Hospital Anchorage, AK

Mat Su Regional Medical Center

Mat Su Regional Medical Center in Palmer, AK publishes cash prices for 403 common procedures listed here, from its own machine-readable price file updated Dec 1, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Alaska median for 283 of 368 procedures and above it for 85. Select a procedure to compare it with other hospitals nearby.

2500 South Woodworth Loop, Palmer, AK 99645 Collected Nov 12, 2026 Source price file Check a bill from this hospital

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Mat Su Regional Medical Center in Palmer, AK:

Dec 20, 2022 Warning notice
Apr 7, 2023 Case closed
Apr 11, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$1,806.90	$6,023.00	$175.06–$5,782.08	46% below	70%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$3,011.50	$6,023.00	$3,011.50–$5,782.08	—	50%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$173.70	$579.00	$62.07–$555.84	70% below	70%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$289.50	$579.00	$289.50–$555.84	—	50%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$312.60	$1,042.00	$86.58–$1,000.32	33% below	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$521.00	$1,042.00	$521.00–$1,000.32	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$175.50	$585.00	$62.71–$561.60	70% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD	$189.30	$631.00	$67.64–$605.76	68% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$292.50	$585.00	$292.50–$561.60	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD	$315.50	$631.00	$315.50–$605.76	—	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$1,035.00	$3,450.00	$104.75–$3,312.00	51% below	70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$1,725.00	$3,450.00	$1,725.00–$3,312.00	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$398.70	$1,329.00	$142.47–$1,275.84	51% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$664.50	$1,329.00	$664.50–$1,275.84	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$1,058.10	$3,527.00	$378.09–$3,385.92	46% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$1,763.50	$3,527.00	$1,763.50–$3,385.92	—	50%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$228.30	$761.00	$81.58–$730.56	59% below	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$380.50	$761.00	$380.50–$730.56	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$228.30	$761.00	$81.58–$730.56	51% below	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$380.50	$761.00	$380.50–$730.56	—	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$4,800.00	$16,000.00	$366.42–$15,360.00	at median	70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$8,000.00	$16,000.00	$8,000.00–$15,360.00	—	50%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$2,456.10	$8,187.00	$175.06–$7,859.52	29% below	70%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$4,093.50	$8,187.00	$4,093.50–$7,859.52	—	50%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$2,489.40	$8,298.00	$175.06–$7,966.08	28% below	70%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$4,149.00	$8,298.00	$4,149.00–$7,966.08	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$2,393.70	$7,979.00	$175.06–$7,659.84	23% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$3,989.50	$7,979.00	$3,989.50–$7,659.84	—	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W	$398.70	$1,329.00	$142.47–$1,329.00	78% below	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W	$664.50	$1,329.00	$664.50–$1,275.84	—	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL	$98.40	$328.00	$35.16–$328.00	54% below	70%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL	$164.00	$328.00	$164.00–$314.88	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$1,125.60	$3,752.00	$233.47–$3,601.92	71% below	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$1,876.00	$3,752.00	$1,876.00–$3,601.92	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$1,480.80	$4,936.00	$366.42–$4,738.56	66% below	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$2,468.00	$4,936.00	$2,468.00–$4,738.56	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$1,821.60	$6,072.00	$366.42–$5,829.12	62% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$3,036.00	$6,072.00	$3,036.00–$5,829.12	—	50%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$1,304.40	$4,348.00	$175.06–$4,174.08	49% below	70%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$2,174.00	$4,348.00	$2,174.00–$4,174.08	—	50%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$1,087.20	$3,624.00	$104.75–$3,479.04	54% below	70%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$1,812.00	$3,624.00	$1,812.00–$3,479.04	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$1,098.60	$3,662.00	$104.75–$3,515.52	41% below	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$1,831.00	$3,662.00	$1,831.00–$3,515.52	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$1,186.80	$3,956.00	$104.75–$3,797.76	45% below	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$1,978.00	$3,956.00	$1,978.00–$3,797.76	—	50%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$1,497.00	$4,990.00	$175.06–$4,790.40	37% below	70%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$2,495.00	$4,990.00	$2,495.00–$4,790.40	—	50%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$1,773.30	$5,911.00	$175.06–$5,674.56	33% below	70%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$2,955.50	$5,911.00	$2,955.50–$5,674.56	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$1,098.60	$3,662.00	$104.75–$3,515.52	48% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$1,831.00	$3,662.00	$1,831.00–$3,515.52	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$1,235.70	$4,119.00	$104.75–$3,954.24	40% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$2,059.50	$4,119.00	$2,059.50–$3,954.24	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,453.50	$4,845.00	$175.06–$4,651.20	40% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$2,422.50	$4,845.00	$2,422.50–$4,651.20	—	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$586.80	$1,956.00	$209.68–$1,877.76	64% below	70%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL	$669.00	$2,230.00	$233.47–$2,140.80	59% below	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$978.00	$1,956.00	$978.00–$1,877.76	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CRAN DPLX SCN BIL	$1,115.00	$2,230.00	$1,115.00–$2,140.80	—	50%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,710.00	$5,700.00	$175.06–$5,472.00	41% below	70%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$2,850.00	$5,700.00	$2,850.00–$5,472.00	—	50%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$282.30	$941.00	$86.58–$903.36	35% below	70%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$470.50	$941.00	$470.50–$903.36	—	50%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$242.70	$809.00	$86.58–$776.64	39% below	70%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$404.50	$809.00	$404.50–$776.64	—	50%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$418.50	$1,395.00	$86.58–$1,339.20	1% above	70%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$697.50	$1,395.00	$697.50–$1,339.20	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$377.70	$1,259.00	$104.75–$1,208.64	61% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$629.50	$1,259.00	$629.50–$1,208.64	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$287.70	$959.00	$102.80–$920.64	28% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$479.50	$959.00	$479.50–$920.64	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$123.00	$410.00	$43.95–$393.60	53% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$205.00	$410.00	$205.00–$393.60	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$824.40	$2,748.00	$104.75–$2,638.08	62% below	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$1,374.00	$2,748.00	$1,374.00–$2,638.08	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$1,289.70	$4,299.00	$175.06–$4,127.04	57% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$2,149.50	$4,299.00	$2,149.50–$4,127.04	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$88.50	$295.00	$31.62–$295.00	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$147.50	$295.00	$147.50–$283.20	—	50%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$71.10	$237.00	$25.41–$237.00	84% below	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$118.50	$237.00	$118.50–$227.52	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$571.80	$1,906.00	$204.32–$1,829.76	—	70%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI-LW EXT DPX ART BI	$615.60	$2,052.00	$219.97–$1,969.92	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$953.00	$1,906.00	$953.00–$1,829.76	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI-LW EXT DPX ART BI	$1,026.00	$2,052.00	$1,026.00–$1,969.92	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$871.50	$2,905.00	$233.47–$2,788.80	37% below	70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$1,452.50	$2,905.00	$1,452.50–$2,788.80	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$3,313.20	$11,044.00	$525.63–$10,602.24	67% above	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$5,522.00	$11,044.00	$5,522.00–$10,602.24	—	50%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$239.40	$798.00	$85.55–$766.08	39% below	70%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$399.00	$798.00	$399.00–$766.08	—	50%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$254.10	$847.00	$86.58–$813.12	42% below	70%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$423.50	$847.00	$423.50–$813.12	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$1,098.60	$3,662.00	$104.75–$3,515.52	44% below	70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$1,831.00	$3,662.00	$1,831.00–$3,515.52	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$316.20	$1,054.00	$104.75–$1,011.84	43% below	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$527.00	$1,054.00	$527.00–$1,011.84	—	50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$269.10	$897.00	$86.58–$861.12	47% below	70%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$448.50	$897.00	$448.50–$861.12	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$1,156.50	$3,855.00	$392.97–$3,700.80	43% below	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$1,927.50	$3,855.00	$1,927.50–$3,700.80	—	50%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$254.10	$847.00	$90.80–$813.12	37% below	70%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$423.50	$847.00	$423.50–$813.12	—	50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$327.00	$1,090.00	$86.58–$1,046.40	16% below	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$545.00	$1,090.00	$545.00–$1,046.40	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF	$1,355.70	$4,519.00	$148.83–$4,338.24	151% above	70%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLPSTDY UNATT RS EFF	$2,259.50	$4,519.00	$2,259.50–$4,338.24	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO	$3,500.40	$11,668.00	$996.18–$11,201.28	38% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO	$5,834.00	$11,668.00	$5,834.00–$11,201.28	—	50%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$179.40	$598.00	$64.11–$574.08	65% below	70%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$299.00	$598.00	$299.00–$574.08	—	50%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$299.70	$999.00	$104.75–$959.04	54% below	70%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$499.50	$999.00	$499.50–$959.04	—	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$1,006.80	$3,356.00	$104.75–$3,221.76	53% below	70%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$1,678.00	$3,356.00	$1,678.00–$3,221.76	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$302.10	$1,007.00	$104.75–$966.72	52% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$503.50	$1,007.00	$503.50–$966.72	—	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$145.20	$484.00	$51.88–$464.64	70% below	70%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$242.00	$484.00	$242.00–$464.64	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$197.70	$659.00	$70.64–$659.00	32% below	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$329.50	$659.00	$329.50–$632.64	—	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$307.20	$1,024.00	$86.58–$983.04	32% below	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$512.00	$1,024.00	$512.00–$983.04	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$1,890.60	$6,302.00	$233.47–$6,049.92	33% below	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$3,151.00	$6,302.00	$3,151.00–$6,049.92	—	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$1,803.60	$6,012.00	$233.47–$5,771.52	44% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$3,006.00	$6,012.00	$3,006.00–$5,771.52	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$1,976.10	$6,587.00	$366.42–$6,323.52	47% below	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$3,293.50	$6,587.00	$3,293.50–$6,323.52	—	50%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$1,582.80	$5,276.00	$233.47–$5,064.96	55% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$2,638.00	$5,276.00	$2,638.00–$5,064.96	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$1,914.90	$6,383.00	$366.42–$6,127.68	59% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$3,191.50	$6,383.00	$3,191.50–$6,127.68	—	50%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$1,467.00	$4,890.00	$233.47–$4,694.40	56% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$2,445.00	$4,890.00	$2,445.00–$4,694.40	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$2,284.50	$7,615.00	$366.42–$7,310.40	47% below	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$3,807.50	$7,615.00	$3,807.50–$7,310.40	—	50%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$1,914.00	$6,380.00	$233.47–$6,124.80	44% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$3,190.00	$6,380.00	$3,190.00–$6,124.80	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$2,517.00	$8,390.00	$366.42–$8,054.40	40% below	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$4,195.00	$8,390.00	$4,195.00–$8,054.40	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$1,667.10	$5,557.00	$233.47–$5,334.72	46% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$2,778.50	$5,557.00	$2,778.50–$5,334.72	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$2,556.00	$8,520.00	$366.42–$8,179.20	39% below	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$4,260.00	$8,520.00	$4,260.00–$8,179.20	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$1,774.80	$5,916.00	$233.47–$5,679.36	49% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$2,958.00	$5,916.00	$2,958.00–$5,679.36	—	50%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$2,453.40	$8,178.00	$366.42–$7,850.88	48% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$4,089.00	$8,178.00	$4,089.00–$7,850.88	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$2,110.50	$7,035.00	$233.47–$6,753.60	33% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$3,517.50	$7,035.00	$3,517.50–$6,753.60	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$1,839.90	$6,133.00	$233.47–$5,887.68	42% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$3,066.50	$6,133.00	$3,066.50–$5,887.68	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$313.80	$1,046.00	$104.75–$1,004.16	58% below	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$523.00	$1,046.00	$523.00–$1,004.16	—	50%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,347.60	$4,492.00	$175.06–$4,312.32	42% below	70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$2,246.00	$4,492.00	$2,246.00–$4,312.32	—	50%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$1,116.00	$3,720.00	$104.75–$3,571.20	42% below	70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$1,860.00	$3,720.00	$1,860.00–$3,571.20	—	50%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$254.10	$847.00	$86.58–$813.12	25% below	70%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$423.50	$847.00	$423.50–$813.12	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$2,689.50	$8,965.00	$961.05–$8,606.40	36% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$4,482.50	$8,965.00	$4,482.50–$8,606.40	—	50%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$1,116.60	$3,722.00	$104.75–$3,573.12	49% below	70%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$1,861.00	$3,722.00	$1,861.00–$3,573.12	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$226.20	$754.00	$80.83–$723.84	58% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$377.00	$754.00	$377.00–$723.84	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$301.50	$1,005.00	$104.75–$964.80	68% below	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$502.50	$1,005.00	$502.50–$964.80	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$553.20	$1,844.00	$104.75–$1,770.24	48% below	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$922.00	$1,844.00	$922.00–$1,770.24	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$280.20	$934.00	$100.12–$896.64	64% below	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$467.00	$934.00	$467.00–$896.64	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$233.40	$778.00	$83.40–$746.88	59% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$389.00	$778.00	$389.00–$746.88	—	50%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$324.90	$1,083.00	$104.75–$1,039.68	41% below	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$541.50	$1,083.00	$541.50–$1,039.68	—	50%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$77.10	$257.00	$27.55–$257.00	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$128.50	$257.00	$128.50–$246.72	—	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$448.50	$1,495.00	$86.58–$1,435.20	28% below	70%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$747.50	$1,495.00	$747.50–$1,435.20	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$375.30	$1,251.00	$86.58–$1,200.96	30% below	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$625.50	$1,251.00	$625.50–$1,200.96	—	50%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$329.10	$1,097.00	$104.75–$1,053.12	37% below	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$548.50	$1,097.00	$548.50–$1,053.12	—	50%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO	$3,192.90	$10,643.00	$996.18–$10,217.28	33% below	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO	$5,321.50	$10,643.00	$5,321.50–$10,217.28	—	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI-TTE STRESS CON WO	$725.40	$2,418.00	$259.21–$2,321.28	58% below	70%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI-TTE STRESS CON WO	$1,209.00	$2,418.00	$1,209.00–$2,321.28	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$467.10	$1,557.00	$166.91–$1,494.72	52% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$778.50	$1,557.00	$778.50–$1,494.72	—	50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$296.70	$989.00	$86.58–$949.44	48% below	70%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$494.50	$989.00	$494.50–$949.44	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$1,164.00	$3,880.00	$104.75–$3,724.80	54% below	70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$1,940.00	$3,880.00	$1,940.00–$3,724.80	—	50%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$380.70	$1,269.00	$86.58–$1,218.24	14% below	70%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$634.50	$1,269.00	$634.50–$1,218.24	—	50%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$296.70	$989.00	$104.75–$949.44	49% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$494.50	$989.00	$494.50–$949.44	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$304.20	$1,014.00	$104.75–$973.44	57% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$507.00	$1,014.00	$507.00–$973.44	—	50%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$459.60	$1,532.00	$104.75–$1,470.72	57% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$766.00	$1,532.00	$766.00–$1,470.72	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$485.70	$1,619.00	$104.75–$1,554.24	48% below	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$809.50	$1,619.00	$809.50–$1,554.24	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$378.30	$1,261.00	$104.75–$1,210.56	57% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$630.50	$1,261.00	$630.50–$1,210.56	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$498.90	$1,663.00	$175.06–$1,596.48	51% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$831.50	$1,663.00	$831.50–$1,596.48	—	50%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$224.10	$747.00	$80.08–$717.12	50% below	70%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$373.50	$747.00	$373.50–$717.12	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$568.20	$1,894.00	$104.75–$1,818.24	52% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$947.00	$1,894.00	$947.00–$1,818.24	—	50%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$179.40	$598.00	$64.11–$574.08	44% below	70%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$299.00	$598.00	$299.00–$574.08	—	50%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$209.10	$697.00	$74.72–$669.12	55% below	70%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$348.50	$697.00	$348.50–$669.12	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$242.10	$807.00	$86.51–$774.72	45% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$403.50	$807.00	$403.50–$774.72	—	50%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$225.90	$753.00	$80.72–$722.88	46% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$376.50	$753.00	$376.50–$722.88	—	50%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$250.80	$836.00	$86.58–$802.56	29% below	70%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$418.00	$836.00	$418.00–$802.56	—	50%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$162.90	$543.00	$58.21–$521.28	56% below	70%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$271.50	$543.00	$271.50–$521.28	—	50%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$250.80	$836.00	$86.58–$802.56	32% below	70%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$418.00	$836.00	$418.00–$802.56	—	50%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$231.60	$772.00	$82.76–$741.12	50% below	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$386.00	$772.00	$386.00–$741.12	—	50%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$387.90	$1,293.00	$86.58–$1,241.28	18% below	70%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$646.50	$1,293.00	$646.50–$1,241.28	—	50%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$105.30	$351.00	$37.63–$336.96	75% below	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$175.50	$351.00	$175.50–$336.96	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$295.80	$986.00	$104.75–$946.56	42% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$493.00	$986.00	$493.00–$946.56	—	50%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$348.00	$1,160.00	$104.75–$1,113.60	45% below	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$580.00	$1,160.00	$580.00–$1,113.60	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$141.30	$471.00	$50.49–$452.16	67% below	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$235.50	$471.00	$235.50–$452.16	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$308.10	$1,027.00	$86.58–$985.92	30% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$513.50	$1,027.00	$513.50–$985.92	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$269.10	$897.00	$86.58–$861.12	44% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$448.50	$897.00	$448.50–$861.12	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$262.50	$875.00	$93.80–$840.00	37% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$437.50	$875.00	$437.50–$840.00	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$240.30	$801.00	$85.87–$768.96	38% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$400.50	$801.00	$400.50–$768.96	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
ACTH blood test CPT 82024 L4440 ACTH PL ECLIA	$120.60	$402.00	$37.85–$402.00	43% below	70%
ACTH blood test CPT 82024 ADRENOCORT ACTH	$120.60	$402.00	$37.85–$402.00	43% below	70%
ACTH blood test inpatient CPT 82024 L4440 ACTH PL ECLIA	$201.00	$402.00	$201.00–$385.92	—	50%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$201.00	$402.00	$201.00–$385.92	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$48.30	$161.00	$5.19–$154.56	17% below	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$80.50	$161.00	$80.50–$154.56	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$24.00	$80.00	$5.08–$76.80	55% below	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$40.00	$80.00	$40.00–$76.80	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$110.70	$369.00	$46.68–$369.00	68% below	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$184.50	$369.00	$184.50–$354.24	—	50%
Albumin blood test CPT 82040 L123075 ALB SER	$24.60	$82.00	$4.85–$78.72	45% below	70%
Albumin blood test CPT 82040 L203836ALBUMIN SERUM	$24.60	$82.00	$4.85–$78.72	45% below	70%
Albumin blood test CPT 82040 ALBUMIN SERUM	$24.60	$82.00	$4.85–$78.72	45% below	70%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$41.00	$82.00	$41.00–$78.72	—	50%
Albumin blood test inpatient CPT 82040 L203836ALBUMIN SERUM	$41.00	$82.00	$41.00–$78.72	—	50%
Albumin blood test inpatient CPT 82040 L123075 ALB SER	$41.00	$82.00	$41.00–$78.72	—	50%
Aldosterone blood test CPT 82088 L4354 ALDOSTERONE	$101.40	$338.00	$39.93–$338.00	24% below	70%
Aldosterone blood test CPT 82088 ALDOSTERONE	$101.40	$338.00	$39.93–$338.00	24% below	70%
Aldosterone blood test CPT 82088 L4374 ALDOSTE LCMSMS	$101.40	$338.00	$39.93–$338.00	24% below	70%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$169.00	$338.00	$169.00–$324.48	—	50%
Aldosterone blood test inpatient CPT 82088 L4374 ALDOSTE LCMSMS	$169.00	$338.00	$169.00–$324.48	—	50%
Aldosterone blood test inpatient CPT 82088 L4354 ALDOSTERONE	$169.00	$338.00	$169.00–$324.48	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE	$26.70	$89.00	$5.08–$85.44	32% below	70%
Alkaline phosphatase (ALP) blood test CPT 84075 L1612 PHOSPHATAS ALK	$26.70	$89.00	$5.08–$85.44	32% below	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE	$44.50	$89.00	$44.50–$85.44	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 L1612 PHOSPHATAS ALK	$44.50	$89.00	$44.50–$85.44	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 L602454 ALG E1 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602989 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602451 ALG F13 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L600919 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602456 ALG E5 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602459 ALG F4 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602471 ALG M3 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602489 ALG T1 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602503 ALG G10 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602542 ALG W18 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602497 ALG F79 IC	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602453ALG F2 IGE IA	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602481 ALG I206 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L601872 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602570 W016 IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L601633 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L600973 ALLERGEN IGE	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L62448 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L601823 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L601831 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L600981 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L62695 ALG IGE QT	$11.10	$37.00	$5.12–$37.00	17% below	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L601633 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602570 W016 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L62695 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602989 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L601872 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L601823 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L600973 ALLERGEN IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602451 ALG F13 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L600981 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L600919 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602497 ALG F79 IC	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602542 ALG W18 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602503 ALG G10 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602489 ALG T1 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602471 ALG M3 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602459 ALG F4 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602456 ALG E5 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602454 ALG E1 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L62448 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602453ALG F2 IGE IA	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L601831 ALG IGE QT	$18.50	$37.00	$18.50–$35.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602481 ALG I206 IGE	$18.50	$37.00	$18.50–$35.52	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$71.10	$237.00	$16.43–$227.52	2% above	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 L10801AFP MAT S ICMA	$71.10	$237.00	$16.43–$227.52	2% above	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 L2253 AFP TM ECLIA	$71.10	$237.00	$16.43–$227.52	2% above	70%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$118.50	$237.00	$118.50–$227.52	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L2253 AFP TM ECLIA	$118.50	$237.00	$118.50–$227.52	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L10801AFP MAT S ICMA	$118.50	$237.00	$118.50–$227.52	—	50%
Ammonia blood test CPT 82140 AMMONIA	$143.10	$477.00	$14.28–$457.92	8% below	70%
Ammonia blood test inpatient CPT 82140 AMMONIA	$238.50	$477.00	$238.50–$457.92	—	50%
Amylase blood test CPT 82150 AMYLASE	$54.30	$181.00	$6.35–$173.76	6% below	70%
Amylase blood test inpatient CPT 82150 AMYLASE	$90.50	$181.00	$90.50–$173.76	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$133.80	$446.00	$12.69–$428.16	43% above	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 L164914 CCP IGA/G EL	$133.80	$446.00	$12.69–$428.16	43% above	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 L164914 CCP IGA/G EL	$223.00	$446.00	$223.00–$428.16	—	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$223.00	$446.00	$223.00–$428.16	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$63.60	$212.00	$11.85–$203.52	17% below	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164863 ANA	$63.60	$212.00	$11.85–$203.52	17% below	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164947 ANA IFA	$63.60	$212.00	$11.85–$203.52	17% below	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164947 ANA IFA	$106.00	$212.00	$106.00–$203.52	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$106.00	$212.00	$106.00–$203.52	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164863 ANA	$106.00	$212.00	$106.00–$203.52	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$277.20	$924.00	$38.47–$887.04	6% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$462.00	$924.00	$462.00–$887.04	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$96.30	$321.00	$8.45–$308.16	33% below	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$160.50	$321.00	$160.50–$308.16	—	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$83.70	$279.00	$8.29–$267.84	37% below	70%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$139.50	$279.00	$139.50–$267.84	—	50%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$24.60	$82.00	$4.92–$78.72	56% below	70%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$41.00	$82.00	$41.00–$78.72	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$113.10	$377.00	$51.63–$377.00	61% below	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$188.50	$377.00	$188.50–$361.92	—	50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$152.70	$509.00	$10.11–$488.64	27% below	70%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$254.50	$509.00	$254.50–$488.64	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE	$19.20	$64.00	$8.65–$61.44	49% below	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$32.00	$64.00	$32.00–$61.44	—	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT	$21.00	$70.00	$3.85–$67.20	51% below	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$35.00	$70.00	$35.00–$67.20	—	50%
Blood lead test CPT 83655 L42580 LEAD	$36.30	$121.00	$11.87–$121.00	53% below	70%
Blood lead test CPT 83655 L717009PB BL AAS-ICP	$36.30	$121.00	$11.87–$121.00	53% below	70%
Blood lead test CPT 83655 L250281 LEAD	$36.30	$121.00	$11.87–$121.00	53% below	70%
Blood lead test CPT 83655 LEAD	$36.30	$121.00	$11.87–$121.00	53% below	70%
Blood lead test CPT 83655 L7625 LEAD BL ICP/MS	$36.30	$121.00	$11.87–$121.00	53% below	70%
Blood lead test CPT 83655 L7046 LEAD	$36.30	$121.00	$11.87–$121.00	53% below	70%
Blood lead test inpatient CPT 83655 L717009PB BL AAS-ICP	$60.50	$121.00	$60.50–$116.16	—	50%
Blood lead test inpatient CPT 83655 LEAD	$60.50	$121.00	$60.50–$116.16	—	50%
Blood lead test inpatient CPT 83655 L7625 LEAD BL ICP/MS	$60.50	$121.00	$60.50–$116.16	—	50%
Blood lead test inpatient CPT 83655 L42580 LEAD	$60.50	$121.00	$60.50–$116.16	—	50%
Blood lead test inpatient CPT 83655 L7046 LEAD	$60.50	$121.00	$60.50–$116.16	—	50%
Blood lead test inpatient CPT 83655 L250281 LEAD	$60.50	$121.00	$60.50–$116.16	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL	$63.30	$211.00	$7.37–$202.56	37% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$105.50	$211.00	$105.50–$202.56	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$34.50	$115.00	$2.99–$121.71	39% below	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$57.50	$115.00	$57.50–$110.40	—	50%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN	$32.10	$107.00	$3.87–$102.72	34% below	70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN	$53.50	$107.00	$53.50–$102.72	—	50%
C-peptide blood test CPT 84681 C-PEPTIDE	$110.70	$369.00	$20.39–$354.24	34% below	70%
C-peptide blood test CPT 84681 L10108 C-PEPID ECLIA	$110.70	$369.00	$20.39–$354.24	34% below	70%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$184.50	$369.00	$184.50–$354.24	—	50%
C-peptide blood test inpatient CPT 84681 L10108 C-PEPID ECLIA	$184.50	$369.00	$184.50–$354.24	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$9.00	$30.00	$5.08–$30.00	86% below	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 L6627 C REAC PROT QT	$9.00	$30.00	$5.08–$30.00	86% below	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$15.00	$30.00	$15.00–$28.80	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 L6627 C REAC PROT QT	$15.00	$30.00	$15.00–$28.80	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$62.10	$207.00	$36.52–$207.00	73% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$103.50	$207.00	$103.50–$198.72	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$150.60	$502.00	$20.39–$481.92	35% below	70%
CA 19-9 blood test (tumor marker) CPT 86301 L2261 CA 19-9 ECLIA	$150.60	$502.00	$20.39–$481.92	35% below	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$251.00	$502.00	$251.00–$481.92	—	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 L2261 CA 19-9 ECLIA	$251.00	$502.00	$251.00–$481.92	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 L2303 CA 125 ECLIA	$97.20	$324.00	$20.39–$311.04	44% below	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$97.20	$324.00	$20.39–$311.04	44% below	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$162.00	$324.00	$162.00–$311.04	—	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 L2303 CA 125 ECLIA	$162.00	$324.00	$162.00–$311.04	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$47.40	$158.00	$47.40–$158.00	54% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA	$53.10	$177.00	$50.28–$177.00	49% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$79.00	$158.00	$79.00–$151.68	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA	$88.50	$177.00	$88.50–$169.92	—	50%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$30.00	$100.00	$5.06–$96.00	57% below	70%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$50.00	$100.00	$50.00–$96.00	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$111.00	$370.00	$18.58–$355.20	41% below	70%
Carcinoembryonic antigen (CEA) test CPT 82378 L2139 CEA ECLIA	$111.00	$370.00	$18.58–$355.20	41% below	70%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$185.00	$370.00	$185.00–$355.20	—	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 L2139 CEA ECLIA	$185.00	$370.00	$185.00–$355.20	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 L96206 VZV IGG CLIA	$72.30	$241.00	$12.62–$231.36	12% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 L96776VZV QT IGM EIA	$72.30	$241.00	$12.62–$231.36	12% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$72.30	$241.00	$12.62–$231.36	12% below	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L96206 VZV IGG CLIA	$120.50	$241.00	$120.50–$231.36	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$120.50	$241.00	$120.50–$231.36	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L96776VZV QT IGM EIA	$120.50	$241.00	$120.50–$231.36	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183194CHLMYD TRACH	$108.90	$363.00	$34.39–$363.00	28% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$108.90	$363.00	$34.39–$363.00	28% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188698 CTRACH AMPPR	$108.90	$363.00	$34.39–$363.00	28% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183160 C TRACH AMP	$108.90	$363.00	$34.39–$363.00	28% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188672 CTRACH AMPPR	$108.90	$363.00	$34.39–$363.00	28% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188698 CTRACH AMPPR	$181.50	$363.00	$181.50–$348.48	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188672 CTRACH AMPPR	$181.50	$363.00	$181.50–$348.48	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183160 C TRACH AMP	$181.50	$363.00	$181.50–$348.48	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183194CHLMYD TRACH	$181.50	$363.00	$181.50–$348.48	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$181.50	$363.00	$181.50–$348.48	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L884247 LIPID PANEL	$99.00	$330.00	$13.12–$316.80	at median	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$99.00	$330.00	$13.12–$316.80	at median	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L884247 LIPID PANEL	$165.00	$330.00	$165.00–$316.80	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$165.00	$330.00	$165.00–$316.80	—	50%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$98.40	$328.00	$7.61–$314.88	9% below	70%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$164.00	$328.00	$164.00–$314.88	—	50%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$78.30	$261.00	$6.34–$250.56	4% below	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$130.50	$261.00	$130.50–$250.56	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$101.10	$337.00	$10.35–$323.52	41% below	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$168.50	$337.00	$168.50–$323.52	—	50%
Cortisol blood test, total CPT 82533 L502120 CORTISOL TOT	$33.90	$113.00	$15.97–$113.00	64% below	70%
Cortisol blood test, total CPT 82533 L500179SALIV CORT MS	$33.90	$113.00	$15.97–$113.00	64% below	70%
Cortisol blood test, total CPT 82533 L500440 CORTISOL TOT	$33.90	$113.00	$15.97–$113.00	64% below	70%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$33.90	$113.00	$15.97–$113.00	64% below	70%
Cortisol blood test, total CPT 82533 L4051 CORTISOL ECLIA	$33.90	$113.00	$15.97–$113.00	64% below	70%
Cortisol blood test, total inpatient CPT 82533 L500440 CORTISOL TOT	$56.50	$113.00	$56.50–$108.48	—	50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$56.50	$113.00	$56.50–$108.48	—	50%
Cortisol blood test, total inpatient CPT 82533 L502120 CORTISOL TOT	$56.50	$113.00	$56.50–$108.48	—	50%
Cortisol blood test, total inpatient CPT 82533 L4051 CORTISOL ECLIA	$56.50	$113.00	$56.50–$108.48	—	50%
Cortisol blood test, total inpatient CPT 82533 L500179SALIV CORT MS	$56.50	$113.00	$56.50–$108.48	—	50%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$66.30	$221.00	$6.38–$212.16	35% below	70%
Creatine kinase (CK) blood test, total CPT 82550 L2154 CPK TOTAL	$66.30	$221.00	$6.38–$212.16	35% below	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$110.50	$221.00	$110.50–$212.16	—	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 L2154 CPK TOTAL	$110.50	$221.00	$110.50–$212.16	—	50%
Creatinine blood test CPT 82565 CREATININE BLOOD	$35.70	$119.00	$5.02–$114.24	40% below	70%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$59.50	$119.00	$59.50–$114.24	—	50%
Cytomegalovirus (CMV) antibody test CPT 86644 L6494 CMV IGG CLIA	$46.20	$154.00	$14.10–$154.00	22% below	70%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$46.20	$154.00	$14.10–$154.00	22% below	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 L6494 CMV IGG CLIA	$77.00	$154.00	$77.00–$147.84	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$77.00	$154.00	$77.00–$147.84	—	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT	$155.40	$518.00	$9.98–$497.28	24% below	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$259.00	$518.00	$259.00–$497.28	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 L4020 DHEA SUL ECLIA	$58.80	$196.00	$21.79–$196.00	60% below	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$58.80	$196.00	$21.79–$196.00	60% below	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 L4020 DHEA SUL ECLIA	$98.00	$196.00	$98.00–$188.16	—	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$98.00	$196.00	$98.00–$188.16	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$306.60	$1,022.00	$60.90–$981.12	74% above	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$511.00	$1,022.00	$511.00–$981.12	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$60.90	$203.00	$6.87–$194.88	38% below	70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$101.50	$203.00	$101.50–$194.88	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 L240610 EBV VCA	$49.20	$164.00	$17.78–$164.00	34% below	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L96230EBV AB-VCA IGG	$49.20	$164.00	$17.78–$164.00	34% below	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L96735EBV AB-VCA IGM	$49.20	$164.00	$17.78–$164.00	34% below	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA	$49.20	$164.00	$17.78–$164.00	34% below	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L240610 EBV VCA	$82.00	$164.00	$82.00–$157.44	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L96735EBV AB-VCA IGM	$82.00	$164.00	$82.00–$157.44	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA	$82.00	$164.00	$82.00–$157.44	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L96230EBV AB-VCA IGG	$82.00	$164.00	$82.00–$157.44	—	50%
Estradiol blood test CPT 82670 L4606 ESTRADIOL	$72.90	$243.00	$27.38–$243.00	58% below	70%
Estradiol blood test CPT 82670 L4515ESTRADIOL ECLIA	$72.90	$243.00	$27.38–$243.00	58% below	70%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$72.90	$243.00	$27.38–$243.00	58% below	70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$121.50	$243.00	$121.50–$233.28	—	50%
Estradiol blood test inpatient CPT 82670 L4606 ESTRADIOL	$121.50	$243.00	$121.50–$233.28	—	50%
Estradiol blood test inpatient CPT 82670 L4515ESTRADIOL ECLIA	$121.50	$243.00	$121.50–$233.28	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$72.30	$241.00	$18.21–$231.36	63% below	70%
FSH (follicle-stimulating hormone) test CPT 83001 L4309 FSH ECLIA	$72.30	$241.00	$18.21–$231.36	63% below	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$120.50	$241.00	$120.50–$231.36	—	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 L4309 FSH ECLIA	$120.50	$241.00	$120.50–$231.36	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 L123255 CALPRO ELISA	$45.30	$151.00	$19.24–$151.00	90% below	70%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$45.30	$151.00	$19.24–$151.00	90% below	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$75.50	$151.00	$75.50–$144.96	—	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 L123255 CALPRO ELISA	$75.50	$151.00	$75.50–$144.96	—	50%
Ferritin blood test (iron stores) CPT 82728 L4598 FERRITIN	$102.30	$341.00	$13.36–$327.36	13% below	70%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$102.30	$341.00	$13.36–$327.36	13% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$170.50	$341.00	$170.50–$327.36	—	50%
Ferritin blood test (iron stores) inpatient CPT 82728 L4598 FERRITIN	$170.50	$341.00	$170.50–$327.36	—	50%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$88.50	$295.00	$9.53–$283.20	39% below	70%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$147.50	$295.00	$147.50–$283.20	—	50%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$95.10	$317.00	$14.41–$304.32	31% below	70%
Folate (folic acid) blood test CPT 82746 L2014 FOLATE S ECLIA	$95.10	$317.00	$14.41–$304.32	31% below	70%
Folate (folic acid) blood test inpatient CPT 82746 L2014 FOLATE S ECLIA	$158.50	$317.00	$158.50–$304.32	—	50%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$158.50	$317.00	$158.50–$304.32	—	50%
Free T3 thyroid hormone test CPT 84481 L10389 T3 FREE ECLIA	$114.00	$380.00	$16.60–$364.80	28% below	70%
Free T3 thyroid hormone test CPT 84481 T3,FREE	$114.00	$380.00	$16.60–$364.80	28% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$190.00	$380.00	$190.00–$364.80	—	50%
Free T3 thyroid hormone test inpatient CPT 84481 L10389 T3 FREE ECLIA	$190.00	$380.00	$190.00–$364.80	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 L1974 T4 FREE DIR	$66.30	$221.00	$8.84–$212.16	52% below	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$66.30	$221.00	$8.84–$212.16	52% below	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$110.50	$221.00	$110.50–$212.16	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 L1974 T4 FREE DIR	$110.50	$221.00	$110.50–$212.16	—	50%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$112.50	$375.00	$24.96–$360.00	10% below	70%
Free testosterone test CPT 84402 L144980 TST FREE EIA	$112.50	$375.00	$24.96–$360.00	10% below	70%
Free testosterone test CPT 84402 L140103 TESTOST FREE	$112.50	$375.00	$24.96–$360.00	10% below	70%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$187.50	$375.00	$187.50–$360.00	—	50%
Free testosterone test inpatient CPT 84402 L140103 TESTOST FREE	$187.50	$375.00	$187.50–$360.00	—	50%
Free testosterone test inpatient CPT 84402 L144980 TST FREE EIA	$187.50	$375.00	$187.50–$360.00	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$37.20	$124.00	$7.06–$119.04	47% below	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$62.00	$124.00	$62.00–$119.04	—	50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$275.10	$917.00	$72.43–$880.32	—	70%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$458.50	$917.00	$458.50–$880.32	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE	$21.00	$70.00	$4.65–$67.20	67% below	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE	$35.00	$70.00	$35.00–$67.20	—	50%
Glucose tolerance test, 3 samples CPT 82951 L46300 GTT 3 SPEC	$62.70	$209.00	$12.61–$200.64	43% below	70%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$62.70	$209.00	$12.61–$200.64	43% below	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$104.50	$209.00	$104.50–$200.64	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 L46300 GTT 3 SPEC	$104.50	$209.00	$104.50–$200.64	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$108.90	$363.00	$34.39–$363.00	5% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188672 NG AMP PRB	$108.90	$363.00	$34.39–$363.00	5% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183160 N GONO AMP	$108.90	$363.00	$34.39–$363.00	5% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188698 NG AMP PRB	$108.90	$363.00	$34.39–$363.00	5% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183194N.GONORRHO,DN	$108.90	$363.00	$34.39–$363.00	5% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183194N.GONORRHO,DN	$181.50	$363.00	$181.50–$348.48	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183160 N GONO AMP	$181.50	$363.00	$181.50–$348.48	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188698 NG AMP PRB	$181.50	$363.00	$181.50–$348.48	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188672 NG AMP PRB	$181.50	$363.00	$181.50–$348.48	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$181.50	$363.00	$181.50–$348.48	—	50%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$84.90	$283.00	$16.51–$271.68	10% below	70%
H. pylori antibody blood test CPT 86677 L162289 H.PYLORI IGG	$84.90	$283.00	$16.51–$271.68	10% below	70%
H. pylori antibody blood test CPT 86677 L163204 H.PYLORI IGM	$84.90	$283.00	$16.51–$271.68	10% below	70%
H. pylori antibody blood test CPT 86677 L163170 H.PYLORI IGA	$84.90	$283.00	$16.51–$271.68	10% below	70%
H. pylori antibody blood test inpatient CPT 86677 L163204 H.PYLORI IGM	$141.50	$283.00	$141.50–$271.68	—	50%
H. pylori antibody blood test inpatient CPT 86677 L162289 H.PYLORI IGG	$141.50	$283.00	$141.50–$271.68	—	50%
H. pylori antibody blood test inpatient CPT 86677 L163170 H.PYLORI IGA	$141.50	$283.00	$141.50–$271.68	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$141.50	$283.00	$141.50–$271.68	—	50%
H. pylori stool antigen test CPT 87338 L180764H.PYLOR AG IA	$212.10	$707.00	$14.09–$678.72	15% above	70%
H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA	$212.10	$707.00	$14.09–$678.72	15% above	70%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$353.50	$707.00	$353.50–$678.72	—	50%
H. pylori stool antigen test inpatient CPT 87338 L180764H.PYLOR AG IA	$353.50	$707.00	$353.50–$678.72	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550430HIV1 QT RTPCR	$312.00	$1,040.00	$83.40–$1,012.69	15% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT	$312.00	$1,040.00	$83.40–$1,012.69	15% below	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT	$520.00	$1,040.00	$520.00–$998.40	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550430HIV1 QT RTPCR	$520.00	$1,040.00	$520.00–$998.40	—	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$61.80	$206.00	$34.39–$206.00	40% below	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$103.00	$206.00	$103.00–$197.76	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$80.70	$269.00	$9.52–$258.24	34% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 L1453 HGB A1C	$80.70	$269.00	$9.52–$258.24	34% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$134.50	$269.00	$134.50–$258.24	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 L1453 HGB A1C	$134.50	$269.00	$134.50–$258.24	—	50%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$23.70	$79.00	$2.32–$75.84	49% below	70%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$39.50	$79.00	$39.50–$75.84	—	50%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$61.50	$205.00	$11.81–$196.80	16% below	70%
Hepatitis B core antibody test (total) CPT 86704 L6718 HBCAB TOT ICMA	$61.50	$205.00	$11.81–$196.80	16% below	70%
Hepatitis B core antibody test (total) inpatient CPT 86704 L6718 HBCAB TOT ICMA	$102.50	$205.00	$102.50–$196.80	—	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$102.50	$205.00	$102.50–$196.80	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 L6395 HBSAB QL ICMA	$63.30	$211.00	$10.53–$202.56	30% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$63.30	$211.00	$10.53–$202.56	30% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$105.50	$211.00	$105.50–$202.56	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 L6395 HBSAB QL ICMA	$105.50	$211.00	$105.50–$202.56	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$62.70	$209.00	$10.12–$200.64	12% below	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 L6510 HBSAG ICMA	$62.70	$209.00	$10.12–$200.64	12% below	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$104.50	$209.00	$104.50–$200.64	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 L6510 HBSAG ICMA	$104.50	$209.00	$104.50–$200.64	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 L144050 HCV AB PCR	$73.20	$244.00	$13.98–$234.24	24% below	70%
Hepatitis C antibody blood test (screening) CPT 86803 L140659 HCV AB EIA	$73.20	$244.00	$13.98–$234.24	24% below	70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$73.20	$244.00	$13.98–$234.24	24% below	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144050 HCV AB PCR	$122.00	$244.00	$122.00–$234.24	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L140659 HCV AB EIA	$122.00	$244.00	$122.00–$234.24	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$122.00	$244.00	$122.00–$234.24	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550100 HCV QT PCR	$103.80	$346.00	$41.98–$346.00	68% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 LRX550362 HCV PCR QT	$103.80	$346.00	$41.98–$346.00	68% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550090 HCV QT PCR	$103.80	$346.00	$41.98–$346.00	68% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550080 HCV QT RTPCR	$103.80	$346.00	$41.98–$346.00	68% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$103.80	$346.00	$41.98–$346.00	68% below	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550090 HCV QT PCR	$173.00	$346.00	$173.00–$332.16	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550100 HCV QT PCR	$173.00	$346.00	$173.00–$332.16	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550080 HCV QT RTPCR	$173.00	$346.00	$173.00–$332.16	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$173.00	$346.00	$173.00–$332.16	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LRX550362 HCV PCR QT	$173.00	$346.00	$173.00–$332.16	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$36.60	$122.00	$12.93–$122.00	35% below	70%
Herpes blood test, HSV-1 antibody CPT 86695 L164897HSV1 IGG CLIA	$36.60	$122.00	$12.93–$122.00	35% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$61.00	$122.00	$61.00–$117.12	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164897HSV1 IGG CLIA	$61.00	$122.00	$61.00–$117.12	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 L164098 HSV2 AB IGG	$51.90	$173.00	$18.96–$173.00	36% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$51.90	$173.00	$18.96–$173.00	36% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 L163006 HSV2 AB IG	$51.90	$173.00	$18.96–$173.00	36% below	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L164098 HSV2 AB IGG	$86.50	$173.00	$86.50–$166.08	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$86.50	$173.00	$86.50–$166.08	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L163006 HSV2 AB IG	$86.50	$173.00	$86.50–$166.08	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 L120766 CRP HS ICMA	$90.90	$303.00	$12.69–$290.88	44% below	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$90.90	$303.00	$12.69–$290.88	44% below	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 L120766 CRP HS ICMA	$151.50	$303.00	$151.50–$290.88	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$151.50	$303.00	$151.50–$290.88	—	50%
Homocysteine blood test CPT 83090 L706994HCYSTEINE ENZ	$168.30	$561.00	$17.56–$538.56	20% below	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$168.30	$561.00	$17.56–$538.56	20% below	70%
Homocysteine blood test inpatient CPT 83090 L706994HCYSTEINE ENZ	$280.50	$561.00	$280.50–$538.56	—	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$280.50	$561.00	$280.50–$538.56	—	50%
Insulin blood test CPT 83525 L4333 INSULIN ECLIA	$35.10	$117.00	$11.20–$117.00	18% below	70%
Insulin blood test CPT 83525 INSULIN, TOTAL	$35.10	$117.00	$11.20–$117.00	18% below	70%
Insulin blood test inpatient CPT 83525 L4333 INSULIN ECLIA	$58.50	$117.00	$58.50–$112.32	—	50%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$58.50	$117.00	$58.50–$112.32	—	50%
Iron blood test (serum iron) CPT 83540 L1321 IRON	$53.10	$177.00	$6.34–$169.92	33% below	70%
Iron blood test (serum iron) CPT 83540 IRON	$53.10	$177.00	$6.34–$169.92	33% below	70%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$88.50	$177.00	$88.50–$169.92	—	50%
Iron blood test (serum iron) inpatient CPT 83540 L1321 IRON	$88.50	$177.00	$88.50–$169.92	—	50%
Iron-binding capacity (TIBC) test CPT 83550 L1321 IRON BIND CAP	$59.40	$198.00	$8.57–$190.08	22% below	70%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$59.40	$198.00	$8.57–$190.08	22% below	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 L1321 IRON BIND CAP	$99.00	$198.00	$99.00–$190.08	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$99.00	$198.00	$99.00–$190.08	—	50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$78.60	$262.00	$8.51–$251.52	48% below	70%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$131.00	$262.00	$131.00–$251.52	—	50%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$50.10	$167.00	$18.15–$167.00	75% below	70%
LH (luteinizing hormone) test CPT 83002 L4283 LH ECLIA	$50.10	$167.00	$18.15–$167.00	75% below	70%
LH (luteinizing hormone) test CPT 83002 L502286 LH PED	$50.10	$167.00	$18.15–$167.00	75% below	70%
LH (luteinizing hormone) test inpatient CPT 83002 L502286 LH PED	$83.50	$167.00	$83.50–$160.32	—	50%
LH (luteinizing hormone) test inpatient CPT 83002 L4283 LH ECLIA	$83.50	$167.00	$83.50–$160.32	—	50%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$83.50	$167.00	$83.50–$160.32	—	50%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$99.90	$333.00	$11.34–$319.68	37% below	70%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$166.50	$333.00	$166.50–$319.68	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 L100156 LD BF KINET	$31.80	$106.00	$5.92–$101.76	58% below	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 L1842 LACTATE DEHYDR	$31.80	$106.00	$5.92–$101.76	58% below	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 L1115 LACTATE DEHYDR	$31.80	$106.00	$5.92–$101.76	58% below	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$31.80	$106.00	$5.92–$101.76	58% below	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$53.00	$106.00	$53.00–$101.76	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L1115 LACTATE DEHYDR	$53.00	$106.00	$53.00–$101.76	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L1842 LACTATE DEHYDR	$53.00	$106.00	$53.00–$101.76	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L100156 LD BF KINET	$53.00	$106.00	$53.00–$101.76	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$73.80	$246.00	$6.75–$236.16	39% below	70%
Lipase blood test (pancreas enzyme) CPT 83690 L829034 LIPASE FLD	$73.80	$246.00	$6.75–$236.16	39% below	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$123.00	$246.00	$123.00–$236.16	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 L829034 LIPASE FLD	$123.00	$246.00	$123.00–$236.16	—	50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$57.30	$191.00	$8.01–$183.36	43% below	70%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$95.50	$191.00	$95.50–$183.36	—	50%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$193.50	$645.00	$16.69–$619.20	65% above	70%
Lyme disease antibody test CPT 86618 L164226 LYME TOT AB	$193.50	$645.00	$16.69–$619.20	65% above	70%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$322.50	$645.00	$322.50–$619.20	—	50%
Lyme disease antibody test inpatient CPT 86618 L164226 LYME TOT AB	$322.50	$645.00	$322.50–$619.20	—	50%
Magnesium blood test CPT 83735 MAGNESIUM	$52.80	$176.00	$6.57–$168.96	29% below	70%
Magnesium blood test CPT 83735 L80283 MG RBC AAS-IC	$52.80	$176.00	$6.57–$168.96	29% below	70%
Magnesium blood test CPT 83735 L1537 MAGNESIUM	$52.80	$176.00	$6.57–$168.96	29% below	70%
Magnesium blood test inpatient CPT 83735 L1537 MAGNESIUM	$88.00	$176.00	$88.00–$168.96	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$88.00	$176.00	$88.00–$168.96	—	50%
Magnesium blood test inpatient CPT 83735 L80283 MG RBC AAS-IC	$88.00	$176.00	$88.00–$168.96	—	50%
Measles (rubeola) antibody test CPT 86765 L96560 MEAS IGG CLIA	$24.30	$81.00	$12.62–$81.00	57% below	70%
Measles (rubeola) antibody test CPT 86765 L58495 RUBEOLA AB	$24.30	$81.00	$12.62–$81.00	57% below	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$24.30	$81.00	$12.62–$81.00	57% below	70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$40.50	$81.00	$40.50–$77.76	—	50%
Measles (rubeola) antibody test inpatient CPT 86765 L96560 MEAS IGG CLIA	$40.50	$81.00	$40.50–$77.76	—	50%
Measles (rubeola) antibody test inpatient CPT 86765 L58495 RUBEOLA AB	$40.50	$81.00	$40.50–$77.76	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$84.00	$280.00	$5.08–$268.80	9% above	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$140.00	$280.00	$140.00–$268.80	—	50%
Mumps immunity blood test CPT 86735 L160499MUMPS IGM EIA	$36.30	$121.00	$12.79–$121.00	57% below	70%
Mumps immunity blood test CPT 86735 MUMPS AB	$36.30	$121.00	$12.79–$121.00	57% below	70%
Mumps immunity blood test CPT 86735 L96552MUMPS IGG CLIA	$36.30	$121.00	$12.79–$121.00	57% below	70%
Mumps immunity blood test CPT 86735 L58495 MUMPS AB	$36.30	$121.00	$12.79–$121.00	57% below	70%
Mumps immunity blood test inpatient CPT 86735 L58495 MUMPS AB	$60.50	$121.00	$60.50–$116.16	—	50%
Mumps immunity blood test inpatient CPT 86735 L96552MUMPS IGG CLIA	$60.50	$121.00	$60.50–$116.16	—	50%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$60.50	$121.00	$60.50–$116.16	—	50%
Mumps immunity blood test inpatient CPT 86735 L160499MUMPS IGM EIA	$60.50	$121.00	$60.50–$116.16	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$77.10	$257.00	$18.02–$246.72	3% below	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 L480947 PSA, FREE	$77.10	$257.00	$18.02–$246.72	3% below	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$128.50	$257.00	$128.50–$246.72	—	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 L480947 PSA, FREE	$128.50	$257.00	$128.50–$246.72	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480947 PSA, TOTAL	$92.70	$309.00	$18.02–$296.64	44% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 L140731 PSA US ECLIA	$92.70	$309.00	$18.02–$296.64	44% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$92.70	$309.00	$18.02–$296.64	44% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480947 PSA, TOTAL	$154.50	$309.00	$154.50–$296.64	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$154.50	$309.00	$154.50–$296.64	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L140731 PSA US ECLIA	$154.50	$309.00	$154.50–$296.64	—	50%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$60.90	$203.00	$26.08–$203.00	39% below	70%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$101.50	$203.00	$101.50–$194.88	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG	$73.50	$245.00	$19.85–$241.08	31% below	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG	$122.50	$245.00	$122.50–$235.20	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 L15610 PTH INT ECLIA	$140.10	$467.00	$40.45–$467.00	58% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$140.10	$467.00	$40.45–$467.00	58% below	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$233.50	$467.00	$233.50–$448.32	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 L15610 PTH INT ECLIA	$233.50	$467.00	$233.50–$448.32	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$92.70	$309.00	$5.89–$296.64	3% below	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L117199 THROMBO TIME	$92.70	$309.00	$5.89–$296.64	3% below	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L117199 THROMBO TIME	$154.50	$309.00	$154.50–$296.64	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$154.50	$309.00	$154.50–$296.64	—	50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD	$47.70	$159.00	$4.65–$152.64	28% below	70%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD	$79.50	$159.00	$79.50–$152.64	—	50%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$28.20	$94.00	$4.66–$90.24	54% below	70%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$47.00	$94.00	$47.00–$90.24	—	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET ANEUP GSA PN	$410.10	$1,367.00	$410.10–$1,367.00	67% below	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET ANEUP GSA PN	$683.50	$1,367.00	$683.50–$1,312.32	—	50%
Progesterone blood test CPT 84144 PROGESTERONE	$54.90	$183.00	$20.44–$183.00	75% below	70%
Progesterone blood test CPT 84144 L4317 PROGESTE ECLIA	$54.90	$183.00	$20.44–$183.00	75% below	70%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$91.50	$183.00	$91.50–$175.68	—	50%
Progesterone blood test inpatient CPT 84144 L4317 PROGESTE ECLIA	$91.50	$183.00	$91.50–$175.68	—	50%
Prolactin blood test CPT 84146 L4465 PROLACTI ECLIA	$94.20	$314.00	$18.99–$301.44	52% below	70%
Prolactin blood test CPT 84146 PROLACTIN	$94.20	$314.00	$18.99–$301.44	52% below	70%
Prolactin blood test inpatient CPT 84146 L4465 PROLACTI ECLIA	$157.00	$314.00	$157.00–$301.44	—	50%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$157.00	$314.00	$157.00–$301.44	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$23.10	$77.00	$4.20–$73.92	42% below	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$38.50	$77.00	$38.50–$73.92	—	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$28.20	$94.00	$16.22–$94.00	65% below	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$47.00	$94.00	$47.00–$90.24	—	50%
Renin blood test CPT 84244 RENIN	$112.50	$375.00	$21.55–$360.00	37% above	70%
Renin blood test CPT 84244 L2006 RENIN PL RIA	$112.50	$375.00	$21.55–$360.00	37% above	70%
Renin blood test CPT 84244 L4354 RENIN	$112.50	$375.00	$21.55–$360.00	37% above	70%
Renin blood test inpatient CPT 84244 L2006 RENIN PL RIA	$187.50	$375.00	$187.50–$360.00	—	50%
Renin blood test inpatient CPT 84244 RENIN	$187.50	$375.00	$187.50–$360.00	—	50%
Renin blood test inpatient CPT 84244 L4354 RENIN	$187.50	$375.00	$187.50–$360.00	—	50%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$30.90	$103.00	$2.99–$98.88	38% below	70%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$51.50	$103.00	$51.50–$98.88	—	50%
Rheumatoid factor (RF) test CPT 86431 L56499 RA FACT QT	$75.30	$251.00	$5.56–$240.96	11% above	70%
Rheumatoid factor (RF) test CPT 86431 L6502 RHEUM FACT ITA	$75.30	$251.00	$5.56–$240.96	11% above	70%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$75.30	$251.00	$5.56–$240.96	11% above	70%
Rheumatoid factor (RF) test inpatient CPT 86431 L6502 RHEUM FACT ITA	$125.50	$251.00	$125.50–$240.96	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 L56499 RA FACT QT	$125.50	$251.00	$125.50–$240.96	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$125.50	$251.00	$125.50–$240.96	—	50%
Rubella antibody test (immunity check) CPT 86762 L58495RUBELLA AB IGG	$46.20	$154.00	$14.10–$154.00	27% below	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$46.20	$154.00	$14.10–$154.00	27% below	70%
Rubella antibody test (immunity check) CPT 86762 L96537RUBEL IGM CLIA	$46.20	$154.00	$14.10–$154.00	27% below	70%
Rubella antibody test (immunity check) CPT 86762 L6197 RUBEL IGG CLIA	$46.20	$154.00	$14.10–$154.00	27% below	70%
Rubella antibody test (immunity check) inpatient CPT 86762 L58495RUBELLA AB IGG	$77.00	$154.00	$77.00–$147.84	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 L96537RUBEL IGM CLIA	$77.00	$154.00	$77.00–$147.84	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$77.00	$154.00	$77.00–$147.84	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 L6197 RUBEL IGG CLIA	$77.00	$154.00	$77.00–$147.84	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$46.50	$155.00	$2.65–$148.80	27% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED	$77.50	$155.00	$77.50–$148.80	—	50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANYL COMP-WDIF	$158.10	$527.00	$12.06–$505.92	49% above	70%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANYL COMP-WDIF	$263.50	$527.00	$263.50–$505.92	—	50%
Sodium blood test CPT 84295 SODIUM,SER PL OR WB	$28.20	$94.00	$4.71–$90.24	46% below	70%
Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB	$47.00	$94.00	$47.00–$90.24	—	50%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$51.30	$171.00	$8.72–$164.16	51% below	70%
Stool ova and parasites exam CPT 87177 L8623 OVA/PARA SMEAR	$51.30	$171.00	$8.72–$164.16	51% below	70%
Stool ova and parasites exam inpatient CPT 87177 L8623 OVA/PARA SMEAR	$85.50	$171.00	$85.50–$164.16	—	50%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$85.50	$171.00	$85.50–$164.16	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3	$43.20	$144.00	$4.29–$138.24	29% below	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3	$72.00	$144.00	$72.00–$138.24	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA	$24.60	$82.00	$15.60–$82.00	56% below	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA	$41.00	$82.00	$41.00–$78.72	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 L12021 TPALLID CONF	$36.60	$122.00	$12.98–$122.00	16% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 L6379T.PALLID AB IFA	$36.60	$122.00	$12.98–$122.00	16% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI	$36.60	$122.00	$12.98–$122.00	16% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82345 T PALLID SCN	$36.60	$122.00	$12.98–$122.00	16% below	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L12021 TPALLID CONF	$61.00	$122.00	$61.00–$117.12	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L6379T.PALLID AB IFA	$61.00	$122.00	$61.00–$117.12	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82345 T PALLID SCN	$61.00	$122.00	$61.00–$117.12	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI	$61.00	$122.00	$61.00–$117.12	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L6445 VDRL CSF AGGLU	$19.50	$65.00	$4.18–$62.40	68% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$19.50	$65.00	$4.18–$62.40	68% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L12005 RPR CHAR FLOC	$19.50	$65.00	$4.18–$62.40	68% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$32.50	$65.00	$32.50–$62.40	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L12005 RPR CHAR FLOC	$32.50	$65.00	$32.50–$62.40	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L6445 VDRL CSF AGGLU	$32.50	$65.00	$32.50–$62.40	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 L182893 TB QFT PL	$144.30	$481.00	$60.74–$481.00	42% above	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$144.30	$481.00	$60.74–$481.00	42% above	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 L182893 TB QFT PL	$240.50	$481.00	$240.50–$461.76	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$240.50	$481.00	$240.50–$461.76	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 L140103 TESTOST TOTA	$108.90	$363.00	$25.29–$348.48	20% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L4226 TST TOT ECLIA	$108.90	$363.00	$25.29–$348.48	20% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$108.90	$363.00	$25.29–$348.48	20% above	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L140103 TESTOST TOTA	$181.50	$363.00	$181.50–$348.48	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$181.50	$363.00	$181.50–$348.48	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L4226 TST TOT ECLIA	$181.50	$363.00	$181.50–$348.48	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 L163980 LKM AB ELISA	$97.20	$324.00	$14.26–$311.04	3% below	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$97.20	$324.00	$14.26–$311.04	3% below	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 L6676 TPO AB ECLIA	$97.20	$324.00	$14.26–$311.04	3% below	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 L6684 MICROSOMAL AB	$97.20	$324.00	$14.26–$311.04	3% below	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L6676 TPO AB ECLIA	$162.00	$324.00	$162.00–$311.04	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$162.00	$324.00	$162.00–$311.04	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L163980 LKM AB ELISA	$162.00	$324.00	$162.00–$311.04	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L6684 MICROSOMAL AB	$162.00	$324.00	$162.00–$311.04	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L4259 TSH ECLIA	$85.80	$286.00	$16.46–$274.56	44% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$85.80	$286.00	$16.46–$274.56	44% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIM TSH	$85.80	$286.00	$16.46–$274.56	44% below	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIM TSH	$143.00	$286.00	$143.00–$274.56	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L4259 TSH ECLIA	$143.00	$286.00	$143.00–$274.56	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$143.00	$286.00	$143.00–$274.56	—	50%
Total IgE blood test CPT 82785 L2170 IGE TOT ECLIA	$71.10	$237.00	$16.13–$227.52	3% below	70%
Total IgE blood test CPT 82785 L2295 GAMMAGLB IGE	$71.10	$237.00	$16.13–$227.52	3% below	70%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$71.10	$237.00	$16.13–$227.52	3% below	70%
Total IgE blood test inpatient CPT 82785 L2295 GAMMAGLB IGE	$118.50	$237.00	$118.50–$227.52	—	50%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$118.50	$237.00	$118.50–$227.52	—	50%
Total IgE blood test inpatient CPT 82785 L2170 IGE TOT ECLIA	$118.50	$237.00	$118.50–$227.52	—	50%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$32.70	$109.00	$4.26–$104.64	51% below	70%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$54.50	$109.00	$54.50–$104.64	—	50%
Total thyroxine (T4) blood test CPT 84436 L1149 T4 CEDIA	$68.10	$227.00	$6.73–$217.92	20% below	70%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4,TOTAL	$68.10	$227.00	$6.73–$217.92	20% below	70%
Total thyroxine (T4) blood test inpatient CPT 84436 L1149 T4 CEDIA	$113.50	$227.00	$113.50–$217.92	—	50%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL	$113.50	$227.00	$113.50–$217.92	—	50%
Total triiodothyronine (T3) blood test CPT 84480 L2188 T3 ECLIA	$53.10	$177.00	$13.90–$169.92	70% below	70%
Total triiodothyronine (T3) blood test CPT 84480 T3,TOTAL	$53.10	$177.00	$13.90–$169.92	70% below	70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL	$88.50	$177.00	$88.50–$169.92	—	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 L2188 T3 ECLIA	$88.50	$177.00	$88.50–$169.92	—	50%
Transferrin blood test CPT 84466 TRANSFERRIN	$51.90	$173.00	$12.50–$166.08	57% below	70%
Transferrin blood test CPT 84466 L4937 TRANSFER IMMUN	$51.90	$173.00	$12.50–$166.08	57% below	70%
Transferrin blood test inpatient CPT 84466 L4937 TRANSFER IMMUN	$86.50	$173.00	$86.50–$166.08	—	50%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$86.50	$173.00	$86.50–$166.08	—	50%
Trichomonas test (NAAT) CPT 87661 L183160 T VAG AMP	$61.80	$206.00	$34.39–$206.00	37% below	70%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$61.80	$206.00	$34.39–$206.00	37% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 L183160 T VAG AMP	$103.00	$206.00	$103.00–$197.76	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$103.00	$206.00	$103.00–$197.76	—	50%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$36.60	$122.00	$5.63–$117.12	33% below	70%
Triglycerides blood test CPT 84478 L101170 TRIG FLD	$36.60	$122.00	$5.63–$117.12	33% below	70%
Triglycerides blood test inpatient CPT 84478 L101170 TRIG FLD	$61.00	$122.00	$61.00–$117.12	—	50%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$61.00	$122.00	$61.00–$117.12	—	50%
Troponin test, quantitative CPT 84484 TROPONIN,QNT	$203.70	$679.00	$12.22–$651.84	2% below	70%
Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT	$339.50	$679.00	$339.50–$651.84	—	50%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$34.50	$115.00	$4.43–$110.40	42% below	70%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$57.50	$115.00	$57.50–$110.40	—	50%
Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE	$61.50	$205.00	$3.11–$196.80	44% below	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE	$102.50	$205.00	$102.50–$196.80	—	50%
Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE	$42.60	$142.00	$2.20–$136.32	14% below	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE	$71.00	$142.00	$71.00–$136.32	—	50%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE	$17.40	$58.00	$3.41–$55.68	56% below	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE	$29.00	$58.00	$29.00–$55.68	—	50%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$86.70	$289.00	$7.91–$277.44	17% below	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$144.50	$289.00	$144.50–$277.44	—	50%
Urine microalbumin (albumin) test CPT 82043 L140285 MICROALB QT	$56.40	$188.00	$5.66–$180.48	37% below	70%
Urine microalbumin (albumin) test CPT 82043 L140050 MICROALB U24	$56.40	$188.00	$5.66–$180.48	37% below	70%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$56.40	$188.00	$5.66–$180.48	37% below	70%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$94.00	$188.00	$94.00–$180.48	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 L140285 MICROALB QT	$94.00	$188.00	$94.00–$180.48	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 L140050 MICROALB U24	$94.00	$188.00	$94.00–$180.48	—	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$63.30	$211.00	$8.44–$202.56	29% below	70%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$105.50	$211.00	$105.50–$202.56	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$99.30	$331.00	$14.78–$317.76	15% below	70%
Vitamin B12 (cobalamin) blood test CPT 82607 L1503 VIT B12 ECLIA	$99.30	$331.00	$14.78–$317.76	15% below	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$165.50	$331.00	$165.50–$317.76	—	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 L1503 VIT B12 ECLIA	$165.50	$331.00	$165.50–$317.76	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$111.00	$370.00	$29.01–$355.20	25% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L81950VITD 25-OH ICM	$111.00	$370.00	$29.01–$355.20	25% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L504115VITD 25-OH LC	$111.00	$370.00	$29.01–$355.20	25% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L504115VITD 25-OH LC	$185.00	$370.00	$185.00–$355.20	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$185.00	$370.00	$185.00–$355.20	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L81950VITD 25-OH ICM	$185.00	$370.00	$185.00–$355.20	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 L81091VIT D1,25 ICMA	$138.60	$462.00	$37.73–$458.15	52% below	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$138.60	$462.00	$37.73–$458.15	52% below	70%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$231.00	$462.00	$231.00–$443.52	—	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 L81091VIT D1,25 ICMA	$231.00	$462.00	$231.00–$443.52	—	50%
Zinc blood test CPT 84630 ZINC	$77.10	$257.00	$11.16–$246.72	31% above	70%
Zinc blood test CPT 84630 L1800 ZINC ICP/MS	$77.10	$257.00	$11.16–$246.72	31% above	70%
Zinc blood test inpatient CPT 84630 ZINC	$128.50	$257.00	$128.50–$246.72	—	50%
Zinc blood test inpatient CPT 84630 L1800 ZINC ICP/MS	$128.50	$257.00	$128.50–$246.72	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$105.30	$351.00	$14.75–$336.96	21% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 L4416HCG B-SUB ECLIA	$105.30	$351.00	$14.75–$336.96	21% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$175.50	$351.00	$175.50–$336.96	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 L4416HCG B-SUB ECLIA	$175.50	$351.00	$175.50–$336.96	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$6,510.54	$21,701.80	$2,326.43–$20,833.73	—	70%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$41,826.74	$139,422.46	$14,946.09–$133,845.56	—	70%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$27,105.84	$90,352.80	$9,685.82–$86,738.69	—	70%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$35,360.17	$117,867.24	$12,635.37–$113,152.55	213% above	70%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$30,861.51	$102,871.69	$11,027.85–$98,756.82	226% above	70%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT	$19,588.80	$65,296.00	$6,885.04–$62,684.16	34% below	70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT	$32,648.00	$65,296.00	$32,648.00–$62,684.16	—	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$1,053.00	$3,510.00	$376.27–$3,369.60	27% below	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$1,755.00	$3,510.00	$1,755.00–$3,369.60	—	50%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$6,904.25	$23,014.15	$1,839.63–$22,093.58	97% above	70%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$14,615.91	$48,719.70	$189.98–$46,770.91	1503% above	70%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$10,444.88	$34,816.28	$1,940.66–$33,423.63	—	70%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$4,395.73	$14,652.43	$1,124.36–$14,066.33	82% above	70%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,917.85	$13,059.49	$1,124.36–$12,537.11	118% above	70%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,861.33	$9,537.76	$870.81–$9,156.25	77% above	70%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$7,066.05	$23,553.50	$217.65–$22,611.36	825% above	70%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG	$21,825.60	$72,752.00	$7,799.01–$69,841.92	28% below	70%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG	$36,376.00	$72,752.00	$36,376.00–$69,841.92	—	50%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$9,135.16	$30,450.52	$3,264.30–$29,232.50	205% above	70%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$12,174.14	$40,580.48	$650.86–$38,957.26	855% above	70%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$9,954.90	$33,183.00	$2,978.77–$31,855.68	354% above	70%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$7,674.48	$25,581.61	$1,453.05–$24,558.35	340% above	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$1,450.70	$4,835.67	$58.28–$4,642.24	1490% above	70%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$2,024.31	$6,747.70	$58.28–$6,477.79	910% above	70%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL	$26,975.61	$89,918.70	$9,639.28–$86,321.95	—	70%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$26,975.61	$89,918.70	$9,392.92–$86,321.95	—	70%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$14,757.40	$49,191.34	$3,296.34–$47,223.69	125% above	70%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$18,288.87	$60,962.90	$6,477.85–$58,524.38	—	70%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$15,065.92	$50,219.74	$3,296.34–$48,210.95	188% above	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$4,518.69	$15,062.29	$870.81–$14,459.80	179% above	70%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$15,287.38	$50,957.93	$5,462.69–$48,919.61	77% above	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$19,217.63	$64,058.76	$5,497.59–$61,496.41	63% above	70%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$23,669.70	$78,899.00	$8,235.95–$75,743.04	—	70%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$1,860.53	$6,201.75	$664.83–$5,953.68	15% above	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$327.00	$1,090.00	$116.85–$1,046.40	67% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$545.00	$1,090.00	$545.00–$1,046.40	—	50%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$10,661.53	$35,538.43	$3,809.72–$34,116.89	13% above	70%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$10,952.79	$36,509.30	$2,978.77–$35,048.93	50% above	70%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$8,466.69	$28,222.30	$93.01–$27,093.41	2120% above	70%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,428.88	$4,762.94	$190.75–$4,572.42	263% above	70%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$11,226.38	$37,421.28	$3,296.34–$35,924.43	63% above	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$2,958.91	$9,863.04	$282.20–$9,468.52	608% above	70%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$9,864.18	$32,880.60	$121.71–$31,565.38	3118% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$351.00	$1,170.00	$125.42–$1,123.20	4% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$2,374.43	$7,914.75	$282.20–$7,598.16	552% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$585.00	$1,170.00	$585.00–$1,123.20	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM	$338.40	$1,128.00	$120.92–$1,082.88	3% below	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$3,237.72	$10,792.40	$282.20–$10,360.70	825% above	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM	$564.00	$1,128.00	$564.00–$1,082.88	—	50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$25,114.22	$83,714.06	$8,715.05–$80,365.50	233% above	70%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$12,527.27	$41,757.55	$3,084.03–$40,087.25	81% above	70%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$10,708.52	$35,695.07	$3,084.03–$34,267.27	32% above	70%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$10,986.23	$36,620.76	$3,084.03–$35,155.93	—	70%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$19,475.50	$64,918.33	$5,497.59–$62,321.60	217% above	70%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$23,284.21	$77,614.04	$8,320.23–$74,509.48	—	70%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$21,021.53	$70,071.77	$7,511.69–$67,268.90	—	70%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$21,016.27	$70,054.23	$7,509.81–$67,252.06	—	70%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$13,972.10	$46,573.67	$4,992.70–$44,710.72	8% above	70%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$15,416.24	$51,387.47	$5,497.59–$49,331.97	—	70%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$12,883.14	$42,943.81	$4,603.58–$41,226.06	—	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$5,023.90	$16,746.34	$379.92–$16,076.49	584% above	70%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$13,890.71	$46,302.36	$4,715.64–$44,450.27	351% above	70%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$17,502.70	$58,342.33	$6,254.30–$56,008.64	—	70%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$82,015.25	$273,384.18	$29,306.78–$262,448.81	—	70%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$20,246.21	$67,487.38	$6,816.33–$64,787.88	—	70%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$83,041.73	$276,805.78	$29,673.58–$265,733.55	—	70%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$11,221.25	$37,404.16	$3,631.79–$35,907.99	—	70%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$19,436.91	$64,789.70	$6,213.24–$62,198.11	—	70%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$6,721.52	$22,405.07	$2,401.82–$21,508.87	22% above	70%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$1,755.11	$5,850.36	$190.75–$5,616.35	395% above	70%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$717.00	$2,390.00	$256.21–$2,294.40	13% below	70%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$23,866.60	$79,555.33	$8,528.33–$76,373.12	30% above	70%
Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG	$1,230.90	$4,103.00	$439.84–$3,938.88	5% below	70%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$1,230.90	$4,103.00	$439.84–$3,938.88	5% below	70%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$5,298.69	$17,662.31	$863.69–$16,955.82	310% above	70%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$2,051.50	$4,103.00	$2,051.50–$3,938.88	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACEN W IMG	$2,051.50	$4,103.00	$2,051.50–$3,938.88	—	50%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$43,699.27	$145,664.24	$15,615.21–$139,837.67	233% above	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$2,680.42	$8,934.72	$379.92–$8,577.33	211% above	70%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD	$23,234.05	$77,446.82	$8,302.30–$74,348.95	—	70%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$3,552.28	$11,840.93	$379.92–$11,367.29	501% above	70%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$20,819.67	$69,398.90	$7,439.56–$66,622.94	—	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,281.26	$7,604.19	$815.17–$7,300.02	41% above	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,341.99	$7,806.63	$836.87–$7,494.36	32% above	70%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$12,703.45	$42,344.83	$3,067.62–$40,651.04	129% above	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$10,554.81	$35,182.70	$3,321.58–$33,775.39	9% above	70%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$2,335.57	$7,785.24	$121.71–$7,473.83	779% above	70%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$2,918.64	$9,728.81	$150.13–$9,339.66	963% above	70%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$27,029.39	$90,097.96	$9,350.25–$86,494.04	362% above	70%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$27,595.88	$91,986.25	$9,860.93–$88,306.80	403% above	70%
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/<	$1,784.62	$5,948.72	$190.75–$5,710.77	315% above	70%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$2,846.80	$9,489.33	$379.92–$9,109.76	536% above	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$1,031.10	$3,437.00	$368.45–$3,299.52	15% above	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$4,808.89	$16,029.64	$658.90–$15,388.45	438% above	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$1,718.50	$3,437.00	$1,718.50–$3,299.52	—	50%
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	$1,938.16	$6,460.54	$190.75–$6,202.12	192% above	70%
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/<	$2,295.32	$7,651.05	$190.75–$7,345.01	392% above	70%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$14,594.44	$48,648.14	$4,930.08–$46,702.21	36% above	70%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$1,753.20	$5,844.00	$598.55–$5,610.24	21% below	70%
Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG	$1,753.20	$5,844.00	$598.55–$5,610.24	21% below	70%
Thoracentesis with imaging guidance CPT 32555 S-THORACNTSIS W IMG	$1,769.70	$5,899.00	$598.55–$5,663.04	20% below	70%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$5,003.77	$16,679.22	$598.55–$16,012.05	126% above	70%
Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG	$2,922.00	$5,844.00	$2,922.00–$5,610.24	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$2,922.00	$5,844.00	$2,922.00–$5,610.24	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 S-THORACNTSIS W IMG	$2,949.50	$5,899.00	$2,949.50–$5,663.04	—	50%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$12,905.97	$43,019.90	$3,067.62–$41,299.10	—	70%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$9,093.20	$30,310.68	$3,249.30–$29,098.25	—	70%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$8,009.15	$26,697.18	$2,861.94–$25,629.29	—	70%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$44,533.70	$148,445.68	$15,913.38–$142,507.85	—	70%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$40,303.55	$134,345.18	$14,401.80–$128,971.37	—	70%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$110,299.70	$367,665.68	$39,413.76–$352,959.05	—	70%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$24,445.48	$81,484.93	$8,735.18–$78,225.53	—	70%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$5,279.88	$17,599.59	$1,531.33–$16,895.61	14% above	70%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$3,023.14	$10,077.13	$282.20–$9,674.04	757% above	70%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$17,820.90	$59,403.00	$5,497.59–$57,026.88	—	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$2,132.10	$7,107.00	$211.05–$6,822.72	31% below	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$8,225.94	$27,419.80	$1,812.99–$26,323.01	142% above	70%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$4,517.76	$15,059.19	$863.69–$14,456.82	197% above	70%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$5,742.08	$19,140.28	$863.69–$18,374.67	—	70%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$6,209.97	$20,699.91	$1,812.99–$19,871.91	139% above	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$3,916.38	$13,054.61	$863.69–$12,532.43	14% above	70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$3,232.82	$10,776.05	$863.69–$10,345.01	137% above	70%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$13,246.82	$44,156.06	$4,733.53–$42,389.82	64% above	70%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$14,885.24	$49,617.46	$4,930.08–$47,632.76	33% above	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$3,050.42	$10,168.07	$379.92–$9,761.35	509% above	70%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$21,009.02	$70,030.06	$7,507.22–$67,228.86	63% above	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRAN 10 TO 12HRS	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 8 10 HR	$1,339.20	$4,464.00	$413.61–$4,285.44	13% above	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 2 4 HRS	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRAN 10 TO 12HRS	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 8 10 HR	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 6 8 HRS	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 2 HRS	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 4 6 HRS	$2,232.00	$4,464.00	$2,232.00–$4,285.44	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$348.30	$1,161.00	$124.46–$1,114.56	18% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$580.50	$1,161.00	$580.50–$1,114.56	—	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR	$654.90	$2,183.00	$234.02–$2,095.68	28% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR	$1,091.50	$2,183.00	$1,091.50–$2,095.68	—	50%
Critical care, first 30 to 74 minutes CPT 99291 POST AR TRA EM LVCCF	$3,877.20	$12,924.00	$845.48–$12,407.04	12% above	70%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$3,565.20	$11,884.00	$845.48–$11,408.64	3% above	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 POST AR TRA EM LVCCF	$6,462.00	$12,924.00	$6,462.00–$12,407.04	—	50%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$5,942.00	$11,884.00	$5,942.00–$11,408.64	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$243.00	$810.00	$57.23–$777.60	31% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$405.00	$810.00	$405.00–$777.60	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$171.60	$572.00	$61.32–$549.12	54% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$286.00	$572.00	$286.00–$549.12	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$343.80	$1,146.00	$122.85–$1,100.16	35% below	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$573.00	$1,146.00	$573.00–$1,100.16	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$515.10	$1,717.00	$184.06–$1,648.32	35% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$858.50	$1,717.00	$858.50–$1,648.32	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$1,114.20	$3,714.00	$398.14–$3,565.44	17% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$1,857.00	$3,714.00	$1,857.00–$3,565.44	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST	$2,057.70	$6,859.00	$611.99–$6,584.64	11% below	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 POST AR TRA EM LV 5F	$3,877.20	$12,924.00	$611.99–$12,407.04	68% above	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$3,429.50	$6,859.00	$3,429.50–$6,584.64	—	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 POST AR TRA EM LV 5F	$6,462.00	$12,924.00	$6,462.00–$12,407.04	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$872.10	$2,907.00	$229.78–$2,790.72	25% below	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$1,453.50	$2,907.00	$1,453.50–$2,790.72	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$343.80	$1,146.00	$122.85–$1,100.16	46% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$573.00	$1,146.00	$573.00–$1,100.16	—	50%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$343.80	$1,146.00	$122.85–$1,100.16	40% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$573.00	$1,146.00	$573.00–$1,100.16	—	50%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$343.80	$1,146.00	$122.85–$1,100.16	1% below	70%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH	$363.30	$1,211.00	$129.82–$1,162.56	4% above	70%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$573.00	$1,146.00	$573.00–$1,100.16	—	50%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH	$605.50	$1,211.00	$605.50–$1,162.56	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$102.00	$340.00	$36.45–$326.40	22% below	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$170.00	$340.00	$170.00–$326.40	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10	$41.10	$137.00	$27.34–$131.52	33% below	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10	$68.50	$137.00	$68.50–$131.52	—	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$330.60	$1,102.00	$118.13–$1,057.92	22% below	70%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$551.00	$1,102.00	$551.00–$1,057.92	—	50%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$648.60	$2,162.00	$231.77–$2,075.52	16% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$1,081.00	$2,162.00	$1,081.00–$2,075.52	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$206.10	$687.00	$121.71–$659.52	27% below	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$343.50	$687.00	$343.50–$659.52	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED	$53.70	$179.00	$19.19–$171.84	38% below	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED	$89.50	$179.00	$89.50–$171.84	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y	$27.00	$90.00	$9.65–$90.00	56% below	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y	$45.00	$90.00	$45.00–$86.40	—	50%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE	$25.80	$86.00	$9.22–$82.56	80% below	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE	$43.00	$86.00	$43.00–$82.56	—	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$44.40	$148.00	$15.87–$142.08	54% below	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$74.00	$148.00	$74.00–$142.08	—	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMO/MENIN VAC 0.5	$44.70	$149.00	$15.97–$143.04	72% below	70%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMO/MENIN VAC 0.5	$74.50	$149.00	$74.50–$143.04	—	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ	$14.10	$47.00	$5.04–$45.12	81% below	70%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ	$23.50	$47.00	$23.50–$45.12	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG	$78.00	$260.00	$27.87–$249.60	51% below	70%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$130.00	$260.00	$130.00–$249.60	—	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$105.60	$352.00	$37.73–$337.92	46% below	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$176.00	$352.00	$176.00–$337.92	—	50%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM	$218.10	$727.00	$77.93–$697.92	60% below	70%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM	$363.50	$727.00	$363.50–$697.92	—	50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOC 15-VAL IM	$240.00	$800.00	$85.76–$768.00	77% below	70%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOC 15-VAL IM	$400.00	$800.00	$400.00–$768.00	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$50.10	$167.00	$17.90–$160.32	86% below	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$83.50	$167.00	$83.50–$160.32	—	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE 0.5ML	$60.00	$200.00	$21.44–$192.00	56% below	70%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE 0.5ML	$100.00	$200.00	$100.00–$192.00	—	50%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$404.10	$1,347.00	$144.40–$1,293.12	32% below	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$673.50	$1,347.00	$673.50–$1,293.12	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$59.10	$197.00	$21.12–$189.12	58% below	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$98.50	$197.00	$98.50–$189.12	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$71.10	$237.00	$25.41–$227.52	54% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$118.50	$237.00	$118.50–$227.52	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$84.00	$280.00	$67.12–$268.80	at median	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$140.00	$280.00	$140.00–$268.80	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$20.10	$67.00	$20.10–$64.32	60% below	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$33.50	$67.00	$33.50–$64.32	—	50%

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.matsuregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/721563402_mat-su-regional-medical-center_standardcharges.csv