Hospital Pensacola-Ferry Pass-Brent, FL

Santa Rosa Medical Center

Santa Rosa Medical Center in Milton, FL publishes cash prices for 423 common procedures listed here, from its own machine-readable price file updated Dec 20, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 299 of 420 procedures and above it for 121. Select a procedure to compare it with other hospitals nearby.

6002 Berryhill Rd, Milton, FL 32570 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 2 actions for a hospital named Santa Rosa Medical Center in Milton, FL:

Feb 7, 2023 Met requirements
Jul 17, 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 Florida	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO	$2,757.70	$11,990.00	$160.68–$9,592.00	31% below	77%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO	$2,757.70	$11,990.00	$2,326.06–$9,592.00	—	77%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$636.41	$2,767.00	$24.70–$2,213.60	1% below	77%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$636.41	$2,767.00	$536.80–$2,213.60	—	77%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$661.48	$2,876.00	$26.60–$2,300.80	7% above	77%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$661.48	$2,876.00	$26.60–$2,300.80	7% above	77%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$661.48	$2,876.00	$557.94–$2,300.80	—	77%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$661.48	$2,876.00	$557.94–$2,300.80	—	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat	$392.61	$1,707.00	$111.71–$1,365.60	—	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat	$392.61	$1,707.00	$111.71–$1,365.60	—	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207	$392.61	$1,707.00	$111.71–$1,365.60	36% below	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat	$392.61	$1,707.00	$331.16–$1,365.60	—	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat	$392.61	$1,707.00	$331.16–$1,365.60	—	77%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207	$392.61	$1,707.00	$331.16–$1,365.60	—	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO	$1,771.92	$7,704.00	$96.15–$6,163.20	25% below	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO	$1,771.92	$7,704.00	$1,494.58–$6,163.20	—	77%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin	$761.07	$3,309.00	$66.50–$2,647.20	9% below	77%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium	$761.07	$3,309.00	$66.50–$2,647.20	9% below	77%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium	$761.07	$3,309.00	$641.95–$2,647.20	—	77%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin	$761.07	$3,309.00	$641.95–$2,647.20	—	77%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,564.69	$6,803.00	$265.05–$5,442.40	38% below	77%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,564.69	$6,803.00	$1,319.78–$5,442.40	—	77%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral CM	$342.47	$1,489.00	$71.25–$1,309.00	—	77%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM	$342.47	$1,489.00	$71.25–$1,309.00	41% below	77%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM	$342.47	$1,489.00	$71.25–$1,309.00	41% below	77%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral CM	$342.47	$1,489.00	$288.87–$1,191.20	—	77%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM	$342.47	$1,489.00	$288.87–$1,191.20	—	77%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM	$342.47	$1,489.00	$288.87–$1,191.20	—	77%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM	$328.44	$1,428.00	$54.15–$1,309.00	37% below	77%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM	$328.44	$1,428.00	$54.15–$1,309.00	37% below	77%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM	$328.44	$1,428.00	$277.03–$1,142.40	—	77%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM	$328.44	$1,428.00	$277.03–$1,142.40	—	77%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis	$2,204.55	$9,585.00	$296.40–$7,668.00	63% below	77%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis	$2,204.55	$9,585.00	$1,859.49–$7,668.00	—	77%
CT angiography (CTA) of the head CPT 70496 CTA Head	$1,879.79	$8,173.00	$160.68–$6,538.40	47% below	77%
CT angiography (CTA) of the head CPT 70496 CTA Head Stroke	$1,879.79	$8,173.00	$160.68–$6,538.40	47% below	77%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head	$1,879.79	$8,173.00	$1,585.56–$6,538.40	—	77%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Stroke	$1,879.79	$8,173.00	$1,585.56–$6,538.40	—	77%
CT angiography (CTA) of the neck CPT 70498 CTA Neck	$2,315.87	$10,069.00	$160.68–$8,055.20	45% below	77%
CT angiography (CTA) of the neck CPT 70498 CTA Neck Stroke	$2,315.87	$10,069.00	$160.68–$8,055.20	45% below	77%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck Stroke	$2,315.87	$10,069.00	$1,953.39–$8,055.20	—	77%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck	$2,315.87	$10,069.00	$1,953.39–$8,055.20	—	77%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE	$1,563.77	$6,799.00	$160.68–$5,439.20	66% below	77%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$1,563.77	$6,799.00	$160.68–$5,439.20	66% below	77%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE	$1,563.77	$6,799.00	$1,319.01–$5,439.20	—	77%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest	$1,563.77	$6,799.00	$1,319.01–$5,439.20	—	77%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Coronary Function	$2,608.66	$11,342.00	$160.68–$9,073.60	34% above	77%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Coronary Function	$2,608.66	$11,342.00	$2,200.35–$9,073.60	—	77%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Score WO	$1,851.73	$8,051.00	$76.00–$6,440.80	242% above	77%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Score WO	$1,851.73	$8,051.00	$1,561.89–$6,440.80	—	77%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol	$1,772.38	$7,706.00	$113.05–$6,164.80	68% below	77%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO	$1,772.38	$7,706.00	$113.05–$6,164.80	68% below	77%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO	$1,772.38	$7,706.00	$1,494.96–$6,164.80	—	77%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol	$1,772.38	$7,706.00	$1,494.96–$6,164.80	—	77%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W	$3,368.35	$14,645.00	$236.55–$11,716.00	44% below	77%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W	$3,368.35	$14,645.00	$2,841.13–$11,716.00	—	77%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Urology Protocol	$3,029.56	$13,172.00	$267.90–$10,537.60	57% below	77%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO	$3,029.56	$13,172.00	$267.90–$10,537.60	57% below	77%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO	$3,029.56	$13,172.00	$2,555.37–$10,537.60	—	77%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Urology Protocol	$3,029.56	$13,172.00	$2,555.37–$10,537.60	—	77%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$2,638.10	$11,470.00	$160.68–$9,176.00	23% below	77%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$2,638.10	$11,470.00	$2,225.18–$9,176.00	—	77%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$1,942.35	$8,445.00	$96.15–$6,756.00	39% below	77%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$1,942.35	$8,445.00	$1,638.33–$6,756.00	—	77%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$1,956.61	$8,507.00	$96.15–$6,805.60	31% below	77%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO	$1,956.61	$8,507.00	$96.15–$6,805.60	31% below	77%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$1,956.61	$8,507.00	$1,650.36–$6,805.60	—	77%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO	$1,956.61	$8,507.00	$1,650.36–$6,805.60	—	77%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO	$2,151.19	$9,353.00	$96.15–$7,482.40	30% below	77%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$2,151.19	$9,353.00	$96.15–$7,482.40	30% below	77%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO	$2,151.19	$9,353.00	$1,814.48–$7,482.40	—	77%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$2,151.19	$9,353.00	$1,814.48–$7,482.40	—	77%
CT scan of the head with contrast CPT 70460 CT Head or Brain W	$2,022.16	$8,792.00	$160.68–$7,033.60	46% below	77%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W	$2,022.16	$8,792.00	$1,705.65–$7,033.60	—	77%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO	$2,707.79	$11,773.00	$160.68–$9,418.40	39% below	77%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO	$2,707.79	$11,773.00	$2,283.96–$9,418.40	—	77%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO	$1,955.00	$8,500.00	$96.15–$6,800.00	40% below	77%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO	$1,955.00	$8,500.00	$1,649.00–$6,800.00	—	77%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO	$1,621.04	$7,048.00	$96.15–$5,638.40	52% below	77%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO	$1,621.04	$7,048.00	$1,367.31–$5,638.40	—	77%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$1,765.48	$7,676.00	$160.68–$6,140.80	59% below	77%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$1,765.48	$7,676.00	$1,489.14–$6,140.80	—	77%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$1,074.79	$4,673.00	$214.29–$3,738.40	—	77%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$1,074.79	$4,673.00	$906.56–$3,738.40	—	77%
Chest CT scan without and with contrast CPT 71270 CT Chest Diagnostic WWO	$2,287.35	$9,945.00	$160.68–$7,956.00	43% below	77%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Diagnostic WWO	$2,287.35	$9,945.00	$1,929.33–$7,956.00	—	77%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR	$296.01	$1,287.00	$21.85–$1,029.60	40% below	77%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR	$296.01	$1,287.00	$249.68–$1,029.60	—	77%
Chest X-ray, single view CPT 71045 XR Chest 1V DR	$261.05	$1,135.00	$16.15–$908.00	38% below	77%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR	$261.05	$1,135.00	$16.15–$908.00	38% below	77%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR	$261.05	$1,135.00	$16.15–$908.00	38% below	77%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR	$261.05	$1,135.00	$220.19–$908.00	—	77%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1V DR	$261.05	$1,135.00	$220.19–$908.00	—	77%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR	$261.05	$1,135.00	$220.19–$908.00	—	77%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR	$513.13	$2,231.00	$22.80–$1,784.80	7% below	77%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR	$513.13	$2,231.00	$22.80–$1,784.80	7% below	77%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR	$513.13	$2,231.00	$432.81–$1,784.80	—	77%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR	$513.13	$2,231.00	$432.81–$1,784.80	—	77%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$561.89	$2,443.00	$76.95–$1,954.40	56% below	77%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$561.89	$2,443.00	$473.94–$1,954.40	—	77%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$209.99	$913.00	$29.45–$730.40	66% below	77%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$209.99	$913.00	$177.12–$730.40	—	77%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO	$1,804.58	$7,846.00	$96.15–$6,276.80	38% below	77%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest	$1,804.58	$7,846.00	$96.15–$6,276.80	38% below	77%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest	$1,804.58	$7,846.00	$1,522.12–$6,276.80	—	77%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO	$1,804.58	$7,846.00	$1,522.12–$6,276.80	—	77%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W	$2,964.01	$12,887.00	$160.68–$10,309.60	23% below	77%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W	$2,964.01	$12,887.00	$2,500.08–$10,309.60	—	77%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM	$286.58	$1,246.00	$98.61–$996.80	—	77%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$286.58	$1,246.00	$98.61–$996.80	—	77%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$286.58	$1,246.00	$241.72–$996.80	—	77%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM	$286.58	$1,246.00	$241.72–$996.80	—	77%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo	$291.41	$1,267.00	$76.81–$1,013.60	33% below	77%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$291.41	$1,267.00	$76.81–$1,013.60	33% below	77%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo	$291.41	$1,267.00	$76.81–$1,013.60	33% below	77%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$291.41	$1,267.00	$76.81–$1,013.60	33% below	77%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo	$291.41	$1,267.00	$245.80–$1,013.60	—	77%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$291.41	$1,267.00	$245.80–$1,013.60	—	77%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$291.41	$1,267.00	$245.80–$1,013.60	—	77%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo	$291.41	$1,267.00	$245.80–$1,013.60	—	77%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral	$937.71	$4,077.00	$214.29–$3,261.60	—	77%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral	$937.71	$4,077.00	$790.94–$3,261.60	—	77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Insufficiency Duplex Bilat	$952.89	$4,143.00	$214.29–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat	$952.89	$4,143.00	$214.29–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral	$952.89	$4,143.00	$214.29–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Insufficiency Doppler Bilat	$952.89	$4,143.00	$214.29–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral	$952.89	$4,143.00	$214.29–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe	$952.89	$4,143.00	$214.29–$3,314.40	48% below	77%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe	$952.89	$4,143.00	$214.29–$3,314.40	48% below	77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Insufficiency Duplex Bilat	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Insufficiency Doppler Bilat	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe	$952.89	$4,143.00	$803.74–$3,314.40	—	77%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop	$1,619.89	$7,043.00	$256.00–$5,634.40	52% below	77%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$1,619.89	$7,043.00	$256.00–$5,634.40	52% below	77%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop	$1,619.89	$7,043.00	$1,366.34–$5,634.40	—	77%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$1,619.89	$7,043.00	$1,366.34–$5,634.40	—	77%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR	$323.84	$1,408.00	$19.95–$1,126.40	36% below	77%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR	$323.84	$1,408.00	$19.95–$1,126.40	36% below	77%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR	$323.84	$1,408.00	$273.15–$1,126.40	—	77%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR	$323.84	$1,408.00	$273.15–$1,126.40	—	77%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com	$615.25	$2,675.00	$21.85–$2,140.00	3% above	77%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$615.25	$2,675.00	$21.85–$2,140.00	3% above	77%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com	$615.25	$2,675.00	$518.95–$2,140.00	—	77%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$615.25	$2,675.00	$518.95–$2,140.00	—	77%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO	$980.49	$4,263.00	$96.15–$3,410.40	63% below	77%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO	$980.49	$4,263.00	$96.15–$3,410.40	63% below	77%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO	$980.49	$4,263.00	$96.15–$3,410.40	63% below	77%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO	$980.49	$4,263.00	$827.02–$3,410.40	—	77%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO	$980.49	$4,263.00	$827.02–$3,410.40	—	77%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO	$980.49	$4,263.00	$827.02–$3,410.40	—	77%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$672.52	$2,924.00	$32.30–$2,339.20	11% below	77%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$672.52	$2,924.00	$567.26–$2,339.20	—	77%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR	$454.71	$1,977.00	$20.90–$1,581.60	20% below	77%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR	$454.71	$1,977.00	$20.90–$1,581.60	20% below	77%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR	$454.71	$1,977.00	$383.54–$1,581.60	—	77%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR	$454.71	$1,977.00	$383.54–$1,581.60	—	77%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1	$301.53	$1,311.00	$254.33–$3,747.00	85% below	77%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1	$301.53	$1,311.00	$254.33–$1,048.80	—	77%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR	$330.05	$1,435.00	$21.85–$1,148.00	36% below	77%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR	$330.05	$1,435.00	$21.85–$1,148.00	36% below	77%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR	$330.05	$1,435.00	$278.39–$1,148.00	—	77%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR	$330.05	$1,435.00	$278.39–$1,148.00	—	77%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR XR Calcaneus 2 V Left DR	$314.87	$1,369.00	$19.95–$1,095.20	36% below	77%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR	$314.87	$1,369.00	$19.95–$1,095.20	36% below	77%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR	$314.87	$1,369.00	$265.59–$1,095.20	—	77%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR XR Calcaneus 2 V Left DR	$314.87	$1,369.00	$265.59–$1,095.20	—	77%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 CHRG - SLEEP TITRATE UNATT	$382.03	$1,661.00	$48.54–$1,661.00	48% below	77%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 CHRG - SLEEP TITRATE UNATT	$382.03	$1,661.00	$322.23–$1,328.80	—	77%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO	$2,580.14	$11,218.00	$502.20–$8,974.40	50% below	77%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO	$2,580.14	$11,218.00	$2,176.29–$8,974.40	—	77%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR	$332.12	$1,444.00	$29.45–$1,155.20	52% below	77%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR	$332.12	$1,444.00	$29.45–$1,155.20	52% below	77%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR	$332.12	$1,444.00	$280.14–$1,155.20	—	77%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR	$332.12	$1,444.00	$280.14–$1,155.20	—	77%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR	$401.81	$1,747.00	$32.30–$1,397.60	48% below	77%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left DR	$401.81	$1,747.00	$32.30–$1,397.60	48% below	77%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right DR	$401.81	$1,747.00	$32.30–$1,397.60	48% below	77%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR	$401.81	$1,747.00	$32.30–$1,397.60	48% below	77%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left DR	$401.81	$1,747.00	$338.92–$1,397.60	—	77%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR	$401.81	$1,747.00	$338.92–$1,397.60	—	77%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right DR	$401.81	$1,747.00	$338.92–$1,397.60	—	77%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR	$401.81	$1,747.00	$338.92–$1,397.60	—	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO	$1,482.81	$6,447.00	$96.15–$5,157.60	44% below	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO	$1,482.81	$6,447.00	$1,250.72–$5,157.60	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$836.05	$3,635.00	$62.70–$2,908.00	26% below	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites	$836.05	$3,635.00	$705.19–$2,908.00	—	77%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left CM	$209.30	$910.00	$33.25–$1,309.00	67% below	77%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Right CM	$209.30	$910.00	$33.25–$1,309.00	67% below	77%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt	$209.30	$910.00	$33.25–$1,309.00	67% below	77%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt	$209.30	$910.00	$33.25–$1,309.00	67% below	77%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Right CM	$209.30	$910.00	$176.54–$728.00	—	77%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt	$209.30	$910.00	$176.54–$728.00	—	77%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left CM	$209.30	$910.00	$176.54–$728.00	—	77%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt	$209.30	$910.00	$176.54–$728.00	—	77%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR	$419.52	$1,824.00	$22.80–$1,459.20	33% below	77%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR	$419.52	$1,824.00	$22.80–$1,459.20	33% below	77%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR	$419.52	$1,824.00	$353.86–$1,459.20	—	77%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR	$419.52	$1,824.00	$353.86–$1,459.20	—	77%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head WO	$1,276.73	$5,551.00	$214.29–$4,440.80	56% below	77%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head WO	$1,276.73	$5,551.00	$1,076.89–$4,440.80	—	77%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle Bilateral WO	$2,829.92	$12,304.00	$214.29–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip Bilateral WO	$2,829.92	$12,304.00	$214.29–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee Bilateral WO	$2,829.92	$12,304.00	$214.29–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO	$2,829.92	$12,304.00	$214.29–$9,843.20	19% below	77%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO	$2,829.92	$12,304.00	$214.29–$9,843.20	19% below	77%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO	$2,829.92	$12,304.00	$214.29–$9,843.20	19% below	77%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO	$2,829.92	$12,304.00	$214.29–$9,843.20	19% below	77%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO	$2,829.92	$12,304.00	$214.29–$9,843.20	19% below	77%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO	$2,829.92	$12,304.00	$214.29–$9,843.20	19% below	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip Bilateral WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee Bilateral WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle Bilateral WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO	$2,829.92	$12,304.00	$2,386.98–$9,843.20	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO	$2,484.23	$10,801.00	$336.32–$8,640.80	49% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO	$2,484.23	$10,801.00	$336.32–$8,640.80	49% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO	$2,484.23	$10,801.00	$336.32–$8,640.80	49% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO	$2,484.23	$10,801.00	$336.32–$8,640.80	49% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO	$2,484.23	$10,801.00	$336.32–$8,640.80	49% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO	$2,484.23	$10,801.00	$336.32–$8,640.80	49% below	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO	$2,484.23	$10,801.00	$2,095.39–$8,640.80	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO	$2,484.23	$10,801.00	$2,095.39–$8,640.80	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO	$2,484.23	$10,801.00	$2,095.39–$8,640.80	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO	$2,484.23	$10,801.00	$2,095.39–$8,640.80	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO	$2,484.23	$10,801.00	$2,095.39–$8,640.80	—	77%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO	$2,484.23	$10,801.00	$2,095.39–$8,640.80	—	77%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$2,268.72	$9,864.00	$214.29–$7,891.20	35% below	77%
MRI of the abdomen without contrast CPT 74181 MRI MRCP WO	$2,268.72	$9,864.00	$214.29–$7,891.20	35% below	77%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO	$2,268.72	$9,864.00	$1,913.62–$7,891.20	—	77%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$2,268.72	$9,864.00	$1,913.62–$7,891.20	—	77%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO	$3,124.32	$13,584.00	$336.32–$10,867.20	27% below	77%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO	$3,124.32	$13,584.00	$2,635.30–$10,867.20	—	77%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert	$1,804.58	$7,846.00	$214.29–$6,276.80	48% below	77%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$1,804.58	$7,846.00	$214.29–$6,276.80	48% below	77%
MRI of the brain, no contrast dye CPT 70551 MRV Brain WO	$1,804.58	$7,846.00	$214.29–$6,276.80	48% below	77%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert	$1,804.58	$7,846.00	$1,522.12–$6,276.80	—	77%
MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO	$1,804.58	$7,846.00	$1,522.12–$6,276.80	—	77%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$1,804.58	$7,846.00	$1,522.12–$6,276.80	—	77%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO	$2,677.66	$11,642.00	$336.32–$9,313.60	46% below	77%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO	$2,677.66	$11,642.00	$2,258.55–$9,313.60	—	77%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO	$3,076.25	$13,375.00	$214.29–$10,700.00	17% below	77%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO	$3,076.25	$13,375.00	$2,594.75–$10,700.00	—	77%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO	$3,503.36	$15,232.00	$336.32–$12,185.60	30% below	77%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO	$3,503.36	$15,232.00	$2,955.01–$12,185.60	—	77%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO	$2,560.82	$11,134.00	$214.29–$8,907.20	32% below	77%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO	$2,560.82	$11,134.00	$2,160.00–$8,907.20	—	77%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO	$3,381.00	$14,700.00	$336.32–$11,760.00	29% below	77%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO	$3,381.00	$14,700.00	$2,851.80–$11,760.00	—	77%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO	$2,968.84	$12,908.00	$214.29–$10,326.40	21% below	77%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO	$2,968.84	$12,908.00	$2,504.15–$10,326.40	—	77%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO	$2,279.07	$9,909.00	$336.32–$7,927.20	39% below	77%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO	$2,279.07	$9,909.00	$1,922.35–$7,927.20	—	77%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$1,478.44	$6,428.00	$214.29–$5,142.40	55% below	77%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$1,478.44	$6,428.00	$1,247.03–$5,142.40	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO	$2,639.71	$11,477.00	$214.29–$9,181.60	20% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO	$2,639.71	$11,477.00	$214.29–$9,181.60	20% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO	$2,639.71	$11,477.00	$214.29–$9,181.60	20% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO	$2,639.71	$11,477.00	$214.29–$9,181.60	20% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO	$2,639.71	$11,477.00	$214.29–$9,181.60	20% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO	$2,639.71	$11,477.00	$214.29–$9,181.60	20% below	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO	$2,639.71	$11,477.00	$2,226.54–$9,181.60	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO	$2,639.71	$11,477.00	$2,226.54–$9,181.60	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO	$2,639.71	$11,477.00	$2,226.54–$9,181.60	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO	$2,639.71	$11,477.00	$2,226.54–$9,181.60	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO	$2,639.71	$11,477.00	$2,226.54–$9,181.60	—	77%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO	$2,639.71	$11,477.00	$2,226.54–$9,181.60	—	77%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR	$905.74	$3,938.00	$37.05–$3,150.40	3% above	77%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR	$905.74	$3,938.00	$763.97–$3,150.40	—	77%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W	$2,134.86	$9,282.00	$160.68–$7,425.60	36% below	77%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W	$2,134.86	$9,282.00	$1,800.71–$7,425.60	—	77%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO	$1,304.79	$5,673.00	$96.15–$4,538.40	56% below	77%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO	$1,304.79	$5,673.00	$1,100.56–$4,538.40	—	77%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR	$485.76	$2,112.00	$21.85–$1,689.60	13% below	77%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR	$485.76	$2,112.00	$409.73–$1,689.60	—	77%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1	$2,253.54	$9,798.00	$400.90–$7,838.40	59% below	77%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 NM-MYOCRD SPECT MUL	$2,253.54	$9,798.00	$400.90–$7,838.40	59% below	77%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,253.54	$9,798.00	$400.90–$7,838.40	59% below	77%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,253.54	$9,798.00	$400.90–$7,838.40	59% below	77%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,253.54	$9,798.00	$1,900.81–$7,838.40	—	77%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 NM-MYOCRD SPECT MUL	$2,253.54	$9,798.00	$1,900.81–$7,838.40	—	77%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1	$2,253.54	$9,798.00	$1,900.81–$7,838.40	—	77%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,253.54	$9,798.00	$1,900.81–$7,838.40	—	77%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$1,325.95	$5,765.00	$96.15–$4,612.00	56% below	77%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$1,325.95	$5,765.00	$1,118.41–$4,612.00	—	77%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited	$298.77	$1,299.00	$37.05–$1,309.00	66% below	77%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU	$298.77	$1,299.00	$37.05–$1,309.00	66% below	77%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU	$298.77	$1,299.00	$252.01–$1,039.20	—	77%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited	$298.77	$1,299.00	$252.01–$1,039.20	—	77%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$1,001.88	$4,356.00	$76.00–$3,484.80	25% below	77%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$1,001.88	$4,356.00	$845.06–$3,484.80	—	77%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$668.38	$2,906.00	$91.20–$2,324.80	18% below	77%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$668.38	$2,906.00	$563.76–$2,324.80	—	77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal	$564.88	$2,456.00	$73.15–$1,964.80	25% below	77%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal	$564.88	$2,456.00	$476.46–$1,964.80	—	77%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited	$410.55	$1,785.00	$52.25–$1,428.00	36% below	77%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited	$410.55	$1,785.00	$346.29–$1,428.00	—	77%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR	$485.76	$2,112.00	$24.70–$1,689.60	17% below	77%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR	$485.76	$2,112.00	$24.70–$1,689.60	17% below	77%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR	$485.76	$2,112.00	$409.73–$1,689.60	—	77%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR	$485.76	$2,112.00	$409.73–$1,689.60	—	77%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$485.76	$2,112.00	$27.55–$1,689.60	29% below	77%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$485.76	$2,112.00	$27.55–$1,689.60	29% below	77%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$485.76	$2,112.00	$409.73–$1,689.60	—	77%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$485.76	$2,112.00	$409.73–$1,689.60	—	77%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$260.82	$1,134.00	$80.85–$907.20	—	77%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM	$260.82	$1,134.00	$80.85–$907.20	35% below	77%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM	$260.82	$1,134.00	$80.85–$907.20	35% below	77%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$260.82	$1,134.00	$220.00–$907.20	—	77%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM	$260.82	$1,134.00	$220.00–$907.20	—	77%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM	$260.82	$1,134.00	$220.00–$907.20	—	77%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR	$531.07	$2,309.00	$23.75–$1,847.20	—	77%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$531.07	$2,309.00	$23.75–$1,847.20	27% below	77%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$531.07	$2,309.00	$23.75–$1,847.20	27% below	77%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR	$531.07	$2,309.00	$447.95–$1,847.20	—	77%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$531.07	$2,309.00	$447.95–$1,847.20	—	77%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$531.07	$2,309.00	$447.95–$1,847.20	—	77%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR	$676.66	$2,942.00	$27.55–$2,353.60	21% below	77%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR	$676.66	$2,942.00	$570.75–$2,353.60	—	77%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR	$495.88	$2,156.00	$25.65–$1,724.80	23% below	77%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR	$495.88	$2,156.00	$418.26–$1,724.80	—	77%
Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO	$1,970.87	$8,569.00	$479.81–$6,855.20	63% below	77%
Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO	$1,970.87	$8,569.00	$1,662.39–$6,855.20	—	77%
Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow	$642.16	$2,792.00	$103.55–$2,233.60	34% below	77%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow	$642.16	$2,792.00	$541.65–$2,233.60	—	77%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR	$407.33	$1,771.00	$25.65–$1,416.80	23% below	77%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR	$407.33	$1,771.00	$25.65–$1,416.80	23% below	77%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR	$407.33	$1,771.00	$343.57–$1,416.80	—	77%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR	$407.33	$1,771.00	$343.57–$1,416.80	—	77%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO	$2,121.29	$9,223.00	$96.15–$7,378.40	30% below	77%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO	$2,121.29	$9,223.00	$1,789.26–$7,378.40	—	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR	$443.67	$1,929.00	$21.85–$1,543.20	9% below	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$443.67	$1,929.00	$374.23–$1,543.20	—	77%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$164.91	$717.00	$89.30–$1,309.00	84% below	77%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$164.91	$717.00	$139.10–$573.60	—	77%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$139.84	$608.00	$58.90–$1,309.00	85% below	77%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$139.84	$608.00	$117.95–$486.40	—	77%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$970.14	$4,218.00	$82.65–$3,374.40	37% below	77%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$970.14	$4,218.00	$818.29–$3,374.40	—	77%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$909.42	$3,954.00	$74.10–$3,163.20	16% below	77%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$909.42	$3,954.00	$767.08–$3,163.20	—	77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$432.86	$1,882.00	$88.35–$1,505.60	63% below	77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$432.86	$1,882.00	$88.35–$1,505.60	63% below	77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$432.86	$1,882.00	$365.11–$1,505.60	—	77%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$432.86	$1,882.00	$365.11–$1,505.60	—	77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin	$606.28	$2,636.00	$79.80–$2,108.80	46% below	77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium	$606.28	$2,636.00	$79.80–$2,108.80	46% below	77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium	$606.28	$2,636.00	$511.38–$2,108.80	—	77%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin	$606.28	$2,636.00	$511.38–$2,108.80	—	77%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR	$602.83	$2,621.00	$22.80–$2,096.80	3% above	77%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR	$602.83	$2,621.00	$22.80–$2,096.80	3% above	77%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR	$602.83	$2,621.00	$508.47–$2,096.80	—	77%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR	$602.83	$2,621.00	$508.47–$2,096.80	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Insufficiency Duplex Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Insufficiency Duplex Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Insufficiency Duplex Right	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Insufficiency Duplex Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Left	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left.	$496.57	$2,159.00	$96.15–$1,727.20	42% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Insufficiency Duplex Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Insufficiency Duplex Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Insufficiency Duplex Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Insufficiency Duplex Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Left	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left.	$496.57	$2,159.00	$418.85–$1,727.20	—	77%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR	$436.54	$1,898.00	$24.70–$1,518.40	29% below	77%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR	$436.54	$1,898.00	$24.70–$1,518.40	29% below	77%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR	$436.54	$1,898.00	$368.21–$1,518.40	—	77%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR	$436.54	$1,898.00	$368.21–$1,518.40	—	77%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$630.66	$2,742.00	$30.40–$2,193.60	11% below	77%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$630.66	$2,742.00	$30.40–$2,193.60	11% below	77%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$630.66	$2,742.00	$531.95–$2,193.60	—	77%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$630.66	$2,742.00	$531.95–$2,193.60	—	77%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$403.19	$1,753.00	$34.20–$1,402.40	31% below	77%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$403.19	$1,753.00	$34.20–$1,402.40	31% below	77%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$403.19	$1,753.00	$340.08–$1,402.40	—	77%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$403.19	$1,753.00	$340.08–$1,402.40	—	77%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR	$447.58	$1,946.00	$19.95–$1,556.80	9% below	77%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR	$447.58	$1,946.00	$377.52–$1,556.80	—	77%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR	$463.22	$2,014.00	$23.75–$1,611.20	5% below	77%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR	$463.22	$2,014.00	$23.75–$1,611.20	5% below	77%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR	$463.22	$2,014.00	$390.72–$1,611.20	—	77%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR	$463.22	$2,014.00	$390.72–$1,611.20	—	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$267.72	$1,164.00	$28.50–$931.20	43% below	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$267.72	$1,164.00	$225.82–$931.20	—	77%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR	$419.06	$1,822.00	$19.95–$1,457.60	15% below	77%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR	$419.06	$1,822.00	$19.95–$1,457.60	15% below	77%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR	$419.06	$1,822.00	$353.47–$1,457.60	—	77%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR	$419.06	$1,822.00	$353.47–$1,457.60	—	77%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR	$483.92	$2,104.00	$24.70–$1,683.20	20% below	77%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR	$483.92	$2,104.00	$24.70–$1,683.20	20% below	77%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR	$483.92	$2,104.00	$408.18–$1,683.20	—	77%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR	$483.92	$2,104.00	$408.18–$1,683.20	—	77%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR	$505.77	$2,199.00	$26.60–$1,759.20	20% below	77%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR	$505.77	$2,199.00	$26.60–$1,759.20	20% below	77%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR	$505.77	$2,199.00	$426.61–$1,759.20	—	77%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR	$505.77	$2,199.00	$426.61–$1,759.20	—	77%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR	$400.89	$1,743.00	$24.70–$1,394.40	34% below	77%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR	$400.89	$1,743.00	$24.70–$1,394.40	34% below	77%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR	$400.89	$1,743.00	$338.14–$1,394.40	—	77%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR	$400.89	$1,743.00	$338.14–$1,394.40	—	77%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$523.94	$2,278.00	$26.60–$1,822.40	24% below	77%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$523.94	$2,278.00	$441.93–$1,822.40	—	77%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$881.59	$3,833.00	$35.15–$3,066.40	21% below	77%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$881.59	$3,833.00	$743.60–$3,066.40	—	77%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR	$666.31	$2,897.00	$22.80–$2,317.60	7% above	77%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR	$666.31	$2,897.00	$562.02–$2,317.60	—	77%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$439.53	$1,911.00	$27.55–$1,528.80	32% below	77%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$439.53	$1,911.00	$370.73–$1,528.80	—	77%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR	$659.41	$2,867.00	$26.60–$2,293.60	4% below	77%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR	$659.41	$2,867.00	$556.20–$2,293.60	—	77%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR	$447.35	$1,945.00	$19.95–$1,556.00	28% below	77%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR	$447.35	$1,945.00	$377.33–$1,556.00	—	77%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$477.94	$2,078.00	$22.80–$1,662.40	27% below	77%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$477.94	$2,078.00	$403.13–$1,662.40	—	77%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$28.75	$125.00	$17.10–$125.00	37% below	77%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$28.75	$125.00	$24.25–$100.00	—	77%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$19.55	$85.00	$4.70–$85.00	50% below	77%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid	$19.55	$85.00	$4.70–$85.00	50% below	77%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT	$19.55	$85.00	$4.70–$85.00	50% below	77%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$19.55	$85.00	$16.49–$68.00	—	77%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT	$19.55	$85.00	$16.49–$68.00	—	77%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid	$19.55	$85.00	$16.49–$68.00	—	77%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$41.40	$180.00	$4.60–$180.00	24% below	77%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid	$41.40	$180.00	$4.60–$180.00	24% below	77%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid	$41.40	$180.00	$34.92–$144.00	—	77%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$41.40	$180.00	$34.92–$144.00	—	77%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC	$35.42	$154.00	$29.88–$154.00	78% below	77%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC	$35.42	$154.00	$29.88–$123.20	—	77%
Albumin blood test CPT 82040 82040 L002238 ALB SER	$3.68	$16.00	$3.10–$16.00	78% below	77%
Albumin blood test CPT 82040 82040 L203836 ALBUMIN SERUM	$3.68	$16.00	$3.10–$16.00	78% below	77%
Albumin blood test CPT 82040 82040 ALBUMIN SERUM	$3.68	$16.00	$3.10–$16.00	78% below	77%
Albumin blood test CPT 82040 Albumin Level	$3.68	$16.00	$3.10–$16.00	78% below	77%
Albumin blood test inpatient CPT 82040 Albumin Level	$3.68	$16.00	$3.10–$12.80	—	77%
Albumin blood test inpatient CPT 82040 82040 L203836 ALBUMIN SERUM	$3.68	$16.00	$3.10–$12.80	—	77%
Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM	$3.68	$16.00	$3.10–$12.80	—	77%
Albumin blood test inpatient CPT 82040 82040 L002238 ALB SER	$3.68	$16.00	$3.10–$12.80	—	77%
Aldosterone blood test CPT 82088 Aldosterone LCMS Level LC	$30.36	$132.00	$25.61–$132.00	9% above	77%
Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS Level LC	$30.36	$132.00	$25.61–$105.60	—	77%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$3.91	$17.00	$3.30–$17.00	91% below	77%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$3.91	$17.00	$3.30–$17.00	91% below	77%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 PHOSPHATASE ALKALINE	$3.91	$17.00	$3.30–$17.00	91% below	77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 PHOSPHATASE ALKALINE	$3.91	$17.00	$3.30–$13.60	—	77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$3.91	$17.00	$3.30–$13.60	—	77%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L601823 ALG IGE QT	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 W001-IgE Ragweed Short/Commo LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Hair/Dander LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Hair/Dander LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D farinae Mite D002 IgE (LC)	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600919 ALG IGE QT	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatu LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D pteronyssinus D001 IgE (LC)	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut/Filbert LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Marsh Elder Rough LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut Food LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk (Cow) LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE Pecan Nut LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 G017-IgE Bahia Grass LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 G006-IgE Timothy LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 I006-IgE CockroachGerman LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L62448 ALG IGE QT	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L602989 ALG IGE QT	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle LC	$3.91	$17.00	$2.85–$17.00	50% below	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatu LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F203-IgE Pistachio Nut LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006-IgE CockroachGerman LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G006-IgE Timothy LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G017-IgE Bahia Grass LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE Pecan Nut LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk (Cow) LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut Food LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Marsh Elder Rough LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut/Filbert LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D pteronyssinus D001 IgE (LC)	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D farinae Mite D002 IgE (LC)	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Hair/Dander LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Hair/Dander LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W001-IgE Ragweed Short/Commo LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L601823 ALG IGE QT	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle LC	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L602989 ALG IGE QT	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L62448 ALG IGE QT	$3.91	$17.00	$3.30–$13.60	—	77%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600919 ALG IGE QT	$3.91	$17.00	$3.30–$13.60	—	77%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$12.42	$54.00	$10.48–$54.00	63% below	77%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Open Spina Bifida (LC)	$12.42	$54.00	$10.48–$54.00	63% below	77%
Alpha-fetoprotein (AFP) blood test CPT 82105 82105 L17319 AFP SERUM	$12.42	$54.00	$10.48–$54.00	63% below	77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$12.42	$54.00	$10.48–$43.20	—	77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Open Spina Bifida (LC)	$12.42	$54.00	$10.48–$43.20	—	77%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 L17319 AFP SERUM	$12.42	$54.00	$10.48–$43.20	—	77%
Ammonia blood test CPT 82140 Ammonia Level	$42.78	$186.00	$12.93–$186.00	62% below	77%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$42.78	$186.00	$36.08–$148.80	—	77%
Amylase blood test CPT 82150 Amylase Urine Timed	$32.89	$143.00	$5.75–$143.00	5% above	77%
Amylase blood test CPT 82150 Amylase 24 Hour Urine	$32.89	$143.00	$5.75–$143.00	5% above	77%
Amylase blood test CPT 82150 Amylase Body Fluid	$32.89	$143.00	$5.75–$143.00	5% above	77%
Amylase blood test CPT 82150 Pancreatic Amylase Blood	$32.89	$143.00	$5.75–$143.00	5% above	77%
Amylase blood test CPT 82150 Amylase Blood	$32.89	$143.00	$5.75–$143.00	5% above	77%
Amylase blood test CPT 82150 Amylase Urine	$32.89	$143.00	$5.75–$143.00	5% above	77%
Amylase blood test inpatient CPT 82150 Amylase Urine	$32.89	$143.00	$27.74–$114.40	—	77%
Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine	$32.89	$143.00	$27.74–$114.40	—	77%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$32.89	$143.00	$27.74–$114.40	—	77%
Amylase blood test inpatient CPT 82150 Pancreatic Amylase Blood	$32.89	$143.00	$27.74–$114.40	—	77%
Amylase blood test inpatient CPT 82150 Amylase Urine Timed	$32.89	$143.00	$27.74–$114.40	—	77%
Amylase blood test inpatient CPT 82150 Amylase Blood	$32.89	$143.00	$27.74–$114.40	—	77%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$9.66	$42.00	$8.15–$153.50	65% below	77%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$9.66	$42.00	$8.15–$33.60	—	77%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibodies Direct (LC)	$8.97	$39.00	$7.57–$39.00	69% below	77%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC)	$8.97	$39.00	$7.57–$39.00	69% below	77%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC)	$8.97	$39.00	$7.57–$31.20	—	77%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibodies Direct (LC)	$8.97	$39.00	$7.57–$31.20	—	77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide	$96.37	$419.00	$34.85–$419.00	42% below	77%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone	$96.37	$419.00	$34.85–$419.00	42% below	77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide	$96.37	$419.00	$81.29–$335.20	—	77%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone	$96.37	$419.00	$81.29–$335.20	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gastric Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aspirate Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Foreign Body Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Trachea Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Feeding Tube Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Strep Culture QA NC	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasopharyngeal Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Miscellaneous Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture without Gram Stain	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture	$81.88	$356.00	$7.65–$356.00	10% above	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Strep Culture QA NC	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Feeding Tube Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Trachea Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Foreign Body Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gastric Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aspirate Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasopharyngeal Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Miscellaneous Culture without Gram Stain	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$81.88	$356.00	$69.06–$284.80	—	77%
Basic metabolic panel (blood test) CPT 80048 BMPWTCA	$52.90	$230.00	$7.51–$230.00	84% below	77%
Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA	$52.90	$230.00	$44.62–$184.00	—	77%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid	$32.43	$141.00	$4.46–$141.00	37% above	77%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$32.43	$141.00	$4.46–$141.00	37% above	77%
Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL	$32.43	$141.00	$4.46–$141.00	37% above	77%
Bilirubin blood test, total CPT 82247 Bilirubin Total Neo	$32.43	$141.00	$4.46–$141.00	37% above	77%
Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood	$32.43	$141.00	$4.46–$141.00	37% above	77%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood	$32.43	$141.00	$27.35–$112.80	—	77%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid	$32.43	$141.00	$27.35–$112.80	—	77%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$32.43	$141.00	$27.35–$112.80	—	77%
Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL	$32.43	$141.00	$27.35–$112.80	—	77%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neo	$32.43	$141.00	$27.35–$112.80	—	77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$166.52	$724.00	$33.66–$579.20	43% above	77%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi	$166.52	$724.00	$33.66–$579.20	43% above	77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$166.52	$724.00	$140.46–$579.20	—	77%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi	$166.52	$724.00	$140.46–$579.20	—	77%
Blood culture for bacteria CPT 87040 Blood Culture	$61.64	$268.00	$9.16–$268.00	82% below	77%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$61.64	$268.00	$51.99–$214.40	—	77%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE	$6.44	$28.00	$2.70–$28.00	66% below	77%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg	$6.44	$28.00	$2.70–$28.00	66% below	77%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$2,507.31	$10,901.36	$8.22–$11,934.00	13145% above	77%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE	$6.44	$28.00	$5.43–$22.40	—	77%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg	$6.44	$28.00	$5.43–$22.40	—	77%
Blood glucose (sugar) test CPT 82947 Glucose Level	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 .Glucose Fasting	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 Glucose 4 Hour Postprandial	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 .Glucose POC	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB	$28.75	$125.00	$3.49–$125.00	36% below	77%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 4 Hour Postprandial	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$28.75	$125.00	$24.25–$100.00	—	77%
Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB	$28.75	$125.00	$24.25–$100.00	—	77%
Blood lead test CPT 83655 83655 LEAD	$8.97	$39.00	$7.57–$39.00	18% below	77%
Blood lead test CPT 83655 83655 L42580 LEAD	$8.97	$39.00	$7.57–$39.00	18% below	77%
Blood lead test CPT 83655 83655 L7046 LEAD	$8.97	$39.00	$7.57–$39.00	18% below	77%
Blood lead test CPT 83655 Lead Blood Adult (LC)	$8.97	$39.00	$7.57–$39.00	18% below	77%
Blood lead test CPT 83655 83655 L7492 LEAD	$8.97	$39.00	$7.57–$39.00	18% below	77%
Blood lead test inpatient CPT 83655 83655 L7492 LEAD	$8.97	$39.00	$7.57–$31.20	—	77%
Blood lead test inpatient CPT 83655 83655 L7046 LEAD	$8.97	$39.00	$7.57–$31.20	—	77%
Blood lead test inpatient CPT 83655 Lead Blood Adult (LC)	$8.97	$39.00	$7.57–$31.20	—	77%
Blood lead test inpatient CPT 83655 83655 LEAD	$8.97	$39.00	$7.57–$31.20	—	77%
Blood lead test inpatient CPT 83655 83655 L42580 LEAD	$8.97	$39.00	$7.57–$31.20	—	77%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ	$50.37	$219.00	$6.68–$219.00	60% below	77%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qual	$50.37	$219.00	$6.68–$219.00	60% below	77%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qual	$50.37	$219.00	$42.49–$175.20	—	77%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ	$50.37	$219.00	$42.49–$175.20	—	77%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO	$65.32	$284.00	$2.69–$284.00	37% above	77%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward	$65.32	$284.00	$2.69–$284.00	37% above	77%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh	$65.32	$284.00	$2.69–$284.00	37% above	77%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse	$65.32	$284.00	$2.69–$284.00	37% above	77%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh	$65.32	$284.00	$55.10–$227.20	—	77%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO	$65.32	$284.00	$55.10–$227.20	—	77%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward	$65.32	$284.00	$55.10–$227.20	—	77%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse	$65.32	$284.00	$55.10–$227.20	—	77%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$11.04	$48.00	$3.51–$48.00	76% below	77%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid	$11.04	$48.00	$3.51–$48.00	76% below	77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$11.04	$48.00	$9.31–$38.40	—	77%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid	$11.04	$48.00	$9.31–$38.40	—	77%
C-peptide blood test CPT 84681 C-Peptide Level LC	$15.41	$67.00	$13.00–$67.00	58% below	77%
C-peptide blood test inpatient CPT 84681 C-Peptide Level LC	$15.41	$67.00	$13.00–$53.60	—	77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (LC)	$52.21	$227.00	$4.60–$227.00	28% below	77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$52.21	$227.00	$4.60–$227.00	28% below	77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC)	$52.21	$227.00	$44.04–$181.60	—	77%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$52.21	$227.00	$44.04–$181.60	—	77%
C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Toxin By NAAT RLNI	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR	$27.83	$121.00	$23.47–$153.50	76% below	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile Toxin By NAAT RLNI	$27.83	$121.00	$23.47–$96.80	—	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR	$27.83	$121.00	$23.47–$96.80	—	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$27.83	$121.00	$23.47–$96.80	—	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel	$27.83	$121.00	$23.47–$96.80	—	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp	$27.83	$121.00	$23.47–$96.80	—	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR	$27.83	$121.00	$23.47–$96.80	—	77%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe	$27.83	$121.00	$23.47–$96.80	—	77%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$15.41	$67.00	$13.00–$67.00	72% below	77%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$15.41	$67.00	$13.00–$53.60	—	77%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$15.41	$67.00	$13.00–$67.00	81% below	77%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC	$15.41	$67.00	$13.00–$53.60	—	77%
Calcium blood test, total CPT 82310 Calcium Urine	$28.75	$125.00	$4.58–$125.00	42% below	77%
Calcium blood test, total CPT 82310 Calcium Level	$28.75	$125.00	$4.58–$125.00	42% below	77%
Calcium blood test, total CPT 82310 Calcium, Random Urine (CQ)	$28.75	$125.00	$4.58–$125.00	42% below	77%
Calcium blood test, total CPT 82310 Calcium BF	$28.75	$125.00	$4.58–$125.00	42% below	77%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$28.75	$125.00	$24.25–$100.00	—	77%
Calcium blood test, total inpatient CPT 82310 Calcium Urine	$28.75	$125.00	$24.25–$100.00	—	77%
Calcium blood test, total inpatient CPT 82310 Calcium, Random Urine (CQ)	$28.75	$125.00	$24.25–$100.00	—	77%
Calcium blood test, total inpatient CPT 82310 Calcium BF	$28.75	$125.00	$24.25–$100.00	—	77%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA Pericardial Fluid CQ	$14.26	$62.00	$12.03–$62.00	88% below	77%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$14.26	$62.00	$12.03–$62.00	88% below	77%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA CQ	$14.26	$62.00	$12.03–$62.00	88% below	77%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (LC)	$14.26	$62.00	$12.03–$62.00	88% below	77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (LC)	$14.26	$62.00	$12.03–$49.60	—	77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA CQ	$14.26	$62.00	$12.03–$49.60	—	77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$14.26	$62.00	$12.03–$49.60	—	77%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA Pericardial Fluid CQ	$14.26	$62.00	$12.03–$49.60	—	77%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgM (LC)	$9.66	$42.00	$8.15–$42.00	47% below	77%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$9.66	$42.00	$8.15–$42.00	47% below	77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$9.66	$42.00	$8.15–$33.60	—	77%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgM (LC)	$9.66	$42.00	$8.15–$33.60	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ChlamydiaNAALC	$25.99	$113.00	$21.92–$113.00	38% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183160 C TRACH AMP	$25.99	$113.00	$21.92–$113.00	38% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH	$25.99	$113.00	$21.92–$113.00	38% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe	$25.99	$113.00	$21.92–$113.00	38% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP	$25.99	$113.00	$21.92–$113.00	38% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2	$25.99	$113.00	$21.92–$113.00	38% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe	$25.99	$113.00	$21.92–$90.40	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 ChlamydiaNAALC	$25.99	$113.00	$21.92–$90.40	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2	$25.99	$113.00	$21.92–$90.40	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP	$25.99	$113.00	$21.92–$90.40	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH	$25.99	$113.00	$21.92–$90.40	—	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183160 C TRACH AMP	$25.99	$113.00	$21.92–$90.40	—	77%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$59.34	$258.00	$11.88–$258.00	41% below	77%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio	$59.34	$258.00	$11.88–$258.00	41% below	77%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L884247 LIPID PANEL	$59.34	$258.00	$11.88–$258.00	41% below	77%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio	$59.34	$258.00	$50.05–$206.40	—	77%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$59.34	$258.00	$50.05–$206.40	—	77%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L884247 LIPID PANEL	$59.34	$258.00	$50.05–$206.40	—	77%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$92.00	$400.00	$6.90–$400.00	36% above	77%
Complete blood count (CBC) with differential CPT 85025 CBCADIFF	$92.00	$400.00	$6.90–$400.00	36% above	77%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$92.00	$400.00	$77.60–$320.00	—	77%
Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF	$92.00	$400.00	$77.60–$320.00	—	77%
Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT	$53.82	$234.00	$5.75–$234.00	45% below	77%
Complete blood count (CBC), no differential CPT 85027 CBC	$53.82	$234.00	$5.75–$234.00	45% below	77%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT	$53.82	$234.00	$45.40–$187.20	—	77%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$53.82	$234.00	$45.40–$187.20	—	77%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$98.44	$428.00	$9.38–$428.00	79% below	77%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$98.44	$428.00	$83.03–$342.40	—	77%
Cortisol blood test, total CPT 82533 Cortisol Sendout to LabCorp	$12.19	$53.00	$10.28–$53.00	81% below	77%
Cortisol blood test, total inpatient CPT 82533 Cortisol Sendout to LabCorp	$12.19	$53.00	$10.28–$42.40	—	77%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$28.29	$123.00	$5.78–$123.00	62% below	77%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index	$28.29	$123.00	$5.78–$123.00	62% below	77%
Creatine kinase (CK) blood test, total CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$28.29	$123.00	$5.78–$123.00	62% below	77%
Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL	$28.29	$123.00	$5.78–$123.00	62% below	77%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index	$28.29	$123.00	$23.86–$98.40	—	77%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL	$28.29	$123.00	$23.86–$98.40	—	77%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$28.29	$123.00	$23.86–$98.40	—	77%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$28.29	$123.00	$23.86–$98.40	—	77%
Creatinine blood test CPT 82565 ISCREA	$33.81	$147.00	$4.54–$147.00	38% below	77%
Creatinine blood test CPT 82565 CREA	$33.81	$147.00	$4.54–$147.00	38% below	77%
Creatinine blood test CPT 82565 .ISTAT Creatinine Level POC	$33.81	$147.00	$4.54–$147.00	38% below	77%
Creatinine blood test inpatient CPT 82565 ISCREA	$33.81	$147.00	$28.52–$117.60	—	77%
Creatinine blood test inpatient CPT 82565 .ISTAT Creatinine Level POC	$33.81	$147.00	$28.52–$117.60	—	77%
Creatinine blood test inpatient CPT 82565 CREA	$33.81	$147.00	$28.52–$117.60	—	77%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody IgG (LC)	$10.58	$46.00	$8.92–$46.00	62% below	77%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody IgG (LC)	$10.58	$46.00	$8.92–$36.80	—	77%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant	$58.42	$254.00	$9.03–$254.00	70% below	77%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant	$58.42	$254.00	$49.28–$203.20	—	77%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$16.56	$72.00	$13.97–$72.00	59% below	77%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$16.56	$72.00	$13.97–$57.60	—	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 .Differential Smear Review Evaluation	$14.29	$62.14	$12.06–$148.51	78% below	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UOpiQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10QualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10AQualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10BQualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium 5 Panel (LC)	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 8C Qual Auto	$164.22	$714.00	$57.85–$714.00	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS12QualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS11QA	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Qual	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8AQualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UAmpQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBarbQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBenzQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UCocQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UPCPQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UTHCQl	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS9AQualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hydrocodone Qual Urine	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone Qual Urine	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen, Urine (LC)	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen, Urine (LC)	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS13QualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS7QualAuto	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen (9) Umbilical Cord Blood (LC)	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Panel 8 MedTox RLNI	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite, Serum LC	$164.22	$714.00	$55.16–$571.20	158% above	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .Differential Smear Review Evaluation	$14.29	$62.14	$12.06–$49.71	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Panel 8 MedTox RLNI	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS12QualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS11QA	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite, Serum LC	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBarbQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen (9) Umbilical Cord Blood (LC)	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10AQualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen, Urine (LC)	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen, Urine (LC)	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Qual	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10BQualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS13QualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium 5 Panel (LC)	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS7QualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 8C Qual Auto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UAmpQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBenzQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UCocQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UOpiQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UPCPQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8AQualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UTHCQl	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS9AQualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10QualAuto	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hydrocodone Qual Urine	$164.22	$714.00	$138.52–$571.20	—	77%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone Qual Urine	$164.22	$714.00	$138.52–$571.20	—	77%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel	$59.34	$258.00	$6.22–$258.00	73% below	77%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine Panel	$59.34	$258.00	$6.22–$258.00	73% below	77%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel	$59.34	$258.00	$50.05–$206.40	—	77%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine Panel	$59.34	$258.00	$50.05–$206.40	—	77%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L216655EPST-BARR VCA	$13.34	$58.00	$11.25–$58.00	54% below	77%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L240610 EBV VCA	$13.34	$58.00	$11.25–$58.00	54% below	77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L216655EPST-BARR VCA	$13.34	$58.00	$11.25–$46.40	—	77%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L240610 EBV VCA	$13.34	$58.00	$11.25–$46.40	—	77%
Estradiol blood test CPT 82670 Estradiol Sendout to LabCorp	$20.93	$91.00	$17.65–$91.00	36% below	77%
Estradiol blood test inpatient CPT 82670 Estradiol Sendout to LabCorp	$20.93	$91.00	$17.65–$72.80	—	77%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum	$96.83	$421.00	$16.49–$421.00	54% above	77%
FSH (follicle-stimulating hormone) test CPT 83001 83001 L28480 FSH	$96.83	$421.00	$16.49–$421.00	54% above	77%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (LC)	$96.83	$421.00	$16.49–$421.00	54% above	77%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 L28480 FSH	$96.83	$421.00	$81.67–$336.80	—	77%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (LC)	$96.83	$421.00	$81.67–$336.80	—	77%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum	$96.83	$421.00	$81.67–$336.80	—	77%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC)	$27.14	$118.00	$17.42–$118.00	77% below	77%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC)	$27.14	$118.00	$22.89–$94.40	—	77%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$34.50	$150.00	$12.10–$150.00	72% below	77%
Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum (LC)	$34.50	$150.00	$12.10–$150.00	72% below	77%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$34.50	$150.00	$29.10–$120.00	—	77%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum (LC)	$34.50	$150.00	$29.10–$120.00	—	77%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$68.54	$298.00	$6.65–$298.00	13% below	77%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$68.54	$298.00	$57.81–$238.40	—	77%
Folate (folic acid) blood test CPT 82746 Folate Level	$41.40	$180.00	$13.05–$180.00	67% below	77%
Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp	$41.40	$180.00	$13.05–$180.00	67% below	77%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$41.40	$180.00	$34.92–$144.00	—	77%
Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp	$41.40	$180.00	$34.92–$144.00	—	77%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free Serum (LC)	$70.61	$307.00	$15.04–$307.00	13% above	77%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free	$70.61	$307.00	$15.04–$307.00	13% above	77%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free Serum (LC)	$70.61	$307.00	$59.56–$245.60	—	77%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free	$70.61	$307.00	$59.56–$245.60	—	77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$83.03	$361.00	$8.01–$361.00	1% below	77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$83.03	$361.00	$8.01–$361.00	1% below	77%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free	$83.03	$361.00	$8.01–$361.00	1% below	77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$83.03	$361.00	$70.03–$288.80	—	77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free	$83.03	$361.00	$70.03–$288.80	—	77%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$83.03	$361.00	$70.03–$288.80	—	77%
Free testosterone test CPT 84402 Testosterone Free Direct LC	$18.86	$82.00	$15.91–$82.00	33% below	77%
Free testosterone test CPT 84402 84402 L140103 TESTOST FREE	$18.86	$82.00	$15.91–$82.00	33% below	77%
Free testosterone test inpatient CPT 84402 84402 L140103 TESTOST FREE	$18.86	$82.00	$15.91–$65.60	—	77%
Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC	$18.86	$82.00	$15.91–$65.60	—	77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GGT	$17.25	$75.00	$6.39–$75.00	63% below	77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase (LC)	$17.25	$75.00	$6.39–$75.00	63% below	77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$17.25	$75.00	$6.39–$75.00	63% below	77%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase Body Fluid	$17.25	$75.00	$6.39–$75.00	63% below	77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$17.25	$75.00	$14.55–$60.00	—	77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase Body Fluid	$17.25	$75.00	$14.55–$60.00	—	77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase (LC)	$17.25	$75.00	$14.55–$60.00	—	77%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GGT	$17.25	$75.00	$14.55–$60.00	—	77%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB	$53.36	$232.00	$4.22–$232.00	25% below	77%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial	$53.36	$232.00	$4.22–$232.00	25% below	77%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial	$53.36	$232.00	$4.22–$232.00	25% below	77%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial	$53.36	$232.00	$45.01–$185.60	—	77%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB	$53.36	$232.00	$45.01–$185.60	—	77%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial	$53.36	$232.00	$45.01–$185.60	—	77%
Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting	$37.03	$161.00	$11.43–$161.00	70% below	77%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting	$37.03	$161.00	$31.23–$128.80	—	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN	$25.99	$113.00	$21.92–$113.00	37% below	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183160 N GONO AMP	$25.99	$113.00	$21.92–$113.00	37% below	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus by NAA LC	$25.99	$113.00	$21.92–$113.00	37% below	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus by NAA LC	$25.99	$113.00	$21.92–$90.40	—	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183160 N GONO AMP	$25.99	$113.00	$21.92–$90.40	—	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN	$25.99	$113.00	$21.92–$90.40	—	77%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG (LC)	$12.65	$55.00	$10.67–$55.00	62% below	77%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgA (LC)	$12.65	$55.00	$10.67–$55.00	62% below	77%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgA (LC)	$12.65	$55.00	$10.67–$44.00	—	77%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG (LC)	$12.65	$55.00	$10.67–$44.00	—	77%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$10.58	$46.00	$8.92–$46.00	78% below	77%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$10.58	$46.00	$8.92–$36.80	—	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC)	$55.66	$242.00	$8.62–$242.00	20% below	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$55.66	$242.00	$8.62–$242.00	20% below	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$55.66	$242.00	$46.95–$193.60	—	77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC)	$55.66	$242.00	$46.95–$193.60	—	77%
Hemoglobin blood test CPT 85018 85018 HEMOGLOBIN 131	$9.66	$42.00	$2.10–$42.00	82% below	77%
Hemoglobin blood test CPT 85018 Hemoglobin	$9.66	$42.00	$2.10–$42.00	82% below	77%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$9.66	$42.00	$8.15–$33.60	—	77%
Hemoglobin blood test inpatient CPT 85018 85018 HEMOGLOBIN 131	$9.66	$42.00	$8.15–$33.60	—	77%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (LC)	$8.97	$39.00	$7.57–$39.00	75% below	77%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (LC)	$8.97	$39.00	$7.57–$31.20	—	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab w/Interp	$111.55	$485.00	$9.54–$485.00	154% above	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp	$111.55	$485.00	$9.54–$485.00	154% above	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab (LC)	$111.55	$485.00	$9.54–$485.00	154% above	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab (LC)	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp	$7.36	$32.00	$6.21–$32.00	79% below	77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen (LC)	$7.36	$32.00	$6.21–$32.00	79% below	77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$7.36	$32.00	$6.21–$32.00	79% below	77%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag RLNI	$7.36	$32.00	$6.21–$32.00	79% below	77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag RLNI	$7.36	$32.00	$6.21–$25.60	—	77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen (LC)	$7.36	$32.00	$6.21–$25.60	—	77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp	$7.36	$32.00	$6.21–$25.60	—	77%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$7.36	$32.00	$6.21–$25.60	—	77%
Hepatitis C antibody blood test (screening) CPT 86803 HCAB2	$111.55	$485.00	$12.66–$485.00	139% above	77%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody	$111.55	$485.00	$12.66–$485.00	139% above	77%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$111.55	$485.00	$12.66–$485.00	139% above	77%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC)	$111.55	$485.00	$12.66–$485.00	139% above	77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC)	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody	$111.55	$485.00	$94.09–$388.00	—	77%
Hepatitis C viral load (HCV RNA) test CPT 87522 Allergen M006 IgE Alternaria alternata (LC)	$31.97	$139.00	$26.97–$139.00	72% below	77%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Diagnosis LC	$31.97	$139.00	$26.97–$139.00	72% below	77%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$31.97	$139.00	$26.97–$139.00	72% below	77%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$31.97	$139.00	$26.97–$139.00	72% below	77%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Allergen M006 IgE Alternaria alternata (LC)	$31.97	$139.00	$26.97–$111.20	—	77%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Diagnosis LC	$31.97	$139.00	$26.97–$111.20	—	77%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$31.97	$139.00	$26.97–$111.20	—	77%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$31.97	$139.00	$26.97–$111.20	—	77%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC)	$9.89	$43.00	$8.34–$43.00	58% below	77%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC)	$9.89	$43.00	$8.34–$34.40	—	77%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2, Type-specific Antibodies, IgG LC	$13.34	$58.00	$11.25–$58.00	60% below	77%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC)	$14.49	$63.00	$12.22–$63.00	56% below	77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2, Type-specific Antibodies, IgG LC	$13.34	$58.00	$11.25–$46.40	—	77%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC)	$14.49	$63.00	$12.22–$50.40	—	77%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Cardiac (LC)	$9.66	$42.00	$8.15–$127.27	77% below	77%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Cardiac (LC)	$9.66	$42.00	$8.15–$33.60	—	77%
Homocysteine blood test CPT 83090 Homocyst(e)ine Plasma LC	$13.34	$58.00	$11.25–$58.00	75% below	77%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC	$13.34	$58.00	$11.25–$46.40	—	77%
Insulin blood test CPT 83525 Insulin LC	$8.51	$37.00	$7.18–$37.00	66% below	77%
Insulin blood test inpatient CPT 83525 Insulin LC	$8.51	$37.00	$7.18–$29.60	—	77%
Iron blood test (serum iron) CPT 83540 IRON	$35.42	$154.00	$5.75–$154.00	35% below	77%
Iron blood test (serum iron) CPT 83540 83540 IRON	$35.42	$154.00	$5.75–$154.00	35% below	77%
Iron blood test (serum iron) CPT 83540 83540 L1321 IRON	$35.42	$154.00	$5.75–$154.00	35% below	77%
Iron blood test (serum iron) inpatient CPT 83540 83540 IRON	$35.42	$154.00	$29.88–$123.20	—	77%
Iron blood test (serum iron) inpatient CPT 83540 83540 L1321 IRON	$35.42	$154.00	$29.88–$123.20	—	77%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$35.42	$154.00	$29.88–$123.20	—	77%
Iron-binding capacity (TIBC) test CPT 83550 83550 L1321 IRON BIND CAP	$37.03	$161.00	$7.76–$161.00	59% below	77%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM	$37.03	$161.00	$7.76–$161.00	59% below	77%
Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT	$37.03	$161.00	$7.76–$161.00	59% below	77%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 L1321 IRON BIND CAP	$37.03	$161.00	$31.23–$128.80	—	77%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM	$37.03	$161.00	$31.23–$128.80	—	77%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT	$37.03	$161.00	$31.23–$128.80	—	77%
Kidney function blood test panel CPT 80069 RFP	$76.36	$332.00	$7.70–$332.00	81% below	77%
Kidney function blood test panel inpatient CPT 80069 RFP	$76.36	$332.00	$64.41–$265.60	—	77%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$112.24	$488.00	$16.44–$488.00	78% above	77%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone S (LC)	$112.24	$488.00	$16.44–$488.00	78% above	77%
LH (luteinizing hormone) test CPT 83002 83002 L28480 LH	$112.24	$488.00	$16.44–$488.00	78% above	77%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone S (LC)	$112.24	$488.00	$94.67–$390.40	—	77%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$112.24	$488.00	$94.67–$390.40	—	77%
LH (luteinizing hormone) test inpatient CPT 83002 83002 L28480 LH	$112.24	$488.00	$94.67–$390.40	—	77%
Lactate (lactic acid) blood test CPT 83605 .Lactate POC	$34.96	$152.00	$10.27–$152.00	53% below	77%
Lactate (lactic acid) blood test CPT 83605 .ISTAT Lactate POC	$34.96	$152.00	$10.27–$152.00	53% below	77%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$34.96	$152.00	$10.27–$152.00	53% below	77%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA	$34.96	$152.00	$10.27–$152.00	53% below	77%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex	$34.96	$152.00	$10.27–$152.00	53% below	77%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2	$34.96	$152.00	$10.27–$152.00	53% below	77%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex	$34.96	$152.00	$29.49–$121.60	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$34.96	$152.00	$29.49–$121.60	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Lactate POC	$34.96	$152.00	$29.49–$121.60	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC	$34.96	$152.00	$29.49–$121.60	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA	$34.96	$152.00	$29.49–$121.60	—	77%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2	$34.96	$152.00	$29.49–$121.60	—	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase (LC)	$4.37	$19.00	$3.69–$19.00	92% below	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$4.37	$19.00	$3.69–$19.00	92% below	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$4.37	$19.00	$3.69–$19.00	92% below	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 L1842 LACTATE DEHYDR	$4.37	$19.00	$3.69–$19.00	92% below	77%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROLDH	$4.37	$19.00	$3.69–$19.00	92% below	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$4.37	$19.00	$3.69–$15.20	—	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH	$4.37	$19.00	$3.69–$15.20	—	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase (LC)	$4.37	$19.00	$3.69–$15.20	—	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$4.37	$19.00	$3.69–$15.20	—	77%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 L1842 LACTATE DEHYDR	$4.37	$19.00	$3.69–$15.20	—	77%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$87.40	$380.00	$6.12–$380.00	50% above	77%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Peritoneal Fluid Sendout to CQ	$87.40	$380.00	$6.12–$380.00	50% above	77%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$87.40	$380.00	$6.12–$380.00	50% above	77%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (CQ)	$87.40	$380.00	$6.12–$380.00	50% above	77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Peritoneal Fluid Sendout to CQ	$87.40	$380.00	$73.72–$304.00	—	77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$87.40	$380.00	$73.72–$304.00	—	77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid	$87.40	$380.00	$73.72–$304.00	—	77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (CQ)	$87.40	$380.00	$73.72–$304.00	—	77%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$66.01	$287.00	$7.25–$287.00	72% below	77%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$66.01	$287.00	$55.68–$229.60	—	77%
Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$12.65	$55.00	$10.67–$55.00	49% below	77%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$12.65	$55.00	$10.67–$44.00	—	77%
Magnesium blood test CPT 83735 Magnesium Urine Sendout to LabCorp	$48.30	$210.00	$5.95–$210.00	265% above	77%
Magnesium blood test CPT 83735 Magnesium Serum Obstetric	$48.30	$210.00	$5.95–$210.00	265% above	77%
Magnesium blood test CPT 83735 Magnesium Urine	$48.30	$210.00	$5.95–$210.00	265% above	77%
Magnesium blood test CPT 83735 Magnesium RBC LC	$48.30	$210.00	$5.95–$210.00	265% above	77%
Magnesium blood test CPT 83735 Magnesium Serum	$48.30	$210.00	$5.95–$210.00	265% above	77%
Magnesium blood test inpatient CPT 83735 Magnesium Serum Obstetric	$48.30	$210.00	$40.74–$168.00	—	77%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$48.30	$210.00	$40.74–$168.00	—	77%
Magnesium blood test inpatient CPT 83735 Magnesium Urine Sendout to LabCorp	$48.30	$210.00	$40.74–$168.00	—	77%
Magnesium blood test inpatient CPT 83735 Magnesium RBC LC	$48.30	$210.00	$40.74–$168.00	—	77%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$48.30	$210.00	$40.74–$168.00	—	77%
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$9.66	$42.00	$8.15–$42.00	63% below	77%
Measles (rubeola) antibody test CPT 86765 86765 L58495 RUBEOLA AB	$9.66	$42.00	$8.15–$42.00	63% below	77%
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$9.66	$42.00	$8.15–$33.60	—	77%
Measles (rubeola) antibody test inpatient CPT 86765 86765 L58495 RUBEOLA AB	$9.66	$42.00	$8.15–$33.60	—	77%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$26.68	$116.00	$4.60–$116.00	84% below	77%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$26.68	$116.00	$22.50–$92.80	—	77%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgG LC	$9.66	$42.00	$8.15–$42.00	41% below	77%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgM Sendout to LabCorp	$9.66	$42.00	$8.15–$42.00	41% below	77%
Mumps immunity blood test CPT 86735 86735 L58495 MUMPS AB	$9.66	$42.00	$8.15–$42.00	41% below	77%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgM Sendout to LabCorp	$9.66	$42.00	$8.15–$33.60	—	77%
Mumps immunity blood test inpatient CPT 86735 86735 L58495 MUMPS AB	$9.66	$42.00	$8.15–$33.60	—	77%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG LC	$9.66	$42.00	$8.15–$33.60	—	77%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE	$13.57	$59.00	$11.45–$59.00	57% below	77%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE	$13.57	$59.00	$11.45–$47.20	—	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum (RL)	$50.83	$221.00	$16.32–$221.00	9% below	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total	$50.83	$221.00	$16.32–$221.00	9% below	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL	$50.83	$221.00	$16.32–$221.00	9% below	77%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total Ultra + % Free LC	$50.83	$221.00	$16.32–$221.00	9% below	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum (RL)	$50.83	$221.00	$42.87–$176.80	—	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL	$50.83	$221.00	$42.87–$176.80	—	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total	$50.83	$221.00	$42.87–$176.80	—	77%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total Ultra + % Free LC	$50.83	$221.00	$42.87–$176.80	—	77%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact (LC)	$100.05	$435.00	$36.64–$435.00	1% above	77%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Surgical	$100.05	$435.00	$36.64–$435.00	1% above	77%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop	$100.05	$435.00	$36.64–$435.00	1% above	77%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$100.05	$435.00	$36.64–$435.00	1% above	77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop	$100.05	$435.00	$84.39–$348.00	—	77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$100.05	$435.00	$84.39–$348.00	—	77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact (LC)	$100.05	$435.00	$84.39–$348.00	—	77%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Surgical	$100.05	$435.00	$84.39–$348.00	—	77%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT	$29.90	$130.00	$5.34–$130.00	22% below	77%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$29.90	$130.00	$5.34–$130.00	22% below	77%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT	$29.90	$130.00	$25.22–$104.00	—	77%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$29.90	$130.00	$25.22–$104.00	—	77%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum	$21.16	$92.00	$4.21–$92.00	65% below	77%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum	$21.16	$92.00	$17.85–$73.60	—	77%
Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB	$24.61	$107.00	$4.23–$107.00	63% below	77%
Potassium blood test CPT 84132 Potassium Serum	$24.61	$107.00	$4.23–$107.00	63% below	77%
Potassium blood test inpatient CPT 84132 Potassium Serum	$24.61	$107.00	$20.76–$85.60	—	77%
Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB	$24.61	$107.00	$20.76–$85.60	—	77%
Progesterone blood test CPT 84144 Progesterone Sendout to LabCorp	$109.02	$474.00	$18.52–$474.00	157% above	77%
Progesterone blood test CPT 84144 Progesterone Level	$109.02	$474.00	$18.52–$474.00	157% above	77%
Progesterone blood test inpatient CPT 84144 Progesterone Level	$109.02	$474.00	$91.96–$379.20	—	77%
Progesterone blood test inpatient CPT 84144 Progesterone Sendout to LabCorp	$109.02	$474.00	$91.96–$379.20	—	77%
Prolactin blood test CPT 84146 Prolactin Level	$158.47	$689.00	$17.20–$551.20	144% above	77%
Prolactin blood test CPT 84146 Prolactin LC	$158.47	$689.00	$17.20–$551.20	144% above	77%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$158.47	$689.00	$133.67–$551.20	—	77%
Prolactin blood test inpatient CPT 84146 Prolactin LC	$158.47	$689.00	$133.67–$551.20	—	77%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME	$28.06	$122.00	$3.80–$122.00	23% below	77%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR	$28.06	$122.00	$3.80–$122.00	23% below	77%
Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC	$28.06	$122.00	$3.80–$122.00	23% below	77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME	$28.06	$122.00	$23.67–$97.60	—	77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR	$28.06	$122.00	$23.67–$97.60	—	77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC	$28.06	$122.00	$23.67–$97.60	—	77%
Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP	$44.16	$192.00	$14.69–$192.00	65% below	77%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result	$44.16	$192.00	$14.69–$192.00	65% below	77%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result	$44.16	$192.00	$14.69–$192.00	65% below	77%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result	$44.16	$192.00	$37.25–$153.60	—	77%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP	$44.16	$192.00	$37.25–$153.60	—	77%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result	$44.16	$192.00	$37.25–$153.60	—	77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1	$54.05	$235.00	$14.68–$235.00	53% below	77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 .Rapid Strep A POC	$54.05	$235.00	$14.68–$235.00	53% below	77%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A FIA	$54.05	$235.00	$14.68–$235.00	53% below	77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1	$54.05	$235.00	$45.59–$188.00	—	77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A FIA	$54.05	$235.00	$45.59–$188.00	—	77%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .Rapid Strep A POC	$54.05	$235.00	$45.59–$188.00	—	77%
Renin blood test CPT 84244 Renin Activity Plasma LC	$16.33	$71.00	$13.77–$71.00	18% below	77%
Renin blood test inpatient CPT 84244 Renin Activity Plasma LC	$16.33	$71.00	$13.77–$56.80	—	77%
Rh blood typing CPT 86901 BB Bill Rh Test	$27.60	$120.00	$2.69–$120.00	34% below	77%
Rh blood typing inpatient CPT 86901 BB Bill Rh Test	$27.60	$120.00	$23.28–$96.00	—	77%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer	$12.19	$53.00	$5.04–$53.00	50% below	77%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer	$12.19	$53.00	$10.28–$42.40	—	77%
Rubella antibody test (immunity check) CPT 86762 86762 L58495 RUBELLA AB	$20.47	$89.00	$12.78–$89.00	9% above	77%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp	$20.47	$89.00	$12.78–$89.00	9% above	77%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG LC	$20.47	$89.00	$12.78–$89.00	9% above	77%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody	$20.47	$89.00	$12.78–$89.00	9% above	77%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody	$20.47	$89.00	$17.27–$71.20	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 L58495 RUBELLA AB	$20.47	$89.00	$17.27–$71.20	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC	$20.47	$89.00	$17.27–$71.20	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp	$20.47	$89.00	$17.27–$71.20	—	77%
Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB	$19.09	$83.00	$4.27–$83.00	72% below	77%
Sodium blood test CPT 84295 Sodium Serum	$19.09	$83.00	$4.27–$83.00	72% below	77%
Sodium blood test inpatient CPT 84295 Sodium Serum	$19.09	$83.00	$16.10–$66.40	—	77%
Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB	$19.09	$83.00	$16.10–$66.40	—	77%
Stool ova and parasites exam CPT 87177 87177 L188110 OP SMEAR	$6.67	$29.00	$5.63–$29.00	84% below	77%
Stool ova and parasites exam CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$6.67	$29.00	$5.63–$29.00	84% below	77%
Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$6.67	$29.00	$5.63–$23.20	—	77%
Stool ova and parasites exam inpatient CPT 87177 87177 L188110 OP SMEAR	$6.67	$29.00	$5.63–$23.20	—	77%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT	$33.81	$147.00	$2.85–$147.00	36% below	77%
Stool test for hidden blood (guaiac FOBT) CPT 82270 .POCFecOB	$33.81	$147.00	$2.85–$147.00	36% below	77%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT	$33.81	$147.00	$28.52–$117.60	—	77%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .POCFecOB	$33.81	$147.00	$28.52–$117.60	—	77%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$9.43	$41.00	$7.95–$145.73	81% below	77%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$9.43	$41.00	$7.95–$145.73	81% below	77%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$9.43	$41.00	$7.95–$32.80	—	77%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$9.43	$41.00	$7.95–$32.80	—	77%
Syphilis antibody test (Treponema pallidum) CPT 86780 zzTreponema pallidum Ab FTA (LC)	$9.89	$43.00	$8.34–$83.55	32% below	77%
Syphilis antibody test (Treponema pallidum) CPT 86780 86780 L12021 TPALLID CONF	$9.89	$43.00	$8.34–$83.55	32% below	77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 zzTreponema pallidum Ab FTA (LC)	$9.89	$43.00	$8.34–$34.40	—	77%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 L12021 TPALLID CONF	$9.89	$43.00	$8.34–$34.40	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual	$27.37	$119.00	$3.79–$119.00	38% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC	$27.37	$119.00	$3.79–$119.00	38% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$27.37	$119.00	$3.79–$119.00	38% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$27.37	$119.00	$3.79–$119.00	38% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$27.37	$119.00	$3.79–$119.00	38% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$27.37	$119.00	$3.79–$119.00	38% above	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC	$27.37	$119.00	$23.09–$95.20	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual	$27.37	$119.00	$23.09–$95.20	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$27.37	$119.00	$23.09–$95.20	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$27.37	$119.00	$23.09–$95.20	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$27.37	$119.00	$23.09–$95.20	—	77%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$27.37	$119.00	$23.09–$95.20	—	77%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$46.23	$201.00	$38.99–$201.00	25% below	77%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold (In Tube) LC	$46.23	$201.00	$38.99–$201.00	25% below	77%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB Gold (In Tube) LC	$46.23	$201.00	$38.99–$160.80	—	77%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$46.23	$201.00	$38.99–$160.80	—	77%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 L140103 TESTOST TOTA	$98.44	$428.00	$22.91–$428.00	228% above	77%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level LC	$98.44	$428.00	$22.91–$428.00	228% above	77%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$98.44	$428.00	$22.91–$428.00	228% above	77%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL	$98.44	$428.00	$22.91–$428.00	228% above	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level LC	$98.44	$428.00	$83.03–$342.40	—	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L140103 TESTOST TOTA	$98.44	$428.00	$83.03–$342.40	—	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$98.44	$428.00	$83.03–$342.40	—	77%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL	$98.44	$428.00	$83.03–$342.40	—	77%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC)	$11.04	$48.00	$9.31–$48.00	19% below	77%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab LC	$11.04	$48.00	$9.31–$48.00	19% below	77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab LC	$11.04	$48.00	$9.31–$38.40	—	77%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC)	$11.04	$48.00	$9.31–$38.40	—	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC	$37.95	$165.00	$14.92–$165.00	70% below	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$37.95	$165.00	$14.92–$165.00	70% below	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total	$37.95	$165.00	$14.92–$165.00	70% below	77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$37.95	$165.00	$14.92–$165.00	70% below	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total	$37.95	$165.00	$32.01–$132.00	—	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC	$37.95	$165.00	$32.01–$132.00	—	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$37.95	$165.00	$32.01–$132.00	—	77%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$37.95	$165.00	$32.01–$132.00	—	77%
Total IgE blood test CPT 82785 Immunoglobulin E Total (LC)	$12.19	$53.00	$10.28–$53.00	49% below	77%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total (LC)	$12.19	$53.00	$10.28–$42.40	—	77%
Total cholesterol blood test CPT 82465 Cholesterol	$10.58	$46.00	$3.86–$46.00	63% below	77%
Total cholesterol blood test CPT 82465 Cholesterol Body Fluid	$10.58	$46.00	$3.86–$46.00	63% below	77%
Total cholesterol blood test inpatient CPT 82465 Cholesterol	$10.58	$46.00	$8.92–$36.80	—	77%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid	$10.58	$46.00	$8.92–$36.80	—	77%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 (LC)	$5.29	$23.00	$4.46–$23.00	94% below	77%
Total thyroxine (T4) blood test CPT 84436 84436 L455 THYROXINE T4,TOTAL	$5.29	$23.00	$4.46–$23.00	94% below	77%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC)	$5.29	$23.00	$4.46–$18.40	—	77%
Total thyroxine (T4) blood test inpatient CPT 84436 84436 L455 THYROXINE T4,TOTAL	$5.29	$23.00	$4.46–$18.40	—	77%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC)	$91.77	$399.00	$12.59–$399.00	18% above	77%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC)	$91.77	$399.00	$77.41–$319.20	—	77%
Transferrin blood test CPT 84466 84466 Transferrin Saturation (LC)	$9.43	$41.00	$7.95–$41.00	88% below	77%
Transferrin blood test CPT 84466 84466 TRANSFERRIN	$9.43	$41.00	$7.95–$41.00	88% below	77%
Transferrin blood test CPT 84466 Transferrin LC	$9.43	$41.00	$7.95–$41.00	88% below	77%
Transferrin blood test CPT 84466 TRANSF	$9.43	$41.00	$7.95–$41.00	88% below	77%
Transferrin blood test inpatient CPT 84466 TRANSF	$9.43	$41.00	$7.95–$32.80	—	77%
Transferrin blood test inpatient CPT 84466 Transferrin LC	$9.43	$41.00	$7.95–$32.80	—	77%
Transferrin blood test inpatient CPT 84466 84466 TRANSFERRIN	$9.43	$41.00	$7.95–$32.80	—	77%
Transferrin blood test inpatient CPT 84466 84466 Transferrin Saturation (LC)	$9.43	$41.00	$7.95–$32.80	—	77%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC)	$24.15	$105.00	$20.37–$105.00	51% below	77%
Trichomonas test (NAAT) CPT 87661 87661 L183160 T VAG AMP	$25.99	$113.00	$21.92–$113.00	47% below	77%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC)	$24.15	$105.00	$20.37–$84.00	—	77%
Trichomonas test (NAAT) inpatient CPT 87661 87661 L183160 T VAG AMP	$25.99	$113.00	$21.92–$90.40	—	77%
Triglycerides blood test CPT 84478 Triglycerides	$34.04	$148.00	$5.09–$148.00	8% above	77%
Triglycerides blood test CPT 84478 Triglycerides Body Fluid	$34.04	$148.00	$5.09–$148.00	8% above	77%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid	$34.04	$148.00	$28.71–$118.40	—	77%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$34.04	$148.00	$28.71–$118.40	—	77%
Troponin test, quantitative CPT 84484 .Troponin I Quant 3 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin I HS	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin I (LC)	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin T Quant	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin I Quant	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I Quant POC	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .ISTAT cTroponin I POC	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin T HS 1 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin T HS x 3 Series	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin T HS 3 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I Quant 1 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin T Quant 3 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin T Quant 1 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I HS 1 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I HS 3 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin T HS	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I Quant 4 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin I Quant x 3 Series	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I HS 2 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin T Quant x 3 Series	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I Quant 2 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin T Quant 4 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 .Troponin I HS 4 Hour	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative CPT 84484 Troponin I HS x 3 Series	$9.20	$40.00	$7.76–$40.00	94% below	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 4 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant x 3 Series	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 2 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .ISTAT cTroponin I POC	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant x 3 Series	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant POC	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 2 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 4 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS x 3 Series	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 1 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 3 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 3 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 1 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS x 3 Series	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 1 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 3 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 1 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 3 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 4 Hour	$9.20	$40.00	$7.76–$32.00	—	77%
Troponin test, quantitative inpatient CPT 84484 Troponin I (LC)	$9.20	$40.00	$7.76–$32.00	—	77%
Uric acid blood test CPT 84550 Uric Acid Level	$23.69	$103.00	$4.01–$103.00	71% below	77%
Uric acid blood test inpatient CPT 84550 Uric Acid Level	$23.69	$103.00	$19.98–$82.40	—	77%
Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes	$52.90	$230.00	$2.81–$230.00	68% below	77%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated	$52.90	$230.00	$2.81–$230.00	68% below	77%
Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd	$52.90	$230.00	$2.81–$230.00	68% below	77%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated	$52.90	$230.00	$44.62–$184.00	—	77%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd	$52.90	$230.00	$44.62–$184.00	—	77%
Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes	$52.90	$230.00	$44.62–$184.00	—	77%
Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd	$48.99	$213.00	$3.57–$213.00	23% above	77%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual	$48.99	$213.00	$3.57–$213.00	23% above	77%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual	$48.99	$213.00	$41.32–$170.40	—	77%
Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd	$48.99	$213.00	$41.32–$170.40	—	77%
Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto	$33.81	$147.00	$2.00–$147.00	60% below	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required	$33.81	$147.00	$28.52–$117.60	—	77%
Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc	$5.41	$23.50	$2.85–$23.50	73% below	77%
Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc	$5.41	$23.50	$4.56–$18.80	—	77%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn	$87.17	$379.00	$7.16–$379.00	49% below	77%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn	$87.17	$379.00	$73.53–$303.20	—	77%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant	$75.44	$328.00	$5.13–$328.00	167% above	77%
Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT	$75.44	$328.00	$5.13–$328.00	167% above	77%
Urine microalbumin (albumin) test CPT 82043 MicroAlb QNT Random	$75.44	$328.00	$5.13–$328.00	167% above	77%
Urine microalbumin (albumin) test CPT 82043 82043 L140285 MICROALB QT	$75.44	$328.00	$5.13–$328.00	167% above	77%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour	$75.44	$328.00	$5.13–$328.00	167% above	77%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour	$75.44	$328.00	$63.63–$262.40	—	77%
Urine microalbumin (albumin) test inpatient CPT 82043 MicroAlb QNT Random	$75.44	$328.00	$63.63–$262.40	—	77%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT	$75.44	$328.00	$63.63–$262.40	—	77%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant	$75.44	$328.00	$63.63–$262.40	—	77%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 L140285 MICROALB QT	$75.44	$328.00	$63.63–$262.40	—	77%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive	$46.46	$202.00	$3.80–$202.00	63% below	77%
Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$46.46	$202.00	$3.80–$202.00	63% below	77%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC	$46.46	$202.00	$3.80–$202.00	63% below	77%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result	$46.46	$202.00	$3.80–$202.00	63% below	77%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative	$46.46	$202.00	$3.80–$202.00	63% below	77%
Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$46.46	$202.00	$39.19–$161.60	—	77%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC	$46.46	$202.00	$39.19–$161.60	—	77%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative	$46.46	$202.00	$39.19–$161.60	—	77%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result	$46.46	$202.00	$39.19–$161.60	—	77%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive	$46.46	$202.00	$39.19–$161.60	—	77%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$87.86	$382.00	$13.39–$382.00	29% below	77%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (LC)	$87.86	$382.00	$13.39–$382.00	29% below	77%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 (LC)	$87.86	$382.00	$74.11–$305.60	—	77%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$87.86	$382.00	$74.11–$305.60	—	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy	$71.07	$309.00	$26.28–$309.00	54% above	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC	$71.07	$309.00	$26.28–$309.00	54% above	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy	$71.07	$309.00	$59.95–$247.20	—	77%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC	$71.07	$309.00	$59.95–$247.20	—	77%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol Level (LC)	$28.75	$125.00	$24.25–$125.00	25% below	77%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol Level (LC)	$28.75	$125.00	$24.25–$100.00	—	77%
Zinc blood test CPT 84630 Zinc Plasma or Serum (LC)	$8.51	$37.00	$7.18–$37.00	43% below	77%
Zinc blood test CPT 84630 Zinc, Whole Blood (LC)	$8.51	$37.00	$7.18–$37.00	43% below	77%
Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC)	$8.51	$37.00	$7.18–$29.60	—	77%
Zinc blood test inpatient CPT 84630 Zinc, Whole Blood (LC)	$8.51	$37.00	$7.18–$29.60	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant	$73.83	$321.00	$13.36–$321.00	25% above	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 L17319 HCG QUANT	$73.83	$321.00	$13.36–$321.00	25% above	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG QUANT	$73.83	$321.00	$13.36–$321.00	25% above	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant (	$73.83	$321.00	$13.36–$321.00	25% above	77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 L17319 HCG QUANT	$73.83	$321.00	$62.27–$256.80	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant (	$73.83	$321.00	$62.27–$256.80	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 HCG QUANT	$73.83	$321.00	$62.27–$256.80	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant	$73.83	$321.00	$62.27–$256.80	—	77%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$6,244.91	$27,151.78	$215.21–$21,721.42	11% above	77%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$41,512.97	$180,491.18	$1,807.51–$144,392.94	93% above	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$4,009.90	$17,434.35	$477.02–$13,947.48	13% above	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt	$4,149.20	$18,040.00	$373.15–$14,432.00	17% above	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt	$4,149.20	$18,040.00	$373.15–$14,432.00	17% above	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt	$4,149.20	$18,040.00	$3,499.76–$14,432.00	—	77%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt	$4,149.20	$18,040.00	$3,499.76–$14,432.00	—	77%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$27,002.12	$117,400.52	$685.56–$93,920.42	119% above	77%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT[FLSA]	$5,155.68	$22,416.00	$694.58–$30,992.00	58% below	77%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT[FLSA]	$5,155.68	$22,416.00	$4,348.70–$17,932.80	—	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation	$946.45	$4,115.00	$150.25–$3,900.00	55% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION[FLSA]	$946.45	$4,115.00	$150.25–$4,115.00	55% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion	$946.45	$4,115.00	$150.25–$3,900.00	55% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$946.45	$4,115.00	$150.25–$3,900.00	55% below	77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION[FLSA]	$946.45	$4,115.00	$798.31–$3,292.00	—	77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation	$946.45	$4,115.00	$798.31–$3,292.00	—	77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$946.45	$4,115.00	$798.31–$3,292.00	—	77%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion	$946.45	$4,115.00	$798.31–$3,292.00	—	77%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$6,073.58	$26,406.89	$453.19–$21,125.51	45% above	77%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$7,980.02	$34,695.76	$150.78–$27,756.61	300% above	77%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$11,651.98	$50,660.78	$198.89–$40,528.62	442% above	77%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$18,980.80	$82,525.22	$347.95–$66,020.18	3304% above	77%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$5,798.21	$25,209.63	$444.50–$20,167.70	61% above	77%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$5,553.30	$24,144.79	$421.29–$19,315.83	54% above	77%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$4,854.50	$21,106.50	$332.73–$16,885.20	61% above	77%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$19,557.25	$85,031.53	$309.59–$68,025.22	335% above	77%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$12,726.69	$55,333.42	$171.08–$44,266.74	1708% above	77%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG[FLSA]	$13,681.32	$59,484.00	$603.27–$47,587.20	42% below	77%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG[FLSA]	$13,681.32	$59,484.00	$11,539.90–$47,587.20	—	77%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$16,260.54	$70,697.99	$386.94–$56,558.39	233% above	77%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$16,288.38	$70,819.04	$231.37–$56,655.23	747% above	77%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$5,748.04	$24,991.47	$299.93–$19,993.18	29% above	77%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$5,099.16	$22,170.26	$160.55–$17,736.21	34% below	77%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$1,236.77	$5,377.25	$15.19–$11,934.00	556% above	77%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$2,570.95	$11,178.03	$47.68–$11,934.00	1170% above	77%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT	$17,123.54	$74,450.16	$327.37–$59,560.13	84% above	77%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$15,083.64	$65,581.05	$181.96–$52,464.84	42% above	77%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$13,726.04	$59,678.44	$269.27–$47,742.75	4% above	77%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$1,472.90	$6,403.92	$254.11–$11,934.00	33% below	77%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$2,264.88	$9,847.29	$172.44–$11,934.00	1% above	77%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$25,729.90	$111,869.14	$602.03–$89,495.31	70% above	77%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$37,223.81	$161,842.67	$810.23–$129,474.14	225% above	77%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$26,393.59	$114,754.73	$358.77–$91,803.78	167% above	77%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$4,425.46	$19,241.13	$178.70–$15,392.90	58% above	77%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$17,767.23	$77,248.84	$226.12–$61,799.07	10% above	77%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$20,613.81	$89,625.26	$226.12–$71,700.21	51% above	77%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$22,072.59	$95,967.77	$529.42–$76,774.22	376% above	77%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$9,010.42	$39,175.74	$515.91–$31,340.59	61% above	77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$486.68	$2,116.00	$134.20–$46,255.76	16% above	77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$957.16	$4,161.55	$134.20–$90,971.48	127% above	77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$486.68	$2,116.00	$410.50–$1,692.80	—	77%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$11,984.64	$52,107.15	$1,982.73–$41,685.72	20% above	77%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$8,860.89	$38,525.60	$1,258.31–$30,820.48	33% above	77%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$12,127.76	$52,729.39	$48.17–$1,152,664.47	1286% above	77%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,856.35	$8,071.08	$124.56–$11,934.00	210% above	77%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$15,284.38	$66,453.83	$546.17–$53,163.06	80% above	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN	$274.16	$1,192.00	$65.19–$11,934.00	59% below	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,736.82	$7,551.39	$65.19–$11,934.00	160% above	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RF Joint Aspiration-Injection Major Lt	$274.16	$1,192.00	$65.19–$11,934.00	59% below	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RF Joint Aspiration-Injection Major Rt	$274.16	$1,192.00	$65.19–$11,934.00	59% below	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN	$274.16	$1,192.00	$231.25–$953.60	—	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RF Joint Aspiration-Injection Major Rt	$274.16	$1,192.00	$231.25–$953.60	—	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RF Joint Aspiration-Injection Major Lt	$274.16	$1,192.00	$231.25–$953.60	—	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$227.47	$989.00	$54.88–$11,934.00	60% below	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$2,306.66	$10,028.96	$54.88–$11,934.00	304% above	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 RF Joint Aspiration-Injection Intermed Lt	$227.47	$989.00	$54.88–$11,934.00	60% below	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 RF Joint Aspiration-Injection Intermed Rt	$227.47	$989.00	$54.88–$11,934.00	60% below	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$227.47	$989.00	$191.87–$791.20	—	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 RF Joint Aspiration-Injection Intermed Rt	$227.47	$989.00	$191.87–$791.20	—	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 RF Joint Aspiration-Injection Intermed Lt	$227.47	$989.00	$191.87–$791.20	—	77%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$11,660.33	$50,697.10	$554.89–$40,557.68	18% below	77%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$14,577.79	$63,381.68	$576.41–$50,705.34	127% above	77%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$10,250.24	$44,566.24	$636.77–$35,652.99	4% below	77%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$16,934.29	$73,627.34	$628.78–$58,901.87	51% above	77%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$27,315.14	$118,761.48	$828.21–$95,009.18	60% above	77%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$30,515.95	$132,678.05	$932.81–$106,142.44	53% above	77%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$25,914.27	$112,670.74	$451.47–$90,136.59	317% above	77%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$37,161.07	$161,569.85	$589.79–$129,255.88	150% above	77%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$11,380.11	$49,478.74	$671.20–$39,582.99	2% below	77%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC[FLSA]	$2,032.74	$8,838.00	$615.10–$30,992.00	82% below	77%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC[FLSA]	$2,032.74	$8,838.00	$1,714.57–$7,070.40	—	77%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,547.07	$6,726.39	$249.57–$11,934.00	34% below	77%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$644.32	$2,801.40	$133.12–$11,934.00	71% below	77%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$1,792.07	$7,791.59	$238.50–$11,934.00	18% below	77%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$26,314.04	$114,408.87	$963.82–$91,527.10	90% above	77%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$56,402.01	$245,226.14	$1,913.02–$196,180.91	89% above	77%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$31,267.05	$135,943.69	$1,168.67–$108,754.95	129% above	77%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$17,352.29	$75,444.73	$486.00–$60,355.78	118% above	77%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$33,340.51	$144,958.76	$999.76–$115,967.01	39% above	77%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$5,104.33	$22,192.73	$453.80–$17,754.18	28% above	77%
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<	$15,159.20	$65,909.58	$125.00–$52,727.66	737% above	77%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$5,970.53	$25,958.81	$111.94–$20,767.05	1102% above	77%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image	$431.02	$1,874.00	$241.80–$3,443.00	72% below	77%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$4,347.23	$18,901.00	$241.80–$15,120.80	181% above	77%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image	$431.02	$1,874.00	$363.56–$1,499.20	—	77%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$8,320.87	$36,177.68	$156.88–$28,942.14	612% above	77%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,577.13	$11,204.90	$427.15–$11,934.00	24% below	77%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$8,936.36	$38,853.73	$529.81–$31,082.98	122% above	77%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$2,023.41	$8,797.42	$148.69–$11,934.00	106% above	77%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$4,629.58	$20,128.60	$333.21–$16,102.88	43% above	77%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$4,294.05	$18,669.78	$332.73–$14,935.82	38% above	77%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$13,392.80	$58,229.57	$671.50–$46,583.66	1% above	77%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy	$17,452.40	$75,880.00	$737.26–$60,704.00	5% below	77%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$20,685.08	$89,935.15	$737.26–$71,948.12	13% above	77%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy	$17,452.40	$75,880.00	$14,720.72–$60,704.00	—	77%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$2,857.01	$12,421.77	$66.72–$9,937.42	645% above	77%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$2,994.61	$13,020.03	$72.54–$11,934.00	627% above	77%
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/<	$1,855.20	$8,066.09	$93.35–$11,934.00	269% above	77%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$9,224.95	$40,108.47	$121.06–$32,086.78	1025% above	77%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$8,365.24	$36,370.60	$90.52–$29,096.48	1904% above	77%
Spinal tap (lumbar puncture), diagnostic CPT 62270 US Spinal Tap Diagnostic Lumbar	$410.32	$1,784.00	$144.54–$3,443.00	67% below	77%
Spinal tap (lumbar puncture), diagnostic CPT 62270 RF Spinal Tap Diagnostic Lumbar	$410.32	$1,784.00	$144.54–$3,443.00	67% below	77%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$4,263.46	$18,536.77	$144.54–$14,829.42	242% above	77%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 RF Spinal Tap Diagnostic Lumbar	$410.32	$1,784.00	$346.10–$1,427.20	—	77%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 US Spinal Tap Diagnostic Lumbar	$410.32	$1,784.00	$346.10–$1,427.20	—	77%
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	$2,246.93	$9,769.25	$113.77–$11,934.00	290% above	77%
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/<	$2,654.25	$11,540.23	$111.58–$11,934.00	448% above	77%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$16,961.04	$73,743.66	$734.46–$58,994.93	72% above	77%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$2,023.30	$8,796.94	$97.04–$11,934.00	227% above	77%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance	$306.36	$1,332.00	$249.60–$6,542.00	84% below	77%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$10,500.64	$45,654.94	$300.96–$36,523.95	460% above	77%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance	$306.36	$1,332.00	$258.41–$1,065.60	—	77%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$6,703.71	$29,146.58	$308.88–$23,317.26	30% above	77%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$8,274.47	$35,975.94	$296.05–$28,780.75	6% below	77%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$7,829.74	$34,042.33	$259.10–$27,233.86	19% below	77%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$20,846.28	$90,635.99	$1,318.58–$72,508.79	4% below	77%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$32,592.53	$141,706.65	$1,316.36–$113,365.32	42% above	77%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$31,358.70	$136,342.16	$1,479.97–$109,073.73	31% above	77%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$5,421.40	$23,571.31	$573.84–$18,857.05	64% above	77%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$2,703.73	$11,755.33	$52.16–$11,934.00	338% above	77%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$11,567.74	$50,294.53	$381.54–$40,235.62	48% above	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$4,470.78	$19,438.16	$428.24–$15,550.53	27% above	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right	$4,154.49	$18,063.00	$353.58–$14,450.40	18% above	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left	$4,154.49	$18,063.00	$353.58–$14,450.40	18% above	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right	$4,154.49	$18,063.00	$3,504.22–$14,450.40	—	77%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left	$4,154.49	$18,063.00	$3,504.22–$14,450.40	—	77%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$6,625.98	$28,808.61	$1,013.84–$30,992.00	136% above	77%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$5,571.72	$24,224.87	$362.99–$30,992.00	79% above	77%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$5,480.05	$23,826.29	$386.14–$19,061.03	115% above	77%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$8,582.14	$37,313.65	$477.08–$29,850.92	211% above	77%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$5,186.64	$22,550.62	$399.50–$18,040.50	120% above	77%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$3,984.36	$17,323.31	$278.77–$30,992.00	74% above	77%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$13,922.48	$60,532.50	$392.21–$48,426.00	153% above	77%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$16,933.91	$73,625.69	$416.16–$58,900.55	26% above	77%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$12,683.43	$55,145.36	$329.47–$44,116.29	220% above	77%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$8,375.21	$36,413.96	$126.33–$29,131.17	651% above	77%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$16,456.82	$71,551.41	$759.06–$57,241.13	45% above	77%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor)	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor)	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$192.51	$837.00	$40.26–$6,542.00	83% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$6,125.47	$26,632.49	$40.26–$21,305.99	456% above	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor)	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor)	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs	$192.51	$837.00	$162.38–$669.60	—	77%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$192.51	$837.00	$162.38–$669.60	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$72.91	$317.00	$7.69–$351.00	72% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent	$72.91	$317.00	$7.69–$351.00	72% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent	$72.91	$317.00	$7.69–$351.00	72% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$72.91	$317.00	$7.69–$351.00	72% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial	$163.30	$710.00	$7.69–$710.00	37% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial	$163.30	$710.00	$7.69–$710.00	37% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial	$163.30	$710.00	$7.69–$710.00	37% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial	$163.30	$710.00	$7.69–$710.00	37% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$72.91	$317.00	$61.50–$253.60	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$72.91	$317.00	$61.50–$253.60	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent	$72.91	$317.00	$61.50–$253.60	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent	$72.91	$317.00	$61.50–$253.60	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial	$163.30	$710.00	$137.74–$568.00	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial	$163.30	$710.00	$137.74–$568.00	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial	$163.30	$710.00	$137.74–$568.00	—	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial	$163.30	$710.00	$137.74–$568.00	—	77%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$1,860.24	$8,088.00	$272.31–$6,470.40	62% below	77%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$1,860.24	$8,088.00	$1,569.07–$6,470.40	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now	$239.66	$1,042.00	$53.49–$1,875.00	35% below	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now	$239.66	$1,042.00	$202.15–$833.60	—	77%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours	$239.66	$1,042.00	$202.15–$833.60	—	77%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$279.68	$1,216.00	$11.66–$3,900.00	44% below	77%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$279.68	$1,216.00	$235.90–$972.80	—	77%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$569.94	$2,478.00	$42.41–$3,900.00	37% below	77%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$569.94	$2,478.00	$480.73–$1,982.40	—	77%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$860.89	$3,743.00	$72.20–$4,994.00	47% below	77%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 $ED Cricothyrotomy	$1,175.07	$5,109.00	$72.20–$4,994.00	28% below	77%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$860.89	$3,743.00	$726.14–$2,994.40	—	77%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 $ED Cricothyrotomy	$1,175.07	$5,109.00	$991.15–$4,087.20	—	77%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$1,304.79	$5,673.00	$122.89–$5,140.00	47% below	77%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,304.79	$5,673.00	$1,100.56–$4,538.40	—	77%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$1,304.33	$5,671.00	$178.07–$5,140.00	62% below	77%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$1,304.33	$5,671.00	$1,100.17–$4,536.80	—	77%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 NM-STRESS TEST	$1,082.41	$4,706.15	$35.71–$4,305.00	28% below	77%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test	$1,082.61	$4,707.00	$35.71–$4,305.00	28% below	77%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$1,082.61	$4,707.00	$35.71–$4,305.00	28% below	77%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 NM-STRESS TEST	$1,082.41	$4,706.15	$912.99–$3,764.92	—	77%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$1,082.61	$4,707.00	$913.16–$3,765.60	—	77%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test	$1,082.61	$4,707.00	$913.16–$3,765.60	—	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour	$99.13	$431.00	$30.87–$467.00	82% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$99.13	$431.00	$30.87–$467.00	82% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$99.13	$431.00	$30.87–$3,900.00	82% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$99.13	$431.00	$30.87–$467.00	82% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour	$99.13	$431.00	$83.61–$344.80	—	77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$99.13	$431.00	$83.61–$344.80	—	77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$99.13	$431.00	$83.61–$344.80	—	77%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$99.13	$431.00	$83.61–$344.80	—	77%
IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$162.84	$708.00	$59.95–$708.00	75% below	77%
IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$162.84	$708.00	$59.95–$708.00	75% below	77%
IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour	$162.84	$708.00	$59.95–$708.00	75% below	77%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour	$162.84	$708.00	$59.95–$3,900.00	75% below	77%
IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$162.84	$708.00	$137.35–$566.40	—	77%
IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$162.84	$708.00	$137.35–$566.40	—	77%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour	$162.84	$708.00	$137.35–$566.40	—	77%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour	$162.84	$708.00	$137.35–$566.40	—	77%
IV push of a medicine, first drug CPT 96374 IV push initial	$184.23	$801.00	$35.13–$801.00	42% below	77%
IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial	$184.23	$801.00	$35.13–$3,900.00	42% below	77%
IV push of a medicine, first drug CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH	$184.23	$801.00	$35.13–$801.00	42% below	77%
IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$184.23	$801.00	$35.13–$801.00	42% below	77%
IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$184.23	$801.00	$35.13–$801.00	42% below	77%
IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$184.23	$801.00	$155.39–$640.80	—	77%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial	$184.23	$801.00	$155.39–$640.80	—	77%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH	$184.23	$801.00	$155.39–$640.80	—	77%
IV push of a medicine, first drug inpatient CPT 96374 IV push initial	$184.23	$801.00	$155.39–$640.80	—	77%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$184.23	$801.00	$155.39–$640.80	—	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$52.44	$228.00	$13.97–$467.00	71% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection	$52.44	$228.00	$13.97–$3,900.00	71% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$52.44	$228.00	$13.97–$467.00	71% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$52.44	$228.00	$13.97–$467.00	71% below	77%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$52.44	$228.00	$44.23–$182.40	—	77%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$52.44	$228.00	$44.23–$182.40	—	77%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection	$52.44	$228.00	$44.23–$182.40	—	77%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection	$52.44	$228.00	$44.23–$182.40	—	77%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge	$80.50	$350.00	$30.65–$350.00	45% below	77%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1	$80.50	$350.00	$30.65–$350.00	45% below	77%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges	$80.50	$350.00	$30.65–$350.00	45% below	77%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$80.50	$350.00	$30.65–$350.00	45% below	77%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$80.50	$350.00	$30.65–$350.00	45% below	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1	$80.50	$350.00	$67.90–$280.00	—	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge	$80.50	$350.00	$67.90–$280.00	—	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$80.50	$350.00	$67.90–$280.00	—	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$80.50	$350.00	$67.90–$280.00	—	77%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges	$80.50	$350.00	$67.90–$280.00	—	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH	$448.27	$1,949.00	$90.25–$1,893.00	15% below	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181	$448.27	$1,949.00	$90.25–$1,893.00	15% below	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes	$448.27	$1,949.00	$90.25–$1,893.00	15% below	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181	$448.27	$1,949.00	$378.11–$1,559.20	—	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes	$448.27	$1,949.00	$378.11–$1,559.20	—	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH	$448.27	$1,949.00	$378.11–$1,559.20	—	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181	$374.90	$1,630.00	$90.25–$1,630.00	17% below	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes	$374.90	$1,630.00	$90.25–$1,630.00	17% below	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW	$374.90	$1,630.00	$90.25–$1,630.00	17% below	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181	$374.90	$1,630.00	$316.22–$1,304.00	—	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes	$374.90	$1,630.00	$316.22–$1,304.00	—	77%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW	$374.90	$1,630.00	$316.22–$1,304.00	—	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181	$425.96	$1,852.00	$90.25–$1,852.00	5% below	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD	$425.96	$1,852.00	$90.25–$1,852.00	5% below	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes	$425.96	$1,852.00	$90.25–$1,852.00	5% below	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD	$425.96	$1,852.00	$359.29–$1,481.60	—	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181	$425.96	$1,852.00	$359.29–$1,481.60	—	77%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes	$425.96	$1,852.00	$359.29–$1,481.60	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$53.36	$232.00	$24.66–$304.00	59% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$53.36	$232.00	$24.66–$304.00	59% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges	$53.36	$232.00	$24.66–$304.00	59% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$53.36	$232.00	$24.66–$304.00	59% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges	$53.36	$232.00	$24.66–$304.00	59% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges	$53.36	$232.00	$45.01–$185.60	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$53.36	$232.00	$45.01–$185.60	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$53.36	$232.00	$45.01–$185.60	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges	$53.36	$232.00	$45.01–$185.60	—	77%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$53.36	$232.00	$45.01–$185.60	—	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge	$178.02	$774.00	$26.74–$774.00	23% above	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$178.02	$774.00	$26.74–$774.00	23% above	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$178.02	$774.00	$26.74–$774.00	23% above	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges	$178.02	$774.00	$26.74–$774.00	23% above	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$178.02	$774.00	$26.74–$774.00	23% above	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$178.02	$774.00	$150.16–$619.20	—	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge	$178.02	$774.00	$150.16–$619.20	—	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$178.02	$774.00	$150.16–$619.20	—	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$178.02	$774.00	$150.16–$619.20	—	77%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges	$178.02	$774.00	$150.16–$619.20	—	77%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes	$11.96	$52.00	$10.09–$547.00	81% below	77%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$11.96	$52.00	$10.09–$547.00	81% below	77%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$11.96	$52.00	$10.09–$41.60	—	77%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes	$11.96	$52.00	$10.09–$41.60	—	77%
Speech therapy session, individual CPT 92507 Speech Treatment Charge	$62.56	$272.00	$52.77–$304.00	83% below	77%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$62.56	$272.00	$52.77–$304.00	83% below	77%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$62.56	$272.00	$52.77–$304.00	83% below	77%
Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes	$62.56	$272.00	$52.77–$304.00	83% below	77%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes	$62.56	$272.00	$52.77–$217.60	—	77%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$62.56	$272.00	$52.77–$217.60	—	77%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge	$62.56	$272.00	$52.77–$217.60	—	77%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$62.56	$272.00	$52.77–$217.60	—	77%
Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry	$155.48	$676.00	$131.14–$560.00	48% below	77%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry	$155.48	$676.00	$131.14–$540.80	—	77%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$199.64	$868.00	$168.39–$694.40	78% below	77%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$199.64	$868.00	$168.39–$694.40	—	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$123.28	$536.00	$33.15–$536.00	18% below	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$123.28	$536.00	$33.15–$536.00	18% below	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge	$123.28	$536.00	$33.15–$536.00	18% below	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$123.28	$536.00	$33.15–$536.00	18% below	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge	$123.28	$536.00	$33.15–$536.00	18% below	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge	$123.28	$536.00	$103.98–$428.80	—	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$123.28	$536.00	$103.98–$428.80	—	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge	$123.28	$536.00	$103.98–$428.80	—	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$123.28	$536.00	$103.98–$428.80	—	77%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$123.28	$536.00	$103.98–$428.80	—	77%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$161.91	$703.97	$124.55–$703.97	32% below	77%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$161.91	$703.97	$124.55–$703.97	32% below	77%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$161.91	$703.97	$136.57–$563.18	—	77%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$161.91	$703.97	$136.57–$563.18	—	77%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$210.30	$914.35	$150.43–$19,987.69	26% below	77%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$210.30	$914.35	$150.43–$19,987.69	26% below	77%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$210.30	$914.35	$150.43–$19,987.69	26% below	77%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$210.30	$914.35	$150.43–$19,987.69	26% below	77%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$210.30	$914.35	$177.38–$731.48	—	77%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$210.30	$914.35	$177.38–$731.48	—	77%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$210.30	$914.35	$177.38–$731.48	—	77%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$210.30	$914.35	$177.38–$731.48	—	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/	$88.31	$383.94	$74.48–$8,392.93	46% below	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/	$89.17	$387.71	$75.22–$8,475.34	45% below	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/	$89.17	$387.71	$75.22–$8,475.34	45% below	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/	$89.17	$387.71	$75.22–$8,475.34	45% below	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/	$88.31	$383.94	$74.48–$307.15	—	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/	$89.17	$387.71	$75.22–$310.17	—	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/	$89.17	$387.71	$75.22–$310.17	—	77%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/	$89.17	$387.71	$75.22–$310.17	—	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol	$157.00	$682.60	$98.66–$14,921.64	53% below	77%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol	$157.00	$682.60	$132.42–$546.08	—	77%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan	$120.38	$523.41	$101.54–$11,441.74	71% below	77%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan	$120.38	$523.41	$101.54–$11,441.74	71% below	77%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan	$120.38	$523.41	$101.54–$418.73	—	77%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan	$120.38	$523.41	$101.54–$418.73	—	77%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine,	$116.01	$504.37	$93.91–$504.37	37% below	77%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine,	$116.01	$504.37	$97.85–$403.50	—	77%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$88.31	$383.94	$63.65–$383.94	19% above	77%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$88.31	$383.94	$63.65–$383.94	19% above	77%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$88.31	$383.94	$74.48–$307.15	—	77%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$88.31	$383.94	$74.48–$307.15	—	77%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$326.55	$1,419.77	$150.43–$31,036.17	65% below	77%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$326.55	$1,419.77	$275.44–$1,135.82	—	77%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$147.90	$643.04	$124.75–$14,056.85	55% below	77%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$147.90	$643.04	$124.75–$514.43	—	77%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$113.30	$492.60	$57.22–$10,768.24	34% below	77%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$113.30	$492.60	$57.22–$10,768.24	34% below	77%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$113.30	$492.60	$57.22–$10,768.24	34% below	77%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$113.30	$492.60	$57.22–$10,768.24	34% below	77%
Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$135.09	$587.34	$57.22–$12,839.25	22% below	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$113.30	$492.60	$95.56–$394.08	—	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$113.30	$492.60	$95.56–$394.08	—	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$113.30	$492.60	$95.56–$394.08	—	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$113.30	$492.60	$95.56–$394.08	—	77%
Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$135.09	$587.34	$113.94–$469.87	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25.	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720.	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720.	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720.	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25.	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720.	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$117.33	$510.14	$66.86–$510.14	53% below	77%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$117.33	$510.14	$66.86–$510.14	53% below	77%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$117.33	$510.14	$66.86–$510.14	53% below	77%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$117.33	$510.14	$66.86–$510.14	53% below	77%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$117.33	$510.14	$98.97–$408.11	—	77%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$117.33	$510.14	$98.97–$408.11	—	77%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$117.33	$510.14	$98.97–$408.11	—	77%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$117.33	$510.14	$98.97–$408.11	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$29.23–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc	$88.31	$383.94	$29.23–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc	$88.31	$383.94	$29.23–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m	$88.31	$383.94	$29.23–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$29.23–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$29.23–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$71.49–$383.94	12% below	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m	$88.31	$383.94	$74.48–$307.15	—	77%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp	$88.31	$383.94	$74.48–$307.15	—	77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va	$88.31	$383.94	$74.48–$8,392.93	41% above	77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va	$88.31	$383.94	$74.48–$8,392.93	41% above	77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va	$88.31	$383.94	$74.48–$307.15	—	77%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va	$88.31	$383.94	$74.48–$307.15	—	77%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$94.06	$408.96	$69.73–$408.96	66% below	77%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$94.06	$408.96	$69.73–$408.96	66% below	77%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$94.06	$408.96	$69.73–$408.96	66% below	77%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$94.06	$408.96	$79.34–$327.17	—	77%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$94.06	$408.96	$79.34–$327.17	—	77%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$94.06	$408.96	$79.34–$327.17	—	77%
MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$140.67	$611.59	$118.65–$13,369.36	27% below	77%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$140.67	$611.59	$118.65–$13,369.36	27% below	77%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$140.67	$611.59	$118.65–$489.27	—	77%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$140.67	$611.59	$118.65–$489.27	—	77%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi	$319.24	$1,387.99	$150.43–$1,387.99	20% below	77%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi	$319.24	$1,387.99	$150.43–$1,387.99	20% below	77%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi	$319.24	$1,387.99	$269.27–$1,110.39	—	77%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi	$319.24	$1,387.99	$269.27–$1,110.39	—	77%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$127.68	$555.11	$107.69–$12,134.70	77% below	77%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$173.93	$756.20	$146.70–$16,530.53	69% below	77%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$127.68	$555.11	$107.69–$444.09	—	77%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$173.93	$756.20	$146.70–$604.96	—	77%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po	$135.46	$588.97	$114.26–$12,874.88	78% below	77%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po	$135.46	$588.97	$114.26–$471.18	—	77%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$251.49	$1,093.43	$150.43–$23,902.38	66% below	77%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$251.49	$1,093.43	$212.13–$874.74	—	77%
Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine,	$16.10	$70.00	$13.03–$158.35	78% below	77%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine,	$16.10	$70.00	$13.58–$56.00	—	77%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v	$273.47	$1,189.01	$221.39–$1,189.01	53% below	77%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v	$273.47	$1,189.01	$221.39–$1,189.01	53% below	77%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v	$273.47	$1,189.01	$221.39–$1,189.01	53% below	77%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v	$273.47	$1,189.01	$230.67–$951.21	—	77%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v	$273.47	$1,189.01	$230.67–$951.21	—	77%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v	$273.47	$1,189.01	$230.67–$951.21	—	77%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v	$255.39	$1,110.38	$150.43–$1,110.38	67% below	77%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v	$255.39	$1,110.38	$150.43–$1,110.38	67% below	77%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v	$255.39	$1,110.38	$215.41–$888.30	—	77%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v	$255.39	$1,110.38	$215.41–$888.30	—	77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$301.98	$1,312.96	$150.43–$1,312.96	68% below	77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$301.98	$1,312.96	$150.43–$1,312.96	68% below	77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$301.98	$1,312.96	$254.71–$1,050.37	—	77%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$301.98	$1,312.96	$254.71–$1,050.37	—	77%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v	$284.19	$1,235.61	$150.43–$1,235.61	10% below	77%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v	$284.19	$1,235.61	$239.71–$988.49	—	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$131.54	$571.92	$106.49–$571.92	67% below	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$131.54	$571.92	$106.49–$571.92	67% below	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$131.54	$571.92	$106.49–$571.92	67% below	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$131.54	$571.92	$106.49–$571.92	67% below	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$131.54	$571.92	$110.95–$457.54	—	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$131.54	$571.92	$110.95–$457.54	—	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$131.54	$571.92	$110.95–$457.54	—	77%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$131.54	$571.92	$110.95–$457.54	—	77%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su	$88.31	$383.94	$74.48–$8,392.93	10% below	77%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su	$88.31	$383.94	$74.48–$307.15	—	77%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su	$88.31	$383.94	$74.48–$307.15	—	77%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva	$503.45	$2,188.90	$424.65–$47,849.35	61% below	77%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva	$503.45	$2,188.90	$424.65–$1,751.12	—	77%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$503.45	$2,188.90	$424.65–$47,849.35	68% below	77%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$503.45	$2,188.90	$424.65–$47,849.35	68% below	77%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$503.45	$2,188.90	$424.65–$1,751.12	—	77%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$503.45	$2,188.90	$424.65–$1,751.12	—	77%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$323.30	$1,405.67	$150.43–$30,727.95	54% below	77%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$323.30	$1,405.67	$150.43–$30,727.95	54% below	77%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$323.30	$1,405.67	$272.70–$1,124.54	—	77%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$323.30	$1,405.67	$272.70–$1,124.54	—	77%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$323.37	$1,405.94	$150.43–$30,733.85	57% below	77%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$323.37	$1,405.94	$272.75–$1,124.75	—	77%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$410.31	$1,783.95	$346.09–$1,783.95	65% below	77%
Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$410.31	$1,783.95	$346.09–$1,783.95	65% below	77%
Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$410.31	$1,783.95	$346.09–$1,783.95	65% below	77%
Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,893.00	58% below	77%
Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,893.00	58% below	77%
Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,893.00	58% below	77%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,893.00	58% below	77%
Rabies vaccine, one dose inpatient CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$410.31	$1,783.95	$346.09–$1,427.16	—	77%
Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$410.31	$1,783.95	$346.09–$1,427.16	—	77%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$410.31	$1,783.95	$346.09–$1,427.16	—	77%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,702.63	—	77%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,702.63	—	77%
Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,702.63	—	77%
Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$489.51	$2,128.29	$412.89–$1,702.63	—	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-41 - rotavirus vaccine Susp	$57.40	$249.56	$48.41–$5,455.38	80% below	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp	$57.40	$249.56	$48.41–$5,455.38	80% below	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp	$57.40	$249.56	$48.41–$5,455.38	80% below	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-41 - rotavirus vaccine Susp	$57.40	$249.56	$48.41–$199.65	—	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp	$57.40	$249.56	$48.41–$199.65	—	77%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp	$57.40	$249.56	$48.41–$199.65	—	77%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$233.80	$1,016.54	$150.43–$22,221.56	38% below	77%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$233.80	$1,016.54	$150.43–$22,221.56	38% below	77%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$233.80	$1,016.54	$197.21–$813.23	—	77%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$233.80	$1,016.54	$197.21–$813.23	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$88.31	$383.94	$26.43–$8,392.93	40% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$89.14	$387.56	$26.43–$8,472.06	39% below	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$88.31	$383.94	$74.48–$307.15	—	77%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$89.14	$387.56	$75.19–$310.05	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$88.31	$383.94	$74.48–$8,392.93	57% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	57% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	57% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	57% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$8,392.93	57% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$88.31	$383.94	$74.48–$8,392.93	57% below	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$88.31	$383.94	$74.48–$307.15	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$88.31	$383.94	$74.48–$307.15	—	77%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$88.31	$383.94	$74.48–$307.15	—	77%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC	$74.04	$321.93	$62.45–$7,037.39	62% above	77%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR	$74.04	$321.93	$62.45–$7,037.39	62% above	77%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR	$74.04	$321.93	$62.45–$257.54	—	77%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC	$74.04	$321.93	$62.45–$257.54	—	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine	$54.51	$237.00	$19.91–$237.00	55% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$54.51	$237.00	$19.91–$237.00	55% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$54.51	$237.00	$19.91–$237.00	55% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$54.51	$237.00	$19.91–$237.00	55% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$54.51	$237.00	$19.91–$237.00	55% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$54.51	$237.00	$45.98–$189.60	—	77%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$54.51	$237.00	$45.98–$189.60	—	77%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$54.51	$237.00	$45.98–$189.60	—	77%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine	$54.51	$237.00	$45.98–$189.60	—	77%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$54.51	$237.00	$45.98–$189.60	—	77%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l	$27.03	$117.51	$14.24–$2,568.77	75% below	77%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OB CHRG - VACCINE ADM EA AD	$27.03	$117.51	$14.24–$2,568.77	75% below	77%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$27.03	$117.51	$14.24–$2,568.77	75% below	77%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$27.03	$117.51	$14.24–$2,568.77	75% below	77%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$27.03	$117.51	$14.24–$2,568.77	75% below	77%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OB CHRG - VACCINE ADM EA AD	$27.03	$117.51	$22.80–$94.01	—	77%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$27.03	$117.51	$22.80–$94.01	—	77%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$27.03	$117.51	$22.80–$94.01	—	77%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l	$27.03	$117.51	$22.80–$94.01	—	77%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$27.03	$117.51	$22.80–$94.01	—	77%
Yellow fever vaccine, live CPT 90717 49281-0915-05 - yellow fever vaccine - Powder	$750.68	$3,263.81	$150.43–$71,346.89	153% above	77%
Yellow fever vaccine, live CPT 90717 49281-0915-01 - yellow fever vaccine - Powder	$750.68	$3,263.81	$150.43–$71,346.89	153% above	77%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-05 - yellow fever vaccine - Powder	$750.68	$3,263.81	$633.18–$2,611.05	—	77%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-01 - yellow fever vaccine - Powder	$750.68	$3,263.81	$633.18–$2,611.05	—	77%

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.srmcfl.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/680045270_santa-rosa-medical-center_standardcharges.csv