Hospital Buffalo-Cheektowaga, NY

Roswell Park Cancer Institute

Roswell Park Cancer Institute in Buffalo, NY publishes cash prices for 327 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 280 of 324 procedures and below it for 41. By typical cash price it ranks #92 of 115 New York hospitals and #9 of 9 hospitals in the Buffalo, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

Elm And Carlton Streets, Buffalo, NY 14203 Collected Sep 22, 2026 Source price file Check a bill from this hospital

The price file shows no self-pay discount

For 1058 of the 1058 prices listed here, the cash price in Roswell Park Cancer Institute's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen Scan W&W/O Contrast	$2,878.21	$2,878.21	—	119% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen Scan W&W/O Contrast	$2,878.21	$2,878.21	—	—	—
Abdominal X-ray, 2 views CPT 74019 Abdomen Compl Study	$325.27	$325.27	—	27% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen Compl Study	$325.27	$325.27	—	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Comp Min 3 Views	$238.47	$238.47	—	18% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Comp Min 3 Views	$238.47	$238.47	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extrem W/O Cont	$1,036.15	$1,036.15	—	39% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extrem W/O Cont	$1,036.15	$1,036.15	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus	$523.31	$523.31	—	53% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus	$523.31	$523.31	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Noncdm Charge Record Radiopharmaceuticals	$1,827.87	$1,827.87	—	86% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan	$1,948.17	$1,948.17	—	98% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Noncdm Charge Record Radiopharmaceuticals	$1,827.87	$1,827.87	—	—	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Scan	$1,948.17	$1,948.17	—	—	—
Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete	$535.49	$535.49	—	65% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound Breast Complete	$535.49	$535.49	—	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited	$489.14	$489.14	—	93% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast Limited	$489.14	$489.14	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd&Pelv W/O&W/Dye	$1,793.37	$1,793.37	—	2% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd&Pelv W/O&W/Dye	$1,793.37	$1,793.37	—	—	—
CT angiography (CTA) of the head CPT 70496 Ct Angio Head W/O Contrast	$1,637.38	$1,637.38	—	33% above	—
CT angiography (CTA) of the head inpatient CPT 70496 Ct Angio Head W/O Contrast	$1,637.38	$1,637.38	—	—	—
CT angiography (CTA) of the neck CPT 70498 Ct Angio Neck W/O Contrast	$1,890.68	$1,890.68	—	52% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angio Neck W/O Contrast	$1,890.68	$1,890.68	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest W/O Contrast...	$1,812.12	$1,812.12	—	39% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angio Chest W/O Contrast...	$1,812.12	$1,812.12	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Coronary Arteries	$1,551.80	$1,551.80	—	19% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Coronary Arteries	$1,551.80	$1,551.80	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd And Pelvis W/O Contrast	$3,614.24	$3,614.24	—	216% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd And Pelvis W/O Contrast	$3,614.24	$3,614.24	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd And Pelvis W/Contrast	$3,685.03	$3,685.03	—	135% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd And Pelvis W/Contrast	$3,685.03	$3,685.03	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd And Pelvis 1+Sect/Regns	$5,021.13	$5,021.13	—	142% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd And Pelvis 1+Sect/Regns	$5,021.13	$5,021.13	—	—	—
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen Scan W/Contrast	$1,819.86	$1,819.86	—	57% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen Scan W/Contrast	$1,819.86	$1,819.86	—	—	—
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Scan W/O Contrast	$1,830.32	$1,830.32	—	123% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen Scan W/O Contrast	$1,830.32	$1,830.32	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Of Sinus W/O Contrast	$2,118.70	$2,118.70	—	167% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Of Sinus W/O Contrast	$2,118.70	$2,118.70	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head Scan W/O Contrast	$2,027.78	$2,027.78	—	145% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head Scan W/O Contrast	$2,027.78	$2,027.78	—	—	—
CT scan of the head with contrast CPT 70460 Ct Head Scan W/Contrast	$2,254.25	$2,254.25	—	131% above	—
CT scan of the head with contrast inpatient CPT 70460 Ct Head Scan W/Contrast	$2,254.25	$2,254.25	—	—	—
CT scan of the head without and with contrast CPT 70470 Ct Head W/& W/O Contrast	$2,873.06	$2,873.06	—	170% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head W/& W/O Contrast	$2,873.06	$2,873.06	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/O Contrast	$1,023.75	$1,023.75	—	16% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine W/O Contrast	$1,023.75	$1,023.75	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cerv Spine W/O Contrast	$2,028.11	$2,028.11	—	120% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cerv Spine W/O Contrast	$2,028.11	$2,028.11	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis Scan W/Contrast	$1,865.17	$1,865.17	—	81% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis Scan W/Contrast	$1,865.17	$1,865.17	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Noncdm Charge Record	$1,011.71	$1,011.71	—	56% above	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Doppler Neck Complete	$1,062.30	$1,062.30	—	64% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Noncdm Charge Record	$1,011.71	$1,011.71	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Us Doppler Neck Complete	$1,062.30	$1,062.30	—	—	—
Chest CT scan without and with contrast CPT 71270 Ct Thorax W/O & W Contrast	$2,369.25	$2,369.25	—	81% above	—
Chest CT scan without and with contrast inpatient CPT 71270 Ct Thorax W/O & W Contrast	$2,369.25	$2,369.25	—	—	—
Chest X-ray, 2 views CPT 71046 Chest Two Views Front & Lat	$354.25	$354.25	—	76% above	—
Chest X-ray, 2 views inpatient CPT 71046 Chest Two Views Front & Lat	$354.25	$354.25	—	—	—
Chest X-ray, single view CPT 71045 Chest Single View Frontal	$293.69	$293.69	—	48% above	—
Chest X-ray, single view inpatient CPT 71045 Chest Single View Frontal	$293.69	$293.69	—	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle Comp	$219.78	$219.78	—	9% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle Comp	$219.78	$219.78	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete	$450.83	$450.83	—	7% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retroperitoneal Complete	$450.83	$450.83	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa	$590.07	$590.07	—	114% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa	$590.07	$590.07	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Mobile Ldct Chest W/O Cntrst	$1,935.35	$1,935.35	—	124% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Scan W/O Contrast	$1,935.35	$1,935.35	—	124% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Mobile Ldct Lung Scrng F/U	$1,935.35	$1,935.35	—	124% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest Scan W/O Contrast	$1,935.35	$1,935.35	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Mobile Ldct Chest W/O Cntrst	$1,935.35	$1,935.35	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Mobile Ldct Lung Scrng F/U	$1,935.35	$1,935.35	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest Scan W/Contrast	$1,826.30	$1,826.30	—	40% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest Scan W/Contrast	$1,826.30	$1,826.30	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Digital Diagn Mammo Bilateral	$545.48	$545.48	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digital Diagn Mammo Bilateral	$545.48	$545.48	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 Digital Diagn Mammo Unilateral	$433.45	$433.45	—	54% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Digital Diagn Mammo Unilateral	$433.45	$433.45	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Doppler Bilat Extremity	$1,289.62	$1,289.62	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us Doppler Bilat Extremity	$1,289.62	$1,289.62	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Outpt Echo Complete	$1,104.24	$1,104.24	—	at median	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Inpt Echo Complete	$1,104.24	$1,104.24	—	at median	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Outpt Echo Complete	$1,104.24	$1,104.24	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Inpt Echo Complete	$1,104.24	$1,104.24	—	—	—
Elbow X-ray, 2 views CPT 73070 Elbow 2 Views	$209.29	$209.29	—	4% above	—
Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views	$209.29	$209.29	—	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Comp Min 3 Views	$203.53	$203.53	—	1% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Comp Min 3 Views	$203.53	$203.53	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Of Orbit W/O Contrast	$1,320.93	$1,320.93	—	77% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Of Orbit W/O Contrast	$1,320.93	$1,320.93	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Comp Min 3 Views	$209.29	$209.29	—	23% below	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Comp Min 3 Views	$209.29	$209.29	—	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views	$203.53	$203.53	—	1% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views	$203.53	$203.53	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatabiliary Scan	$1,301.33	$1,301.33	—	26% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatabiliary Scan	$1,301.33	$1,301.33	—	—	—
Hand X-ray, 2 views CPT 73120 Hand 2 Views	$213.69	$213.69	—	3% above	—
Hand X-ray, 2 views inpatient CPT 73120 Hand 2 Views	$213.69	$213.69	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus Min 2 Views	$211.38	$211.38	—	10% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneus Min 2 Views	$211.38	$211.38	—	—	—
Knee X-ray, 3 views CPT 73562 Knee 3 Views	$213.69	$213.69	—	4% above	—
Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views	$213.69	$213.69	—	—	—
Knee X-ray, complete, 4 or more views CPT 73564 Xray Knee Complete- 4 Views	$197.55	$197.55	—	28% below	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Xray Knee Complete- 4 Views	$197.55	$197.55	—	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrem W/O Con	$901.78	$901.78	—	21% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extrem W/O Con	$901.78	$901.78	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Limited Survey	$767.70	$767.70	—	102% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Abdomen Limited Survey	$767.70	$767.70	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Xtr Non Vasc Lmtd	$437.09	$437.09	—	62% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Xtr Non Vasc Lmtd	$437.09	$437.09	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose Ct Lung Screening	$752.33	$752.33	—	73% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Mobile Ldct Lung Scrng Annual	$752.33	$752.33	—	73% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Mobile Ldct Lung Scrng Intial	$829.44	$829.44	—	91% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose Ct Lung Screening	$752.33	$752.33	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Mobile Ldct Lung Scrng Annual	$752.33	$752.33	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Mobile Ldct Lung Scrng Intial	$829.44	$829.44	—	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia Fibula 2 Views	$203.53	$203.53	—	1% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia Fibula 2 Views	$203.53	$203.53	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 Mr Angio Head W/O Contrast	$2,280.02	$2,280.02	—	81% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr Angio Head W/O Contrast	$2,280.02	$2,280.02	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Any Joint Low Extr W/O Con	$4,915.74	$4,915.74	—	309% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Any Joint Low Extr W/O Con	$4,915.74	$4,915.74	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Low Extreme W/O Cont	$4,718.08	$4,718.08	—	132% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Low Extreme W/O Cont	$4,718.08	$4,718.08	—	—	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast Mater	$4,683.27	$4,683.27	—	328% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast Mater	$4,683.27	$4,683.27	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W Or W/O Contrast	$5,024.51	$5,024.51	—	200% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W Or W/O Contrast	$5,024.51	$5,024.51	—	—	—
MRI of the brain, no contrast dye CPT 70551 Rtms Dosing Study Mri Brain	$3,379.43	$3,379.43	—	190% above	—
MRI of the brain, no contrast dye CPT 70551 Mri, Brain W/O Contrast	$3,379.43	$3,379.43	—	190% above	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain, Rtms Walking	$3,379.43	$3,379.43	—	190% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain, Rtms Walking	$3,379.43	$3,379.43	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 Rtms Dosing Study Mri Brain	$3,379.43	$3,379.43	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri, Brain W/O Contrast	$3,379.43	$3,379.43	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/ & W/O Contrast	$4,434.84	$4,434.84	—	151% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/ & W/O Contrast	$4,434.84	$4,434.84	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Mri,Lumbar W/O Contrast	$4,232.29	$4,232.29	—	224% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri,Lumbar W/O Contrast	$4,232.29	$4,232.29	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar W/ & W/O Contrast	$5,235.57	$5,235.57	—	195% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar W/ & W/O Contrast	$5,235.57	$5,235.57	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri,Thoracic W/O Contrast	$4,673.07	$4,673.07	—	264% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri,Thoracic W/O Contrast	$4,673.07	$4,673.07	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical W/ & W/O Contrast	$4,473.08	$4,473.08	—	171% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cervical W/ & W/O Contrast	$4,473.08	$4,473.08	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri,Cervical W/O Contrast	$4,327.16	$4,327.16	—	227% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri,Cervical W/O Contrast	$4,327.16	$4,327.16	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O Contrast ......	$4,728.13	$4,728.13	—	195% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O Contrast ......	$4,728.13	$4,728.13	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Contrast Materl	$2,463.25	$2,463.25	—	130% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Contrast Materl	$2,463.25	$2,463.25	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Joint Up Extrem W/O Contra	$2,604.40	$2,604.40	—	101% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Joint Up Extrem W/O Contra	$2,604.40	$2,604.40	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine, Min 4 View	$342.62	$342.62	—	21% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine, Min 4 View	$342.62	$342.62	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck, W/ Cont	$1,912.32	$1,912.32	—	90% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck, W/ Cont	$1,912.32	$1,912.32	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck, W/O Cont	$2,421.07	$2,421.07	—	199% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Soft Tissue Neck, W/O Cont	$2,421.07	$2,421.07	—	—	—
Neck soft tissue X-ray CPT 70360 Neck Soft Tissues	$209.29	$209.29	—	4% above	—
Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissues	$209.29	$209.29	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Psma F18 Skull To Thigh Pet/Ct	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Ga-68 Netspot Pet/Ct Skull Thi	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Cerianna F18 Pet/Ct Skullbase	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 F-18Axumin Pet/Ct Skullbasemed	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Cu-64 Dotat Skull/Thigh Pet/Ct	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Psma Ga-68 Pet/Ct Skullbase	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Fdg Pet/Ct Skull Base Medthigh	$8,688.81	$8,688.81	—	117% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Ga-68 Netspot Pet/Ct Skull Thi	$8,688.81	$8,688.81	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Psma Ga-68 Pet/Ct Skullbase	$8,688.81	$8,688.81	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Psma F18 Skull To Thigh Pet/Ct	$8,688.81	$8,688.81	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Fdg Pet/Ct Skull Base Medthigh	$8,688.81	$8,688.81	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Cu-64 Dotat Skull/Thigh Pet/Ct	$8,688.81	$8,688.81	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Cerianna F18 Pet/Ct Skullbase	$8,688.81	$8,688.81	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 F-18Axumin Pet/Ct Skullbasemed	$8,688.81	$8,688.81	—	—	—
Pelvic CT scan without contrast CPT 72192 Ct Pelvis Scan W/O Contrast	$1,783.90	$1,783.90	—	114% above	—
Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis Scan W/O Contrast	$1,783.90	$1,783.90	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Echo Pelvis B-Scan Limited	$320.18	$320.18	—	6% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Post Void	$320.18	$320.18	—	6% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Echo Pelvis B-Scan Limited	$320.18	$320.18	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Post Void	$320.18	$320.18	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Echo Pelvic B-Scan Image	$704.98	$704.98	—	76% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Echo Pelvic B-Scan Image	$704.98	$704.98	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnant Uterus Limited	$281.73	$281.73	—	3% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnant Uterus Limited	$281.73	$281.73	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 Ribs Unilat 2 Views	$219.78	$219.78	—	5% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Unilat 2 Views	$219.78	$219.78	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs, Unilateral Incl Pa Chest	$209.41	$209.41	—	20% below	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs, Unilateral Incl Pa Chest	$209.41	$209.41	—	—	—
Screening mammogram, both breasts both sides CPT 77067 Digital Screen Mammo Bilateral	$499.38	$499.38	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Digital Screen Mammo Bilateral	$499.38	$499.38	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Comp Min 2 Views	$456.07	$456.07	—	117% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Comp Min 2 Views	$456.07	$456.07	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinus Compmin 3Views	$203.53	$203.53	—	2% below	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Paranasal Sinus Compmin 3Views	$203.53	$203.53	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 Skull < 4 Views	$230.76	$230.76	—	at median	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull < 4 Views	$230.76	$230.76	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Video Cervical Esophogr	$678.42	$678.42	—	87% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Video Cervical Esophogr	$678.42	$678.42	—	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur Min 2 Views	$212.22	$212.22	—	8% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur Min 2 Views	$212.22	$212.22	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic Spine W/O Contr	$1,204.37	$1,204.37	—	35% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic Spine W/O Contr	$1,204.37	$1,204.37	—	—	—
Toe X-ray, 2 or more views CPT 73660 Toe Min 2 Views	$211.38	$211.38	—	26% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 Toe Min 2 Views	$211.38	$211.38	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal	$790.56	$790.56	—	107% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal	$790.56	$790.56	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Us Complete Abdomen	$762.54	$762.54	—	62% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Complete Abdomen	$762.54	$762.54	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Us Testicular Sonogram	$852.46	$852.46	—	132% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Testicular Sonogram	$852.46	$852.46	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid	$713.67	$713.67	—	94% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Thyroid	$713.67	$713.67	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Up Gi Trac W/ Sm Bowel	$1,082.12	$1,082.12	—	158% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Up Gastrointestinal Trac	$1,082.12	$1,082.12	—	158% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Up Gi Trac W/ Sm Bowel	$1,082.12	$1,082.12	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Up Gastrointestinal Trac	$1,082.12	$1,082.12	—	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Min 2 Views	$270.36	$270.36	—	34% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Min 2 Views	$270.36	$270.36	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Doppler Uni Extremity	$1,046.27	$1,046.27	—	187% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Us Doppler Uni Extremity	$1,046.27	$1,046.27	—	—	—
Wrist X-ray, 2 views CPT 73100 Xray Wrist 2 Views	$199.75	$199.75	—	2% above	—
Wrist X-ray, 2 views inpatient CPT 73100 Xray Wrist 2 Views	$199.75	$199.75	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Min 3 Views	$203.53	$203.53	—	1% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Min 3 Views	$203.53	$203.53	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat W/Pelvis 2-3 Views	$212.22	$212.22	—	7% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip Unilat W/Pelvis 2-3 Views	$212.22	$212.22	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Abdomen Single A-P	$322.32	$322.32	—	54% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Single A-P	$322.32	$322.32	—	—	—
X-ray of the ankle, 2 views CPT 73600 Rad Exam Ankle 2 Views	$233.11	$233.11	—	21% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 Rad Exam Ankle 2 Views	$233.11	$233.11	—	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Finger Min 2 Views	$230.76	$230.76	—	28% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger Min 2 Views	$230.76	$230.76	—	—	—
X-ray of the foot, 2 views CPT 73620 Xray Foot Min 2 Views	$211.38	$211.38	—	7% above	—
X-ray of the foot, 2 views inpatient CPT 73620 Xray Foot Min 2 Views	$211.38	$211.38	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 Foot Comp Min 3 Views	$219.78	$219.78	—	9% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Comp Min 3 Views	$219.78	$219.78	—	—	—
X-ray of the hand, 3 or more views CPT 73130 Hand Min 3 Views	$213.69	$213.69	—	2% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Min 3 Views	$213.69	$213.69	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 0R 2 Views	$213.69	$213.69	—	5% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 1 0R 2 Views	$213.69	$213.69	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbo Sacral 2 Or 3 Views	$230.76	$230.76	—	16% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbo Sacral 2 Or 3 Views	$230.76	$230.76	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbo Sacral Min 4 Views	$620.28	$620.28	—	105% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbo Sacral Min 4 Views	$620.28	$620.28	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views	$230.76	$230.76	—	4% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 Views	$230.76	$230.76	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Comp Min 3 Views	$211.38	$211.38	—	5% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Comp Min 3 Views	$211.38	$211.38	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2 Or 3 Views	$230.76	$230.76	—	8% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 2 Or 3 Views	$230.76	$230.76	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 0R 2 Views	$219.78	$219.78	—	3% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 0R 2 Views	$219.78	$219.78	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Min 2 Views	$211.38	$211.38	—	5% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx Min 2 Views	$211.38	$211.38	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ACTH blood test CPT 82024 Acth	$229.62	$229.62	—	61% above	—
ACTH blood test inpatient CPT 82024 Acth	$229.62	$229.62	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Cp Alanine Amino Transfer (Alt	$59.22	$59.22	—	156% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Cp Alanine Amino Transferas (Alt)	$59.22	$59.22	—	156% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Cp Alanine Amino Transferas (Alt)	$59.22	$59.22	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Cp Alanine Amino Transfer (Alt	$59.22	$59.22	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Rasburicase Uric Acid Plasma	$39.19	$39.19	—	63% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Cp Ast	$57.80	$57.80	—	141% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast	$57.80	$57.80	—	141% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Rasburicase Uric Acid Plasma	$39.19	$39.19	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast	$57.80	$57.80	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Cp Ast	$57.80	$57.80	—	—	—
Albumin blood test CPT 82040 Igg Index And Syn Rate Alb	$32.17	$32.17	—	76% above	—
Albumin blood test CPT 82040 Cp Albumin	$55.38	$55.38	—	203% above	—
Albumin blood test CPT 82040 Albumin	$55.38	$55.38	—	203% above	—
Albumin blood test inpatient CPT 82040 Igg Index And Syn Rate Alb	$32.17	$32.17	—	—	—
Albumin blood test inpatient CPT 82040 Albumin	$55.38	$55.38	—	—	—
Albumin blood test inpatient CPT 82040 Cp Albumin	$55.38	$55.38	—	—	—
Aldosterone blood test CPT 82088 Aldosterone 24Hr Urine	$27.30	$27.30	—	78% below	—
Aldosterone blood test CPT 82088 Aldosterone, Serum	$240.42	$240.42	—	92% above	—
Aldosterone blood test inpatient CPT 82088 Aldosterone 24Hr Urine	$27.30	$27.30	—	—	—
Aldosterone blood test inpatient CPT 82088 Aldosterone, Serum	$240.42	$240.42	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 Cp Alkaline Phophatase A	$65.14	$65.14	—	223% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phophatase	$71.81	$71.81	—	256% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Cp Alkaline Phophatase A	$65.14	$65.14	—	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phophatase	$71.81	$71.81	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Testing Ea	$5.20	$5.20	—	68% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Preciptin Panel	$50.39	$50.39	—	215% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Testing Ea	$5.20	$5.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Preciptin Panel	$50.39	$50.39	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Feto-Protein (Afp)	$213.95	$213.95	—	246% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Feto-Protein (Afp)	$213.95	$213.95	—	—	—
Ammonia blood test CPT 82140 Ammonia	$90.81	$90.81	—	69% above	—
Ammonia blood test inpatient CPT 82140 Ammonia	$90.81	$90.81	—	—	—
Amylase blood test CPT 82150 Pancreatic Amylase, Serum	$92.39	$92.39	—	206% above	—
Amylase blood test CPT 82150 Amylase	$92.39	$92.39	—	206% above	—
Amylase blood test CPT 82150 Body Fluid - Amylase	$92.39	$92.39	—	206% above	—
Amylase blood test CPT 82150 Urine Amylase 24 Hour	$92.39	$92.39	—	206% above	—
Amylase blood test inpatient CPT 82150 Amylase	$92.39	$92.39	—	—	—
Amylase blood test inpatient CPT 82150 Pancreatic Amylase, Serum	$92.39	$92.39	—	—	—
Amylase blood test inpatient CPT 82150 Body Fluid - Amylase	$92.39	$92.39	—	—	—
Amylase blood test inpatient CPT 82150 Urine Amylase 24 Hour	$92.39	$92.39	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide	$78.34	$78.34	—	64% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide	$78.34	$78.34	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Antibody (Ana)	$58.84	$58.84	—	35% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Antibody (Ana)	$58.84	$58.84	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Probnp	$92.30	$92.30	—	25% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp- B Natriuretic Peptide	$184.89	$184.89	—	51% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt-Probnp	$92.30	$92.30	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp- B Natriuretic Peptide	$184.89	$184.89	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Unyt's Sterility Culture	$25.00	$25.00	—	21% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Blood Cult Cgmp	$168.48	$168.48	—	430% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Vascular Catheter Tip Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Eye	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Legionella	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sterility Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sterility Culture (Saline)	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gastric Antrum Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Surgical Incision Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Miscellaneous	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Body Fluid	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tip Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Tissue	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bronchial	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Brain Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bile Culture	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Methicil Resist Staph Aureus	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Csf	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Nose	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Staphylococcus Colonization	$185.77	$185.77	—	484% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Unyt's Sterility Culture	$25.00	$25.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Blood Cult Cgmp	$168.48	$168.48	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gastric Antrum Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bile Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Staphylococcus Colonization	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Legionella	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bronchial	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Tissue	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Methicil Resist Staph Aureus	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Nose	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Miscellaneous	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Eye	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sterility Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sterility Culture (Saline)	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Brain Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Surgical Incision Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Wound	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Vascular Catheter Tip Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Sputum	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Body Fluid	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tip Culture	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Csf	$185.77	$185.77	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Genital	$185.77	$185.77	—	—	—
Basic metabolic panel (blood test) CPT 80048 Cp Basic Metabolic Panel (P10)	$74.61	$74.61	—	29% above	—
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (P10)	$74.61	$74.61	—	29% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 Cp Basic Metabolic Panel (P10)	$74.61	$74.61	—	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (P10)	$74.61	$74.61	—	—	—
Bilirubin blood test, total CPT 82247 Bilirubin (Total)	$63.89	$63.89	—	184% above	—
Bilirubin blood test, total CPT 82247 Bilirubin Total	$63.89	$63.89	—	184% above	—
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$63.89	$63.89	—	—	—
Bilirubin blood test, total inpatient CPT 82247 Bilirubin (Total)	$63.89	$63.89	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cytology Cellient Cell Block	$563.02	$563.02	—	268% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bm Clot	$563.02	$563.02	—	268% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bm Bx Or Aspr (Cell Block)	$563.02	$563.02	—	268% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Path, Lg Specimen, Uncom	$563.02	$563.02	—	268% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cytology Bx Level Iv/Cellblock	$563.02	$563.02	—	268% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Path, Lg Specimen, Uncom	$563.02	$563.02	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cytology Bx Level Iv/Cellblock	$563.02	$563.02	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bm Bx Or Aspr (Cell Block)	$563.02	$563.02	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bm Clot	$563.02	$563.02	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cytology Cellient Cell Block	$563.02	$563.02	—	—	—
Blood culture for bacteria CPT 87040 Culture Blood	$156.96	$156.96	—	150% above	—
Blood culture for bacteria CPT 87040 Sterility Culture (Bld Seg)	$156.96	$156.96	—	150% above	—
Blood culture for bacteria inpatient CPT 87040 Culture Blood	$156.96	$156.96	—	—	—
Blood culture for bacteria inpatient CPT 87040 Sterility Culture (Bld Seg)	$156.96	$156.96	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phlebotomy Blood Draw	$14.79	$14.79	—	1% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw	$27.59	$27.59	—	84% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Phlebotomy Blood Draw	$14.79	$14.79	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Draw	$27.59	$27.59	—	—	—
Blood glucose (sugar) test CPT 82947 Glucose (Oral, 82947)	$10.88	$10.88	—	40% below	—
Blood glucose (sugar) test CPT 82947 Glucose Fasting Quant	$55.26	$55.26	—	207% above	—
Blood glucose (sugar) test CPT 82947 Glucose Quant	$55.26	$55.26	—	207% above	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose (Oral, 82947)	$10.88	$10.88	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting Quant	$55.26	$55.26	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Quant	$55.26	$55.26	—	—	—
Blood lead test CPT 83655 Lead, Blood	$134.61	$134.61	—	207% above	—
Blood lead test inpatient CPT 83655 Lead, Blood	$134.61	$134.61	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum	$83.94	$83.94	—	162% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum	$83.94	$83.94	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Date Neg Hem Eval 86900	$39.62	$39.62	—	74% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing, Abo	$73.91	$73.91	—	52% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Date Neg Hem Eval 86900	$39.62	$39.62	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing, Abo	$73.91	$73.91	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quantitative	$53.09	$53.09	—	138% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quantitative	$53.09	$53.09	—	—	—
C-peptide blood test CPT 84681 C-Peptide	$182.70	$182.70	—	112% above	—
C-peptide blood test inpatient CPT 84681 C-Peptide	$182.70	$182.70	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$53.15	$53.15	—	101% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$53.15	$53.15	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$232.73	$232.73	—	209% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$232.73	$232.73	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 (Ca125)	$226.37	$226.37	—	195% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 (Ca125)	$226.37	$226.37	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Other Lab A	$98.00	$98.00	—	at median	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid 19 Other Lab A	$98.00	$98.00	—	—	—
Calcium blood test, total CPT 82310 Noncdm Charge Record	$66.77	$66.77	—	163% above	—
Calcium blood test, total CPT 82310 Calcium Total	$71.81	$71.81	—	183% above	—
Calcium blood test, total inpatient CPT 82310 Noncdm Charge Record	$66.77	$66.77	—	—	—
Calcium blood test, total inpatient CPT 82310 Calcium Total	$71.81	$71.81	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcin Antig (Cea ),Body Fluid	$247.41	$247.41	—	206% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (Cea)	$247.41	$247.41	—	206% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcin Antig (Cea ),Body Fluid	$247.41	$247.41	—	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (Cea)	$247.41	$247.41	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab's Igm	$144.12	$144.12	—	220% above	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab, Igg	$144.12	$144.12	—	220% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab's Igm	$144.12	$144.12	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab, Igg	$144.12	$144.12	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Naa	$215.15	$215.15	—	115% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis, Naa	$215.15	$215.15	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile (P4)	$287.57	$287.57	—	323% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile (P4)	$287.57	$287.57	—	—	—
Complete blood count (CBC) with differential CPT 85025 Cp Cbc-Diff	$86.92	$86.92	—	112% above	—
Complete blood count (CBC) with differential CPT 85025 Cbc/Diff	$86.92	$86.92	—	112% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cp Cbc-Diff	$86.92	$86.92	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc/Diff	$86.92	$86.92	—	—	—
Complete blood count (CBC), no differential CPT 85027 Cbc-8	$74.35	$74.35	—	158% above	—
Complete blood count (CBC), no differential CPT 85027 Cp Cbc-8	$74.35	$74.35	—	158% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Cp Cbc-8	$74.35	$74.35	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc-8	$74.35	$74.35	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Cp Comprehensive Panel	$91.62	$91.62	—	57% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Panel	$91.62	$91.62	—	57% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cp Comprehensive Panel	$91.62	$91.62	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Panel	$91.62	$91.62	—	—	—
Cortisol blood test, total CPT 82533 Salivary Cortisol, Ms	$35.10	$35.10	—	28% below	—
Cortisol blood test, total CPT 82533 Corticosterone	$101.25	$101.25	—	107% above	—
Cortisol blood test, total CPT 82533 Cortisol, Acth Stimulation	$104.00	$104.00	—	112% above	—
Cortisol blood test, total CPT 82533 Cortisol, Serum	$129.16	$129.16	—	164% above	—
Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol, Ms	$35.10	$35.10	—	—	—
Cortisol blood test, total inpatient CPT 82533 Corticosterone	$101.25	$101.25	—	—	—
Cortisol blood test, total inpatient CPT 82533 Cortisol, Acth Stimulation	$104.00	$104.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 Cortisol, Serum	$129.16	$129.16	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase For Cpk Iso	$79.86	$79.86	—	220% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Total)	$79.86	$79.86	—	220% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (Total)	$79.86	$79.86	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase For Cpk Iso	$79.86	$79.86	—	—	—
Creatinine blood test CPT 82565 Noncdm Charge Record	$53.91	$53.91	—	118% above	—
Creatinine blood test CPT 82565 Creatinine	$57.33	$57.33	—	132% above	—
Creatinine blood test CPT 82565 Poc Creatinine	$57.33	$57.33	—	132% above	—
Creatinine blood test inpatient CPT 82565 Noncdm Charge Record	$53.91	$53.91	—	—	—
Creatinine blood test inpatient CPT 82565 Poc Creatinine	$57.33	$57.33	—	—	—
Creatinine blood test inpatient CPT 82565 Creatinine	$57.33	$57.33	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody, Igg	$183.54	$183.54	—	252% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody, Igg	$183.54	$183.54	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-S (Dhehydo-S)	$212.25	$212.25	—	151% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-S (Dhehydo-S)	$212.25	$212.25	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Phencyclidine, Qualit, Urine	$36.00	$36.00	—	70% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine&Metabolurinesemiquant	$36.00	$36.00	—	70% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cannabinoid Screen Urine	$111.51	$111.51	—	9% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Eia Drug Testing	$497.47	$497.47	—	308% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Phencyclidine, Qualit, Urine	$36.00	$36.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine&Metabolurinesemiquant	$36.00	$36.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cannabinoid Screen Urine	$111.51	$111.51	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Eia Drug Testing	$497.47	$497.47	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel (P5)	$58.77	$58.77	—	88% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel (P5)	$58.77	$58.77	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Viral Capsid 1-1	$54.31	$54.31	—	19% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Viral Capsid 1-2	$54.31	$54.31	—	19% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Viral Capsid 1-2	$54.31	$54.31	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Viral Capsid 1-1	$54.31	$54.31	—	—	—
Estradiol blood test CPT 82670 Estradiol, Free	$91.80	$91.80	—	10% below	—
Estradiol blood test CPT 82670 Estradiol (E2)	$266.70	$266.70	—	161% above	—
Estradiol blood test inpatient CPT 82670 Estradiol, Free	$91.80	$91.80	—	—	—
Estradiol blood test inpatient CPT 82670 Estradiol (E2)	$266.70	$266.70	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Fsh (Follicle Stim Hormone)	$230.00	$230.00	—	205% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh (Follicle Stim Hormone)	$230.00	$230.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$260.00	$260.00	—	187% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal	$260.00	$260.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$242.89	$242.89	—	300% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$242.89	$242.89	—	—	—
Fibrinogen blood test CPT 85384 Fibrinogen	$121.77	$121.77	—	222% above	—
Fibrinogen blood test inpatient CPT 85384 Fibrinogen	$121.77	$121.77	—	—	—
Folate (folic acid) blood test CPT 82746 Folates (Folic Acid)	$140.29	$140.29	—	155% above	—
Folate (folic acid) blood test inpatient CPT 82746 Folates (Folic Acid)	$140.29	$140.29	—	—	—
Free T3 thyroid hormone test CPT 84481 T3, Free	$161.65	$161.65	—	155% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free	$161.65	$161.65	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free	$86.06	$86.06	—	79% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free, Dialysis/Mass Spec	$216.00	$216.00	—	350% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free	$86.06	$86.06	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free, Dialysis/Mass Spec	$216.00	$216.00	—	—	—
Free testosterone test CPT 84402 Testosterone, Free (84402)	$17.55	$17.55	—	79% below	—
Free testosterone test CPT 84402 Testosterone, Free	$243.03	$243.03	—	193% above	—
Free testosterone test inpatient CPT 84402 Testosterone, Free (84402)	$17.55	$17.55	—	—	—
Free testosterone test inpatient CPT 84402 Testosterone, Free	$243.03	$243.03	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt A	$68.66	$68.66	—	155% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt	$68.66	$68.66	—	155% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt A	$68.66	$68.66	—	—	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt	$68.66	$68.66	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose (Oral 82950)	$10.88	$10.88	—	49% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose (Oral 82950)	$10.88	$10.88	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance (Gtt)	$124.15	$124.15	—	117% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance (Gtt)	$124.15	$124.15	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia Naa	$103.30	$103.30	—	3% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia Naa	$103.30	$103.30	—	—	—
H. pylori stool antigen test CPT 87338 H. Pylori Stool Ag, Eia	$84.08	$84.08	—	57% above	—
H. pylori stool antigen test inpatient CPT 87338 H. Pylori Stool Ag, Eia	$84.08	$84.08	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Quant, Rna(Pcr)	$263.32	$263.32	—	13% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv Quant, Rna(Pcr)	$263.32	$263.32	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1-2 Antibody	$85.66	$85.66	—	71% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Ab Conf2	$338.00	$338.00	—	575% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1-2 Antibody	$85.66	$85.66	—	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv Ab Conf2	$338.00	$338.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/0/2 Ag/Ab 4Th Gen	$28.05	$28.05	—	61% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ag/Abs	$34.78	$34.78	—	52% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/0/2 Ag/Ab 4Th Gen	$28.05	$28.05	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv Ag/Abs	$34.78	$34.78	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv, High Risk Anal Thin Prep	$179.46	$179.46	—	89% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papilloma Virus Highrisk	$179.46	$179.46	—	89% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papilloma Virus Highrisk	$179.46	$179.46	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv, High Risk Anal Thin Prep	$179.46	$179.46	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, A1C	$45.91	$45.91	—	28% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin, A1C	$45.91	$45.91	—	—	—
Hemoglobin blood test CPT 85018 Hemoglobin	$49.02	$49.02	—	240% above	—
Hemoglobin blood test CPT 85018 G6Pd Hgb	$56.42	$56.42	—	291% above	—
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$49.02	$49.02	—	—	—
Hemoglobin blood test inpatient CPT 85018 G6Pd Hgb	$56.42	$56.42	—	—	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab (Hbcab)	$92.88	$92.88	—	113% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepat B Core Ab Igg Diff Total	$92.88	$92.88	—	113% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepat B Core Ab Igg Diff Total	$92.88	$92.88	—	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab (Hbcab)	$92.88	$92.88	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Anti Quant	$83.60	$83.60	—	111% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Anti Quant	$83.60	$83.60	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag Rflx Conf	$16.25	$16.25	—	57% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surf Ag (Hbsag)Con	$72.89	$72.89	—	95% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surf Ag (Hbsag)	$72.89	$72.89	—	95% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Ag Rflx Conf	$16.25	$16.25	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surf Ag (Hbsag)	$72.89	$72.89	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surf Ag (Hbsag)Con	$72.89	$72.89	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C 2.0 Ab (Hcvab)	$100.74	$100.74	—	90% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hcv Screen Nys Mandated	$100.74	$100.74	—	90% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hcv Screen Nys - Confirmatory	$468.00	$468.00	—	781% above	—
Hepatitis C antibody blood test (screening) one side CPT 86803 Hcv Rt Reflex	$117.00	$117.00	—	120% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C 2.0 Ab (Hcvab)	$100.74	$100.74	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Screen Nys Mandated	$100.74	$100.74	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Screen Nys - Confirmatory	$468.00	$468.00	—	—	—
Hepatitis C antibody blood test (screening) inpatient one side CPT 86803 Hcv Rt Reflex	$117.00	$117.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Quantasure Serial	$181.44	$181.44	—	33% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna By Pcr Quant	$375.00	$375.00	—	175% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Quantasure Serial	$181.44	$181.44	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna By Pcr Quant	$375.00	$375.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv-1(Herpes Simplex) Anti Igg	$62.19	$62.19	—	54% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv-1(Herpes Simplex) Anti Igg	$62.19	$62.19	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac	$41.09	$41.09	—	14% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac	$41.09	$41.09	—	—	—
Homocysteine blood test CPT 83090 Homocysteine, Serum	$192.45	$192.45	—	164% above	—
Homocysteine blood test inpatient CPT 83090 Homocysteine, Serum	$192.45	$192.45	—	—	—
Insulin blood test CPT 83525 Insulin Total	$47.94	$47.94	—	14% above	—
Insulin blood test inpatient CPT 83525 Insulin Total	$47.94	$47.94	—	—	—
Iron blood test (serum iron) CPT 83540 Iron, Total	$81.08	$81.08	—	215% above	—
Iron blood test (serum iron) inpatient CPT 83540 Iron, Total	$81.08	$81.08	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$107.69	$107.69	—	169% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$107.69	$107.69	—	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$110.34	$110.34	—	63% above	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$110.34	$110.34	—	—	—
LH (luteinizing hormone) test CPT 83002 Lh (Leutinizing Hormone)	$287.57	$287.57	—	273% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Lh (Leutinizing Hormone)	$287.57	$287.57	—	—	—
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$63.80	$63.80	—	58% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$63.80	$63.80	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Noncdm Charge Record	$61.04	$61.04	—	174% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Body Fluid - Ldh	$65.19	$65.19	—	193% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactic Dehydrogenase (Ldh)	$65.19	$65.19	—	193% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Csf	$65.19	$65.19	—	193% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Noncdm Charge Record	$61.04	$61.04	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactic Dehydrogenase (Ldh)	$65.19	$65.19	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Csf	$65.19	$65.19	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Body Fluid - Ldh	$65.19	$65.19	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$77.77	$77.77	—	177% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$77.77	$77.77	—	—	—
Liver function blood test panel CPT 80076 Noncdm Charge Record	$119.01	$119.01	—	110% above	—
Liver function blood test panel CPT 80076 Liver Function Panel (P9)	$124.96	$124.96	—	121% above	—
Liver function blood test panel inpatient CPT 80076 Noncdm Charge Record	$119.01	$119.01	—	—	—
Liver function blood test panel inpatient CPT 80076 Liver Function Panel (P9)	$124.96	$124.96	—	—	—
Lyme disease antibody test CPT 86618 Lyme Total Abs	$164.57	$164.57	—	240% above	—
Lyme disease antibody test inpatient CPT 86618 Lyme Total Abs	$164.57	$164.57	—	—	—
Magnesium blood test CPT 83735 Magnesium	$74.93	$74.93	—	203% above	—
Magnesium blood test CPT 83735 Urine Magnesium 24 Hour	$74.93	$74.93	—	203% above	—
Magnesium blood test CPT 83735 Cp Magnesium	$74.93	$74.93	—	203% above	—
Magnesium blood test inpatient CPT 83735 Magnesium	$74.93	$74.93	—	—	—
Magnesium blood test inpatient CPT 83735 Urine Magnesium 24 Hour	$74.93	$74.93	—	—	—
Magnesium blood test inpatient CPT 83735 Cp Magnesium	$74.93	$74.93	—	—	—
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, Igg	$144.12	$144.12	—	211% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibodies, Igg	$144.12	$144.12	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Infectious Mono Qualitative	$140.72	$140.72	—	309% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Infectious Mono Qualitative	$140.72	$140.72	—	—	—
Mumps immunity blood test CPT 86735 Mumps Ab, Igg	$124.56	$124.56	—	193% above	—
Mumps immunity blood test inpatient CPT 86735 Mumps Ab, Igg	$124.56	$124.56	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa - Psa Free	$77.00	$77.00	—	16% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prosthealth Index Reflex 84154	$238.71	$238.71	—	258% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa - Psa Free	$77.00	$77.00	—	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prosthealth Index Reflex 84154	$238.71	$238.71	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Health Index	$110.00	$110.00	—	65% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostatic Specific Antig)	$133.69	$133.69	—	101% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Free Psa - Psa Ag Total	$133.69	$133.69	—	101% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Health Index	$110.00	$110.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Free Psa - Psa Ag Total	$133.69	$133.69	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa (Prostatic Specific Antig)	$133.69	$133.69	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytology Thin Layer Preparatio	$223.61	$223.61	—	219% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytology Thin Layer Preparatio	$223.61	$223.61	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroide Hormone Intact	$267.99	$267.99	—	82% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroide Hormone Intact	$267.99	$267.99	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Part Thromb Time (Aptt)	$67.07	$67.07	—	185% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Lup Anticoag Ptt Plasma	$67.07	$67.07	—	185% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lup Anticoag Ptt Plasma	$67.07	$67.07	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Part Thromb Time (Aptt)	$67.07	$67.07	—	—	—
Phosphorus (phosphate) blood test CPT 84100 Noncdm Charge Record	$49.65	$49.65	—	144% above	—
Phosphorus (phosphate) blood test CPT 84100 Phosphorus	$53.09	$53.09	—	161% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Noncdm Charge Record	$49.65	$49.65	—	—	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus	$53.09	$53.09	—	—	—
Potassium blood test CPT 84132 Noncdm Charge Record	$50.33	$50.33	—	119% above	—
Potassium blood test CPT 84132 Potassium	$53.88	$53.88	—	134% above	—
Potassium blood test inpatient CPT 84132 Noncdm Charge Record	$50.33	$50.33	—	—	—
Potassium blood test inpatient CPT 84132 Potassium	$53.88	$53.88	—	—	—
Progesterone blood test CPT 84144 Progesterone	$233.35	$233.35	—	172% above	—
Progesterone blood test inpatient CPT 84144 Progesterone	$233.35	$233.35	—	—	—
Prolactin blood test CPT 84146 Prolactin	$505.37	$505.37	—	600% above	—
Prolactin blood test inpatient CPT 84146 Prolactin	$505.37	$505.37	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Lup Anticoag Pt	$43.94	$43.94	—	183% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Ptand Pt/Inr	$43.94	$43.94	—	183% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Ptand Pt/Inr	$43.94	$43.94	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lup Anticoag Pt	$43.94	$43.94	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus Group A -Rapid	$58.72	$58.72	—	47% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus Group A -Rapid	$58.72	$58.72	—	—	—
Renin blood test CPT 84244 Renin Activity, Ria	$400.63	$400.63	—	394% above	—
Renin blood test inpatient CPT 84244 Renin Activity, Ria	$400.63	$400.63	—	—	—
Rh blood typing CPT 86901 Dat Neg Hem Eval 86901	$64.17	$64.17	—	17% above	—
Rh blood typing CPT 86901 Blood Typing, Rh(D)	$119.69	$119.69	—	118% above	—
Rh blood typing inpatient CPT 86901 Dat Neg Hem Eval 86901	$64.17	$64.17	—	—	—
Rh blood typing inpatient CPT 86901 Blood Typing, Rh(D)	$119.69	$119.69	—	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$63.46	$63.46	—	203% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant	$63.46	$63.46	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Igg	$30.00	$30.00	—	33% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies Igm	$178.99	$178.99	—	301% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg	$30.00	$30.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies Igm	$178.99	$178.99	—	—	—
Sodium blood test CPT 84295 Noncdm Charge Record	$51.30	$51.30	—	136% above	—
Sodium blood test CPT 84295 Sodium	$53.87	$53.87	—	148% above	—
Sodium blood test inpatient CPT 84295 Noncdm Charge Record	$51.30	$51.30	—	—	—
Sodium blood test inpatient CPT 84295 Sodium	$53.87	$53.87	—	—	—
Stool ova and parasites exam CPT 87177 Ova And Parasites Exam	$103.52	$103.52	—	215% above	—
Stool ova and parasites exam CPT 87177 Bill Ova And Parasite	$200.00	$200.00	—	509% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Exam	$103.52	$103.52	—	—	—
Stool ova and parasites exam inpatient CPT 87177 Bill Ova And Parasite	$200.00	$200.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Bld Rectal Screen Neopl	$44.25	$44.25	—	211% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Bld Rectal Screen Neopl	$44.25	$44.25	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta Antibody, Serum	$126.39	$126.39	—	199% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta Antibody, Serum	$126.39	$126.39	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf Qual	$56.55	$56.55	—	259% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr,Qualitative	$56.55	$56.55	—	259% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr,Qualitative	$56.55	$56.55	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Csf Qual	$56.55	$56.55	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantferon Tb Gold	$222.09	$222.09	—	36% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantferon Tb Gold	$222.09	$222.09	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Free (84403)	$17.55	$17.55	—	81% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$124.31	$124.31	—	33% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Free (84403)	$17.55	$17.55	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total	$124.31	$124.31	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Livercytosol Autoantibody	$182.25	$182.25	—	243% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab	$276.59	$276.59	—	420% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Ab	$276.59	$276.59	—	420% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Livercytosol Autoantibody	$182.25	$182.25	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsomal Ab	$276.59	$276.59	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Microsomal Ab	$276.59	$276.59	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Free Thyroxine Index	$140.94	$140.94	—	93% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stim Hormone (Tsh)	$214.22	$214.22	—	193% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Free Thyroxine Index	$140.94	$140.94	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone (Tsh)	$214.22	$214.22	—	—	—
Total IgE blood test CPT 82785 Immunoglobulin E	$82.09	$82.09	—	35% above	—
Total IgE blood test CPT 82785 Allergy Zone 1 Total	$790.08	$790.08	—	1200% above	—
Total IgE blood test inpatient CPT 82785 Immunoglobulin E	$82.09	$82.09	—	—	—
Total IgE blood test inpatient CPT 82785 Allergy Zone 1 Total	$790.08	$790.08	—	—	—
Total cholesterol blood test CPT 82465 Cholesterol Total	$61.93	$61.93	—	174% above	—
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$61.93	$61.93	—	—	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$88.90	$88.90	—	204% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4)	$88.90	$88.90	—	204% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4)	$88.90	$88.90	—	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine Total	$88.90	$88.90	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 Tri-Iodo-Thyronine (T3)	$180.85	$180.85	—	185% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 Tri-Iodo-Thyronine (T3)	$180.85	$180.85	—	—	—
Transferrin blood test CPT 84466 Transferrin	$142.77	$142.77	—	203% above	—
Transferrin blood test inpatient CPT 84466 Transferrin	$142.77	$142.77	—	—	—
Triglycerides blood test CPT 84478 Triglycerides	$70.74	$70.74	—	189% above	—
Triglycerides blood test inpatient CPT 84478 Triglycerides	$70.74	$70.74	—	—	—
Troponin test, quantitative CPT 84484 Troponin-I	$194.89	$194.89	—	350% above	—
Troponin test, quantitative CPT 84484 Troponin T	$194.89	$194.89	—	350% above	—
Troponin test, quantitative inpatient CPT 84484 Troponin-I	$194.89	$194.89	—	—	—
Troponin test, quantitative inpatient CPT 84484 Troponin T	$194.89	$194.89	—	—	—
Uric acid blood test CPT 84550 Uric Acid, Plasma	$39.19	$39.19	—	95% above	—
Uric acid blood test inpatient CPT 84550 Uric Acid, Plasma	$39.19	$39.19	—	—	—
Urinalysis without microscope exam, automated CPT 81003 Ua Biochemical W/O Micro	$54.58	$54.58	—	221% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Ua Biochemical W/O Micro	$54.58	$54.58	—	—	—
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Quant, Urine	$55.26	$55.26	—	86% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Quant, Urine	$55.26	$55.26	—	—	—
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine	$83.94	$83.94	—	191% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine	$83.94	$83.94	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12 Cascade	$11.70	$11.70	—	79% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$143.89	$143.89	—	159% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12 Cascade	$11.70	$11.70	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$143.89	$143.89	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy D-2 D-3	$93.50	$93.50	—	13% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy	$105.89	$105.89	—	1% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Oh,Vit D-3	$157.01	$157.01	—	47% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy D-2 D-3	$93.50	$93.50	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy	$105.89	$105.89	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Oh,Vit D-3	$157.01	$157.01	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1, 25-Dihydroxy	$280.59	$280.59	—	162% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 1, 25-Dihydroxy	$280.59	$280.59	—	—	—
Zinc blood test CPT 84630 Urine Zinc 24 Hour	$110.51	$110.51	—	173% above	—
Zinc blood test CPT 84630 Zinc	$110.51	$110.51	—	173% above	—
Zinc blood test inpatient CPT 84630 Urine Zinc 24 Hour	$110.51	$110.51	—	—	—
Zinc blood test inpatient CPT 84630 Zinc	$110.51	$110.51	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Csf Quant	$27.95	$27.95	—	50% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-Hcg (Bhcg)	$191.94	$191.94	—	245% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Hcg Csf Quant	$27.95	$27.95	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-Hcg (Bhcg)	$191.94	$191.94	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1St Lesion Strtctc	$8,518.97	$8,518.97	—	177% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1St Lesion Strtctc	$8,518.97	$8,518.97	—	—	—
Cervical biopsy CPT 57500 Biopsy Cervix	$1,235.38	$1,235.38	—	17% below	—
Cervical biopsy inpatient CPT 57500 Biopsy Cervix	$1,235.38	$1,235.38	—	—	—
Colonoscopy with tissue sample CPT 45380 Endoscopy Procd Time Ea 15 Min	$391.52	$391.52	—	72% below	—
Colonoscopy with tissue sample inpatient CPT 45380 Endoscopy Procd Time Ea 15 Min	$391.52	$391.52	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Loop Bx	$4,041.25	$4,041.25	—	7% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Loop Bx	$4,041.25	$4,041.25	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix W/Bx & Currt	$2,281.00	$2,281.00	—	241% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix W/Bx & Currt	$2,281.00	$2,281.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$1,946.72	$1,946.72	—	35% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$1,946.72	$1,946.72	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Noncdm Charge Record	$1,185.02	$1,185.02	—	309% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Actinic Kerat Lesion -1-	$1,266.60	$1,266.60	—	337% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Noncdm Charge Record	$1,185.02	$1,185.02	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Dest Actinic Kerat Lesion -1-	$1,266.60	$1,266.60	—	—	—
Earwax removal with instruments, one ear CPT 69210 Remove Impact Cerumen	$233.53	$233.53	—	80% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impact Cerumen	$233.53	$233.53	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy,Endometrium	$4,147.58	$4,147.58	—	800% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy,Endometrium	$4,147.58	$4,147.58	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Epi Steroid Inj Cerv Or Thor	$6,433.19	$6,433.19	—	361% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Epi Steroid Inj Cerv Or Thor	$6,433.19	$6,433.19	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$1,339.07	$1,339.07	—	33% below	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$1,339.07	$1,339.07	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy,Flex (Mcare/Scre	$1,946.72	$1,946.72	—	2% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy, Diagnosti	$1,946.72	$1,946.72	—	2% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy,Flex (Mcare/Scre	$1,946.72	$1,946.72	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy, Diagnosti	$1,946.72	$1,946.72	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 Insert Of Intrauterine Device	$1,806.32	$1,806.32	—	342% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Of Intrauterine Device	$1,806.32	$1,806.32	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I+D Abscess	$798.25	$798.25	—	97% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I+D Abscess	$798.25	$798.25	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendon Sheath,Lig, Gang	$486.91	$486.91	—	1% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inject Tendon Sheath,Lig, Gang	$486.91	$486.91	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Noncdm Charge Record	$1,386.27	$1,386.27	—	174% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Large	$1,473.12	$1,473.12	—	191% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Major Joint Or Bursa	$1,473.12	$1,473.12	—	191% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Noncdm Charge Record	$1,386.27	$1,386.27	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Major Joint Or Bursa	$1,473.12	$1,473.12	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Large	$1,473.12	$1,473.12	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Implant Via Dur Cylinder	$350.16	$350.16	—	24% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Implant Via Dur Cylinder	$350.16	$350.16	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspirate Or Inject Inter Joint	$591.84	$591.84	—	29% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspirate Or Inject Inter Joint A	$591.84	$591.84	—	29% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspirate Or Inject Inter Joint A	$591.84	$591.84	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspirate Or Inject Inter Joint	$591.84	$591.84	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspirate Or Inject Small Joint	$591.84	$591.84	—	32% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspirate Or Inject Small Joint	$591.84	$591.84	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Inter Rep <2.5 Scalp,Trunk,Xt	$555.79	$555.79	—	6% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Inter Rep <2.5 Scalp,Trunk,Xt	$555.79	$555.79	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Epi Steroid Inj Lumb Or Sac	$6,433.19	$6,433.19	—	331% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Epi Steroid Inj Lumb Or Sac	$6,433.19	$6,433.19	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Transfornerverootlumbar/Sacral	$6,342.15	$6,342.15	—	310% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Transfornerverootlumbar/Sacral	$6,342.15	$6,342.15	—	—	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs Surg Head/Neck/Hand1St St	$1,405.67	$1,405.67	—	14% above	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs Surg Head/Neck/Hand1St St	$1,405.67	$1,405.67	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les <.5 Trunk/Extrem	$1,172.86	$1,172.86	—	9% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Ben Les <.5 Trunk/Extrem	$1,172.86	$1,172.86	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Ben Les <.5 Face	$1,391.32	$1,391.32	—	32% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Ben Les <.5 Face	$1,391.32	$1,391.32	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate, 1St	$359.35	$359.35	—	8% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate, 1St	$359.35	$359.35	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 Block Occipital Nerve	$886.07	$886.07	—	87% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Block Occipital Nerve	$886.07	$886.07	—	—	—
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis W/Image	$7,143.95	$7,143.95	—	402% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis W/Image	$7,143.95	$7,143.95	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail	$1,550.20	$1,550.20	—	111% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Of Nail	$1,550.20	$1,550.20	—	—	—
Prostate biopsy CPT 55700 Biopsy Of Prostate,Needle Radiology	$6,068.27	$6,068.27	—	150% above	—
Prostate biopsy CPT 55700 Bx(S) Prostate	$6,068.27	$6,068.27	—	150% above	—
Prostate biopsy inpatient CPT 55700 Bx(S) Prostate	$6,068.27	$6,068.27	—	—	—
Prostate biopsy inpatient CPT 55700 Biopsy Of Prostate,Needle Radiology	$6,068.27	$6,068.27	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Rfa Nerve Lumbar Or Sacral	$6,342.15	$6,342.15	—	86% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Rfa Nerve Lumbar Or Sacral	$6,342.15	$6,342.15	—	—	—
Removal of a breast lump, open surgery CPT 19120 Exc,Breast Lesion(S)	$3,608.07	$3,608.07	—	20% below	—
Removal of a breast lump, open surgery inpatient CPT 19120 Exc,Breast Lesion(S)	$3,608.07	$3,608.07	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Removal Of Foreign Body Simple	$798.25	$798.25	—	24% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Of Foreign Body Simple	$798.25	$798.25	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Face:Nonface<2.5	$3,324.49	$3,324.49	—	779% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Face:Nonface<2.5	$3,324.49	$3,324.49	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Bx Skin 1St Lesion Punch	$1,653.68	$1,653.68	—	140% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Bx Skin 1St Lesion Punch	$1,653.68	$1,653.68	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Les < .5 Trunk/Extrem	$1,409.19	$1,409.19	—	64% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Mal Les < .5 Trunk/Extrem	$1,409.19	$1,409.19	—	—	—
Skin tag removal, up to 15 tags CPT 11200 Exc Skin Tag To 15	$298.82	$298.82	—	18% below	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Exc Skin Tag To 15	$298.82	$298.82	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diag Nm	$1,711.41	$1,711.41	—	44% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diag	$1,711.41	$1,711.41	—	44% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar Diag	$1,711.41	$1,711.41	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar Diag Nm	$1,711.41	$1,711.41	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair Not Face 2.67.5	$601.72	$601.72	—	52% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair Not Face 2.67.5	$601.72	$601.72	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Face<2.5	$592.33	$592.33	—	57% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair Face<2.5	$592.33	$592.33	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Skin 1St Lesion Tangential	$1,653.68	$1,653.68	—	233% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Bx Skin 1St Lesion Tangential	$1,653.68	$1,653.68	—	—	—
Thoracentesis with imaging guidance CPT 32555 Noncdm Charge Record	$5,640.46	$5,640.46	—	340% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Imaging	$6,218.60	$6,218.60	—	385% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesisw/Imaging A	$6,218.60	$6,218.60	—	385% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Noncdm Charge Record	$5,640.46	$5,640.46	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Imaging	$6,218.60	$6,218.60	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesisw/Imaging A	$6,218.60	$6,218.60	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point,1 Or 2 Muscles	$514.23	$514.23	—	23% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point, 1-2 Muscles	$514.23	$514.23	—	23% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point, 1-2 Muscles	$514.23	$514.23	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point,1 Or 2 Muscles	$514.23	$514.23	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1St Lesion Us Imag	$8,518.97	$8,518.97	—	194% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1St Lesion Us Imag	$8,518.97	$8,518.97	—	—	—
Wart removal, up to 14 warts CPT 17110 Destruct Wart Up To 14 Lesions	$1,582.48	$1,582.48	—	356% above	—
Wart removal, up to 14 warts CPT 17110 Destruct Benign Lesion Upto 14	$1,582.48	$1,582.48	—	356% above	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruct Wart Up To 14 Lesions	$1,582.48	$1,582.48	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruct Benign Lesion Upto 14	$1,582.48	$1,582.48	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin + Subcut Tissue	$2,047.58	$2,047.58	—	143% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin + Subcut Tissue	$2,047.58	$2,047.58	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Rad	$791.86	$791.86	—	8% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Radiology	$873.02	$873.02	—	19% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood	$873.02	$873.02	—	19% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood Rad	$791.86	$791.86	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood Radiology	$873.02	$873.02	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood	$873.02	$873.02	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Tx Initial	$690.32	$690.32	—	208% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Subsequent	$690.32	$690.32	—	208% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Initial	$690.32	$690.32	—	208% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Tx Subsequent	$690.32	$690.32	—	208% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Tx Subsequent	$690.32	$690.32	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Subsequent	$690.32	$690.32	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Initial	$690.32	$690.32	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Tx Initial	$690.32	$690.32	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Initial Up To 1St Hr A	$1,015.65	$1,015.65	—	66% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Initial Up To 1St Hr A	$1,015.65	$1,015.65	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake And Drowsy	$839.88	$839.88	—	22% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake And Drowsy	$839.88	$839.88	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg (12 Lead)	$285.10	$285.10	—	99% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Research Ekg (12 Lead)	$299.36	$299.36	—	109% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Research Ekg (12 Lead) #2 A	$299.36	$299.36	—	109% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Research Ekg (12 Lead)	$330.04	$330.04	—	131% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg (12 Lead) A	$330.04	$330.04	—	131% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg (12 Lead)	$285.10	$285.10	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Research Ekg (12 Lead) #2 A	$299.36	$299.36	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Research Ekg (12 Lead)	$299.36	$299.36	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg (12 Lead) A	$330.04	$330.04	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Research Ekg (12 Lead)	$330.04	$330.04	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydration Init Upto 1Hr Radiation	$443.88	$443.88	—	20% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydration Init Upto 1Hr A	$489.37	$489.37	—	32% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydration Init Upto 1Hr Radiation	$443.88	$443.88	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydration Init Upto 1Hr A	$489.37	$489.37	—	—	—
IV infusion of a medicine, first hour CPT 96365 Iv Therapy Initial Upto 1 Hr Radiation	$427.02	$427.02	—	2% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Therapy Initial Up To 1 Hr	$470.79	$470.79	—	13% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Therapy Initial Upto 1 Hr Radiation	$427.02	$427.02	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Therapy Initial Up To 1 Hr	$470.79	$470.79	—	—	—
IV push of a medicine, first drug CPT 96374 Iv Inj Non Chemo Initial Radiation	$256.25	$256.25	—	at median	—
IV push of a medicine, first drug CPT 96374 Iv Inj Non Chemo Initial	$282.51	$282.51	—	11% above	—
IV push of a medicine, first drug CPT 96374 Iv Inj Non Chemo Initial A	$282.51	$282.51	—	11% above	—
IV push of a medicine, first drug inpatient CPT 96374 Iv Inj Non Chemo Initial Radiation	$256.25	$256.25	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 Iv Inj Non Chemo Initial A	$282.51	$282.51	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 Iv Inj Non Chemo Initial	$282.51	$282.51	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo Subq/Im Radiation	$185.68	$185.68	—	67% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo Subq-Im	$185.68	$185.68	—	67% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo Subq/Im Radiation A	$185.68	$185.68	—	67% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo Subq/Im Nuc Med	$204.71	$204.71	—	84% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo Subq/Im	$204.71	$204.71	—	84% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo Subq/Im Radiation	$185.68	$185.68	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo Subq/Im Radiation A	$185.68	$185.68	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo Subq-Im	$185.68	$185.68	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo Subq/Im	$204.71	$204.71	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo Subq/Im Nuc Med	$204.71	$204.71	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Noncdm Charge Record	$227.64	$227.64	—	178% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reducate /15 Min	$239.02	$239.02	—	192% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeduct 15 Min	$239.02	$239.02	—	192% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Pta Neuromuscul Reeduct 15 Min	$239.02	$239.02	—	192% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Ota Neuromusc Reducate /15 Min	$239.02	$239.02	—	192% above	—
Neuromuscular re-education, 15 minutes CPT 97112 97112Virt Neuromuscre-Edu15Min	$239.02	$239.02	—	192% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Noncdm Charge Record	$227.64	$227.64	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeduct 15 Min	$239.02	$239.02	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reducate /15 Min	$239.02	$239.02	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112Virt Neuromuscre-Edu15Min	$239.02	$239.02	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ota Neuromusc Reducate /15 Min	$239.02	$239.02	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pta Neuromuscul Reeduct 15 Min	$239.02	$239.02	—	—	—
New patient office visit, about 60 minutes CPT 99205 Prim/Sec. Pbsc Physical Exam	$4,870.38	$4,870.38	—	1191% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Prim/Sec. Pbsc Physical Exam	$4,870.38	$4,870.38	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Minutes	$144.06	$144.06	—	16% below	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Minutes	$144.06	$144.06	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Noncdm Charge Record	$482.35	$482.35	—	83% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163Virt Ptevalmodcmplx45Min	$506.47	$506.47	—	92% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Minute	$506.47	$506.47	—	92% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Noncdm Charge Record	$482.35	$482.35	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 97163Virt Ptevalmodcmplx45Min	$506.47	$506.47	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 Minute	$506.47	$506.47	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity 20 Min	$222.86	$222.86	—	24% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity 20 Min	$222.86	$222.86	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162Virt Pteval Modcmplx30Min	$339.33	$339.33	—	41% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Minutes	$339.33	$339.33	—	41% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 Minutes	$339.33	$339.33	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162Virt Pteval Modcmplx30Min	$339.33	$339.33	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Compx Lymphedema Ther Ea 15Min	$153.20	$153.20	—	84% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Noncdm Charge Record	$160.86	$160.86	—	93% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tech P Therp Per 15 Min 1	$168.90	$168.90	—	103% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pta Manual Tech P Therp/15 Min	$168.90	$168.90	—	103% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tech P Therp Per 15 Min	$168.90	$168.90	—	103% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ota Manual Tech P Therp/15 Min	$168.90	$168.90	—	103% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Compx Lymphedema Ther Ea 15Min	$153.20	$153.20	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Noncdm Charge Record	$160.86	$160.86	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pta Manual Tech P Therp/15 Min	$168.90	$168.90	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Tech P Therp Per 15 Min	$168.90	$168.90	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Tech P Therp Per 15 Min 1	$168.90	$168.90	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ota Manual Tech P Therp/15 Min	$168.90	$168.90	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Noncdm Charge Record	$266.76	$266.76	—	253% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise 15 Min	$280.10	$280.10	—	271% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ota Therapeutic Exercise15 Min	$280.10	$280.10	—	271% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 Virt Therap Exrcse 15Min	$280.10	$280.10	—	271% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pta Therapy Exercise /15 Min	$280.10	$280.10	—	271% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy Exercise Per 15 Min	$280.10	$280.10	—	271% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Noncdm Charge Record	$266.76	$266.76	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise 15 Min	$280.10	$280.10	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 Virt Therap Exrcse 15Min	$280.10	$280.10	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pta Therapy Exercise /15 Min	$280.10	$280.10	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapy Exercise Per 15 Min	$280.10	$280.10	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ota Therapeutic Exercise15 Min	$280.10	$280.10	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 Ini Yearly Gyn Eval(Age 18-39)	$480.26	$480.26	—	137% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Prev Eval 18-39 Yrs	$480.87	$480.87	—	138% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Ini Yearly Gyn Eval(Age 18-39)	$480.26	$480.26	—	—	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Prev Eval 18-39 Yrs	$480.87	$480.87	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Prevent Eval 40-64 Yr	$815.56	$815.56	—	263% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 Ini Yearly Gyn Eval (Age40-64)	$815.56	$815.56	—	263% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Prevent Eval 40-64 Yr	$815.56	$815.56	—	—	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Ini Yearly Gyn Eval (Age40-64)	$815.56	$815.56	—	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 Ini Yearly Gyn Eval (Age Gt65)	$794.51	$794.51	—	209% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 Initial Prev Med 65+ Yrs	$794.51	$794.51	—	209% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Initial Prev Med 65+ Yrs	$794.51	$794.51	—	—	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Ini Yearly Gyn Eval (Age Gt65)	$794.51	$794.51	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Yearly Gyn Eval (Age 18-39)	$604.23	$604.23	—	199% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Yearly Eval Age 18-39	$604.23	$604.23	—	199% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Yearly Gyn Eval (Age 18-39)	$604.23	$604.23	—	—	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Yearly Eval Age 18-39	$604.23	$604.23	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Yearly Preventvisit Age(40 64)	$634.38	$634.38	—	170% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Yearly Gyn Eval (Age 40 64)	$634.38	$634.38	—	170% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Yearly Preventvisit Age(40 64)	$634.38	$634.38	—	—	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Yearly Gyn Eval (Age 40 64)	$634.38	$634.38	—	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Noncdm Charge Record	$628.84	$628.84	—	209% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Yearly Eval Age Gt65	$679.70	$679.70	—	233% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Noncdm Charge Record	$628.84	$628.84	—	—	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Yearly Eval Age Gt65	$679.70	$679.70	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Follow Up Visit Level 5 Rad	$716.84	$716.84	—	205% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Noncdm Charge Record	$734.76	$734.76	—	213% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Pre-Operative Visit	$790.31	$790.31	—	236% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Revisit Level 5	$790.31	$790.31	—	236% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 New Patient/Revisit Level 5	$817.77	$817.77	—	248% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 New Patient /Revisit Level 5 Rad	$817.77	$817.77	—	248% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Follow Up Visit Level 5 Rad	$716.84	$716.84	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Noncdm Charge Record	$734.76	$734.76	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Pre-Operative Visit	$790.31	$790.31	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Revisit Level 5	$790.31	$790.31	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 New Patient/Revisit Level 5	$817.77	$817.77	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 New Patient /Revisit Level 5 Rad	$817.77	$817.77	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Follow Up Visit Level 3 Rad	$301.18	$301.18	—	65% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Revisit Level 3 A	$332.04	$332.04	—	81% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Post-Operative Visit	$332.04	$332.04	—	81% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 New Patient /Revisit Level 3 Rad	$577.92	$577.92	—	216% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 New Patient /Revisit Level 3	$637.15	$637.15	—	248% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Follow Up Visit Level 3 Rad	$301.18	$301.18	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Revisit Level 3 A	$332.04	$332.04	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Post-Operative Visit	$332.04	$332.04	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 New Patient /Revisit Level 3 Rad	$577.92	$577.92	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 New Patient /Revisit Level 3	$637.15	$637.15	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Follow Up Visit Level 4 Rad	$553.44	$553.44	—	180% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Revisit Level 4	$610.17	$610.17	—	209% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 New Patient /Revisit Level 4 Rad	$769.39	$769.39	—	290% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 New Patient /Revisit Level 4	$848.24	$848.24	—	330% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Follow Up Visit Level 4 Rad	$553.44	$553.44	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Revisit Level 4	$610.17	$610.17	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 New Patient /Revisit Level 4 Rad	$769.39	$769.39	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 New Patient /Revisit Level 4	$848.24	$848.24	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Noncdm Charge Record	$293.25	$293.25	—	75% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Follow Up Visit Level 2 Rad	$295.44	$295.44	—	76% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Revisit Level 2	$325.72	$325.72	—	94% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 New Patient /Revisit Level 2 Rad	$398.30	$398.30	—	138% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 New Patient /Revisit Level 2	$439.12	$439.12	—	162% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Noncdm Charge Record	$293.25	$293.25	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Follow Up Visit Level 2 Rad	$295.44	$295.44	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Revisit Level 2	$325.72	$325.72	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 New Patient /Revisit Level 2 Rad	$398.30	$398.30	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 New Patient /Revisit Level 2	$439.12	$439.12	—	—	—
Speech and language evaluation CPT 92523 Evalspeech Sound Prow/Langcomp	$514.43	$514.43	—	31% above	—
Speech and language evaluation inpatient CPT 92523 Evalspeech Sound Prow/Langcomp	$514.43	$514.43	—	—	—
Speech therapy session, individual CPT 92507 Sp Treatment S/L/V	$266.71	$266.71	—	59% above	—
Speech therapy session, individual inpatient CPT 92507 Sp Treatment S/L/V	$266.71	$266.71	—	—	—
Spirometry (breathing test) CPT 94010 Spirometry	$260.49	$260.49	—	17% above	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$260.49	$260.49	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Eval	$708.84	$708.84	—	83% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Eval	$708.84	$708.84	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Motor Skill - Ea 15 Min	$166.02	$166.02	—	93% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Noncdm Charge Record	$174.32	$174.32	—	103% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Pta Func Mobility Train/15 Min	$183.04	$183.04	—	113% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Func Mobility Train Per 15 Min	$183.04	$183.04	—	113% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 97530 Virttherapeuticacts 15Min	$183.04	$183.04	—	113% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activity 15 Min	$183.04	$183.04	—	113% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ota Functional Activity 15 Min	$183.04	$183.04	—	113% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Motor Skill - Ea 15 Min	$166.02	$166.02	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Noncdm Charge Record	$174.32	$174.32	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ota Functional Activity 15 Min	$183.04	$183.04	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 Virttherapeuticacts 15Min	$183.04	$183.04	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pta Func Mobility Train/15 Min	$183.04	$183.04	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Func Mobility Train Per 15 Min	$183.04	$183.04	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Functional Activity 15 Min	$183.04	$183.04	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$358.17	$358.17	—	69% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$358.17	$358.17	—	—	—
Visual field test, extended CPT 92083 Visual Field Analysis Full	$363.04	$363.04	—	8% above	—
Visual field test, extended inpatient CPT 92083 Visual Field Analysis Full	$363.04	$363.04	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin - One Rad	$66.51	$66.51	—	21% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Noncdm Charge Record	$69.83	$69.83	—	17% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin - One	$73.32	$73.32	—	13% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin - One Rad	$66.51	$66.51	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Noncdm Charge Record	$69.83	$69.83	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin - One	$73.32	$73.32	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Noncdm Charge Record	$49.74	$49.74	—	11% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin - Each Addtl	$52.23	$52.23	—	16% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Noncdm Charge Record	$49.74	$49.74	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin - Each Addtl	$52.23	$52.23	—	—	—

Dental

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Scaling/Planing/ Quad	$439.35	$439.35	—	72% below	—
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 Scaling/Planing/ Quad	$439.35	$439.35	—	—	—
Dental implant, surgical placement CDT D6010 Implant Endosteal/ Cap	$3,179.75	$3,179.75	—	162% above	—
Dental implant, surgical placement inpatient CDT D6010 Implant Endosteal/ Cap	$3,179.75	$3,179.75	—	—	—
Porcelain crown CDT D2740 Crown-Porcelain W/ Ceramic	$289.41	$289.41	—	73% below	—
Porcelain crown inpatient CDT D2740 Crown-Porcelain W/ Ceramic	$289.41	$289.41	—	—	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Ext Impact Full Bony	$950.89	$950.89	—	3% above	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 Ext Impact Full Bony	$950.89	$950.89	—	—	—
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 Root Canal 3 (Exc Final Rest)	$1,989.03	$1,989.03	—	5% above	—
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 Root Canal 3 (Exc Final Rest)	$1,989.03	$1,989.03	—	—	—
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Adult Prophy	$175.71	$175.71	—	15% above	—
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Adult Prophy Half Mouth	$175.71	$175.71	—	15% above	—
Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 Adult Prophy Half Mouth	$175.71	$175.71	—	—	—
Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 Adult Prophy	$175.71	$175.71	—	—	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction	$292.91	$292.91	—	84% below	—
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Extraction	$292.91	$292.91	—	—	—

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.roswellpark.org/sites/default/files/161552370_roswell-park-cancer-institute_standardcharges.json.zip