Hospital Fort Wayne, IN

Lutheran Hospital of Indiana

Lutheran Hospital of Indiana in Fort Wayne, IN publishes cash prices for 418 common procedures listed here, from its own machine-readable price file updated Dec 17, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 225 of 415 procedures and above it for 189. Select a procedure to compare it with other hospitals nearby.

7950 W. Jefferson Blvd, Fort Wayne, IN 46804 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 1 action for a hospital named Lutheran Hospital of Indiana in Fort Wayne, IN:

Apr 21, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$611.10	$2,037.00	$161.07–$1,833.30	55% below	70%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$733.32	$2,037.00	$513.28–$1,833.30	—	64%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$147.30	$491.00	$29.25–$446.39	45% below	70%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$176.76	$491.00	$123.72–$441.90	—	64%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$147.30	$491.00	$30.65–$441.90	25% below	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$176.76	$491.00	$123.72–$441.90	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$159.00	$530.00	$75.73–$477.00	57% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD	$254.70	$849.00	$75.73–$764.10	31% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$190.80	$530.00	$133.55–$477.00	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD	$305.64	$849.00	$213.93–$764.10	—	64%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$342.30	$1,141.00	$96.38–$1,529.00	57% below	70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$244.80	$816.00	$76.84–$734.40	47% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$293.76	$816.00	$205.61–$734.40	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$1,268.10	$4,227.00	$206.19–$3,804.30	20% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$1,521.72	$4,227.00	$1,065.11–$3,804.30	—	64%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$244.80	$816.00	$81.85–$734.40	43% below	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$293.76	$816.00	$205.61–$734.40	—	64%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$183.90	$613.00	$62.61–$551.70	43% below	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$220.68	$613.00	$154.46–$551.70	—	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$660.00	$2,200.00	$337.14–$1,980.00	65% below	70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$792.00	$2,200.00	$554.35–$1,980.00	—	64%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$661.20	$2,204.00	$161.07–$1,983.60	48% below	70%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$793.44	$2,204.00	$555.36–$1,983.60	—	64%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$661.20	$2,204.00	$161.07–$1,983.60	46% below	70%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$793.44	$2,204.00	$555.36–$1,983.60	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$661.20	$2,204.00	$161.07–$1,983.60	48% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$793.44	$2,204.00	$555.36–$1,983.60	—	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W	$700.50	$2,335.00	$161.07–$2,101.50	16% below	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W	$840.60	$2,335.00	$588.37–$2,101.50	—	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL	$176.40	$588.00	$79.66–$1,529.00	6% below	70%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL	$211.68	$588.00	$148.16–$529.20	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$600.90	$2,003.00	$128.96–$1,802.70	50% below	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$721.08	$2,003.00	$504.71–$1,802.70	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$880.20	$2,934.00	$280.29–$2,640.60	49% below	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$1,056.24	$2,934.00	$739.30–$2,640.60	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$1,222.50	$4,075.00	$316.80–$3,667.50	29% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$1,467.00	$4,075.00	$1,026.81–$3,667.50	—	64%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$464.70	$1,549.00	$161.07–$1,529.00	56% below	70%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$557.64	$1,549.00	$390.31–$1,394.10	—	64%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$342.30	$1,141.00	$96.38–$1,529.00	59% below	70%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$464.70	$1,549.00	$96.38–$1,529.00	44% below	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$557.64	$1,549.00	$390.31–$1,394.10	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$342.30	$1,141.00	$96.38–$1,529.00	55% below	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$518.10	$1,727.00	$161.07–$1,554.30	39% below	70%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$621.72	$1,727.00	$435.16–$1,554.30	—	64%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$586.50	$1,955.00	$161.07–$1,759.50	44% below	70%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$703.80	$1,955.00	$492.62–$1,759.50	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$342.30	$1,141.00	$96.38–$1,529.00	61% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$342.30	$1,141.00	$96.38–$1,529.00	59% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$464.70	$1,549.00	$161.07–$1,529.00	50% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$557.64	$1,549.00	$390.31–$1,394.10	—	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$366.60	$1,222.00	$175.56–$1,099.80	62% below	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$439.92	$1,222.00	$307.92–$1,099.80	—	64%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$586.50	$1,955.00	$161.07–$1,759.50	46% below	70%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$703.80	$1,955.00	$492.62–$1,759.50	—	64%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$91.50	$305.00	$26.11–$274.50	56% below	70%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$91.50	$305.00	$18.46–$274.50	44% below	70%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$109.80	$305.00	$76.85–$274.50	—	64%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$91.50	$305.00	$27.29–$274.50	52% below	70%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$109.80	$305.00	$76.85–$274.50	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$302.70	$1,009.00	$88.53–$908.10	40% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$363.24	$1,009.00	$254.24–$908.10	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$133.20	$444.00	$32.39–$399.60	54% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$159.84	$444.00	$111.88–$399.60	—	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$73.80	$246.00	$24.54–$221.40	49% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$88.56	$246.00	$61.99–$221.40	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL	$617.70	$2,059.00	$96.58–$1,853.10	10% above	70%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL	$741.24	$2,059.00	$518.82–$1,853.10	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$316.80	$1,056.00	$96.38–$1,529.00	62% below	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$380.16	$1,056.00	$266.09–$950.40	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$464.70	$1,549.00	$161.07–$1,529.00	50% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$557.64	$1,549.00	$390.31–$1,394.10	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$163.80	$546.00	$91.06–$491.40	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$196.56	$546.00	$137.58–$491.40	—	64%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$111.90	$373.00	$71.09–$373.00	50% below	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$134.28	$373.00	$93.99–$335.70	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$366.60	$1,222.00	$214.81–$1,099.80	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$439.92	$1,222.00	$307.92–$1,099.80	—	64%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$681.30	$2,271.00	$172.47–$2,043.90	48% below	70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$817.56	$2,271.00	$572.24–$2,043.90	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-TTE 2D W DOPP WO	$870.60	$2,902.00	$183.40–$2,611.80	47% below	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$1,661.70	$5,539.00	$183.40–$4,985.10	1% above	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US-TTE 2D W DOPP WO	$1,044.72	$2,902.00	$731.24–$2,611.80	—	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$1,994.04	$5,539.00	$1,395.70–$4,985.10	—	64%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$91.50	$305.00	$23.76–$274.50	45% below	70%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$91.50	$305.00	$26.90–$274.50	64% below	70%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$109.80	$305.00	$76.85–$274.50	—	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$342.30	$1,141.00	$96.38–$1,529.00	60% below	70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$144.90	$483.00	$39.46–$434.70	47% below	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$173.88	$483.00	$121.70–$434.70	—	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$91.50	$305.00	$24.15–$274.50	50% below	70%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$1,060.20	$3,534.00	$273.76–$3,180.60	19% below	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$1,272.24	$3,534.00	$890.49–$3,180.60	—	64%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$147.30	$491.00	$26.11–$441.90	14% below	70%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$176.76	$491.00	$123.72–$441.90	—	64%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$91.50	$305.00	$23.76–$274.50	57% below	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$109.80	$305.00	$76.85–$274.50	—	64%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF	$160.80	$536.00	$46.97–$498.34	61% below	70%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLPSTDY UNATT RS EFF	$192.96	$536.00	$135.06–$482.40	—	64%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO	$3,740.10	$12,467.00	$487.50–$11,220.30	15% above	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO	$4,488.12	$12,467.00	$3,141.40–$11,220.30	—	64%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$147.30	$491.00	$33.25–$441.90	36% below	70%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$176.76	$491.00	$123.72–$441.90	—	64%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$147.30	$491.00	$37.96–$441.90	44% below	70%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$176.76	$491.00	$123.72–$441.90	—	64%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$342.30	$1,141.00	$96.38–$1,529.00	56% below	70%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$316.20	$1,054.00	$71.65–$948.60	31% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$379.44	$1,054.00	$265.58–$948.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$157.20	$524.00	$26.87–$471.60	48% below	70%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$188.64	$524.00	$132.04–$471.60	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$183.60	$612.00	$82.88–$1,529.00	4% below	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$220.32	$612.00	$154.21–$550.80	—	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$91.50	$305.00	$26.90–$274.50	54% below	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$537.30	$1,791.00	$214.81–$2,021.00	52% below	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$537.30	$1,791.00	$214.81–$2,021.00	48% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$906.30	$3,021.00	$337.14–$2,718.90	37% below	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$1,087.56	$3,021.00	$761.22–$2,718.90	—	64%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$537.30	$1,791.00	$170.58–$2,021.00	50% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$906.30	$3,021.00	$316.80–$2,718.90	43% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$1,087.56	$3,021.00	$761.22–$2,718.90	—	64%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$537.30	$1,791.00	$214.81–$2,021.00	47% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$906.30	$3,021.00	$337.14–$2,718.90	31% below	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$1,087.56	$3,021.00	$761.22–$2,718.90	—	64%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$537.30	$1,791.00	$214.81–$2,021.00	47% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$906.30	$3,021.00	$337.14–$2,718.90	38% below	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$1,087.56	$3,021.00	$761.22–$2,718.90	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$537.30	$1,791.00	$214.81–$2,021.00	47% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$906.30	$3,021.00	$337.14–$2,718.90	38% below	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$1,087.56	$3,021.00	$761.22–$2,718.90	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$537.30	$1,791.00	$214.81–$2,021.00	48% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$906.30	$3,021.00	$337.14–$2,718.90	38% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$1,087.56	$3,021.00	$761.22–$2,718.90	—	64%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$537.30	$1,791.00	$214.81–$2,021.00	49% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$537.30	$1,791.00	$214.81–$2,021.00	50% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$644.76	$1,791.00	$451.29–$1,611.90	—	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$147.30	$491.00	$44.95–$441.90	58% below	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$176.76	$491.00	$123.72–$441.90	—	64%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$464.70	$1,549.00	$161.07–$1,529.00	53% below	70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$557.64	$1,549.00	$390.31–$1,394.10	—	64%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$342.30	$1,141.00	$96.38–$1,529.00	59% below	70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$90.60	$302.00	$25.73–$271.80	48% below	70%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$108.72	$302.00	$76.10–$271.80	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$3,380.10	$11,267.00	$400.85–$10,140.30	12% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$4,056.12	$11,267.00	$2,839.02–$10,140.30	—	64%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$342.30	$1,141.00	$96.38–$1,529.00	59% below	70%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$244.80	$816.00	$27.69–$734.40	31% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$293.76	$816.00	$205.61–$734.40	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$316.20	$1,054.00	$87.74–$948.60	32% below	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$379.44	$1,054.00	$265.58–$948.60	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$316.20	$1,054.00	$96.38–$948.60	43% below	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$379.44	$1,054.00	$265.58–$948.60	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$316.20	$1,054.00	$84.60–$948.60	39% below	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$379.44	$1,054.00	$265.58–$948.60	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$244.80	$816.00	$60.26–$734.40	36% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$293.76	$816.00	$205.61–$734.40	—	64%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$91.50	$305.00	$29.25–$274.50	55% below	70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$109.80	$305.00	$76.85–$274.50	—	64%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$147.30	$491.00	$33.17–$441.90	39% below	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$176.76	$491.00	$123.72–$441.90	—	64%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$134.70	$449.00	$74.85–$404.10	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$161.64	$449.00	$113.14–$404.10	—	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$147.30	$491.00	$28.46–$441.90	30% below	70%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$176.76	$491.00	$123.72–$441.90	—	64%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$319.50	$1,065.00	$30.83–$958.50	13% above	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$383.40	$1,065.00	$268.36–$958.50	—	64%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$144.90	$483.00	$30.43–$434.70	38% below	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$173.88	$483.00	$121.70–$434.70	—	64%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO	$2,868.30	$9,561.00	$465.86–$8,604.90	9% above	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO	$3,441.96	$9,561.00	$2,409.15–$8,604.90	—	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$280.20	$934.00	$84.01–$840.60	23% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$336.24	$934.00	$235.35–$840.60	—	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$91.50	$305.00	$30.04–$274.50	54% below	70%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$342.30	$1,141.00	$96.38–$1,529.00	60% below	70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$410.76	$1,141.00	$287.51–$1,026.90	—	64%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$91.50	$305.00	$25.25–$274.50	40% below	70%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$109.80	$305.00	$76.85–$274.50	—	64%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$361.50	$1,205.00	$96.38–$1,084.50	11% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$433.80	$1,205.00	$303.63–$1,084.50	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$244.80	$816.00	$68.51–$734.40	34% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$293.76	$816.00	$205.61–$734.40	—	64%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$379.50	$1,265.00	$95.20–$1,138.50	28% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$455.40	$1,265.00	$318.75–$1,138.50	—	64%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$244.80	$816.00	$84.99–$734.40	42% below	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$293.76	$816.00	$205.61–$734.40	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$316.20	$1,054.00	$96.38–$948.60	26% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$379.44	$1,054.00	$265.58–$948.60	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$641.70	$2,139.00	$99.51–$1,925.10	22% above	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$770.04	$2,139.00	$538.98–$1,925.10	—	64%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$91.50	$305.00	$27.29–$274.50	52% below	70%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$109.80	$305.00	$76.85–$274.50	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$316.20	$1,054.00	$96.38–$948.60	50% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$379.44	$1,054.00	$265.58–$948.60	—	64%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$91.50	$305.00	$28.43–$274.50	41% below	70%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$91.50	$305.00	$31.34–$274.50	64% below	70%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$91.50	$305.00	$40.64–$274.50	65% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$91.50	$305.00	$23.76–$274.50	58% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$147.30	$491.00	$27.69–$441.90	8% below	70%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$176.76	$491.00	$123.72–$441.90	—	64%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$91.50	$305.00	$25.60–$274.50	43% below	70%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$91.50	$305.00	$23.76–$274.50	44% below	70%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$91.50	$305.00	$29.65–$274.50	55% below	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$91.50	$305.00	$30.31–$274.50	55% below	70%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$91.50	$305.00	$29.62–$274.50	56% below	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$147.30	$491.00	$32.79–$441.90	41% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$176.76	$491.00	$123.72–$441.90	—	64%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$147.30	$491.00	$43.39–$441.90	58% below	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$176.76	$491.00	$123.72–$441.90	—	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$147.30	$491.00	$25.73–$441.90	37% below	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$176.76	$491.00	$123.72–$441.90	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$90.60	$302.00	$30.31–$271.80	55% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$108.72	$302.00	$76.10–$271.80	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$147.30	$491.00	$32.39–$441.90	41% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$176.76	$491.00	$123.72–$441.90	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$147.30	$491.00	$21.79–$441.90	25% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$176.76	$491.00	$123.72–$441.90	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$91.50	$305.00	$26.90–$274.50	58% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$109.80	$305.00	$76.85–$274.50	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 L4440 ACTH PL ECLIA	$319.20	$1,064.00	$18.27–$957.60	28% above	70%
ACTH blood test CPT 82024 L225268 ACTH	$319.20	$1,064.00	$18.27–$957.60	28% above	70%
ACTH blood test CPT 82024 ADRENOCORT ACTH	$319.20	$1,064.00	$18.27–$957.60	28% above	70%
ACTH blood test inpatient CPT 82024 L225268 ACTH	$383.04	$1,064.00	$268.10–$957.60	—	64%
ACTH blood test inpatient CPT 82024 L4440 ACTH PL ECLIA	$383.04	$1,064.00	$268.10–$957.60	—	64%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$383.04	$1,064.00	$268.10–$957.60	—	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 L550960 ALT	$21.00	$70.00	$2.51–$63.00	24% below	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 L550180 ALT	$21.00	$70.00	$2.51–$63.00	24% below	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$21.00	$70.00	$2.51–$63.00	24% below	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$25.20	$70.00	$17.64–$63.00	—	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 L550180 ALT	$25.20	$70.00	$17.64–$63.00	—	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 L550960 ALT	$25.20	$70.00	$17.64–$63.00	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 L550960 AST	$27.90	$93.00	$2.44–$83.70	4% below	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 L550180 AST	$27.90	$93.00	$2.44–$83.70	4% below	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$27.90	$93.00	$2.44–$83.70	4% below	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 L550180 AST	$33.48	$93.00	$23.43–$83.70	—	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 L550960 AST	$33.48	$93.00	$23.43–$83.70	—	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$33.48	$93.00	$23.43–$83.70	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$378.60	$1,262.00	$13.68–$1,135.80	20% above	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$454.32	$1,262.00	$317.99–$1,135.80	—	64%
Albumin blood test CPT 82040 L1081 ALBUMIN SR	$22.80	$76.00	$2.71–$68.40	at median	70%
Albumin blood test CPT 82040 L002238 ALB SER	$22.80	$76.00	$2.71–$68.40	at median	70%
Albumin blood test CPT 82040 L123390 ALB SER	$22.80	$76.00	$2.71–$68.40	at median	70%
Albumin blood test CPT 82040 ALBUMIN SERUM	$22.80	$76.00	$2.71–$68.40	at median	70%
Albumin blood test CPT 82040 L203836ALBUMIN SERUM	$22.80	$76.00	$2.71–$68.40	at median	70%
Albumin blood test inpatient CPT 82040 L1081 ALBUMIN SR	$27.36	$76.00	$19.15–$68.40	—	64%
Albumin blood test inpatient CPT 82040 L123390 ALB SER	$27.36	$76.00	$19.15–$68.40	—	64%
Albumin blood test inpatient CPT 82040 L002238 ALB SER	$27.36	$76.00	$19.15–$68.40	—	64%
Albumin blood test inpatient CPT 82040 L203836ALBUMIN SERUM	$27.36	$76.00	$19.15–$68.40	—	64%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$27.36	$76.00	$19.15–$68.40	—	64%
Aldosterone blood test CPT 82088 L4374 ALDOSTE LCMSMS	$244.50	$815.00	$20.12–$733.50	19% above	70%
Aldosterone blood test CPT 82088 L4291 ALDOS U24 LCMS	$244.50	$815.00	$20.12–$733.50	19% above	70%
Aldosterone blood test CPT 82088 L4354 ALDOSTERONE	$244.50	$815.00	$20.12–$733.50	19% above	70%
Aldosterone blood test CPT 82088 ALDOSTERONE	$244.50	$815.00	$20.12–$733.50	19% above	70%
Aldosterone blood test CPT 82088 L289116 ALDOSTERONE	$244.50	$815.00	$20.12–$733.50	19% above	70%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$293.40	$815.00	$205.36–$733.50	—	64%
Aldosterone blood test inpatient CPT 82088 L4291 ALDOS U24 LCMS	$293.40	$815.00	$205.36–$733.50	—	64%
Aldosterone blood test inpatient CPT 82088 L4374 ALDOSTE LCMSMS	$293.40	$815.00	$205.36–$733.50	—	64%
Aldosterone blood test inpatient CPT 82088 L4354 ALDOSTERONE	$293.40	$815.00	$205.36–$733.50	—	64%
Aldosterone blood test inpatient CPT 82088 L289116 ALDOSTERONE	$293.40	$815.00	$205.36–$733.50	—	64%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASEALKALINE	$31.20	$104.00	$2.45–$93.60	2% below	70%
Alkaline phosphatase (ALP) blood test CPT 84075 L1612 PHOSPHATAS ALK	$31.20	$104.00	$2.45–$93.60	2% below	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASEALKALINE	$37.44	$104.00	$26.21–$93.60	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 L1612 PHOSPHATAS ALK	$37.44	$104.00	$26.21–$93.60	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 L602483ALG F17 IGE I	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L607745 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L607744 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602797 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L607746 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L607748 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L607749 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L601288 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L605878 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L607751 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L604783 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L603680 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602632 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L62695 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602988 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602989 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L62448 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L670654 ALLERGEN IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L671926 ALG IGE QT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602684 ALG E3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602948 ALG T11 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602867 ALG G3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602724 ALG F49 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602970 ALG W13 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602900 ALG M12 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602925 ALG T4 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602529 ALG F207 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602773 ALG F212 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602504 ALG F6 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602521 ALG F31 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602553 ALG F7 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L1641491 ALG F4 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602742 ALG F92 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602517 ALG F12 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602513 ALG F44 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602843 ALG C74 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602782 ALG F221 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602851 ALG F297 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L604518 ALG F332 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602819 F281 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602781 ALG F220 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602726 ALG F54 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602775 ALG F214 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602715 ALG F11 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602769 ALG F209 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602832 ALG F306 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602717 ALG F343 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602743 ALG F94 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602826 ALG F289 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602802 ALG F259 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L826700 ALG BLBEAN E	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602841 ALG F324 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L804130 ALG RI204 E	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602894 ALG I071 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602478 ALG F338 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602838 ALG F315 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602927 ALG T15 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602807 ALG F265 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602700 ALG E82 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602567 ALG F45 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L604159 ALG CASW COM	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602766 ALG K84 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602776 ALG F215 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602472 ALG F33 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602550 ALG F253 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602964 ALG W3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602496 ALG G8 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602465 ALG F3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602801 ALG F058 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602719 ALG F037 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602499 ALG F35 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602468 ALG F25 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602460 ALG F8 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602739 ALG F89 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602669 ALG K082 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602452 F001 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602570 W016 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602533 T022 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602518 T014 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602486 F203 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602689 ALG E72 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602561 ALG M8 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602519 ALG F47 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602891 ALG I5 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602889 ALG I3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602886 ALG I1 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602528 ALG F245 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602487 ALG F75 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602467 ALG D1 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602823 ALG F284 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602500 ALG F83 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602488ALG I6 IGE IA	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602507 ALG F41 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602453ALG F2 IGE IA	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602473 ALG F24 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602493 ALG F23 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602530ALG F256 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602511ALG F9 IGE IA	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602462ALG M2 IGE IA	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602786 ALG F225 IC	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602497 ALG F79 IC	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602973 ALG W20 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602936 ALG T3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602569 ALG T70 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602542 ALG W18 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602537 ALG W10 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602536 ALG W9 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602531 ALG W6 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602515 ALG W11 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602509 ALG F27 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602506 ALG G6 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602503 ALG G10 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602502 ALG M1 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602498 ALG F26 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602495 ALG F80 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602494 ALG T10 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602492 ALG F93 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602491 ALG T6 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602489 ALG T1 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602485 ALG F10 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602484 ALG W14 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602480 ALG T7 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602479 ALG F20 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602477 ALG F18 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602476 ALG T8 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602475 ALG D2 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602471 ALG M3 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602470 ALG F201 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602464 ALG G2 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602463 ALG W1 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602461 ALG F202 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602459 ALG F4 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602457 ALG F14 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602456 ALG E5 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602455 ALG M6 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602454 ALG E1 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 L602451 ALG F13 IGE	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$21.30	$71.00	$2.96–$63.90	11% above	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602927 ALG T15 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602807 ALG F265 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602454 ALG E1 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602700 ALG E82 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602462ALG M2 IGE IA	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602567 ALG F45 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602489 ALG T1 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L604159 ALG CASW COM	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602786 ALG F225 IC	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602766 ALG K84 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602464 ALG G2 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602776 ALG F215 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602497 ALG F79 IC	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602782 ALG F221 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602495 ALG F80 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602851 ALG F297 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602488ALG I6 IGE IA	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L604518 ALG F332 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602471 ALG M3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602819 F281 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602507 ALG F41 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602781 ALG F220 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602494 ALG T10 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602726 ALG F54 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602453ALG F2 IGE IA	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602775 ALG F214 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602457 ALG F14 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602715 ALG F11 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602473 ALG F24 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602769 ALG F209 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602492 ALG F93 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602832 ALG F306 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602493 ALG F23 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602717 ALG F343 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602743 ALG F94 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602483ALG F17 IGE I	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602826 ALG F289 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602802 ALG F259 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L826700 ALG BLBEAN E	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602841 ALG F324 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L804130 ALG RI204 E	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602894 ALG I071 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602470 ALG F201 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602478 ALG F338 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602530ALG F256 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602838 ALG F315 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602491 ALG T6 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602511ALG F9 IGE IA	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602472 ALG F33 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602485 ALG F10 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602550 ALG F253 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602973 ALG W20 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602964 ALG W3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602456 ALG E5 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602496 ALG G8 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602936 ALG T3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602465 ALG F3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602484 ALG W14 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602801 ALG F058 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602569 ALG T70 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602719 ALG F037 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602463 ALG W1 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602499 ALG F35 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602542 ALG W18 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602468 ALG F25 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602480 ALG T7 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602460 ALG F8 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602537 ALG W10 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602739 ALG F89 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607745 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602669 ALG K082 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607744 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602536 ALG W9 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602797 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602452 F001 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607746 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602479 ALG F20 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607748 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602570 W016 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607749 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602531 ALG W6 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L601288 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602533 T022 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L605878 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602461 ALG F202 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607751 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L604783 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L603680 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602518 T014 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602632 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602515 ALG W11 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L62695 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602486 F203 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602988 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602477 ALG F18 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602989 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602689 ALG E72 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L62448 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602509 ALG F27 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L670654 ALLERGEN IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602561 ALG M8 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L671926 ALG IGE QT	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602455 ALG M6 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602684 ALG E3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602519 ALG F47 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602948 ALG T11 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602506 ALG G6 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602867 ALG G3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602891 ALG I5 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602724 ALG F49 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602476 ALG T8 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602970 ALG W13 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602889 ALG I3 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602900 ALG M12 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602503 ALG G10 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602925 ALG T4 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602886 ALG I1 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602529 ALG F207 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602459 ALG F4 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602773 ALG F212 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602528 ALG F245 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602504 ALG F6 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602502 ALG M1 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602521 ALG F31 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602487 ALG F75 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602553 ALG F7 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602475 ALG D2 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L1641491 ALG F4 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602467 ALG D1 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602742 ALG F92 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602498 ALG F26 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602517 ALG F12 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602823 ALG F284 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602513 ALG F44 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602451 ALG F13 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602843 ALG C74 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602500 ALG F83 IGE	$25.56	$71.00	$17.89–$63.90	—	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$117.00	$390.00	$7.94–$351.00	15% above	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 L10801AFP MAT S ICMA	$117.00	$390.00	$7.94–$351.00	15% above	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 L17319 AFP SERUM	$117.00	$390.00	$7.94–$351.00	15% above	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 L2253 AFP TM ECLIA	$117.00	$390.00	$7.94–$351.00	15% above	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 L480012 AFP TM SRIAL	$117.00	$390.00	$7.94–$351.00	15% above	70%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L10801AFP MAT S ICMA	$140.40	$390.00	$98.27–$351.00	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L2253 AFP TM ECLIA	$140.40	$390.00	$98.27–$351.00	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L17319 AFP SERUM	$140.40	$390.00	$98.27–$351.00	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L480012 AFP TM SRIAL	$140.40	$390.00	$98.27–$351.00	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$140.40	$390.00	$98.27–$351.00	—	64%
Ammonia blood test CPT 82140 L306266 AMMONIA	$115.50	$385.00	$7.20–$346.50	4% below	70%
Ammonia blood test CPT 82140 AMMONIA	$115.50	$385.00	$7.20–$346.50	4% below	70%
Ammonia blood test inpatient CPT 82140 L306266 AMMONIA	$138.60	$385.00	$97.01–$346.50	—	64%
Ammonia blood test inpatient CPT 82140 AMMONIA	$138.60	$385.00	$97.01–$346.50	—	64%
Amylase blood test CPT 82150 L3293 AMYLASE U ENZ	$53.10	$177.00	$3.07–$159.30	2% above	70%
Amylase blood test CPT 82150 L088062AMYLASE BF EN	$53.10	$177.00	$3.07–$159.30	2% above	70%
Amylase blood test CPT 82150 AMYLASE	$53.10	$177.00	$3.07–$159.30	2% above	70%
Amylase blood test inpatient CPT 82150 AMYLASE	$63.72	$177.00	$44.60–$159.30	—	64%
Amylase blood test inpatient CPT 82150 L088062AMYLASE BF EN	$63.72	$177.00	$44.60–$159.30	—	64%
Amylase blood test inpatient CPT 82150 L3293 AMYLASE U ENZ	$63.72	$177.00	$44.60–$159.30	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 L164914 CCP IGA/G EL	$50.10	$167.00	$6.39–$150.30	5% below	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$50.10	$167.00	$6.39–$150.30	5% below	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 L164065 CCP AB	$50.10	$167.00	$6.39–$150.30	5% below	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 L164245 CCP AB	$50.10	$167.00	$6.39–$150.30	5% below	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 L164914 CCP IGA/G EL	$60.12	$167.00	$42.08–$150.30	—	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 L164245 CCP AB	$60.12	$167.00	$42.08–$150.30	—	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$60.12	$167.00	$42.08–$150.30	—	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 L164065 CCP AB	$60.12	$167.00	$42.08–$150.30	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L22236 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164855 ANA DIR MFIA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164947 ANA IFA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164865 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164863 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L340897 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L52373 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L54619 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L520293 ANA	$110.40	$368.00	$5.72–$331.20	84% above	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L54619 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L340897 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164855 ANA DIR MFIA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L22236 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L52373 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164947 ANA IFA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164863 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164865 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L520293 ANA	$132.48	$368.00	$92.73–$331.20	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 L143000 NT-PROBNP	$95.40	$318.00	$16.06–$286.20	44% below	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$95.40	$318.00	$16.06–$286.20	44% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 L143000 NT-PROBNP	$114.48	$318.00	$80.13–$286.20	—	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$114.48	$318.00	$80.13–$286.20	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 L180224 B.PERTUS CUL	$109.20	$364.00	$4.26–$327.60	17% above	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$109.20	$364.00	$4.26–$327.60	17% above	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 L188227 CULTURE BACT	$109.20	$364.00	$4.26–$327.60	17% above	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 L180802 BDY FLD CUL	$109.20	$364.00	$4.26–$327.60	17% above	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$131.04	$364.00	$91.72–$327.60	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 L180224 B.PERTUS CUL	$131.04	$364.00	$91.72–$327.60	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 L180802 BDY FLD CUL	$131.04	$364.00	$91.72–$327.60	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 L188227 CULTURE BACT	$131.04	$364.00	$91.72–$327.60	—	64%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$52.50	$175.00	$3.47–$157.50	33% below	70%
Basic metabolic panel (blood test) CPT 80048 L322758 BMP	$52.50	$175.00	$3.47–$157.50	33% below	70%
Basic metabolic panel (blood test) inpatient CPT 80048 L322758 BMP	$63.00	$175.00	$44.10–$157.50	—	64%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$63.00	$175.00	$44.10–$157.50	—	64%
Bilirubin blood test, total CPT 82247 L550180 BILIRUB TOT	$24.00	$80.00	$1.91–$72.00	31% below	70%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$24.00	$80.00	$1.91–$72.00	31% below	70%
Bilirubin blood test, total CPT 82247 L827969 BILI TOT BF	$24.00	$80.00	$1.91–$72.00	31% below	70%
Bilirubin blood test, total CPT 82247 L550960 BILIRUBIN T	$24.00	$80.00	$1.91–$72.00	31% below	70%
Bilirubin blood test, total inpatient CPT 82247 L550180 BILIRUB TOT	$28.80	$80.00	$20.16–$72.00	—	64%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$28.80	$80.00	$20.16–$72.00	—	64%
Bilirubin blood test, total inpatient CPT 82247 L827969 BILI TOT BF	$28.80	$80.00	$20.16–$72.00	—	64%
Bilirubin blood test, total inpatient CPT 82247 L550960 BILIRUBIN T	$28.80	$80.00	$20.16–$72.00	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$240.60	$802.00	$32.69–$721.80	7% below	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$288.72	$802.00	$202.09–$721.80	—	64%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$134.70	$449.00	$4.88–$404.10	3% above	70%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$161.64	$449.00	$113.14–$404.10	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTUREROUTINE	$22.80	$76.00	$5.00–$68.40	37% above	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTUREROUTINE	$27.36	$76.00	$19.15–$68.40	—	64%
Blood glucose (sugar) test CPT 82947 L550960 GLU QT	$21.00	$70.00	$1.94–$63.00	21% below	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT	$21.00	$70.00	$1.94–$63.00	21% below	70%
Blood glucose (sugar) test CPT 82947 L550180 GLU TOT	$21.00	$70.00	$1.94–$63.00	21% below	70%
Blood glucose (sugar) test inpatient CPT 82947 L550960 GLU QT	$25.20	$70.00	$17.64–$63.00	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT	$25.20	$70.00	$17.64–$63.00	—	64%
Blood glucose (sugar) test inpatient CPT 82947 L550180 GLU TOT	$25.20	$70.00	$17.64–$63.00	—	64%
Blood lead test CPT 83655 L717016 LEAD BL PED	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 L7492 LEAD	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 L42580 LEAD	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 L717009PB BL AAS-ICP	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 L7625 LEAD BL ICP/MS	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 LEAD	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 L7046 LEAD	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test CPT 83655 L7633 LEAD	$106.80	$356.00	$7.00–$320.40	50% above	70%
Blood lead test inpatient CPT 83655 L717016 LEAD BL PED	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 L7633 LEAD	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 LEAD	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 L7046 LEAD	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 L7625 LEAD BL ICP/MS	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 L717009PB BL AAS-ICP	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 L42580 LEAD	$128.16	$356.00	$89.70–$320.40	—	64%
Blood lead test inpatient CPT 83655 L7492 LEAD	$128.16	$356.00	$89.70–$320.40	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL	$53.70	$179.00	$3.55–$161.10	26% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 L4556 BHCG QL	$53.70	$179.00	$3.55–$161.10	26% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL	$64.44	$179.00	$45.10–$161.10	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 L4556 BHCG QL	$64.44	$179.00	$45.10–$161.10	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$97.80	$326.00	$1.41–$293.40	99% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HX3 ABO	$97.80	$326.00	$1.41–$293.40	99% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 L202945 ABO	$97.80	$326.00	$1.41–$293.40	99% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HX2 ABO	$97.80	$326.00	$1.41–$293.40	99% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HX1 ABO	$97.80	$326.00	$1.41–$293.40	99% above	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$117.36	$326.00	$82.14–$293.40	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 L202945 ABO	$117.36	$326.00	$82.14–$293.40	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HX3 ABO	$117.36	$326.00	$82.14–$293.40	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HX1 ABO	$117.36	$326.00	$82.14–$293.40	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HX2 ABO	$117.36	$326.00	$82.14–$293.40	—	64%
Blood urea nitrogen (BUN) test CPT 84520 L210856 UREA NIT QT	$21.30	$71.00	$1.87–$63.90	10% below	70%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGENQUAN	$21.30	$71.00	$1.87–$63.90	10% below	70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGENQUAN	$25.56	$71.00	$17.89–$63.90	—	64%
Blood urea nitrogen (BUN) test inpatient CPT 84520 L210856 UREA NIT QT	$25.56	$71.00	$17.89–$63.90	—	64%
C-peptide blood test CPT 84681 L213660 C-PEPTIDE	$185.40	$618.00	$9.84–$556.20	35% above	70%
C-peptide blood test CPT 84681 L10108 C-PEPID ECLIA	$185.40	$618.00	$9.84–$556.20	35% above	70%
C-peptide blood test CPT 84681 C-PEPTIDE	$185.40	$618.00	$9.84–$556.20	35% above	70%
C-peptide blood test CPT 84681 L503830 C PEP US ES	$185.40	$618.00	$9.84–$556.20	35% above	70%
C-peptide blood test inpatient CPT 84681 L10108 C-PEPID ECLIA	$222.48	$618.00	$155.72–$556.20	—	64%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$222.48	$618.00	$155.72–$556.20	—	64%
C-peptide blood test inpatient CPT 84681 L503830 C PEP US ES	$222.48	$618.00	$155.72–$556.20	—	64%
C-peptide blood test inpatient CPT 84681 L213660 C-PEPTIDE	$222.48	$618.00	$155.72–$556.20	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 L164245 CRP	$107.40	$358.00	$2.45–$322.20	56% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 L6627 C REAC PROT QT	$107.40	$358.00	$2.45–$322.20	56% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$107.40	$358.00	$2.45–$322.20	56% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 L805628 C REACT PROT	$107.40	$358.00	$2.45–$322.20	56% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 L6627 C REAC PROT QT	$128.88	$358.00	$90.21–$322.20	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$128.88	$358.00	$90.21–$322.20	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 L805628 C REACT PROT	$128.88	$358.00	$90.21–$322.20	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 L164245 CRP	$128.88	$358.00	$90.21–$322.20	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$60.00	$200.00	$17.33–$180.00	55% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$72.00	$200.00	$50.40–$180.00	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 L829524 CA AG G1 FLD	$189.00	$630.00	$10.26–$567.00	30% above	70%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$189.00	$630.00	$10.26–$567.00	30% above	70%
CA 19-9 blood test (tumor marker) CPT 86301 L2261 CA 19-9 ECLIA	$189.00	$630.00	$10.26–$567.00	30% above	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 L829524 CA AG G1 FLD	$226.80	$630.00	$158.75–$567.00	—	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 L2261 CA 19-9 ECLIA	$226.80	$630.00	$158.75–$567.00	—	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$226.80	$630.00	$158.75–$567.00	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 L480061 CA 125	$189.00	$630.00	$10.26–$567.00	16% above	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 L2303 CA 125 ECLIA	$189.00	$630.00	$10.26–$567.00	16% above	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$189.00	$630.00	$10.26–$567.00	16% above	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$226.80	$630.00	$158.75–$567.00	—	64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 L480061 CA 125	$226.80	$630.00	$158.75–$567.00	—	64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 L2303 CA 125 ECLIA	$226.80	$630.00	$158.75–$567.00	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$80.40	$268.00	$20.52–$241.20	24% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA	$80.40	$268.00	$20.52–$241.20	24% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$96.48	$268.00	$67.53–$241.20	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA	$96.48	$268.00	$67.53–$241.20	—	64%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$26.10	$87.00	$2.44–$78.30	1% below	70%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$31.32	$87.00	$21.92–$78.30	—	64%
Carcinoembryonic antigen (CEA) test CPT 82378 L142331 CEA FLD	$124.20	$414.00	$8.98–$372.60	3% above	70%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$124.20	$414.00	$8.98–$372.60	3% above	70%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$149.04	$414.00	$104.32–$372.60	—	64%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 L142331 CEA FLD	$149.04	$414.00	$104.32–$372.60	—	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$90.60	$302.00	$6.09–$271.80	7% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 L96206 VZV IGG CLIA	$90.60	$302.00	$6.09–$271.80	7% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 L96776VZV QT IGM EIA	$90.60	$302.00	$6.09–$271.80	7% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 L235945 VZV AB	$90.60	$302.00	$6.09–$271.80	7% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 L816621 VZV AB	$90.60	$302.00	$6.09–$271.80	7% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 L816630 VZV AB	$90.60	$302.00	$6.09–$271.80	7% below	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L816621 VZV AB	$108.72	$302.00	$76.10–$271.80	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L96776VZV QT IGM EIA	$108.72	$302.00	$76.10–$271.80	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L96206 VZV IGG CLIA	$108.72	$302.00	$76.10–$271.80	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$108.72	$302.00	$76.10–$271.80	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L235945 VZV AB	$108.72	$302.00	$76.10–$271.80	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L816630 VZV AB	$108.72	$302.00	$76.10–$271.80	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L144053 C TRACH PRB	$72.30	$241.00	$16.60–$216.90	26% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L197676 C TRACH PRB	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188078 C.TRACHO NAA	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183194CHLMYD TRACH	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183160 C TRACH AMP	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188070 C TRACH AMP	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L180021 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199310 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199320 C TRACH PRB	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 C TRACH PRB	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L180049 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L183616 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188672 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188698 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L192104 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L192120 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L196565 CTRACH AMPPR	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199325 C TRACH PRB	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199315 C TRACH PRB	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L196502 C TRACH PRB	$75.00	$250.00	$16.60–$225.00	23% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L144053 C TRACH PRB	$86.76	$241.00	$60.73–$216.90	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L180021 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188070 C TRACH AMP	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183160 C TRACH AMP	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L196502 C TRACH PRB	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199315 C TRACH PRB	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183194CHLMYD TRACH	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199325 C TRACH PRB	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188078 C.TRACHO NAA	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199320 C TRACH PRB	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L196565 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L192120 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199310 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 C TRACH PRB	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L197676 C TRACH PRB	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L180049 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L183616 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188672 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188698 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L192104 CTRACH AMPPR	$90.00	$250.00	$62.99–$225.00	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L363676 LIPID CASCD	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L806885 LIPID PNL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L123638 LIPID PNL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L33886 LIPID PANEL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L884247 LIPID PANEL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L235036 LIPID PANEL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L303756 LIPID PNL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L361946 LIPID CASCD	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$61.20	$204.00	$6.02–$183.60	42% below	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L303756 LIPID PNL	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L33886 LIPID PANEL	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L884247 LIPID PANEL	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L235036 LIPID PANEL	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L363676 LIPID CASCD	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L123638 LIPID PNL	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L361946 LIPID CASCD	$73.44	$204.00	$51.40–$183.60	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L806885 LIPID PNL	$73.44	$204.00	$51.40–$183.60	—	64%
Complete blood count (CBC) with differential CPT 85025 L202945 CBCD AUTO	$30.60	$102.00	$3.68–$91.80	26% below	70%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$30.60	$102.00	$3.68–$91.80	26% below	70%
Complete blood count (CBC) with differential inpatient CPT 85025 L202945 CBCD AUTO	$36.72	$102.00	$25.70–$91.80	—	64%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$36.72	$102.00	$25.70–$91.80	—	64%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$30.60	$102.00	$3.06–$91.80	4% above	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$36.72	$102.00	$25.70–$91.80	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$138.30	$461.00	$5.00–$414.90	56% above	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$165.96	$461.00	$116.16–$414.90	—	64%
Cortisol blood test, total CPT 82533 L500440 CORTISOL TOT	$105.90	$353.00	$7.71–$317.70	12% above	70%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$105.90	$353.00	$7.71–$317.70	12% above	70%
Cortisol blood test, total CPT 82533 L500179SALIV CORT MS	$105.90	$353.00	$7.71–$317.70	12% above	70%
Cortisol blood test, total CPT 82533 L241398 DEXAMETH SUP	$105.90	$353.00	$7.71–$317.70	12% above	70%
Cortisol blood test, total CPT 82533 L503990 CORTISOL DST	$105.90	$353.00	$7.71–$317.70	12% above	70%
Cortisol blood test, total inpatient CPT 82533 L241398 DEXAMETH SUP	$127.08	$353.00	$88.95–$317.70	—	64%
Cortisol blood test, total inpatient CPT 82533 L503990 CORTISOL DST	$127.08	$353.00	$88.95–$317.70	—	64%
Cortisol blood test, total inpatient CPT 82533 L500179SALIV CORT MS	$127.08	$353.00	$88.95–$317.70	—	64%
Cortisol blood test, total inpatient CPT 82533 L500440 CORTISOL TOT	$127.08	$353.00	$88.95–$317.70	—	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$127.08	$353.00	$88.95–$317.70	—	64%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$24.90	$83.00	$3.08–$74.70	36% below	70%
Creatine kinase (CK) blood test, total CPT 82550 L1362 CK TOTAL SR	$24.90	$83.00	$3.08–$74.70	36% below	70%
Creatine kinase (CK) blood test, total CPT 82550 L2154 CPK TOTAL	$24.90	$83.00	$3.08–$74.70	36% below	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 L1362 CK TOTAL SR	$29.88	$83.00	$20.91–$74.70	—	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 L2154 CPK TOTAL	$29.88	$83.00	$20.91–$74.70	—	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$29.88	$83.00	$20.91–$74.70	—	64%
Creatinine blood test CPT 82565 L100768 EGFR KIN JAF	$17.40	$58.00	$2.42–$52.20	40% below	70%
Creatinine blood test CPT 82565 CREATININE BLOOD	$20.70	$69.00	$2.42–$62.10	28% below	70%
Creatinine blood test CPT 82565 L210856 CREAT BLD	$20.70	$69.00	$2.42–$62.10	28% below	70%
Creatinine blood test inpatient CPT 82565 L100768 EGFR KIN JAF	$20.88	$58.00	$14.61–$52.20	—	64%
Creatinine blood test inpatient CPT 82565 L210856 CREAT BLD	$24.84	$69.00	$17.39–$62.10	—	64%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$24.84	$69.00	$17.39–$62.10	—	64%
Cytomegalovirus (CMV) antibody test CPT 86644 L221085 CMV AB	$112.80	$376.00	$6.81–$338.40	42% above	70%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$112.80	$376.00	$6.81–$338.40	42% above	70%
Cytomegalovirus (CMV) antibody test CPT 86644 L6494 CMV IGG CLIA	$112.80	$376.00	$6.81–$338.40	42% above	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 L221085 CMV AB	$135.36	$376.00	$94.74–$338.40	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$135.36	$376.00	$94.74–$338.40	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 L6494 CMV IGG CLIA	$135.36	$376.00	$94.74–$338.40	—	64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$77.70	$259.00	$5.02–$233.10	36% below	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$93.24	$259.00	$65.26–$233.10	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 L500161 DHEAS SER	$189.00	$630.00	$10.52–$567.00	29% above	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$189.00	$630.00	$10.52–$567.00	29% above	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 L4020 DHEA SUL ECLIA	$189.00	$630.00	$10.52–$567.00	29% above	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 L4020 DHEA SUL ECLIA	$226.80	$630.00	$158.75–$567.00	—	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 L500161 DHEAS SER	$226.80	$630.00	$158.75–$567.00	—	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$226.80	$630.00	$158.75–$567.00	—	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764024 CARSP MEP UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L7237 ETHANOL U ENZ	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L790350MEPH/MDPV/MET	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L763400BUPRE SCN/CON	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L74476 COD MOR UR IA	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L74013 DAB7	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L733832 DAB5	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L794370 DAB9	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701860 AMP SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701863 BAR SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701864 OPI SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701865 BZO SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701869 CBD SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701871 PCP SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701872 PPX SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701874 MTD SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L726778 ALC 7PL UNB	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L798272 METH SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L733692 9 OXY CRT SC	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701861 COC MT SC UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L791632 DAB10 SCR WB	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L733690 OXY12P CRT S	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L733726 OXY13P CRT S	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764383 MON DRG PN10	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764422 MON DRG PN14	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L700841 DRG SC10 SER	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L700845 DRG SC13 SER	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L763824 12 OXY CRTUB	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L790946 DRG SC10 MEC	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L789431 DAB SCR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L700886 DAB10 WB PRE	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L737933 6AM SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L74484 PCP SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764032 CARSP MEP UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L716555 NIC MET UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L798067 ETG SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L737760 PCP SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764170 TAPNTD SC UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701106 SYNCBD SC UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764365 TRA SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764875 DAB12 SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L789254 DAB SCR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L798330 DAB7 W ALC	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L815917 CORDSTAT13	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L735314 ETOH UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L737831 OPI SCR UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L824327 DRG SC13 UMB	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L733727 PMP 11S UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L824268 DRG SC55 MEC	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L809313 DRG SC10 MEC	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L808417 FLTZP SC UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738802 GHB SCN WB	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738796 GHB SC S P	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738792 GHB SCN UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701875 6AM MET UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L761107 CR MPB UR IA	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701805 DRG SCR6 UR	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738526 DAB SCN PRES	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L790600 DAB SCN PRES	$191.10	$637.00	$31.70–$573.30	67% above	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L700886 DAB10 WB PRE	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L733692 9 OXY CRT SC	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738792 GHB SCN UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L791632 DAB10 SCR WB	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738796 GHB SC S P	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701861 COC MT SC UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L798272 METH SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L733726 OXY13P CRT S	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764383 MON DRG PN10	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L726778 ALC 7PL UNB	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764422 MON DRG PN14	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701874 MTD SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L700841 DRG SC10 SER	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701872 PPX SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L700845 DRG SC13 SER	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701871 PCP SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L763824 12 OXY CRTUB	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L790946 DRG SC10 MEC	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L789431 DAB SCR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701869 CBD SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L824268 DRG SC55 MEC	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701865 BZO SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L737933 6AM SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L737760 PCP SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L761107 CR MPB UR IA	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L763400BUPRE SCN/CON	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764170 TAPNTD SC UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701106 SYNCBD SC UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701805 DRG SCR6 UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764365 TRA SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L790350MEPH/MDPV/MET	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764024 CARSP MEP UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L7237 ETHANOL U ENZ	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764875 DAB12 SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L789254 DAB SCR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L798330 DAB7 W ALC	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L815917 CORDSTAT13	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L735314 ETOH UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738526 DAB SCN PRES	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L737831 OPI SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L824327 DRG SC13 UMB	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L808417 FLTZP SC UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L790600 DAB SCN PRES	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L809313 DRG SC10 MEC	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L733727 PMP 11S UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701864 OPI SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701863 BAR SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701860 AMP SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L794370 DAB9	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L74484 PCP SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L733832 DAB5	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764032 CARSP MEP UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L74013 DAB7	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L716555 NIC MET UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L74476 COD MOR UR IA	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738802 GHB SCN WB	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701875 6AM MET UR	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L733690 OXY12P CRT S	$229.32	$637.00	$160.51–$573.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L798067 ETG SCR UR	$229.32	$637.00	$160.51–$573.30	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$30.60	$102.00	$2.14–$91.80	52% below	70%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 L210856 LYTES	$30.60	$102.00	$2.14–$91.80	52% below	70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$36.72	$102.00	$25.70–$91.80	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 L210856 LYTES	$36.72	$102.00	$25.70–$91.80	—	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 L240610 EBV VCA	$114.60	$382.00	$6.50–$343.80	41% above	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L216655EPST-BARR VCA	$116.10	$387.00	$6.50–$348.30	42% above	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L54262 EBV VCA	$116.10	$387.00	$6.50–$348.30	42% above	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L219311 EBV VCA	$116.10	$387.00	$6.50–$348.30	42% above	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L96735EBV AB-VCA IGM	$116.10	$387.00	$6.50–$348.30	42% above	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 L96230EBV AB-VCA IGG	$116.10	$387.00	$6.50–$348.30	42% above	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA	$116.10	$387.00	$6.50–$348.30	42% above	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L240610 EBV VCA	$137.52	$382.00	$96.26–$343.80	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L96230EBV AB-VCA IGG	$139.32	$387.00	$97.52–$348.30	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L54262 EBV VCA	$139.32	$387.00	$97.52–$348.30	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L219311 EBV VCA	$139.32	$387.00	$97.52–$348.30	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA	$139.32	$387.00	$97.52–$348.30	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L216655EPST-BARR VCA	$139.32	$387.00	$97.52–$348.30	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L96735EBV AB-VCA IGM	$139.32	$387.00	$97.52–$348.30	—	64%
Estradiol blood test CPT 82670 L4515ESTRADIOL ECLIA	$172.80	$576.00	$13.22–$518.40	35% above	70%
Estradiol blood test CPT 82670 L140244 E2 US MS	$172.80	$576.00	$13.22–$518.40	35% above	70%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$172.80	$576.00	$13.22–$518.40	35% above	70%
Estradiol blood test CPT 82670 L4606 ESTRADIOL	$172.80	$576.00	$13.22–$518.40	35% above	70%
Estradiol blood test inpatient CPT 82670 L4515ESTRADIOL ECLIA	$207.36	$576.00	$145.14–$518.40	—	64%
Estradiol blood test inpatient CPT 82670 L4606 ESTRADIOL	$207.36	$576.00	$145.14–$518.40	—	64%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$207.36	$576.00	$145.14–$518.40	—	64%
Estradiol blood test inpatient CPT 82670 L140244 E2 US MS	$207.36	$576.00	$145.14–$518.40	—	64%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$146.70	$489.00	$8.79–$440.10	15% above	70%
FSH (follicle-stimulating hormone) test CPT 83001 L28480 FSH	$146.70	$489.00	$8.79–$440.10	15% above	70%
FSH (follicle-stimulating hormone) test CPT 83001 L502280 FSH PED	$146.70	$489.00	$8.79–$440.10	15% above	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$176.04	$489.00	$123.22–$440.10	—	64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 L502280 FSH PED	$176.04	$489.00	$123.22–$440.10	—	64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 L28480 FSH	$176.04	$489.00	$123.22–$440.10	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$201.90	$673.00	$9.60–$605.70	11% above	70%
Fecal calprotectin (stool inflammation test) CPT 83993 L123255 CALPRO ELISA	$201.90	$673.00	$9.60–$605.70	11% above	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$242.28	$673.00	$169.58–$605.70	—	64%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 L123255 CALPRO ELISA	$242.28	$673.00	$169.58–$605.70	—	64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$117.90	$393.00	$6.44–$353.70	48% above	70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$141.48	$393.00	$99.03–$353.70	—	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$51.30	$171.00	$4.20–$153.90	14% below	70%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$61.56	$171.00	$43.09–$153.90	—	64%
Folate (folic acid) blood test CPT 82746 L810 FOLATE SERUM	$69.30	$231.00	$6.95–$207.90	10% below	70%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$69.30	$231.00	$6.95–$207.90	10% below	70%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$83.16	$231.00	$58.21–$207.90	—	64%
Folate (folic acid) blood test inpatient CPT 82746 L810 FOLATE SERUM	$83.16	$231.00	$58.21–$207.90	—	64%
Free T3 thyroid hormone test CPT 84481 L500355 T3 FREE	$115.50	$385.00	$8.01–$346.50	13% below	70%
Free T3 thyroid hormone test CPT 84481 T3FREE	$115.50	$385.00	$8.01–$346.50	13% below	70%
Free T3 thyroid hormone test CPT 84481 L10389 T3 FREE ECLIA	$115.50	$385.00	$8.01–$346.50	13% below	70%
Free T3 thyroid hormone test CPT 84481 L503600 T3F DIALY MS	$115.50	$385.00	$8.01–$346.50	13% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 L10389 T3 FREE ECLIA	$138.60	$385.00	$97.01–$346.50	—	64%
Free T3 thyroid hormone test inpatient CPT 84481 T3FREE	$138.60	$385.00	$97.01–$346.50	—	64%
Free T3 thyroid hormone test inpatient CPT 84481 L500355 T3 FREE	$138.60	$385.00	$97.01–$346.50	—	64%
Free T3 thyroid hormone test inpatient CPT 84481 L503600 T3F DIALY MS	$138.60	$385.00	$97.01–$346.50	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4 FREE	$134.40	$448.00	$4.27–$403.20	66% above	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 L502335 T4 FREE	$134.40	$448.00	$4.27–$403.20	66% above	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 L224576 T4 FREE	$134.40	$448.00	$4.27–$403.20	66% above	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 L501902 T4 FR DDMS	$134.40	$448.00	$4.27–$403.20	66% above	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 L224576 T4 FREE	$161.28	$448.00	$112.89–$403.20	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4 FREE	$161.28	$448.00	$112.89–$403.20	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 L501902 T4 FR DDMS	$161.28	$448.00	$112.89–$403.20	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 L502335 T4 FREE	$161.28	$448.00	$112.89–$403.20	—	64%
Free testosterone test CPT 84402 L140103 TESTOST FREE	$73.20	$244.00	$12.04–$219.60	12% below	70%
Free testosterone test CPT 84402 L81786 TESTOST FREE	$73.20	$244.00	$12.04–$219.60	12% below	70%
Free testosterone test CPT 84402 L70195 TESTOST FREE	$73.20	$244.00	$12.04–$219.60	12% below	70%
Free testosterone test CPT 84402 L144980 TST FREE EIA	$73.20	$244.00	$12.04–$219.60	12% below	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$73.20	$244.00	$12.04–$219.60	12% below	70%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$87.84	$244.00	$61.48–$219.60	—	64%
Free testosterone test inpatient CPT 84402 L144980 TST FREE EIA	$87.84	$244.00	$61.48–$219.60	—	64%
Free testosterone test inpatient CPT 84402 L70195 TESTOST FREE	$87.84	$244.00	$61.48–$219.60	—	64%
Free testosterone test inpatient CPT 84402 L81786 TESTOST FREE	$87.84	$244.00	$61.48–$219.60	—	64%
Free testosterone test inpatient CPT 84402 L140103 TESTOST FREE	$87.84	$244.00	$61.48–$219.60	—	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 L550960 GGT	$33.60	$112.00	$3.41–$100.80	3% above	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$33.60	$112.00	$3.41–$100.80	3% above	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 L550180 GGT	$33.60	$112.00	$3.41–$100.80	3% above	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 L550960 GGT	$40.32	$112.00	$28.22–$100.80	—	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$40.32	$112.00	$28.22–$100.80	—	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 L550180 GGT	$40.32	$112.00	$28.22–$100.80	—	64%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$168.00	$560.00	$17.10–$560.00	45% below	70%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$201.60	$560.00	$141.11–$504.00	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$111.90	$373.00	$2.25–$335.70	173% above	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$134.28	$373.00	$93.99–$335.70	—	64%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$100.50	$335.00	$4.63–$301.50	36% above	70%
Glucose tolerance test, 3 samples CPT 82951 L46300 GTT 3 SPEC	$100.50	$335.00	$4.63–$301.50	36% above	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 L46300 GTT 3 SPEC	$120.60	$335.00	$84.41–$301.50	—	64%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$120.60	$335.00	$84.41–$301.50	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199310 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L180021 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188070 N GONO AMP	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183160 N GONO AMP	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183194N.GONORRHODN	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHODNAAMPPR	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L196502 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199315 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199325 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L196565 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L192120 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L192104 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188698 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188672 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L183616 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L180049 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L196402 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L192146 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199320 NG AMP PRB	$69.90	$233.00	$16.60–$209.70	28% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L144053 NG AMP PRB	$72.30	$241.00	$16.60–$216.90	26% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L192153 NG AMP PRB	$233.40	$778.00	$16.60–$700.20	140% above	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L192104 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L196402 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183616 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199315 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183160 N GONO AMP	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199320 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199325 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L180049 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHODNAAMPPR	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L196565 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L192120 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188672 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L192146 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188698 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188070 N GONO AMP	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L180021 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199310 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L183194N.GONORRHODN	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L196502 NG AMP PRB	$83.88	$233.00	$58.71–$209.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L144053 NG AMP PRB	$86.76	$241.00	$60.73–$216.90	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L192153 NG AMP PRB	$280.08	$778.00	$196.04–$700.20	—	64%
H. pylori antibody blood test CPT 86677 L163170 H.PYLORI IGA	$26.40	$88.00	$6.87–$79.20	73% below	70%
H. pylori antibody blood test CPT 86677 L163683H PYLOR AB QL	$26.40	$88.00	$6.87–$79.20	73% below	70%
H. pylori antibody blood test CPT 86677 L162289 H.PYLORI IGG	$26.40	$88.00	$6.87–$79.20	73% below	70%
H. pylori antibody blood test CPT 86677 L163204 H.PYLORI IGM	$26.40	$88.00	$6.87–$79.20	73% below	70%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$26.40	$88.00	$6.87–$79.20	73% below	70%
H. pylori antibody blood test inpatient CPT 86677 L163204 H.PYLORI IGM	$31.68	$88.00	$22.17–$79.20	—	64%
H. pylori antibody blood test inpatient CPT 86677 L162289 H.PYLORI IGG	$31.68	$88.00	$22.17–$79.20	—	64%
H. pylori antibody blood test inpatient CPT 86677 L163170 H.PYLORI IGA	$31.68	$88.00	$22.17–$79.20	—	64%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$31.68	$88.00	$22.17–$79.20	—	64%
H. pylori antibody blood test inpatient CPT 86677 L163683H PYLOR AB QL	$31.68	$88.00	$22.17–$79.20	—	64%
H. pylori stool antigen test CPT 87338 HPYLORISTOOLEIA	$94.20	$314.00	$6.49–$282.60	28% below	70%
H. pylori stool antigen test CPT 87338 L180764H.PYLOR AG IA	$94.20	$314.00	$6.49–$282.60	28% below	70%
H. pylori stool antigen test inpatient CPT 87338 L180764H.PYLOR AG IA	$113.04	$314.00	$79.12–$282.60	—	64%
H. pylori stool antigen test inpatient CPT 87338 HPYLORISTOOLEIA	$113.04	$314.00	$79.12–$282.60	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LRX550503 HIV1 QT	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550420 HIV-1 QT PCR	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550522 HIV RNA PCR	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550422 HIV RNA PCR	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550880 HIV1 QT RNA	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 L550430HIV1 QT RTPCR	$236.40	$788.00	$40.25–$709.20	33% below	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550880 HIV1 QT RNA	$283.68	$788.00	$198.56–$709.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LRX550503 HIV1 QT	$283.68	$788.00	$198.56–$709.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550422 HIV RNA PCR	$283.68	$788.00	$198.56–$709.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550522 HIV RNA PCR	$283.68	$788.00	$198.56–$709.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550420 HIV-1 QT PCR	$283.68	$788.00	$198.56–$709.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$283.68	$788.00	$198.56–$709.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 L550430HIV1 QT RTPCR	$283.68	$788.00	$198.56–$709.20	—	64%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507385HPV 16 18 NAA	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L8891568 HPV APTIMA	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507405 HPV LOW VOL	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L192197 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199123 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L192146 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L198190 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L195050 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507800 HPV	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L196120 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199315 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507301 HPV HR NAA	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199330 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L500306 HPV DNA HRLR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199310 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199305 HPV HR	$72.90	$243.00	$19.10–$218.70	30% below	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507385HPV 16 18 NAA	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199330 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L198190 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199123 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L192197 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L195050 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L192146 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507800 HPV	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L196120 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199310 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199315 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199305 HPV HR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L8891568 HPV APTIMA	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507405 HPV LOW VOL	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L500306 HPV DNA HRLR	$87.48	$243.00	$61.23–$218.70	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507301 HPV HR NAA	$87.48	$243.00	$61.23–$218.70	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 L1453 HGB A1C	$46.20	$154.00	$7.19–$138.60	29% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 L102525 HA1C W EAG	$46.20	$154.00	$7.19–$138.60	29% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$46.20	$154.00	$7.19–$138.60	29% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$55.44	$154.00	$38.80–$138.60	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 L1453 HGB A1C	$55.44	$154.00	$38.80–$138.60	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 L102525 HA1C W EAG	$55.44	$154.00	$38.80–$138.60	—	64%
Hemoglobin blood test CPT 85018 L5041 HGB	$15.60	$52.00	$1.76–$46.80	15% below	70%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$15.60	$52.00	$1.76–$46.80	15% below	70%
Hemoglobin blood test CPT 85018 L121003 HEMOGLOBIN	$15.60	$52.00	$1.76–$46.80	15% below	70%
Hemoglobin blood test inpatient CPT 85018 L121003 HEMOGLOBIN	$18.72	$52.00	$13.10–$46.80	—	64%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$18.72	$52.00	$13.10–$46.80	—	64%
Hemoglobin blood test inpatient CPT 85018 L5041 HGB	$18.72	$52.00	$13.10–$46.80	—	64%
Hepatitis B core antibody test (total) CPT 86704 L6718 HBCAB TOT ICMA	$123.60	$412.00	$5.70–$370.80	85% above	70%
Hepatitis B core antibody test (total) CPT 86704 L98418 HEP B COR TOT	$123.60	$412.00	$5.70–$370.80	85% above	70%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$123.60	$412.00	$5.70–$370.80	85% above	70%
Hepatitis B core antibody test (total) CPT 86704 L160101 HBCAB W RFX	$123.60	$412.00	$5.70–$370.80	85% above	70%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$148.32	$412.00	$103.81–$370.80	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 L160101 HBCAB W RFX	$148.32	$412.00	$103.81–$370.80	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 L6718 HBCAB TOT ICMA	$148.32	$412.00	$103.81–$370.80	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 L98418 HEP B COR TOT	$148.32	$412.00	$103.81–$370.80	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$74.70	$249.00	$5.08–$224.10	14% above	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$89.64	$249.00	$62.74–$224.10	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$91.80	$306.00	$4.40–$275.40	50% above	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 L58560 HBSAG	$91.80	$306.00	$4.40–$275.40	50% above	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 L202945 HBSAG	$91.80	$306.00	$4.40–$275.40	50% above	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 L6510 HBSAG ICMA	$91.80	$306.00	$4.40–$275.40	50% above	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 L58560 HBSAG	$110.16	$306.00	$77.10–$275.40	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$110.16	$306.00	$77.10–$275.40	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 L6510 HBSAG ICMA	$110.16	$306.00	$77.10–$275.40	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 L202945 HBSAG	$110.16	$306.00	$77.10–$275.40	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 L144053 HCV AB	$127.20	$424.00	$6.23–$381.60	28% above	70%
Hepatitis C antibody blood test (screening) CPT 86803 L144045 HCV AB	$127.20	$424.00	$6.23–$381.60	28% above	70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$127.20	$424.00	$6.23–$381.60	28% above	70%
Hepatitis C antibody blood test (screening) CPT 86803 L144065 HCV AB EIA	$127.20	$424.00	$6.23–$381.60	28% above	70%
Hepatitis C antibody blood test (screening) CPT 86803 L140659 HCV AB EIA	$127.20	$424.00	$6.23–$381.60	28% above	70%
Hepatitis C antibody blood test (screening) CPT 86803 L144050 HCV AB PCR	$127.20	$424.00	$6.23–$381.60	28% above	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144065 HCV AB EIA	$152.64	$424.00	$106.84–$381.60	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$152.64	$424.00	$106.84–$381.60	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144050 HCV AB PCR	$152.64	$424.00	$106.84–$381.60	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L140659 HCV AB EIA	$152.64	$424.00	$106.84–$381.60	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144045 HCV AB	$152.64	$424.00	$106.84–$381.60	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144053 HCV AB	$152.64	$424.00	$106.84–$381.60	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550090 HCV QT PCR	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550312 HCV QT PCR	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS CRNAQUAN	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550870 HCV RNA DIAG	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550100 HCV QT PCR	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550705 HCV GT1ANS5A	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550080 HCV QT RTPCR	$329.10	$1,097.00	$20.26–$987.30	47% above	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550705 HCV GT1ANS5A	$394.92	$1,097.00	$276.42–$987.30	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS CRNAQUAN	$394.92	$1,097.00	$276.42–$987.30	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550080 HCV QT RTPCR	$394.92	$1,097.00	$276.42–$987.30	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550312 HCV QT PCR	$394.92	$1,097.00	$276.42–$987.30	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550870 HCV RNA DIAG	$394.92	$1,097.00	$276.42–$987.30	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550100 HCV QT PCR	$394.92	$1,097.00	$276.42–$987.30	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550090 HCV QT PCR	$394.92	$1,097.00	$276.42–$987.30	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 LRX827779 HSV1GPG IG	$42.60	$142.00	$6.23–$127.80	16% below	70%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$42.60	$142.00	$6.23–$127.80	16% below	70%
Herpes blood test, HSV-1 antibody CPT 86695 L164905HERPES SMP T1	$42.60	$142.00	$6.23–$127.80	16% below	70%
Herpes blood test, HSV-1 antibody CPT 86695 L164922 HSV1	$42.60	$142.00	$6.23–$127.80	16% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164922 HSV1	$51.12	$142.00	$35.78–$127.80	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$51.12	$142.00	$35.78–$127.80	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164905HERPES SMP T1	$51.12	$142.00	$35.78–$127.80	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LRX827779 HSV1GPG IG	$51.12	$142.00	$35.78–$127.80	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 L164922 HSV2	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 L163033 HSV2 AB IGG	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 L163006 HSV2 AB IG	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 LRX827777 HSV2GPG IG	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 L164905HERPES SMP T2	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 L163147HSV2 IGG CLIA	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$42.90	$143.00	$9.16–$128.70	41% below	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L164905HERPES SMP T2	$51.48	$143.00	$36.03–$128.70	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L163033 HSV2 AB IGG	$51.48	$143.00	$36.03–$128.70	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L163006 HSV2 AB IG	$51.48	$143.00	$36.03–$128.70	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L164922 HSV2	$51.48	$143.00	$36.03–$128.70	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LRX827777 HSV2GPG IG	$51.48	$143.00	$36.03–$128.70	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L163147HSV2 IGG CLIA	$51.48	$143.00	$36.03–$128.70	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$51.48	$143.00	$36.03–$128.70	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGHLY SENS	$88.20	$294.00	$6.12–$264.60	20% above	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGHLY SENS	$105.84	$294.00	$74.08–$264.60	—	64%
Homocysteine blood test CPT 83090 L501768 HOMOCYSTEINE	$295.80	$986.00	$8.33–$887.40	128% above	70%
Homocysteine blood test CPT 83090 L716290 HOMOCYST UR	$295.80	$986.00	$8.33–$887.40	128% above	70%
Homocysteine blood test CPT 83090 L501790 HOMOCYSTEINE	$295.80	$986.00	$8.33–$887.40	128% above	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$295.80	$986.00	$8.33–$887.40	128% above	70%
Homocysteine blood test inpatient CPT 83090 L501768 HOMOCYSTEINE	$354.96	$986.00	$248.45–$887.40	—	64%
Homocysteine blood test inpatient CPT 83090 L501790 HOMOCYSTEINE	$354.96	$986.00	$248.45–$887.40	—	64%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$354.96	$986.00	$248.45–$887.40	—	64%
Homocysteine blood test inpatient CPT 83090 L716290 HOMOCYST UR	$354.96	$986.00	$248.45–$887.40	—	64%
Insulin blood test CPT 83525 L213660 INSULIN TOT	$133.20	$444.00	$5.41–$399.60	86% above	70%
Insulin blood test CPT 83525 L312114 INSULIN TOT	$133.20	$444.00	$5.41–$399.60	86% above	70%
Insulin blood test CPT 83525 L501561 INSULIN TOT	$133.20	$444.00	$5.41–$399.60	86% above	70%
Insulin blood test CPT 83525 L312114 INS 2HR	$133.20	$444.00	$5.41–$399.60	86% above	70%
Insulin blood test CPT 83525 INSULIN TOTAL	$133.20	$444.00	$5.41–$399.60	86% above	70%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$159.84	$444.00	$111.88–$399.60	—	64%
Insulin blood test inpatient CPT 83525 L312114 INS 2HR	$159.84	$444.00	$111.88–$399.60	—	64%
Insulin blood test inpatient CPT 83525 L312114 INSULIN TOT	$159.84	$444.00	$111.88–$399.60	—	64%
Insulin blood test inpatient CPT 83525 L213660 INSULIN TOT	$159.84	$444.00	$111.88–$399.60	—	64%
Insulin blood test inpatient CPT 83525 L501561 INSULIN TOT	$159.84	$444.00	$111.88–$399.60	—	64%
Iron blood test (serum iron) CPT 83540 IRON	$63.30	$211.00	$3.06–$189.90	32% above	70%
Iron blood test (serum iron) CPT 83540 L501819 IRON	$63.30	$211.00	$3.06–$189.90	32% above	70%
Iron blood test (serum iron) CPT 83540 L840029 IRON LIV TIS	$63.30	$211.00	$3.06–$189.90	32% above	70%
Iron blood test (serum iron) inpatient CPT 83540 L501819 IRON	$75.96	$211.00	$53.17–$189.90	—	64%
Iron blood test (serum iron) inpatient CPT 83540 L840029 IRON LIV TIS	$75.96	$211.00	$53.17–$189.90	—	64%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$75.96	$211.00	$53.17–$189.90	—	64%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$63.30	$211.00	$4.13–$189.90	43% above	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$75.96	$211.00	$53.17–$189.90	—	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$126.60	$422.00	$4.11–$379.80	25% above	70%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$151.92	$422.00	$106.33–$379.80	—	64%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$161.40	$538.00	$8.76–$484.20	14% above	70%
LH (luteinizing hormone) test CPT 83002 L4283 LH ECLIA	$161.40	$538.00	$8.76–$484.20	14% above	70%
LH (luteinizing hormone) test CPT 83002 L502286 LH PED	$161.40	$538.00	$8.76–$484.20	14% above	70%
LH (luteinizing hormone) test CPT 83002 L28480 LH	$161.40	$538.00	$8.76–$484.20	14% above	70%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$193.68	$538.00	$135.56–$484.20	—	64%
LH (luteinizing hormone) test inpatient CPT 83002 L502286 LH PED	$193.68	$538.00	$135.56–$484.20	—	64%
LH (luteinizing hormone) test inpatient CPT 83002 L28480 LH	$193.68	$538.00	$135.56–$484.20	—	64%
LH (luteinizing hormone) test inpatient CPT 83002 L4283 LH ECLIA	$193.68	$538.00	$135.56–$484.20	—	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$89.70	$299.00	$5.05–$269.10	at median	70%
Lactate (lactic acid) blood test CPT 83605 L122408 LA CSF	$89.70	$299.00	$5.05–$269.10	at median	70%
Lactate (lactic acid) blood test CPT 83605 L823388 DLACTATE	$89.70	$299.00	$5.05–$269.10	at median	70%
Lactate (lactic acid) blood test inpatient CPT 83605 L122408 LA CSF	$107.64	$299.00	$75.34–$269.10	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$107.64	$299.00	$75.34–$269.10	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 L823388 DLACTATE	$107.64	$299.00	$75.34–$269.10	—	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$38.40	$128.00	$2.86–$115.20	10% below	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 L100156 LD BF KINET	$38.40	$128.00	$2.86–$115.20	10% below	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$46.08	$128.00	$32.25–$115.20	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L100156 LD BF KINET	$46.08	$128.00	$32.25–$115.20	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 L829034 LIPASE FLD	$80.40	$268.00	$3.26–$241.20	9% below	70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$80.40	$268.00	$3.26–$241.20	9% below	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$96.48	$268.00	$67.53–$241.20	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 L829034 LIPASE FLD	$96.48	$268.00	$67.53–$241.20	—	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$75.30	$251.00	$2.99–$225.90	20% below	70%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$90.36	$251.00	$63.25–$225.90	—	64%
Lyme disease antibody test CPT 86618 L164226 LYME TOT AB	$202.50	$675.00	$8.06–$607.50	65% above	70%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$202.50	$675.00	$8.06–$607.50	65% above	70%
Lyme disease antibody test inpatient CPT 86618 L164226 LYME TOT AB	$243.00	$675.00	$170.08–$607.50	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$243.00	$675.00	$170.08–$607.50	—	64%
Magnesium blood test CPT 83735 L13730 MG UR	$37.80	$126.00	$2.73–$113.40	21% below	70%
Magnesium blood test CPT 83735 L306266 MAGNESIUM	$37.80	$126.00	$2.73–$113.40	21% below	70%
Magnesium blood test CPT 83735 L80283 MG RBC AAS-IC	$37.80	$126.00	$2.73–$113.40	21% below	70%
Magnesium blood test CPT 83735 MAGNESIUM	$37.80	$126.00	$2.73–$113.40	21% below	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$45.36	$126.00	$31.75–$113.40	—	64%
Magnesium blood test inpatient CPT 83735 L13730 MG UR	$45.36	$126.00	$31.75–$113.40	—	64%
Magnesium blood test inpatient CPT 83735 L306266 MAGNESIUM	$45.36	$126.00	$31.75–$113.40	—	64%
Magnesium blood test inpatient CPT 83735 L80283 MG RBC AAS-IC	$45.36	$126.00	$31.75–$113.40	—	64%
Measles (rubeola) antibody test CPT 86765 L58495 RUBEOLA AB	$79.80	$266.00	$6.09–$239.40	2% above	70%
Measles (rubeola) antibody test CPT 86765 L96560 MEAS IGG CLIA	$79.80	$266.00	$6.09–$239.40	2% above	70%
Measles (rubeola) antibody test CPT 86765 L816621 RUBEOLA AB	$79.80	$266.00	$6.09–$239.40	2% above	70%
Measles (rubeola) antibody test CPT 86765 L160218 MEAS IGM EIA	$79.80	$266.00	$6.09–$239.40	2% above	70%
Measles (rubeola) antibody test CPT 86765 L816630 RUBEOLA AB	$79.80	$266.00	$6.09–$239.40	2% above	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$79.80	$266.00	$6.09–$239.40	2% above	70%
Measles (rubeola) antibody test inpatient CPT 86765 L96560 MEAS IGG CLIA	$95.76	$266.00	$67.03–$239.40	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$95.76	$266.00	$67.03–$239.40	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 L160218 MEAS IGM EIA	$95.76	$266.00	$67.03–$239.40	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 L58495 RUBEOLA AB	$95.76	$266.00	$67.03–$239.40	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 L816621 RUBEOLA AB	$95.76	$266.00	$67.03–$239.40	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 L816630 RUBEOLA AB	$95.76	$266.00	$67.03–$239.40	—	64%
Mono test (heterophile antibody, Monospot) CPT 86308 L6189 MONONUCL QL	$62.40	$208.00	$2.45–$187.20	20% below	70%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$62.40	$208.00	$2.45–$187.20	20% below	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$74.88	$208.00	$52.41–$187.20	—	64%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 L6189 MONONUCL QL	$74.88	$208.00	$52.41–$187.20	—	64%
Mumps immunity blood test CPT 86735 L816630 MUMPS AB	$57.90	$193.00	$6.17–$173.70	24% below	70%
Mumps immunity blood test CPT 86735 L58495 MUMPS AB	$57.90	$193.00	$6.17–$173.70	24% below	70%
Mumps immunity blood test CPT 86735 L96552MUMPS IGG CLIA	$57.90	$193.00	$6.17–$173.70	24% below	70%
Mumps immunity blood test CPT 86735 L816621 MUMPS AB	$57.90	$193.00	$6.17–$173.70	24% below	70%
Mumps immunity blood test CPT 86735 L160499MUMPS IGM EIA	$57.90	$193.00	$6.17–$173.70	24% below	70%
Mumps immunity blood test CPT 86735 MUMPS AB	$57.90	$193.00	$6.17–$173.70	24% below	70%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$69.48	$193.00	$48.63–$173.70	—	64%
Mumps immunity blood test inpatient CPT 86735 L816630 MUMPS AB	$69.48	$193.00	$48.63–$173.70	—	64%
Mumps immunity blood test inpatient CPT 86735 L816621 MUMPS AB	$69.48	$193.00	$48.63–$173.70	—	64%
Mumps immunity blood test inpatient CPT 86735 L58495 MUMPS AB	$69.48	$193.00	$48.63–$173.70	—	64%
Mumps immunity blood test inpatient CPT 86735 L96552MUMPS IGG CLIA	$69.48	$193.00	$48.63–$173.70	—	64%
Mumps immunity blood test inpatient CPT 86735 L160499MUMPS IGM EIA	$69.48	$193.00	$48.63–$173.70	—	64%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$79.50	$265.00	$23.61–$238.50	75% below	70%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$95.40	$265.00	$66.77–$238.50	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 L480848 FPSA PERCENT	$91.50	$305.00	$8.70–$274.50	31% above	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$91.50	$305.00	$8.70–$274.50	31% above	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 L480947 PSA FREE	$91.50	$305.00	$8.70–$274.50	31% above	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 L480780 PSA FREE	$91.50	$305.00	$8.70–$274.50	31% above	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$109.80	$305.00	$76.85–$274.50	—	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 L480780 PSA FREE	$109.80	$305.00	$76.85–$274.50	—	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 L480947 PSA FREE	$109.80	$305.00	$76.85–$274.50	—	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 L480848 FPSA PERCENT	$109.80	$305.00	$76.85–$274.50	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480640 PSA	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480780 PSA TOTAL	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480947 PSA TOTAL	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 L480772 PSA TOT	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 L10322 PSA AG	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 L140731 PSA US ECLIA	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$67.80	$226.00	$10.42–$203.40	15% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$81.36	$226.00	$56.95–$203.40	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480640 PSA	$81.36	$226.00	$56.95–$203.40	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L10322 PSA AG	$81.36	$226.00	$56.95–$203.40	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480780 PSA TOTAL	$81.36	$226.00	$56.95–$203.40	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480772 PSA TOT	$81.36	$226.00	$56.95–$203.40	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L140731 PSA US ECLIA	$81.36	$226.00	$56.95–$203.40	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 L480947 PSA TOTAL	$81.36	$226.00	$56.95–$203.40	—	64%
Pap test (liquid-based, automated screening with review) CPT 88175 L198190 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199310 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199305 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L197676 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L194074 PAG IG	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L196565 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199315 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199325 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199330 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199320 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199123 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L196335 PAP IGH PPV	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L193000 PAP LIQ BASE	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L199300 PAP IG	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L196120 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L196502 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) CPT 88175 L196402 PAP AU MN RS	$66.60	$222.00	$15.01–$199.80	20% below	70%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199305 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L198190 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196335 PAP IGH PPV	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L197676 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199320 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196565 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196502 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199300 PAP IG	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L193000 PAP LIQ BASE	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199123 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199330 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196402 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199310 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196120 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199315 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L194074 PAG IG	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199325 PAP AU MN RS	$79.92	$222.00	$55.94–$199.80	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192005 GYNE PAP LIQ	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192197 PAP TL LQ DG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192120 PAP TL LQ DG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192104 PAP TL LQ DG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192146 PAP TL LQ DG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L195050 PAP TL LQ DG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LRX192555 PAP TLLQDG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192555 PAP LB	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG	$85.80	$286.00	$11.48–$257.40	23% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192104 PAP TL LQ DG	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L195050 PAP TL LQ DG	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192146 PAP TL LQ DG	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192120 PAP TL LQ DG	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192005 GYNE PAP LIQ	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192197 PAP TL LQ DG	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192555 PAP LB	$102.96	$286.00	$72.07–$257.40	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LRX192555 PAP TLLQDG	$102.96	$286.00	$72.07–$257.40	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$380.40	$1,268.00	$19.53–$1,141.20	97% above	70%
Parathyroid hormone (PTH) blood test CPT 83970 L15610 PTH INT ECLIA	$380.40	$1,268.00	$19.53–$1,141.20	97% above	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 L15610 PTH INT ECLIA	$456.48	$1,268.00	$319.51–$1,141.20	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$456.48	$1,268.00	$319.51–$1,141.20	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 L501790 APTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L117157 APTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L503333 APTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L501768 APTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L500070 APTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L503426 APTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 L504400 THROMBO TIME	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$53.70	$179.00	$2.97–$161.10	7% above	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L500070 APTT	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L503426 APTT	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L504400 THROMBO TIME	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L501790 APTT	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L503333 APTT	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L117157 APTT	$64.44	$179.00	$45.10–$161.10	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L501768 APTT	$64.44	$179.00	$45.10–$161.10	—	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD	$27.00	$90.00	$2.24–$81.00	6% below	70%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD	$32.40	$90.00	$22.68–$81.00	—	64%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$21.90	$73.00	$2.17–$65.70	23% below	70%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$26.28	$73.00	$18.39–$65.70	—	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 L451927 MATT21PL COR	$897.00	$2,990.00	$240.00–$2,691.00	5% above	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 L451937 MAT21 PL COR	$897.00	$2,990.00	$240.00–$2,691.00	5% above	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 L550746 INFORMASQ PT	$897.00	$2,990.00	$240.00–$2,691.00	5% above	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 L451937 MAT21 PL COR	$1,076.40	$2,990.00	$753.41–$2,691.00	—	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 L550746 INFORMASQ PT	$1,076.40	$2,990.00	$753.41–$2,691.00	—	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 L451927 MATT21PL COR	$1,076.40	$2,990.00	$753.41–$2,691.00	—	64%
Progesterone blood test CPT 84144 PROGESTERONE	$179.10	$597.00	$9.06–$537.30	30% above	70%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$214.92	$597.00	$150.43–$537.30	—	64%
Prolactin blood test CPT 84146 L4465 PROLACTI ECLIA	$213.30	$711.00	$9.17–$639.90	112% above	70%
Prolactin blood test CPT 84146 L142010 PROLACTIN	$213.30	$711.00	$9.17–$639.90	112% above	70%
Prolactin blood test CPT 84146 PROLACTIN	$213.30	$711.00	$9.17–$639.90	112% above	70%
Prolactin blood test CPT 84146 Q746 PROLACTIN IA	$213.30	$711.00	$9.17–$639.90	112% above	70%
Prolactin blood test inpatient CPT 84146 L4465 PROLACTI ECLIA	$255.96	$711.00	$179.16–$639.90	—	64%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$255.96	$711.00	$179.16–$639.90	—	64%
Prolactin blood test inpatient CPT 84146 Q746 PROLACTIN IA	$255.96	$711.00	$179.16–$639.90	—	64%
Prolactin blood test inpatient CPT 84146 L142010 PROLACTIN	$255.96	$711.00	$179.16–$639.90	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 L500070 PT	$16.50	$55.00	$2.91–$49.50	38% below	70%
Prothrombin time (PT/INR) clotting test CPT 85610 L115512 COAGUCHEK XS	$16.50	$55.00	$2.91–$49.50	38% below	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$16.50	$55.00	$2.91–$49.50	38% below	70%
Prothrombin time (PT/INR) clotting test CPT 85610 L503426 PT	$16.50	$55.00	$2.91–$49.50	38% below	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 L115512 COAGUCHEK XS	$19.80	$55.00	$13.86–$49.50	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 L500070 PT	$19.80	$55.00	$13.86–$49.50	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 L503426 PT	$19.80	$55.00	$13.86–$49.50	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$19.80	$55.00	$13.86–$49.50	—	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$76.50	$255.00	$14.60–$229.50	46% above	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$91.80	$255.00	$64.25–$229.50	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$20.40	$68.00	$14.58–$61.20	74% below	70%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$24.48	$68.00	$17.13–$61.20	—	64%
Renin blood test CPT 84244 L4354 RENIN	$186.00	$620.00	$8.21–$558.00	68% above	70%
Renin blood test CPT 84244 L2006 RENIN PL RIA	$186.00	$620.00	$8.21–$558.00	68% above	70%
Renin blood test CPT 84244 RENIN	$186.00	$620.00	$8.21–$558.00	68% above	70%
Renin blood test inpatient CPT 84244 RENIN	$223.20	$620.00	$156.23–$558.00	—	64%
Renin blood test inpatient CPT 84244 L2006 RENIN PL RIA	$223.20	$620.00	$156.23–$558.00	—	64%
Renin blood test inpatient CPT 84244 L4354 RENIN	$223.20	$620.00	$156.23–$558.00	—	64%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$37.80	$126.00	$1.48–$113.40	2% below	70%
Rh blood typing CPT 86901 L202945 RH	$37.80	$126.00	$1.48–$113.40	2% below	70%
Rh blood typing inpatient CPT 86901 L202945 RH	$45.36	$126.00	$31.75–$113.40	—	64%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$45.36	$126.00	$31.75–$113.40	—	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L164245 RA FACT QT	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L520097 RF IGM EIA	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L6502 RHEUM FACT ITA	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L56499 RA FACT QT	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L22236 RA FACT QT	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L164065 RA FACT QT	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L520293 RA FACT QT	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test CPT 86431 L809778 RF IGM	$61.80	$206.00	$2.68–$185.40	27% above	70%
Rheumatoid factor (RF) test inpatient CPT 86431 L6502 RHEUM FACT ITA	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L809778 RF IGM	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L520097 RF IGM EIA	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L56499 RA FACT QT	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L164065 RA FACT QT	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L22236 RA FACT QT	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L164245 RA FACT QT	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 L520293 RA FACT QT	$74.16	$206.00	$51.91–$185.40	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$74.16	$206.00	$51.91–$185.40	—	64%
Rubella antibody test (immunity check) CPT 86762 L202945 RUBELLA AB	$69.30	$231.00	$6.81–$207.90	4% above	70%
Rubella antibody test (immunity check) CPT 86762 L58495RUBELLA AB IGG	$69.30	$231.00	$6.81–$207.90	4% above	70%
Rubella antibody test (immunity check) CPT 86762 L96537RUBEL IGM CLIA	$69.30	$231.00	$6.81–$207.90	4% above	70%
Rubella antibody test (immunity check) CPT 86762 L6197 RUBEL IGG CLIA	$69.30	$231.00	$6.81–$207.90	4% above	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$69.30	$231.00	$6.81–$207.90	4% above	70%
Rubella antibody test (immunity check) inpatient CPT 86762 L202945 RUBELLA AB	$83.16	$231.00	$58.21–$207.90	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 L58495RUBELLA AB IGG	$83.16	$231.00	$58.21–$207.90	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 L6197 RUBEL IGG CLIA	$83.16	$231.00	$58.21–$207.90	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$83.16	$231.00	$58.21–$207.90	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 L96537RUBEL IGM CLIA	$83.16	$231.00	$58.21–$207.90	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 L22236 SED RATE AUTO	$4.80	$16.00	$2.00–$14.40	88% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$4.80	$16.00	$2.00–$14.40	88% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 L164245 SED RATE AUT	$4.80	$16.00	$2.00–$14.40	88% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 L22236 SED RATE AUTO	$5.76	$16.00	$4.03–$14.40	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 L164245 SED RATE AUT	$5.76	$16.00	$4.03–$14.40	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$5.76	$16.00	$4.03–$14.40	—	64%
Sodium blood test CPT 84295 SODIUMSER PL OR WB	$33.60	$112.00	$2.28–$100.80	8% below	70%
Sodium blood test inpatient CPT 84295 SODIUMSER PL OR WB	$40.32	$112.00	$28.22–$100.80	—	64%
Stool ova and parasites exam CPT 87177 L180851 OP EXM FORM	$125.70	$419.00	$4.21–$377.10	159% above	70%
Stool ova and parasites exam CPT 87177 L180844 OP SMEAR	$125.70	$419.00	$4.21–$377.10	159% above	70%
Stool ova and parasites exam CPT 87177 L188110 OP SMEAR	$125.70	$419.00	$4.21–$377.10	159% above	70%
Stool ova and parasites exam CPT 87177 L8623 OVA/PARA SMEAR	$125.70	$419.00	$4.21–$377.10	159% above	70%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$125.70	$419.00	$4.21–$377.10	159% above	70%
Stool ova and parasites exam inpatient CPT 87177 L180844 OP SMEAR	$150.84	$419.00	$105.58–$377.10	—	64%
Stool ova and parasites exam inpatient CPT 87177 L188110 OP SMEAR	$150.84	$419.00	$105.58–$377.10	—	64%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$150.84	$419.00	$105.58–$377.10	—	64%
Stool ova and parasites exam inpatient CPT 87177 L180851 OP EXM FORM	$150.84	$419.00	$105.58–$377.10	—	64%
Stool ova and parasites exam inpatient CPT 87177 L8623 OVA/PARA SMEAR	$150.84	$419.00	$105.58–$377.10	—	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3	$21.00	$70.00	$2.45–$63.00	42% below	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3	$25.20	$70.00	$17.64–$63.00	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA	$45.90	$153.00	$7.86–$137.70	12% below	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA	$55.08	$153.00	$38.55–$137.70	—	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82370T.PALLI AB EIA	$35.10	$117.00	$2.49–$105.30	48% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82345 T PALLID SCN	$35.10	$117.00	$2.49–$105.30	48% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 L816704 TPALLID IGG	$35.10	$117.00	$2.49–$105.30	48% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUMCONFI	$35.10	$117.00	$2.49–$105.30	48% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 L6379T.PALLID AB IFA	$35.10	$117.00	$2.49–$105.30	48% below	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUMCONFI	$42.12	$117.00	$29.48–$105.30	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82370T.PALLI AB EIA	$42.12	$117.00	$29.48–$105.30	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L6379T.PALLID AB IFA	$42.12	$117.00	$29.48–$105.30	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L816704 TPALLID IGG	$42.12	$117.00	$29.48–$105.30	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82345 T PALLID SCN	$42.12	$117.00	$29.48–$105.30	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L202945 RPR QL	$60.30	$201.00	$2.02–$180.90	48% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L6445 VDRL CSF AGGLU	$60.30	$201.00	$2.02–$180.90	48% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L12005 RPR CHAR FLOC	$60.30	$201.00	$2.02–$180.90	48% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LRX6099 RPR QL	$60.30	$201.00	$2.02–$180.90	48% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL	$60.30	$201.00	$2.02–$180.90	48% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 L816699 NT SCR VDRL	$60.30	$201.00	$2.02–$180.90	48% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LRX6099 RPR QL	$72.36	$201.00	$50.65–$180.90	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL	$72.36	$201.00	$50.65–$180.90	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L6445 VDRL CSF AGGLU	$72.36	$201.00	$50.65–$180.90	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L12005 RPR CHAR FLOC	$72.36	$201.00	$50.65–$180.90	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L816699 NT SCR VDRL	$72.36	$201.00	$50.65–$180.90	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 L202945 RPR QL	$72.36	$201.00	$50.65–$180.90	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$100.50	$335.00	$30.61–$301.50	32% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LRX182877 QTFERON TU	$100.50	$335.00	$30.61–$301.50	32% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 L182879 TB QFT PL	$100.50	$335.00	$30.61–$301.50	32% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 L182893 TB QFT PL	$100.50	$335.00	$30.61–$301.50	32% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$120.60	$335.00	$84.41–$301.50	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 L182893 TB QFT PL	$120.60	$335.00	$84.41–$301.50	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LRX182877 QTFERON TU	$120.60	$335.00	$84.41–$301.50	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 L182879 TB QFT PL	$120.60	$335.00	$84.41–$301.50	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L70195 TESTOST TOT	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L4226 TST TOT ECLIA	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L146688 TESTOST TOT	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L140103 TESTOST TOTA	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L81786 TESTOST TOT	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 L70001 TEST TOT MS	$128.40	$428.00	$9.64–$385.20	8% above	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L81786 TESTOST TOT	$154.08	$428.00	$107.85–$385.20	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L146688 TESTOST TOT	$154.08	$428.00	$107.85–$385.20	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L70195 TESTOST TOT	$154.08	$428.00	$107.85–$385.20	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L140103 TESTOST TOTA	$154.08	$428.00	$107.85–$385.20	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L70001 TEST TOT MS	$154.08	$428.00	$107.85–$385.20	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L4226 TST TOT ECLIA	$154.08	$428.00	$107.85–$385.20	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$154.08	$428.00	$107.85–$385.20	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 Q5081 TPO AB IA	$196.50	$655.00	$6.88–$589.50	112% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$196.50	$655.00	$6.88–$589.50	112% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 L501015 MICROSOML AB	$196.50	$655.00	$6.88–$589.50	112% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 L163980 LKM AB ELISA	$196.50	$655.00	$6.88–$589.50	112% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 L6684 MICROSOMAL AB	$196.50	$655.00	$6.88–$589.50	112% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 L831680 LIV CYT1 ABS	$196.50	$655.00	$6.88–$589.50	112% above	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L6684 MICROSOMAL AB	$235.80	$655.00	$165.04–$589.50	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L501015 MICROSOML AB	$235.80	$655.00	$165.04–$589.50	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L831680 LIV CYT1 ABS	$235.80	$655.00	$165.04–$589.50	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L163980 LKM AB ELISA	$235.80	$655.00	$165.04–$589.50	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q5081 TPO AB IA	$235.80	$655.00	$165.04–$589.50	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$235.80	$655.00	$165.04–$589.50	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L224576 TSH	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L24026 TSH	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L330015 THYROID CASC	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L4593 TSH PREG	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIM TSH	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 L349829 TSH	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$74.10	$247.00	$7.95–$222.30	9% below	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L330015 THYROID CASC	$88.92	$247.00	$62.24–$222.30	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$88.92	$247.00	$62.24–$222.30	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L24026 TSH	$88.92	$247.00	$62.24–$222.30	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L224576 TSH	$88.92	$247.00	$62.24–$222.30	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L4593 TSH PREG	$88.92	$247.00	$62.24–$222.30	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L349829 TSH	$88.92	$247.00	$62.24–$222.30	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIM TSH	$88.92	$247.00	$62.24–$222.30	—	64%
Total IgE blood test CPT 82785 L607745 IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 Q542 IGE IA	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L2170 IGE TOT ECLIA	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L602988 GAMMAGLB IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L2295 GAMMAGLB IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L602632 GAMMAGLB IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L603680 GAMMAGLB IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L381394 GAMMAGLB IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L607751 IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L601288 IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test CPT 82785 L607748 IGE	$88.50	$295.00	$7.79–$265.50	18% above	70%
Total IgE blood test inpatient CPT 82785 Q542 IGE IA	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L607748 IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L601288 IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L607751 IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L381394 GAMMAGLB IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L607745 IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L603680 GAMMAGLB IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L602632 GAMMAGLB IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L2295 GAMMAGLB IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L602988 GAMMAGLB IGE	$106.20	$295.00	$74.33–$265.50	—	64%
Total IgE blood test inpatient CPT 82785 L2170 IGE TOT ECLIA	$106.20	$295.00	$74.33–$265.50	—	64%
Total cholesterol blood test CPT 82465 L550180 CHOL TOT	$17.40	$58.00	$2.06–$52.20	43% below	70%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$17.40	$58.00	$2.06–$52.20	43% below	70%
Total cholesterol blood test CPT 82465 L550960 CHOL TOT	$17.40	$58.00	$2.06–$52.20	43% below	70%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$20.88	$58.00	$14.61–$52.20	—	64%
Total cholesterol blood test inpatient CPT 82465 L550960 CHOL TOT	$20.88	$58.00	$14.61–$52.20	—	64%
Total cholesterol blood test inpatient CPT 82465 L550180 CHOL TOT	$20.88	$58.00	$14.61–$52.20	—	64%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4TOTAL	$69.00	$230.00	$3.25–$207.00	46% above	70%
Total thyroxine (T4) blood test CPT 84436 L24026 T4 TOTAL	$69.00	$230.00	$3.25–$207.00	46% above	70%
Total thyroxine (T4) blood test CPT 84436 L1149 T4 CEDIA	$69.00	$230.00	$3.25–$207.00	46% above	70%
Total thyroxine (T4) blood test CPT 84436 L455 T4 TOTAL	$69.00	$230.00	$3.25–$207.00	46% above	70%
Total thyroxine (T4) blood test CPT 84436 L502335 T4 TOTAL	$69.00	$230.00	$3.25–$207.00	46% above	70%
Total thyroxine (T4) blood test inpatient CPT 84436 L502335 T4 TOTAL	$82.80	$230.00	$57.95–$207.00	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4TOTAL	$82.80	$230.00	$57.95–$207.00	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 L1149 T4 CEDIA	$82.80	$230.00	$57.95–$207.00	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 L24026 T4 TOTAL	$82.80	$230.00	$57.95–$207.00	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 L455 T4 TOTAL	$82.80	$230.00	$57.95–$207.00	—	64%
Total triiodothyronine (T3) blood test CPT 84480 T3TOTAL	$115.50	$385.00	$6.71–$346.50	5% below	70%
Total triiodothyronine (T3) blood test CPT 84480 L500355 T3 TOTAL	$115.50	$385.00	$6.71–$346.50	5% below	70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 L500355 T3 TOTAL	$138.60	$385.00	$97.01–$346.50	—	64%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3TOTAL	$138.60	$385.00	$97.01–$346.50	—	64%
Transferrin blood test CPT 84466 L501819 ALT	$86.10	$287.00	$5.74–$258.30	1% above	70%
Transferrin blood test CPT 84466 TRANSFERRIN	$86.10	$287.00	$5.74–$258.30	1% above	70%
Transferrin blood test inpatient CPT 84466 L501819 ALT	$103.32	$287.00	$72.32–$258.30	—	64%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$103.32	$287.00	$72.32–$258.30	—	64%
Trichomonas test (NAAT) CPT 87661 L188070 T VAG AMP	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L180021 TVAG AMP PRB	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L199325 TVAG AMP PRB	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L183160 T VAG AMP	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L180039 T VAG AMP	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L199315 TVAG AMP PRB	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L188052 T VAG NAA	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) CPT 87661 L196502 TVAG AMP PRB	$88.50	$295.00	$19.15–$265.50	7% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 L199325 TVAG AMP PRB	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L199315 TVAG AMP PRB	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L196502 TVAG AMP PRB	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L188070 T VAG AMP	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L188052 T VAG NAA	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L180021 TVAG AMP PRB	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L183160 T VAG AMP	$106.20	$295.00	$74.33–$265.50	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 L180039 T VAG AMP	$106.20	$295.00	$74.33–$265.50	—	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$21.90	$73.00	$2.72–$65.70	39% below	70%
Triglycerides blood test CPT 84478 L101170 TRIG FLD	$21.90	$73.00	$2.72–$65.70	39% below	70%
Triglycerides blood test CPT 84478 L550960 TRIG	$21.90	$73.00	$2.72–$65.70	39% below	70%
Triglycerides blood test CPT 84478 L550180 TRIG	$21.90	$73.00	$2.72–$65.70	39% below	70%
Triglycerides blood test inpatient CPT 84478 L550960 TRIG	$26.28	$73.00	$18.39–$65.70	—	64%
Triglycerides blood test inpatient CPT 84478 L101170 TRIG FLD	$26.28	$73.00	$18.39–$65.70	—	64%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$26.28	$73.00	$18.39–$65.70	—	64%
Triglycerides blood test inpatient CPT 84478 L550180 TRIG	$26.28	$73.00	$18.39–$65.70	—	64%
Troponin test, quantitative CPT 84484 TROPONINQNT	$120.00	$400.00	$4.66–$360.00	1% below	70%
Troponin test, quantitative inpatient CPT 84484 TROPONINQNT	$144.00	$400.00	$100.79–$360.00	—	64%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$36.30	$121.00	$2.14–$108.90	24% below	70%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$43.56	$121.00	$30.49–$108.90	—	64%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W-SCOPE	$38.40	$128.00	$2.35–$115.20	9% below	70%
Urinalysis with microscope exam, automated CPT 81001 L144053 UA W SCOPE	$1,176.60	$3,922.00	$2.35–$3,529.80	2701% above	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W-SCOPE	$46.08	$128.00	$32.25–$115.20	—	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 L144053 UA W SCOPE	$1,411.92	$3,922.00	$988.25–$3,529.80	—	64%
Urinalysis with microscope exam, manual CPT 81000 UA NONAUTO W-SCOPE	$81.90	$273.00	$2.41–$245.70	208% above	70%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NONAUTO W-SCOPE	$98.28	$273.00	$68.79–$245.70	—	64%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W-O SCOPE	$24.30	$81.00	$1.66–$72.90	1% below	70%
Urinalysis without microscope exam, automated CPT 81003 L306266 UA AUTO WO S	$24.30	$81.00	$1.66–$72.90	1% below	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 L306266 UA AUTO WO S	$29.16	$81.00	$20.41–$72.90	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W-O SCOPE	$29.16	$81.00	$20.41–$72.90	—	64%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE	$67.80	$226.00	$2.09–$203.40	335% above	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE	$81.36	$226.00	$56.95–$203.40	—	64%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$74.40	$248.00	$3.98–$223.20	70% above	70%
Urine culture for bacteria, with colony count CPT 87086 L8847 UR CUL	$74.40	$248.00	$3.98–$223.20	70% above	70%
Urine culture for bacteria, with colony count CPT 87086 L144053 CUL UR COLCT	$74.70	$249.00	$3.98–$224.10	71% above	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$89.28	$248.00	$62.49–$223.20	—	64%
Urine culture for bacteria, with colony count inpatient CPT 87086 L8847 UR CUL	$89.28	$248.00	$62.49–$223.20	—	64%
Urine culture for bacteria, with colony count inpatient CPT 87086 L144053 CUL UR COLCT	$89.64	$249.00	$62.74–$224.10	—	64%
Urine microalbumin (albumin) test CPT 82043 L140285 MICROALB QT	$28.80	$96.00	$2.86–$86.40	17% below	70%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$28.80	$96.00	$2.86–$86.40	17% below	70%
Urine microalbumin (albumin) test inpatient CPT 82043 L140285 MICROALB QT	$34.56	$96.00	$24.19–$86.40	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$34.56	$96.00	$24.19–$86.40	—	64%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$44.40	$148.00	$5.17–$133.20	18% below	70%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$53.28	$148.00	$37.29–$133.20	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 L1503 VIT B12 ECLIA	$53.70	$179.00	$7.13–$161.10	27% below	70%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$53.70	$179.00	$7.13–$161.10	27% below	70%
Vitamin B12 (cobalamin) blood test CPT 82607 L141503 VITB12 DEF	$53.70	$179.00	$7.13–$161.10	27% below	70%
Vitamin B12 (cobalamin) blood test CPT 82607 L810 VIT B12 IA	$53.70	$179.00	$7.13–$161.10	27% below	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 L141503 VITB12 DEF	$64.44	$179.00	$45.10–$161.10	—	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$64.44	$179.00	$45.10–$161.10	—	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 L810 VIT B12 IA	$64.44	$179.00	$45.10–$161.10	—	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 L1503 VIT B12 ECLIA	$64.44	$179.00	$45.10–$161.10	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L504115VITD 25-OH LC	$67.50	$225.00	$14.00–$202.50	50% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L80325 VITD 25OH	$67.50	$225.00	$14.00–$202.50	50% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 L500510 VIT D 25OH	$67.50	$225.00	$14.00–$202.50	50% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$67.50	$225.00	$14.00–$202.50	50% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L80325 VITD 25OH	$81.00	$225.00	$56.69–$202.50	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L504115VITD 25-OH LC	$81.00	$225.00	$56.69–$202.50	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 L500510 VIT D 25OH	$81.00	$225.00	$56.69–$202.50	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$81.00	$225.00	$56.69–$202.50	—	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 L81091VIT D125 ICMA	$82.80	$276.00	$19.01–$248.40	54% below	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$82.80	$276.00	$19.01–$248.40	54% below	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 L80325 VITD 25OH	$82.80	$276.00	$19.01–$248.40	54% below	70%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$99.36	$276.00	$69.55–$248.40	—	64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 L80325 VITD 25OH	$99.36	$276.00	$69.55–$248.40	—	64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 L81091VIT D125 ICMA	$99.36	$276.00	$69.55–$248.40	—	64%
Zinc blood test CPT 84630 ZINC	$102.30	$341.00	$5.39–$306.90	24% above	70%
Zinc blood test CPT 84630 L70032 ZINC WB	$102.30	$341.00	$5.39–$306.90	24% above	70%
Zinc blood test CPT 84630 L1800 ZINC ICP/MS	$102.30	$341.00	$5.39–$306.90	24% above	70%
Zinc blood test CPT 84630 L70029 ZN RBC ICP/MS	$102.30	$341.00	$5.39–$306.90	24% above	70%
Zinc blood test inpatient CPT 84630 L70032 ZINC WB	$122.76	$341.00	$85.92–$306.90	—	64%
Zinc blood test inpatient CPT 84630 ZINC	$122.76	$341.00	$85.92–$306.90	—	64%
Zinc blood test inpatient CPT 84630 L70029 ZN RBC ICP/MS	$122.76	$341.00	$85.92–$306.90	—	64%
Zinc blood test inpatient CPT 84630 L1800 ZINC ICP/MS	$122.76	$341.00	$85.92–$306.90	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$94.20	$314.00	$7.01–$282.60	18% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 L480038 BHCG QT	$94.20	$314.00	$7.01–$282.60	18% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 L4416HCG B-SUB ECLIA	$94.20	$314.00	$7.01–$282.60	18% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 L17319 HCG QUANT	$94.20	$314.00	$7.01–$282.60	18% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 L480038 BHCG QT	$113.04	$314.00	$79.12–$282.60	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 L17319 HCG QUANT	$113.04	$314.00	$79.12–$282.60	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$113.04	$314.00	$79.12–$282.60	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 L4416HCG B-SUB ECLIA	$113.04	$314.00	$79.12–$282.60	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$7,922.30	$26,407.67	$200.39–$23,766.90	69% above	70%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$40,543.49	$135,144.97	$1,177.00–$121,630.47	48% above	70%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$28,875.56	$96,251.86	$582.51–$86,626.67	324% above	70%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT	$9,704.70	$32,349.00	$679.69–$29,114.10	2% below	70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT	$11,645.64	$32,349.00	$8,151.20–$29,114.10	—	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$654.90	$2,183.00	$100.61–$1,964.70	53% below	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$785.88	$2,183.00	$550.07–$1,964.70	—	64%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$7,884.44	$26,281.47	$408.55–$23,653.32	67% above	70%
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP	$7,597.63	$25,325.43	$506.44–$22,792.89	44% above	70%
Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I	$30,123.60	$100,412.00	$837.68–$90,370.80	8% above	70%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I	$36,148.32	$100,412.00	$25,301.51–$90,370.80	—	64%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$14,981.47	$49,938.22	$69.57–$44,944.40	1012% above	70%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$8,564.75	$28,549.17	$184.49–$25,694.25	61% above	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$3,944.84	$13,149.48	$88.91–$11,834.53	454% above	70%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$5,831.86	$19,439.52	$237.14–$17,495.57	241% above	70%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$3,113.01	$10,376.70	$153.27–$9,339.03	2% above	70%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,429.50	$11,431.67	$153.27–$10,288.50	16% above	70%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,134.76	$7,115.88	$169.62–$6,759.00	5% above	70%
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$7,875.08	$26,250.28	$597.00–$23,625.25	32% above	70%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG	$9,563.10	$31,877.00	$519.96–$28,689.30	39% below	70%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG	$11,475.72	$31,877.00	$8,032.27–$28,689.30	—	64%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$18,469.69	$61,565.64	$143.41–$55,409.08	165% above	70%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$12,813.87	$42,712.91	$74.25–$38,441.62	369% above	70%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$6,209.50	$20,698.32	$149.54–$18,628.49	2% above	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$371.92	$1,239.72	$14.59–$2,277.00	112% above	70%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$2,659.99	$8,866.64	$30.19–$7,979.98	1564% above	70%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT	$15,515.04	$51,716.79	$298.41–$46,545.11	6% below	70%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL	$19,239.16	$64,130.52	$349.01–$57,717.47	67% above	70%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$18,252.39	$60,841.30	$166.49–$54,757.17	104% above	70%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$15,185.61	$50,618.69	$245.19–$45,556.82	62% above	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR-DI C-T INJ W IM	$971.70	$3,239.00	$100.51–$2,915.10	8% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR-DI C-T INJ W IM	$1,166.04	$3,239.00	$816.15–$2,915.10	—	64%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$5,282.59	$17,608.63	$85.31–$15,847.77	12% below	70%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$17,290.76	$57,635.86	$515.75–$51,872.27	8% below	70%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$26,595.47	$88,651.55	$694.05–$79,786.40	14% below	70%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$12,221.75	$40,739.18	$308.38–$36,665.26	37% above	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$5,924.49	$19,748.30	$52.30–$17,773.47	185% above	70%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$17,582.98	$58,609.93	$600.15–$52,748.94	7% above	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$18,098.38	$60,327.93	$652.20–$54,295.14	6% above	70%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$2,943.89	$9,812.98	$179.04–$8,831.68	34% above	70%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$11,581.81	$38,606.03	$328.36–$34,745.43	103% above	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$171.00	$570.00	$53.34–$513.00	41% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$205.20	$570.00	$143.63–$513.00	—	64%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$15,270.23	$50,900.75	$226.28–$45,810.68	84% above	70%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$13,202.70	$44,009.01	$212.88–$39,608.11	89% above	70%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$13,978.44	$46,594.79	$44.84–$46,594.79	150% above	70%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,431.65	$4,772.18	$100.10–$4,294.96	210% above	70%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$12,183.89	$40,612.95	$476.96–$36,551.65	39% above	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,584.60	$5,281.99	$41.90–$4,753.79	284% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$292.20	$974.00	$34.22–$2,277.00	32% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$4,324.39	$14,414.62	$34.22–$12,973.16	912% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$350.64	$974.00	$245.43–$876.60	—	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM	$402.60	$1,342.00	$33.24–$2,277.00	37% above	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$3,170.64	$10,568.80	$33.24–$9,511.92	979% above	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM	$483.12	$1,342.00	$338.15–$1,207.80	—	64%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$11,671.45	$38,904.82	$523.09–$35,014.34	47% above	70%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$17,974.24	$59,914.12	$548.46–$53,922.71	26% above	70%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$20,941.90	$69,806.32	$972.74–$62,825.69	10% below	70%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$28,335.43	$94,451.42	$749.74–$85,006.28	26% above	70%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$31,238.11	$104,127.03	$843.85–$93,714.33	37% above	70%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$16,594.40	$55,314.65	$395.76–$49,783.19	2% below	70%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$19,395.06	$64,650.21	$516.20–$58,185.19	21% above	70%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS	$14,491.17	$48,303.89	$869.41–$43,473.50	51% below	70%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$19,949.61	$66,498.69	$604.62–$59,848.82	23% above	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$881.00	$2,936.68	$140.89–$2,643.01	22% above	70%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC	$7,762.50	$25,875.00	$601.74–$23,287.50	at median	70%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC	$9,315.00	$25,875.00	$6,519.90–$23,287.50	—	64%
Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM	$1,287.30	$4,291.00	$92.90–$3,861.90	at median	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM	$1,544.76	$4,291.00	$1,081.23–$3,861.90	—	64%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$15,436.65	$51,455.49	$104.21–$46,309.94	846% above	70%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$22,090.08	$73,633.60	$829.17–$66,270.24	59% above	70%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$86,035.23	$286,784.10	$1,177.00–$258,105.69	24% above	70%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM	$89,803.24	$299,344.14	$1,177.00–$269,409.73	4% above	70%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$28,965.51	$96,551.69	$999.86–$86,896.52	99% above	70%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$95,430.71	$318,102.36	$1,177.00–$286,292.12	27% above	70%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$18,593.94	$61,979.81	$250.00–$55,781.83	137% above	70%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$27,610.31	$92,034.35	$870.46–$82,830.92	57% above	70%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$7,735.82	$25,786.08	$352.42–$23,207.47	79% above	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$13,336.31	$44,454.36	$78.85–$40,008.92	494% above	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$7,422.47	$24,741.57	$100.57–$22,267.41	906% above	70%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$663.92	$2,213.05	$50.52–$2,277.00	68% above	70%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$32,647.71	$108,825.70	$462.09–$97,943.13	171% above	70%
Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG	$939.00	$3,130.00	$98.04–$2,817.00	32% below	70%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$939.00	$3,130.00	$98.04–$2,817.00	32% below	70%
Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG	$1,244.10	$4,147.00	$98.04–$3,732.30	10% below	70%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$3,930.82	$13,102.72	$98.04–$11,792.45	184% above	70%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$1,126.80	$3,130.00	$788.69–$2,817.00	—	64%
Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACEN W IMG	$1,126.80	$3,130.00	$788.69–$2,817.00	—	64%
Paracentesis with imaging guidance inpatient CPT 49083 IR-ABD PARACEN W IMG	$1,492.92	$4,147.00	$1,044.95–$3,732.30	—	64%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$992.26	$3,307.53	$96.13–$2,976.78	43% above	70%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$10,008.41	$33,361.35	$382.54–$30,025.22	99% above	70%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$3,927.89	$13,092.98	$98.89–$11,783.68	538% above	70%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$13,238.34	$44,127.79	$651.95–$39,715.01	34% above	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,102.83	$7,009.43	$153.27–$6,308.49	12% above	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$1,946.84	$6,489.48	$153.27–$5,840.53	13% above	70%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$13,588.55	$45,295.16	$597.00–$40,765.64	36% above	70%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$1,043.90	$3,479.68	$57.82–$3,131.71	189% above	70%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,945.54	$6,485.12	$37.43–$5,836.61	970% above	70%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$2,512.38	$8,374.60	$46.33–$7,537.14	940% above	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$1,533.74	$5,112.45	$40.98–$4,601.20	250% above	70%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$6,341.42	$21,138.05	$43.36–$19,024.24	1305% above	70%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$5,715.41	$19,051.36	$113.98–$17,146.22	1081% above	70%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$550.25	$1,834.18	$71.72–$2,277.00	94% above	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$707.70	$2,359.00	$57.55–$2,123.10	31% below	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$7,606.40	$25,354.68	$57.55–$22,819.21	642% above	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$849.24	$2,359.00	$594.41–$2,123.10	—	64%
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	$2,276.90	$7,589.65	$53.78–$6,830.68	471% above	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$2,257.29	$7,524.30	$50.67–$6,771.87	424% above	70%
Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG	$994.80	$3,316.00	$100.91–$2,984.40	9% below	70%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$994.80	$3,316.00	$100.91–$2,984.40	9% below	70%
Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG	$1,317.90	$4,393.00	$100.91–$3,953.70	20% above	70%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$3,741.54	$12,471.81	$100.91–$11,224.63	242% above	70%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$1,193.76	$3,316.00	$835.56–$2,984.40	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG	$1,193.76	$3,316.00	$835.56–$2,984.40	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 IR-THORACNTSIS W IMG	$1,581.48	$4,393.00	$1,106.93–$3,953.70	—	64%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$7,620.65	$25,402.15	$285.74–$22,861.94	13% above	70%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$7,699.87	$25,666.24	$273.70–$23,099.62	24% above	70%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$8,472.29	$28,240.95	$240.46–$25,416.85	47% above	70%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$8,132.24	$27,107.48	$252.59–$24,396.73	1% below	70%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$61,044.65	$203,482.18	$1,326.66–$183,133.96	76% above	70%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$18,115.00	$60,383.33	$841.45–$54,345.00	22% above	70%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$9,080.77	$30,269.23	$34.31–$27,242.31	1501% above	70%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$13,075.46	$43,584.87	$345.93–$39,226.38	6% below	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$5,045.74	$16,819.12	$142.28–$15,137.21	117% above	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$3,418.14	$11,393.79	$141.32–$10,254.41	7% above	70%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$3,371.12	$11,237.06	$127.68–$10,113.35	12% above	70%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$6,678.34	$22,261.12	$127.68–$20,035.01	74% above	70%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$4,697.71	$15,659.02	$180.29–$14,093.12	20% above	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$2,940.23	$9,800.76	$153.01–$8,820.68	9% above	70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$3,108.54	$10,361.80	$113.05–$9,325.62	31% above	70%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST	$7,336.31	$24,454.36	$360.37–$22,008.92	37% below	70%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$24,257.07	$80,856.89	$360.27–$72,771.20	146% above	70%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$19,089.11	$63,630.38	$382.17–$57,267.34	20% above	70%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$10,454.09	$34,846.97	$64.33–$31,362.27	3427% above	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$5,910.52	$19,701.74	$56.28–$17,731.57	660% above	70%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$11,634.44	$38,781.48	$691.24–$34,903.33	21% above	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$523.20	$1,744.00	$38.54–$1,569.60	42% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANFUSION	$523.20	$1,744.00	$38.54–$1,569.60	42% below	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANFUSION	$627.84	$1,744.00	$439.45–$1,569.60	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$627.84	$1,744.00	$439.45–$1,569.60	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$123.90	$413.00	$7.22–$371.70	10% above	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$148.68	$413.00	$104.07–$371.70	—	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR	$374.10	$1,247.00	$118.79–$1,122.30	45% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR	$448.92	$1,247.00	$314.22–$1,122.30	—	64%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$1,986.90	$6,623.00	$199.24–$7,324.00	6% below	70%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$2,384.28	$6,623.00	$1,668.84–$5,960.70	—	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$609.00	$2,030.00	$275.16–$1,827.00	11% below	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$730.80	$2,030.00	$511.51–$1,827.00	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG 12 LEADS	$158.10	$527.00	$5.69–$474.30	22% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG 12 LEADS	$189.72	$527.00	$132.79–$474.30	—	64%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROSHOCK THERAPY	$337.20	$1,124.00	$100.79–$1,011.60	73% below	70%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROSHOCK THERAPY	$404.64	$1,124.00	$283.22–$1,011.60	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$249.00	$830.00	$10.65–$2,108.00	14% above	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$298.80	$830.00	$209.14–$747.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$336.00	$1,120.00	$39.02–$2,108.00	20% below	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$403.20	$1,120.00	$282.21–$1,008.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$546.60	$1,822.00	$66.44–$2,108.00	30% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$655.92	$1,822.00	$459.10–$1,639.80	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$873.90	$2,913.00	$113.08–$2,621.70	26% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$1,048.68	$2,913.00	$734.01–$2,621.70	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 POST AR TRA EM LV 5F	$5,751.30	$19,171.00	$163.87–$17,253.90	229% above	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 POST AR TRA EM LV 5F	$6,901.56	$19,171.00	$4,830.65–$17,253.90	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$834.90	$2,783.00	$34.39–$2,504.70	10% above	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$1,001.88	$2,783.00	$701.25–$2,504.70	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$225.90	$753.00	$30.07–$677.70	39% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR	$225.90	$753.00	$30.07–$2,108.00	39% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$271.08	$753.00	$189.74–$677.70	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-IV HYDRATION 1 HR	$271.08	$753.00	$189.74–$677.70	—	64%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$233.70	$779.00	$57.66–$701.10	42% below	70%
IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR	$233.70	$779.00	$57.66–$2,108.00	42% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$280.44	$779.00	$196.29–$701.10	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV THERAPY DX 1HR	$280.44	$779.00	$196.29–$701.10	—	64%
IV push of a medicine, first drug CPT 96374 ED-INJ THER IV PUSH	$234.30	$781.00	$33.94–$2,108.00	11% above	70%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$234.30	$781.00	$33.94–$702.90	11% above	70%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH	$234.30	$781.00	$33.94–$2,108.00	11% above	70%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$281.16	$781.00	$196.79–$702.90	—	64%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH	$281.16	$781.00	$196.79–$702.90	—	64%
IV push of a medicine, first drug inpatient CPT 96374 ED-INJ THER IV PUSH	$281.16	$781.00	$196.79–$702.90	—	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$90.90	$303.00	$13.49–$2,500.00	14% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJ THER DX SQ IM	$90.90	$303.00	$13.49–$2,108.00	14% below	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$109.08	$303.00	$76.35–$272.70	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-INJ THER DX SQ IM	$109.08	$303.00	$76.35–$272.70	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TH MNT INIT EA 15 MN	$40.50	$135.00	$24.04–$121.50	18% above	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN	$44.70	$149.00	$24.04–$134.10	31% above	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TH MNT INIT EA 15 MN	$48.60	$135.00	$34.02–$121.50	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MN	$53.64	$149.00	$37.54–$134.10	—	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10	$39.30	$131.00	$11.07–$117.90	31% above	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10	$47.16	$131.00	$33.01–$117.90	—	64%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$214.20	$714.00	$25.32–$642.60	13% below	70%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$257.04	$714.00	$179.91–$642.60	—	64%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$392.40	$1,308.00	$36.19–$1,177.20	28% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$470.88	$1,308.00	$329.59–$1,177.20	—	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$229.20	$764.00	$17.10–$687.60	9% above	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$275.04	$764.00	$192.51–$687.60	—	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV 4-6YR IM	$200.70	$669.00	$60.58–$602.10	37% above	70%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV 4-6YR IM	$240.84	$669.00	$168.57–$602.10	—	64%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED	$97.80	$326.00	$30.69–$293.40	19% above	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED	$117.36	$326.00	$82.14–$293.40	—	64%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-HIB-IPV INJ	$157.80	$526.00	$113.53–$473.40	36% below	70%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-HIB-IPV INJ	$189.36	$526.00	$132.54–$473.40	—	64%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE	$317.70	$1,059.00	$70.48–$953.10	86% above	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE	$381.24	$1,059.00	$266.84–$953.10	—	64%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A PED/ADOL X2 IM	$141.30	$471.00	$37.00–$423.90	65% above	70%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A PED/ADOL X2 IM	$169.56	$471.00	$118.68–$423.90	—	64%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT IM	$280.20	$934.00	$66.86–$840.60	59% above	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC ADULT IM	$336.24	$934.00	$235.35–$840.60	—	64%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$85.50	$285.00	$28.76–$256.50	17% above	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$102.60	$285.00	$71.81–$256.50	—	64%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMO/MENIN VAC 0.5	$116.70	$389.00	$30.00–$350.10	78% above	70%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMO/MENIN VAC 0.5	$140.04	$389.00	$98.02–$350.10	—	64%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ	$48.00	$160.00	$13.01–$144.00	2% below	70%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ	$57.60	$160.00	$40.32–$144.00	—	64%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG	$268.80	$896.00	$65.26–$806.40	50% above	70%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$322.56	$896.00	$225.77–$806.40	—	64%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$352.80	$1,176.00	$91.67–$1,058.40	37% above	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$423.36	$1,176.00	$296.32–$1,058.40	—	64%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEAS/MUM/RUB/VARI IJ	$1,113.60	$3,712.00	$267.62–$3,340.80	162% above	70%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEAS/MUM/RUB/VARI IJ	$1,336.32	$3,712.00	$935.34–$3,340.80	—	64%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM	$916.20	$3,054.00	$236.97–$2,748.60	96% above	70%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM	$1,099.44	$3,054.00	$769.54–$2,748.60	—	64%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOC 15-VAL IM	$846.90	$2,823.00	$239.87–$2,540.70	51% above	70%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOC 15-VAL IM	$1,016.28	$2,823.00	$711.33–$2,540.70	—	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$491.40	$1,638.00	$122.94–$1,474.20	111% above	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$589.68	$1,638.00	$412.74–$1,474.20	—	64%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE 0.5ML	$113.10	$377.00	$41.46–$339.30	9% below	70%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE 0.5ML	$135.72	$377.00	$95.00–$339.30	—	64%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$1,655.70	$5,519.00	$410.00–$4,967.10	107% above	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$1,986.84	$5,519.00	$1,390.66–$4,967.10	—	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$235.50	$785.00	$26.43–$706.50	106% above	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$282.60	$785.00	$197.80–$706.50	—	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$160.50	$535.00	$49.00–$481.50	31% above	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$192.60	$535.00	$134.81–$481.50	—	64%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VAC ORAL 4CP	$145.50	$485.00	$99.23–$436.50	27% below	70%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VAC ORAL 4CP	$174.60	$485.00	$122.21–$436.50	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$70.50	$235.00	$15.87–$211.50	14% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$84.60	$235.00	$59.21–$211.50	—	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$28.80	$96.00	$12.51–$86.40	27% below	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$34.56	$96.00	$24.19–$86.40	—	64%

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.lutheranhospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/351963748_lutheran-hospital_standardcharges.csv