Hospital Jackson, MS

Merit Health River Oaks

Merit Health River Oaks in Flowood, MS publishes cash prices for 387 common procedures listed here, from its own machine-readable price file updated May 5, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 351 of 384 procedures and below it for 33. Select a procedure to compare it with other hospitals nearby.

1030 River Oaks Dr, Flowood, MS 39232 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 Merit Health River Oaks in Flowood, MS:

Feb 7, 2023 Met requirements
Apr 22, 2025 Warning notice
Jul 24, 2025 Case closed

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO	$1,772.50	$8,056.80	$136.13–$7,380.63	56% above	78%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO	$1,772.50	$8,056.80	$813.74–$7,251.12	—	78%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen Complete CR	$227.86	$1,035.72	$44.13–$1,035.72	43% above	78%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V CR - XR Abdomen 2V CR	$227.86	$1,035.72	$44.13–$1,035.72	43% above	78%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$227.86	$1,035.72	$44.13–$1,035.72	43% above	78%
Abdominal X-ray, 2 views CPT 74019 XR Abd w Decub or Upright DR	$227.86	$1,035.72	$44.13–$1,035.72	43% above	78%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$227.86	$1,035.72	$104.61–$932.15	—	78%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V CR - XR Abdomen 2V CR	$227.86	$1,035.72	$104.61–$932.15	—	78%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Complete CR	$227.86	$1,035.72	$104.61–$932.15	—	78%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd w Decub or Upright DR	$227.86	$1,035.72	$104.61–$932.15	—	78%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR	$450.73	$2,048.76	$47.61–$2,048.76	—	78%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$241.16	$1,096.20	$47.61–$1,096.20	95% above	78%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$241.16	$1,096.20	$47.61–$1,096.20	95% above	78%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$241.16	$1,096.20	$47.61–$1,096.20	95% above	78%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$241.16	$1,096.20	$47.61–$1,096.20	95% above	78%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR	$450.73	$2,048.76	$206.92–$1,843.88	—	78%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$241.16	$1,096.20	$110.72–$986.58	—	78%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$241.16	$1,096.20	$110.72–$986.58	—	78%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$241.16	$1,096.20	$110.72–$986.58	—	78%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$241.16	$1,096.20	$110.72–$986.58	—	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI Seg Pres w Dopp UE LE Single	$680.25	$3,092.04	$94.64–$3,092.04	140% above	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI Seg Pres w Dopp UE LE Single	$680.25	$3,092.04	$312.30–$2,782.84	—	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO	$1,244.55	$5,657.04	$81.46–$5,657.04	63% above	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO	$1,244.55	$5,657.04	$571.36–$5,091.34	—	78%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin	$668.37	$3,038.04	$117.49–$3,038.04	202% above	78%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium	$668.37	$3,038.04	$117.49–$3,038.04	202% above	78%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin	$668.37	$3,038.04	$306.84–$2,734.24	—	78%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium	$668.37	$3,038.04	$306.84–$2,734.24	—	78%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,101.28	$5,005.80	$305.58–$5,005.80	70% above	78%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,101.28	$5,005.80	$505.59–$4,505.22	—	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM	$268.96	$1,222.56	$67.32–$1,222.56	71% above	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$268.96	$1,222.56	$67.32–$1,222.56	71% above	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$268.96	$1,222.56	$67.32–$1,222.56	71% above	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM	$268.96	$1,222.56	$67.32–$1,222.56	71% above	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left	$268.96	$1,222.56	$123.48–$1,100.30	—	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM	$268.96	$1,222.56	$123.48–$1,100.30	—	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM	$268.96	$1,222.56	$123.48–$1,100.30	—	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right	$268.96	$1,222.56	$123.48–$1,100.30	—	78%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis	$5,203.68	$23,653.08	$284.93–$21,287.77	217% above	78%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis	$5,203.68	$23,653.08	$2,388.96–$21,287.77	—	78%
CT angiography (CTA) of the head CPT 70496 CTA Head Stroke	$1,845.20	$8,387.28	$136.13–$7,548.55	74% above	78%
CT angiography (CTA) of the head CPT 70496 CTA Head	$1,845.20	$8,387.28	$136.13–$7,548.55	74% above	78%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head	$1,845.20	$8,387.28	$847.12–$7,548.55	—	78%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Stroke	$1,845.20	$8,387.28	$847.12–$7,548.55	—	78%
CT angiography (CTA) of the neck CPT 70498 CTA Neck Stroke	$1,246.45	$5,665.68	$136.13–$5,665.68	15% above	78%
CT angiography (CTA) of the neck CPT 70498 CTA Neck	$1,246.45	$5,665.68	$136.13–$5,665.68	15% above	78%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck	$1,246.45	$5,665.68	$572.23–$5,099.11	—	78%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck Stroke	$1,246.45	$5,665.68	$572.23–$5,099.11	—	78%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$1,263.08	$5,741.28	$136.13–$5,741.28	11% above	78%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE	$1,263.08	$5,741.28	$136.13–$5,741.28	11% above	78%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE	$1,263.08	$5,741.28	$579.87–$5,167.15	—	78%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest	$1,263.08	$5,741.28	$579.87–$5,167.15	—	78%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO	$30.65	$139.32	$14.07–$400.00	61% below	78%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Score WO	$30.65	$139.32	$14.07–$400.00	61% below	78%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Score WO	$30.65	$139.32	$14.07–$125.39	—	78%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart WO	$30.65	$139.32	$14.07–$125.39	—	78%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol	$2,361.03	$10,731.96	$181.55–$9,658.76	80% above	78%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO	$2,361.03	$10,731.96	$181.55–$9,658.76	80% above	78%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol	$2,361.03	$10,731.96	$1,083.93–$9,658.76	—	78%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO	$2,361.03	$10,731.96	$1,083.93–$9,658.76	—	78%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis	$3,101.63	$14,098.32	$284.93–$12,688.49	93% above	78%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W	$3,101.63	$14,098.32	$284.93–$12,688.49	93% above	78%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis	$3,101.63	$14,098.32	$1,423.93–$12,688.49	—	78%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W	$3,101.63	$14,098.32	$1,423.93–$12,688.49	—	78%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO	$3,580.39	$16,274.52	$284.93–$14,647.07	101% above	78%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO	$3,580.39	$16,274.52	$1,643.73–$14,647.07	—	78%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$1,512.32	$6,874.20	$136.13–$6,874.20	56% above	78%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$1,512.32	$6,874.20	$694.29–$6,186.78	—	78%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$1,168.75	$5,312.52	$81.46–$5,312.52	44% above	78%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$1,168.75	$5,312.52	$536.56–$4,781.27	—	78%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$765.31	$3,478.68	$81.46–$3,478.68	17% above	78%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO	$765.31	$3,478.68	$81.46–$3,478.68	17% above	78%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$765.31	$3,478.68	$351.35–$3,130.81	—	78%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO	$765.31	$3,478.68	$351.35–$3,130.81	—	78%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO	$812.59	$3,693.60	$81.46–$3,693.60	8% above	78%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$812.59	$3,693.60	$81.46–$3,693.60	8% above	78%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO	$812.59	$3,693.60	$373.05–$3,324.24	—	78%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$812.59	$3,693.60	$373.05–$3,324.24	—	78%
CT scan of the head with contrast CPT 70460 CT Head or Brain W	$1,070.39	$4,865.40	$136.13–$4,865.40	15% above	78%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W	$1,070.39	$4,865.40	$491.41–$4,378.86	—	78%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO	$1,081.32	$4,915.08	$136.13–$4,915.08	3% above	78%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO	$1,081.32	$4,915.08	$496.42–$4,423.57	—	78%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO	$1,319.39	$5,997.24	$81.46–$5,997.24	50% above	78%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO	$1,319.39	$5,997.24	$605.72–$5,397.52	—	78%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO	$1,319.63	$5,998.32	$81.46–$5,998.32	51% above	78%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO	$1,319.63	$5,998.32	$605.83–$5,398.49	—	78%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$1,546.54	$7,029.72	$136.13–$7,029.72	59% above	78%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$1,546.54	$7,029.72	$710.00–$6,326.75	—	78%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$1,730.68	$7,866.72	$181.55–$7,380.63	—	78%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$1,730.68	$7,866.72	$794.54–$7,080.05	—	78%
Chest CT scan without and with contrast CPT 71270 CT Chest Diagnostic WWO	$1,570.06	$7,136.64	$136.13–$7,136.64	35% above	78%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Diagnostic WWO	$1,570.06	$7,136.64	$720.80–$6,422.98	—	78%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR	$227.15	$1,032.48	$39.54–$1,032.48	63% above	78%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR	$227.15	$1,032.48	$39.54–$1,032.48	63% above	78%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR	$227.15	$1,032.48	$104.28–$929.23	—	78%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR	$227.15	$1,032.48	$104.28–$929.23	—	78%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR	$147.31	$669.60	$29.23–$669.60	39% above	78%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal CR	$147.31	$669.60	$29.23–$669.60	39% above	78%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR	$147.31	$669.60	$29.23–$669.60	39% above	78%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable CR	$147.31	$669.60	$29.23–$669.60	39% above	78%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR	$147.31	$669.60	$67.63–$602.64	—	78%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable CR	$147.31	$669.60	$67.63–$602.64	—	78%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal CR	$147.31	$669.60	$67.63–$602.64	—	78%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR	$147.31	$669.60	$67.63–$602.64	—	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR	$311.02	$1,413.72	$40.29–$1,413.72	186% above	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right CR	$311.02	$1,413.72	$40.29–$1,413.72	186% above	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR	$311.02	$1,413.72	$40.29–$1,413.72	186% above	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left CR	$311.02	$1,413.72	$40.29–$1,413.72	186% above	78%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right CR	$311.02	$1,413.72	$142.79–$1,272.35	—	78%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left CR	$311.02	$1,413.72	$142.79–$1,272.35	—	78%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR	$311.02	$1,413.72	$142.79–$1,272.35	—	78%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR	$311.02	$1,413.72	$142.79–$1,272.35	—	78%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$560.74	$2,548.80	$81.46–$2,548.80	64% above	78%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$560.74	$2,548.80	$257.43–$2,293.92	—	78%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest	$1,116.01	$5,072.76	$81.46–$5,072.76	37% above	78%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO	$1,116.01	$5,072.76	$81.46–$5,072.76	37% above	78%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO	$1,116.01	$5,072.76	$512.35–$4,565.48	—	78%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest	$1,116.01	$5,072.76	$512.35–$4,565.48	—	78%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W	$1,599.52	$7,270.56	$136.13–$7,270.56	60% above	78%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W For PE	$1,599.52	$7,270.56	$136.13–$7,270.56	60% above	78%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W For PE	$1,599.52	$7,270.56	$734.33–$6,543.50	—	78%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W	$1,599.52	$7,270.56	$734.33–$6,543.50	—	78%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$889.34	$4,042.44	$181.55–$4,042.44	—	78%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$889.34	$4,042.44	$408.29–$3,638.20	—	78%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$1,191.33	$5,415.12	$181.55–$5,415.12	—	78%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$1,191.33	$5,415.12	$181.55–$5,415.12	—	78%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$1,191.33	$5,415.12	$546.93–$4,873.61	—	78%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$1,191.33	$5,415.12	$546.93–$4,873.61	—	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$2,402.61	$10,920.96	$204.47–$9,828.86	149% above	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop	$2,402.61	$10,920.96	$204.47–$9,828.86	149% above	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop	$2,402.61	$10,920.96	$1,103.02–$9,828.86	—	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$2,402.61	$10,920.96	$1,103.02–$9,828.86	—	78%
Elbow X-ray, 2 views both sides CPT 73070 XR Elbow 2 V Bilateral DR	$329.79	$1,499.04	$36.11–$1,499.04	—	78%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR	$166.56	$757.08	$36.11–$757.08	43% above	78%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR	$166.56	$757.08	$36.11–$757.08	43% above	78%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right CR	$166.56	$757.08	$36.11–$757.08	43% above	78%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left CR	$166.56	$757.08	$36.11–$757.08	43% above	78%
Elbow X-ray, 2 views inpatient both sides CPT 73070 XR Elbow 2 V Bilateral DR	$329.79	$1,499.04	$151.40–$1,349.14	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right CR	$166.56	$757.08	$76.47–$681.37	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR	$166.56	$757.08	$76.47–$681.37	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR	$166.56	$757.08	$76.47–$681.37	—	78%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left CR	$166.56	$757.08	$76.47–$681.37	—	78%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com	$200.53	$911.52	$41.03–$911.52	80% above	78%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$200.53	$911.52	$41.03–$911.52	80% above	78%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com	$200.53	$911.52	$92.06–$820.37	—	78%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$200.53	$911.52	$92.06–$820.37	—	78%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Sella WO	$736.32	$3,346.92	$81.46–$3,346.92	5% above	78%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO	$736.32	$3,346.92	$81.46–$3,346.92	5% above	78%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO	$736.32	$3,346.92	$81.46–$3,346.92	5% above	78%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO	$736.32	$3,346.92	$81.46–$3,346.92	5% above	78%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO	$736.32	$3,346.92	$338.04–$3,012.23	—	78%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO	$736.32	$3,346.92	$338.04–$3,012.23	—	78%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO	$736.32	$3,346.92	$338.04–$3,012.23	—	78%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Sella WO	$736.32	$3,346.92	$338.04–$3,012.23	—	78%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arches Minimum 3V DR	$225.48	$1,024.92	$59.30–$1,024.92	48% above	78%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$225.48	$1,024.92	$59.30–$1,024.92	48% above	78%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arches Minimum 3V DR	$225.48	$1,024.92	$103.52–$922.43	—	78%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$225.48	$1,024.92	$103.52–$922.43	—	78%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR Forearm 2 V Bilateral DR	$335.73	$1,526.04	$36.11–$1,526.04	—	78%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR	$173.69	$789.48	$36.11–$789.48	55% above	78%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR	$173.69	$789.48	$36.11–$789.48	55% above	78%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR Forearm 2 V Bilateral DR	$335.73	$1,526.04	$154.13–$1,373.44	—	78%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR	$173.69	$789.48	$79.74–$710.53	—	78%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR	$173.69	$789.48	$79.74–$710.53	—	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1	$517.73	$2,353.32	$237.69–$2,353.32	9% below	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1	$517.73	$2,353.32	$237.69–$2,117.99	—	78%
Hand X-ray, 2 views both sides CPT 73120 XR Hand 2 V Bilateral DR	$275.88	$1,253.98	$39.55–$1,253.98	—	78%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR	$111.43	$506.52	$39.55–$506.52	at median	78%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR	$111.43	$506.52	$39.55–$506.52	at median	78%
Hand X-ray, 2 views inpatient both sides CPT 73120 XR Hand 2 V Bilateral DR	$275.88	$1,253.98	$126.65–$1,128.58	—	78%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR	$111.43	$506.52	$51.16–$455.87	—	78%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR	$111.43	$506.52	$51.16–$455.87	—	78%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR	$178.68	$812.16	$36.10–$812.16	60% above	78%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR XR Calcaneus 2 V Left DR	$178.68	$812.16	$36.10–$812.16	60% above	78%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR	$178.68	$812.16	$82.03–$730.94	—	78%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR XR Calcaneus 2 V Left DR	$178.68	$812.16	$82.03–$730.94	—	78%
Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 V Bilateral DR	$440.04	$2,000.16	$53.72–$2,000.16	—	78%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR	$220.02	$1,000.08	$53.72–$1,000.08	67% above	78%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR	$220.02	$1,000.08	$53.72–$1,000.08	67% above	78%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR	$220.02	$1,000.08	$53.72–$1,000.08	67% above	78%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR	$220.02	$1,000.08	$53.72–$1,000.08	67% above	78%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 V Bilateral DR	$440.04	$2,000.16	$202.02–$1,800.14	—	78%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR	$220.02	$1,000.08	$101.01–$900.07	—	78%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR	$220.02	$1,000.08	$101.01–$900.07	—	78%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR	$220.02	$1,000.08	$101.01–$900.07	—	78%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR	$220.02	$1,000.08	$101.01–$900.07	—	78%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR	$251.86	$1,144.80	$58.78–$1,144.80	79% above	78%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left DR	$251.86	$1,144.80	$58.78–$1,144.80	79% above	78%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right DR	$251.86	$1,144.80	$58.78–$1,144.80	79% above	78%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR	$251.86	$1,144.80	$58.78–$1,144.80	79% above	78%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right DR	$251.86	$1,144.80	$115.62–$1,030.32	—	78%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left DR	$251.86	$1,144.80	$115.62–$1,030.32	—	78%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR	$251.86	$1,144.80	$115.62–$1,030.32	—	78%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR	$251.86	$1,144.80	$115.62–$1,030.32	—	78%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Femur Bilateral WO	$2,254.11	$10,245.96	$81.46–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Knee Bilateral WO	$2,254.11	$10,245.96	$81.46–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Hip Bilateral WO	$2,254.11	$10,245.96	$81.46–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Tibia Fibula Bilateral WO	$2,254.11	$10,245.96	$81.46–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Ankle Bilateral WO	$2,254.11	$10,245.96	$81.46–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Foot Bilateral WO	$2,254.11	$10,245.96	$81.46–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO	$1,167.57	$5,307.12	$81.46–$5,307.12	54% above	78%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Knee Bilateral WO	$2,254.11	$10,245.96	$1,034.84–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Tibia Fibula Bilateral WO	$2,254.11	$10,245.96	$1,034.84–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Ankle Bilateral WO	$2,254.11	$10,245.96	$1,034.84–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Hip Bilateral WO	$2,254.11	$10,245.96	$1,034.84–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Femur Bilateral WO	$2,254.11	$10,245.96	$1,034.84–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Foot Bilateral WO	$2,254.11	$10,245.96	$1,034.84–$9,221.36	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO	$1,167.57	$5,307.12	$536.02–$4,776.41	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Common Bile Duct	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites	$643.18	$2,923.56	$81.46–$2,923.56	141% above	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Common Bile Duct	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$643.18	$2,923.56	$295.28–$2,631.20	—	78%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt	$747.25	$3,396.60	$55.59–$3,396.60	279% above	78%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt	$747.25	$3,396.60	$55.59–$3,396.60	279% above	78%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt	$747.25	$3,396.60	$343.06–$3,056.94	—	78%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt	$747.25	$3,396.60	$343.06–$3,056.94	—	78%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia Fibula Bilateral DR	$329.79	$1,499.04	$40.69–$1,499.04	—	78%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia Fibula Bilateral CR	$329.79	$1,499.04	$40.69–$1,499.04	—	78%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR	$170.36	$774.36	$40.69–$774.36	36% above	78%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR	$170.36	$774.36	$40.69–$774.36	36% above	78%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right CR	$170.36	$774.36	$40.69–$774.36	36% above	78%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left CR	$170.36	$774.36	$40.69–$774.36	36% above	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia Fibula Bilateral DR	$329.79	$1,499.04	$151.40–$1,349.14	—	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia Fibula Bilateral CR	$329.79	$1,499.04	$151.40–$1,349.14	—	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left CR	$170.36	$774.36	$78.21–$696.92	—	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR	$170.36	$774.36	$78.21–$696.92	—	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right CR	$170.36	$774.36	$78.21–$696.92	—	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR	$170.36	$774.36	$78.21–$696.92	—	78%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head WO	$2,451.08	$11,141.28	$181.55–$10,027.15	114% above	78%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head WO	$2,451.08	$11,141.28	$1,125.27–$10,027.15	—	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO	$2,365.07	$10,750.32	$181.55–$9,675.29	110% above	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO	$2,365.07	$10,750.32	$181.55–$9,675.29	110% above	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO	$2,365.07	$10,750.32	$181.55–$9,675.29	110% above	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO	$2,365.07	$10,750.32	$181.55–$9,675.29	110% above	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO	$2,365.07	$10,750.32	$181.55–$9,675.29	110% above	78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO	$2,365.07	$10,750.32	$181.55–$9,675.29	110% above	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO	$2,365.07	$10,750.32	$1,085.78–$9,675.29	—	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO	$2,365.07	$10,750.32	$1,085.78–$9,675.29	—	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO	$2,365.07	$10,750.32	$1,085.78–$9,675.29	—	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO	$2,365.07	$10,750.32	$1,085.78–$9,675.29	—	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO	$2,365.07	$10,750.32	$1,085.78–$9,675.29	—	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO	$2,365.07	$10,750.32	$1,085.78–$9,675.29	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO	$2,610.99	$11,868.12	$284.93–$10,681.31	59% above	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO	$2,610.99	$11,868.12	$284.93–$10,681.31	59% above	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO	$2,610.99	$11,868.12	$284.93–$10,681.31	59% above	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO	$2,610.99	$11,868.12	$284.93–$10,681.31	59% above	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO	$2,610.99	$11,868.12	$284.93–$10,681.31	59% above	78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO	$2,610.99	$11,868.12	$284.93–$10,681.31	59% above	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO	$2,610.99	$11,868.12	$1,198.68–$10,681.31	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO	$2,610.99	$11,868.12	$1,198.68–$10,681.31	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO	$2,610.99	$11,868.12	$1,198.68–$10,681.31	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO	$2,610.99	$11,868.12	$1,198.68–$10,681.31	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO	$2,610.99	$11,868.12	$1,198.68–$10,681.31	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO	$2,610.99	$11,868.12	$1,198.68–$10,681.31	—	78%
MRI of the abdomen without contrast CPT 74181 MRI MRCP WO	$2,803.20	$12,741.84	$181.55–$11,467.66	105% above	78%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$2,803.20	$12,741.84	$181.55–$11,467.66	105% above	78%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$2,803.20	$12,741.84	$1,286.93–$11,467.66	—	78%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO	$2,803.20	$12,741.84	$1,286.93–$11,467.66	—	78%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$2,716.24	$12,346.56	$181.55–$11,111.90	101% above	78%
MRI of the brain, no contrast dye CPT 70551 MRV Brain WO	$2,716.24	$12,346.56	$181.55–$11,111.90	101% above	78%
MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO	$2,716.24	$12,346.56	$1,247.00–$11,111.90	—	78%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$2,716.24	$12,346.56	$1,247.00–$11,111.90	—	78%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO	$4,540.54	$20,638.80	$284.93–$18,574.92	118% above	78%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO	$4,540.54	$20,638.80	$2,084.52–$18,574.92	—	78%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO	$2,096.82	$9,531.00	$181.55–$8,577.90	64% above	78%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO	$2,096.82	$9,531.00	$962.63–$8,577.90	—	78%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO	$4,394.89	$19,976.76	$284.93–$17,979.08	126% above	78%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO	$4,394.89	$19,976.76	$2,017.65–$17,979.08	—	78%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO	$2,834.81	$12,885.48	$181.55–$11,596.93	110% above	78%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO	$2,834.81	$12,885.48	$1,301.43–$11,596.93	—	78%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO	$3,542.38	$16,101.72	$284.93–$14,491.55	91% above	78%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO	$3,542.38	$16,101.72	$1,626.27–$14,491.55	—	78%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO	$2,562.04	$11,645.64	$181.55–$10,481.08	100% above	78%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO	$2,562.04	$11,645.64	$1,176.21–$10,481.08	—	78%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO	$2,936.50	$13,347.72	$284.93–$12,012.95	67% above	78%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO	$2,936.50	$13,347.72	$1,348.12–$12,012.95	—	78%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$2,008.67	$9,130.32	$181.55–$8,217.29	75% above	78%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$2,008.67	$9,130.32	$922.16–$8,217.29	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO	$2,150.04	$9,772.92	$181.55–$8,795.63	84% above	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO	$2,150.04	$9,772.92	$181.55–$8,795.63	84% above	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO	$2,150.04	$9,772.92	$181.55–$8,795.63	84% above	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO	$2,150.04	$9,772.92	$181.55–$8,795.63	84% above	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO	$2,150.04	$9,772.92	$181.55–$8,795.63	84% above	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO	$2,150.04	$9,772.92	$181.55–$8,795.63	84% above	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO	$2,150.04	$9,772.92	$987.06–$8,795.63	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO	$2,150.04	$9,772.92	$987.06–$8,795.63	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO	$2,150.04	$9,772.92	$987.06–$8,795.63	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO	$2,150.04	$9,772.92	$987.06–$8,795.63	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO	$2,150.04	$9,772.92	$987.06–$8,795.63	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO	$2,150.04	$9,772.92	$987.06–$8,795.63	—	78%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR	$256.37	$1,165.32	$65.33–$1,165.32	35% above	78%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V CR	$256.37	$1,165.32	$65.33–$1,165.32	35% above	78%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V CR	$256.37	$1,165.32	$117.70–$1,048.79	—	78%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR	$256.37	$1,165.32	$117.70–$1,048.79	—	78%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W	$1,145.47	$5,206.68	$136.13–$5,206.68	20% above	78%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W	$1,145.47	$5,206.68	$525.87–$4,686.01	—	78%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO	$708.05	$3,218.40	$81.46–$3,218.40	9% below	78%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO	$708.05	$3,218.40	$325.06–$2,896.56	—	78%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR	$164.89	$749.52	$38.97–$749.52	53% above	78%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR	$164.89	$749.52	$75.70–$674.57	—	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1	$2,678.94	$12,177.00	$650.45–$10,959.30	40% above	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,678.94	$12,177.00	$650.45–$10,959.30	40% above	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,678.94	$12,177.00	$650.45–$10,959.30	40% above	78%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,678.94	$12,177.00	$1,229.88–$10,959.30	—	78%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,678.94	$12,177.00	$1,229.88–$10,959.30	—	78%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1	$2,678.94	$12,177.00	$1,229.88–$10,959.30	—	78%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$1,168.75	$5,312.52	$81.46–$5,312.52	45% above	78%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$1,168.75	$5,312.52	$536.56–$4,781.27	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU	$551.94	$2,508.84	$40.69–$2,508.84	162% above	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited	$551.94	$2,508.84	$40.69–$2,508.84	162% above	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU	$551.94	$2,508.84	$253.39–$2,257.96	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited	$551.94	$2,508.84	$253.39–$2,257.96	—	78%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$569.53	$2,588.76	$81.46–$2,588.76	90% above	78%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US-PELVIS NON OB	$569.53	$2,588.76	$81.46–$2,588.76	90% above	78%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US-PELVIS NON OB	$569.53	$2,588.76	$261.46–$2,329.88	—	78%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$569.53	$2,588.76	$261.46–$2,329.88	—	78%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$552.66	$2,512.08	$81.46–$2,512.08	60% above	78%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$552.66	$2,512.08	$253.72–$2,260.87	—	78%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal	$557.41	$2,533.68	$81.46–$2,533.68	85% above	78%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal	$557.41	$2,533.68	$255.90–$2,280.31	—	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited	$371.84	$1,690.20	$81.46–$1,690.20	76% above	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Fetal Position	$371.84	$1,690.20	$81.46–$1,690.20	76% above	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Placenta Location	$371.84	$1,690.20	$81.46–$1,690.20	76% above	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited	$371.84	$1,690.20	$170.71–$1,521.18	—	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Fetal Position	$371.84	$1,690.20	$170.71–$1,521.18	—	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Placenta Location	$371.84	$1,690.20	$170.71–$1,521.18	—	78%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR	$218.83	$994.68	$44.70–$994.68	80% above	78%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR	$218.83	$994.68	$44.70–$994.68	80% above	78%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR	$218.83	$994.68	$100.46–$895.21	—	78%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR	$218.83	$994.68	$100.46–$895.21	—	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$126.17	$573.48	$49.86–$573.48	20% below	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$126.17	$573.48	$49.86–$573.48	20% below	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$126.17	$573.48	$49.86–$573.48	20% below	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$126.17	$573.48	$49.86–$573.48	20% below	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$126.17	$573.48	$57.92–$516.13	—	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$126.17	$573.48	$57.92–$516.13	—	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$126.17	$573.48	$57.92–$516.13	—	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$126.17	$573.48	$57.92–$516.13	—	78%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR	$364.72	$1,657.80	$40.55–$1,657.80	—	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$258.27	$1,173.96	$40.55–$1,173.96	90% above	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$258.27	$1,173.96	$40.55–$1,173.96	90% above	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$258.27	$1,173.96	$40.55–$1,173.96	90% above	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$258.27	$1,173.96	$40.55–$1,173.96	90% above	78%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR	$364.72	$1,657.80	$167.44–$1,492.02	—	78%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$258.27	$1,173.96	$118.57–$1,056.56	—	78%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$258.27	$1,173.96	$118.57–$1,056.56	—	78%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$258.27	$1,173.96	$118.57–$1,056.56	—	78%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$258.27	$1,173.96	$118.57–$1,056.56	—	78%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR	$269.44	$1,224.72	$44.14–$1,224.72	89% above	78%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR	$269.44	$1,224.72	$123.70–$1,102.25	—	78%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR	$203.39	$924.48	$40.70–$924.48	48% above	78%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR	$203.39	$924.48	$93.37–$832.03	—	78%
Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow	$673.60	$3,061.80	$136.13–$3,061.80	180% above	78%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow	$673.60	$3,061.80	$309.24–$2,755.62	—	78%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Femur Minimum 2 Views Bilat DR	$295.81	$1,344.60	$45.28–$1,344.60	—	78%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR	$149.45	$679.32	$45.28–$679.32	24% above	78%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR	$149.45	$679.32	$45.28–$679.32	24% above	78%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Femur Minimum 2 Views Bilat DR	$295.81	$1,344.60	$135.80–$1,210.14	—	78%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR	$149.45	$679.32	$68.61–$611.39	—	78%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR	$149.45	$679.32	$68.61–$611.39	—	78%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO	$936.38	$4,256.28	$81.46–$4,256.28	6% above	78%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO	$936.38	$4,256.28	$429.88–$3,830.65	—	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$167.75	$762.48	$38.97–$762.48	51% above	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR	$167.75	$762.48	$77.01–$686.23	—	78%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR	$167.75	$762.48	$77.01–$686.23	—	78%
Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL	$626.31	$2,846.88	$81.46–$2,846.88	107% above	78%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$626.31	$2,846.88	$81.46–$2,846.88	107% above	78%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$626.31	$2,846.88	$287.53–$2,562.19	—	78%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL	$626.31	$2,846.88	$287.53–$2,562.19	—	78%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$814.49	$3,702.24	$81.46–$3,702.24	203% above	78%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$814.49	$3,702.24	$373.93–$3,332.02	—	78%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$826.14	$3,755.16	$81.46–$3,755.16	113% above	78%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$826.14	$3,755.16	$379.27–$3,379.64	—	78%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$639.62	$2,907.36	$81.46–$2,907.36	138% above	78%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$639.62	$2,907.36	$293.64–$2,616.62	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid	$557.88	$2,535.84	$81.46–$2,535.84	105% above	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$557.88	$2,535.84	$81.46–$2,535.84	105% above	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$557.88	$2,535.84	$81.46–$2,535.84	105% above	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid	$557.88	$2,535.84	$81.46–$2,535.84	105% above	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$557.88	$2,535.84	$256.12–$2,282.26	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid	$557.88	$2,535.84	$256.12–$2,282.26	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid	$557.88	$2,535.84	$256.12–$2,282.26	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$557.88	$2,535.84	$256.12–$2,282.26	—	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 FL-UPPER GI SINGLE	$273.48	$1,243.08	$125.55–$1,243.08	4% below	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin	$273.48	$1,243.08	$125.55–$1,243.08	4% below	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium	$273.48	$1,243.08	$125.55–$1,243.08	4% below	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin	$273.48	$1,243.08	$125.55–$1,118.77	—	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 FL-UPPER GI SINGLE	$273.48	$1,243.08	$125.55–$1,118.77	—	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium	$273.48	$1,243.08	$125.55–$1,118.77	—	78%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR Humerus Min 2 V Bilateral DR	$335.73	$1,526.04	$40.70–$1,526.04	—	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR	$179.86	$817.56	$40.70–$817.56	49% above	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR	$179.86	$817.56	$40.70–$817.56	49% above	78%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR Humerus Min 2 V Bilateral DR	$335.73	$1,526.04	$154.13–$1,373.44	—	78%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR	$179.86	$817.56	$82.57–$735.80	—	78%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR	$179.86	$817.56	$82.57–$735.80	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Extremities Limited	$638.67	$2,903.04	$81.46–$2,903.04	92% above	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Left	$638.67	$2,903.04	$81.46–$2,903.04	92% above	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Right	$638.67	$2,903.04	$81.46–$2,903.04	92% above	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Left	$638.67	$2,903.04	$81.46–$2,903.04	92% above	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Right	$638.67	$2,903.04	$81.46–$2,903.04	92% above	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Extremities Limited	$638.67	$2,903.04	$293.21–$2,612.74	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Left	$638.67	$2,903.04	$293.21–$2,612.74	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Left	$638.67	$2,903.04	$293.21–$2,612.74	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Right	$638.67	$2,903.04	$293.21–$2,612.74	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Right	$638.67	$2,903.04	$293.21–$2,612.74	—	78%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left CR	$125.93	$572.40	$44.14–$572.40	8% above	78%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR	$125.93	$572.40	$44.14–$572.40	8% above	78%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right CR	$125.93	$572.40	$44.14–$572.40	8% above	78%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR	$125.93	$572.40	$44.14–$572.40	8% above	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR	$125.93	$572.40	$57.81–$515.16	—	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left CR	$125.93	$572.40	$57.81–$515.16	—	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR	$125.93	$572.40	$57.81–$515.16	—	78%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right CR	$125.93	$572.40	$57.81–$515.16	—	78%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete Min 3 V Bilateral DR	$511.55	$2,325.24	$53.55–$2,325.24	—	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt DR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt DR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt CR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt CR	$264.69	$1,203.12	$53.55–$1,203.12	116% above	78%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete Min 3 V Bilateral DR	$511.55	$2,325.24	$234.85–$2,092.72	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt CR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt DR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt DR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt CR	$264.69	$1,203.12	$121.52–$1,082.81	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views CR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views DR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views CR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views DR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$241.40	$1,097.28	$61.42–$1,097.28	104% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views DR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views DR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views CR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views CR	$241.40	$1,097.28	$110.83–$987.55	—	78%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR	$158.95	$722.52	$36.68–$722.52	24% above	78%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR	$158.95	$722.52	$36.68–$722.52	24% above	78%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR	$158.95	$722.52	$72.97–$650.27	—	78%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR	$158.95	$722.52	$72.97–$650.27	—	78%
X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 V Bilateral DR	$333.35	$1,515.24	$41.26–$1,515.24	—	78%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right CR	$166.56	$757.08	$41.26–$757.08	45% above	78%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR	$166.56	$757.08	$41.26–$757.08	45% above	78%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR	$166.56	$757.08	$41.26–$757.08	45% above	78%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left CR	$166.56	$757.08	$41.26–$757.08	45% above	78%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 V Bilateral DR	$333.35	$1,515.24	$153.04–$1,363.72	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR	$166.56	$757.08	$76.47–$681.37	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left CR	$166.56	$757.08	$76.47–$681.37	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right CR	$166.56	$757.08	$76.47–$681.37	—	78%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR	$166.56	$757.08	$76.47–$681.37	—	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$176.30	$801.36	$51.16–$801.36	63% above	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$176.30	$801.36	$80.94–$721.22	—	78%
X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 V Bilateral DR	$316.48	$1,438.56	$35.53–$1,438.56	—	78%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR	$176.77	$803.52	$35.53–$803.52	57% above	78%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR	$176.77	$803.52	$35.53–$803.52	57% above	78%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR	$176.77	$803.52	$35.53–$803.52	57% above	78%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR	$176.77	$803.52	$35.53–$803.52	57% above	78%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 V Bilateral DR	$316.48	$1,438.56	$145.29–$1,294.70	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR	$176.77	$803.52	$81.16–$723.17	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR	$176.77	$803.52	$81.16–$723.17	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR	$176.77	$803.52	$81.16–$723.17	—	78%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR	$176.77	$803.52	$81.16–$723.17	—	78%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR	$450.73	$2,048.76	$44.24–$2,048.76	—	78%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete Min 3 V Bilateral CR	$450.73	$2,048.76	$44.24–$2,048.76	—	78%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR	$227.62	$1,034.64	$44.24–$1,034.64	86% above	78%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR	$227.62	$1,034.64	$44.24–$1,034.64	86% above	78%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR	$227.62	$1,034.64	$44.24–$1,034.64	86% above	78%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR	$227.62	$1,034.64	$44.24–$1,034.64	86% above	78%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete Min 3 V Bilateral CR	$450.73	$2,048.76	$206.92–$1,843.88	—	78%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR	$450.73	$2,048.76	$206.92–$1,843.88	—	78%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR	$227.62	$1,034.64	$104.50–$931.18	—	78%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR	$227.62	$1,034.64	$104.50–$931.18	—	78%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR	$227.62	$1,034.64	$104.50–$931.18	—	78%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR	$227.62	$1,034.64	$104.50–$931.18	—	78%
X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR	$450.73	$2,048.76	$47.61–$2,048.76	—	78%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR	$232.85	$1,058.40	$47.61–$1,058.40	88% above	78%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR	$232.85	$1,058.40	$47.61–$1,058.40	88% above	78%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR	$232.85	$1,058.40	$47.61–$1,058.40	88% above	78%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR	$232.85	$1,058.40	$47.61–$1,058.40	88% above	78%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR	$450.73	$2,048.76	$206.92–$1,843.88	—	78%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR	$232.85	$1,058.40	$106.90–$952.56	—	78%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR	$232.85	$1,058.40	$106.90–$952.56	—	78%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR	$232.85	$1,058.40	$106.90–$952.56	—	78%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR	$232.85	$1,058.40	$106.90–$952.56	—	78%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral CR	$329.08	$1,495.80	$44.70–$1,495.80	—	78%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR	$329.08	$1,495.80	$44.70–$1,495.80	—	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR	$166.08	$754.92	$44.70–$754.92	37% above	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR	$166.08	$754.92	$44.70–$754.92	37% above	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR	$166.08	$754.92	$44.70–$754.92	37% above	78%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR	$166.08	$754.92	$44.70–$754.92	37% above	78%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral CR	$329.08	$1,495.80	$151.08–$1,346.22	—	78%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR	$329.08	$1,495.80	$151.08–$1,346.22	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR	$166.08	$754.92	$76.25–$679.43	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR	$166.08	$754.92	$76.25–$679.43	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR	$166.08	$754.92	$76.25–$679.43	—	78%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR	$166.08	$754.92	$76.25–$679.43	—	78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$233.80	$1,062.72	$49.54–$1,062.72	66% above	78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$233.80	$1,062.72	$49.54–$1,062.72	66% above	78%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$233.80	$1,062.72	$107.33–$956.45	—	78%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$233.80	$1,062.72	$107.33–$956.45	—	78%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$380.40	$1,729.08	$61.89–$1,729.08	84% above	78%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$380.40	$1,729.08	$61.89–$1,729.08	84% above	78%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$380.40	$1,729.08	$174.64–$1,556.17	—	78%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$380.40	$1,729.08	$174.64–$1,556.17	—	78%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR	$230.47	$1,047.60	$37.82–$1,047.60	78% above	78%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR	$230.47	$1,047.60	$105.81–$942.84	—	78%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$181.53	$825.12	$49.60–$825.12	32% above	78%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$181.53	$825.12	$83.34–$742.61	—	78%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR	$205.76	$935.28	$49.29–$935.28	51% above	78%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR	$205.76	$935.28	$94.46–$841.75	—	78%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR	$209.56	$952.56	$38.97–$952.56	56% above	78%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR	$209.56	$952.56	$38.97–$952.56	56% above	78%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR	$209.56	$952.56	$96.21–$857.30	—	78%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR	$209.56	$952.56	$96.21–$857.30	—	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$202.91	$922.32	$41.26–$922.32	52% above	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$202.91	$922.32	$93.15–$830.09	—	78%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$488.03	$2,218.32	$34.76–$2,218.32	251% above	78%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$488.03	$2,218.32	$224.05–$1,996.49	—	78%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 L550140 TRANSFERASE ALT 889	$72.82	$331.00	$4.77–$331.00	168% above	78%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$78.65	$357.48	$4.77–$357.48	189% above	78%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 L550140 TRANSFERASE ALT 889	$72.82	$331.00	$33.43–$297.90	—	78%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$78.65	$357.48	$36.11–$321.73	—	78%
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 L550140 TRANSFERASE AST 889	$71.94	$327.00	$4.66–$327.00	164% above	78%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$77.70	$353.16	$4.66–$353.16	185% above	78%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 L550140 TRANSFERASE AST 889	$71.94	$327.00	$33.03–$294.30	—	78%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$77.70	$353.16	$35.67–$317.84	—	78%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute	$463.80	$2,108.16	$42.87–$2,108.16	224% above	78%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute	$463.80	$2,108.16	$212.92–$1,897.34	—	78%
Albumin blood test CPT 82040 Albumin Level	$77.46	$352.08	$4.46–$352.08	161% above	78%
Albumin blood test CPT 82040 82040 L123075 ALB SER	$77.46	$352.08	$4.46–$352.08	161% above	78%
Albumin blood test inpatient CPT 82040 82040 L123075 ALB SER	$77.46	$352.08	$35.56–$316.87	—	78%
Albumin blood test inpatient CPT 82040 Albumin Level	$77.46	$352.08	$35.56–$316.87	—	78%
Aldosterone blood test CPT 82088 82088 L4354 ALDOSTERONE	$331.21	$1,505.52	$36.68–$1,505.52	201% above	78%
Aldosterone blood test CPT 82088 Aldosterone LCMS Level LC	$331.21	$1,505.52	$36.68–$1,505.52	201% above	78%
Aldosterone blood test inpatient CPT 82088 82088 L4354 ALDOSTERONE	$331.21	$1,505.52	$152.06–$1,354.97	—	78%
Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS Level LC	$331.21	$1,505.52	$152.06–$1,354.97	—	78%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$68.19	$309.96	$4.66–$309.96	128% above	78%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$68.19	$309.96	$4.66–$309.96	128% above	78%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$68.19	$309.96	$31.31–$278.96	—	78%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$68.19	$309.96	$31.31–$278.96	—	78%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L139825 ALG IGE QT	$1.15	$5.22	$0.53–$11.74	91% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergens 9 LC	$8.91	$40.48	$4.09–$40.48	30% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L62448 ALG IGE QT	$20.91	$95.04	$4.70–$95.04	63% above	78%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L602633 ALG IGE QT	$20.91	$95.04	$4.70–$95.04	63% above	78%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L603834 ALG IGE QT	$20.91	$95.04	$4.70–$95.04	63% above	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L139825 ALG IGE QT	$1.15	$5.22	$0.53–$4.70	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Allergens 9 LC	$8.91	$40.48	$4.09–$36.43	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L62448 ALG IGE QT	$20.91	$95.04	$9.60–$85.54	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L602633 ALG IGE QT	$20.91	$95.04	$9.60–$85.54	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L603834 ALG IGE QT	$20.91	$95.04	$9.60–$85.54	—	78%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$117.14	$532.44	$9.44–$532.44	132% above	78%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$117.14	$532.44	$53.78–$479.20	—	78%
Ammonia blood test CPT 82140 Ammonia Level	$227.15	$1,032.48	$13.11–$1,032.48	210% above	78%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$227.15	$1,032.48	$104.28–$929.23	—	78%
Amylase blood test CPT 82150 Amylase Blood	$86.25	$392.04	$5.83–$392.04	114% above	78%
Amylase blood test CPT 82150 Amylase, Body Fluid (LC)	$86.25	$392.04	$5.83–$392.04	114% above	78%
Amylase blood test inpatient CPT 82150 Amylase Blood	$86.25	$392.04	$39.60–$352.84	—	78%
Amylase blood test inpatient CPT 82150 Amylase, Body Fluid (LC)	$86.25	$392.04	$39.60–$352.84	—	78%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$43.48	$197.64	$11.66–$197.64	5% below	78%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$43.48	$197.64	$19.96–$177.88	—	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC)	$176.77	$803.52	$10.88–$803.52	195% above	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive (LC)	$176.77	$803.52	$10.88–$803.52	195% above	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibodies Direct (LC)	$176.77	$803.52	$10.88–$803.52	195% above	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibodies Direct (LC)	$176.77	$803.52	$81.16–$723.17	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive (LC)	$176.77	$803.52	$81.16–$723.17	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC)	$176.77	$803.52	$81.16–$723.17	—	78%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone	$51.80	$235.44	$23.78–$235.44	51% below	78%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide	$51.80	$235.44	$23.78–$235.44	51% below	78%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide	$51.80	$235.44	$23.78–$211.90	—	78%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone	$51.80	$235.44	$23.78–$211.90	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Strep Culture QA NC	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture	$100.50	$456.84	$7.76–$456.84	89% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Strep Culture QA NC	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain	$100.50	$456.84	$46.14–$411.16	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain	$100.50	$456.84	$46.14–$411.16	—	78%
Basic metabolic panel (blood test) CPT 80048 BMPWTCA	$181.05	$822.96	$7.61–$822.96	218% above	78%
Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA	$181.05	$822.96	$83.12–$740.66	—	78%
Bilirubin blood test, total CPT 82247 82247 L550140 BILIRUBIN TOTAL 889	$77.88	$354.00	$4.52–$354.00	230% above	78%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$84.11	$382.32	$4.52–$382.32	256% above	78%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid (LC)	$86.49	$393.12	$4.52–$393.12	266% above	78%
Bilirubin blood test, total inpatient CPT 82247 82247 L550140 BILIRUBIN TOTAL 889	$77.88	$354.00	$35.75–$318.60	—	78%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$84.11	$382.32	$38.61–$344.09	—	78%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid (LC)	$86.49	$393.12	$39.71–$353.81	—	78%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$559.31	$2,542.32	$30.32–$2,542.32	605% above	78%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$559.31	$2,542.32	$256.77–$2,288.09	—	78%
Blood culture for bacteria CPT 87040 Blood Culture	$214.55	$975.24	$9.29–$975.24	141% above	78%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$214.55	$975.24	$98.50–$877.72	—	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg	$41.34	$187.92	$2.70–$187.92	417% above	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE	$41.34	$187.92	$2.70–$187.92	417% above	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$7,159.34	$32,542.45	$2.99–$32,542.45	89392% above	78%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE	$41.34	$187.92	$18.98–$169.13	—	78%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg	$41.34	$187.92	$18.98–$169.13	—	78%
Blood glucose (sugar) test CPT 82947 82947 L550140 GLUCOSE, QUANT 889	$87.12	$396.00	$3.54–$396.00	218% above	78%
Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial	$94.09	$427.68	$3.54–$427.68	244% above	78%
Blood glucose (sugar) test CPT 82947 .Glucose Fasting	$94.09	$427.68	$3.54–$427.68	244% above	78%
Blood glucose (sugar) test CPT 82947 .Glucose POC	$94.09	$427.68	$3.54–$427.68	244% above	78%
Blood glucose (sugar) test CPT 82947 Glucose 4 Hour Postprandial	$94.09	$427.68	$3.54–$427.68	244% above	78%
Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB	$94.09	$427.68	$3.54–$427.68	244% above	78%
Blood glucose (sugar) test CPT 82947 Glucose Level	$94.09	$427.68	$3.54–$427.68	244% above	78%
Blood glucose (sugar) test inpatient CPT 82947 82947 L550140 GLUCOSE, QUANT 889	$87.12	$396.00	$40.00–$356.40	—	78%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting	$94.09	$427.68	$43.20–$384.91	—	78%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC	$94.09	$427.68	$43.20–$384.91	—	78%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$94.09	$427.68	$43.20–$384.91	—	78%
Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB	$94.09	$427.68	$43.20–$384.91	—	78%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial	$94.09	$427.68	$43.20–$384.91	—	78%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 4 Hour Postprandial	$94.09	$427.68	$43.20–$384.91	—	78%
Blood lead test CPT 83655 Heavy Metals Profile I Urine LC	$3.63	$16.52	$1.67–$27.25	91% below	78%
Blood lead test CPT 83655 Lead Blood Pediatric (LC)	$102.88	$467.64	$10.90–$467.64	149% above	78%
Blood lead test CPT 83655 83655 L42580 LEAD	$102.88	$467.64	$10.90–$467.64	149% above	78%
Blood lead test CPT 83655 83655 L706200 LEAD	$102.88	$467.64	$10.90–$467.64	149% above	78%
Blood lead test CPT 83655 83655 L7046 LEAD	$102.88	$467.64	$10.90–$467.64	149% above	78%
Blood lead test CPT 83655 83655 L250281 LEAD	$102.88	$467.64	$10.90–$467.64	149% above	78%
Blood lead test CPT 83655 Lead Blood Adult (LC)	$102.88	$467.64	$10.90–$467.64	149% above	78%
Blood lead test inpatient CPT 83655 Heavy Metals Profile I Urine LC	$3.63	$16.52	$1.67–$14.87	—	78%
Blood lead test inpatient CPT 83655 Lead Blood Adult (LC)	$102.88	$467.64	$47.23–$420.88	—	78%
Blood lead test inpatient CPT 83655 83655 L250281 LEAD	$102.88	$467.64	$47.23–$420.88	—	78%
Blood lead test inpatient CPT 83655 83655 L42580 LEAD	$102.88	$467.64	$47.23–$420.88	—	78%
Blood lead test inpatient CPT 83655 83655 L706200 LEAD	$102.88	$467.64	$47.23–$420.88	—	78%
Blood lead test inpatient CPT 83655 83655 L7046 LEAD	$102.88	$467.64	$47.23–$420.88	—	78%
Blood lead test inpatient CPT 83655 Lead Blood Pediatric (LC)	$102.88	$467.64	$47.23–$420.88	—	78%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qual	$267.54	$1,216.08	$6.77–$1,216.08	482% above	78%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qual	$267.54	$1,216.08	$122.82–$1,094.47	—	78%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward	$61.30	$278.64	$2.69–$278.64	14% above	78%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse	$61.30	$278.64	$2.69–$278.64	14% above	78%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO	$61.30	$278.64	$2.69–$278.64	14% above	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward	$61.30	$278.64	$28.14–$250.78	—	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse	$61.30	$278.64	$28.14–$250.78	—	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO	$61.30	$278.64	$28.14–$250.78	—	78%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$80.31	$365.04	$3.56–$365.04	164% above	78%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$80.31	$365.04	$36.87–$328.54	—	78%
C-peptide blood test CPT 84681 C-Peptide Level LC	$156.34	$710.64	$18.73–$710.64	108% above	78%
C-peptide blood test inpatient CPT 84681 C-Peptide Level LC	$156.34	$710.64	$71.77–$639.58	—	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$77.70	$353.16	$4.66–$353.16	142% above	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (LC)	$77.70	$353.16	$4.66–$353.16	142% above	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$77.70	$353.16	$35.67–$317.84	—	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC)	$77.70	$353.16	$35.67–$317.84	—	78%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$268.25	$1,219.32	$33.54–$1,219.32	382% above	78%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE - BCE	$268.25	$1,219.32	$33.54–$1,219.32	382% above	78%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR	$268.25	$1,219.32	$33.54–$1,219.32	382% above	78%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$268.25	$1,219.32	$123.15–$1,097.39	—	78%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE - BCE	$268.25	$1,219.32	$123.15–$1,097.39	—	78%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR	$268.25	$1,219.32	$123.15–$1,097.39	—	78%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$287.50	$1,306.80	$18.73–$1,306.80	303% above	78%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$287.50	$1,306.80	$131.99–$1,176.12	—	78%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$237.60	$1,080.00	$18.73–$1,080.00	198% above	78%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC	$237.60	$1,080.00	$109.08–$972.00	—	78%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA (LC)	$31.36	$142.56	$14.40–$142.56	30% below	78%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR	$31.36	$142.56	$14.40–$142.56	30% below	78%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NAA (LC)	$31.36	$142.56	$14.40–$128.30	—	78%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR	$31.36	$142.56	$14.40–$128.30	—	78%
Calcium blood test, total CPT 82310 Calcium Level	$83.16	$378.00	$4.64–$378.00	196% above	78%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$83.16	$378.00	$38.18–$340.20	—	78%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Fluid (LC)	$189.37	$860.76	$17.06–$860.76	94% above	78%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (LC)	$189.37	$860.76	$17.06–$860.76	94% above	78%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Fluid (LC)	$189.37	$860.76	$86.94–$774.68	—	78%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (LC)	$189.37	$860.76	$86.94–$774.68	—	78%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$100.50	$456.84	$11.59–$456.84	85% above	78%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgM (LC)	$100.50	$456.84	$11.59–$456.84	85% above	78%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$100.50	$456.84	$46.14–$411.16	—	78%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgM (LC)	$100.50	$456.84	$46.14–$411.16	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC Amplification LC	$11.65	$52.97	$5.35–$78.95	83% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trach N gonorrhoeae DNA Amp Panel	$11.65	$52.97	$5.35–$78.95	83% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis RNA TMA - Send Out CQ	$11.65	$52.97	$5.35–$78.95	83% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP	$62.48	$284.00	$28.68–$284.00	7% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH	$126.17	$573.48	$31.58–$573.48	88% above	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis RNA TMA - Send Out CQ	$11.65	$52.97	$5.35–$47.67	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC Amplification LC	$11.65	$52.97	$5.35–$47.67	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trach N gonorrhoeae DNA Amp Panel	$11.65	$52.97	$5.35–$47.67	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP	$62.48	$284.00	$28.68–$255.60	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH	$126.17	$573.48	$57.92–$516.13	—	78%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$121.41	$551.88	$12.05–$551.88	121% above	78%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$121.41	$551.88	$55.74–$496.69	—	78%
Complete blood count (CBC) with differential CPT 85025 CBCADIFF	$96.94	$440.64	$6.99–$440.64	147% above	78%
Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF	$96.94	$440.64	$44.50–$396.58	—	78%
Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT	$83.40	$379.08	$5.82–$379.08	136% above	78%
Complete blood count (CBC), no differential CPT 85027 CBC	$83.40	$379.08	$5.82–$379.08	136% above	78%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT	$83.40	$379.08	$38.29–$341.17	—	78%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$83.40	$379.08	$38.29–$341.17	—	78%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$207.19	$941.76	$9.50–$941.76	149% above	78%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$207.19	$941.76	$95.12–$847.58	—	78%
Cortisol blood test, total CPT 82533 82533 L500440 CORTISOL TOT	$167.27	$760.32	$14.67–$760.32	216% above	78%
Cortisol blood test, total CPT 82533 Cortisol PM (LC)	$167.27	$760.32	$14.67–$760.32	216% above	78%
Cortisol blood test, total CPT 82533 Cortisol Sendout to LabCorp	$167.27	$760.32	$14.67–$760.32	216% above	78%
Cortisol blood test, total CPT 82533 Cortisol - AM Sendout to LabCorp	$167.27	$760.32	$14.67–$760.32	216% above	78%
Cortisol blood test, total inpatient CPT 82533 Cortisol PM (LC)	$167.27	$760.32	$76.79–$684.29	—	78%
Cortisol blood test, total inpatient CPT 82533 82533 L500440 CORTISOL TOT	$167.27	$760.32	$76.79–$684.29	—	78%
Cortisol blood test, total inpatient CPT 82533 Cortisol Sendout to LabCorp	$167.27	$760.32	$76.79–$684.29	—	78%
Cortisol blood test, total inpatient CPT 82533 Cortisol - AM Sendout to LabCorp	$167.27	$760.32	$76.79–$684.29	—	78%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$96.94	$440.64	$5.86–$440.64	140% above	78%
Creatine kinase (CK) blood test, total CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$96.94	$440.64	$5.86–$440.64	140% above	78%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$96.94	$440.64	$44.50–$396.58	—	78%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$96.94	$440.64	$44.50–$396.58	—	78%
Creatinine blood test CPT 82565 82565 - eGFR Creatinine-Cystatin C Calculation LC	$25.08	$114.00	$4.61–$114.00	14% below	78%
Creatinine blood test CPT 82565 CREA	$27.09	$123.12	$4.61–$123.12	7% below	78%
Creatinine blood test CPT 82565 ISCREA	$27.09	$123.12	$4.61–$123.12	7% below	78%
Creatinine blood test inpatient CPT 82565 82565 - eGFR Creatinine-Cystatin C Calculation LC	$25.08	$114.00	$11.51–$102.60	—	78%
Creatinine blood test inpatient CPT 82565 CREA	$27.09	$123.12	$12.44–$110.81	—	78%
Creatinine blood test inpatient CPT 82565 ISCREA	$27.09	$123.12	$12.44–$110.81	—	78%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody IgG (LC)	$243.30	$1,105.92	$12.95–$1,105.92	456% above	78%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody IgG (LC)	$243.30	$1,105.92	$111.70–$995.33	—	78%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant	$285.12	$1,296.00	$9.16–$1,296.00	356% above	78%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant	$285.12	$1,296.00	$130.90–$1,166.40	—	78%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$106.68	$484.92	$20.01–$484.92	26% above	78%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$106.68	$484.92	$48.98–$436.43	—	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 13+Oxycodone+Crt-Scr (LC)	$13.67	$62.14	$6.28–$139.81	75% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cotinine, Serum LC	$48.40	$220.00	$22.22–$220.00	12% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite Urine LC	$48.40	$220.00	$22.22–$220.00	12% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite, Serum LC	$52.27	$237.60	$24.00–$237.60	5% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium 5 Panel (LC)	$52.27	$237.60	$24.00–$237.60	5% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs of Abuse, Screen Only, 10WB LC	$52.27	$237.60	$24.00–$237.60	5% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ketamine urine (LC)	$52.27	$237.60	$24.00–$237.60	5% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS7QualAuto	$52.27	$237.60	$24.00–$237.60	5% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Gamma-Hydroxybutyric Acid (GHB), Scrn LC	$54.56	$248.00	$25.05–$248.00	1% below	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone/Oxymorphone Scr, Ur LC	$89.76	$408.00	$41.21–$408.00	63% above	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 13+Oxycodone+Crt-Scr (LC)	$13.67	$62.14	$6.28–$55.93	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite Urine LC	$48.40	$220.00	$22.22–$198.00	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cotinine, Serum LC	$48.40	$220.00	$22.22–$198.00	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs of Abuse, Screen Only, 10WB LC	$52.27	$237.60	$24.00–$213.84	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ketamine urine (LC)	$52.27	$237.60	$24.00–$213.84	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS7QualAuto	$52.27	$237.60	$24.00–$213.84	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite, Serum LC	$52.27	$237.60	$24.00–$213.84	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium 5 Panel (LC)	$52.27	$237.60	$24.00–$213.84	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Gamma-Hydroxybutyric Acid (GHB), Scrn LC	$54.56	$248.00	$25.05–$223.20	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone/Oxymorphone Scr, Ur LC	$89.76	$408.00	$41.21–$367.20	—	78%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel	$221.68	$1,007.64	$6.31–$1,007.64	261% above	78%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine Panel	$221.68	$1,007.64	$6.31–$1,007.64	261% above	78%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel	$221.68	$1,007.64	$101.77–$906.88	—	78%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine Panel	$221.68	$1,007.64	$101.77–$906.88	—	78%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgG (LC)	$349.27	$1,587.60	$16.33–$1,587.60	524% above	78%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L240610 EBV VCA	$349.27	$1,587.60	$16.33–$1,587.60	524% above	78%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgM (LC)	$349.27	$1,587.60	$16.33–$1,587.60	524% above	78%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L240610 EBV VCA	$349.27	$1,587.60	$160.35–$1,428.84	—	78%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgM (LC)	$349.27	$1,587.60	$160.35–$1,428.84	—	78%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgG (LC)	$349.27	$1,587.60	$160.35–$1,428.84	—	78%
Estradiol blood test CPT 82670 Estradiol Level	$110.96	$504.36	$25.15–$504.36	31% above	78%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$110.96	$504.36	$50.94–$453.92	—	78%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum	$151.59	$689.04	$16.72–$689.04	99% above	78%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum	$151.59	$689.04	$69.59–$620.14	—	78%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC)	$355.21	$1,614.60	$17.67–$1,614.60	182% above	78%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC)	$355.21	$1,614.60	$163.07–$1,453.14	—	78%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$134.24	$610.20	$12.27–$610.20	96% above	78%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$134.24	$610.20	$61.63–$549.18	—	78%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$131.63	$598.32	$8.75–$598.32	147% above	78%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$131.63	$598.32	$60.43–$538.49	—	78%
Folate (folic acid) blood test CPT 82746 Folate Level	$142.32	$646.92	$13.23–$646.92	168% above	78%
Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp	$142.32	$646.92	$13.23–$646.92	168% above	78%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$142.32	$646.92	$65.34–$582.23	—	78%
Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp	$142.32	$646.92	$65.34–$582.23	—	78%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free	$225.48	$1,024.92	$12.02–$1,024.92	325% above	78%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free	$225.48	$1,024.92	$103.52–$922.43	—	78%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free	$103.36	$469.80	$8.12–$469.80	192% above	78%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free	$103.36	$469.80	$47.45–$422.82	—	78%
Free testosterone test CPT 84402 8895680 COMPLETE TESTOST EVAL L501247	$56.10	$255.00	$22.92–$255.00	26% below	78%
Free testosterone test CPT 84402 84402 L140103 TESTOST FREE	$355.69	$1,616.76	$22.92–$1,616.76	366% above	78%
Free testosterone test CPT 84402 Testosterone Free Direct LC	$355.69	$1,616.76	$22.92–$1,616.76	366% above	78%
Free testosterone test inpatient CPT 84402 8895680 COMPLETE TESTOST EVAL L501247	$56.10	$255.00	$25.76–$229.50	—	78%
Free testosterone test inpatient CPT 84402 84402 L140103 TESTOST FREE	$355.69	$1,616.76	$163.29–$1,455.08	—	78%
Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC	$355.69	$1,616.76	$163.29–$1,455.08	—	78%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase (LC)	$57.50	$261.36	$6.48–$261.36	97% above	78%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase (LC)	$57.50	$261.36	$26.40–$235.22	—	78%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial	$149.21	$678.24	$4.28–$678.24	343% above	78%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial	$149.21	$678.24	$4.28–$678.24	343% above	78%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial	$149.21	$678.24	$68.50–$610.42	—	78%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial	$149.21	$678.24	$68.50–$610.42	—	78%
Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting	$185.57	$843.48	$11.58–$843.48	179% above	78%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting	$185.57	$843.48	$85.19–$759.13	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia trach N gonorrhoeae DNA Amp Panel	$11.65	$52.97	$5.35–$78.95	80% below	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Chlamydia RNA TMA (CQ)	$11.65	$52.97	$5.35–$78.95	80% below	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/GC Amplification LC	$11.65	$52.97	$5.35–$78.95	80% below	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$62.48	$284.00	$28.68–$284.00	8% above	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN	$126.17	$573.48	$31.58–$573.48	119% above	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea Chlamydia RNA TMA (CQ)	$11.65	$52.97	$5.35–$47.67	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia trach N gonorrhoeae DNA Amp Panel	$11.65	$52.97	$5.35–$47.67	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/GC Amplification LC	$11.65	$52.97	$5.35–$47.67	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$62.48	$284.00	$28.68–$255.60	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN	$126.17	$573.48	$57.92–$516.13	—	78%
H. pylori antibody blood test CPT 86677 86677 L163683H PYLOR AB QL	$43.01	$195.48	$14.15–$195.48	13% below	78%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG (LC)	$43.01	$195.48	$14.15–$195.48	13% below	78%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgM (LC)	$43.01	$195.48	$14.15–$195.48	13% below	78%
H. pylori antibody blood test inpatient CPT 86677 86677 L163683H PYLOR AB QL	$43.01	$195.48	$19.74–$175.93	—	78%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgM (LC)	$43.01	$195.48	$19.74–$175.93	—	78%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG (LC)	$43.01	$195.48	$19.74–$175.93	—	78%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$235.22	$1,069.20	$6.46–$1,069.20	231% above	78%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$235.22	$1,069.20	$107.99–$962.28	—	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .GenoSure PRIme(R) Quant RNA PCR (LC)	$46.20	$210.00	$21.21–$210.00	77% below	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA Quantitative Reflex HIV1 Genotype - Send	$46.20	$210.00	$21.21–$210.00	77% below	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .GenoSure(R) MG Quant RNA PCR (LC)	$46.20	$210.00	$21.21–$210.00	77% below	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA Real Time PCR (Graph) LC	$624.89	$2,840.40	$76.59–$2,840.40	216% above	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC)	$624.89	$2,840.40	$76.59–$2,840.40	216% above	78%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RNA RT PCR CSF No Graph (LC)	$624.89	$2,840.40	$76.59–$2,840.40	216% above	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .GenoSure(R) MG Quant RNA PCR (LC)	$46.20	$210.00	$21.21–$189.00	—	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .GenoSure PRIme(R) Quant RNA PCR (LC)	$46.20	$210.00	$21.21–$189.00	—	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 RNA Quantitative Reflex HIV1 Genotype - Send	$46.20	$210.00	$21.21–$189.00	—	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA Real Time PCR (Graph) LC	$624.89	$2,840.40	$286.88–$2,556.36	—	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC)	$624.89	$2,840.40	$286.88–$2,556.36	—	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RNA RT PCR CSF No Graph (LC)	$624.89	$2,840.40	$286.88–$2,556.36	—	78%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 L196210 HPV HR	$65.82	$299.16	$30.22–$299.16	47% above	78%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Aptima LC	$65.82	$299.16	$30.22–$299.16	47% above	78%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 L199330 HPV HR	$65.82	$299.16	$30.22–$299.16	47% above	78%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Aptima LC	$65.82	$299.16	$30.22–$269.24	—	78%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 L199330 HPV HR	$65.82	$299.16	$30.22–$269.24	—	78%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 L196210 HPV HR	$65.82	$299.16	$30.22–$269.24	—	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC)	$109.77	$498.96	$8.74–$498.96	140% above	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$109.77	$498.96	$8.74–$498.96	140% above	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC)	$109.77	$498.96	$50.39–$449.06	—	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$109.77	$498.96	$50.39–$449.06	—	78%
Hemoglobin blood test CPT 85018 Hemoglobin, Free, Plasma LC	$80.52	$366.00	$2.13–$366.00	397% above	78%
Hemoglobin blood test CPT 85018 Hemoglobin	$86.96	$395.28	$2.13–$395.28	437% above	78%
Hemoglobin blood test CPT 85018 85018 HEMOGLOBIN 131	$86.96	$395.28	$2.13–$395.28	437% above	78%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin, Free, Plasma LC	$80.52	$366.00	$36.97–$329.40	—	78%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$86.96	$395.28	$39.92–$355.75	—	78%
Hemoglobin blood test inpatient CPT 85018 85018 HEMOGLOBIN 131	$86.96	$395.28	$39.92–$355.75	—	78%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (LC)	$80.07	$363.96	$10.85–$363.96	82% above	78%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (LC)	$80.07	$363.96	$36.76–$327.56	—	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB - BCE	$124.98	$568.08	$9.67–$568.08	187% above	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp	$124.98	$568.08	$9.67–$568.08	187% above	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB - BCE	$124.98	$568.08	$57.38–$511.27	—	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp	$124.98	$568.08	$57.38–$511.27	—	78%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp	$106.21	$482.76	$9.30–$482.76	137% above	78%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG- BCE	$106.21	$482.76	$9.30–$482.76	137% above	78%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp	$106.21	$482.76	$48.76–$434.48	—	78%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG- BCE	$106.21	$482.76	$48.76–$434.48	—	78%
Hepatitis C antibody blood test (screening) CPT 86803 HCAB2	$187.47	$852.12	$12.84–$852.12	212% above	78%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC)	$187.47	$852.12	$12.84–$852.12	212% above	78%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC)	$187.47	$852.12	$86.06–$766.91	—	78%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2	$187.47	$852.12	$86.06–$766.91	—	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Quant Progess Genotyping (CQ	$42.90	$195.00	$19.70–$195.00	73% below	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA, Quantitative Real Time PCR (CQ)	$42.90	$195.00	$19.70–$195.00	73% below	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC)	$42.90	$195.00	$19.70–$195.00	73% below	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno. (LC)	$56.76	$258.00	$26.06–$258.00	64% below	78%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$438.13	$1,991.52	$38.56–$1,991.52	177% above	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV RNA, Quantitative Real Time PCR (CQ)	$42.90	$195.00	$19.70–$175.50	—	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Quant Progess Genotyping (CQ	$42.90	$195.00	$19.70–$175.50	—	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC)	$42.90	$195.00	$19.70–$175.50	—	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno. (LC)	$56.76	$258.00	$26.06–$232.20	—	78%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$438.13	$1,991.52	$201.14–$1,792.37	—	78%
Herpes blood test, HSV-1 antibody CPT 86695 86695 L164922 HSV1	$150.16	$682.56	$11.87–$682.56	384% above	78%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC	$150.16	$682.56	$11.87–$682.56	384% above	78%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC)	$150.16	$682.56	$11.87–$682.56	384% above	78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec LC	$150.16	$682.56	$68.94–$614.30	—	78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164922 HSV1	$150.16	$682.56	$68.94–$614.30	—	78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC)	$150.16	$682.56	$68.94–$614.30	—	78%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Specific Antibody IgG (LC)	$11.00	$50.00	$5.05–$50.00	71% below	78%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Spec LC	$11.00	$50.00	$5.05–$50.00	71% below	78%
Herpes blood test, HSV-2 antibody CPT 86696 .Herpes Simplex Virus 2 IgM Titer - Send Out CQ	$11.00	$50.00	$5.05–$50.00	71% below	78%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2, Type-specific Antibodies, IgG LC	$43.12	$196.00	$17.42–$196.00	12% above	78%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC)	$138.28	$628.56	$17.42–$628.56	260% above	78%
Herpes blood test, HSV-2 antibody CPT 86696 .HSV2 IgG Supplemental (LC)	$138.28	$628.56	$17.42–$628.56	260% above	78%
Herpes blood test, HSV-2 antibody CPT 86696 86696 L164922 HSV2	$138.28	$628.56	$17.42–$628.56	260% above	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, Type Spec LC	$11.00	$50.00	$5.05–$45.00	—	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .Herpes Simplex Virus 2 IgM Titer - Send Out CQ	$11.00	$50.00	$5.05–$45.00	—	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Specific Antibody IgG (LC)	$11.00	$50.00	$5.05–$45.00	—	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2, Type-specific Antibodies, IgG LC	$43.12	$196.00	$19.80–$176.40	—	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC)	$138.28	$628.56	$63.48–$565.70	—	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV2 IgG Supplemental (LC)	$138.28	$628.56	$63.48–$565.70	—	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164922 HSV2	$138.28	$628.56	$63.48–$565.70	—	78%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Cardiac (LC)	$159.19	$723.60	$11.66–$723.60	401% above	78%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Cardiac (LC)	$159.19	$723.60	$73.08–$651.24	—	78%
Homocysteine blood test CPT 83090 83090 L501790 HOMOCYSTEINE	$295.81	$1,344.60	$16.13–$1,344.60	202% above	78%
Homocysteine blood test CPT 83090 Homocyst(e)ine Plasma LC	$295.81	$1,344.60	$16.13–$1,344.60	202% above	78%
Homocysteine blood test inpatient CPT 83090 83090 L501790 HOMOCYSTEINE	$295.81	$1,344.60	$135.80–$1,210.14	—	78%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC	$295.81	$1,344.60	$135.80–$1,210.14	—	78%
Insulin blood test CPT 83525 Insulin LC	$257.32	$1,169.64	$10.29–$1,169.64	445% above	78%
Insulin blood test inpatient CPT 83525 Insulin LC	$257.32	$1,169.64	$118.13–$1,052.68	—	78%
Iron blood test (serum iron) CPT 83540 IRON	$75.08	$341.28	$5.82–$341.28	115% above	78%
Iron blood test (serum iron) CPT 83540 83540 L1321 IRON	$75.08	$341.28	$5.82–$341.28	115% above	78%
Iron blood test (serum iron) CPT 83540 83540 IRON	$75.08	$341.28	$5.82–$341.28	115% above	78%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$75.08	$341.28	$34.47–$307.15	—	78%
Iron blood test (serum iron) inpatient CPT 83540 83540 L1321 IRON	$75.08	$341.28	$34.47–$307.15	—	78%
Iron blood test (serum iron) inpatient CPT 83540 83540 IRON	$75.08	$341.28	$34.47–$307.15	—	78%
Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT	$90.05	$409.32	$7.87–$409.32	118% above	78%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM	$90.05	$409.32	$7.87–$409.32	118% above	78%
Iron-binding capacity (TIBC) test CPT 83550 83550 L1321 IRON BIND CAP	$90.05	$409.32	$7.87–$409.32	118% above	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT	$90.05	$409.32	$41.34–$368.39	—	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 L1321 IRON BIND CAP	$90.05	$409.32	$41.34–$368.39	—	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM	$90.05	$409.32	$41.34–$368.39	—	78%
Kidney function blood test panel CPT 80069 RFP	$94.09	$427.68	$7.81–$427.68	23% above	78%
Kidney function blood test panel inpatient CPT 80069 RFP	$94.09	$427.68	$43.20–$384.91	—	78%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$137.57	$625.32	$16.67–$625.32	64% above	78%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$137.57	$625.32	$63.16–$562.79	—	78%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$201.48	$915.84	$9.15–$915.84	265% above	78%
Lactate (lactic acid) blood test CPT 83605 .ISTAT Lactate POC	$201.48	$915.84	$9.15–$915.84	265% above	78%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex	$201.48	$915.84	$9.15–$915.84	265% above	78%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA	$201.48	$915.84	$9.15–$915.84	265% above	78%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2	$201.48	$915.84	$9.15–$915.84	265% above	78%
Lactate (lactic acid) blood test CPT 83605 .Lactate POC	$201.48	$915.84	$9.15–$915.84	265% above	78%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex	$201.48	$915.84	$92.50–$824.26	—	78%
Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Lactate POC	$201.48	$915.84	$92.50–$824.26	—	78%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC	$201.48	$915.84	$92.50–$824.26	—	78%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$201.48	$915.84	$92.50–$824.26	—	78%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2	$201.48	$915.84	$92.50–$824.26	—	78%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA	$201.48	$915.84	$92.50–$824.26	—	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$77.22	$351.00	$5.44–$351.00	152% above	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROLDH	$77.22	$351.00	$5.44–$351.00	152% above	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$77.22	$351.00	$5.44–$351.00	152% above	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid (LC)	$77.22	$351.00	$5.44–$351.00	152% above	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$77.22	$351.00	$35.45–$315.90	—	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$77.22	$351.00	$35.45–$315.90	—	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid (LC)	$77.22	$351.00	$35.45–$315.90	—	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH	$77.22	$351.00	$35.45–$315.90	—	78%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$86.96	$395.28	$6.20–$395.28	125% above	78%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Body Fluid Sendout to LabCorp	$86.96	$395.28	$6.20–$395.28	125% above	78%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$86.96	$395.28	$39.92–$355.75	—	78%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Body Fluid Sendout to LabCorp	$86.96	$395.28	$39.92–$355.75	—	78%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$110.01	$500.04	$7.35–$500.04	61% above	78%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$110.01	$500.04	$50.50–$450.04	—	78%
Lyme disease antibody test CPT 86618 86618 L139825 LYME DIS AB	$16.28	$74.00	$7.47–$74.00	69% below	78%
Lyme disease antibody test CPT 86618 Borrelia burgdorferi Total Antibody Test w/Reflex	$303.60	$1,380.00	$15.33–$1,380.00	478% above	78%
Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$327.89	$1,490.40	$15.33–$1,490.40	525% above	78%
Lyme disease antibody test inpatient CPT 86618 86618 L139825 LYME DIS AB	$16.28	$74.00	$7.47–$66.60	—	78%
Lyme disease antibody test inpatient CPT 86618 Borrelia burgdorferi Total Antibody Test w/Reflex	$303.60	$1,380.00	$139.38–$1,242.00	—	78%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$327.89	$1,490.40	$150.53–$1,341.36	—	78%
Magnesium blood test CPT 83735 Magnesium Serum	$155.15	$705.24	$6.03–$705.24	335% above	78%
Magnesium blood test CPT 83735 Magnesium Urine Sendout to LabCorp	$155.15	$705.24	$6.03–$705.24	335% above	78%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$155.15	$705.24	$71.23–$634.72	—	78%
Magnesium blood test inpatient CPT 83735 Magnesium Urine Sendout to LabCorp	$155.15	$705.24	$71.23–$634.72	—	78%
Measles (rubeola) antibody test CPT 86765 86765 L58495 RUBEOLA AB	$71.99	$327.24	$11.59–$327.24	90% above	78%
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$71.99	$327.24	$11.59–$327.24	90% above	78%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibody IgM (LC)	$71.99	$327.24	$11.59–$327.24	90% above	78%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody IgM (LC)	$71.99	$327.24	$33.05–$294.52	—	78%
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$71.99	$327.24	$33.05–$294.52	—	78%
Measles (rubeola) antibody test inpatient CPT 86765 86765 L58495 RUBEOLA AB	$71.99	$327.24	$33.05–$294.52	—	78%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$67.24	$305.64	$4.66–$305.64	110% above	78%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$67.24	$305.64	$30.87–$275.08	—	78%
Mumps immunity blood test CPT 86735 86735 L58495 MUMPS AB	$92.19	$419.04	$11.75–$419.04	82% above	78%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgG LC	$92.19	$419.04	$11.75–$419.04	82% above	78%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG LC	$92.19	$419.04	$42.32–$377.14	—	78%
Mumps immunity blood test inpatient CPT 86735 86735 L58495 MUMPS AB	$92.19	$419.04	$42.32–$377.14	—	78%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total Ultra + % Free LC	$127.38	$579.00	$16.55–$579.00	67% above	78%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total	$137.57	$625.32	$16.55–$625.32	81% above	78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total Ultra + % Free LC	$127.38	$579.00	$58.48–$521.10	—	78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total	$137.57	$625.32	$63.16–$562.79	—	78%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 L199330 PAP AU MN RS	$35.88	$163.08	$16.47–$163.08	9% above	78%
Pap test (liquid-based, automated screening with review) CPT 88175 PapIG rfx Aptima HPV ASCU (LC)	$35.88	$163.08	$16.47–$163.08	9% above	78%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) (LC)	$35.88	$163.08	$16.47–$163.08	9% above	78%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 L196210 PAP AU MN RS	$35.88	$163.08	$16.47–$163.08	9% above	78%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L199330 PAP AU MN RS	$35.88	$163.08	$16.47–$146.77	—	78%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L196210 PAP AU MN RS	$35.88	$163.08	$16.47–$146.77	—	78%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) (LC)	$35.88	$163.08	$16.47–$146.77	—	78%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PapIG rfx Aptima HPV ASCU (LC)	$35.88	$163.08	$16.47–$146.77	—	78%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep Pap (CQ)	$6.08	$27.64	$2.79–$45.59	80% below	78%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$35.88	$163.08	$15.87–$163.08	18% above	78%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Lb (Liquid-based) Sendout to LabCorp	$110.72	$503.28	$15.87–$503.28	264% above	78%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep Pap (CQ)	$6.08	$27.64	$2.79–$24.88	—	78%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$35.88	$163.08	$16.47–$146.77	—	78%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Lb (Liquid-based) Sendout to LabCorp	$110.72	$503.28	$50.83–$452.95	—	78%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$495.16	$2,250.72	$37.15–$2,250.72	293% above	78%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$495.16	$2,250.72	$227.32–$2,025.65	—	78%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L501790 APTT	$99.55	$452.52	$5.41–$452.52	153% above	78%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$99.55	$452.52	$5.41–$452.52	153% above	78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L501790 APTT	$99.55	$452.52	$45.70–$407.27	—	78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$99.55	$452.52	$45.70–$407.27	—	78%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum	$77.70	$353.16	$4.27–$353.16	187% above	78%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum	$77.70	$353.16	$35.67–$317.84	—	78%
Potassium blood test CPT 84132 Potassium Serum	$86.96	$395.28	$4.28–$395.28	220% above	78%
Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB	$86.96	$395.28	$4.28–$395.28	220% above	78%
Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB	$86.96	$395.28	$39.92–$355.75	—	78%
Potassium blood test inpatient CPT 84132 Potassium Serum	$86.96	$395.28	$39.92–$355.75	—	78%
Progesterone blood test CPT 84144 Progesterone Level	$173.69	$789.48	$18.77–$789.48	104% above	78%
Progesterone blood test inpatient CPT 84144 Progesterone Level	$173.69	$789.48	$79.74–$710.53	—	78%
Prolactin blood test CPT 84146 Prolactin Level	$194.83	$885.60	$17.44–$885.60	109% above	78%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$194.83	$885.60	$89.45–$797.04	—	78%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR	$110.01	$500.04	$3.86–$500.04	302% above	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR	$110.01	$500.04	$50.50–$450.04	—	78%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result	$29.22	$132.84	$13.42–$132.84	2% below	78%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result	$29.22	$132.84	$13.42–$132.84	2% below	78%
Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP	$29.22	$132.84	$13.42–$132.84	2% below	78%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result	$29.22	$132.84	$13.42–$119.56	—	78%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result	$29.22	$132.84	$13.42–$119.56	—	78%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP	$29.22	$132.84	$13.42–$119.56	—	78%
Renin blood test CPT 84244 84244 L4354 RENIN	$227.38	$1,033.56	$19.79–$1,033.56	259% above	78%
Renin blood test CPT 84244 Renin Activity Plasma LC	$227.38	$1,033.56	$19.79–$1,033.56	259% above	78%
Renin blood test inpatient CPT 84244 84244 L4354 RENIN	$227.38	$1,033.56	$104.39–$930.20	—	78%
Renin blood test inpatient CPT 84244 Renin Activity Plasma LC	$227.38	$1,033.56	$104.39–$930.20	—	78%
Rh blood typing CPT 86901 BB Bill Rh Test	$61.30	$278.64	$2.69–$278.64	64% above	78%
Rh blood typing inpatient CPT 86901 BB Bill Rh Test	$61.30	$278.64	$28.14–$250.78	—	78%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (LC)	$75.08	$341.28	$5.10–$341.28	123% above	78%
Rheumatoid factor (RF) test CPT 86431 86431 RA FACT QT	$75.08	$341.28	$5.10–$341.28	123% above	78%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (LC)	$75.08	$341.28	$34.47–$307.15	—	78%
Rheumatoid factor (RF) test inpatient CPT 86431 86431 RA FACT QT	$75.08	$341.28	$34.47–$307.15	—	78%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp	$69.14	$314.28	$12.95–$314.28	69% above	78%
Rubella antibody test (immunity check) CPT 86762 86762 L58495 RUBELLA AB	$69.14	$314.28	$12.95–$314.28	69% above	78%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgM Sendout to LabCorp	$69.14	$314.28	$12.95–$314.28	69% above	78%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG LC	$69.14	$314.28	$12.95–$314.28	69% above	78%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC	$69.14	$314.28	$31.74–$282.85	—	78%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp	$69.14	$314.28	$31.74–$282.85	—	78%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 L58495 RUBELLA AB	$69.14	$314.28	$31.74–$282.85	—	78%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgM Sendout to LabCorp	$69.14	$314.28	$31.74–$282.85	—	78%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA	$84.11	$382.32	$2.43–$382.32	118% above	78%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA	$84.11	$382.32	$38.61–$344.09	—	78%
Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB	$91.00	$413.64	$4.33–$413.64	175% above	78%
Sodium blood test CPT 84295 Sodium Serum	$91.00	$413.64	$4.33–$413.64	175% above	78%
Sodium blood test inpatient CPT 84295 Sodium Serum	$91.00	$413.64	$41.78–$372.28	—	78%
Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB	$91.00	$413.64	$41.78–$372.28	—	78%
Stool ova and parasites exam CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$131.63	$598.32	$8.01–$598.32	220% above	78%
Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$131.63	$598.32	$60.43–$538.49	—	78%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT	$81.97	$372.60	$3.23–$372.60	287% above	78%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT	$81.97	$372.60	$37.63–$335.34	—	78%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$58.92	$267.84	$14.18–$267.84	239% above	78%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$58.92	$267.84	$27.05–$241.06	—	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody w Rfx to RPR	$99.55	$452.52	$11.92–$452.52	153% above	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies (LC)	$99.55	$452.52	$11.92–$452.52	153% above	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 T pallidum Screening cascade LC	$99.55	$452.52	$11.92–$452.52	153% above	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T pallidum Screening cascade LC	$99.55	$452.52	$45.70–$407.27	—	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies (LC)	$99.55	$452.52	$45.70–$407.27	—	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody w Rfx to RPR	$99.55	$452.52	$45.70–$407.27	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC	$66.77	$303.48	$3.84–$303.48	165% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR LC	$66.77	$303.48	$3.84–$303.48	165% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$66.77	$303.48	$3.84–$303.48	165% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$66.77	$303.48	$3.84–$303.48	165% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .RPR LC	$66.77	$303.48	$30.65–$273.13	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$66.77	$303.48	$30.65–$273.13	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC	$66.77	$303.48	$30.65–$273.13	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$66.77	$303.48	$30.65–$273.13	—	78%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$142.32	$646.92	$55.78–$646.92	36% above	78%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$142.32	$646.92	$65.34–$582.23	—	78%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 L140103 TESTOST TOTA	$175.59	$798.12	$23.23–$798.12	123% above	78%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level LC	$175.59	$798.12	$23.23–$798.12	123% above	78%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$175.59	$798.12	$23.23–$798.12	123% above	78%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$175.59	$798.12	$80.61–$718.31	—	78%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level LC	$175.59	$798.12	$80.61–$718.31	—	78%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L140103 TESTOST TOTA	$175.59	$798.12	$80.61–$718.31	—	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC)	$93.85	$426.60	$13.10–$426.60	232% above	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab LC	$93.85	$426.60	$13.10–$426.60	232% above	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab LC	$93.85	$426.60	$43.09–$383.94	—	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC)	$93.85	$426.60	$43.09–$383.94	—	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC	$111.20	$505.44	$15.12–$505.44	109% above	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$121.41	$551.88	$15.12–$551.88	128% above	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$121.41	$551.88	$15.12–$551.88	128% above	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC	$111.20	$505.44	$51.05–$454.90	—	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$121.41	$551.88	$55.74–$496.69	—	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$121.41	$551.88	$55.74–$496.69	—	78%
Total IgE blood test CPT 82785 82785 L602633 IGE	$77.22	$351.00	$14.81–$351.00	60% above	78%
Total IgE blood test CPT 82785 82785 L2295 GAMMAGLOBULIN IGE	$77.22	$351.00	$14.81–$351.00	60% above	78%
Total IgE blood test CPT 82785 Immunoglobulin E Total (LC)	$77.22	$351.00	$14.81–$351.00	60% above	78%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total (LC)	$77.22	$351.00	$35.45–$315.90	—	78%
Total IgE blood test inpatient CPT 82785 82785 L2295 GAMMAGLOBULIN IGE	$77.22	$351.00	$35.45–$315.90	—	78%
Total IgE blood test inpatient CPT 82785 82785 L602633 IGE	$77.22	$351.00	$35.45–$315.90	—	78%
Total cholesterol blood test CPT 82465 Cholesterol	$68.19	$309.96	$3.91–$309.96	146% above	78%
Total cholesterol blood test inpatient CPT 82465 Cholesterol	$68.19	$309.96	$31.31–$278.96	—	78%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 (LC)	$71.04	$322.92	$5.86–$322.92	89% above	78%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC)	$71.04	$322.92	$32.61–$290.63	—	78%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC)	$148.26	$673.92	$7.83–$673.92	212% above	78%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC)	$148.26	$673.92	$68.07–$606.53	—	78%
Transferrin blood test CPT 84466 Transferrin LC	$200.06	$909.36	$9.15–$909.36	345% above	78%
Transferrin blood test inpatient CPT 84466 Transferrin LC	$200.06	$909.36	$91.85–$818.42	—	78%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC)	$66.53	$302.40	$30.54–$302.40	39% above	78%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC)	$66.53	$302.40	$30.54–$272.16	—	78%
Triglycerides blood test CPT 84478 84478 L550140 TRIGLYCERIDES 889	$71.06	$323.00	$5.17–$323.00	114% above	78%
Triglycerides blood test CPT 84478 Triglycerides	$76.74	$348.84	$5.17–$348.84	131% above	78%
Triglycerides blood test inpatient CPT 84478 84478 L550140 TRIGLYCERIDES 889	$71.06	$323.00	$32.62–$290.70	—	78%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$76.74	$348.84	$35.23–$313.96	—	78%
Troponin test, quantitative CPT 84484 .Troponin I HS 4 Hour	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative CPT 84484 Troponin I Quant	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative CPT 84484 .Troponin I HS 1 Hour	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative CPT 84484 .Troponin I HS 3 Hour	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative CPT 84484 .Troponin I HS 2 Hour	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative CPT 84484 Troponin I HS x 3 Series	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative CPT 84484 Troponin I HS	$323.61	$1,470.96	$11.22–$1,470.96	315% above	78%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS x 3 Series	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 2 Hour	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 4 Hour	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 3 Hour	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 1 Hour	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant	$323.61	$1,470.96	$148.57–$1,323.86	—	78%
Uric acid blood test CPT 84550 Uric Acid Level	$77.46	$352.08	$4.07–$352.08	148% above	78%
Uric acid blood test inpatient CPT 84550 Uric Acid Level	$77.46	$352.08	$35.56–$316.87	—	78%
Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd	$60.59	$275.40	$2.85–$275.40	114% above	78%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated	$60.59	$275.40	$2.85–$275.40	114% above	78%
Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes	$60.59	$275.40	$2.85–$275.40	114% above	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes	$60.59	$275.40	$27.82–$247.86	—	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd	$60.59	$275.40	$27.82–$247.86	—	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated	$60.59	$275.40	$27.82–$247.86	—	78%
Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd	$92.19	$419.04	$3.62–$419.04	361% above	78%
Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd	$92.19	$419.04	$42.32–$377.14	—	78%
Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated	$58.21	$264.60	$2.03–$264.60	285% above	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No	$58.21	$264.60	$26.72–$238.14	—	78%
Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc	$13.88	$63.10	$3.13–$63.10	4% below	78%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine Manual	$13.88	$63.10	$3.13–$63.10	4% below	78%
Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual	$13.88	$63.10	$3.13–$63.10	4% below	78%
Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine Manual	$13.88	$63.10	$6.37–$56.79	—	78%
Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc	$13.88	$63.10	$6.37–$56.79	—	78%
Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual	$13.88	$63.10	$6.37–$56.79	—	78%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn	$95.99	$436.32	$7.26–$436.32	130% above	78%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Routine LC	$95.99	$436.32	$7.26–$436.32	130% above	78%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Routine LC	$95.99	$436.32	$44.07–$392.69	—	78%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn	$95.99	$436.32	$44.07–$392.69	—	78%
Urine microalbumin (albumin) test CPT 82043 MicroAlb QNT Random	$5.30	$24.08	$2.43–$24.08	83% below	78%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 hr Urine Sendout to LabCorp	$5.30	$24.08	$2.43–$24.08	83% below	78%
Urine microalbumin (albumin) test CPT 82043 Protein Total w/ Albumin Panel	$5.30	$24.08	$2.43–$24.08	83% below	78%
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Random Urine CQ	$46.20	$210.00	$5.20–$210.00	47% above	78%
Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT	$49.90	$226.80	$5.20–$226.80	59% above	78%
Urine microalbumin (albumin) test CPT 82043 82043 L140285 MICROALB QT	$49.90	$226.80	$5.20–$226.80	59% above	78%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour	$49.90	$226.80	$5.20–$226.80	59% above	78%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant	$49.90	$226.80	$5.20–$226.80	59% above	78%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Random Urine Sendout to LabCorp	$49.90	$226.80	$5.20–$226.80	59% above	78%
Urine microalbumin (albumin) test inpatient CPT 82043 MicroAlb QNT Random	$5.30	$24.08	$2.43–$21.67	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 Protein Total w/ Albumin Panel	$5.30	$24.08	$2.43–$21.67	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 hr Urine Sendout to LabCorp	$5.30	$24.08	$2.43–$21.67	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Random Urine CQ	$46.20	$210.00	$21.21–$189.00	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 L140285 MICROALB QT	$49.90	$226.80	$22.91–$204.12	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant	$49.90	$226.80	$22.91–$204.12	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour	$49.90	$226.80	$22.91–$204.12	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Random Urine Sendout to LabCorp	$49.90	$226.80	$22.91–$204.12	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT	$49.90	$226.80	$22.91–$204.12	—	78%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative	$71.52	$325.08	$7.75–$325.08	79% above	78%
Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$71.52	$325.08	$7.75–$325.08	79% above	78%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive	$71.52	$325.08	$7.75–$325.08	79% above	78%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC	$71.52	$325.08	$7.75–$325.08	79% above	78%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result	$71.52	$325.08	$7.75–$325.08	79% above	78%
Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$71.52	$325.08	$32.83–$292.57	—	78%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result	$71.52	$325.08	$32.83–$292.57	—	78%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative	$71.52	$325.08	$32.83–$292.57	—	78%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive	$71.52	$325.08	$32.83–$292.57	—	78%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC	$71.52	$325.08	$32.83–$292.57	—	78%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$131.87	$599.40	$13.57–$599.40	108% above	78%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$131.87	$599.40	$60.54–$539.46	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy	$160.62	$730.08	$26.64–$730.08	133% above	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC	$160.62	$730.08	$26.64–$730.08	133% above	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy	$160.62	$730.08	$73.74–$657.07	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC	$160.62	$730.08	$73.74–$657.07	—	78%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol Level (LC)	$113.57	$516.24	$20.52–$516.24	8% below	78%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol Level (LC)	$113.57	$516.24	$52.14–$464.62	—	78%
Zinc blood test CPT 84630 Zinc, Whole Blood (LC)	$147.55	$670.68	$10.25–$670.68	159% above	78%
Zinc blood test CPT 84630 Zinc Plasma or Serum (LC)	$147.55	$670.68	$10.25–$670.68	159% above	78%
Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC)	$147.55	$670.68	$67.74–$603.61	—	78%
Zinc blood test inpatient CPT 84630 Zinc, Whole Blood (LC)	$147.55	$670.68	$67.74–$603.61	—	78%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Tumor Marker (LC)	$126.17	$573.48	$13.55–$573.48	78% above	78%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant	$126.17	$573.48	$13.55–$573.48	78% above	78%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG Tumor Marker (LC)	$126.17	$573.48	$57.92–$516.13	—	78%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant	$126.17	$573.48	$57.92–$516.13	—	78%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$10,634.80	$48,340.00	$196.03–$43,506.00	260% above	78%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$41,471.25	$188,505.68	$1,560.46–$169,655.11	339% above	78%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$34,552.79	$157,058.12	$897.08–$141,352.31	276% above	78%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$25,843.05	$117,468.39	$983.14–$105,721.55	222% above	78%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$26,011.22	$118,232.84	$790.62–$106,409.56	165% above	78%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$44,561.50	$202,552.27	$630.73–$182,297.04	511% above	78%
Cardiac catheterization with coronary angiogram CPT 93458 S-INSERT GENERATOR, EXISTING MULTIPLE LEADS[MSMH]	$5,487.68	$24,944.00	$628.62–$24,944.00	3% below	78%
Cardiac catheterization with coronary angiogram one side CPT 93458 CC-CORONARY W LEFT HEART CATH[MSMH]	$5,926.69	$26,939.52	$628.62–$26,939.52	5% above	78%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 S-INSERT GENERATOR, EXISTING MULTIPLE LEADS[MSMH]	$5,487.68	$24,944.00	$2,519.34–$22,449.60	—	78%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CC-CORONARY W LEFT HEART CATH[MSMH]	$5,926.69	$26,939.52	$2,720.89–$24,245.57	—	78%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION [MSMH]	$1,289.93	$5,863.32	$139.61–$5,863.32	120% above	78%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION[MSMHP]	$1,289.93	$5,863.32	$139.61–$5,863.32	120% above	78%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION [MSMH]	$1,289.93	$5,863.32	$592.20–$5,276.99	—	78%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION[MSMHP]	$1,289.93	$5,863.32	$592.20–$5,276.99	—	78%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$14,590.76	$66,321.63	$407.37–$59,689.47	506% above	78%
Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I[MSMH]	$14,948.84	$67,949.28	$858.24–$61,154.35	11% below	78%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I[MSMH]	$14,948.84	$67,949.28	$6,862.88–$61,154.35	—	78%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$22,486.11	$102,209.61	$136.66–$91,988.65	2250% above	78%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$8,149.81	$37,044.61	$183.13–$33,340.15	503% above	78%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$142.52	$647.80	$65.43–$5,386.00	77% below	78%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$460.04	$2,091.09	$174.72–$2,091.09	123% above	78%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$6,160.22	$28,001.00	$236.61–$25,200.90	470% above	78%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$8,024.49	$36,474.95	$406.66–$32,827.46	405% above	78%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$7,368.62	$33,493.73	$384.72–$30,144.36	470% above	78%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$5,738.35	$26,083.41	$303.88–$23,475.07	464% above	78%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$14,873.39	$67,606.33	$352.96–$60,845.70	396% above	78%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$25,721.25	$116,914.78	$210.92–$105,223.30	3495% above	78%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$20,517.97	$93,263.52	$271.82–$83,937.17	540% above	78%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$7,226.23	$32,846.49	$146.36–$29,561.84	312% above	78%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$428.95	$1,949.78	$13.59–$1,949.78	655% above	78%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$8,639.53	$39,270.60	$43.62–$35,343.54	10632% above	78%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT	$26,679.74	$121,271.53	$299.12–$109,144.38	268% above	78%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL	$33,559.60	$152,543.63	$350.11–$137,289.27	654% above	78%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$29,193.10	$132,695.90	$166.39–$119,426.31	822% above	78%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$29,579.24	$134,451.07	$245.75–$121,005.96	660% above	78%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$24,764.29	$112,564.96	$529.78–$101,308.46	384% above	78%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$43,924.25	$199,655.69	$713.32–$179,690.12	369% above	78%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$21,417.08	$97,350.37	$315.90–$87,615.33	336% above	78%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$4,693.99	$21,336.31	$162.34–$19,202.68	518% above	78%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$21,663.28	$98,469.46	$609.15–$88,622.51	548% above	78%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$24,609.09	$111,859.52	$662.44–$100,673.57	324% above	78%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$23,809.75	$108,226.13	$486.34–$97,403.52	383% above	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 S-INJ CATH HYSTERSO	$497.06	$2,259.36	$209.84–$2,259.36	138% above	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$497.06	$2,259.36	$209.84–$2,259.36	138% above	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 DR S-INJ CATH HYSTERSO	$497.06	$2,259.36	$209.84–$2,259.36	138% above	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$1,061.49	$4,824.95	$209.84–$4,824.95	409% above	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$497.06	$2,259.36	$228.20–$2,033.42	—	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 S-INJ CATH HYSTERSO	$497.06	$2,259.36	$228.20–$2,033.42	—	78%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 DR S-INJ CATH HYSTERSO	$497.06	$2,259.36	$228.20–$2,033.42	—	78%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$18,528.01	$84,218.23	$1,797.02–$75,796.41	380% above	78%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$15,615.65	$70,980.23	$1,140.23–$63,882.21	307% above	78%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$14,105.14	$64,114.26	$41.82–$57,702.83	1663% above	78%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$2,126.49	$9,665.86	$114.27–$8,699.27	870% above	78%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$25,415.07	$115,523.03	$482.27–$103,970.73	662% above	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN	$481.85	$2,190.24	$59.12–$2,190.24	94% above	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$13,381.19	$60,823.59	$59.12–$54,741.23	5275% above	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN	$481.85	$2,190.24	$221.21–$1,971.22	—	78%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$905.67	$4,116.69	$50.18–$4,116.69	311% above	78%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$29,426.61	$133,757.30	$634.84–$120,381.57	345% above	78%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$22,144.17	$100,655.33	$498.67–$90,589.80	455% above	78%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$23,837.30	$108,351.38	$517.81–$97,516.24	334% above	78%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$23,768.00	$108,036.36	$571.99–$97,232.72	627% above	78%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$24,897.17	$113,168.94	$555.61–$101,852.05	379% above	78%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$41,498.88	$188,631.25	$993.07–$169,768.13	261% above	78%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$30,330.96	$137,868.00	$844.74–$124,081.20	123% above	78%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$23,977.25	$108,987.51	$398.93–$98,088.76	250% above	78%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$24,148.89	$109,767.70	$520.87–$98,790.93	245% above	78%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$26,788.47	$121,765.79	$607.84–$109,589.21	332% above	78%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY	$30,702.07	$139,554.86	$1,022.63–$125,599.37	315% above	78%
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/<	$1,857.27	$8,442.13	$233.49–$7,597.92	660% above	78%
Left heart catheterization, diagnostic one side CPT 93452 IC-LEFT HRT CATH W/VENTRICLGRPHY [MSMH]	$5,613.78	$25,517.16	$556.59–$25,517.16	36% above	78%
Left heart catheterization, diagnostic inpatient one side CPT 93452 IC-LEFT HRT CATH W/VENTRICLGRPHY [MSMH]	$5,613.78	$25,517.16	$2,577.23–$22,965.44	—	78%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$32,499.79	$147,726.30	$838.07–$132,953.67	181% above	78%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$58,610.72	$266,412.37	$1,659.46–$239,771.13	116% above	78%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM	$55,925.97	$254,208.96	$1,430.74–$228,788.06	66% above	78%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$33,425.45	$151,933.87	$1,015.18–$136,740.48	191% above	78%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$26,434.45	$120,156.57	$1,452.45–$108,140.91	11% below	78%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$29,857.27	$135,714.88	$607.98–$122,143.39	993% above	78%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$37,829.34	$171,951.55	$882.42–$154,756.39	760% above	78%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$13,184.57	$59,929.88	$398.92–$53,936.89	423% above	78%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$830.92	$3,776.90	$103.05–$3,776.90	384% above	78%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$24,773.01	$112,604.60	$469.08–$101,344.14	180% above	78%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image	$674.07	$3,063.96	$256.32–$3,063.96	1% below	78%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image WO Labs	$674.07	$3,063.96	$256.32–$3,063.96	1% below	78%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image W Labs	$674.07	$3,063.96	$256.32–$3,063.96	1% below	78%
Paracentesis with imaging guidance CPT 49083 IR Abdominal Paracentesis w Imaging	$1,670.16	$7,591.62	$256.32–$7,380.63	145% above	78%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,444.89	$11,113.13	$256.32–$10,001.82	258% above	78%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image W Labs	$674.07	$3,063.96	$309.46–$2,757.56	—	78%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image	$674.07	$3,063.96	$309.46–$2,757.56	—	78%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image WO Labs	$674.07	$3,063.96	$309.46–$2,757.56	—	78%
Paracentesis with imaging guidance inpatient CPT 49083 IR Abdominal Paracentesis w Imaging	$1,670.16	$7,591.62	$766.75–$6,832.46	—	78%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$42,885.50	$194,934.07	$1,055.58–$175,440.66	155% above	78%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$12,224.47	$55,565.79	$216.50–$50,009.21	548% above	78%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD	$51,228.61	$232,857.31	$1,110.65–$209,571.58	483% above	78%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$13,210.22	$60,046.45	$471.17–$54,041.81	579% above	78%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$1,149.14	$5,223.38	$135.77–$5,223.38	312% above	78%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$41,750.28	$189,774.00	$653.52–$170,796.60	364% above	78%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$5,517.72	$25,080.56	$304.14–$22,572.50	471% above	78%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$5,066.12	$23,027.82	$303.88–$20,725.04	424% above	78%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$32,390.95	$147,231.60	$611.04–$132,508.44	419% above	78%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy	$10,957.87	$49,808.52	$676.06–$44,827.67	27% above	78%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$16,670.02	$75,772.82	$676.06–$68,195.54	93% above	78%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy	$10,957.87	$49,808.52	$5,030.66–$44,827.67	—	78%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$2,154.86	$9,794.81	$60.35–$8,815.33	1583% above	78%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$2,172.75	$9,876.12	$65.97–$8,888.51	1401% above	78%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$22,052.71	$100,239.60	$623.24–$90,215.64	274% above	78%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$23,270.08	$105,773.10	$157.80–$105,773.10	459% above	78%
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/<	$1,479.55	$6,725.24	$84.24–$6,725.24	706% above	78%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$6,860.02	$31,181.90	$129.76–$28,063.71	1339% above	78%
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	$1,904.23	$8,655.61	$102.56–$7,790.05	904% above	78%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$1,799.25	$8,178.41	$100.54–$7,380.63	880% above	78%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$19,158.61	$87,084.58	$676.62–$78,376.12	190% above	78%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$15,633.00	$71,059.08	$88.71–$63,953.17	8608% above	78%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance	$674.07	$3,063.96	$275.74–$3,063.96	20% below	78%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance	$2,131.07	$9,686.68	$275.74–$8,718.01	153% above	78%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$5,583.84	$25,381.07	$275.74–$22,842.96	562% above	78%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance	$674.07	$3,063.96	$309.46–$2,757.56	—	78%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance	$2,131.07	$9,686.68	$978.35–$8,718.01	—	78%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$14,162.00	$64,372.74	$281.77–$57,935.47	394% above	78%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$12,461.35	$56,642.50	$270.08–$50,978.25	342% above	78%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$16,270.20	$73,955.45	$236.25–$66,559.90	632% above	78%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$11,017.33	$50,078.79	$247.60–$45,070.91	261% above	78%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$47,742.37	$217,010.76	$1,180.88–$195,309.68	280% above	78%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$46,722.42	$212,374.64	$1,179.23–$191,137.18	321% above	78%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$44,130.88	$200,594.91	$1,328.49–$180,535.42	215% above	78%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$43,871.51	$199,415.95	$848.05–$179,474.36	740% above	78%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$42,394.24	$192,701.10	$518.78–$173,430.99	2137% above	78%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$17,354.51	$78,884.13	$345.35–$70,995.72	86% above	78%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$7,093.11	$32,241.39	$920.89–$29,017.25	267% above	78%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$6,913.65	$31,425.68	$330.85–$28,283.11	495% above	78%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$8,816.97	$40,077.14	$351.83–$36,069.43	659% above	78%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$8,831.61	$40,143.69	$435.38–$36,129.32	444% above	78%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$5,273.50	$23,970.46	$364.44–$21,573.41	329% above	78%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$6,144.03	$27,927.40	$254.32–$25,134.66	532% above	78%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$16,080.56	$73,093.47	$383.81–$65,784.12	200% above	78%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$19,902.59	$90,466.34	$115.22–$81,419.71	5535% above	78%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$20,764.60	$94,384.54	$682.83–$84,946.09	145% above	78%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$566.68	$2,575.80	$35.93–$2,575.80	43% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor)	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor)	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee	$571.19	$2,596.32	$35.93–$2,596.32	44% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$677.40	$3,079.08	$35.93–$3,079.08	71% above	78%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$11,527.79	$52,399.04	$35.93–$47,159.14	2811% above	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$566.68	$2,575.80	$260.16–$2,318.22	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor)	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor)	$571.19	$2,596.32	$262.23–$2,336.69	—	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$677.40	$3,079.08	$310.99–$2,771.17	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$121.18	$550.80	$6.78–$550.80	82% above	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent	$121.18	$550.80	$55.63–$495.72	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$121.18	$550.80	$55.63–$495.72	—	78%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$2,107.99	$9,581.76	$252.99–$8,623.58	98% above	78%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$2,107.99	$9,581.76	$967.76–$8,623.58	—	78%
EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE DROWSY	$252.33	$1,146.96	$115.84–$1,146.96	21% below	78%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE DROWSY	$252.33	$1,146.96	$115.84–$1,032.26	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour	$378.26	$1,719.36	$45.32–$1,719.36	309% above	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour	$378.26	$1,719.36	$173.66–$1,547.42	—	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$301.99	$1,372.68	$10.79–$1,372.68	191% above	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$301.99	$1,372.68	$138.64–$1,235.41	—	78%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$467.60	$2,125.44	$39.47–$2,125.44	140% above	78%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$467.60	$2,125.44	$214.67–$1,912.90	—	78%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$690.70	$3,139.56	$67.25–$3,139.56	92% above	78%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$690.70	$3,139.56	$317.10–$2,825.60	—	78%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$1,278.05	$5,809.32	$114.50–$5,809.32	128% above	78%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,278.05	$5,809.32	$586.74–$5,228.39	—	78%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Notification Level - No Prior Notification	$1,268.27	$5,764.86	$166.01–$5,764.86	57% above	78%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$2,380.99	$10,822.68	$166.01–$9,740.41	195% above	78%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Trauma Notification Level - No Prior Notification	$1,268.27	$5,764.86	$582.25–$5,188.37	—	78%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$2,380.99	$10,822.68	$1,093.09–$9,740.41	—	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST	$853.16	$3,878.00	$31.99–$3,878.00	123% above	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Cardiovascular Stress Test Trace Only	$853.16	$3,878.00	$31.99–$3,878.00	123% above	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Stress Test	$853.16	$3,878.00	$31.99–$3,878.00	123% above	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$921.41	$4,188.24	$31.99–$4,188.24	141% above	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test	$921.41	$4,188.24	$31.99–$4,188.24	141% above	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM-STRESS TEST	$853.16	$3,878.00	$391.68–$3,490.20	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Stress Test	$853.16	$3,878.00	$391.68–$3,490.20	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Cardiovascular Stress Test Trace Only	$853.16	$3,878.00	$391.68–$3,490.20	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test	$921.41	$4,188.24	$423.01–$3,769.42	—	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$921.41	$4,188.24	$423.01–$3,769.42	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$239.03	$1,086.48	$28.32–$1,086.48	30% above	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour	$239.03	$1,086.48	$28.32–$1,086.48	30% above	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$239.03	$1,086.48	$28.32–$1,086.48	30% above	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$239.03	$1,086.48	$28.32–$1,086.48	30% above	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour	$239.03	$1,086.48	$109.73–$977.83	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$239.03	$1,086.48	$109.73–$977.83	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$239.03	$1,086.48	$109.73–$977.83	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$239.03	$1,086.48	$109.73–$977.83	—	78%
IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour	$240.45	$1,092.96	$54.24–$1,092.96	7% above	78%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour	$240.45	$1,092.96	$54.24–$1,092.96	7% above	78%
IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$285.12	$1,296.00	$54.24–$1,296.00	27% above	78%
IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$525.81	$2,390.04	$54.24–$2,390.04	134% above	78%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour	$240.45	$1,092.96	$110.39–$983.66	—	78%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour	$240.45	$1,092.96	$110.39–$983.66	—	78%
IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$285.12	$1,296.00	$130.90–$1,166.40	—	78%
IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$525.81	$2,390.04	$241.39–$2,151.04	—	78%
IV push of a medicine, first drug CPT 96374 IV push initial	$290.35	$1,319.76	$32.03–$1,319.76	113% above	78%
IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial	$290.35	$1,319.76	$32.03–$1,319.76	113% above	78%
IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$290.35	$1,319.76	$32.03–$1,319.76	113% above	78%
IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$344.28	$1,564.92	$32.03–$1,564.92	153% above	78%
IV push of a medicine, first drug inpatient CPT 96374 IV push initial	$290.35	$1,319.76	$133.30–$1,187.78	—	78%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$290.35	$1,319.76	$133.30–$1,187.78	—	78%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial	$290.35	$1,319.76	$133.30–$1,187.78	—	78%
IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$344.28	$1,564.92	$158.06–$1,408.43	—	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection	$286.07	$1,300.32	$13.00–$1,300.32	383% above	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$286.07	$1,300.32	$13.00–$1,300.32	383% above	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$286.07	$1,300.32	$13.00–$1,300.32	383% above	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$339.29	$1,542.24	$13.00–$1,542.24	473% above	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection	$286.07	$1,300.32	$131.33–$1,170.29	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$286.07	$1,300.32	$131.33–$1,170.29	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection	$286.07	$1,300.32	$131.33–$1,170.29	—	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$339.29	$1,542.24	$155.77–$1,388.02	—	78%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$109.30	$496.80	$27.51–$496.80	107% above	78%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units	$109.30	$496.80	$27.51–$496.80	107% above	78%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges	$109.30	$496.80	$27.51–$496.80	107% above	78%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges	$109.30	$496.80	$27.51–$496.80	107% above	78%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$109.30	$496.80	$27.51–$496.80	107% above	78%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185	$109.30	$496.80	$27.51–$496.80	107% above	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185	$109.30	$496.80	$50.18–$447.12	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges	$109.30	$496.80	$50.18–$447.12	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units	$109.30	$496.80	$50.18–$447.12	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$109.30	$496.80	$50.18–$447.12	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges	$109.30	$496.80	$50.18–$447.12	—	78%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$109.30	$496.80	$50.18–$447.12	—	78%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - MNT INITIAL EA 15 MIN	$119.04	$541.08	$27.91–$541.08	396% above	78%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - MNT INITIAL EA 15 MIN	$119.04	$541.08	$54.65–$486.97	—	78%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes	$272.05	$1,236.60	$72.35–$1,236.60	117% above	78%
Occupational therapy evaluation, low complexity CPT 97165 IRF OT EVAL LOW	$272.05	$1,236.60	$72.35–$1,236.60	117% above	78%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 185	$272.05	$1,236.60	$72.35–$1,236.60	117% above	78%
Occupational therapy evaluation, low complexity inpatient CPT 97165 IRF OT EVAL LOW	$272.05	$1,236.60	$124.90–$1,112.94	—	78%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 185	$272.05	$1,236.60	$124.90–$1,112.94	—	78%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes	$272.05	$1,236.60	$124.90–$1,112.94	—	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181	$237.36	$1,078.92	$45.00–$1,078.92	57% above	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH	$237.36	$1,078.92	$45.00–$1,078.92	57% above	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes	$237.36	$1,078.92	$45.00–$1,078.92	57% above	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval High Assistant Unit - Yes	$237.36	$1,078.92	$45.00–$1,078.92	57% above	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH	$237.36	$1,078.92	$108.97–$971.03	—	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval High Assistant Unit - Yes	$237.36	$1,078.92	$108.97–$971.03	—	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181	$237.36	$1,078.92	$108.97–$971.03	—	78%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes	$237.36	$1,078.92	$108.97–$971.03	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval Low Assistant Unit - Yes	$237.12	$1,077.84	$45.00–$1,077.84	103% above	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW	$237.12	$1,077.84	$45.00–$1,077.84	103% above	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes	$237.12	$1,077.84	$45.00–$1,077.84	103% above	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1	$237.12	$1,077.84	$45.00–$1,077.84	103% above	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH PTEVL- LOW CMP PT - REDOC 181	$237.12	$1,077.84	$74.48–$1,077.84	103% above	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181	$237.12	$1,077.84	$45.00–$1,077.84	103% above	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW	$237.12	$1,077.84	$108.86–$970.06	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH PTEVL- LOW CMP PT - REDOC 181	$237.12	$1,077.84	$108.86–$970.06	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181	$237.12	$1,077.84	$108.86–$970.06	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1	$237.12	$1,077.84	$108.86–$970.06	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes	$237.12	$1,077.84	$108.86–$970.06	—	78%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval Low Assistant Unit - Yes	$237.12	$1,077.84	$108.86–$970.06	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH PTEVL- MOD CMP PT - REDOC 181	$236.65	$1,075.68	$74.48–$1,075.68	85% above	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181	$236.65	$1,075.68	$45.00–$1,075.68	85% above	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes	$236.65	$1,075.68	$45.00–$1,075.68	85% above	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD	$236.65	$1,075.68	$45.00–$1,075.68	85% above	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD	$236.65	$1,075.68	$108.64–$968.11	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH PTEVL- MOD CMP PT - REDOC 181	$236.65	$1,075.68	$108.64–$968.11	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181	$236.65	$1,075.68	$108.64–$968.11	—	78%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes	$236.65	$1,075.68	$108.64–$968.11	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Charges	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 185	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$145.17	$659.88	$22.19–$659.88	147% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Charges	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 185	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges	$145.17	$659.88	$66.65–$593.89	—	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 181	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185	$110.25	$501.12	$10.96–$501.12	105% above	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 181	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$110.25	$501.12	$50.61–$451.01	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units	$110.25	$501.12	$50.61–$451.01	—	78%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes	$36.59	$166.32	$13.61–$166.32	11% above	78%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$36.59	$166.32	$13.61–$166.32	11% above	78%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes	$36.59	$166.32	$16.80–$149.69	—	78%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$36.59	$166.32	$16.80–$149.69	—	78%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Units	$335.73	$1,526.04	$154.13–$1,526.04	79% above	78%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$335.73	$1,526.04	$154.13–$1,526.04	79% above	78%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187	$335.73	$1,526.04	$154.13–$1,526.04	79% above	78%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge - Yes	$335.73	$1,526.04	$154.13–$1,526.04	79% above	78%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge - Yes	$335.73	$1,526.04	$154.13–$1,373.44	—	78%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit	$335.73	$1,526.04	$154.13–$1,373.44	—	78%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units	$335.73	$1,526.04	$154.13–$1,373.44	—	78%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187	$335.73	$1,526.04	$154.13–$1,373.44	—	78%
Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes	$229.76	$1,044.36	$32.79–$1,044.36	85% above	78%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$229.76	$1,044.36	$32.79–$1,044.36	85% above	78%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$229.76	$1,044.36	$32.79–$1,044.36	85% above	78%
Speech therapy session, individual CPT 92507 Speech Treatment Charge	$229.76	$1,044.36	$32.79–$1,044.36	85% above	78%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$229.76	$1,044.36	$105.48–$939.92	—	78%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes	$229.76	$1,044.36	$105.48–$939.92	—	78%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$229.76	$1,044.36	$105.48–$939.92	—	78%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge	$229.76	$1,044.36	$105.48–$939.92	—	78%
Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry	$328.60	$1,493.64	$40.47–$1,493.64	146% above	78%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry	$328.60	$1,493.64	$150.86–$1,344.28	—	78%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$383.72	$1,744.20	$69.76–$1,744.20	54% above	78%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$383.72	$1,744.20	$176.16–$1,569.78	—	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH THER ACT-15MIN PT - REDOC 181	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge	$103.83	$471.96	$8.76–$471.96	93% above	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH THER ACT-15MIN PT - REDOC 181	$103.83	$471.96	$47.67–$424.76	—	78%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units	$103.83	$471.96	$47.67–$424.76	—	78%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine	$106.68	$484.92	$18.39–$484.92	96% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$115.22	$523.71	$18.39–$523.71	112% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$169.65	$771.12	$18.39–$771.12	212% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$169.65	$771.12	$18.39–$771.12	212% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE	$169.65	$771.12	$18.39–$771.12	212% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$183.22	$832.81	$18.39–$832.81	237% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine	$106.68	$484.92	$48.98–$436.43	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$115.22	$523.71	$52.89–$471.34	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE	$169.65	$771.12	$77.88–$694.01	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$169.65	$771.12	$77.88–$694.01	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$169.65	$771.12	$77.88–$694.01	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$183.22	$832.81	$84.11–$749.53	—	78%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$106.68	$484.92	$13.19–$484.92	239% above	78%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC - BCE	$106.68	$484.92	$13.19–$484.92	239% above	78%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$115.22	$523.71	$13.19–$523.71	266% above	78%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$115.22	$523.71	$13.19–$523.71	266% above	78%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$106.68	$484.92	$48.98–$436.43	—	78%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC - BCE	$106.68	$484.92	$48.98–$436.43	—	78%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$115.22	$523.71	$52.89–$471.34	—	78%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$115.22	$523.71	$52.89–$471.34	—	78%

Dental

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Porcelain crown CDT D2740 CROWN PORCELAIN/CERAMIC SUBS	$13,138.77	$59,721.69	$711.60–$59,721.69	173% above	78%
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 END THXPY, MOLAR	$13,312.55	$60,511.59	$652.35–$60,511.59	789% above	78%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR	$11,779.86	$53,544.83	$652.35–$53,544.83	923% above	78%

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.merithealthriveroaks.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/640626874_merit-health-river-oaks_standardcharges.csv