Hospital

Alliance Health Madill

Alliance Health Madill in Madill, OK publishes cash prices for 288 common procedures listed here, from its own machine-readable price file updated Dec 30, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 224 of 288 procedures and below it for 64. Select a procedure to compare it with other hospitals nearby.

901 S 5th Ave, Madill, OK 73446 Collected Nov 12, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/W/O CONT	$1,488.88	$4,253.94	$200.46–$3,700.93	12% above	65%
Abdominal CT scan without and with contrast CPT 74170 CT KIDNEY W/W/O CONT	$1,488.88	$4,253.94	$200.46–$3,700.93	12% above	65%
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$1,593.12	$4,551.78	$200.46–$3,960.05	20% above	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT KIDNEY W/W/O CONT	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/W/O CONT	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
Abdominal X-ray, 2 views CPT 74019 CH-ABD W DEC OR UP DR	$466.35	$1,332.44	$21.64–$1,159.22	119% above	65%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$498.83	$1,425.24	$21.64–$1,239.96	134% above	65%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABD W DEC OR UP DR	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3V PLUS DR	$304.84	$870.98	$23.58–$757.75	71% above	65%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$326.19	$931.97	$23.58–$810.81	83% above	65%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3V PLUS DR	$304.84	$870.98	$130.65–$757.75	—	65%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI ARTERIAL BILATERAL	$515.44	$1,472.68	$101.69–$1,281.23	—	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$551.26	$1,575.04	$101.69–$1,370.28	117% above	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ABI ARTERIAL BILATERAL	$515.44	$1,472.68	$220.90–$1,281.23	—	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$551.26	$1,575.04	$236.26–$1,370.28	—	65%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREM W/O CONT	$991.12	$2,831.76	$126.14–$2,463.63	9% above	65%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$1,060.58	$3,030.24	$126.14–$2,636.31	17% above	65%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREM W/O CONT	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$498.83	$1,425.24	$87.89–$1,239.96	43% above	65%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$326.19	$931.97	$73.00–$810.81	2% below	65%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$326.19	$931.97	$139.80–$810.81	—	65%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$1,593.10	$4,551.72	$332.27–$3,960.00	29% below	65%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$1,593.10	$4,551.72	$682.76–$3,960.00	—	65%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/&W/O CONTRAST	$1,488.88	$4,253.94	$214.76–$3,700.93	12% above	65%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$1,593.12	$4,551.78	$214.76–$3,960.05	20% above	65%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/&W/O CONTRAST	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$1,593.12	$4,551.78	$214.76–$3,960.05	21% above	65%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$1,593.12	$4,551.78	$217.66–$3,960.05	6% above	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE FULL ABD/PELVIS WO	$1,444.70	$4,127.71	$161.99–$3,591.11	8% above	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$2,149.26	$6,140.73	$161.99–$5,342.44	61% above	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$2,258.11	$6,451.74	$161.99–$5,613.01	69% above	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE FULL ABD/PELVIS WO	$1,444.70	$4,127.71	$619.16–$3,591.11	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$2,149.26	$6,140.73	$921.11–$5,342.44	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$2,258.11	$6,451.74	$967.76–$5,613.01	—	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$3,034.41	$8,669.73	$265.29–$7,542.67	66% above	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$3,246.92	$9,276.90	$265.29–$8,070.90	77% above	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST	$3,034.41	$8,669.73	$1,300.46–$7,542.67	—	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$3,246.92	$9,276.90	$1,391.54–$8,070.90	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,555.89	$7,302.55	$297.54–$6,353.22	20% above	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$2,734.97	$7,814.21	$297.54–$6,798.36	29% above	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,555.89	$7,302.55	$1,095.38–$6,353.22	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$2,734.97	$7,814.21	$1,172.13–$6,798.36	—	65%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,488.88	$4,253.94	$146.26–$3,700.93	35% above	65%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$1,593.12	$4,551.78	$146.26–$3,960.05	45% above	65%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
CT scan of the abdomen without contrast CPT 74150 CT STONE STUDY ABD	$991.12	$2,831.76	$120.51–$2,463.63	at median	65%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$991.12	$2,831.76	$120.51–$2,463.63	at median	65%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$1,060.58	$3,030.24	$120.51–$2,636.31	7% above	65%
CT scan of the abdomen without contrast inpatient CPT 74150 CT STONE STUDY ABD	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS	$991.12	$2,831.76	$112.18–$2,463.63	4% above	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONT	$991.12	$2,831.76	$112.18–$2,463.63	4% above	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$1,060.58	$3,030.24	$112.18–$2,636.31	11% above	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONT	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$1,331.00	$3,802.86	$93.30–$3,308.49	36% above	65%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$1,424.22	$4,069.21	$93.30–$3,540.21	45% above	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$1,331.00	$3,802.86	$570.43–$3,308.49	—	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$1,424.22	$4,069.21	$610.38–$3,540.21	—	65%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST	$1,488.88	$4,253.94	$130.30–$3,700.93	23% above	65%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$1,593.12	$4,551.78	$130.30–$3,960.05	32% above	65%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/CONTRAST	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/W/O CONTRAST	$1,488.88	$4,253.94	$152.39–$3,700.93	16% above	65%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$1,593.12	$4,551.78	$152.39–$3,960.05	24% above	65%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/W/O CONTRAST	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR W/O CONTRAST	$991.12	$2,831.76	$87.53–$2,463.63	4% below	65%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$1,060.58	$3,030.24	$87.53–$2,636.31	3% above	65%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR W/O CONTRAST	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL W/O CONTRAST	$1,259.56	$3,598.75	$114.33–$3,130.91	18% above	65%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$1,347.45	$3,849.86	$114.33–$3,349.38	26% above	65%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL W/O CONTRAST	$1,259.56	$3,598.75	$539.81–$3,130.91	—	65%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$1,347.45	$3,849.86	$577.48–$3,349.38	—	65%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,593.12	$4,551.78	$146.26–$3,960.05	47% above	65%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 BILATERAL CAROTID DUPLEX SCAN	$825.70	$2,359.14	$195.06–$2,052.45	—	65%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$883.45	$2,524.13	$195.06–$2,195.99	83% above	65%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 BILATERAL CAROTID DUPLEX SCAN	$825.70	$2,359.14	$353.87–$2,052.45	—	65%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$883.45	$2,524.13	$378.62–$2,195.99	—	65%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,593.12	$4,551.78	$171.78–$3,960.05	28% above	65%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$326.19	$931.97	$28.75–$810.81	84% above	65%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Chest X-ray, single view CPT 71045 CH-CHEST PORTABLE 1V DR	$304.84	$870.98	$21.95–$757.75	85% above	65%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$326.19	$931.97	$21.95–$810.81	98% above	65%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST PORTABLE 1V DR	$304.84	$870.98	$130.65–$757.75	—	65%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$326.19	$931.97	$20.53–$810.81	83% above	65%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$326.19	$931.97	$139.80–$810.81	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$498.83	$1,425.24	$92.65–$1,239.96	7% above	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$1,060.58	$3,030.24	$117.08–$2,636.31	11% above	65%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$1,593.12	$4,551.78	$146.26–$3,960.05	40% above	65%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$1,030.62	$2,944.64	$202.67–$2,561.84	—	65%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER ARTERIES CMP	$963.13	$2,751.81	$202.67–$2,394.07	77% above	65%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$1,030.62	$2,944.64	$441.70–$2,561.84	—	65%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LOWER ARTERIES CMP	$963.13	$2,751.81	$412.77–$2,394.07	—	65%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXTREM VEINS CMP BILAT	$963.13	$2,751.81	$157.95–$2,394.07	—	65%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$1,030.62	$2,944.64	$157.95–$2,561.84	61% above	65%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXTREM VEINS CMP BILAT	$963.13	$2,751.81	$412.77–$2,394.07	—	65%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$1,030.62	$2,944.64	$441.70–$2,561.84	—	65%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$326.19	$931.97	$17.75–$810.81	88% above	65%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$326.19	$931.97	$20.53–$810.81	82% above	65%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/SELL/FOSS W/O CONT	$991.12	$2,831.76	$139.93–$2,463.63	8% above	65%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$1,060.58	$3,030.24	$139.93–$2,636.31	16% above	65%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/SELL/FOSS W/O CONT	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$498.83	$1,425.24	$29.13–$1,239.96	125% above	65%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$326.19	$931.97	$18.03–$810.81	82% above	65%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$498.83	$1,425.24	$19.69–$1,239.96	167% above	65%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2V PLUS DR	$304.84	$870.98	$17.47–$757.75	88% above	65%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$326.19	$931.97	$17.47–$810.81	102% above	65%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2V PLUS DR	$304.84	$870.98	$130.65–$757.75	—	65%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$326.19	$931.97	$26.63–$810.81	68% above	65%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$498.83	$1,425.24	$30.25–$1,239.96	74% above	65%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT W/O CONTRAST	$991.12	$2,831.76	$113.78–$2,463.63	10% above	65%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT HIP W/O CONTRAST	$991.12	$2,831.76	$113.78–$2,463.63	10% above	65%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$1,060.58	$3,030.24	$113.78–$2,636.31	18% above	65%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT HIP W/O CONTRAST	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT W/O CONTRAST	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$498.83	$1,425.24	$74.39–$1,239.96	29% above	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD	$466.35	$1,332.44	$54.99–$1,159.22	80% above	65%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$498.83	$1,425.24	$54.99–$1,239.96	92% above	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$113.10	$323.14	$48.47–$1,508.00	72% below	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$113.10	$323.14	$48.47–$281.13	—	65%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIBIA-FIBULA 2V DR	$304.84	$870.98	$19.97–$757.75	80% above	65%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$326.19	$931.97	$19.97–$810.81	93% above	65%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIBIA-FIBULA 2V DR	$304.84	$870.98	$130.65–$757.75	—	65%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONT	$1,444.70	$4,127.71	$188.53–$3,591.11	34% above	65%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONT	$1,444.70	$4,127.71	$619.16–$3,591.11	—	65%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT	$1,444.70	$4,127.71	$172.79–$3,591.11	16% above	65%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONT	$1,444.70	$4,127.71	$619.16–$3,591.11	—	65%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT	$3,059.09	$8,740.26	$280.12–$7,604.03	105% above	65%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CONT	$3,059.09	$8,740.26	$1,311.04–$7,604.03	—	65%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE WO CONT	$1,805.51	$5,158.59	$168.63–$4,487.97	43% above	65%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE WO CONT	$1,805.51	$5,158.59	$773.79–$4,487.97	—	65%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&WO CONT	$1,792.25	$5,120.71	$280.95–$4,455.02	11% above	65%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W&WO CONT	$1,792.25	$5,120.71	$768.11–$4,455.02	—	65%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE WO CONT	$1,805.51	$5,158.59	$167.80–$4,487.97	61% above	65%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE WO CONT	$1,805.51	$5,158.59	$773.79–$4,487.97	—	65%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&WO CONT	$1,792.25	$5,120.71	$281.51–$4,455.02	9% above	65%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W&WO CONT	$1,792.25	$5,120.71	$768.11–$4,455.02	—	65%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO CONT	$1,805.51	$5,158.59	$168.07–$4,487.97	52% above	65%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE WO CONT	$1,805.51	$5,158.59	$773.79–$4,487.97	—	65%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$498.83	$1,425.24	$34.13–$1,239.96	81% above	65%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$1,488.88	$4,253.94	$161.93–$3,700.93	36% above	65%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,593.12	$4,551.78	$161.93–$3,960.05	45% above	65%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/CONTRAST	$1,488.88	$4,253.94	$638.09–$3,700.93	—	65%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$1,593.12	$4,551.78	$682.77–$3,960.05	—	65%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$991.12	$2,831.76	$132.17–$2,463.63	17% above	65%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$1,060.58	$3,030.24	$132.17–$2,636.31	25% above	65%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$326.19	$931.97	$18.86–$810.81	102% above	65%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$1,060.58	$3,030.24	$117.11–$2,636.31	9% above	65%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$419.81	$1,199.47	$42.73–$1,043.54	39% above	65%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$419.81	$1,199.47	$179.92–$1,043.54	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$498.83	$1,425.24	$90.00–$1,239.96	2% above	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULS OBSTETRIC POST FIRST TRI	$466.35	$1,332.44	$87.53–$1,332.44	1% above	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$498.83	$1,425.24	$87.53–$1,425.24	8% above	65%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULS OBSTETRIC POST FIRST TRI	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 U/S OBSTETRIC FIRST TRI	$466.35	$1,332.44	$100.99–$1,332.44	21% above	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$498.83	$1,425.24	$100.99–$1,425.24	30% above	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 U/S OBSTETRIC FIRST TRI	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S OBSTETRIC LIMITED	$466.35	$1,332.44	$69.59–$1,332.44	39% above	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$498.83	$1,425.24	$69.59–$1,425.24	48% above	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S OBSTETRIC LIMITED	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$326.19	$931.97	$21.91–$810.81	63% above	65%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$326.19	$931.97	$139.80–$810.81	—	65%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIBS UNI-PA CHEST DR	$466.35	$1,332.44	$24.69–$1,159.22	91% above	65%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$498.83	$1,425.24	$24.69–$1,239.96	105% above	65%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIBS UNI-PA CHEST DR	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHOULDER 2V PLUS DR	$304.84	$870.98	$21.64–$757.75	57% above	65%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$326.19	$931.97	$21.64–$810.81	68% above	65%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHOULDER 2V PLUS DR	$304.84	$870.98	$130.65–$757.75	—	65%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$326.19	$931.97	$22.75–$810.81	58% above	65%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$498.83	$1,425.24	$22.75–$1,239.96	142% above	65%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2 VIEWS DR	$304.84	$870.98	$22.47–$757.75	58% above	65%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$326.19	$931.97	$22.47–$810.81	69% above	65%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2 VIEWS DR	$304.84	$870.98	$130.65–$757.75	—	65%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC W/O CONTRAST	$991.12	$2,831.76	$114.05–$2,463.63	2% below	65%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$1,060.58	$3,030.24	$114.05–$2,636.31	5% above	65%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC W/O CONTRAST	$991.12	$2,831.76	$424.76–$2,463.63	—	65%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$1,060.58	$3,030.24	$454.54–$2,636.31	—	65%
Toe X-ray, 2 or more views CPT 73660 LE-TOE(S) 2V PLUS DR	$304.84	$870.98	$19.14–$757.75	87% above	65%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$326.19	$931.97	$19.14–$810.81	100% above	65%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE(S) 2V PLUS DR	$304.84	$870.98	$130.65–$757.75	—	65%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAGINAL	$466.35	$1,332.44	$101.64–$1,159.22	12% above	65%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$498.83	$1,425.24	$101.64–$1,239.96	20% above	65%
Transvaginal pelvic ultrasound inpatient CPT 76830 U/S TRANSVAGINAL	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Transvaginal ultrasound during pregnancy CPT 76817 ULS OBSTETRIC TRANSVAGINAL	$466.35	$1,332.44	$79.65–$1,332.44	46% above	65%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$498.83	$1,425.24	$79.65–$1,425.24	56% above	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ULS OBSTETRIC TRANSVAGINAL	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$498.83	$1,425.24	$99.52–$1,239.96	5% below	65%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Ultrasound of the scrotum and testicles CPT 76870 U/S SCROTUM	$466.35	$1,332.44	$85.39–$1,159.22	31% above	65%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$498.83	$1,425.24	$85.39–$1,239.96	40% above	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 U/S SCROTUM	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S THYROID	$466.35	$1,332.44	$93.72–$1,159.22	14% above	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$498.83	$1,425.24	$93.72–$1,239.96	22% above	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 U/S THYROID	$466.35	$1,332.44	$199.87–$1,159.22	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$326.19	$931.97	$20.25–$810.81	87% above	65%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 U/S DOPPLER VENOUS UP EXT UNI	$582.69	$1,664.83	$87.53–$1,448.40	27% above	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 U/S DOPPLER VENOUS LOW EXT UNI	$582.69	$1,664.83	$87.53–$1,448.40	27% above	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$623.54	$1,781.55	$87.53–$1,549.95	35% above	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 U/S DOPPLER VENOUS UP EXT UNI	$582.69	$1,664.83	$249.72–$1,448.40	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 U/S DOPPLER VENOUS LOW EXT UNI	$582.69	$1,664.83	$249.72–$1,448.40	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$623.54	$1,781.55	$267.23–$1,549.95	—	65%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$326.19	$931.97	$21.64–$810.81	99% above	65%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$326.19	$931.97	$27.47–$810.81	82% above	65%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PELVIS UNI 2 OR 3 VW DR	$304.84	$870.98	$30.80–$757.75	61% above	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$326.19	$931.97	$30.80–$810.81	72% above	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PELVIS UNI 2 OR 3 VW DR	$304.84	$870.98	$130.65–$757.75	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$326.19	$931.97	$18.03–$810.81	87% above	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$326.19	$931.97	$20.53–$810.81	82% above	65%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER (S) 2V PLUS DR	$304.84	$870.98	$26.36–$757.75	88% above	65%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$326.19	$931.97	$26.36–$810.81	101% above	65%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER (S) 2V PLUS DR	$304.84	$870.98	$130.65–$757.75	—	65%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$326.19	$931.97	$17.75–$810.81	87% above	65%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$326.19	$931.97	$21.91–$810.81	66% above	65%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$326.19	$931.97	$24.14–$810.81	66% above	65%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1-2V DR	$304.84	$870.98	$21.91–$757.75	76% above	65%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$326.19	$931.97	$21.91–$810.81	88% above	65%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1-2V DR	$304.84	$870.98	$130.65–$757.75	—	65%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$498.83	$1,425.24	$24.41–$1,239.96	136% above	65%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$498.83	$1,425.24	$33.02–$1,239.96	59% above	65%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$498.83	$1,425.24	$19.41–$1,239.96	137% above	65%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$326.19	$931.97	$24.69–$810.81	100% above	65%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$326.19	$931.97	$24.14–$810.81	60% above	65%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$326.19	$931.97	$139.80–$810.81	—	65%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$498.83	$1,425.24	$16.36–$1,239.96	159% above	65%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$498.83	$1,425.24	$213.79–$1,239.96	—	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$326.19	$931.97	$20.25–$810.81	83% above	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$326.19	$931.97	$139.80–$810.81	—	65%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
ACTH blood test CPT 82024 ACTH	$234.16	$669.02	$34.35–$582.05	80% above	65%
ACTH blood test CPT 82024 L4440 ACTH PL ECLIA	$250.54	$715.83	$34.35–$622.77	92% above	65%
ACTH blood test CPT 82024 ADRENOCORT ACTH	$250.54	$715.83	$34.35–$622.77	92% above	65%
ACTH blood test inpatient CPT 82024 ACTH	$234.16	$669.02	$100.35–$582.05	—	65%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$250.54	$715.83	$107.37–$622.77	—	65%
ACTH blood test inpatient CPT 82024 L4440 ACTH PL ECLIA	$250.54	$715.83	$107.37–$622.77	—	65%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT OR ALT	$31.91	$91.16	$4.71–$79.31	2% below	65%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$34.08	$97.37	$4.71–$84.71	5% above	65%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT OR ALT	$31.91	$91.16	$13.67–$79.31	—	65%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$34.08	$97.37	$14.61–$84.71	—	65%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT OR AST	$31.42	$89.76	$4.61–$78.09	16% below	65%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$33.71	$96.30	$4.61–$83.78	10% below	65%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT OR AST	$31.42	$89.76	$13.46–$78.09	—	65%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$33.71	$96.30	$14.44–$83.78	—	65%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 L144000 ACUT VIR HEP	$53.76	$153.61	$23.04–$133.64	71% below	65%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$288.64	$824.69	$42.37–$717.48	56% above	65%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$308.96	$882.75	$42.37–$767.99	66% above	65%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 L144000 ACUT VIR HEP	$53.76	$153.61	$23.04–$133.64	—	65%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$288.64	$824.69	$123.70–$717.48	—	65%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$308.96	$882.75	$132.41–$767.99	—	65%
Albumin blood test CPT 82040 L002238 ALB SER	$32.21	$92.02	$4.40–$80.06	3% above	65%
Albumin blood test CPT 82040 ALBUMIN SERUM	$32.21	$92.02	$4.40–$80.06	3% above	65%
Albumin blood test inpatient CPT 82040 L002238 ALB SER	$32.21	$92.02	$13.80–$80.06	—	65%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$32.21	$92.02	$13.80–$80.06	—	65%
Aldosterone blood test CPT 82088 ALDOSTERONE	$264.02	$754.35	$36.25–$656.28	89% above	65%
Aldosterone blood test CPT 82088 L4374 ALDOSTE LCMSMS	$264.02	$754.35	$36.25–$656.28	89% above	65%
Aldosterone blood test inpatient CPT 82088 L4374 ALDOSTE LCMSMS	$264.02	$754.35	$113.15–$656.28	—	65%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$264.02	$754.35	$113.15–$656.28	—	65%
Alkaline phosphatase (ALP) blood test CPT 84075 L1612 PHOSPHATAS ALK	$23.97	$68.48	$4.61–$59.58	20% below	65%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS TOTAL	$31.42	$89.76	$4.61–$78.09	5% above	65%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE	$33.71	$96.30	$4.61–$83.78	12% above	65%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 L1612 PHOSPHATAS ALK	$23.97	$68.48	$10.27–$59.58	—	65%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOS TOTAL	$31.42	$89.76	$13.46–$78.09	—	65%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE	$33.71	$96.30	$14.44–$83.78	—	65%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLIUM	$19.15	$54.70	$4.64–$47.59	11% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DOG DANDER	$19.15	$54.70	$4.64–$47.59	11% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT/SEMI	$28.89	$82.55	$4.64–$71.82	34% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L648014 ALG IGE QT	$29.05	$83.00	$4.64–$72.21	34% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L604544 ALG IGE QT	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602488ALG I6 IGE IA	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602512 ALG F36 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602483ALG F17 IGE I	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602989 ALG IGE QT	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602530ALG F256 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602486 F203 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602485 ALG F10 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602479 ALG F20 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602470 ALG F201 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602463 ALG W1 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602534 ALG G17 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602461 ALG F202 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602456 ALG E5 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602467 ALG D1 IGE	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L602640 ALG IGE QT	$31.08	$88.81	$4.64–$77.26	44% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE	$31.42	$89.76	$4.64–$78.09	45% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L600973 ALLERGEN IGE	$46.06	$131.61	$4.64–$114.50	113% above	65%
Allergy blood test, specific IgE, per allergen CPT 86003 L600919 ALG IGE QT	$46.06	$131.61	$4.64–$114.50	113% above	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PENICILLIUM	$19.15	$54.70	$8.20–$47.59	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DOG DANDER	$19.15	$54.70	$8.20–$47.59	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT/SEMI	$28.89	$82.55	$12.38–$71.82	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L648014 ALG IGE QT	$29.05	$83.00	$12.45–$72.21	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602640 ALG IGE QT	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602989 ALG IGE QT	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602512 ALG F36 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602486 F203 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602534 ALG G17 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602467 ALG D1 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602488ALG I6 IGE IA	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602483ALG F17 IGE I	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602530ALG F256 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602485 ALG F10 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602479 ALG F20 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602470 ALG F201 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602463 ALG W1 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602461 ALG F202 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602456 ALG E5 IGE	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L604544 ALG IGE QT	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$31.08	$88.81	$13.32–$77.26	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE	$31.42	$89.76	$13.46–$78.09	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L600973 ALLERGEN IGE	$46.06	$131.61	$19.74–$114.50	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L600919 ALG IGE QT	$46.06	$131.61	$19.74–$114.50	—	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER	$101.61	$290.32	$14.92–$252.58	85% above	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 L2253 AFP TM ECLIA	$108.61	$310.30	$14.92–$269.96	97% above	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 L17319 AFP SERUM	$108.61	$310.30	$14.92–$269.96	97% above	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$108.61	$310.30	$14.92–$269.96	97% above	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER	$101.61	$290.32	$43.55–$252.58	—	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L17319 AFP SERUM	$108.61	$310.30	$46.54–$269.96	—	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$108.61	$310.30	$46.54–$269.96	—	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L2253 AFP TM ECLIA	$108.61	$310.30	$46.54–$269.96	—	65%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$88.36	$252.47	$12.96–$219.65	27% above	65%
Ammonia blood test CPT 82140 AMMONIA	$94.75	$270.71	$12.96–$235.52	36% above	65%
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$88.36	$252.47	$37.87–$219.65	—	65%
Ammonia blood test inpatient CPT 82140 AMMONIA	$94.75	$270.71	$40.61–$235.52	—	65%
Amylase blood test CPT 82150 AMYLASE	$155.79	$445.12	$5.76–$387.25	237% above	65%
Amylase blood test inpatient CPT 82150 AMYLASE	$155.79	$445.12	$66.77–$387.25	—	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULL PEPTIDE/CCP AB	$78.54	$224.40	$11.52–$195.23	20% above	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$84.26	$240.75	$11.52–$209.45	28% above	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 L164914 CCP IGA/G EL	$84.26	$240.75	$11.52–$209.45	28% above	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULL PEPTIDE/CCP AB	$78.54	$224.40	$33.66–$195.23	—	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 L164914 CCP IGA/G EL	$84.26	$240.75	$36.11–$209.45	—	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$84.26	$240.75	$36.11–$209.45	—	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY	$73.14	$208.98	$10.75–$181.81	20% above	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$78.27	$223.63	$10.75–$194.56	28% above	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164855 ANA DIR MFIA	$78.27	$223.63	$10.75–$194.56	28% above	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164947 ANA IFA	$78.27	$223.63	$10.75–$194.56	28% above	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY	$73.14	$208.98	$31.35–$181.81	—	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164947 ANA IFA	$78.27	$223.63	$33.54–$194.56	—	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$78.27	$223.63	$33.54–$194.56	—	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164855 ANA DIR MFIA	$78.27	$223.63	$33.54–$194.56	—	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-NATRIURETIC PEPTIDE	$132.36	$378.18	$34.92–$329.02	12% above	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$141.56	$404.46	$34.92–$351.88	20% above	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 L143000 NT-PROBNP	$141.56	$404.46	$34.92–$351.88	20% above	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-NATRIURETIC PEPTIDE	$132.36	$378.18	$56.73–$329.02	—	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$141.56	$404.46	$60.67–$351.88	—	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 L143000 NT-PROBNP	$141.56	$404.46	$60.67–$351.88	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$52.04	$148.68	$7.67–$129.35	18% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$52.04	$148.68	$7.67–$129.35	18% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$104.56	$298.74	$7.67–$259.90	137% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$199.60	$570.28	$7.67–$496.14	352% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND AEROBIC	$200.12	$571.78	$7.67–$497.45	353% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$208.60	$595.99	$7.67–$518.51	373% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$52.04	$148.68	$22.30–$129.35	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$52.04	$148.68	$22.30–$129.35	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$104.56	$298.74	$44.81–$259.90	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$199.60	$570.28	$85.54–$496.14	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND AEROBIC	$200.12	$571.78	$85.77–$497.45	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$208.60	$595.99	$89.40–$518.51	—	65%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$98.12	$280.34	$7.53–$243.90	78% above	65%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$98.12	$280.34	$42.05–$243.90	—	65%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL	$19.96	$57.04	$4.47–$49.62	49% below	65%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$287.62	$821.76	$4.47–$714.93	637% above	65%
Bilirubin blood test, total CPT 82247 LIVER FIBROSIS PANEL	$464.39	$1,326.84	$4.47–$1,154.35	1091% above	65%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL NEONATAL	$19.96	$57.04	$8.56–$49.62	—	65%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$287.62	$821.76	$123.26–$714.93	—	65%
Bilirubin blood test, total inpatient CPT 82247 LIVER FIBROSIS PANEL	$464.39	$1,326.84	$199.03–$1,154.35	—	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY LEVEL IV	$622.43	$1,778.37	$42.88–$1,547.18	344% above	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$665.86	$1,902.46	$42.88–$1,655.14	375% above	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTOLOGY CELL BLOCK	$681.79	$1,947.96	$42.88–$1,694.73	386% above	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOPAY EXAM	$856.69	$2,447.68	$42.88–$2,129.48	511% above	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY LEVEL IV	$622.43	$1,778.37	$266.76–$1,547.18	—	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$665.86	$1,902.46	$285.37–$1,655.14	—	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTOLOGY CELL BLOCK	$681.79	$1,947.96	$292.19–$1,694.73	—	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOPAY EXAM	$856.69	$2,447.68	$367.15–$2,129.48	—	65%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$116.61	$333.17	$9.18–$289.86	58% above	65%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$124.71	$356.31	$9.18–$309.99	69% above	65%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$116.61	$333.17	$49.98–$289.86	—	65%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$124.71	$356.31	$53.45–$309.99	—	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE	$22.47	$64.20	$3.60–$55.85	125% above	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$831.60	$2,376.00	$9.43–$2,067.12	8216% above	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$22.47	$64.20	$9.63–$55.85	—	65%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$24.06	$68.73	$3.50–$59.80	14% below	65%
Blood glucose (sugar) test CPT 82947 MW GLUCOSE 1 HR	$24.06	$68.73	$3.50–$59.80	14% below	65%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT	$25.47	$72.76	$3.50–$63.30	9% below	65%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$24.06	$68.73	$10.31–$59.80	—	65%
Blood glucose (sugar) test inpatient CPT 82947 MW GLUCOSE 1 HR	$24.06	$68.73	$10.31–$59.80	—	65%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$25.47	$72.76	$10.91–$63.30	—	65%
Blood lead test CPT 83655 LEAD BLOOD	$66.19	$189.10	$10.77–$164.52	39% above	65%
Blood lead test CPT 83655 L42580 LEAD	$70.78	$202.23	$10.77–$175.94	49% above	65%
Blood lead test CPT 83655 LEAD	$70.78	$202.23	$10.77–$175.94	49% above	65%
Blood lead test CPT 83655 L717009PB BL AAS-ICP	$70.78	$202.23	$10.77–$175.94	49% above	65%
Blood lead test CPT 83655 L7046 LEAD	$70.78	$202.23	$10.77–$175.94	49% above	65%
Blood lead test CPT 83655 LEAD, SERUM	$73.63	$210.38	$10.77–$183.03	55% above	65%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$66.19	$189.10	$28.36–$164.52	—	65%
Blood lead test inpatient CPT 83655 L717009PB BL AAS-ICP	$70.78	$202.23	$30.33–$175.94	—	65%
Blood lead test inpatient CPT 83655 LEAD	$70.78	$202.23	$30.33–$175.94	—	65%
Blood lead test inpatient CPT 83655 L42580 LEAD	$70.78	$202.23	$30.33–$175.94	—	65%
Blood lead test inpatient CPT 83655 L7046 LEAD	$70.78	$202.23	$30.33–$175.94	—	65%
Blood lead test inpatient CPT 83655 LEAD, SERUM	$73.63	$210.38	$31.56–$183.03	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QUAL	$45.65	$130.44	$6.69–$113.48	at median	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUAL	$45.65	$130.44	$6.69–$113.48	at median	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL	$49.06	$140.17	$6.69–$121.95	8% above	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG QUAL	$45.65	$130.44	$19.57–$113.48	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QUAL	$45.65	$130.44	$19.57–$113.48	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$49.06	$140.17	$21.03–$121.95	—	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OKL36 ABO	$331.06	$945.88	$2.66–$822.92	444% above	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OKL18 ABO	$331.06	$945.88	$2.66–$822.92	444% above	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$331.06	$945.88	$2.66–$822.92	444% above	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OKL04 ABO	$331.06	$945.88	$2.66–$822.92	444% above	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OK01A ABO	$331.06	$945.88	$2.66–$822.92	444% above	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OK12H ABO	$331.06	$945.88	$2.66–$822.92	444% above	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OKL04 ABO	$331.06	$945.88	$141.88–$822.92	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OK01A ABO	$331.06	$945.88	$141.88–$822.92	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OK12H ABO	$331.06	$945.88	$141.88–$822.92	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$331.06	$945.88	$141.88–$822.92	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OKL18 ABO	$331.06	$945.88	$141.88–$822.92	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OKL36 ABO	$331.06	$945.88	$141.88–$822.92	—	65%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BUN	$24.06	$68.73	$3.51–$59.80	4% below	65%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN	$25.47	$72.76	$3.51–$63.30	2% above	65%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BUN	$24.06	$68.73	$10.31–$59.80	—	65%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN	$25.47	$72.76	$10.91–$63.30	—	65%
C-peptide blood test CPT 84681 C PEPTIDE	$126.16	$360.46	$18.51–$313.60	38% above	65%
C-peptide blood test CPT 84681 L10108 C-PEPID ECLIA	$135.19	$386.27	$18.51–$336.05	48% above	65%
C-peptide blood test CPT 84681 C-PEPTIDE	$135.19	$386.27	$18.51–$336.05	48% above	65%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$126.16	$360.46	$54.07–$313.60	—	65%
C-peptide blood test inpatient CPT 84681 L10108 C-PEPID ECLIA	$135.19	$386.27	$57.94–$336.05	—	65%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$135.19	$386.27	$57.94–$336.05	—	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$33.71	$96.30	$4.61–$83.78	11% below	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 L6627 C REAC PROT QT	$33.71	$96.30	$4.61–$83.78	11% below	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 L6627 C REAC PROT QT	$33.71	$96.30	$14.44–$83.78	—	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$33.71	$96.30	$14.44–$83.78	—	65%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE BY PCR	$127.63	$364.67	$33.15–$317.26	33% above	65%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$136.69	$390.55	$33.15–$339.78	42% above	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE BY PCR	$127.63	$364.67	$54.70–$317.26	—	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$136.69	$390.55	$58.58–$339.78	—	65%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9	$126.16	$360.46	$18.51–$313.60	38% above	65%
CA 19-9 blood test (tumor marker) CPT 86301 L2261 CA 19-9 ECLIA	$135.19	$386.27	$18.51–$336.05	48% above	65%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$135.19	$386.27	$18.51–$336.05	48% above	65%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9	$126.16	$360.46	$54.07–$313.60	—	65%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$135.19	$386.27	$57.94–$336.05	—	65%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 L2261 CA 19-9 ECLIA	$135.19	$386.27	$57.94–$336.05	—	65%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$99.80	$285.13	$18.51–$248.06	8% above	65%
CA-125 blood test (ovarian cancer marker) CPT 86304 L2303 CA 125 ECLIA	$106.73	$304.95	$18.51–$265.31	16% above	65%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$106.73	$304.95	$18.51–$265.31	16% above	65%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$99.80	$285.13	$42.77–$248.06	—	65%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$106.73	$304.95	$45.74–$265.31	—	65%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 L2303 CA 125 ECLIA	$106.73	$304.95	$45.74–$265.31	—	65%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Q39448 COVID19	$110.48	$315.65	$45.64–$274.62	36% above	65%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Q39448 COVID19	$110.48	$315.65	$47.35–$274.62	—	65%
Calcium blood test, total CPT 82310 CALCIUM BLOOD	$31.42	$89.76	$4.59–$78.09	14% below	65%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$79.02	$225.77	$4.59–$196.42	117% above	65%
Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD	$31.42	$89.76	$13.46–$78.09	—	65%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$79.02	$225.77	$33.87–$196.42	—	65%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA FLUID	$114.87	$328.20	$16.86–$285.53	11% above	65%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$114.87	$328.20	$16.86–$285.53	11% above	65%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$122.84	$350.96	$16.86–$305.34	18% above	65%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$114.87	$328.20	$49.23–$285.53	—	65%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA FLUID	$114.87	$328.20	$49.23–$285.53	—	65%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$122.84	$350.96	$52.64–$305.34	—	65%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGG	$50.42	$144.07	$11.46–$125.34	13% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 L96206 VZV IGG CLIA	$53.93	$154.08	$11.46–$134.05	7% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$53.93	$154.08	$11.46–$134.05	7% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB.IGG	$78.05	$223.00	$11.46–$194.01	35% above	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGG	$50.42	$144.07	$21.61–$125.34	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L96206 VZV IGG CLIA	$53.93	$154.08	$23.11–$134.05	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$53.93	$154.08	$23.11–$134.05	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS AB.IGG	$78.05	$223.00	$33.45–$194.01	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMPLIFICATION	$127.63	$364.67	$31.21–$317.26	60% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183194CHLMYD TRACH	$136.69	$390.55	$31.21–$339.78	72% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$136.69	$390.55	$31.21–$339.78	72% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183160 C TRACH AMP	$136.69	$390.55	$31.21–$339.78	72% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY LCR TRACH AMP PRB	$164.40	$469.72	$31.21–$408.66	106% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMPLIFICATION	$127.63	$364.67	$54.70–$317.26	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$136.69	$390.55	$58.58–$339.78	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183160 C TRACH AMP	$136.69	$390.55	$58.58–$339.78	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183194CHLMYD TRACH	$136.69	$390.55	$58.58–$339.78	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY LCR TRACH AMP PRB	$164.40	$469.72	$70.46–$408.66	—	65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L884247 LIPID PANEL	$106.36	$303.88	$11.91–$264.38	53% above	65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$243.05	$694.43	$11.91–$604.15	249% above	65%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L884247 LIPID PANEL	$106.36	$303.88	$45.58–$264.38	—	65%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$243.05	$694.43	$104.16–$604.15	—	65%
Complete blood count (CBC) with differential CPT 85025 CBC COMPLETE AUTOMATED	$118.18	$337.65	$6.91–$293.76	161% above	65%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$126.58	$361.66	$6.91–$314.64	179% above	65%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC COMPLETE AUTOMATED	$118.18	$337.65	$50.65–$293.76	—	65%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$126.58	$361.66	$54.25–$314.64	—	65%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM/PLATELET AUTOMATED	$87.19	$249.11	$5.75–$216.73	98% above	65%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$93.25	$266.43	$5.75–$231.79	112% above	65%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM/PLATELET AUTOMATED	$87.19	$249.11	$37.37–$216.73	—	65%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$93.25	$266.43	$39.96–$231.79	—	65%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$148.25	$423.57	$9.39–$368.51	106% above	65%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$158.79	$453.68	$9.39–$394.70	121% above	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$148.25	$423.57	$63.54–$368.51	—	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$158.79	$453.68	$68.05–$394.70	—	65%
Cortisol blood test, total CPT 82533 CORTISOL AM	$98.67	$281.91	$14.50–$245.26	29% above	65%
Cortisol blood test, total CPT 82533 CORTISOL, RANDOM	$98.67	$281.91	$14.50–$245.26	29% above	65%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$105.23	$300.67	$14.50–$261.58	37% above	65%
Cortisol blood test, total CPT 82533 L104026CORT PM ECLIA	$105.23	$300.67	$14.50–$261.58	37% above	65%
Cortisol blood test, total CPT 82533 L4051 CORTISOL ECLIA	$105.23	$300.67	$14.50–$261.58	37% above	65%
Cortisol blood test, total CPT 82533 L104018CORT AM ECLIA	$105.23	$300.67	$14.50–$261.58	37% above	65%
Cortisol blood test, total inpatient CPT 82533 CORTISOL AM	$98.67	$281.91	$42.29–$245.26	—	65%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, RANDOM	$98.67	$281.91	$42.29–$245.26	—	65%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$105.23	$300.67	$45.10–$261.58	—	65%
Cortisol blood test, total inpatient CPT 82533 L104018CORT AM ECLIA	$105.23	$300.67	$45.10–$261.58	—	65%
Cortisol blood test, total inpatient CPT 82533 L104026CORT PM ECLIA	$105.23	$300.67	$45.10–$261.58	—	65%
Cortisol blood test, total inpatient CPT 82533 L4051 CORTISOL ECLIA	$105.23	$300.67	$45.10–$261.58	—	65%
Creatine kinase (CK) blood test, total CPT 82550 L2154 CPK TOTAL	$21.70	$62.00	$5.79–$53.94	48% below	65%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$125.83	$359.52	$5.79–$312.78	200% above	65%
Creatine kinase (CK) blood test, total inpatient CPT 82550 L2154 CPK TOTAL	$21.70	$62.00	$9.30–$53.94	—	65%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$125.83	$359.52	$53.93–$312.78	—	65%
Creatinine blood test CPT 82565 CREATININE SERUM	$30.93	$88.36	$4.55–$76.87	4% above	65%
Creatinine blood test CPT 82565 CREATININE BLOOD	$33.33	$95.23	$4.55–$82.85	13% above	65%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$30.93	$88.36	$13.25–$76.87	—	65%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$33.33	$95.23	$14.28–$82.85	—	65%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV CSF IGG	$87.38	$249.65	$12.80–$217.20	16% above	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV CSF IGG	$87.38	$249.65	$37.45–$217.20	—	65%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT	$111.52	$318.64	$9.05–$277.22	13% above	65%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$111.52	$318.64	$47.80–$277.22	—	65%
DHEA sulfate (DHEA-S) blood test CPT 82627 L4020 DHEA SUL ECLIA	$144.18	$411.95	$19.77–$358.40	91% above	65%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$144.18	$411.95	$19.77–$358.40	91% above	65%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$144.18	$411.95	$61.79–$358.40	—	65%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 L4020 DHEA SUL ECLIA	$144.18	$411.95	$61.79–$358.40	—	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$311.21	$889.17	$55.27–$773.58	221% above	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$311.21	$889.17	$133.38–$773.58	—	65%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$45.69	$130.54	$6.24–$113.57	25% below	65%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$45.69	$130.54	$19.58–$113.57	—	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EPSTEIN BARR VCA	$65.78	$187.95	$16.14–$163.52	5% below	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 L96230EBV AB-VCA IGG	$97.37	$278.20	$16.14–$242.03	41% above	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA	$97.37	$278.20	$16.14–$242.03	41% above	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 L240610 EBV VCA	$97.37	$278.20	$16.14–$242.03	41% above	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA IGM	$109.96	$314.17	$16.14–$273.33	59% above	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ANTIBODY EPSTEIN BARR VCA	$65.78	$187.95	$28.19–$163.52	—	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L96230EBV AB-VCA IGG	$97.37	$278.20	$41.73–$242.03	—	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA	$97.37	$278.20	$41.73–$242.03	—	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L240610 EBV VCA	$97.37	$278.20	$41.73–$242.03	—	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VCA IGM	$109.96	$314.17	$47.13–$273.33	—	65%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$101.86	$291.04	$24.85–$253.20	12% above	65%
Estradiol blood test CPT 82670 L4515ESTRADIOL ECLIA	$101.86	$291.04	$24.85–$253.20	12% above	65%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$101.86	$291.04	$43.66–$253.20	—	65%
Estradiol blood test inpatient CPT 82670 L4515ESTRADIOL ECLIA	$101.86	$291.04	$43.66–$253.20	—	65%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$112.41	$321.18	$16.53–$279.43	60% above	65%
FSH (follicle-stimulating hormone) test CPT 83001 L4309 FSH ECLIA	$120.21	$343.47	$16.53–$298.82	71% above	65%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$120.21	$343.47	$16.53–$298.82	71% above	65%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$112.41	$321.18	$48.18–$279.43	—	65%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$120.21	$343.47	$51.52–$298.82	—	65%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 L4309 FSH ECLIA	$120.21	$343.47	$51.52–$298.82	—	65%
Fecal calprotectin (stool inflammation test) CPT 83993 L123255 CALPRO ELISA	$71.05	$203.00	$17.46–$176.61	51% below	65%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$76.02	$217.21	$17.46–$188.97	47% below	65%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 L123255 CALPRO ELISA	$71.05	$203.00	$30.45–$176.61	—	65%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$76.02	$217.21	$32.58–$188.97	—	65%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$88.01	$251.45	$12.12–$218.76	36% above	65%
Ferritin blood test (iron stores) CPT 82728 L4598 FERRITIN	$88.01	$251.45	$12.12–$218.76	36% above	65%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$88.01	$251.45	$37.72–$218.76	—	65%
Ferritin blood test (iron stores) inpatient CPT 82728 L4598 FERRITIN	$88.01	$251.45	$37.72–$218.76	—	65%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$51.54	$147.25	$8.65–$128.11	27% below	65%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$51.54	$147.25	$22.09–$128.11	—	65%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$151.28	$432.22	$13.08–$376.03	130% above	65%
Folate (folic acid) blood test CPT 82746 L2014 FOLATE S ECLIA	$161.78	$462.24	$13.08–$402.15	146% above	65%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$161.78	$462.24	$13.08–$402.15	146% above	65%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$151.28	$432.22	$64.83–$376.03	—	65%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$161.78	$462.24	$69.34–$402.15	—	65%
Folate (folic acid) blood test inpatient CPT 82746 L2014 FOLATE S ECLIA	$161.78	$462.24	$69.34–$402.15	—	65%
Free T3 thyroid hormone test CPT 84481 T-3 FREE	$230.59	$658.82	$15.07–$573.17	157% above	65%
Free T3 thyroid hormone test CPT 84481 T3,FREE	$246.80	$705.13	$15.07–$613.46	175% above	65%
Free T3 thyroid hormone test CPT 84481 L10389 T3 FREE ECLIA	$246.80	$705.13	$15.07–$613.46	175% above	65%
Free T3 thyroid hormone test inpatient CPT 84481 T-3 FREE	$230.59	$658.82	$98.82–$573.17	—	65%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$246.80	$705.13	$105.77–$613.46	—	65%
Free T3 thyroid hormone test inpatient CPT 84481 L10389 T3 FREE ECLIA	$246.80	$705.13	$105.77–$613.46	—	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE	$54.49	$155.69	$8.02–$135.45	11% below	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE T4	$149.17	$426.20	$8.02–$370.79	143% above	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 L1974 T4 FREE DIR	$159.54	$455.82	$8.02–$396.56	160% above	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$159.54	$455.82	$8.02–$396.56	160% above	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 FREE	$54.49	$155.69	$23.35–$135.45	—	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE T4	$149.17	$426.20	$63.93–$370.79	—	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 L1974 T4 FREE DIR	$159.54	$455.82	$68.37–$396.56	—	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$159.54	$455.82	$68.37–$396.56	—	65%
Free testosterone test CPT 84402 L140103 TESTOST FREE	$124.33	$355.24	$22.66–$309.06	43% above	65%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$154.63	$441.79	$22.66–$384.36	78% above	65%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$165.53	$472.94	$22.66–$411.46	91% above	65%
Free testosterone test CPT 84402 L144980 TST FREE EIA	$165.53	$472.94	$22.66–$411.46	91% above	65%
Free testosterone test inpatient CPT 84402 L140103 TESTOST FREE	$124.33	$355.24	$53.29–$309.06	—	65%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$154.63	$441.79	$66.27–$384.36	—	65%
Free testosterone test inpatient CPT 84402 L144980 TST FREE EIA	$165.53	$472.94	$70.94–$411.46	—	65%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$165.53	$472.94	$70.94–$411.46	—	65%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$154.67	$441.91	$6.40–$384.46	215% above	65%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 L1958 GGT	$154.67	$441.91	$6.40–$384.46	215% above	65%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$154.67	$441.91	$66.29–$384.46	—	65%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 L1958 GGT	$154.67	$441.91	$66.29–$384.46	—	65%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$570.74	$1,630.68	$31.24–$1,418.69	192% above	65%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$570.74	$1,630.68	$244.60–$1,418.69	—	65%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 2HR	$78.05	$223.00	$11.45–$194.01	16% above	65%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 1ST 3 SPECIMENS	$78.05	$223.00	$11.45–$194.01	16% above	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 1ST 3 SPECIMENS	$78.05	$223.00	$33.45–$194.01	—	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 2HR	$78.05	$223.00	$33.45–$194.01	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMPLIFICATION	$127.63	$364.67	$31.21–$317.26	53% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$136.69	$390.55	$31.21–$339.78	64% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183194N.GONORRHO,DN	$136.69	$390.55	$31.21–$339.78	64% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183160 N GONO AMP	$136.69	$390.55	$31.21–$339.78	64% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR AMP PROBE	$148.12	$423.20	$31.21–$368.18	78% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMPLIFICATION	$127.63	$364.67	$54.70–$317.26	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183194N.GONORRHO,DN	$136.69	$390.55	$58.58–$339.78	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183160 N GONO AMP	$136.69	$390.55	$58.58–$339.78	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$136.69	$390.55	$58.58–$339.78	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORR AMP PROBE	$148.12	$423.20	$63.48–$368.18	—	65%
H. pylori antibody blood test CPT 86677 H. PYLORI IGM	$87.87	$251.07	$14.99–$218.43	17% above	65%
H. pylori antibody blood test CPT 86677 H.PYLORI IGA	$87.87	$251.07	$14.99–$218.43	17% above	65%
H. pylori antibody blood test CPT 86677 H.PYLORI IGG	$87.87	$251.07	$14.99–$218.43	17% above	65%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$94.00	$268.57	$14.99–$233.66	25% above	65%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IGG	$87.87	$251.07	$37.66–$218.43	—	65%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGM	$87.87	$251.07	$37.66–$218.43	—	65%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IGA	$87.87	$251.07	$37.66–$218.43	—	65%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$94.00	$268.57	$40.29–$233.66	—	65%
H. pylori stool antigen test CPT 87338 HELICOBACTOR PYLORI STOOL	$52.53	$150.08	$12.79–$130.57	53% below	65%
H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA	$56.18	$160.50	$12.79–$139.63	50% below	65%
H. pylori stool antigen test CPT 87338 L180764H.PYLOR AG IA	$56.18	$160.50	$12.79–$139.63	50% below	65%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTOR PYLORI STOOL	$52.53	$150.08	$22.51–$130.57	—	65%
H. pylori stool antigen test inpatient CPT 87338 L180764H.PYLOR AG IA	$56.18	$160.50	$24.08–$139.63	—	65%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$56.18	$160.50	$24.08–$139.63	—	65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR QUANT	$454.87	$1,299.62	$75.70–$1,130.67	123% above	65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550432 HIV1 QT W RF	$486.85	$1,391.00	$75.70–$1,210.17	138% above	65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550430HIV1 QT RTPCR	$486.85	$1,391.00	$75.70–$1,210.17	138% above	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR QUANT	$454.87	$1,299.62	$194.94–$1,130.67	—	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550430HIV1 QT RTPCR	$486.85	$1,391.00	$208.65–$1,210.17	—	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550432 HIV1 QT W RF	$486.85	$1,391.00	$208.65–$1,210.17	—	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$87.38	$249.65	$21.42–$217.20	85% above	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$87.38	$249.65	$37.45–$217.20	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN	$134.02	$382.90	$8.64–$333.12	212% above	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 L102525 HA1C W EAG	$143.43	$409.81	$8.64–$356.53	234% above	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$143.43	$409.81	$8.64–$356.53	234% above	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 L1453 HGB A1C	$143.43	$409.81	$8.64–$356.53	234% above	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN	$134.02	$382.90	$57.43–$333.12	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 L102525 HA1C W EAG	$143.43	$409.81	$61.47–$356.53	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$143.43	$409.81	$61.47–$356.53	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 L1453 HGB A1C	$143.43	$409.81	$61.47–$356.53	—	65%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$15.35	$43.87	$2.11–$38.17	24% below	65%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$15.35	$43.87	$6.58–$38.17	—	65%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$43.69	$124.83	$10.72–$108.60	11% below	65%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$46.81	$133.75	$10.72–$116.36	4% below	65%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB G&M	$73.14	$208.98	$10.72–$181.81	49% above	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$43.69	$124.83	$18.72–$108.60	—	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$46.81	$133.75	$20.06–$116.36	—	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB G&M	$73.14	$208.98	$31.35–$181.81	—	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY	$65.29	$186.54	$9.55–$162.29	39% above	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY	$65.29	$186.54	$27.98–$162.29	—	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 L6510 HBSAG ICMA	$62.92	$179.76	$9.19–$156.39	38% above	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$62.92	$179.76	$9.19–$156.39	38% above	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$62.92	$179.76	$26.96–$156.39	—	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 L6510 HBSAG ICMA	$62.92	$179.76	$26.96–$156.39	—	65%
Hepatitis C antibody blood test (screening) CPT 86803 L140659 HCV AB EIA	$45.69	$130.54	$12.69–$113.57	19% below	65%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$86.40	$246.85	$12.69–$214.76	54% above	65%
Hepatitis C antibody blood test (screening) CPT 86803 L144050 HCV AB PCR	$92.50	$264.29	$12.69–$229.93	65% above	65%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$92.50	$264.29	$12.69–$229.93	65% above	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L140659 HCV AB EIA	$45.69	$130.54	$19.58–$113.57	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$86.40	$246.85	$37.03–$214.76	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$92.50	$264.29	$39.64–$229.93	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144050 HCV AB PCR	$92.50	$264.29	$39.64–$229.93	—	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550870 HCV RNA DIAG	$129.20	$369.15	$38.11–$321.16	42% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C/RNA/PCR	$155.61	$444.61	$38.11–$386.81	30% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550090 HCV QT PCR	$166.65	$476.15	$38.11–$414.25	25% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$166.65	$476.15	$38.11–$414.25	25% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550080 HCV QT RTPCR	$166.65	$476.15	$38.11–$414.25	25% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT	$259.68	$741.95	$38.11–$645.50	17% above	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550870 HCV RNA DIAG	$129.20	$369.15	$55.37–$321.16	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C/RNA/PCR	$155.61	$444.61	$66.69–$386.81	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550080 HCV QT RTPCR	$166.65	$476.15	$71.42–$414.25	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550090 HCV QT PCR	$166.65	$476.15	$71.42–$414.25	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$166.65	$476.15	$71.42–$414.25	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT	$259.68	$741.95	$111.29–$645.50	—	65%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX IGG	$48.10	$137.44	$11.73–$119.57	25% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM	$48.10	$137.44	$11.73–$119.57	25% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 L164099 HSV1	$62.54	$178.69	$11.73–$155.46	2% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 L164897HSV1 IGG CLIA	$62.54	$178.69	$11.73–$155.46	2% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 L164922 HSV1	$62.54	$178.69	$11.73–$155.46	2% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$62.54	$178.69	$11.73–$155.46	2% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1AB IGG	$80.02	$228.62	$11.73–$198.90	25% above	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX IGG	$48.10	$137.44	$20.62–$119.57	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 AB IGM	$48.10	$137.44	$20.62–$119.57	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164099 HSV1	$62.54	$178.69	$26.80–$155.46	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164922 HSV1	$62.54	$178.69	$26.80–$155.46	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$62.54	$178.69	$26.80–$155.46	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164897HSV1 IGG CLIA	$62.54	$178.69	$26.80–$155.46	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1AB IGG	$80.02	$228.62	$34.29–$198.90	—	65%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX IGM	$70.20	$200.56	$17.21–$174.49	18% above	65%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX IGG	$70.20	$200.56	$17.21–$174.49	18% above	65%
Herpes blood test, HSV-2 antibody CPT 86696 L164099 HSV2	$74.90	$214.00	$17.21–$186.18	26% above	65%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$74.90	$214.00	$17.21–$186.18	26% above	65%
Herpes blood test, HSV-2 antibody CPT 86696 L164922 HSV2	$74.90	$214.00	$17.21–$186.18	26% above	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX IGG	$70.20	$200.56	$30.08–$174.49	—	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX IGM	$70.20	$200.56	$30.08–$174.49	—	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$74.90	$214.00	$32.10–$186.18	—	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L164922 HSV2	$74.90	$214.00	$32.10–$186.18	—	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L164099 HSV2	$74.90	$214.00	$32.10–$186.18	—	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, HS	$75.64	$216.11	$11.52–$188.02	37% above	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENS	$75.64	$216.11	$11.52–$188.02	37% above	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN CARDIO	$75.64	$216.11	$11.52–$188.02	37% above	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$80.89	$231.12	$11.52–$201.07	47% above	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN, HS	$75.64	$216.11	$32.42–$188.02	—	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENS	$75.64	$216.11	$32.42–$188.02	—	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN CARDIO	$75.64	$216.11	$32.42–$188.02	—	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$80.89	$231.12	$34.67–$201.07	—	65%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$102.11	$291.74	$15.94–$253.81	13% below	65%
Homocysteine blood test CPT 83090 HOMOCYSTINE SERUM	$102.11	$291.74	$15.94–$253.81	13% below	65%
Homocysteine blood test CPT 83090 L706994HCYSTEINE ENZ	$109.35	$312.44	$15.94–$271.82	6% below	65%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$109.35	$312.44	$15.94–$271.82	6% below	65%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE SERUM	$102.11	$291.74	$43.76–$253.81	—	65%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$102.11	$291.74	$43.76–$253.81	—	65%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$109.35	$312.44	$46.87–$271.82	—	65%
Homocysteine blood test inpatient CPT 83090 L706994HCYSTEINE ENZ	$109.35	$312.44	$46.87–$271.82	—	65%
Insulin blood test CPT 83525 INSULIN	$69.22	$197.76	$10.17–$172.05	32% above	65%
Insulin blood test CPT 83525 L4333 INSULIN ECLIA	$74.15	$211.86	$10.17–$184.32	41% above	65%
Insulin blood test CPT 83525 INSULIN, TOTAL	$74.15	$211.86	$10.17–$184.32	41% above	65%
Insulin blood test inpatient CPT 83525 INSULIN	$69.22	$197.76	$29.66–$172.05	—	65%
Insulin blood test inpatient CPT 83525 L4333 INSULIN ECLIA	$74.15	$211.86	$31.78–$184.32	—	65%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$74.15	$211.86	$31.78–$184.32	—	65%
Iron blood test (serum iron) CPT 83540 L1321 IRON	$41.94	$119.84	$5.75–$104.26	15% above	65%
Iron blood test (serum iron) CPT 83540 IRON	$41.94	$119.84	$5.75–$104.26	15% above	65%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$41.94	$119.84	$17.98–$104.26	—	65%
Iron blood test (serum iron) inpatient CPT 83540 L1321 IRON	$41.94	$119.84	$17.98–$104.26	—	65%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$76.09	$217.39	$7.77–$189.13	61% above	65%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$81.27	$232.19	$7.77–$202.01	71% above	65%
Iron-binding capacity (TIBC) test CPT 83550 L1321 IRON BIND CAP	$81.27	$232.19	$7.77–$202.01	71% above	65%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$76.09	$217.39	$32.61–$189.13	—	65%
Iron-binding capacity (TIBC) test inpatient CPT 83550 L1321 IRON BIND CAP	$81.27	$232.19	$34.83–$202.01	—	65%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$81.27	$232.19	$34.83–$202.01	—	65%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$104.86	$299.60	$7.72–$260.65	39% above	65%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$104.86	$299.60	$44.94–$260.65	—	65%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$105.05	$300.15	$16.47–$261.13	44% above	65%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$112.72	$322.07	$16.47–$280.20	54% above	65%
LH (luteinizing hormone) test CPT 83002 L4283 LH ECLIA	$112.72	$322.07	$16.47–$280.20	54% above	65%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$105.05	$300.15	$45.02–$261.13	—	65%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$112.72	$322.07	$48.31–$280.20	—	65%
LH (luteinizing hormone) test inpatient CPT 83002 L4283 LH ECLIA	$112.72	$322.07	$48.31–$280.20	—	65%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$261.40	$746.86	$10.29–$649.77	343% above	65%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$261.40	$746.86	$112.03–$649.77	—	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUIDS	$36.82	$105.19	$5.37–$91.52	5% above	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$36.82	$105.19	$5.37–$91.52	5% above	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH SERUM	$129.74	$370.68	$5.37–$322.49	269% above	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 L1842 LACTATE DEHYDR	$138.57	$395.90	$5.37–$344.43	294% above	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$138.57	$395.90	$5.37–$344.43	294% above	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUIDS	$36.82	$105.19	$15.78–$91.52	—	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$36.82	$105.19	$15.78–$91.52	—	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH SERUM	$129.74	$370.68	$55.60–$322.49	—	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L1842 LACTATE DEHYDR	$138.57	$395.90	$59.38–$344.43	—	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$138.57	$395.90	$59.38–$344.43	—	65%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$81.27	$232.19	$6.13–$202.01	52% above	65%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$81.27	$232.19	$34.83–$202.01	—	65%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$231.64	$661.82	$7.27–$575.78	300% above	65%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$247.92	$708.34	$7.27–$616.26	328% above	65%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$231.64	$661.82	$99.27–$575.78	—	65%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$247.92	$708.34	$106.25–$616.26	—	65%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$103.09	$294.54	$15.15–$256.25	27% above	65%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$110.10	$314.58	$15.15–$273.68	36% above	65%
Lyme disease antibody test CPT 86618 L164226 LYME TOT AB	$110.10	$314.58	$15.15–$273.68	36% above	65%
Lyme disease antibody test CPT 86618 L139825 LYME DIS AB	$110.10	$314.58	$15.15–$273.68	36% above	65%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$103.09	$294.54	$44.18–$256.25	—	65%
Lyme disease antibody test inpatient CPT 86618 L139825 LYME DIS AB	$110.10	$314.58	$47.19–$273.68	—	65%
Lyme disease antibody test inpatient CPT 86618 L164226 LYME TOT AB	$110.10	$314.58	$47.19–$273.68	—	65%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$110.10	$314.58	$47.19–$273.68	—	65%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$24.55	$70.14	$5.96–$61.02	34% below	65%
Magnesium blood test CPT 83735 MAGNESIUM	$156.54	$447.26	$5.96–$389.12	321% above	65%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$24.55	$70.14	$10.52–$61.02	—	65%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$156.54	$447.26	$67.09–$389.12	—	65%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$78.05	$223.00	$11.46–$194.01	78% above	65%
Measles (rubeola) antibody test CPT 86765 L96560 MEAS IGG CLIA	$83.51	$238.61	$11.46–$207.59	91% above	65%
Measles (rubeola) antibody test CPT 86765 L58495 RUBEOLA AB	$83.51	$238.61	$11.46–$207.59	91% above	65%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$83.51	$238.61	$11.46–$207.59	91% above	65%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$78.05	$223.00	$33.45–$194.01	—	65%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$83.51	$238.61	$35.79–$207.59	—	65%
Measles (rubeola) antibody test inpatient CPT 86765 L96560 MEAS IGG CLIA	$83.51	$238.61	$35.79–$207.59	—	65%
Measles (rubeola) antibody test inpatient CPT 86765 L58495 RUBEOLA AB	$83.51	$238.61	$35.79–$207.59	—	65%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN	$31.42	$89.76	$4.61–$78.09	24% below	65%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$33.71	$96.30	$4.61–$83.78	18% below	65%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN	$31.42	$89.76	$13.46–$78.09	—	65%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$33.71	$96.30	$14.44–$83.78	—	65%
Mumps immunity blood test CPT 86735 MUMPS IGG	$79.03	$225.81	$11.61–$196.45	34% above	65%
Mumps immunity blood test CPT 86735 L58495 MUMPS AB	$84.64	$241.82	$11.61–$210.38	44% above	65%
Mumps immunity blood test CPT 86735 L96552MUMPS IGG CLIA	$84.64	$241.82	$11.61–$210.38	44% above	65%
Mumps immunity blood test CPT 86735 MUMPS AB	$84.64	$241.82	$11.61–$210.38	44% above	65%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$79.03	$225.81	$33.87–$196.45	—	65%
Mumps immunity blood test inpatient CPT 86735 L96552MUMPS IGG CLIA	$84.64	$241.82	$36.27–$210.38	—	65%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$84.64	$241.82	$36.27–$210.38	—	65%
Mumps immunity blood test inpatient CPT 86735 L58495 MUMPS AB	$84.64	$241.82	$36.27–$210.38	—	65%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$111.43	$318.38	$16.36–$276.99	22% above	65%
PSA (prostate-specific antigen) blood test, free CPT 84154 L480947 PSA, FREE	$111.65	$319.00	$16.36–$277.53	22% above	65%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$119.47	$341.33	$16.36–$296.96	31% above	65%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$111.43	$318.38	$47.76–$276.99	—	65%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 L480947 PSA, FREE	$111.65	$319.00	$47.85–$277.53	—	65%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$119.47	$341.33	$51.20–$296.96	—	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENS	$29.52	$84.33	$12.65–$73.37	62% below	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$196.44	$561.27	$16.36–$488.30	155% above	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480772 PSA TOT	$196.70	$562.00	$16.36–$488.94	156% above	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480947 PSA, TOTAL	$196.70	$562.00	$16.36–$488.94	156% above	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$210.47	$601.34	$16.36–$523.17	173% above	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 L10322 PSA AG	$210.47	$601.34	$16.36–$523.17	173% above	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENS	$29.52	$84.33	$12.65–$73.37	—	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$196.44	$561.27	$84.19–$488.30	—	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480947 PSA, TOTAL	$196.70	$562.00	$84.30–$488.94	—	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480772 PSA TOT	$196.70	$562.00	$84.30–$488.94	—	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$210.47	$601.34	$90.20–$523.17	—	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L10322 PSA AG	$210.47	$601.34	$90.20–$523.17	—	65%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$95.50	$272.85	$23.67–$237.38	41% above	65%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$95.50	$272.85	$40.93–$237.38	—	65%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$150.21	$429.18	$36.72–$373.39	8% above	65%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$433.34	$1,238.11	$36.72–$1,077.16	211% above	65%
Parathyroid hormone (PTH) blood test CPT 83970 L15610 PTH INT ECLIA	$456.52	$1,304.33	$36.72–$1,134.77	227% above	65%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$456.52	$1,304.33	$36.72–$1,134.77	227% above	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$150.21	$429.18	$64.38–$373.39	—	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$433.34	$1,238.11	$185.72–$1,077.16	—	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$456.52	$1,304.33	$195.65–$1,134.77	—	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 L15610 PTH INT ECLIA	$456.52	$1,304.33	$195.65–$1,134.77	—	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$36.33	$103.79	$5.35–$90.30	12% above	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$38.95	$111.28	$5.35–$96.81	20% above	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$36.33	$103.79	$15.57–$90.30	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$38.95	$111.28	$16.69–$96.81	—	65%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$28.96	$82.75	$4.22–$71.99	12% below	65%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD	$30.71	$87.74	$4.22–$76.33	6% below	65%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$28.96	$82.75	$12.41–$71.99	—	65%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD	$30.71	$87.74	$13.16–$76.33	—	65%
Potassium blood test CPT 84132 POTASSIUM	$27.98	$79.95	$4.23–$69.56	16% below	65%
Potassium blood test CPT 84132 POTASSIUM SERUM	$27.98	$79.95	$4.23–$69.56	16% below	65%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$29.96	$85.60	$4.23–$74.47	11% below	65%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$27.98	$79.95	$11.99–$69.56	—	65%
Potassium blood test inpatient CPT 84132 POTASSIUM	$27.98	$79.95	$11.99–$69.56	—	65%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$29.96	$85.60	$12.84–$74.47	—	65%
Progesterone blood test CPT 84144 PROGESTERONE	$126.58	$361.66	$18.55–$314.64	69% above	65%
Progesterone blood test CPT 84144 L4317 PROGESTE ECLIA	$126.58	$361.66	$18.55–$314.64	69% above	65%
Progesterone blood test inpatient CPT 84144 L4317 PROGESTE ECLIA	$126.58	$361.66	$54.25–$314.64	—	65%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$126.58	$361.66	$54.25–$314.64	—	65%
Prolactin blood test CPT 84146 L4465 PROLACTI ECLIA	$125.46	$358.45	$17.24–$311.85	34% above	65%
Prolactin blood test CPT 84146 PROLACTIN	$125.46	$358.45	$17.24–$311.85	34% above	65%
Prolactin blood test CPT 84146 L4500 PROLACTIN	$125.46	$358.45	$17.24–$311.85	34% above	65%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$125.46	$358.45	$53.77–$311.85	—	65%
Prolactin blood test inpatient CPT 84146 L4465 PROLACTI ECLIA	$125.46	$358.45	$53.77–$311.85	—	65%
Prolactin blood test inpatient CPT 84146 L4500 PROLACTIN	$125.46	$358.45	$53.77–$311.85	—	65%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$129.58	$370.22	$3.82–$322.09	297% above	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$129.58	$370.22	$55.53–$322.09	—	65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS	$199.61	$570.31	$11.21–$570.31	309% above	65%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRS DRG IA VIS	$199.61	$570.31	$85.55–$496.17	—	65%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$97.37	$278.20	$14.72–$242.03	78% above	65%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$97.37	$278.20	$41.73–$242.03	—	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCCUS GROUP A	$53.57	$153.07	$14.70–$133.17	10% above	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$57.30	$163.71	$14.70–$142.43	18% above	65%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCCUS GROUP A	$53.57	$153.07	$22.96–$133.17	—	65%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$57.30	$163.71	$24.56–$142.43	—	65%
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY	$133.52	$381.49	$19.56–$331.90	28% above	65%
Renin blood test CPT 84244 RENIN	$143.06	$408.74	$19.56–$355.60	37% above	65%
Renin blood test CPT 84244 L2006 RENIN PL RIA	$143.06	$408.74	$19.56–$355.60	37% above	65%
Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY	$133.52	$381.49	$57.22–$331.90	—	65%
Renin blood test inpatient CPT 84244 L2006 RENIN PL RIA	$143.06	$408.74	$61.31–$355.60	—	65%
Renin blood test inpatient CPT 84244 RENIN	$143.06	$408.74	$61.31–$355.60	—	65%
Rh blood typing CPT 86901 OK12H RH	$100.37	$286.76	$2.66–$249.48	122% above	65%
Rh blood typing CPT 86901 OKL18 RH	$100.37	$286.76	$2.66–$249.48	122% above	65%
Rh blood typing CPT 86901 OKL04 RH	$100.37	$286.76	$2.66–$249.48	122% above	65%
Rh blood typing CPT 86901 OKL36 RH	$100.37	$286.76	$2.66–$249.48	122% above	65%
Rh blood typing CPT 86901 OK01A RH	$100.37	$286.76	$2.66–$249.48	122% above	65%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$100.37	$286.76	$2.66–$249.48	122% above	65%
Rh blood typing inpatient CPT 86901 OK01A RH	$100.37	$286.76	$43.01–$249.48	—	65%
Rh blood typing inpatient CPT 86901 OKL36 RH	$100.37	$286.76	$43.01–$249.48	—	65%
Rh blood typing inpatient CPT 86901 OKL18 RH	$100.37	$286.76	$43.01–$249.48	—	65%
Rh blood typing inpatient CPT 86901 OKL04 RH	$100.37	$286.76	$43.01–$249.48	—	65%
Rh blood typing inpatient CPT 86901 OK12H RH	$100.37	$286.76	$43.01–$249.48	—	65%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$100.37	$286.76	$43.01–$249.48	—	65%
Rheumatoid factor (RF) test CPT 86431 RA TITER	$34.36	$98.17	$5.04–$85.41	17% above	65%
Rheumatoid factor (RF) test CPT 86431 L6502 RHEUM FACT ITA	$36.70	$104.86	$5.04–$91.23	25% above	65%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$36.70	$104.86	$5.04–$91.23	25% above	65%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER	$34.36	$98.17	$14.73–$85.41	—	65%
Rheumatoid factor (RF) test inpatient CPT 86431 L6502 RHEUM FACT ITA	$36.70	$104.86	$15.73–$91.23	—	65%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$36.70	$104.86	$15.73–$91.23	—	65%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$72.49	$207.10	$12.80–$180.18	38% above	65%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$77.90	$222.56	$12.80–$193.63	48% above	65%
Rubella antibody test (immunity check) CPT 86762 L58495RUBELLA AB IGG	$77.90	$222.56	$12.80–$193.63	48% above	65%
Rubella antibody test (immunity check) CPT 86762 L6197 RUBEL IGG CLIA	$77.90	$222.56	$12.80–$193.63	48% above	65%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$72.49	$207.10	$31.06–$180.18	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 L6197 RUBEL IGG CLIA	$77.90	$222.56	$33.38–$193.63	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 L58495RUBELLA AB IGG	$77.90	$222.56	$33.38–$193.63	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$77.90	$222.56	$33.38–$193.63	—	65%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$9.80	$28.00	$2.40–$24.36	60% below	65%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDI RATE ERYTHROCYT AUTO	$11.03	$31.51	$2.40–$27.41	55% below	65%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED	$9.80	$28.00	$4.20–$24.36	—	65%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDI RATE ERYTHROCYT AUTO	$11.03	$31.51	$4.73–$27.41	—	65%
Sodium blood test CPT 84295 SODIUM SERUM	$28.96	$82.75	$4.28–$71.99	10% below	65%
Sodium blood test CPT 84295 SODIUM,SER PL OR WB	$30.71	$87.74	$4.28–$76.33	5% below	65%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$28.96	$82.75	$12.41–$71.99	—	65%
Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB	$30.71	$87.74	$13.16–$76.33	—	65%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$54.00	$154.28	$7.92–$134.22	14% below	65%
Stool ova and parasites exam CPT 87177 L8623 OVA/PARA SMEAR	$57.67	$164.78	$7.92–$143.36	9% below	65%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$57.67	$164.78	$7.92–$143.36	9% below	65%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$54.00	$154.28	$23.14–$134.22	—	65%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$57.67	$164.78	$24.72–$143.36	—	65%
Stool ova and parasites exam inpatient CPT 87177 L8623 OVA/PARA SMEAR	$57.67	$164.78	$24.72–$143.36	—	65%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$21.60	$61.72	$3.90–$53.70	5% below	65%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3	$23.22	$66.34	$3.90–$57.72	2% above	65%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$21.60	$61.72	$9.26–$53.70	—	65%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3	$23.22	$66.34	$9.95–$57.72	—	65%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA	$8.99	$25.68	$3.85–$27.34	85% below	65%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA	$8.99	$25.68	$3.85–$22.34	—	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82345 T PALLID SCN	$84.26	$240.75	$11.78–$209.45	103% above	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82370T.PALLI AB EIA	$84.26	$240.75	$11.78–$209.45	103% above	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI	$84.26	$240.75	$11.78–$209.45	103% above	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI	$84.26	$240.75	$36.11–$209.45	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82345 T PALLID SCN	$84.26	$240.75	$36.11–$209.45	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82370T.PALLI AB EIA	$84.26	$240.75	$36.11–$209.45	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (QUAL)	$26.02	$74.34	$3.80–$64.68	17% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$27.71	$79.18	$3.80–$68.89	11% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L6072 RPR QL CH FLOC	$27.71	$79.18	$3.80–$68.89	11% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (QUAL)	$26.02	$74.34	$11.15–$64.68	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$27.71	$79.18	$11.88–$68.89	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L6072 RPR QL CH FLOC	$27.71	$79.18	$11.88–$68.89	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$225.32	$643.78	$55.13–$560.09	28% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST INTERFERON ANTIGEN	$225.32	$643.78	$55.13–$560.09	28% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 L182879 TB QFT PL	$241.18	$689.08	$55.13–$599.50	38% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$241.18	$689.08	$55.13–$599.50	38% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$225.32	$643.78	$96.57–$560.09	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST INTERFERON ANTIGEN	$225.32	$643.78	$96.57–$560.09	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 L182879 TB QFT PL	$241.18	$689.08	$103.36–$599.50	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$241.18	$689.08	$103.36–$599.50	—	65%
Testosterone blood test, total (not free testosterone) CPT 84403 L4226 TST TOT ECLIA	$85.39	$243.96	$22.96–$212.25	7% below	65%
Testosterone blood test, total (not free testosterone) CPT 84403 L140103 TESTOST TOTA	$161.78	$462.24	$22.96–$402.15	75% above	65%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$259.48	$741.36	$22.96–$644.98	181% above	65%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$277.88	$793.94	$22.96–$690.73	201% above	65%
Testosterone blood test, total (not free testosterone) CPT 84403 L70001 TEST TOT MS	$277.88	$793.94	$22.96–$690.73	201% above	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L4226 TST TOT ECLIA	$85.39	$243.96	$36.59–$212.25	—	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L140103 TESTOST TOTA	$161.78	$462.24	$69.34–$402.15	—	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$259.48	$741.36	$111.20–$644.98	—	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$277.88	$793.94	$119.09–$690.73	—	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L70001 TEST TOT MS	$277.88	$793.94	$119.09–$690.73	—	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$53.02	$151.48	$12.94–$131.79	13% below	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$56.92	$162.64	$12.94–$141.50	7% below	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 L6676 TPO AB ECLIA	$56.92	$162.64	$12.94–$141.50	7% below	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KID MICROSOMAL ABS	$88.36	$252.47	$12.94–$219.65	45% above	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$53.02	$151.48	$22.72–$131.79	—	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$56.92	$162.64	$24.40–$141.50	—	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L6676 TPO AB ECLIA	$56.92	$162.64	$24.40–$141.50	—	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KID MICROSOMAL ABS	$88.36	$252.47	$37.87–$219.65	—	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIM TSH	$53.93	$154.08	$14.94–$134.05	at median	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH BY RIA	$102.11	$291.74	$14.94–$253.81	89% above	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID STIM HORMONE	$276.81	$790.89	$14.94–$688.07	413% above	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L4259 TSH ECLIA	$296.23	$846.37	$14.94–$736.34	449% above	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$296.23	$846.37	$14.94–$736.34	449% above	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIM TSH	$53.93	$154.08	$23.11–$134.05	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH BY RIA	$102.11	$291.74	$43.76–$253.81	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID STIM HORMONE	$276.81	$790.89	$118.63–$688.07	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$296.23	$846.37	$126.96–$736.34	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L4259 TSH ECLIA	$296.23	$846.37	$126.96–$736.34	—	65%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$99.65	$284.72	$14.64–$247.71	93% above	65%
Total IgE blood test CPT 82785 L2170 IGE TOT ECLIA	$106.73	$304.95	$14.64–$265.31	106% above	65%
Total IgE blood test CPT 82785 L602640 GAMMAGLB IGE	$106.73	$304.95	$14.64–$265.31	106% above	65%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$106.73	$304.95	$14.64–$265.31	106% above	65%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$99.65	$284.72	$42.71–$247.71	—	65%
Total IgE blood test inpatient CPT 82785 L2170 IGE TOT ECLIA	$106.73	$304.95	$45.74–$265.31	—	65%
Total IgE blood test inpatient CPT 82785 L602640 GAMMAGLB IGE	$106.73	$304.95	$45.74–$265.31	—	65%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$106.73	$304.95	$45.74–$265.31	—	65%
Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID	$26.51	$75.74	$3.87–$65.89	21% below	65%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM TOTAL	$26.51	$75.74	$3.87–$65.89	21% below	65%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID	$26.51	$75.74	$11.36–$65.89	—	65%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM TOTAL	$26.51	$75.74	$11.36–$65.89	—	65%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL T4	$143.40	$409.70	$6.11–$356.44	232% above	65%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4,TOTAL	$153.55	$438.70	$6.11–$381.67	255% above	65%
Total thyroxine (T4) blood test CPT 84436 L455 T4 TOTAL	$153.55	$438.70	$6.11–$381.67	255% above	65%
Total thyroxine (T4) blood test CPT 84436 L1149 T4 CEDIA	$153.55	$438.70	$6.11–$381.67	255% above	65%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL T4	$143.40	$409.70	$61.46–$356.44	—	65%
Total thyroxine (T4) blood test inpatient CPT 84436 L455 T4 TOTAL	$153.55	$438.70	$65.80–$381.67	—	65%
Total thyroxine (T4) blood test inpatient CPT 84436 L1149 T4 CEDIA	$153.55	$438.70	$65.80–$381.67	—	65%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL	$153.55	$438.70	$65.80–$381.67	—	65%
Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL	$85.91	$245.46	$12.61–$213.55	46% above	65%
Total triiodothyronine (T3) blood test CPT 84480 L2188 T3 ECLIA	$91.75	$262.15	$12.61–$228.07	55% above	65%
Total triiodothyronine (T3) blood test CPT 84480 T3,TOTAL	$91.75	$262.15	$12.61–$228.07	55% above	65%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL	$85.91	$245.46	$36.82–$213.55	—	65%
Total triiodothyronine (T3) blood test inpatient CPT 84480 L2188 T3 ECLIA	$91.75	$262.15	$39.32–$228.07	—	65%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL	$91.75	$262.15	$39.32–$228.07	—	65%
Transferrin blood test CPT 84466 TRANSFERRIN	$82.76	$236.47	$11.35–$205.73	44% above	65%
Transferrin blood test CPT 84466 L4937 TRANSFER IMMUN	$82.76	$236.47	$11.35–$205.73	44% above	65%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$82.76	$236.47	$35.47–$205.73	—	65%
Transferrin blood test inpatient CPT 84466 L4937 TRANSFER IMMUN	$82.76	$236.47	$35.47–$205.73	—	65%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP PROB	$176.72	$504.91	$31.21–$439.27	101% above	65%
Trichomonas test (NAAT) CPT 87661 L188052 T VAG NAA	$189.12	$540.35	$31.21–$470.10	115% above	65%
Trichomonas test (NAAT) CPT 87661 L183160 T VAG AMP	$189.12	$540.35	$31.21–$470.10	115% above	65%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$189.12	$540.35	$31.21–$470.10	115% above	65%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP PROB	$176.72	$504.91	$75.74–$439.27	—	65%
Trichomonas test (NAAT) inpatient CPT 87661 L188052 T VAG NAA	$189.12	$540.35	$81.05–$470.10	—	65%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$189.12	$540.35	$81.05–$470.10	—	65%
Trichomonas test (NAAT) inpatient CPT 87661 L183160 T VAG AMP	$189.12	$540.35	$81.05–$470.10	—	65%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$37.45	$107.00	$5.11–$93.09	9% above	65%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$37.45	$107.00	$16.05–$93.09	—	65%
Troponin test, quantitative CPT 84484 POCT TROPONIN	$36.82	$105.19	$11.09–$91.52	48% below	65%
Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE	$139.91	$399.73	$11.09–$347.77	97% above	65%
Troponin test, quantitative CPT 84484 TROPONIN,QNT	$149.43	$426.93	$11.09–$371.43	110% above	65%
Troponin test, quantitative inpatient CPT 84484 POCT TROPONIN	$36.82	$105.19	$15.78–$91.52	—	65%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE	$139.91	$399.73	$59.96–$347.77	—	65%
Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT	$149.43	$426.93	$64.04–$371.43	—	65%
Uric acid blood test CPT 84550 URIC ACID SER/BLD	$27.49	$78.54	$4.02–$68.33	2% above	65%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$29.21	$83.46	$4.02–$72.61	8% above	65%
Uric acid blood test inpatient CPT 84550 URIC ACID SER/BLD	$27.49	$78.54	$11.78–$68.33	—	65%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$29.21	$83.46	$12.52–$72.61	—	65%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICRO	$147.60	$421.71	$2.82–$366.89	362% above	65%
Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE	$158.04	$451.54	$2.82–$392.84	394% above	65%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICRO	$147.60	$421.71	$63.26–$366.89	—	65%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE	$158.04	$451.54	$67.73–$392.84	—	65%
Urinalysis with microscope exam, manual CPT 81000 UA, NONAUTO W-SCOPE	$10.49	$29.96	$3.58–$26.07	41% below	65%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA, NONAUTO W-SCOPE	$10.49	$29.96	$4.49–$26.07	—	65%
Urinalysis without microscope exam, automated CPT 81003 URINE PH AUTO W/O MICRO	$13.74	$39.27	$2.00–$34.16	3% below	65%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO	$139.72	$399.20	$2.00–$347.30	886% above	65%
Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE	$149.43	$426.93	$2.00–$371.43	955% above	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH AUTO W/O MICRO	$13.74	$39.27	$5.89–$34.16	—	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO	$139.72	$399.20	$59.88–$347.30	—	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE	$149.43	$426.93	$64.04–$371.43	—	65%
Urinalysis without microscope exam, manual CPT 81002 URINE SP GRAV NONAUTO	$17.18	$49.08	$3.10–$42.70	5% above	65%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SP GRAV NONAUTO	$17.18	$49.08	$7.36–$42.70	—	65%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$154.43	$441.22	$7.18–$383.86	220% above	65%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$165.15	$471.87	$7.18–$410.53	242% above	65%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$154.43	$441.22	$66.18–$383.86	—	65%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$165.15	$471.87	$70.78–$410.53	—	65%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$34.86	$99.59	$5.14–$86.64	9% below	65%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$34.86	$99.59	$5.14–$86.64	9% below	65%
Urine microalbumin (albumin) test CPT 82043 MICRO ALB/CRE RATIO UA	$34.86	$99.59	$5.14–$86.64	9% below	65%
Urine microalbumin (albumin) test CPT 82043 L140285 MICROALB QT	$35.00	$100.00	$5.14–$87.00	9% below	65%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$37.45	$107.00	$5.14–$93.09	2% below	65%
Urine microalbumin (albumin) test CPT 82043 L149997 MICROALBU U	$37.45	$107.00	$5.14–$93.09	2% below	65%
Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALB/CRE RATIO UA	$34.86	$99.59	$14.94–$86.64	—	65%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN	$34.86	$99.59	$14.94–$86.64	—	65%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$34.86	$99.59	$14.94–$86.64	—	65%
Urine microalbumin (albumin) test inpatient CPT 82043 L140285 MICROALB QT	$35.00	$100.00	$15.00–$87.00	—	65%
Urine microalbumin (albumin) test inpatient CPT 82043 L149997 MICROALBU U	$37.45	$107.00	$16.05–$93.09	—	65%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$37.45	$107.00	$16.05–$93.09	—	65%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$132.95	$379.85	$7.66–$330.47	379% above	65%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$132.95	$379.85	$56.98–$330.47	—	65%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12	$81.41	$232.61	$13.41–$202.37	25% above	65%
Vitamin B12 (cobalamin) blood test CPT 82607 L1503 VIT B12 ECLIA	$86.88	$248.24	$13.41–$215.97	33% above	65%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$86.88	$248.24	$13.41–$215.97	33% above	65%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12	$81.41	$232.61	$34.89–$202.37	—	65%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$86.88	$248.24	$37.24–$215.97	—	65%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 L1503 VIT B12 ECLIA	$86.88	$248.24	$37.24–$215.97	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D PANEL	$123.43	$352.66	$26.33–$306.81	6% below	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY D2 +D3	$179.67	$513.33	$26.33–$446.60	37% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L81950VITD 25-OH ICM	$248.15	$709.00	$26.33–$616.83	89% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$248.45	$709.85	$26.33–$617.57	89% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$265.52	$758.63	$26.33–$660.01	102% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L504115VITD 25-OH LC	$265.52	$758.63	$26.33–$660.01	102% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D PANEL	$123.43	$352.66	$52.90–$306.81	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY D2 +D3	$179.67	$513.33	$77.00–$446.60	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L81950VITD 25-OH ICM	$248.15	$709.00	$106.35–$616.83	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH	$248.45	$709.85	$106.48–$617.57	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L504115VITD 25-OH LC	$265.52	$758.63	$113.79–$660.01	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$265.52	$758.63	$113.79–$660.01	—	65%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D,1,25-DIHYDROXY	$233.17	$666.21	$34.25–$579.60	52% above	65%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$249.79	$713.69	$34.25–$620.91	63% above	65%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D,1,25-DIHYDROXY	$233.17	$666.21	$99.93–$579.60	—	65%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$249.79	$713.69	$107.05–$620.91	—	65%
Zinc blood test CPT 84630 ZINC SERUM	$69.22	$197.76	$10.13–$172.05	20% above	65%
Zinc blood test CPT 84630 ZINC	$74.15	$211.86	$10.13–$184.32	28% above	65%
Zinc blood test CPT 84630 L1800 ZINC ICP/MS	$74.15	$211.86	$10.13–$184.32	28% above	65%
Zinc blood test inpatient CPT 84630 ZINC SERUM	$69.22	$197.76	$29.66–$172.05	—	65%
Zinc blood test inpatient CPT 84630 L1800 ZINC ICP/MS	$74.15	$211.86	$31.78–$184.32	—	65%
Zinc blood test inpatient CPT 84630 ZINC	$74.15	$211.86	$31.78–$184.32	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 L4416HCG B-SUB ECLIA	$67.78	$193.67	$13.39–$168.49	9% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT SERUM	$91.31	$260.88	$13.39–$226.97	47% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 L17319 HCG QUANT	$97.74	$279.27	$13.39–$242.96	58% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$97.74	$279.27	$13.39–$242.96	58% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 L4416HCG B-SUB ECLIA	$67.78	$193.67	$29.05–$168.49	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT SERUM	$91.31	$260.88	$39.13–$226.97	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$97.74	$279.27	$41.89–$242.96	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 L17319 HCG QUANT	$97.74	$279.27	$41.89–$242.96	—	65%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$919.02	$2,625.78	$157.59–$2,284.43	5% below	65%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$919.02	$2,625.78	$393.87–$2,284.43	—	65%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$4,528.30	$12,938.00	$459.63–$11,256.06	177% above	65%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$4,110.75	$11,745.00	$362.93–$10,218.15	163% above	65%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$3,838.80	$10,968.00	$333.92–$9,542.16	159% above	65%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$408.80	$1,168.00	$27.53–$1,016.16	561% above	65%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$4,312.70	$12,322.00	$196.60–$10,720.14	553% above	65%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$4,214.35	$12,041.00	$165.05–$10,475.67	273% above	65%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$4,306.40	$12,304.00	$102.40–$10,704.48	324% above	65%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,432.90	$4,094.00	$159.36–$3,561.78	449% above	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,661.80	$4,748.00	$83.04–$4,130.76	354% above	65%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$4,305.35	$12,301.00	$181.81–$10,701.87	488% above	65%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$906.85	$2,591.00	$98.85–$2,254.17	310% above	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$439.95	$1,257.00	$186.26–$1,093.59	2% above	65%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$5,064.50	$14,470.00	$352.08–$14,470.00	185% above	65%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$921.20	$2,632.00	$191.10–$2,289.84	152% above	65%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$3,965.15	$11,329.00	$282.36–$9,856.23	199% above	65%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$3,551.45	$10,147.00	$281.91–$8,827.89	161% above	65%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,254.75	$3,585.00	$73.15–$3,118.95	821% above	65%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,107.05	$3,163.00	$90.76–$2,751.81	461% above	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$1,096.55	$3,133.00	$82.09–$2,725.71	456% above	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$1,251.25	$3,575.00	$108.02–$3,110.25	484% above	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$1,238.30	$3,538.00	$101.84–$3,078.06	570% above	65%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$770.70	$2,202.00	$67.44–$2,202.00	192% above	65%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$4,847.50	$13,850.00	$277.89–$12,049.50	169% above	65%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$4,528.65	$12,939.00	$250.85–$11,256.93	324% above	65%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$4,879.00	$13,940.00	$221.94–$12,127.80	327% above	65%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$769.60	$2,198.85	$72.81–$1,913.00	6% above	65%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$5,667.90	$16,194.00	$72.81–$14,088.78	682% above	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$769.60	$2,198.85	$329.83–$1,913.00	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$174.89	$499.69	$6.64–$434.73	32% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$174.89	$499.69	$74.95–$434.73	—	65%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$1,113.01	$3,180.04	$315.20–$2,904.00	8% below	65%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$1,113.01	$3,180.04	$477.01–$2,766.63	—	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$273.76	$782.17	$5.25–$680.49	113% above	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$273.76	$782.17	$117.33–$680.49	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER DEPT BASIC VISIT	$102.43	$292.65	$17.00–$341.00	37% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$109.73	$313.51	$17.00–$341.00	33% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER DEPT BASIC VISIT	$102.43	$292.65	$43.90–$254.61	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$109.73	$313.51	$47.03–$272.75	—	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER DEPT LIMITED VISIT	$161.25	$460.72	$62.13–$400.83	49% below	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$172.64	$493.27	$62.13–$429.14	45% below	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER DEPT LIMITED VISIT	$161.25	$460.72	$69.11–$400.83	—	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$172.64	$493.27	$73.99–$429.14	—	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER DEPT INTERMEDIATE VISIT	$295.19	$843.41	$105.82–$1,443.00	44% below	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$315.70	$902.01	$105.82–$1,443.00	40% below	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER DEPT INTERMEDIATE VISIT	$295.19	$843.41	$126.51–$733.77	—	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$315.70	$902.01	$135.30–$784.75	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER DEPT EXTENSIVE VISIT	$491.64	$1,404.68	$180.14–$2,435.00	35% below	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$526.17	$1,503.35	$180.14–$2,435.00	31% below	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER DEPT EXTENSIVE VISIT	$491.64	$1,404.68	$210.70–$1,222.07	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$526.17	$1,503.35	$225.50–$1,307.91	—	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER DEPT MAJOR VISIT	$760.57	$2,173.06	$261.10–$2,435.00	34% below	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST	$813.79	$2,325.11	$261.10–$2,435.00	29% below	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER DEPT MAJOR VISIT	$760.57	$2,173.06	$325.96–$1,890.56	—	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$813.79	$2,325.11	$348.77–$2,022.85	—	65%
Family therapy with the patient, 50 minutes CPT 90847 FAM THERAPY W/PATIEN	$56.89	$162.54	$24.38–$303.82	82% below	65%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/PATIENT	$149.80	$428.00	$64.20–$372.36	53% below	65%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM THERAPY W/PATIEN	$56.89	$162.54	$24.38–$141.41	—	65%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W/PATIENT	$149.80	$428.00	$64.20–$372.36	—	65%
Family therapy without the patient, 50 minutes CPT 90846 FAM THERAPY W/O PAT	$56.89	$162.54	$24.38–$265.84	81% below	65%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM THERAPY W/O PAT	$56.89	$162.54	$24.38–$141.41	—	65%
Group psychotherapy session CPT 90853 PSYCH GROUP THERAPY	$154.29	$440.84	$25.11–$383.53	20% below	65%
Group psychotherapy session inpatient CPT 90853 PSYCH GROUP THERAPY	$154.29	$440.84	$66.13–$383.53	—	65%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$161.41	$461.17	$45.73–$408.44	11% below	65%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$161.41	$461.17	$69.18–$401.22	—	65%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$401.46	$1,147.04	$87.87–$997.92	70% above	65%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$401.46	$1,147.04	$172.06–$997.92	—	65%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH	$161.04	$460.10	$51.75–$408.44	8% above	65%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$401.46	$1,147.04	$51.75–$997.92	169% above	65%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH	$161.04	$460.10	$69.02–$400.29	—	65%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$401.46	$1,147.04	$172.06–$997.92	—	65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$97.74	$279.27	$20.78–$242.96	47% above	65%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$97.74	$279.27	$41.89–$242.96	—	65%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION ANALYSIS INIT EA 15M	$77.74	$222.11	$32.05–$193.24	61% above	65%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION ANALYSIS INIT EA 15M	$77.74	$222.11	$33.32–$193.24	—	65%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN	$158.04	$451.54	$67.73–$392.84	27% below	65%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN	$158.04	$451.54	$67.73–$392.84	—	65%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN	$56.89	$162.54	$24.38–$303.82	79% below	65%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN	$56.89	$162.54	$24.38–$141.41	—	65%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN	$160.29	$457.96	$68.69–$398.43	49% below	65%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN	$160.29	$457.96	$68.69–$398.43	—	65%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$236.31	$675.17	$23.30–$587.40	10% above	65%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$236.31	$675.17	$101.28–$587.40	—	65%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$522.43	$1,492.65	$33.19–$1,298.61	33% above	65%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$522.43	$1,492.65	$223.90–$1,298.61	—	65%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$105.00	$300.00	$37.93–$261.00	24% above	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$105.00	$300.00	$45.00–$261.00	—	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$105.00	$300.00	$45.00–$261.00	23% above	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$105.00	$300.00	$45.00–$261.00	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TDAP VACCINE ADMIN	$114.38	$326.79	$29.56–$284.31	102% above	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$122.09	$348.82	$29.56–$303.47	116% above	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TDAP VACCINE ADMIN	$114.38	$326.79	$49.02–$284.31	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$122.09	$348.82	$52.32–$303.47	—	65%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$62.54	$178.69	$21.13–$155.46	110% above	65%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$62.54	$178.69	$26.80–$155.46	—	65%

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.alliancehealthdurant.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/383862800_alliancehealth-madill_standardcharges.csv