87% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W REFLEX FREE T4	$186.00	$186.00	$48.13–$180.42	87% above	—
Total IgE blood test CPT 82785 ADD-ON ALPGALIGEPNL-IMUNOGLOBULIN E	$68.00	$68.00	$29.57–$233.77	19% below	—
Total IgE blood test CPT 82785 ADD-ON ALLERGEN-IGE-ASSAY	$68.00	$68.00	$29.57–$233.77	19% below	—
Total IgE blood test CPT 82785 ADD-ON IGEALLER-IGE	$123.00	$123.00	$29.57–$233.77	47% above	—
Total IgE blood test CPT 82785 ADD-ON ALL+IGE-IGE ASSAY	$123.00	$123.00	$29.57–$233.77	47% above	—
Total IgE blood test CPT 82785 ADD-ON IMMGAM-IGE	$137.00	$137.00	$29.57–$233.77	64% above	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E TOTAL-SENDOUT	$148.00	$148.00	$29.57–$233.77	77% above	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E - QUEST	$241.00	$241.00	$29.57–$233.77	188% above	—
Total cholesterol blood test CPT 82465 ADD-ON FIBRO-CHOLESTEROL	$53.00	$53.00	$23.04–$77.60	27% above	—
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$80.00	$80.00	$23.04–$77.60	92% above	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4-SENDOUT	$75.00	$75.00	$32.61–$77.60	40% above	—
Total thyroxine (T4) blood test CPT 84436 T4 THROXINE TOTAL - QUEST	$80.00	$80.00	$32.61–$77.60	49% above	—
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3-SENDOUT	$111.00	$111.00	$48.13–$120.28	43% above	—
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL - QUEST	$124.00	$124.00	$48.13–$120.28	60% above	—
Transferrin blood test CPT 84466 TRANSFERRIN - SENDOUT	$97.00	$97.00	$42.18–$116.90	27% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON VG+ HSV-TRICH VAG NAA	$218.00	$218.00	$91.68–$286.15	90% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON VG HSV-TRICH VAG NAA	$226.00	$226.00	$91.68–$286.15	97% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON NUSWAB VG CAND6-TRICH VAG	$226.00	$226.00	$91.68–$286.15	97% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON NUSWAB VG+CAND 6SP-TRICH VAG	$226.00	$226.00	$91.68–$286.15	97% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON VG+-TRICHOMONAS VAGINALIS	$262.00	$262.00	$91.68–$286.15	129% above	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA -SENDOUT	$262.00	$262.00	$91.68–$286.15	129% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON VGNUWSWAB-TRICHOMONAS VAGINALIS	$263.00	$263.00	$91.68–$286.15	130% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON NUSWAB STD4-TRICHOMONONAS VAGINALISNAA	$263.00	$263.00	$91.68–$286.15	130% above	—
Trichomonas test (NAAT) CPT 87661 ADD-ON NUSWAB STD3-TRICHOMONAS VAGINALISNAA	$295.00	$295.00	$91.68–$286.15	158% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES - SENDOUT	$43.00	$43.00	$18.70–$77.60	at median	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES FLUID-SENDOUT	$43.00	$43.00	$18.70–$77.60	at median	—
Triglycerides blood test CPT 84478 ADD-ON VAP CHOL-TRIGLYCERIDES	$50.00	$50.00	$18.70–$77.60	17% above	—
Triglycerides blood test CPT 84478 ADD-ON FIBRO-TRIGLYCERIDES	$53.00	$53.00	$18.70–$77.60	24% above	—
Triglycerides blood test CPT 84478 TRIG BF W REFLEX TO CHYLOMICRON-SENDOUT	$68.00	$68.00	$18.70–$77.60	59% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$80.00	$80.00	$18.70–$77.60	87% above	—
Troponin test, quantitative CPT 84484 TROPONIN HIGH SENSITIVITY	$309.00	$309.00	$61.12–$299.73	155% above	—
Uric acid blood test CPT 84550 URIC ACID - SENDOUT	$34.00	$34.00	$14.78–$71.78	21% below	—
Uric acid blood test CPT 84550 URIC ACID	$74.00	$74.00	$14.78–$71.78	73% above	—
Urinalysis with microscope exam, automated CPT 81001 UA ROUTINE W MICRO AND CULTURE IF INDICATED IRIS	$62.00	$62.00	$26.74–$60.14	40% above	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC WITH REFLEX	$34.00	$34.00	$14.78–$32.98	14% above	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS MACROSCOPIC W REFLEX TO CANDS	$33.00	$33.00	$14.35–$32.01	42% above	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE ROUTINE-SENDOUT	$44.00	$44.00	$19.13–$93.12	25% below	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE COMPREHENSIVE-SENDOUT	$44.00	$44.00	$19.13–$93.12	25% below	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$96.00	$96.00	$19.13–$93.12	64% above	—
Urine microalbumin (albumin) test CPT 82043 ADD-ON MICALB-MICROALBUMINUR	$54.00	$54.00	$23.48–$198.85	1% below	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE - SENDOUT	$65.00	$65.00	$23.48–$198.85	19% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24HR	$76.00	$76.00	$23.48–$198.85	39% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE RANDOM	$76.00	$76.00	$23.48–$198.85	39% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN CREATININE RATIO	$205.00	$205.00	$23.48–$198.85	274% above	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE	$132.00	$132.00	$26.74–$128.04	212% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$63.00	$63.00	$27.39–$308.46	27% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITB12	$113.00	$113.00	$27.39–$308.46	30% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 ADD-ON VITB12FOL-B12	$114.00	$114.00	$27.39–$308.46	31% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL - QUEST	$318.00	$318.00	$27.39–$308.46	267% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY	$121.00	$121.00	$52.61–$290.03	17% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITAMIN D D2+D3-SENDOUT	$220.00	$220.00	$52.61–$290.03	51% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY - QUEST	$239.00	$239.00	$52.61–$290.03	64% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY - SENDOUT	$299.00	$299.00	$52.61–$290.03	105% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL125 DI-OH VIT D-SENDOUT	$286.00	$286.00	$124.35–$277.42	66% above	—
Zinc blood test CPT 84630 ZINC -SENDOUT	$97.00	$97.00	$32.09–$125.13	84% above	—
Zinc blood test CPT 84630 ZINC RBC - SENDOUT	$107.00	$107.00	$32.09–$125.13	103% above	—
Zinc blood test CPT 84630 ZINC WHOLE BLOOD - SENDOUT	$129.00	$129.00	$32.09–$125.13	144% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ADD-ON AFP-HCG	$137.00	$137.00	$48.13–$171.69	51% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCGBETA SUBUNIT QNT -SENDOUT	$163.00	$163.00	$48.13–$171.69	80% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREG TEST QUANTITATIVE BILL ONLY	$170.00	$170.00	$48.13–$171.69	87% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREGNANCY QUANTITATIVE	$177.00	$177.00	$48.13–$171.69	95% above	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BR STEREO BX W DEVICE PLCMNT BIL	$352.00	$352.00	$153.05–$4,477.52	89% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BR BREAST STEREO BX W DEVICE PLCMT BIL	$4,247.00	$4,247.00	$153.05–$4,477.52	38% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BR STEREO BX W DEVICE PLCMT BIL	$4,616.00	$4,616.00	$153.05–$4,477.52	50% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BR BREAST STEREO BX W DEVICE PLCMT RT	$3,539.00	$3,539.00	$153.05–$4,477.52	15% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BR BREAST STEREO BX W DEVICE PLCMT LT	$3,539.00	$3,539.00	$153.05–$4,477.52	15% above	—
Bunion correction with removal of part of the big toe joint CPT 28292 BUNION PROCEDURES	$7,170.00	$7,170.00	$3,117.52–$14,358.39	148% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 GHS CARDIOVERSION	$1,666.00	$1,666.00	$724.38–$2,542.34	92% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 GHS CLSD TX DISTAL RADIAL FX W O MANIP	$2,664.00	$2,664.00	$612.72–$3,219.35	509% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$1,162.00	$1,162.00	$505.24–$2,982.19	12% above	—
Earwax removal with instruments, one ear CPT 69210 GHS CERUMEN REMOVAL	$414.00	$414.00	$56.35–$401.58	308% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL THORACIC SINGLE W FLUOROSCY	$1,978.00	$1,978.00	$860.03–$1,918.66	49% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PARAVERT FACET JNT NRV L OR S W FLUOROSCY	$1,779.00	$1,779.00	$773.51–$3,138.61	31% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSONOGRAPHY	$753.00	$753.00	$327.40–$730.41	141% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 GHS INC ISION AND DRAINAGE ABSCESS SMPL	$1,725.00	$1,725.00	$301.02–$1,673.25	584% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 GHS ABSCESS SUBCUTANEOUS I AND D SIMPLE	$1,738.00	$1,738.00	$301.02–$1,685.86	589% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 GHS INJ ASP MAJ JOINT SHOULDER HIP KNE	$764.00	$764.00	$175.72–$814.09	116% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MAJOR JOINT OR BURSA	$764.00	$764.00	$332.19–$814.09	116% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 GHS INJ ASP MED JOINT WRIST ELB ANKLE	$633.00	$633.00	$145.59–$814.09	83% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 COSTOCHONDRAL INJECTION JC	$633.00	$633.00	$275.23–$814.09	83% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 GHS INJ ASP SMALL JOINT FINGERS TOES	$560.00	$560.00	$128.80–$814.09	100% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 GHS LAYER CLOSURE 25 CM OR LESS - 12031	$885.00	$885.00	$203.55–$1,255.61	145% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR SACRAL SINGLE W FLUOROSCY JC	$1,045.00	$1,045.00	$454.37–$1,730.78	17% below	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAMINAL LUMB SINGLE UNI	$2,014.00	$2,014.00	$875.69–$3,138.61	37% above	—
Nail removal (partial or complete), one nail CPT 11730 GHS NAIL PLATE AVULSION SNGL	$206.00	$206.00	$89.57–$860.34	2% above	—
Nail removal (partial or complete), one nail CPT 11730 GHS NAIL PLATE AVULSION SINGLE	$936.00	$936.00	$215.28–$907.92	365% above	—
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK OCCIPITAL SUBOCCIPITAL	$634.00	$634.00	$275.66–$3,138.61	17% above	—
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS	$1,304.00	$1,304.00	$566.98–$1,756.01	24% above	—
Paracentesis with imaging guidance CPT 49083 GHS ED ABD PARACENTISIS DX OR TX W GUIDANCE	$1,304.00	$1,304.00	$299.92–$1,756.01	24% above	—
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE-CLINIC	$715.00	$715.00	$310.88–$4,765.95	62% below	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 LUMBAR SACRAL RADIOFREQUENCY JC	$3,751.00	$3,751.00	$1,434.03–$3,638.47	57% above	—
Removal of a breast lump, open surgery CPT 19120 OR EXC CYST OPEN 1 OR MORE LES	$1,402.00	$1,402.00	$609.59–$3,889.63	21% below	—
Removal of a foreign object under the skin, simple CPT 10120 GHS FOREIGN BODY REMOVAL - SUBCUTANEOUS	$1,856.00	$1,856.00	$301.02–$1,800.32	533% above	—
Short arm cast (elbow to hand) CPT 29075 GHS APPLICATION SHORT ARM CAST	$407.00	$407.00	$93.61–$609.73	75% above	—
Short arm splint (forearm and hand) CPT 29125 GHS APPLICATION SHORT ARM SPLINT - 29125	$605.00	$605.00	$114.60–$606.36	249% above	—
Short leg cast (below the knee) CPT 29405 CAST LOWER LEG CHILD	$75.00	$75.00	$32.61–$609.73	68% below	—
Short leg cast (below the knee) CPT 29405 CAST LOWER LEG	$141.00	$141.00	$32.61–$609.73	40% below	—
Short leg cast (below the knee) CPT 29405 GHS SHORT LEG CAST APPLICATION	$407.00	$407.00	$93.61–$609.73	72% above	—
Short leg splint (calf to foot) CPT 29515 GHS APPLICATION SHORT LEG SPLINT - 29515	$540.00	$540.00	$114.60–$606.36	204% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 GHS SIMPLE REPAIR 25 CM OR LESS - 12001	$991.00	$991.00	$227.93–$961.27	314% above	—
Skin biopsy, punch, one lesion CPT 11104 GHS PUNCH BX SKIN SINGLE LES	$520.00	$520.00	$226.10–$817.45	96% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 GHS LUMBAR PUNCTURE	$1,330.00	$1,330.00	$305.90–$1,634.90	120% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 GHS SIMPLE REPAIR 26 - 75 CM - 12002	$991.00	$991.00	$227.93–$961.27	285% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 GHS SIMPLE REPAIR 25 CM OR LESS - 12011	$885.00	$885.00	$203.55–$860.34	247% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 GHS TANGNTL BX SKIN SINGLE LES	$608.00	$608.00	$264.36–$817.45	182% above	—
Thoracentesis with imaging guidance CPT 32555 GHS THORACENTESIS CHEST TUBE W GUIDANCE R	$2,137.00	$2,137.00	$491.51–$2,072.89	117% above	—
Thoracentesis with imaging guidance CPT 32555 GHS THORACENTESIS CHEST TUBE W GUIDANCE L	$2,137.00	$2,137.00	$491.51–$2,072.89	117% above	—
Thoracentesis with imaging guidance CPT 32555 GHS THORACENTESIS CHEST TUBE W GUIDANCE BIL	$2,137.00	$2,137.00	$491.51–$2,072.89	117% above	—
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS BIL	$2,588.00	$2,588.00	$1,125.26–$2,510.36	163% above	—
Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS LEFT	$2,588.00	$2,588.00	$1,125.26–$2,510.36	163% above	—
Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS RIGHT	$2,588.00	$2,588.00	$1,125.26–$2,510.36	163% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 GHS INJ SING MULT TRIGGER 1-2 MUSCLE	$594.00	$594.00	$136.62–$814.09	88% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SING MULT TRIGGER 1-2 MUSCLE GRP	$699.00	$699.00	$303.93–$814.09	122% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 OR BREAST BPSY W PLC BST DEVIC	$1,429.00	$1,429.00	$621.33–$3,889.63	30% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BR US BREAST BX W VAC ASSIST L	$3,637.00	$3,637.00	$1,538.76–$3,889.63	79% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BR BREAST US BX W DEVICE PLCMT	$3,637.00	$3,637.00	$1,538.76–$3,889.63	79% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BR BREAST US BX W DEVICE PLCMT LT	$3,539.00	$3,539.00	$1,538.76–$3,889.63	74% above	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY GEN SURG PROC	$3,438.00	$3,438.00	$1,494.84–$4,844.16	251% above	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 OR VASECTOMY JCRHC	$3,438.00	$3,438.00	$1,494.84–$4,844.16	251% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUB TISSUE FIRST 20 SQ CM	$353.00	$353.00	$81.19–$1,255.61	17% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 GHS DEBRIDEMENT SKIN AND SUBCUTANEOUS W US	$1,749.00	$1,749.00	$760.47–$1,696.53	311% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 GHS DEBRIDEMENT SKIN AND SUBCUTANEOUS	$1,749.00	$1,749.00	$760.47–$1,696.53	311% above	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD COMPONENT TRANSFUSION	$746.00	$746.00	$324.36–$3,286.63	35% above	—
Blood transfusion (giving blood or blood components) CPT 36430 GHS BLOOD COMPONENT TRANSFUSION	$1,089.00	$1,089.00	$324.36–$3,286.63	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 GHS ER HHN INITIAL TREATMENT W MEDICATIO	$80.00	$80.00	$34.78–$391.91	33% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 GHS ER HHN ADDTL TREATMENT W MEDICATION	$80.00	$80.00	$34.78–$391.91	33% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$160.00	$160.00	$69.57–$391.91	35% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MULTI-MED TREATMENT	$171.00	$171.00	$69.57–$391.91	44% above	—
Chemotherapy IV infusion, first hour CPT 96413 GHS CHEMO INFUSION INITIAL HOUR	$503.00	$503.00	$218.70–$530.67	7% below	—
Critical care, first 30 to 74 minutes CPT 99291 GHS NEONATALUNDER 31 DAYSCRITICAL CARE	$1,125.00	$1,125.00	$258.75–$2,243.61	11% below	—
Critical care, first 30 to 74 minutes CPT 99291 GHS CRITICAL CARE W DIAG THER PRO	$1,526.00	$1,526.00	$258.75–$2,243.61	20% above	—
Critical care, first 30 to 74 minutes CPT 99291 GHS CRIT CARE W O PROC - 99291	$2,313.00	$2,313.00	$258.75–$2,243.61	82% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - ER	$236.00	$236.00	$75.64–$228.92	48% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - CARDIOPULMONARY	$236.00	$236.00	$75.64–$228.92	48% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 GHS EMERGENCY CARE 1 W DIAG THER PROC	$264.00	$264.00	$60.72–$256.08	45% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 GHS EMERGENCY CARE LEVEL 1	$264.00	$264.00	$60.72–$256.08	45% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 GHS EMERGENCY CARE LEVEL 2	$351.00	$351.00	$80.73–$357.93	20% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 GHS EMERGENCY CARE 2 W DIAG THER PROC	$369.00	$369.00	$80.73–$357.93	26% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 GHS ASSAULT EXAMINATION	$266.00	$266.00	$61.18–$662.51	40% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 GHS ASSAULT EXAMINOR	$266.00	$266.00	$61.18–$662.51	40% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 GHS EMERGENCY CARE 3 W DIAG THER PROC	$683.00	$683.00	$61.18–$662.51	55% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 GHS EMERGENCY CARE LEVEL 3	$683.00	$683.00	$61.18–$662.51	55% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 GHS EMERGENCY CARE 4 W DIAG THER PROC	$1,142.00	$1,142.00	$262.66–$1,107.74	64% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 GHS EMERGENCY CARE LEVEL 4	$1,142.00	$1,142.00	$262.66–$1,107.74	64% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 GHS EMERGENCY CARE 5 W DIAG THER PROC	$1,508.00	$1,508.00	$346.84–$1,462.76	44% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 GHS EMERGENCY CARE LEVEL 5	$1,508.00	$1,508.00	$346.84–$1,462.76	44% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TESTING	$1,867.00	$1,867.00	$388.11–$1,810.99	174% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INIT 1 HR	$457.00	$457.00	$198.70–$530.67	64% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 GHS IV INFUSION HYDRATION INITIAL 1 HOUR	$480.00	$480.00	$198.70–$530.67	72% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INIT 1 HR	$457.00	$457.00	$198.70–$530.67	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 GHS IV INFUSION HYDRATION INITIAL 1 HOUR	$480.00	$480.00	$198.70–$530.67	—	—
IV infusion of a medicine, first hour CPT 96365 INFUSION ACUTE - 1 HR JCRHC	$508.00	$508.00	$220.88–$530.67	59% above	—
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY-GEN SURG	$536.00	$536.00	$220.88–$530.67	68% above	—
IV infusion of a medicine, first hour CPT 96365 GHS IV INFUSION THERAPUETIC OR DIAG INITIAL 1 HOUR	$537.00	$537.00	$220.88–$530.67	68% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPY OR DIAG INIT 1 HR	$537.00	$537.00	$220.88–$530.67	68% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION ACUTE - 1 HR JCRHC	$508.00	$508.00	$220.88–$530.67	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY-GEN SURG	$536.00	$536.00	$220.88–$530.67	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 GHS IV INFUSION THERAPUETIC OR DIAG INITIAL 1 HOUR	$537.00	$537.00	$220.88–$530.67	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPY OR DIAG INIT 1 HR	$537.00	$537.00	$220.88–$530.67	—	—
IV push of a medicine, first drug CPT 96374 IV PUSH INIT	$201.00	$201.00	$39.73–$230.86	9% above	—
IV push of a medicine, first drug CPT 96374 GHS IV PUSH INITIAL	$238.00	$238.00	$39.73–$230.86	29% above	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INIT	$201.00	$201.00	$39.73–$230.86	—	—
IV push of a medicine, first drug inpatient CPT 96374 GHS IV PUSH INITIAL	$238.00	$238.00	$39.73–$230.86	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ INJECTION - PER INJECTION	$122.00	$122.00	$39.73–$121.25	37% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION - PER INJECTION	$122.00	$122.00	$39.73–$119.31	37% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SUBQ INJECTION JCRHC	$123.00	$123.00	$39.73–$119.31	38% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 GHS IM OR SUB-Q INJECTION	$123.00	$123.00	$28.29–$119.31	38% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ANTIBIOTIC INJ	$123.00	$123.00	$39.73–$121.25	38% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ANTIBIOTIC INJ-GEN SUR	$123.00	$123.00	$39.73–$121.25	38% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPCC INJECTION IM SUBQ JCRHC	$125.00	$125.00	$39.73–$121.25	40% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION - PER INJECTION	$122.00	$122.00	$39.73–$119.31	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SUBQ INJECTION JCRHC	$123.00	$123.00	$39.73–$119.31	—	—
Neuromuscular re-education, 15 minutes CPT 97112 MUSCLE REEDUCATION 15M PT KX	$125.00	$125.00	$54.35–$201.84	36% above	—
Neuromuscular re-education, 15 minutes CPT 97112 MUSCLE REEDUCATION 15M OT KX	$126.00	$126.00	$54.78–$201.84	37% above	—
New patient office visit, about 30 minutes CPT 99203 JC PAIN NEW LEVEL 3	$167.00	$167.00	$72.61–$185.27	4% above	—
New patient office visit, about 30 minutes CPT 99203 GHS NEW PAT EXPANDED PROBLEM LOW COMPLEX W PROC	$191.00	$191.00	$72.61–$185.27	19% above	—
New patient office visit, about 30 minutes CPT 99203 GHS NEW PAT EXPANDED PROBLEM LOW COMPLEX	$191.00	$191.00	$72.61–$185.27	19% above	—
New patient office visit, about 45 minutes CPT 99204 GHS NEW PAT DETAILED MODERATE COMPLEX W PROC	$248.00	$248.00	$107.83–$266.75	7% above	—
New patient office visit, about 45 minutes CPT 99204 GHS NEW PAT DETAILED MODERATE COMPLEXITY	$248.00	$248.00	$107.83–$266.75	7% above	—
New patient office visit, about 45 minutes CPT 99204 JC PAIN NEW LEVEL 4	$275.00	$275.00	$107.83–$266.75	18% above	—
New patient office visit, about 60 minutes CPT 99205 JC PAIN NEW LEVEL 5	$278.00	$278.00	$120.87–$270.63	11% below	—
New patient office visit, about 60 minutes CPT 99205 GHS NEW PAT COMPREHENSIVE HIGH COMPLEX W PROC	$279.00	$279.00	$120.87–$270.63	10% below	—
New patient office visit, about 60 minutes CPT 99205 GHS NEW PAT COMPREHENSIVE HIGH COMPLEXITY	$279.00	$279.00	$120.87–$270.63	10% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 JC PAIN NEW LEVEL 1	$147.00	$147.00	$63.92–$231.83	56% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 JC PAIN NEW LEVEL 2	$147.00	$147.00	$63.92–$231.83	56% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GHS NEW PAT PROBLEM FOCUSED STR FORWARD W PROC	$164.00	$164.00	$63.92–$231.83	74% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GHS NEW PAT PROBLEM FOCUSED STR FORW	$164.00	$164.00	$63.92–$231.83	74% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GHS NEW PAT MINIMAL	$164.00	$164.00	$63.92–$231.83	74% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GHS NEW PAT MINIMAL W PROC	$164.00	$164.00	$63.92–$231.83	74% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DIAB EDUC VISIT NEW	$239.00	$239.00	$63.92–$231.83	153% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL CONSULT 15MIN	$48.00	$48.00	$20.87–$148.02	8% above	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 15M KX	$277.00	$277.00	$120.44–$282.27	54% above	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30M	$291.00	$291.00	$120.44–$282.27	62% above	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30M KX	$291.00	$291.00	$120.44–$282.27	62% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 30M KX	$296.00	$296.00	$128.70–$287.12	39% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 30M	$296.00	$296.00	$128.70–$287.12	39% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 15 MIN KX	$296.00	$296.00	$128.70–$287.12	39% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 30M	$263.00	$263.00	$114.35–$255.11	38% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 15 MIN KX	$263.00	$263.00	$114.35–$255.11	38% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 30M KX	$263.00	$263.00	$114.35–$255.11	38% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30M KX	$279.00	$279.00	$121.31–$270.63	42% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 15 MIN KX	$279.00	$279.00	$121.31–$270.63	42% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30M	$279.00	$279.00	$121.31–$270.63	42% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN OT KX	$125.00	$125.00	$54.35–$201.84	29% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15MIN PT KX	$132.00	$132.00	$57.39–$201.84	36% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERC 15M PT KX	$137.00	$137.00	$59.57–$201.84	42% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERC 15M OT KX	$137.00	$137.00	$59.57–$201.84	42% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 JC PAIN EST LEVEL 5	$296.00	$296.00	$128.70–$457.84	35% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 GHS ESTAB PAT COMPREHENSIVE HIGH COMPLEX W PROC	$472.00	$472.00	$128.70–$457.84	116% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 GHS ESTAB PAT COMPREHENSIVE HIGH COMPLEX	$472.00	$472.00	$128.70–$457.84	116% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 JC PAIN EST LEVEL 3	$192.00	$192.00	$83.48–$197.88	62% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 GHS ESTAB PAT EXPANDED PROBLEM LOW COMPLEX W PROC	$204.00	$204.00	$83.48–$197.88	72% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 GHS ESTAB PAT EXPANDED PROBLEM LOW COMPLEX	$204.00	$204.00	$83.48–$197.88	72% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 JC PAIN EST LEVEL 4	$225.00	$225.00	$97.83–$275.48	38% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GHS ESTAB PAT DETAILED MODERATE COMPLEX W PROC	$284.00	$284.00	$97.83–$275.48	74% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GHS ESTAB PAT DETAILED MODERATE COMPLEX	$284.00	$284.00	$97.83–$275.48	74% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DIAB EDUC VISIT EST	$124.00	$124.00	$53.92–$139.68	52% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 JC PAIN EST LEVEL 2	$127.00	$127.00	$53.92–$139.68	55% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GHS ESTAB PAT PROBLEM FOCUSED STR FORWAR	$144.00	$144.00	$53.92–$139.68	76% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GHS ESTAB PAT PROBLEM FOCUSED STR FORWARD W PROC	$144.00	$144.00	$53.92–$139.68	76% above	—
Speech and language evaluation CPT 92523 ST LANGUAGE COMPREHENSIVE EVAL 30M KX	$214.00	$214.00	$93.05–$410.31	30% below	—
Speech and language evaluation CPT 92523 ST LANGUAGE COMPREHENSIVE EVAL 30M	$214.00	$214.00	$93.05–$410.31	30% below	—
Speech and language evaluation CPT 92523 EVAL OF SPEECH SOUND PROD W EVAL OF LANG	$423.00	$423.00	$93.05–$410.31	38% above	—
Speech and language evaluation CPT 92523 EVAL-SPEECH SOUND PROD W EVAL OF LANG KX	$423.00	$423.00	$93.05–$410.31	38% above	—
Speech therapy session, individual CPT 92507 SPEECH VOICE LANGUAGE TR KX	$224.00	$224.00	$97.40–$326.89	3% above	—
Speech therapy session, individual CPT 92507 ST LANGUAGE VOICE TREATMENT 15M KX	$231.00	$231.00	$97.40–$326.89	7% above	—
Speech therapy session, individual CPT 92507 ST LANGUAGE VOICE TREATMENT 15M	$231.00	$231.00	$97.40–$326.89	7% above	—
Speech therapy session, individual CPT 92507 ST LANGUAGE VOICE TREATMENT 45M KX	$322.00	$322.00	$97.40–$326.89	49% above	—
Speech therapy session, individual CPT 92507 ST LANGUAGE VOICE TREATMENT 45M	$322.00	$322.00	$97.40–$326.89	49% above	—
Speech therapy session, individual CPT 92507 TRAINING USE VOICE PROSTH	$337.00	$337.00	$97.40–$326.89	56% above	—
Spirometry (breathing test) CPT 94010 PFT LEVEL 1	$352.00	$352.00	$153.05–$500.40	76% above	—
Spirometry before and after a bronchodilator CPT 94060 PFT LEVEL 2	$793.00	$793.00	$344.80–$769.21	102% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVI 15M PT KX	$122.00	$122.00	$53.05–$201.84	20% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVI 15M OT KX	$122.00	$122.00	$53.05–$201.84	20% above	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-COV-2 COVID-19 MRNA-LNP VACCINE 12 YRS + PF 30 MCG/0.3 ML	$413.56	$413.56	$161.31–$401.15	183% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-COV-2 COVID-19 MRNA-LNP VACCINE 12 YRS + PF 30 MCG/0.3 ML	$413.56	$413.56	$161.31–$401.15	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE INJ 0.5 ML	$551.36	$551.36	$141.41–$534.82	229% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE INJ 0.5 ML	$551.36	$551.36	$141.41–$534.82	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTH-PERTUSSIS ACEL-TETANUS-POLIO INJ 0.5 ML	$192.76	$192.76	$79.49–$199.50	123% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTHERIA-ACEL PERTUSSIS-TETANUS-POLIO 0.5 ML INJ	$200.37	$200.37	$79.49–$199.50	131% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTH-PERTUSSIS ACEL-TETANUS-POLIO INJ 0.5 ML	$192.76	$192.76	$79.49–$199.50	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTHERIA-ACEL PERTUSSIS-TETANUS-POLIO 0.5 ML INJ	$200.37	$200.37	$79.49–$199.50	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS DTAP PEDS 0.5 ML INJ	$99.68	$99.68	$31.45–$104.42	125% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS DTAP PEDS 15 UNITS-5 UNITS-23 MCG	$105.38	$105.38	$31.45–$104.42	138% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS DTAP PEDS 0.5 ML INJ	$99.68	$99.68	$31.45–$104.42	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS DTAP PEDS 15 UNITS-5 UNITS-23 MCG	$105.38	$105.38	$31.45–$104.42	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DIPHTH-HEP B-PERTUSSIS ACEL-POLIO-TETANUS 0.5 ML	$224.94	$224.94	$77.79–$282.83	93% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DIPHTH-HEP B-PERTUSSIS ACEL-POLIO-TETANUS 0.5 ML	$224.94	$224.94	$77.79–$282.83	—	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIPH-HAEM B-PERTUSSIS-TETANUS-POLIO INJ	$342.26	$342.26	$101.63–$331.99	227% above	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIPH-HAEM B-PERTUSSIS-TETANUS-POLIO INJ	$342.26	$342.26	$101.63–$331.99	—	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIPHTHERIA/HAEM/HEPB/PERT ACEL/POLIO/TETAN - SU	$464.76	$464.76	$202.08–$450.82	201% above	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIPHTHERIA/HAEM/HEPB/PERT ACEL/POLIO/TETAN - SU	$464.76	$464.76	$202.08–$450.82	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT SUSP 0.5 ML	$895.59	$895.59	$250.72–$868.72	185% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT SUSP 0.5 ML	$895.59	$895.59	$250.72–$868.72	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEPATITIS B 720--20 VACCINE-PF 1 ML	$192.65	$192.65	$83.76–$457.17	54% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEPATITIS B 720--20 VACCINE-PF 1 ML	$192.65	$192.65	$83.76–$457.17	—	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1 440 UNITS/ML INJ-PF	$210.90	$210.90	$61.13–$253.59	71% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNITS/ML INJ	$261.43	$261.43	$61.13–$253.59	112% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1 440 UNITS/ML INJ-PF	$210.90	$210.90	$61.13–$253.59	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNITS/ML INJ	$261.43	$261.43	$61.13–$253.59	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE-PEDIATRIC 25 UNITS/0.5 ML INJ	$136.05	$136.05	$35.80–$234.06	163% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE-PEDIATRIC 720 UNITS/0.5 ML INJ-PF	$241.30	$241.30	$35.80–$234.06	366% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE-PEDIATRIC 25 UNITS/0.5 ML INJ	$136.05	$136.05	$35.80–$234.06	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE-PEDIATRIC 720 UNITS/0.5 ML INJ-PF	$241.30	$241.30	$35.80–$234.06	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 20 MCG/ML-ADULT	$178.67	$178.67	$69.59–$217.78	63% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 10 MCG/ML INJ-ADULT	$224.52	$224.52	$69.59–$217.78	105% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 20 MCG/ML-ADULT	$178.67	$178.67	$69.59–$217.78	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 10 MCG/ML INJ-ADULT	$224.52	$224.52	$69.59–$217.78	—	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B ADULT VACCINE 20 MCG/0.5 ML	$448.82	$448.82	$195.15–$785.30	44% above	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B ADULT VACCINE 20 MCG/0.5 ML	$448.82	$448.82	$195.15–$785.30	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE 10 MCG/0.5 ML-PEDS	$86.29	$86.29	$27.91–$104.75	45% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE 5 MCG/0.5 ML INJ-PEDS/ADOLESCENT	$103.77	$103.77	$27.91–$100.66	75% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE 10 MCG/0.5 ML-PEDS	$86.29	$86.29	$27.91–$104.75	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE 5 MCG/0.5 ML INJ-PEDS/ADOLESCENT	$103.77	$103.77	$27.91–$100.66	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B CONJ VACCINE 7.5-125MCG/0.5ML	$111.65	$111.65	$26.82–$108.30	104% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B CONJ VACCINE 7.5-125MCG/0.5ML	$111.65	$111.65	$26.82–$108.30	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJUGATE PRP-T VACCINE 0.5 ML	$56.90	$56.90	$24.74–$105.31	54% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJUGATE PRP-T VACCINE 0.5 ML	$56.90	$56.90	$24.74–$105.31	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACCINE-HIGH-DOSE-PF INJ 0.5 ML	$170.70	$170.70	$58.12–$210.58	128% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACCINE-HIGH-DOSE-PF INJ 0.7 ML	$217.09	$217.09	$58.12–$210.58	189% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VACCINE-HIGH-DOSE-PF INJ 0.5 ML	$170.70	$170.70	$58.12–$210.58	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VACCINE-HIGH-DOSE-PF INJ 0.7 ML	$217.09	$217.09	$58.12–$210.58	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINE	$302.55	$302.55	$82.54–$293.47	129% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINE	$302.55	$302.55	$82.54–$293.47	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELLA VIRUS VACCINE 0.5 ML INJ	$842.73	$842.73	$219.35–$817.45	127% above	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELLA VIRUS VACCINE 0.5 ML INJ	$842.73	$842.73	$219.35–$817.45	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL OLIGOSACCHARIDE CONJ VACCINE 0.5 ML INJ	$459.34	$459.34	$133.71–$855.79	99% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE GROUP ACYW 0.5 ML INJ	$472.42	$472.42	$133.71–$855.79	104% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE 4 MCG/0.5 ML	$882.26	$882.26	$133.71–$855.79	282% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL OLIGOSACCHARIDE CONJ VACCINE 0.5 ML INJ	$459.34	$459.34	$133.71–$855.79	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE GROUP ACYW 0.5 ML INJ	$472.42	$472.42	$133.71–$855.79	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE 4 MCG/0.5 ML	$882.26	$882.26	$133.71–$855.79	—	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL CONJUGATE VACCINE POLYSACCHARIDE TETANUS TOXOID GR	$495.59	$495.59	$215.48–$488.00	231% above	—
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL CONJUGATE VACCINE POLYSACCHARIDE TETANUS TOXOID GR	$495.59	$495.59	$215.48–$488.00	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUP B VACCINE 0.5 ML	$661.58	$661.58	$187.00–$641.73	170% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUP B VACCINE 0.5 ML	$661.58	$661.58	$187.00–$641.73	—	—
Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL GROUP B RECOMBINANT VACCINE 0.5 ML INJ	$575.09	$575.09	$153.47–$557.84	226% above	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL GROUP B RECOMBINANT VACCINE 0.5 ML INJ	$575.09	$575.09	$153.47–$557.84	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VALENT CONJ VACCINE 0.5 ML	$707.52	$707.52	$223.46–$707.17	64% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VALENT CONJ VACCINE 0.5 ML	$707.52	$707.52	$223.46–$707.17	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE 0.5 ML INJ	$815.42	$815.42	$0.01–$790.96	59% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE 0.5 ML INJ	$815.42	$815.42	$0.01–$790.96	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 0.5 ML	$103.58	$103.58	$45.04–$365.99	53% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 0.5 ML	$103.58	$103.58	$45.04–$365.99	—	—
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED 0.5 ML	$144.52	$144.52	$36.05–$140.18	158% above	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED 0.5 ML	$144.52	$144.52	$36.05–$140.18	—	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB CVX 307 ALIP PRESERVATIVE-FREE 100 MG/ML SO	$1,526.40	$1,526.40	$663.68–$1,480.61	160% above	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB CVX 307 ALIP PRESERVATIVE-FREE 100 MG/ML SO	$1,526.40	$1,526.40	$663.68–$1,480.61	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB CVX 306 ALIP PRESERVATIVE-FREE 50 MG/0.5 ML SO	$1,526.40	$1,526.40	$663.68–$1,480.61	103% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB CVX 306 ALIP PRESERVATIVE-FREE 50 MG/0.5 ML SO	$1,526.40	$1,526.40	$663.68–$1,480.61	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE PREF A-PREF B RECOMBINANT PRESERVATIVE-FREE 60 MCG	$918.29	$918.29	$399.27–$890.74	192% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE PREF A-PREF B RECOMBINANT PRESERVATIVE-FREE 60 MCG	$918.29	$918.29	$399.27–$890.74	—	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACCINE PREF3 RECOMBINANT PRESERVATIVE-FREE 120 MCG IN	$872.68	$872.68	$379.44–$846.50	248% above	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSV VACCINE PREF3 RECOMBINANT PRESERVATIVE-FREE 120 MCG IN	$872.68	$872.68	$379.44–$846.50	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 UNITS INJ	$795.93	$795.93	$236.50–$1,138.61	9% above	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE HUMAN 2.5 UNITS/ML	$1,159.00	$1,159.00	$236.50–$1,138.61	58% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 UNITS INJ	$795.93	$795.93	$236.50–$1,138.61	—	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE HUMAN 2.5 UNITS/ML	$1,159.00	$1,159.00	$236.50–$1,138.61	—	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE MONOVALENT 1 ML SUSP	$411.89	$411.89	$92.16–$401.37	126% above	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE MONOVALENT 1.5 ML SUSP	$413.78	$413.78	$92.16–$401.37	127% above	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE MONOVALENT 1 ML SUSP	$411.89	$411.89	$92.16–$401.37	—	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE MONOVALENT 1.5 ML SUSP	$413.78	$413.78	$92.16–$401.37	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE PENTAVALENT 2 ML SUSP	$150.42	$150.42	$65.40–$431.23	38% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE PENTAVALENT 2 ML SUSP	$150.42	$150.42	$65.40–$431.23	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE INACTIVATED 0.5 ML INJ	$578.99	$578.99	$233.93–$561.62	168% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE INACTIVATED 0.5 ML INJ	$578.99	$578.99	$233.93–$561.62	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTH TOXOIDS TD ADULT/ADOL 2 UNITS-2 UNITS/0.5 ML IN	$106.41	$106.41	$27.47–$124.36	78% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTH TOXOIDS TD-ADULT/ADOL 0.5ML INJ	$128.21	$128.21	$27.47–$124.36	114% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTH TOXOIDS TD ADULT/ADOL 2 UNITS-2 UNITS/0.5 ML IN	$106.41	$106.41	$27.47–$124.36	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTH TOXOIDS TD-ADULT/ADOL 0.5ML INJ	$128.21	$128.21	$27.47–$124.36	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH-TETANUS-PERTUSS TDAP REDUCED INJ 0.5 ML	$154.58	$154.58	$34.09–$160.30	80% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH-PERTUSSIS ACEL-TETANUS ADACEL INJ 0.5 ML	$160.29	$160.29	$34.09–$160.30	87% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH-TETANUS-PERTUSS TDAP REDUCED INJ 0.5 ML	$154.58	$154.58	$34.09–$160.30	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH-PERTUSSIS ACEL-TETANUS ADACEL INJ 0.5 ML	$160.29	$160.29	$34.09–$160.30	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 GHS IMMUNIZATION ADMIN - INITIAL	$75.00	$75.00	$17.25–$72.75	119% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 GHS IMMUNIZATION ADMINISTRATION	$85.00	$85.00	$36.96–$82.45	148% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 GHS IMMUNIZATION ADMIN - EACH ADDITIONAL	$52.00	$52.00	$11.96–$51.30	83% above	—

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://jcrhc.org/wp-content/uploads/426037868_jackson-county-public-hospital_standardcharges-1.csv