Hospital Indianapolis-Carmel-Greenwood, IN

Rehabilitation Hospital Of Indiana

Rehabilitation Hospital Of Indiana in Indianapolis, IN publishes cash prices for 145 common procedures listed here, from its own machine-readable price file updated Dec 11, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Indiana median for 1 of 1 procedure. Select a procedure to compare it with other hospitals nearby.

4141 Shore Drive, Indianapolis, IN 46254 Collected Sep 22, 2026 Source price file Check a bill from this hospital

Some prices here are not compared

Rehabilitation Hospital Of Indiana is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Rehabilitation Hospital Of Indiana in Indianapolis, IN:

Sep 27, 2024 Warning notice
Jan 6, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 Views Min Lt	$96.33	$169.00	$68.29	—	43%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 Views Min Rt	$96.33	$169.00	$68.29	—	43%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 Views Min Rt	$96.33	$169.00	—	—	43%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 Views Min Lt	$96.33	$169.00	—	—	43%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 Views Min Lt	$96.33	$169.00	—	—	43%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 Views Min Rt	$96.33	$169.00	$731.50–$3,209.00	—	43%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 Views Min Lt	$96.33	$169.00	$731.50–$3,209.00	—	43%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 Views Min Rt	$96.33	$169.00	—	—	43%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right	$84.36	$148.00	$56.67	—	43%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left	$84.36	$148.00	$56.67	—	43%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right	$84.36	$148.00	—	—	43%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left	$84.36	$148.00	—	—	43%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left	$84.36	$148.00	$731.50–$3,209.00	—	43%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right	$84.36	$148.00	$731.50–$3,209.00	—	43%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right	$84.36	$148.00	—	—	43%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left	$84.36	$148.00	—	—	43%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 DXA Bone Density Study, Axial Skeleton RHI	$361.38	$634.00	$104.99	—	43%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 DXA Bone Density Study, Axial Skeleton RHI	$361.38	$634.00	—	—	43%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 DXA Bone Density Study, Axial Skeleton RHI	$361.38	$634.00	$731.50–$3,209.00	—	43%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 DXA Bone Density Study, Axial Skeleton RHI	$361.38	$634.00	—	—	43%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left	$83.79	$147.00	$55.69	—	43%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right	$83.79	$147.00	$55.69	—	43%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left	$83.79	$147.00	—	—	43%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right	$83.79	$147.00	—	—	43%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left	$83.79	$147.00	$731.50–$3,209.00	—	43%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right	$83.79	$147.00	$731.50–$3,209.00	—	43%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right	$83.79	$147.00	—	—	43%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left	$83.79	$147.00	—	—	43%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 Views Min Rt	$98.04	$172.00	$68.29	—	43%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 Views Min Rt	$98.04	$172.00	—	—	43%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 Views Min Lt	$98.04	$172.00	—	—	43%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 Views Min Lt	$98.04	$172.00	$68.29	—	43%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 Views Min Rt	$98.04	$172.00	—	—	43%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 Views Min Lt	$98.04	$172.00	—	—	43%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 Views Min Lt	$98.04	$172.00	$731.50–$3,209.00	—	43%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 Views Min Rt	$98.04	$172.00	$731.50–$3,209.00	—	43%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Min 3 Views	$123.69	$217.00	—	—	43%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Min 3 Views	$123.69	$217.00	$81.78	—	43%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Min 3 Views	$123.69	$217.00	$731.50–$3,209.00	—	43%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Min 3 Views	$123.69	$217.00	—	—	43%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right	$79.80	$140.00	$53.78	—	43%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left	$79.80	$140.00	$53.78	—	43%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right	$79.80	$140.00	—	—	43%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left	$79.80	$140.00	—	—	43%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right	$79.80	$140.00	—	—	43%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right	$79.80	$140.00	$731.50–$3,209.00	—	43%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left	$79.80	$140.00	$731.50–$3,209.00	—	43%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left	$79.80	$140.00	—	—	43%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right	$80.94	$142.00	$52.81	—	43%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left	$80.94	$142.00	$52.81	—	43%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left	$80.94	$142.00	—	—	43%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right	$80.94	$142.00	—	—	43%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left	$80.94	$142.00	—	—	43%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left	$80.94	$142.00	$731.50–$3,209.00	—	43%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right	$80.94	$142.00	$731.50–$3,209.00	—	43%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right	$80.94	$142.00	—	—	43%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Min 2 View Lt	$82.08	$144.00	$55.69	—	43%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Min 2 View Lt	$82.08	$144.00	—	—	43%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Min 2 View Rt	$82.08	$144.00	$55.69	—	43%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Min 2 View Rt	$82.08	$144.00	—	—	43%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Min 2 View Rt	$82.08	$144.00	—	—	43%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Min 2 View Lt	$82.08	$144.00	$731.50–$3,209.00	—	43%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Min 2 View Rt	$82.08	$144.00	$731.50–$3,209.00	—	43%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Min 2 View Lt	$82.08	$144.00	—	—	43%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$107.16	$188.00	$75.04	—	43%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$107.16	$188.00	$75.04	—	43%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$107.16	$188.00	—	—	43%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$107.16	$188.00	—	—	43%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right	$107.16	$188.00	—	—	43%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right	$107.16	$188.00	$731.50–$3,209.00	—	43%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left	$107.16	$188.00	$731.50–$3,209.00	—	43%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left	$107.16	$188.00	—	—	43%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 Views Min Rt	$125.40	$220.00	$86.62	—	43%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 Views Min Lt	$125.40	$220.00	—	—	43%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 Views Min Rt	$125.40	$220.00	—	—	43%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 Views Min Lt	$125.40	$220.00	$86.62	—	43%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 Views Min Lt	$125.40	$220.00	—	—	43%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 Views Min Lt	$125.40	$220.00	$731.50–$3,209.00	—	43%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 Views Min Rt	$125.40	$220.00	$731.50–$3,209.00	—	43%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 Views Min Rt	$125.40	$220.00	—	—	43%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$79.80	$140.00	—	—	43%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$79.80	$140.00	$51.83	—	43%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$79.80	$140.00	—	—	43%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$79.80	$140.00	$51.83	—	43%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$79.80	$140.00	$731.50–$3,209.00	—	43%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$79.80	$140.00	—	—	43%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$79.80	$140.00	—	—	43%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$79.80	$140.00	$731.50–$3,209.00	—	43%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 5 Views	$153.33	$269.00	$89.51	—	43%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 5 Views	$153.33	$269.00	—	—	43%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 5 Views	$153.33	$269.00	$731.50–$3,209.00	—	43%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 5 Views	$153.33	$269.00	—	—	43%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$78.09	$137.00	$56.67	—	43%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$78.09	$137.00	—	—	43%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$78.09	$137.00	$731.50–$3,209.00	—	43%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$78.09	$137.00	—	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs min 3 views/PA Chest Right	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs w/ PA Chest Right	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs w/ PA Chest Left	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs min 3 views/PA Chest Right	$95.19	$167.00	$59.59	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs w/ PA Chest Right	$95.19	$167.00	$59.59	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left	$95.19	$167.00	$59.59	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs min 3 views/PA Chest Left	$95.19	$167.00	$59.59	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs w/ PA Chest Left	$95.19	$167.00	$59.59	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right	$95.19	$167.00	$59.59	—	43%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs min 3 views/PA Chest Left	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs min 3 views/PA Chest Left	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right	$95.19	$167.00	$731.50–$3,209.00	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs min 3 views/PA Chest Right	$95.19	$167.00	$731.50–$3,209.00	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs w/ PA Chest Right	$95.19	$167.00	$731.50–$3,209.00	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left	$95.19	$167.00	$731.50–$3,209.00	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs min 3 views/PA Chest Left	$95.19	$167.00	$731.50–$3,209.00	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs w/ PA Chest Left	$95.19	$167.00	$731.50–$3,209.00	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs w/ PA Chest Left	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs min 3 views/PA Chest Right	$95.19	$167.00	—	—	43%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs w/ PA Chest Right	$95.19	$167.00	—	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder 2 Views Left	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder 2 Views Right	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Right	$88.92	$156.00	$57.64	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder 2 Views Left	$88.92	$156.00	$57.64	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Left	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Right	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Left	$88.92	$156.00	$57.64	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder 2 Views Right	$88.92	$156.00	$57.64	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder 2 Views Right	$88.92	$156.00	$731.50–$3,209.00	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Right	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Right	$88.92	$156.00	$731.50–$3,209.00	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder 2 Views Left	$88.92	$156.00	$731.50–$3,209.00	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder 2 Views Left	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder 2 Views Right	$88.92	$156.00	—	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Left	$88.92	$156.00	$731.50–$3,209.00	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Left	$88.92	$156.00	—	—	43%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete	$113.43	$199.00	$72.15	—	43%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete	$113.43	$199.00	—	—	43%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete	$113.43	$199.00	$731.50–$3,209.00	—	43%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete	$113.43	$199.00	—	—	43%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull 1 View	$107.16	$188.00	$68.29	—	43%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$107.16	$188.00	—	—	43%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull 1 View	$107.16	$188.00	—	—	43%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$273.60	$480.00	$68.29	—	43%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views	$107.16	$188.00	—	—	43%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull 1 View	$107.16	$188.00	—	—	43%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull 1 View	$107.16	$188.00	$731.50–$3,209.00	—	43%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views	$273.60	$480.00	$731.50–$3,209.00	—	43%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2 Views Min Lt	$85.50	$150.00	$65.36	—	43%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2 Views Min Lt	$85.50	$150.00	—	—	43%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2 Views Min Rt	$85.50	$150.00	—	—	43%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2 Views Min Rt	$85.50	$150.00	$65.36	—	43%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2 Views Min Rt	$85.50	$150.00	—	—	43%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2 Views Min Rt	$85.50	$150.00	$731.50–$3,209.00	—	43%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2 Views Min Lt	$85.50	$150.00	—	—	43%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2 Views Min Lt	$85.50	$150.00	$731.50–$3,209.00	—	43%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2 Views Min Lt	$84.93	$149.00	$55.69	—	43%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2 Views Min Lt	$84.93	$149.00	—	—	43%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2 Views Min Rt	$84.93	$149.00	—	—	43%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2 Views Min Rt	$84.93	$149.00	$55.69	—	43%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2 Views Min Lt	$84.93	$149.00	—	—	43%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2 Views Min Lt	$84.93	$149.00	$731.50–$3,209.00	—	43%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2 Views Min Rt	$84.93	$149.00	—	—	43%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2 Views Min Rt	$84.93	$149.00	$731.50–$3,209.00	—	43%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right	$91.20	$160.00	$61.50	—	43%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left	$91.20	$160.00	$61.50	—	43%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right	$91.20	$160.00	—	—	43%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left	$91.20	$160.00	—	—	43%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right	$91.20	$160.00	$731.50–$3,209.00	—	43%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left	$91.20	$160.00	$731.50–$3,209.00	—	43%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right	$91.20	$160.00	—	—	43%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left	$91.20	$160.00	—	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 Views Min Rt	$107.16	$188.00	$79.87	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 Views Min Lt	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 Views Min Lt	$107.16	$188.00	$79.87	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Right	$107.16	$188.00	$79.87	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Left	$107.16	$188.00	$79.87	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Right	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Left	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 Views Min Rt	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Left	$107.16	$188.00	$731.50–$3,209.00	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Left	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 Views Min Rt	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Right	$107.16	$188.00	—	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 Views Min Rt	$107.16	$188.00	$731.50–$3,209.00	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Right	$107.16	$188.00	$731.50–$3,209.00	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 Views Min Lt	$107.16	$188.00	$731.50–$3,209.00	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 Views Min Lt	$107.16	$188.00	—	—	43%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$84.36	$148.00	—	—	43%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$84.36	$148.00	$55.69	—	43%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$84.36	$148.00	$55.69	—	43%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$84.36	$148.00	—	—	43%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right	$84.36	$148.00	$731.50–$3,209.00	—	43%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right	$84.36	$148.00	—	—	43%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left	$84.36	$148.00	$731.50–$3,209.00	—	43%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left	$84.36	$148.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 5th Digit Right	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Thumb Right	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2nd Digit Left	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 3rd Digit Left	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 4th Digit Left	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 5th Digit Left	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Thumb Left	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2nd Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2nd Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Thumb Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 3rd Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 4th Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 5th Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 4th Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 5th Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 3rd Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Thumb Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2nd Digit Right	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 3rd Digit Right	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 4th Digit Right	$95.76	$168.00	$72.15	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 4th Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2nd Digit Right	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 3rd Digit Right	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 4th Digit Right	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 5th Digit Right	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Thumb Right	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2nd Digit Left	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 3rd Digit Left	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 4th Digit Left	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 5th Digit Left	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Thumb Left	$95.76	$168.00	$731.50–$3,209.00	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2nd Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 3rd Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 5th Digit Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Thumb Left	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2nd Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 3rd Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 4th Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 5th Digit Right	$95.76	$168.00	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Thumb Right	$95.76	$168.00	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Rt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Lt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Manual Stress Application to Joint Lt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$78.66	$138.00	$53.78	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Manual Stress Application to Joint Rt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Lt	$78.66	$138.00	$53.78	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Rt	$78.66	$138.00	$53.78	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Manual Stress Application to Joint Lt	$78.66	$138.00	$53.78	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$78.66	$138.00	$53.78	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Manual Stress Application to Joint Rt	$78.66	$138.00	$53.78	—	43%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right	$78.66	$138.00	$731.50–$3,209.00	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Manual Stress Application to Joint Rt	$78.66	$138.00	$731.50–$3,209.00	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Lt	$78.66	$138.00	$731.50–$3,209.00	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left	$78.66	$138.00	$731.50–$3,209.00	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Manual Stress Application to Joint Lt	$78.66	$138.00	$731.50–$3,209.00	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Lt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Manual Stress Application to Joint Lt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Rt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Manual Stress Application to Joint Rt	$78.66	$138.00	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Rt	$78.66	$138.00	$731.50–$3,209.00	—	43%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 Views Min Rt	$91.20	$160.00	—	—	43%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 Views Min Rt	$91.20	$160.00	$63.45	—	43%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 Views Min Lt	$91.20	$160.00	—	—	43%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 Views Min Lt	$91.20	$160.00	$63.45	—	43%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 Views Min Lt	$91.20	$160.00	—	—	43%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 Views Min Rt	$91.20	$160.00	—	—	43%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 Views Min Lt	$91.20	$160.00	$731.50–$3,209.00	—	43%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 Views Min Rt	$91.20	$160.00	$731.50–$3,209.00	—	43%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 Views Min Rt	$93.48	$164.00	$66.34	—	43%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 Views Min Lt	$93.48	$164.00	$66.34	—	43%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 Views Min Lt	$93.48	$164.00	—	—	43%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 Views Min Rt	$93.48	$164.00	—	—	43%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 Views Min Rt	$93.48	$164.00	$731.50–$3,209.00	—	43%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 Views Min Rt	$93.48	$164.00	—	—	43%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 Views Min Lt	$93.48	$164.00	$731.50–$3,209.00	—	43%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 Views Min Lt	$93.48	$164.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee w/ Patella Left	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 View Lt	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Patella Sunrise Left	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 View Rt	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee w/ Patella Right	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Patella Sunrise Right	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 View Rt	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee w/ Patella Right	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Patella Sunrise Right	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 View Lt	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee w/ Patella Left	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Patella Sunrise Left	$90.06	$158.00	$58.62	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee w/ Patella Right	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Patella Sunrise Right	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee w/ Patella Right	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 View Rt	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Patella Sunrise Right	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 View Lt	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee w/ Patella Left	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Patella Sunrise Left	$90.06	$158.00	$731.50–$3,209.00	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 View Lt	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee w/ Patella Left	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Patella Sunrise Left	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 View Rt	$90.06	$158.00	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right	$90.06	$158.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar 1 View	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$106.02	$186.00	$66.34	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar Xtl Lateral	$106.02	$186.00	$66.34	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar Flexion + Extension	$106.02	$186.00	$66.34	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar 2 Views	$106.02	$186.00	$66.34	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar 1 View	$106.02	$186.00	$66.34	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar Xtl Lateral	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar Flexion + Extension	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar 2 Views	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar Xtl Lateral	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar 1 View	$106.02	$186.00	$731.50–$3,209.00	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar Flexion + Extension	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar 1 View	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar 2 Views	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$106.02	$186.00	$731.50–$3,209.00	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar Xtl Lateral	$106.02	$186.00	$731.50–$3,209.00	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar Flexion + Extension	$106.02	$186.00	$731.50–$3,209.00	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$106.02	$186.00	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar 2 Views	$106.02	$186.00	$731.50–$3,209.00	—	43%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbar 3 Views	$145.35	$255.00	—	—	43%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbar 3 Views	$145.35	$255.00	$91.46	—	43%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbar 5 Views	$145.35	$255.00	$91.46	—	43%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbar 5 Views	$145.35	$255.00	—	—	43%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Complete w/ Bending	$145.35	$255.00	—	—	43%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Complete w/ Bending	$145.35	$255.00	$91.46	—	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbar 5 Views	$145.35	$255.00	$731.50–$3,209.00	—	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Complete w/ Bending	$145.35	$255.00	—	—	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbar 3 Views	$145.35	$255.00	—	—	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbar 5 Views	$145.35	$255.00	—	—	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Complete w/ Bending	$145.35	$255.00	$731.50–$3,209.00	—	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbar 3 Views	$145.35	$255.00	$731.50–$3,209.00	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 1 View	$96.90	$170.00	—	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 3 Views	$96.90	$170.00	$61.50	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$96.90	$170.00	—	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 3 Views	$96.90	$170.00	—	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 1 View	$96.90	$170.00	$61.50	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$96.90	$170.00	$61.50	—	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$96.90	$170.00	—	—	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 3 Views	$96.90	$170.00	—	—	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 1 View	$96.90	$170.00	$731.50–$3,209.00	—	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$96.90	$170.00	$731.50–$3,209.00	—	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 3 Views	$96.90	$170.00	$731.50–$3,209.00	—	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 1 View	$96.90	$170.00	—	—	43%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Min 3 Views	$96.33	$169.00	$69.23	—	43%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Min 3 Views	$96.33	$169.00	—	—	43%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Min 3 Views	$96.33	$169.00	$731.50–$3,209.00	—	43%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Min 3 Views	$96.33	$169.00	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 Views	$113.43	$199.00	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical Flexion + Extension	$113.43	$199.00	$66.34	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 Views	$113.43	$199.00	$66.34	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Cervical Spine 2 views	$113.43	$199.00	$66.34	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical Flexion + Extension	$113.43	$199.00	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Cervical Spine 2 views	$113.43	$199.00	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Cervical Spine 2 views	$113.43	$199.00	$731.50–$3,209.00	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical Flexion + Extension	$113.43	$199.00	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 Views	$113.43	$199.00	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 Views	$113.43	$199.00	$731.50–$3,209.00	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical Flexion + Extension	$113.43	$199.00	$731.50–$3,209.00	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Cervical Spine 2 views	$113.43	$199.00	—	—	43%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis AP	$76.95	$135.00	$53.78	—	43%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis AP	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip Operative Left	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip Operative Left	$76.95	$135.00	$53.78	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip 1 View Right	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip 1 View Left	$76.95	$135.00	$53.78	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip Operative Right	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip 1 View Left	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip 1 View Right	$76.95	$135.00	$53.78	—	43%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR Hip Operative Right	$76.95	$135.00	$53.78	—	43%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis AP	$76.95	$135.00	$731.50–$3,209.00	—	43%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis AP	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip Operative Left	$76.95	$135.00	$731.50–$3,209.00	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip 1 View Left	$76.95	$135.00	$731.50–$3,209.00	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip Operative Right	$76.95	$135.00	$731.50–$3,209.00	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip 1 View Right	$76.95	$135.00	$731.50–$3,209.00	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip 1 View Left	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip Operative Left	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip 1 View Right	$76.95	$135.00	—	—	43%
X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR Hip Operative Right	$76.95	$135.00	—	—	43%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx Min 2 Views	$84.36	$148.00	—	—	43%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx Min 2 Views	$84.36	$148.00	$55.69	—	43%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx Min 2 Views	$84.36	$148.00	—	—	43%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx Min 2 Views	$84.36	$148.00	$731.50–$3,209.00	—	43%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 ACTH, Plasma RHI	$162.45	$285.00	$38.62	—	43%
ACTH blood test CPT 82024 ACTH, Plasma RHI	$162.45	$285.00	—	—	43%
ACTH blood test inpatient CPT 82024 ACTH, Plasma RHI	$162.45	$285.00	—	—	43%
ACTH blood test inpatient CPT 82024 ACTH, Plasma RHI	$162.45	$285.00	$731.50–$3,209.00	—	43%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Screen RHI	$182.97	$321.00	—	—	43%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Screen RHI	$182.97	$321.00	$47.63	—	43%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Screen RHI	$182.97	$321.00	$731.50–$3,209.00	—	43%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Screen RHI	$182.97	$321.00	—	—	43%
Albumin blood test CPT 82040 Albumin RHI	$29.07	$51.00	$4.95	—	43%
Albumin blood test CPT 82040 Albumin RHI	$29.07	$51.00	—	—	43%
Albumin blood test inpatient CPT 82040 Albumin RHI	$29.07	$51.00	—	—	43%
Albumin blood test inpatient CPT 82040 Albumin RHI	$29.07	$51.00	$731.50–$3,209.00	—	43%
Aldosterone blood test CPT 82088 Aldosterone Urine Timed RHI	$171.00	$300.00	$40.75	—	43%
Aldosterone blood test CPT 82088 Aldosterone Urine Timed RHI	$171.00	$300.00	—	—	43%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine Timed RHI	$171.00	$300.00	—	—	43%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine Timed RHI	$171.00	$300.00	$731.50–$3,209.00	—	43%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase RHI	$17.10	$30.00	—	—	43%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase RHI	$17.10	$30.00	$2.37–$5.18	—	43%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase RHI	$17.10	$30.00	—	—	43%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase RHI	$29.64	$52.00	$731.50–$3,209.00	—	43%
Ammonia blood test CPT 82140 Ammonia RHI	$82.08	$144.00	—	—	43%
Ammonia blood test CPT 82140 Ammonia RHI	$82.08	$144.00	$14.57	—	43%
Ammonia blood test inpatient CPT 82140 Ammonia RHI	$82.08	$144.00	—	—	43%
Ammonia blood test inpatient CPT 82140 Ammonia RHI	$82.08	$144.00	$731.50–$3,209.00	—	43%
Amylase blood test CPT 82150 Amylase RHI	$37.05	$65.00	$6.48	—	43%
Amylase blood test CPT 82150 Amylase RHI	$37.05	$65.00	—	—	43%
Amylase blood test inpatient CPT 82150 Amylase RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Amylase blood test inpatient CPT 82150 Amylase RHI	$37.05	$65.00	—	—	43%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP RHI	$190.95	$335.00	$39.26	—	43%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP RHI	$190.95	$335.00	—	—	43%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP RHI	$190.95	$335.00	—	—	43%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP RHI	$190.95	$335.00	$731.50–$3,209.00	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture and Stain RHI	$48.45	$85.00	—	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture and Stain RHI	$48.45	$85.00	$8.62	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture and Stain RHI	$48.45	$85.00	$8.62	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture and Stain RHI	$48.45	$85.00	—	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture and Stain RHI	$48.45	$85.00	—	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture and Stain RHI	$48.45	$85.00	$731.50–$3,209.00	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture and Stain RHI	$48.45	$85.00	—	—	43%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture and Stain RHI	$48.45	$85.00	$731.50–$3,209.00	—	43%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel RHI	$47.31	$83.00	$8.46	—	43%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel RHI	$47.31	$83.00	—	—	43%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel RHI	$47.31	$83.00	$731.50–$3,209.00	—	43%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel RHI	$47.31	$83.00	—	—	43%
Bilirubin blood test, total CPT 82247 Total Bilirubin RHI	$29.07	$51.00	$5.02	—	43%
Bilirubin blood test, total CPT 82247 Total Bilirubin RHI	$29.07	$51.00	—	—	43%
Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin RHI	$29.07	$51.00	—	—	43%
Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin RHI	$29.07	$51.00	$731.50–$3,209.00	—	43%
Blood culture for bacteria CPT 87040 Blood Culture RHI	$59.28	$104.00	$10.32	—	43%
Blood culture for bacteria CPT 87040 Blood Culture RHI	$59.28	$104.00	—	—	43%
Blood culture for bacteria inpatient CPT 87040 Blood Culture RHI	$59.28	$104.00	$731.50–$3,209.00	—	43%
Blood culture for bacteria inpatient CPT 87040 Blood Culture RHI	$59.28	$104.00	—	—	43%
Blood glucose (sugar) test CPT 82947 Glucose Fasting SerPl QN RHI	$17.10	$30.00	—	—	43%
Blood glucose (sugar) test CPT 82947 Glucose Fasting SerPl QN RHI	$17.10	$30.00	$3.93	—	43%
Blood glucose (sugar) test CPT 82947 Glucose POC RHI	$22.80	$40.00	—	—	43%
Blood glucose (sugar) test CPT 82947 Glucose POC RHI	$22.80	$40.00	$3.93	—	43%
Blood glucose (sugar) test CPT 82947 epoc, BMP POC RHI	$186.39	$327.00	$3.93	—	43%
Blood glucose (sugar) test CPT 82947 epoc, BMP POC RHI	$186.39	$327.00	—	—	43%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting SerPl QN RHI	$17.10	$30.00	$731.50–$3,209.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting SerPl QN RHI	$17.10	$30.00	—	—	43%
Blood glucose (sugar) test inpatient CPT 82947 Glucose POC RHI	$22.80	$40.00	$731.50–$3,209.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 Glucose POC RHI	$22.80	$40.00	—	—	43%
Blood glucose (sugar) test inpatient CPT 82947 epoc, BMP POC RHI	$186.39	$327.00	—	—	43%
Blood glucose (sugar) test inpatient CPT 82947 epoc, BMP POC RHI	$186.39	$327.00	$731.50–$3,209.00	—	43%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh RHI	$305.52	$536.00	$2.99	—	43%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh RHI	$305.52	$536.00	—	—	43%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh RHI	$305.52	$536.00	—	—	43%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh RHI	$305.52	$536.00	$731.50–$3,209.00	—	43%
C-peptide blood test CPT 84681 C-Peptide SerPl QN RHI	$87.21	$153.00	—	—	43%
C-peptide blood test CPT 84681 C-Peptide SerPl QN RHI	$87.21	$153.00	$20.81	—	43%
C-peptide blood test inpatient CPT 84681 C-Peptide SerPl QN RHI	$87.21	$153.00	$731.50–$3,209.00	—	43%
C-peptide blood test inpatient CPT 84681 C-Peptide SerPl QN RHI	$87.21	$153.00	—	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein RHI	$29.64	$52.00	$5.18	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein RHI	$29.64	$52.00	—	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein RHI	$29.64	$52.00	$731.50–$3,209.00	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein RHI	$29.64	$52.00	—	—	43%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff PCR Assay RHI	$147.06	$258.00	$37.27	—	43%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff PCR Assay RHI	$147.06	$258.00	—	—	43%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff PCR Assay RHI	$147.06	$258.00	$731.50–$3,209.00	—	43%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff PCR Assay RHI	$147.06	$258.00	—	—	43%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 RHI	$117.42	$206.00	—	—	43%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 RHI	$117.42	$206.00	$20.81	—	43%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 RHI	$117.42	$206.00	$731.50–$3,209.00	—	43%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 RHI	$117.42	$206.00	—	—	43%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus SARS-CoV-2 (COVID-19) RHI	$106.02	$186.00	—	—	43%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus SARS-CoV-2 (COVID-19) RHI	$106.02	$186.00	$51.31	—	43%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus SARS-CoV-2 (COVID-19) RHI	$106.02	$186.00	—	—	43%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus SARS-CoV-2 (COVID-19) RHI	$106.02	$186.00	$731.50–$3,209.00	—	43%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA RHI	$107.16	$188.00	$18.96	—	43%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA RHI	$107.16	$188.00	—	—	43%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA RHI	$107.16	$188.00	$731.50–$3,209.00	—	43%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA RHI	$107.16	$188.00	—	—	43%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM AB	$46.17	$81.00	$12.88	—	43%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM AB	$46.17	$81.00	—	—	43%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody (IgG) EIA RHI	$71.82	$126.00	—	—	43%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody (IgG) EIA RHI	$71.82	$126.00	$12.88	—	43%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM AB	$46.17	$81.00	$731.50–$3,209.00	—	43%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM AB	$46.17	$81.00	—	—	43%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Antibody (IgG) EIA RHI	$71.82	$126.00	—	—	43%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Antibody (IgG) EIA RHI	$71.82	$126.00	$731.50–$3,209.00	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis	$112.86	$198.00	$35.09	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis	$112.86	$198.00	—	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM AMP PROBE	$127.11	$223.00	$35.09	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM AMP PROBE	$127.11	$223.00	—	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis	$112.86	$198.00	—	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis	$112.86	$198.00	$731.50–$3,209.00	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM AMP PROBE	$127.11	$223.00	$731.50–$3,209.00	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM AMP PROBE	$127.11	$223.00	—	—	43%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel RHI	$54.72	$96.00	$13.39	—	43%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel RHI	$54.72	$96.00	—	—	43%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel RHI	$54.72	$96.00	—	—	43%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel RHI	$54.72	$96.00	$731.50–$3,209.00	—	43%
Complete blood count (CBC) with differential CPT 85025 Auto Differential RHI	$37.05	$65.00	$7.77	—	43%
Complete blood count (CBC) with differential CPT 85025 Auto Differential RHI	$37.05	$65.00	—	—	43%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Differential RHI	$43.89	$77.00	—	—	43%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Differential RHI	$43.89	$77.00	$7.77	—	43%
Complete blood count (CBC) with differential inpatient CPT 85025 Auto Differential RHI	$37.05	$65.00	—	—	43%
Complete blood count (CBC) with differential inpatient CPT 85025 Auto Differential RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Differential RHI	$43.89	$77.00	—	—	43%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Differential RHI	$43.89	$77.00	$731.50–$3,209.00	—	43%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Count RHI	$37.05	$65.00	$6.47	—	43%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Count RHI	$37.05	$65.00	—	—	43%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count RHI	$37.05	$65.00	—	—	43%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel RHI	$60.99	$107.00	—	—	43%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel RHI	$60.99	$107.00	$10.56	—	43%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel RHI	$60.99	$107.00	$731.50–$3,209.00	—	43%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel RHI	$60.99	$107.00	—	—	43%
Cortisol blood test, total CPT 82533 ACTH 1 HR Stimulation Ser QN RHI	$184.11	$323.00	—	—	43%
Cortisol blood test, total CPT 82533 ACTH 1 HR Stimulation Ser QN RHI	$184.11	$323.00	$16.30	—	43%
Cortisol blood test, total inpatient CPT 82533 ACTH 1 HR Stimulation Ser QN RHI	$184.11	$323.00	$731.50–$3,209.00	—	43%
Cortisol blood test, total inpatient CPT 82533 ACTH 1 HR Stimulation Ser QN RHI	$184.11	$323.00	—	—	43%
Creatine kinase (CK) blood test, total CPT 82550 CK RHI	$37.05	$65.00	$6.51	—	43%
Creatine kinase (CK) blood test, total CPT 82550 CK RHI	$37.05	$65.00	—	—	43%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK RHI	$37.05	$65.00	—	—	43%
Creatinine blood test CPT 82565 Creatinine Clearance Urine Tm RHI	$15.96	$28.00	$5.12	—	43%
Creatinine blood test CPT 82565 Creatinine Clearance Urine Tm RHI	$15.96	$28.00	—	—	43%
Creatinine blood test inpatient CPT 82565 Creatinine Clearance Urine Tm RHI	$15.96	$28.00	$731.50–$3,209.00	—	43%
Creatinine blood test inpatient CPT 82565 Creatinine Clearance Urine Tm RHI	$15.96	$28.00	—	—	43%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG EIA Quantitative RHI	$46.17	$81.00	$14.39	—	43%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG EIA Quantitative RHI	$46.17	$81.00	—	—	43%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG EIA Quantitative RHI	$46.17	$81.00	—	—	43%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG EIA Quantitative RHI	$46.17	$81.00	$731.50–$3,209.00	—	43%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine RHI	$38.76	$68.00	—	—	43%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine RHI	$38.76	$68.00	$7.01	—	43%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine RHI	$38.76	$68.00	$731.50–$3,209.00	—	43%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine RHI	$38.76	$68.00	—	—	43%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone RHI	$78.09	$137.00	$18.58	—	43%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone RHI	$78.09	$137.00	—	—	43%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone RHI	$78.09	$137.00	—	—	43%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone RHI	$78.09	$137.00	$731.50–$3,209.00	—	43%
Ferritin blood test (iron stores) CPT 82728 Ferritin RHI	$77.52	$136.00	—	—	43%
Ferritin blood test (iron stores) CPT 82728 Ferritin RHI	$77.52	$136.00	$13.63	—	43%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin RHI	$77.52	$136.00	—	—	43%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin RHI	$77.52	$136.00	$731.50–$3,209.00	—	43%
Fibrinogen blood test CPT 85384 Fibrinogen RHI	$32.49	$57.00	—	—	43%
Fibrinogen blood test CPT 85384 Fibrinogen RHI	$32.49	$57.00	$9.72	—	43%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen RHI	$32.49	$57.00	$731.50–$3,209.00	—	43%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen RHI	$32.49	$57.00	—	—	43%
Folate (folic acid) blood test CPT 82746 Folate RHI	$83.79	$147.00	—	—	43%
Folate (folic acid) blood test CPT 82746 Folate RHI	$83.79	$147.00	$14.70	—	43%
Folate (folic acid) blood test inpatient CPT 82746 Folate RHI	$83.79	$147.00	$731.50–$3,209.00	—	43%
Folate (folic acid) blood test inpatient CPT 82746 Folate RHI	$83.79	$147.00	—	—	43%
Free T3 thyroid hormone test CPT 84481 T3, Free RHI	$95.76	$168.00	$16.94	—	43%
Free T3 thyroid hormone test CPT 84481 T3, Free RHI	$95.76	$168.00	—	—	43%
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free RHI	$95.76	$168.00	—	—	43%
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free RHI	$95.76	$168.00	$731.50–$3,209.00	—	43%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free, Direct RHI	$51.30	$90.00	—	—	43%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free, Direct RHI	$51.30	$90.00	$9.02	—	43%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free, Direct RHI	$51.30	$90.00	$731.50–$3,209.00	—	43%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free, Direct RHI	$51.30	$90.00	—	—	43%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT RHI	$40.47	$71.00	—	—	43%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT RHI	$40.47	$71.00	$7.20	—	43%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT RHI	$40.47	$71.00	—	—	43%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT RHI	$40.47	$71.00	$731.50–$3,209.00	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C.Trachomatis and N. Gonohrea RHI	$112.86	$198.00	$35.09	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C.Trachomatis and N. Gonohrea RHI	$112.86	$198.00	—	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE	$127.11	$223.00	—	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE	$127.11	$223.00	$35.09	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C.Trachomatis and N. Gonohrea RHI	$112.86	$198.00	$731.50–$3,209.00	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C.Trachomatis and N. Gonohrea RHI	$112.86	$198.00	—	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMP PROBE	$127.11	$223.00	$731.50–$3,209.00	—	43%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMP PROBE	$127.11	$223.00	—	—	43%
H. pylori stool antigen test CPT 87338 H. Pylori Ag Stool EIA QL RHI	$46.17	$81.00	$14.38	—	43%
H. pylori stool antigen test CPT 87338 H. Pylori Ag Stool EIA QL RHI	$46.17	$81.00	—	—	43%
H. pylori stool antigen test inpatient CPT 87338 H. Pylori Ag Stool EIA QL RHI	$46.17	$81.00	—	—	43%
H. pylori stool antigen test inpatient CPT 87338 H. Pylori Ag Stool EIA QL RHI	$46.17	$81.00	$731.50–$3,209.00	—	43%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA Viral Load RHI	$269.61	$473.00	—	—	43%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA Viral Load RHI	$269.61	$473.00	$85.10	—	43%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA Viral Load RHI	$269.61	$473.00	—	—	43%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA Viral Load RHI	$269.61	$473.00	$731.50–$3,209.00	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c RHI	$54.15	$95.00	$9.71	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c RHI	$54.15	$95.00	—	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c RHI	$54.15	$95.00	—	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c RHI	$54.15	$95.00	$731.50–$3,209.00	—	43%
Hemoglobin blood test CPT 85018 Hemoglobin, Free RHI	$13.68	$24.00	—	—	43%
Hemoglobin blood test CPT 85018 Hemoglobin RHI	$13.68	$24.00	—	—	43%
Hemoglobin blood test CPT 85018 Hemoglobin, Free RHI	$13.68	$24.00	$2.37	—	43%
Hemoglobin blood test CPT 85018 Hemoglobin RHI	$13.68	$24.00	$2.37	—	43%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin, Free RHI	$13.68	$24.00	$731.50–$3,209.00	—	43%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin RHI	$13.68	$24.00	$731.50–$3,209.00	—	43%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin, Free RHI	$13.68	$24.00	—	—	43%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin RHI	$13.68	$24.00	—	—	43%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody RHI	$67.83	$119.00	$12.05	—	43%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody RHI	$67.83	$119.00	—	—	43%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody RHI	$67.83	$119.00	—	—	43%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody RHI	$67.83	$119.00	$731.50–$3,209.00	—	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab RHI	$61.56	$108.00	$10.74	—	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab RHI	$61.56	$108.00	—	—	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab RHI	$61.56	$108.00	$731.50–$3,209.00	—	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab RHI	$61.56	$108.00	—	—	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag QL	$32.49	$57.00	—	—	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag QL	$32.49	$57.00	$10.33–$11.98	—	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag RHI	$59.28	$104.00	$10.33	—	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag RHI	$59.28	$104.00	—	—	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Ag QL	$32.49	$57.00	—	—	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Ag QL	$32.49	$57.00	$731.50–$3,209.00	—	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag RHI	$59.28	$104.00	—	—	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag RHI	$59.28	$104.00	$731.50–$3,209.00	—	43%
Hepatitis C antibody blood test (screening) CPT 86803 .Hepatitis C Antibody RHI	$80.94	$142.00	—	—	43%
Hepatitis C antibody blood test (screening) CPT 86803 .Hepatitis C Antibody RHI	$80.94	$142.00	$14.27	—	43%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 .Hepatitis C Antibody RHI	$80.94	$142.00	—	—	43%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 .Hepatitis C Antibody RHI	$80.94	$142.00	$731.50–$3,209.00	—	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C SerPl QN PCR RHI	$136.23	$239.00	$42.84	—	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C SerPl QN PCR RHI	$136.23	$239.00	—	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C SerPl QN PCR RHI	$136.23	$239.00	—	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C SerPl QN PCR RHI	$136.23	$239.00	$731.50–$3,209.00	—	43%
Herpes blood test, HSV-1 antibody CPT 86695 HSV IgG, EIA RHI	$72.96	$128.00	$13.19	—	43%
Herpes blood test, HSV-1 antibody CPT 86695 HSV IgG, EIA RHI	$72.96	$128.00	—	—	43%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IgG, EIA RHI	$72.96	$128.00	—	—	43%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IgG, EIA RHI	$72.96	$128.00	$731.50–$3,209.00	—	43%
Homocysteine blood test CPT 83090 Homocysteine RHI	$95.76	$168.00	$17.92	—	43%
Homocysteine blood test CPT 83090 Homocysteine RHI	$95.76	$168.00	—	—	43%
Homocysteine blood test inpatient CPT 83090 Homocysteine RHI	$95.76	$168.00	$731.50–$3,209.00	—	43%
Homocysteine blood test inpatient CPT 83090 Homocysteine RHI	$95.76	$168.00	—	—	43%
Iron blood test (serum iron) CPT 83540 Iron and TIBC RHI	$37.05	$65.00	$6.47	—	43%
Iron blood test (serum iron) CPT 83540 Iron RHI	$37.05	$65.00	—	—	43%
Iron blood test (serum iron) CPT 83540 Iron and TIBC RHI	$37.05	$65.00	—	—	43%
Iron blood test (serum iron) CPT 83540 Iron RHI	$37.05	$65.00	$6.47	—	43%
Iron blood test (serum iron) inpatient CPT 83540 Iron and TIBC RHI	$37.05	$65.00	—	—	43%
Iron blood test (serum iron) inpatient CPT 83540 Iron RHI	$37.05	$65.00	—	—	43%
Iron blood test (serum iron) inpatient CPT 83540 Iron and TIBC RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Iron blood test (serum iron) inpatient CPT 83540 Iron RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Kidney function blood test panel CPT 80069 Renal Function Panel RHI	$48.45	$85.00	$8.68	—	43%
Kidney function blood test panel CPT 80069 Renal Function Panel RHI	$48.45	$85.00	—	—	43%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel RHI	$48.45	$85.00	$731.50–$3,209.00	—	43%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel RHI	$48.45	$85.00	—	—	43%
LH (luteinizing hormone) test CPT 83002 Thyroid Stimulating Hormone Receptor AB RHI	$50.73	$89.00	—	—	43%
LH (luteinizing hormone) test CPT 83002 Thyroid Stimulating Hormone Receptor AB RHI	$50.73	$89.00	$18.52–$21.21	—	43%
LH (luteinizing hormone) test CPT 83002 Luteininzing Hormone-ICMA Ser QN RHI	$59.85	$105.00	$18.52	—	43%
LH (luteinizing hormone) test CPT 83002 Luteininzing Hormone-ICMA Ser QN RHI	$59.85	$105.00	—	—	43%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone SerPl QN 2nd IS RHI	$78.09	$137.00	—	—	43%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone SerPl QN 2nd IS RHI	$78.09	$137.00	$18.52	—	43%
LH (luteinizing hormone) test inpatient CPT 83002 Thyroid Stimulating Hormone Receptor AB RHI	$50.73	$89.00	—	—	43%
LH (luteinizing hormone) test inpatient CPT 83002 Thyroid Stimulating Hormone Receptor AB RHI	$50.73	$89.00	$731.50–$3,209.00	—	43%
LH (luteinizing hormone) test inpatient CPT 83002 Luteininzing Hormone-ICMA Ser QN RHI	$59.85	$105.00	—	—	43%
LH (luteinizing hormone) test inpatient CPT 83002 Luteininzing Hormone-ICMA Ser QN RHI	$59.85	$105.00	$731.50–$3,209.00	—	43%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone SerPl QN 2nd IS RHI	$78.09	$137.00	—	—	43%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone SerPl QN 2nd IS RHI	$78.09	$137.00	$731.50–$3,209.00	—	43%
Lactate (lactic acid) blood test CPT 83605 Lactate Venous Pl Qn RHI	$40.47	$71.00	$11.57	—	43%
Lactate (lactic acid) blood test CPT 83605 Lactate Venous Pl Qn RHI	$40.47	$71.00	—	—	43%
Lactate (lactic acid) blood test CPT 83605 Lactate Arterial Pl QN RHI	$45.03	$79.00	—	—	43%
Lactate (lactic acid) blood test CPT 83605 Lactate Arterial Pl QN RHI	$45.03	$79.00	$11.57	—	43%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Venous Pl Qn RHI	$40.47	$71.00	$731.50–$3,209.00	—	43%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Venous Pl Qn RHI	$40.47	$71.00	—	—	43%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Arterial Pl QN RHI	$45.03	$79.00	$731.50–$3,209.00	—	43%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Arterial Pl QN RHI	$45.03	$79.00	—	—	43%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH RHI	$34.77	$61.00	—	—	43%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH RHI	$34.77	$61.00	$6.04	—	43%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH RHI	$34.77	$61.00	$731.50–$3,209.00	—	43%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH RHI	$34.77	$61.00	—	—	43%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase RHI	$38.19	$67.00	—	—	43%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase RHI	$38.19	$67.00	$6.89	—	43%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase RHI	$38.19	$67.00	—	—	43%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase RHI	$38.19	$67.00	$731.50–$3,209.00	—	43%
Liver function blood test panel CPT 80076 Hepatic Function Panel RHI	$46.17	$81.00	$8.17–$61.98	—	43%
Liver function blood test panel CPT 80076 Hepatic Function Panel RHI	$46.17	$81.00	—	—	43%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel RHI	$46.17	$81.00	—	—	43%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel RHI	$46.17	$81.00	$731.50–$3,209.00	—	43%
Magnesium blood test CPT 83735 Magnesium RHI	$37.62	$66.00	—	—	43%
Magnesium blood test CPT 83735 Magnesium RHI	$37.62	$66.00	$6.70	—	43%
Magnesium blood test inpatient CPT 83735 Magnesium RHI	$37.62	$66.00	—	—	43%
Magnesium blood test inpatient CPT 83735 Magnesium RHI	$37.62	$66.00	$731.50–$3,209.00	—	43%
Measles (rubeola) antibody test CPT 86765 Rubella IgG Antibody RHI	$42.18	$74.00	$12.88	—	43%
Measles (rubeola) antibody test CPT 86765 Rubella IgG Antibody RHI	$42.18	$74.00	—	—	43%
Measles (rubeola) antibody test CPT 86765 Measles Antibody (IgG) EIA RHI	$71.82	$126.00	$12.88	—	43%
Measles (rubeola) antibody test CPT 86765 Measles Antibody (IgG) EIA RHI	$71.82	$126.00	—	—	43%
Measles (rubeola) antibody test inpatient CPT 86765 Rubella IgG Antibody RHI	$42.18	$74.00	—	—	43%
Measles (rubeola) antibody test inpatient CPT 86765 Rubella IgG Antibody RHI	$42.18	$74.00	$731.50–$3,209.00	—	43%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibody (IgG) EIA RHI	$71.82	$126.00	$731.50–$3,209.00	—	43%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibody (IgG) EIA RHI	$71.82	$126.00	—	—	43%
Mumps immunity blood test CPT 86735 Mumps Virus Antibody (IgG) EIA RHI	$72.39	$127.00	$13.05	—	43%
Mumps immunity blood test CPT 86735 Mumps Virus Antibody (IgG) EIA RHI	$72.39	$127.00	—	—	43%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Antibody (IgG) EIA RHI	$72.39	$127.00	$731.50–$3,209.00	—	43%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Antibody (IgG) EIA RHI	$72.39	$127.00	—	—	43%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA RHI	$104.31	$183.00	—	—	43%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA RHI	$104.31	$183.00	$18.39	—	43%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA RHI	$104.31	$183.00	$731.50–$3,209.00	—	43%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA RHI	$104.31	$183.00	—	—	43%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact RHI	$232.56	$408.00	$41.28	—	43%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact RHI	$232.56	$408.00	—	—	43%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact RHI	$232.56	$408.00	$731.50–$3,209.00	—	43%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact RHI	$232.56	$408.00	—	—	43%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus RHI	$27.36	$48.00	$4.74	—	43%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus RHI	$27.36	$48.00	—	—	43%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus RHI	$27.36	$48.00	$731.50–$3,209.00	—	43%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus RHI	$27.36	$48.00	—	—	43%
Potassium blood test CPT 84132 Potassium, POC RHI	$27.36	$48.00	$4.76	—	43%
Potassium blood test CPT 84132 Potassium RHI	$27.36	$48.00	$4.76	—	43%
Potassium blood test CPT 84132 Potassium, POC RHI	$27.36	$48.00	—	—	43%
Potassium blood test CPT 84132 Potassium RHI	$27.36	$48.00	—	—	43%
Potassium blood test inpatient CPT 84132 Potassium, POC RHI	$27.36	$48.00	$731.50–$3,209.00	—	43%
Potassium blood test inpatient CPT 84132 Potassium RHI	$27.36	$48.00	—	—	43%
Potassium blood test inpatient CPT 84132 Potassium RHI	$27.36	$48.00	$731.50–$3,209.00	—	43%
Potassium blood test inpatient CPT 84132 Potassium, POC RHI	$27.36	$48.00	—	—	43%
Prolactin blood test CPT 84146 Prolactin SerPl QN 3rd IS RHI	$81.51	$143.00	—	—	43%
Prolactin blood test CPT 84146 Prolactin SerPl QN 3rd IS RHI	$81.51	$143.00	$19.38	—	43%
Prolactin blood test inpatient CPT 84146 Prolactin SerPl QN 3rd IS RHI	$81.51	$143.00	$731.50–$3,209.00	—	43%
Prolactin blood test inpatient CPT 84146 Prolactin SerPl QN 3rd IS RHI	$81.51	$143.00	—	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POC RHI	$18.24	$32.00	—	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POC RHI	$18.24	$32.00	$4.29	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 Protime-INR RHI	$22.80	$40.00	—	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 aPTT RHI	$22.80	$40.00	$4.29	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 aPTT RHI	$22.80	$40.00	—	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 Protime-INR RHI	$22.80	$40.00	$4.29	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR POC RHI	$18.24	$32.00	—	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR POC RHI	$18.24	$32.00	$731.50–$3,209.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 aPTT RHI	$22.80	$40.00	$731.50–$3,209.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime-INR RHI	$22.80	$40.00	$731.50–$3,209.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime-INR RHI	$22.80	$40.00	—	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 aPTT RHI	$22.80	$40.00	—	—	43%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Ag Ql RHI	$46.17	$81.00	—	—	43%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Ag Ql RHI	$46.17	$81.00	$16.53	—	43%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A Ag Ql RHI	$46.17	$81.00	—	—	43%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A Ag Ql RHI	$46.17	$81.00	$731.50–$3,209.00	—	43%
Rh blood typing CPT 86901 ABO/Rh Verify RHI	$93.48	$164.00	$2.99	—	43%
Rh blood typing CPT 86901 ABO/Rh Verify RHI	$93.48	$164.00	—	—	43%
Rh blood typing inpatient CPT 86901 ABO/Rh Verify RHI	$93.48	$164.00	$731.50–$3,209.00	—	43%
Rh blood typing inpatient CPT 86901 ABO/Rh Verify RHI	$93.48	$164.00	—	—	43%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG RHI	$80.94	$142.00	—	—	43%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG RHI	$80.94	$142.00	$14.39	—	43%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG RHI	$80.94	$142.00	—	—	43%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG RHI	$80.94	$142.00	$731.50–$3,209.00	—	43%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedation Rate RHI	$15.39	$27.00	—	—	43%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedation Rate RHI	$15.39	$27.00	$2.70	—	43%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedation Rate RHI	$15.39	$27.00	—	—	43%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedation Rate RHI	$15.39	$27.00	$731.50–$3,209.00	—	43%
Sodium blood test CPT 84295 Sodium RHI	$28.50	$50.00	—	—	43%
Sodium blood test CPT 84295 Sodium RHI	$28.50	$50.00	$4.81	—	43%
Sodium blood test inpatient CPT 84295 Sodium RHI	$28.50	$50.00	$731.50–$3,209.00	—	43%
Sodium blood test inpatient CPT 84295 Sodium RHI	$28.50	$50.00	—	—	43%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Treponemal IgG RHI	$72.96	$128.00	$13.24	—	43%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Treponemal IgG RHI	$72.96	$128.00	—	—	43%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Treponemal IgG RHI	$72.96	$128.00	—	—	43%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Treponemal IgG RHI	$72.96	$128.00	$731.50–$3,209.00	—	43%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold RHI	$268.47	$471.00	$8.17–$61.98	—	43%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold RHI	$268.47	$471.00	—	—	43%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold RHI	$268.47	$471.00	—	—	43%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold RHI	$268.47	$471.00	$731.50–$3,209.00	—	43%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$80.94	$142.00	—	—	43%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$80.94	$142.00	$25.81	—	43%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total RHI	$145.92	$256.00	$25.81	—	43%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total RHI	$145.92	$256.00	—	—	43%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$80.94	$142.00	$731.50–$3,209.00	—	43%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$80.94	$142.00	—	—	43%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total RHI	$145.92	$256.00	$731.50–$3,209.00	—	43%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total RHI	$145.92	$256.00	—	—	43%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, 3rd Gen RHI	$95.76	$168.00	$16.80	—	43%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, 3rd Gen RHI	$95.76	$168.00	—	—	43%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, 3rd Gen RHI	$95.76	$168.00	—	—	43%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, 3rd Gen RHI	$95.76	$168.00	$731.50–$3,209.00	—	43%
Total cholesterol blood test CPT 82465 Cholesterol RHI	$24.51	$43.00	—	—	43%
Total cholesterol blood test CPT 82465 HDL Cholesterol RHI	$24.51	$43.00	$4.35	—	43%
Total cholesterol blood test CPT 82465 Cholesterol RHI	$24.51	$43.00	$4.35	—	43%
Total cholesterol blood test CPT 82465 HDL Cholesterol RHI	$24.51	$43.00	—	—	43%
Total cholesterol blood test inpatient CPT 82465 Cholesterol RHI	$24.51	$43.00	—	—	43%
Total cholesterol blood test inpatient CPT 82465 HDL Cholesterol RHI	$24.51	$43.00	$731.50–$3,209.00	—	43%
Total cholesterol blood test inpatient CPT 82465 Cholesterol RHI	$24.51	$43.00	$731.50–$3,209.00	—	43%
Total cholesterol blood test inpatient CPT 82465 HDL Cholesterol RHI	$24.51	$43.00	—	—	43%
Total thyroxine (T4) blood test CPT 84436 T4 RHI	$38.19	$67.00	—	—	43%
Total thyroxine (T4) blood test CPT 84436 T4 RHI	$38.19	$67.00	$6.87	—	43%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 RHI	$38.19	$67.00	—	—	43%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 RHI	$38.19	$67.00	$731.50–$3,209.00	—	43%
Total triiodothyronine (T3) blood test CPT 84480 T3, Total RHI	$79.80	$140.00	—	—	43%
Total triiodothyronine (T3) blood test CPT 84480 T3, Total RHI	$79.80	$140.00	$14.18	—	43%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, Total RHI	$79.80	$140.00	$731.50–$3,209.00	—	43%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, Total RHI	$79.80	$140.00	—	—	43%
Transferrin blood test CPT 84466 Transferrin RHI	$71.25	$125.00	—	—	43%
Transferrin blood test CPT 84466 Transferrin RHI	$71.25	$125.00	$12.76	—	43%
Transferrin blood test inpatient CPT 84466 Transferrin RHI	$71.25	$125.00	$731.50–$3,209.00	—	43%
Transferrin blood test inpatient CPT 84466 Transferrin RHI	$71.25	$125.00	—	—	43%
Triglycerides blood test CPT 84478 Triglyceride SerPl QN RHI	$22.23	$39.00	$5.74	—	43%
Triglycerides blood test CPT 84478 Triglyceride SerPl QN RHI	$22.23	$39.00	—	—	43%
Triglycerides blood test inpatient CPT 84478 Triglyceride SerPl QN RHI	$22.23	$39.00	$731.50–$3,209.00	—	43%
Triglycerides blood test inpatient CPT 84478 Triglyceride SerPl QN RHI	$22.23	$39.00	—	—	43%
Troponin test, quantitative CPT 84484 Troponin I, POC RHI	$54.72	$96.00	$12.47	—	43%
Troponin test, quantitative CPT 84484 Troponin I, POC RHI	$54.72	$96.00	—	—	43%
Troponin test, quantitative inpatient CPT 84484 Troponin I, POC RHI	$54.72	$96.00	—	—	43%
Troponin test, quantitative inpatient CPT 84484 Troponin I, POC RHI	$54.72	$96.00	$731.50–$3,209.00	—	43%
Uric acid blood test CPT 84550 Uric Acid RHI	$26.79	$47.00	—	—	43%
Uric acid blood test CPT 84550 Uric Acid RHI	$26.79	$47.00	$4.52	—	43%
Uric acid blood test inpatient CPT 84550 Uric Acid RHI	$26.79	$47.00	$731.50–$3,209.00	—	43%
Uric acid blood test inpatient CPT 84550 Uric Acid RHI	$26.79	$47.00	—	—	43%
Urinalysis with microscope exam, automated CPT 81001 Urine Microscopic RHI	$17.67	$31.00	$3.17	—	43%
Urinalysis with microscope exam, automated CPT 81001 Urine Microscopic RHI	$17.67	$31.00	—	—	43%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Microscopic RHI	$17.67	$31.00	$731.50–$3,209.00	—	43%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Microscopic RHI	$17.67	$31.00	—	—	43%
Urinalysis without microscope exam, automated CPT 81003 Urine Specific Gravity RHI	$13.68	$24.00	—	—	43%
Urinalysis without microscope exam, automated CPT 81003 Urine Specific Gravity RHI	$13.68	$24.00	$2.25	—	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Specific Gravity RHI	$13.68	$24.00	—	—	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Specific Gravity RHI	$13.68	$24.00	$731.50–$3,209.00	—	43%
Urinalysis without microscope exam, manual CPT 81002 Dipstick UA Manuali, POC	$10.83	$19.00	$3.48	—	43%
Urinalysis without microscope exam, manual CPT 81002 UA Dipstick RHI	$10.83	$19.00	$3.48	—	43%
Urinalysis without microscope exam, manual CPT 81002 Dipstick UA Manuali, POC	$10.83	$19.00	—	—	43%
Urinalysis without microscope exam, manual CPT 81002 UA Dipstick RHI	$10.83	$19.00	—	—	43%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick only RHI	$13.11	$23.00	—	—	43%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick only RHI	$13.11	$23.00	$3.48	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick UA Manuali, POC	$10.83	$19.00	$731.50–$3,209.00	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA Dipstick RHI	$10.83	$19.00	$731.50–$3,209.00	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA Dipstick RHI	$10.83	$19.00	—	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick UA Manuali, POC	$10.83	$19.00	—	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Dipstick only RHI	$13.11	$23.00	$731.50–$3,209.00	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Dipstick only RHI	$13.11	$23.00	—	—	43%
Urine culture for bacteria, with colony count CPT 87086 Urinalysis with Culture Reflex	$43.89	$77.00	$8.07	—	43%
Urine culture for bacteria, with colony count CPT 87086 Urinalysis with Culture Reflex	$43.89	$77.00	—	—	43%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture RHI	$45.60	$80.00	$8.07	—	43%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture RHI	$45.60	$80.00	—	—	43%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urinalysis with Culture Reflex	$43.89	$77.00	$731.50–$3,209.00	—	43%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urinalysis with Culture Reflex	$43.89	$77.00	—	—	43%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture RHI	$45.60	$80.00	$731.50–$3,209.00	—	43%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture RHI	$45.60	$80.00	—	—	43%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 RHI	$84.93	$149.00	—	—	43%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 RHI	$84.93	$149.00	$15.08	—	43%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 RHI	$84.93	$149.00	—	—	43%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 RHI	$84.93	$149.00	$731.50–$3,209.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Total RHI	$95.76	$168.00	$29.60	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Total RHI	$95.76	$168.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy RHI	$167.01	$293.00	$29.60	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D by LC-MS/MS RHI	$167.01	$293.00	$29.60	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 1,25 Dihydroxy RHI	$167.01	$293.00	$29.60	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D by LC-MS/MS RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 1,25 Dihydroxy RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .Vitamin D2 +D3, 25-Hydroxy RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .Vitamin D2 +D3, 25-Hydroxy RHI	$167.01	$293.00	$29.60	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Total RHI	$95.76	$168.00	$731.50–$3,209.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Total RHI	$95.76	$168.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 1,25 Dihydroxy RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D by LC-MS/MS RHI	$167.01	$293.00	—	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 .Vitamin D2 +D3, 25-Hydroxy RHI	$167.01	$293.00	$731.50–$3,209.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D by LC-MS/MS RHI	$167.01	$293.00	$731.50–$3,209.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 1,25 Dihydroxy RHI	$167.01	$293.00	$731.50–$3,209.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy RHI	$167.01	$293.00	$731.50–$3,209.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 .Vitamin D2 +D3, 25-Hydroxy RHI	$167.01	$293.00	—	—	43%
Zinc blood test CPT 84630 Zinc, Serum/Plasma RHI	$37.05	$65.00	$11.39	—	43%
Zinc blood test CPT 84630 Zinc, Serum/Plasma RHI	$37.05	$65.00	—	—	43%
Zinc blood test inpatient CPT 84630 Zinc, Serum/Plasma RHI	$37.05	$65.00	$731.50–$3,209.00	—	43%
Zinc blood test inpatient CPT 84630 Zinc, Serum/Plasma RHI	$37.05	$65.00	—	—	43%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Blood RHI	$84.93	$149.00	$15.05	—	43%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Blood RHI	$84.93	$149.00	—	—	43%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Blood RHI	$84.93	$149.00	—	—	43%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Blood RHI	$84.93	$149.00	$731.50–$3,209.00	—	43%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Botox injections for chronic migraine CPT 64615 64615 Chemodenervation Chronic Migraine RHI	$358.53	$629.00	—	—	43%
Botox injections for chronic migraine CPT 64615 64615 Chemodenervation Chronic Migraine RHI	$358.53	$629.00	$68.57–$648.18	—	43%
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenervation Chronic Migraine RHI	$358.53	$629.00	—	—	43%
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenervation Chronic Migraine RHI	$358.53	$629.00	$68.57–$3,209.00	—	43%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injections Epidural Cervical/Thoracic w/imaging	$1,585.74	$2,782.00	$371.75–$1,978.04	—	43%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injections Epidural Cervical/Thoracic w/imaging	$1,585.74	$2,782.00	—	—	43%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injections Epidural Cervical/Thoracic w/imaging	$1,585.74	$2,782.00	—	—	43%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injections Epidural Cervical/Thoracic w/imaging	$1,585.74	$2,782.00	$371.75–$3,209.00	—	43%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 Injection Paravertebral Facet Lumbar or Sacral Single Level RHI	$1,649.01	$2,893.00	—	—	43%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 Injection Paravertebral Facet Lumbar or Sacral Single Level RHI	$1,649.01	$2,893.00	$477.94–$1,242.31	—	43%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 Injection Paravertebral Facet Lumbar or Sacral Single Level RHI	$1,649.01	$2,893.00	—	—	43%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 Injection Paravertebral Facet Lumbar or Sacral Single Level RHI	$1,649.01	$2,893.00	$477.94–$3,209.00	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection Single Tendon Sheath/Ligament Aponeurosis RHI	$856.14	$1,502.00	—	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection Single Tendon Sheath/Ligament Aponeurosis RHI	$856.14	$1,502.00	$29.11–$285.87	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Injection Single Tendon Sheath/Ligament Aponeurosis RHI	$856.14	$1,502.00	—	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Injection Single Tendon Sheath/Ligament Aponeurosis RHI	$856.14	$1,502.00	$29.11–$3,209.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis/Aspiration Injection Major Joint/Bursa RHI	$587.10	$1,030.00	—	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis/Aspiration Injection Major Joint/Bursa RHI	$587.10	$1,030.00	$33.64–$285.87	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis/Aspiration Injection Major Joint/Bursa RHI	$587.10	$1,030.00	$33.64–$3,209.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis/Aspiration Injection Major Joint/Bursa RHI	$587.10	$1,030.00	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis/Aspiration Injection Intermediate Joint/Bursa RHI	$587.10	$1,030.00	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis/Aspiration Injection Intermediate Joint/Bursa RHI	$587.10	$1,030.00	$28.79–$285.87	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis/Aspiration Injection Intermediate Joint/Bursa RHI	$587.10	$1,030.00	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis/Aspiration Injection Intermediate Joint/Bursa RHI	$587.10	$1,030.00	$28.79–$3,209.00	—	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis/Aspiration Injection Small Joint/Bursa RHI	$587.10	$1,030.00	$28.46–$285.87	—	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis/Aspiration Injection Small Joint/Bursa RHI	$587.10	$1,030.00	—	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Arthrocentesis/Aspiration Injection Small Joint/Bursa RHI	$587.10	$1,030.00	$28.46–$3,209.00	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Arthrocentesis/Aspiration Injection Small Joint/Bursa RHI	$587.10	$1,030.00	—	—	43%
Lower-back epidural injection, with imaging guidance CPT 62323 Injections Epidural Lumbar/Sacral w/imaging	$1,585.74	$2,782.00	$371.75–$1,978.04	—	43%
Lower-back epidural injection, with imaging guidance CPT 62323 Injections Epidural Lumbar/Sacral w/imaging	$1,585.74	$2,782.00	—	—	43%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injections Epidural Lumbar/Sacral w/imaging	$1,585.74	$2,782.00	$371.75–$3,209.00	—	43%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injections Epidural Lumbar/Sacral w/imaging	$1,585.74	$2,782.00	—	—	43%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Injection Transforaminal Epidural Lumbar or Sacral RHI	$1,649.01	$2,893.00	$477.94–$1,242.31	—	43%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Injection Transforaminal Epidural Lumbar or Sacral RHI	$1,649.01	$2,893.00	—	—	43%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Injection Transforaminal Epidural Lumbar or Sacral RHI	$1,649.01	$2,893.00	—	—	43%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Injection Transforaminal Epidural Lumbar or Sacral RHI	$1,649.01	$2,893.00	$477.94–$3,209.00	—	43%
Occipital nerve block (injection for headaches) CPT 64405 64405 Injection Anesthetic Agent Greater Occipital Nerve RHI	$218.88	$384.00	—	—	43%
Occipital nerve block (injection for headaches) CPT 64405 64405 Injection Anesthetic Agent Greater Occipital Nerve RHI	$218.88	$384.00	$35.90–$1,242.31	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Injection Anesthetic Agent Greater Occipital Nerve RHI	$218.88	$384.00	—	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Injection Anesthetic Agent Greater Occipital Nerve RHI	$218.88	$384.00	$35.90–$3,209.00	—	43%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction Neurolytic Agent, Lumbar or Sacral, Single Facet	$3,030.69	$5,317.00	$924.93–$3,121.64	—	43%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction Neurolytic Agent, Lumbar or Sacral, Single Facet	$3,030.69	$5,317.00	—	—	43%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction Neurolytic Agent, Lumbar or Sacral, Single Facet	$3,030.69	$5,317.00	—	—	43%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction Neurolytic Agent, Lumbar or Sacral, Single Facet	$3,030.69	$5,317.00	$731.50–$3,209.00	—	43%
Short leg splint (calf to foot) CPT 29515 PT Application of Short Leg Splint Units	$461.70	$810.00	$45.61–$381.15	—	43%
Short leg splint (calf to foot) CPT 29515 PT Application of Short Leg Splint Units	$461.70	$810.00	—	—	43%
Short leg splint (calf to foot) inpatient CPT 29515 PT Application of Short Leg Splint Units	$461.70	$810.00	—	—	43%
Short leg splint (calf to foot) inpatient CPT 29515 PT Application of Short Leg Splint Units	$461.70	$810.00	$45.61–$3,209.00	—	43%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection Single/Multiple Trigger Points 1 or 2 Muscles RHI	$934.23	$1,639.00	—	—	43%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection Single/Multiple Trigger Points 1 or 2 Muscles RHI	$934.23	$1,639.00	$27.17–$285.87	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Injection Single/Multiple Trigger Points 1 or 2 Muscles RHI	$934.23	$1,639.00	—	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Injection Single/Multiple Trigger Points 1 or 2 Muscles RHI	$934.23	$1,639.00	$27.17–$3,209.00	—	43%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Subsequent	$145.92	$256.00	$24.84	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Subsequent	$145.92	$256.00	$24.84	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP SUBSEQUENT	$145.92	$256.00	$24.84	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP SUBSEQUENT	$145.92	$256.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Subsequent	$145.92	$256.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Subsequent	$145.92	$256.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Initial	$445.17	$781.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Initial	$445.17	$781.00	$24.84	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Initial	$469.11	$823.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Initial	$469.11	$823.00	$41.42	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP INITIAL	$510.15	$895.00	$24.84	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP INITIAL	$510.15	$895.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY SUCTION Charge	$621.87	$1,091.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY SUCTION Charge	$621.87	$1,091.00	$24.84	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Subsequent	$145.92	$256.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZPAP SUBSEQUENT	$145.92	$256.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler (MDI) Subsequent	$145.92	$256.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler (MDI) Subsequent	$145.92	$256.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZPAP SUBSEQUENT	$145.92	$256.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Subsequent	$145.92	$256.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Initial	$445.17	$781.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Initial	$445.17	$781.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler (MDI) Initial	$469.11	$823.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler (MDI) Initial	$469.11	$823.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZPAP INITIAL	$510.15	$895.00	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZPAP INITIAL	$510.15	$895.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY SUCTION Charge	$621.87	$1,091.00	$731.50–$3,209.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY SUCTION Charge	$621.87	$1,091.00	—	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG RT Charge	$128.82	$226.00	—	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG RT Charge	$128.82	$226.00	$136.38	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG RT Charge	$128.82	$226.00	$731.50–$3,209.00	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG RT Charge	$128.82	$226.00	—	—	43%
IV infusion of a medicine, first hour CPT 96365 96365 Intravenous Infusion Therapy Initial Hour RHI	$351.12	$616.00	—	—	43%
IV infusion of a medicine, first hour CPT 96365 96365 Intravenous Infusion Therapy Initial Hour RHI	$351.12	$616.00	$159.12	—	43%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Intravenous Infusion Therapy Initial Hour RHI	$351.12	$616.00	—	—	43%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Intravenous Infusion Therapy Initial Hour RHI	$351.12	$616.00	$731.50–$3,209.00	—	43%
IV push of a medicine, first drug CPT 96374 96374 Therapeutic Injection Single Intravenous Push RHI	$196.08	$344.00	$159.12	—	43%
IV push of a medicine, first drug CPT 96374 96374 Therapeutic Injection Single Intravenous Push RHI	$196.08	$344.00	—	—	43%
IV push of a medicine, first drug inpatient CPT 96374 96374 Therapeutic Injection Single Intravenous Push RHI	$196.08	$344.00	—	—	43%
IV push of a medicine, first drug inpatient CPT 96374 96374 Therapeutic Injection Single Intravenous Push RHI	$196.08	$344.00	$731.50–$3,209.00	—	43%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Nerve conduction studies, 7-8 RHI	$503.31	$883.00	—	—	43%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Nerve conduction studies, 7-8 RHI	$503.31	$883.00	$168.13	—	43%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 Nerve conduction studies, 7-8 RHI	$503.31	$883.00	$731.50–$3,209.00	—	43%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 Nerve conduction studies, 7-8 RHI	$503.31	$883.00	—	—	43%
Spirometry (breathing test) CPT 94010 Incentive Spirometry Subsequent	$107.16	$188.00	$24.84	—	43%
Spirometry (breathing test) CPT 94010 Incentive Spirometry Subsequent	$107.16	$188.00	—	—	43%
Spirometry (breathing test) CPT 94010 Incentive Spirometry Initial	$327.75	$575.00	—	—	43%
Spirometry (breathing test) CPT 94010 Incentive Spirometry Initial	$327.75	$575.00	$24.84	—	43%
Spirometry (breathing test) inpatient CPT 94010 Incentive Spirometry Subsequent	$107.16	$188.00	$731.50–$3,209.00	—	43%
Spirometry (breathing test) inpatient CPT 94010 Incentive Spirometry Subsequent	$107.16	$188.00	—	—	43%
Spirometry (breathing test) inpatient CPT 94010 Incentive Spirometry Initial	$327.75	$575.00	—	—	43%
Spirometry (breathing test) inpatient CPT 94010 Incentive Spirometry Initial	$327.75	$575.00	$731.50–$3,209.00	—	43%
Therapeutic activities (functional training), 15 minutes CPT 97530 Wound Therapeutic activities, each 15 mins	$113.43	$199.00	—	50% above	43%
Therapeutic activities (functional training), 15 minutes CPT 97530 Wound Therapeutic activities, each 15 mins	$113.43	$199.00	$100.00–$186.46	50% above	43%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities, each 15 mins	$113.43	$199.00	$100.00–$186.46	50% above	43%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities, each 15 mins	$113.43	$199.00	—	50% above	43%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Wound Therapeutic activities, each 15 mins	$113.43	$199.00	$731.50–$3,209.00	—	43%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Wound Therapeutic activities, each 15 mins	$113.43	$199.00	—	—	43%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities, each 15 mins	$113.43	$199.00	—	—	43%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities, each 15 mins	$113.43	$199.00	$731.50–$3,209.00	—	43%

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

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

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

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

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

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

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

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

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

Source file: https://www.rhirehab.com/media/2612/2026-rhi-machine_readable-file.csv