Hospital Fort Wayne, IN

The Orthopedic Hospital

The Orthopedic Hospital in Fort Wayne, IN publishes cash prices for 335 common procedures listed here, from its own machine-readable price file updated Dec 16, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 176 of 334 procedures and above it for 157. Select a procedure to compare it with other hospitals nearby.

7952 W Jefferson Blvd, Fort Wayne, IN 46804 Collected Nov 12, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$1,578.42	$5,846.00	$161.07–$5,846.00	16% above	73%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$1,578.42	$5,846.00	$1,578.42–$5,846.00	—	73%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$346.68	$1,284.00	$31.12–$1,284.00	28% above	73%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$346.68	$1,284.00	$346.68–$1,284.00	—	73%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$194.40	$720.00	$30.65–$720.00	1% below	73%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$194.40	$720.00	$194.40–$720.00	—	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$252.72	$936.00	$76.42–$936.00	31% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD	$252.72	$936.00	$76.42–$936.00	31% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD	$252.72	$936.00	$252.72–$936.00	—	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$252.72	$936.00	$252.72–$936.00	—	73%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$887.76	$3,288.00	$96.38–$3,288.00	10% above	73%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$887.76	$3,288.00	$887.76–$3,288.00	—	73%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$422.28	$1,564.00	$76.84–$1,564.00	9% below	73%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$422.28	$1,564.00	$422.28–$1,564.00	—	73%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$1,094.31	$4,053.00	$206.19–$4,053.00	31% below	73%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$1,094.31	$4,053.00	$1,094.31–$4,053.00	—	73%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$2,276.10	$8,430.00	$337.14–$8,430.00	20% above	73%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$2,276.10	$8,430.00	$2,276.10–$8,430.00	—	73%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$1,201.23	$4,449.00	$161.07–$4,449.00	6% below	73%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$1,201.23	$4,449.00	$1,201.23–$4,449.00	—	73%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$1,201.23	$4,449.00	$161.07–$4,449.00	1% below	73%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$1,201.23	$4,449.00	$1,201.23–$4,449.00	—	73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$1,141.83	$4,229.00	$161.07–$4,229.00	10% below	73%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$1,141.83	$4,229.00	$1,141.83–$4,229.00	—	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W	$740.34	$2,742.00	$161.07–$2,742.00	12% below	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W	$740.34	$2,742.00	$740.34–$2,742.00	—	73%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$2,278.80	$8,440.00	$214.81–$8,440.00	90% above	73%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$2,278.80	$8,440.00	$2,278.80–$8,440.00	—	73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$2,720.25	$10,075.00	$337.14–$10,075.00	58% above	73%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$2,720.25	$10,075.00	$2,720.25–$10,075.00	—	73%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$2,316.60	$8,580.00	$337.14–$8,580.00	35% above	73%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$2,316.60	$8,580.00	$2,316.60–$8,580.00	—	73%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$385.56	$1,428.00	$161.07–$1,529.00	64% below	73%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$385.56	$1,428.00	$385.56–$1,428.00	—	73%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$1,184.76	$4,388.00	$96.38–$4,388.00	40% above	73%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$1,184.76	$4,388.00	$1,184.76–$4,388.00	—	73%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$481.68	$1,784.00	$96.38–$1,784.00	42% below	73%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$481.68	$1,784.00	$481.68–$1,784.00	—	73%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$837.54	$3,102.00	$96.38–$3,102.00	9% above	73%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$837.54	$3,102.00	$837.54–$3,102.00	—	73%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$385.56	$1,428.00	$161.07–$1,529.00	55% below	73%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$385.56	$1,428.00	$385.56–$1,428.00	—	73%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$1,184.76	$4,388.00	$161.07–$4,388.00	14% above	73%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$1,184.76	$4,388.00	$1,184.76–$4,388.00	—	73%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$1,347.03	$4,989.00	$96.38–$4,989.00	52% above	73%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$1,347.03	$4,989.00	$1,347.03–$4,989.00	—	73%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$1,284.66	$4,758.00	$96.38–$4,758.00	54% above	73%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$1,284.66	$4,758.00	$1,284.66–$4,758.00	—	73%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,209.87	$4,481.00	$161.07–$4,481.00	31% above	73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$1,209.87	$4,481.00	$1,209.87–$4,481.00	—	73%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$595.08	$2,204.00	$180.66–$2,204.00	38% below	73%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$595.08	$2,204.00	$595.08–$2,204.00	—	73%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,332.45	$4,935.00	$161.07–$4,935.00	23% above	73%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$1,332.45	$4,935.00	$1,332.45–$4,935.00	—	73%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$230.85	$855.00	$28.46–$855.00	12% above	73%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$230.85	$855.00	$230.85–$855.00	—	73%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$149.31	$553.00	$18.46–$553.00	8% below	73%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$149.31	$553.00	$149.31–$553.00	—	73%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$230.85	$855.00	$28.37–$855.00	20% above	73%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$230.85	$855.00	$230.85–$855.00	—	73%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$391.77	$1,451.00	$96.38–$1,451.00	22% below	73%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$391.77	$1,451.00	$391.77–$1,451.00	—	73%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$119.88	$444.00	$34.65–$444.00	59% below	73%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$119.88	$444.00	$119.88–$444.00	—	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$66.42	$246.00	$29.04–$246.00	54% below	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$66.42	$246.00	$66.42–$246.00	—	73%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL	$538.92	$1,996.00	$166.56–$1,996.00	4% below	73%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL	$538.92	$1,996.00	$538.92–$1,996.00	—	73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$930.15	$3,445.00	$96.38–$3,445.00	12% above	73%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$930.15	$3,445.00	$930.15–$3,445.00	—	73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$937.71	$3,473.00	$161.07–$3,473.00	at median	73%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$937.71	$3,473.00	$937.71–$3,473.00	—	73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$630.18	$2,334.00	$214.81–$2,334.00	—	73%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$630.18	$2,334.00	$630.18–$2,334.00	—	73%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$654.48	$2,424.00	$172.47–$2,424.00	50% below	73%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$654.48	$2,424.00	$654.48–$2,424.00	—	73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$1,478.25	$5,475.00	$188.38–$5,475.00	11% below	73%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$1,478.25	$5,475.00	$1,478.25–$5,475.00	—	73%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$182.52	$676.00	$27.35–$676.00	10% above	73%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$182.52	$676.00	$182.52–$676.00	—	73%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$197.91	$733.00	$30.50–$733.00	23% below	73%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$197.91	$733.00	$197.91–$733.00	—	73%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$579.15	$2,145.00	$96.38–$2,145.00	32% below	73%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$579.15	$2,145.00	$579.15–$2,145.00	—	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$299.16	$1,108.00	$44.21–$1,108.00	10% above	73%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$299.16	$1,108.00	$299.16–$1,108.00	—	73%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$182.52	$676.00	$27.35–$676.00	1% below	73%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$182.52	$676.00	$182.52–$676.00	—	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$960.66	$3,558.00	$288.06–$3,558.00	27% below	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$960.66	$3,558.00	$960.66–$3,558.00	—	73%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$195.75	$725.00	$28.09–$725.00	14% above	73%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$195.75	$725.00	$195.75–$725.00	—	73%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$228.96	$848.00	$27.04–$848.00	7% above	73%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$228.96	$848.00	$228.96–$848.00	—	73%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF	$138.24	$512.00	$86.41–$512.00	66% below	73%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLPSTDY UNATT RS EFF	$138.24	$512.00	$138.24–$512.00	—	73%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$225.72	$836.00	$33.25–$836.00	2% below	73%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$225.72	$836.00	$225.72–$836.00	—	73%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$228.69	$847.00	$37.96–$847.00	13% below	73%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$228.69	$847.00	$228.69–$847.00	—	73%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$803.52	$2,976.00	$96.38–$2,976.00	2% above	73%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$803.52	$2,976.00	$803.52–$2,976.00	—	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$528.39	$1,957.00	$83.51–$1,957.00	16% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$528.39	$1,957.00	$528.39–$1,957.00	—	73%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$334.26	$1,238.00	$22.80–$1,238.00	10% above	73%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$334.26	$1,238.00	$334.26–$1,238.00	—	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$36.45	$135.00	$33.70–$1,529.00	81% below	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$36.45	$135.00	$36.45–$135.00	—	73%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$226.80	$840.00	$29.27–$840.00	14% above	73%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$226.80	$840.00	$226.80–$840.00	—	73%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$740.61	$2,743.00	$214.81–$2,743.00	34% below	73%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$740.61	$2,743.00	$740.61–$2,743.00	—	73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$839.70	$3,110.00	$214.81–$3,110.00	18% below	73%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$839.70	$3,110.00	$839.70–$3,110.00	—	73%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$1,313.28	$4,864.00	$337.14–$4,864.00	9% below	73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$1,313.28	$4,864.00	$1,313.28–$4,864.00	—	73%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$740.61	$2,743.00	$214.81–$2,743.00	31% below	73%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$740.61	$2,743.00	$740.61–$2,743.00	—	73%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$740.61	$2,743.00	$337.14–$2,743.00	53% below	73%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$740.61	$2,743.00	$740.61–$2,743.00	—	73%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO LTD	$563.76	$2,088.00	$214.81–$2,088.00	45% below	73%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$881.82	$3,266.00	$214.81–$3,266.00	13% below	73%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO LTD	$563.76	$2,088.00	$563.76–$2,088.00	—	73%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$881.82	$3,266.00	$881.82–$3,266.00	—	73%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO LTD	$563.76	$2,088.00	$337.14–$2,386.00	57% below	73%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$1,313.28	$4,864.00	$337.14–$4,864.00	at median	73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO LTD	$563.76	$2,088.00	$563.76–$2,088.00	—	73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$1,313.28	$4,864.00	$1,313.28–$4,864.00	—	73%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$882.09	$3,267.00	$214.81–$3,267.00	13% below	73%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$882.09	$3,267.00	$882.09–$3,267.00	—	73%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$1,315.17	$4,871.00	$337.14–$4,871.00	10% below	73%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$1,315.17	$4,871.00	$1,315.17–$4,871.00	—	73%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$881.82	$3,266.00	$214.81–$3,266.00	12% below	73%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$881.82	$3,266.00	$881.82–$3,266.00	—	73%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$1,381.05	$5,115.00	$337.14–$5,115.00	6% below	73%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$1,381.05	$5,115.00	$1,381.05–$5,115.00	—	73%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$881.82	$3,266.00	$214.81–$3,266.00	15% below	73%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$881.82	$3,266.00	$881.82–$3,266.00	—	73%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$1,305.99	$4,837.00	$337.14–$4,837.00	10% below	73%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$1,305.99	$4,837.00	$1,305.99–$4,837.00	—	73%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$832.41	$3,083.00	$214.81–$3,083.00	21% below	73%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$832.41	$3,083.00	$832.41–$3,083.00	—	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$881.82	$3,266.00	$214.81–$3,266.00	17% below	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$881.82	$3,266.00	$881.82–$3,266.00	—	73%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$384.75	$1,425.00	$50.15–$1,425.00	11% above	73%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$384.75	$1,425.00	$384.75–$1,425.00	—	73%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,158.84	$4,292.00	$161.07–$4,292.00	18% above	73%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$1,158.84	$4,292.00	$1,158.84–$4,292.00	—	73%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$1,158.84	$4,292.00	$96.38–$4,292.00	39% above	73%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$1,158.84	$4,292.00	$1,158.84–$4,292.00	—	73%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$115.02	$426.00	$26.87–$426.00	33% below	73%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$115.02	$426.00	$115.02–$426.00	—	73%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$2,917.35	$10,805.00	$421.32–$10,805.00	24% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$2,917.35	$10,805.00	$2,917.35–$10,805.00	—	73%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$986.31	$3,653.00	$96.38–$3,653.00	18% above	73%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$986.31	$3,653.00	$986.31–$3,653.00	—	73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$454.14	$1,682.00	$45.51–$1,682.00	27% above	73%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$454.14	$1,682.00	$454.14–$1,682.00	—	73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$465.48	$1,724.00	$96.38–$1,724.00	at median	73%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$465.48	$1,724.00	$465.48–$1,724.00	—	73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$554.31	$2,053.00	$96.38–$2,053.00	at median	73%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$554.31	$2,053.00	$554.31–$2,053.00	—	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$523.26	$1,938.00	$96.38–$1,938.00	2% above	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$523.26	$1,938.00	$523.26–$1,938.00	—	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$92.34	$342.00	$77.49–$342.00	76% below	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$92.34	$342.00	$92.34–$342.00	—	73%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$161.19	$597.00	$34.52–$597.00	21% below	73%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$161.19	$597.00	$161.19–$597.00	—	73%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$316.98	$1,174.00	$39.88–$1,174.00	30% above	73%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$316.98	$1,174.00	$316.98–$1,174.00	—	73%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$258.66	$958.00	$31.48–$958.00	24% above	73%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$258.66	$958.00	$258.66–$958.00	—	73%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$174.96	$648.00	$35.65–$648.00	38% below	73%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$174.96	$648.00	$174.96–$648.00	—	73%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$52.11	$193.00	$33.65–$193.00	78% below	73%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$52.11	$193.00	$52.11–$193.00	—	73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$244.89	$907.00	$84.01–$907.00	32% below	73%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$244.89	$907.00	$244.89–$907.00	—	73%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$224.37	$831.00	$33.02–$831.00	12% above	73%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$224.37	$831.00	$224.37–$831.00	—	73%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$1,077.03	$3,989.00	$96.38–$3,989.00	27% above	73%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$1,077.03	$3,989.00	$1,077.03–$3,989.00	—	73%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$174.15	$645.00	$25.25–$645.00	14% above	73%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$174.15	$645.00	$174.15–$645.00	—	73%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$309.96	$1,148.00	$96.38–$1,148.00	24% below	73%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$309.96	$1,148.00	$309.96–$1,148.00	—	73%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$329.40	$1,220.00	$88.74–$1,220.00	11% below	73%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$329.40	$1,220.00	$329.40–$1,220.00	—	73%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$741.15	$2,745.00	$96.38–$2,745.00	41% above	73%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$741.15	$2,745.00	$741.15–$2,745.00	—	73%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$459.81	$1,703.00	$87.45–$1,703.00	9% above	73%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$459.81	$1,703.00	$459.81–$1,703.00	—	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$434.16	$1,608.00	$96.38–$1,608.00	2% above	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$434.16	$1,608.00	$434.16–$1,608.00	—	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$674.73	$2,499.00	$100.77–$2,499.00	29% above	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$674.73	$2,499.00	$674.73–$2,499.00	—	73%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$183.60	$680.00	$29.84–$680.00	4% below	73%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$183.60	$680.00	$183.60–$680.00	—	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$550.80	$2,040.00	$96.38–$2,040.00	13% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$550.80	$2,040.00	$550.80–$2,040.00	—	73%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$186.03	$689.00	$28.43–$689.00	19% above	73%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$186.03	$689.00	$186.03–$689.00	—	73%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$221.13	$819.00	$31.34–$819.00	13% below	73%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$221.13	$819.00	$221.13–$819.00	—	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$238.68	$884.00	$44.06–$884.00	10% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$238.68	$884.00	$238.68–$884.00	—	73%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$240.30	$890.00	$25.41–$890.00	11% above	73%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$240.30	$890.00	$240.30–$890.00	—	73%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$184.95	$685.00	$28.09–$685.00	16% above	73%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$184.95	$685.00	$184.95–$685.00	—	73%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$167.67	$621.00	$25.60–$621.00	5% above	73%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$167.67	$621.00	$167.67–$621.00	—	73%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$255.69	$947.00	$26.41–$947.00	56% above	73%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$255.69	$947.00	$255.69–$947.00	—	73%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$250.29	$927.00	$30.31–$927.00	24% above	73%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$250.29	$927.00	$250.29–$927.00	—	73%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$214.38	$794.00	$30.31–$794.00	6% above	73%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$214.38	$794.00	$214.38–$794.00	—	73%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$183.06	$678.00	$29.62–$678.00	12% below	73%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$183.06	$678.00	$183.06–$678.00	—	73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$344.25	$1,275.00	$37.52–$1,275.00	37% above	73%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$344.25	$1,275.00	$344.25–$1,275.00	—	73%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$275.94	$1,022.00	$48.25–$1,022.00	20% below	73%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$275.94	$1,022.00	$275.94–$1,022.00	—	73%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$272.97	$1,011.00	$30.91–$1,011.00	17% above	73%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$272.97	$1,011.00	$272.97–$1,011.00	—	73%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$247.59	$917.00	$30.31–$917.00	22% above	73%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$247.59	$917.00	$247.59–$917.00	—	73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$289.98	$1,074.00	$34.37–$1,074.00	16% above	73%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$289.98	$1,074.00	$289.98–$1,074.00	—	73%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$207.90	$770.00	$26.14–$770.00	6% above	73%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$207.90	$770.00	$207.90–$770.00	—	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$276.75	$1,025.00	$30.50–$1,025.00	26% above	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$276.75	$1,025.00	$276.75–$1,025.00	—	73%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 L4440 ACTH PL ECLIA	$294.84	$1,092.00	$18.27–$1,092.00	19% above	73%
ACTH blood test CPT 82024 ADRENOCORT ACTH	$294.84	$1,092.00	$18.27–$1,092.00	19% above	73%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$294.84	$1,092.00	$294.84–$1,092.00	—	73%
ACTH blood test inpatient CPT 82024 L4440 ACTH PL ECLIA	$294.84	$1,092.00	$294.84–$1,092.00	—	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 L550960 ALT	$18.90	$70.00	$2.51–$70.00	31% below	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$18.90	$70.00	$2.51–$70.00	31% below	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 L550180 ALT	$18.90	$70.00	$2.51–$70.00	31% below	73%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 L550960 ALT	$18.90	$70.00	$18.90–$70.00	—	73%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 L550180 ALT	$18.90	$70.00	$18.90–$70.00	—	73%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$18.90	$70.00	$18.90–$70.00	—	73%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$29.43	$109.00	$2.44–$109.00	1% above	73%
AST (aspartate aminotransferase) enzyme test CPT 84450 L550960 AST	$29.43	$109.00	$2.44–$109.00	1% above	73%
AST (aspartate aminotransferase) enzyme test CPT 84450 L550180 AST	$29.43	$109.00	$2.44–$109.00	1% above	73%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$29.43	$109.00	$29.43–$109.00	—	73%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 L550180 AST	$29.43	$109.00	$29.43–$109.00	—	73%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 L550960 AST	$29.43	$109.00	$29.43–$109.00	—	73%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$336.69	$1,247.00	$13.68–$1,247.00	7% above	73%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$336.69	$1,247.00	$336.69–$1,247.00	—	73%
Albumin blood test CPT 82040 ALBUMIN SERUM	$24.03	$89.00	$2.71–$89.00	5% above	73%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$24.03	$89.00	$24.03–$89.00	—	73%
Aldosterone blood test CPT 82088 L4291 ALDOS U24 LCMS	$207.63	$769.00	$20.12–$769.00	1% above	73%
Aldosterone blood test CPT 82088 L289116 ALDOSTERONE	$207.63	$769.00	$20.12–$769.00	1% above	73%
Aldosterone blood test CPT 82088 L4354 ALDOSTERONE	$220.05	$815.00	$20.12–$815.00	7% above	73%
Aldosterone blood test CPT 82088 ALDOSTERONE	$220.05	$815.00	$20.12–$815.00	7% above	73%
Aldosterone blood test inpatient CPT 82088 L289116 ALDOSTERONE	$207.63	$769.00	$207.63–$769.00	—	73%
Aldosterone blood test inpatient CPT 82088 L4291 ALDOS U24 LCMS	$207.63	$769.00	$207.63–$769.00	—	73%
Aldosterone blood test inpatient CPT 82088 L4354 ALDOSTERONE	$220.05	$815.00	$220.05–$815.00	—	73%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$220.05	$815.00	$220.05–$815.00	—	73%
Alkaline phosphatase (ALP) blood test CPT 84075 L1612 PHOSPHATAS ALK	$27.81	$103.00	$2.45–$103.00	13% below	73%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASEALKALINE	$27.81	$103.00	$2.45–$103.00	13% below	73%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASEALKALINE	$27.81	$103.00	$27.81–$103.00	—	73%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 L1612 PHOSPHATAS ALK	$27.81	$103.00	$27.81–$103.00	—	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L607744 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602689 ALG E72 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602742 ALG F92 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602561 ALG M8 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602451 ALG F13 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602519 ALG F47 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602517 ALG F12 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602891 ALG I5 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602797 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602528 ALG F245 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602513 ALG F44 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602487 ALG F75 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602467 ALG D1 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602823 ALG F284 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602500 ALG F83 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602488ALG I6 IGE IA	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602494 ALG T10 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602507 ALG F41 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602453ALG F2 IGE IA	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602473 ALG F24 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602495 ALG F80 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602498 ALG F26 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602502 ALG M1 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602503 ALG G10 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602493 ALG F23 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602483ALG F17 IGE I	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602530ALG F256 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602511ALG F9 IGE IA	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602462ALG M2 IGE IA	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602497 ALG F79 IC	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602973 ALG W20 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602843 ALG C74 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602936 ALG T3 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L607746 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602506 ALG G6 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602509 ALG F27 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602515 ALG W11 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602531 ALG W6 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602536 ALG W9 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602537 ALG W10 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602542 ALG W18 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602569 ALG T70 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602782 ALG F221 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602463 ALG W1 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602464 ALG G2 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602470 ALG F201 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602471 ALG M3 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602851 ALG F297 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L607748 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L604518 ALG F332 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602819 F281 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L607749 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602781 ALG F220 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602726 ALG F54 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L601288 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602775 ALG F214 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602715 ALG F11 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L605878 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602769 ALG F209 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602832 ALG F306 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L607751 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602717 ALG F343 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602475 ALG D2 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602476 ALG T8 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602743 ALG F94 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L62448 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602826 ALG F289 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602802 ALG F259 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L670654 ALLERGEN IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L826700 ALG BLBEAN E	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602841 ALG F324 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L671926 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L804130 ALG RI204 E	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602894 ALG I071 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602684 ALG E3 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602478 ALG F338 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602838 ALG F315 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602948 ALG T11 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602700 ALG E82 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602867 ALG G3 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602567 ALG F45 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602477 ALG F18 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602479 ALG F20 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L604159 ALG CASW COM	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602724 ALG F49 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602480 ALG T7 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602484 ALG W14 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602766 ALG K84 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602776 ALG F215 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602970 ALG W13 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602472 ALG F33 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602454 ALG E1 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602927 ALG T15 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602550 ALG F253 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602900 ALG M12 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602485 ALG F10 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602489 ALG T1 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602491 ALG T6 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602492 ALG F93 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602964 ALG W3 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602455 ALG M6 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602496 ALG G8 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602925 ALG T4 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602465 ALG F3 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602456 ALG E5 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602801 ALG F058 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602529 ALG F207 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602719 ALG F037 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602457 ALG F14 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602499 ALG F35 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602773 ALG F212 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602468 ALG F25 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602459 ALG F4 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602460 ALG F8 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602504 ALG F6 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602739 ALG F89 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602461 ALG F202 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602669 ALG K082 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602521 ALG F31 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602452 F001 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L607745 ALG IGE QT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602570 W016 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602553 ALG F7 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602533 T022 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602518 T014 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L1641491 ALG F4 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen CPT 86003 L602486 F203 IGE	$19.17	$71.00	$2.96–$71.00	at median	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602488ALG I6 IGE IA	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607745 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607744 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602797 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607746 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607748 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607749 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L601288 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L605878 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L607751 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L62448 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L670654 ALLERGEN IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L671926 ALG IGE QT	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602684 ALG E3 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602948 ALG T11 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602867 ALG G3 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602724 ALG F49 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602970 ALG W13 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602900 ALG M12 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602925 ALG T4 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602529 ALG F207 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602773 ALG F212 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602504 ALG F6 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602521 ALG F31 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602553 ALG F7 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L1641491 ALG F4 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602742 ALG F92 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602517 ALG F12 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602513 ALG F44 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602843 ALG C74 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602782 ALG F221 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602851 ALG F297 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L604518 ALG F332 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602819 F281 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602781 ALG F220 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602726 ALG F54 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602775 ALG F214 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602715 ALG F11 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602769 ALG F209 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602832 ALG F306 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602717 ALG F343 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602743 ALG F94 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602826 ALG F289 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602802 ALG F259 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L826700 ALG BLBEAN E	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602841 ALG F324 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L804130 ALG RI204 E	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602894 ALG I071 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602478 ALG F338 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602838 ALG F315 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602927 ALG T15 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602700 ALG E82 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602567 ALG F45 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L604159 ALG CASW COM	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602766 ALG K84 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602776 ALG F215 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602472 ALG F33 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602550 ALG F253 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602964 ALG W3 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602496 ALG G8 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602465 ALG F3 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602801 ALG F058 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602719 ALG F037 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602499 ALG F35 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602468 ALG F25 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602460 ALG F8 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602739 ALG F89 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602669 ALG K082 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602452 F001 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602570 W016 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602533 T022 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602518 T014 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602486 F203 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602689 ALG E72 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602561 ALG M8 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602519 ALG F47 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602891 ALG I5 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602528 ALG F245 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602487 ALG F75 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602467 ALG D1 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602823 ALG F284 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602500 ALG F83 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602507 ALG F41 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602453ALG F2 IGE IA	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602473 ALG F24 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602493 ALG F23 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602483ALG F17 IGE I	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602530ALG F256 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602511ALG F9 IGE IA	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602462ALG M2 IGE IA	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602497 ALG F79 IC	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602973 ALG W20 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602936 ALG T3 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602569 ALG T70 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602542 ALG W18 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602537 ALG W10 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602536 ALG W9 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602531 ALG W6 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602515 ALG W11 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602509 ALG F27 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602506 ALG G6 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602503 ALG G10 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602502 ALG M1 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602498 ALG F26 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602495 ALG F80 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602494 ALG T10 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602492 ALG F93 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602491 ALG T6 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602489 ALG T1 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602485 ALG F10 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602484 ALG W14 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602480 ALG T7 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602479 ALG F20 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602477 ALG F18 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602476 ALG T8 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602475 ALG D2 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602471 ALG M3 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602470 ALG F201 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602464 ALG G2 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602463 ALG W1 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602461 ALG F202 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602459 ALG F4 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602457 ALG F14 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602456 ALG E5 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602455 ALG M6 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602454 ALG E1 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L602451 ALG F13 IGE	$19.17	$71.00	$19.17–$71.00	—	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$19.17	$71.00	$19.17–$71.00	—	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 L480012 AFP TM SRIAL	$105.30	$390.00	$7.94–$390.00	3% above	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$105.30	$390.00	$7.94–$390.00	3% above	73%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 L480012 AFP TM SRIAL	$105.30	$390.00	$105.30–$390.00	—	73%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$105.30	$390.00	$105.30–$390.00	—	73%
Ammonia blood test CPT 82140 AMMONIA	$107.73	$399.00	$7.20–$399.00	10% below	73%
Ammonia blood test CPT 82140 L306266 AMMONIA	$107.73	$399.00	$7.20–$399.00	10% below	73%
Ammonia blood test inpatient CPT 82140 AMMONIA	$107.73	$399.00	$107.73–$399.00	—	73%
Ammonia blood test inpatient CPT 82140 L306266 AMMONIA	$107.73	$399.00	$107.73–$399.00	—	73%
Amylase blood test CPT 82150 AMYLASE	$51.84	$192.00	$3.07–$192.00	at median	73%
Amylase blood test CPT 82150 L3293 AMYLASE U ENZ	$51.84	$192.00	$3.07–$192.00	at median	73%
Amylase blood test inpatient CPT 82150 L3293 AMYLASE U ENZ	$51.84	$192.00	$51.84–$192.00	—	73%
Amylase blood test inpatient CPT 82150 AMYLASE	$51.84	$192.00	$51.84–$192.00	—	73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$45.09	$167.00	$6.39–$167.00	14% below	73%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$45.09	$167.00	$45.09–$167.00	—	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L164863 ANA	$99.09	$367.00	$5.72–$367.00	65% above	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 L520293 ANA	$99.09	$367.00	$5.72–$367.00	65% above	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$99.09	$367.00	$5.72–$367.00	65% above	73%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L520293 ANA	$99.09	$367.00	$99.09–$367.00	—	73%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 L164863 ANA	$99.09	$367.00	$99.09–$367.00	—	73%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$99.09	$367.00	$99.09–$367.00	—	73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 L143000 NT-PROBNP	$87.75	$325.00	$16.06–$325.00	48% below	73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$93.15	$345.00	$16.06–$345.00	45% below	73%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 L143000 NT-PROBNP	$87.75	$325.00	$87.75–$325.00	—	73%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$93.15	$345.00	$93.15–$345.00	—	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$80.46	$298.00	$4.26–$298.00	14% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$80.46	$298.00	$80.46–$298.00	—	73%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$61.83	$229.00	$3.47–$229.00	21% below	73%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$61.83	$229.00	$61.83–$229.00	—	73%
Bilirubin blood test, total CPT 82247 L550960 BILIRUBIN T	$21.60	$80.00	$1.91–$80.00	38% below	73%
Bilirubin blood test, total CPT 82247 L550180 BILIRUB TOT	$21.60	$80.00	$1.91–$80.00	38% below	73%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$21.60	$80.00	$1.91–$80.00	38% below	73%
Bilirubin blood test, total inpatient CPT 82247 L550960 BILIRUBIN T	$21.60	$80.00	$21.60–$80.00	—	73%
Bilirubin blood test, total inpatient CPT 82247 L550180 BILIRUB TOT	$21.60	$80.00	$21.60–$80.00	—	73%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$21.60	$80.00	$21.60–$80.00	—	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$205.74	$762.00	$47.50–$762.00	21% below	73%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$205.74	$762.00	$205.74–$762.00	—	73%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$126.90	$470.00	$4.88–$470.00	3% below	73%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$126.90	$470.00	$126.90–$470.00	—	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTUREROUTINE	$19.71	$73.00	$5.00–$58.40	19% above	73%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTUREROUTINE	$19.71	$73.00	$19.71–$73.00	—	73%
Blood glucose (sugar) test CPT 82947 L550180 GLU TOT	$18.90	$70.00	$1.94–$70.00	29% below	73%
Blood glucose (sugar) test CPT 82947 L550960 GLU QT	$18.90	$70.00	$1.94–$70.00	29% below	73%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT	$18.90	$70.00	$1.94–$70.00	29% below	73%
Blood glucose (sugar) test inpatient CPT 82947 L550960 GLU QT	$18.90	$70.00	$18.90–$70.00	—	73%
Blood glucose (sugar) test inpatient CPT 82947 L550180 GLU TOT	$18.90	$70.00	$18.90–$70.00	—	73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT	$18.90	$70.00	$18.90–$70.00	—	73%
Blood lead test CPT 83655 L7046 LEAD	$89.91	$333.00	$7.00–$333.00	26% above	73%
Blood lead test CPT 83655 L7633 LEAD	$95.31	$353.00	$7.00–$353.00	34% above	73%
Blood lead test CPT 83655 L42580 LEAD	$95.31	$353.00	$7.00–$353.00	34% above	73%
Blood lead test CPT 83655 L717016 LEAD BL PED	$95.31	$353.00	$7.00–$353.00	34% above	73%
Blood lead test CPT 83655 LEAD	$95.31	$353.00	$7.00–$353.00	34% above	73%
Blood lead test inpatient CPT 83655 L7046 LEAD	$89.91	$333.00	$89.91–$333.00	—	73%
Blood lead test inpatient CPT 83655 L717016 LEAD BL PED	$95.31	$353.00	$95.31–$353.00	—	73%
Blood lead test inpatient CPT 83655 L42580 LEAD	$95.31	$353.00	$95.31–$353.00	—	73%
Blood lead test inpatient CPT 83655 LEAD	$95.31	$353.00	$95.31–$353.00	—	73%
Blood lead test inpatient CPT 83655 L7633 LEAD	$95.31	$353.00	$95.31–$353.00	—	73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL	$78.30	$290.00	$3.55–$290.00	7% above	73%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL	$78.30	$290.00	$78.30–$290.00	—	73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$71.82	$266.00	$1.41–$266.00	46% above	73%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$71.82	$266.00	$71.82–$266.00	—	73%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGENQUAN	$22.14	$82.00	$1.87–$82.00	6% below	73%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGENQUAN	$22.14	$82.00	$22.14–$82.00	—	73%
C-peptide blood test CPT 84681 C-PEPTIDE	$164.70	$610.00	$9.84–$610.00	20% above	73%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$164.70	$610.00	$164.70–$610.00	—	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$95.58	$354.00	$2.45–$354.00	39% above	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 L805628 C REACT PROT	$95.58	$354.00	$2.45–$354.00	39% above	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$95.58	$354.00	$95.58–$354.00	—	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 L805628 C REACT PROT	$95.58	$354.00	$95.58–$354.00	—	73%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$69.66	$258.00	$17.33–$258.00	48% below	73%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$69.66	$258.00	$69.66–$258.00	—	73%
CA 19-9 blood test (tumor marker) CPT 86301 L829524 CA AG G1 FLD	$152.28	$564.00	$10.26–$564.00	5% above	73%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$161.46	$598.00	$10.26–$598.00	11% above	73%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 L829524 CA AG G1 FLD	$152.28	$564.00	$152.28–$564.00	—	73%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$161.46	$598.00	$161.46–$598.00	—	73%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$161.46	$598.00	$10.26–$598.00	1% below	73%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$161.46	$598.00	$161.46–$598.00	—	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$72.63	$269.00	$20.52–$215.20	31% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA	$72.63	$269.00	$20.52–$215.20	31% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA	$72.63	$269.00	$72.63–$269.00	—	73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$72.63	$269.00	$72.63–$269.00	—	73%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$24.84	$92.00	$2.44–$92.00	6% below	73%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$24.84	$92.00	$24.84–$92.00	—	73%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$112.86	$418.00	$8.98–$418.00	6% below	73%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$112.86	$418.00	$112.86–$418.00	—	73%
Chickenpox (varicella) immunity blood test CPT 86787 L816630 VZV AB	$81.54	$302.00	$6.09–$302.00	16% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$81.54	$302.00	$6.09–$302.00	16% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 L816621 VZV AB	$81.54	$302.00	$6.09–$302.00	16% below	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L816621 VZV AB	$81.54	$302.00	$81.54–$302.00	—	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 L816630 VZV AB	$81.54	$302.00	$81.54–$302.00	—	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$81.54	$302.00	$81.54–$302.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188698 CTRACH AMPPR	$63.83	$236.40	$16.60–$236.40	34% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188672 CTRACH AMPPR	$63.83	$236.40	$16.60–$236.40	34% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199315 C TRACH PRB	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L144053 C TRACH PRB	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L196502 C TRACH PRB	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L188070 C TRACH AMP	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L180021 CTRACH AMPPR	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199310 CTRACH AMPPR	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199320 C TRACH PRB	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 L199325 C TRACH PRB	$67.77	$251.00	$16.60–$251.00	30% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188672 CTRACH AMPPR	$63.83	$236.40	$63.83–$236.40	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188698 CTRACH AMPPR	$63.83	$236.40	$63.83–$236.40	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199325 C TRACH PRB	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199315 C TRACH PRB	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L188070 C TRACH AMP	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L180021 CTRACH AMPPR	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199320 C TRACH PRB	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L196502 C TRACH PRB	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L199310 CTRACH AMPPR	$67.77	$251.00	$67.77–$251.00	—	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 L144053 C TRACH PRB	$67.77	$251.00	$67.77–$251.00	—	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L235036 LIPID PANEL	$73.98	$274.00	$6.02–$274.00	30% below	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$73.98	$274.00	$6.02–$274.00	30% below	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 L33886 LIPID PANEL	$73.98	$274.00	$6.02–$274.00	30% below	73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$73.98	$274.00	$73.98–$274.00	—	73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L235036 LIPID PANEL	$73.98	$274.00	$73.98–$274.00	—	73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 L33886 LIPID PANEL	$73.98	$274.00	$73.98–$274.00	—	73%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$37.26	$138.00	$3.68–$138.00	10% below	73%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$37.26	$138.00	$37.26–$138.00	—	73%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$35.91	$133.00	$3.06–$133.00	22% above	73%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$35.91	$133.00	$35.91–$133.00	—	73%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$178.47	$661.00	$5.00–$661.00	102% above	73%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$178.47	$661.00	$178.47–$661.00	—	73%
Cortisol blood test, total CPT 82533 L503990 CORTISOL DST	$129.33	$479.00	$7.71–$479.00	37% above	73%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$129.33	$479.00	$7.71–$479.00	37% above	73%
Cortisol blood test, total inpatient CPT 82533 L503990 CORTISOL DST	$129.33	$479.00	$129.33–$479.00	—	73%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$129.33	$479.00	$129.33–$479.00	—	73%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$24.30	$90.00	$3.08–$90.00	37% below	73%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$24.30	$90.00	$24.30–$90.00	—	73%
Creatinine blood test CPT 82565 CREATININE BLOOD	$20.25	$75.00	$2.42–$75.00	30% below	73%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$20.25	$75.00	$20.25–$75.00	—	73%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$96.39	$357.00	$6.81–$357.00	21% above	73%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$96.39	$357.00	$96.39–$357.00	—	73%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$75.87	$281.00	$5.02–$281.00	38% below	73%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$75.87	$281.00	$75.87–$281.00	—	73%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$161.46	$598.00	$10.52–$598.00	10% above	73%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$161.46	$598.00	$161.46–$598.00	—	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L790600 DAB SCN PRES	$162.27	$601.00	$31.70–$601.00	42% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701805 DRG SCR6 UR	$162.27	$601.00	$31.70–$601.00	42% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L824268 DRG SC55 MEC	$162.27	$601.00	$31.70–$601.00	42% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L761107 CR MPB UR IA	$162.27	$601.00	$31.70–$601.00	42% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L764383 MON DRG PN10	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L809313 DRG SC10 MEC	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L733727 PMP 11S UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L824327 DRG SC13 UMB	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701106 SYNCBD SC UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L737760 PCP SCR UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L790946 DRG SC10 MEC	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L763824 12 OXY CRTUB	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L700845 DRG SC13 SER	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L808417 FLTZP SC UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738802 GHB SCN WB	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738796 GHB SC S P	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738792 GHB SCN UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L738526 DAB SCN PRES	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701875 6AM MET UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 L701871 PCP SCR UR	$171.99	$637.00	$31.70–$637.00	51% above	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L761107 CR MPB UR IA	$162.27	$601.00	$162.27–$601.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L824268 DRG SC55 MEC	$162.27	$601.00	$162.27–$601.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L790600 DAB SCN PRES	$162.27	$601.00	$162.27–$601.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701805 DRG SCR6 UR	$162.27	$601.00	$162.27–$601.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738802 GHB SCN WB	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701871 PCP SCR UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738796 GHB SC S P	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L809313 DRG SC10 MEC	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L737760 PCP SCR UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701106 SYNCBD SC UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L824327 DRG SC13 UMB	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L733727 PMP 11S UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L701875 6AM MET UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L764383 MON DRG PN10	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L700845 DRG SC13 SER	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L763824 12 OXY CRTUB	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L790946 DRG SC10 MEC	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L808417 FLTZP SC UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738792 GHB SCN UR	$171.99	$637.00	$171.99–$637.00	—	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 L738526 DAB SCN PRES	$171.99	$637.00	$171.99–$637.00	—	73%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$33.75	$125.00	$2.14–$125.00	48% below	73%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$33.75	$125.00	$33.75–$125.00	—	73%
Epstein-Barr virus (EBV) antibody test CPT 86665 L240610 EBV VCA	$56.97	$211.00	$6.50–$211.00	30% below	73%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA	$136.89	$507.00	$6.50–$507.00	68% above	73%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 L240610 EBV VCA	$56.97	$211.00	$56.97–$211.00	—	73%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA	$136.89	$507.00	$136.89–$507.00	—	73%
Estradiol blood test CPT 82670 L4606 ESTRADIOL	$161.19	$597.00	$13.22–$597.00	26% above	73%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$161.19	$597.00	$13.22–$597.00	26% above	73%
Estradiol blood test CPT 82670 L140244 E2 US MS	$161.19	$597.00	$13.22–$597.00	26% above	73%
Estradiol blood test inpatient CPT 82670 L140244 E2 US MS	$161.19	$597.00	$161.19–$597.00	—	73%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$161.19	$597.00	$161.19–$597.00	—	73%
Estradiol blood test inpatient CPT 82670 L4606 ESTRADIOL	$161.19	$597.00	$161.19–$597.00	—	73%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$33.75	$125.00	$8.79–$125.00	74% below	73%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$33.75	$125.00	$33.75–$125.00	—	73%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$172.80	$640.00	$9.60–$640.00	5% below	73%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$172.80	$640.00	$172.80–$640.00	—	73%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$104.76	$388.00	$6.44–$388.00	31% above	73%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$104.76	$388.00	$104.76–$388.00	—	73%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$107.46	$398.00	$4.20–$398.00	80% above	73%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$107.46	$398.00	$107.46–$398.00	—	73%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$61.29	$227.00	$6.95–$227.00	20% below	73%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$61.29	$227.00	$61.29–$227.00	—	73%
Free T3 thyroid hormone test CPT 84481 T3FREE	$102.60	$380.00	$8.01–$380.00	22% below	73%
Free T3 thyroid hormone test inpatient CPT 84481 T3FREE	$102.60	$380.00	$102.60–$380.00	—	73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4 FREE	$135.00	$500.00	$4.27–$500.00	67% above	73%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4 FREE	$135.00	$500.00	$135.00–$500.00	—	73%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$47.52	$176.00	$12.04–$176.00	43% below	73%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$47.52	$176.00	$47.52–$176.00	—	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 L550180 GGT	$30.24	$112.00	$3.41–$112.00	7% below	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$30.24	$112.00	$3.41–$112.00	7% below	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 L550960 GGT	$30.24	$112.00	$3.41–$112.00	7% below	73%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$30.24	$112.00	$30.24–$112.00	—	73%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 L550960 GGT	$30.24	$112.00	$30.24–$112.00	—	73%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 L550180 GGT	$30.24	$112.00	$30.24–$112.00	—	73%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$160.11	$593.00	$17.10–$593.00	48% below	73%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$160.11	$593.00	$160.11–$593.00	—	73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$104.76	$388.00	$2.25–$388.00	156% above	73%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$104.76	$388.00	$104.76–$388.00	—	73%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$89.10	$330.00	$4.63–$330.00	21% above	73%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$89.10	$330.00	$89.10–$330.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188698 NG AMP PRB	$62.91	$233.00	$16.60–$233.00	35% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188672 NG AMP PRB	$62.91	$233.00	$16.60–$233.00	35% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L144053 NG AMP PRB	$63.18	$234.00	$16.60–$234.00	35% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L196502 NG AMP PRB	$63.18	$234.00	$16.60–$234.00	35% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199310 NG AMP PRB	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199315 NG AMP PRB	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199325 NG AMP PRB	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L199320 NG AMP PRB	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHODNAAMPPR	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L188070 N GONO AMP	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 L180021 NG AMP PRB	$66.69	$247.00	$16.60–$247.00	31% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188672 NG AMP PRB	$62.91	$233.00	$62.91–$233.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188698 NG AMP PRB	$62.91	$233.00	$62.91–$233.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L196502 NG AMP PRB	$63.18	$234.00	$63.18–$234.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L144053 NG AMP PRB	$63.18	$234.00	$63.18–$234.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L188070 N GONO AMP	$66.69	$247.00	$66.69–$247.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199310 NG AMP PRB	$66.69	$247.00	$66.69–$247.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L180021 NG AMP PRB	$66.69	$247.00	$66.69–$247.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199315 NG AMP PRB	$66.69	$247.00	$66.69–$247.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199325 NG AMP PRB	$66.69	$247.00	$66.69–$247.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHODNAAMPPR	$66.69	$247.00	$66.69–$247.00	—	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 L199320 NG AMP PRB	$66.69	$247.00	$66.69–$247.00	—	73%
H. pylori antibody blood test CPT 86677 L162289 H.PYLORI IGG	$23.76	$88.00	$6.87–$88.00	75% below	73%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$23.76	$88.00	$6.87–$88.00	75% below	73%
H. pylori antibody blood test CPT 86677 L163683H PYLOR AB QL	$23.76	$88.00	$6.87–$88.00	75% below	73%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$23.76	$88.00	$23.76–$88.00	—	73%
H. pylori antibody blood test inpatient CPT 86677 L163683H PYLOR AB QL	$23.76	$88.00	$23.76–$88.00	—	73%
H. pylori antibody blood test inpatient CPT 86677 L162289 H.PYLORI IGG	$23.76	$88.00	$23.76–$88.00	—	73%
H. pylori stool antigen test CPT 87338 HPYLORISTOOLEIA	$80.73	$299.00	$6.49–$299.00	38% below	73%
H. pylori stool antigen test inpatient CPT 87338 HPYLORISTOOLEIA	$80.73	$299.00	$80.73–$299.00	—	73%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$216.54	$802.00	$40.25–$802.00	39% below	73%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LRX550503 HIV1 QT	$216.54	$802.00	$40.25–$802.00	39% below	73%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$216.54	$802.00	$216.54–$802.00	—	73%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LRX550503 HIV1 QT	$216.54	$802.00	$216.54–$802.00	—	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507385HPV 16 18 NAA	$61.83	$229.00	$19.10–$229.00	41% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507405 HPV LOW VOL	$61.83	$229.00	$19.10–$229.00	41% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199330 HPV HR	$61.83	$229.00	$19.10–$229.00	41% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L196120 HPV HR	$61.83	$229.00	$19.10–$229.00	41% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199305 HPV HR	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L500306 HPV DNA HRLR	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199315 HPV HR	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L198190 HPV HR	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507301 HPV HR NAA	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L507800 HPV	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L199310 HPV HR	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 L8891568 HPV APTIMA	$65.61	$243.00	$19.10–$243.00	37% below	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507385HPV 16 18 NAA	$61.83	$229.00	$61.83–$229.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L196120 HPV HR	$61.83	$229.00	$61.83–$229.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199330 HPV HR	$61.83	$229.00	$61.83–$229.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507405 HPV LOW VOL	$61.83	$229.00	$61.83–$229.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199315 HPV HR	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507800 HPV	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L500306 HPV DNA HRLR	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L198190 HPV HR	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199310 HPV HR	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L199305 HPV HR	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L8891568 HPV APTIMA	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 L507301 HPV HR NAA	$65.61	$243.00	$65.61–$243.00	—	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$65.61	$243.00	$65.61–$243.00	—	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 L1453 HGB A1C	$39.15	$145.00	$7.19–$145.00	40% below	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$52.92	$196.00	$7.19–$196.00	19% below	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 L1453 HGB A1C	$39.15	$145.00	$39.15–$145.00	—	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$52.92	$196.00	$52.92–$196.00	—	73%
Hemoglobin blood test CPT 85018 L5041 HGB	$19.71	$73.00	$1.76–$73.00	7% above	73%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$19.71	$73.00	$1.76–$73.00	7% above	73%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$19.71	$73.00	$19.71–$73.00	—	73%
Hemoglobin blood test inpatient CPT 85018 L5041 HGB	$19.71	$73.00	$19.71–$73.00	—	73%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$118.53	$439.00	$5.70–$439.00	77% above	73%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$118.53	$439.00	$118.53–$439.00	—	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$66.42	$246.00	$5.08–$246.00	2% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$66.42	$246.00	$66.42–$246.00	—	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$81.54	$302.00	$4.40–$302.00	34% above	73%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$81.54	$302.00	$81.54–$302.00	—	73%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$114.48	$424.00	$6.23–$424.00	15% above	73%
Hepatitis C antibody blood test (screening) CPT 86803 L144053 HCV AB	$114.48	$424.00	$6.23–$424.00	15% above	73%
Hepatitis C antibody blood test (screening) CPT 86803 L144065 HCV AB EIA	$114.48	$424.00	$6.23–$424.00	15% above	73%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144053 HCV AB	$114.48	$424.00	$114.48–$424.00	—	73%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$114.48	$424.00	$114.48–$424.00	—	73%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 L144065 HCV AB EIA	$114.48	$424.00	$114.48–$424.00	—	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550870 HCV RNA DIAG	$279.45	$1,035.00	$20.26–$1,035.00	25% above	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550705 HCV GT1ANS5A	$296.19	$1,097.00	$20.26–$1,097.00	32% above	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 L550090 HCV QT PCR	$296.19	$1,097.00	$20.26–$1,097.00	32% above	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS CRNAQUAN	$296.19	$1,097.00	$20.26–$1,097.00	32% above	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550870 HCV RNA DIAG	$279.45	$1,035.00	$279.45–$1,035.00	—	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550705 HCV GT1ANS5A	$296.19	$1,097.00	$296.19–$1,097.00	—	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 L550090 HCV QT PCR	$296.19	$1,097.00	$296.19–$1,097.00	—	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS CRNAQUAN	$296.19	$1,097.00	$296.19–$1,097.00	—	73%
Herpes blood test, HSV-1 antibody CPT 86695 L164922 HSV1	$36.18	$134.00	$6.23–$134.00	29% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$38.34	$142.00	$6.23–$142.00	24% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 LRX827779 HSV1GPG IG	$38.34	$142.00	$6.23–$142.00	24% below	73%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 L164922 HSV1	$36.18	$134.00	$36.18–$134.00	—	73%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LRX827779 HSV1GPG IG	$38.34	$142.00	$38.34–$142.00	—	73%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$38.34	$142.00	$38.34–$142.00	—	73%
Herpes blood test, HSV-2 antibody CPT 86696 L164922 HSV2	$36.45	$135.00	$9.16–$135.00	50% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$38.61	$143.00	$9.16–$143.00	47% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 L163006 HSV2 AB IG	$38.61	$143.00	$9.16–$143.00	47% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 LRX827777 HSV2GPG IG	$38.61	$143.00	$9.16–$143.00	47% below	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L164922 HSV2	$36.45	$135.00	$36.45–$135.00	—	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$38.61	$143.00	$38.61–$143.00	—	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 L163006 HSV2 AB IG	$38.61	$143.00	$38.61–$143.00	—	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LRX827777 HSV2GPG IG	$38.61	$143.00	$38.61–$143.00	—	73%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGHLY SENS	$78.03	$289.00	$6.12–$289.00	6% above	73%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGHLY SENS	$78.03	$289.00	$78.03–$289.00	—	73%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$265.95	$985.00	$8.33–$985.00	105% above	73%
Homocysteine blood test CPT 83090 L716290 HOMOCYST UR	$265.95	$985.00	$8.33–$985.00	105% above	73%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$265.95	$985.00	$265.95–$985.00	—	73%
Homocysteine blood test inpatient CPT 83090 L716290 HOMOCYST UR	$265.95	$985.00	$265.95–$985.00	—	73%
Insulin blood test CPT 83525 INSULIN TOTAL	$118.26	$438.00	$5.41–$438.00	65% above	73%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$118.26	$438.00	$118.26–$438.00	—	73%
Iron blood test (serum iron) CPT 83540 IRON	$57.51	$213.00	$3.06–$213.00	20% above	73%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$57.51	$213.00	$57.51–$213.00	—	73%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$58.86	$218.00	$4.13–$218.00	33% above	73%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$58.86	$218.00	$58.86–$218.00	—	73%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$112.59	$417.00	$4.11–$417.00	11% above	73%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$112.59	$417.00	$112.59–$417.00	—	73%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$33.48	$124.00	$8.76–$124.00	76% below	73%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$33.48	$124.00	$33.48–$124.00	—	73%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$80.73	$299.00	$5.05–$299.00	10% below	73%
Lactate (lactic acid) blood test CPT 83605 L823388 DLACTATE	$80.73	$299.00	$5.05–$299.00	10% below	73%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$80.73	$299.00	$80.73–$299.00	—	73%
Lactate (lactic acid) blood test inpatient CPT 83605 L823388 DLACTATE	$80.73	$299.00	$80.73–$299.00	—	73%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$33.48	$124.00	$2.86–$124.00	22% below	73%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$33.48	$124.00	$33.48–$124.00	—	73%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$78.57	$291.00	$3.26–$291.00	12% below	73%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$78.57	$291.00	$78.57–$291.00	—	73%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$89.10	$330.00	$2.99–$330.00	6% below	73%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$89.10	$330.00	$89.10–$330.00	—	73%
Lyme disease antibody test CPT 86618 L164226 LYME TOT AB	$163.35	$605.00	$8.06–$605.00	33% above	73%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$173.34	$642.00	$8.06–$642.00	41% above	73%
Lyme disease antibody test inpatient CPT 86618 L164226 LYME TOT AB	$163.35	$605.00	$163.35–$605.00	—	73%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$173.34	$642.00	$173.34–$642.00	—	73%
Magnesium blood test CPT 83735 MAGNESIUM	$39.15	$145.00	$2.73–$145.00	18% below	73%
Magnesium blood test CPT 83735 L306266 MAGNESIUM	$39.15	$145.00	$2.73–$145.00	18% below	73%
Magnesium blood test inpatient CPT 83735 L306266 MAGNESIUM	$39.15	$145.00	$39.15–$145.00	—	73%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$39.15	$145.00	$39.15–$145.00	—	73%
Measles (rubeola) antibody test CPT 86765 L816630 RUBEOLA AB	$71.82	$266.00	$6.09–$266.00	9% below	73%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$71.82	$266.00	$6.09–$266.00	9% below	73%
Measles (rubeola) antibody test CPT 86765 L816621 RUBEOLA AB	$71.82	$266.00	$6.09–$266.00	9% below	73%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$71.82	$266.00	$71.82–$266.00	—	73%
Measles (rubeola) antibody test inpatient CPT 86765 L816630 RUBEOLA AB	$71.82	$266.00	$71.82–$266.00	—	73%
Measles (rubeola) antibody test inpatient CPT 86765 L816621 RUBEOLA AB	$71.82	$266.00	$71.82–$266.00	—	73%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$53.46	$198.00	$2.45–$198.00	31% below	73%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$53.46	$198.00	$53.46–$198.00	—	73%
Mumps immunity blood test CPT 86735 L816621 MUMPS AB	$52.11	$193.00	$6.17–$193.00	32% below	73%
Mumps immunity blood test CPT 86735 L816630 MUMPS AB	$52.11	$193.00	$6.17–$193.00	32% below	73%
Mumps immunity blood test CPT 86735 MUMPS AB	$52.11	$193.00	$6.17–$193.00	32% below	73%
Mumps immunity blood test inpatient CPT 86735 L816621 MUMPS AB	$52.11	$193.00	$52.11–$193.00	—	73%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$52.11	$193.00	$52.11–$193.00	—	73%
Mumps immunity blood test inpatient CPT 86735 L816630 MUMPS AB	$52.11	$193.00	$52.11–$193.00	—	73%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$75.87	$281.00	$23.61–$281.00	76% below	73%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$75.87	$281.00	$75.87–$281.00	—	73%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$78.30	$290.00	$8.70–$290.00	12% above	73%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$78.30	$290.00	$78.30–$290.00	—	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$60.48	$224.00	$10.42–$224.00	24% below	73%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$60.48	$224.00	$60.48–$224.00	—	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199330 PAP AU MN RS	$56.43	$209.00	$15.01–$209.00	32% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L196335 PAP IGH PPV	$56.43	$209.00	$15.01–$209.00	32% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L196120 PAP AU MN RS	$56.43	$209.00	$15.01–$209.00	32% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L193000 PAP LIQ BASE	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L198190 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199310 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L196502 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199315 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199305 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199325 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199300 PAP IG	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 L199320 PAP AU MN RS	$59.67	$221.00	$15.01–$221.00	28% below	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196120 PAP AU MN RS	$56.43	$209.00	$56.43–$209.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196335 PAP IGH PPV	$56.43	$209.00	$56.43–$209.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199330 PAP AU MN RS	$56.43	$209.00	$56.43–$209.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L193000 PAP LIQ BASE	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199300 PAP IG	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199305 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199310 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199320 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L198190 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199325 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L199315 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 L196502 PAP AU MN RS	$59.67	$221.00	$59.67–$221.00	—	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LRX192555 PAP TLLQDG	$72.90	$270.00	$11.48–$270.00	5% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG	$77.49	$287.00	$11.48–$287.00	11% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 L192555 PAP LB	$77.49	$287.00	$11.48–$287.00	11% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LRX192555 PAP TLLQDG	$72.90	$270.00	$72.90–$270.00	—	73%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 L192555 PAP LB	$77.49	$287.00	$77.49–$287.00	—	73%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG	$77.49	$287.00	$77.49–$287.00	—	73%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$338.04	$1,252.00	$19.53–$1,252.00	75% above	73%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$338.04	$1,252.00	$338.04–$1,252.00	—	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 L504400 THROMBO TIME	$55.08	$204.00	$2.97–$204.00	10% above	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 L500070 APTT	$55.08	$204.00	$2.97–$204.00	10% above	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 L503426 APTT	$55.08	$204.00	$2.97–$204.00	10% above	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$55.08	$204.00	$2.97–$204.00	10% above	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L500070 APTT	$55.08	$204.00	$55.08–$204.00	—	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L504400 THROMBO TIME	$55.08	$204.00	$55.08–$204.00	—	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 L503426 APTT	$55.08	$204.00	$55.08–$204.00	—	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$55.08	$204.00	$55.08–$204.00	—	73%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD	$26.46	$98.00	$2.24–$98.00	8% below	73%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD	$26.46	$98.00	$26.46–$98.00	—	73%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$24.03	$89.00	$2.17–$89.00	16% below	73%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$24.03	$89.00	$24.03–$89.00	—	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 L451937 MAT21 PL COR	$807.30	$2,990.00	$240.00–$2,990.00	5% below	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 L451927 MATT21PL COR	$807.30	$2,990.00	$240.00–$2,990.00	5% below	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 L451927 MATT21PL COR	$807.30	$2,990.00	$807.30–$2,990.00	—	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 L451937 MAT21 PL COR	$807.30	$2,990.00	$807.30–$2,990.00	—	73%
Progesterone blood test CPT 84144 PROGESTERONE	$158.76	$588.00	$9.06–$588.00	15% above	73%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$158.76	$588.00	$158.76–$588.00	—	73%
Prolactin blood test CPT 84146 PROLACTIN	$189.54	$702.00	$9.17–$702.00	88% above	73%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$189.54	$702.00	$189.54–$702.00	—	73%
Prothrombin time (PT/INR) clotting test CPT 85610 L503426 PT	$21.60	$80.00	$2.91–$80.00	18% below	73%
Prothrombin time (PT/INR) clotting test CPT 85610 L500070 PT	$21.60	$80.00	$2.91–$80.00	18% below	73%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$21.60	$80.00	$2.91–$80.00	18% below	73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 L503426 PT	$21.60	$80.00	$21.60–$80.00	—	73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 L500070 PT	$21.60	$80.00	$21.60–$80.00	—	73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$21.60	$80.00	$21.60–$80.00	—	73%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$24.57	$91.00	$14.60–$91.00	53% below	73%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$24.57	$91.00	$24.57–$91.00	—	73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$24.57	$91.00	$14.58–$91.00	68% below	73%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$24.57	$91.00	$24.57–$91.00	—	73%
Renin blood test CPT 84244 L4354 RENIN	$167.40	$620.00	$8.21–$620.00	51% above	73%
Renin blood test CPT 84244 RENIN	$167.40	$620.00	$8.21–$620.00	51% above	73%
Renin blood test inpatient CPT 84244 RENIN	$167.40	$620.00	$167.40–$620.00	—	73%
Renin blood test inpatient CPT 84244 L4354 RENIN	$167.40	$620.00	$167.40–$620.00	—	73%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$26.73	$99.00	$1.48–$99.00	31% below	73%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$26.73	$99.00	$26.73–$99.00	—	73%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$55.62	$206.00	$2.68–$206.00	14% above	73%
Rheumatoid factor (RF) test CPT 86431 L520097 RF IGM EIA	$55.62	$206.00	$2.68–$206.00	14% above	73%
Rheumatoid factor (RF) test CPT 86431 L520293 RA FACT QT	$55.62	$206.00	$2.68–$206.00	14% above	73%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$55.62	$206.00	$55.62–$206.00	—	73%
Rheumatoid factor (RF) test inpatient CPT 86431 L520097 RF IGM EIA	$55.62	$206.00	$55.62–$206.00	—	73%
Rheumatoid factor (RF) test inpatient CPT 86431 L520293 RA FACT QT	$55.62	$206.00	$55.62–$206.00	—	73%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$55.08	$204.00	$6.81–$204.00	17% below	73%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$55.08	$204.00	$55.08–$204.00	—	73%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$4.86	$18.00	$2.00–$18.00	88% below	73%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$4.86	$18.00	$4.86–$18.00	—	73%
Sodium blood test CPT 84295 SODIUMSER PL OR WB	$21.87	$81.00	$2.28–$81.00	40% below	73%
Sodium blood test inpatient CPT 84295 SODIUMSER PL OR WB	$21.87	$81.00	$21.87–$81.00	—	73%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$21.60	$80.00	$4.21–$80.00	55% below	73%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$21.60	$80.00	$21.60–$80.00	—	73%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3	$18.63	$69.00	$2.45–$69.00	48% below	73%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3	$18.63	$69.00	$18.63–$69.00	—	73%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA	$38.88	$144.00	$7.86–$144.00	25% below	73%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA	$38.88	$144.00	$38.88–$144.00	—	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82370T.PALLI AB EIA	$31.59	$117.00	$2.49–$117.00	53% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 L82345 T PALLID SCN	$31.59	$117.00	$2.49–$117.00	53% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUMCONFI	$31.59	$117.00	$2.49–$117.00	53% below	73%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUMCONFI	$31.59	$117.00	$31.59–$117.00	—	73%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82370T.PALLI AB EIA	$31.59	$117.00	$31.59–$117.00	—	73%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 L82345 T PALLID SCN	$31.59	$117.00	$31.59–$117.00	—	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL	$54.27	$201.00	$2.02–$201.00	33% above	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LRX6099 RPR QL	$54.27	$201.00	$2.02–$201.00	33% above	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL	$54.27	$201.00	$54.27–$201.00	—	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LRX6099 RPR QL	$54.27	$201.00	$54.27–$201.00	—	73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$92.34	$342.00	$30.61–$342.00	38% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$92.34	$342.00	$92.34–$342.00	—	73%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$50.76	$188.00	$9.64–$188.00	57% below	73%
Testosterone blood test, total (not free testosterone) CPT 84403 L146688 TESTOST TOT	$50.76	$188.00	$9.64–$188.00	57% below	73%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$50.76	$188.00	$50.76–$188.00	—	73%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 L146688 TESTOST TOT	$50.76	$188.00	$50.76–$188.00	—	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 L831680 LIV CYT1 ABS	$216.00	$800.00	$6.88–$800.00	133% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$216.00	$800.00	$6.88–$800.00	133% above	73%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 L831680 LIV CYT1 ABS	$216.00	$800.00	$216.00–$800.00	—	73%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$216.00	$800.00	$216.00–$800.00	—	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$86.67	$321.00	$7.95–$321.00	6% above	73%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$86.67	$321.00	$86.67–$321.00	—	73%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$27.54	$102.00	$7.79–$102.00	63% below	73%
Total IgE blood test CPT 82785 L607745 IGE	$27.54	$102.00	$7.79–$102.00	63% below	73%
Total IgE blood test CPT 82785 L601288 IGE	$27.54	$102.00	$7.79–$102.00	63% below	73%
Total IgE blood test CPT 82785 L607751 IGE	$27.54	$102.00	$7.79–$102.00	63% below	73%
Total IgE blood test CPT 82785 L2170 IGE TOT ECLIA	$27.54	$102.00	$7.79–$102.00	63% below	73%
Total IgE blood test CPT 82785 L607748 IGE	$27.54	$102.00	$7.79–$102.00	63% below	73%
Total IgE blood test inpatient CPT 82785 L607751 IGE	$27.54	$102.00	$27.54–$102.00	—	73%
Total IgE blood test inpatient CPT 82785 L607745 IGE	$27.54	$102.00	$27.54–$102.00	—	73%
Total IgE blood test inpatient CPT 82785 L607748 IGE	$27.54	$102.00	$27.54–$102.00	—	73%
Total IgE blood test inpatient CPT 82785 L601288 IGE	$27.54	$102.00	$27.54–$102.00	—	73%
Total IgE blood test inpatient CPT 82785 L2170 IGE TOT ECLIA	$27.54	$102.00	$27.54–$102.00	—	73%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$27.54	$102.00	$27.54–$102.00	—	73%
Total cholesterol blood test CPT 82465 L550180 CHOL TOT	$15.66	$58.00	$2.06–$58.00	49% below	73%
Total cholesterol blood test CPT 82465 L550960 CHOL TOT	$15.66	$58.00	$2.06–$58.00	49% below	73%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$15.66	$58.00	$2.06–$58.00	49% below	73%
Total cholesterol blood test inpatient CPT 82465 L550960 CHOL TOT	$15.66	$58.00	$15.66–$58.00	—	73%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$15.66	$58.00	$15.66–$58.00	—	73%
Total cholesterol blood test inpatient CPT 82465 L550180 CHOL TOT	$15.66	$58.00	$15.66–$58.00	—	73%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4TOTAL	$73.17	$271.00	$3.25–$271.00	54% above	73%
Total thyroxine (T4) blood test CPT 84436 L1149 T4 CEDIA	$73.17	$271.00	$3.25–$271.00	54% above	73%
Total thyroxine (T4) blood test inpatient CPT 84436 L1149 T4 CEDIA	$73.17	$271.00	$73.17–$271.00	—	73%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4TOTAL	$73.17	$271.00	$73.17–$271.00	—	73%
Total triiodothyronine (T3) blood test CPT 84480 T3TOTAL	$102.60	$380.00	$6.71–$380.00	15% below	73%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3TOTAL	$102.60	$380.00	$102.60–$380.00	—	73%
Transferrin blood test CPT 84466 TRANSFERRIN	$76.68	$284.00	$5.74–$284.00	10% below	73%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$76.68	$284.00	$76.68–$284.00	—	73%
Trichomonas test (NAAT) CPT 87661 L196502 TVAG AMP PRB	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 L199315 TVAG AMP PRB	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 L199325 TVAG AMP PRB	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 L180021 TVAG AMP PRB	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 L180039 T VAG AMP	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 L188070 T VAG AMP	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 L188052 T VAG NAA	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$79.38	$294.00	$19.15–$294.00	16% below	73%
Trichomonas test (NAAT) inpatient CPT 87661 L180039 T VAG AMP	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 L196502 TVAG AMP PRB	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 L199315 TVAG AMP PRB	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 L188070 T VAG AMP	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 L199325 TVAG AMP PRB	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 L180021 TVAG AMP PRB	$79.38	$294.00	$79.38–$294.00	—	73%
Trichomonas test (NAAT) inpatient CPT 87661 L188052 T VAG NAA	$79.38	$294.00	$79.38–$294.00	—	73%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$19.71	$73.00	$2.72–$73.00	45% below	73%
Triglycerides blood test CPT 84478 L550180 TRIG	$19.71	$73.00	$2.72–$73.00	45% below	73%
Triglycerides blood test CPT 84478 L550960 TRIG	$19.71	$73.00	$2.72–$73.00	45% below	73%
Triglycerides blood test inpatient CPT 84478 L550960 TRIG	$19.71	$73.00	$19.71–$73.00	—	73%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$19.71	$73.00	$19.71–$73.00	—	73%
Triglycerides blood test inpatient CPT 84478 L550180 TRIG	$19.71	$73.00	$19.71–$73.00	—	73%
Troponin test, quantitative CPT 84484 TROPONINQNT	$117.45	$435.00	$4.66–$435.00	3% below	73%
Troponin test, quantitative inpatient CPT 84484 TROPONINQNT	$117.45	$435.00	$117.45–$435.00	—	73%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$32.13	$119.00	$2.14–$119.00	33% below	73%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$32.13	$119.00	$32.13–$119.00	—	73%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W-SCOPE	$34.29	$127.00	$2.35–$127.00	18% below	73%
Urinalysis with microscope exam, automated CPT 81001 L144053 UA W SCOPE	$127.98	$474.00	$2.35–$474.00	205% above	73%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W-SCOPE	$34.29	$127.00	$34.29–$127.00	—	73%
Urinalysis with microscope exam, automated inpatient CPT 81001 L144053 UA W SCOPE	$127.98	$474.00	$127.98–$474.00	—	73%
Urinalysis with microscope exam, manual CPT 81000 UA NONAUTO W-SCOPE	$67.23	$249.00	$2.41–$249.00	153% above	73%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NONAUTO W-SCOPE	$67.23	$249.00	$67.23–$249.00	—	73%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W-O SCOPE	$29.43	$109.00	$1.66–$109.00	20% above	73%
Urinalysis without microscope exam, automated CPT 81003 L306266 UA AUTO WO S	$29.43	$109.00	$1.66–$109.00	20% above	73%
Urinalysis without microscope exam, automated inpatient CPT 81003 L306266 UA AUTO WO S	$29.43	$109.00	$29.43–$109.00	—	73%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W-O SCOPE	$29.43	$109.00	$29.43–$109.00	—	73%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE	$57.51	$213.00	$2.09–$213.00	269% above	73%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE	$57.51	$213.00	$57.51–$213.00	—	73%
Urine culture for bacteria, with colony count CPT 87086 L144053 CUL UR COLCT	$91.26	$338.00	$3.98–$338.00	109% above	73%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$91.26	$338.00	$3.98–$338.00	109% above	73%
Urine culture for bacteria, with colony count inpatient CPT 87086 L144053 CUL UR COLCT	$91.26	$338.00	$91.26–$338.00	—	73%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$91.26	$338.00	$91.26–$338.00	—	73%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$26.19	$97.00	$2.86–$97.00	24% below	73%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$26.19	$97.00	$26.19–$97.00	—	73%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$26.73	$99.00	$5.17–$99.00	50% below	73%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$26.73	$99.00	$26.73–$99.00	—	73%
Vitamin B12 (cobalamin) blood test CPT 82607 L141503 VITB12 DEF	$44.82	$166.00	$7.13–$166.00	39% below	73%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$47.52	$176.00	$7.13–$176.00	36% below	73%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 L141503 VITB12 DEF	$44.82	$166.00	$44.82–$166.00	—	73%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$47.52	$176.00	$47.52–$176.00	—	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$75.60	$280.00	$14.00–$280.00	44% below	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$75.60	$280.00	$75.60–$280.00	—	73%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$70.74	$262.00	$19.01–$262.00	60% below	73%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$70.74	$262.00	$70.74–$262.00	—	73%
Zinc blood test CPT 84630 ZINC	$59.94	$222.00	$5.39–$222.00	27% below	73%
Zinc blood test inpatient CPT 84630 ZINC	$59.94	$222.00	$59.94–$222.00	—	73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$81.54	$302.00	$7.01–$302.00	2% above	73%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$81.54	$302.00	$81.54–$302.00	—	73%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$33,940.89	$125,706.99	$1,177.00–$125,706.99	24% above	73%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$23,650.52	$87,594.50	$910.25–$87,594.50	19% above	73%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$17,289.98	$64,036.98	$995.51–$64,036.98	2% above	73%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$10,702.37	$39,638.40	$838.58–$39,638.40	13% above	73%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$18,353.09	$67,974.40	$653.55–$67,974.40	232% above	73%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$6,052.24	$22,415.69	$414.04–$22,415.69	28% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$4,909.95	$18,184.99	$250.41–$18,184.99	362% above	73%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$3,102.79	$11,491.82	$165.73–$11,491.82	168% above	73%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$16,273.80	$60,273.34	$504.39–$60,273.34	32% above	73%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY	$39,266.27	$145,430.63	$1,548.95–$145,430.63	17% below	73%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$6,039.18	$22,367.32	$117.34–$22,367.32	1208% above	73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$6,754.61	$25,017.09	$54.04–$25,017.09	1163% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$11,347.40	$42,027.39	$60.73–$42,027.39	2648% above	73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$36,176.02	$133,985.25	$65.58–$133,985.25	1824% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$165.78	$614.00	$51.45–$2,277.00	61% below	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$10,207.19	$37,804.40	$51.45–$37,804.40	2288% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$165.78	$614.00	$165.78–$614.00	—	73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM	$86.40	$320.00	$49.83–$2,277.00	71% below	73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$8,110.79	$30,039.98	$49.83–$30,039.98	2661% above	73%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM	$86.40	$320.00	$86.40–$320.00	—	73%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$23,455.13	$86,870.86	$642.62–$86,870.86	77% above	73%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$9,756.57	$36,135.46	$505.17–$36,135.46	19% above	73%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$9,634.69	$35,684.02	$524.36–$35,684.02	21% above	73%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$9,745.08	$36,092.89	$579.31–$36,092.89	12% below	73%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$5,081.24	$18,819.42	$246.62–$18,819.42	295% above	73%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$5,270.49	$19,520.32	$132.38–$19,520.32	273% above	73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$3,884.03	$14,385.29	$235.44–$14,385.29	138% above	73%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$16,028.37	$59,364.34	$887.71–$59,364.34	16% above	73%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$101,362.84	$375,417.92	$1,177.00–$375,417.92	46% above	73%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM	$98,100.95	$363,336.86	$1,177.00–$363,336.86	14% above	73%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$34,292.20	$127,008.15	$1,005.86–$127,008.15	136% above	73%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$106,889.65	$395,887.59	$1,177.00–$395,887.59	42% above	73%
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<	$5,035.26	$18,649.11	$120.43–$18,649.11	124% above	73%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$7,404.94	$27,425.70	$109.11–$27,425.70	1770% above	73%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$851.04	$3,152.00	$127.21–$3,152.00	39% below	73%
Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG	$851.04	$3,152.00	$127.21–$3,152.00	39% below	73%
Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACEN W IMG	$851.04	$3,152.00	$851.04–$3,152.00	—	73%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$851.04	$3,152.00	$851.04–$3,152.00	—	73%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$28,558.09	$105,770.72	$1,071.31–$105,770.72	15% above	73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$4,455.61	$16,502.26	$151.91–$16,502.26	540% above	73%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,260.57	$8,372.48	$423.40–$8,372.48	32% below	73%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$3,785.04	$14,018.68	$141.32–$14,018.68	515% above	73%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$14,712.92	$54,492.29	$631.86–$54,492.29	3% above	73%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$16,076.07	$59,541.01	$160.19–$59,541.01	4% above	73%
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/<	$6,091.01	$22,559.29	$87.56–$22,559.29	1291% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$447.12	$1,656.00	$118.63–$1,656.00	56% below	73%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$447.12	$1,656.00	$447.12–$1,656.00	—	73%
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	$6,219.67	$23,035.83	$105.59–$23,035.83	1459% above	73%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$330.21	$1,223.00	$145.78–$1,608.32	70% below	73%
Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG	$330.21	$1,223.00	$145.78–$1,608.32	70% below	73%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$330.21	$1,223.00	$330.21–$1,223.00	—	73%
Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG	$330.21	$1,223.00	$330.21–$1,223.00	—	73%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$37,136.25	$137,541.65	$1,191.62–$137,541.65	26% above	73%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$38,791.94	$143,673.87	$1,190.52–$143,673.87	46% above	73%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$43,713.26	$161,900.96	$1,344.46–$161,900.96	26% above	73%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$5,146.46	$19,060.98	$560.79–$19,060.98	23% above	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$6,775.78	$25,095.49	$122.22–$25,095.49	771% above	73%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$14,044.32	$52,016.00	$689.81–$52,016.00	46% above	73%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$486.81	$1,803.00	$34.89–$1,803.00	46% below	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$486.81	$1,803.00	$486.81–$1,803.00	—	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$135.81	$503.00	$10.13–$503.00	20% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$135.81	$503.00	$135.81–$503.00	—	73%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$591.57	$2,191.00	$275.16–$2,191.00	14% below	73%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$591.57	$2,191.00	$591.57–$2,191.00	—	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG 12 LEADS	$146.61	$543.00	$5.46–$543.00	27% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG 12 LEADS	$146.61	$543.00	$146.61–$543.00	—	73%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$742.77	$2,751.00	$32.09–$2,751.00	2% below	73%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$742.77	$2,751.00	$742.77–$2,751.00	—	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$106.38	$394.00	$31.74–$394.00	71% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$106.38	$394.00	$106.38–$394.00	—	73%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$182.52	$676.00	$56.70–$676.00	55% below	73%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$182.52	$676.00	$182.52–$676.00	—	73%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$56.97	$211.00	$36.45–$211.00	73% below	73%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$56.97	$211.00	$56.97–$211.00	—	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$133.11	$493.00	$13.52–$2,500.00	26% above	73%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$133.11	$493.00	$133.11–$493.00	—	73%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$193.05	$715.00	$24.89–$715.00	21% below	73%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$193.05	$715.00	$193.05–$715.00	—	73%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$206.28	$764.00	$17.10–$764.00	2% below	73%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$206.28	$764.00	$206.28–$764.00	—	73%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV 4-6YR IM	$111.51	$413.00	$60.58–$413.00	24% below	73%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV 4-6YR IM	$111.51	$413.00	$111.51–$413.00	—	73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED	$54.54	$202.00	$28.99–$202.00	34% below	73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED	$54.54	$202.00	$54.54–$202.00	—	73%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-HIB-IPV INJ	$87.75	$325.00	$81.12–$325.00	65% below	73%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-HIB-IPV INJ	$87.75	$325.00	$87.75–$325.00	—	73%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE	$176.58	$654.00	$70.48–$654.00	4% above	73%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE	$176.58	$654.00	$176.58–$654.00	—	73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A PED/ADOL X2 IM	$78.57	$291.00	$37.00–$291.00	8% below	73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A PED/ADOL X2 IM	$78.57	$291.00	$78.57–$291.00	—	73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$32.67	$121.00	$21.35–$121.00	55% below	73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$32.67	$121.00	$32.67–$121.00	—	73%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMO/MENIN VAC 0.5	$64.80	$240.00	$30.00–$240.00	1% below	73%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMO/MENIN VAC 0.5	$64.80	$240.00	$64.80–$240.00	—	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ	$26.73	$99.00	$12.29–$99.00	45% below	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ	$26.73	$99.00	$26.73–$99.00	—	73%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG	$149.31	$553.00	$65.26–$553.00	17% below	73%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$149.31	$553.00	$149.31–$553.00	—	73%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$196.02	$726.00	$91.67–$726.00	24% below	73%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$196.02	$726.00	$196.02–$726.00	—	73%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEAS/MUM/RUB/VARI IJ	$619.11	$2,293.00	$267.62–$2,293.00	46% above	73%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEAS/MUM/RUB/VARI IJ	$619.11	$2,293.00	$619.11–$2,293.00	—	73%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM	$509.22	$1,886.00	$236.97–$1,886.00	9% above	73%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM	$509.22	$1,886.00	$509.22–$1,886.00	—	73%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOC 15-VAL IM	$499.23	$1,849.00	$239.87–$1,849.00	11% below	73%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOC 15-VAL IM	$499.23	$1,849.00	$499.23–$1,849.00	—	73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$272.97	$1,011.00	$122.94–$1,011.00	17% above	73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$272.97	$1,011.00	$272.97–$1,011.00	—	73%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE 0.5ML	$62.91	$233.00	$41.46–$233.00	49% below	73%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE 0.5ML	$62.91	$233.00	$62.91–$233.00	—	73%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$758.97	$2,811.00	$350.14–$2,811.00	5% below	73%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$758.97	$2,811.00	$758.97–$2,811.00	—	73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$130.95	$485.00	$26.43–$485.00	14% above	73%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$130.95	$485.00	$130.95–$485.00	—	73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$89.10	$330.00	$38.52–$330.00	27% below	73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$89.10	$330.00	$89.10–$330.00	—	73%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VAC ORAL 4CP	$291.06	$1,078.00	$99.23–$1,078.00	45% above	73%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VAC ORAL 4CP	$291.06	$1,078.00	$291.06–$1,078.00	—	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$32.67	$121.00	$15.70–$121.00	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$32.67	$121.00	$32.67–$121.00	—	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$26.19	$97.00	$11.89–$97.00	34% below	73%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$26.19	$97.00	$26.19–$97.00	—	73%

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.theorthohospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/261483076_the-orthopedic-hospital_standardcharges.csv