CHI St Vincent Hospital Hot Springs
CHI St Vincent Hospital Hot Springs in Hot Springs, AR publishes cash prices for 366 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 242 of 366 procedures and above it for 108. By typical cash price it ranks #22 of 57 Arkansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
300 Werner Street, Hot Springs, AR 71913 Collected Nov 9, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen Wow Contrast | $951.99 | $3,748.00 | $174.94–$1,200.00 | 4% below | 75% |
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen Wow Contrast | $951.99 | $3,748.00 | $167.75–$3,748.00 | 4% below | 75% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen Wow Contrast | $951.99 | $3,748.00 | $167.75–$3,748.00 | — | 75% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen Wow Contrast | $951.99 | $3,748.00 | $174.94–$1,200.00 | — | 75% |
| Abdominal X-ray, 2 views CPT 74019 HC Xr Abdomen 2 Views | $127.00 | $500.00 | $55.07–$278.93 | 6% below | 75% |
| Abdominal X-ray, 2 views CPT 74019 HC Xr Abdomen 2 Views | $127.00 | $500.00 | $99.98–$500.00 | 6% below | 75% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC Xr Abdomen 2 Views | $127.00 | $500.00 | $55.07–$278.93 | — | 75% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC Xr Abdomen 2 Views | $127.00 | $500.00 | $99.98–$500.00 | — | 75% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle Min 3 Views | $131.32 | $517.00 | $40.86–$230.96 | 1% below | 75% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle Min 3 Views | $131.32 | $517.00 | $83.23–$517.00 | 1% below | 75% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle Min 3 Views | $131.32 | $517.00 | $83.23–$517.00 | — | 75% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle Min 3 Views | $131.32 | $517.00 | $40.86–$230.96 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Arterial(Abi W Doppler)Only | $126.24 | $497.00 | $127.24–$497.00 | 26% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Arterial(Abi W Doppler)Only | $126.24 | $497.00 | $61.97–$447.55 | 26% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Arterial(Abi W Doppler)Only | $126.24 | $497.00 | $61.97–$447.55 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Arterial(Abi W Doppler)Only | $126.24 | $497.00 | $127.24–$497.00 | — | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extrem WO Contr | $472.95 | $1,862.00 | $107.60–$1,200.00 | 26% below | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extrem WO Contr | $472.95 | $1,862.00 | $99.98–$1,862.00 | 26% below | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extrem WO Contr | $472.95 | $1,862.00 | $99.98–$1,862.00 | — | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extrem WO Contr | $472.95 | $1,862.00 | $107.60–$1,200.00 | — | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagus Single Contrast | $170.18 | $670.00 | $167.75–$670.00 | 27% below | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagus Single Contrast | $170.18 | $670.00 | $81.72–$466.95 | 27% below | 75% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophagus Single Contrast | $170.18 | $670.00 | $167.75–$670.00 | — | 75% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophagus Single Contrast | $170.18 | $670.00 | $81.72–$466.95 | — | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/or Jnt Img Whole Bdy | $555.24 | $2,186.00 | $133.93–$1,054.01 | 15% below | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/or Jnt Img Whole Bdy | $555.24 | $2,186.00 | $382.33–$2,186.00 | 15% below | 75% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone &/or Jnt Img Whole Bdy | $555.24 | $2,186.00 | $382.33–$2,186.00 | — | 75% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone &/or Jnt Img Whole Bdy | $555.24 | $2,186.00 | $133.93–$1,054.01 | — | 75% |
| Breast ultrasound, complete, one breast CPT 76641 HC U/S Breast Uni | $89.41 | $352.00 | $107.60–$278.93 | 48% below | 75% |
| Breast ultrasound, complete, one breast CPT 76641 HC U/S Breast Uni | $89.41 | $352.00 | $99.98–$352.00 | 48% below | 75% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC U/S Breast Uni | $89.41 | $352.00 | $107.60–$278.93 | — | 75% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC U/S Breast Uni | $89.41 | $352.00 | $99.98–$352.00 | — | 75% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC U/S Breast Lmtd | $89.41 | $352.00 | $76.62–$230.96 | 41% below | 75% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC U/S Breast Lmtd | $89.41 | $352.00 | $83.23–$352.00 | 41% below | 75% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC U/S Breast Lmtd | $89.41 | $352.00 | $83.23–$352.00 | — | 75% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC U/S Breast Lmtd | $89.41 | $352.00 | $76.62–$230.96 | — | 75% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd&Pelv W/WO Contr | $996.70 | $3,924.00 | $333.65–$3,924.00 | 20% below | 75% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd&Pelv W/WO Contr | $996.70 | $3,924.00 | $366.59–$1,200.00 | 20% below | 75% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd&Pelv W/WO Contr | $996.70 | $3,924.00 | $366.59–$1,200.00 | — | 75% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd&Pelv W/WO Contr | $996.70 | $3,924.00 | $333.65–$3,924.00 | — | 75% |
| CT angiography (CTA) of the head CPT 70496 HC CT Angio Brain | $570.99 | $2,248.00 | $174.94–$1,200.00 | 42% below | 75% |
| CT angiography (CTA) of the head CPT 70496 HC CT Angio Brain | $570.99 | $2,248.00 | $167.75–$2,248.00 | 42% below | 75% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT Angio Brain | $570.99 | $2,248.00 | $174.94–$1,200.00 | — | 75% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT Angio Brain | $570.99 | $2,248.00 | $167.75–$2,248.00 | — | 75% |
| CT angiography (CTA) of the neck CPT 70498 HC CT Angio Carotid | $648.46 | $2,553.00 | $174.94–$1,200.00 | 23% below | 75% |
| CT angiography (CTA) of the neck CPT 70498 HC CT Angio Carotid | $648.46 | $2,553.00 | $167.75–$2,553.00 | 23% below | 75% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Angio Carotid | $648.46 | $2,553.00 | $167.75–$2,553.00 | — | 75% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Angio Carotid | $648.46 | $2,553.00 | $174.94–$1,200.00 | — | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest | $697.23 | $2,745.00 | $174.94–$1,200.00 | at median | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest | $697.23 | $2,745.00 | $167.75–$2,745.00 | at median | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest | $697.23 | $2,745.00 | $167.75–$2,745.00 | — | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest | $697.23 | $2,745.00 | $174.94–$1,200.00 | — | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Coronary W/Cal Eval | $254.25 | $1,001.00 | $174.94–$1,200.00 | 60% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Coronary W/Cal Eval | $254.25 | $1,001.00 | $333.65–$1,010.00 | 60% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Coronary W/Cal Eval | $254.25 | $1,001.00 | $333.65–$1,010.00 | — | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Coronary W/Cal Eval | $254.25 | $1,001.00 | $174.94–$1,200.00 | — | 75% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart Coron Cal WO Contr | $184.91 | $728.00 | $76.62–$1,200.00 | 176% above | 75% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart Coron Cal WO Contr | $184.91 | $728.00 | $83.23–$1,010.00 | 176% above | 75% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart Coron Cal WO Contr | $184.91 | $728.00 | $83.23–$1,010.00 | — | 75% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart Coron Cal WO Contr | $184.91 | $728.00 | $76.62–$1,200.00 | — | 75% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd&Pel WO Contrast | $1,302.77 | $5,129.00 | $228.19–$5,129.00 | 28% above | 75% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd&Pel WO Contrast | $1,302.77 | $5,129.00 | $223.73–$1,200.00 | 28% above | 75% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd&Pel WO Contrast | $1,302.77 | $5,129.00 | $228.19–$5,129.00 | — | 75% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd&Pel WO Contrast | $1,302.77 | $5,129.00 | $223.73–$1,200.00 | — | 75% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd&Pel W Contrast | $1,463.80 | $5,763.00 | $333.65–$5,763.00 | 3% above | 75% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd&Pel W Contrast | $1,463.80 | $5,763.00 | $366.59–$1,200.00 | 3% above | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd&Pel W Contrast | $1,463.80 | $5,763.00 | $333.65–$5,763.00 | — | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd&Pel W Contrast | $1,463.80 | $5,763.00 | $366.59–$1,200.00 | — | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd&Pel Wow Contrast | $1,624.84 | $6,397.00 | $366.59–$1,437.58 | 1% above | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd&Pel Wow Contrast | $1,624.84 | $6,397.00 | $333.65–$6,397.00 | 1% above | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd&Pel Wow Contrast | $1,624.84 | $6,397.00 | $366.59–$1,437.58 | — | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd&Pel Wow Contrast | $1,624.84 | $6,397.00 | $333.65–$6,397.00 | — | 75% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W Contrast | $828.04 | $3,260.00 | $174.94–$1,200.00 | 11% below | 75% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W Contrast | $828.04 | $3,260.00 | $167.75–$3,260.00 | 11% below | 75% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W Contrast | $828.04 | $3,260.00 | $167.75–$3,260.00 | — | 75% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W Contrast | $828.04 | $3,260.00 | $174.94–$1,200.00 | — | 75% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen WO Contrast | $704.34 | $2,773.00 | $99.98–$2,773.00 | 16% above | 75% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen WO Contrast | $704.34 | $2,773.00 | $107.60–$1,200.00 | 16% above | 75% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen WO Contrast | $704.34 | $2,773.00 | $99.98–$2,773.00 | — | 75% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen WO Contrast | $704.34 | $2,773.00 | $107.60–$1,200.00 | — | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial WO Contr | $580.64 | $2,286.00 | $99.98–$2,286.00 | 16% below | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial WO Contr | $580.64 | $2,286.00 | $107.60–$1,200.00 | 16% below | 75% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial WO Contr | $580.64 | $2,286.00 | $99.98–$2,286.00 | — | 75% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial WO Contr | $580.64 | $2,286.00 | $107.60–$1,200.00 | — | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain | $655.57 | $2,581.00 | $107.60–$1,200.00 | at median | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain | $655.57 | $2,581.00 | $99.98–$2,581.00 | at median | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain | $655.57 | $2,581.00 | $99.98–$2,581.00 | — | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain | $655.57 | $2,581.00 | $107.60–$1,200.00 | — | 75% |
| CT scan of the head with contrast CPT 70460 HC CT Brain Contrast | $924.31 | $3,639.00 | $174.94–$1,200.00 | 6% above | 75% |
| CT scan of the head with contrast CPT 70460 HC CT Brain Contrast | $924.31 | $3,639.00 | $167.75–$3,639.00 | 6% above | 75% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Brain Contrast | $924.31 | $3,639.00 | $167.75–$3,639.00 | — | 75% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Brain Contrast | $924.31 | $3,639.00 | $174.94–$1,200.00 | — | 75% |
| CT scan of the head without and with contrast CPT 70470 HC CT Brain Wow Contrast | $1,088.14 | $4,284.00 | $167.75–$4,284.00 | 13% above | 75% |
| CT scan of the head without and with contrast CPT 70470 HC CT Brain Wow Contrast | $1,088.14 | $4,284.00 | $174.94–$1,200.00 | 13% above | 75% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Brain Wow Contrast | $1,088.14 | $4,284.00 | $174.94–$1,200.00 | — | 75% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Brain Wow Contrast | $1,088.14 | $4,284.00 | $167.75–$4,284.00 | — | 75% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Spine Lumbar WO Contr | $652.78 | $2,570.00 | $99.98–$2,570.00 | 10% below | 75% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Spine Lumbar WO Contr | $652.78 | $2,570.00 | $107.60–$1,200.00 | 10% below | 75% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Spine Lumbar WO Contr | $652.78 | $2,570.00 | $107.60–$1,200.00 | — | 75% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Spine Lumbar WO Contr | $652.78 | $2,570.00 | $99.98–$2,570.00 | — | 75% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Spine Cervical WO Contr | $644.40 | $2,537.00 | $99.98–$2,537.00 | 4% below | 75% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Spine Cervical WO Contr | $644.40 | $2,537.00 | $107.60–$1,200.00 | 4% below | 75% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Spine Cervical WO Contr | $644.40 | $2,537.00 | $99.98–$2,537.00 | — | 75% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Spine Cervical WO Contr | $644.40 | $2,537.00 | $107.60–$1,200.00 | — | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast | $857.25 | $3,375.00 | $174.94–$1,200.00 | at median | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast | $857.25 | $3,375.00 | $167.75–$3,375.00 | at median | 75% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W Contrast | $857.25 | $3,375.00 | $174.94–$1,200.00 | — | 75% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W Contrast | $857.25 | $3,375.00 | $167.75–$3,375.00 | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Carotid Doppler Bil | $322.33 | $1,269.00 | $158.90–$634.04 | 12% below | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Carotid Doppler Bil | $322.33 | $1,269.00 | $228.19–$1,269.00 | 12% below | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC Carotid Doppler Bil | $322.33 | $1,269.00 | $228.19–$1,269.00 | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC Carotid Doppler Bil | $322.33 | $1,269.00 | $158.90–$634.04 | — | 75% |
| Chest CT scan without and with contrast CPT 71270 HC CT Chest Wow Contrast | $892.30 | $3,513.00 | $167.75–$3,513.00 | 1% below | 75% |
| Chest CT scan without and with contrast CPT 71270 HC CT Chest Wow Contrast | $892.30 | $3,513.00 | $174.94–$1,200.00 | 1% below | 75% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest Wow Contrast | $892.30 | $3,513.00 | $174.94–$1,200.00 | — | 75% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest Wow Contrast | $892.30 | $3,513.00 | $167.75–$3,513.00 | — | 75% |
| Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 Views | $141.99 | $559.00 | $83.23–$559.00 | at median | 75% |
| Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 Views | $141.99 | $559.00 | $49.64–$230.96 | at median | 75% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 Views | $141.99 | $559.00 | $83.23–$559.00 | — | 75% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 Views | $141.99 | $559.00 | $49.64–$230.96 | — | 75% |
| Chest X-ray, single view CPT 71045 HC Xr Chest 1 View | $109.22 | $430.00 | $83.23–$430.00 | 2% below | 75% |
| Chest X-ray, single view CPT 71045 HC Xr Chest 1 View | $109.22 | $430.00 | $26.92–$230.96 | 2% below | 75% |
| Chest X-ray, single view inpatient CPT 71045 HC Xr Chest 1 View | $109.22 | $430.00 | $26.92–$230.96 | — | 75% |
| Chest X-ray, single view inpatient CPT 71045 HC Xr Chest 1 View | $109.22 | $430.00 | $83.23–$430.00 | — | 75% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete | $105.66 | $416.00 | $83.23–$416.00 | 1% below | 75% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete | $105.66 | $416.00 | $34.05–$230.96 | 1% below | 75% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Clavicle Unilateral | $105.66 | $416.00 | $34.05–$230.96 | 1% below | 75% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Clavicle Unilateral | $105.66 | $416.00 | $83.23–$416.00 | 1% below | 75% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Xr Clavicle Complete | $105.66 | $416.00 | $34.05–$230.96 | — | 75% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Xr Clavicle Complete | $105.66 | $416.00 | $83.23–$416.00 | — | 75% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC Clavicle Unilateral | $105.66 | $416.00 | $83.23–$416.00 | — | 75% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC Clavicle Unilateral | $105.66 | $416.00 | $34.05–$230.96 | — | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S Retroperitoneal Comp | $178.05 | $701.00 | $99.88–$388.90 | 46% below | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S Retroperitoneal Comp | $178.05 | $701.00 | $99.98–$701.00 | 46% below | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S Retroperitoneal Comp | $178.05 | $701.00 | $99.98–$701.00 | — | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S Retroperitoneal Comp | $178.05 | $701.00 | $99.88–$388.90 | — | 75% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr Bone Density Study | $130.81 | $515.00 | $99.98–$515.00 | 28% below | 75% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr Bone Density Study | $130.81 | $515.00 | $107.60–$352.03 | 28% below | 75% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Xr Bone Density Study | $130.81 | $515.00 | $107.60–$352.03 | — | 75% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Xr Bone Density Study | $130.81 | $515.00 | $99.98–$515.00 | — | 75% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest WO Contrast | $592.33 | $2,332.00 | $107.60–$1,200.00 | 2% below | 75% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest WO Contrast | $592.33 | $2,332.00 | $99.98–$2,332.00 | 2% below | 75% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest WO Contrast | $592.33 | $2,332.00 | $99.98–$2,332.00 | — | 75% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest WO Contrast | $592.33 | $2,332.00 | $107.60–$1,200.00 | — | 75% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W Contrast | $749.81 | $2,952.00 | $174.94–$1,200.00 | 4% below | 75% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W Contrast | $749.81 | $2,952.00 | $167.75–$2,952.00 | 4% below | 75% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W Contrast | $749.81 | $2,952.00 | $174.94–$1,200.00 | — | 75% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W Contrast | $749.81 | $2,952.00 | $167.75–$2,952.00 | — | 75% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Diag Bil & Cad | $134.37 | $529.00 | $111.86–$287.11 | 44% below | 75% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Diag Bil & Cad | $134.37 | $529.00 | $238.05–$529.00 | 44% below | 75% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo Diag Bil & Cad | $134.37 | $529.00 | $238.05–$529.00 | — | 75% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo Diag Bil & Cad | $134.37 | $529.00 | $111.86–$287.11 | — | 75% |
| Diagnostic mammogram, one breast CPT 77065 HC Mammo Diag Uni & Cad | $88.65 | $349.00 | $87.72–$237.08 | 45% below | 75% |
| Diagnostic mammogram, one breast CPT 77065 HC Mammo Diag Uni & Cad | $88.65 | $349.00 | $157.05–$349.00 | 45% below | 75% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Mammo Diag Uni & Cad | $88.65 | $349.00 | $157.05–$349.00 | — | 75% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Mammo Diag Uni & Cad | $88.65 | $349.00 | $87.72–$237.08 | — | 75% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Arterial Doppler Legs Bil | $230.63 | $908.00 | $165.71–$634.04 | 50% below | 75% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Arterial Doppler Legs Bil | $230.63 | $908.00 | $228.19–$908.00 | 50% below | 75% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Arterial Doppler Legs Bil | $230.63 | $908.00 | $165.71–$634.04 | — | 75% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Arterial Doppler Legs Bil | $230.63 | $908.00 | $228.19–$908.00 | — | 75% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC Venous Doppler Ext Bil | $325.88 | $1,283.00 | $95.34–$634.04 | 34% below | 75% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC Venous Doppler Ext Bil | $325.88 | $1,283.00 | $228.19–$1,283.00 | 34% below | 75% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC Venous Doppler Ext Bil | $325.88 | $1,283.00 | $95.34–$634.04 | — | 75% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC Venous Doppler Ext Bil | $325.88 | $1,283.00 | $228.19–$1,283.00 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2d Echo W/Doppler Comp WO Con | $606.30 | $2,387.00 | $384.00–$955.95 | 40% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2d Echo W/Doppler Comp WO Con | $606.30 | $2,387.00 | $522.58–$2,387.00 | 40% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2d Echo W/Doppler Comp | $607.06 | $2,390.00 | $384.00–$955.95 | 40% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2d Echo W/Doppler Comp | $607.06 | $2,390.00 | $522.58–$2,390.00 | 40% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2d Echo W/Doppler Comp WO Con | $606.30 | $2,387.00 | $384.00–$955.95 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2d Echo W/Doppler Comp WO Con | $606.30 | $2,387.00 | $522.58–$2,387.00 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2d Echo W/Doppler Comp | $607.06 | $2,390.00 | $522.58–$2,390.00 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2d Echo W/Doppler Comp | $607.06 | $2,390.00 | $384.00–$955.95 | — | 75% |
| Elbow X-ray, 2 views CPT 73070 HC Xr Elbow 2 Views | $91.95 | $362.00 | $40.86–$230.96 | at median | 75% |
| Elbow X-ray, 2 views CPT 73070 HC Xr Elbow 2 Views | $91.95 | $362.00 | $83.23–$362.00 | at median | 75% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Xr Elbow 2 Views | $91.95 | $362.00 | $40.86–$230.96 | — | 75% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Xr Elbow 2 Views | $91.95 | $362.00 | $83.23–$362.00 | — | 75% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Elbow Min 3 Views | $117.60 | $463.00 | $83.23–$463.00 | 10% above | 75% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Elbow Min 3 Views | $117.60 | $463.00 | $43.13–$230.96 | 10% above | 75% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Xr Elbow Min 3 Views | $117.60 | $463.00 | $43.13–$230.96 | — | 75% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Xr Elbow Min 3 Views | $117.60 | $463.00 | $83.23–$463.00 | — | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit MD/in Ear WO Contr | $537.21 | $2,115.00 | $107.60–$1,200.00 | 22% below | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit MD/in Ear WO Contr | $537.21 | $2,115.00 | $99.98–$2,115.00 | 22% below | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit MD/in Ear WO Contr | $537.21 | $2,115.00 | $99.98–$2,115.00 | — | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit MD/in Ear WO Contr | $537.21 | $2,115.00 | $107.60–$1,200.00 | — | 75% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Xr Facial Bones 3+Vws | $124.21 | $489.00 | $40.86–$278.93 | 3% above | 75% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Xr Facial Bones 3+Vws | $124.21 | $489.00 | $99.98–$489.00 | 3% above | 75% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Xr Facial Bones 3+Vws | $124.21 | $489.00 | $40.86–$278.93 | — | 75% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Xr Facial Bones 3+Vws | $124.21 | $489.00 | $99.98–$489.00 | — | 75% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2 Views | $114.05 | $449.00 | $83.23–$449.00 | 6% above | 75% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2 Views | $114.05 | $449.00 | $43.13–$230.96 | 6% above | 75% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Xr Forearm 2 Views | $114.05 | $449.00 | $43.13–$230.96 | — | 75% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Xr Forearm 2 Views | $114.05 | $449.00 | $83.23–$449.00 | — | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Img | $440.44 | $1,734.00 | $382.33–$1,734.00 | 31% below | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Img | $440.44 | $1,734.00 | $353.41–$1,054.01 | 31% below | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Img | $440.44 | $1,734.00 | $353.41–$1,054.01 | — | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Img | $440.44 | $1,734.00 | $382.33–$1,734.00 | — | 75% |
| Hand X-ray, 2 views CPT 73120 HC Xr Hand 2 Views | $119.38 | $470.00 | $99.98–$470.00 | 11% above | 75% |
| Hand X-ray, 2 views CPT 73120 HC Xr Hand 2 Views | $119.38 | $470.00 | $38.59–$278.93 | 11% above | 75% |
| Hand X-ray, 2 views CPT 73120 HC Hand 2vew Bil | $173.74 | $684.00 | $99.98–$684.00 | 62% above | 75% |
| Hand X-ray, 2 views CPT 73120 HC Hand 2vew Bil | $173.74 | $684.00 | $38.59–$278.93 | 62% above | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Xr Hand 2 Views | $119.38 | $470.00 | $99.98–$470.00 | — | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Xr Hand 2 Views | $119.38 | $470.00 | $38.59–$278.93 | — | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2vew Bil | $173.74 | $684.00 | $38.59–$278.93 | — | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2vew Bil | $173.74 | $684.00 | $99.98–$684.00 | — | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Heel Min 2 Views | $55.37 | $218.00 | $29.51–$230.96 | 45% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Heel Min 2 Views | $55.37 | $218.00 | $83.23–$218.00 | 45% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Xr Heel Min 2 Views | $55.37 | $218.00 | $83.23–$218.00 | — | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Xr Heel Min 2 Views | $55.37 | $218.00 | $29.51–$230.96 | — | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Home Sleep Testing | $157.73 | $621.00 | $152.73–$2,422.44 | 56% below | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Home Sleep Testing | $157.73 | $621.00 | $206.50–$621.00 | 56% below | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Home Sleep Testing | $157.73 | $621.00 | $206.50–$621.00 | — | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Home Sleep Testing | $157.73 | $621.00 | $152.73–$2,422.44 | — | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap | $1,285.75 | $5,062.00 | $466.19–$2,422.44 | 27% below | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap | $1,285.75 | $5,062.00 | $821.28–$5,062.00 | 27% below | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography W/Cpap | $1,285.75 | $5,062.00 | $466.19–$2,422.44 | — | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography W/Cpap | $1,285.75 | $5,062.00 | $821.28–$5,062.00 | — | 75% |
| Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views | $141.22 | $556.00 | $76.62–$230.96 | 9% above | 75% |
| Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views | $141.22 | $556.00 | $83.23–$556.00 | 9% above | 75% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 Views | $141.22 | $556.00 | $76.62–$230.96 | — | 75% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 Views | $141.22 | $556.00 | $83.23–$556.00 | — | 75% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extrem WO Contr | $508.25 | $2,001.00 | $107.60–$1,200.00 | 16% below | 75% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extrem WO Contr | $508.25 | $2,001.00 | $99.98–$2,001.00 | 16% below | 75% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extrem WO Contr | $508.25 | $2,001.00 | $107.60–$1,200.00 | — | 75% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extrem WO Contr | $508.25 | $2,001.00 | $99.98–$2,001.00 | — | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S Abdominal Ltd | $242.06 | $953.00 | $99.98–$953.00 | at median | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S Abdominal Ltd | $242.06 | $953.00 | $45.40–$388.90 | at median | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S Abdominal Ltd | $242.06 | $953.00 | $45.40–$388.90 | — | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S Abdominal Ltd | $242.06 | $953.00 | $99.98–$953.00 | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC U/S Joint Lmtd(Non-Vas) Act Xtr Strux | $123.44 | $486.00 | $99.98–$486.00 | 25% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC U/S Joint Lmtd(Non-Vas) Act Xtr Strux | $123.44 | $486.00 | $27.22–$278.93 | 25% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC U/S Joint Lmtd(Non-Vas) Act Xtr Strux | $123.44 | $486.00 | $27.22–$278.93 | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC U/S Joint Lmtd(Non-Vas) Act Xtr Strux | $123.44 | $486.00 | $99.98–$486.00 | — | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening Initial | $607.31 | $2,391.00 | $99.98–$2,391.00 | 118% above | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening Annual Followup | $607.31 | $2,391.00 | $78.83–$1,200.00 | 118% above | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening Initial | $607.31 | $2,391.00 | $78.83–$1,200.00 | 118% above | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening Annual Followup | $607.31 | $2,391.00 | $99.98–$2,391.00 | 118% above | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening Annual Followup | $607.31 | $2,391.00 | $78.83–$1,200.00 | — | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening Initial | $607.31 | $2,391.00 | $99.98–$2,391.00 | — | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening Annual Followup | $607.31 | $2,391.00 | $99.98–$2,391.00 | — | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening Initial | $607.31 | $2,391.00 | $78.83–$1,200.00 | — | 75% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Leg Tibia & Fibula 2 Vws | $113.79 | $448.00 | $83.23–$448.00 | 1% above | 75% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Leg Tibia & Fibula 2 Vws | $113.79 | $448.00 | $56.75–$230.96 | 1% above | 75% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Xr Leg Tibia & Fibula 2 Vws | $113.79 | $448.00 | $56.75–$230.96 | — | 75% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Xr Leg Tibia & Fibula 2 Vws | $113.79 | $448.00 | $83.23–$448.00 | — | 75% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head | $1,034.54 | $4,073.00 | $228.19–$4,073.00 | 14% above | 75% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head | $1,034.54 | $4,073.00 | $223.73–$2,255.00 | 14% above | 75% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Head | $1,034.54 | $4,073.00 | $223.73–$2,255.00 | — | 75% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Head | $1,034.54 | $4,073.00 | $228.19–$4,073.00 | — | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR Lower Extrem Jnt WO Cont | $871.73 | $3,432.00 | $223.73–$2,255.00 | at median | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR Lower Extrem Jnt WO Cont | $871.73 | $3,432.00 | $228.19–$3,432.00 | at median | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR Lower Extrem Jnt WO Cont | $871.73 | $3,432.00 | $223.73–$2,255.00 | — | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR Lower Extrem Jnt WO Cont | $871.73 | $3,432.00 | $228.19–$3,432.00 | — | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR Lower Extrem Jnt Wow Con | $985.27 | $3,879.00 | $366.59–$2,255.00 | 5% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR Lower Extrem Jnt Wow Con | $985.27 | $3,879.00 | $333.65–$3,879.00 | 5% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR Lower Extrem Jnt Wow Con | $985.27 | $3,879.00 | $366.59–$2,255.00 | — | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR Lower Extrem Jnt Wow Con | $985.27 | $3,879.00 | $333.65–$3,879.00 | — | 75% |
| MRI of the abdomen without contrast CPT 74181 HC MR Abdomen | $521.21 | $2,052.00 | $223.73–$2,255.00 | 43% below | 75% |
| MRI of the abdomen without contrast CPT 74181 HC MR Abdomen | $521.21 | $2,052.00 | $228.19–$2,052.00 | 43% below | 75% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MR Abdomen | $521.21 | $2,052.00 | $228.19–$2,052.00 | — | 75% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MR Abdomen | $521.21 | $2,052.00 | $223.73–$2,255.00 | — | 75% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR Abd Wow Contrast | $914.40 | $3,600.00 | $366.59–$2,255.00 | 20% below | 75% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR Abd Wow Contrast | $914.40 | $3,600.00 | $333.65–$3,600.00 | 20% below | 75% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR Abd Wow Contrast | $914.40 | $3,600.00 | $333.65–$3,600.00 | — | 75% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR Abd Wow Contrast | $914.40 | $3,600.00 | $366.59–$2,255.00 | — | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MR Brain W/O Contrast | $912.88 | $3,594.00 | $228.19–$3,594.00 | at median | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MR Brain W/O Contrast | $912.88 | $3,594.00 | $223.73–$2,255.00 | at median | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR Brain W/O Contrast | $912.88 | $3,594.00 | $228.19–$3,594.00 | — | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR Brain W/O Contrast | $912.88 | $3,594.00 | $223.73–$2,255.00 | — | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR Brain Wow Contrast | $1,496.31 | $5,891.00 | $366.59–$2,255.00 | 2% below | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR Brain Wow Contrast | $1,496.31 | $5,891.00 | $333.65–$5,891.00 | 2% below | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR Brain Wow Contrast | $1,496.31 | $5,891.00 | $333.65–$5,891.00 | — | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR Brain Wow Contrast | $1,496.31 | $5,891.00 | $366.59–$2,255.00 | — | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR Spine Lumbar | $935.99 | $3,685.00 | $223.73–$2,255.00 | 5% above | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR Spine Lumbar | $935.99 | $3,685.00 | $228.19–$3,685.00 | 5% above | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR Spine Lumbar | $935.99 | $3,685.00 | $223.73–$2,255.00 | — | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR Spine Lumbar | $935.99 | $3,685.00 | $228.19–$3,685.00 | — | 75% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR Spine Lumbar Wow Contr | $1,581.91 | $6,228.00 | $333.65–$6,228.00 | 18% above | 75% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR Spine Lumbar Wow Contr | $1,581.91 | $6,228.00 | $366.59–$2,255.00 | 18% above | 75% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR Spine Lumbar Wow Contr | $1,581.91 | $6,228.00 | $333.65–$6,228.00 | — | 75% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR Spine Lumbar Wow Contr | $1,581.91 | $6,228.00 | $366.59–$2,255.00 | — | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR Spine Thoracic | $876.30 | $3,450.00 | $223.73–$2,255.00 | 3% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR Spine Thoracic | $876.30 | $3,450.00 | $228.19–$3,450.00 | 3% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR Spine Thoracic | $876.30 | $3,450.00 | $228.19–$3,450.00 | — | 75% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR Spine Thoracic | $876.30 | $3,450.00 | $223.73–$2,255.00 | — | 75% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR Spine Cervl Wow Contr | $1,736.60 | $6,837.00 | $366.59–$2,255.00 | 26% above | 75% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR Spine Cervl Wow Contr | $1,736.60 | $6,837.00 | $333.65–$6,837.00 | 26% above | 75% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR Spine Cervl Wow Contr | $1,736.60 | $6,837.00 | $366.59–$2,255.00 | — | 75% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR Spine Cervl Wow Contr | $1,736.60 | $6,837.00 | $333.65–$6,837.00 | — | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR Spine Cervical | $1,027.43 | $4,045.00 | $228.19–$4,045.00 | 10% above | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR Spine Cervical | $1,027.43 | $4,045.00 | $223.73–$2,255.00 | 10% above | 75% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR Spine Cervical | $1,027.43 | $4,045.00 | $228.19–$4,045.00 | — | 75% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR Spine Cervical | $1,027.43 | $4,045.00 | $223.73–$2,255.00 | — | 75% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR Pelvis Wow Contrast | $867.92 | $3,417.00 | $366.59–$2,255.00 | 19% below | 75% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR Pelvis Wow Contrast | $867.92 | $3,417.00 | $333.65–$3,417.00 | 19% below | 75% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR Pelvis Wow Contrast | $867.92 | $3,417.00 | $333.65–$3,417.00 | — | 75% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR Pelvis Wow Contrast | $867.92 | $3,417.00 | $366.59–$2,255.00 | — | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR Pelvis | $590.30 | $2,324.00 | $228.19–$2,324.00 | 30% below | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR Pelvis | $590.30 | $2,324.00 | $223.73–$2,255.00 | 30% below | 75% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR Pelvis | $590.30 | $2,324.00 | $223.73–$2,255.00 | — | 75% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR Pelvis | $590.30 | $2,324.00 | $228.19–$2,324.00 | — | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR Upper Extrem Jnt WO Cont | $916.43 | $3,608.00 | $223.73–$2,255.00 | 2% above | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR Upper Extrem Jnt WO Cont | $916.43 | $3,608.00 | $228.19–$3,608.00 | 2% above | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR Upper Extrem Jnt WO Cont | $916.43 | $3,608.00 | $228.19–$3,608.00 | — | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR Upper Extrem Jnt WO Cont | $916.43 | $3,608.00 | $223.73–$2,255.00 | — | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr Spine Cervical 4/5 Views | $154.69 | $609.00 | $72.64–$299.81 | 8% below | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr Spine Cervical 4/5 Views | $154.69 | $609.00 | $99.98–$609.00 | 8% below | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Xr Spine Cervical 4/5 Views | $154.69 | $609.00 | $72.64–$299.81 | — | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Xr Spine Cervical 4/5 Views | $154.69 | $609.00 | $99.98–$609.00 | — | 75% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Sft Tissue W/Contr | $606.81 | $2,389.00 | $174.94–$1,200.00 | 24% below | 75% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Sft Tissue W/Contr | $606.81 | $2,389.00 | $167.75–$2,389.00 | 24% below | 75% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck Sft Tissue W/Contr | $606.81 | $2,389.00 | $167.75–$2,389.00 | — | 75% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck Sft Tissue W/Contr | $606.81 | $2,389.00 | $174.94–$1,200.00 | — | 75% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck Sft Tissue WO Contr | $491.49 | $1,935.00 | $107.60–$1,200.00 | 19% below | 75% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck Sft Tissue WO Contr | $491.49 | $1,935.00 | $99.98–$1,935.00 | 19% below | 75% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Neck Sft Tissue WO Contr | $491.49 | $1,935.00 | $99.98–$1,935.00 | — | 75% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Neck Sft Tissue WO Contr | $491.49 | $1,935.00 | $107.60–$1,200.00 | — | 75% |
| Neck soft tissue X-ray CPT 70360 HC Xr Neck Soft Tissue | $67.06 | $264.00 | $83.23–$264.00 | 34% below | 75% |
| Neck soft tissue X-ray CPT 70360 HC Xr Neck Soft Tissue | $67.06 | $264.00 | $22.70–$230.96 | 34% below | 75% |
| Neck soft tissue X-ray inpatient CPT 70360 HC Xr Neck Soft Tissue | $67.06 | $264.00 | $22.70–$230.96 | — | 75% |
| Neck soft tissue X-ray inpatient CPT 70360 HC Xr Neck Soft Tissue | $67.06 | $264.00 | $83.23–$264.00 | — | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocard Img Mult Spec | $1,391.41 | $5,478.00 | $605.43–$3,424.30 | 25% below | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocard Img Mult Spec | $1,391.41 | $5,478.00 | $1,238.17–$5,478.00 | 25% below | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Myocard Img Mult Spec | $1,391.41 | $5,478.00 | $1,238.17–$5,478.00 | — | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Myocard Img Mult Spec | $1,391.41 | $5,478.00 | $605.43–$3,424.30 | — | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Img Skull Base to Mid-Thg W/CT | $1,744.22 | $6,867.00 | $1,367.57–$6,867.00 | 6% above | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Img Skull Base to Mid-Thg W/CT | $1,744.22 | $6,867.00 | $1,385.49–$3,359.60 | 6% above | 75% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet Img Skull Base to Mid-Thg W/CT | $1,744.22 | $6,867.00 | $1,367.57–$6,867.00 | — | 75% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet Img Skull Base to Mid-Thg W/CT | $1,744.22 | $6,867.00 | $1,385.49–$3,359.60 | — | 75% |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis WO Contrast | $489.97 | $1,929.00 | $99.98–$1,929.00 | 25% below | 75% |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis WO Contrast | $489.97 | $1,929.00 | $107.60–$1,200.00 | 25% below | 75% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis WO Contrast | $489.97 | $1,929.00 | $99.98–$1,929.00 | — | 75% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis WO Contrast | $489.97 | $1,929.00 | $107.60–$1,200.00 | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S Pelvic Ltd | $286.51 | $1,128.00 | $54.48–$278.93 | 84% above | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S Pelvic Ltd | $286.51 | $1,128.00 | $99.98–$1,128.00 | 84% above | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S Pelvic Ltd | $286.51 | $1,128.00 | $99.98–$1,128.00 | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S Pelvic Ltd | $286.51 | $1,128.00 | $54.48–$278.93 | — | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S Pelvic | $286.51 | $1,128.00 | $90.80–$388.90 | at median | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S Pelvic | $286.51 | $1,128.00 | $99.98–$1,128.00 | at median | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S Pelvic | $286.51 | $1,128.00 | $99.98–$1,128.00 | — | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S Pelvic | $286.51 | $1,128.00 | $90.80–$388.90 | — | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB>=14 Wks-1 Fetus | $128.52 | $506.00 | $99.98–$506.00 | 46% below | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB>=14 Wks-1 Fetus | $128.52 | $506.00 | $107.60–$388.90 | 46% below | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB>=14 Wks-1 Fetus | $128.52 | $506.00 | $99.98–$506.00 | — | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB>=14 Wks-1 Fetus | $128.52 | $506.00 | $107.60–$388.90 | — | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB <14 Wks-1 Fetus | $110.74 | $436.00 | $99.98–$436.00 | 51% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB <14 Wks-1 Fetus | $110.74 | $436.00 | $97.04–$388.89 | 51% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB <14 Wks-1 Fetus | $110.74 | $436.00 | $99.98–$436.00 | — | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB <14 Wks-1 Fetus | $110.74 | $436.00 | $97.04–$388.89 | — | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S OB US Quick Ltd | $121.92 | $480.00 | $99.98–$480.00 | 21% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S OB US Quick Ltd | $121.92 | $480.00 | $59.02–$278.93 | 21% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S OB US Quick Ltd | $121.92 | $480.00 | $99.98–$480.00 | — | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S OB US Quick Ltd | $121.92 | $480.00 | $59.02–$278.93 | — | 75% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral | $101.09 | $398.00 | $38.59–$230.96 | 6% below | 75% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral | $101.09 | $398.00 | $83.23–$398.00 | 6% below | 75% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral | $101.09 | $398.00 | $83.23–$398.00 | — | 75% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral | $101.09 | $398.00 | $38.59–$230.96 | — | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Xr Ribs+Chest Unil 3 Vws | $117.35 | $462.00 | $99.98–$462.00 | 6% below | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Xr Ribs+Chest Unil 3 Vws | $117.35 | $462.00 | $38.59–$278.93 | 6% below | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC Xr Ribs+Chest Unil 3 Vws | $117.35 | $462.00 | $99.98–$462.00 | — | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC Xr Ribs+Chest Unil 3 Vws | $117.35 | $462.00 | $38.59–$278.93 | — | 75% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Scrn Digital Bil Imp | $93.98 | $370.00 | $92.75–$227.26 | 23% below | 75% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Scrn Dir Digital Unil | $93.98 | $370.00 | $166.50–$370.00 | 23% below | 75% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Scrn Bil & Cad | $93.98 | $370.00 | $92.75–$227.26 | 23% below | 75% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Scrn Bil & Cad | $93.98 | $370.00 | $166.50–$370.00 | 23% below | 75% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Scrn Dir Digital Unil | $93.98 | $370.00 | $92.75–$227.26 | 23% below | 75% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Scrn Digital Bil Imp | $93.98 | $370.00 | $166.50–$370.00 | 23% below | 75% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Scrn Digital Bil Imp | $93.98 | $370.00 | $166.50–$370.00 | — | 75% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Scrn Dir Digital Unil | $93.98 | $370.00 | $92.75–$227.26 | — | 75% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Scrn Digital Bil Imp | $93.98 | $370.00 | $92.75–$227.26 | — | 75% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Scrn Bil & Cad | $93.98 | $370.00 | $92.75–$227.26 | — | 75% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Scrn Dir Digital Unil | $93.98 | $370.00 | $166.50–$370.00 | — | 75% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Scrn Bil & Cad | $93.98 | $370.00 | $166.50–$370.00 | — | 75% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Radex Shoulder Complete Minimum 2 Views | $113.79 | $448.00 | $83.23–$448.00 | at median | 75% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Radex Shoulder Complete Minimum 2 Views | $113.79 | $448.00 | $45.40–$230.96 | at median | 75% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Radex Shoulder Complete Minimum 2 Views | $113.79 | $448.00 | $83.23–$448.00 | — | 75% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Radex Shoulder Complete Minimum 2 Views | $113.79 | $448.00 | $45.40–$230.96 | — | 75% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Sinuses Parnsal 3+Vws | $118.11 | $465.00 | $68.10–$230.96 | 11% below | 75% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Sinuses Parnsal 3+Vws | $118.11 | $465.00 | $83.23–$465.00 | 11% below | 75% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Xr Sinuses Parnsal 3+Vws | $118.11 | $465.00 | $68.10–$230.96 | — | 75% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Xr Sinuses Parnsal 3+Vws | $118.11 | $465.00 | $83.23–$465.00 | — | 75% |
| Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull 1-3 Views | $102.87 | $405.00 | $49.94–$278.93 | 11% below | 75% |
| Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull 1-3 Views | $102.87 | $405.00 | $99.98–$405.00 | 11% below | 75% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Xr Skull 1-3 Views | $102.87 | $405.00 | $49.94–$278.93 | — | 75% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Xr Skull 1-3 Views | $102.87 | $405.00 | $99.98–$405.00 | — | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography | $1,234.44 | $4,860.00 | $821.28–$4,860.00 | 20% below | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography | $1,234.44 | $4,860.00 | $276.94–$2,422.44 | 20% below | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnography | $1,234.44 | $4,860.00 | $276.94–$2,422.44 | — | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnography | $1,234.44 | $4,860.00 | $821.28–$4,860.00 | — | 75% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo With Tracing | $679.96 | $2,677.00 | $522.58–$2,677.00 | 24% above | 75% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo With Tracing | $679.96 | $2,677.00 | $384.00–$496.06 | 24% above | 75% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo With Tracing | $679.96 | $2,677.00 | $522.58–$2,677.00 | — | 75% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo With Tracing | $679.96 | $2,677.00 | $384.00–$496.06 | — | 75% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Esoph Swallow Func W/Vid | $117.09 | $461.00 | $167.75–$461.00 | 44% below | 75% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Esoph Swallow Func W/Vid | $117.09 | $461.00 | $65.83–$466.95 | 44% below | 75% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Esoph Swallow Func W/Vid | $117.09 | $461.00 | $167.75–$461.00 | — | 75% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Esoph Swallow Func W/Vid | $117.09 | $461.00 | $65.83–$466.95 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC Femur Bilateral | $136.91 | $539.00 | $83.23–$539.00 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC Femur Bilateral | $136.91 | $539.00 | $48.08–$230.96 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Femur Unilateral | $113.28 | $446.00 | $83.23–$446.00 | at median | 75% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Femur Unilateral | $113.28 | $446.00 | $48.08–$230.96 | at median | 75% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 HC Femur Bilateral | $136.91 | $539.00 | $48.08–$230.96 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 HC Femur Bilateral | $136.91 | $539.00 | $83.23–$539.00 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Femur Unilateral | $113.28 | $446.00 | $83.23–$446.00 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Femur Unilateral | $113.28 | $446.00 | $48.08–$230.96 | — | 75% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Spine Thoracic WO Contr | $578.87 | $2,279.00 | $99.98–$2,279.00 | 16% below | 75% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Spine Thoracic WO Contr | $578.87 | $2,279.00 | $107.60–$1,200.00 | 16% below | 75% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Spine Thoracic WO Contr | $578.87 | $2,279.00 | $99.98–$2,279.00 | — | 75% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Spine Thoracic WO Contr | $578.87 | $2,279.00 | $107.60–$1,200.00 | — | 75% |
| Toe X-ray, 2 or more views CPT 73660 HC Xr Toe(S) Min 2 Views | $95.76 | $377.00 | $83.23–$377.00 | 11% below | 75% |
| Toe X-ray, 2 or more views CPT 73660 HC Xr Toe(S) Min 2 Views | $95.76 | $377.00 | $29.51–$230.96 | 11% below | 75% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC Xr Toe(S) Min 2 Views | $95.76 | $377.00 | $83.23–$377.00 | — | 75% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC Xr Toe(S) Min 2 Views | $95.76 | $377.00 | $29.51–$230.96 | — | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/SEndo Vag (Ev) | $231.65 | $912.00 | $107.60–$388.90 | 1% below | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/SEndo Vag (Ev) | $231.65 | $912.00 | $99.98–$912.00 | 1% below | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SEndo Vag (Ev) | $231.65 | $912.00 | $99.98–$912.00 | — | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SEndo Vag (Ev) | $231.65 | $912.00 | $107.60–$388.90 | — | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC U/S Pregnancy Transvaginal | $138.43 | $545.00 | $99.98–$545.00 | 25% below | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC U/S Pregnancy Transvaginal | $138.43 | $545.00 | $107.60–$278.93 | 25% below | 75% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S Pregnancy Transvaginal | $138.43 | $545.00 | $99.98–$545.00 | — | 75% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S Pregnancy Transvaginal | $138.43 | $545.00 | $107.60–$278.93 | — | 75% |
| Ultrasound of the abdomen, complete CPT 76700 HC U/S Abdominal Comp | $326.64 | $1,286.00 | $107.60–$388.90 | 13% below | 75% |
| Ultrasound of the abdomen, complete CPT 76700 HC U/S Abdominal Comp | $326.64 | $1,286.00 | $99.98–$1,286.00 | 13% below | 75% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S Abdominal Comp | $326.64 | $1,286.00 | $107.60–$388.90 | — | 75% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S Abdominal Comp | $326.64 | $1,286.00 | $99.98–$1,286.00 | — | 75% |
| Ultrasound of the scrotum and testicles CPT 76870 HC U/STesticular(Scrotum) | $191.01 | $752.00 | $99.98–$752.00 | 23% below | 75% |
| Ultrasound of the scrotum and testicles CPT 76870 HC U/STesticular(Scrotum) | $191.01 | $752.00 | $70.37–$388.90 | 23% below | 75% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/STesticular(Scrotum) | $191.01 | $752.00 | $70.37–$388.90 | — | 75% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/STesticular(Scrotum) | $191.01 | $752.00 | $99.98–$752.00 | — | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S Head & Neck-Sft Tissue | $165.10 | $650.00 | $107.60–$278.93 | 30% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S Head & Neck-Sft Tissue | $165.10 | $650.00 | $99.98–$650.00 | 30% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S Head & Neck-Sft Tissue | $165.10 | $650.00 | $99.98–$650.00 | — | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S Head & Neck-Sft Tissue | $165.10 | $650.00 | $107.60–$278.93 | — | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi W/O Kub | $169.93 | $669.00 | $167.75–$669.00 | 33% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi W/O Kub | $169.93 | $669.00 | $68.10–$466.95 | 33% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Ugi W/O Kub | $169.93 | $669.00 | $68.10–$466.95 | — | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Ugi W/O Kub | $169.93 | $669.00 | $167.75–$669.00 | — | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Xr Humerus Min 2 Views | $126.49 | $498.00 | $83.23–$498.00 | 4% above | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Xr Humerus Min 2 Views | $126.49 | $498.00 | $49.94–$230.96 | 4% above | 75% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Xr Humerus Min 2 Views | $126.49 | $498.00 | $49.94–$230.96 | — | 75% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Xr Humerus Min 2 Views | $126.49 | $498.00 | $83.23–$498.00 | — | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Venous Doppler Ext Uni | $205.23 | $808.00 | $99.98–$808.00 | 16% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Venous Doppler Ext Uni | $205.23 | $808.00 | $101.45–$590.93 | 16% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Venous Doppler Ext Uni | $205.23 | $808.00 | $101.45–$590.93 | — | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Venous Doppler Ext Uni | $205.23 | $808.00 | $99.98–$808.00 | — | 75% |
| Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views | $106.17 | $418.00 | $43.13–$230.96 | 1% below | 75% |
| Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views | $106.17 | $418.00 | $83.23–$418.00 | 1% below | 75% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views | $106.17 | $418.00 | $43.13–$230.96 | — | 75% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views | $106.17 | $418.00 | $83.23–$418.00 | — | 75% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist 3vw/More Unilat | $119.13 | $469.00 | $52.21–$230.96 | 5% below | 75% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist 3vw/More Unilat | $119.13 | $469.00 | $83.23–$469.00 | 5% below | 75% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist 3vw/More Unilat | $119.13 | $469.00 | $83.23–$469.00 | — | 75% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist 3vw/More Unilat | $119.13 | $469.00 | $52.21–$230.96 | — | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xr Hip Uni 2-3 Vws | $116.33 | $458.00 | $83.23–$458.00 | at median | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xr Hip Uni 2-3 Vws | $116.33 | $458.00 | $63.20–$230.96 | at median | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip 2 View W/ Pelvis Unilateral | $116.33 | $458.00 | $83.23–$458.00 | at median | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip 2 View W/ Pelvis Unilateral | $116.33 | $458.00 | $63.20–$230.96 | at median | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Xr Hip Uni 2-3 Vws | $116.33 | $458.00 | $63.20–$230.96 | — | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Xr Hip Uni 2-3 Vws | $116.33 | $458.00 | $83.23–$458.00 | — | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip 2 View W/ Pelvis Unilateral | $116.33 | $458.00 | $83.23–$458.00 | — | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip 2 View W/ Pelvis Unilateral | $116.33 | $458.00 | $63.20–$230.96 | — | 75% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View | $93.98 | $370.00 | $45.39–$230.96 | 17% below | 75% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View | $93.98 | $370.00 | $83.23–$370.00 | 17% below | 75% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 View | $93.98 | $370.00 | $83.23–$370.00 | — | 75% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 View | $93.98 | $370.00 | $45.39–$230.96 | — | 75% |
| X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Views | $91.95 | $362.00 | $83.23–$362.00 | 14% below | 75% |
| X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Views | $91.95 | $362.00 | $68.10–$230.96 | 14% below | 75% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 Views | $91.95 | $362.00 | $83.23–$362.00 | — | 75% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 Views | $91.95 | $362.00 | $68.10–$230.96 | — | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Fingers Min 2 View | $69.34 | $273.00 | $83.23–$273.00 | 28% below | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Fingers Min 2 View | $69.34 | $273.00 | $36.32–$230.96 | 28% below | 75% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Fingers Min 2 View | $69.34 | $273.00 | $36.32–$230.96 | — | 75% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Fingers Min 2 View | $69.34 | $273.00 | $83.23–$273.00 | — | 75% |
| X-ray of the foot, 2 views both sides CPT 73620 HC Foot 2 Vws Bilat | $114.05 | $449.00 | $52.21–$230.96 | — | 75% |
| X-ray of the foot, 2 views both sides CPT 73620 HC Foot 2 Vws Bilat | $114.05 | $449.00 | $83.23–$449.00 | — | 75% |
| X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Views | $82.80 | $326.00 | $83.23–$326.00 | 8% below | 75% |
| X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Views | $82.80 | $326.00 | $52.21–$230.96 | 8% below | 75% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 HC Foot 2 Vws Bilat | $114.05 | $449.00 | $83.23–$449.00 | — | 75% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 HC Foot 2 Vws Bilat | $114.05 | $449.00 | $52.21–$230.96 | — | 75% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2 Views | $82.80 | $326.00 | $83.23–$326.00 | — | 75% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2 Views | $82.80 | $326.00 | $52.21–$230.96 | — | 75% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot Min 3 Views | $131.32 | $517.00 | $83.23–$517.00 | at median | 75% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot Min 3 Views | $131.32 | $517.00 | $63.56–$230.96 | at median | 75% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot Min 3 Views | $131.32 | $517.00 | $63.56–$230.96 | — | 75% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot Min 3 Views | $131.32 | $517.00 | $83.23–$517.00 | — | 75% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HC Hand Bilateral | $234.95 | $925.00 | $56.75–$230.96 | — | 75% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HC Hand Bilateral | $234.95 | $925.00 | $83.23–$925.00 | — | 75% |
| X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand 3 Views | $138.94 | $547.00 | $83.23–$547.00 | 13% above | 75% |
| X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand 3 Views | $138.94 | $547.00 | $56.75–$230.96 | 13% above | 75% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HC Hand Bilateral | $234.95 | $925.00 | $56.75–$230.96 | — | 75% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HC Hand Bilateral | $234.95 | $925.00 | $83.23–$925.00 | — | 75% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand 3 Views | $138.94 | $547.00 | $83.23–$547.00 | — | 75% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand 3 Views | $138.94 | $547.00 | $56.75–$230.96 | — | 75% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC Knee Bilateral | $161.54 | $636.00 | $56.75–$230.96 | — | 75% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC Knee Bilateral | $161.54 | $636.00 | $83.23–$636.00 | — | 75% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1 or 2 Views | $143.51 | $565.00 | $83.23–$565.00 | 20% above | 75% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1 or 2 Views | $143.51 | $565.00 | $56.75–$230.96 | 20% above | 75% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC Knee Bilateral | $161.54 | $636.00 | $56.75–$230.96 | — | 75% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC Knee Bilateral | $161.54 | $636.00 | $83.23–$636.00 | — | 75% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1 or 2 Views | $143.51 | $565.00 | $56.75–$230.96 | — | 75% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1 or 2 Views | $143.51 | $565.00 | $83.23–$565.00 | — | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Spine Lumbar 2- 3 Views | $116.33 | $458.00 | $63.56–$278.93 | 9% below | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Spine Lumbar 2- 3 Views | $116.33 | $458.00 | $99.98–$458.00 | 9% below | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Spine Lumbar 2- 3 Views | $116.33 | $458.00 | $99.98–$458.00 | — | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Spine Lumbar 2- 3 Views | $116.33 | $458.00 | $63.56–$278.93 | — | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Spine Lumbar 4-5 View | $147.83 | $582.00 | $99.98–$582.00 | 10% below | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Spine Lumbar 4-5 View | $147.83 | $582.00 | $90.80–$299.81 | 10% below | 75% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Spine Lumbar 4-5 View | $147.83 | $582.00 | $99.98–$582.00 | — | 75% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Spine Lumbar 4-5 View | $147.83 | $582.00 | $90.80–$299.81 | — | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Spine Thoracic 2 Views | $103.89 | $409.00 | $99.98–$409.00 | 22% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Spine Thoracic 2 Views | $103.89 | $409.00 | $54.48–$278.93 | 22% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Spine Thoracic 2 Views | $103.89 | $409.00 | $54.48–$278.93 | — | 75% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Spine Thoracic 2 Views | $103.89 | $409.00 | $99.98–$409.00 | — | 75% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones 3+Vws | $108.71 | $428.00 | $83.23–$428.00 | 1% above | 75% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones 3+Vws | $108.71 | $428.00 | $52.21–$230.96 | 1% above | 75% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones 3+Vws | $108.71 | $428.00 | $83.23–$428.00 | — | 75% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones 3+Vws | $108.71 | $428.00 | $52.21–$230.96 | — | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Spinecervical 3/- Views | $116.33 | $458.00 | $63.56–$230.96 | 3% below | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Spinecervical 3/- Views | $116.33 | $458.00 | $83.23–$458.00 | 3% below | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Spinecervical 3/- Views | $116.33 | $458.00 | $83.23–$458.00 | — | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Spinecervical 3/- Views | $116.33 | $458.00 | $63.56–$230.96 | — | 75% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2view | $104.90 | $413.00 | $47.67–$278.93 | 7% below | 75% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2view | $104.90 | $413.00 | $99.98–$413.00 | 7% below | 75% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1-2view | $104.90 | $413.00 | $47.67–$278.93 | — | 75% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1-2view | $104.90 | $413.00 | $99.98–$413.00 | — | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum&Coccyx 2vw/More | $82.55 | $325.00 | $38.59–$230.96 | 28% below | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum&Coccyx 2vw/More | $82.55 | $325.00 | $83.23–$325.00 | 28% below | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum&Coccyx 2vw/More | $82.55 | $325.00 | $38.59–$230.96 | — | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum&Coccyx 2vw/More | $82.55 | $325.00 | $83.23–$325.00 | — | 75% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Lab Acth | $72.90 | $287.00 | $129.15–$287.00 | 21% below | 75% |
| ACTH blood test CPT 82024 HC Lab Acth | $72.90 | $287.00 | $30.62–$89.92 | 21% below | 75% |
| ACTH blood test inpatient CPT 82024 HC Lab Acth | $72.90 | $287.00 | $30.62–$89.92 | — | 75% |
| ACTH blood test inpatient CPT 82024 HC Lab Acth | $72.90 | $287.00 | $129.15–$287.00 | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Lab Sgpt (Alt) | $21.08 | $83.00 | $4.21–$28.74 | at median | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Lab Sgpt (Alt) | $21.08 | $83.00 | $37.35–$83.00 | at median | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Lab Sgpt (Alt) | $21.08 | $83.00 | $4.21–$28.74 | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Lab Sgpt (Alt) | $21.08 | $83.00 | $37.35–$83.00 | — | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Lab Sgot (Ast) | $17.27 | $68.00 | $4.11–$28.04 | 7% below | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Lab Sgot (Ast) | $17.27 | $68.00 | $30.60–$68.00 | 7% below | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Lab Sgot (Ast) | $17.27 | $68.00 | $30.60–$68.00 | — | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Lab Sgot (Ast) | $17.27 | $68.00 | $4.11–$28.04 | — | 75% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Lab Acute Hepatitis Panel | $195.07 | $768.00 | $37.77–$258.45 | 2% above | 75% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Lab Acute Hepatitis Panel | $195.07 | $768.00 | $345.60–$768.00 | 2% above | 75% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Lab Acute Hepatitis Panel | $195.07 | $768.00 | $345.60–$768.00 | — | 75% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Lab Acute Hepatitis Panel | $195.07 | $768.00 | $37.77–$258.45 | — | 75% |
| Albumin blood test CPT 82040 HC Lab Albumin Serum | $20.07 | $79.00 | $35.55–$79.00 | 10% below | 75% |
| Albumin blood test CPT 82040 HC Lab Albumin | $20.07 | $79.00 | $3.93–$26.92 | 10% below | 75% |
| Albumin blood test CPT 82040 HC Lab Albumin Serum | $20.07 | $79.00 | $3.93–$26.92 | 10% below | 75% |
| Albumin blood test CPT 82040 HC Lab Albumin | $20.07 | $79.00 | $35.55–$79.00 | 10% below | 75% |
| Albumin blood test inpatient CPT 82040 HC Lab Albumin | $20.07 | $79.00 | $3.93–$26.92 | — | 75% |
| Albumin blood test inpatient CPT 82040 HC Lab Albumin Serum | $20.07 | $79.00 | $3.93–$26.92 | — | 75% |
| Albumin blood test inpatient CPT 82040 HC Lab Albumin | $20.07 | $79.00 | $35.55–$79.00 | — | 75% |
| Albumin blood test inpatient CPT 82040 HC Lab Albumin Serum | $20.07 | $79.00 | $35.55–$79.00 | — | 75% |
| Aldosterone blood test CPT 82088 HC Lab Aldosterone | $139.19 | $548.00 | $246.60–$548.00 | 39% above | 75% |
| Aldosterone blood test CPT 82088 HC Lab Aldosterone | $139.19 | $548.00 | $32.32–$221.13 | 39% above | 75% |
| Aldosterone blood test inpatient CPT 82088 HC Lab Aldosterone | $139.19 | $548.00 | $32.32–$221.13 | — | 75% |
| Aldosterone blood test inpatient CPT 82088 HC Lab Aldosterone | $139.19 | $548.00 | $246.60–$548.00 | — | 75% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Lab Total Alk Phos | $17.27 | $68.00 | $30.60–$68.00 | 18% below | 75% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Lab Total Alk Phos | $17.27 | $68.00 | $4.11–$28.08 | 18% below | 75% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Lab Total Alk Phos | $17.27 | $68.00 | $30.60–$68.00 | — | 75% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Lab Total Alk Phos | $17.27 | $68.00 | $4.11–$28.08 | — | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hornet - Yellow | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common Adult Food Profile | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cows Milk | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Latex | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Adult Food Profile | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Shrimp | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oyster | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg Yolk | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lobster | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bee Venom Profile | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Clam | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Lab Allg Spec Ige Crude Xtrc Ea | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honeybee | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hornet - White Face | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Clam | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Shrimp | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg Yolk | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lobster | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hornet - Yellow | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Peanut | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Lab Allg Spec Ige Crude Xtrc Ea | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honeybee | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Aby to Allergic Substance | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Crab (F23) Ige | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hornet - White Face | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Wheat | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Egg White | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork Ige | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oyster | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Latex | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cows Milk | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common Adult Food Profile | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Adult Food Profile | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bee Venom Profile | $21.59 | $85.00 | $38.25–$85.00 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork Ige | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Wheat | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Egg White | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Crab (F23) Ige | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ige Peanut | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Aby to Allergic Substance | $21.59 | $85.00 | $4.14–$28.35 | 44% above | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hornet - Yellow | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Aby to Allergic Substance | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork Ige | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Crab (F23) Ige | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Wheat | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honeybee | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hornet - White Face | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hornet - Yellow | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bee Venom Profile | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Egg White | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Clam | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg Yolk | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Adult Food Profile | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cows Milk | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Latex | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lobster | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Wheat | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Aby to Allergic Substance | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Egg White | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Crab (F23) Ige | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Peanut | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Peanut | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Lab Allg Spec Ige Crude Xtrc Ea | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ige Clam | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bee Venom Profile | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lobster | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg Yolk | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oyster | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Shrimp | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Adult Food Profile | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Latex | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Adult Food Profile | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oyster | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Shrimp | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honeybee | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cows Milk | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hornet - White Face | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Adult Food Profile | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Lab Allg Spec Ige Crude Xtrc Ea | $21.59 | $85.00 | $38.25–$85.00 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork Ige | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket | $21.59 | $85.00 | $4.14–$28.35 | — | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Lab Afp Serum Maternal Ontd | $57.40 | $226.00 | $13.30–$91.04 | 31% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Lab Afp Serum Maternal Ontd | $57.40 | $226.00 | $101.70–$226.00 | 31% below | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Lab Afp Serum Maternal Ontd | $57.40 | $226.00 | $13.30–$91.04 | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Lab Afp Serum Maternal Ontd | $57.40 | $226.00 | $101.70–$226.00 | — | 75% |
| Ammonia blood test CPT 82140 HC Lab Ammonia (Nh3) | $39.88 | $157.00 | $11.55–$47.48 | 27% below | 75% |
| Ammonia blood test CPT 82140 HC Lab Ammonia (Nh3) | $39.88 | $157.00 | $70.65–$157.00 | 27% below | 75% |
| Ammonia blood test inpatient CPT 82140 HC Lab Ammonia (Nh3) | $39.88 | $157.00 | $70.65–$157.00 | — | 75% |
| Ammonia blood test inpatient CPT 82140 HC Lab Ammonia (Nh3) | $39.88 | $157.00 | $11.55–$47.48 | — | 75% |
| Amylase blood test CPT 82150 HC Lab Amylase | $30.73 | $121.00 | $5.14–$35.19 | 16% above | 75% |
| Amylase blood test CPT 82150 HC Lab Amylase | $30.73 | $121.00 | $54.45–$121.00 | 16% above | 75% |
| Amylase blood test inpatient CPT 82150 HC Lab Amylase | $30.73 | $121.00 | $54.45–$121.00 | — | 75% |
| Amylase blood test inpatient CPT 82150 HC Lab Amylase | $30.73 | $121.00 | $5.14–$35.19 | — | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Lab Cyclic Citrulinatd Pep Igg | $42.16 | $166.00 | $10.27–$42.43 | 7% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Lab Cyclic Citrulinatd Pep Igg | $42.16 | $166.00 | $74.70–$166.00 | 7% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Lab Cyclic Citrulinatd Pep Igg | $42.16 | $166.00 | $74.70–$166.00 | — | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Lab Cyclic Citrulinatd Pep Igg | $42.16 | $166.00 | $10.27–$42.43 | — | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Lab Ana | $41.66 | $164.00 | $73.80–$164.00 | 8% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Lab Ana | $41.66 | $164.00 | $9.59–$65.58 | 8% below | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Lab Ana | $41.66 | $164.00 | $9.59–$65.58 | — | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Lab Ana | $41.66 | $164.00 | $73.80–$164.00 | — | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Lab Natriuretic Peptde | $96.52 | $380.00 | $171.00–$380.00 | 51% above | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Lab Natriuretic Peptde | $96.52 | $380.00 | $31.13–$107.67 | 51% above | 75% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Lab Natriuretic Peptde | $96.52 | $380.00 | $171.00–$380.00 | — | 75% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Lab Natriuretic Peptde | $96.52 | $380.00 | $31.13–$107.67 | — | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Lab Cult-Bact Oth Source | $39.37 | $155.00 | $69.75–$155.00 | 2% above | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Lab Cult-Bact Oth Source | $39.37 | $155.00 | $6.83–$46.72 | 2% above | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Lab Cult-Bact Oth Source | $39.37 | $155.00 | $69.75–$155.00 | — | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Lab Cult-Bact Oth Source | $39.37 | $155.00 | $6.83–$46.72 | — | 75% |
| Basic metabolic panel (blood test) CPT 80048 HC Lab Basic Metabolic Panel | $44.20 | $174.00 | $78.30–$174.00 | 53% below | 75% |
| Basic metabolic panel (blood test) CPT 80048 HC Lab Basic Metabolic Panel | $44.20 | $174.00 | $6.71–$45.93 | 53% below | 75% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Lab Basic Metabolic Panel | $44.20 | $174.00 | $78.30–$174.00 | — | 75% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Lab Basic Metabolic Panel | $44.20 | $174.00 | $6.71–$45.93 | — | 75% |
| Bilirubin blood test, total CPT 82247 HC Lab Bilirubin Total | $31.50 | $124.00 | $55.80–$124.00 | 20% below | 75% |
| Bilirubin blood test, total CPT 82247 HC Lab Bilirubin Total | $31.50 | $124.00 | $3.98–$27.25 | 20% below | 75% |
| Bilirubin blood test, total inpatient CPT 82247 HC Lab Bilirubin Total | $31.50 | $124.00 | $55.80–$124.00 | — | 75% |
| Bilirubin blood test, total inpatient CPT 82247 HC Lab Bilirubin Total | $31.50 | $124.00 | $3.98–$27.25 | — | 75% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Lab Surg/Path-Level IV | $93.98 | $370.00 | $27.45–$97.76 | 21% above | 75% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Lab Surg/Path-Level IV | $93.98 | $370.00 | $49.84–$370.00 | 21% above | 75% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Lab Surg/Path-Level IV | $93.98 | $370.00 | $49.84–$370.00 | — | 75% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Lab Surg/Path-Level IV | $93.98 | $370.00 | $27.45–$97.76 | — | 75% |
| Blood culture for bacteria CPT 87040 HC Lab Cult-Blood | $53.59 | $211.00 | $8.19–$56.04 | 9% above | 75% |
| Blood culture for bacteria CPT 87040 HC Lab Cult-Blood | $53.59 | $211.00 | $94.95–$211.00 | 9% above | 75% |
| Blood culture for bacteria inpatient CPT 87040 HC Lab Cult-Blood | $53.59 | $211.00 | $8.19–$56.04 | — | 75% |
| Blood culture for bacteria inpatient CPT 87040 HC Lab Cult-Blood | $53.59 | $211.00 | $94.95–$211.00 | — | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $13.72 | $54.00 | $18.95–$54.00 | 53% above | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $13.72 | $54.00 | $3.00–$9.62 | 53% above | 75% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture | $13.72 | $54.00 | $3.00–$9.62 | — | 75% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture | $13.72 | $54.00 | $18.95–$54.00 | — | 75% |
| Blood glucose (sugar) test CPT 82947 HC Lab Glucose | $18.54 | $73.00 | $32.85–$73.00 | at median | 75% |
| Blood glucose (sugar) test CPT 82947 HC Lab Glucose | $18.54 | $73.00 | $3.11–$21.27 | at median | 75% |
| Blood glucose (sugar) test CPT 82947 HC Lab Glucose Istat | $18.54 | $73.00 | $3.11–$21.27 | at median | 75% |
| Blood glucose (sugar) test CPT 82947 HC Lab Glucose Istat | $18.54 | $73.00 | $32.85–$73.00 | at median | 75% |
| Blood glucose (sugar) test CPT 82947 HC Lab Glucometer | $18.54 | $73.00 | $3.11–$21.27 | at median | 75% |
| Blood glucose (sugar) test CPT 82947 HC Lab Glucometer | $18.54 | $73.00 | $32.85–$73.00 | at median | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Lab Glucose Istat | $18.54 | $73.00 | $32.85–$73.00 | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Lab Glucometer | $18.54 | $73.00 | $3.11–$21.27 | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Lab Glucose | $18.54 | $73.00 | $3.11–$21.27 | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Lab Glucose Istat | $18.54 | $73.00 | $3.11–$21.27 | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Lab Glucometer | $18.54 | $73.00 | $32.85–$73.00 | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Lab Glucose | $18.54 | $73.00 | $32.85–$73.00 | — | 75% |
| Blood lead test CPT 83655 HC Lab Lead Wb | $35.81 | $141.00 | $63.45–$141.00 | 20% above | 75% |
| Blood lead test CPT 83655 HC Lab Lead Wb | $35.81 | $141.00 | $9.60–$65.65 | 20% above | 75% |
| Blood lead test inpatient CPT 83655 HC Lab Lead Wb | $35.81 | $141.00 | $9.60–$65.65 | — | 75% |
| Blood lead test inpatient CPT 83655 HC Lab Lead Wb | $35.81 | $141.00 | $63.45–$141.00 | — | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Lab Hcg Qualitative | $34.29 | $135.00 | $60.75–$135.00 | 9% below | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Lab Hcg Qualitative | $34.29 | $135.00 | $5.97–$40.75 | 9% below | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Lab Hcg (Qualitative) Serum | $37.08 | $146.00 | $5.97–$40.75 | 2% below | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Lab Hcg (Qualitative) Serum | $37.08 | $146.00 | $65.70–$146.00 | 2% below | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Lab Hcg Qualitative | $34.29 | $135.00 | $60.75–$135.00 | — | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Lab Hcg Qualitative | $34.29 | $135.00 | $5.97–$40.75 | — | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Lab Hcg (Qualitative) Serum | $37.08 | $146.00 | $65.70–$146.00 | — | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Lab Hcg (Qualitative) Serum | $37.08 | $146.00 | $5.97–$40.75 | — | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Lab Blood Typing Abo Serologic | $126.49 | $498.00 | $127.24–$498.00 | 116% above | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Lab Blood Typing Abo Serologic | $126.49 | $498.00 | $2.37–$119.67 | 116% above | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Lab Blood Typing Abo Serologic | $126.49 | $498.00 | $127.24–$498.00 | — | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Lab Blood Typing Abo Serologic | $126.49 | $498.00 | $2.37–$119.67 | — | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Lab Urea Nitrogen Blood | $18.03 | $71.00 | $3.14–$21.40 | 29% below | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Lab Urea Nitrogen Blood | $18.03 | $71.00 | $31.95–$71.00 | 29% below | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Lab Urea Nitrogen Blood | $18.03 | $71.00 | $31.95–$71.00 | — | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Lab Urea Nitrogen Blood | $18.03 | $71.00 | $3.14–$21.40 | — | 75% |
| C-peptide blood test CPT 84681 HC Lab C-Peptide | $67.82 | $267.00 | $120.15–$267.00 | 9% above | 75% |
| C-peptide blood test CPT 84681 HC Lab C-Peptide | $67.82 | $267.00 | $16.51–$112.89 | 9% above | 75% |
| C-peptide blood test inpatient CPT 84681 HC Lab C-Peptide | $67.82 | $267.00 | $120.15–$267.00 | — | 75% |
| C-peptide blood test inpatient CPT 84681 HC Lab C-Peptide | $67.82 | $267.00 | $16.51–$112.89 | — | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Lab C-Reactive Protein | $26.67 | $105.00 | $4.11–$28.08 | 7% below | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Lab C-Reactive Protein | $26.67 | $105.00 | $47.25–$105.00 | 7% below | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Lab Crp (C-ReactProtein) | $28.19 | $111.00 | $4.11–$28.08 | 2% below | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Lab Crp (C-ReactProtein) | $28.19 | $111.00 | $49.95–$111.00 | 2% below | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Lab C-Reactive Protein | $26.67 | $105.00 | $47.25–$105.00 | — | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Lab C-Reactive Protein | $26.67 | $105.00 | $4.11–$28.08 | — | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Lab Crp (C-ReactProtein) | $28.19 | $111.00 | $4.11–$28.08 | — | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Lab Crp (C-ReactProtein) | $28.19 | $111.00 | $49.95–$111.00 | — | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Lab C Difficile Toxin Pcr | $117.86 | $464.00 | $29.56–$117.93 | 33% above | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Lab C Difficile Toxin Pcr | $117.86 | $464.00 | $208.80–$464.00 | 33% above | 75% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Lab C Difficile Toxin Pcr | $117.86 | $464.00 | $29.56–$117.93 | — | 75% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Lab C Difficile Toxin Pcr | $117.86 | $464.00 | $208.80–$464.00 | — | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Lab Carbohydrate Anti 19-9 | $62.23 | $245.00 | $16.51–$112.92 | at median | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Lab Carbohydrate Anti 19-9 | $62.23 | $245.00 | $110.25–$245.00 | at median | 75% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Lab Carbohydrate Anti 19-9 | $62.23 | $245.00 | $16.51–$112.92 | — | 75% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Lab Carbohydrate Anti 19-9 | $62.23 | $245.00 | $110.25–$245.00 | — | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Lab Cancer Antigen 125 | $69.34 | $273.00 | $16.51–$112.92 | 2% above | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Lab Cancer Antigen 125 | $69.34 | $273.00 | $122.85–$273.00 | 2% above | 75% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Lab Cancer Antigen 125 | $69.34 | $273.00 | $122.85–$273.00 | — | 75% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Lab Cancer Antigen 125 | $69.34 | $273.00 | $16.51–$112.92 | — | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $61.47 | $242.00 | $40.69–$116.47 | 37% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $61.47 | $242.00 | $108.90–$242.00 | 37% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $61.47 | $242.00 | $40.69–$116.47 | — | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $61.47 | $242.00 | $108.90–$242.00 | — | 75% |
| Calcium blood test, total CPT 82310 HC Lab Calcium | $21.34 | $84.00 | $4.09–$27.94 | 8% above | 75% |
| Calcium blood test, total CPT 82310 HC Lab Calcium | $21.34 | $84.00 | $37.80–$84.00 | 8% above | 75% |
| Calcium blood test, total inpatient CPT 82310 HC Lab Calcium | $21.34 | $84.00 | $37.80–$84.00 | — | 75% |
| Calcium blood test, total inpatient CPT 82310 HC Lab Calcium | $21.34 | $84.00 | $4.09–$27.94 | — | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Lab Cea | $61.72 | $243.00 | $15.03–$102.95 | 2% above | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Lab Cea | $61.72 | $243.00 | $109.35–$243.00 | 2% above | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Lab Cea | $61.72 | $243.00 | $109.35–$243.00 | — | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Lab Cea | $61.72 | $243.00 | $15.03–$102.95 | — | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Lab Varicella Zoster Ab Igm | $36.32 | $143.00 | $64.35–$143.00 | 5% above | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Lab Varicella Zoster Ab Igm | $36.32 | $143.00 | $10.21–$69.93 | 5% above | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Lab Varicella Zoster Ab Igm | $36.32 | $143.00 | $10.21–$69.93 | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Lab Varicella Zoster Ab Igm | $36.32 | $143.00 | $64.35–$143.00 | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Lab C. Trachomatis Rna | $91.44 | $360.00 | $27.83–$190.44 | 45% above | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Lab C. Trachomatis Rna | $91.44 | $360.00 | $162.00–$360.00 | 45% above | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Lab C. Trachomatis Rna | $91.44 | $360.00 | $27.83–$190.44 | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Lab C. Trachomatis Rna | $91.44 | $360.00 | $162.00–$360.00 | — | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lab Lipid Panel | $66.04 | $260.00 | $117.00–$260.00 | 8% below | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lab Lipid Panel | $66.04 | $260.00 | $10.61–$68.98 | 8% below | 75% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lab Lipid Panel | $66.04 | $260.00 | $10.61–$68.98 | — | 75% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lab Lipid Panel | $66.04 | $260.00 | $117.00–$260.00 | — | 75% |
| Complete blood count (CBC) with differential CPT 85025 HC Lab Cbc W/Auto Diff | $29.72 | $117.00 | $52.65–$117.00 | 3% below | 75% |
| Complete blood count (CBC) with differential CPT 85025 HC Lab Cbc W/Auto Diff | $29.72 | $117.00 | $6.16–$42.17 | 3% below | 75% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Lab Cbc W/Auto Diff | $29.72 | $117.00 | $52.65–$117.00 | — | 75% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Lab Cbc W/Auto Diff | $29.72 | $117.00 | $6.16–$42.17 | — | 75% |
| Complete blood count (CBC), no differential CPT 85027 HC Lab Cbc (W/Plt&Hemogram) | $30.48 | $120.00 | $5.14–$35.14 | 27% above | 75% |
| Complete blood count (CBC), no differential CPT 85027 HC Lab Cbc (W/Plt&Hemogram) | $30.48 | $120.00 | $54.00–$120.00 | 27% above | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Lab Cbc (W/Plt&Hemogram) | $30.48 | $120.00 | $54.00–$120.00 | — | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Lab Cbc (W/Plt&Hemogram) | $30.48 | $120.00 | $5.14–$35.14 | — | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Lab Comp Metabolic Panel | $54.86 | $216.00 | $8.37–$57.35 | 59% below | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Lab Comp Metabolic Panel | $54.86 | $216.00 | $97.20–$216.00 | 59% below | 75% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Lab Comp Metabolic Panel | $54.86 | $216.00 | $97.20–$216.00 | — | 75% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Lab Comp Metabolic Panel | $54.86 | $216.00 | $8.37–$57.35 | — | 75% |
| Cortisol blood test, total CPT 82533 HC Lab Cortisol Total | $57.15 | $225.00 | $12.93–$88.47 | 1% below | 75% |
| Cortisol blood test, total CPT 82533 HC Lab Cortisol Total | $57.15 | $225.00 | $101.25–$225.00 | 1% below | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC Lab Cortisol Total | $57.15 | $225.00 | $101.25–$225.00 | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC Lab Cortisol Total | $57.15 | $225.00 | $12.93–$88.47 | — | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Lab CK (Cpk) Tracking | $30.73 | $121.00 | $5.16–$35.38 | 12% below | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Lab CK (Cpk) Tracking | $30.73 | $121.00 | $54.45–$121.00 | 12% below | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Lab CK (Cpk) | $30.73 | $121.00 | $5.16–$35.38 | 12% below | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Lab CK (Cpk) | $30.73 | $121.00 | $54.45–$121.00 | 12% below | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Lab CK (Cpk) | $30.73 | $121.00 | $5.16–$35.38 | — | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Lab CK (Cpk) | $30.73 | $121.00 | $54.45–$121.00 | — | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Lab CK (Cpk) Tracking | $30.73 | $121.00 | $5.16–$35.38 | — | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Lab CK (Cpk) Tracking | $30.73 | $121.00 | $54.45–$121.00 | — | 75% |
| Creatinine blood test CPT 82565 HC Lab Creatinine | $20.07 | $79.00 | $4.06–$27.76 | 2% below | 75% |
| Creatinine blood test CPT 82565 HC Lab I-Stat Creatinine | $20.07 | $79.00 | $35.55–$79.00 | 2% below | 75% |
| Creatinine blood test CPT 82565 HC Lab I-Stat Creatinine | $20.07 | $79.00 | $4.06–$27.76 | 2% below | 75% |
| Creatinine blood test CPT 82565 HC Lab Creatinine | $20.07 | $79.00 | $35.55–$79.00 | 2% below | 75% |
| Creatinine blood test inpatient CPT 82565 HC Lab I-Stat Creatinine | $20.07 | $79.00 | $35.55–$79.00 | — | 75% |
| Creatinine blood test inpatient CPT 82565 HC Lab Creatinine | $20.07 | $79.00 | $4.06–$27.76 | — | 75% |
| Creatinine blood test inpatient CPT 82565 HC Lab I-Stat Creatinine | $20.07 | $79.00 | $4.06–$27.76 | — | 75% |
| Creatinine blood test inpatient CPT 82565 HC Lab Creatinine | $20.07 | $79.00 | $35.55–$79.00 | — | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Lab Cmv-Igg | $49.53 | $195.00 | $87.75–$195.00 | 5% below | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Lab Cmv-Igg | $49.53 | $195.00 | $11.41–$78.09 | 5% below | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Lab Cmv-Igg | $49.53 | $195.00 | $11.41–$78.09 | — | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Lab Cmv-Igg | $49.53 | $195.00 | $87.75–$195.00 | — | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Lab D-Dimer | $42.16 | $166.00 | $8.08–$55.22 | 14% below | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Lab D-Dimer | $42.16 | $166.00 | $74.70–$166.00 | 14% below | 75% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Lab D-Dimer | $42.16 | $166.00 | $8.08–$55.22 | — | 75% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Lab D-Dimer | $42.16 | $166.00 | $74.70–$166.00 | — | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Lab Dhea Sulfate | $59.69 | $235.00 | $17.63–$120.62 | 10% below | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Lab Dhea Sulfate | $59.69 | $235.00 | $105.75–$235.00 | 10% below | 75% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Lab Dhea Sulfate | $59.69 | $235.00 | $105.75–$235.00 | — | 75% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Lab Dhea Sulfate | $59.69 | $235.00 | $17.63–$120.62 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 Wb | $47.24 | $186.00 | $83.70–$186.00 | 16% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 Wb | $47.24 | $186.00 | $49.28–$181.17 | 16% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Lab Drug Screen Serum (Reflex Conf) | $93.73 | $369.00 | $49.28–$181.17 | 66% above | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Lab Drug Screen Serum (Reflex Conf) | $93.73 | $369.00 | $166.05–$369.00 | 66% above | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine Automated | $93.73 | $369.00 | $49.28–$181.17 | 66% above | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen W/Alcohol | $93.73 | $369.00 | $49.28–$181.17 | 66% above | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine Automated | $93.73 | $369.00 | $166.05–$369.00 | 66% above | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen W/Alcohol | $93.73 | $369.00 | $166.05–$369.00 | 66% above | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 Wb | $47.24 | $186.00 | $83.70–$186.00 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 Wb | $47.24 | $186.00 | $49.28–$181.17 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen W/Alcohol | $93.73 | $369.00 | $49.28–$181.17 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen W/Alcohol | $93.73 | $369.00 | $166.05–$369.00 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Lab Drug Screen Serum (Reflex Conf) | $93.73 | $369.00 | $49.28–$181.17 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine Automated | $93.73 | $369.00 | $49.28–$181.17 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Lab Drug Screen Serum (Reflex Conf) | $93.73 | $369.00 | $166.05–$369.00 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine Automated | $93.73 | $369.00 | $166.05–$369.00 | — | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Lab Electrolytes Panel | $30.99 | $122.00 | $54.90–$122.00 | 46% below | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Lab Electrolytes Panel | $30.99 | $122.00 | $5.56–$38.04 | 46% below | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Lab Electrolytes Panel | $30.99 | $122.00 | $54.90–$122.00 | — | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Lab Electrolytes Panel | $30.99 | $122.00 | $5.56–$38.04 | — | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Lab Ebv-Vca | $62.48 | $246.00 | $14.38–$98.43 | 32% above | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Lab Ebv-Vca | $62.48 | $246.00 | $110.70–$246.00 | 32% above | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Lab Ebv-Vca | $62.48 | $246.00 | $14.38–$98.43 | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Lab Ebv-Vca | $62.48 | $246.00 | $110.70–$246.00 | — | 75% |
| Estradiol blood test CPT 82670 HC Lab Estradiol Ultrasensitive | $95.50 | $376.00 | $22.16–$151.63 | 9% above | 75% |
| Estradiol blood test CPT 82670 HC Lab Estradiol Ultrasensitive | $95.50 | $376.00 | $169.20–$376.00 | 9% above | 75% |
| Estradiol blood test inpatient CPT 82670 HC Lab Estradiol Ultrasensitive | $95.50 | $376.00 | $22.16–$151.63 | — | 75% |
| Estradiol blood test inpatient CPT 82670 HC Lab Estradiol Ultrasensitive | $95.50 | $376.00 | $169.20–$376.00 | — | 75% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Lab Follicle Stim Hormone | $63.75 | $251.00 | $14.74–$100.87 | 4% below | 75% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Lab Follicle Stim Hormone | $63.75 | $251.00 | $112.95–$251.00 | 4% below | 75% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Lab Follicle Stim Hormone | $63.75 | $251.00 | $112.95–$251.00 | — | 75% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Lab Follicle Stim Hormone | $63.75 | $251.00 | $14.74–$100.87 | — | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Stool | $78.99 | $311.00 | $139.95–$311.00 | 16% below | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Stool | $78.99 | $311.00 | $15.57–$64.31 | 16% below | 75% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin Stool | $78.99 | $311.00 | $139.95–$311.00 | — | 75% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin Stool | $78.99 | $311.00 | $15.57–$64.31 | — | 75% |
| Ferritin blood test (iron stores) CPT 82728 HC Lab Ferritin | $45.21 | $178.00 | $10.81–$73.93 | 10% below | 75% |
| Ferritin blood test (iron stores) CPT 82728 HC Lab Ferritin | $45.21 | $178.00 | $80.10–$178.00 | 10% below | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Lab Ferritin | $45.21 | $178.00 | $10.81–$73.93 | — | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Lab Ferritin | $45.21 | $178.00 | $80.10–$178.00 | — | 75% |
| Fibrinogen blood test CPT 85384 HC Lab Fibrinogen | $28.45 | $112.00 | $50.40–$112.00 | 3% below | 75% |
| Fibrinogen blood test CPT 85384 HC Lab Fibrinogen | $28.45 | $112.00 | $7.71–$46.10 | 3% below | 75% |
| Fibrinogen blood test inpatient CPT 85384 HC Lab Fibrinogen | $28.45 | $112.00 | $7.71–$46.10 | — | 75% |
| Fibrinogen blood test inpatient CPT 85384 HC Lab Fibrinogen | $28.45 | $112.00 | $50.40–$112.00 | — | 75% |
| Folate (folic acid) blood test CPT 82746 HC Lab FolateSerum | $45.97 | $181.00 | $11.66–$79.78 | 14% below | 75% |
| Folate (folic acid) blood test CPT 82746 HC Lab FolateSerum | $45.97 | $181.00 | $81.45–$181.00 | 14% below | 75% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Lab FolateSerum | $45.97 | $181.00 | $81.45–$181.00 | — | 75% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Lab FolateSerum | $45.97 | $181.00 | $11.66–$79.78 | — | 75% |
| Free T3 thyroid hormone test CPT 84481 HC Lab T3 Free | $58.42 | $230.00 | $13.43–$91.92 | 3% below | 75% |
| Free T3 thyroid hormone test CPT 84481 HC Lab T3 Free | $58.42 | $230.00 | $103.50–$230.00 | 3% below | 75% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Lab T3 Free | $58.42 | $230.00 | $103.50–$230.00 | — | 75% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Lab T3 Free | $58.42 | $230.00 | $13.43–$91.92 | — | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Lab Free T4 | $31.50 | $124.00 | $7.15–$48.92 | 2% below | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Lab Free T4 | $31.50 | $124.00 | $55.80–$124.00 | 2% below | 75% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Lab Free T4 | $31.50 | $124.00 | $7.15–$48.92 | — | 75% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Lab Free T4 | $31.50 | $124.00 | $55.80–$124.00 | — | 75% |
| Free testosterone test CPT 84402 HC Lab Testosterone Free | $66.80 | $263.00 | $20.20–$138.17 | 8% below | 75% |
| Free testosterone test CPT 84402 HC Lab Testosterone Free | $66.80 | $263.00 | $118.35–$263.00 | 8% below | 75% |
| Free testosterone test inpatient CPT 84402 HC Lab Testosterone Free | $66.80 | $263.00 | $118.35–$263.00 | — | 75% |
| Free testosterone test inpatient CPT 84402 HC Lab Testosterone Free | $66.80 | $263.00 | $20.20–$138.17 | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Lab Gamma Gt | $29.21 | $115.00 | $5.71–$39.06 | 23% below | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Lab Gamma Gt | $29.21 | $115.00 | $51.75–$115.00 | 23% below | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Lab Gamma Gt | $29.21 | $115.00 | $5.71–$39.06 | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Lab Gamma Gt | $29.21 | $115.00 | $51.75–$115.00 | — | 75% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $103.12 | $406.00 | $182.70–$406.00 | 22% below | 75% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $103.12 | $406.00 | $23.56–$110.48 | 22% below | 75% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $103.12 | $406.00 | $23.56–$110.48 | — | 75% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $103.12 | $406.00 | $182.70–$406.00 | — | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Lab Glucose Pst Glucose Dse | $15.75 | $62.00 | $3.77–$25.77 | 39% below | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Lab Glucose Pst Glucose Dse | $15.75 | $62.00 | $27.90–$62.00 | 39% below | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Lab Glucose Pst Glucose Dse | $15.75 | $62.00 | $27.90–$62.00 | — | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Lab Glucose Pst Glucose Dse | $15.75 | $62.00 | $3.77–$25.77 | — | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC Lab Glucose Tt First 3 Specs | $32.00 | $126.00 | $56.70–$126.00 | 31% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC Lab Glucose Tt First 3 Specs | $32.00 | $126.00 | $10.21–$69.89 | 31% below | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Lab Glucose Tt First 3 Specs | $32.00 | $126.00 | $56.70–$126.00 | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Lab Glucose Tt First 3 Specs | $32.00 | $126.00 | $10.21–$69.89 | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Lab N. Gonorrhoeae Rna | $91.44 | $360.00 | $27.83–$190.44 | 33% above | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Lab N. Gonorrhoeae Rna | $91.44 | $360.00 | $162.00–$360.00 | 33% above | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Lab N. Gonorrhoeae Rna | $91.44 | $360.00 | $27.83–$190.44 | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Lab N. Gonorrhoeae Rna | $91.44 | $360.00 | $162.00–$360.00 | — | 75% |
| H. pylori antibody blood test CPT 86677 HC Lab H.Pylori Antibodies | $8.56 | $33.70 | $13.36–$78.73 | 88% below | 75% |
| H. pylori antibody blood test CPT 86677 HC Lab H.Pylori Antibodies | $8.56 | $33.70 | $15.17–$33.70 | 88% below | 75% |
| H. pylori antibody blood test inpatient CPT 86677 HC Lab H.Pylori Antibodies | $8.56 | $33.70 | $15.17–$33.70 | — | 75% |
| H. pylori antibody blood test inpatient CPT 86677 HC Lab H.Pylori Antibodies | $8.56 | $33.70 | $13.36–$78.73 | — | 75% |
| H. pylori stool antigen test CPT 87338 HC H. Pylori Stool Antigen | $18.29 | $72.00 | $11.41–$26.74 | 66% below | 75% |
| H. pylori stool antigen test CPT 87338 HC H. Pylori Stool Antigen | $18.29 | $72.00 | $32.40–$72.00 | 66% below | 75% |
| H. pylori stool antigen test inpatient CPT 87338 HC H. Pylori Stool Antigen | $18.29 | $72.00 | $11.41–$26.74 | — | 75% |
| H. pylori stool antigen test inpatient CPT 87338 HC H. Pylori Stool Antigen | $18.29 | $72.00 | $32.40–$72.00 | — | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Lab Hiv-1 Rna | $233.17 | $918.00 | $413.10–$918.00 | 38% above | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Lab Hiv-1 Rna | $233.17 | $918.00 | $67.49–$461.72 | 38% above | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Lab Hiv-1 Rna | $233.17 | $918.00 | $413.10–$918.00 | — | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Lab Hiv-1 Rna | $233.17 | $918.00 | $67.49–$461.72 | — | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Lab Hiv-1/Hiv-2 Ab Sngl Res | $6.96 | $27.42 | $12.34–$27.42 | 88% below | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Lab Hiv-1/Hiv-2 Ab Sngl Res | $6.96 | $27.42 | $10.87–$74.44 | 88% below | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Lab Hiv-1/Hiv-2 Ab Sngl Res | $6.96 | $27.42 | $12.34–$27.42 | — | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Lab Hiv-1/Hiv-2 Ab Sngl Res | $6.96 | $27.42 | $10.87–$74.44 | — | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $82.55 | $325.00 | $19.09–$118.29 | 69% above | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $82.55 | $325.00 | $146.25–$325.00 | 69% above | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $82.55 | $325.00 | $146.25–$325.00 | — | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $82.55 | $325.00 | $19.09–$118.29 | — | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Human Papillomavirus High-Risk Types | $26.67 | $105.00 | $27.83–$108.42 | 55% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Human Papillomavirus High-Risk Types | $26.67 | $105.00 | $47.25–$105.00 | 55% below | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Iadna Human Papillomavirus High-Risk Types | $26.67 | $105.00 | $47.25–$105.00 | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Iadna Human Papillomavirus High-Risk Types | $26.67 | $105.00 | $27.83–$108.42 | — | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Lab Hemoglobin A1c | $45.47 | $179.00 | $7.70–$52.69 | 32% above | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Lab Hemoglobin A1c | $45.47 | $179.00 | $80.55–$179.00 | 32% above | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Lab Hemoglobin A1c | $45.47 | $179.00 | $80.55–$179.00 | — | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Lab Hemoglobin A1c | $45.47 | $179.00 | $7.70–$52.69 | — | 75% |
| Hemoglobin blood test CPT 85018 HC Lab Hemoglobin | $10.67 | $42.00 | $18.90–$42.00 | 10% below | 75% |
| Hemoglobin blood test CPT 85018 HC Lab Hemoglobin | $10.67 | $42.00 | $1.88–$12.83 | 10% below | 75% |
| Hemoglobin blood test inpatient CPT 85018 HC Lab Hemoglobin | $10.67 | $42.00 | $18.90–$42.00 | — | 75% |
| Hemoglobin blood test inpatient CPT 85018 HC Lab Hemoglobin | $10.67 | $42.00 | $1.88–$12.83 | — | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HC Lab Hep B Core Ab Total | $41.40 | $163.00 | $9.55–$65.42 | 24% above | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HC Lab Hep B Core Ab Total | $41.40 | $163.00 | $73.35–$163.00 | 24% above | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Lab Hep B Core Ab Total | $41.40 | $163.00 | $9.55–$65.42 | — | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Lab Hep B Core Ab Total | $41.40 | $163.00 | $73.35–$163.00 | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Lab Hep BS Ab (Anti-Hbs) | $50.04 | $197.00 | $88.65–$197.00 | 2% above | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Lab Hep BS Ab (Anti-Hbs) | $50.04 | $197.00 | $8.52–$58.26 | 2% above | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Lab Hep BS Ab (Anti-Hbs) | $50.04 | $197.00 | $88.65–$197.00 | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Lab Hep BS Ab (Anti-Hbs) | $50.04 | $197.00 | $8.52–$58.26 | — | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Lab Hep BS Ag (Hbsag) | $39.88 | $157.00 | $70.65–$157.00 | 8% above | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Lab Hep BS Ag (Hbsag) | $39.88 | $157.00 | $8.19–$56.04 | 8% above | 75% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Lab Hep BS Ag (Hbsag) | $39.88 | $157.00 | $8.19–$56.04 | — | 75% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Lab Hep BS Ag (Hbsag) | $39.88 | $157.00 | $70.65–$157.00 | — | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $53.85 | $212.00 | $11.32–$77.47 | 3% above | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $53.85 | $212.00 | $95.40–$212.00 | 3% above | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $53.85 | $212.00 | $11.32–$77.47 | — | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $53.85 | $212.00 | $95.40–$212.00 | — | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Lab Hep C Pcr-Quant | $134.62 | $530.00 | $33.98–$232.45 | 3% above | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Lab Hep C Pcr-Quant | $134.62 | $530.00 | $238.50–$530.00 | 3% above | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Lab Hep C Pcr-Quant | $134.62 | $530.00 | $33.98–$232.45 | — | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Lab Hep C Pcr-Quant | $134.62 | $530.00 | $238.50–$530.00 | — | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Lab Herpes Simpl Type I | $30.73 | $121.00 | $10.46–$51.39 | 22% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Lab Herpes Simpl Type I | $30.73 | $121.00 | $54.45–$121.00 | 22% below | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Lab Herpes Simpl Type I | $30.73 | $121.00 | $10.46–$51.39 | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Lab Herpes Simpl Type I | $30.73 | $121.00 | $54.45–$121.00 | — | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Lab Herpes Simpl Type 2 | $63.25 | $249.00 | $15.35–$105.03 | 18% above | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Lab Herpes Simpl Type 2 | $63.25 | $249.00 | $112.05–$249.00 | 18% above | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Lab Herpes Simpl Type 2 | $63.25 | $249.00 | $112.05–$249.00 | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Lab Herpes Simpl Type 2 | $63.25 | $249.00 | $15.35–$105.03 | — | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC Lab C-Reactive Protein Hs | $42.42 | $167.00 | $75.15–$167.00 | 3% below | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC Lab C-Reactive Protein Hs | $42.42 | $167.00 | $10.27–$40.61 | 3% below | 75% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Lab C-Reactive Protein Hs | $42.42 | $167.00 | $10.27–$40.61 | — | 75% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Lab C-Reactive Protein Hs | $42.42 | $167.00 | $75.15–$167.00 | — | 75% |
| Homocysteine blood test CPT 83090 HC Lab Homocysteine | $51.56 | $203.00 | $91.35–$203.00 | 14% below | 75% |
| Homocysteine blood test CPT 83090 HC Lab Homocysteine | $51.56 | $203.00 | $14.21–$91.52 | 14% below | 75% |
| Homocysteine blood test inpatient CPT 83090 HC Lab Homocysteine | $51.56 | $203.00 | $91.35–$203.00 | — | 75% |
| Homocysteine blood test inpatient CPT 83090 HC Lab Homocysteine | $51.56 | $203.00 | $14.21–$91.52 | — | 75% |
| Insulin blood test CPT 83525 HC Lab Insulin | $38.61 | $152.00 | $9.06–$62.07 | 1% below | 75% |
| Insulin blood test CPT 83525 HC Lab Insulin | $38.61 | $152.00 | $68.40–$152.00 | 1% below | 75% |
| Insulin blood test inpatient CPT 83525 HC Lab Insulin | $38.61 | $152.00 | $68.40–$152.00 | — | 75% |
| Insulin blood test inpatient CPT 83525 HC Lab Insulin | $38.61 | $152.00 | $9.06–$62.07 | — | 75% |
| Iron blood test (serum iron) CPT 83540 HC Lab Iron Serum | $30.73 | $121.00 | $54.45–$121.00 | 23% above | 75% |
| Iron blood test (serum iron) CPT 83540 HC Lab Liver Tissue for Iron | $30.73 | $121.00 | $54.45–$121.00 | 23% above | 75% |
| Iron blood test (serum iron) CPT 83540 HC Lab Iron Serum | $30.73 | $121.00 | $5.14–$35.14 | 23% above | 75% |
| Iron blood test (serum iron) CPT 83540 HC Lab Liver Tissue for Iron | $30.73 | $121.00 | $5.14–$35.14 | 23% above | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Lab Liver Tissue for Iron | $30.73 | $121.00 | $54.45–$121.00 | — | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Lab Iron Serum | $30.73 | $121.00 | $54.45–$121.00 | — | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Lab Liver Tissue for Iron | $30.73 | $121.00 | $5.14–$35.14 | — | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Lab Iron Serum | $30.73 | $121.00 | $5.14–$35.14 | — | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Lab Total Iron Bind Cap | $29.72 | $117.00 | $6.93–$47.43 | 11% above | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Lab Total Iron Bind Cap | $29.72 | $117.00 | $52.65–$117.00 | 11% above | 75% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Lab Total Iron Bind Cap | $29.72 | $117.00 | $52.65–$117.00 | — | 75% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Lab Total Iron Bind Cap | $29.72 | $117.00 | $6.93–$47.43 | — | 75% |
| LH (luteinizing hormone) test CPT 83002 HC Lab Lutenizing Hormone | $55.63 | $219.00 | $14.69–$100.52 | 12% below | 75% |
| LH (luteinizing hormone) test CPT 83002 HC Lab Lutenizing Hormone | $55.63 | $219.00 | $98.55–$219.00 | 12% below | 75% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Lab Lutenizing Hormone | $55.63 | $219.00 | $98.55–$219.00 | — | 75% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Lab Lutenizing Hormone | $55.63 | $219.00 | $14.69–$100.52 | — | 75% |
| Lactate (lactic acid) blood test CPT 83605 Point of Care Lactate | $40.39 | $159.00 | $71.55–$159.00 | 5% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC Lab Lactic Acid | $40.39 | $159.00 | $71.55–$159.00 | 5% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC Lab Lactate CSF | $40.39 | $159.00 | $71.55–$159.00 | 5% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 Point of Care Lactate | $40.39 | $159.00 | $9.17–$57.95 | 5% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC Lab Lactate CSF | $40.39 | $159.00 | $9.17–$57.95 | 5% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC Lab Lactic Acid | $40.39 | $159.00 | $9.17–$57.95 | 5% below | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Point of Care Lactate | $40.39 | $159.00 | $9.17–$57.95 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Point of Care Lactate | $40.39 | $159.00 | $71.55–$159.00 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lab Lactate CSF | $40.39 | $159.00 | $71.55–$159.00 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lab Lactic Acid | $40.39 | $159.00 | $71.55–$159.00 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lab Lactic Acid | $40.39 | $159.00 | $9.17–$57.95 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lab Lactate CSF | $40.39 | $159.00 | $9.17–$57.95 | — | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lab Ldh | $23.88 | $94.00 | $42.30–$94.00 | 15% above | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lab Ldh | $23.88 | $94.00 | $4.79–$32.78 | 15% above | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lab Ldh | $23.88 | $94.00 | $4.79–$32.78 | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lab Ldh | $23.88 | $94.00 | $42.30–$94.00 | — | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lab Lipase | $32.51 | $128.00 | $57.60–$128.00 | 20% above | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lab Lipase | $32.51 | $128.00 | $5.47–$37.39 | 20% above | 75% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lab Lipase | $32.51 | $128.00 | $5.47–$37.39 | — | 75% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lab Lipase | $32.51 | $128.00 | $57.60–$128.00 | — | 75% |
| Liver function blood test panel CPT 80076 HC Lab Hepatic Function Panel | $42.42 | $167.00 | $6.48–$44.32 | 34% below | 75% |
| Liver function blood test panel CPT 80076 HC Lab Hepatic Function Panel | $42.42 | $167.00 | $75.15–$167.00 | 34% below | 75% |
| Liver function blood test panel inpatient CPT 80076 HC Lab Hepatic Function Panel | $42.42 | $167.00 | $75.15–$167.00 | — | 75% |
| Liver function blood test panel inpatient CPT 80076 HC Lab Hepatic Function Panel | $42.42 | $167.00 | $6.48–$44.32 | — | 75% |
| Lyme disease antibody test CPT 86618 HC Lab Lyme Disease Ab Total | $55.88 | $220.00 | $99.00–$220.00 | 2% below | 75% |
| Lyme disease antibody test CPT 86618 HC Lab Lyme Disease Ab Total | $55.88 | $220.00 | $13.51–$92.41 | 2% below | 75% |
| Lyme disease antibody test inpatient CPT 86618 HC Lab Lyme Disease Ab Total | $55.88 | $220.00 | $99.00–$220.00 | — | 75% |
| Lyme disease antibody test inpatient CPT 86618 HC Lab Lyme Disease Ab Total | $55.88 | $220.00 | $13.51–$92.41 | — | 75% |
| Magnesium blood test CPT 83735 HC Lab Magnesium | $31.50 | $124.00 | $55.80–$124.00 | 15% above | 75% |
| Magnesium blood test CPT 83735 HC Lab Magnesium | $31.50 | $124.00 | $5.32–$36.36 | 15% above | 75% |
| Magnesium blood test CPT 83735 HC Lab Magnesium Stool | $31.50 | $124.00 | $5.32–$36.36 | 15% above | 75% |
| Magnesium blood test CPT 83735 HC Lab Magnesium Stool | $31.50 | $124.00 | $55.80–$124.00 | 15% above | 75% |
| Magnesium blood test inpatient CPT 83735 HC Lab Magnesium Stool | $31.50 | $124.00 | $5.32–$36.36 | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC Lab Magnesium | $31.50 | $124.00 | $55.80–$124.00 | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC Lab Magnesium Stool | $31.50 | $124.00 | $55.80–$124.00 | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC Lab Magnesium | $31.50 | $124.00 | $5.32–$36.36 | — | 75% |
| Measles (rubeola) antibody test CPT 86765 HC Lab Rubeola Antibodies Igm | $33.78 | $133.00 | $10.21–$69.93 | 2% below | 75% |
| Measles (rubeola) antibody test CPT 86765 HC Lab Rubeola Antibodies Igm | $33.78 | $133.00 | $59.85–$133.00 | 2% below | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Lab Rubeola Antibodies Igm | $33.78 | $133.00 | $59.85–$133.00 | — | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Lab Rubeola Antibodies Igm | $33.78 | $133.00 | $10.21–$69.93 | — | 75% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Lab Infect Mono Screen | $17.78 | $70.00 | $4.11–$28.08 | 8% below | 75% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Lab Infect Mono Screen | $17.78 | $70.00 | $31.50–$70.00 | 8% below | 75% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Lab Infect Mono Screen | $17.78 | $70.00 | $31.50–$70.00 | — | 75% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Lab Infect Mono Screen | $17.78 | $70.00 | $4.11–$28.08 | — | 75% |
| Mumps immunity blood test CPT 86735 HC Lab Mumps Ab Igg | $34.29 | $135.00 | $60.75–$135.00 | 7% below | 75% |
| Mumps immunity blood test CPT 86735 HC Lab Mumps Ab Igg | $34.29 | $135.00 | $10.35–$70.79 | 7% below | 75% |
| Mumps immunity blood test inpatient CPT 86735 HC Lab Mumps Ab Igg | $34.29 | $135.00 | $60.75–$135.00 | — | 75% |
| Mumps immunity blood test inpatient CPT 86735 HC Lab Mumps Ab Igg | $34.29 | $135.00 | $10.35–$70.79 | — | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Lab Psa Free | $56.64 | $223.00 | $100.35–$223.00 | 3% above | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Lab Psa Free | $56.64 | $223.00 | $14.58–$99.81 | 3% above | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Lab Psa Free | $56.64 | $223.00 | $100.35–$223.00 | — | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Lab Psa Free | $56.64 | $223.00 | $14.58–$99.81 | — | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Lab Prostatic Specific Antigen | $60.20 | $237.00 | $106.65–$237.00 | 3% above | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Lab Prostatic Specific Antigen | $60.20 | $237.00 | $14.58–$99.81 | 3% above | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Lab Prostatic Specific Antigen | $60.20 | $237.00 | $106.65–$237.00 | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Lab Prostatic Specific Antigen | $60.20 | $237.00 | $14.58–$99.81 | — | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Smear Auto Scrn Man Rescrn | $57.40 | $226.00 | $21.11–$52.69 | 36% above | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Smear Auto Scrn Man Rescrn | $57.40 | $226.00 | $101.70–$226.00 | 36% above | 75% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap Smear Auto Scrn Man Rescrn | $57.40 | $226.00 | $101.70–$226.00 | — | 75% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap Smear Auto Scrn Man Rescrn | $57.40 | $226.00 | $21.11–$52.69 | — | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cervical-Vaginal Thin Layer PR | $49.53 | $195.00 | $87.75–$195.00 | 2% above | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cervical-Vaginal Thin Layer PR | $49.53 | $195.00 | $16.07–$74.60 | 2% above | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cervical-Vaginal Thin Layer PR | $49.53 | $195.00 | $16.07–$74.60 | — | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cervical-Vaginal Thin Layer PR | $49.53 | $195.00 | $87.75–$195.00 | — | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Lab Pth (Intraoperative) Hixson | $123.44 | $486.00 | $218.70–$486.00 | 12% above | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Lab Pth (Intraoperative) Hixson | $123.44 | $486.00 | $32.73–$223.98 | 12% above | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Lab Pth (Intraoperative) Hixson | $123.44 | $486.00 | $218.70–$486.00 | — | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Lab Pth (Intraoperative) Hixson | $123.44 | $486.00 | $32.73–$223.98 | — | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lab Ptt | $23.37 | $92.00 | $4.77–$32.59 | 12% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lab Ptt | $23.37 | $92.00 | $41.40–$92.00 | 12% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lab Thromboplastin Time Partial | $25.40 | $100.00 | $4.77–$32.59 | 5% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lab Thromboplastin Time Partial | $25.40 | $100.00 | $45.00–$100.00 | 5% below | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Lab Ptt | $23.37 | $92.00 | $4.77–$32.59 | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Lab Ptt | $23.37 | $92.00 | $41.40–$92.00 | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Lab Thromboplastin Time Partial | $25.40 | $100.00 | $45.00–$100.00 | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Lab Thromboplastin Time Partial | $25.40 | $100.00 | $4.77–$32.59 | — | 75% |
| Phosphorus (phosphate) blood test CPT 84100 HC Lab Phosphorus | $18.80 | $74.00 | $33.30–$74.00 | 31% below | 75% |
| Phosphorus (phosphate) blood test CPT 84100 HC Lab Phosphorus | $18.80 | $74.00 | $3.76–$25.77 | 31% below | 75% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Lab Phosphorus | $18.80 | $74.00 | $33.30–$74.00 | — | 75% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Lab Phosphorus | $18.80 | $74.00 | $3.76–$25.77 | — | 75% |
| Potassium blood test CPT 84132 HC Lab Assay Serum Potassium | $22.10 | $87.00 | $3.77–$24.93 | 5% above | 75% |
| Potassium blood test CPT 84132 HC Lab Potassium | $22.10 | $87.00 | $39.15–$87.00 | 5% above | 75% |
| Potassium blood test CPT 84132 HC Lab Assay Serum Potassium | $22.10 | $87.00 | $39.15–$87.00 | 5% above | 75% |
| Potassium blood test CPT 84132 HC Lab Potassium | $22.10 | $87.00 | $3.77–$24.93 | 5% above | 75% |
| Potassium blood test inpatient CPT 84132 HC Lab Potassium | $22.10 | $87.00 | $3.77–$24.93 | — | 75% |
| Potassium blood test inpatient CPT 84132 HC Lab Assay Serum Potassium | $22.10 | $87.00 | $39.15–$87.00 | — | 75% |
| Potassium blood test inpatient CPT 84132 HC Lab Potassium | $22.10 | $87.00 | $39.15–$87.00 | — | 75% |
| Potassium blood test inpatient CPT 84132 HC Lab Assay Serum Potassium | $22.10 | $87.00 | $3.77–$24.93 | — | 75% |
| Progesterone blood test CPT 84144 HC Lab Progesterone | $71.37 | $281.00 | $16.54–$113.20 | 28% above | 75% |
| Progesterone blood test CPT 84144 HC Lab Progesterone | $71.37 | $281.00 | $126.45–$281.00 | 28% above | 75% |
| Progesterone blood test inpatient CPT 84144 HC Lab Progesterone | $71.37 | $281.00 | $126.45–$281.00 | — | 75% |
| Progesterone blood test inpatient CPT 84144 HC Lab Progesterone | $71.37 | $281.00 | $16.54–$113.20 | — | 75% |
| Prolactin blood test CPT 84146 HC Lab Prolactin | $71.37 | $281.00 | $15.37–$105.15 | 22% above | 75% |
| Prolactin blood test CPT 84146 HC Lab Prolactin | $71.37 | $281.00 | $126.45–$281.00 | 22% above | 75% |
| Prolactin blood test inpatient CPT 84146 HC Lab Prolactin | $71.37 | $281.00 | $15.37–$105.15 | — | 75% |
| Prolactin blood test inpatient CPT 84146 HC Lab Prolactin | $71.37 | $281.00 | $126.45–$281.00 | — | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Lab Pt | $16.26 | $64.00 | $3.40–$21.33 | 19% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Lab Pt | $16.26 | $64.00 | $28.80–$64.00 | 19% below | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Lab Pt | $16.26 | $64.00 | $3.40–$21.33 | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Lab Pt | $16.26 | $64.00 | $28.80–$64.00 | — | 75% |
| Rapid flu test (influenza antigen) CPT 87804 HC Lab Influenza Ia W/Do | $8.41 | $33.10 | $13.13–$30.77 | 82% below | 75% |
| Rapid flu test (influenza antigen) CPT 87804 HC Lab Influenza Ia W/Do | $8.41 | $33.10 | $14.90–$33.10 | 82% below | 75% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Lab Influenza Ia W/Do | $8.41 | $33.10 | $14.90–$33.10 | — | 75% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Lab Influenza Ia W/Do | $8.41 | $33.10 | $13.13–$30.77 | — | 75% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Lab Rapid Strep a Ag | $25.91 | $102.00 | $45.90–$102.00 | 3% below | 75% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Lab Rapid Strep a Ag | $25.91 | $102.00 | $13.10–$48.89 | 3% below | 75% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Lab Rapid Strep a Ag | $25.91 | $102.00 | $45.90–$102.00 | — | 75% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Lab Rapid Strep a Ag | $25.91 | $102.00 | $13.10–$48.89 | — | 75% |
| Renin blood test CPT 84244 HC Lab Rennin Direct | $75.69 | $298.00 | $134.10–$298.00 | at median | 75% |
| Renin blood test CPT 84244 HC Lab Rennin Direct | $75.69 | $298.00 | $17.43–$119.37 | at median | 75% |
| Renin blood test inpatient CPT 84244 HC Lab Rennin Direct | $75.69 | $298.00 | $17.43–$119.37 | — | 75% |
| Renin blood test inpatient CPT 84244 HC Lab Rennin Direct | $75.69 | $298.00 | $134.10–$298.00 | — | 75% |
| Rh blood typing CPT 86901 HC Lab Blood Typing Rhd Serologic | $69.09 | $272.00 | $35.72–$272.00 | 131% above | 75% |
| Rh blood typing CPT 86901 HC Lab Blood Typing Rhd Serologic | $69.09 | $272.00 | $2.37–$79.45 | 131% above | 75% |
| Rh blood typing inpatient CPT 86901 HC Lab Blood Typing Rhd Serologic | $69.09 | $272.00 | $35.72–$272.00 | — | 75% |
| Rh blood typing inpatient CPT 86901 HC Lab Blood Typing Rhd Serologic | $69.09 | $272.00 | $2.37–$79.45 | — | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC Lab Rheumatoid Arth Ttr | $33.53 | $132.00 | $59.40–$132.00 | 16% above | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC Lab Rheumatoid Arth Ttr | $33.53 | $132.00 | $4.50–$30.82 | 16% above | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Lab Rheumatoid Arth Ttr | $33.53 | $132.00 | $4.50–$30.82 | — | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Lab Rheumatoid Arth Ttr | $33.53 | $132.00 | $59.40–$132.00 | — | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC Lab Rubella Antibodies Igm | $43.43 | $171.00 | $11.41–$78.09 | 17% above | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC Lab Rubella Antibodies Igm | $43.43 | $171.00 | $76.95–$171.00 | 17% above | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Lab Rubella Antibodies Igm | $43.43 | $171.00 | $11.41–$78.09 | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Lab Rubella Antibodies Igm | $43.43 | $171.00 | $76.95–$171.00 | — | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Lab Sedimentation Rate (Sed) | $8.64 | $34.00 | $2.15–$14.65 | 62% below | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Lab Sedimentation Rate (Sed) | $8.64 | $34.00 | $15.30–$34.00 | 62% below | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Lab Sedimentation Rate (Sed) | $8.64 | $34.00 | $2.15–$14.65 | — | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Lab Sedimentation Rate (Sed) | $8.64 | $34.00 | $15.30–$34.00 | — | 75% |
| Sodium blood test CPT 84295 HC Lab Assay Serum Sodium | $11.94 | $47.00 | $21.15–$47.00 | 44% below | 75% |
| Sodium blood test CPT 84295 HC Lab Assay Serum Sodium | $11.94 | $47.00 | $3.82–$26.13 | 44% below | 75% |
| Sodium blood test CPT 84295 HC Lab Sodium | $22.86 | $90.00 | $3.82–$26.13 | 8% above | 75% |
| Sodium blood test CPT 84295 HC Lab Sodium | $22.86 | $90.00 | $40.50–$90.00 | 8% above | 75% |
| Sodium blood test inpatient CPT 84295 HC Lab Assay Serum Sodium | $11.94 | $47.00 | $3.82–$26.13 | — | 75% |
| Sodium blood test inpatient CPT 84295 HC Lab Assay Serum Sodium | $11.94 | $47.00 | $21.15–$47.00 | — | 75% |
| Sodium blood test inpatient CPT 84295 HC Lab Sodium | $22.86 | $90.00 | $40.50–$90.00 | — | 75% |
| Sodium blood test inpatient CPT 84295 HC Lab Sodium | $22.86 | $90.00 | $3.82–$26.13 | — | 75% |
| Stool ova and parasites exam CPT 87177 HC Lab Ova-Parasite Exam | $25.15 | $99.00 | $7.06–$48.30 | 21% below | 75% |
| Stool ova and parasites exam CPT 87177 HC Lab Ova-Parasite Exam | $25.15 | $99.00 | $44.55–$99.00 | 21% below | 75% |
| Stool ova and parasites exam inpatient CPT 87177 HC Lab Ova-Parasite Exam | $25.15 | $99.00 | $44.55–$99.00 | — | 75% |
| Stool ova and parasites exam inpatient CPT 87177 HC Lab Ova-Parasite Exam | $25.15 | $99.00 | $7.06–$48.30 | — | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Guaiac | $7.62 | $30.00 | $3.48–$17.62 | 64% below | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Guaiac | $7.62 | $30.00 | $13.50–$30.00 | 64% below | 75% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood Guaiac | $7.62 | $30.00 | $13.50–$30.00 | — | 75% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood Guaiac | $7.62 | $30.00 | $3.48–$17.62 | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Blood Ifobt | $12.19 | $48.00 | $21.60–$48.00 | 62% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Blood Ifobt | $12.19 | $48.00 | $12.63–$50.44 | 62% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Blood Ifobt | $12.19 | $48.00 | $12.63–$50.44 | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Blood Ifobt | $12.19 | $48.00 | $21.60–$48.00 | — | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Lab TPA Confirmation | $41.66 | $164.00 | $10.50–$44.38 | 64% above | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Lab TPA Confirmation | $41.66 | $164.00 | $73.80–$164.00 | 64% above | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Lab TPA Confirmation | $41.66 | $164.00 | $10.50–$44.38 | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Lab TPA Confirmation | $41.66 | $164.00 | $73.80–$164.00 | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Lab Syphilis Test Nontrp Ql | $19.56 | $77.00 | $34.65–$77.00 | 12% above | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Lab Syphilis Test Nontrp Ql | $19.56 | $77.00 | $3.39–$23.18 | 12% above | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Lab Syphilis Test Nontrp Ql | $19.56 | $77.00 | $3.39–$23.18 | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Lab Syphilis Test Nontrp Ql | $19.56 | $77.00 | $34.65–$77.00 | — | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Lab Quantiferon-TB | $200.91 | $791.00 | $49.15–$203.12 | 148% above | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Lab Quantiferon-TB | $200.91 | $791.00 | $355.95–$791.00 | 148% above | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Lab Quantiferon-TB | $200.91 | $791.00 | $49.15–$203.12 | — | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Lab Quantiferon-TB | $200.91 | $791.00 | $355.95–$791.00 | — | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Lab Testosterone Total by Lc Ms/M | $75.44 | $297.00 | $133.65–$297.00 | 3% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Lab Testosterone Total by Lc Ms/M | $75.44 | $297.00 | $20.47–$140.10 | 3% below | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Lab Testosterone Total by Lc Ms/M | $75.44 | $297.00 | $20.47–$140.10 | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Lab Testosterone Total by Lc Ms/M | $75.44 | $297.00 | $133.65–$297.00 | — | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Lab Lc-1 (Liver Cytosol Prot 1) | $50.04 | $197.00 | $11.54–$78.95 | 28% above | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Lab Lc-1 (Liver Cytosol Prot 1) | $50.04 | $197.00 | $88.65–$197.00 | 28% above | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroid Peroixidase Antibody | $50.04 | $197.00 | $88.65–$197.00 | 28% above | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroid Peroixidase Antibody | $50.04 | $197.00 | $11.54–$78.95 | 28% above | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Lab Lc-1 (Liver Cytosol Prot 1) | $50.04 | $197.00 | $11.54–$78.95 | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Thyroid Peroixidase Antibody | $50.04 | $197.00 | $11.54–$78.95 | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Thyroid Peroixidase Antibody | $50.04 | $197.00 | $88.65–$197.00 | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Lab Lc-1 (Liver Cytosol Prot 1) | $50.04 | $197.00 | $88.65–$197.00 | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Lab Tsh | $70.87 | $279.00 | $13.32–$91.13 | 48% above | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Lab Tsh | $70.87 | $279.00 | $125.55–$279.00 | 48% above | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Lab Tsh | $70.87 | $279.00 | $125.55–$279.00 | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Lab Tsh | $70.87 | $279.00 | $13.32–$91.13 | — | 75% |
| Total IgE blood test CPT 82785 HC Lab Ige Total | $46.23 | $182.00 | $13.05–$87.86 | 7% above | 75% |
| Total IgE blood test CPT 82785 HC Lab Ige Total | $46.23 | $182.00 | $81.90–$182.00 | 7% above | 75% |
| Total IgE blood test inpatient CPT 82785 HC Lab Ige Total | $46.23 | $182.00 | $81.90–$182.00 | — | 75% |
| Total IgE blood test inpatient CPT 82785 HC Lab Ige Total | $46.23 | $182.00 | $13.05–$87.86 | — | 75% |
| Total cholesterol blood test CPT 82465 HC Lab Fhp Cholesterol | $17.02 | $67.00 | $3.45–$23.64 | 37% below | 75% |
| Total cholesterol blood test CPT 82465 HC Lab Cholesterol | $17.02 | $67.00 | $30.15–$67.00 | 37% below | 75% |
| Total cholesterol blood test CPT 82465 HC Lab Fhp Cholesterol | $17.02 | $67.00 | $30.15–$67.00 | 37% below | 75% |
| Total cholesterol blood test CPT 82465 HC Lab Cholesterol | $17.02 | $67.00 | $3.45–$23.64 | 37% below | 75% |
| Total cholesterol blood test inpatient CPT 82465 HC Lab Cholesterol | $17.02 | $67.00 | $3.45–$23.64 | — | 75% |
| Total cholesterol blood test inpatient CPT 82465 HC Lab Fhp Cholesterol | $17.02 | $67.00 | $30.15–$67.00 | — | 75% |
| Total cholesterol blood test inpatient CPT 82465 HC Lab Fhp Cholesterol | $17.02 | $67.00 | $3.45–$23.64 | — | 75% |
| Total cholesterol blood test inpatient CPT 82465 HC Lab Cholesterol | $17.02 | $67.00 | $30.15–$67.00 | — | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC Lab T4 Thyroxine | $25.40 | $100.00 | $5.45–$33.80 | at median | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC Lab T4 Thyroxine | $25.40 | $100.00 | $45.00–$100.00 | at median | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC Lab T4 Thyroxine | $25.40 | $100.00 | $45.00–$100.00 | — | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC Lab T4 Thyroxine | $25.40 | $100.00 | $5.45–$33.80 | — | 75% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Lab T3 | $53.59 | $211.00 | $11.25–$76.96 | 18% above | 75% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Lab T3 | $53.59 | $211.00 | $94.95–$211.00 | 18% above | 75% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Lab T3 | $53.59 | $211.00 | $94.95–$211.00 | — | 75% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Lab T3 | $53.59 | $211.00 | $11.25–$76.96 | — | 75% |
| Transferrin blood test CPT 84466 HC Lab Transferrin | $38.35 | $151.00 | $67.95–$151.00 | 7% above | 75% |
| Transferrin blood test CPT 84466 HC Lab Transferrin | $38.35 | $151.00 | $10.11–$69.30 | 7% above | 75% |
| Transferrin blood test inpatient CPT 84466 HC Lab Transferrin | $38.35 | $151.00 | $67.95–$151.00 | — | 75% |
| Transferrin blood test inpatient CPT 84466 HC Lab Transferrin | $38.35 | $151.00 | $10.11–$69.30 | — | 75% |
| Trichomonas test (NAAT) CPT 87661 Trichamonas Vag by Naa | $98.81 | $389.00 | $175.05–$389.00 | 99% above | 75% |
| Trichomonas test (NAAT) CPT 87661 Trichamonas Vag by Naa | $98.81 | $389.00 | $27.83–$108.66 | 99% above | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichamonas Vag by Naa | $98.81 | $389.00 | $27.83–$108.66 | — | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichamonas Vag by Naa | $98.81 | $389.00 | $175.05–$389.00 | — | 75% |
| Triglycerides blood test CPT 84478 HC Lab Triglyceride | $20.32 | $80.00 | $4.55–$31.21 | 13% below | 75% |
| Triglycerides blood test CPT 84478 HC Lab Fhp Triglycerides | $20.32 | $80.00 | $4.55–$31.21 | 13% below | 75% |
| Triglycerides blood test CPT 84478 HC Lab Fhp Triglycerides | $20.32 | $80.00 | $36.00–$80.00 | 13% below | 75% |
| Triglycerides blood test CPT 84478 HC Lab Triglyceride | $20.32 | $80.00 | $36.00–$80.00 | 13% below | 75% |
| Triglycerides blood test inpatient CPT 84478 HC Lab Fhp Triglycerides | $20.32 | $80.00 | $36.00–$80.00 | — | 75% |
| Triglycerides blood test inpatient CPT 84478 HC Lab Triglyceride | $20.32 | $80.00 | $4.55–$31.21 | — | 75% |
| Triglycerides blood test inpatient CPT 84478 HC Lab Fhp Triglycerides | $20.32 | $80.00 | $4.55–$31.21 | — | 75% |
| Triglycerides blood test inpatient CPT 84478 HC Lab Triglyceride | $20.32 | $80.00 | $36.00–$80.00 | — | 75% |
| Troponin test, quantitative CPT 84484 HC Lab Troponin | $50.55 | $199.00 | $9.89–$53.40 | 18% below | 75% |
| Troponin test, quantitative CPT 84484 HC Lab Troponin | $50.55 | $199.00 | $89.55–$199.00 | 18% below | 75% |
| Troponin test, quantitative inpatient CPT 84484 HC Lab Troponin | $50.55 | $199.00 | $89.55–$199.00 | — | 75% |
| Troponin test, quantitative inpatient CPT 84484 HC Lab Troponin | $50.55 | $199.00 | $9.89–$53.40 | — | 75% |
| Uric acid blood test CPT 84550 HC Lab Uric Acid | $20.07 | $79.00 | $35.55–$79.00 | 23% below | 75% |
| Uric acid blood test CPT 84550 HC Lab Uric Acid | $20.07 | $79.00 | $3.59–$24.54 | 23% below | 75% |
| Uric acid blood test inpatient CPT 84550 HC Lab Uric Acid | $20.07 | $79.00 | $35.55–$79.00 | — | 75% |
| Uric acid blood test inpatient CPT 84550 HC Lab Uric Acid | $20.07 | $79.00 | $3.59–$24.54 | — | 75% |
| Urinalysis with microscope exam, automated CPT 81001 HC Lab Auto Urinalys W/ Micro | $12.70 | $50.00 | $22.50–$50.00 | 28% below | 75% |
| Urinalysis with microscope exam, automated CPT 81001 HC Lab Auto Urinalys W/ Micro | $12.70 | $50.00 | $2.51–$17.15 | 28% below | 75% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Lab Auto Urinalys W/ Micro | $12.70 | $50.00 | $22.50–$50.00 | — | 75% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Lab Auto Urinalys W/ Micro | $12.70 | $50.00 | $2.51–$17.15 | — | 75% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Non Automated (Bo) | $8.38 | $33.00 | $3.18–$17.15 | 52% below | 75% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Non Automated (Bo) | $8.38 | $33.00 | $14.85–$33.00 | 52% below | 75% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis Non Automated (Bo) | $8.38 | $33.00 | $14.85–$33.00 | — | 75% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis Non Automated (Bo) | $8.38 | $33.00 | $3.18–$17.15 | — | 75% |
| Urinalysis without microscope exam, automated CPT 81003 HC Lab Auto Urinalys WO Micro | $11.43 | $45.00 | $1.78–$12.18 | 19% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 HC Lab Auto Urinalys WO Micro | $11.43 | $45.00 | $20.25–$45.00 | 19% below | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Lab Auto Urinalys WO Micro | $11.43 | $45.00 | $20.25–$45.00 | — | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Lab Auto Urinalys WO Micro | $11.43 | $45.00 | $1.78–$12.18 | — | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC Lab Non Auto Urinalysis | $8.64 | $34.00 | $2.76–$13.90 | 26% below | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC Lab N-Auto Urinalys Ot POC | $8.64 | $34.00 | $15.30–$34.00 | 26% below | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC Lab Non Auto Urinalysis | $8.64 | $34.00 | $15.30–$34.00 | 26% below | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC Lab N-Auto Urinalys Ot POC | $8.64 | $34.00 | $2.76–$13.90 | 26% below | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Lab N-Auto Urinalys Ot POC | $8.64 | $34.00 | $2.76–$13.90 | — | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Lab Non Auto Urinalysis | $8.64 | $34.00 | $15.30–$34.00 | — | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Lab N-Auto Urinalys Ot POC | $8.64 | $34.00 | $15.30–$34.00 | — | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Lab Non Auto Urinalysis | $8.64 | $34.00 | $2.76–$13.90 | — | 75% |
| Urine culture for bacteria, with colony count CPT 87086 HC Lab Cult-Urine | $28.70 | $113.00 | $6.41–$43.82 | at median | 75% |
| Urine culture for bacteria, with colony count CPT 87086 HC Lab Cult-Urine | $28.70 | $113.00 | $50.85–$113.00 | at median | 75% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Lab Cult-Urine | $28.70 | $113.00 | $50.85–$113.00 | — | 75% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Lab Cult-Urine | $28.70 | $113.00 | $6.41–$43.82 | — | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC Lab Microalbumin 24 Hr Urine | $18.80 | $74.00 | $4.59–$31.41 | 10% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC Lab Microalbumin 24 Hr Urine | $18.80 | $74.00 | $33.30–$74.00 | 10% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC Lab Microalbumin Urine | $18.80 | $74.00 | $33.30–$74.00 | 10% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC Lab Microalbumin Urine | $18.80 | $74.00 | $4.59–$31.41 | 10% below | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Lab Microalbumin 24 Hr Urine | $18.80 | $74.00 | $4.59–$31.41 | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Lab Microalbumin 24 Hr Urine | $18.80 | $74.00 | $33.30–$74.00 | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Lab Microalbumin Urine | $18.80 | $74.00 | $4.59–$31.41 | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Lab Microalbumin Urine | $18.80 | $74.00 | $33.30–$74.00 | — | 75% |
| Urine pregnancy test, read by color change CPT 81025 HC Lab Preg Urine Vis Clr | $28.70 | $113.00 | $6.83–$34.31 | at median | 75% |
| Urine pregnancy test, read by color change CPT 81025 HC Lab Preg Urine Vis Clr | $28.70 | $113.00 | $50.85–$113.00 | at median | 75% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Lab Preg Urine Vis Clr | $28.70 | $113.00 | $50.85–$113.00 | — | 75% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Lab Preg Urine Vis Clr | $28.70 | $113.00 | $6.83–$34.31 | — | 75% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Lab Assay Vitamin B-12 | $52.07 | $205.00 | $11.96–$81.81 | 3% below | 75% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Lab Assay Vitamin B-12 | $52.07 | $205.00 | $92.25–$205.00 | 3% below | 75% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Lab Assay Vitamin B-12 | $52.07 | $205.00 | $92.25–$205.00 | — | 75% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Lab Assay Vitamin B-12 | $52.07 | $205.00 | $11.96–$81.81 | — | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Lab Vitamin D 25-Oh | $101.35 | $399.00 | $179.55–$399.00 | 37% above | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Lab Vitamin D 25-Oh | $101.35 | $399.00 | $23.47–$160.64 | 37% above | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Lab Vitamin D 25-Oh | $101.35 | $399.00 | $23.47–$160.64 | — | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Lab Vitamin D 25-Oh | $101.35 | $399.00 | $179.55–$399.00 | — | 75% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Lab Vitamin D 125-Dihydrox | $95.50 | $376.00 | $30.54–$208.85 | 5% below | 75% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Lab Vitamin D 125-Dihydrox | $95.50 | $376.00 | $169.20–$376.00 | 5% below | 75% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Lab Vitamin D 125-Dihydrox | $95.50 | $376.00 | $169.20–$376.00 | — | 75% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Lab Vitamin D 125-Dihydrox | $95.50 | $376.00 | $30.54–$208.85 | — | 75% |
| Zinc blood test CPT 84630 HC Lab Zinc RBC | $38.10 | $150.00 | $67.50–$150.00 | 1% above | 75% |
| Zinc blood test CPT 84630 HC Lab Zinc RBC | $38.10 | $150.00 | $9.03–$61.81 | 1% above | 75% |
| Zinc blood test inpatient CPT 84630 HC Lab Zinc RBC | $38.10 | $150.00 | $67.50–$150.00 | — | 75% |
| Zinc blood test inpatient CPT 84630 HC Lab Zinc RBC | $38.10 | $150.00 | $9.03–$61.81 | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Lab Hcg Quantitative | $47.75 | $188.00 | $11.93–$43.85 | 20% above | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Lab Hcg Quantitative | $47.75 | $188.00 | $84.60–$188.00 | 20% above | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Lab Hcg Quantitative | $47.75 | $188.00 | $11.93–$43.85 | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Lab Hcg Quantitative | $47.75 | $188.00 | $84.60–$188.00 | — | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast 1st Lesion Strtctc | $1,508.51 | $5,939.00 | $250.00 | 3% above | 75% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast 1st Lesion Strtctc | $1,508.51 | $5,939.00 | $152.00–$6,955.00 | — | 75% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Cl Tx Lat Malle WO Mnp | $181.61 | $715.00 | $21.00–$6,955.00 | 45% below | 75% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Cl Tx Lat Malle WO Mnp | $181.61 | $715.00 | $21.00–$6,955.00 | — | 75% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Cl Tx Mtrsal WO Mnp | $181.61 | $715.00 | $21.00–$6,955.00 | 56% below | 75% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Cl Tx Mtrsal WO Mnp | $181.61 | $715.00 | $21.00–$6,955.00 | — | 75% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L Hrt Art/Ventr Angio | $2,992.12 | $11,780.00 | $300.00–$11,780.00 | 34% below | 75% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L Hrt Art/Ventr Angio | $2,992.12 | $11,780.00 | $8,248.00–$12,000.00 | 34% below | 75% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Hrt Art/Ventr Angio | $2,992.12 | $11,780.00 | $8,248.00–$12,000.00 | — | 75% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Hrt Art/Ventr Angio | $2,992.12 | $11,780.00 | $300.00–$11,780.00 | — | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CardioversionExternal | $396.49 | $1,561.00 | $59.00–$9,020.00 | 42% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CardioversionExternal | $396.49 | $1,561.00 | $8,248.00–$12,000.00 | 42% below | 75% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CardioversionExternal | $396.49 | $1,561.00 | $8,248.00–$12,000.00 | — | 75% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CardioversionExternal | $396.49 | $1,561.00 | $59.00–$9,020.00 | — | 75% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision Newborn | $1,015.49 | $3,998.00 | $188.00–$6,955.00 | 4% above | 75% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision Newborn | $1,015.49 | $3,998.00 | $188.00–$6,955.00 | — | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cl Tx Colles Fx W/O Mnp | $181.61 | $715.00 | $21.00–$6,955.00 | 17% below | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cl Tx Colles Fx W/O Mnp | $181.61 | $715.00 | $21.00–$6,955.00 | — | 75% |
| Coronary stent placement, one artery CPT 92928 HC Prq Card Stnt W/Angio 1 Vsl | $5,041.65 | $19,849.00 | $1,079.00–$19,849.00 | 42% below | 75% |
| Coronary stent placement, one artery CPT 92928 HC Prq Card Stnt W/Angio 1 Vsl | $5,041.65 | $19,849.00 | $8,248.00–$12,000.00 | 42% below | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Prq Card Stnt W/Angio 1 Vsl | $5,041.65 | $19,849.00 | $1,079.00–$19,849.00 | — | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Prq Card Stnt W/Angio 1 Vsl | $5,041.65 | $19,849.00 | $8,248.00–$12,000.00 | — | 75% |
| Cystoscopy with ureteral stent placement CPT 52332 HC Cysto W/Insert Ureteral Stent | $2,498.60 | $9,837.00 | $325.00–$9,837.00 | 19% above | 75% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cysto W/Insert Ureteral Stent | $2,498.60 | $9,837.00 | $325.00–$9,837.00 | — | 75% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Ear Wax Uni | $45.21 | $178.00 | $58.46 | 16% below | 75% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Ear Wax Uni | $45.21 | $178.00 | $56.42–$6,955.00 | 16% below | 75% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Remove Impacted Ear Wax Uni | $45.21 | $178.00 | $56.42–$6,955.00 | — | 75% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Remove Impacted Ear Wax Uni | $45.21 | $178.00 | $58.46 | — | 75% |
| Earwax removal with instruments, one ear CPT 69210 HC Removal Impacted Cerumen | $45.21 | $178.00 | $58.46 | 50% below | 75% |
| Earwax removal with instruments, one ear CPT 69210 HC Removal Impacted Cerumen | $45.21 | $178.00 | $56.42–$6,955.00 | 50% below | 75% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Removal Impacted Cerumen | $45.21 | $178.00 | $56.42–$6,955.00 | — | 75% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Removal Impacted Cerumen | $45.21 | $178.00 | $58.46 | — | 75% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Cystoplasty on Bladder | $137.92 | $543.00 | $18.00–$6,955.00 | 62% below | 75% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Cystoplasty on Bladder | $137.92 | $543.00 | $18.00–$6,955.00 | — | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Cerv/Thoracic Epidur W/Fluro | $581.15 | $2,288.00 | $655.31 | 23% below | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Cerv/Thoracic Epidur W/Fluro | $581.15 | $2,288.00 | $250.00–$6,955.00 | 23% below | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Cerv/Thoracic Epidur W/Fluro | $581.15 | $2,288.00 | $655.31 | — | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Cerv/Thoracic Epidur W/Fluro | $581.15 | $2,288.00 | $250.00–$6,955.00 | — | 75% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Facet Lumbar | $267.72 | $1,054.00 | $86.00–$6,955.00 | 71% below | 75% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Facet Lumbar | $267.72 | $1,054.00 | $250.00–$1,531.00 | — | 75% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Diagnostic Sigmoidoscopy | $451.87 | $1,779.00 | $84.00–$6,955.00 | 33% below | 75% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Diagnostic Sigmoidoscopy | $451.87 | $1,779.00 | $84.00–$6,955.00 | — | 75% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorr Intby Ligation | $677.67 | $2,668.00 | $84.00–$6,955.00 | 19% below | 75% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Hemorr Intby Ligation | $677.67 | $2,668.00 | $84.00–$6,955.00 | — | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Inj Sis/Hysterography | $146.05 | $575.00 | $297.00–$2,539.00 | 35% below | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Inj Sis/Hysterography | $146.05 | $575.00 | — | 35% below | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Inj Sis/Hysterography | $146.05 | $575.00 | — | — | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Inj Sis/Hysterography | $146.05 | $575.00 | $297.00–$2,539.00 | — | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Absc Simpl or Sgl | $163.32 | $643.00 | $434.51 | 34% below | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Absc Simpl or Sgl | $163.32 | $643.00 | $202.00 | 34% below | 75% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Absc Simpl or Sgl | $163.32 | $643.00 | $202.00 | — | 75% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Absc Simpl or Sgl | $163.32 | $643.00 | $434.51 | — | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Aspir/Inj Joint Major | $255.27 | $1,005.00 | $250.00–$1,327.00 | 36% below | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Aspir/Inj Joint Major | $255.27 | $1,005.00 | $250.00–$1,327.00 | — | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Aspir/Inj Joint Interm | $158.24 | $623.00 | $458.41 | 56% below | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Aspir/Inj Joint Interm | $158.24 | $623.00 | $250.00–$1,327.00 | 56% below | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Aspir/Inj Joint Interm | $158.24 | $623.00 | $250.00–$1,327.00 | — | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Aspir/Inj Joint Interm | $158.24 | $623.00 | $458.41 | — | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Aspir/Inj Joint Small | $122.43 | $482.00 | $250.00–$1,327.00 | 60% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Aspir/Inj Joint Small | $122.43 | $482.00 | $458.41 | 60% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Aspir/Inj Joint Small | $122.43 | $482.00 | $27.00–$6,955.00 | — | 75% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Aspir/Inj Joint Small | $122.43 | $482.00 | $458.41 | — | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Int Sclp 2.5cm /< | $282.70 | $1,113.00 | $379.42 | 28% below | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Int Sclp 2.5cm /< | $282.70 | $1,113.00 | $297.00–$6,955.00 | 28% below | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Repair Int Sclp 2.5cm /< | $282.70 | $1,113.00 | $379.42 | — | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Repair Int Sclp 2.5cm /< | $282.70 | $1,113.00 | $297.00–$6,955.00 | — | 75% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Lt Hrt Cath W/Ventrclgrp | $2,358.39 | $9,285.00 | $300.00–$9,285.00 | 48% below | 75% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Lt Hrt Cath W/Ventrclgrp | $2,358.39 | $9,285.00 | $8,248.00–$12,000.00 | 48% below | 75% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Lt Hrt Cath W/Ventrclgrp | $2,358.39 | $9,285.00 | $300.00–$9,285.00 | — | 75% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Lt Hrt Cath W/Ventrclgrp | $2,358.39 | $9,285.00 | $8,248.00–$12,000.00 | — | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Lumbar W Imaging | $581.15 | $2,288.00 | $655.31 | 23% below | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Lumbar W Imaging | $581.15 | $2,288.00 | $695.34–$6,955.00 | 23% below | 75% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Lumbar W Imaging | $581.15 | $2,288.00 | $695.34–$6,955.00 | — | 75% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Lumbar W Imaging | $581.15 | $2,288.00 | $655.31 | — | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj(S) Foramen Lumb/Sac | $429.77 | $1,692.00 | $250.00–$1,327.00 | 52% below | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj(S) Foramen Lumb/Sac | $429.77 | $1,692.00 | $250.00–$1,327.00 | — | 75% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Sgl Nail Plate | $97.54 | $384.00 | $191.88–$6,955.00 | 55% below | 75% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion of Sgl Nail Plate | $97.54 | $384.00 | $191.88–$6,955.00 | — | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inject Anesh Agent Occ Nerve | $380.75 | $1,499.00 | $27.00–$6,955.00 | 7% below | 75% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inject Anesh Agent Occ Nerve | $380.75 | $1,499.00 | $27.00–$6,955.00 | — | 75% |
| Pacemaker implant (dual chamber) CPT 33208 HC Insert Pm W/Atrl&Vent Lead | $4,850.13 | $19,095.00 | $8,248.00–$12,000.00 | 43% below | 75% |
| Pacemaker implant (dual chamber) CPT 33208 HC Insert Pm W/Atrl&Vent Lead | $4,850.13 | $19,095.00 | $1,050.00–$19,095.00 | 43% below | 75% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insert Pm W/Atrl&Vent Lead | $4,850.13 | $19,095.00 | $8,248.00–$12,000.00 | — | 75% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insert Pm W/Atrl&Vent Lead | $4,850.13 | $19,095.00 | $1,050.00–$19,095.00 | — | 75% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $816.61 | $3,215.00 | $839.58 | 14% above | 75% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $816.61 | $3,215.00 | $893.44–$2,572.00 | 14% above | 75% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging | $816.61 | $3,215.00 | $839.58 | — | 75% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging | $816.61 | $3,215.00 | $893.44–$6,955.00 | — | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $282.70 | $1,113.00 | $37.00–$6,955.00 | 51% below | 75% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed | $282.70 | $1,113.00 | $37.00–$6,955.00 | — | 75% |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle | $1,521.97 | $5,992.00 | $1,695.00–$4,050.59 | 31% below | 75% |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle | $1,521.97 | $5,992.00 | — | 31% below | 75% |
| Prostate biopsy inpatient CPT 55700 HC Biopsy Prostate Needle | $1,521.97 | $5,992.00 | $1,695.00–$4,050.59 | — | 75% |
| Prostate biopsy inpatient CPT 55700 HC Biopsy Prostate Needle | $1,521.97 | $5,992.00 | — | — | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $531.37 | $2,092.00 | $297.00–$6,955.00 | 68% below | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $531.37 | $2,092.00 | $1,828.15 | 68% below | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $531.37 | $2,092.00 | $297.00–$6,955.00 | — | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $531.37 | $2,092.00 | $1,828.15 | — | 75% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Inc&Remv Foreign Body Smpl | $282.70 | $1,113.00 | $37.00–$6,955.00 | 20% below | 75% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Inc&Remv Foreign Body Smpl | $282.70 | $1,113.00 | $37.00–$6,955.00 | — | 75% |
| Short arm cast (elbow to hand) CPT 29075 Appl Short Arm Cast | $201.17 | $792.00 | $250.00–$6,955.00 | 67% above | 75% |
| Short arm cast (elbow to hand) CPT 29075 Appl Short Arm Cast | $201.17 | $792.00 | $244.00 | 67% above | 75% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Appl Short Arm Cast | $201.17 | $792.00 | $250.00–$6,955.00 | — | 75% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Appl Short Arm Cast | $201.17 | $792.00 | $244.00 | — | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Arm Short Splint | $91.19 | $359.00 | $127.24–$6,955.00 | 32% below | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Arm Short Splint | $91.19 | $359.00 | $118.09 | 32% below | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Arm Short Splint | $91.19 | $359.00 | $118.09 | — | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Arm Short Splint | $91.19 | $359.00 | $127.24–$6,955.00 | — | 75% |
| Short leg cast (below the knee) CPT 29405 HC Apply Leg Short Cast | $201.17 | $792.00 | $250.00–$6,955.00 | 20% above | 75% |
| Short leg cast (below the knee) CPT 29405 HC Apply Leg Short Cast | $201.17 | $792.00 | $244.00 | 20% above | 75% |
| Short leg cast (below the knee) inpatient CPT 29405 HC Apply Leg Short Cast | $201.17 | $792.00 | $244.00 | — | 75% |
| Short leg cast (below the knee) inpatient CPT 29405 HC Apply Leg Short Cast | $201.17 | $792.00 | $250.00–$6,955.00 | — | 75% |
| Short leg splint (calf to foot) CPT 29515 HC Apply Leg Short Splint | $96.01 | $378.00 | $155.41–$6,955.00 | 29% below | 75% |
| Short leg splint (calf to foot) CPT 29515 HC Apply Leg Short Splint | $96.01 | $378.00 | $148.24 | 29% below | 75% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Apply Leg Short Splint | $96.01 | $378.00 | $155.41–$6,955.00 | — | 75% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Apply Leg Short Splint | $96.01 | $378.00 | $148.24 | — | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Simsclp 2.5cm/< | $161.04 | $634.00 | $191.88–$6,955.00 | 22% below | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Simsclp 2.5cm/< | $161.04 | $634.00 | $183.66 | 22% below | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Simsclp 2.5cm/< | $161.04 | $634.00 | $183.66 | — | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Simsclp 2.5cm/< | $161.04 | $634.00 | $191.88–$6,955.00 | — | 75% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Single | $171.20 | $674.00 | $37.00–$6,955.00 | 35% below | 75% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Single | $171.20 | $674.00 | $37.00–$6,955.00 | — | 75% |
| Skin tag removal, up to 15 tags CPT 11200 HC Rem Skin Tags <=15 Lesions | $140.72 | $554.00 | $20.00–$6,955.00 | 37% below | 75% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC Rem Skin Tags <=15 Lesions | $140.72 | $554.00 | $20.00–$6,955.00 | — | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Lumbar Puncture Diag | $299.72 | $1,180.00 | $250.00–$1,327.00 | 56% below | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Lumbar Puncture Diag | $299.72 | $1,180.00 | $655.31 | 56% below | 75% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Lumbar Puncture Diag | $299.72 | $1,180.00 | $590.00–$6,955.00 | — | 75% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Lumbar Puncture Diag | $299.72 | $1,180.00 | $655.31 | — | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repair Sim Sclp 2.6-7.5cm | $161.04 | $634.00 | $191.88–$6,955.00 | 29% below | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repair Sim Sclp 2.6-7.5cm | $161.04 | $634.00 | $183.66 | 29% below | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repair Sim Sclp 2.6-7.5cm | $161.04 | $634.00 | $183.66 | — | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repair Sim Sclp 2.6-7.5cm | $161.04 | $634.00 | $191.88–$6,955.00 | — | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Sim Face 2.5cm/< | $150.62 | $593.00 | $183.66 | 26% below | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Sim Face 2.5cm/< | $150.62 | $593.00 | $191.88–$6,955.00 | 26% below | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Sim Face 2.5cm/< | $150.62 | $593.00 | $191.88–$6,955.00 | — | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Sim Face 2.5cm/< | $150.62 | $593.00 | $183.66 | — | 75% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Single | $296.16 | $1,166.00 | $202.00–$6,955.00 | 13% above | 75% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Single | $296.16 | $1,166.00 | $202.00–$6,955.00 | — | 75% |
| Thoracentesis with imaging guidance CPT 32555 HC CT Thoracentesis Guid | $391.16 | $1,540.00 | $1,256.23 | 58% below | 75% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W/Imaging | $391.16 | $1,540.00 | $58.00–$6,955.00 | 58% below | 75% |
| Thoracentesis with imaging guidance CPT 32555 HC CT Thoracentesis Guid | $391.16 | $1,540.00 | $58.00–$6,955.00 | 58% below | 75% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC CT Thoracentesis Guid | $391.16 | $1,540.00 | $1,256.23 | — | 75% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC CT Thoracentesis Guid | $391.16 | $1,540.00 | $58.00–$6,955.00 | — | 75% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis W/Imaging | $391.16 | $1,540.00 | $58.00–$6,955.00 | — | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trig Point 1-2 Muscl | $209.04 | $823.00 | $27.00–$6,955.00 | 47% below | 75% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trig Point 1-2 Muscl | $209.04 | $823.00 | $27.00–$6,955.00 | — | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US Imag | $1,615.44 | $6,360.00 | $152.00–$6,955.00 | 12% above | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast 1st Lesion US Imag | $1,615.44 | $6,360.00 | $152.00–$6,955.00 | — | 75% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd With Biopsy | $663.70 | $2,613.00 | $83.00–$6,955.00 | 43% below | 75% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd With Biopsy | $663.70 | $2,613.00 | $83.00–$6,955.00 | — | 75% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $663.70 | $2,613.00 | $83.00–$6,955.00 | 56% below | 75% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash | $663.70 | $2,613.00 | $83.00–$6,955.00 | — | 75% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC Cysto Litho/Laser Stent Ins | $3,683.00 | $14,500.00 | $363.00–$14,500.00 | 3% above | 75% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC Cysto Litho/Laser Stent Ins | $3,683.00 | $14,500.00 | $363.00–$14,500.00 | — | 75% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endoven Ablat Incomp 1st Vein | $2,398.52 | $9,443.00 | $297.00–$9,443.00 | 10% above | 75% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endoven Ablat Incomp 1st Vein | $2,398.52 | $9,443.00 | $297.00–$9,443.00 | — | 75% |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14 | $140.72 | $554.00 | $191.88–$6,955.00 | 18% below | 75% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14 | $140.72 | $554.00 | $191.88–$6,955.00 | — | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Deb Sq Tiss Ist 20sqcm/< | $450.09 | $1,772.00 | $379.42 | 27% below | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Deb Sq Tiss Ist 20sqcm/< | $450.09 | $1,772.00 | $250.00–$6,955.00 | 27% below | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Deb Sq Tiss Ist 20sqcm/< | $450.09 | $1,772.00 | $250.00–$6,955.00 | — | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Deb Sq Tiss Ist 20sqcm/< | $450.09 | $1,772.00 | $379.42 | — | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration | $353.06 | $1,390.00 | $250.00–$6,955.00 | 25% below | 75% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration | $353.06 | $1,390.00 | $279.00–$1,266.62 | 25% below | 75% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood | $423.67 | $1,668.00 | $250.00–$6,955.00 | 10% below | 75% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood | $423.67 | $1,668.00 | $279.00–$1,266.62 | 10% below | 75% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Administration | $353.06 | $1,390.00 | $279.00–$1,266.62 | — | 75% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Administration | $353.06 | $1,390.00 | $250.00–$6,955.00 | — | 75% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood | $423.67 | $1,668.00 | $279.00–$1,266.62 | — | 75% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood | $423.67 | $1,668.00 | $250.00–$6,955.00 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Bland Aero Tx Init Ea Day | $56.64 | $223.00 | $13.62–$181.78 | 28% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Bland Aero Tx Ea Day Subq Tx | $56.64 | $223.00 | $100.35–$224.08 | 28% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Bland Aero Tx Init Ea Day | $56.64 | $223.00 | $100.35–$224.08 | 28% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Bland Aero Tx Ea Day Subq Tx | $56.64 | $223.00 | $13.62–$181.78 | 28% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Init Tx | $106.43 | $419.00 | $13.62–$181.78 | 36% above | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Init Tx | $106.43 | $419.00 | $155.00–$419.00 | 36% above | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Bland Aero Tx Init Ea Day | $56.64 | $223.00 | $13.62–$181.78 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Bland Aero Tx Ea Day Subq Tx | $56.64 | $223.00 | $13.62–$181.78 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Bland Aero Tx Init Ea Day | $56.64 | $223.00 | $100.35–$224.08 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Bland Aero Tx Ea Day Subq Tx | $56.64 | $223.00 | $100.35–$224.08 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Init Tx | $106.43 | $419.00 | $155.00–$419.00 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Init Tx | $106.43 | $419.00 | $13.62–$181.78 | — | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Init 1hr | $228.09 | $898.00 | $315.20–$898.00 | 20% below | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Init 1hr | $228.09 | $898.00 | $261.33–$552.00 | 20% below | 75% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Infusion Init 1hr | $228.09 | $898.00 | $261.33–$552.00 | — | 75% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Infusion Init 1hr | $228.09 | $898.00 | $315.20–$898.00 | — | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED Critical Care | $1,008.89 | $3,972.00 | $451.97–$2,437.00 | 15% below | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED Critical Care | $1,008.89 | $3,972.00 | $115.77–$3,972.00 | 15% below | 75% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED Critical Care | $1,008.89 | $3,972.00 | $451.97–$2,437.00 | — | 75% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED Critical Care | $1,008.89 | $3,972.00 | $115.77–$3,972.00 | — | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake and Drowsy | $338.58 | $1,333.00 | $56.75–$504.02 | 2% below | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake and Drowsy | $338.58 | $1,333.00 | $206.50–$1,333.00 | 2% below | 75% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake and Drowsy | $338.58 | $1,333.00 | $206.50–$1,333.00 | — | 75% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake and Drowsy | $338.58 | $1,333.00 | $56.75–$504.02 | — | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg-12 Lead Tracing Only | $70.10 | $276.00 | $56.42–$276.00 | 8% below | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg-12 Lead Tracing Only | $70.10 | $276.00 | $38.59–$466.00 | 8% below | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ekg-12 Lead Tracing Only | $70.10 | $276.00 | $56.42–$276.00 | — | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ekg-12 Lead Tracing Only | $70.10 | $276.00 | $38.59–$466.00 | — | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Level 1 | $175.77 | $692.00 | $80.65–$792.00 | 2% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Level 1 | $175.77 | $692.00 | $179.60–$725.00 | 2% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Level 1 | $175.77 | $692.00 | $80.65–$792.00 | — | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Level 1 | $175.77 | $692.00 | $179.60–$725.00 | — | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Level 2 | $256.54 | $1,010.00 | $204.99–$1,121.00 | 13% below | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Level 2 | $256.54 | $1,010.00 | $115.77–$1,310.00 | 13% below | 75% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Level 2 | $256.54 | $1,010.00 | $115.77–$1,310.00 | — | 75% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Level 2 | $256.54 | $1,010.00 | $204.99–$1,121.00 | — | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Level 3 | $432.31 | $1,702.00 | $246.42–$1,121.00 | 11% below | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Level 3 | $432.31 | $1,702.00 | $115.77–$1,702.00 | 11% below | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Level 3 | $432.31 | $1,702.00 | $115.77–$1,702.00 | — | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Level 3 | $432.31 | $1,702.00 | $246.42–$1,121.00 | — | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Level 4 | $593.60 | $2,337.00 | $115.77–$2,337.00 | 11% below | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Level 4 | $593.60 | $2,337.00 | $300.14–$2,080.00 | 11% below | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Level 4 | $593.60 | $2,337.00 | $115.77–$2,337.00 | — | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Level 4 | $593.60 | $2,337.00 | $300.14–$2,080.00 | — | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Level 5 | $732.79 | $2,885.00 | $115.77–$2,885.00 | 30% below | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Level 5 | $732.79 | $2,885.00 | $387.49–$2,116.00 | 30% below | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Level 5 | $732.79 | $2,885.00 | $387.49–$2,116.00 | — | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Level 5 | $732.79 | $2,885.00 | $115.77–$2,885.00 | — | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovascular Stress Test | $191.52 | $754.00 | $138.47–$967.00 | 49% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovascular Stress Test | $191.52 | $754.00 | $206.50–$754.00 | 49% below | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiovascular Stress Test | $191.52 | $754.00 | $206.50–$754.00 | — | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiovascular Stress Test | $191.52 | $754.00 | $138.47–$967.00 | — | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Inf Hydra Init 31-60m | $143.51 | $565.00 | $196.08–$415.31 | at median | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Inf Hydra Init 31-60m | $143.51 | $565.00 | $198.32–$565.00 | at median | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Inf Hydra Init 31-60m | $143.51 | $565.00 | $198.32–$565.00 | — | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Inf Hydra Init 31-60m | $143.51 | $565.00 | $196.08–$415.31 | — | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Inf Tx Prop Dx Initial | $179.58 | $707.00 | $203.42–$707.00 | 4% above | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Inf Tx Prop Dx Initial | $179.58 | $707.00 | $196.08–$507.34 | 4% above | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Initial 1st Hr | $179.58 | $707.00 | $196.08–$507.34 | 4% above | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Initial 1st Hr | $179.58 | $707.00 | $203.42–$707.00 | 4% above | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Inf Tx Prop Dx Initial | $179.58 | $707.00 | $196.08–$507.34 | — | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Initial 1st Hr | $179.58 | $707.00 | $203.42–$707.00 | — | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Inf Tx Prop Dx Initial | $179.58 | $707.00 | $203.42–$707.00 | — | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Initial 1st Hr | $179.58 | $707.00 | $196.08–$507.34 | — | 75% |
| IV push of a medicine, first drug CPT 96374 HC Ivp Inj Tx Prop Dx Sgl/Init | $151.13 | $595.00 | $74.00 | 25% above | 75% |
| IV push of a medicine, first drug CPT 96374 HC Ivp Inj Tx Prop Dx Sgl/Init | $151.13 | $595.00 | $209.53–$476.00 | 25% above | 75% |
| IV push of a medicine, first drug inpatient CPT 96374 HC Ivp Inj Tx Prop Dx Sgl/Init | $151.13 | $595.00 | $203.42–$595.00 | — | 75% |
| IV push of a medicine, first drug inpatient CPT 96374 HC Ivp Inj Tx Prop Dx Sgl/Init | $151.13 | $595.00 | $74.00 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Cosyntropin Intramuscular | $52.58 | $207.00 | $64.04 | 9% above | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Cosyntropin Intramuscular | $52.58 | $207.00 | $68.86–$2,530.00 | 9% above | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj Im/Sq | $61.98 | $244.00 | $70.93–$195.20 | 28% above | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj Im/Sq | $61.98 | $244.00 | $64.04–$160.62 | 28% above | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Cosyntropin Intramuscular | $52.58 | $207.00 | $64.04 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Cosyntropin Intramuscular | $52.58 | $207.00 | $68.86–$2,530.00 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj Im/Sq | $61.98 | $244.00 | $68.86–$244.00 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj Im/Sq | $61.98 | $244.00 | $64.04–$160.62 | — | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Educ 15 Min | $45.97 | $181.00 | $29.93–$181.00 | at median | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Educ 15 Min | $45.97 | $181.00 | $29.93–$181.00 | at median | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Educ 15 Min | $45.97 | $181.00 | $34.72–$184.00 | at median | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Educ 15 Min | $45.97 | $181.00 | $34.72–$184.00 | at median | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusc Educ 15 Min | $45.97 | $181.00 | $29.93–$181.00 | — | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromusc Educ 15 Min | $45.97 | $181.00 | $34.72–$184.00 | — | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusc Educ 15 Min | $45.97 | $181.00 | $34.72–$184.00 | — | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromusc Educ 15 Min | $45.97 | $181.00 | $29.93–$181.00 | — | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC Clinic Visit Level 3 New | $91.69 | $361.00 | $127.33–$288.80 | 8% below | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC Clinic Visit Level 3 New | $91.69 | $361.00 | $73.58 | 8% below | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Clinic Visit Level 3 New | $91.69 | $361.00 | $127.33–$288.80 | — | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Clinic Visit Level 3 New | $91.69 | $361.00 | $73.58 | — | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC Clinic Visit Level 4 New | $109.47 | $431.00 | $125.88 | 26% below | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC Clinic Visit Level 4 New | $109.47 | $431.00 | $127.33–$344.80 | 26% below | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Clinic Visit Level 4 New | $109.47 | $431.00 | $127.33–$344.80 | — | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Clinic Visit Level 4 New | $109.47 | $431.00 | $125.88 | — | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC Clinic Visit Level 5 New | $146.56 | $577.00 | $164.48 | 22% below | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC Clinic Visit Level 5 New | $146.56 | $577.00 | $127.33–$461.60 | 22% below | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Clinic Visit Level 5 New | $146.56 | $577.00 | $127.33–$461.60 | — | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Clinic Visit Level 5 New | $146.56 | $577.00 | $164.48 | — | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Clinic Visit Level 2 New | $60.71 | $239.00 | $107.55–$191.20 | 25% below | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Clinic Visit Level 2 New | $60.71 | $239.00 | $49.05 | 25% below | 75% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Clinic Visit Level 2 New | $60.71 | $239.00 | $49.05 | — | 75% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Clinic Visit Level 2 New | $60.71 | $239.00 | $107.55–$191.20 | — | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Each 15m | $34.29 | $135.00 | $31.78–$193.00 | at median | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Each 15m | $34.29 | $135.00 | $47.39–$135.00 | at median | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Initial Each 15m | $34.29 | $135.00 | $47.39–$135.00 | — | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Initial Each 15m | $34.29 | $135.00 | $31.78–$193.00 | — | 75% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity | $42.67 | $168.00 | $103.29–$224.46 | 59% below | 75% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity | $42.67 | $168.00 | $75.60–$172.00 | 59% below | 75% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complexity | $42.67 | $168.00 | $103.29–$224.46 | — | 75% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complexity | $42.67 | $168.00 | $75.60–$172.00 | — | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity | $70.87 | $279.00 | $89.92–$279.00 | 50% below | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity | $70.87 | $279.00 | $103.29–$448.92 | 50% below | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complexity | $70.87 | $279.00 | $103.29–$448.92 | — | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complexity | $70.87 | $279.00 | $89.92–$279.00 | — | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity | $42.67 | $168.00 | $103.29–$224.46 | 59% below | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity | $42.67 | $168.00 | $75.60–$172.00 | 59% below | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complexity | $42.67 | $168.00 | $103.29–$224.46 | — | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complexity | $42.67 | $168.00 | $75.60–$172.00 | — | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity | $57.40 | $226.00 | $89.92–$226.00 | 54% below | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity | $57.40 | $226.00 | $103.29–$336.69 | 54% below | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Moderate Complexity | $57.40 | $226.00 | $103.29–$336.69 | — | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Moderate Complexity | $57.40 | $226.00 | $89.92–$226.00 | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Thrpy 15 Min | $42.67 | $168.00 | $25.36–$172.00 | 2% above | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Thrpy 15 Min | $42.67 | $168.00 | $25.36–$172.00 | 2% above | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Thrpy 15 Min | $42.67 | $168.00 | $27.97–$184.00 | 2% above | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Thrpy 15 Min | $42.67 | $168.00 | $27.97–$184.00 | 2% above | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Thrpy 15 Min | $42.67 | $168.00 | $27.97–$184.00 | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Thrpy 15 Min | $42.67 | $168.00 | $27.97–$184.00 | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Thrpy 15 Min | $42.67 | $168.00 | $25.36–$172.00 | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Thrpy 15 Min | $42.67 | $168.00 | $25.36–$172.00 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Ther Exercise 15 Min | $50.29 | $198.00 | $26.59–$198.00 | 23% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Ther Exercise 15 Min | $50.29 | $198.00 | $30.32–$184.00 | 23% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Exercise 15 Min | $50.29 | $198.00 | $30.32–$184.00 | 23% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Exercise 15 Min | $50.29 | $198.00 | $26.59–$198.00 | 23% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Ther Exercise 15 Min | $50.29 | $198.00 | $30.32–$184.00 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Exercise 15 Min | $50.29 | $198.00 | $26.59–$198.00 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Exercise 15 Min | $50.29 | $198.00 | $30.32–$184.00 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Ther Exercise 15 Min | $50.29 | $198.00 | $26.59–$198.00 | — | 75% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $16.26 | $64.00 | $22.46–$64.00 | 48% below | 75% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $16.26 | $64.00 | $28.17–$193.00 | 48% below | 75% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $16.26 | $64.00 | $22.46–$64.00 | — | 75% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $16.26 | $64.00 | $28.17–$193.00 | — | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Clinic Visit Level 5 Est | $132.59 | $522.00 | $127.33–$417.60 | 20% below | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Clinic Visit Level 5 Est | $132.59 | $522.00 | $145.47 | 20% below | 75% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Clinic Visit Level 5 Est | $132.59 | $522.00 | $145.47 | — | 75% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Clinic Visit Level 5 Est | $132.59 | $522.00 | $127.33–$417.60 | — | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Clinic Visit Level 3 Est | $60.71 | $239.00 | $107.55–$191.20 | 39% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Clinic Visit Level 3 Est | $60.71 | $239.00 | $74.12 | 39% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Clinic Visit Level 3 Est | $60.71 | $239.00 | $74.12 | — | 75% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Clinic Visit Level 3 Est | $60.71 | $239.00 | $107.55–$191.20 | — | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Clinic Visit Level 4 Est | $94.23 | $371.00 | $108.00 | 29% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Clinic Visit Level 4 Est | $94.23 | $371.00 | $127.33–$296.80 | 29% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Clinic Visit Level 4 Est | $94.23 | $371.00 | $127.33–$296.80 | — | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Clinic Visit Level 4 Est | $94.23 | $371.00 | $108.00 | — | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit Level 2 Est | $30.99 | $122.00 | $44.45 | 58% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit Level 2 Est | $30.99 | $122.00 | $54.90–$136.24 | 58% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit Level 2 Est | $30.99 | $122.00 | $54.90–$136.24 | — | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit Level 2 Est | $30.99 | $122.00 | $44.45 | — | 75% |
| Speech and language evaluation CPT 92523 HC Speech Sound Lang Comprehen | $134.87 | $531.00 | $162.00–$531.00 | 22% below | 75% |
| Speech and language evaluation CPT 92523 HC Speech Sound Lang Comprehen | $134.87 | $531.00 | $184.00–$341.88 | 22% below | 75% |
| Speech and language evaluation inpatient CPT 92523 HC Speech Sound Lang Comprehen | $134.87 | $531.00 | $184.00–$341.88 | — | 75% |
| Speech and language evaluation inpatient CPT 92523 HC Speech Sound Lang Comprehen | $134.87 | $531.00 | $162.00–$531.00 | — | 75% |
| Speech therapy session, individual CPT 92507 HC Speech-Language Treatment | $98.04 | $386.00 | $49.40–$184.00 | 20% below | 75% |
| Speech therapy session, individual CPT 92507 HC Speech-Language Treatment | $98.04 | $386.00 | $70.42–$386.00 | 20% below | 75% |
| Speech therapy session, individual CPT 92507 HC Treatment of Speech 15 Min | $98.04 | $386.00 | $70.42–$386.00 | 20% below | 75% |
| Speech therapy session, individual CPT 92507 HC Treatment of Speech 15 Min | $98.04 | $386.00 | $49.40–$184.00 | 20% below | 75% |
| Speech therapy session, individual inpatient CPT 92507 HC Speech-Language Treatment | $98.04 | $386.00 | $70.42–$386.00 | — | 75% |
| Speech therapy session, individual inpatient CPT 92507 HC Speech-Language Treatment | $98.04 | $386.00 | $49.40–$184.00 | — | 75% |
| Speech therapy session, individual inpatient CPT 92507 HC Treatment of Speech 15 Min | $98.04 | $386.00 | $49.40–$184.00 | — | 75% |
| Speech therapy session, individual inpatient CPT 92507 HC Treatment of Speech 15 Min | $98.04 | $386.00 | $70.42–$386.00 | — | 75% |
| Spirometry (breathing test) CPT 94010 HC Spirometry W/O Bronch | $104.90 | $413.00 | $54.48–$193.00 | 33% below | 75% |
| Spirometry (breathing test) CPT 94010 HC Spirometry W/O Bronch | $104.90 | $413.00 | $144.96–$413.00 | 33% below | 75% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry W/O Bronch | $104.90 | $413.00 | $144.96–$413.00 | — | 75% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry W/O Bronch | $104.90 | $413.00 | $54.48–$193.00 | — | 75% |
| Spirometry before and after a bronchodilator CPT 94060 HC Spirometry W/Bronchodilator | $197.61 | $778.00 | $273.08–$778.00 | 22% below | 75% |
| Spirometry before and after a bronchodilator CPT 94060 HC Spirometry W/Bronchodilator | $197.61 | $778.00 | $88.53–$360.64 | 22% below | 75% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry W/Bronchodilator | $197.61 | $778.00 | $88.53–$360.64 | — | 75% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry W/Bronchodilator | $197.61 | $778.00 | $273.08–$778.00 | — | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Functional Activ 15 Min | $47.75 | $188.00 | $37.57–$184.00 | 24% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Functional Activ 15 Min | $47.75 | $188.00 | $31.63–$188.00 | 24% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Functional Activ 15 Min | $47.75 | $188.00 | $31.63–$188.00 | 24% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Functional Activ 15 Min | $47.75 | $188.00 | $37.57–$184.00 | 24% below | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Functional Activ 15 Min | $47.75 | $188.00 | $37.57–$184.00 | — | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Functional Activ 15 Min | $47.75 | $188.00 | $37.57–$184.00 | — | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Functional Activ 15 Min | $47.75 | $188.00 | $31.63–$188.00 | — | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Functional Activ 15 Min | $47.75 | $188.00 | $31.63–$188.00 | — | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic | $178.05 | $701.00 | $127.24–$701.00 | 69% above | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic | $178.05 | $701.00 | $74.00–$110.22 | 69% above | 75% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic | $178.05 | $701.00 | $74.00–$110.22 | — | 75% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic | $178.05 | $701.00 | $127.24–$701.00 | — | 75% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.03 | $350.50 | $98.16–$189.52 | 11% above | 75% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.03 | $350.50 | $54.33–$350.50 | 11% above | 75% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.03 | $350.50 | $54.33–$350.50 | — | 75% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.03 | $350.50 | $98.16–$189.52 | — | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $22.23 | $87.50 | $13.56–$87.50 | 32% below | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $22.23 | $87.50 | $13.13–$29.78 | 32% below | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $22.23 | $87.50 | $13.56–$87.50 | — | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $22.23 | $87.50 | $13.13–$29.78 | — | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $31.81 | $125.25 | $26.65–$36.02 | 41% below | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $31.81 | $125.25 | $19.41–$125.25 | 41% below | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $31.81 | $125.25 | $26.65–$36.02 | — | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $31.81 | $125.25 | $19.41–$125.25 | — | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $14.29 | $56.25 | $25.31–$56.25 | 65% below | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $14.54 | $57.25 | $13.54–$32.73 | 64% below | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $14.29 | $56.25 | $25.31–$56.25 | — | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $14.54 | $57.25 | $13.54–$32.73 | — | 75% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $103.51 | $407.50 | $69.96–$97.99 | 31% below | 75% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $103.51 | $407.50 | $183.38–$407.50 | 31% below | 75% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $103.51 | $407.50 | $69.96–$97.99 | — | 75% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $103.51 | $407.50 | $183.38–$407.50 | — | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCO CYW-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION | $112.40 | $442.50 | $141.51–$176.71 | 41% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCO CYW-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION | $112.40 | $442.50 | $199.13–$442.50 | 41% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $181.86 | $716.00 | $141.51–$176.71 | 4% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $181.86 | $716.00 | $133.89–$716.00 | 4% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCO CYW-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION | $112.40 | $442.50 | $199.13–$442.50 | — | 75% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCO CYW-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION | $112.40 | $442.50 | $141.51–$176.71 | — | 75% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $181.86 | $716.00 | $141.51–$176.71 | — | 75% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $181.86 | $716.00 | $133.89–$716.00 | — | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $258.64 | $1,018.25 | $251.31–$415.66 | 19% below | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $258.64 | $1,018.25 | $190.41–$1,018.25 | 19% below | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $258.64 | $1,018.25 | $251.31–$415.66 | — | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $258.64 | $1,018.25 | $190.41–$1,018.25 | — | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $299.53 | $1,179.25 | $182.78–$1,179.25 | 48% below | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $308.93 | $1,216.25 | $312.90–$644.02 | 46% below | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $299.53 | $1,179.25 | $182.78–$1,179.25 | — | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $308.93 | $1,216.25 | $312.90–$644.02 | — | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $451.68 | $1,778.25 | $324.68–$1,778.25 | 48% below | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $451.68 | $1,778.25 | $315.22–$596.96 | 48% below | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $451.68 | $1,778.25 | $324.68–$1,778.25 | — | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $451.68 | $1,778.25 | $315.22–$596.96 | — | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $52.83 | $208.00 | $93.60–$208.00 | 30% below | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $52.83 | $208.00 | $42.83–$65.38 | 30% below | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $52.83 | $208.00 | $93.60–$208.00 | — | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $52.83 | $208.00 | $42.83–$65.38 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Flu Only Admin Fee | $33.53 | $132.00 | $29.83–$71.00 | 26% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Pneumovax Only Admin Fee | $33.53 | $132.00 | $46.33–$132.00 | 26% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Flu Only Admin Fee | $33.53 | $132.00 | $46.33–$132.00 | 26% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Pneumovax Only Admin Fee | $33.53 | $132.00 | $29.83–$71.00 | 26% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Hep B Only Admin Fee | $55.63 | $219.00 | $29.83–$71.00 | 110% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Vaccine | $55.63 | $219.00 | $68.86–$219.00 | 110% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Hep B Only Admin Fee | $55.63 | $219.00 | $47.02–$219.00 | 110% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Vaccine | $55.63 | $219.00 | $29.83–$71.00 | 110% above | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Flu Only Admin Fee | $33.53 | $132.00 | $46.33–$132.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Pneumovax Only Admin Fee | $33.53 | $132.00 | $29.83–$71.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Pneumovax Only Admin Fee | $33.53 | $132.00 | $46.33–$132.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Flu Only Admin Fee | $33.53 | $132.00 | $29.83–$71.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Hep B Only Admin Fee | $55.63 | $219.00 | $29.83–$71.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Hep B Only Admin Fee | $55.63 | $219.00 | $47.02–$219.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Vaccine | $55.63 | $219.00 | $68.86–$219.00 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Vaccine | $55.63 | $219.00 | $29.83–$71.00 | — | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Vaccine Addl | $27.94 | $110.00 | $24.20–$110.00 | 17% above | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Vaccine Addl | $27.94 | $110.00 | $29.83–$71.00 | 17% above | 75% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Vaccine Addl | $27.94 | $110.00 | $29.83–$71.00 | — | 75% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Vaccine Addl | $27.94 | $110.00 | $24.20–$110.00 | — | 75% |
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.